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HomeMy WebLinkAbout2004-March File Copy Jefferson County Board of Health Agenda Minutes March 18, 2004 • JEFFERSON COUNTY BOARD OF HEALTH Thursday, March 18, 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 February 19, 2003 III. Public Comments IV. Old Business and Informational Items 1. Recreational Shellfish Beaches—Proposed reclassification of two Jefferson County beaches 2. Notice of Public Hearing—Health and Human Services Fees 1101 V. New Business 1. Cruise Ship Waste Discharge—Report on March 10, 2004 State Board of Health Meeting 2. Jefferson Syringe Exchange Program—Additional Program Information 3. West Nile Virus: National Lessons Learned and Planning Efforts for 2004 Season 4. 2004 Legislative Session Wrap-Up 5. Proposed Meeting: Jefferson County Board of Health and Port Townsend City Council VI. Activity Update VII. Agenda Planning VIII. Proposed Next Meeting: April 15, 2004, 7:00-9:00 PM Jefferson General Hospital Auditorium • JEFFERSON COUNTY BOARD OF HEALTH • MINUTES Thursday, February 19, 2004 K , DR PSI r Board Members: Sta Members: Dan Titterness, Chairman-County Commirsioner District#1 Jean Baldwin,Health &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 Masci-Port TownsendCity Council Thomas Locke,MD,Health Officer Jill Buhler-Hoipital Commissioner District#2 Sheila Westerman-Citisen at Large(City) Ex-officio Roberta Frissell, Vice Chairman-Citizen at Large(County) David Sullivan,PUD#1 Chairman Titterness called the meeting to order at 2:30 p.m. All Board and Staff members were present. There was a quorum. APPROVAL OF AGENDA • Member Masci moved to approve the agenda as submitted. Vice Chairman Frissell seconded the motion,which carried by a unanimous vote. APPROVAL OF MINUTES Member Masci moved to approve the minutes of January 15,2004.Vice Chairman Frissell seconded the motion,which carried by a unanimous vote. PUBLIC COMMENT-None OLD BUSINESS AND INFORMATIONAL ITEMS Bioterrorism 101: Dr. Tom Locke provided an informational report on Ricin, another bioterrorism-like agent in the news. It is not easily deliverable unless it is injected. A fact sheet was included in the agenda packet. Oral Health Access: SmileMobile,March 15-19,2004: The Board received in its agenda packet a copy of the community flyer that went home with all children in the school districts, announcing this five-day dental clinic. The Oral Health Coalition coordinated this first-time event,which focuses on lip low-income children who do not have other access to dental care. The Health Department Staff would be scheduling appointments and assisting patients in filling out the necessary paperwork HEALTH BOARD MINUTES -February 19, 2004 Page: 2 before directing them to the clinic in the Health Department's parking lot. If successful,the event • might be done again next year and even expanded to other areas in the County. Additional outreach might also be done in the next few weeks. Cruise Ship Waste Discharge—Letter from State Board of Health: Dr. Locke provided a brief history of the Board's discussion of this topic. In the packet was a letter from the State Board of Health to the Jefferson County Board of Health, acknowledging its concerns and announcing a March 10th State Board of Health briefing in Tacoma,where there would be public testimony. The Board had also received a draft of the Memorandum of Understanding(MOU)between the Coast Guard, Ecology and the Cruise Ship industry.At this meeting,Larry Fay would make a presentation on behalf of the Board. Member Masci observed that with no penalties defined in the MOU,it appears the document could be largely ignored by the cruise ship industry. He would like to empower Larry Fay to make a strong statement from a county directly impacted by this issue that the MOU does not appear to be a serious response. Member Westerman asked what authority the nonprofit North West Cruise Ship Association might have with the individual cruise lines? She also noted that at the end of the lengthy MOU is the undefined term"innocent passage," and a reference to the United Nations Convention on the Law of the Sea 1982,December 10. She suspects this might be a huge exemption. Member Buhler asked what benefit there would be under the MOU if vessels could simply go into • Canadian waters to discharge? Member Masci moved to give Larry Fay additional discretion and authority in his presentation to address the matters brought forward by the Board.Member Westerman seconded the motion,which carried by a unanimous vote. Northwest Public Health Leadership Institute: Julia Danskin announced that in April she would be accepting an 18-month membership to the University of Washington Northwest Public Health Leadership Institute and expressed appreciation for the opportunity. NEW BUSINESS Report on City of Port Townsend February 9,2004 Work Session: Following up from last month's discussion of the Health and Human Services$100K budget shortfall, Jean Baldwin briefed the Board on the presentation she and Dr. Locke gave City Council members. In addition to explaining the local public health funding crisis,they relayed the three requests to the City for ongoing funding—Healthy Jefferson, Family Planning Services, and the Maternal Child Health Home Visiting Program. Council also received population breakdowns for these three requests, published revenues and expenses for Health and Human Services, and accountings of operating transfers. Although no resolution was forthcoming, Council members were responsive and expressed interest in further discussing how the City might participate,including a possible meeting • of the Board of Health and/or the County Commissioners. HEALTH BOARD MINUTES -February 19, 2004 Page: 3 • Member Masci noted that even though both he and Kees Kolff had, during City budget discussions, raised the issue of the County's contribution, Staff may have not reflected the$24K under the assumption that the end of the Behavioral Risk Factor Surveillance Survey(BRFSS)meant the end of that funding. Addressing concerns about double taxation, he recognized that the County has services that are weighted toward City residents,primarily due to the location of the Health Department. While a flat contribution per program might not be accurate, there is likely a percentage in each program that could be verified. He suggested that the County and City Staff come up with a mathematical model and then a breakdown program by program.He envisions that the City would have to generate a supplemental budget and work with the County to produce a new interlocal agreement. There was instead Board support for Jean Baldwin working with City Manager,David Timmons and County Administrator, David Goldsmith before bringing the topic before the Council and the Board of Health.In response to the suggestion that the formula used pre-MVET would be appropriate,Jean Baldwin agreed to review this state formula and bring it into the discussions. Member Westerman agreed it is important to demonstrate that,historically,the City has contributed. Commissioner Huntingford observed that it is positive that the City and County have recently gotten past the argument that"City residents are part of the County too and should not have to pay more." His larger concern is finding a permanent solution and a City commitment to these health programs. • Kees Kolff suggested investigating a joint City/County Health Department model of delivering services, as exists in King County. A brief discussion then ensued about a health district. Chairman Titterness confirmed the Board's support for City and County Staff working on program formulas and outlining how a health district might work. Kees Kolff recommended there be a joint workshop with the Board of Health and City Council to look at the realities of public health funding. In response to the concern by Member Masci of the significant Staff effort involved in preparing an effective presentation, Staff said they might find assistance from resources from the State Department of Health, Hospital District, and/or the University of Washington. 2003 End-of-Year Performance Evaluation Reports: Jean Baldwin provided background about the performance measurement model,which the Department began using in 2000. Discussion on the reports were as follows: 1. In a review of the Administration report, it was noted that the number of birth certificates issued was 463 and 226 recorded births. In the same period,there were 230 deaths and 1,632 death certificates issued. 2. The Communicable Disease report reflects the increased number of children in the Child Profile system(statewide immunization bank). The Department is also seeing an increase in the number of syringe exchanges. Next month, Staff would report on • prevention efforts on Hepatitis B and C. Vice Chairman Frissell said she believes the total number is deceiving,noting that the number of syringes exchanged(9,222) HEALTH BOARD MINUTES -February 19, 2004 Page: 4 divided by 365, equates to 25 people per day. • 3. Under the Population and Prevention Programs, so far this year,there have been three child deaths in the community, compared to just one child death in 2003. Even though funding for Child Death Reviews was cut, Staff believes it is beneficial to continue involvement in the Child Death Review Team. The number of Peer-In presentations is going down,probably because the number of 9th grade classrooms has decreased. Health screenings are also down. 4. The Targeted Community Health Services report reflects unduplicated clients served in Family Planning has increased over the past three years, as have the number of adolescents served. The biggest jump was in the Breast and Cervical Health Program, due in large part to outreach. The Department did over-spend its budget in this program. There were several Board comments about the successful mammogram- screening event held in conjunction with the Quilcene fair and about the importance of the existing clinic to that area. In response to Staff's concern about how to continue these important programs, it was suggested that the health outreach components of Kiwanis and Rotary might be a funding resource in the community. 5. Julia Danskin stressed the importance of the Family Support Services' early intervention programs in helping prevent adverse experiences in adolescence and later in life. In response to a question from Member Masci about opportunities for grants to continue the Family-Nurse Partnership after the expiration of the Office of Juvenile Justice grant, Julia said Staff is writing a grant,but if it were not obtained, the Department would need to look at laying off a public health nurse. She hopes that • in the future there is a more holistic healthcare system that looks at all these things together. Commissioner Rodgers pointed out the direct relationship between these programs and building the tax base to generate the revenue to pay for these programs. Jean Baldwin reviewed ongoing efforts to seek grant funding. 6. Reporting on the Drinking Water Program,Larry Fay noted that the reason for the many well inspections is to verify that wells are being constructed properly, information not reflected in the report. Asked why so many more wells were abandoned in 2003 than 2002,Mr. Fay said he would need to verify with Staff why this rate was so high last year and projected to increase in 2004. Commissioner Rogers asked if an expansion of public water systems might be the cause?Mr. Fay agreed to investigate the reason.Member Buhler asked whether well testing could be tied to real estate sales?David Sullivan reported that well testing is a voluntary program. Larry Fay said that the UDC requires some well monitoring in seawater intrusion areas,but there has been no word on how this would happen,nor where the funding would come from. While many real estate transactions have this as a contingency, since Environmental Health only does a small percentage of the sampling in the County,they would be unaware of the others. 7. Staff noted that the number of inspections and number of restaurants in the Food program are similar to what you might see in Mason or Clallam County. Larry Fay noted that staffing is pretty consistent with populations,but the numbers are fairly high. A web-based examination/class system is being investigated as a cost-setting exercise. When asked if the food programs have resulted in cleaner restaurants, etc., • he said he would rather see a manager certification requirement implemented. 8. Solid Waste Program—The effectiveness of solid waste education would have to be HEALTH BOARD MINUTES -February 19, 2004 Page: 5 based on increases in reuse and recycling as well as reductions in both tonnages and • illegal dumping, elements that are challenging to measure. The reason 100%is shown under illegal dumps is because the litter program, funded by the state, is used to clean up dump sites. 9. On-site sewage—Larry noted"the percentage of system failures less than 5 years in use,"is a percentage of those system failures the Department has dealt with,not a percentage of failures of all systems. When asked why the number of complaints is dropping off substantially,Larry said he is uncertain,but it might be that Staff has caught up on long-time problems and there is separate tracking of repeated complaints in the case file. With this year's increase in enforcement and compliance, he would not be surprised to see a larger number of complaints initially and then over time, fewer. The number of days between application and initial inspection would change from 14 to 7. Staff is hopeful that through education they can reduce the number of permits delayed due to clockstoppers.He noted that roughly 90% of the system applications come from six designers. He said he could track the number of systems various designers have done, their percentage of applications completed with and without clockstoppers and post the information on the website, but he noted that some designers take more challenging projects than others.He noted the number of systems repaired/upgraded not associated with a violation or building application is not increasing because Staff is identifying more at the time of sale. The workshops have and will continue to drop off with a decrease in Ecology funding. He noted that Staff conducts 250 EES a year, so the percentage requiring significant maintenance or repair only refers to that total,not all systems. There was continued discussion about the importance of the monitoring program. The Board felt this type of performance measurement report is helpful. 2003 Sexually Transmitted Disease Report—Jefferson County: Dr. Locke referred to a 2003 report, which shows an outbreak of the sexually transmitted disease, Chlamydia, locally, in the state and across the nation. The new strategy is to get all Washington State health care providers doing universal Chlamydia screening of all women in the high-risk population ages 15-24. The risk of transmission is 25%—one in four. While some cases are curable, others result in lifelong infections and some are fatal. Diagnostic methods are improving,including a urine test,but the prevalence continues to climb. Member Masci shared that just this morning he had a patient who was suffering low back pain and other symptoms of Pelvic Inflammatory Disease(PID)who had admitted being seen by two doctors and the Health Department, none of whom had urged to have her boyfriend screened. He suggested there is not enough education and outreach. He also asked if there is a prevailing practitioner model of client privacy and protection? Dr. Locke reviewed that in addition to universal screenings,physicians do contact tracing and treatment of sexual partners irrespective of what their test shows,including cases of PID. Every • sexual partner of a PID case should be treated with antibiotics because the tests are not good enough to determine the cause. He recognized this as a priority area,noting that the Health Department had held an in-service on the subject at the hospital in June. HEALTH BOARD MINUTES -February 19, 2004 Page: 6 Peninsula Syringe Exchange Activity Report: Referring to the syringe exchange activity report included in the agenda packet,which shows a steady increase in participation,Dr. Locke explained • that it is very common for there to be secondary exchanges—not every individual IV drug user comes in and exchanges,but one in a group collects and brings them in. While this accomplishes the goal of preventing people from discarding contaminated needles and creating a public safety risk,it compromises the goal of having one-on-one contact with each IV drug user and being able to encourage them to get into a treatment program. While Staff knows the number of referrals given, they do not know the number of individuals going into treatment programs as a result of this contact. In response to questions about handing out kits and whether it is too easy for users to exchange, Jean Baldwin said the concern is the spread of Hepatitis C through reuse of the cotton. Dr. Locke commented that the reason this item is on the agenda is to ask what other types of impacts the Department should be considering?He and the Board would like to see improvements in referrals or incentives to get individuals into treatment. Staff also noted that the total of 63 attendees means 63 visits and could be just one or two people exchanging each week for other people. In response to Board interest, Staff agreed to bring a kit and the referral information given as well as statistics on other counties' number of referrals for comparison. Clandestine Drug Lab Ordinance—Legal Review and Current Draft: Larry Fay said that a legal review resulted in only minor modifications to this ordinance. Although the draft receiving review did not include language suggested by Member Buhler under Section II,Applicability,this language would be included in the version to be adopted. The Deputy Prosecutor did not propose any revisions to the ordinance regarding restitution.Initial concern about whether the authorities • listed in RCW 70.05 would be broad enough for the Board to impose criminal penalties for ordinances in order to gain compliance were resolved by further research. Staff recommended scheduling a hearing date. Member Masci moved to establish a March hearing date for adoption of the Clandestine Drug Lab Ordinance.Vice Chairman Frissell seconded the motion,which carried by a unanimous vote. Member Buhler expressed the concern that a property owner who is not directly involved could still be financially liable. Mr. Fay responded that the law assigns responsibility to the property owner. A landlord also has significant liability for letting anyone inside the building after it has been posted. Melinda Bower said she has done education and training in the community with property owners at apartment complexes, etc. on this issue. Owners need to be conscious to whom they rent and learn to recognize when their tenant might be engaged in illicit activities. Avian Influenza Update: Dr. Locke reported there is careful tracking of this virus,which is still spreading in Asia. Human transmission is rare,with only 30 documented cases—but 21 of those have died. 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. ACTIVITY UPDATE/OTHER ANNOUNCEMENTS -None HEALTH BOARD MINUTES—February 19,2004 Page: 7 • AGENDA PLANNING/ADJOURN The meeting adjourned at 4:30 p.m.The next meeting will be held on Thursday,March 18,2004 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 Roberta Frissell,Vice Chairman Sheila Westerman,Member Geoffrey Masci,Member Glen Huntingford,Member Patrick M. Rodgers,Member • HEALTH BOARD MINUTES -April 15,2004 Page: 9 When Member Masci asked what would be needed to keep maternal child health going until December 2004, Jean Baldwin indicated it would be roughly$40K. Chairman Tittemess recognized Jean Baldwin's excellent job as Department Manager in a difficult situation. ACTIVITY UPDATE/OTHER ANNOUNCEMENTS—None AGENDA PLANNING/ADJOURN The meeting adjourned at 9:00 p.m.The next meeting will be held on Thursday,May 20,2004 at 2:30 p.m. in the Conference Room of the Jefferson County Health Department. JEFFERSON COUNTY BOARD OF HEALTH Dan Titterness, Chairman Jill Buhler,Member Roberta Frissell, Vice Chairman Sheila Westerman,Member 1111 Geoffrey Masci, Member Glen Huntingford,Member Patrick M. Rodgers, Member • Board of Health Old Business Agenda Item # IV. , 1 Recreational Shellfish Beaches March 18, 2004 1 �SfATE•O 4 ei° 4 os^;' wsi:p k'n STATE OF WASHINGTON • DEPARTMENT OF HEALTH OFFICE OF FOOD SAFETY&SHELLFISH PROGRAMS 7171 Cleanwater Lane, Bldg. 4 • PO Box 47824 • Olympia, Was •; o? 8^ - ; (360)236-3330 • TDD Relay Services 1-80' 3170 8« . Li March 1, 2004 • Dave Christensen `', Jefferson County Health Department - � , • 615 Sheridan tN`l ® Port Townsend, Washington 98368 Dear Mr. stensen: The Department of Health Food Safety and Shellfish Program recently completed the 2004 first quarter review of recreational shellfish beaches in Washington State. You are receiving this letter because a recreational beach in your county is pending a classification change. Please review the table for further information. If you have any questions, please call me at 360-236-3310. • COUNTY GROWING BEACH BIDN REQUESTED ACTION AREA NAME Island County Saratoga Pass Cama Beach SP 240035 Shoreline Survey,if ok Approve Jefferson Port Townsend Fort Flagler SP 250260 Approved to Unclassified, insufficient#of samples Kitsap County Hood Canal#1 Salsbury Pt.CP 250515 Unclassified to Approved San Juan County Lopez Spencer Spit SP 220050 Shoreline Survey,if ok Approve Pierce County Henderson Bay Cutts Island SP 280580 Approved to Unclassified, insufficient#of samples Skagit Samish Bay Samish Island 210190 Request sampling station Rec.Area _ Thurston Budd Inlet Burfoot CP 281153 Shoreline Survey,if ok Approve with seasonal advisory Jefferson Port Townsend Old Port 25180 Approved to Unclassified,no Townsend sampling station. Sincerely, Kim Zabel-Lincoln, Recreational Shellfish Lead Washington State Department of Health . cc: Larry Fay . Loi • Board of Health Old Business Agenda Item # IV., 2 • Notice of Public Hearing - Health and Human Services Fees March 18, 2004 • NOTICE OF PUBLIC HEARING tOTICE IS HEREBY GIVEN that a public hearing is scheduled by the Jefferson County Board of Commissioners to take comments on a proposed ordinance setting the fees for the Health and Human Services Department. The hearing is scheduled for Monday, March 22, 2004 at 10:05 a.m. in the County Commissioners Chambers, Lower Level, Jefferson County Courthouse, 1820 Jefferson Street, Port Townsend, WA 98368. JEFFERSON COUNTY BOARD OF COMMISSIONERS Glen Huntingford, Chair STATE of WASHINGTON COUNTY of JEFFERSON In the Matter of an Ordinance Amending } Certain Fees Contained in Section 2 of } Ordinance No. 11-1115-99 for the } ORDINANCE NO. Health and Human Services Department } SECTION 1 -PURPOSE AND SCOPE: ee purpose of this ordinance is to amend specific fees for the Jefferson County Health and Human Services partment. SECTION 2 -FEE SCHEDULES: The portion of the fee schedules are as follows: PUBLIC HEALTH CLINIC SERVICES All of the fees listed in Ordinance No. 11-1115-99 under Public Health Clinic Services are hereby being replaced with the following: The Health Department Community Health Nursing Fee Schedule will be set at the same amount, to the nearest higher dollar, as the current rate schedule—Reimbursable by the Washington State Department of Social and Health Services for Medicaid clients. Community Health offers fees based on the sliding scale schedule to clients who are not on Medicaid. Clients are not turned away due to the inability to pay. A copy of the current Federal Poverty Guidelines, which establishes the sliding scale fees, is available at the Health Department. All fees for immunizations not subsidized by the Washington State Department of Health will be the cost of vaccine, shipping and visit fee. This visit fee is set by Medicaid standards. There is no sliding fee scale for privately purchased vaccines. eoratory Services are based on the actual fees of laboratory contractors. Price lists are available. Cost is not ubject to sliding scale. In cases of communicable disease prevention,the lab costs may be waived. Fees for medications, family planning methods, and antibiotics are based on cost of acquisition and are iikrterly. Vital Records services are not subject to a sliding scale and fees are set by the RCW 70.58.107. The cost sheet is available by request. ENVIRONMENTAL HEALTH SERVICES Specific fees listed in Ordinance No. 11-1115-99 under Environmental Health Services are hereby being amended to add the following: Add to the end of the list under Evaluation of Existing System: A$20.00 filing fee for Evaluation of Existing System (EES)reports submitted by third party inspectors. A$ .02/gallon septage disposal fee. Add to the end of the list under Food Service Establishment Permits (Annual Permit): Food Services late fee is defined as fees paid past the expiration (January 31) of permit. Late fee paid less than or equal to 30 days is 25% of base fee and late fee paid after 30 days is 50% of base fee. ANIMAL SERVICES 4 ecific fees listed in Ordinance No. 11-1115-99 under Animal Services are hereby being amended with the lowing: Add to the end of the list under Adoption Fees: Adoption Fee—Dogs and Cats—Includes spay or neuter, vaccination, and veterinary exam. DOES NOT include cost of license. SECTION 7-REPEALER This Ordinance repeals and replaces only those portions of Section 2 of Ordinance No. 11-1115-99 that deal with the specific Health and Human Services fees identified in this ordinance. SECTION 8- SEVERABILITY If any section, subsection, or sentence, clause,phrase, or figure of this Ordinance or its application to any person or circumstance is held invalid, the remainder of the ordinance or the application to other persons or circumstances shall not be affected. SECTION 9-EFFECTIVE DATE This Ordinance shall become effective upon adoption. • • • Board of Health New Business Agenda Item # V., 1 Cruise Ship Waste Discharge • March 18, 2004 • :ice E•7 •iiht,•'. :iii • 4.ti.n. '•ti': .yF .. .y 181.9�\ STATE OF WASHINGTON WASHINGTON STATE BOARD OF HEALTH 1102 SE Quince Street • PO Box 47990 Olympia, Washington 98504-7990 March 10, 2004 TO: Washington State Board of Health Members FROM: Tom Locke, WSBOH Member Carl Osaki, WSBOH Member RE: CRUISE SHIP WASTEWATER MANAGEMENT PRACTICES —STATE AND FEDERAL ROLES Summary In summer 2003, Carl Osaki attended a Jefferson County Board of Health meeting as part of this Board's effort to learn more about local boards' concerns. One of the Jefferson County Board of Health's (JCBOH) concerns regarded the disposal of graywater and blackwater into its county's • waters by cruise ships(please see attached SBOH letter to JCBOH). In May 2003 a Norwegian Sun cruise ship captain reported to Department of Ecology his ship had discharged 40 to 50 tons of graywater and blackwater into the Strait of Juan de Fuca(see http://www.eho.wa.gov/ searchdocuments/2003%20archive/pchb%2003-088%20intervention.htm).The State Board also received a letter from Jefferson and Clallam County Boards of Health(CCBOH) in fall 2003 expressing concerns and raising questions about this issue (see attached letter from JCBOH and CCBOH). We have assembled today's panel to respond to these local concerns, and to provide a public forum for understanding the relevant state and federal agencies roles in improving cruise ship wastewater management practices. The panel comprises: • Larry Fay, Environmental Health Director, Jefferson County Public Health and Human Services, who will describe concerns regarding cruise ships vessels' disposal of gray and black water into Jefferson County waters. • John E. Veentjer, Chief,Prevention Department, US Coast Guard Marine Safety Office Puget Sound who will describe the US Coast Guard's role in cruise ship wastewater management practices (please see attached US Coast Guard Navigation and Vessel Inspection Circular No. 04-04) • Ann Kenny, Senior Regional Planner, Washington Department of Ecology who will describe Ecology's role in cruise ship wastewater management practices (please see draft Memorandum of Understanding and MOU Summary.) Recommended Board Action 111 No action recommended. Washington State Board of Health Members March 10,2004 Page 2 of 3 • Background The Department of Ecology has jurisdiction to control and prevent the pollution of streams, lakes, rivers, ponds, inland waters, salt waters, water courses, and other surface and underground waters of the state of Washington(RCW 90.48.030). It also has rule making and enforcement authority(RCW 90.48.035 and 90.48.037)"as may be necessary to carry out the provisions of chapter 90.48 RCW." Norwegian Cruise Lines recently challenged Ecology's enforcement authority on three grounds: • The event occurred beyond the state's borders • Federal law preempts state efforts to regulate operation of marine sanitation devices aboard vessels • Ecology's decision to issue an immediate action order was arbitrary and capricious. Department of Ecology is the lead state agency developing a Memorandum of Understanding (MOU) between the State of Washington,the Puget Sound Clean Air Agency,the Port of Seattle, and the North West CruiseShip Association(NWCA). The MOU is based on the International Council of Cruise Lines' Cruise Industry Waste Management Practices and Procedures, adopted by the NWCA, and in recognition of Washington's sensitive marine environment includes additional practices: • Discharge of untreated blackwater and untreated graywater in Washington waters within 3 miles of land is prohibited 1111 • Discharge of treated blackwater and graywater in Washington waters within 3 miles of land is prohibited, except when blackwater and graywater treated by advanced wastewater treatment systems that meet the standards and testing regime in federal law, Title XIV, and with written permission from Ecology and specified conditions. • Discharge of residual solids from a Type 2 Marine Sanitation Device or an advanced wastewater treatment system is prohibited within 12 nautical miles from shore or sensitive area(sanctuaries, etc.) Blackwater is waste from toilets, medical sinks and other similar facilities. Graywater includes drainage from dishwasher, shower, laundry, galley and washbasin drains. The US Coast Guard is the main federal agency involved in preventing, detecting, and investigating cruise ship discharges. They have jurisdiction over environmental matters in US navigable waterways and conducts passenger vessel inspections that include review of marine sanitation devices. The Clean Water Act gives the secretary of the department in which the Coast Guard is operating authority to promulgate, revise, and enforce Federal performance standards for marine sanitation devices to prevent the discharge of untreated or inadequately treated sewage into or upon the navigable waters from new vessels and existing vessels. It may also assess penalties for lack of compliance with these standards, and provisions may be carried out by state and other federal agencies. (33 United States Code 1322) In response to a February 2000 General Accounting Office report on marine pollution (http://www.gao.gov/docdblite/summary.php?recflag=&accno=163 327&rptno=RCED-00-48), and a petition by Bluewater Network, an environmental organization,the US Coast Guard has Washington State Board of Health Members March 10,2004 • Page 3 of 3 developed new guidelines for their inspection of cruise ship waste management practices and procedures,Navigation and Vessel Inspection Circular No. 04-04(attached). Florida and Hawaii have MOUs with the cruise ship lines in their states,which Bluewater Network has criticized as ineffective (its October 2003 report on MOUs versus legislation is available at http://bluewaternetwork.org/reports/rep ss kleinrep.pdf). In 1999 the Alaska Department of Environmental Conservation(ADEC)responded to public concern over cruise ship discharges and convened a forum to review and discuss the cruise ship industry's waste management and disposal practices.Voluntary sampling of large ships found that most marine sanitation devices did not function well.Effluent fecal coliform levels were as high as 16 million in blackwater and 32 million in graywater,much higher than the US Coast Guard requirement of 200 fecal coliforms per 100 ml. (Assessment of Cruise Ship and Ferry Wastewater Impacts in Alaska, Alaska Department of Environmental Conservation, February 2004). In 2000 the US Congress enacted Title XIV—Certain Alaskan Cruise Ship Operations,which is enforced by the US Coast Guard. The law created wastewater standards for vessels with 500 or more overnight passengers, and prohibited cruise ships from discharging raw sewage in areas that are more than three nautical miles from shore but still within the Inside Passage. (Assessment of Cruise Ship and Ferry Wastewater Impacts in Alaska, Alaska Department of Environmental Conservation, February 2004). • The State of Alaska passed cruise ship legislation in 2001 and established the Commercial Vessel Environmental Compliance program at the ADEC. The Alaska state law set standards identical to the federal standards, and applies to small vessels with over 50 passengers, as well as the large vessels covered by federal law. (Assessment of Cruise Ship and Ferry Wastewater Impacts in Alaska, Alaska Department of Environmental Conservation, February 2004). Since the passage of these federal and state laws, most large cruise ships discharging in Alaska waters have installed advanced wastewater treatment systems.ADEC examined 2003 data and found that effluent from ships with advanced wastewater treatment systems do not pose a risk to aquatic organisms.Nor were the levels of tested pollutants found to pose a risk to human health. (Assessment of Cruise Ship and Ferry Wastewater Impacts in Alaska, Alaska Department of Environmental Conservation,February 2004). Washington Representative Dickerson proposed House Bill 2549 (attached),to create enforceable cruise ship waste management standards, along with sampling and monitoring requirements. The House Fisheries, Ecology&Parks Committee held a public hearing on January 27, 2004, but the bill did not make it out of committee. Attachments • Draft—2/17/04 DRAFT MEMORANDUM OF UNDERSTANDING This Memorandum of Understanding is entered into this day of 2004 by and between the State of Washington, 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 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 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 • Washington MOU DRAFT 1 Draft—2/17/04 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: "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: 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. 111 Washington MOU DRAFT 2 Draft—2/17/04 1.1.3 the discharge of treated blackwater and treated graywater from ships equipped with advanced wastewater treatment systems (AWTS) 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) is allowed under the following conditions: > the ship is at least one nautical mile away from its berth in the Port of Seattle and is traveling at a speed of at least 6 knots. > No later than 60 days prior to the date the line wishes to commence discharge of AWTS-treated effluent, the line shall submit the following vessel specific information to Ecology o Documentation on the type of treatment system in use on the ship including schematic diagrams of the system. o Documentation that the system is certified by the United States Coast Guard for continuous discharge in Alaska. If the certification has not yet been provided by the Coast Guard at the time the other documentation is submitted to Ecology, it may be submitted less than 60 days prior to commencement of discharge so long as it is submitted prior to any discharge occurring. Such ships may also discharge at all other times within the waters subject to this MOU under the following conditions: A. No later than 60 days prior to the date the line wishes to commence discharge of AWTS-treated effluent at berth, the line shall submit the following vessel specific information to Ecology: > 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. If the certification has not yet been provided by the Coast Guard at the time the other documentation is submitted to Ecology, it may be submitted less than 60 days prior to commencement of discharge so long as it is submitted prior to any discharge occurring. > Provision for daily twenty-four hour continuous turbidity or equivalent monitoring of the quality of the effluent generated by the AWTS. > Documentation of system design that demonstrates the AWTS can be automatically shut down if monitoring of treated effluent indicates a system upset; or documentation that demonstrates that operational controls exist to insure system shut down if monitoring of treated effluent indicates a system upset. An example of an acceptable operational control is a system that has the continuous monitoring device alarmed as to immediately alert engineering staff on watch to shut down overboard discharges from the system in the event of high turbidity levels in the treated effluent. > Documentation that all treated effluent will receive final polishing with ultraviolet (UV) light immediately prior to discharge. • Washington MOU DRAFT 3 Draft—2/17/04 • ➢ Copies of water quality tests results taken from the AWTS effluent during the preceding six months. ➢ A vessel specific plan that: identifies how effluent will be stored until the AWTS is repaired and which indicates the storage capacity of holding tanks; and includes a notification protocol for notifying Ecology of system shut down which occurs while within waters subject to this MOU. If Ecology determines that the documentation provided is insufficient, it shall so notify the cruise line. The cruise line shall provide supplemental documentation as requested by Ecology. If Ecology and the cruise line are unable to agree on the supplemental documentation and cruise line elects to discharge from the AWTS, cruise line understands that any such discharge will not have been approved by Ecology and further that Ecology may publicize such fact. Any cruise line discharging from an AWTS in waters subject to this MOU agrees 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. 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 material 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, within 12 nautical miles from shore, within the"Area To Be Avoided"off the Washington Coast as defined by the International Maritime Organization(IMO) (Appendix?). 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 Hazardous Waste Management 1.3.1 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 • Washington MOU DRAFT 4 Draft—2/17/04 Identification Number to each cruise ship as the "generator" of hazardous wastes, which 1111 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. 1.3.2 Appendix ii includes the uniform procedure adopted by the NWCA for the application of RCRA to cruise vessels disposing of hazardous wastes in the State of Washington. 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. 1.3.3. The NWCA acknowledges that the state of Washington regulates some hazardous wastes differently than EPA and agrees, within the waters subject to this MOU, to comply with the guidelines for specific waste streams found in Appendix vii. 1.3.4 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. 2. The State of Washington acknowledges that the waste management practices and procedures referenced and/or contained in paragraph 1 above meet 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 111 Washington MOU DRAFT 5 Draft—2/17/04 411 waters subject to this MOU to the extent that those records are covered by the Memorandum of Agreement, dated_May 25th_, 2001, 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 0 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. 1110 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. This agreement only applies to voyages during which the commercial passenger vessel actually calls at a port in the State of Washington. 9. 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 • Washington MOU DRAFT 6 Draft—2/17/04 refine such issues, or to pursue appropriate legislation. All parties agree to at least one 410 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 2004. State of Washington Port of Seattle North West CruiseShip Association • S Washington MOU DRAFT 7 Draft—2/17/04 • 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 Title XIV—Certain Alaskan Cruise Ship Operations, Section 1404 Limitations on Discharge of Treated Sewage or Graywater, Subsection(c) (1), (2), (3), (4) Appendix vii Washington Hazardous Waste Management Best Management Practices S Washington MOU DRAFT 8 Draft—2/17/04 • Appendix i List of NWCA Member Lines Carnival Cruise Lines Celebrity Cruises Crystal Cruises Holland America Line Norwegian Cruise Lines Princess Cruises Radisson Seven Seas Royal Caribbean Cruises • Washington MOU DRAFT 9 Draft—2/17/04 IIII Appendix ii ` ICCL Standards 4000,f 14C 11 ICCL INDUSTRY STANDARD E-01-01 (Revision 2) INTERNATIONAL COUNCIL CRUISE INDUSTRY OF CRUISE LINES WASTE MANAGEMENT PRACTICES AND PROCEDURES The members of the International Council of Cruise Lines are dedicated to preserving the marine environment and in particular the pristine condition of the oceans upon which our vessels sail. The environmental standards that apply to our industry are stringent and comprehensive. Through the International Maritime Organization, the United States and other maritime nations have developed consistent and uniform international standards that apply to all vessels engaged in international commerce. These standards are set forth in the International Convention for the Prevention of Pollution from Ships (MARPOL). In addition, the U.S. has jurisdiction over vessels that operate in U.S. waters where U.S. laws, such as the Federal Water Pollution Control Act, the Act to Prevent Pollution from Ships, and the Resource Conservation and Recovery Act - which applies to hazardous waste as it is 110 landed ashore for disposal, apply to all cruise ships. The U.S. Coast Guard enforces both international conventions and domestic laws. The cruise industry commitment to protecting the environment is demonstrated by the comprehensive spectrum of waste management technologies and procedures employed on its vessels. ICCL members are committed to: a. Designing, constructing and operating vessels, so as to minimize their impact on the environment; b. Developing improved technologies to exceed current requirements for protection of the environment; c. Implementing a policy goal of zero discharge of MARPOL, Annex V solid waste products (garbage) by use of more comprehensive waste minimization procedures to significantly reduce shipboard generated waste; d. Expanding waste reduction strategies to include reuse and recycling to the maximum extent possible so as to land ashore even smaller quantities of waste products; e. Improving processes and procedures for collection and transfer of hazardous waste;and f. Strengthening comprehensive programs for monitoring and auditing of onboard • Washington MOU DRAFT 10 Draft—2/17/04 environmental practices and procedures in accordance with the International Safety Management Code for the Safe Operation of Ships and for Pollution Prevention (ISM Code). INDUSTRY WASTE MANAGEMENT STANDARDS: ICCL member cruise vessel operators have agreed to incorporate the following standards for waste stream management into their respective Safety Management Systems. 1. Photo Processing, Including X-Ray Development Fluid Waste: Member lines have agreed to minimize the discharge of silver into the marine environment through the use of best available technology that will reduce the silver content of the waste stream below levels specified by prevailing regulations. 2. Dry-cleaning waste fluids and contaminated materials: Member lines have agreed to prevent the discharge of chlorinated dry-cleaning fluids, sludge, contaminated filter materials and other dry-cleaning waste byproducts into the environment 3. Print Shop Waste Fluids: Member lines have agreed to prevent the discharge of hazardous wastes from printing materials (inks)and cleaning chemicals into the environment. 4. Photo Copying and Laser Printer Cartridges: Member lines have agreed to initiate procedures so as to maximize the return of photo copying and laser printer cartridges for recycling.In any event, these cartridges will be landed ashore. 5. Unused And Outdated Pharmaceuticals: Member lines have agreed to ensure that unused • and/or outdated pharmaceuticals are effectively and safely disposed of in accordance with legal and environmental requirements. 6. Fluorescent And Mercury Vapor Lamp Bulbs: Member lines have agreed to prevent the release of mercury into the environment from spent fluorescent and mercury vapor lamps by assuring proper recycling or by using other acceptable means of disposal. 7. Batteries: Member lines have agreed to prevent the discharge of spent batteries into the marine environment. 8. Bilge and Oily Water Residues: Member lines have agreed to meet or exceed the international requirements for removing oil from bilge and wastewater prior to discharge. 9. Glass, Cardboard,Aluminum and Steel Cans: Member lines have agreed to eliminate, to the maximum extent possible, the disposal of MARPOL Annex V wastes into the marine environment. This will be achieved through improved reuse and recycling opportunities. They have further agreed that no waste will be discharged into the marine environment unless it has been properly processed and can be discharged in accordance with MARPOL and other prevailing requirements. 10. Incinerator Ash: Member lines have agreed to reduce the production of incinerator ash by minimizing the generation of waste and maximizing recycling opportunities. 410 Washington MOU DRAFT 11 Draft—2/17/04 • 11. Graywater: Member lines have agreed that graywater will be discharged only while the ship is underway and proceeding at a speed of not less than 6 knots; that graywater will not be discharged in port and will not be discharged within 4 nautical miles from shore or such other distance as agreed to with authorities having jurisdiction or provided for by local law except in an emergency, or where geographically limited. Member lines have further agreed that the discharge of graywater will comply with all applicable laws and regulations. 12. Blackwater: ICCL members have agreed that all blackwater will be processed through a Marine Sanitation Device (MSD), certified in accordance with U.S. or international regulations,prior to discharge. Discharge will take place only when the ship is more than 4 miles from shore and when the ship is traveling at a speed of not less than 6 knots. Some member cruise lines are field-testing wastewater treatment systems that utilize advanced technologies. These onboard wastewater treatment systems, which are currently being referred to as advanced wastewater purification(AWP)systems, are designed to result in effluent discharges that are of a high quality and purity; for example, meeting or surpassing secondary and tertiary effluents and reclaimed water. Effluents meeting these high standards would not be subjected to the strict discharge limitations previously discussed. Each ICCL cruise vessel operator has agreed to utilize one or more of the practices and procedures contained in the attached "Cruise Industry Waste Management Practices and Procedures" in the management of their shipboard waste streams. Recognizing that technology is progressing at a rapid rate, any new equipment or management practices that are equivalent to or better than those described, and which are shown to meet or exceed international and federal environmental standards, will also be acceptable. Member lines have agreed to communicate to ICCL the use of equivalent or other acceptable practices and procedures. As appropriate, such practices and procedures shall be included as a revision to the attached document. As an example, when improved systems for treating blackwater and graywater are perfected and shown to meet the requirements for MSDs and accepted by appropriate authorities, the new systems and associated technology will be included in the attachment as a revision. ICCL and its Environmental Committee will continue to work with the U.S. Coast Guard, the U.S. Environmental Protection Agency and other appropriate agencies to further implement the above commitments. ATTACHMENT: CRUISE INDUSTRY WASTE MANAGEMENT PRACTICES AND PROCEDURES (Revision 2) Revised: December 12,2003 Effective:January 1,2004 • Washington MOU DRAFT 12 Draft—2/17/04 411 Attachment to ICCL Standard E-1-01 (Revision 2) CRUISE INDUSTRY WASTE MANAGEMENT PRACTICES AND PROCEDURES (REVISED:December 12,2003) The cruise industry is dedicated to preserving the marine environment and oceans upon which our ships sail. As a stated industry standard, ICCL members have adopted aggressive programs of waste minimization, waste reuse and recycling, and waste stream management set forth in the following. In addition ICCL members are working in a number of areas to identify and implement new technologies in order to improve the environmental performance of their ships. ICCL member lines currently have agreed to utilize waste management practices and procedures, which meet or exceed the stringent standards as set forth in international treaties and applicable U.S. laws. Introduction The cruise industry is inextricably linked to the environment. Our business is to bring people to interesting places in the world, over the water. Recognizing the future of the industry depends on a clean and healthy environment, cruise industry senior management is committed to stewardship of the environment and establishing industry practices that will make ICCL member cruise ship operators leaders in environmental performance. • This document outlining member line practices has been developed under the auspice of the industry's professional organizations, the International Council of Cruise Lines (ICCL), the Florida Caribbean Cruise Association (FCCA), and the Northwest Cruise Ship Association (NWCA). The purpose of this document is to set forth cruise industry waste management practices and procedures that ICCL member cruise vessel operators have agreed to incorporate into their respective Safety Management Systems. In the development of industry practices and procedures for waste management, the members of the International Council of Cruise Lines have endorsed policies and practices based upon the following fundamental principles: • Full compliance with applicable laws and regulations • Maintaining cooperative relationships with the regulatory community • Designing,constructing and operating vessels,so as to minimize their impact on the environment • Embracing new technology • Conserving resources through purchasing strategies and product management • Minimizing waste generated and maximize reuse and recycling • Optimizing energy efficiency through conservation and management • Managing water discharges • Educating staff,guests and the community. . Washington MOU DRAFT 13 Draft—2/17/04 • Discussion Just as on shore, ship operations and passengers generate waste as part of many daily activities. On ships, waste is generated while underway and in port. Because ships move,the management of these wastes becomes more complicated than for land-based activities,as the facilities and laws change with the location of the ship. Facilities on the ships and management practices must be designed to take into account environmental laws and regulations around the world. Moreover, because waste management ultimately becomes a local activity, the local port infrastructure, service providers, and local waste disposal vendors are factors in the decision-making processes. On an international level, environmental processes are an important part of the International Maritime Organization's(IMO'S)policies and procedures for the maritime industry. ICCL member lines have agreed to incorporate environmental performance into Safety Management Systems (SMS) and MARPOL mandated Waste Management Manuals. Under agreements and laws specific to many nations, these programs are routinely reviewed by Port States to ensure compliance. For example, in the United States, the US Coast Guard has jurisdiction over environmental matters in ports and waterways and conducts passenger ship examinations that include review of environmental systems, SMS documentation and such MARPOL-mandated documents as the Oil Record Book and the Garbage Record Book. The industry effort to develop waste management practices and procedures has focused on the traditional high volume wastes (garbage, graywater, blackwater, oily residues (sludge oil) and bilge water), pollution prevention, and the small quantities of hazardous waste produced onboard. In the process, ICCL members have shared waste management strategies and technologies, while focusing on a common goal of waste reduction. • The process of waste reduction includes waste prevention, the purchasing of products that have recycled content or produce less waste (e.g. source reduction), and recycling or reuse of wastes that are generated. The ultimate goal is to have the waste management culture absorbed into every facet of cruise vessel operation. A fully integrated system beginning with the design of the vessel should address environmental issues at every step. Management practices for waste reduction should start before a product is selected. Eco- purchasing and packaging are vital to the success of any environmental program, as are strategies to change packaging,processes and management to optimize the resources used. The commitment of the industry to this cooperative effort has been quite successful,as companies have shared information and strategies. Industry Standard Waste Handling Procedures ICCL member lines have agreed that hazardous wastes and waste streams onboard cruise vessels will be identified and segregated for individual handling and management in accordance with appropriate laws and regulations. They have further agreed, hazardous wastes will not be discharged overboard, nor be commingled or mixed with other waste streams. Washington MOU DRAFT 14 Draft—2/17/04 A. Photo Processing, Including X-Ray Development Fluid Waste: ICCL member lines have • agreed to minimize the discharge of silver into the marine environment through the use of best available technology that will reduce the silver content of the waste stream below levels specified by prevailing regulations or by treating all photo processing and x-ray development fluid waste (treated or untreated) as a hazardous waste and landing ashore in accordance with RCRA requirements. There are several waste streams associated with photo processing operations that have the potential to be regulated under the Resource Conservation and Recovery Act (RCRA). These waste streams include spent fixer,spent cartridges,expired film and silver flake. Photographic fixer removes the unexposed silver compounds from the film during the developing process. The spent fixer can have as much as 2000-3000 parts per million(ppm)of silver. Silver bearing waste is regulated by RCRA as a hazardous waste if the level of silver exceeds 5 ppm as determined by the Toxicity Characteristic Leaching Procedure(TCLP)test. Silver recovery units may be used to reclaim the silver from the used fixer waste stream. There are two types of recovery units. These are active(with electricity)and passive(without electricity)units. The active unit uses electricity to plate silver onto an electrode. The passive unit uses a chemical reaction between steel wool and silver to remove most of the silver from solution. Utilizing the best available technology, the equipment currently onboard ICCL member cruise ships is conservatively estimated to reduce the silver content of this effluent below 4 mg/1(milligrams/1 or ppm) The effluent from the silver recovery process must be tested before it can be discharged as a non-hazardous waste to be further diluted by addition to the ship's gray water. After the photographic and X-ray development fluids are treated for the removal of silver,the treated,non • - hazardous effluent is then blended with the ship's graywater. In general, assuming that an entire week's photographic and X-ray development treated effluent stream is introduced into a single day's accumulation of graywater, the concentration of silver in the resulting mixture would be less than one-half of one part per billion (<0.5 micrograms/liter). Such mixing is not done on a weekly basis. Even at this assumed extreme however, it is expected that the silver concentration would only be approximately one fifth (1/5)the surface water quality standard for predominately marine waters specified in one state where cruise ships operate. When mixing is done on a daily basis it is evident that the resulting immediate concentration would be almost an order of magnitude less than this (1/50 of the current surface water quality standard). Additionally, it is evident that total mass of any discharges of silver would be negligible. Member lines have agreed that this discharge would be carried out only while their vessels are underway. Also, it should be noted that these estimates were carried out considering the largest cruise ships in service,which would produce the greatest amount of waste. Handling Method 1 Employed by Member Lines: Treat used photographic and x-ray development fluids to remove silver for recycling. Verify that the effluent from the recovery unit is less than 5 parts per million(ppm)silver,as measured by EPA-approved methodology. Washington MOU DRAFT 15 Draft—2/17/04 • After treatment, the residual waste stream fluid is non-hazardous and landed ashore or discharged in accordance with the International Convention for the Prevention of Pollution from Ships (MARPOL 73/78)and other prevailing regulations. Handling Method 2 Employed by Member Lines: Used photographic and x-ray development fluids, either treated or untreated, may be assumed to be a hazardous waste. In this event, they are landed ashore in accordance with the requirements of the Resource Conservation and Recovery Act(RCRA). B. Dry-cleaning waste fluids and contaminated materials: ICCL member lines have agreed to prevent the discharge of chlorinated dry-cleaning fluids, sludge, contaminated filter materials and other dry-cleaning waste byproducts into the environment. Shipboard dry cleaning facilities use a chlorinated solvent called perchlorethylene (also known as PERC or tetrachloroethylene) as a dry cleaning fluid. This is the approved dry cleaning solvent for these units. Operators must receive specific required training for the correct use of this chemical and its associated precautions. This solvent should be used in accordance with all safety procedures including appropriate personal protective equipment(PPE). The dry cleaning units produce a small volume waste from condensate, the bottoms of the internal recovery stills, waste products from button and lint traps, spent perchloroethylene and filter media. This waste is comprised of dirt, oils, filter material, and spent solvent. Each ship utilizing these dry-cleaning units produces approximately two pounds of waste material weekly. However, the amounts may vary greatly by season and passenger load. This material is classified as hazardous waste under RCRA and must be disposed of accordingly. Handling Method 1 Employed by Member Lines: Perchloroethylene (PERC) and other chlorinated dry-cleaning fluids, contaminated sludge and filter materials are hazardous waste and landed ashore in accordance with the requirements of RCRA. C. Print Shop Waste Fluids: ICCL member lines have agreed to prevent the discharge of hazardous wastes from printing materials(inks)and cleaning chemicals into the environment. Print shop waste may contain hazardous waste. Printing solvents, inks and cleaners all may contain hydrocarbons, chlorinated hydrocarbons, and heavy metals that can be harmful to human and aquatic species. Recent advances in printing technology and substitution of chemicals that are less hazardous reduces the volume of print shop waste generated and reduces the impact of these waste products. ICCL member lines have agreed to utilize, whenever possible, printing methods and printing process chemicals that produce both less volume of waste and less hazardous waste products, that shipboard printers will be trained in ways to minimize printing waste generated, and that alternative printing inks such as soy based, non-chlorinated hydrocarbon based ink products will be used whenever possible. The member lines have further agreed that all print shop waste including waste solvents, cleaners, and cleaning cloths will be treated as hazardous waste, if such waste contains chemical components that may be considered as hazardous by regulatory definitions, and that all other waste may be treated as non-hazardous. • Washington MOU DRAFT 16 Draft—2/17/04 • Handling Method 1 Employed by Member Lines: When using traditional or non-soy based inks and chlorinated solvents, all print shop waste is treated as hazardous,and discharged ashore in accordance with RCRA. Handling Method 2 Employed by Member Lines: Shipboard printing processes use non-toxic based printing ink such as soy based, non-chlorinated solvents, and other non-hazardous products to eliminate hazardous waste products. D. Photo Copying and Laser Printer Cartridges: ICCL member lines have agreed to initiate procedures so as to maximize the return of photocopying and laser printer cartridges for recycling,and in any event,have agreed that these cartridges will be landed ashore. Increased use of laser and photo copying equipment on shore as well as onboard ship results in the generation of increased volumes of waste cartridges, inks, and toner materials. ICCL member lines have agreed to use only such inks, toners and printing/copying cartridges that contain non-hazardous chemical components, and that none of these cartridges or their components should be disposed of by discharge into the marine environment. In recognition of the member lines' goal of waste minimization, they have further agreed these cartridges should, whenever possible, be returned to the manufacturer for credit,recycling,or for refilling. Handling Method Employed by Member Lines: ICCL member lines have agreed that wherever possible,photo copying and laser printer cartridges will be • collected,packaged and returned for recycling and when this is not possible,that these materials will not be discharged into the sea or other bodies of water but will be handled as other shipboard waste that is landed ashore for further disposal. E. Unused And Outdated Pharmaceuticals: ICCL member lines have agreed to ensure that unused and/or outdated pharmaceuticals are effectively and safely disposed in accordance with legal and environmental requirements. In general ships carry varying amounts of pharmaceuticals. The pharmaceuticals carried range from over-the-counter products such as anti-fungal creams to prescription drugs such as epinephrine. Each ship stocks an inventory based on its itinerary and the demographics of its passenger base. ICCL member lines have agreed that all pharmaceuticals will be managed to ensure that their efficacy is optimized and that disposal is done in an environmentally responsible manner. ICCL member lines have further agreed that when disposing of pharmaceuticals,the method used will be consistent with established procedures, and that pharmaceuticals and medications which are off specification or which have exceeded their shelf-life,and stocks that are unused and out of date,cannot be used for patients and therefore will be removed from the ship. Further, each regulatory jurisdiction has a posting of listed pharmaceuticals that must be considered hazardous waste once the date has expired or the item is no longer considered good for patient use. Through onboard management of the medical facility, ICCL member lines have agreed that stocks of such listed pharmaceuticals are returned to the vendor prior to date of expiration. • Washington MOU DRAFT 17 Draft—2/17/04 • Pharmaceuticals that are being returned and which have not reached their expiration date are shipped using ordinary practices for new products. Safety and Health ICCL member lines have agreed that all expired listed pharmaceuticals will be handled in accordance with established procedures and all personnel handling this waste will receive appropriate training in the handling of hazardous materials. As guidance, the US Environmental Protection Agency (EPA)has issued a report that clarifies the fact that residuals,such as epinephrine, found in syringes after injections are not considered an acutely hazardous waste by definition and may be disposed of appropriately in sharps containers. Member lines have agreed that all Universal Precautions will be adhered to when handling sharps. Handling Method 1 Employed by Member Lines: Establish a reverse distribution system for returning unexpired,unopened non-narcotic pharmaceuticals to the original vendor. Handling Method 2 Employed by Member Lines: Appropriately destroy narcotic pharmaceuticals onboard ship in a manner that is witnessed and recorded. Handling Method 3 Employed by Member Lines: Land listed pharmaceuticals in accordance with local regulations. Listed pharmaceuticals are a hazardous waste having chemical compositions which prevent them from being incinerated or disposed of through the ship's sewer system. Listing of such pharmaceuticals may vary from state to state. Handing Method 4 Employed by Member Lines: Dispose of other non-narcotic and non-listed pharmaceuticals through onboard incineration or landing ashore. F. Fluorescent And Mercury Vapor Lamp Bulbs: ICCL member lines have agreed to prevent the release of mercury into the environment from spent fluorescent and mercury vapor lamps by assuring proper recycling or by using other acceptable disposal. The recycling of fluorescent lights and high intensity discharge (HID) lamps is a proven technology capable of reliably recovering greater that 99 percent of the mercury in the spent lights. This is done by using a crush-and-sieve method. In this process, the spent tubes are first crushed and then sieved to separate the large particles from the mercury containing phosphor powder. The phosphor powder is collected and processed under intense heat and pressure. The mercury is volatized and then recovered by condensation. The glass particles are segregated and recycled into other products such as fiberglass. Aluminum components are also recycled separately. Storage and handling of used lights pose no compatibility problems; nevertheless, storage and shipment of the glass tubes is best done keeping the glass tubes intact. These items are classified as "Universal Waste"when they are shipped to a properly permitted recycling facility; as such,testing is not required. • Washington MOU DRAFT 18 Draft—2/17/04 Safety and Health • Fluorescent and Mercury Vapor lamps contain small amounts of mercury that could potentially be harmful to human health and the environment. To prevent human exposure and contamination of the environment,ICCL member lines have agreed that these lamps will be handled in an environmentally safe manner. Recycling of mercury from lamps and other mercury containing devices is the preferred handling method and is encouraged by various states. The recycling of fluorescent lights and HID lamps keeps potentially hazardous materials out of landfills, saves landfill space and reduces raw materials production needs. Handling Method Employed by Member Lines: Fluorescent and mercury vapor lamps are collected and recycled or landed for recycling or disposal in accordance with prevailing laws and regulations, G. Batteries: ICCL member lines have agreed to prevent the discharge of spent batteries into the marine environment. If not properly disposed of,spent batteries may constitute a hazardous waste stream. Most of the large batteries are on tenders and standby generators. Small batteries used in flashlights and other equipment and by passengers,account for the rest. There are four basic types of batteries used. Lead-acid batteries — These are used in tenders and standby generators. They are wet, rechargeable, and usually six-celled. They contain a sponge lead anode, lead dioxide cathode, and sulfuric acid electrolyte. The electrolyte is corrosive. These batteries require disposal as a hazardous waste,unless recycled or reclaimed. • Lead-acid batteries use sulfuric acid as an electrolyte. Battery acid is extremely corrosive, reactive and dangerous. Damaged batteries will be drained into an acid-proof container. A damaged and leaking battery is then placed in another acid-proof container, and both the electrolyte and the damaged battery placed in secure storage for proper disposal as a hazardous waste. Nickel-cadmium (NiCad) batteries — These are usually rechargeable, and contain wet or dry potassium hydroxide as electrolyte. The potassium hydroxide is corrosive and the cadmium is a characteristic hazardous waste. Therefore, NiCad batteries will be disposed of as hazardous waste,unless recycled or reclaimed. Lithium batteries — These are used as a power source for flashlights and portable electronic equipment. All lithium batteries will be disposed of as hazardous waste, or sent out for reclamation. Alkaline batteries — These are common flashlight batteries and are also used in many camera flash attachments, cassette recorders, etc. They should be recycled, properly disposed or reclaimed. Handling Method Employed by Member Lines: Spent batteries are collected and returned for recycling and/or disposal in accordance with prevailing regulations. Discarded batteries are isolated from the refuse waste stream to prevent • Washington MOU DRAFT 19 Draft—2/17/04 • potentially toxic materials from inappropriate disposal. The wet-cell battery-recycling program is kept separate from the dry battery collection process. Intact wet-cell batteries are sent back to the supplier. Dry-cell batteries are manifested to a licensed firm for recycling. H. Bilge and Oily Water Residues: ICCL member lines have agreed to meet or exceed the international requirements for removing oil from bilge and wastewater prior to discharge. The area of the ship at the very bottom of the hull is known as the bilge. The bilge is the area where water collects from various operational sources such as water lubricated shaft seals, propulsion system cooling, evaporators, and other machinery. All engine and machinery spaces also collect oil that leaks from machinery fittings and engine maintenance activities. In order to maintain ship stability and eliminate potential hazardous conditions from oil vapors in engine and machinery spaces,the bilge spaces should be periodically pumped dry. In discharging bilge and oily water residues, both international regulations (MARPOL) and United States regulations require that the oil content of the discharged effluent be less than 15 parts per million and that it not leave a visible sheen on the surface of the water. All ships are required to have equipment installed onboard that limits the discharge of oil into the oceans to 15 parts per million when a ship is en route and provided the ship is not in a special area where all discharge of oil is prohibited. Regulations also require that all oil or oil residues, which cannot be discharged in compliance with these regulations, be retained onboard or discharged to a reception facility. The equipment and processes implemented onboard cruise ships to comply with these requirements are complex and sophisticated. The term "en route" as utilized in MARPOL (73/78) Regulation 9(b) is taken to mean while the • vessel is underway. The U.S. Coast Guard has informed ICCL that it agrees with this meaning of"en route." In accordance with MARPOL (73/78)Regulation 20, ICCL member lines have agreed that every ship of 400 gross tons and above shall be provided with an oil record book which shall be completed on each occasion whenever any of numerous specified operations take place in the ship and that operations include: a. Ballasting or cleaning of fuel oil tanks, b. Discharge of dirty ballast or cleaning water from the fuel oil tanks above, c. Disposal of oily residues, d. And discharge of bilge water that accumulated in machinery spaces. Requirements regarding the keeping of an Oil Record Book as well as the form of the Oil Record Book are also found in MARPOL and in U.S. Coast Guard regulations(33CFR151). Handling Method Employed by Member Lines: Bilge and oily water residue are processed prior to discharge to remove oil residues, such that oil content of the effluent is less than 15 ppm as specified by MARPOL Annex 1. I. Glass, Cardboard, Aluminum and Steel Cans: ICCL member lines have agreed to eliminate, to the maximum extent possible, the disposal of MARPOL Annex V wastes into the marine environment. This will be accomplished through improved reuse and recycling opportunities. They have further agreed that no waste will be discharged into the marine environment unless it • Washington MOU DRAFT 20 Draft–2/17/04 • has been properly processed and can be discharged in accordance with MARPOL and other prevailing requirements. Management of shipboard generated waste is a challenging issue for all ships at sea. This is true for cruise vessels, other commercial vessels, military ships, fishing vessels and recreational boats. Waste products in earlier days were made from natural materials and were mostly biodegradable. Today's packaging of food and other products presents new challenges for waste management. A large cruise ship today can carry over three thousand passengers and crew. Each day, an average cruise passenger will generate two pounds of dry trash and dispose of two bottles and two cans. A strategy of source reduction,waste minimization and recycling has allowed the cruise industry to significantly reduce shipboard generated waste. To attain this, ICCL member lines have agreed to adopt a multifaceted strategy that begins with waste minimization to decrease waste from provisions brought onboard. This means purchasing in bulk, encouraging suppliers to utilize more efficient packaging, reusable packaging, and packaging materials that are more environmentally friendly—those that can be more easily disposed of or recycled. In fact, through this comprehensive strategy of source reduction,total waste on passenger vessels has been reduced by nearly half over the past ten years. Another important component of the industry's waste reduction strategy is product or packaging recycling. Glass,aluminum,other metals,paper,wood and cardboard are, in most cases,recycled. Handling Method Employed by Member Lines: MARPOL Annex V ship waste is minimized through purchasing practices,reuse and recycling programs, landing ashore and onboard incineration in approved shipboard incinerators. Any Annex V waste that is • discharged at sea will be done in strict accordance with MARPOL and any other prevailing requirements. J. Incinerator Ash: ICCL member lines have agreed to reduce the production of incinerator ash by minimizing the generation of waste and maximizing recycling opportunities, and that the discharge of incinerator ash containing hazardous components will be prevented through a program of waste segregation and periodic ash testing. Incinerator ash is not normally a hazardous waste. Through relatively straightforward waste management strategies, items that would cause the ash to be hazardous are separated from the waste stream and handled according to accepted hazardous waste protocols. In general, source segregation for waste streams is foundational for onboard waste management and is incorporated into the waste management manual required by MARPOL. Waste management for onboard waste streams include the following: source reduction, minimization, recycling, collection, processing and discharge ashore. This allows the incinerator to be used primarily for food waste, contaminated cardboard, some plastics, trash and wood. Member lines have agreed that incinerator ash will be tested at least once quarterly for the first year of operation to establish a baseline and that testing may then be conducted once a year. The member lines have further agreed that a recognized test procedure will be used to demonstrate that ash is not a hazardous waste. A recognized test procedure includes the following metals as indicators for toxicity- arsenic,barium, cadmium, chromium, lead, mercury, selenium, and silver. Special attention is placed on the removal of batteries from the incinerator waste stream. The use of incinerators saves landfill space and prevents the build up of material onboard that could become the breeding ground for insects, rodents and other vermin. • Washington MOU DRAFT 21 Draft—2/17/04 • Handling Method Employed by Member Lines: Proper hazardous waste management procedures are to be instituted onboard each ship to assure that waste products, which will result in a hazardous ash, are not introduced into the incinerator. Non- hazardous incinerator ash may be disposed of at sea in accordance with MARPOL Annex V. Ash identified as being hazardous is disposed of ashore in accordance with RCRA. K. Wastewater reclamation Because of the amounts of fresh water involved, and its restricted availability onboard ship (all fresh water must be either purchased or generated onboard), fresh water is a valuable commodity. Therefore, water management is extremely important and takes the form of both minimizing water usage and the potential reclamation and reuse of water for non-potable purposes. Many ICCL companies are researching new technology and piloting graywater treatment systems onboard their vessels. ICCL member operators also take numerous steps in onboard water management. Water management techniques include: a. Use of technical water(for example: air conditioning condensate)where possible. b. Use of water recovery systems (for example: filtering and reuse of laundry water— last rinse use for first wash). c. Reclamation and reuse as technical water (flushing toilets, laundry, open deck washing) of properly treated and filtered wastewaters. d. Active water conservation (for example: use of reduced flow showerheads, vacuum systems for toilets,vacuum food waste transportation and laundry equipment that utilizes • less water). L. Graywater: ICCL member lines have agreed to discharge graywater only while the ship is underway and proceeding at a speed of not less than 6 knots; that graywater will not be discharged in port and will not be discharged within 4 nautical miles from shore or such other distance as agreed to with authorities having jurisdiction or provided for by local law except in an emergency, or where geographically limited. The member lines have further agreed that the discharge of graywater will comply with all applicable laws and regulations. The term graywater is used on ships to refer to wastewater that is generally incidental to the operation of the ship. The International Maritime Organization (IMO) defines graywater as including drainage from dishwasher, shower, laundry, bath and washbasin drains. The US Clean Water Act (formally know as the Federal Water Pollution Control Act)includes galley, bath and shower water in its definition of graywater. The US regulations implementing this act do not include a further definition of gray water. However,the regulations do include a provision that exempts all of the wastewater included in the IMO definition and other discharges incidental to the operation of a ship from the Clean Water Act's permitting program (formally known as the National Pollution Discharge Elimination System (NPDES)program). Finally,the US Coast Guard regulations include provisions that essentially combine the two definitions from the IMO and the Clean Water Act. None of the definitions of graywater include blackwater (discussed below) or bilgewater from the machinery spaces. Recent U.S. Legislation places limits on the discharge of graywater in the Alaska Alexander Archipelago. Handling Method Employed by Member Lines: 110 Washington MOU DRAFT 22 Draft—2/17/04 Graywater is discharged only while ships are underway and proceeding at a speed of not less than 6 knots, • in recognition that dispersal of these discharges is desirable and that mixing of these waters, which are discharged approximately 10-14 feet below the surface, by the action of the propellers and the movement of the ship,provides the best dispersal available. M. Blackwater: Waste from toilets, urinals, medical sinks and other similar facilities is called "blackwater." ICCL members have agreed that all blackwater will be processed through a Marine Sanitation Device (MSD), certified in accordance with U.S. or international regulations, prior to discharge. Discharge will take place only when the ship is more than 4 miles from shore and when the ship is traveling at a speed of not less than 6 knots. N. Advanced Wastewater Purification Systems: To improve environmental performance, cruise lines are testing and installing wastewater purification systems that utilize advanced technologies. These onboard wastewater treatment systems are designed to result in effluent discharges that are of a high quality and purity; for example, meeting or surpassing standards for secondary and tertiary effluents and reclaimed water. Effluents meeting these high standards would not be subjected to the strict discharge limitations previously discussed. O. Training and Educational Materials Training is an important and ongoing part of every position and tasking onboard cruise ships. Not only is training necessary for the safe and economical operation of a ship, it is required by numerous international conventions and flag state regulations. The International Convention on Standards of Training Certification and Watchkeeping (STCW) for example, sets forth requirements for knowledge, experience and demonstrated competency for licensed officers of the deck and engineering departments • and for ratings forming part of a navigation or engineering watch. These detailed requirements address not only the navigation of the ship but also the proper operation of the shipboard machinery and knowledge of and ability to assure compliance with the environmental protection requirements of MARPOL and the safety regulations of The International Convention on Safety of Life at Sea(SOLAS). SOLAS also requires that the ship's training manual (which contents are prescribed by regulation) be placed in the crew messes and recreation rooms or in individual crew cabins. ICCL member lines have developed programs that raise the level of environmental awareness on the part of both the passengers and the crew. Each ship's crew receives training regarding shipboard safety and environmental procedures. Advanced training in shipboard safety and environmental management procedures is provided for those directly involved in these areas. Those directly responsible for processing wastes are given specific instruction in their duties and responsibilities and in the operation of the various equipment and waste management systems. Specific actions that our member lines have taken to train employees and increase passenger awareness include: a. Announcements over the public address system and notices in ship newsletters that caution against throwing any trash overboard, b. Signage and colorful posters placed in crew and passenger areas encouraging environmental awareness and protection, c. Safety and environmental information booklets in crew cabins and crew lounges, d. Regular meetings of ship safety and environmental committees consisting of officers and crew from all departments to review methods of improving performance, including better and more effective environmental practices. 411 Washington MOU DRAFT 23 Draft—2/17/04 STCW, SOLAS and the International Management Code for the Safe Operation of Ships and for Pollution Prevention (ISM Code) require that training be fully documented. Individual training is documented in each crewmember's file. Ship training exercises, such as fire drills and emergency response exercises, are documented in the appropriate ship's logs. All of these training documents are required to be available for oversight examination by both the ship's flag state inspectors and by port state authorities such as the United States Coast Guard. Placards warning of the prohibition of the discharge of oil are posted on all ships operating in the navigable waters of the United States as required by U.S. Coast Guard regulations (33CFR155.450). Additionally, as part of required shipboard waste management plans, both Coast Guard regulations (33CFR151.59) and MARPOL (Annex V Regulation 9) require the posting of placards that notify the passengers and the crew of the disposal requirements for garbage. These placards are to be written in the official language of the State whose flag the ship is entitled to fly and also in English or French if neither of these is the official language. Once again, oversight of compliance with these requirements is conducted by ISM audits and frequent inspections by flag states and the United States Coast Guard. The Safety of Life at Sea Convention mandates compliance with the ISM Code. This comprehensive Code requires that each vessel operating company and each vessel participate in a very strictly defined management program, under both internal and external audit and regulatory oversight, that sets forth detailed procedures for assuring compliance with safety, environmental protection, emergency response and training mandates. Equivalent equipment,practices and procedures ICCL member lines have agreed that the use of equivalent or other acceptable practices and procedures shall be communicated to ICCL. As appropriate, such practices and procedures shall be included as a revision to this document. As an example, when improved systems for treating blackwater and graywater are perfected, shown to meet the requirements for MSDs and accepted by appropriate authorities for the treatment of graywater, the new systems and associated technology will be included together with their impact on the current standard of discharging graywater only while underway. • Washington MOU DRAFT 24 Draft–2/17/04 • Appendix vi Title XIV — Certain Alaskan Cruise Ship Operations SEC. 1404. LIMITATIONS ON DISCHARGE OF TREATED SEWAGE OR GRAYWATER. (c) Until such time as the Administrator promulgates regulations under paragraph(b) of this section,treated sewage and graywater may be discharged from vessels subject to this Title in circumstances otherwise prohibited under paragraphs(a)(1)and(a)(2) of this section,provided that— (1) the discharge satisfies the minimum level of effluent quality specified in 40 CFR 133.102, as in effect on the date of enactment of this Section; (2) the geometric mean of the samples from the discharge during any 30-day period does not exceed 20 fecal coliform/100 ml and not more than 10%of the samples exceed 40 fecal coliform/100 ml; (3) concentrations of total residual chlorine may not exceed 10.011g/1; and, (4) prior to any such discharge occurring, the owner, operator or master, or other person in charge of a cruise vessel,can demonstrate test results from at least five samples representative of the effluent to be discharged,taken from the vessel on different days over a 30-day period, conducted in accordance with the guidelines promulgated by the 410/ Administrator in 40 CFR Part 136,which confirm that the water quality of the effluents proposed for discharge is in compliance with paragraphs(1), (2) and(3)of this subsection. To the extent not otherwise being done by the owner, operator, master or other person in charge of a cruise vessel pursuant to section 1406,the owner, operator, master or other person in charge of a cruise vessel shall demonstrate continued compliance through periodic sampling.Such sampling and test results shall be considered environmental compliance records that must be made available for inspection pursuant to section 1406 (d) of this Title. • Washington MOU DRAFT 25 Draft—2/17/04 411 Appendix vu Hazardous Waste Management This Appendix is to be used as guidance for hazardous waste discharged in Washington State waters or landed ashore in Washington. The following is a list of Resource Conservation Recovery Act(RCRA) and Washington State Criteria hazardous waste that may be found on cruise ships, and appropriate guidance for its discharge or offloading from the ship. Terms Hazardous Waste—Includes all hazardous waste as defined by RCRA and Chapter 173-303 of the Washington Administrative Code(WAC), where Washington State Criteria hazardous waste is defined. Publicly Owned Treatment Works (POTW) -Ecology's Hazardous Waste Toxics Reduction (HWTR)Program will acknowledge Advanced Wastewater Treatment Systems(AWTS) as a substitute for a POTW. Type 2 Marine Sanitation Devices(MSDs) are not considered a POTW for purposes of this MOU. WASTE STREAMS Antifreeze-Excluded as a hazardous waste if recycled. (WAC 173-303-522) . Aqueous Degreasing-If the resulting waste is hazardous it can be treated to remove the hazard and the resulting effluent can be sent to the AWTS or Oily Water Separator. If no treatment is performed it can be landed ashore for proper disposal. Batteries& Mercury Containing Thermostats-These are universal waste if sent for recycling. (Ecology Publication Number 98-407, Universal Waste Rule for Batteries and Mercury Containing Thermostats) Spent Lead Acid Batteries- Spent lead-acid batteries are conditionally excluded if recycled. (WAC 173-303-520) Cathode Ray Tubes (CRTs)-Excluded if recycled, otherwise are to be managed as a hazardous waste. (Ecology Publication Number 02-04-017, Interim Enforcement Policy Conditional Exclusion for Cathode Ray Tubes* and Related Electronic Wastes) Dry Cleaner—Perchloroethylene(PERC) and other chlorinated dry cleaning fluids, contaminated sludge and filter materials are hazardous waste and must be landed ashore in accordance with RCRA requirements. Florescent Tubes-Handling procedures for fluorescent tubes do not allow for crushing of the bulbs. (WAC 173-303-573 and Ecology Focus Sheet, Publication# 00-04-020,Universal Waste Rule for Dangerous Waste Lamps) 411 Washington MOU DRAFT 26 Draft—2/17/04 HVAC - CFC's or HCFC's are excluded as a hazardous waste if recycled. (WAC 173-303-506) • Filters from HVAC units that use Halogenated Organic Compounds (HOC's)as fire retardants would be a State Criteria hazardous waste and must be managed as such. Mercury Switches-Are a hazardous waste and must be managed as such. Painting-Discarded Paints & Cleanup Solvents. All spent paints and solvents must be properly designated and if hazardous waste, managed as such. PCB's -Regulated as a state hazardous waste if they come from transformers, capacitors and bushings if PCB's are from 2ppm to 50ppm. If PCB's are above 50 ppm they must be managed as a TSCA waste. (WAC 173-303-9940) Pharmaceuticals-Drugs that designate as RCRA waste, but that are not controlled substances must be sent ashore as hazardous waste. If the drug is a RCRA waste and a controlled substance, contact the US Drug Enforcement Agency(DEA) about suitable destruction methods and then manage the residue from destruction as a hazardous waste (disposal to water,regular garbage or incineration would be illegal). If the drug is not a RCRA waste, regardless whether it is a controlled substance or not, it can be incinerated on board or sent ashore for incineration at a facility permitted to incinerate municipal solid waste. (WAC 173-303-071(nn)) Photo Waste- Silver can be removed from fixer and the resulting effluent would be allowed to go to an advanced wastewater treatment system (AWTS), but not to graywater or to a Type 2 • MSD. If the fluids can not go to the AWTS,they must be landed ashore in accordance with RCRA requirements. (Ecology Publication 94-138R, A Guide For Photo Processors) Printer Wastes-Inks, solvents and rags, used for cleaning,will need to be properly designated, and if hazardous waste, managed as such. 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'd al oa, a) 0..0 v g O o N crl v O p" Ta S')" o2.,U vii v a.' o 0 w ° ,.g 2 Z u ccs . ,4 r4 G 0 Z ovz CO 0 -O < � a 0' O °' � 0 0 c � U . tO d 5 m U ); 03 9. Ccu bA o a, ¢ •^. C.) C.) aa) ani cma 4 o u 'ti a° CCi v aCi o ¢ a) 0 0 0 g 0 0 0 o L cn - -r, ,., v a CA , O z� °7 N co z za ,r)o 0 0 z 0 0 4 0 a) cf, toEn " o .4.. z 0 d ° 0 6 U) O .E p X bOA a0"i -C U vvVA '' M H o0 ca E2 '2 o h .. pA 5 p �, w N w Q 3 a,0 aa) S d bA— UU •C 0 d a aJ Q U 4' .5 ix > H 0 > cnaw Q . H-3646. 2 HOUSE BILL 2549 State of Washington 58th Legislature 2004 Regular Session By Representatives Dickerson, Cooper, Hunt, Rockefeller and Chase Read first time 01/15/2004 . Referred to Committee on Fisheries, Ecology & Parks . 1 AN ACT Relating to minimizing the environmental impacts of 2 commercial passenger vessels; amending RCW 90 . 48 . 160, 53. 08 . 080, 3 90 . 48 . 037, 90 . 48 . 120, 90 . 48 . 144, and 70 . 146 . 030; adding a new chapter `4 to Title 70 RCW; prescribing penalties; and providing an effective 5 date. 6 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON: 7 NEW SECTION. Sec. 1. The definitions in this section apply 8 throughout this chapter unless the context clearly requires otherwise. 9 (1) "Agent for service of process" means an agent upon whom 10 process, notice, or demand required or permitted by law to be served 11 upon the owner or operator may be served. 12 (2) "Biomedical waste" has the meaning provided in RCW 70 . 95K. 010 . 13 (3) "Commercial passenger vessel" means a vessel not owned by the 14 government of the United States or a foreign nation that is authorized 15 and capable of providing overnight accommodations for at least fifty 16 passengers for hire. 17 (4) "Department" means the department of ecology. 18 (5) "Discharge" means any release, however caused, from a • p. 1 HB 2549 1 commercial passenger vessel, and includes any escape, disposal, 2 spilling, leaking, pumping, emitting, or emptying. 3 (6) "Fee" means the environmental compliance fee established in • 4 section 7 of this act. 5 (7) "Graywater" means galley, dishwater, bath, laundry, and other 6 nonsewage wastewaters that are treated or untreated. The term includes 7 graywater that is stored in or transferred to a ballast tank or other 8 holding area on the vessel that may not be customarily used for storing 9 graywater. Mixtures of graywater and blackwater, regardless of 10 concentrations, shall be treated under this chapter as graywater. 11 (8) "Hazardous waste" has the same meaning given to both the terms 12 "hazardous substances" and "hazardous waste" in RCW 70 . 105 .010 . 13 (9) "Marine sanctuary" means any portion of the marine waters of 14 Washington that has been designated as a sanctuary by either the state 15 or federal government. 16 (10) "Marine waters of Washington" means the Puget Sound, the 17 Straight of Juan de Fuca from the Washington coast to the Canadian 18 border, and coastal waters out to three miles from the Washington 19 coast. 20 (11) "Oily bilge water" includes bilge water that contains used 21 lubrication oils, oil sludge and slops, fuel and oil sludge, used oil, 410 22 used fuel and fuel filters, and oily waste. 23 (12) "Passenger for hire" means vessel passengers that are required 24 to contribute some form of consideration as a condition of carriage on 25 the vessel, whether that consideration flows directly or indirectly to 26 the owner, charterer, operator, agent, or other person having an 27 interest in the vessel . 28 (13) "Puget Sound port" means a port located within the boundaries 29 of Puget Sound. 30 (14) "Sewage" means human body wastes and the wastes from toilets 31 and other receptacles intended to receive or retain human wastes . 32 (15) "Sewage sludge" has the meaning provided in RCW 70. 95. 030 . 33 (16) "Solid waste" has the meaning provided in RCW 70 . 95. 030. 34 (17) "Voyage" means a vessel trip to or from a Puget Sound port 35 with a majority of the passengers for hire completing the entire vessel 36 trip. A vessel trip that embarks and concludes from the same Puget 37 Sound port is considered to be a single voyage if a majority of the 38 passengers for hire completes the entire vessel trip. • HB 2549 p. 2 1 NEW SECTION. Sec. 2. (1) Before entering the waters of Puget 2 Sound, the owner or operator of each commercial passenger vessel that 4113 intends to operate, or cause to be operated, in Puget Sound must file 4 both an annual registration and a signed agreement with the department 5 consistent with this section. 6 (2) The owner or operator of a commercial passenger vessel that is 7 required to register with the department under this section must also 8 continuously maintain a designated agent for service of process 9 whenever a commercial passenger vessel of the owner or operator is in 10 the waters of Puget Sound. The agent must be an individual resident of 11 Washington, a domestic corporation, or a foreign corporation having a 12 place of business in Washington. 13 (3) Consistent with this section, the department shall develop 14 registration collection policies and registration forms which must, at 15 a minimum, include the following information: 16 (a) The name of the vessel owner' s business and, if different, the 17 name of the vessel operator's business for each commercial passenger 18 vessel of the owner or operator that is scheduled to be in the waters 19 of Puget Sound during that calendar year; 20 (b) The postal address, electronic mail address, telephone number, 4101 and facsimile number for the owner or operator's principal place of 22 business; 23 (c) The name and address of the agent for service of process 24 required under subsection (2) of this section; and 25 (d) The name and call sign of, and port of registry for, each of 26 the owner' s or operator's commercial passenger vessels that is 27 scheduled to either call upon a Puget Sound port or otherwise be in the 28 waters of Puget Sound during the calendar year. 29 (4) The department may not accept a registration form from an owner 30 or operator of a commercial passenger vessel under this section unless 31 the form is accompanied by a signed agreement by the owner or operator 32 to comply with the terms and conditions placed on vessel discharge by 33 this chapter, and any rules adopted under this chapter. 34 (5) An owner or operator failing to file both an annual 35 registration and signed agreement, under this section, is prohibited 36 from landing, docking, or otherwise calling on a Washington port until 37 both documents are filed with the department, except under emergency 111 p. 3 HB 2549 1 situations where landing at a Puget Sound port is necessary to protect 2 the safety of the commercial passenger vessel or its passengers or 3 crew. 4 (6) Registration forms developed by the department under this 5 section may be paper forms, electronic forms, or both. 6 NEW SECTION. Sec. 3. (1) Except as provided in sections 4 and 5 7 of this act, a person may not, regardless of intent, discharge sewage 8 sludge, oily bilge water, solid waste, biomedical waste, hazardous 9 waste, graywater, or untreated sewage from a commercial passenger 10 vessel into the marine waters of Washington. 11 (2) Except as provided in sections 4 and 5 of this act, a person 12 may not, regardless of intent, discharge treated sewage from a 13 commercial passenger vessel into the marine waters of Washington that 14 exceeds, at the point of discharge, the limits for suspended solids, 15 fecal coliform counts, and other discharge parameters established by 16 the department pursuant to section 11 of this act. Any discharge of 17 treated sewage from a commercial passenger vessel must be in compliance 18 with RCW 90. 48 . 160 . 19 (3) Except as provided in sections 4 and 5 of this act, a person 20 may not, regardless of intent, discharge any treated sewage from a 111 21 commercial passenger vessel that is located in or adjacent to a marine 22 sanctuary. 23 (4) The owner or operator of a commercial passenger vessel who 24 becomes aware of a discharge in violation of this section must 25 immediately report that discharge to the department. 26 NEW SECTION. Sec. 4. Section 3 of this act does not apply to 27 discharges made for the purpose of securing the safety of the 28 commercial passenger vessel or saving life at sea if all reasonable 29 precautions have been taken to prevent or minimize the discharge. 30 NEW SECTION. Sec. 5. The department may establish alternate terms 31 and conditions of vessel discharges applicable to an owner or operator 32 of a commercial passenger vessel who can not practicably comply with 33 the standard terms and conditions of vessel discharge established in 34 section 3 of this act, or who wishes to use or test alternative 411 HB 2549 p. 4 1 environmental protection equipment or procedures . The department may 2 set alternative terms and conditions on a case-by-case basis if: 4113 (1) The vessel owner and operator establishes to the department ' s 4 reasonable satisfaction that equivalent environmental protection can be 5 attained through other terms or conditions appropriate for the specific 6 configuration of the owner' s or operator' s vessel; 7 (2) The vessel owner or operator agrees to make necessary changes 8 to the vessel to allow it to comply with the standard terms and 9 conditions established in section 3 of this act, but demonstrates to 10 the department ' s reasonable satisfaction that additional time is needed 11 to make the necessary changes; or 12 (3) An experimental technology or method for pollution control of 13 a discharge is being used or is proposed as one of the alternative 14 terms and conditions of vessel discharges and the department determines 15 that the experimental technology or method has a reasonable likelihood 16 of success in providing increased protection for the environment. 17 NEW SECTION. Sec. 6. (1) The owner or operator of a commercial 18 passenger vessel must collect information in accordance with the 19 requirements of this section, maintain the records for three years 4100 after the information was gathered, and provide a report to the 21 department upon its request with copies and summaries of the records . 22 The report must also include details on the dates, times, locations, 23 the volumes or flow rates of any discharge of sewage or other 24 discharges into the marine waters of Washington, descriptions of the 25 sampling and testing procedures used, and other information requested 26 by the department. Reports submitted under this subsection must 27 include all testing done twenty-one or more days before the report 28 being requested by the department, and include copies of any reports 29 filed with the federal government that relate to the discharge of 30 sewage, graywater, or the offloading of hazardous waste within the 31 marine waters of Washington or at a Washington port. 32 (2) While a commercial passenger vessel is present in Puget Sound, 33 the owner or operator must collect routine samples of the vessel ' s 34 treated sewage and any other substance that is being discharged into 35 the marine waters of Washington with a sampling technique that has been 36 approved by the department before the sample is taken. The number of 37 samples required to be taken under this subsection is the greater of p. 5 HB 2549 1 either once every calendar month that the vessel is present in Puget 2 Sound, or the number required to be taken under applicable federal law • 3 or regulation. 4 (3) While a commercial passenger vessel is present in Puget Sound, 5 the department, or an independent contractor hired by the department, 6 may collect samples, in addition to the samples required under 7 subsection (2) of this section, of the vessel ' s treated sewage, and any 8 other substance from any other vessel source, that is being discharged 9 into the marine waters of the state. 10 (4) The owner or operator of a vessel that must collect samples 11 under subsection (2) of this section must have the samples tested to 12 measure fecal coliform, ammonia, residual chlorine, degree of acidity 13 or alkalinity, chemical oxygen demand, biochemical oxygen demand, total 14 suspended solids, and other parameters, including tests for substances 15 not traditionally associated with sewage, as required by the 16 department. The analytical testing method used must be approved by the 17 department before the test being conducted. 18 (5) The owner or operator of the vessel required to conduct 19 sampling under subsection (2) of this section must pay, or arrange for 20 payment, for all routine sampling and testing required under this 21 section. The department is responsible for paying for additional 411 22 sampling and testing carried out under the authority granted in 23 subsection (3) of this section. 24 (6) Nothing in this section relieves the owner or operator of a 25 commercial passenger vessel from other applicable reporting 26 requirements in state or federal law. 27 NEW SECTION. Sec. 7 . (1) Each commercial passenger vessel that 28 loads or unloads passengers for hire at a Puget Sound port shall be 29 assessed an environmental compliance fee for each voyage during which 30 the commercial passenger vessel operates in the marine waters of 31 Washington. The fee shall be paid to the department in accordance with 32 payment procedure policies developed by the department. 33 (2) A fee schedule, based on a per passenger for hire basis, must 34 be established in rule by the department. The schedule must ensure 35 that the fee is set at the minimum amount to reasonably cover the costs 36 to the department for the implementation of this chapter; however, in HB 2549 p. 6 1 no instance may the fee exceed one dollar and seventy-five cents per 2 passenger for hire per voyage. •3 (3) The fee collected under this section must be deposited into the 4 water quality account created in RCW 70 . 146 . 030 and used exclusively 5 for the administration of this chapter. 6 NEW SECTION. Sec. 8 . The department may engage in the following 7 activities relating to commercial passenger vessels operating in the 8 marine waters of the state: 9 (1) Directing in-water monitoring of discharges or releases of 10 sewage, graywater, bilge water, or any other discharges from commercial 11 passenger vessels; 12 (2) Monitoring and studying of direct or indirect environmental 13 effects; and 14 (3) Researching ways to reduce effects on marine waters and other 15 coastal resources . 16 NEW SECTION. Sec. 9. The department may engage in efforts to 17 encourage and recognize superior environmental protection efforts made 18 by the owners or operators of commercial passenger vessels that exceed 4109 the requirements of this chapter. 20 NEW SECTION. Sec. 10. The department shall assess penalties to a 21 person found to be in violation of this chapter consistent with RCW 22 90. 48 . 037, 90. 48 . 120, and 90 . 48 . 144 . The department may also refuse to 23 accept a registration application under section 2 of this act from an 24 owner or operator of a commercial passenger vessel found to have 25 committed multiple violations of this chapter. 26 NEW SECTION. Sec. 11. (1) The department may adopt rules, 27 pursuant to chapter 34 . 05 RCW, that are consistent with this chapter if 28 such rules are determined by the department to be necessary for the 29 administration of this chapter. 30 (2) The department must adopt rules, pursuant to chapter 34 . 05 RCW, 31 that establishes the suspended solids and fecal coliform counts for 32 sewage limits required to be satisfied in section 3 of this act. Rules 33 adopted under this subsection may be amended by the department, 34 pursuant to chapter 34 . 05 RCW, as deemed necessary by the department. • p. 7 HB 2549 1 (3) The department may, pursuant to chapter 34 . 05 RCW, establish 2 numeric or narrative standards for parameters other than suspended • 3 solids and fecal coliform that apply to sewage and other discharged 4 substances from commercial passenger vessels, even if the substances 5 that are the subject of the parameters are not traditionally associated 6 with sewage. In developing rules under this subsection, the department 7 must consider information on the environmental effects of the regulated 8 discharges, the materials and substances handled and generated on the 9 vessels, vessel movement effects, and the availability of new 10 technologies for wastewater. 11 (4) In developing rules under this section, the department should 12 seek to achieve consistency with the strictest vessel discharge 13 standards required by other jurisdictions in which commercial passenger 14 vessels visiting Puget Sound frequently travel when consistency is 15 practicable, scientifically defensible, and in accordance with the laws 16 of Washington. 17 NEW SECTION. Sec. 12 . This chapter shall not be construed as 18 repealing any of the laws governing the pollution of the waters of the 19 state, but shall be held and construed as ancillary to and 20 supplementing the same and an addition to the laws now in force. 21 NEW SECTION. Sec. 13. The department may cooperate with the 22 federal government and accept grants of federal funds for carrying out 23 this chapter. The department may make any application or report 24 required by an agency of the federal government as an incident to 25 receiving such grants . 26 NEW SECTION. Sec. 14 . The department may cooperate with 27 appropriate agencies of neighboring states and neighboring provinces, 28 enter into contracts, and make contributions toward interstate and 29 state-provincial projects to carry out this chapter. 30 Sec. 15. RCW 90. 48 . 160 and 1989 c 293 s 2 are each amended to read 31 as follows : 32 (1) Any person who conducts a commercial or industrial operation of 33 any type which results in the disposal of solid or liquid waste 34 material into the waters of the state, including commercial or • HB 2549 p. 8 1 industrial operators discharging solid or liquid waste material into 2 sewerage systems operated by municipalities or public entities which 4113 discharge into public waters of the state, shall procure a permit from 4 either the department or the ( (thcrmal powcr plant) ) energy facility 5 site evaluation council as provided in RCW 90 . 48 . 262 (2) before 6 disposing of such waste material ( ( : PROVIDED, That) )_ 7 (2) Nothing in this section shall ( (not) ) apply to any person 8 discharging domestic sewage only into a sewerage system. However, this 9 section does apply to the owner or operator of a commercial passenger 10 vessel when he or she is disposing of treated sewage in the marine 11 waters of Washington as allowed pursuant to section 3 of this act. For 12 this subsection only, any applicable terms have the same meaning as 13 assigned to those terms in section 1 of this act. 14 (3) The department may, through the adoption of rules, eliminate 15 the permit requirements for disposing of wastes into publicly operated 16 sewerage systems for: 17 ( ( (1) ) ) (a) Categories of or individual municipalities or public 18 corporations operating sewerage systems; or 19 ( ( (2) ) ) (b) Any category of waste disposer; 20 if the department determines such permit requirements are no longer 41,1 necessary for the effective implementation of this chapter. The 22 department may by rule eliminate the permit requirements for disposing 23 of wastes by upland finfish rearing facilities unless a permit is 24 required under the federal clean water act' s national pollutant 25 discharge elimination system. 26 Sec. 16. RCW 53. 08 .080 and 1989 c 298 s 2 are each amended to read 27 as follows : 28 (1) A district may lease all lands, wharves, docks and real and 29 personal property owned and controlled by it, for such purposes and 30 upon such terms as the port commission deems proper ( ( : PROVIDED, 31 That) ) . However, no lease shall be for a period longer than fifty 32 years with option for extensions for up to an additional thirty years, 33 except where the property involved is or is to be devoted to airport 34 purposes the port commission may lease said property for such period as 35 may equal the estimated useful life of such work or facilities, but not 36 to exceed seventy-five years ( ( : PROVIDED FURTHER, That) ) . Where the 37 property is held by the district under lease from the United States 411 p. 9 HB 2549 1 government or the state of Washington, or any agency or department 2 thereof, the port commission may sublease said property, with option 3 for extensions, up to the total term and extensions thereof permitted 110 4 by such lease, but in any event not to exceed ninety years . 5 (2) Leases or other agreements entered into by a district and the 6 owner or operator of a commercial passenger vessel, as that term is 7 defined in section 1 of this act, regardless of length or type of 8 facility, must contain provisions to ensure that the commercial 9 passenger vessel ' s permission to use the leased property or facility is 10 contingent on that vessel' s compliance with chapter 70 .--- RCW 11 (sections 1 through 14, 21, 22, and 24 of this act) . 12 Sec. 17 . RCW 90 . 48 . 037 and 1991 c 200 s 1102 are each amended to 13 read as follows : 14 The department, with the assistance of the attorney general, is 15 authorized to bring any appropriate action at law or in equity, 16 including action for injunctive relief, in the name of the people of 17 the state of Washington as may be necessary to carry out the provisions 18 of this chapter, chapter 70 .--- RCW (sections 1 through 14, 21, 22, and 19 24 of this act) , or chapter 90 .56 RCW. 111 20 Sec. 18. RCW 90 .48 . 120 and 1992 c 73 s 25 are each amended to read 21 as follows : 22 (1) Whenever, in the opinion of the department, any person shall 23 violate or creates a substantial potential to violate the provisions of 24 this chapter, chapter 70.--- RCW (sections 1 through 14, 21, 22, and 24 25 of this act) , or chapter 90. 56 RCW, or fails to control the polluting 26 content of waste discharged or to be discharged into any waters of the 27 state, the department shall notify such person of its determination by 28 registered mail. Such determination shall not constitute an order or 29 directive under RCW 43 .21B. 310. Within thirty days from the receipt of 30 notice of such determination, such person shall file with the 31 department a full report stating what steps have been and are being 32 taken to control such waste or pollution or to otherwise comply with 33 the determination of the department. Whereupon the department shall 34 issue such order or directive as it deems appropriate under the 35 circumstances, and shall notify such person thereof by registered mail. HB 2549 p. 10 1 (2) Whenever the department deems immediate action is necessary to 2 accomplish the purposes of this chapter, chapter 70 . --- RCW (sections •3 1 through 14, 21, 22, and 24 of this act) , or chapter 90 .56 RCW, it may 4 issue such order or directive, as appropriate under the circumstances, 5 without first issuing a notice or determination pursuant to subsection 6 (1) of this section. An order or directive issued pursuant to this 7 subsection shall be served by registered mail or personally upon any 8 person to whom it is directed, or to the agent for service of process, 9 as that term is defined in section 1 of this act. 10 Sec. 19. RCW 90 . 48 . 144 and 1995 c 403 s 636 are each amended to 11 read as follows : 12 Except as provided in RCW 43 . 05. 060 through 43. 05. 080 and 13 43 . 05. 150, every person who: 14 (1) Violates the terms or conditions of a waste discharge permit 15 issued pursuant to RCW 90 . 48 . 180 or 90. 48 .260 through 90. 48 .262, or 16 (2) Conducts a commercial or industrial operation or other point 17 source discharge operation without a waste discharge permit as required 18 by RCW 90 . 48 . 160 or 90 . 48 .260 through 90 . 48 . 262, or 19 (3) Violates the provisions of RCW 90 . 48 . 080, or other sections of 1100 this chapter, chapter 70.--- RCW (sections 1 through 14, 21, 22, and 24 21 of this act) , or chapter 90.56 RCW or rules or orders adopted or issued 22 pursuant to ( (cithcr of) ) those chapters, shall incur, in addition to 23 any other penalty as provided by law, a penalty in an amount of up to 24 ten thousand dollars a day for every such violation, except that 25 violations of chapter 70 .--- RCW (sections 1 through 14, 21, 22, and 24 26 of this act) may be penalized in an amount up to twenty-five thousand 27 dollars for each violation. Each and every such violation shall be a 28 separate and distinct offense, and in case of a continuing violation, 29 every day's continuance shall be and be deemed to be a separate and 30 distinct violation. Every act of commission or omission which 31 procures, aids or abets in the violation shall be considered a 32 violation under the provisions of this section and subject to the 33 penalty herein provided for. The penalty amount shall be set in 34 consideration of the previous history of the violator and the severity 35 of the violation' s impact on public health and/or the environment in 36 addition to other relevant factors. The penalty herein provided for !II p. 11 HB 2549 1 shall be imposed pursuant to the procedures set forth in RCW 2 43 .21B. 300 . 3 Sec. 20 . RCW 70 . 146 . 030 and 2003 1st sp.s . c 25 s 934 are each 4 amended to read as follows : 5 (1) The water quality account is hereby created in the state 6 treasury. Moneys in the account may be used only in a manner 7 consistent with this chapter. Moneys deposited in the account shall be 8 administered by the department of ecology and shall be subject to 9 legislative appropriation. Moneys placed in the account shall include 10 tax receipts as provided in RCW 82 .24 . 027, 82 .26. 025, and 82 .32 . 390, 11 principal and interest from the repayment of any loans granted pursuant 12 to this chapter, and any other moneys appropriated to the account by 13 the legislature. 14 (2) The department may use or permit the use of any moneys in the 15 account to make grants or loans to public bodies, including grants to 16 public bodies as cost-sharing moneys in any case where federal, local, 17 or other funds are made available on a cost-sharing basis, for water 18 pollution control facilities and activities, or for purposes of 19 assisting a public body to obtain an ownership interest in water 20 pollution control facilities and/or to defray a part of the payments 0 21 made by a public body to a service provider under a service agreement 22 entered into pursuant to RCW 70 . 150 . 060, within the purposes of this 23 chapter and for related administrative expenses . For the period July 24 1, 2003, to June 30, 2005, moneys in the account may be used to process 25 applications received by the department that seek to make changes to or 26 transfer existing water rights and for grants and technical assistance 27 to public bodies for watershed planning under chapter 90 . 82 RCW. No 28 more than three percent of the moneys deposited in the account may be 29 used by the department to pay for the administration of the grant and 30 loan program authorized by this chapter. 31 (3) Beginning with the biennium ending June 30, 1997, the 32 department shall present a biennial progress report on the use of 33 moneys from the account to the chairs of the senate committee on ways 34 and means and the house of representatives committee on appropriations . 35 The first report is due June 30, 1996, and the report for each 36 succeeding biennium is due December 31 of the odd-numbered year. The 411 HB 2549 p. 12 1 report shall consist of a list of each recipient, project description, 2 and amount of the grant, loan, or both. 41)3 (4) Environmental compliance fees collected pursuant to section 7 4 of this act must be deposited into the account and used exclusively for 5 the department' s costs in administering chapter 70 .--- RCW (sections 1 6 through 14, 21, 22, and 24 of this act) . 7 NEW SECTION. Sec. 21. If the department determines that a federal 8 agency must be petitioned in order for any element of this chapter to 9 take effect, the department may, consistent with 33 U. S.C. Sec. 10 1322 (f) (4) (a) , or any other applicable federal law, apply to the 11 federal government to prohibit the discharge of any sewage, graywater, 12 bilge water, or any other substance from a commercial passenger vessel 13 into the waters of Puget Sound. 14 NEW SECTION. Sec. 22 . If any provision of this act or its 15 application to any person or circumstance is held invalid, the 16 remainder of the act or the application of the provision to other 17 persons or circumstances is not affected. 410-8 NEW SECTION. Sec. 23. Sections 1 through 14, 21, 22, and 24 of 19 this act constitute a new chapter in Title 70 RCW. 20 NEW SECTION. Sec. 24. This act takes effect January 1, 2005. --- END --- • p. 13 HB 2549 Donna Marvin Subject: EVALUATIONS -SCHEDULE KELLIE, JANE & LARRY 1/WEEK STARTING MAY 1 (SEE NOTES BELOW) (EMAIL FORMS IN ADVANCE) Due Date: Friday, March 12, 2004 Status: Not Started Percent Complete: 0% Total Work: 0 hours Actual Work: 0 hours Owner: Donna Marvin P-PUBLIC FORM - PERFORMANCE REVIEW- FILL OUT IN ADVANCE SCHEDULED LAST EVAL VERONICA 3/15 10:00 9/99 JULIA 3/23 1:00 5/01 HEIDI 3/30 1:00 2/03 DICK 4/21 10:00 3/03 LISA 4/26 1:00 6/99 SCHEDULE THESE BEGINNING 1ST WEEK IN MAY KELLIE 5/01 JANE 9/02 LARRY NONE i 1 • Board of Health New Business Agenda Item # V., 2 • Jefferson Syringe Exchange Program March 18, 2004 • f4'oN-`t...../ , off\ Jefferson County Health and Human Services ` 615 Sheridan Street iy- ' 1 Port Townsend, WA 98368 ��s$rric'° Tel 360-385-9400, Fax 360-385-9401 March 11, 2004 To: Jefferson County Board of Health From: Tom Locke, MD, MPH, Jefferson County Health Officer Re: Jefferson Syringe Exchange Program Almost 4 years ago the Jefferson County Board of Health authorized implementation of a syringe exchange program in Jefferson County. The Clallam County Board of Health authorized a companion program at the same time. The goals of the program were to: 1)reduce transmission of HIV, Hepatitis B and C, and other bloodborne infections, 2)reduce the public safety hazard associated with haphazard disposal of needles by intravenous drug users (IDU), and 3)provide preventive education, referral information, and treatment incentives to IDU. As reported to the Board in February, the syringe exchange program has grown steadily since its •litiation in 2000. Needles exchanged during 2003 totaled 9,222. The primary program goal of reducing communicable disease transmission(by reducing needle sharing and accidental needle sticks) is being achieved. The predominant method of exchange of syringes in Jefferson County is by "secondary exchangers"—individuals who collect needles from multiple IDUs and bring them to the Health Department for exchange. While this serves the goal of reducing the number of contaminated needles in circulation, it does not maximize the one-on-one contact with public health workers that is necessary to provide optimal risk reduction and treatment information. The Jefferson Syringe Exchange Program is supported by State HIV prevention funding. For this years funding cycle we have requested that HIV prevention funding also be used for an Immunization Incentive Program. This program would offer vaccination for Hepatitis A, Hepatitis B, Tetanus, and Diphtheria(depending on client need), provide Hepatitis C antibody testing, and continue counseling and testing for HIV. Expected outcomes of this new program initiative include an increase in individual IDUs using syringe exchange program services, receiving drug treatment referrals, greater awareness of chronic Hepatitis C infection, and increased testing for HIV infection among high risk populations. Syringe exchange programs remain an important part of interlocking public health strategies to reduce transmission of life threatening diseases. We are hopeful that this new program initiative will expand the effectiveness of Jefferson County's efforts to respond to this serious public health threat. • \ t \\\c \> c \\\'' \\t\\\\ > rm rD��� G_)s�(n Cle O m�(�C�mD 1 5 mNc m,g,,>,7,17;,,,, xNF c Via^< m <3 mcS. mof 2 m� �' o amm � N y�°cvN�x o � >• '< y O y OR N' @-0 o m F.Ttj 7 m J m 5 N N = rD u) 5-2 ,312.,_ o. ocom od�g ��aN `omNo Oc1cO y "mNN-, >mrRa.< y mugs po yzoN ^.zcm c �� 7 c.. lD Ci O.N..^N c 2 O m 7,' N O' �1 _R 2H_ Z O gFoS ocdv>N m-Na'-'m F `"_ Ndym 301 � 7 �(om o� yNS ay ?� N F Foot, voi, < Iq 3� 3 � N g �o �N m y m • a IRi=il 1Do- O ? 9 =22 ,7..8'F� mm oo. N 2 a o ((n Ir ,(41-5Z c 'N 3 m 5 3 ,N.'c £f ca.N N F N /'� �� 40'N C C O ` m a W la '4 N'O N N m �U l� D m D e 77 ;o .' m oo"� w g. m (n Z0) N °10 ? a PiZ ^''° 2< ° n)r : oD ° N Z g a a g my w 111 m I N' N ° - e = m O CO mS. IO —I ; O �- N 5. O. rn c,\ 0 \s.\d cn \\' \s.\=0 \�\<,\ o 50.w-I mzgw0.4 moog ,nod vo-o cn-oT o z mNEE Gm2.-Ea< o Oy.dW,o .dm9 p yoym�°m E , • 3mJO . W N Np O gyOE , 3mcoC . W .�oomas3o O � o g.N (n3 - c� - opNN:�.? CC CW --o m�--g�CCcv SSV N NCOmmN 'cNSScn N TZ > 6 n3 moyC :() 3- ii.mam Q5','Q8J(1FgN30 OJCmO•c7JN. . NC =Oo� mma8vy��wJ O:.;m mS- ° - ON : N OatNmr ,A pm : y a' 6 m D m cl aN aomPa4.c 3 N 5-- - N m O mi . 0a N 0 -{ ON Nm a1 N N.<N T ,p CD a .. 0 _ mNN 2,11i. TN 0nerN rn N� nO aN 9;5'V ,/ N = >" Nm _ ,m� o'sa0 5-3 m S. .. 0 F m ` N m m mz Ts' UI O M T O m XI m T m ;a (5 X R. 9= 5 ( l(( w2d A 1 111Hell Qo crn Q k----_-/-/---/N_____/ toa_1,0 0.,_....» W 0 w HI'✓Prevention&Education Page 1 of 3 HIV Intervention Plan View Program Title: • 04 Jefferson Syringe Exchange Begin Date: 1/1/2004 End Date: 12/31/2004 Plan Cancelled Date: Agency Name: Jefferson County Health Dept Counties Served: Regions: Jefferson Region 6 Primary Population IDU Risk Transmission Categories Behavioral Risk Sharing Needles Unprotected Anal Intercourse Unprotected Sex (UPS) Intervention Type Street and Community Outreach Intervention Study Name or Justification for Intervention: Evidence-Based Findings on the Efficacy of Syringe Exchange Programs An Analysis from the Assistant Secretary for Health and Surgeon General of the Scientific Research Completed Since April 1998 (hivinsite.ucsf.edu/topics/needle_exchange/3098.0021.html#sum) Is the primary population consistent with those prioritized in the regional HIV Prevention Plan? • 6 7 Yes ❑ No Is the intervention type consistent with those prioritized as effective for the population in the regional HIV Prevention Plan? 0 Yes ❑ No Intervention The goal of the SEP is to reduce exposure to HIV among IDUs Description and their sex partners. This will be achieved by providing access to safe injecting equipment including syringes, ties, cookers, cottons, band-aids, water, condoms, lube, educational materials and outreach contacts. Health Department personnel will staff SEP clinics. Regular SEP hours at the Jefferson County Health Department are Mondays 10:00-12:00 and Thursdays 3 :00-4 :30. Additional times are available based on pre-arrangement with staff. SEP clinics will provide a minimum of 3.5 weekly hours of syringe exchange reaching 25 contacts annually.SEP clinics will also provide weekly outreach at the SEP, reaching at least 10 contacts annually. Outreach activities to include safe injection practices including blood-borne pathogen risk reduction methods and education.The SEP provides 1-for-1 exchange and no fees are charged for SEP services. Limited use of Hepatitis A&B vaccine will be used as incentives to increase participation of IDU in the exchange. Settings Active outreach Fixed site (tabling,van) • Program Evaluation Time Series Evaluation: number of syringes exchanged during funding cycle • Specific Process Objectives/Activities • http://www3.doh.wa.gov/share/Intervention Plan/InterventionPlan View 02.asp?plid=1319 3/9/04 HIV Prevention &Education Page 2 of 3 Process Objective: Begin Date: End Date: Provide a minimum of 3 .5 weekly hours 1/1/2004 12/31/2004 of syringe exchange reaching 25 duplicated contacts annually. • Provide weekly outreach at the SEP, 1/1/2004 12/31/2004 reaching at least 10 duplicated contacts annually. Provide Hepatitis A&B vaccine to 10 1/1/2004 12/31/2004 IDU's Will any new materials be produced by this intervention that require review as stipulated by the CDC? ❑Yes 0 N Risk Transmission Categories Total General population (risk unknown) 0 Heterosexual 0 HIV-Infected Persons-2004 0 IDU 35 MSM 0 MSM/IDU 0 Pregnant women with/at risk for HIV 0 TOTAL A 35 Demographics <=19 20-29 30+ Total 111/1 Ethnicity Male Female Trans Male Female Trans Male Female Trans Hispanic or Latino 0 0 0 0 0 0 0 0 0 0 Not Hispanic or Latino 3 3 0 8 8 0 6 7 0 35 Total B 3 3 0 8 8 0 6 7 0 35 Demographics <=19 20-29 30+ Total Race Male Female Trans Male Female Trans Male Female Trans American Indian/Alaskan Native 0 0 0 0 0 0 0 0 0 0 Asian 0 0 0 0 0 0 0 0 0 0 Black or African American 0 0 0 0 0 0 0 0 0 0 Native Hawaiian or Other Pacific Islander 0 0 0 0 0 0 0 0 0 0 White 2 3 0 7 8 0 5 7 0 3 2 More than One Race 1 0 0 1 0 0 1 0 0 3 TOTALC 3 3 0 8 8 0 6 7 0 35 Local Data Fields Description Target # Increase the number of new IDUs utilizing SEP 5 services in 2004. Increase the number of SEP IDUs receiving HIV 5 11111 Counseling & Testing in 2004. Increase the number of SEP IDUs who are aware 5 of Hep C status in 2004 Serve IDU in non-East Jefferson County ZIP Code 1 http://www3.doh.wa.gov/share/Intervention_Plan/Intervention_Plan_View_02 asp?plid=1 3 1 9 3/9/04 HIV Prevention&Education Page 3 of 3 Serve IDU's in All Other Jefferson County ZIP 10 Codes Serve IDU's in ZIP Code 98368 10 Name of Worker(s) Kellie Ragan assigned to this intervention: Volunteers: Resources for this $0 DOH Grant Federal Prevention dollars intervention ONLY: $12,271 State prevention dollars: so% Hisk Risk $0 Other (incl. CDC Direct): Plan Change Log 2/2/2004 - Local Data Fields were added -EYM 12/11/2003 - 12/11/2003- Plan revised due to review- EYM 10/16/2003 - 10/16/2004- Plan revised due to Review -EYM Reviewed by: AIDSNET Coordinator 7/9/2003 State 8/18/2003 Sent to Region 8/22/2003 State Confirm Date 12/24/2003 return to top S • http://www3.doh.wa.gov/share/Intervention Plan/Intervention Plan View 02.asp?plid=1319 3/9/04 i • 2004 Immunization Incentive Program JCHHS Syringe Exchange Program (SEP) Proposal JCHHS requests authorization to apply $1,980.00 of its 2004 AIDSNET funds to pilot the Immunization Incentive Project (IIP). Background The total number of syringes exchanged in Jefferson County has grown exponentially since its inception in September 2000. Clinic utilization primarily occurs through secondary exchange (one individual exchanging on behalf of other IDUs), however the number of new clients utilizing SEP services does not reflect exponential growth. (For additional information see attached SEP Utilization report). Rationale Incentive programs can have a dramatic effect in clinic utilization as evidenced by Clallam County's 2002 Hepatitis Vaccine Incentive Program. To provide more comprehensive services the IDU population in Jefferson County, JCHHS proposes a similar incentive program. IDUs are at increased risk of the blood borne pathogens HIV, Hepatitis B and Hepatitis C and increased risk of IDU-associated tetanus. Goals • Decrease the blood borne pathogen exposure among IDUs in Jefferson County Outcomes • Increase the number of new IDUs utilizing SEP services by 25% in 2004 • Increase the number of IDUs receiving HIV Counseling & Testing through the SEP by 25% in 2004 • Increase the number of IDUs who receive drug treatment and health care and social service referrals through the SEP by 25% • Develop a baseline of IDUs who are aware of Hep C status Outputs • number of new IDUs utilizing SEP services • number of IDUs receiving HIV Counseling &Testing • number of IDUs receiving Hep A & B and Tetanus/diphtheria vaccine • number of IDUs who receive drug treatment and health care and social service referrals • number of IDUs who are aware of Hep C status Activities (estimated number to be served =10 people) • Provide Hepatitis A & B Vaccine (based on client self-report)from the following options Twinrix (combined Hep A and B)vaccine, Hep B vaccine or Hep A vaccine • Provide Tetanus/diphtheria vaccine (based on client self-report) • Provide HIV C &T • Provide Hep C antibody screening. • e t Peninsula Syringe Exchange • In 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 IP 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 ' 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, 4 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 I I Number of ainic Attendees —a—Number of Syringe Exchanged 70 — fi3 — 10,000 N u_ 60 9,222 — 8,000 a► •� a 50 — 41 .c .0 c43 40 — — 6,000 y 13 2 a r 30 — — 4,000 m x E a 20 T 14 16 06 c w z 10 — 6 : 000 E 0II • 2000 2001 2002 2003 'represents duplicate attendees Source:SHARE Reporting System Washington State Department of Health JCHHS Syringe Exchange Data Form Circle responses and provide numeric data where applicable 1. Date Time Staff • 2. Zip Code of Residence 3. How many times was each syringe used? (average) 4. Exchanger Status: N -New R- Returning 5. Secondary Exchange: Yes No #pp_(include self) 6. Gender: F– Female M –Male 7. Age: <20 yrs 20-29 yrs 30+yrs 8: Risk Transmission Categories: 9. Race: GP—General Population Al/AN –American Indian/Alaskan Native HET—Heterosexual A/PI–Asian/Pacific Islander IDU— Injection Drug user B–Black or African American (non-Hispanic) MSM—Men Who Have Sex w/Men NH—Native Hawaiian or Other pacific Islander MSM/IDU—Men Who Have Sex w/Men, IDU W–White PREG—Pregnant Women with/at risk for HIV M–More than one Race) 10: Ethnicity: HIS–Hispanic or Latino N/HIS—Not Hispanic or Latino 11.Materials distributed: (Please include actual number of materials distributed) Syringes Band Aids Educational Materials (include all paper info) Alcohol Preps Condoms/Barriers Prevention Kits Water Antibiotic Ointment Cookers Sharps Containers Other: Antiseptic Wipes Cottons Tourniquets • 12. Referral Information: 1) Circle all referrals provided 2) Identify intensity(L-low, M-med, H-high) _A/D–Alcohol/Drug Tx. _HIV CS–Client Services TB–TB screening/tx. D–Dental _HIV CT–HIV Counseling & Testing _P–Parenting _CSO–DSHS _HS–Health Services (MASH, FP, ER) _Other: DV–Domestic Violence MH–Mental health _FCS–Food/Clothing/Shelter _STD–STD screening/tx. 13. Referral Outcome: Referral Type(s) (from list above) Client follow-Up Yes No 14. (✓) Provided Outreach Education (face-to-face education re: safe injecting practices, vein care, blood borne pathogens, risk reduction methods and education). 15. Immunization Incentive Program (IIP) (A-Accepted D–Declined E-enrolled ) HIV C &T A D E HEP C Antibody testing A D E Hep C Status + DK Tetanus Vaccine A D E Hep A& B Vaccine A D E IIP Participant A D E Other Notes • JCHHS Syringe Exchange Data Form 03-09-04b • Board of Health New Business Agenda Item # V., 3 • West Nile Virus: National Lessons Learned & Planning Efforts 2004 March 18, 2004 • CDC: West Nile Virus - Surveillance and Control of West Nile Virus - CDC Division of Vector-... Page 1 of 1 West Nile Virus in the United States as of March 10, 2004* Indicates human disease case(5). ha Avian,animal,or mosquito infections. 4 4 WA MT ND4111111k ©VT ?. OR (222) (617) MN ID SD (148) WI , NY NH (1) WY (1039) (17) x'11 (70) (.375) IA (19) MAIM NV NE (147) OH PA(247) X1-44? IL IN CA (2) UT CO P10 (54) (47){,10t �1 VA RI (3) (1) (2477) KS(2 ) (64) KY(14) {2. ;i ` CT TN(26) NC(24) AZNM OK(79) AR SCr,E�t NJ ('20_) (25) MS AL GA TX LA (37) (33) (50) DE al AK (706) (123)_, MD MI -,, FL 93, DC WV 4. HI likrrently, WNV maps are updated regularly to reflect surveillance reports released by state and local health departments to the CDC Arbonet system for public distribution. Map shows the distribution of avian, animal, or mosquito infection occurring during 2003 with number of human cases if any, by state. If West Nile virus infection is reported to CDC Arbonet in any area of a state, that entire state is shaded accordingly. Data table: Indicates cases reported to CDC Arbonet for public distribution of avian, animal or mosquito infection reported as of March 10, 2004 include: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, Wisconsin and Wyoming. 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'''' '4,‘, ' ,‘,10: .4'''''''''''''44.AILI.Sa''''.........''.,'t:i....1.6-2,7 ,..!ii,..-el,..1 Si a ._ K,e .� 0 K ' .gym . : a { eft) cs.7 n • Board of Health New Business Agenda Item # V., 5 � Proposed Meeting: Jefferson County Board of Health & Port Townsend City Council • ta I Financing Pub tic Health: Investment that Works for Better Health Solutions Public health protection is an essential government Inconsistent levels of investment function, like police or fire protection.Yet financing One of the most difficult problems in the public of the public health system is perched on the brink health financing realm is the lack of consistency of crisis,reflecting the tough issues that plague across counties.Washington's 34 independent local other aspects of state and local government. boards of health govern local funding decisions, so . it is possible for significant reductions to accrue The financing picture for public health is complex. without anyone seeing the whole picture.There is 3 Different agencies,programs, and revenue sources no local minimum level of investment for public are involved at local, state, and federal levels. All of health,a situation that leads to great disparities over them work on different funding cycles.The corn- time. In 2001, county tax support ranged from 94 a plexity makes it difficult to sort out problems and cents to $26.05 per person per year.While the propose solutions.The PHIP Finance Committee amount invested locally depends on many factors has studied four key problem areas: (overall county revenues, past levels of spending, Historical, persistent underfunding decisions about fees, participation by cities within a The National Conference of State Legislatures county),the sheer size of this disparity indicates that describes state public health budgets as "minus- cule" compared with government spending for ' ` individual health care.They attribute this in part Y ' t is� to the fact that health care spending is almost rhe ° � ` exclusively linked to entitlements,while public s ' 4,^,i',,, health spending is not.Without dedicated resources,public health is vulnerable in every - � w budget cycle. i � �� ,'''-it' - ` � When the 1994 and 1996 PHIPs committed r� �Washington State to a goal of"stable and suffi- A� � � ,� � � cient"funding for public health, it was with the understanding that the current system wasn't l Atl working.The Legislature directed local and state a health officials to write standards for public , �, , ,, ,. 4 -a... i health and determine the costs of adequate services.The reports concluded that the system "We have worked on achieving was affected by very serious underfunding.This stable and sufficient funding of was confirmed by the Public Health Finance Committee's activities during the past few years. public health in Washington for Its analysis suggests that today's public health more than a decade. This effort is system has only about a third of the resources it more important than ever in the needs to carry out basic public health functions. wake of chronic underfunding in Erosion of core funding recent years." Support for core public health services began to 23 decline during the 1970s, when the state repealed —Finance Committee Co-chair Tim Y dedicated funding for public health services. (See McDonald (Health Director, Island ',,_. box, next page.) County Health Department) ,:::1'.,',:;,_:;:t:e:,:::!o1:.',..L:s.lt:,,.:,',::;:'t.,:,,;,,,:;:,:4:,1'1,:tv,. ,i,;„,'.k'o' ,^6 R; • The Erosion of Public Health Funding in Washington }. 1976:The Washington Legislature repeals dedication of a 21-cent local property tax to public health. City and county financing is now subject to local decision-making,and a wide variation in funding and service levels develops in the ensuing years. .. 1993:Anticipating support from the Motor Vehicle Excise Tax (MVET), cities are released from funding public health,to take effect in 1996. 1996:The MVET for public health takes effect,but this source provides$7 million less in funding than would city contributions. Health departments are held to historical local funding amounts, so a wide variation in support is sustained. ` 2000:MVET funding is repealed,just as this revenue source—through inflation growth— t approaches the 1995 funding levels. M ,,,,,,,,,,.:;::::,..,:it::,:' 2001:The Legislature restores or "backfills" MVET,but at 90%, so resources drop by more than $2.5 million a year. 2002: MVET for public health is scheduled to be dropped from budgets beginning July 1, 2003. 'c, This would leave a$26 million shortfall for local health departments, a single reduction of 8%in a year when many other funding reductions are anticipated in local,state,and federal programs. ...,-. ----i not all Washington residents receive the same level and diverse funding methods that direct resources of public health protection. into state and local public health activities.This work,reported in detail in the 2000 PHIP, revealed • Categorical constraints where current financing methods had gone awry. The funding provided from state and federal „,-,,* .,- .........,....r.... .'.=.,,.. The committee also set forth a set of principles to sources nearly always carries strict categorical guide an improved system. In the past year, it has restrictions for use in special programs.The spec- focused on identifying funding methods that would trum of programs ranges from clean water to HIV/ balance spending with system accountability, AIDS prevention.Taken alone, each special pro- efficiency,and performance. gram seems very important.The problem occurs when many special programs are laid onto an The Finance Committee's work is challenging some agency already struggling with lack of funding for of the basic assumptions about funding the public core services or basic infrastructure.The result is a health system. For example, if funds are reduced, patchwork of unrelated public health efforts and no how is the shared state-local responsibility for public flexibility to use resources, in a common-sense way, health affected?Which basic services should be to fill in the missing pieces at the community level. One source of state funds,called Local Capacity ® + '. .p Development Funding (LCDF),is an exception to ' the categorical fund problem.The state provided these resources to local public health agencies at the inception of PHIP work in the mid-1990s. Local °” '° rtf4!�. " ?4r L health officials have continually cited LCDF as their a e?$ a most valued state funds.While the size of the fund f ' ' ilO ,� a ��� i fi .e � is relatively small ($15 million), the agencies have - ��.; 2q flexibility in their use of the money to meet local a'W• ll41; *s '"• *o o'`,*111.« f . _ needs. " �, _ I 1 ,:, Ery ' t.. mlf 41) The PHIP Finance Committee has sorted through a ,; * �z 3 ,;�„ complicated array of grants, categorical restrictions, "' ' Calculating the Cost of Providing Public Health Services The cost model generates calculations that reveal 4t..qm.;•;iO4tri$1,1%$;.,,v;, ,i'•• r-ti:ia,, .teL44eN0 starkly how much public q _ health's declining '$ ® revenue base has eroded ;`� � �� � t�ro : ��s '= the system's ability to •,", � 1-�. . , perform public health functions. Statewide,the public health system's ks $507 million annual Labor cos - •Number of F w F'au tt expenditure for basic { -servicet„i 4�$$� Ys'- z fir, : - a , Ioku,t.40.,..,, services amounts to only about a third of whatthe , , Vis, ° services list and cost i.,, model predict the state „„„.;;;,=.1.64,,A. should be spending. The committee's future work will be to refine Celt' -- ®, and scale the cost model so that it works well for _' statewide services and for 1744:),.'11-1,;':;i1:,.'\-t!'-'511,1-me,,,,,,,.„ sub-populations include share of elderly, people with disabilities, all health jurisdictions, people with chronic conditions,etc. - **based on Employment Security ,data,regionally adjusted regardless of size. It will 4 also spell out opportuni- m ties for efficiency and maintained?Which categorical services should be joint ventures among partners in the system.And ; Bo ';';,:i';0•? • Recommendations for 2003-2005 v 1. Establish a public health financing system that Health in Washington State to reveal areas of provides stable and sufficient fundingallo- " weakness that may need greater investment. cated consistently throughout the state. Over time, the cost model must expand to .0'1.:01Zilkkg,t4Sii All residents of Washington State need and account for the contributions of other expect a predictable level of public health public agencies and community organiza services. Financing for the system must tions. ;• s ,,,II, make effective use of state and local 3. Implement and expand the concept of resources and must be allocated so that ? consolidated advisory committees to address health protection is sustained in all com- funding allocations with the goal of simplify munities. ing the allocation process and increasing 2. Adopt a cost model for use throughout the understanding and acceptance of the alloca state so that the cost of providing public tion methodology. health services is well documented and can be Standards for Public Health in Washington V compared with local and state funding levels. State provide a framework that can become Link costs with related activities for public a basis for organizing information on the health improvement, including workforce use of public health funding statewide. development and performance standards. Combining efforts of many independent k Cost-modeling work must continue so that advisory committees will create a fuller the cost of public health protection is picture of current activities and spending. 4 documented over time. Cost data are While balancing federal and state man- £" essential for accountability and to examine dates, it may be possible to integrate the effects of categorical grants on general funding allocations for greater benefit. In • public health programs.The cost model must be linked to Standards addition,review by broad-based commit-for Public tees will make funding decisions clearly ,, visible to all parties. -1.,.. FAQ; s 26 4 h e,34041 ,,,,,,„..:,,,,v1;,,, ,,,:, c.11,-,,,,,,,, fi • Board of Health Media Report • March 18, 2004 • • Jefferson County Health and Human Services FEBRUARY — MARCH 2004 NEWS ARTICLES 1. "Special Earth Day activities planned", P.T. Leader February 11, 2004 2. "Outstanding food service for 55",P.T. Leader February 18, 2004 3. "Bottom fishing closure hits Hood Canal again",P.T. Leader February 18, 2004 4. "County wants city to help pay for care",P.T. Leader March 3, 2004 5. "Community Network awards $8,445 locally",P.T. Leader • March 3, 2004 6. "Jefferson official talks about future", Peninsula Daily News March 4, 2004 7. "Tobacco users can use help trying to quit",P.T. Leader March 10, 2004 8. "SmileMobile brings dental health to PT for local children March 15", P.T. Leader, March 10, 2004 • • • 41, Special Earth Day activities planned One day for the Earth.Three- Trust,to invite them to list events • hundred-sixty-four days to trash and activities on a common it.Doesn't seem like a fair fight. website,www.olympuS.net/Com- • That communities have turned munity/Earth Day. out for the annual Earth Day each "If Port Townsend has a gift April 22 Since 1970 is nice,but to offer the planet, it is a deep what about the rest of the time? - understanding of the strength of A group of PortTOWnsend resi- community—community being dents hope to increase the num-; the foundation of a truly sustain-, ber of days people care for:the able world,"Alexander said. earth and decrease the numbers of Raab and Alexander said they days they neglect Mother Earth. hope to combine the serious en- Ann Raab and Judith virOnmental concerns with a cel- Alexander are putting together the ebration of life and earth.There. first of_y_illat they hope-will be- are primt or participating in the --airtie an annual event called Earth —Various activities, including a •Day EveryDay.Centered around one-year bus pass On Jefferson Earth Day this year,the plan is for Transit and vouchers for food various groups,individuals,brisi-. from The Food Co-Op.They're nesses, organizations, govern- seeking additional donations. • merits,service clubs and'churches .The Earth.Day EveryDay.cel- tO come together under the corn- ebration would include an-April mon banner of Earth Day for their. 1648'client'at Memorial Field individual events and efforts. •with music,skits and groups pro- _ Raab,Alexander and others are Lviding-information. Organized currently lining up activities that waritticammunity-based event for. reach beyond pulling',weedsand families and people of all ages. planting perennials. They hope They hope participants will come Earth Day EveryDay will encour- up withhands-ongames,challenges, age widespread participation and parades, demonstration.projects inspire lifelong commitment to the and workshop opportunities. environment.They're contacting For more information or a reg- various organizations that already istration form call Raab at 385- schedule Earth Day activities,such 2536, Alexander at 385-5766, as the Port Townsend Main Street Melinda Bower, 379-4491, or Program and the Jefferson Land Nora Young,385-2831. 1111 • • 0 tr) o• o 0 0 co I,..., ;). , 4 ^0 2 n L .ry H C% ' .' E ' ,.G H C4• o 1r g U b fn ° a ▪ tac) .1 (13 L U• w aTj: ° A o 0 to 6 u 6 w u < a ° A a 8 0 i.�. w c7 � i U 0 E h 'A x `w .d Ux 0 .A.0.. ,„j .ti .5 al � •1 Gq U 640....� v U 5.' w t - ° �s .� •.; A ^ = � O . 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Uh°.J o mi To.T `� o a>i - U >, o ...1..j g A) :h) : 4g4 21 °2, 1 .-55 k I r .. pc., -0 > _ , 2 ,, ,15 ,4Aigggo .r., .. g c 1 s •• ' • �a a. •• zv .i .ifl 8O � •a0 Vcd El iNUg Q cd >, � y U, Q Q • A 2•Wednesday,February 18,2004 Bottom fishing closure hits •H ood Cana a aln By Janet Huck rine live.The federal Department compose,sink to the bottom and Leader Staff Writer of Ecology said the levels were rob the water of oxygen. the lowest ever recorded during It isn't only human waste that A 120-day decree to close the winter, when the amount of is strangling Hood Canal. The fishing on Hood Canal expired at dissolved oxygen usually rises. long, narrow canal resembles a the end of January.About 15 days Stressed marine species that live closed-ended fjord and takes later, the Washington State De- at 100 feet began migrating to much longer to flush than the rest parrment of Fish and Wildlife shallower levels to find more of Puget Sound.There are also a (WDFW) issued a new order oxygen. Divers discovered bot- series of"sills,"or shallow spots, stopping any fishing of bottom tom-dwelling rockfish swim- at the mouth of the canal that also fish,herring,smelt,anchovy,oc- ming along shorelines, and hinder an easy exchange of sea topus, squid and sea cucumbers mobile shellfish such as shrimp water. because of dangerously low ley- and crabs scurrying around in "Though the low-dissolved- els of dissolved oxygen. ankle-deep water. oxygen problems developed in "From the fish viewpoint,the "It's the same behavior they the more populated southern end • situation is real bad. They are exhibited before the fish kills last of Hood Canal,the problems are panting like dogs because there's fall," said Dave Christensen, moving north,"said Christensen. . not enough dissolved oxygen to Jefferson County natural re- "It's a cumulative impact from all breathe," said WDFW Marine source manager. the human activity,so it's a prob- Fish Manager Greg Bargmann. The ban began Feb. 10 for all 1em for Jefferson County too." "For humans, it means the end waters south of the Hood Canal On the day that Fish and Wild- of bottom fishing for the foresee- Bridge.This is the third closure life issued the ban, Washington able future. For the canal, it in the history of the canal,and it Gov.Gary Locke and Congress- means it could turn into a green, might not be the last for one of man Norm Dicks said at a joint foul-smelling waterway from the two major waterways on the news conference they are seek- decomposed algae." West Coast suffering from severe ing $4 million in state and fed- The 61-mile-long inlet is suf- oxygen depletion.The other wa- eral funds to rescue Hood Canal. Tering from slow suffocation due terway is Los Angeles Harbor. "We simply must step up our to severe oxygen depletion.Dur- Bargmann said he is begin- efforts to stop pollution in Hood ing the past two years,more than Hing a public process to perma- Canal,"said Locke. 150,000 fish,shellfish and other nently close fishing if the (Contact Janet Huck at marine life have died when theproblem does not improve. jhuck@aptleader.com.) oxygen levels dropped to nearly WDFW hopes to formulate a zero in the late summer.Last fall, plan for the rescue of Hood Ca- about 20 percent of the lower nal by April 1. canal rockfish may have been Researchers said the chemi- killed by suffocation, estimated cals that rob fish of oxygen come Bargmann. from stormwater runoff, failing This winter, the dissolved septic systems, livestock waste oxygen count had plummeted to and fertilizers from lawns. The 3 milligrams of dissolved oxygen nitrogen in the waste feed plank- - which can barely sustain ma- ton and algae blooms that de- • . _ Countywants cl to helpay..for care typ By Barney Burke Healthy Jefferson, $36,946 for ing made. It would include an- lars are saved in both law and Leader Staff Writer family planning services and other$15,000 toward the cost of justice budgets and in health care. $44,000 for maternal child care a project manager to"manage the By comparison,money spent on Faced with a $100,000 bud- home visits. The county has communications among all the paving streets begins to depreci- get cut this year, the Jefferson scaled back its funding of the participants,document the mea- ate immediately. County Health Department is health department due to a•fed- surable outcomes produced Baldwin pointed out that asking the City of Port eral grant that is expiring and a through mobilizing the commu- while the city and the county Townsend, the public hospital lack of new revenues to pay for a nity,write press releases and ads" each have a public works depart- district and others to contribute variety of county services. as well as organize meetings with ment,a recreation program,and funding. The Healthy Jefferson pro- participants. other similar services, only the At the Feb. 9 City Council gram request of the city includes Baldwin based her proposal in county has a health department. study session, County Health $15,000 for analysis of data on part on the fact that city residents, After the meeting, Robinson Director Jean Baldwin suggested community health indicators to who comprise about 31 percent of said that the council has gener- that the city pony up$30,000 for determine where progress is be- the county population,consume a ated some questions to discuss disproportionate share of county prior to making a funding deci, health department services. sion. She said that the council The family planning program will conduct another meeting on served 1,044 people in 2002, 59 funding for 2004 sometime ir2 percent of them city residents.The March. In addition, the council program costs$415,038,but state wants to meet with the Board of funding,insurance payments and Commissioners in March to ex- fees by participants still leaves a plore long-term solutions such as • • shortfall of$62,621.Baldwin sug- a public health district that would gested that the city contribute 59 create a more secure funding percent of that shortfall. source. The maternal child health Local health departments re- home visiting program was ceived a dedicated millage from funded by a $110,000 federal property tax revenues until 1977, • grant that ends in June.Given that according to Baldwin, at which city residents consume 40 percent point the Legislature allowed of that service,Baldwin suggested counties to spend that revenue on a city contribution of$44,000. other services.In 1996,the Leg: islature reallocated motor vehicle Who should pay? excise taxes(MVET)from cities Mayor Catharine Robinson to local health departments but questioned why city residents also absolved cities from paying should be expected to contribute for health care. MVET was re= to the county budget."City resi- pealed by the Legislature follow= dents pay county taxes,"she said. ing the passage of I-695 in 2000, City residents pay city and leaving a$28 million annual gap, county property taxes except that of which only 85 percent has city property owners do not pay been replaced,Baldwin wrote in for the county road levy. a letter to the city. Geoff Masci argued that there If the budget gap cannot be is a large return from health de- closed for this year,Baldwin said partment programs. For every she might have to make cuts in dollar spent on preventive mea- all three programs for which she • sures, he said, many more dol- has requested city funding. - -3-- •,_v5z • • Community Network awards $8,445 locally The Jefferson County Corn- Services, a documented best munity Network has awarded practice for reducing delin- nearly $8,500 in grants to five quency, rearrest, out-of-home local organizations for projects placement, violence and sub- benefiting Jefferson County chil- stance abuse in at-risk youths. dren and families. The grants • LEAP program adminis- range in size from$845 to$1,900 tered by SISIUTL Center for and must be spent by June 30. Learning, to reduce academic "We had an unprecedented failure in at-risk and/or low-in- number of applications this year," come youths. said Rick Tollefson,board chair- •Developing Our Future pro- man."The board had a tough job gram administered by Quilcene choosing, but we are excited Teen Center, to provide home- about these projects and confi- work and life education support dent they will make a difference to "latch-key" youths in south for families in our community." county. The projects funded by the Community Networks are Network include: part of the Washington State •Home visits to young fami- Family Policy Council's state- lies provided by public health community-family partnership nurses through Jefferson County that involves communities in pre- Health and Human Services. venting child abuse, youth sub- This is a documented"best prac- stance abuse and other social tice"for preventing child abuse, problems. neglect and youth substance The Jefferson County Net- abuse. work promotes prevention print • Transportation support for cip.les through community the Wooden Boat Foundation's awareness and by convening pro- ' Sea Scouts ship Falcon,to enable viders, community groups and at-risk youths to participate in parents.The Healthy Youth Coa- this strength-based mentoring lition focuses on youth substance program. abuse prevention, and the Fam- • Functional Family Therapy ily Support Coalition has child administered through Juvenile abuse prevention as its focus. trt. L DE12 3--- -- 41• . i Jefferson o • talks a County administrator touts according to Another is ldsmthe 0 limit on business benefits of Tri-Area by vehicle license fees oters. Revenue from license se fees was earmarked for law BY JIM MANDERS °' development, enforcement, local public PENINSULA DAILY NEWS he said. health and building roads. PORT LUDLOW — Jeffer- ` i Goldsmith The state Legislature, said Jefferson according to Goldsmith, had son County officials are bank- �� issued bonds for road construc- - isn't — ing on businesses being �' 44tion so that portion must still attracted to the Tri-Area and , , going to see p , Ha the large-scale be paid out of the reduced rev- Glen Cove as a way of avoiding enue from vehicle licensing. deficit budgets or large cuts in regional shop- g. o ,, ping centers The county could forestall services in the future. � like those spending reserve funds for a County Administrator beingTanned few years by eliminatingfund- David Goldsmith made that Goldsmith P Wednesday at a meet- in Sequim. ing for public health and parks ing assertionof the Port Ludlow Cham- But he said he hopes there and recreation—in addition to beg of Commerce, the first can be enough shopping oppor- cutting staff by 10 percent, many appearances he's tunities to prevent sales tax Goldsmith said. planned during the next few money from being spent out- months to talk about the side Jefferson County $200,000 cuts annually? county's financial future. • Keeping money in county Another possibility would be Goldsmith said the two to cut $200,000 from the bud- • areas, where more intense "The leakage(money that is get every year, but Goldsmith business and industrial uses spent out of county) galls me," said that would result in cuts to are permitted, allows the Goldsmith said. existing programs and services. county to tell people consider- "We need to figure out how "Is that realistic? I don't ing opening a business in Jef- to capture as much of that think so," Goldsmith said. ferson County that "here's leakage as possible." Goldsmith expects voters where you can go and here are Voter-mandated limits on will soon see a request to raise the rules you have to play by." property tax increases is one of the county sales tax by one- The county wasn't in a posi- the reasons Jefferson County tenth of 1 percent to help fund tion to welcome new businesses and most of the other counties 9-1-1 infrastructure. before the two areas were des- across the state are having dif- Clallam County passed a ignated for the higher levels of ficulties meeting budgets, similar tax increase last year. c:D...,,,j ...„t/....0 tii:1 • • • A 8•Wednesday,March 10,2004 oTbacco users can use e • trying to quit Many people know that to- source Survey. , bacco is one of the leading "The county has a wide causes of preventable death in range of providers that can of- our country. fer support to people trying to "What people might not quit tobacco," notes Ragan. know is that one out of six These services might include • Jefferson County adults is a nicotine replacement ther- current smoker and that seven apy, individual or group out of 10 county smokers said counseling, pharmacology, that they tried to quit in the nutritional supplements, • past 12 months," says Kellie body work, acupuncture, Ragan of the county health yoga,meditation or other ser- department's Tobacco vices specific to tobacco ad- Prevention and Control Pro- diction. gram. And if you are a smoker who The program seeks service is trying to quit,keep trying,en- providers who offer assis- courages Ragan."On average it tance in helping people break takes eight attempts to quit and the tobacco habit. Informa- stay quit,"she says. tion will be compiled and in- The Washington State cluded in the first edition of Quitline is a free service avail- the"Jefferson County Cessa- able to help smokers develop an tion Resource Guide." Con- individual plan that builds on tact Ragan at 385-9446 or strengths.Contact the Quitline kragan@co.jefferson.wa.us to at 877-270-STOP or request a Cessation Re- quitline.com. SmileMobileg•rin s dental to PT fo to PT forlocalchildren March 1 15 The SmileMobile, which tal care to children from low- Jefferson County Health Depart- vice Foundation, a nonprofit travels the state offering exami- income families. ment,615 Sheridan St. organization created and par- nations to children who might Children with limited access Examinations will be con- tially funded by Washington not otherwise have access to to dental care can be scheduled ducted 1-4 p.m.Monday,March Dental Service. The Washing dental care, will be in Port by calling.Jefferson County 15 and 9 a.m.-4 p.m. Tuesday, ton State Dental Association Townsend on March 15-19. Health & Human Services March 16. Follow-up treatment professional organization of The SmileMobile,a brightly (WIC) at 385-9432 will be scheduled throughout the more than 3,000 dentists en-; painted 40-foot,dental clinic on The SmileMobile is staffed by 'remainder of the week. courages members to volunteer wheels,is hard-to miss when it a dentist, a dental assistant and When possible, Medicaid when clinics visit their commu- rolls into town. Sponsored by teams of local volunteer dental and other government pro- nities. the Washington Dental Service, professionals in each community grams will reimburse for ser- The SmileMobile has exam- the SmileMobile provides den- it visits. 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