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HomeMy WebLinkAbout2004-February File Copy • Jefferson County Board of Health Agenda 0 Minutes February 19, 2004 1 S JEFFERSON COUNTY BOARD OF HEALTH Thursday,February 19, 2004 2:30—4:30 PM Main Conference Room Jefferson Health and Human Services AGENDA I. Approval of Agenda II. Approval of Minutes of Meetings of January 15,2004 III. Public Comments IV. Old Business and Informational Items 1. Bioterrorism 101 (cont.): Ricin 2. Oral Health Access: SmileMobile,March 15-19, 2004 3. Cruise Ship Waste Discharge: Letter from State Board of Health 4. Northwest Public Health Leadership Institute • V. New Business 1. Report on City of Port Townsend 2/9/04 Worksession 2. 2003 End-of-Year Performance Evaluation Reports 3. 2003 Sexually Transmitted Disease Report—Jefferson County 4. Peninsula Syringe Exchange Activity Report 5. Clandestine Drug Lab Ordinance—Legal Review and Current Draft 6. Avian Influenza Update VI. Activity Update VII. Agenda Planning VIII. Next Meeting: March 18,2004,2:30-4:30 PM Main Conference Room Jefferson Health and Human Services r a JEFFERSON COUNTY BOARD OF HEALTH MINUTES • DRAVa Thursday, January 15, 2004 DRAFT Board Members: Staff Member: Dan Titterness, Chairman-County Commissioner District#1 Jean Baldwin,Health dr Human Services Director Glen Huntingford-County Commissioner District#2 Larry Fay,Environmental Health Director Patrick M Rodgers- County Commissioner District#3 Julia Danskin,Nursing Services Director Geoffrey Maxi-Port Townsend City Council Thomas Locke,MD,Health Officer Jill Buhler-Hospital Commissioner District#2 Sheila Westerman- Citizen at Large(City) Ex-officio Roberta Frissell, Vice Chairman- Citizen at Large(County) David Sullivan,PUD#1 Chairman Masci called the meeting to order at 2:30 p.m.All Board and Staff members were present with the exception of Member Westerman. There was a quorum. APPROVAL OF AGENDA -ommissioner Titterness moved to approve the agenda as submitted.Member Buhler seconded e motion,which carried by a unanimous vote. ELECTION OF BOARD OF HEALTH CHAIR AND VICE CHAIR FOR 2004 Chairman Masci called for nominations for the position of Chair.Member Buhler nominated Commissioner Tittemess. There being no further nominations,Member Buhler moved to elect Commissioner Titterness as Chair. Commissioner Huntingford seconded the motion,which carried by a unanimous vote. In response to the call for nominations for Vice Chair,Member Buhler nominated Member Frissell. There being no further nominations, Member Buhler moved to elect Member Frissell as Vice Chair. Commissioner Huntingford seconded the motion,which carried by a unanimous vote. APPROVAL OF MINUTES Member Masci moved to approve the minutes of December 18, 2003 as corrected. On Page 4, a sentence should be added to the last paragraph, as the third sentence,which says "He did note that the influenza vaccine used for young children(6-24 months)is Thimerosol-free."Vice Chairman Frissell seconded the motion,which carried by a unanimous vote. AO PUBLIC COMMENT-None • HEALTH BOARD MINUTES -January 15, 2004 Page: 2 OLD BUSINESS AND INFORMATIONAL ITEMS 40 Gypsy Moths in Port Ludlow: Larry Fay reported that in February,the Department of Agriculture would be holding a series of community workshops in Port Ludlow to discuss eradicating tree-eating Gypsy Moths in that area. The State Department of Health is aware of this and could offer technical assistance to the County in the event of public anxiety about the use of the relatively innocuous insecticide being sprayed. Healthy Jefferson: Jean Baldwin reported receiving positive responses to the plans for open houses, the announcements of which were included in the agenda packet. Medical Assistance Administration Strategic Planning Questionnaire: As directed by the Board at the last meeting,Dr. Torn Locke had filled out the survey on the Board's behalf, on which he then _ solicited additional Board comment or changes. There were minor suggestions for modification to spell out the acronym MAA(Medical Assistance Administration) and correcting Commissioner Titterness as Chair as the signatory on the letter. Vice Chairman Frissell moved to direct Staff to finalize the survey response as amended. Member Masci seconded the motion,which carried by a unanimous vote. NEW BUSINESS Draft Ordinance Regarding Methamphetamine Manufacturing Site Evaluation and Clean-up: Larry Fay summarized the draft ordinance before the Board addressing clandestine drug labs, including the responsibilities of Public Health to initiate an investigation as to whether the property containing the drug lab has been contaminated. If there is contamination,the law requires the local Health Authority to post a notice at the property,record notice on the property title,notify the State Department of Health so that they could run their inventory,work with the property owner on a decontamination of the site, and determine whether decontamination was successful. While the ordinance is modeled after Clallam County's,Jefferson County's version also establishes penalties for the occupation of the house, additional measures of which the Sheriff's Department is supportive. The Board was asked to make comment on this draft. The next step would be a legal review and administrative process and scheduling of adoption hearings. In response to a question by Member Buhler,Larry Fay further clarified that this ordinance is focused only on meth labs that come to the County's attention as a result of police action. Dr. Locke agreed that the authority in this ordinance is restricted to illegal drug manufacturing and suggested amending the second sentence in Section II Applicability to say"...property that is contaminated by illegal drug manufacturing or storage." Member Buhler noted the absence of a statement in Section VIII Appeals about an order prohibiting use. Mr. Fay noted that such language is contained in the WACs and the RCW and was included by reference. Under Section VII Criminal Penalties, Commissioner Rodgers asked whether we should direct the Court to impose restitution rather than stating, "the court may also impose restitution"in an effort to ensure a means for the County to recapture costs of bringing the structure into compliance? Chairman Titterness asserted that the Judge has flexibility and power to order restitution. There was HEALTH BOARD MINUTES -January 15, 2004 Page: 3 discussion about how to address this matter in the ordinance and support for the suggestion that Staff Sook to larger counties for precedence on the Criminal Penalties. Larry Fay noted that Section 5 on page 3 addresses abatement and assessment of costs—how the County could attach a tax lien on the property and force a foreclosure in order to recoup clean-up costs. The Criminal Penalties still provide pressure on the property owner to perform the clean up. Member Masci moved to return the ordinance to Staff to obtain a legal review and comparison with language in ordinances of other counties. Commissioner Huntingford seconded the motion, which carried by a unanimous vote. Bovine Spongiform Encephalopathy in Washington State: Dr.Locke provided an update on the issue of Mad Cow Disease,which appeared in Eastern Washington at the end of 2003. The agencies in the forefront are the Federal and State Departments of Agriculture,which regulate the health of livestock and the rules relating to Bovine Spongiform Encephalopathy(BSE). The role of public health is to—. inform the public about the risks and to perform surveillance for the human form,which is called variant Creutzfeldt-Jakob Disease(vCJD). Among the information in the packet was the letter about vCJD that was sent to neurologists,neuropathologists,medical examiners, and health officers. While instances of human transmission have been very low,the potential presents a huge economic and agricultural issue. In response to questions,Dr. Locke further explained that while BSE is present in highest concentration in nerve tissue, nervous tissue is also distributed in the muscle. Since the efficiency of transmission is so low,the risk of bits of nerve tissue in meat is an incalculably small number. He talked about regulatory changes to address the origin of the problem, feeding large amounts of bovine neurologic tissue back to ethe cattle. On-Site Sewage Permitting Program Activity--2003: Larry Fay provided highlights of some of the timing and issues around permitting that he recently presented to the County Commissioners. In looking at the table of 2003 Septic Processing Time by Permit Status, he noted that almost 45% of the permit applications received in 2003 were either delayed or remanded for insufficient information, identification of critical area, or design problems. Staff is strategizing how to improve permit processing by better addressing the system bottlenecks. He reported that one third of all systems permitted would never be installed—i.e.,people simply want assurance that they would be able to build in the future. Six designers had submitted eighty-five percent of the applications received, so there is a relatively small pool of people to work with. In response to a question from David Sullivan, Staff agreed to look for any correlation between these "clock stoppers"and the designers. Member Masci suggested changing the application flow chart to highlight the desired flow for permit approval rather than problems that hold up approval.He also asked whether Environmental Health has a goal—a product improvement plan. Mr. Fay said he believes 70%permit approval is achievable. Larry Fay then reviewed the outcomes of a December meeting meant to get input from designers and engineers on process improvements regarding pre-design inspections. They recommended Staff commit to having a quarterly open house meeting with designers, eventually expanding to include the installers as an opportunity to exchange information and identify issues before they become problems. They would also like Staff to introduce new policies/procedures following these meetings. A consistent message from the design community is that Environmental Health does a lot by practice rather than policy and that the HEALTH BOARD MINUTES -January 15, 2004 Page: 4 practices change some. They would like a clear manual that documents all the practices and the rule interpretations over the years. He then distributed updated Septic Design and Permitting Guiding • Principles,noting that numbers 2 and 3 would require the tools and information for designers to actually submit a clean and accurate application. Staff has worked with Information Services to have Critical Areas maps available on-line. Linda Atkins has completed two trainings and has two more scheduled to help designers use web-based tools.The first quarterly meeting is-scheduled to occur in February. While performance measures have been used for the last couple of years, a change would be made to conduct an earlier review of the application(within seven rather than 14 days). Applications would hopefully go through more rapidly than the current 21 days and problems, if any, could be detected earlier. Member Buhler expressed concern that a homeowner's whole construction process could be delayed if the person hired to submit the application builds "clock stoppers"into it. Lang Fay agreed that it could take a little longer,but said Staff would be challenged to prioritize those that have a building permit and a septic permit applications over other permits for systems that never get installed. David Sullivan asked if fees relate to the amount of Staff time involved and whether additional Staff would speed processing?Mr. Fay explained that fees are broken down by time and they have a two-tier structure on conventional and alternative systems. They also have the ability to charge for redesign if one is needed. He believes that both staffing levels and fees are appropriate for the application process. 2°'Draft of Policy Concerning Evaluation of On-Site Sewage Systems and Building Permits: As continued from the last meeting, Larry Fay and Linda Atkins reviewed with the Board the revised policy for the On-Site Sewage Disposal Program and solicited additional comments. • Member Masci reminded Staff about the suggestion to include in the documents the length of time an EES remains valid. Staff agreed there should be a statement to address this in the ordinance. Vice Chairman Frissell said that according to the chart in the appendix,there is at least one other situation that does not require an EES,which is not reflected on the page under exceptions—a permit on property greater than five acres and more than 200 feet from the shoreline that is not adding plumbing. It should either be listed under Exceptions or the chart Appendix should be referred to under those exceptions. Member Buhler asked what mandates the difference between the operational check and the full assessment?Mr.Fay explained that the adopted code establishes what type of application triggers what kind of review. The operational check would be appropriate if it is a building permit application that is not an expansion.A full assessment would be needed to determine if the system is functioning and has the capacity to meet the expansion of the home. The only caveat is that in situations where the expansion is less than 120 sq. $. an assessment would be needed only if there is no permit on file or the system never received a final check to verify that what was permitted was actually installed. Linda Atkins then reviewed the status of other Board-requested changes.Member Westerman had asked that the opening paragraph refer to the 8.15 code, so Staff would also add, "to implement provisions of the Jefferson County Code 8.15."On Page 2,the term"non-building"was replaced with a definition. Although the Board had asked whether the time of sale inspection could actually be required before the S sale, Staff did not make this adjustment since it would require a code change. On the last page;item number 4, there was also interest in requiring that deficiencies be corrected at the time of sale rather than • Board of Health Old Business Agenda Item # IV. , 1 • Bioterrorism 101 (cont.) Ricin February 19, 2004 • • . HEALTH BOARD MINUTES -January 15, 2004 Page: 5 by the time of the next regular inspection. Since the Department currently does not have a mechanism to •insPect and identify such deficiencies at the time of sale,the Board would need to address it in the Code. She clarified while there is notification of the deficiencies,they are not identified as a violation until the next inspection. Member Masci moved toapprove as corrected the Policy Concerning Evaluation-of On-Site Sewage Systems and Building Permits.Vice Chairman Frissell seconded the motion,which carried by a unanimous vote. Influenza Update: Dr. Locke gave the Board an updated Weekly Report on Influenza,which showed a peak in the number of lab-reported positive cases. Compared to previous years,this was a fairly bad year with an early peak in the number of cases. While in recent years there have been single peaks in influenza,there could be another peak between now and March. Therefore,there is still is an argument — for getting high-risk populations vaccinated with the small amounts available. The children's vaccine is also available in small amounts. The manufacturer of the new flu mist vaccine is now giving it away. While the live virus vaccine appears to be a good vaccine, it currently cannot be used for the high-risk population and is therefore not able to prevent deaths in this population. He noted that Vietnam is now experiencing an avian flu outbreak with 80%mortality. As long as the strains are spread from animals to human,they are relatively controllable,but if the strains are efficiently spread from person to person, it could result in a global pandemic. Sporadic cases of SARS are surfacing in China and there is a definite link with Civet cats. Recently, the U.S. banned their importation. • ACTIVITY UPDATE/OTHER ANNOUNCEMENTS There was Board support for holding a special joint meeting of the Board of Health and Hospital Board the second week of March(possibly March 11). AGENDA PLANNING/ADJOURN The meeting adjourned at 3:55 p.m.The next meeting will be held on Thursday,February 19,2004 at 2:30 p.m. at the Jefferson County Health and Human Services Conference Room. JEFFERSON COUNTY BOARD OF HEALTH Dan Titterness, Chairman Jill Buhler,Member (Excused Absence) Roberta Frissell,Vice Chairman Sheila Westerman,Member Geoffrey Masci,Member Glen Huntingford,Member Patrick M. Rodgers,Member II i / • CHEMICAL EMERGENCIES FACT SHEET Facts About Ricin What ricin is • Ricin is a poison that can be made from the waste left over from processing castor beans. • It can be in the form of a powder, a mist, or a pellet, or it can be dissolved in water or weak acid. __ • It is a stable substance.-For example, it is not affected much by extreme conditions such as very hot or very cold temperatures. Where ricin is found and how it is used • Castor beans are processed throughout the world to make castor oil. Ricin is part of the waste "mash" produced when castor oil is made. • Ricin has some potential medical uses, such as bone marrow transplants and cancer treatment(to kill cancer cells). • How you could be exposed to ricin • It would take a deliberate act to make ricin and use it to poison people.Accidental exposure to ricin is highly unlikely. • People can breathe in ricin mist or powder and be poisoned. • Ricin can also get into water or food and then be swallowed. • Pellets of ricin, or ricin dissolved in a liquid, can be injected into people's bodies. • Depending on the route of exposure (such as injection or inhalation), as little as 500 micrograms of ricin could be enough to kill an adult.A 500-microgram dose of ricin would be about the size of the head of a pin. A greater amount would likely be needed to kill people if the ricin were swallowed. • In 1978, Georgi Markov, a Bulgarian writer and journalist who was living in London, died after he was attacked by a man with an umbrella. The umbrella had been rigged to inject a poison ricin pellet under Markov's skin. • Some reports have indicated that ricin may have been used in the Iran-Iraq war during the 1980s and that quantities of ricin were found in Al Qaeda caves in Afghanistan. • Ricin poisoning is not contagious. It cannot be spread from person to person through casual contact. February 5 2004 Page 1 of 4 DEPARTMENT OF HEALTH AND HUMAN SzawcES CENTERS FOR DISEASE CONTROL AN* PREVENTION SAFER 4,HEA.LT141ER•peapLe Facts About Ricin (continued from previous page) How ricin works • • Ricin works by getting inside the cells of a person's body and preventing the cells from making the proteins they need. Without the proteins, cells die.Eventually this is harmful to the whole body, and death may occur. • Effects of ricin poisoning depend on whether ricin was inhaled, ingested, or injected. Signs and symptoms of ricin exposure • The major symptoms of ricin poisoning depend on the route of exposure and the dose received,though many organs may be affected in severe cases. • Initial symptoms of ricin poisoning by inhalation may occur within 8 hours of exposure.Following ingestion of ricin, initial symptoms typically occur in less than 6 hours. • Inhalation: Within a few hours of inhaling significant amounts of ricin, the likely symptoms would be respiratory distress(difficulty breathing), fever, cough, nausea, and tightness in the chest. Heavy sweating may follow as well as fluid building up in the lungs(pulmonary edema). This would make breathing even more difficult, and the skin might turn blue. Excess fluid in the lungs would be diagnosed by x-ray or by listening to the chest with a stethoscope. Finally, low blood pressure and respiratory failure may occur, leading to death. In cases of known exposure to ricin, people having respiratory symptoms that started within 12 hours of inhaling ricin should seek medical care. • Ingestion: If someone swallows a significant amount of ricin,he or she would develop vomiting and diarrhea that may become bloody:Severe dehydration may be the result, followed by low blood pressure. • Other signs or symptoms may include hallucinations, seizures, and blood in the urine. Within several days, - the person's liver, spleen, and kidneys might stop working, and the person could die. • Skin and eye exposure: Ricin in the powder or mist form can cause redness and pain of the skin and the eyes. • Death from ricin poisoning could take place within 36 to 72 hours of exposure, depending on the route of exposure(inhalation, ingestion, or injection) and the dose received. If death has not occurred in 3 to 5 days, " the victim usually recovers. • Showing these signs and symptoms does not necessarily mean that a person has been exposed to ricin. How ricin poisoning is treated Because no antidote exists for ricin,the most important factor is avoiding ricin exposure in the first place. If exposure cannot be avoided,the most important factor is then getting the ricin off or out of the body as quickly as possible. Ricin poisoning is treated by giving victims supportive medical care to minimize the effects of the poisoning. The types of supportive medical care would depend on several factors, such as the route by which victims were poisoned (that is, whether poisoning was by inhalation, ingestion, or skin or eye exposure). Care could include such measures as helping victims breathe,giving them intravenous fluids(fluids given through a needle inserted into a vein), giving them medications to treat conditions such as seizure and low blood pressure, flushing their stomachs with activated charcoal (if the ricin has been very recently ingested), or washing out their eyes with water if their eyes are irritated. February 5, 2004 Pape 2 of 4 • DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR DISEASE CONTROL AND PREVENTION SAFER•HEALTHI *PEOPLE-1m Facts About Ricin (continued from previous page) • How you can know whether you have been exposed to ricin • If we suspect that people have inhaled ricin, a potential clue would be that a large number of people who had been close to each other suddenly developed fever, cough,and excess fluid in their lungs. These symptoms could be followed by severe breathing problems and possibly death. • No widely available, reliable test exists to confirm that a person has been exposed to ricin. How you can protect yourself, and what to do if you are exposed to ricin • First, get fresh air by leaving the area where the ricin was released. Moving to an area with fresh air is a good way to-reduce the possibility of death-from exposure to ricin. -- o If the ricin release was outside, move away from the area where the ricin was released. o If the ricin release was indoors, get out of the building. • If you are near a release of ricin, emergency coordinators may tell you to either evacuate the area or to "shelter in place" inside a building to avoid being exposed to the chemical. For more information on evacuation during a chemical emergency, see"Facts About Evacuation"at http://www.bt.cdc.gov/planning/evacuationfacts.asp. For more information on sheltering in place during a- chemical emergency, see"Facts About Sheltering in Place"at http://www.bt.cdc.gov/planning/shelteringfacts.asp. • If you think you may have been exposed to ricin, you should remove your clothing, rapidly wash your entire ak body with soap and water, and get medical care as quickly as possible. • Removing your clothing: o Quickly take off clothing that may have ricin on it.Any clothing that has to be pulled over the head should be cut off the body instead of pulled over the head. o If you are helpingother people remove their clothing,tryto avoid touchinganycontaminated areas and p P g, , remove the clothing as quickly as possible. • Washing yourself o As quickly as possible, wash any ricin from your skin with large amounts of soap and water. Washing with soap and water will help protect people from any chemicals on their bodies. o If your eyes are burning or your vision is blurred, rinse your eyes with plain water for 10 to 15 minutes. If you wear contacts, remove them and put them with the contaminated clothing. Do not put the contacts back in your eyes (even if they are not disposable contacts). If you wear eyeglasses,wash them with soap and water. You can put your eyeglasses back on after you wash them. • Disposing of your clothes: o After you have washed yourself, place your clothing inside a plastic bag.Avoid touching contaminated areas of the clothing. If you can't avoid touching contaminated areas, or you aren't sure where the contaminated areas are,wear rubber gloves,turn the bag inside out and use it to pick up the clothing, or put the clothing in the bag using tongs,tool handles, sticks, or similar objects.Anything that touches the contaminated clothing should also be placed in the bag. If you wear contacts, put them in the plastic bag, too. o Seal the bag, and then seal that bag inside another plastic bag. Disposing of your clothing in this way will help protect you and other people from any chemicals that might be on your clothes. Februa 5 2004 Pa e 3 of 4 DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR DISEASE CONTROL. AND PREVENTION SAFER.HEALTHIER•PEOPLE* Facts About Ricin (continued from previous page) • o When the local or state health department or emergency personnel arrive,tell them what you did with your clothes.The health department or emergency personnel will arrange for further disposal.Do not handle the plastic bags yourself. • For more information about cleaning your body and disposing of your clothes after a chemical release, see "Chemical Agents: Facts About Personal Cleaning and Disposal of Contaminated Clothing"at http://www.bt.cdc.gov/planning/personalcleaningfacts.asp. • If someone has ingested ricin,do not induce vomiting or give fluids to drink. • Seek medical attention right away.Dial 911 and explain what has happened. How you can get more information about ricin You canTontact one of the following: — • Regional poison control center(1-800-222-1222) • Centers for Disease Control and Prevention o Public Response Hotline (CDC) • English(888) 246-2675 • Espanol (888)246-2857 • TTY(866) 874-2646 o Emergency Preparedness and Response Web site(http://www.bt.cdc.gov/) o E-mail inquiries: cdcresponse@ashastd.org o Mail inquiries: Public Inquiry c/o BPRP Bioterrorism Preparedness and Response Planning Centers for Disease Control and Prevention Mailstop C-18 1600 Clifton Road Atlanta, GA 30333 • Agency for Toxic Substances and Disease Registry(ATSDR) (1-888-422-8737) o E-mail inquiries: atsdric@cdc.gov o Mail inquiries: Agency for Toxic Substances and Disease Registry Division of Toxicology 1600 Clifton Road NE, Mailstop E-29 Atlanta, GA 30333 This fact sheet is based on CDC's best current information. It may be updated as new information becomes available. For more information, visit www.bt.cdc.gov or call the CDC public response hotline at (888) 246-2675 (English), (888) 246-2857 (Espanol), or (866) 874-2646 (TTY). February 5, 2004 Page 4 of 4 DEPARTMENT OP HEALTH AND HUMAN SERVICES CENTERS FOR DISEASE CONTROL AND PREVENTION SAFER+.HEALTH'ER•PEOPLES' • Board of Health Old Business Agenda Item # IV., 2 • Oral Health Access: Smile Mobile, March 15-19, 2004 February 19, 2004 • ggE . -' x. Does Your • Child Need A partnership of Wast tooenntai Serviceate Dental v,rashit}n�tI ,� C ar e ■ Dental Association Washington Dental Service Foundation The SmileMobile Is Coming to : Port Townsend The SmileMobile, a fully equipped mobile dental clinic: will be at: Jefferson County Health Department . 615 Sheridan St. Port Townsend, WA. 98368 between: March 15th — 19th, 2004 The SmileMobile provides dental care to children: O Ages 13 or younger ® With limited family income To learn if your child qualifies for this program and to schedule an appointment, please call before March 12th at Jefferson County Health & Human Services (WIC): 360-385-9432 This program is provided in cooperation with: • Washington Dental Service/WDS Foundation • Washington State Dental Association • Jefferson County Health Department In consideration for the privilege to distribute these materials, the Jefferson County School District shall be held harmless from any cause of action, claim or petition filed in any court or administrative tribunal arising out of the distribution of these materials, including all costs, attorney's fees and judgments or awards. ' Necesita . #tom`z t_,.,, ,,„„.10,4t..31, zi, uet -:''' '''''-'''4'..'"•xl,'brI,;..--- C U idad A partnership of Washington Dental Service Washington estate Damm Association g a! Washington Dent. Dental ? Service Foundation EI SmileMobile Viene Pronto a : Port Townsend El SmileMobile, una clinica dental bien equipada y mobil: Estara en el: Jefferson County Health Department 615 Sheridan St. • Port Townsend, WA. 98368 entre: DESDE EL DIA 15th DE MARZO HASTA EL DIA 19th DE MARZO El SmileMobile ofrece cuidado dental para ninos: © no mayores de 13 anos ® de familias con ingresos limitados Para enterarse si su hijo se califica para este programa, o si desea ofrecer su tiempo comp voluntario, por favor (lame al Jefferson County Health & Human Services (WIC) at 360-385-9432 Este programa se ofrece en colaboracion con: • Washington Dental Service/WDS Foundation • Washington State Dental Association • Jefferson County Health Department In consideration for the privilege to distribute these materials, the Jefferson County School District shall be held harmless from any cause of action, claim or petition filed • in any court or administrative tribunal arising out of the distribution of these materials, including all costs, attorney's fees and judgments or awards. • Board of Health Old Business Agenda Item # IV., 3 Cruise Ship Waste Discharge: • Letter from State BOH February 19, 2004 • T"re, tke, IIISTATE OF WASHINGTON WASHINGTON STATE BOARD OF HEALTH 1102 SE Quince Street •'PO Box 47990 Olympia, Washington 98504-7990 February 12, 2004 Jefferson County Board of Health 615 Sheridan Street Port Townsend, WA 98368 Dear Chair Masci, Thank you for your July 2003 letter regarding sewage releases from vessels, and for your request that the State Board of Health(SBOH)to hold a hearing about whether existing practices and the current regulatory framework provide adequate public health protections. Last fall Don Sloma and I appreciated attending one of your Board of Health meetings and hearing in person your Board's priority concerns. In response to your Board's concerns about sewage releases from vessels,the State Board of Health has scheduled a briefing from the Department of Ecology at its March 10 meeting in Tacoma on the draft memorandum of understanding between the State of Washington, the Puget IDSound Clean Air Agency, the US Coast Guard(to be confirmed), the Port of Seattle, and the North West CruiseShip Association. During the meeting the SBOH has also scheduled updates on other issues we heard were of interest to your Board: the Onsite Wastewater Rule Development Committee, and health disparities and health workforce diversity. A draft agenda, subject to change, is attached. SBOH staff members will e-mail draft agendas two weeks before and one week before the meeting—if you do not receive our agendas via e-mail please contact Board staff at 360-236-4110. If you would like to provide additional information, other community perspectives, or other _ suggestions for statewide health priorities,please feel free to call or write. We are open to hearing from you about emerging issues at any time. If you have any further questions or requests,please call the SBOH office.Members of our staff will be happy to assist you. Sincerely, Carl Osaki Member _ Washington State Board of Health Cc: Jefferson County Board of Health Members Jean Baldwin, Jefferson County Health and Social Services Department • Larry Fay, Jefferson County Health and Social Services Department Washington State Board of Health Members Draft— 11/5/03 • DRAFT MEMORANDUM OF UNDERSTANDING This Memorandum of Understanding is entered into this day of 2003 by and between the State of Washington, the Puget Sound Clean Air Agency, the US Coast- Guard (to be confirmed), the Port of Seattle, and the North West CruiseShip Association, hereinafter referred to as NWCA, representing the international cruise lines identified in Appendix i. Whereas the State of Washington is charged with the responsibility of protecting and conserving Washington's environmental resources in relation to the Cruise Industry's environmental practices in Washington; and — — Whereas the Puget Sound Clean Air Agency is charged with the responsibility of protecting air quality within the Puget Sound Region; and Whereas the United States Coast Guard, herein referred to as USCG, has Federal jurisdiction over environmental matters in navigable waters in the United States; and Whereas the Port of Seattle is charged with providing the services and facilities to • accommodate the transportation of passengers, including cruise ship passengers, while protecting and enhancing the environment of the Port of Seattle; and Whereas, the NWCA is a non-profit entity organized for the purpose of representing member cruise lines which operate in and about waters subject to this Memorandum of Understanding(MOU), whose current membership is identified in Appendix i; and Whereas, the NWCA has adopted the "Cruise Industry Waste Management Practices and Procedures" as promulgated by the Cruise Industry's trade association, the International Council of Cruise Lines, herein referred to as ICCL, which practices and procedures are attached hereto as Appendix ii; and Whereas, NWCA cruise vessels operate in international waters and move passengers to destinations worldwide and, consequently, those cruise vessel waste management practices must take into account environmental laws and regulations in many jurisdictions and international treaties and conventions; and Whereas, the NWCA, the State of Washington as represented by the Washington Department of Ecology (Ecology), the USCG and the Port of Seattle have met to develop waste management practices that preserve a clean and healthy environment and demonstrate the Cruise Industry's commitment to be a steward of the environment; and • Washington MOU DRAFT 1 Draft- 11/5/03 Whereas, research is ongoing to establish the impact of ships' wastewater discharges on • the ocean environment, and the results of this research will be taken into account in periodic review of the wastewater discharge practices described in this Agreement; and Whereas, the cruise industry recognizes Washington's fragile marine environment and is - committed to help protect this environment; Now therefore, based upon mutual understanding, the parties enter into this Memorandum of Understanding to implement the following environmental goals, policies and practices: Definition of terms for the purpose of this agreement: "air emissions"refers to the airborne releases assodiated with the operation of the vessel; "blackwater"means waste from toilets,urinals, medical sinks and other similar facilities; "cruise ship" means any vessel that is owned or operated by a member of the NWCA; "graywater" includes drainage from dishwasher, shower, laundry, bath, galley drains and washbasin drains; "solid waste" means all putrescible and nonputrescible solid and semisolid wastes including, but • not limited to, garbage, rubbish, ashes, industrial wastes, swill, sewage sludge, demolition and construction wastes and recyclable materials [RCW 70.95.030 (22), Solid Waste Management: Reduction and Recycling]; "waters subject to this Memorandum of Understanding (MOU)" include those waters between the shoreline of the State of Washington and three miles from land (which includes the Puget Sound and the Strait of Juan de Fuca to the boundary with Canada) and for off the west coast, the belt of the seas measured from the line of ordinary low water along that portion of the coast which is in direct contact with the open sea and the line marking the seaward limit of inland waters, and extending seaward a distance of three miles as illustrated in Appendix iii. 1. The State of Washington, USCG and Port of Seattle accept the ICCL Industry Standard E-01 -01, titled Cruise Industry Waste Management Practices and Procedures (Appendix ii) as ICCL member policy in the management of solid waste, hazardous wastes and wastewaters in waters subject to this MOU- In addition to the ICCL Practices, the members of NWCA operating in Washington agree to comply with the following unique practices while operating in waters subject to this MOU: 1.1 Wastewater Management In recognition of the sensitive nature of Washington's marine environment, the NWCA agrees to the following: • Washington MOU DRAFT 2 Draft— 11/5/03 • 1.1.1 to prohibit the discharge of untreated blackwater and untreated graywater within waters subject to this MOU(Appendix iii). 1.1.2. other than as set forth in section 1.1.3 below, to prohibit the discharge of treated blackwater and treated graywater in waters subject to this MOU. 1.1.3 On a case-by-case basis, to permit the discharge of treated blackwater and treated graywater from ships equipped with advanced wastewater treatment systems which meet the higher standards and the testing regime set out in federal law, Title XIV, Certain Alaska Cruise Ship Operations, Section 1404 (b)and(c )under the following conditions: Individual cruise lines desiring to receive permission from the state of Washington for continuous discharge from an Advanced Waste Water Treatment System (AWTS) will submit a written application to the Washington Department of-Ecology (Ecology) no later than 60 days prior to the date the line wishes to commence discharge of treated effluent. The application will include the following vessel specific information: ➢ Documentation on the type of treatment system in use on the ship including schematic diagrams of the system. ➢ Documentation that the system is certified by the United States Coast Guard for continuous discharge in Alaska. ➢ Provision for daily twenty-four hour monitoring of the quality of the effluent • generated by the AWTS. At a minimum turbidity will be monitored. Other elements may include pH, DO,UV transmittance, and TSS. ➢ Documentation of system design that demonstrates the AWTS can be automatically shut down if monitoring of treated effluent indicates high turbidity levels; or documentation that demonstrates that operational controls exist to insure system shut down if monitoring of treated effluent indicates high turbidity levels. ➢ Documentation that all treated effluent will receive final polishing with ultraviolet (UV) light immediately prior to discharge. ➢ Copies of past water quality tests results taken in Washington and/or Alaska by state-certified laboratories. ➢ A vessel specific plan that includes: a sampling protocol for measuring turbidity; operating protocols to respond to spikes in turbidity that will result in timely system shut down; identifies how effluent will be stored until the AWTS is repaired and which indicates the storage capacity of holding tanks; a notification protocol for notifying Ecology of system shut down; and a discussion of options for correcting the system failure. No discharge from any AWTS will occur until written permission from Ecology is received. Individual cruise lines granted permission to discharge from an AWTS agree to: a. sample the quality of the treated effluent using a Washington state-certified laboratory at least one time per month while at port in Seattle during each cruise season. b. split samples with Ecology upon Ecology's request when sampling is conducted in • Washington waters. Washington MOU DRAFT 3 Draft— 11/5/03 c. Conduct Whole Effluent Toxicity(WET) Testing once every two years. . d. provide Ecology with duplicates of test results obtained for and provided to the State of Alaska to enable Ecology to monitor the quality of the effluent from such systems. e. notify Ecology at least a week in advance of sampling and to allow Ecology staff access to the ship in order to observe sampling events. f. - allow Ecology to conduct a minimum of one vessel inspection per season to verify the operating condition of the AWTS. g. notify Ecology if any changes are made to the system. 1.1.4 The discharge of residual solids from either a Type 2 Marine Sanitation Device or an advanced waste water treatment system is prohibited in waters subject to this MOU and within 12 nautical miles from shore or sensitive areas (sanctuaries, etc.). 1.2 Solid Waste Management: NWCA member ships operating in Washington waters will not discharge solid waste in waters subject to this MOU. 1.3 Air Emissions [Under Discussion] Washington port for the combustion of any waste materials. • as follows: Ships will not exceed 20%opacity for periods of time exceeding 6 minutes in any 60 . - . .. _ • . . . -... • - - - . - -- • except for the following: c. When an equipment failure occurs.2 In the case of an equipment failure, the cruise line will, upon request, provide information to the State of Washington that Washington MOU DRAFT 4 Draft— 11/5/03 • Exceptions from these practices are as follows: engine capacity on standby to assure safe pert navigation Of compensate for 1.3.3 NWCA ships will have opacity metering and recording capability and will continuously monitor the stack's visible emissions while sailing in waters subject to this MOU. .�. . .�. - • the member cruise lines to continue to bunker their ships in these ports with fuel with 1.4 Hazardous Waste Management 1.4.1 The ICCL in consultation with NWCA has developed, in conjunction with the Environmental Protection Agency (EPA), a national practice for the assigning of an EPA Identification Number to each cruise ship as the "generator" of hazardous wastes, which recognizes the multi jurisdictional itineraries of a cruise vessel. EPA also proposes that the . state where company offices are located may issue the national identification numbers provided the criteria and information submitted required for obtaining the number is standard for the United States. The State of Washington and NWCA agree to a uniform application procedure for the EPA national identification number in accordance with the Resource Conservation Recovery Act (RCRA) (Appendix v). The State of Washington shall have the right to inspect all such records upon written request to the cruise vessel operator. The State of Washington recognizes that in some cases EPA Identification Numbers may not be required under federal law for conditionally exempt small quantity generators. 1.4.2 The NWCA has adopted a uniform procedure for the application of RCRA to cruise vessels disposing of hazardous wastes in the State of Washington (Appendix vi). The State of Washington accepts this procedure as the appropriate process for vendor selection and management of hazardous wastes in Washington. NWCA member lines agree to provide an annual report regarding the total hazardous waste offloaded in Washington by each cruise vessel. 1.4.3 The NWCA acknowledges that the state of Washington regulates some hazardous wastes differently than EPA and agrees to comply with the guidelines for specific waste streams found in Appendix viii. 1.4.4 The State of Washington and NWCA agree that all hazardous waste disposal records • required by RCRA for cruise vessels entering a Washington port shall be available to the State of Washington upon written request to the cruise vessel operator. Washington MOU DRAFT 5 Draft— 11/5/03 • 2. The State of Washington acknowledges that the waste management practices and procedures referenced and/or contained in paragraph 1 above meet or exceed the standards set forth in Washington laws and applicable Washington regulations as pertaining to ship operations. 3. The State of Washington and the NWCA understand that the U.S. Coast Guard (USCG) has Federal jurisdiction over environmental matters in navigable waterways in the United States and conducts passenger ship examinations that include review of environmental systems, Safety Management System (SMS) documentation and such MARPOL-mandated documents as the Oil Record Book and the Garbage Record Book. Additionally, NWCA member cruise vessels will integrate such industry standards into SMS documentation that ensure compliance through statutorily required internal and third party audits. -- 4. The USCG has developed guidelines relating to the inspection of waste management practices and procedures, which have been adopted by the cruise industry. The State of Washington accepts the USCG Navigation and Vessel Inspection Circular and Environmental Systems Checklist (Appendix iv), which will be incorporated into USCG 840 Guidebook as the procedure to conduct waste management inspections on board cruise vessels. To reduce administrative burden on the cruise ship industry, the State of Washington agrees to first request from the USCG any records for cruise vessels entering waters subject to this MOU to the extent that those records are covered by the Memorandum of Understanding, dated , 2003, between the State of Washington • Department of Ecology and the USCG. Other USCG records will be provided to the State directly by the NWCA member lines. 5. The State of Washington recognizes that waste management practices are undergoing constant assessment and evaluation by cruise industry members. It is understood by the State of Washington and the NWCA that the management of waste streams will be an on- going process, which has as its stated objectives both waste minimization and pollution prevention. Consequently, all parties agree to continue to work with each other in good faith to achieve the stated objectives. This may require additional meetings with the parties to this Agreement to discuss specific issues applicable to the cruise industry in the U.S. 6. The NWCA acknowledges that its operating practices are required to comply with the applicable provisions of the Marine Mammal Protection Act, the Invasive Species Act and the State of Washington Ballast Water Management law, RCW Ch. 77.120. The NWCA agrees to acknowledge and comply with appropriate rules and regulations related to the Olympic Coast National Marine Sanctuary, including but not limited to the regulations for implementing the National Marine Sanctuary Program (subparts A through E and subpart O of Title 15, Chapter IX, Part 922 of the Code of Federal Regulations) and the International Maritime Organization (IMO) "Area To Be Avoided" off the Washington Coast. • Washington MOU DRAFT 6 Draft— 11/5/03 • 7. The State of Washington agrees that the performance required by the NWCA under the terms of this Memorandum of Understanding shall be directed only to its member cruise lines. The NWCA acknowledges that its members operate cruise vessels engaged in cruise itineraries greater than one day duration; and further that its members do not operate one- day attraction ships or casino gambling ships. 8. Innocent Passage: This agreement does not apply to a commercial passenger vessel that operates in the marine waters of the state [waters subject to this MOU?] solely in innocent passage. For purposes of this section, a vessel is engaged in innocent passage it its operation in marine waters of the state [waters subject to this MOU?], regardless of whether the vessel is a United States or foreign-flag vessel, would constitute innocent passage under the United Nations Convention on the Law of the Sea 1982, December 10, 1982, United Nations Publication No. E.83.V.5., 21 I.L.M. 1261 (1982), were the vessel a foreign-flag vessel. [?] — --. 9. Safety Exception: This agreement does not prohibit discharges made for the purpose of securing the vessel or saving life at sea, provided that all reasonable precautions have been taken for the purpose of preventing or minimizing the discharge. 10. All parties acknowledge that ongoing discussions of environmental goals are recognized as a necessary component to the successful implementation of management practices for waste minimization and reduction. • 11. Compliance, Modification and Review of MOU: NWCA members agree to immediately self-report non-compliance with any provision of this MOU to the Department of Ecology at the following 24-hour number: 425-649-7000. All parties acknowledge that this MOU is not inclusive of all issues, rules or programs that may arise in the future. The State of Washington reserves the right to enter into additional MOUs to address or refine such issues, or to pursue appropriate legislation. All parties agree to at least one annual meeting to review the effectiveness of the MOU, such meeting to be scheduled, if feasible, during October of each year. The State of Washington and NWCA reserve the right to cancel this MOU upon 90 days written notice. IN RECOGNITION OF THE MUTUAL UNDERSTANDINGS DISCUSSED HEREIN; THE PARTIES HERETO AFFIX THEIR SIGNATURES ON THIS DAY OF 2003. State of Washington Puget Sound Clean Air Agency • United States Coast Guard Washington MOU DRAFT 7 Draft— 11/5/03 • APPENDICES = • MEMORANDUM OF UNDERSTANDING Appendix i List of NWCA Member Lines Appendix ii ICCL Standards Appendix iii Navigational Chart of the waters subject to this MOU -- Appendix iv USCG Navigation&Vessel Inspection Circular and Environmental Systems Checklist Appendix v Uniform application procedure for EPA National ID Number as per Resource Conservation Recovery Act. Appendix vi Uniform procedure for the application of RCRA to cruise vessels entering Washington Appendix vii Title XIV—Certain Alaskan Cruise Ship Operations, Section 1404 Limitations on Discharge of Treated Sewage or Graywater, Subsection(c) (1), (2), (3), (4) Appendix viii Washington Hazardous Waste Management Best Management Practices • • Washington MOU DRAFT 9 • Board of Health Old Business Agenda Item # IV. , 4 • Northwest Public Health Leadership Institute February 19, 2004 • 1107 NE 45th Street,Suite 400 Northwest Public Health Seattle,WA 98105 LEADERSHIP INSTITUTE Phone: (206)685-1130 Fax: (206)616-9415 Email: nwphli@u.washington.edu . Northwest Center for Public Health Practice School of Public Health and Community Medicine RECEIVED January 9, 2004 JAN 13 2004 Ms. Julia Danskin Jefferson County Jefferson County Public Health & man gam` 615 Sheridan Port Townsend, WA 98368 Dear Ms. Danskin, On behalf of the Selection Committee of the Northwest Public Health Leadership Institute, I am pleased to offer you a position in the Institute's scholar group for 2004-05. If you accept our offer(and we hope you will!) you will join 26 other outstanding professionals from Alaska, Idaho, Montana, Oregon, and Washington in improving your leadership skills to better meet the public health challenges of the future. • Please let us know no later than Tuesday, January 20, 2004 if you are able to accept our offer. You can send your notification by letter, email, or fax. The initial tuition payment of$200 is due Friday, January 23. The future holds many challenges for the health of the public. Strong leadership is the key to turning these challenges into opportunities. We hope you will join us in envisioning the future-and making it happen. Sincerel , Jet-. y Sappington, MSPH Director and Senior Lecturer Northwest Public Health Leadership Institute i erem@u.washington.edu- 4111 Envision the future...make it happen • Board of Health New Business Agenda Item # V., 1 • Report on City of Port Townsend 2/9/04 Worksession February 19, 2004 1 4gON c;- PUBLIC.4, Always Working for a Safer and 'sHEALTHIER JEFFERSON s�rNa.�o 615 Sheridan Street,Port Townsend,Washington 98368 January 13, 2004 Port Townsend City Council 181 Quincy St. Suite 201 Port Townsend, WA 98368 Dear Council members: Public health departments in Washington State are facing a funding problem that has been — building for decades and has now reached crisis proportions. Jefferson County is no exception to this trend and core public health programs are threatened with significant cutbacks. Under funding of public health programs has been longstanding. What has pushed things to a crisis point in a combination of factors: rising demands in "traditional" public health services (maternal and child health, communicable disease control), new demands for emergency response preparedness to a range of potential epidemics, bio-terrorist attacks, or natural disasters, and steady funding cutbacks at all levels of government—federal, state, and local. For most of Washington State's history, public health programs were largely funded by a dedicated property tax millage coupled with county and municipal general fund contributions. In • the mid-1960's federal funding began to grow significantly, while state funding remained minimal. In 1977 the property tax millage dedication was removed and counties were free to spend the money on other county services. By the late 1980's public health programs were in serious decline, an impending disaster detailed in the 1988 Institute of Medicine report "The Future of Public Health" and underscored by the HIV/AIDS epidemic and the reemergence of tuberculosis as a serious urban problem. Washington State responded to the growing national alarm, creating a state Department of Health in 1989 and beginning an ambitious process of public health and health system reform in 1993. This produced the Nation's first comprehensive public health system reform program — 1995's Public Health Improvement Plan—and a change in public health funding. Starting in 1993, state funding for public health (known as "Local Capacity Development Funding") increased in what was characterized by the Legislature as a "down payment on public health improvement". Another well intentioned change enacted in 1993 (to be effective in 1996) redirected Motor Vehicle Excise Tax (MVET) money from cities to local health departments and excused cities from their historical obligation to fund public health services for city residents. Three years later, Initiative 695 was passed by large margins, repealing the MVET. Although I- 695 was found to be unconstitutional, the Governor and Legislature quickly moved to repeal the MVET in 2000, leaving a $28 million gap in local health funding. Since 2000, the legislature has filled 85% of this hole with one time only funding. Legally, cities remain excused from any financial responsibility for public health services, a fact that has caused erosion in city-county public health partnerships in many areas of the state. S COMMUNITY ENVIRONMENTAL DEVELOPMENTAL SUBSTANCE ABUSE HEALTH HEALTH DISABILITIES & PREVENTION (360) 385-9400 (360) 385-9444 (360) 385-9400 (360) 385-9400 • During the 2003 legislative session the Tri-Association, made up of the Washington Associations of Counties, Cities, and County Officials (WASC, WAC, and WACO) recognized that the crisis in public health funding could not be fixed with year-to-year legislative patches and proposed that a dedicated, stable, long-term funding source be found. This proposal has - yet to receive serious legislative attention. In the meantime, core public health services are threatened throughout the state—restaurant inspectors, communicable disease response_ teams, public health nurses, and various prevention-oriented community programs. This crisis is further compounded by the simultaneous meltdown of the health care financing system, leaving growing numbers of people uninsured or underinsured. The impact of loss of both public health and personal health services is felt most acutely at the community level. As state and federal agencies cutback on their services, people have nowhere to turn but to the community in which they live. Jefferson County has shown statewide leadership in this area and has been seen as a model for community-based public health and medical care access programs. Coupled with a lack of State funding, the County is facing its own fiscal problems with the passage of 1-747, the 1% cap in property tax. Over 54% of the County's revenues come from the property tax. The 1% cap has created a scenario where the County is unable to sustain existing programs and service levels. While public health is a priority, the County, as an arm of State government must fulfill mandated service requirements. This has eliminated the County's ability to further subsidize public health from the property tax. In order to sustain essential public health programs in Jefferson County, we are appealing to our community partners—the City of Port Townsend, the Hospital District, and others to join us as • we set priorities, look for greater program efficiencies, and strive to maintain the complex mix of public health and human services that are being provided to county residents, urban and non- urban. Thank you in advance for considering our request for assistance in maintaining high priority population-based services. We look forward to our ongoing partnership to making our community a healthier and safer place to live. Sincerely, J an Baldwin, ARNP Thomas Locke, MD, MPH Health Director Health Officer i SUN �; wm{ -b PUBLIC HEALTH LitY 'y� Always Working for a Safer and �SHINd�� HEALTHIER JEFFERSON 615 Sheridan Street,Port Townsend,Washington 98368 January 13, 2004 1. Request to Fund Ongoing Healthy Jefferson Healthy Jefferson is a community-wide collaboration that grows out of data from the 2000 census, and a 2002 survey of behavioral risk factors. The goals of this initiative are to improve the health and quality of life of city and county residents, and to document the improvements in measurable ways. The Healthy Jefferson Steering Committee selected three priority goals: • Strengthen the Safety Net for Families with Children • Increase Continuum of Care (prevention, intervention, treatment) for Substance Abuse • Enhance Educational &Vocational Opportunities that Increase Job Skills and Employment Options The strategy for Healthy Jefferson is also three-fold: • Build on the strengths that already exist—i.e., our assets—our local • organizations, and the goodwill and interest in making a difference that are a hallmark of our community; what is the local capacity of government and private agencies • Create a Healthy Jefferson "map"that makes visible all the efforts currently underway to address one or more of the three Healthy Jefferson priorities, and • Document and measure the differences the Healthy Jefferson initiative makes for the priority goals We request the City of Port Townsend to contribute $30,000 to support Healthy Jefferson in 2004: • $15,000 for ongoing data analysis to track progress on the goals identified by the Healthy Jefferson and other community indicators, and to create and maintain up-to-date public web access to Healthy Jefferson data, events, and successes • $15,000, to match $20,000 contributed by Jefferson County to buy a project manager. The project manager will manage the communications among all the participants, document the measurable outcomes produced through mobilizing the community, write press releases and ads, organize public recognition/thank- you events, and structure meetings for all participants to identify how we will measure and document the positive changes. All press releases, ads, and other written materials, and all events, will credit the City of Port Townsend for its community contribution and leadership. • 2. Request for Funding from the City of Port Townsend for Family Planning Services 110 Jefferson County Health and Human Services Family Planning Program provides a Critical Health Service. They are the only Family Planning clinic available in East Jefferson County. In 2001 JCHHS Family Planning served 952 unduplicated clients, 566 of them were City of Port Townsend residents (59%). In 2002, JCHHS Family Planning served 1044 unduplicated clients, 616 were City of Port Townsend residents (59%). These clinical services included 60 classroom presentations, individual client education sessions, pharmacy, and lab work. In the JCHHS Family Planning budget for 2004 the estimated cost of running the clinic is $415,038. The-estimated revenue from fees collected from medical assistance, — insurances companies, individuals and grants from Washington State Department of Health and DSHS is $352,417. The Family Planning budget is short funds in 2004 by $62,621. Considering that 59% of JCHHS Family Planning clients are residents of the City of Port Townsend we request that the City of Port Townsend pay 59% of the budget short fall in 2004, which would be $36,946. This is less than 9% of an overall budget of$415,038, which provides Critical Health Care services for the city. This is not a mandated Public Health service, but a wise community investment. • Services are not being provided by other community agencies and it is a critical service that allows working families to plan pregnancies. 3. Request for Maternal Child Health Home Visiting Program: JCHHS currently receives funds to do a home visit for every baby born in Jefferson County. This visit provides infant health and maternal screening as well as offering support, education and service referrals. This universal newborn home visiting screening service is funded by a Federal grant, which is unexpectedly ending in June 2004. The Public Health Nurse Home Visiting Program is also partially supported by this Federal grant. After screening, families identified with problems s r eceive more home visits and services, which are not based on family income. High need families are enrolled in the Nurse Family Partnership Intensive Home Visiting Program which has 20 years of outcome data showing a decrease in family violence, arrest rates, substance abuse, and enrollment in welfare. This program produces healthier, stronger families and children, and pays for itself by decreasing costs to welfare,justice and schools. This research based Best Practices has had powerful results for Jefferson County families over the last 4 years. Federal findings showed $4 was saved for every $1 spent. These federal funds and services will be cut in June 2004. The total grant is $110,000, if the City contributed 40% for the city citizens served, the cost would be $44,000 a year. Please consider funding this critical program for City Residents. • This is not a mandated Public Heath Program; no one else in the community is providing these services. September 12, 2003 Jefferson County Health and Human Services • Nursing Services Data on client's place of residence Family Planning Program Unduplicated clients from Ahlers reports Recorded place of residence by Zip code 2001 Total 2002 Total 2003 Clients first - clients Clients - 6 month Port Townsend (excluding Kala Point&Cape George) 566 616 451 Chimacum/Port Hadlock/Nordland/Port Ludlow 264 277 242 Qulicene 55 71 39 Brinnon 24 39 32 Other Zips 43 41 39 Total clients 952 1044 803 In 2002 split 616/1044 = 59% Port Townsend 41 % Other County Immunization Clinic Encounters by residence from KIPHS Recorded place of residence by Zip Code 2001 Total 2002 Total 2003 first 6 encounters encounters months encounters Port Townsend (excluding Kala Point&Cape George) 173 464 200 Alkimacum/Port Hadlock/Nordland/Port Ludlow 100 214 68 ilcene 13 31 12 Brinnon 4 11 10 Other Zips or unknown 39 124 45 Total 329 871 335 In 2002 split 464/871 = 53% Port Townsend 47% Other County Maternity Support Services and Case Management encounters from KIPHS one year report Recorded place of residence by Zip Code July 2002 through June 2003 encounters Port Townsend (excluding Kala Point&Cape George) 594 Chimacum/Port Hadlock/Nordland/Port Ludlow 528 Quilcene 53 Brinnon 29 Other Zip codes and Unknown 261 Total 1465 July 2002 to June 2003 split 595/1465 = 40% Port Townsend 60% Other County AO WIC Clients by reported residence 2002 from CIMS Port Townsend (includes Kala Point&Cape George) 439 Chimacum/Port Hadlock/Nordland/Port Ludlow 373 Quilcene 68 • Brinnon 15 Other place of residence 41 Total 944 In 2002 Split 439/944 = 46% Port Townsend 54% Other County • Communicable Disease Program is a Population Based Service providing Community education, prevention, surveillance, and tracking reportable disease. Funding distributions can be based on Population distribution between Port Townsend and County. 2002 Communicable Disease Clinic encounters Port Townsend (98368) 26 County Zip Codes and unknown 17 Total 43 — • 2002 Split 26/43 = 60% Port Townsend 40% Other County 2002 TB Clinic Skin Test encounters Port Townsend (98368) 126 County Zip Codes and unknown 160 Total 286 2002 Split 126/286 = 44% Port Townsend 56% Other County • TB program provides community education, surveillance and tracking of TB and some treatment for clients exposed to TB. • M n0 z = G)D -I O Z Z m m xi z m N C r -n 0 -1 y C.0m G7 Z co U1 Ame. O Z n O IP 03 E m co z E F 0 m Z v C/ M OP .-4. N_ co : . 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[I. --- I V O N N N 2 4 ooi s 2 Is V,'c'NT,,t_.."'> 0 ! a nooi .__ __. N .__I ._._.�_. .�__. s W it N A 0N N O O A W0 W N to W W N C N O p w o 01 O O A O (0 O 00 • Health & Human Services 2004 FTE Revenue 6.34 JGRANTS 5.10 ` ■FEES ** 1802 0 OTHER • �_ .. ❑ 8.52 TRANSFER • • • Board of Health New Business Agenda Item # V., 2 • 2003 End-of Year Performance Evaluation Reports February 19, 2004 • Jefferson County Health and Human Services 2004 Performance Measures ADMINISTRATION • GOALS FOR FY 2004: ADMINISTRATION I. Assure accurate and timely fiscal reports 2. Assure technical support in assessing the basic health needs of Jefferson County communities 3 Assure administrative, technical and financial support for all Health & Human Services contractual agreements. 4. Provide administrative, technical and financial support to Inter -local agencies that contract for fiscal services with JCHHS. 5. Assure accurate and timely technical and clerical support to each department within JCHHS in serving the residents of Jefferson County. Provide certified birth and death certificates to the Community with accurate and timely information of births and deaths OBJECTIVES FOR FY 2004 I. Provide quarterly fiscal reports to each division within Health & Human Services. 2. Present priorities identified through assessment of Healthy Jefferson to community. 3. Provide administrative and financial support to meet required reporting, invoicing, and tracking of contractual agreements with Federal & State agencies, inter- local/departmental agreements and MOU's held by Health & Human services. 4. As fiscal agent provide administrative and financial support to meet quarterly reports and contractual agreements as required by Federal & State agencies for all agreements held by agencies who contract with JCHHS. • 5. Provide supervision, training, assistance and evaluation of the systems that provide the business service support to the various Public Health services provided to the residents of Jefferson County. 6. 100% of requests for birth and death certificates will be processed with 3 working days PERFORMANCE INDICATORS: 2003 2003 2004 Projected Actual Projected 100% compliance of all fiscal contractual 100% 100% 100% agreements Healthy of Jefferson County will identify indicators Book Book Priorities for Jefferson County priorities published published, identified and meetings held taken to public 100%compliance on State/ Federal Audits 100% 100% 100% Number of birth and death certificates issued by # Birth 463 Baseline JCHHS # Death 1,632 SUMMARY OF KEY FUNDING/SERVICE ISSUES: Funding for public health services continues to be unstable and categorical so infrastructures such as administration are not always covered. JCHHS gives technical support to the community including internal support to the departments and is dependent on external funding. The department recognizes the inter- relationships between the federal, state, county and city government and the importance of continued support from each. Categorical funding limits the ability of HHS administration to provide support for the whole department. 1 w - DEATHS & DEATH CERTIFICATE COPIES PROCESSED AT JCHHS . — YEAR 2003 MONTH # DEATHS COPIES COPIES TOTAL TRANSMITTALS (Kosec's)) (includes VA copies) (Requested COPIES (cert.sent to other counties) by other parties) - January 24- 177 17 194 5 February 14 98 28 126 0 March 20 79 28 107 8 April 21 133 41 174 3 May 12 68 16 84 6 June 21 147 0 147 4 July 1-24 13 80 4 84 4 New Fee July 25-29 —5 11 -0 11 1 August 18 122 17 139 4 September 21 132 10 142 3 October 19 93 55 148 4 November 19 99 7 106 3 December 28 152 18 170 5 All the numbers under the # Deaths column are not necessarily Jefferson County deaths. 0 These are persons whose arrangements were done by Kosec Funeral Home. And a few of these died in other counties (See Transmittals). The true accurate number column is the Total Copies we made for Jefferson County deaths. The total deaths in 2003 that were recorded by JCHHS were 229. The total # of certified copies processed by JCHHS were 1632. RECENT 2003 BIRTH CERTIFICATES ISSUED jC2A-4- ' 31 June 60 T,8j3 $- i July 44 August 32 V C/3 September 1-23 42 , October 31 A)--1j TO November 22 3 December 27 ey.,,,......... bkm 1/16/04 • Jefferson County Health and Human Services 2003 Performance Measures: Community Health • BUDGET/PROGRAM: Communicable Disease TB, Communicable Diseases, Immunization, Travelers Immunization, Sexually Transmitted Disease, HIV, Syringe Exchange Program. - MISSION:-Communicable Disease - - The purpose of the Communicable Disease Health program is to protect Jefferson County residents from serious communicable diseases by providing disease surveillance, investigation and reporting, along with education, screening, treatment and immunization services. The program interacts with community members, medical providers,the Washington State Department of Health and other agencies while working toward this purpose. GOALS FOR 2003 1. Maintain the low rates of active—TB in Jefferson County(TB 2. Timely investigation of reportable conditions(CD) 3. Support universal access to State supplied vaccines for all children(Imm) 4. Continue to support immunization registry in Jefferson County,promoting use by all immunization providers (Imm) 5. The Family Planning and STD clinics will assist in controlling Chlamydia transmission in Jefferson County(STD) 6. HIV testing and counseling clinic resources are focused on persons at risk for HIV infection (HW) 7. Case management services will be easily accessed by new HIV clients who seek these services MTV) 8. Prevent the spread of blood borne communicable diseases among injecting drug users and their partners (SEP) 9. Annual report to BOH for CD, TB, Immunization Programs, STD 10. Develop bioterrorism response capacity OBJECTIVES (INTERVENTIONS)FOR 2003 1. Encourage appropriate screening&treatment for latent TB infection(TB) 2. Develop &update protocols for investigation of reportable conditions (CD) 3. Maintain an efficient system for supplying State supplied vaccine and vaccine recommendation up-dates to private Health Care Providers in Jefferson County(Imm) 4. Continue to provide training on the Child Profile Immunization Registry to private Health Care Providers 5. Clients seen in Family Planning and STD clinics who are at higher risk for Chlamydia(age criteria)will be screened for Chlamydia(STD) 6. 75%of clients who receive HIV testing will be high risk(HIV) 7. 90%of new HW clients who seek case management services will have an assessment within 1 week of the date requested(HIV) 8. Promote utilization of syringe exchange program services(SEP) 9. Develop bioterrorism plan, coordinating with plans of regional bioterrorism partners, local emergency response agencies, and Jefferson General Hospital • • PERFORMANCE INDICATORS: 2001 2002 2003 (TB)Number of clients started on preventive therapy for latent 10 2 2 ofB infection (CD)Number of communicable disease reports confirmed, 51 58 86 interventions applied and processed for reporting to the state Omni)Number Number of doses of publicly funded vaccine, 3885 3811 3873 administered by private health care providers and Public Health clinics, supplied and monitored through Public Heath's immunization program (Imm)Number of local immunizations providers(clinics) 1 1 I-4 provided information(I) and training(T) on the Child Profile T-2 immunization registry (Imm)Number of providers participating in the Child Profile _ 0 1 3 immunization registry (Imm)Number of Jefferson County children<6 with one or 56% 69% 70% more immunization in Child Profile system (STD)Percent of at risk FP and STD clinic clients, at risk for 100% 100% 100% Chlamydia, screened(age criteria 14 -24) (HIV)Number of persons counseled and tested for HIV infection 85 79 101 (HIV) Percent of persons counseled and tested for HIV infection 65% 71% 51% that were in high-risk category (HIV) Percent of new HIV clients seeking case management New for 100% 100% �ervices who have an assessment within 1 week of the date 2002 equested (SEP)Number of SEP clinics 96 103 119 (SEP)Number of SEP clinics utilized 15 37 58 (SEP)Number of syringes exchanged 1,976 4,164 9,222 (SEP)Number of prevention/educational materials provided' 9 29 2,304 (SEP)Number of referrals to other services2 5 NA 18 (BT) Develop bioterrorism response plan 1 1 Prevention Materials include: tourniquets, cookers, cottons, water, sharps containers, alcohol preps, antibiotic ointment,band-aids,hygiene (toothbrushes/razors). Educational Materials include: Do Not Share, Overdose Prevention,Health alerts. Method of tracking materials changed in 2003 to better capture all materials supplied. 2 Referral Information includes: Drug Treatment, Health Care, Hepatitis Screening,HIV Counseling& Testing,Mental Health SUMMARY OF KEY FUNDING/SERVICE ISSUES: Communicable disease prevention is a locally funded program since the county milage was returned from the state to counties for TB control. Immunization funds from the state have been primarily in the form of vaccine. County funded Services are important in the Strategic Plan to promote healthy communities by having the infrastructure to maintain a professional staff preventing, identifying and responding to disease outbreaks. Substantial staff time is spent on responding to public requests for information about communicable diseases and screening for reportable illnesses in the process. • HIV services are funded from the state and federal government to provide basic communicable disease prevention, HIV positive client case management, testing and counseling to high-risk community members, and focused high-risk interventions. Funds are highly programmatic and based on federal case numbers,which may not represent Jefferson County epidemic profile. Volatile program funding is based on formulas re-negotiated with Region VI AIDSNET every year. Developing the capacity for bioterrorism response is a new project. This response capacity is in coordination with our Bioterrorism Region 2 partners,Kitsap and Clallam Counties and our local emergency response agencies, Jefferson General Hospital, and other health care providers. The Jefferson County Health and Human Services Emergency Response Plan is a work in progress.- Detailed operational plans (the appendices)will continue to be added over the next year as the Region 2 partners develop them. — 13 February 2004 • 411 Jefferson County Health and Human Services 2003 Report Performance Measures: Population and Prevention Programs •DGETIPROGRAM: Population & Prevention Programs Tobacco (TP/C), School Health(S/H), Childcare health and Safety(CC), Child Death Review(CDR) and Peer- In(P1) MISSION: The purpose of the Population&Prevention Programs is to provide assessment, health education and public health interventions to county residents in order to prevent disease and unintentional injury,improve the quality of life and reduce disparities in health. GOALS FOR FY 2003: 1. Improve identified social and health indicators for school-age youth(S/H) 2. Improve indoor air quality for Jefferson County residents (TP/C) 3. Enhance the quality of child care provided in Jefferson County(CC) 4. Enhance the overall health& safety of Jefferson County children(CDR) and(PI) OBJECTIVES FOR FY 2003: 1. Increase delivery of school in-service/trainings, student health screenings, student health consults, student health care referrals (S/H) 2. Increase number of restaurants participating in smokefree campaign; number of mothers who do not smoke during pregnancy(TP/C) 3. Increase child care provider satisfaction with consultation provided to them re: health, immunizations, safety and child development(CC) •4. Active participation between child death review team and Peninsula Safe Kids Coalition, and Peer educators will provide school health classes to middle&high school students and health education classes will be provided to elementary, middle &high school students (CDR) and(PI) PERFORMANCE INDICATORS: 2001 2002 2003 Actuals Actuals Actuals Number of student health screenings 2562 2022 1797 Number of restaurants offering 100%Indoor Smoke Free Dining(TP/C) 60 61 67 _ Child care provider evaluations of services provided by JCHHS staff * % of child death reviews conducted within 6 months after death(CDR) j80% 100% 33% Number of Peer-In educational presentations, Jan.—June 2003 actuals 67 60 _ 54 Number of school health classes, Jan. —Dec. 2003 actuals 256 260 222 Number of phone calls to State Quit line from Jefferson County 84 ** *Report ** data not available as of 1/26/04 REPORT SUMMARY OF KEY FUNDING/SERVICE ISSUES A major change in 2003 was elimination in July 2003 of Child Death Review funding. There was a child death in Feb. 2003 thaTwas reviewed in May 2003:1-There was a child, California resident, that died in a car accident and wasn't wearing a seat belt but since the Child wasn't a resident of Washington a CDR wasn't required under Washington State Law. There was another child death in Jefferson County but the child was a resident of Kitsap County and Kitsap County's Child Death Review Team did a review of this death. With limited funding this program we willonly do Child Death.Reviews that are required by Washington State law and/or would ist in developing safety programs in our community. Decrease in 2003 School screening may be due to decrease in School enrollment. January 26, 2004 Jefferson County Health and Human Services 2003 Report Performance Measures: Targeted Community Health Services BUDGET/PROGRAM: Targeted Community Health Services Family Planning, Breast and Cervical Health Program, and Foot Care MISSION: The purpose of the Targeted Community Health Services is to provide outreach, access, health education, support treatment to specific populations in Jefferson County in order to improve the health of the community. Specific program purposes are: • Family Planning: to provide reproductive health, clinics, outreach and education for Jefferson County residents in order to promote health and well-being and reduce unintended pregnancies. • Breast and Cervical Health Program: provide public education and health screening services to women age 40-64 with low incomes and no or limited health insurance in order to assure early detection and treatment of breast and cervical cancer. • Foot Care: provide foot care and health outreach to Jefferson County seniors to prevent health complications. GOALS FOR FY 2003: 1. Insure access to breast and cervical health exams to women age 40 to 65 years old. 2. Decrease unintended pregnancy rates in Jefferson County(measure)/Assure Family Planning Services are provided in every community 3. Support seniors' independence by maintaining their mobility &OBJECTIVES FOR FY 2003: 1. Track Family Planning usage patterns and produce annual report 2. Increase breast and cervical health program outreach in Jefferson County 3. Emergency contraception to be provided under standing orders, 5 days per week, and expand community education and clinical services 4. Maintain the current level of community foot care and continue expanding into home care PERFORMANCE INDICATORS: 2001 2002 2003 Actuals Actuals Actuals --Number of unduplicated clients served in Family Planning 1032 T198 1292 Number of adolescents under 19 served in Family Planning 300 320 328 Number of Breast& Cervical Health Program exams 56 93 122 Number of foot care contacts 2872 2679 2537 SUMMARY OF KEY FUNDING/SERVICE ISSUES: JCHHS Family Planning clinical services continues to grow funded mostly by the State and Federal funds through fees to "Take Charge"program and other contracts. Breast and Cervical Health Program Federal _ Funds were reduced in 2003 by 19%while our clients have increased. In 2004 BCHP services are funded for only 86 clients. By next fall services may be cut if the budget is spent. January 26, 2004 • 4. Jefferson County Health and Human Services 2003 Report Performance Measures: Family Support Services Program *DGET/PROGRAM: Community Health: Family Support Services Program aternal Child Health(MCH) including newborn follow-up, Child Birth education and Breast Feeding Support, Maternity Support Services (MSS), Best Beginnings/Nurse-Family Partnership (NFP), Maternity Case Management (MCM), Children with Special Health Care Needs (CSHCN), Women Infants and Children _(WIC), and the Child Protective Services (CPS) Contract Programs: Alternative Response System(ARS), Early __ Intervention Program(EIP), and Passport. MISSION: The purpose of the Family Support Service program is to provide community assessment, education, skill building, and support to pregnant women and families with children. Services also include voluntary home visits to prenatal, post partum families, and families at risk of Child Protective Services involvement. These __ services are provided so county babies are born with the-best opportunity to grow and-thrive, the impact of health problems are minimized, and children receive the care and nurturing they need to become functional adults. GOALS FOR FY2003: 1. All newborns and their families will receive Home Visit screening to identify needs for Family Support Services including: intensive home-visiting, case management, lactation support, special health and child development support, nutrition education and parenting education. 2. Increase the availability of the Family Nurse Partnership Program (Best Beginnings) for Jefferson • County residents. 3. Monitor Nurse Family PartnershipProgram replication �' ep by tracking data on program fidelity, from data input 4. To assess the percentage of pregnant and parenting women receiving JCHHS services, in which depression is an issue. 5. Increase ongoing breastfeeding education-and support so that all county mothers can provide their children with the physical and emotional benefits of breastfeeding. 6. Prevent nutritional related problems for pregnant women and children under five in Jefferson County. 7. Identify Children with Special Health Care Needs in Jefferson County and assist families with health and development interventions as needed. 8. Provide services and information in Jefferson County aimed at preventing Child Abuse and Neglect. OBJECTIVES FOR FY2003: 1. Increase newborn screening to universal screening by to all Jefferson County families of new babies, in order to identify early intervention needs and offer services and referrals. 2. Hire a full time PHN for the JCHHS Maternal Child Health Team to provide increased intensive home- visiting, as well as WIC, and Maternity Support Services, Case Management and Newborn Follow-up. 3. Send client data monthly to Nurse-Family Partnership program head office for assessment and evaluation. 4. To offer a depression screen to all pregnant and parenting women who are participating in JCHHS programs. To provide appropriate referrals for those who have a positive screen. 2002 iy. Through universal screening of newborns and their families identify those who may need referral to breastfeeding tea party or lactation consultation home-visits. 6. Provide WIC nutrition education and support to all county women and children eligible. 7. Through universal newborn screening and community outreach in the schools and other JCHHS programs children with special health and development needs will get referred for evaluation and intervention services 8. Through screening of pregnant women, families of newborns and referrals from DSHS Childrens Services • identify families at risk for child abuse and neglect and offer Family Support Services. PERFORMANCE INDICATORS: 2001 2002 2003 Actuals Actuals Actuals 1. Number of depression screenings completed 50 57 71 2. Number of newborn screened - 120 - 136 165 - 2. %of those screened receiving continuing Family Support 50% 52% 55% Services(2002 no MCH add) 3. Number of Home and Office visits provided for BB,MSS, 1298 1356 1717 MCM,MCH and Breastfeeding consultation 4. Yearly report from Family-Nurse Partnership ** ** ** 5. %of infants in Jefferson County served by WIC 40% 59% 54.5% 6. Number of children with special health care needs 60 38 53 receiving Public Health Nurse intervention through JCHHS. 7. Number of families served through CPS/DSHS contract. 15 15 13 **report yearly SUMMARY OF KEY FUNDING/SERVICE ISSUES: Maternity Support Services that have been provided over the last 14 years have demonstrated the positive outcomes and cost savings from visits supporting and educating pregnant women. In 2003 the Dept. of Social and Health Services and the Dept. of Health redesigned Maternity Support Services. Part of the redesigned is to limit cost increases with the state Program First Steps that funds MSS. It is still unclear what funding will be 0 with this redesign. In 1999 JCHHS began an intensive research tested home visiting program(David Olds Nurse-Family Partnership Program.-Best Beginnings) for first-time parents within Jefferson County. It was expanded in 2003 with the Office Of Juvenile Justice grant. Part of the grant includes Universal Newborn follow up to screen for depression, another problem for Jefferson County families as identified by JCHHS health indicators work, is demonstrated by brain research to have an impact on the healthy development of a child. So, to prevent depression from being a communicable disease, screening and treatment is necessary. The Juvenile Justice Grant will end in June of 2004. JCHHS will be looking for other grants to help support this program. The Performance Measures numbers demonstrate increased outreach to all new families and a decrease in CPS referrals. Depression screens are being offered to pregnant and postpartum moms and when positive woman are being referred to follow-up care. The team continues to collaborate with community and provide information and education around these important issues. The programs JCHHS are providing have demonstrated measurable successful outcomes. The research clearly shows that there is a relationship between the positive outcome and the frequency, dose and duration of visits in the programs. As we increase the frequency, dose and duration of our services we increase the need for stable, consistent funding. The Jefferson County Strategic Plan outlines a need for healthy citizens. Family Support programs assist families' ability to care for children and advocate for them as they grow. January 26,2004 • Drinking Water Programs • MISSION: The mission of the Drinking Water Program is to assure that the residents and visitors to Jefferson County have access to the best quality drinking water that is reasonably available in order to minimize the threat of waterborne disease. GOALS FOR FY 2004: 1. Assure that all new wells are constructed in accordance with requirements established by the Washington Department of Ecology. 2. Provide technical assistance when requested so that individual water supplies are safe. 3. Limit public exposure to water systems with known deficiencies. 4. Integrate water adequacy review information with Natural Resource water quality database OBJECTIVES FOR FY 2004: 1. Inspect at least 50%of all new wells constructed and 100%of all wells being de-commissioned. 2. Increase compliance with state well drilling regulations. 3. Review allbnilding permits and project apphsations to assure that potable water supplies meet basic public health standards as well comply with state statutory and regulatory requirements. 4. Provide technical guidance to any residents requesting assistance with their individual or small water systems to deliver safe drinking water. 5. Establish appropriate policies for alternative water supply systems. 6. Continue contracting with DOH for public water supply projects as long as adequate funding is provided. PERFORMANCE INDICATORS: 2000 2001 . 2002 2003. 2004 Actual Planned Number of well applications received&reviewed,includes 88 75 119 113 165 carry forward from previous years(USR's) • Number of new wells start notification(drilled) N/A 43 101 108 88 Number of wells abandoned 7 2 7 24 33 Number of applications with no well drilled(carry forward) N/A 30 11 49 44 Number of new wells inspected(start notification received) N/A 36 45 74 66 Percent of new wells(starts)inspected N/A 84% 46% 79% 75% Number of abandoned wells inspected N/A 2 7 24 33 Percent abandoned well inspected N/A 100% 100% 100% 100% SUMMARY OF KEY FUNDING/SERVICE ISSUES: Increased tracking will be done within existing databases such as permit plan and the food service database. Databases,including the water quality database,will be updated as necessary to add new fields to track performance indicators. LINKS TO COUNTY STRATEGIC OBJECTIVES: • Protecting and enhancing natural resources • Addressing local public health problems • • Food Program MISSION: The mission of the Food Program is to minimize the risk ofihe spread of disease from improperly prepared,stored or served foods handled in commercial settings. GOALS FOR FY 2004: 1. Provide classroom food safety instruction for all food service workers. 2. Assure minimum sanitary standards are observed in all food service establishments. 3. Provide basic food safety information to the general public. OBJECTIVES FOR FY 2004: 1. Offer food safety training at a frequency and in locations convenient to food service workers. —2.- Review all new food service establishments for compliance with state and county requirements. 3. Inspect all food service establishments at a frequency adequate to assure compliance with state and local regulatory requirements. 4. Offer educational materials and technical assistance to non-regulated community groups and organizations where requested. PERFORMANCE INDICATORS: 2000 2001 2002 2003 -- 2004 Actual Planned #of food workers trained 1,044 1,008 1,090 1122 1,500 #of food worker classes at Health N/A 51 60 79 60 Department #of food worker classes at other locations N/A 13 18 14 30 #of food establishment permits N/A N/A 251 255 260 #of required inspections completed 352 247 293 275 300 #of inspected establishments that required 33 22 21 8 20 repeat inspections due to critical violations. #of establishments receiving Outstanding 41 55 48 55 Achievement Awards #of temporary food service permits N/A 72 65 75 78 #of complaints received and resolved N/A 26 " 46 32 *Not able to project,will report at year-end. SUMMARY OF KEY FUNDING/SERVICE ISSUES: Food Program activities are largely funded through permit fees. LINKS TO COUNTY STRATEGIC OBJECTIVES: • Addressing local public health problems • Sustaining economic development • Solid Waste Programs • MISSION: The mission of the Solid Waste Enforcement and Education Program is to assure that solid waste in Jefferson County is managed in a way that is consistent with state regulatory requirements,avoids harm to the environment,is protective of the public health and promotes goals and objectives for solid waste reduction and recycling consistent with the Jefferson County Comprehensive Solid Waste Management Plan. GOALS FOR FY 2004: 1. Reduce the occurrence of promiscuous dumping and"nuisance properties". 2. Increase the awareness of small quantity generator and household hazardous waste disposal requirements through education and technical assistance,including expansion and promotion of the County's EnviroStars Program. 3. Create a sustainable construction and demolition waste recycling program with the goal of reducing illegal dumping and decreasing the annual tonnages of solid waste. 4. Increase citizen awareness of available waste reduction,recycling and composting opportunities county-wide. 5. Maintain regulatory compliance throughout all solid waste facilities holding permits issued by JCHHS. OBJECTIVES FOR FY 2004: 1. Finish updating local solid waste regulations. 2. Conduct workshops and technical assistance visits with SQGs • 3. Begin green building program as envisioned in the Jefferson County Solid Waste Management Plan and within available funding. 4. Expand public awareness of solid waste issues through all feasible venues,specifically a "stand alone" insert in the local newspaper and brochures and fact-sheets tailored to specific programs such as the Moderate Risk Waste Facility. 5. Finalize additions to the Solid Waste web presence,including an electronic complaint -- form for citizens,current information regarding all County solid waste programs,and all applicable brochures and fact-sheets. PERFORMANCE INDICATORS: 2000 2001 2002 2003 2004 Actual & Planned Estimated % of illegal dumps closed and cleaned up N/A 100% 100% 100% Pounds of litter and illegally dumped waste N/A 1.2 N/a collected per capita lbs./cap #of complaints/reports received about illegal N/A 37 78 65 garbage and waste dumping,storage,and nuisance properties #of complaints that were resolved without N/A 17 45 15 issuance of a Notice of Violation #of "nuisance property" complaints resolved N/A 9 27 40 after a Notice of Violation was issued #of illegal dumping and/or"nuisance * * * * 4 • property"complaints unresolved and forwarded to the County's CEO(Code Enforcement Officer) #of EnviroStars Businesses-Note: there are * * 6 -10 100 EnviroStars eligible businesses in Jefferson County Number of Green Building Businesses * * 5 Number of"hits"on SW website * * * * *New Indicators SUMMARY-OF KEY FUNDING/SERVICE ISSUES: - Generally there has been very few compliance problems associated with permitted solid waste facilities in Jefferson County. However,illegal dumping and neighborhood nuisance conditions continue to be a problem. Use of general funds and tipping fee funding to match DOE Solid Waste Enforcement and Solid Waste Education Grants will enable the division to maintain staffing at current levels. This level of staffing will enable the department to complete the solid waste regulation revisions,increase capacity for compliance activities and conduct regular community outreach programs. LINKS TO COUNTY STRATEGIC OBJECTIVES: • • Protecting and Enhancing Natural Resources • Addressing local public health problems • Sustaining economic development On Site Sewage Programs(OSS) MISSION: The mission of the Onsite Sewage Program is to minimize the threat of surface and ground water contamination from failing or improperly designed,installed or maintained onsite sewage systems. • GOALS FOR FY 2004: 1. Educate homeowners,builders,real estate personnel,banks,installers,designers and onsite system maintenance personnel in the proper operation and maintenance of onsite sewage systems. 2. Assure a high quality-monitoring program. 3. Implement and enforce state and local rules and regulations governing the installation and use of onsite sewage ystems. 4. Investigate action requests and complaints in a timely manner to reduce the threat of human contact with untreated wastewater. 5. Assure high quality customer service. OBJECTIVES FOR FY 2004: 1. Develop written informational materials for public distribution and conduct workshops for community groups addressing onsite sewage system operation and maintenance. 2. Provide training to community groups to increase awareness of regulatory requirements for onsite sewage systems. 3. Review monitoring and inspection reports and provide timely follow up. 4. Utilize existing data systems to track action requests and complaints. __ 5. Develop and implement a system for routinely surveying customer service. 6. Assure that site inspections in response to permit applications are conducted within 14 days of receipt of application. PERFORMANCE INDICATORS: 2000 2001 2002 2003 2004 Actual Planned #systems repaired/upgraded not associated with a violation or building N/A 7 21 19 25 application. %existing systems receiving regular 31rd party monitoring. N/A 13% 14% 17.5% 20% %system failures less than 5 years in use N/A 55% 14% 14% 15% 411) #of compliants received N/A 83 60 39 30 %complaints requiring enforcement action. N/A 17 21 23 20 #septic permits applications 275* 248* 318* 321 345* #permits<14 days to initial inspection N/A 132 147 159 190 #permits>14 days to initial inspection N/A 44 48 75 30 %permits issued with clock stoppers that delay processing time N/A 48% 52% 49% 30% Average days to process permits N/A 23 14 20 14 %permits applications pending N/A 68 65 25 * #evaluation of existing system(EES) N/A 277 210 256 200 %EES resulting in required significant maintenance or repair. N/A 1.8% 30% 26% ** %failures/major maintenance N/A 1% 2.9% 2% ** #of educational workshops N/A 15 18 8 5 #of workshop participants N/A 624 431 130 100 *Number of applications does not equal approved permits **Not able to calculate until year-end. SUMMARY OF KEY FUNDING/SERVICE ISSUES: Tracking will be done with existing data systems to evaluate effectiveness of monitoring programs. With the completion of the DOE non-point source pollution grant,ongoing O&M activities will need to be funded through permit and inspections fees.Implementation will focus on coordination with the PUD to set up systems for scheduling and tracking inspection activities and conducting community outreach to increase awareness of the new requirements. LINKS TO COUNTY STRATEGIC OBJECTIVES: • Addressing local public health problems • • Protecting and enhancing natural resources • Board of Health New Business Agenda Item # V. , 3 2003 Sexually Transmitted Disease Report - • Jefferson County February 19, 2004 i Sexually Transmitted Diseases, Jefferson County • 2003 Report Sexually Transmitted Diseases Reported to Washington State Department of Health by Jefferson County JCHHS Private Provider Total diagnosed diagnosed 2003 2002 2003 2002 2003 2002 Chlamydia* 38 16 21 16 59 32 Gonorrhea 0 0 2 2 2 2 Herpes (initial infection) 6 3 1 4 7 7 Syphilis 0 0 0 0 0 0 *2003 reported chlamydia cases include 44 females and 15 males. 40 out of 59 cases were age 15 -24, 18 of these were age 15- 19 and 22 were age 20 -24. Chlamydia Trends, Cases, Rate per 100,000 Population Crude rate, not adjusted for age. mak Jefferson County Cases Rate 1997 16 60.8 1998 15 56.6 1999 35 131.5 2000 32 121.1 2001 23 88.1 2002 32 120.3 2003 59 220.9 Jefferson County Chlamydia Rates for Females in High Risk Age Range: Chlamydia Rate per 100,000 Population, Females Age 15-24 Years, Jefferson County 1997 477 1998 546 1999 1,382 2000 1,686 2001 1,163 2002 1,600 Aft 2003 2,756 Board of Health New Business Agenda Item # V., 4 Peninsula Syringe Exchange Activity Report February 19, 2004 • Peninsula Syringe Exchange SIn September 2000, Jefferson County Health & Human Services, in partnership with Clallam County Health & Human Services, implemented the Peninsula Syringe Exchange Program (SEP). The SEP is provided to community members to reduce risks related to blood-borne infections due to injection drug use. SEP services include access to clean syringes, disposal of used syringes, prevention supplies, and referral services including HIV counseling and testing, drug treatment, healthcare access, and other services as needed. The services are provided at the Health Department during normal business hours. SEP utilization has steadily increased since its implementation in 2000 (Tables 1 & 2, and Figure 1). Table 1: Clinics Offered-Syringe Exchange Program, Jefferson County Total Clinics Offered Total Clinics Total Attendees* Utilized 2000 33 13 14 2001 98 14 16 2002 108 33 41 2003 119 58 63 *represents duplicate attendees Source: SHARE Reporting System, Washington State Department of Health Table 2: Materials Distributed-Syringe Exchange Program, Jefferson County Prevention Condoms/Latex Educational IDU Referral Syringes Kits' Barriers Materials2 Prevention Information4 Exchanged Materials3 411 2000 15 33 10 11 2 506 2001 9 14 9 3 5 2,076 2002 35 427 50 1,026 NA 4,206 2003 38 800 42 1,424 18 9,222 1 Prevention Kits include:tourniquets,cookers,cottons,water,sharps containers,alcohol preps,antibiotic ointment,band aids,educational materials including'Do Not Share and Overdose Prevention'. 2 Educational Materials include:Do Not Share,Overdose Prevention,Health Alerts 3 IDU prevention materials includes:tourniquets,hygiene(toothbrushes/razors),cookers,cottons,water,sharps containers,alcohol preps,antibiotic ointment,band aids, ' Referral Information includes Drug Treatment,Health care,Hepatitis Screening,HIV Counseling&Testing, Mental Health Source:SHARE Reporting System,Washington State Department of Health Figure 1. Syringe Exchange Utilization, Jefferson County, 2000-2003 r-1 Number of Clinic Attendees --E--Number of Syringe Exchanged 70 63 10,000 v 60 N .C.- - 9,222 8,000 ° V aii 50 41 ,L 130 c -tea 40 – 6,000 –� c c ca t m 30 PPII "" E Q 20 14 16A .,206 4,000 0 x st w z 10 506 ,' '6 2,000 c II 0 2 z 0 2000 2001 2002 2003 *represents duplicate attendees Source:SHARE Reporting System Washington State Department of Health • Board of Health New Business Agenda Item # V., 5 Clandestine Drug Lab Ordinance- Legal Review And Current Draft February 19, 2004 4s°N - G PUBLIC HEALTH ."1"<1 Always Working for a Safer and Q"S; a °$ HEALTHIER JEFFERSON Memorandum TO: Jefferson County Board of Health From: Larry Fay Environmental Health Director Date: February 9, 2004 Re: Draft ordinance addressing clandestine drug labs The attached draft ordinance has been reviewed and revised by David Alvarez, Deputy • Prosecutor. One issue raised by the BOH during its initial review was whether the ordinance should/could direct the court to impose restitution. As the ordinance now stands restitution may be impose by the courts. David Alvarez has left this alone and the provision remains permissive. Mr. Alvarez raised a second issue. This was the question as to whether the BOH has the legal authority to establish criminal penalties in this case. While there are no penalties established in RCW64.44 nor WAC 246 205, nor does existing law contain explicit authority to establish penalties, RCW 70.05 gives broad authority to the BOH to" enact such local rules and regulations as are necessary in order to preserve,promote and improve the public health and provide for the enforcement thereof'. Mr. Alvarez has determined that the broad authority provided to the board is sufficient to establish criminal penalties. Staff recommends that the Board move to establish a hearing date for this ordinance. COMMUNITY ENVIRONMENTAL DEVELOPMENTAL SUBSTANCE ABUSE HEALTH HEALTH DISABILITIES &PREVENTION (360)385-9400 (360)385-9444 (360) 385-9400 (360)385-9400 615 Sheridan Street,Port Townsend,Washington 98368 fax: (360)385-9401 web site: www.co.iefferson.wa.us IIuu An Ordinance relating to the public } Jefferson County • health hazards arising from real } Board of Health properties and structures contaminated by } Ordinance # Illegal Drug Manufacturing or Storage } _ and establishing procedures for } minimizing the public risk arising from such contaminated properties } and structures } WHEREAS, the storage and manufacture of illegal controlled dangerous substances such as methamphetamine is occurring frequently in counties of this state;and WHEREAS,the storage-and manufacture of illegal-controlled dangerous substances such as methamphetamine is particularly prevalent in rural counties such as Jefferson County because so much of the county is not densely-populated, thus promoting the ability of those persons storing and manufacturing illegal controlled dangerous substances to hide and remain secret; and WHEREAS, the storage and manufacture of illegal controlled dangerous substances such as methamphetamine amounts to an epidemic in rural counties such as this one; and • WHEREAS, this epidemic has overwhelmed and will continue to overwhelm the quite limited resources of this county;and WHEREAS,responsibility for clean-up costs should rest with those who tolerate or condone the behavior of storing or manufacturing illegal controlled dangerous substances at or upon their structures or real property and not upon the general populace as a whole; and WHEREAS,those persons who tolerate or condone the behavior of storing or manufacturing illegal controlled dangerous substances at or upon their real property or structures should risk criminal charges for their behavior,which puts the health and welfare of the general populace at risk;and WHEREAS,the state legislature and state agencies have taken affirmative action to grant authority in this regard to local governments such as Jefferson County to deal with the problems associated with real properties and structures contaminated by the illegal manufacturing and storage of controlled dangerous substances, • 1 NOW, THEREFORE, BE IT ORDAINED BY THE JEFFERSON COUNTY BOARD OF HEALTH as follows: S SECTION I. AUTHORITY AND PURPOSE DRAFT A. _ Authority _ This Regulation is adopted pursuant to Chapters 64.44 and 70.05 of the Revised Cade of Washington(RCW)and Chapter 246-205 of the Washington Administrative Code (WAC). All references to these RCWs and this WAC refer to the cited chapters and sections,as now or hereafter amended,and this regulation is supplementary thereto. B. Purpose —_ This chapter provides for the protection of the health,safety,and welfare of the public by reducing the potential for public contact with hazardous chemicals associated with the manufacture of illegal drugs. This chapter: 1) Provides procedures for enforcement of the Jefferson County Health Officer's determinations that property is unfit for use due to contamination from illegal drug manufacturing or storage, 2) Establishes requirements for contamination reduction,abatement and assessment of costs, and 3) Creates an appeals process for orders of the Health Officer issued to carry out the duties specified in Chapters 64.44 and 70.05 of the Revised Code of Washington(RCW) and Chapter 246-205 of the Washington Administrative Code (WAC). SECTION II. APPLICABILITY • This regulation shall apply to any site defined as an illegal drug manufacturing or storage site as per WAC 246-205-010. This regulation shall also apply to any property that is contaminated. This regulation shall not apply to industrial or commercial sites licensed or regulated by state or federal agencies where manufacturing processes use hazardous chemicals. SECTION III. DEFINITIONS When used in this regulation,the following terms have the meanings provided below. Definitions for other terms used in this regulation that are not defined below are provided in the WAC Chapter 246-205 and the RCW Chapter 64.44. A. Approved: Approved in writing by the Health Officer. B. Board of Health: Jefferson County-Board of Health. • C. Environmental Health Division: The Jefferson County Environmental Health Division. 2 D. Health Officer: The Jefferson County Health Officer appointed under RCW 70.05.050 or the Health Officer's authorized representative. • E. Nuisance: Any act or omission that may be detrimental to public health. F. Property: Any site, lot, parcel of land, structure, or part of a_structure involved in the illegal manufacture of a drug or storage of hazardous - chemicals,including but not-limited to: 1. Single-family residences; 2. Units or multiplexes; c- 3.lin D Condominiums;4. Apartment buildings; 5. Motels and hotels; 6. Boats; _ - 7. Motor vehicles; 8. Trailers; 9. Manufactured housing; 10. Any ship,booth, or garden; or 11. Any site, lot, parcel of land, structure, or part of a structure that may be contaminated by previous use. G. Property owner or owner: any occupant of property or person having an interest in the property as shown in the records of the Jefferson County • Auditor or other such governmental licensing or recording body. SECTION IV. CONTAMINATION REDUCTION A. Applicability The requirements in this regulation apply to contractors and property owners. The requirements in this regulation apply to property that has been found by the Health Officer to be contaminated and unfit for use pursuant to RCW 64.44.020 and 64.44.030, and WAC 246-205-540,including properties found contaminated and unfit for use by the Health Officer prior to the effective date of this regulation. B. Sampling All sampling performed for an initial site assessment or following contamination reduction procedures shall be conducted by a contractor certified by the Washington State Department of Health under WAC Chapter 246-205 or a Jefferson County Environmental Health Specialist using standardized sampling protocols and methodology. 11, C. Decontamination or Disposal Required 1. The owner of a contaminated property shall decontaminate or dispose of the property. The owner shall decontaminate the property in 3 accordance with RCW Chapter 64.44 and WAC 246-205-570,or dispose of the property in accordance with state and local laws. The owner of the contaminated property shall submit a decontamination plan within • forty-five (45) days and decontaminate or dispose of the property within sixty (60) days of notification of contamination by the Health Officer,unless alternate deadlines are approved by the Health Officer. _D. Decontamination Work Plans -- 1. All decontamination activities performed by property owners or contractors must have a work plan approved by the Health Officer. 2. All certified contractors and other persons approved by the Health Officer performing decontamination operations in Jefferson County 7 T shall use the"Environmental Health Division's Contractor Work Plan O J U [1 Template for the Cleanup of Illegal Drug Manufacturing Sites",as amended, or the"Washington State Department of Health's Work plan Template", as amended. These work plan templates may be obtained from the Jefferson County Environmental Health Division or the Washington State Department of Health. SECTION V. ABATEMENT AND ASSESSMENT OF COSTS A. After all appeals have been exhausted or if no appeal is filed within the time • allowed for filing an appeal as required in Section VIII of this regulation, and the property owner or other persons to whom the order was directed have failed to decontaminate a contaminated property as ordered by the Health Officer under this regulation,the Health Officer may direct or cause the property to be decontaminated,closed,vacated,boarded up, removed, disposed of or demolished,and all costs thereof,including any-actual administrative costs and actual attorney's fees and costs, shall be assessed against the property,the persons to whom the order was directed, or the owners of the property upon which the cost was incurred. B. Notice of the costs incurred shall be sent by first class and certified mail to the owners of the property upon which the costs are assessed or other persons against whom the costs are charged. The Health Officer may modify the amount, methods, or time of payment of such costs as he/she may deem just, considering the condition of the property and the circumstances of the owner. In determining any such modification, the costs may be reduced against an individual who has acted in good faith and would suffer extreme financial hardship. C. Any costs incurred by Jefferson County abating the condition of the property may be collected by any appropriate legal remedy and shall constitute a lien • on the property and the lien may be foreclosed in the same manner as real property tax liens. Costs associated with the foreclosure of the lien, including,but not limited to advertising,title report, and personnel costs, shall be added to the lien upon filing of the foreclosure action. In addition to 4 the costs and disbursements provided by law, the court may allow the prosecuting authority a reasonable attorney's fee. • D. Any amounts collected shall be distributed to any fund or source of funds for the program area from which payment for the work was made. SECTION VI. NOTICE AND ORDER PROHIBITING USE AND TO CORRECT VIOLATION -- - _ A. Issuance • Whenever the Health Officer determines that property has been contaminated and issues an order prohibiting use,he/she may issue a written "Notice and Order to Prohibit Use and Correct Violations" (NOPUCV) of this regulation to certain persons. The NOPUCV shall be issued to the property _ ownner, or to any person causing,alrowing, or participating in the violation. If (lJ f the whereabouts of said persons are not known,then the NOPUCV shall be issued to each person at the address appearing on the last equalized tax assessment roll of the county where the property is located or at the address known to the county assessor AND the NOPUCV shall be conspicuously posted at the residence or parcel that is the subject of the NOPUCV. A copy of the NOPUCV shall also be mailed to each person or party having a recorded right,title, estate,lien or interest in the property. • Content The NOPUCV shall contain: 1. The name and address of the property owner or other persons to whom the NOPUCV is directed; 2. The street address or description sufficient for identification of the property upon or within which the violation has occurred or is occurring; 3. A description of the violation and a reference to that provision of the regulation which has been violated; 4. A statement of the action required to be taken to correct the violation, and a date or time by which correction is to be completed; 5. A statement that each violation of this regulation shall be a separate and distinct offense and in the case of a continuing violation,each day the violation continues shall be considered a separate and distinct violation;and 6. A statement that the failure to obey this notice may result in the issuance of a notice of civil infraction and/or imposition of criminal penalties. 5 7. A notice to the recipient of the NOPUCV that a hearing before the local health officer shall be held upon the request of a person required to be notified of the NOPUCV pursuant to RCW 64.44.030, said notice to • inform the recipient that the request for a hearing before the local health officer must be made within ten(10) days of the date when the NOPUCV was served and that any hearing requested in a timely manner must be held within not less than twenty (20) days and not - more than thirty (30)-days after the serving of the NOPUCV. C. Disposal Receipts The NOPUCV may also include a statement requiring the person to whom the NOPUCV is directed to produce receipts from a permitted solid or hazardous waste disposal facility or transporter to demonstrate compliance with an order issued by the Health Officer. D. Service of Order DiaIF The NOPUCV shall be served upon the person to whom it is directed,either personally or by mailing a copy of the NOPUCV by first class and certified mail,postage prepaid,return receipt requested,to such person at his/her last known address,except the method of service described in Section VI, Paragraph A,2nd sentence above shall control for those persons or business who are notified of the NOPUCV because they are the last owners of record • on the equalized assessment roll. E. Extension Upon written request received prior to the correction date or time,the Health Officer may extend,for good cause,the date set for corrections. The Health Officer may consider substantial completion of the necessary correction or unforeseeable circumstances that render completion impossible by the date established,as a good cause. F. Supplemental Order to Correct Violation The Health Officer may at any time add to,rescind in part,or otherwise modify a NOPUCV. The supplemental order shall be governed by the same procedures applicable to all NOPUCV procedures contained in these regulations. G. Enforcement of Order If, after the Health Officer duly issues any order,the person to whom such order is directed fails,neglects,or refuses to obey such an order,the Health Officer may: 1. Cause such person to be prosecuted criminally pursuant to this Ordinance. 6 2. Institute any appropriate action to collect a penalty assessed under these regulations;and/or • 3. Abate the health violation using the procedures of these regulations; and/or 4. - Pursue any other appropriate remedy of law or equity under these _ - regulations. H. Written Assurance of Discontinuance The Health Officer may accept a written"Assurance of Discontinuance" of any act in violation of this regulation from any person who has engaged in such acts. Failure to comply with the"Assurance of Discontinuance" shall be a further violation of this regulation. SECTION VII.VIOLATIONS,CIVIL REMEDIES,AND CRIMINAL PENALTIES A. Violations Dd 1. Violations of this regulation may be addressed through a civil remedy or prosecuted as a crime. • 2. Each violation of this regulation shall be a separate and distinct offense and in the case of a continuing violation, each separate day the violation or offense contiues shall be considered a separate and distinct violation. 3. Any property that is declared contaminated or unfit for use is a public nuisance. 4. This regulation may be enforced by law enforcement officers,by the Health Officer, or by the Health Officer's designee. B. Civil Remedies 1. The violation of any provision of this regulation is designated as a Class 1 civil infraction pursuant to RCW Chapter 7.80, as amended. The Health Officer may issue a NOPUCV pursuant to RCW Chapter 7.80 if the authorized representative has reasonable cause to believe that the person has violated any provision of these regulations or has not corrected the violation as required by a written NOPUCV. Civil infractions shall be issued,heard,and determined according to RCW Chapter 7.80,as amended,and any applicable court rules. - • 2. Civil infractions under this regulation include,but are not limited to, the following: 7 a. Failure to Decontaminate: Any person who fails to decontaminate any property as required pursuant to this regulation,RCW Chapter 64.44, or WAC Chapter 246-205,has 4111 committed a Class 1 civil infraction; b. Occupying or Permitting Occupation of Property Declared Unfit for Use: Any person who occupies,permits or authorizes the occupation of any property ordered vacated-pursuant to this - - regulation,RCW Chapter 64.44, or WAC Chapter 246-205 has committed a Class 1 civil infraction; c. Removing,Destroying,Defacing, or Obscuring a Notice: Any person who removes, destroys,defaces,obscures, or otherwise tampers with any notice posted pursuant to this regulation, _ RCW Chapter 64.44, or WAC Chapter 246-2. 05 has committed a Class 1 civil infraction; d. Failure to Comply with Order: Any person who fails to comply with any order issued pursuant to this regulation,RCW D p DfpChapter 64.44, or WAC Chapter 246-205 has committed a Class 1 civil infraction; e. Failure to Comply with a Written Assurance of Discontinuance: Any person who fails to comply with a written"Assurance of • Discontinuance" issued pursuant to this regulation, RCW Chapter 64.44,or WAC Chapter 246-205,has committed a Class 1 civil infraction. f. Failure to Comply with Approved Work plan: Any person who performs decontamination activities not in accordance with the approved decontamination work plan has committed a Class 1 civil infraction. g. Failure to Report Contamination: Any person who becomes aware of contamination at a property is required,upon gaining such knowledge,to report the contamination to the Health Officer within one (1)working day. C. Criminal Penalties The following are crimes under this regulation: 1. Failure to Decontaminate: Any person who has previously been found by a court to have committed a violation of section VII.B.2.a. of this - regulation,"Failure to Decontaminate," and fails to decontaminate the same property as required pursuant to this regulation,RCW Chapter 64.44,or WAC Chapter 246-205,shall be,upon conviction, guilty of a misdemeanor and shall be subject to a fine of not more than$1,000 or 8 to imprisonment in the county jail not to exceed ninety(90) days,or to both fine and imprisonment. The court may also impose restitution. • 2. Occupying or Permitting Occupation of Property Declared Unfit for Use: Any person who occupies, permits or authorizes the occupation of any property ordered vacated pursuant to this regulation,RCW Chapter 64.44, or WAC Chapter 246-205 has committed a Class 1 civil infraction; 3. Occupying or Permitting Occupation of Property Declared Unfit for Use(Repeat Offenses): Any person who has previously been found by a court to have committed a violation of section VII.B.2.b. of this regulation, "Occupying or Permitting Occupation of Property Declared Unfit for Use," and again occupies the property pursuant to this regulation,RCW Chapter 64.44, or WAC Chapter 246-205, shall be,_ upon conviction, guilty of a misdemeanor and shall be subject to a fine of not more than$1,000 or to imprisonment in the county jail not to exceed ninety (90) days,or to both fine and imprisonment. The court may also impose restitution. DndF Obstructing Employees or Agents of the Local Health Jurisdiction: Any person who obstructs any enforcement officer, employee or agent of the local health jurisdiction or other governmental unit in the enforcement or carrying out of the duties prescribed in this regulation, • RCW Chapter 64.44, or WAC Chapter 246-205 shall be,upon conviction, guilty of a misdemeanor and shall be subject to a fine of not more that$1,000 or to imprisonment in the county jail not to exceed ninety (90) days or to both fine and imprisonment. The court may also impose restitution. D. Other Legal or Equitable Relief Notwithstanding the existence or use of any other remedy,the Health Officer may seek legal or equitable relief to enjoin any acts or practices or abate any conditions that constitute or will constitute a violation of these regulations,or rules and regulations adopted under them. E. Imminent and Substantial Dangers Notwithstanding any provisions of this regulation,the Health Officer may take immediate action to prevent an imminent and substantial danger to the public health. SECTION VIII. APPEALS A. Appeal of an Order Prohibiting Use Any person required to be notified of an order prohibiting use (an NOPUCV) under RCW 64.44.030 may appeal the order. The Health Officer will hear 9 such appeals. Any such appeal must be made within ten(10) days of service of the order, and the appeal will conform to the requirements of RCW 64.44.030 and this regulation. The Health Officer's decision regarding an • order prohibiting use may be appealed to the Board of Health. Any action to review the Health Officer's decision must be filed within thirty (30) days of the date of the decision. The order prohibiting use shall remain in effect during the appeal. 1. Health Officer Administrative Hearing: Any person aggrieved by an order prohibiting use (an NOPUCV) may request,in writing,a hearing before the Health Officer or his or her designee. The appellant shall submit specific statements,in writing, of the reason why error is assigned to the Health Officer's decision. Such request shall be presented to the Health Officer within ten(10) days of the action appealed. Upon receipt of such request,together with any applicable hearing-fees,the Health Officer shall notify the person in writing of the time, date,and place of such hearing,which shall be set at a mutually convenient time not less than twenty (20) days nor more than thirty F® � dQifr (30) days from the date the request was received. The Health Officer will issue a decision affirming, reversing, or modifying the order prohibiting use. The Health Officer may require additional actions as part of the decision. 2. Hearing Procedures: Hearings shall be open to the public and • presided over by the Health Officer. Such hearings shall be recorded. Hearings shall be opened with a recording of the time, date and place of the hearing,and a statement of the cause for the hearing.The Health Officer shall then swear in all potential witnesses. The case shall be presented in the order directed by the Health Officer.The appellant may present rebuttal. The Health Officer may question either party. The Health Officer may allow for a closing statement or summation. General rights include: (a) To be represented by an attorney; (b) To present witnesses; (c) To cross-examine witnesses; (d) To object to evidence for specific grounds. In the conduct of the proceeding, the Health Officer may consider any evidence,including hearsay evidence that a reasonably prudent person would rely upon in the conduct of his or her affairs. Evidence is not admissible if it is excludable on constitutional or statutory grounds or on the basis of evidentiary privilege recognized in the courts of this state. The Health Officer shall decide rulings on the admissibility of evidence,and the Washington rules of evidence shall serve as guidelines for those rulings. • Inasmuch as any appeal to the Board oard of Health from a Health Officer decision is a review on the record,the Health Officer shall ensure that 10 the record generated contains testimonial and documentary evidence supporting the Health Officer's issuance of the order prohibiting use. The Health Officer may continue the hearing to another date to allow • for additional submission of information or to allow for additional consideration. Prior to closing of the hearing, the Health Officer shall issue its oral ruling unless the Health Officer determines that the _ matter should be taken under advisement.Written findings of fact, - conclusions of law, and orders shall be served on the appellant within fourteen days (14)of the oral ruling. If the matter is taken under advisement,written findings,conclusions,and orders shall be mailed to the appellant within twenty-one (21) days of the close of the hearing. The appellant shall bear the burden of proof and may overcome the order prohibiting use by a preponderance of the evidence. 5. Appeals: Any decision of the Health Officer shall be final and may be reviewable by an appeal filed with the Board of Health through the Health Officer. Any action to review the Health Officer's decision must be filed within thirty (30) days of the date of the decision. B. Appeal of Notice and Order to Correct Violation 1. Stay of corrective action: The filing of a request for hearing pursuant to this section shall operate as a stay from the requirement to perform corrective action ordered by the Health Officer while the hearing is pending, except there shall be no stay from the requirement for immediate compliance with an emergency order issued by the Health Officer or from the requirements of an unfit for use order prohibiting use. 2. Health Officer Administrative Hearing: Any person aggrieved by a NOPUCV may request,in writing,a hearing before the Health Officer or his or her designee. The appellant shall submit specific statements in writing of the reason why error is assigned to the decision of the Health Officer. Such request shall be presented to the Health Officer within ten(10) days of the action appealed. Upon receipt of such request,together with any applicable hearing fees,the Health Officer shall notify the person in writing of the time, date,and place of such hearing,which shall be set at a mutually convenient time not less than twenty (20) days nor more than thirty (30) days from the date the request was received. The Health Officer will issue a decision affirming,reversing,or modifying the NOPUCV. The Health Officer may require additional actions as part of the decision. • 3. Hearing Procedures: Hearings shall be open to the public and presided over by the Health Officer. Such hearings shall be recorded. Hearings shall be opened with a recording of the time, date and place of the hearing,and a statement of the cause for the hearing. The Health 11 Officer shall then swear in all potential witnesses. The case shall be presented in the order directed by the Health Officer. The appellant may present rebuttal. The Health Officer may ask questions. The • Health Officer may allow the opportunity for a closing statement or summation. General rights include: (a)To be represented by an attorney; _ (b)To present witnesses; (c)To cross-examine witnesses; (d)To object to evidence for specific grounds. In the conduct of the proceeding,the Health Officer may consider any evidence,including hearsay evidence that a reasonably prudent person would rely upon in the conduct of his or her affairs. Evidence is not admissible if it is excludable on constitutional or statutory grounds or on the basis of evidentiary privilege recognized in the courts of this state. The Health Officer shall decide ruling-on the admissibility of evidence, and the Washington rules of evidence shall serve as guidelines for those rulings. nn onyy Inasmuch as any appeal to the Board of Health from a Health Officer decision is a review on the record,the Health Officer shall ensure that the record generated contains testimonial and documentary evidence supporting the Health Officer's issuance of the NOPUCV. • The Health Officer may continue the hearing to another date to allow for additional submission of information or to allow for additional consideration. Prior to closing of the hearing,the Health Officer shall issue its oral ruling unless the Health Officer determines that the matter should be taken under advisement. Written findings of fact, conclusions of law and orders shall be served on the appellant within fourteen days (14) of the oral ruling. If the matter is taken under advisement,written findings,conclusions and orders shall be mailed to the appellant within twenty-one (21) days of the close of the hearing. The appellant shall bear the burden of proof and may overcome the NOPUCV by a preponderance of the evidence. 4. Appeals. Any decision of the Health Officer shall be final and may be reviewable by an appeal filed with the Board of Health through the Health Officer. Any action to review the Health Officer's decision must be filed within thirty (30) days of the date of the decision. 5. Appeal of Health Officer's Decision to Board of Health: a. Any person aggrieved by the findings,conclusions or orders of the Health Officer shall have the right to appeal the matter by requesting a hearing before the Board of Health. Such notice of appeal shall be in writing and presented to the Health Officer within thirty(30) days of the Health Officer's decision. The 12 appellant shall submit specific statements in writing of the reason why error is assigned to the decision of the Health Officer. • b. The decisions of the Health Officer shall remain in effect during the appeal. Any person affected by the NOPUCV may make a written request for a stay of the decision to the Health Officer - within five (5) business days of the Health Officer's decision. The Health Officer will grant or deny the request within five (5) business days. c. Upon receipt of a timely written notice of appeal,the Health Officer shall set a time,date,and place for the requested hearing before the Board of Health and shall give the appellant written notice thereof. Such hearing shall be set at a mutually — convenient time not less-than fifteen(15) days or more-than thirty(30) days from the date the appeal was received by the Health Officer unless mutually agreed to by the appellant and Health Officer. 11) U U n y d. Board of Health hearings shall be open to the public and j[ + presided over by the chairman of the Board of Health. Such hearings shall be recorded. Board of Health hearings shall be opened with a recording of the time, date and place of the • hearing;and a statement of the cause for the hearing.The hearing shall be limited to argument of the parties and no additional evidence shall be taken unless,in the judgment of the chair,such evidence could not have reasonably been obtained through the exercise of due diligence in time for the hearing before the Health Officer. Argument shall be limited to the record generated before the Health Officer unless the chair admits additional evidence hereunder. e. Any decision of the Board of Health shall be final and may be reviewable by an action filed in Superior Court. Any action to review the Board's decision must be filed within thirty (30) days of the date of the decision. SECTION IX. SEVERABILITY Should any part of this regulation be declared unconstitutional or invalid for any reason, such declaration shall not affect the validity of the remainder. SECTION X. EFFECTIVE DATE • The effective date of this regulation shall be M,2004. 13 APPROVED this Day of 2004. • JEFFERSON COUNTY BOARD OF HEALTH JEFFERSON COUNTY HEALTH OFFICER Geoff Masci,Chair Thomas H. Locke,M.D. Navy I 411 14 • Board of Health New Business Agenda Item # V. , 6 • Avian Influenza Update February 19, 2004 • Y i CDC FACT SHEET Basic Information About Avian Influenza (Bird Flu) Avian Influenza Type A influenza viruses can infect several animal species, including birds, pigs, horses, seals and whales. Influenza viruses that infect birds are called "avian influenza viruses." Birds are an especially important species because all known subtypes of influenza A viruses circulate among wild birds, which are considered the natural hosts for influenza A viruses. Avian influenza viruses do not usually directly infect humans or circulate among humans. Influenza A viruses can be divided into subtypes on the basis of their surface proteins — hemagglutinin (HA) and neuraminidase (NA). There are 15 known H subtypes. While all subtypes can be found in birds, only 3 subtypes of HA (H1, H2 and H3) and two subtypes of NA (N1 and N2) are known to have circulated widely in humans. Avian influenza usually does not make wild birds sick, but can make domesticated birds very sick and kill them. Avian influenza A viruses do not usually infect humans; however, several instances of human infections and outbreaks have been reported since 1997. When such infections occur, public health authorities monitor the situation closely because of concerns about the potential for more widespread infection in the human population. Avian Influenza Infections in Humans SConfirmed instances of avian influenza viruses infecting humans since 1997 include: • 1997: In Hong Kong, avian influenza A (H5N1) infected both chickens and humans. This was the first time an avian influenza virus had ever been found to transmit directly from birds to humans. During this outbreak, 18 people were hospitalized and 6 of them died. To control the outbreak, authorities killed about 1.5 million chickens to remove the source of the virus. Scientists determined that the virus spread primarily from birds to humans, though rare person-to-person infection was noted. • 1999: In Hong Kong, cases of avian influenza A H9N2 were confirmed in 2 children. Both patients recovered, and no additional cases were confirmed. The evidence suggested that poultry was the source of infection and the main mode of transmission was from bird to human. However, the possibility of person-to-person transmission remained open. Several additional human H9N2 infections were reported from mainland China in 1998-99. • 2003: Two cases of avian influenza A (H5N1) infection occurred among members of a Hong Kong family that had traveled to China. One person recovered, the other died. How or where these 2 family members were infected was not determined. Another family member died of a respiratory illness in China, but no testing was done. No additional cases were reported. • 2003: Avian influenza A (H7N7) infections among poultry workers and their families were confirmed in the Netherlands during an outbreak of avian flu among poultry. More than 80 cases of H7N7 illness were reported (the symptoms were mostly confined to eye infections, with some respiratory symptoms), and 1 patient died (in a veterinarian who had visited an affected farm). There was evidence of some human-to-human transmission. • 2003: H9N2 infection was confirmed in a child in Hong Kong. The child was hospitalized but recovered. Janus 29 2004 Pae 1 of 2 DEPARTMENT'0? Htn 4ND.H 014N: *VICES= CENTERS FOR DISEASE"CONTROL AND PREVENTION, SAFER•HEALTH'SCE•PEOPLE" Basic Information About Avian Influenza (Flu) (continued from previous page) • Characteristics of Avian Influenza in Birds Certain water birds act as hosts of influenza viruses by carrying the virus in their intestines and shedding it. Infected birds shed virus in saliva, nasal secretions and feces. Avian influenza viruses spread among susceptible birds when they have contact with contaminated nasal, respiratory and fecal material from infected-birds; however, fecal-to-oral-transmission is the most common mode of spread. - Most influenza viruses cause no symptoms, or only mild ones in wild birds; however, the range of symptoms in birds varies greatly depending on the strain of virus and the type of bird. Infection with certain avian influenza A viruses (for example, some H5 and H7 strains) can cause widespread disease and death among some species of wild and especially domesticated birds such as chickens and turkeys. Symptoms of Avian Influenza in Humans The reported symptoms of avian influenza in humans have ranged from typical influenza-like symptoms (e.g., fever, cough, sore throat and muscle aches) to eye infections, pneumonia, acute respiratory distress, viral pneumonia, and other severe and life-threatening complications. Antiviral Agents for Influenza Studies to date suggest that the prescription medications approved for human influenza strains would be effective in preventing avian influenza infection in humans, however, sometimes flu strains can become resistant to these drugs and so they may not always be effective. Potential for an Influenza Pandemic All influenza viruses have the potential to can change. It is possible that an avian influenza virus could change so that it could infect humans and could spread easily from person to person. Because these viruses do not commonly infect humans, there is little or no immune protection against them in the human population. If an avian virus were able to infect people and gain the ability to spread easily from person to person, an "influenza pandemic" could begin. Background on Pandemics . An influenza pandemic is a global outbreak of influenza and occurs when a new influenza virus emerges, spreads, and causes disease worldwide. Past influenza pandemics have led to high levels of illness, death, social disruption and economic loss. There were 3 pandemics in the 20th century. All of them spread worldwide within 1 year of being detected. They are: • 1918-19, "Spanish flu," [A (H1N1)], caused the highest number of known flu deaths: more than 500,000 people died in the United States, and 20 million to 50 million people may have died worldwide. Many people died within the first few days after infection and others died of complications soon after. Nearly half of those who died were young, healthy adults. • 1957-58, "Asian flu," [A (H2N2)], caused about 70,000 deaths in the United States. First identified in China in late February 1957, the Asian flu spread to the United States by June 1957. • 1968-69, "Hong Kong flu," [A (H3N2)], caused approximately 34,000 deaths in the United States. This virus was first detected in Hona Kong in early 1968 and spread to the United States later that year. Type A (H3N2) viruses still circulate today. Once a new pandemic influenza virus emerges and spreads, it typically becomes established among people and circulates for many years. The U.S. Centers for Disease Control and Prevention and the World Health Organization conduct extensive surveillance programs to monitor the occurrence of influenza activity worldwide, including the emergence of potential pandemic strains of influenza virus. For more information, visit www.cdc.gov/flu, or call CDC's public response hotline at (888) 246-2675 (English), (888) 246-2857 (espanol), or (866) 874-2646 (TTY). Janua 29 2004 Page 2of2 • DEPAR ioeor OF HEALTH Aso HUMAN SONIHOES HERS-FOR DISEASECONTROL AND PREVENTION` SAFER•HEALTHIER.`REO1n.l 'Thousands of US chickens culled after avian flu is found Page 1 of 2 • -., Home-Yahoo! -Help- My Yahoo! AfP \\* , ...� M '�. x.,s` .,�,.— Mt..�.�.< �. s,,. „;:._. ,.., �.< ,..... �.:.- _ � - 1,:g, !—.; .mr http://sg.news.yahoo.com/040207/1/3hun7.html Sunday February 8,06:30 AM Thousands of US chickens culled after avian flu is found About 12,000 chickens were destroyed in the United States, after a strain of avian flu was detected in chickens — at a farm in the state of Delaware, prompting South Korea to suspend imports. -- Authorities culled all 12,000 birds on the farm,which raises chickens to sell at live markets in New York, Delaware Agriculture Secretary Michael Scuse was quoted by CNN as saying. The farm is located near the state capital of Dover. Officials suspect the farm's birds were infected in New York, where there have been similar outbreaks of avian flu in recent years, Scusewas was quoted as saying earlier. •said all other farms within a two-mile (3.2-kilometer)radius would be tested for avian flu within the next week. The neighboring states of Delaware, Maryland and Virginia are the center of major chicken raising and processing industries. Last year, they sold about 577 million chickens worth 1.5 billion dollars. Avian flu is an airborne respiratory virus that spreads among chickens through nasal and eye secretions and manure. Authorities stressed to the daily that the strain found in Delaware is not the same as the one causing an Asian outbreak which has killed 18 people. "This isolated case should have little impact on the Delmarva(regional)poultry industry, providing it does not spread to other flocks," Scuse told the News Journal of Wilmington, Delaware. Two out of five chickens tested were found to have the flu, the report said. South Korea moved quickly to implement a temporary ban on the import of birds from the United States. "We impose a temporary ban on the import of chicken and ducks and their products from the United States," the Agriculture and Fisheries Ministry said in a press statement. "If the virus found in Delaware turns out to be highly pathogenic,the temporary ban on the import of chicken and ducksfrom the United States would become an official one," said Kim Chang-Seop, head of the agriculture grii stry's animal quarantine department. Last year alone, South Korea imported from the United States 40,107 tonnes of chickens, which accounted for 49 percent of all chicken imports, and 87 tonnes of ducks, or four percent of duck imports. http://sg.search.news.yahoo.com/search/news_sg pf?p=ukey%3A5871715 2/12/2004 Thousands of US chickens culled after avian flu is found Page 2 of 2' On Wednesday, the United States banned the import of birds from eight countries in Asia, where the disease has killed 18 people. The ban applies to all birds and bird products, unless they have been treated to remove the disease, from • Cambodia, China(including Hong Kong), Indonesia, Japan, Laos, South Korea, Thailand and Vietnam. The United States imports about 20,000 birds each year from countries dealing with the bird flu outbreak, according to the US Fish and Wildlife Service. Print Me Now! - Back to Original Article Copyright©2002 AFP.All rights reserved.All information displayed in this section(dispatches,photographs,logos)are protected by intellectual property rights owned by Agence France-Presse.As a consequence you may not copy,reproduce,modify,transmit,publish,display or in any way commercially exploit any of the contents of this section without the prior written consent of Agence France-Presses. Copyright©2002 Yahoo!Inc.All Rights Reserved. Privacy -Terffis_ofService-Community-Help • II/ http://sg.search.news.yahoo.com/search/news_sg pf?p=ukey%3A5871715 2/12/2004 ',Welcome to AJC! Page 1 of 2 • aJc.com, Epa,, PRINTTH IS Avian Flu Found at Four N.J. More AP Headlines Markets •National • World By JOHN CURRAN •Money Associated Press Writer •Technology • Health PLEASANTVILLE, N.J. (AP)--A strain of ' Entertainment bird flu has been found at four live chicken ' Sports markets in northern New Jersey,just days after outbreaks at two farms in Delaware led to the destruction of thousands of birds. New Jersey health officials stressed that the findings are not unusual for the state's live poultry markets and said the strain is not known to be harmful to humans. "To the best of our knowledge, it's been a recurring problem for years,"said Ed 40 ngryn, field representative for the New Jersey Farm Bureau. "It's not tagious to humans. Humans can't get it by being exposed to it or eating it." Nancy Halpern, the state veterinarian, said the markets likely got the virus from one of the many farms and distributors who supply them. New Jersey has about 35 live chicken markets across the state. No birds have died from it in New Jersey, according to Halpern, who said avian influenza can contaminate markets via truck tires, people's feet, bird crates or through bird-to-bird transmission. There is no reason to order the destruction of birds in New Jersey like the ones in Delaware, officials said. "There's a vast difference in the scenarios we're looking at," Halpern said in a conference call for reporters. "In Delaware, you have commercial flocks affected. Hence, they were depopulated to prevent further spread. "In the state of New Jersey, we do not have a broiler industry and further we've only documented it in our live bird markets and only a few of them," Halpern said. Markets found to be infected are instructed to sell off all birds, and then clean and sanitize all cages and equipment before reopening. Officials said the strain found in New Jersey is the same one found at two farms Oelaware since last week. The strain is not related to the virulent variety of n influenza that is blamed for the deaths of at least 19 people in Vietnam and Thailand. In Delaware, the disease was found last week on a farm operated by an http://aj c.printthis.clickability.com/pt/cpt?action=cpt&title=Welcome+to+AJC%21&expire=&ur1I... 2/12/2004 Welcome to AJC! Page 2 of 2f. independent grower. On Tuesday, Delaware agriculture officials announced that tests confirmed avian flu on a second farm, saying it creates a "serious situation"for the region's poultry industry. Even before the announcement Tuesday, China joined Poland, Japan, Malaysia, Singapore and South Korea in banning U.S. poultry imports because of the previous discovery. Hong Kong had banned the import of live birds and poultry from Delaware only. Russia also temporarily banned Delaware imports. AP-NY-02-12-04 1630EST _ Copyright 2004, The Associated Press. The information contained in the AP Online news report may not be published, broadcast or redistributed without the prior written authority of The Associated Press. 07F Share this story with a friend Find this article at: http://www.ajc.com/health/content/shared!health/ap/ap_story.html/Health/AP.V5826.AP-Bird-Flu.html .__. Check the box to include the list of links referenced in the article. S • http://aj c.printthis.clickability.com/pt/cpt?action=cpt&title=Welcome+to+AJC%21&expire=&urlI... 2/12/2004 Board of Health Media Report • February 19, 2004 r Jefferson County Health and Human Services JANUARY — FEBRUARY 2004 NEWS ARTICLES 1. "Healthy Jefferson seeks volunteers to help support groups",P.T. Leader, January 14, 2004 2. "Why no Port Townsend fluoridation attempt?",Peninsula Daily News, January 16, 2004 3. "Route mapped to better health",Peninsula Daily News, January 18, 2004 4. "Helping Hands", Peninsula Daily News, January 23,2004 5. "Healthy Jefferson offers help for services greatly needed",P.T. Leader, Jan. 28, 2004 6. "County expenses now outpacing revenue growth",P.T. Leader, Jan. 28, 2004 7. "County trouble-shooting septic permit processing",P.T. Leader,Jan. 28,2004 8. "Teenage sex more common than most parents may think"(2 pages) P.T. Leader, January 14, 2004 • 9. "Abstinence can be a good choice any time",P.T. Leader,January 28, 2004 10. "Teen sex: Where to call",P.T. Leader, January 28, 2004 11. "County hears dog cruelty complaint",P.T. Leader, January 28, 2004 12. "Family Planning Clinic offers choices: Prevention to 'Plan B' P.T. Leader, January 28, 2004 13. "County,owner to discuss pet neglect claims",P.T. Leader, January 30, 2004 14. "Volunteers raise hands to help community",Peninsula Daily News, Feb. 2, 2004 15. "County Administrator Goldsmith to retire",Peninsula Daily News, Feb. 3, 2004 16. "Goldsmith quits as top exec",P.T. Leader, February 4, 2004 17. "Dog cruelty complaint is being address",P.T. Leader, February 4. 2004 18. "Federal OK paves way for Medicaid premiums",Peninsula Daily News February 6, 2004 • 19. "Jefferson County,dog owner in agreement", Peninsula Daily News February 10, 2004 20. "SmileMobile comes March 5-19 to help children with dental needs", Leader, 2/11/04 Board of Health Media Report • February 19, 2004 • Jefferson County Health and Human Services JANUARY — FEBRUARY 2004 NEWS ARTICLES 1. "Healthy Jefferson seeks volunteers to help support groups",P.T. Leader, January 14, 2004 2. "Why no Port Townsend fluoridation attempt?",Peninsula Daily News, January 16, 2004 3. "Route mapped to better health",Peninsula Daily News,January 18, 2004 4. "Helping Hands",Peninsula Daily News,January 23, 2004 5. "Healthy Jefferson offers help for services greatly needed",P.T. Leader, Jan. 28, 2004 6. "County expenses now outpacing revenue growth",P.T. Leader, Jan. 28,2004 7. "County trouble-shooting septic permit processing",P.T. Leader, Jan. 28, 2004 8. "Teenage sex more common than most parents may think"(2 pages) P.T. Leader, January 14, 2004 • 9. "Abstinence can be a good choice any time",P.T. Leader,January 28, 2004 10. "Teen sex: Where to call",P.T. Leader,January 28, 2004 11. "County hears dog cruelty complaint",P.T. Leader, January 28, 2004 12. "Family Planning Clinic offers choices: Prevention to 'Plan B' P.T. Leader, January 28, 2004 13. "County, owner to discuss pet neglect claims",P.T. Leader, January 30, 2004 14. "Volunteers raise hands to help community",Peninsula Daily News, Feb. 2, 2004 15. "County Administrator Goldsmith to retire",Peninsula Daily News, Feb. 3, 2004 16. "Goldsmith quits as top exec",P.T. Leader, February 4, 2004 17. "Dog cruelty complaint is being address",P.T. Leader, February 4. 2004 18. "Federal OK paves way for Medicaid premiums",Peninsula Daily News February 6, 2004 410 19. "Jefferson County,dog owner in agreement", Peninsula Daily News February 10, 2004 20. "SmileMobile comes March 5-19 to help children with dental needs", Leader, 2/11/04 aT UNL 1. Q M .0 O Og • u O N d v) U H .S N >, ,Y 0 .. 0.'D b l' Qp4 • • M b U ,� U 4:0 0 50 b O _ 7 .t7 ..� v 0 0 Lw 8c° - - '- § •g4', ,VA A ot. uop au A N co u ° U U O , O . ' v e0 0- O Vp >° v .8 ... N C 4 .0 N .c , 3 wv.-, o @.)u .0 3 c3 0r.., - + 5O `'t- O E u4 ..5 O JS 1 aE ,. o L 4) `" N w o ? �a en C o vi o mi '� c Clai u „y o •E B. >,L 1tf • if u . °174 C c,-, b c $.c N U ° N $ EE N N . ° N U V r� p " CN cc) 0 0 0 0 p tV. L v1 a s 0 0 0� v y °° �' 3 g o o N «, U M cn Eu c E `a �o L>. .5 yup .0 .o O ..c O N t1 RoO -. P '^ l'l HF' u ' ou .� .1'1 u •S p (1 ) .c ° .5at .2 E a ° 13 .82 ' oN • tO — u u � 'C c c h ° c d.S .S > u u A O li a) U crd' 7u c Su cci ° ° ti _8 �` cU S 3 0 ° o `4. ea h .1 •0 o v b c , u 5 .D N ci O .V�. o L 3 3 e N u 'n u E g N u 0 ° 00 c .0 u u 0 c . 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L h v nD cO ` ° O � • au �.c � y � 0000 � _cEti � � $ ccuC °uaa°•i6o ^ l 0 .� . -'-'m7 uR. c "0zA � aOi >' aEi0o •c� U3TNto �' "c C • a� .14 u > E * 04`5 E° w. E H000 E `/1 O G oD v. oD A N V) ,.° a.. .b:c'0 CI, — •0 G�G 7 g U 7 0 V $� j S L C — L. - pp u u o c Ev tz v ; ' Nu ' 6bu Y. 3 c .� E o 0 Oa ° .`OC a0i OD.... O rt, ci m' '� �. •Cv 'O G 7 U °" ° '= j .c al W ,y •C 7 p O x N L 0 O N U - '$ •0 vi O N V) /'� N t!? L L Q• 3 5 ~ ` •v cd U 7 .c t �/ aci n 0� .�p° �0 a� a `d u > '4g .c cc•I cc, o -� 0 .=' .E ,Z op co404) 6 u C : E N 0 o u x ° �u A — c 0 ° "ev ° u c °' (`l+/j u "' .ogu °. E Y ' I ° eo •.0z, 0 ripooEo ` b 411 cC: a`: M °c0 .03 .v-Nj 3 :c 'o .. he . u N . T1 _ •`�0 0.. 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V 0 N • -0 CA c0 _°' cc = cc '. u5002p000 .500 N0 8 Me- tcC 'S ,>a — � qw ° 3 0 Ca scu ° .o Ou > u cQa 0 a ° ° c �dS 0o �u v u c ° . .. oqa.)o ca oons �Y no Port fluoridation attempt? • BY THE END of this year,if thing go 'Not ready'In Port Townsend and says overwhelming scientific evi- as planned,Port Angeles residents will port Townsend dentists are mem- be drinking fluoridated water. dente supports the benefits of fluoride- tion. bars of the Olympic Dental Society, But 48 miles away, which spearheaded the effort in Port "It's unfortunate that a scientific and Port Townsend residents Paul P medical question has become a political Angeles. aren't likely to see fluo- Gottlieb Port Townsend dentists support fluo- issue,"Chapman adds. ride in their water any as an anti-cavity tool,but that's not But Jesse Wilson,president of Clal- ridetime soon,Mayorlain County Citizens for Safe Drinking Catharine Robinson enough,dental society President Todd Water,says the real issue is that the Irwin of Port Angeles says. says' "They say,'It will never happen(in public doesn't want it. It's nota slam-dunk d' This is an honest attempt to keep forms,,she says."This Port Townsend),'"Irwin says. something out of the water that people is a progressive commu- "The population is not ready to hear don't want there,"he says. nity in a lot of ways— the arguments pro and con,and the Robinson had approached several res- but not in all ways. • dentists don't feel it would be worth the ident about fluoridation after the Port "I think that people - effort." Angeles City Council on Feb.18 here do go for alterna- Port Townsend dentist Dr.David accepted on a 6-1 vote,a Washington Chuljian,recalling thatseveral decades five information away Dental Services Foundation grant of up -- from the mainstream." ago voters rejected a fluoridation measure, to$260,000 to install a water fluoride- Robinson has her own mi vin says one of his patients,for example, • believes fluoride"is a medical conspiracy.". tion system and conduct public educa- over fluoridation,and several residents yet when children drink fluoridated tion. Ole approached last year about the topic, That decision was criticized by many including a nurse,also were skeptical, water,it's incorporated into the enamel who believed the public should vote on and protects against cavities,Chuljian she says. says. the matter. She doesn't expect Port TownsendIn older people,fluoride can harden water will be fluoridated unless resi- softened roots in two weeks,he added. Environmental study dents vote for it. "Realistically,it's probably time for us The city Department of Communi' There's a lot of concern from them to make a few waves and see if people Development ruled in late October tt about the effects of fluoride,"she says. are interested again,"Chuljian says. adding fluoride to the water supply d That wasn't true,at least initially,in Yet even he sides with fluoridation not require an environmental study Port Angeles,City Manager Mike Quinn opponents on one key point. because it did not pose a significant f says. "No matter how you look at it,"he ronmental risk. "We had very strong community says,"it is giving people medication That decision was appealed Nov. 1 interest,' he says,"in terms of all the withoutgivingthem a choice." doctors and dentists in town becomingtQuinn says city staffs likelyrecbem ad very organized and vocal in saying this is Not'forced medication' publicin othe appeal will be mad something that needs to be done." by Jan.31. r Since 1956,Forks has been the only Port Angeles pediatrician Dr.Steve My hope is that we have a beget city in Clallam and Jefferson counties Chapman disputed that argument. on this in Februaryand that we get fluoridating its drinking water. Chapman,Irwin and Olympic Medical thing resolved,"he says. • But lack of community support evi- Center CEO Mike Glenn were behind If fluoridation does become an ar danced in a community survey doomed the effort that won over the Port Ange- for Port Townsend, I would want a the Sequim City Council's fluoridation les City Council to fluoridation almost a education campaign,"Robinson says efforts after a group,Clallam County year ago. We're a smaller community than Citizens for Safe Drinking Water, Chapman says courts have countless Port Angeles,"Robinson says. mounted an aggressive anti-fluoridation times struck down the"forced medical- thrashed watched while Port Angeles campaign. tion"argument against fluoridation thrashed about.We want the thrashi to happen before a decision is made.' • County Issues ,•. x• �'t 3s Fy „,,-7.--, 3sya• mea- s That thrashing won't likely occur Federal' -' v the county level,either,in Clallam of � ' -, �; x c , Jefferson counties. ir1 �,1, `;a 1 Public water fluoridation is not bt t'�'' �* :� , `'! ,i.-- i pursued by the Jefferson County He; � ': z' - . i Department or the agency's Oral He. s e i s e{ 0 _ • • Coalition of health-care providers an '(4-: ' < „ R, t, 1 i;': °E ik community members. n: ` A s i 4 , fix{ ' "If there were people in the coma. aipg • t, . ” " i. a€ nity who wanted to work on that,we ne illi~ ` 4 �- a { . i fi , would support them,"says Public d :' .-e, ae +»_ "` k Health Nursing Director Julia Dans1 s for . .,:'14a , ' ' 1 1 ' But,she says,"(health care)acres 11ti 4a� e ` , ,,A ' ,, _. ' • (availability of doctors,etc.)has coni e a; {l $ ` sll as a more prominent issue at this a °a 4 *1 , �.- 1... . =" „ moment." t1.•,...,....:,,,t 't` " , j In Clallam County,Public Utility €ju ��l�� "e ' District 1 General Manager Dennis G Ita.i ew uIB 1 • Bickford said customers east of Port mended he3 re q ° ®a" e r Angeles who receive city water wen �' dated—"mast CoA< J° ' v.1044. ; ;� concerned the"varying concentrati, 9 l gg l f 0'` s may subject them to a low dose-of(l at i ', ride that is too low to provide the si on�bones,Nwr + a ik f posed tooth protection and yet high �Q, ''ter Susan l4 cl,s,: �"x z .. ' a enough to be a contaminant in the e'e-1 ° 'o �w ▪', % r ' water delivered to their homes and i 4::effects, said 61' `, " ' ' C ,e'a i,, businesses,"according to his Nov. 1 j The NRC`• fie.. n u ra Ply ., � Atli*; ,� b +.�- s � � letter to Quinn. existirl(l aero . fi tot `s , sa 1C rte :111 But PUD had another issue,too. aunant 1ev oft . �r� n'' 'R,;" "Our customers are concerned th; of fluooi4e torp t ,' $, f. s t , • they have had no say in fluoridation • flupr. o� F % a' '�° '> Bickford told the city. colgration)' a� s • The gPUD the c concerns were a facto! A F 1 I � ,,_!-.1741°,0°,°,,,=1,1;,.,._'1,1#.1%,,,,,,.5,74delaying the city's reaction to the ap vsaya fluortsia ace o. _ tise• �. until the end of this month. Ws,a cosmetic of a � � 'At two p ' ou it wihr�,,, a�) 0 •eopponeu 11k. Paul Gottlieb is Commentary pa „occur,but they,th',:.'-''.7,,,,:,%-:1`.',` t q. be at' u iQott e editor; hone,360-417-3536,e-mail -'',, ,`,, r'- r a, p ' w�.�""� * °��"�a��'��«� �. :t paul.gottlieb@penmsulndailynews.e: , , Route mapped a. H. ,c,,,,,,,.„ ,_7,,,, \, ,,, to better health .,,f,,,,,,,i,. ., „,:,....,i, . ,. 0 Countywide effort "How do you mobilize a com- munity to make a difference?" „' _. _.. examines abuse, Baldwin asks. ; s She hopes the community i' economic issues will come up with answers to t t!Siii. that question at a series of open BY JENNIFER JACKSON houses scheduled for the next PENINSU1 -DAILY NEWS two weeks. TOWNSEND — It is In the second stage of a coun- PORTThursday afternoon, and Jean tywide effort called Healthy Jefs Baldwin, director of Health and ferson, the informal gatherings - ` Human Services for Jefferson wilprovide people with a Vii' :�, chance to see what resources are . w, County,is sitting in her office in available and map out a plan to e°'^ J Castle Hill Mall on Sims Hill. focus those resources on three Q' her desk is a 98-page connected issues—lack of fam- report giving a statistical picture ily-wage jobs, alcohol and drug -�- - ....- of the population she is respon- abuse,and the impact of both on ti-- sible for—pyramids of age dis- families with children. _ tribution data, pie charts of "We can look at the problem - _..._.=_�— poverty, bar graphs of tobacco and say it's just going to get JENNIFER JACKSON/PENINSULA DAILY NEWS and alcohol use,jagged lines of worse,but all that does is give us County Health and Human Services education and income levels. an excuse to do nothing," Bald- Director Jean Baldwin outlines The problem—how to move win says. Jefferson County's strengths that, from information to action,from when taken together, help the statistics to solutions. TURN TO HEAL'ruu/A10 population's health. I Health: One in four are smokers • CONTINUED FROM Al hosted by a team of people "If we look at the strengths, who have been working on the 1 we have things to build on." issue, and who have invited Open house schedule am, Based on 2000 census data agencies and nonprofit organi- and a behavior risk survey,the zations with related interests report found that overall,resi- to come and display informa- The schedule of Healthy Kees Kolff,David Sullivan dents in Jefferson County are tion. Jefferson open houses: and Mike Blair. healthy. The idea is to get people TBursday,Jan.22: ■Thursday,Jan.29: But in households with together and come up with Strengthen Support for Increase Job Skills and children,the statistics dip. suggestions to make optimum FamlUes with Children. Family-Wage Jobs. 3 p.m. One in three adults living use of those resources to make .-3:30'kin:to 5:30 p.m. to 5 p.m.Hosted by Dan with children is a heavya material difference in the Hosted by Judi Morris, Titterness,Katherine 1. drinker. One in four is a health of the community. Catllairie Robinson,Beth Baril,Deborah Johnson, smoker.One in three reported Wilntart,.Rolierta Frissell, Michelle Sandoval, some sort of abuse as-achild. Working teams _ Jullaariskui and Quen Quentin Goodrich and _ A surveyof eighths- z6Yr Larry Crockett. graders "The three that were cho- ,„,;JI Lesday,Jan.27: All open houses will be • in the county shows the sen were ones that affect peo- "Redttce Alebholand Drug held in the Pope Marine adults' behavior is passed on ple of all ages across the use,"3 P,iii..` p.m. Building on Water Street to the next generation—one board,” Baldwin said. "Else- Hosted by Barbara Carr, at Madison,next to the out of every four eighth grader where it's called priorities ofSherry ISiinbrough,Geoff police station. met the clinical screening cri- government. Masci;Bruce Marston, Peninsula Daily News .; teria for depression. One in Here,we're so small,we've five reported heavy drinking. taken it out of government "The impact on children and call it `priorities of com- which were announced in next several years. and family determines lifelong munity."' health,"Baldwin said. "It's all The Healthy Jefferson ini- October. She also hopes it will pro- (Scp goes in a circle." tiative beganthree years vide a way to measure the �, Members of the community with comption of te statues Onion layers le 4 ,- progress the county .makes who want to break that cycle report on the health of the "It's like an onion, with towards becoming a healthier are invited to come to the first county's 26,000 residents. place to live, a goal she open house on Thursday, Released last May, it was many different layers," Bald- believes is achievable despite win said of the issues that face the prospect of further budget which will focus on strength- funded jointly by the city and ening support for families county and includes data on people raising children in Jef- tightening. .<::) ferson County. with children. access to health care, alcohol, "We want to get people 0 The next meeting on Jan. tobacco and drug use; mental Baldwin hopes the ideas excited about what's possible, `P-- 27 will cover alcohol and drug health and disabilities. that come out of the commu- not to be blaming, but to be abuse, with job and job train- After studying the report,a nity open houses will provide building," Baldwin said. ing opportunities addressed on steering committee of 27 corn- her and other agency directors "'These are rough times eco- 1 Jan.29. munity leaders narrowed the with a roadmap to guide policy nomically. How are we going Each open house will be focus to the three key issues, and budget decisions in the to get through them?" q. HELPING HANDS .,..,,._.,:..,,,,,,...:„,.,„,.,,......,r-„,:.„,:.:.,.,7,,.,.,..4.7:.;zi,t,..v.,,,,,rvg.wv_-4,zz:;;-,:--77.T.,, 0 ' Yr^d Sad`k 'r 34 a. t if '''''''''I''''''''' r'e, M1 • • _ -+i r dig: I �+°' � , . m.3.nti1 'u`baa y5i � s.§ '�g �el t „a, Rs .,q �M"rya' t .55 y,.,- �, R i 'd f 1 �y d A'SiP d 'c �, k t, s _ ee h a+ ti° @ s-� '�fi°rz tM gim 9 as ,,0, RFS r 3 ,- ,'2 .,„ill '+ :OM1+P ' a,�h s ,- Y`ti9'� s ""t"#} zw '” .'.7.;1•if'‘!ei4,:iliti,-1::;'. ..- ,,•,,trl'..egi:•..:&-:=V:i , ..;'''''.-1;3",i*•.'.;,-.,-.•.1,1/2U'Ay'''',,i'f_,...,AN';',"V-..7-g'14-51,,t. • 'LP "VP, ,.,.. -;,...,..•::::.'.' '.:'••..,:•:-'i..•:--;...:. • h y. • 4,,,,,•„,.,..,--,, • 5"'" xqk tf ''' '''!.'1''''' PF} 4;iC,„4,-2„: 41,76,2-i••,.7.•.te -i 1 k• 3• it k . S.' '4 °n yy q P, q rc.4. `!5 bSgt,'W} ;4 • :.• 3 yv F iia ,' c•a i .sd'^ _ °c'',rc s. rv.f.S' "Rn'ra'€ 'SyauL i t i .X.q je�,'i. k } f v . 55 r`':44141 A t"2-i A ' 4x k, x^�ry..1'w a �r..5'wy } ;5�"F.$k. y,,a- .e.g i •x ,' ?'n:, 4 8! }8vca g; l°4hq.t.y 5,,,:e • g}' "8 �°iT, 4 _ -.. , . . . :!"'.:......,::::';;;,4,V,thb s'..-r..:;,;-..., :.‘.4..ii.",>r4::.:,ly$W, ..,,40:1:,;.9....:;;;51.:V.:.;.4,a-''Ti.:•=5.',":,,,,7;fijk'S., -"4.1 40 ,_,.. ,.., JENNIFER'JACESON/PENINSULA DAILY NEWS Donna Marvin of the Jefferson County Health and Human Services Department puts up another volunteers signup sheet on the wall inside the Pope Marine Building on Thursday in Port Townsend. The department sponsored an open house for its Health Jefferson program. Officials said the event drew more than two dozen organizations whose members met with scores of residents to discuss ways to strengthen support for area families. Two more open houses are planned next week. Pf\i' • Wednesday,January 28,2004•B 3 •°Healthy offers help • for services greatly needed By Janet Huck Sisters program on his PTFV television show. house ("Increasing Job Skills," 3-5 p.m. Leader Staff writer Long-time Port Townsend resident Lucinda Thursday,Jan. 29 at Pope Marine Building Eubank said she would drive for Meals on at City Dock) to recruit volunteers,money The gong sounded. Wheels.Real estate agent Holley Carlson of- and services for programs that reduce alco- In a booming voice, Washington State fered to knit hats for newborn babies.Jefferson hol and drug abuse and increase job skills University EXTension Technology Coordina- County Community Network Coordinator and family-wage jobs. tor David Brader announced he was offering Beth Wilmart will rock babies at Kite Strings When they began Healthy Jefferson,mem- free e-mail services for nonprofit groups that Child Care. Epidemiologist Chris Hale is a bers of the wide-ranging community coalition strengthen families with children. writing coach at Blue Heron Middle School. started with a desire to make a difference.Be- Brader's volunteer offer was one of 30 on An anonymous donor gave$1,000 to the ing pragmatic,they realized there wasn't a lot Jan. 22 at the first open house for Healthy YMCA Explorer's Club. of available funding as governments and foun- Jefferson, a new community group that "The community groups were thrilled," dations cut spending.So the steering commit- matches nonprofit groups and volunteers said Healthy Jefferson Coordinator Barbara tee came up with an ingenious, low-cost with energy and time.Volunteers filled out a Bowen."It was an auspicious start." alternative. It decided to strengthen local sheet imprinted with a big helping hand. Bruce Marston e-mailed Bowen to tell her groups such as Little League,4-H and Safe They listed their names,contact numbers and Healthy Jefferson's vision and hard work Harbor Recovery Center. offers for 34 community groups ranging from really paid off. "The energy level was ex- Needs sometimes outweigh resources.Par- the Boiler Room to the Jefferson County ceedingly high, and people were talking ent Line Coordinator Lisa Lyon said there Historical Society. which only made one listen harder," wrote wasn't much interest in her organization's liFormer Jefferson County Commissioner the Boiler Room board member."I know how needs at the first open house.The Boiler Room kichard Wojt offered to take groups of kids on difficult it is to pull off a community effort, — which needs help writing grants —didn't ikes in the Olympic Mountains. Port but your planning and organization made it generate much interest either.But Boiler Room Townsend City Council member Kees Kolff seem easy and flawless." member David Willis isn't giving up."We'll volunteered to promote the Big Brothers/Big Healthy Jefferson has one more open be here for every open house,"he declared. telloeie (— - -- • • Port Townsend&Jefferson County Leader • County expenses now outpacing acin revenue growth By Barney.Burke used, or "banked," capacity for enues. The next largest revenue, Leader Staff Writer boosting property tax revenues 13 percent,comes from state and would not solve the problem, federal grants to the county. Jefferson County officials The county could have taken Commissioner Pat Rodgers spent the afternoon of Jan. 14 an additional $493,000 in prop- estimated that about$100 million looking at different approaches erty tax revenues for this year,a in retail sales is"leaking"to other to a the fiscal"train wreck"that 13 percent increase. But that counties every year.If$70 million counties throughout Washington would only defer the problem, of that amount can be captured • state are facing. not solve it,the officials agreed. through more local shopping,the The basic problem, Deputy Even if the county instituted county government'sshare of • County Administrator Allen a 10 percent staffing cut this year, that change would be $700,000 Sartin explained, is that county expenses would again surpass annually. expenses are growing at an an- revenues in 2008,the projections "With our own sales taxes,we nual rate of.4 percent while rev- indicated. The commissioners can pay our own way,"Rodgers enues are growing at 2 percent. noted that most county depart- suggested.He pointed to marine The combination of tax increase ments have less than 10 employ- trades and the current spate of limitations approved by state vot- ees, making cuts difficult to growth in the Tri-Area(Irondale, ers,and significant cost increases implement. "It's going to be an Port Hadlock,Chimacum)as ex- • such as healthcare that affect ev- interesting year,"Commissioner amples of opportunities to gen- • ery employer are key to those Glen Huntingford predicted, erate more sales tax. trends,he said. It was also acknowledged that "We need to increase our sales The three county commis- charging more for services such tax—there's no other solution," sioners, Treasurer Judi Morris as building permits and the like Rodgers said, noting that unlike • and Auditor Donna Eldridge ex- would have little impact on the property taxes, there is no limit perimented with a number of dif- overall problem. Also, residents on how fast sales taxes can grow. • ferent scenarios using a computer expect that some of those services "There's no choice but to get the model and came to some funda- should be covered by the taxes economy growing," Commis- ; mental realizations. they already pay, noted County sioner Dan Titterness agreed. Without any major changes in Administrator David Goldsmith._ Asked about potential rev= revenues or expenses, the For 2004,about 54 percent of enues from the pit-to-pier project county's general fund could be general fund revenues come from. proposed by Fred Hill Materials broke by 2008,the officials con- property taxes, Sartin estimated. at Shine Pit, Goldsmith and the cluded. Moreover, they found Another 19 percent come from the commissioners confirmed that no that even using the county's un- county's share of sales tax rev- revenues are expected to come from that gravel mining opera- interest in seeing changes to state sales taxes from natural resources tion."They're not required to pay law that would either establish a are credited to the community anything,"Goldsmith said of the mineral extraction tax or make where they are delivered, not gravel mining operation. other changes that would benefit where they are extracted. The county and Fred Hill communities where natural re- (Contact Barney Burke at • Materials have both expressed sources are exported.Currently, bburke@a ptleader.com.) 1 -28' -o 7. Countytrouble-shooting • se tic permit processing By Barney Burke Only about 9 percent of all bureaucracies. Leader Staff Writer applications require major About one-third of septic ap- changes,Fay said,and about 85 plications are done only for the At a Jan. 12 workshop, the percent of all applications are purpose of verifying the feasibil- • Jefferson County Board of Corn- prepared by the same six septic ity of developing land prior to a missioners dug into the question consultants. property sale,Fay noted.He sug- of whether the county can speed "That's remarkable,"Commis- gested that septic applications as- up the issuance of permits for sioner Pat Rodgers declared. sociated with a building permit • septic systems. "You'd think six people could get take priority over those requested. Environmental Health Director it straight." He reasoned that by solely for facilitating the sale of Larry Fay presented a detailed working with those who have a a property. . analysis of.the approximately 200 higher error rate,the county ought Fay also recommended that septic permits issued by.the county to be able to achieve a much faster applications with no errors or in 2003.On average,it takes about average turn-around time. missing information be given a • ,21 calendardays-forthe county to,.,; ,,,• .•• , . .. .. priority over those with prob- issue a septic permit,according to Coordination lems.Rodgers surmised that thea. Fay. The average ranges from The community development average processing time will get seven days to 30 days in four department and sometimes other quicker as staff focuses on the nearby counties,he-said. departments are involved in sep- easiest applications first and the However,that number doesn't tic permits. public becomes aware of which include the time spent by appli- "I would like to see everyone companies have the best track cants providing additional infor- involved in the permit process record. • mation that is sometimes needed. under one roof," said Commis- Another recommendation is When that happens, it typically sioner Dan Titterness. "I don't to schedule all field inspections adds 12 to 15 days to the total care if it's public works or within seven days. When there time,the data showed. Ghengis Khan," he said, stress- are problems,they are often dis- But 55 percent of septic per- ing that the important thing is to covered in the field,Fay said,so mits go straight through the pro- have a direct line of authority and early discovery should further cess without any delays, Fay responsibility for issuing permits reduce the average time. said. Sometimes, an application in a timely manner. Formal adoption of Fay's rec- is lacking minor information,but Rodgers suggested that the ommendation will be scheduled other times, additional analysis county take a "matrix manage- after the matter is also heard by is needed due to the existence of ment" approach to issuing per- the Board of Health. an environmentally sensitive area mits rather than the traditional (Contact Barney Burke at or other factors,he explained..-- hierarchy of command found in— bburke@ptleader.com.) -- (-71 -fl • ... ?• . •commonTeenage sex more than m t By Erica Dirksen According to the 16-year oldlocalhighSpecial to the Leader p::_v;r5,,,.. ' g ryfE{ school irisintervforthisslo thei majority ofteenage girls they know are sexu- (The people and their stories are real.Their ,,..,,,,,:l. -",- ally active bychoiceor by circumstance. es have been changd.) „" Kids having sex It's a Saturday evening in Jefferson County. Parents and other adults in Port Townsend A 15-year-old female gets dressed for a party . = and Jefferson County may be shocked to find at an acquaintance's house. Arriving at the A out how much sexual activity does go on be party with a friend,she has a few alcoholic ..,,,44„,„,..,,,,,,,:_, teen tween teens.But health,log i.and counseling drinks and notices an.18-year old male walk- ��V n professionals interviewed for this series indi- 'tng over to her. He tells her she's cute, and v cate the stories told here are in line with what after a little while he moves in for the kiss and they know to be true she kisses back He takes her to an empty room Many teens are exposed to adult sexual situ- and continues his flatteries and kissing. ' � r t' F" ations,either from videos,cable T V ormaga- As the evening turns to night,he starts un- zines. The girls interviewed knew of dressing her.She says she needs to check on ''''* -4-`-':;4111.:'..44-3,t,-,„-- r r` i . classmates who have participated in three- her friend.He tells her not to worry and be- a e` r-�fr€ ��.i �'w't' somes.In each situation it was two girls and gins pressuring her to have se_z.She isn't sure zs '.ago-1't , one guy. what to do: Bysaying ' y g"no"she risks being �4 For Borriegirls oral sex seems to be almost known as a tease or an outcast.By saying"yesthe routine second stage of a sexual relation- she might gain a reputation as being easy, a r` ' r"" ,-wry,4e- ° ,` , ship.That level progresses to intercourse,usu- slut. r` z ally only with someone with whom they are • This scenario is more common than many ,1Q, t€ *" in a"steady"relationship. parents of middle school or high school Btu- x For other boys and dents might imagine. Ai Y girls,oral sex is more See PARENTS,Page A l l • • • pre wee - - • Port Townsend&Jefferson County Leader Parents: Communicate g- • Continued from Page A1 Other times,there are one- frequentthan intercourse. Oral S . ,��'�� � ' night stands, where a person sex is often viewed as a safe al- ,, ,x! engages in sexual activity with ternative to intercourse,but many °-::-.•,!,•''''',,•4...t.,4 ,� someone they're not dating,or girls don't realize theyget a r �' can �x � possibly don't even know well sexually transmitted disease ; , • t'-, at ' at all. The girls interviewed (STD)from giving and/or receiv- • • said those encounters are most ing oral sex. , ._ common at and after drinking parties. Abstinence occurs teen sex "There are a lot of one-night Not every teen in Jefferson stands,"Jill said,while also not- County is sexually active.Absti- ing that a lot of her friends are in nence among young people does handled the situation differently. steady relationships, with or occur.There are local youth and One friend dresses provocatively without sex. church groups that provide sup- and goes to parties regularly— The concerns of some adults port, and plenty of teens don't and has earned a reputation,real regarding the sexual experiences experiment too far with sex. or not.The other friend doesn't of young teenagers is the direct However, the reality is that go out much and doesn't talk relationship betweenalcohol and many teenage girls are not wait- about her sexual experiences,and sexual activity. ing until marriage to have sex— most people don't know anything "The choices people make most aren't even waiting until about her sexual history. She when under the influence is they're out of high school. does not have the same reputa- different than when they are so- Some teenage girls are having tion. ber,"said Kellie Ragan,assess- sex before they are even in high On the other hand, a young ment coordinator for Jefferson • school. male who is sexually active is County Health and Human Ser- • "1 don't know anybody who often held in higher esteem vices. is saving themselves for mar- among his friends.Even some of Barbara Carr, Jefferson riage," said 16-year-old Jill. the girls said they feel more corn- County Juvenile Services direc- "Most of my friends started hair- fortable with a male who has had tor,has talked with some female ing sex when they were 14 or 15." multiple sexual partners because teenagers who had sex at a party ."Nobody makes a big deal they feel he is more experienced. when they didn't want to but they • about it," said Kristen, 16. It's nearly impossible for most were too drunk to say no.Many Kristen and Jill said almost all of teens to keep sexual relationships times Carr has been told,"I was their close friends have had sex. private. so drunk,I couldn't say no even The two girls figured that in two "This school is so small that if I wanted to." years,when they graduate,only everybody you sleep with has It seems clear that people who • a handful of their classmates will slept with.everybody else,"said are under the influence of drugs remain virgins. Heather,another 16-year-old. or alcohol may put themselves in "Friends have sex with the sexually explosive situations be- Peer pressure same guys,"said Kristen. yond what they desire.As inhi- • Many factors contribute to "A lot of people sleep with the bitions are dulled by alcohol,a teenagers entering into the world same person,"agreed Jill. person can present an image that of sexual intercourse. These girls also admitted that makes others believe they are "Most of our friends started some girls who want to have sex sexually on the prowl. having sex because they were find it easier to do so than deal "When people drink or use curious,"said Kristen. with the peer pressure of having drugs,it is much more difficult , "Some girls do it for atten- to say no all the time. :to make safe choices regarding tion,"said Rachel, 16. "Having A few of the girls talked about sex,"stated Dana Michelsen,past sex gives them attention." having "secret" relationships director of clinical services for• All the girls interviewed for with older high school males. Jefferson General Hospital. this story talked about peer pres- According to Rachel,in these re- -- sure,from being taunted for not lationships the guy calls the girl On the brighter side "' "putting out"sexually to being 'up, usually late in the evening, Teenagers can go to the encouraged to drink alcohol and and asks if she wants to hang out. health department for sexual do other things.Jill talked about If the girl goes,sex is either ex- education services and prod- a dating relationship in which she pected or pressured.After the ucts, including free STD test- said the boy expected to advance rendezvous,the girl is influenced ing and birth control. quickly to sex. not to tell anybody. Rachel.ex- There are support programs "He broke up with me and , plained that by not telling any- for teens,such as Peer-In and the was pissed off because I wouldn't body,the guy can have several Christian Young Life group. have se-with him,';Jill said„;• of these relationships ongoing. These groups can show teens "I am turned off by guys who Part of the peer pressure in- there are people their own age push me to have sex,"she added. volves exaggerated reputations. who have found ways to avoid "I am more likely to have sex—Boys talk, and it's hard for the the pressures and problems re- with someone who is patient and girls to live down the usually ex- lated to sex,drugs and alcohol. waits until I feel ready." aggerated stories, Rachel ex- Teens are often going through Coping with these pressures plained."They emphasize what . a tough time in their lives,trying is hard for many others, espe- they did without saying exactly to figure out who they are and cially if they have been sexually what happened,"she said."The what they are doing,Carr noted. IIIactive before. stories usually turn into much Adding sexual activity into the "You can't lead the boys on; more than they really were" equation makes things even more you have to set the limits,"said confusing.If risky behaviors be- Rachel. Linked to alcohol come part of their teen culture, Sometimes,casual dating de- they might begin distancing Reputation,rumor velops into a serious relationship, themselves from the future and The pressures in youth circles and that evolves into a sexual re- their need to succeed. regarding sex and social relations .lationship. Remember: The choice a are complex. "When people are in relation- young girl or boy makes while Kristen describes two friends ships,they usually wait to have at that party,sitting on the edge 9.• . .. Abstinence can be agood choice '_ any time By Janet Huck , _ ,.•.— , -1 and sex,"explained long-time PTHS Leader Staff Writer r'91:(r: f� ,, S • , y ? teacher Martina Haskins, who teac ' 0, ! 41,,z, life skills,careers and health. In a high school class on life skills, t< ` . Despite their bravado,the ninth-grad- guest speaker Elaine Kaare asks the 'i-' , #'\',,a era are responsive to Kaaze's message, ninth-graders why teens want to have said Haskins.In class evaluations,they sex. ti. - .. , say the abstinence talk strengthened One boy yells,"Because we're homy." I, r ... • their desire to just say no."I will try to "It feels good,"says one girl.Anotheram, be abstinent,"declared one student.An- girl says,"We're curious:' sex • • other wrote,"[Your class]encouraged Her friend pipes up, "We want to GVH i, a. me to wait:'A third student wrote,"It have love." - .. ,�. made me really understand why to wait" Finally, one boy shrugs, "We're Another said,"I know it's all right to drunk or high." presentation about abstinence to 120 emotional intimacy and how to attain it say`no,'but you gave me a lot more rea- Then Kaare gently leads the teens, Port Townsend High School students in without sex. sons to say it." who are in the midst of their own sexual ninth-grade health class.It's a curricu- "In her class they talk about their awakening, to consider alternatives to lum developed by the faith-based Corn- hearts,their lives and their relationships Love without sex sex-alternatives that may fulfill their munity Abstinence Relationship that are more important to them than In the life skills class,ninth-graders goals and needs. She offers a two-day Education that explores the need for sexually transmitted diseases (STDs) See ABSTAIN,Page A 8 • Fp 7' 0. w �' O R w O N '41; ' E a'p� .-] 7, n CO w ^ ' o' 0, C c^, 5' ^ �, 8 7,' v g) n (ro rs ? n - < n 7 < ° • O O n n "0' g rro . 3•rro" a. °' y • O m ', ° s w • ,< g y n -1 c ;t. :. c = 3 n o 7C 00 g y 5 -• y 3 o ° n_ 2cc. o : 3 <. 1f-1 3 c ti • I r°s A ti o n H c. v x (IQ - �O O,e 9 ° o S „' c tv, ,• Q Hm a. a o "°" ti W o°o :° o g 'b 0 o o X c Oa ° (L.: E r<o `` G 7, g n c P < o n n O c• E n a r 5.. c _ E a y 2 H ' 5• ,n, �. o ,< >e >: :. 0c., . .> 0 :2. 0 = 0 , . " . 8 < --, 5: ° =' .6, ,,, S. E n ° er n S a w n oc ^ ° n W n ', 'fyY g cy rn "y ON O N 5- < O 5- In m y .`t-' y 7 0. ° 3 -, n v' `< o O n p: < O w N n Cr g,* n r1 S • n n G c- n r, :+„ n O 7 ig n •-c �' E ran o 5' = w rr G .`< ^v E P n _ n H K a x E ,.nc -ro H „ " b P a } atoo H a a -, • w . w oro (") ; .g o c F p, n o w E j o H o. 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N y. ° ry � r°o ;-, CIO � °' V,' o,<nO �: w � � 5. —`�04^�� w c~o o Fx �� 3 � c e n `e 3 ,,, . 3 - o o, - � c°. w:<o . o ° ccoo o a -,< co ren :7 rc'o 7 co F 10 A 8•Wednesday,January 28,2004 , f ,„.• rrB� lJ §r • teensex Where to call Jefferson County has a wide range of places for people of all ages to seek help or more information.Consult the Jefferson County Youth Yellow Pages(copies available at county Health Department,libraries and other locations)for an extensive list. Here are a few key numbers: • Emergency or Crime,911 Jefferson County Crisis Line 360-385-0321 or 1-800-659-0321 (24 hour assistance,crisis and suicide intervention,and other emergencies,referrals) Children&Family Services (Report physical, emotional, sexual abuse or neglect oc- curring in Jefferson County) 360-379-4330 or 1-800-562-5624 Domestic Violence/Sexual Assault 24-hour Crisis Line — 360-385-6025 Jefferson County Health Department,385-9400 (Office hours 9 a.m. to 4:30 p.m. Monday-Friday, 615 Sheridan St.in Castle Hill Center,Port Townsend.Confiden- tial information and services available.Family planning,emer- gency contraception,birth control,immunizations,maternity support,communicable disease information, HIV/AIDS and STD testing and counseling, vasectomy information and re- ferral.) • Quilcene Health Department Clinic,385-9400 (Wednesdays, 12:30-4:30 p.m. Confidential emergency contraception,birth control; testing and counseling for sexu- - ally transmitted diseases; pregnancy, vasectomy information and referral,and other services.) 111 South County Medical Clinic,Quilcene,765-3111 Sex Information Line, 1-888-307-9275 Healthcare Access,385-2571 or 1-800-464-2571 11 Countyhearsdo • cruelty co mplain io By Barney Burke received from Peter Bonyun, an was planning to re-inspect the built an outdoor dog run so that Leader Staff Writer employee of the county's com- property some time on Tuesday. none of the dogs will remain con- munity development department. "I think we will have ongo- fined to the camper. "It's not the worst situation Bonyun apologized in person to ing problems," Fay said, but he Fay confirmed that while I've seen with animals, but it is the board for"confusing"the is- said that he believes the dogs are Rooks still needs to get the ani- bad," said Larry Fay, Jefferson sue and intimating that there was not suffering from cruelty,at this mals licensed and deal with gar- County environmental health di- a "lack of direction" from the time. Rooks, who could not be bage and other sanitation issues, rector of complaints about a man board. reached for this story, told offi- he is taking steps to remedy the with numerous dogs on his prop- Later Monday morning, the cials on Monday that he has now situation. erty near the outskirts of Port board heard from two neighbors Townsend. who expressed concerns about the The situation came to a head health of the dogs and the blight- Jan. 26 after the Board of Corn- ing impact of the property,which missioners discussed a letter they is located just off of State Route 20 on an unmarked dirt road near • the Larry Scott Memorial Trail. Fay said Tuesday that his de- partment has been working with " J.D. Rooks for more than a year . to resolve the situation. Rooks does not live on the property, which has a camper but no per- manent housing structures, and is in the process of buying it,Fay said. Fay said that Rooks came in • and met with his staff on Monday at the request of the county. Fay • • la Family Planning Clinic offers • choices: Prevention to Plan B ' By Patrick).Sullivan That Chlamydia statistic includes all age responsibility,and we want to help educate Leader Staff Writer groups,male and female. them about all of their choices." "We know that we are seeing more Forty-one percent of Jefferson County younger people in our family planning Emergency contraception females ages 15-19 used the Jefferson clinic,"McKenzie noted,with the 41 percent One of the clinic's choices is the"Plan County Health&Human Services'Family of age 15-19 females being a statistical pro- B"emergency contraception pill.Plan B is a Planning Clinic in 2003. jection based on available numbers. modified dose of birth control pill, which That compares to an estimated 34 percent "We want to encourage anyone who is prevents release of an egg from the ovary. from that age range who were clients in 2000. sexually active to discuss being screened with In 2003,the Family Planning Clinic dis- Family Planning Clinic services include their health care provider,or through the tributed 600 packets of emergency contra- contraception,testing and treatment for sexu- Family Planning clinic,"McKenzie said. ceptives.White noted that the QFC Pharmacy, ally transmitted disease(STD),pregnancy White noted that every female client up in Port Hadlock also has Plan B available, and referrals. to age 24 who is sexually active gets STD without a prescription but with a fee. Lisa McKenzie.the county's communi- testing automatically. Plan B has been on the market for about cable disease program coordinator,said that five years.White said the Family Planning in many ways the elevated number of young Taking care of germs Clinic is"very proactive"about giving out clients is positive news. Essentially,sex doesn't cause disease; the pills.If taken with 72 hours of sex,the "We do outreach to let the youth know that germs cause disease,said Hilary Metzger,the pill has a 95 percent success ratio. access to services is available;"McKenzie said. public health nurse and educator who pre- "If somebody is already pregnant and has "Telling people not to do it when they're sexu- sents sex education programs in local a fetus growing in the uterus,emergency con- ally active—it just schools.Any sexual traception will not cause an abortion to hap- doesn't always work. contact that ex- pen,"McKenzie clarified. Having options to cc changes body fluids McKenzie and White emphasize that any prevent disease trans- We know that we are can transmit STDs. female who is concerned that her regular mission and unin- seeing more younger Teenagers should birth control method may have failed,or who tended pregnancy is avoid the exchange had unprotected sex,to visit the clinic im- what public health is people in our family of body fluids to pre- mediately and ask about options. about." ,, vent the transmission The county pro- planning clinic. of STDs, Metzger Take Charge Program vides reproduction said.To help prevent People who are eligible for medical aid health services to Lisa McKenzie the exchange of coupons are also eligible for the Take Charge people age 14 and coordinator body fluids,sexually Program,which makes it easier for people • older, with no one communicable disease program active teens should to obtain family planning services. turned away from Jefferson County Health&Human Services use male and female "It's a real boon to family planning be- lack of ability to pay. condoms, dental cause there is no age limit,and people feel Parental permission dams and latex bar- more comfortable with a way to pay for ser- for minor children is not required,but staff riers—all of which can be found at the health vices,"White said. encourages each client to have a dialogue department's Family Planning Clinic,615 Some don't want their parents'insurance with their parents,McKenzie noted. Sheridan St.,located next to QFC in Port billed,and can pay for things themselves Last year,the Family Planning Clinic saw Townsend's Castle Hill Center. through the Take Charge program. 1,292 clients of all ages,the majority of them Another way to help prevent the transmis- women.Of that number,328 clients were age sion of STDs,Metzger advises,is for teens Birth numbers 19 or under. to wait until they know the person they are Statistically,the number of births to un- Typically,the clinic starts seeing clients in thinking about having sex with,and before wed mothers(of any age)in Jefferson County the age 14-15 range(mostly girls,but some they have sex they should get tested for all has more than doubled from 1980-82 to boys).It's not rare to have 12-year-olds who STDs.In many cases,this would greatly limit 1999-2001. have been sexually active,said Wendy White, the number of sexual partners. While those numbers were released last a nurse practitioner with the clinic for 17 years, The Family Planning Clinic has an anony- year in a study of public health in Jefferson -- - but the clinic has found that many in that young mous"partner notification service"for any- County,the numbers have since come under age range are actually victims of sexual abuse. one testing positive for an STD."We can scrutiny.Since this county has a low teenage White emphasized that Family Planning contact the partner population,it's easy Clinic services are confidential.Although and let them know for just a few preg- legally bound to report signs of abuse or they've been in con- "This kind of dialogue nancies to cause sta- statutory rape,the staff works hard to main- tact with an STD but tistics to spike.The talo a trust level with their younger clients. we can't reveal from can only help" statistical margin of "We're trying to maximize the safety of whom:'White said. error also increases the kids in this community,"White said. "It's surprising,but when the numbers most of them are will- Wendy White nurse practitioner are so small. Changing numbers ing to talk to their The health de- The statistic that alarms McKenzie the partners about it and Family Planning Clinic partment is conduct- most is the rise in local cases of Chlamydia, most of them do.." — ing an age-specific — a common yet serious STD.If not treated, analysis of the 2003 both male and female risk becoming sterile. Educated choices birth numbers. _ The age group at the highest risk for this dis- Family planning is all about making edu= However,a few truths remain:The ma- \j"----- ease is 14-25.One of the biggest concerns cated choices,White said,starting with ab- jority of unwed mothers here are age 20 or about this disease is that people who have it stinence and including,for those who need younger,and the county's teen pregnancy rate don't exhibit symptoms. it,birth control. apparently remains higher,per capita,than • Since 1990,there was an average of 30 "The method that is going to work best is the statewide average. 6;o Chlamydia cases diagnosed and treated in the one they want to use,"White said, McKenzie,White and other profession- \j this county each year.But in 2003,that num- whether it's a birth control shot once every als interviewed for the Leader's three-part I/1 ber rose to 59 cases. three months, birth control pills, etc. series on teen sex(which concludes with this "We don't know for sure if the true Condoms are handed out to females and issue)said the stories have generated much- �. Chlamydia rates have gone up or if more males because they are so important for STD needed attention to a serious issue. people are being tested,"McKenzie said. protection. "It's opened a door for teens and adults, A new test is now available that requires "It's not like we're anti-abstinence,"White from all perspectives,to talk about what they only urine instead of a swab."It's a great noted."A person can choose to be abstinent do and don't do,"White said."This kind of advance,especially for males who want to at any point,even if they have been sexually dialogue can only help." be tested,"McKenzie noted. active We feel the re....."..:r.a:...:.. .,-___ ,"_ e. . .. '3 . 4) 4.) • N Cri p C„:„8...2. 'D ° OO`C ' N cC.E c tp E a,.,,ot' 'Do4. oCOs N.. V .".. i '- L C O cL V a.� ma- g.� Ec WOLn ` _d U c O C N .J x.LL.L E UN Iliuiliigu N cd -f,,,..:1 o -a , HZpUH a � >° v■� ° aam 3 O • 0 yy 7 pOO9 `G1 a .2 °(110 LV.D" CyN CCpEaOU o .'C E . 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N N him to witness many changes then if he wants." •a-co 3 B d x' �' v in the county first-hand. Public Utility District No. 1 N o c 4 S c$ "It's a completely different Commissioner Wayne King was u IS 3 c . animal than it was 28 years surprised to hear about Gold- 6'1•E.,s . 0.� o V, y ago," he said. smiths announcement Tues 8 v� N gt y 1� 8 The population tripled and day. Mimi the amount of services the gov- "It's too bad,he's a heck of a Oo 2 ';t 2 5 y- ernment provides grew sub- guyiio ung said. •� v E'. •' N i. x • stantially, he said. Goldsmith intends to make .E .0 -0 8 b x E= ;a A record of experience in the most of his time as he (5 the countyhasleaves public employment. 3¢ o_� y m ,. come in handy y o r " a d b 3 .<° more than once. =o •- C �'.' -�. e�°' Informing the public • Zum a N a ti c X.2 "It's good to have someone 8 ° iu s 8 w w v 2. r• G with that history around," He is planning a series of 0 s b c o 0 3 3 3 3 2 Huntingford said. "Sometimes workshops and informational a 0,20" 0 ,0 4 m b b o we seem to have a way of lectures about the county's winj •v._ 2 w E c°', 8 o b repeating ourselves, and he's property base so citizens can cts .4 N a b 2 ° d " ,ti ° a.r., there to stop us." P P y o c " �' `� better understand the county's U. Eo o c w .c, a, o 8 co People think highly of Gold- financial crunch. 0 '" E x •c7 O i ~ g smith, Emergency Manage- Jefferson county relies too ment Director Bob Hamlin heavily on property taxes, he O said Tuesday. said. ,.. ... * c wg"I have a great deal of Expenses,a.e.risin 3-4.per- 7 ;t = ;,,, : respect for his thought cent a year, while revenue ■ _. $ -- v. o'- process,"Hamlin said. "He can climbs around 2 percent. a make tough decisions, but After retirements--he will C t7_ :. — make them nice." a) stay in Port Townsend. ■ o O. -� - .E o;, a mS $,I 0 b Outside countygovern- " ' °N 4 o c a iu 0.4 c y ment, and stateide, Gold- of my tim me goingto ria thirdd a s of 'E'V a g A ' --F o smith is admired. g my time doing community ser- o V: .- ..E s o. „�.E a 0 3 "He's really well liked vice and a third of mytime m a'c"`f' y a;.� N around the state,"Huntingford absolutely goofing off." „.Ssa, Esoac � a..q ov E� 0-cNooQE N ,' ° c7 ieli1X v°,.°;a-0 C7 roNU 0XA a -o 0( a-0V' . .. ° 7-4 ?' G:ti-.5 a 0 >,a) . ) tkf z N *S— a°i 2w z 0.0 " y E • (� C,7 U pp-O . O E - C y w°A obcCxCclw E-4 >- 41P.. Qaasiaa)i E. • •o SIM quits as top top e After 28 years with county, retirement planned - in June By Barney Burke Huntingford said the county will administrator and then a series of titles in the county Leader Staff Writer miss Goldsmith's talent for administrator's office since 1991.He became county : working with people and his his- administrator in spring 2002, after Charles Saddler, It was the best-kept secret in the Jefferson County toric knowledge of the organi- the county's first official administrator,was let go af- Courthouse. nation. ter just two years on the job. County Administrator David Goldsmith, 54, in- Fellow Commissioners Dan Goldsmith was planning to retire when Saddler left, formed the Board of Commissioners in late Decem rra Titterness and Pat Rodgers like- but he decided to stay on a little longer at BOCC re- ber that he was planning to retire after 32 years of <ik� ; wise had nothing but praise for quest. He anticipates wrapping up a coupleof risk public service–28 of them at Jefferson County.He• 'rt the veteran administrator."The management and safety issues for the county after his made it official yesterday,emphasizing that it was"my :a r- board has every confidence in full-time status ends in June,he said. own decision." — David Goldsmith David,"said Rodgers,who was Goldsmith plans to spend about one-third of his Goldsmith will stay until the end of June. The elected in November."We really .:time consulting,another third doing volunteer work county intends to launch a nationwide search to find a appreciate David,"said Titterness. Huntingford and with the Rotary Club and other community organiza- timely replacement. Titterness are up for re-election this year. tions, and one-third "goofing off," he laughed. His "We even tried to work to see if we could get him Goldsmith has worn many hats in county govern- wife,Teresa,plans to keep working as the managing to stay on,"said Glen Huntingford,BOCC chairman. ment,including planning director,health department See GOLDSMITH,Page A 9 • Wednesday,February 4,2004•A 9 Goldsmith Continued from Page A 1 cussing the county's fiscal chal- broker at John L. Scott in Port lenges with community groups. • Townsend."I'll be a house hus- Asked about any advice for band,"he said. his successor,Goldsmith said, Looking back, Goldsmith "I've got three envelopes ready said that what he most enjoyed to go,"referring to the old joke was the last couple of years,even about people getting fired.AI- with all of the challenges of be- though Goldsmith enjoyed a ing the top county employee.His positive relationship with virtu- biggest regret will be leaving ally every elected official for people behind,he said. whom he's worked,he made a If he's had a frustration,it's --point this week to single out the that"we still haven't settled the late B.G.Brown."In a lot of re- land use stuff," referring to spects he was my father,' he Jefferson County's contentious said of the 12 years they worked - land use and growth politics together. that have generated many "Take the lead from the lengthy appeals of local deci- electeds," Goldsmith advised. cions. "They know their business.' Probably the biggest unfin- The Board of Commissioners fished issue is the fiscal chal- and the elected officials such as lenges that all counties face in auditor,assessor and treasurer the wake of Initiatives 695(car work well as a team,he said. , tabs)and 747 (1 percent limit Goldsmith's other advice is, on property tax revenue thecom- - growth), he said. Goldsmith munity in a real sense:.' plans to spend some of his re- (Contact Barney Burke at maining months on the job dis- bburke@ptleader.com.) 1 . • ... Dog cruelty complaint is ' being addressed d By Barney Burke Later on Monday, Larry Leader Staff Writer Fay,the county's environmen- tal health director, told the The man who has been ac- commissioners that Rooks has cured of animal cruelty by his constructed a fence to better neighbors attended the Feb.2 contain the dogs and that they meeting of the Jefferson appear to be healthy. "I just County Board of Commis- don't think we have a criminal sioners. case with Mr.Rooks,"he said. J.D. Rooks was repre-• Fay also reported that an sented by Port Townsend at- effort was being made to have torney John Hynson, who the puppies adopted. He said411 complimented county staff on the county was trying to en- their response to the issue, courage Rooks to have the Hynson said that the dogs are adults spayed and neutered, fine and the entire situation and that the county offers that should be resolved in a day or service at no cost to people two. who cannot afford it. "He has a right to live the During a subsequent pub- way he wants to," said lic comment session on Hynson of Rooks, who has Monday's agenda, one of two litters of puppies and sev- Rooks' neighbors, Bill eral adult dogs on a property Campbell,said that there was near the Larry Scott Trail just still a concern with overall outside of Port Townsend. sanitation on Rooks'property. • • , „ .. (g , Federal 0K paves way • . for Medicaid premiums . . , .„Some fear`, riove would force That means families ,on Medicaid are stuck with i children off state health-care plan uncertainty for now. � Cary Cox of Kirkland has THEfour children, all on Medicaid. ASSOCIATED PRESS another option in a budget Cox said she thinks her crunch. family could afford Medicaid OLYMPIA — The federal According to the Children's premiums, but she worries government has approved Alliance, even modest premi- about many of her friends and Washington state's plan to urns could end health-care coy- their youngsters. charge premiums for some he goern- Medicaid patients,opening the Washington tenschildren of thoands whose ment to pullxmy weight,"she —door to a whole new way of parents can't afford the pay- said, but the health insurance providing health care to poor families. ments. offered through her husband's Some advocates fear premi- Amounts unknown job as assistant manager at a urns would force families to Sprint store is just too expen- drop Medicaid and go without "Premiums have been sold sive for her family. • health care. The premiums as promoting `personal "The premium hike is going could cost up to $75 a month responsibility, said Jon to make it so lots of kids don't for families with several chil- Gould, deputy director of the have services, and that's not dren. coalition of children's advo- OK," Cox said. But single people relying on cacy groups. `A lot of people are real con- other state-subsidized health "It's clear, however, that cerned about this. No one programs already pay premi- they're nothing more than a wants their kids to get sick • urns, state officials say, and cynical move to save the state and not have the proper Medicaid families with money by pushing low-income. health care." incomes above poverty level children off Medicaid." It's not clear who would shouldn't get a free ride. It's impossible to say right have to pay the premiums. "We are trying to introduce now how much the Medicaid Last year the Legislature • into this entitlement program premiums might be or who passed a budget that would some cost-sharing responsibil- would pay. charge monthly premiums ity for the client," said Doug U.S. Health and Human ranging from $15 to $25 per Porter, director of the state's Services Secretary Tommy child for families who make Medicaid program. Thompson this week sent the between 100 percent and 250 State officials also say state a rather vague three- percent of the federaLpoverty- charging premiums is better paragraph approval letter, level income. than eliminating Medicaid with a promise of details later For a family of three, that _____ programs, which would -be on "terms and conditions." — would mean an income Porter said he doesn't know between $15,260 and $38,150. yet what those conditions are, This year, Gov. Gary Locke and whether the state will requested that the Legislature agree to them. eliminate premiums for fami- However, he said, "My lies with lower incomes, and expectation is, we will be able top out the premiums at $15 to go forward"with premiums. per child on the high end. rf)D. C9--6-f-D 111 II ict• • Jefferson County, dog owner in agreement PENINSULA DAILY NEWS in Glen Cove just outside the county, Environmental Health be adopted, Fay said. PORT TOWNSEND — An city limit, said the man's dogs Director Larry Fay said Mon- Additionally, a fence has agreement has been reached were roaming wild and not day. been installed in his yard to with a Jefferson County dog being cared for. The dogs were taken to an contain the dogs, he said. owner to settle complaints In addition,they said, Rook animal shelter in Lynnwood The agreement was reached with his neighbors in Glen owning six dogs was a viola- that does not practice eu- last Wednesday among the Cove. tion of county ordinances. thanasia,Fay said. county,Rook and Rook's attor- Neighbors of J.D. Rook, Rook last week surrendered Six three-month-old pup- ney, John R. Hynson of Port who lives off state Highway 20 three of the dogs to the pies owned by Rook soon will Townsend. • • • • • ,00 oto • wednesday,Februaryll,2004•B 3 • SmileMobile-comes March 5719 to help children with dental needs The SznileMobile,which travels the state will be parked at the Jefferson County government programs will reimburse for offering examinations to children who might Health Department, 615 Sheridan St. . seryices. not otherwise have access to dental care,will ; Examinations will be conducted 174 'The SmileMobile is operated by Wash- be in Port Townsend during the week of" p.m.Monday,March 15 and 9 a.m.74 p m ingtOn Dental Service Foundation, a non- March 15-19. • Tuesday,March 16. Follow-up.treatment profit organization created and partially The SmileMobile, a brightly painted will be scheduled throughout the remain- funded by Waihington Dental Services It 40-foot dental clinic on wheels,is hard to der of the week..Children.With linuted travels"the state year-round,PrOiriding' ser- miss when it rolls into town:.Sponsored - access to,dental care can be scheduled by vices ranging from exams and,preventive by the Washington Dental Service,;it is calling Jefferson County Health&Human .camp fillings and minor oral Surgery.It has staffed by a dentist and dental assistant, Services(WIC)at 385-9432 before March examined and treated more,than..16,000 and teams..of local volunteer dental pro- 12. „:... youngsters in communities Wash- fessionals in each community it.Visits. It When.possible; Medicaid and other.• ington state., .„. . • 411 0(1_6.5, J✓` `✓ ` t✓` ✓ ✓ ` ` l �J� r. .or. � �✓ JJ✓ .. ... 1 JJJ..„ I L I) HEALTHY JEFFERSON * ki � e ", /V You can make a difference! V � l 1 r r �/� 6�'jJoin colleagues, friends, and 1 44 L, , - neighbors at these �0 ) ;-.�� ._ g Healthy �/ yA - Jefferson Open Houses. l/ M h� l� LSTRENGTHEN SUPPORT FOR FAMILIES WITH CHILDREN l/ Thursday,January3:30-5:30 _1 �� 22, 2004 p.m. Pope Marine Bldg. l/ 1 Hosted by Judi Morris, Catharine Robinson, Beth Wilmart l")/ Roberta Frissell, Julia Danskin & QuenZh 1, orra111.: L1li REDUCE ALCOHOL & DRUG ABUSE IN OUR COMMUNITY � *Hr., Tuesday, January 27, 2004 3:00-5:00 p.m. Pope Marine Bldg. l/ 1 Hosted by Barbara Carr, Sherry Kimbrough, Geoff Masci, Bruce Marston l Kees Kolff, David Sullivan & Mike Blair V 1. l I INCREASE JOB SKILLS & FAMILY- JOBS OBS l/ M Bldg. V1 Thursday,January 29, 2004 3:00-5:00 p.m. Pope Marine1 MHosted by Dan Titterness, Katherine Bari!, Deborah Johnson l/ (") Michelle Sandoval, Quentin Goodrich & Larry Crockett �l 1 11 l -) Who Should Come?—Everyone ready & willing to make a difference. - What to Bring—Your ideas and enthusiasm. Bring your co-workers, l l friends, family and neighbors. � /%� What We'll Accomplish—Find a place where your action counts. l/ � 1 VV V ttft ..c-55.C"7.0...C"IC"---..0-:..OS-"-:.a M._.C:C 7..0:C-"7..yO' ....C 20:..a.C--.7" 1 t � HEALTHY JEFFERSON- Making a Difference for Our Community l r1 / Recent surveys identified these Jefferson Co. public health risks: .1 V -- I -in-6 Jefferson Countylives below the povertylevel. ii �, • I in 6 children in L.. • Among households with children I -in-3 adults are heavy drinkers, V (...)� I -in-3 adults reported abuse as a child. ,/ _ e ort drinkin . . I -in 5 county 8th graders report heavy g L . I -in-2 18-34 year-olds has a high school education, or less. , V Healthy Jefferson is a community-wide collaboration to reduce these health (-) risks, and to increase the well-being of Jefferson County residents. Ic+ A Steering Committee of community leaders selected three priority goals to create a healthier Jefferson — `/ i (-) I . Strengthen the Safety-Net for Families with Children V (. 2. Increase the Continuum of Care (prevention, interven- l/ (%) ) tion,treatment) for Substance Abuse for All Ages ii ' l�►3. Enhance Education and Vocational Opportunities 0., _ that Increase Job Skills and Employment Options _ V ti (.)) COME TO A HEALTHY JEFFERSON OPEN HOUSE. 1CONTRIBUTEYOURTALENTS AND SKILLS. �j V!..11 _ Kat Kat MAKE A DIFFERENCE! For more information, please contact: Barbara Bowen, Healthy Jefferson Coordinator, 379-4498 (...L) 1 6.7.1.5....15......15.5- C�-Cr'C5Cr-C52=Cr--cr-•�5c,-' 5��-,C r"G j',C j�"C j'�. .2) S WHO'S WHO is YOU H etft y — Making a Difference! :' Jefferson CONTACTA "HEALTHYJEFFERSO PARTNER' TO SEE HOW YOU CAN MAKE- ,..1 E ICE Big Brothers/Big Sisters Ecumenical Christianinewing' blic Library 385-3181 732-4090 X368 Hands Org.(ECHHO) 37246 ` Quilcene/Brinnon Teen Center Jefferson County 4H Gatheringplace 385-3541 765-0120 379-5610 Habitat for Humanity 379-2827 Sea Scouts 379-6960 Al-Anon/Al-a-teen 379-3899 YMCA 385-5811 Parents,Families,Friends of Hadlock Teen Center 379 8840 Lesbians&Gays(PFLAG) Andy Mackie Music Found. 385-0942 765-6494 Jefferson County Historical SocietyMorningside 379-2409 Boiler Room 379-8247 385-1003 PT School District 379-4520 Wooden Boat Foundation Child&Family Resource Center 385-3628 385-2658 Girl Scouts (800)767-6828 Tri-Area Teen Center C - m School District Healthy Youth Coalition 379-8840 38553922 3922 385-9495 Jefferson County • PT 379 5442erative Playschool Jefferson County Library Parks&Recreation 385-2221 385 6544 Parent Line (800)300-1247 Discovery School Jumping Mouse 379-5109 385-1998 Jefferson Mental Health Services Quilcene School District 385-0321 Peninsula Safe Kids Coalition 765-3363 385-9415 Safe Harbor Recovery Center Statewide PovertyAction 385-3866 Friends of Family Planning Network(SPAN79 1986 385-9417 WSU Coop Extension 379-5610 Peninsula College 385-4605 Skookum 385-4980 Jefferson County Domestic Jefferson General Hospital Violence Program 385-5291 Birth to Five Coalition Auxiliary 385-0297 p 385-4495Students Against Olympic Community Action NW Services Council 379-5042 Destructive Decisions 379-4476 385-2571 Skookum 385-4980 NW Maritime Center 379-2629 United Good Neighbors Peer-In 385-9417 3Nar erre! 385 3797 Elks PT Lodge#317 385-0317 6 er Turning Point Recovery tel 0% 385-4855 Working Image Network e `� 385-4980 Mai Guardian Ad Liten Program Jeff County Child Passenger 385-1081 Safety Team 385-3831 x521 *Contact us to add your arganizatlon 3859400 • f . 1 •oi/ii'/:'/ictc;',,•/'.;/:.:' s4FLuENzA ,..,,, pozys.,,,. . iyi.v.„7.- FACT SHEET Basic Information About Avian Influenza (Bird Flu) Avian Influenza Type A influenza viruses can infect several animal species, including birds, pigs, horses, seals and whales. Influenza viruses that infect birds are called "avian influenza viruses." Birds are an especially important species because all known subtypes of influenza A viruses circulate among wild birds, which are considered the natural hosts for influenza A viruses. Avian influenza viruses do not usually directly infect humans or circulate among humans. Influenza A viruses can be divided into subtypes on the basis of their surface proteins — hemagglutinin (HA) and neuraminidase (NA). There are 15 known H subtypes. While all subtypes can be found in birds, only 3 subtypes of HA (H1, H2 and H3) and two subtypes of NA (N1 and N2) are known to have circulated widely in humans. Avian influenza usually does not make wild birds sick, but can make domesticated birds very sick and kill them. Avian influenza A viruses do not usually infect humans; however, several instances of human infections and outbreaks have been reported since 1997. When such infections occur, public health authorities monitor the situation closely because of concerns about the potential for more widespread infection in the human population. Avian Influenza Infections in Humans i•Confirmed instances of avian influenza viruses infecting humans since 1997 include: • 1997: In Hong Kong, avian influenza A (H5N1) infected both chickens and humans. This was the first time an avian influenza virus had ever been found to transmit directly from birds to humans. During this outbreak, 18 people were hospitalized and 6 of them died. To control the outbreak, authorities killed about 1.5 million chickens to remove the source of the virus. Scientists determined that the virus spread primarily from birds to humans, though rare person-to-person infection was noted. • 1999: In Hong Kong, cases of avian influenza A H9N2 were confirmed in 2 children. Both patients recovered, and no additional cases were confirmed. The evidence suggested that poultry was the source of infection and the main mode of transmission was from bird to human. However, the possibility of person-to-person transmission remained open. Several additional human H9N2 infections were reported from mainland China in 1998-99. • 2003: Two cases of avian influenza A (H5N1) infection occurred among members of a Hong Kong family that had traveled to China. One person recovered, the other died. How or where these 2 family members were infected was not determined. Another family member died of a respiratory illness in China, but no testing was done. No additional cases were reported. • 2003: Avian influenza A (H7N7) infections among poultry workers and their families were confirmed in the Netherlands during an outbreak of avian flu among poultry. More than 80 cases of H7N7 illness were reported (the symptoms were mostly confined to eye infections, with some respiratory symptoms), and 1 patient died (in a veterinarian who had visited an affected farm). There was evidence of some human-to-human transmission. • 2003: H9N2 infection was confirmed in a child in Hong Kong. The child was hospitalized but recovered. Janus 29 2004 Pae 1 of 2 EPAARTM K "OP HE .`T'H' AND.HUNAN. ER tI ES CENTERS P'ORk.DISEA E CONTROL AND PREVENTION SAVER•HEALTHIER•PEOPLE- Basic Information About Avian Influenza (Flu) (continued from previous page) Characteristics of Avian Influenza in Birds • Certain water birds act as hosts of influenza viruses by carrying the virus in their intestines and shedding it. Infected birds shed virus in saliva, nasal secretions and feces. Avian influenza viruses spread among susceptible birds when they have contact with contaminated nasal, respiratory and fecal material from infected-birds; however, fecal-to-oral-transmission is the most common mode of spread. - Most influenza viruses cause no symptoms, or only mild ones in wild birds; however, the range of symptoms in birds varies greatly depending on the strain of virus and the type of bird. Infection with certain avian influenza A viruses (for example, some H5 and H7 strains) can cause widespread disease and death among some species of wild and especially domesticated birds such as chickens and turkeys. Symptoms of Avian Influenza in Humans The reported symptoms of avian influenza in humans have ranged from typical influenza-like symptoms (e.g., fever, cough, sore throat and muscle aches) to eye infections, pneumonia, acute respiratory distress, viral pneumonia, and other severe and life-threatening complications. Antiviral Agents for Influenza Studies to date suggest that the prescription medications approved for human influenza strains would be effective in preventing avian influenza infection in humans, however, sometimes flu strains can become resistant to these drugs and so they may not always be effective. Potential for an Influenza Pandemic All influenza viruses have the potential to can change. It is possible that an avian influenza virus could change so that it could infect humans and could spread easily from person to person. Because these viruses do not commonly infect humans, there is little or no immune protection against them in the human population. If an avian virus were able to infect people and gain the ability to spread easily from person to person, an "influenza pandemic" could begin. Background on Pandemics Ill An influenza pandemic is a global outbreak of influenza and occurs when a new influenza virus emerges, spreads, and causes disease worldwide. Past influenza pandemics have led to high levels of illness, death, social disruption and economic loss. There were 3 pandemics in the 20th century. All of them spread worldwide within 1 year of being detected. They are: • 1918-19, "Spanish flu," [A (H1N1)], caused the highest number of known flu deaths: more than 500,000 people died in the United States, and 20 million to 50 million people may have died worldwide. Many people died within the first few days after infection and others died of complications soon after. Nearly half of those who died were young, healthy adults. • 1957-58, "Asian flu," [A (H2N2)], caused about 70,000 deaths in the United States. First identified in China in late February 1957, the Asian flu spread to the United States by June 1957. • 1968-69, "Hong Kong flu," [A (H3N2)], caused approximately 34,000 deaths in the United States. This virus was first detected in Hong Kong in early 1968 and spread to the United States later that year. Type A (H3N2) viruses still circulate today. Once a new pandemic influenza virus emerges and spreads, it typically becomes established among people and circulates for many years. The U.S. Centers for Disease Control and Prevention and the World Health Organization conduct extensive surveillance programs to monitor the occurrence of influenza activity worldwide, including the emergence of potential pandemic strains of influenza virus. For more information, visit www.cdc.gov/flu, or call CDC's public response hotline at (888) 246-2675 (English), (888) 246-2857 (espanol), or (866) 874-2646 (TTY). )anus 29 2004 Pa•e 2 of 2 • DEPARTMENT OP HEA :` H AND HUMAN SERVICES CENTERS-FOR DISEASE CONTROL AND PREVENTION SAFER_HEALTH'ER•PEOPLE' 'Thousands of US chickens culled after avian flu is found Page 1 of 2 • Home-Yahoo! - Help- MX Yahoo! ds. Cre fiN „:41":r. \k„'-:-.-- _ r 4 ,' k ''''''' 4V 1\ 5 ,,, . ° C [ q °z '. t _ � Kfi � - x ,ice %' � J {� S a.u.<�.. � ..>....�'.J.�� .Sw�L-•a ,r..._��..;..>��°sd:�..k.k.v�.$'.�wh SR�.k.u�3"'n Yn �� 57,. ..-��.�,a...-.aia... wa .n -�.4 ....w... i MF ... http://sg.news.yahoo.com/040207/1/3hun7.html Sunday February 8,06:30 AM Thousands of US chickens culled after avian flu is found About 12,000 chickens were destroyed in the United States, after a strain of avian flu was detected in chickens —_ at a farm in the state of Delaware, prompting South KoTea to suspend imports. Authorities culled all 12,000 birds on the farm,which raises chickens to sell at live markets in New York, Delaware Agriculture Secretary Michael Scuse was quoted by CNN as saying. The farm is located near the state capital of Dover. Officials suspect the farm's birds were infected in New York, where there have been similar outbreaks of avian flu in recent years, Scusewas was quoted as saying earlier. •said all other farms within a two-mile (3.2-kilometer)radius would be tested for avian flu within the next week. The neighboring states of Delaware, Maryland and Virginia are the center of major chicken raising and processing industries. Last year, they sold about 577 million chickens worth 1.5 billion dollars. Avian flu is an airborne respiratory virus that spreads among chickens through nasal and eye secretions and manure. Authorities stressed to the daily that the strain found in Delaware is not the same as the one causing an Asian outbreak which has killed 18 people. "This isolated case should have little impact on the Delmarva(regional)poultry industry, providing it does not spread to other flocks," Scuse told the News Journal of Wilmington, Delaware. Two out of five chickens tested were found to have the flu, the report said. South Korea moved quickly to implement a temporary ban on the import of birds from the United States. "We impose a temporary ban on the import of chicken and ducks and their products from the United States," the Agriculture and Fisheries Ministry said in a press statement. "If the virus found in Delaware turns out to be highly pathogenic,the temporary ban on the import of chicken and ducks from the United States would become an official one," said Kim Chang-Seop, head of the agriculture •istry's animal quarantine department. Last year alone, South Korea imported from the United States 40,107 tonnes of chickens, which accounted for 49 percent of all chicken imports, and 87 tonnes of ducks, or four percent of duck imports. http://sg.search.news.yahoo.com/search/news sg pf?p=ukey%3A5871715 2/12/2004 Thousands of US chickens culled after avian flu is found Page 2 of 2` On Wednesday, the United States banned the import of birds from eight countries in Asia, where the disease has killed 18 people. The ban applies to all birds and bird products,unless they have been treated to remove the disease, from • Cambodia, China(including Hong Kong), Indonesia, Japan, Laos, South Korea, Thailand and Vietnam. The United States imports about 20,000 birds each year from countries dealing with the bird flu outbreak, according to the US Fish and Wildlife Service. Print Me Now! - Back to Original Article Copyright©2002 AFP.All rights reserved.All information displayed in this section(dispatches,photographs,logos)are protected by intellectual property rights owned by Agence France-Presse.As a consequence you may not copy,reproduce,modify,transmit,publish,display or in any way commercially exploit any of the contents of this section without the prior written consent of Agence France-Presses. Copyright©2002 Yahoo!Inc.All Rights Reserved. Privacy Policy-TePYfis_of Service-Community-Help • http://sg.search.news.yahoo.com/search/news_sg pf?p=ukey%3A5871715 2/12/2004 -'Welcome to AJC! Page 1 of 2 III a ` RINTT I .....4,0.4.c....„, Avian Flu Found at Four N.J. More AP Headlines Markets •National •World By JOHN CURRAN • Money Associated Press Writer •Technology • Health PLEASANTVILLE, N.J. (AP)--A strain of •Entertainment bird flu has been found at four live chicken ' Sports markets in northern New Jersey,just days after outbreaks at two farms in Delaware led to the destruction of thousands of birds. New Jersey health officials stressed that the findings are not unusual for the state's live poultry markets and said the strain is not known to be harmful to humans. -To the best of our knowledge, it's been a recurring problem for years,"said Ed ngryn, field representative for the New Jersey Farm Bureau. "It's not tagious to humans. Humans can't get it by being exposed to it or eating it." Nancy Halpern, the state veterinarian, said the markets likely got the virus from one of the many farms and distributors who supply them. New Jersey has about 35 live chicken markets across the state. No birds have died from it in New Jersey, according to Halpern, who said avian influenza can contaminate markets via truck tires, people's feet, bird crates or through bird-to-bird transmission. There is no reason to order the destruction of birds in New Jersey like the ones in Delaware, officials said. "There's a vast difference in the scenarios we're looking at," Halpern said in a conference call for reporters. "In Delaware, you have commercial flocks affected. Hence, they were depopulated to prevent further spread. "In the state of New Jersey, we do not have a broiler industry and further we've only documented it in our live bird markets and only a few of them," Halpern said. Markets found to be infected are instructed to sell off all birds, and then clean and sanitize all cages and equipment before reopening. Officials said the strain found in New Jersey is the same one found at two farms illtelaware since last week. The strain is not related to the virulent variety of n influenza that is blamed for the deaths of at least 19 people in Vietnam and Thailand. In Delaware, the disease was found last week on a farm operated by an http://ajc.printthis.clickability.com/pt/cpt?action=cpt&title=Welcome+to+AJC%21&expire=&urll... 2/12/2004 Welcome to AJC! Page 2 of 2' independent grower. On Tuesday, Delaware agriculture officials announced that tests confirmed avian flu on a second farm, saying it creates a "serious situation" for the region's poultry industry. Even before the announcement Tuesday, China joined Poland, Japan, Malaysia, Singapore and South Korea in banning U.S. poultry imports because • of the previous discovery. Hong Kong had banned the import of live birds and poultry from Delaware only. Russia also temporarily banned Delaware imports. AP-NY-02-12-04 1630EST _. Copyright 2004, The Associated Press. 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