HomeMy WebLinkAbout2004-October File Copy
•
Jefferson County
Board of Health
Agenda
Minutes
October 21 , 2004
El
JEFFERSON COUNTY BOARD OF HEALTH
Thursday, October 21, 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 August 19, 2004
III. Public Comments
IV. Old Business and Informational Items
1. 2004 West Nile Virus Activity
2. BOH Member Westerman's Report from Bosnia
3. Correspondence with Dept. of Health and Human Services Secretary
Dennis Braddock
• V. New Business
1. 2005 Jefferson Health and Human Services Budget
2. Influenza Vaccine Shortage: Jefferson County Response
3. Jefferson County Prevention Principles and Strategic Tobacco
Prevention and Control Plan
4. Draft Deputy Health Officer Resolution
5. 2005 Environmental Health Performance Measures
VI. Activity Update
VII. Agenda Planning
VIII. Proposed Next Meeting: November 18, 2004
Main Conference Room
Jefferson Health and Human Services
A
JEFFERSON COUNTY BOARD OF HEALTH
• MINUTES
Thursday, August 19, 2004
Board Members: Staff Members:
Dan Titterness, Chairman - County Commissioner 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 Townsend City Council Thomas Locke,MD, Health Officer
Jill Buhler-Hospital Commissioner District#2
Sheila Westerman- Citizen at Large (City) Ex-officio
Roberta Frissell, Vice Chairman- Citizen at Large(County) David Sullivan,PUD #1
Chairman Titterness called the meeting to order at 2:30 p.m. in the Health Department Conference
Room. All Board and Staff members were present,with the exception of Commissioner
Huntingford. There was a quorum.
APPROVAL OF AGENDA
• Member Masci moved to approve the Agenda with the addition of Web Page Update under
New Business.Vice Chairman Frissell seconded the motion,which carried by a unanimous
vote.
APPROVAL OF MINUTES
Member Masci moved to approve the minutes of July 15,2004 with corrections as follows. On
Page 3,paragraph 3, "Rogers" should instead be "Rodgers" and paragraph 4 should end with
"...but does not cover the former."On Page 5,the second paragraph should begin with
"Member Buhler suggested that the Hospital...."Member Buhler seconded the motion,which
carried by a unanimous vote.
PUBLIC COMMENT-None
OLD BUSINESS AND INFORMATIONAL ITEMS
2004 West Nile Virus Activity: Dr. Tom Locke reported that Oregon has now had their first bird
case of West Nile. There has also been an unconfirmed case in Montana. While Washington is at
risk for another two months,it is unlikely there would be any large-scale human activity.
•
HEALTH BOARD MINUTES - August 19, 2004 Page: 2
•
Hood Canal Coordinating Council Letter: Dr. Locke noted that the packet contained a letter
from Dave Christensen in his new role as Hood Canal Coordinating Council's Water Quality
Program Manager. Following up on the Board's discussion last month,the letter challenges some of
the information being circulated misinterpreting the Preliminary Assessment and Corrective Actions
(PACA)plan on which Mr. Christensen worked. He further states that the data being used for the
basis of policy recommendation are really not established fact and the plan does not recommend
regulatory changes to address onsite sewage impacts to Hood Canal. Much more research and a
better understanding of the dynamics of Hood Canal is needed before there could be solid
recommendations for regulatory changes. Jean Baldwin noted that she believed the mentioned
"federally-funded study of Hood Canal" would be conducted over the next two to four years.
Letters and Documents Re: Ms. Linda Sexton: Dr. Locke noted that Linda Sexton's July 21,
2004 letter to the Board of Health was included in the agenda packet along with copies of notices of
violation. Member Masci suggested that the July 15 Board of Health minutes reflect Board
comments about its exhaustive process to pass the Solid Waste Ordinance. Given that the Board has
also devoted a lot of time to this particular person and violation, he recommended the Board of
Health acknowledge the receipt of her comments. With the ordinance in place, if there are violations
and complaints generated, there will be a sound legal basis for proceeding.Dr. Locke noted that this
matter has been referred to the County Prosecutor for enforcement.
Member Masci moved to authorize the Board Chairman to sign a letter from the Board of
Health to Linda Sexton acknowledging receipt of her letter and thanking her for her
•
comments. Commissioner Rodgers seconded the motion,which carried by a unanimous vote.
NEW BUSINESS
Web Page: Jean Baldwin reported that although the County's website links directly with the
Jefferson County Department of Health website,Public Health is now on an independent web
server. A press release will be issued once bugs in a new interactive element are worked out.
2005 Jefferson Health and Human Services Preliminary Budget and Community Health
Performance Measures: Finance Manager Veronica Morris-Nakano was present to review the
2005 budget summary,which explains goals and budget challenges facing the department this year
and next. Despite staffing levels being lower than in many years, to meet one of the goals of slowly
building the reserve, they have elected not to fill four(4) current vacant positions. In order to allow
the Department to maintain the programs currently being offered to the community, administration
would experience the biggest impact of this staffing cutback. As the financial manager,her biggest
concerns are workload,production and accuracy. She is uncertain if the Department can maintain
this staffing level and will be closely monitoring these areas over the next year.
Jean Baldwin reported that she has been meeting with County Administrator John Fischbach to
work on a plan to rebuild a 10%reserve. She reiterated that meeting the request for 2%
Administrative budget will require drastic measures,but added that the logical steps taken will not
impact program contacts or the Department's leveraging of grants and mandates of grant funding. .
Toward the request to submit a 2%Administrative and 15%Reduction budget,the Reduction
budget eliminated some tentative positions,but with the caveat that further program cuts would be
• HEALTH BOARD MINUTES -August 19,2004 Page: 3
up to the Board of Health. In anticipation of the Department's fee review next summer managers are
calculating the percentage of services that are funded by fees.
Ms. Morris-Nakano reiterated her concern for the current staffing level. If further cuts are needed,
she believes the Board of Health would need to look at the budget and decide about the next step.
She does not believe staffing could be cut further and still fulfill program services to the community.
In reviewing revenue sources, she noted that grants cover about 15 FTEs, fees 8.68 FTEs,other
revenues 3.97 FTEs, and operating transfer from the general fund covers 6.11 FTEs. She noted that
the increasing fixed costs in Information Services are difficult to forecast.
Member Masci said it appears that currently the interdepai tuiental costs are affecting the
Department's FTEs available to deliver outreach services. Chairman Titterness explained that these
Information Services costs were not passed on to the Department by past administrations; so there
was a reallocation of costs to gradually make up for past inequities. Costs should be more consistent
from this point forward.
In looking at the budget summary, Chairman Titterness asked if it would be helpful for him to seek
a response from DSHS Children's Administration about assistance with funding the Nurse Family
Partnership in 2005? Jean Baldwin agreed that would be helpful.
Ms. Morris-Nakano further explained the advantages and the disadvantages of the County's change
• from modified accrual accounting to cash accounting and back to modified accrual accounting.
When asked to elaborate on concerns about accuracy, she expressed concern that grant work, audit
requirements and billing continue to be fulfilled with two FTEs rather than three.
Julia Danskin distributed Performance Measure Projections for 2005, divided into the following
four categories: Communicable Disease,Family Support Programs,targeted Community Health
Services, and Population and Prevention. She urged the Board to review these materials and contact
Staff or bring questions to the next meeting.
Commissioner Rodgers asked about the documentation of outcomes rather than actions. There are
assumptions that certain activities achieve certain results,but also that those activities are delivered
in a certain way and for a standard population. He asked about effectiveness in areas of substance
abuse and mental health services and would like to see dollars concentrated where there would be
the most results. Julia Danskin agreed that for many programs,they do not have the data for the
coming one or two years like birth,pregnancy or child abuse and neglect rates—those are the real
outcomes that the programs are trying to impact.Absent this data, they try to use best practices
because research has proven that these services provide long-term positive outcomes. There is also a
need for ongoing community assessments to see if the programs have over time had a positive
impact.
Jean Baldwin added that much of the information being mentioned could be found in the reports on
objectives the Department sends to each of the 45 funding sources. She mentioned a government
study group and report that considered prevention funding,program cost and effectiveness. She
referred to the Nurse Family Partnership as having multi-generational impacts on substance abuse,
family violence and other indicators.
HEALTH BOARD MINUTES -August 19, 2004 Page: 4
Given these budget concerns, Member Masci said the Board should recommit to the Behavioral
Risk Factor Surveillance Survey(BRFSS), since this would provide the community the assessment
data mentioned. Jean Baldwin believes a Board of Health work group might want to begin planning
in 2005 for a 2006 or 2007 survey. Member Masci said the Board couldn't evaluate programs only
on their fiscal efficiencies. Pulling one or two programs might have a ripple effect on other
programs. He noted that the Data Steering Committee might be the best place to examine this issue.
Public Health Emergency Preparedness and Response Region 2 Duty Officer: Jean Baldwin
reported on the interlocal agreement between Clallam, Jefferson and Kitsap Counties to establish a
Regional Duty Officer providing professional public health consultation across the region on a 24/7
basis. This relationship is groundbreaking because neighboring counties would now be covering for
each other,resulting in a cost savings. Dr. Locke noted that the agreement also includes an
expanded set of protocols, the most important of which is contact with a Health Officer. He noted
this relationship involves two major liability pools,the Washington Counties Risk Pool(Jefferson
and Clallam) and Washington Government Entities Pool (Kitsap Health District),which triggered
complicated liability negotiations. This relationship might spark the development of more formal
mutual aid agreements for communicable disease outbreaks and other emergencies. The Board of
Health will likely be asked to appoint Deputy Health Officers who could step in in the event
coverage was needed during vacations, etc.,which for Jefferson County would likely be Scott
Lindquist,the Kitsap County Health Officer and Frank Jaynes, the San Juan County Health Officer.
Other than Dr. Locke and Jean Baldwin, others who would be trained to fill in as Duty Officers are
Julia Danskin and Lisa McKenzie.
•
Washington State and Jefferson County Food Service Code Revision: Dr. Locke reviewed that
after going through a two-year revision process the Food Service Code could be adopted by the State
Board of Health as soon as next month. Rather than the State simply revising its own code,they
have increasingly adopted federal standards. There was also pressure to replace out-of-date aspects
of the State code. The agenda packet included summaries explaining the code, including what was
changed, such as no bare hand contact, inspection frequency, and potlucks. When asked why there
wasn't an acceptance of the FDA code provision on"date marking,"Dr. Locke mentioned that
legislative direction was to use the federal code as a model to create as much consistency as
possible.
Dr. Locke noted that since the Jefferson County food code was adopted in 1980 and does not
include the substantial 1990 revision of the State code, it is clearly in need of an update. While the
State code would be passed next month,it would not take effect until May 2005,which would give
time between now and then to update the Jefferson County code. He would recommend using the
due process language as has been included in other codes and beginning an update in October. Jean
Baldwin expected some budget impacts from food code changes,but how much is uncertain.
Draft Letter re: Onsite Sewage System O&M and Marine Shorelines: Dr. Locke noted that the
packet,as directed at the last meeting, included a draft letter to the State Board of Health with
comments on revisions to the WAC 246-272 (On-site Sewage System)being considered by the State
Board of Health.
•
I
HEALTH BOARD MINUTES -August 19, 2004 Page: 5
111
Given that the previously mentioned letter from the Hood Canal Coordinating Council had made a
strong case for not making regulatory changes without adequate science, Member Westerman
questioned the mention of the need for revising codes.
Commissioner Rodgers said that current rules prevent Counties from building sewage systems in
non-urban areas.
Dr. Locke pointed out that the letter is referring to the code that has been under revision for two to
three years. Many of the changes are good technical updates that are long overdue and should not be
held back for the Hood Canal issue. The Rule Development Committee's recommendation
regarding marine shorelines are very similar to the existing law, which is that Counties have a plan
to address operation and maintenance and a way to implement it. Funding and various incentives
were welcome, as were voluntary enforcement rules and tools for local Boards of Health to apply
when appropriate, as opposed to being mandated.
Member Masci moved to approve the letter to the Washington State Board of Health with
comments on the State On-Site Sewage Code as written. Member Buhler seconded the motion,
which carried by a unanimous vote.
ACTIVITY UPDATE/OTHER ANNOUNCEMENTS
• Vice Chairman Frissell reported that a task of the Friends of Family Planning was to survey
pharmacies in Jefferson County to see who offered"Plan B,"which is over-the-counter emergency
contraception. While originally only provided by the QFC Pharmacy in Hadlock, Don's Pharmacy
has agreed to carry it; the group is also going to talk with Safeway.
AGENDA PLANNING/ADJOURN
The meeting was adjourned at 4:03 p.m. The next meeting will be on September 16,2004 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
(Excused Absence)
Geoffrey Masci, Member Glen Huntingford,Member
• Patrick M. Rodgers, Member
•
Board of Health
Old Business
Agenda Item # IV. , 1
•
2004 West Nile Virus
Activity
October 21, 2004
•
Close Window 1
2004 West Nile Virus Activity in the United States
(reported to CDC as of October 12, 2004*)
•
iIndicates human disease case(s). CDC
Avian,animal or mosquito inflections.
WA
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dikOR 5 20 MN
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1 2 SD 33 Y 46 9 WIirVi
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22 16 IE IN OH 10 ur 11
CA 10 CO 3 8 0 ' .t
583 225 KS MO `�3 KY A r NJ
41 30 6 5
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TN N`. DE pi
• A5 NM 11 OK AR 10
78 15 SC MD
NIS AL GA 1
► TX 25 13 16
L LA DC
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HI 35
Puerta Rico
..urrently, West Nile virus maps are updated twice weekly to reflect surveillance reports released by
state and local health departments to CDC's ArboNET system for public distribution. Map shows the
distribution of avian, animal, or mosquito infection occurring during 2004 with number of human cases if
any, by state. If West Nile virus infection is reported to CDC from any area of a state, that entire state is
shaded.
Data table:
s of October 12, 2004 avian or animal WNV infections have been reported to CDC ArboNET from the
following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of
Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland,
Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire,
New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon,
Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia,
West Virginia, Wisconsin, Wyoming, and Puerto Rico.
Human cases have been reported in Alabama, Arizona, Arkansas, California, Colorado, Connecticut,
District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana,
Maryland, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Jersey, New
Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina,
South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming.
Maps detailing county-level human, mosquito, veterinary, avian and sentinel data are published each
week on the collaborative USGS/CDC West Nile virus web site: http://westnilemaps.usgs.gov/
http://www.cdc.gov/ncidod/dvbid/westnile/surv&contro104Maps_PrinterFriendly.htm 10/14/2004
•
Board of Health
Old Business
Agenda Item # IV. , 3
•
Correspondence with
Dept of Health and Human Services
Secretary, Dennis Braddock
October 21, 2004
•
R N JEFvETZSON COUNTY
PUBLIC HEAI T -
,
A!w iyS 'Working for a Mier and Healthier Jefferson
•
September 28, 2004
Secretary Dennis Braddock
Department of Social and Health Services
P.O. Box 45010
Olympia, WA 98504
Subject: Nurse Family Partnership (follow up from letter sent July 12, 2004)
Dear Secretary Braddock:
Jefferson County Commissioner Dan Titterness has requested that I send an
invoice to your office requesting the financial support of Jefferson County's
Nurse Family Partnership (NFP) services. See attached invoice and copy of
letter dated July 12, 2004.
Commissioner Titterness talked with your office and was informed that DSHS is
interested in supporting Jefferson County's NFP Best Practice Program that has
proven outcomes in reducing the cost of Child Protective Services referrals and
foster care cost. Jefferson County community leaders have read the
Washington State Institute of Public Policy report July 12, 2004, "Benefits and
Costs of Prevention and Early Intervention Programs for Youth". Commissioner
Titterness and others are enthusiastic about the positive outcomes NFP has had
in our community and the cost savings with Children's Administration programs,
such as cost of foster care, and savings in the Juvenile Justice system.
Jefferson County has about 200 births a year and about 60% of these mothers
qualify for First Steps. Jefferson County Maternal Child Health Program serves
about 120 pregnant women a year with Maternity Support Services. Nurse
Family Partnership is an early intervention program that starts at 18 weeks
gestation with first time pregnant women who have identified risk factors and
continues to serve these women until their infants turns 2 years old, a span of
about 2 1/2 years. Each year we offer NFP to first-time pregnant women (with
specific risk factors), out of the 120 pregnant women we see in Maternity
Support Services. Our plan is for a NFP case load of 25 a year, 9 pregnant
women, 8 mothers and infants age 10 to 12 months and 8 mothers and toddlers
age 12 months to 24 months.
• COMMUNITY ENVIRONMENTAL DEVELOPMENTAL NATURAL
HEALTH HEALTH DISABILITIES RESOURCES
(360) 385-9400 (360) 385-9444 (360) 385-9400 (360) 385-9444
615 Sheridan Street, Port Townsend, Washington 98368
fax: (360)385-9401 web: www.jeffersoncountypublichealth.org
Maternity Support Services funds most of the intensive home visits on the
pregnant women. Infant Case Management funds about $1,000 of the cost for ,
home visits on infants age 2 months to 12 months. There is no funding source
for home visits on the mothers and toddlers age 12 months to 24 months.
Attached is an invoice for the additional cost of NFP protocols.
Jefferson County Maternal Child Health programs including NFP are the only
home visiting programs to pregnant women and infants in this rural community.
There is limited access to programs for families with infants and young children
due to the low population and transportation issues. Please support Jefferson
County's NFP with ongoing sustainable funding. Grants funded the
implementation cost of this program in the past. Now, stable funding is
required so that when a first time pregnant woman signs up for NFP the Public
Health Nurse can commit to seeing her and her child for the entire intervention
of 2 %2 years.
NFP is a Best Practice with specific protocols that have proven outcomes in
reducing child abuse, neglect and family violence, along with many other
benefits for the community. In the long run NFP saves money both locally and
to State programs.
If you have questions please contact me. I look forward to hearing from you.
Sincerely,
II
ri - ''\
, ,
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Julia Danktq
Public HealtK Nursing Director
Jefferson County Public Health
Ph: 360-385-9420
Email: jdanskin®co.jefferson.wa.us
Cc: Sherry McNamara, DSHS Director of Government and Community Relations -
Jefferson County Commissioner, Dan Titterness
Jean Baldwin, Director Jefferson County Public Health
Jefferson County Board of Health
raj
44,,•
1820 Jefferson Street
� soN G
P.O. Box 122
0
: tivss Port Townsend, WA 98368
Dan Titterness,District 1 Glen Huntingford District 2
9 Patrick M.Rodgers,District 3
s1-12"Nal'
July 12,2004
Secretary Dennis Braddock
Department of Social and Health Services
P.O. Box 45010
Olympia, WA 98504
SUBJECT: Nurse Family Partnership
Dear Secretary Braddock:
This is to appeal for your financial support. As County Commissioners we face a budget crises of
astronomical proportions; mandated and essential service expenses continue to soar, conversely-
revenues continue to be threatened. Our most vulnerable population,mothers and their children,
• are at risk of losing critical preventative services. Jefferson County was recently notified that it
would not receive Title V federal funding, funding which has sustained the Nurse Family
Partnership (NFP) for the past 2 years. This is a prevention program
generational norms and systems,not just perpetuating
that is changing
l P rpetuating program services to a predictable
set of families. It was chosen for our community based on local needs and problems with child
abuse, substance abuse and poverty.
NFP,based on the work by Dr. David Olds, was implemented in 1999 in Jefferson County. It is
mentioned in the July 6,2004 Washington State Institute for Public Policy as a sound investment
of public prevention money. NFP provides home visits by registered nurses to first-time
mothers, beginning in early pregnancy and continuing until the child's second birthday.
National research highlights the following outcomes related to the NFP model.
Low-income, first time mothers and their children who received NFP had:
• 79% fewer verified reports of child abuse or neglect;
• 31%fewer subsequent births;
• 30 months less receipt of Aid to Families with Dependent Children;
• 44% fewer maternal behavioral problems due to alcohol and drug abuse;
69% fewer maternal arrests;
60% fewer instances of running away on the part of the 15-year-old children;
• 56% fewer arrests on the part of the 15-year-old children; and
56% fewer days of alcohol consumption on the part of the 15-year-old children.
•
Phone (360)385-9100 1 Paz (360)385-9382 jeffbocc@co.Jefferson.wa.n
Department of Social and Health Services July 12,2004 Page 2
The Nurse Family Partnership has a positive impact on children and their families. These afore- •
mentioned outcomes offer strength and hope to our local families,and mirror DSHS priorities.
Local CPS referrals for young children have decreased by 50%in the last four years
corresponding to the length of NFP service in our community.Additionally, none of the families
served through NFP have been referred to CPS.
We petition you to join in the funding of NFP to maintain services at a level that addresses the
needs of our population. Jefferson County and Washington State can collaboratively fund NFP
to serve families for$3,000 per family per year.This investment would in turn save thousands of
dollars in welfare utilization, law and justice, child abuse and neglect,hospitalization/ER and
alcohol/drug treatment costs.
We project that with a$50,000 annual contribution from the Washington State, Jefferson County
NFP can provide 233 visits per year to 25 families annually.
First time mothers in the midst of pregnancy are in a pivotal period in their life stage
development. NFP serves as catalyst for positive change. Without immediate financial support
from the State,we will be forced to eliminate NFP, thereby reducing services to those who could
benefit most. Thank you for your consideration of our request.
Please contact me at your earliest convenience to further discuss this important issue.
Sincerely, •
i /
of 4/19 , „moi611
"eZ / ; .410. 01111111111110 A-11541r 4.4.0
Olen Huntin: or`1: .s Dan Titterness, Member Patrick M. Rodgers, Member
cc: Sherry McNamara,DSHS Director of Government&Community Relations
Thomas Locke
Jefferson County Board of Health
City of Port Townsend City Council
i -
SON
ci Jefferson County Health & Human Services
• 615 Sheridan
+ Port Townsend,WA 98368
9S1ftNG"C° Attn: Veronica
360/385-9400 Ext.409
•
Name: Wa. St. DSHS attention Dennis Braddock Date: 9/28/2004
Address: P.O. Box 45010
City: Olympia State: WA Zip: 98504
Phone: 360-902-7800
DATE DESCRIPTION OF SERVICES QTY UNIT PRICE TOTAL
January Nurse Family Partnership funding
1, 2005 to support one FTE Public Health Nurse:
to
December Required protocol of NFP, reflective
31, 2005 Supervision, 200 hours a year at$40 an hour $8,000.00
Serve 8 infants age 2 months to 24 months
20 home visits$160 each x 8 = $25,600
• Subtract Infant Case Management revenue
$1,000 per infant x 8 = ($8,000)
Serve 8 toddlers age 12 months to 24 months
20 home visits$160 each x 8 = $25,600
Services not billable to Maternity Support Services
TOTAL: $51,200
*****PLEASE PAY FROM STATEMENT*****
Submitted By:
Signature: Make Check Payable to:
Name: Julia Danskin Jefferson County Health&Human Svcs.
Title: Public Health Nursing Director 615 Sheridan
Date: 9/28/2004 Port Townsend,WA 98368
•
c .,.
STATE OF WASHINGTON
• DEPARTMENT OF SOCIAL AND HEALTH SERVICES
P.O. Box 45010, Olympia, Washington 98504-5010
October 1 , 2004
lECEIlWED
OCT _ 5
Ms. Julia Danskin
Public Health Nursing Director Jefferson County
Jefferson County Public Health Health&Human Services
615 Sheridan Street
Port Townsend, Washington 98368
Dear Ms. Danskin:
Thank you for your letter of September 28, 2004 requesting funds for the Nurse Family
Partnership program in your county.
It is a bit unusual to get an invoice absent a contract and it is not something we can
• respond to directly. But, as to the support next year for this valuable program, we are
continuing to explore options to see that it can be maintained. As our administrations
review their budgets and we develop our supplemental budget requests, we are
optimistic that some level of funding for 2005 will be found. We hope to be able to give
you some commitment prior to December.
Again, thank you for the letter. We share your enthusiasm for this program and look
forward to continued success in prevention for this at risk population.
Sincerely,
,k______,
04_ ,
DE IS BRAD .00
Secretary
cc: Uma Ahluwalia
Liz Dunbar
Stan Marshburn
•
•
Board of Health
New Business
Agenda Item # V., 1
• 2005 Jefferson
Health & Human Services Budget
October 21, 2004
•
• B aowdi,s, Offix,i,Gth BIR44-4,te,ks,
Highlights from Monday's Commissioner Meeting October 5,2004
2005 BUDGET HEARINGS: The County mining in the Wahl Lake area and they plan to
Administrator reviewed the schedule for the public pursue the Pit-to-Pier project; FHM has the right to
hearings regarding the 2005 budget proposal: mine within their operation zone as set forth in case
General Government, Public Works, Public law; material from the Shine operation is now being
Services, Internal Services, and Law& Justice. used in the Port Townsend area; FHM has always
The preliminary budget,available since operated in good faith;did two of the Commissioners
September 20, is a work in progress and changes have a secret meeting at the DCD Office on June
will continue to be made. He welcomed 11?; questions about the latest resolution regarding
suggestions from the public. There will be the Commissioner's vehicle allowance,the
another hearing scheduled in early December. methodology that the Central Services Director used
The economy continues to struggle which has for arriving at the amount, and a review of the
negative impacts on the government and the Commissioner's schedule and mileage for the past
consumer, and Washington voters have several weeks.
aggressively pursued initiatives that the County is
still trying to address. Though the economy
continues to suffer, new construction is increasing CONSENT AGENDA: The Cost Allocation Plan was
at a high rate which brings more revenue in, but deleted from the Consent Agenda and the remainder
also increases the demand for service delivery. of the items were approved.
Several items in the budget are still being RESOLUTION: Jefferson County/City of Port
reviewed: Townsend Natural Hazards Mitigation Plan
• The UFCW has adopted a new health 8 AGREEMENTS: 1)Amending Scope of Work,
plan that will have an affect on the Payment, and Period of Performance for Evaluation
• budget. Training and Moderator for Grantmaker Forum with
• The Assessor estimates that new Michelle M. Maike, M.A.; 2) Amending Payment and
construction will add approximately Period of Performance to provide Educational and
$60,000 to property tax receipts. Therapeutic Services for Children Birth to Three
• The UGA sewer funding costs are still Years and their Families with Concerned Citizens of
being developed. Forks; 3) Community Access Services for Individuals
• The Health Department budget is still with Development Disabilities with Concerned
being developed. The goal is to not cut Citizens of Forks;4) Establishing a Big Brothers/Big
services except as a last resort. Options Sisters Mentor Program in Jefferson County as Part
for Natural Resources and Animal of the "Raising a Healthy Community" Program with
Services are being reviewed. the Big Brothers/Big Sisters of King and Pierce
• The Recreation budget has been Counties; 5)Acquisition of Property for the Quimper
adjusted by reducing support from the Wildlife Corridor Using Conservation Futures Tax
General Fund by about 20% and Funds; with Gordon Papritz; 6) Refrigerator Hauling
replacing it with Roads funding for this Services with D & M Disposal; 7) Solid Waste
year only. Transfer Station Scale Maintenance and Certification
• There are approximately$250,000 in Services with Mettler Toledo; 8) Structural Design
additional labor costs that will need to be and Geotechnical Services for Barlow Bridge for Oil
incorporated into the budget due to union City Road and Clearwater Road with Shearer Design,
contract negotiations. LLC
• The State Legislature is considering GRANT APPLICATION: Funding the Jefferson
increasing the cost of pensions to the County Courthouse Clock Tower Rehabilitation
County by over$260,000 a year. Project with U.S. Housing and Urban Development,
Economic Development Initiative, Special Projects
Program
PUBLIC COMMENT PERIOD: The following
comments were made: last week a quarterly
report was released by State Labor& Industries HEARING: After the close of the public hearing,the
showing open retro years and the County should Board approved an ordinance amending the Brinnon
request a copy to review; a question about a Sub-Area Plan, the County's Comprehensive Plan,
• constituent being on the WSAC committee that and the Unified Development Code in order to
deals with L& I issues; Fred Hill Materials is achieve compliance with the June 23, 2004
continuing to mine on the eastern face of the Compliance Order issued by the Western
saddleback ridge because of the delays on the Washington Growth Management Hearings Board.
MRLO designation; they may continue to pursue
STATE OF WASHINGTON
County Of Jefferson
• In The Matter of } -
Establishing Goals }
And Objectives for the } RESOLUTION NO. 34-04
2005 County Budget }
WHEREAS, Jefferson County's growing population continues to put pressure on the
provision of public services; and,
WHEREAS, due to slower economic growth, Washington State and local governments
are experiencing significantly lower revenues; and,
WHEREAS, the state legislature has all but eliminated aid to local governments for the
high cost of the criminal justice system managed by counties; and,
WHEREAS, initiatives passed by the people of the state have reduced or eliminated
revenue sources previously relied upon to pay for services and programs; and,
WHEREAS, additional revenue sources needed to sustain existing county programs will
need to be referred to Jefferson County voters for approval; and,
• WHEREAS, increases in program costs due to inflation, and the reduction in revenue clue
to shifting of state and federal priorities affect the delivery of county services; and,
WHEREAS, in order to support the service needs of a growing community the future
economic vitality of the county will need to be enhanced; and,
WHEREAS, adequate funding reserves need to be maintained for each operating budget
to provide for emergencies and cash flow; and,
WHEREAS, the annual budget process provides opportunities to focus resources in
support of strategic issues facing Jefferson County; and,
WHEREAS, the strategic budget objectives of highest priority are:
a) Invest in community infrastructure that encourages economic opportunity,
b) Protecting and enhancing natural resources,
c) Support local law and justice programs,
• d) Address locally identified and defined local public health problems,
Resolution No. 34-04 re: 2005 Budget Goals&Objectives Page: 2
e) Planning for long-term capital facility needs, •
f) Operating within a business plan based on sustainable resources, measured
performance, and outstanding customer service.
WHEREAS, in order to maximize limited resources, programs and services must be
strategic, effective and efficient in their delivery, and target true community priorities;
and,
WHEREAS, it is recognized that citizens of Jefferson County expect both accountability
from their public servants and affordability from their government; and,
WHEREAS, Jefferson County together with the City of Port Townsend and other local
government agencies recognize that collaborative efforts to provide services benefit all
citizens of the county; and,
NOW, THEREFORE BE IT RESOLVED, that the Board of Commissioners of Jefferson
County does hereby establish the following goals and objectives to guide development
and adoption of the 2005 Jefferson County Budget:
BUDGET PREPARATION •
1. Budget requests shall be prepared in a consistent, citizen friendly format that
clearly identifies the resources needed for each program, and what services are
being bought through that program.
2. Departments shall prepare budgets following the standard format provided to them
in the Call For Budgets from the County Auditor. Two budgets shall be submitted
as follows:
a) Budget Scenario 1,use 2004 budget as base, add 2%. Within the 2%
increase the budget must absorb all operating costs (less capital
purchases) including salaries, benefits, supplies, etc.
b) Budget Scenario 2, use 2004 budget as base, subtract 15%. Within
this reduced amount indicate how you would manage your
responsibilities. Indicate which programs would be cut, and what
level of service would be expected. Within this 15% reduction the
budget must absorb all operating costs (less capital purchases)
including salaries,benefits, supplies, etc.
i
Resolution No. 34-04 re: 2005 Budget Goals &Objectives Page: 3
• 3. Each department and each major division or program within each department shall
prepare a narrative, which shall include:
a) The department mission statement in a clear concise statement telling
why the organization exists.
b) The department's staffing requirements for the coming year clearly
indicating which staff positions are grant supported.
c) Outcomes expected to be obtained by the program, including impacts
anticipated by increased or decreased funding.
d) A description of how the program supports the six(6)priority
strategic objectives.
FISCAL BUDGET OBJECTIVES
4. The budget, when adopted, will be balanced within available resources. In addition
to annual fiscal objectives, efforts need to be made to look into the future to meet
long-term service needs.
5. Growth in General Fund property taxes shall not exceed 1% plus taxes collected on
• new construction.
6. Growth in Road Fund property taxes shall not exceed 1%plus taxes collected on
new construction; any additional increase in the road fund property tax shall be
earmarked for the road emergency fund.
7. Transfer from the general fund to other operating funds will be kept at 2004 levels
for all funds except those special fund departments, in which case the transfer shall
be at 2004 levels plus 2%.
8. Maintain personnel costs (salaries, wages, and benefits)within projected growth of
reoccurring and sustainable revenues.
9. A minimum reserve of 10% shall be maintained for all operating funds. A
minimum reserve of 25%shall be maintained for the non-capital expenses of the
Road Fund.
10. Revenues collected in excess of the minimum reserve shall be held for one-time,
special purpose needs that fulfill strategic objectives of the county.
•
Resolution No. 34-04 re: 2005 Budget Goals&Objectives - Page:
Page: 4
11. Departments with programs that are primarily funded with permit and service fees •
shall prepare a summary of fee revenue in relation to overall program costs and
program activities and outcomes. ttc,
=-i - ( -
12. The Parks and Recreation Program shall be funded with the intention that the
recreation program will be shifted to a fee based revenue over the next five years
(Reduce General Fund subsidy by 1/5 per year).
STRATEGIC BUDGET OBJECTIVES
13. Support an effective economic development strategy for Jefferson County.
a) Work with the City of Port Townsend, Port of Port Townsend,
Peninsula Development Agency, Economic Development Council
and others to foster a common economic development agenda.
b) Review and evaluate the permit process and make adjustments to
areas where the process is constrained.
c) Proceed with the development of a sanitary sewer to service the Port
Hadlock/Irondale UGA.
•14. Supporting and maintaining law and justice programs.
a) Collaborate with the courts, law enforcement,prosecution, and other
law and justice providers through the Law and Justice Council in the
development of strategies that will yield the best outcomes within
available resources.
15. Support of programs that identify and treat significant public health threats.
a) Develop programs to address substance abuse issues that emphasize
prevention, early intervention, recovery and overcoming community
complacency and which assist in implementation of a drug court
model.
b) Use the Local Health Data Profile to determine community needs
and prioritize services.
c) Deliver programs that promote healthier community and individuals.
16. Develop a strategy to relocate the Public Works Department to Castle Hill;
redevelop the Castle Hill property to fully utilize available space; invest in the
continual renovation of the Courthouse.
Resolution No. 34-04 re: 2005 Budget Goals&Objectives - Page: 5
• EFFICIENCY AND EFFECTIVENESS OBJECTIVES
17. In order to meet the fiscal and strategic objectives above, efforts to make county
government more efficient and effective will be a priority. Specifically:
a) Consolidate programs in cooperation with other governmental
entities where missions are similar, and where funding streams can
be leveraged.
b) Reduce or eliminate general fund expenditures to programs which
are not core to the County's primary mission.
c) Eliminate or reduce costs associated with management and overhead
though consolidation of programs.
d) Emphasize improving financial and reporting systems, consolidation
of data, and management of technology infrastructure.
e) Consider privatizing and outsourcing services,programs, and
functions where beneficial.
f) Continue to examine the feasibility of developing a fibre-optic
network to serve local government in Eastern Jefferson County.
18. Continue to partner with other local agencies and to develop opportunities to work
111 together on service delivery.
a) Assure that costs associated with delivery of service are equitably
apportioned.
19. Begin work to establish a performance management structure in the budgeting of
public resources which sets clear priorities in public expenditures, establishes a
baseline to measure costs, creates measurable outcomes in service delivery, and
public accountability for results achieved.
--~'APPROVED this / / day of July, 2004.
.''f • a --. JEFFERSON COUNTY
4.�:,� � ' BO . 'FCOi I .IG` Ir% S
st �0 AirA7 S - a Gle ' dies r i �,.; an
g"'` is ..`;� ..,_
' -- ember
Julie Mate 'CMC4110' '
Clerk of the Board 'atrick M. Ro•gens, Member
JEFFERSON COUNTY HEALTH £t HUMAN SERVICES
2005 BUDGET GOALS £t CHALLENGES
Despite lower staffing levels than in many years and the goal of building the
reserve we have elected not to fill four (4) current vacant positions. In order to
allow the Department to maintain the programs currently being offered to the
community, department and program administration will experience the
biggest impact of this staffing cutback. The biggest concerns are workload,
production, accuracy and morale. There is uncertainty about whether the
Department can maintain this staffing level and we will be closely monitoring
these areas over the next year.
We have been working on a plan to rebuild a 10% reserve. The request for 2%
add from the General Fund will require drastic measures, but the logical steps
taken will not impact program contracts or the Department's leveraging of
grants.
Our department budget cannot withstand 1994 funding levels from the General
Fund. Staffing can not be cut any further and still fulfill program services to
the community. The increasing fixed costs are difficult to absorb, but a
professional senior staff with benefits are expensive and computers and a
building are necessary. The unpredictable fixed costs continue to fluctuate
411 and are impossible to anticipate and afford. . If further cuts are needed, the
Board of Health will need to review the budget and decide how we address our
shortfall.
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Board of Health
New Business
Agenda Item # V., 2
• Influenza Vaccine Shortage:
Jefferson County Response
October 21, 2004
•
•
5°NJEFFERSON COUNTY PUBLIC HEALTH
O
Always Working for a Safer and Healthier Jefferson
eseit:c:0+'
Influenza Vaccination Recommendations
2004-05 Influenza Season
On October 5th,the Centers for Disease Control(CDC)was notified by Chiron Corporation that
none of its influenza vaccine (Fluvirin) would be available for distribution in the United States
for the 2004-05 influenza season due to suspension of the company's license to manufacture
Fluvirin vaccine. This action will reduce by approximately one half the expected supply of
inactivated vaccine (flu shot) available in the United States for the current influenza season. The
Chiron situation will not affect the supply of pediatric influenza vaccine for children 6 to 23
months of age.
Because of this urgent situation,CDC,in coordination with its Advisory Committee for
Immunization Practices,is issuing recommendations for influenza vaccination during the 2004-
05 season. These recommendations prioritize persons eligible for influenza vaccination to those
at highest risk of influenza-related complications.
• Jefferson CountyPublic Health
will support these recommendations and respectfully
encourages all residents of Jefferson County to adhere to the following guidelines when
considering influenza immunization during the 2004-05 season.
The following priority groups for vaccination with inactivated influenza vaccine this season
are considered to be of equal importance and are:
• All children aged 6-23 months;
• Adults aged 65 years and older;
• Persons aged 2-64 years with underlying chronic medical conditions, (see below);
• All women who will be pregnant during the influenza season;
• Residents of nursing homes and long-term care facilities;
• Children aged 6 months-18 years on chronic aspirin therapy;
• Health-care workers involved in direct patient contact;and
• COMMUNITY ENVIRONMENTAL DEVELOPMENTAL NATURAL
HEALTH HEALTH DISABILITIES RESOURCES
(360) 385-9400 (360) 385-9444 (360) 385-9400
(360) 385-9444
615 Sheridan Street,Pod Townsend, Washington 98368
fax: (360)385-9401 web: www.jeffersoncountypublichealth.org
co JEFFERSON COUNTY PUBLIC HEALTH
j Always Working for a Safer and Healthier Jefferson
bI fib.
• Out-of-home caregivers and household contacts of children aged less than 6 months.
Chronic medical conditions making influenza vaccination a priority include:
• Heart or lung disease,including asthma
• Kidney disease
• Metabolic disease such as diabetes
• Anemia and other blood disorders
Persons who ARE NOT included in one of the priority groups described above should be
informed about the urgent vaccine supply situation and asked to forego or defer vaccination
this season.
Other Vaccination Recommendations:
• Intranasally administered,live attenuated influenza vaccine(FluMist),if available,should
be encouraged for healthy persons who are aged 5-49 years and are not pregnant,including
health-care workers (except those who care for severely immunocompromised patients in
special care units) and persons caring for children aged less than 6 months.Jefferson
• County Public Health does not carry this vaccine. The Hadlock QFC may be receiving a
limited supply of this vaccine.
• Certain children less than 9 years of age require 2 doses of vaccine if they have not
previously been vaccinated. All children at high risk for complications from influenza,
including those aged 6-23 months,who present for vaccination, should be vaccinated with
a first or second dose,depending on vaccination status. However,doses should not be held
in reserve to ensure that 2 doses will be available. Instead,available vaccine should be used
to vaccinate persons in priority groups on a first-come,first-serve basis.
For more information,contact Public Health at 385-9400,Monday through Friday,between 9:00
a.m. and 4:30 p.m.
Contact: Lisa McKenzie,PHN,Communicable Disease Program Coordinator
• COMMUNITY ENVIRONMENTAL DEVELOPMENTAL NATURAL
HEALTH HEALTH DISABILITIES RESOURCES
(360) 385-9400 (360) 385-9444 (360) 385-9400 (360) 385-9444
615 Sheridan Street,Port Townsend, Washington 98368
fax: (360)385-9401 web: www.jeffersoncountypublichealth.org
Jefferson County Public Health Page 1 of 1
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HOME HEALTH ENVIRONMENT INFORMATION RESOURCES DATA 0
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Where You Ca
Get a Flu Vacc
Jefferson County Public Health provides essential programs and services to (October 14, 2C
help protect and improve the health of our community. We are always Limited supplies
working to make Jefferson County, Washington, a safer and healthier Flu Vaccine are
place to live, work and play. available
locally More...
Flu Shot
New! A major report reviewing the Health of Jefferson County is now Recommendal
available on the site. Click here for more information. (October 13, 2C
Learn about wh
priority groups
HEALTH ENVIRONMENT INFORMATION should get flu s
this season Mc
Communicable Disease Programs Youth Yellow Pages
Prevention Simple Tips to
Food Safety Data & Publications Keep the Flu f
Clinical Services Spreading
Restaurants Birth/Death Records (October 13, 2C
Family Support Services You can help st,
Drinking Water Events/Classes the spread of gi
Developmental by practicing gc
• Disabilities Living Environments Alerts & Notices health manners
This can help st
Prevention Programs Natural Resources Links the spread of tt
flu,colds, whoo
Coordinated Community Onsite Septic/Sewage cough, even
Programs SARS. More...
Solid Waste
Tobacco Program Solid Waste -Jefferson more news item
Co. »
Outdoor Burning Eve
No events
currently
scheduled. (At
JCPH INFO Contact Us I About Us I Email Contacts 10, 2004)
Board of Health I Advisory Boards
full event listinc
Jefferson County Public Health
615 Sheridan Street- Port Townsend, WA 98368
Search this site: Search 360.385.9400 I into reiterso'ncouritq u`blich`alth,or
„„ Jefferson County Home Page
Web Site Design by LineAngle.com
•
http://www.jeffersoncountypublichealth.org/ 10/14/2004
• /, INFLUENZA (FLU)
Fact Sheet
2004-05 Flu Vaccine Shortage: Who Should Get Vaccinated
Almost half of the nation's flu vaccine will not be delivered this year. Chiron, a major manufacturer of flu
vaccine, will not be distributing any influenza vaccine this flu season. Chiron was to make 46-48 million
doses vaccine for the United States.
Because of the vaccine shortage, CDC is changing its guidance about who should get vaccinated this
season.
Who should be vaccinated?
The existing flu vaccine supplies should be given to protect people who are at greatest risk from serious
complications from influenza disease.
Everyone in this group should seek vaccination:
• People 65 years of age and older
• Children ages 6 months to 23 months
• Adults and children 2 years of age and older with chronic lung or heart disorders including heart
• disease and asthma
• Pregnant women
• Adults and children 2 years of age and older with chronic metabolic diseases (including diabetes),
kidney diseases, blood disorders (such as sickle cell anemia), or weakened immune systems,
including persons with HIV/AIDS
• Children and teenagers, 6 months to 18 years of age, who take aspirin daily
• Residents of nursing homes and other chronic-care facilities
• Household members and out-of-home caregivers of infants under the age of 6 months (Children
under the age of 6 months cannot be vaccinated.)
• Healthcare workers who provide direct, hands-on care to patients
Who should go without vaccination?
Healthy people 2 to 64 years of age are asked to not get vaccinated this year at all or to wait to get their
vaccine after persons in priority groups in their area have had a chance to be vaccinated, so that available
vaccine can go to protect those at greater risk for flu complications.
• October 7, 2004 Page 1 of 2
DEPARTMENT OF HEALTH. AND HUMAN SERVICES "
CENTERS FOR DISEASE CONTROL. AND PREVENTION /
SAFER•HEALTHIER•PEOPLE"' ...
2004 Flu Vaccine Shortage
(continued from previous page)
• What about the nasal vaccine, FluMist®?
FluMist®, the nasal-spray flu vaccine, is an option for healthy individuals, ages 5 to 49 years of age, who
are in contact with infants under 6 months of age or who are healthcare workers who provide direct
patient care. FluMist® is not recommended for healthcare workers taking care of severely
immunocompromised people when they are in a protective environment and cannot be given to pregnant
women.
What else can you do to prevent the spread of flu?
There are certain good health habits that can help prevent the spread of flu.
• Avoid close contact with people who are sick. When you are sick, keep your distance from other to
protect them from getting sick too.
• Cover your nose and mouth with a tissue when you cough or sneeze - and dispose of the tissue
afterward.
• If you don't have a tissue , cough or sneeze into your sleeve.
• Wash your hands after you cough or sneeze - with soap and warm water, or an alcohol-based hand
cleaner.
• If you get the flu, stay home from work or school. You will help prevent others from catching your
illness.
110 What if you are in a high risk group and your clinic has no vaccine?
Contact your local health department and ask your regular vaccine provider about other options for
influenza vaccination.
Health departments throughout the United States are trying to make sure that as many high-risk people
as possible will eventually be able to go to either their regular vaccine provider or a flu shot clinic to get
the vaccine.
Some public vaccination clinics may also be posted at www.lungusa.org
SIN irte
Information for this page was provided by the Minnesota Department of Health.
For more information, visit www.cdc.gov/flu, or call the National Immunization Hotline
at (800) 232-2522 (English), (800) 232-0233 (espanol), or (800) 243-7889 (TTY).
October 7, 2004 Page 2 of 2
10111111011110111116-
DEPARTMENT OF HEALTH AND HUNAN SERVICES (,�(�.
1.. 7►�
CENTERS FOR DISEASE CONTROL AND PREVENTION
/moi
a��� SAFER.HEAI«TkE1IeR•PEOPLE' <......... ...:.
CDC - Media Relations- Press Release - October 12, 2004 Page 1 of 2
(DC Horne -Search Heatth Tdptcs -Z
OFFICE OF COMMUNICATION DIA
„,,,.»...,„,o cw•PWWDPk' 1303 Man Rd,MS DM Atlanta,Gk 31333-Fit 434-8N321315 FAX 4&*-8 ?7 ,. ft
• Media Home I Contact Us..
,,
+y. .. Press Release
For Immediate Release: Contact: CDC Media Relations
October 12, 2004 404-6394286 "
Site Contents
• Contact Us
• Press Releases CDC, Aventis Pasteur Announce Allocation Plan to Address
• Transcripts Influenza Vaccine Shortages
• MMWR Summaries
• Press Kits The Centers for Disease Control and Prevention (CDC)and Aventis
Pasteur announced today the first phase of the plan to allocate influenza
• News Photos vaccine in response to the recently announced loss of half of the nation's
expected flu vaccine supply for the 2004-2005 season. The plan,
Related Links announced by CDC Director Dr. Julie Gerberding and Aventis Pasteur US
• Centers at CDC President Damian Braga, calls for CDC to work closely with Aventis to
• Data and Statistics distribute in phases 22.4 million doses of unshipped vaccine to identified
• Health Topics A-Z areas of need throughout the country.
• Image_Library
Beginning immediately, about 14.2 million doses of vaccine will be
• Publications,Software allocated over the next 6-8 weeks through Aventis Pasteur contracts
and Other Products rou 9
• Rumors/Hoaxes directly to high-priority vaccine providers, including hospitals, long-term
care facilities, nursing homes, and private providers who care for young
0 Global Health Odyssey children.
Find your state or local "This plan will help ensure that vaccine gets to those people who need it
health department most,"said CDC Director Dr. Julie Gerberding. "This is a troubling,
HHS News frustrating situation for all of us and we need for all Americans to pull
together in the weeks to come to meet this challenge head on. This plan is
National Health the result of unprecedented collaboration between CDC, Aventis Pasteur,
Observances and state and local health departments across the country. And we must
not forget the other public health heroes on the front lines in grocery
stores, pharmacies, and health clinics working to prioritize vaccine.
Vat Pitt Cidtelli US.Gtmemotaz
CDC will continue to work with Aventis Pasteur and state and local health
Div.of Media Relations departments to identify people, by region, on the vaccination priority list.
1600 Clifton Road The approximately 8.2 million doses remaining after the first phase is
MS D-25 completed will be shipped to other high-need areas.
Atlanta,GA 30333
(404)639-3286
Fax(404)639-7394 "Since Dr. Gerberding contacted us last week, we at Aventis Pasteur have
worked with the CDC around the clock to tackle the complex task of getting
millions of doses of influenza vaccine to thousands of health care providers
around the country. Our goal has been to direct remaining doses as
quickly as possible to those areas where large numbers of at-risk
individuals are in need," said Damian Braga, president, Aventis Pasteur
US. "It is a huge logistical feat and we are proud to have contributed our
knowledge and expertise to this plan."
Last week CDC announced priority groups for vaccination with inactivated
• influenza vaccine for the 2004-2005 influenza season:
• all children aged 6-23 months,
• adults aged 65 years and older,
http://www.cdc.gov/od/oc/medialpressrel/r041012.htm 10/14/2004
CDC - Media Relations- Press Release - October 12, 2004 Page 2 of 2
• persons aged 2-64 years with underlying chronic medical
conditions,
• all women who will be pregnant during influenza season,
• residents of nursing homes and long-term care facilities,
• • children 6 months-18 years of age on chronic aspirin therapy,
• health-care workers with direct patient care, and
• out-of-home caregivers and household contacts of children aged <6
months.
Influenza season typically peaks in the United States between December
and March. Because each season is unpredictable, it's not known how
severe the 2004-2005 season might be.
Although vaccination is the best protection against influenza, everyone can
take practical steps to help prevent spread of flu, such as avoiding close
contact with people who are sick and keeping your distance from others if
you're sick; when possible, staying home from work, school, and errands
when you are sick; covering your mouth and nose when coughing or
sneezing, and cleaning your hands often.
For more information about the flu and this year's recommendations, visit
the CDC Website: www.cdc.gov/fiu.
Media HomePage I Accessibility I Privacy Polio(.I Contact_Us
CDC Home I Search I Health Topics A-Z
This page last updated October 12,2004
URL:http://www.cdc.gov/od/oc/media/pressrevr041012.htm
United States Department of Health and Human..Services
111 Centers for Disease Control and Prevention
Office of Communication
Division of Media Relations
•
http://www.cdc.gov/od/oc/media/pressrel/r041012.htm 10/14/2004
Stop the spread of germs that make you and others sick!
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•
Board of Health
New Business
Agenda Item # V., 3
• Jefferson County Prevention
Principles and Strategic Tobacco
Prevention and Control Plan
October 21, 2004
140 A
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Board of Health
New Business
Agenda Item # V., 4
• Draft Deputy
Health Officer Resolution
October 21, 2004
•
DRAFT
Whereas RCW 70.05.040 authorizes Local Boards of Health to appoint a health officer
to carry out the powers and duties specified in RCW 70.05.070, and
Whereas Jefferson County periodically requires the services of a physician qualified
under RCW 70.05.050 to serve as health officer during periods of scheduled leave,
illness, or other excused absences of its appointed health officer, and
Whereas public health emergency preparedness and response plans require that Jefferson
County have a health officer with full legal authority to take all necessary actions for the
protection of public health 24 hours a day, 7 days a week, and 365 days a year, and
Whereas Scott Lindquist, MD, MPH and Frank James, MD are fully qualified to serve as
local health officers within Washington state and have agreed to accept appointment as
deputy health officers for Jefferson County, and
Whereas Drs. Lindquist and James have agreed to serve as deputy health officers on a
voluntary basis and without monetary compensation while providing back-up coverage
for Clallam County's primary health officer
• THEREFORE BE IT RESOLVED THAT
The Clallam County Board of Health hereby appoints Dr. Scott Lindquist and Dr. Frank
James as Deputy Health Officers for Clallam County.
APPROVED AND ADOPTED Day of , 2004
Jefferson County Board of Health
•
• Frank Eugene James, M.D. frankjamesmd@comcast.net
3511 Chuckanut Avenue, Bellingham, Washington 98229 cellular-paging-messages (360) 201-2505
EDUCATION
High School Wilson High, Tacoma WA (Attended University of Washington for
two summers as a full time student while in high school).
Undergraduate BA, Magna Cum Laude
Fairhaven College and University of Washington 69-73
(overall GPA 3.74, premedical courses GPA 3.86)
Graduate School PhD candidate, Boston University, Socio-linguistics. 74-75
Medical Degree MD, University of Washington, Seattle, WA 79-84
Honors: Family Medicine, Pediatrics, Surgery, Psychiatry,
Trauma-Emergency Medicine, Alcoholism Treatment and
Immunology.
• Outstanding Community Service Award: selected by classmates.
Scholarships: W. Hunter Simpson Scholarship, Frank McCleary
Medical Scholarship, University of Washington School of
Medicine Scholarship.
Pre-Doctoral Fellowship: US Public Health Service, Pre-Doctoral
Training Grant, University of Washington School of Medicine.
"Non-Traditional Therapies: Identification and Evaluation of
Often-Used Medicinal Plants in a Community Setting."
LICNESURE MD University of Washington, Seattle 6/84
Residency, Providence Medical Center 85-87
Permanent licensure, Washington State #00022929
Diplomat, National Board of Medical Examiners 7/85
Diplomat, American Board of Family Practice 9/87
Recertified, American Board of Family Practice 7/94
Advanced Trauma Life Support Certification 10/87
Advanced Cardiac Life Support Recertification 2/88
i
•
Board of Health
New Business
Agenda Item # V., 5
• 2005 Environmental Health
Performance Measures
October 21, 2004
•
Jefferson County Public Health — Planned Performance Measures 2005
ENVIRONMENTAL HEALTH
Solid Waste Programs
•
MISSION: The mission of the Solid Waste Enforcement and Education Program is to assure
that solid waste in Jefferson County is managed in a way that is consistent with state regulatory
requirements, avoids harm to the environment, is protective of the public health and promotes
goals and objectives for solid waste reduction and recycling consistent with the Jefferson County
Comprehensive Solid Waste Management Plan.
GOALS FOR FY 2005:
1. Reduce the occurrence of promiscuous dumping.
2. Increase the awareness of small quantity generator and household hazardous waste
disposal requirements through education and outreach efforts.
3. Promote construction and demolition waste recycling in order to reduce illegal dumping
and to see a decrease in the annual tonnage of solid waste.
OBJECTIVES FOR FY 2005:
1. Finish updating local solid waste regulations.
2. Conduct workshops and technical consultations with SQG's
3. Begin green business program as envisioned in the Jefferson County Solid Waste
Management Plan and within available funding.
41)
PERFORMANCE INDICATORS: 2002 2003 2004 2005
Est. Planned
Percent of illegal dumps closed and cleaned up 100% N/A 100% 100%
Number of complaints/reports received about 78 37 80 80
illegal garbage and waste dumping and storage
Number of complaints that were resolved without 45 34 50 50
issuance of a Notice of Violation
Number of illegal dumping complaints resolved 27 16 25 25
after a Notice of Violation was issued
Number of illegal dumping complaints unresolved N/A 10 5 5
(pending)
Number of illegal dumping complaints unresolved N/A 3 0 0
waiting for legal action
Number of EnviroStars Businesses—Note: there N/A 6 8 10
are 100 EnviroStars eligible businesses in
Jefferson County
Pounds of Recycled Material at Electronics N/A 11,328 12,000 12,500*
Recycling Event(began in 2003)
*Not able to calculate until year-end
SUMMARY OF KEY FUNDING/SERVICE ISSUES:
Generally there has been very few compliance problems associated with permitted solid waste
. facilities in Jefferson County. However, illegal dumping and neighborhood nuisance conditions
continue to be a problem. Use of general funds and tipping fee funding to match DOE Solid
Waste Enforcement and Solid Waste Education Grants will enable the division to maintain
1
staffing at current levels. This level of staffing will enable the department to complete the solid
waste regulation revisions, increase capacity for compliance activities and conduct regular
community outreach programs.
LINKS TO COUNTY STRATEGIC OBJECTIVES: •
• Protecting and Enhancing Natural Resources.
• Addressing locally identified and defined public health problems.
• Operating within a business plan based on sustainable resources, measured performance,
and outstanding customer service.
•
S
2
Jefferson County Public Health— Planned Performance Measures 2005
ENVIRONMENTAL HEALTH
ON SITE SEWAGE PROGRAMS (OSS)
MISSION: The mission of the Onsite Sewage Program is to minimize the threat of surface and
ground water contamination from failing or improperly designed, installed or maintained onsite
sewage systems.
GOALS FOR FY 2005:
1. Educate homeowners,builders, real estate personnel, banks, installers, designers and
onsite system maintenance personnel in the proper operation and maintenance of onsite
sewage systems.
2. Assure a high quality-monitoring program.
3. Implement and enforce state and local rules and regulations governing the installation and
use of onsite sewage systems.
4. Investigate action requests and complaints in a timely manner to reduce the threat of
human contact with untreated wastewater.
5. Assure high quality customer service.
OBJECTIVES FOR FY 2005:
1. Develop written informational materials for public distribution and conduct workshops
for community groups addressing onsite sewage system operation and maintenance.
2. Provide training to community groups to increase awareness of regulatory requirements
for onsite sewage systems.
• 3. Review monitoring and inspection reports and provide timely follow up.
4. Utilize existing data systems to track action requests and complaints.
5. Develop and implement a system for routinely surveying customer service.
6. Assure that site inspections in response to permit applications are conducted within 14
days of receipt of application.
1
PERFORMANCE INDICATORS: 2002 2003 2004 2005
1/1- Planned •
6/30
Number of systems repaired/upgraded not associated 21 22 8 25
with a violation or building application.
Percent of existing systems receiving regular 3rd party 14% 16% 20% 22%
monitoring.
Percent of system failures less than 5 years in use 1.4% 1.6% 0% 1.5%
Number of complaints received 60 24 40 40
Percent of complaints requiring enforcement action. 21 18 25 20
Number of septic permit applications 318* 329* 156* 350*
Number of permits<14 days to initial inspection 147 180 73 185
Number of permits>14 days to initial inspection 48 35 35 40
Percent of permits issued with clock stoppers that 52% 41% 59% 35%
delay processing time
Average days to process permits 14 15 19 15
Percent of permits applications pending 6.5% 6.0% 8.6% 6.0%
Number of evaluations of existing system (EES) 210 230 136 280
Percent of EES resulting in required significant 30% 26% 25% 25%
maintenance or repair.
Percent of failures/major maintenance 2.9% 1.7% 3.6% 2%
Number of educational workshops 18 5 4 9
Number of workshop participants 431 100 56 180 11111
* Number of applications does not equal approved permits
SUMMARY OF KEY FUNDING/SERVICE ISSUES:
Tracking will be done with existing data systems to evaluate effectiveness of monitoring
programs. With the completion of the DOE non-point source pollution grant, ongoing O&M
activities will need to be funded through permit and inspections fees. Implementation will focus
on coordination with the PUD to set up systems for scheduling and tracking inspection activities
and conducting community outreach to increase awareness of the new requirements.
LINKS TO COUNTY STRATEGIC OBJECTIVES:
• Protecting and Enhancing Natural Resources.
• Addressing locally identified and defined public health problems.
• Operating within a business plan based on sustainable resources, measured performance,
and outstanding customer service.
•
2
•
Jefferson County Public Health— Planned Performance Measures 2005
ENVIRONMENTAL HEALTH
Drinking Water Programs
•
MISSION: The mission of the Drinking Water Program is to assure that the residents and
visitors to Jefferson County have access to the best quality drinking water that is reasonably
available in order to minimize the threat of waterborne disease.
GOALS FOR FY 2005:
1. Assure that all new wells are constructed in accordance with requirements established by
the Washington Department of Ecology.
2. Provide technical assistance when requested so that individual water supplies are safe.
3. Limit public exposure to water systems with known deficiencies.
4. Integrate water adequacy review information with Natural Resource water quality
database
OBJECTIVES FOR FY 2005:
1. Inspect at least 50% of all new wells constructed and 90% of all wells being de-
commissioned.
2. Maintain high rates of compliance with state well drilling regulations.
3. Review all building permits and project applications to assure that potable water supplies
meet basic public health standards as well comply with state statutory and regulatory
requirements.
4. Provide technical guidance to any residents requesting assistance with their individual or
• small water systems to deliver safe drinking water.
5. Establish appropriate policies for alternative water supply systems.
6. Continue contracting with DOH for public water supply projects as long as adequate
funding is provided.
PERFORMANCE INDICATORS: 2001 2002 2003 2004 2005
Est.
Number of well applications received&reviewed,includes 75 119 157 165 170
carry forward from previous years(USR's)
Number of new wells start notification(drilled) 43 101 84 88 90
Number of wells abandoned 2 7 31 33 20
Number of applications with no well drilled(carry forward) 30 11 42 44 40
Number of new wells inspected(start notification received) 36 45 63 66 60
Percent of new wells(starts)inspected 84% 46% 75% 75% 66%
Number of abandoned wells inspected 2 N/A 31 33 20
Percent abandoned well inspected 100% N/A 100% 100% 100%
SUMMARY OF KEY FUNDING/SERVICE ISSUES:
Increased tracking will be done within existing databases such as permit plan and the food
service database. Databases, including the water quality database,will be updated as necessary
to add new fields to track performance indicators.
1
LINKS TO COUNTY STRATEGIC OBJECTIVES:
• Protecting and Enhancing Natural Resources.
• Addressing locally identified and defined public health problems.
• Operating within a business plan based on sustainable resources, measured performance,
•
and outstanding customer service.
•
2
•
Jefferson County Public Health — Planned Performance Measures 2005
ENVIRONMENTAL HEALTH
Food Program
411
MISSION: The mission of the Food Program is to minimize the risk of the spread of
disease from improperly prepared, stored or served foods handled in commercial settings.
GOALS FOR FY 2005:
1. Provide classroom food safety instruction for all food service workers.
2. Assure minimum sanitary standards are observed in all food service
establishments.
3. Provide basic food safety information to the general public.
OBJECTIVES FOR FY 2004:
1. Offer food safety training at a frequency and in locations convenient to food
service workers.
2. Review all new food service establishments for compliance with state and county
requirements.
3. Inspect all food service establishments at a frequency adequate to assure
compliance with state and local regulatory requirements.
4. Offer educational materials and technical assistance to non-regulated community
groups and organizations where requested.
S
PERFORMANCE INDICATORS: 2001 2002 2003 2004 2005
Est. Planned
Number of food workers trained 1,008 1,090 1,306 1,500 1,044
Number of food worker classes at Health 51 60 62 60 N/A
Department
Number of food worker classes at other 13 18 29 30 N/A
locations
Number of food establishment permits N/A 251 248 260 N/A
Number of required inspections completed 247 293 300 300 352
Number of inspected establishments that 22 21 20 20 33
required repeat inspections due to critical
violations.
Number of establishments receiving 55 48 48 50 41
Outstanding Achievement Awards
Number of temporary food service permits 72 65 75 78 N/A
Number of complaints received and 26 46 22 30 N/A
resolved
SUMMARY OF KEY FUNDING/SERVICE ISSUES:
Food Program activities are largely funded through permit fees.
LINKS TO COUNTY STRATEGIC OBJECTIVES:
• • Addressing locally identified and defined public health problems.
• Operating within a business plan based on sustainable resources, measured
performance, and outstanding customer service.
1
•
Board of Health
Media Report
•
October 21, 2004
•
Jefferson County Health and Human Services
AUGUST — SEPTEMBER 2004
NEWS ARTICLES
1. "Grant Offers $50,000 for Tribal Health",Peninsula Daily News, 7/25/04
2. "Brinnon Child, 12, Shot in Head",Peninsula Daily News, 8/1/04
3. "Jefferson to Receive Less Bridge Project Money",Peninsula Daily News,
8/10/04
4. "Bruce is New Environmental Health Director",PT Leader, 8/11/04
5. "City Mulls 53% Property Tax Hike",PT Leader, 8/11/04
6. "County Budget Numbers are Being Crunched",PT Leader, 8/11/04
7. "Study Reveals Clallam Health Insurance Gap",Peninsula Daily News,
•
8/18/04
8. "Immunize for School Year",PT Leader, 8/18/04
9. "Celebrating Breastfeeding",PT Leader, 8/18/04
10. "Still No Evidence of West Nile Virus, Officials Say",Peninsula Daily News,
8/19/04
11. "Shellfish Ban Extends to Jefferson", Peninsula Daily News, 8/20/04
12. "County Beaches Closed to Shellfish Gathering",PT Leader, 8/24/04
13. "Food Code, Hotel Rules the Subjects of Board Hearings",News Release,
State Board of Health, 9/7/04
•
CS SUNDAY,JULY 25,2004
s
Grant
offers
$50 , 000 or
tribal h
Foundation "While the anticipated loss
of revenues is a loss to the tribe,
aids substance the biggest loss is the lack of
services to people who need a
abuse center service."
About 64 percent of the
PENINSULA DAILY NEWS tribe's chemical dependency
services were provided to Med-
PORT ANGELES — The icaid patients from September
Lower Elwha Klallam tribe has 2002 to August 2003.
been awarded a $50,000 grant Vulnerable populations,
to continue to provide chemical financial pressures and frag-
dependency services at the mentation all contribute to the
tribal clinic.
• The Rural Health Viability difficulty rural health providers
grant was given to the tribe by have in maintaining their
the Washington Health Foun- health care systems,foundation
dation. officials said.
The tribe has been providing
substance abuse treatment to Support for providers
tribal and low-income, non-
tribal clients for the past four The foundation strives to
years through its Klallam encourage and support the
Counseling Program. communities and providers.
Initially, the tribe received In its efforts to improve
reimbursement from the state rural health, the foundation
for providing these services,but has awarded over $4.3 million
due to the current budget crisis, in Rural Health Viability grant
funding has been cut for non-
tribal Medicaid patients. funds to Washington's rural
health providers over the last
Tribal patient care five years.
Reimbursements for tribal "Sustainability of our rural
patients will continue to be 100 health systems depends on reg
percent. ular investments to improve
Grant funds will be used to health and build community-
continue operations while the based, high-quality health ser-
tribe negotiates a settlement vices," Lorna Stone of the
with the Division of Alcohol and Washington Health Foundation
Substance Abuse regarding said.
reimbursement. Rural Health Viability
"The tribe is committed to J;
seeking solutions to ensure that grants are among over 200
• all those who need and seek grants totaling more than $8.5
treatment are able to access it," million which the Seattle based `
said Lower` Elwha Klallam nonprofit Washington Health j=
Tribal Council member Rosi Foundation has provided in the
Francis. last five years.
Jefferson County Health and Human Services
SEPTEMBER — OCTOBER 2004
NEWS ARTICLES
1. "Kicking off Washington's `Healthiest State in the Nation' campaign",Peninsula
Daily News, September 12, 2004
2. "Hospital has new name", (2 pages)P.T. Leader, September 14, 2004
3. "Taking it to the streets", Peninsula Daily News, September 19, 2004
4. "County delays `train wreck", P.T. Leader, September 22, 2004
5. "Schedule your flu shots", P.T. Leader, September 29, 2004
6. "Ax man threatens county staff', P.T. Leader, September 29, 2004
• 7. "Budget discussion in Jefferson",Peninsula Daily News, October 5, 2004
8. "Healthy adults urged to skip influenza shots",Peninsula Daily News,
October 6, 2004
9. "Flu vaccine shortage puts Jefferson clinics in doubt", Peninsula Daily News, October
7, 2004
10. "Enough flu vaccine for most needy, providers say", Peninsula Daily News,
October 8, 2004
11. "Short giving up?" (2 pages), P.T. Leader, October 6, 2004
12. "Jefferson bureaucracy sours cheese factory bid", (2 pages), Peninsula Daily News,
October 12, 2004
•
11
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PENINSULA DAILY NEWS a t
• PORT TOWNSEND-The name : ,
a za .�3
will now. Easier to say and remem- : . ',
ber,too. r
Jefferson County Public Care
Service District No. 2 rolled out its hiY
new name, Jefferson Healthcare, on
Monday to ,l -- +y/ -,,- .,
r -'S4 .IVF V1L101� ' 7. Y M ] F
The name change applies to Jef- `. w,s x t f
ferson General Hospital and to a 2 ` a� hCd1 ' ; ' -- ' ' .,,,..>„--..
r;..�'
variety of outpatient businesses con- ,-1'4-4,�1:.A'zA gtr' .., , t:.'44-2* 1it 1
nected with the hospital. 4 "
,The new name more accurately ilosi)Itll
reflects the fact that 75 percent of 1
the services offered under the Jeffer-
son Healthcare umbrella are outpa-
tient services, said Kathy Constar- , E E R U E 11 C
tine, the organization's spokes-
woman. Outpatient Services
Jefferson Healthcare, a compre
hensive health care organization,
NICK Hovssr�rraov/PENINsutr DULY NEWS
includes a network of physicians' A bright banner announces a name change at the former
clinics,physical therapy and rehabil- Jefferson General Hospital in Port Townsend. Jefferson
itation, home health care, hospice Healthcare is,on umbrella name for several services, including
and numerous othexhealth-related the hospital'at 834 Sheridan St.
services all coordinatedthrough the
healthcare district, frompatients and employees over a informed about the name change is
'More encompassing role' ' , period of months. important.
Co...... ire shill the new name is For the majority of the hospital
"It reflects the more encompass- the one people found the most -staff the-name.change has little
encompass-
mg role of the hospital," said well- appropriate and feltmost comforteffect on their daily care routine,,,
410 nese nurse.Wendy Schultz. "It's a able.with.., ``It's OK It 's hard to get used to,
way to reflect our new mindset.With The health care district's admin- ' but I've been here for 16 years,"said
the previous name you-think of the istration plans to have a low key cer- Barbara Vane, an exercise techni-
hospital,you don't think of the din- emony marking the name change, cI The phone answering is not as
ics. The name is key." such as treating its employees to a
The administration considered a cake to celebrate. automatic be with the newove name as it
variety of possible choices for a Jefferson Healthcare's adminis- used to be,Vane discovered.
name change. It analyzed feedback . trators say keeping everyone TURN To HFArTNrAPr/A.c
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BY JENNIFER JACKSON . ' " 1# d!, t.._IG t 4 , t , Ir
&,f'–;-----..,..--,----, iQ c? `S I • ''
PENINSULA DAILY NEWS l�i' �-' i '''. ' ;6� �/If �, ',4 '' z FP,..'"
,, t a r ' S-
i d z [/ 1 � ff. 1.1. fP �.�J'+' l 500. 1 P %;- >?
PORT TOWNSEND Car- .. a.�, . i i �rri,,N, ' --, t `
rying signs with red ribbons u i as �� lKo- �,„' `, ': ( .> l , .e "<I
100 men, women and children � , �� l a�h'; � .11; ,y�p � .- I' ��,
marched through the streets l:zi,' ‘,..4 :,_ p e !
on Saturday, raising awareness1..,,,,;40010', e i, '-, -,,,1,1§1',..7:::, . � 1
} ' , 1�t �' •a -z I �, .tE 231. 1 .
of the disease and more than � " � \`' '� s ,,i7.,„1:1,4,„,
$6,000 for local AIDS patients. A' Vc1. 'S ' ' ` i - k ' i•<, ;a;
"We're taking the walk out f� ? 1 j 't`� _ }' � '�P� '
onto the street this year," said t
Mimi Rosenberg, a member of V'� ' .'1' ?•' •' ' }.. , "°
Jefferson AIDS Services,which g i , 4 = ` ,- , •, e
organizes the annual event. �� "�' 4x
Lynn Nadeau, on the ladder, and Maeve Aeolos hang lines of ribbons with the
In previous years, walkers names of local AIDS victims.
have been rele ated to the side-
t walk. ,�;,: '..,.:
fron;ATS aTfeccted people who Studnts` from Port Guthrie, Krista Ellis, Cai lin"
This year,'with ihe help-of •live in Port Townsend. Townsend, Chimacum and Rich and Erin Bramhalt.
volunteers Bill Erickson, They include Bonnie Mor- local home schools participated -
1 Goldsmith and Don. row and Qianna Mosier, whose in the event.
Marseille, they made a two- stepbrother and uncle, Brian They included Diodene and
mile loop on uptown and down- Mitton, died of AIDS in his Wren Piper, who held the
town streets before returning early 30s. walk's banner, and high school
to Chetzemoka Park. students Becca Meyer, Casey
$1,159 In pledges Loved ones lost Moss,Tori Wilfong,Staci Haw-
"He could have used this gen, Brianna Rendeau, Brita
Among the walkers was help,"Mosier said.
Gisela Loch, who raised$1,159 "All the money goes to help
in pledges for Jefferson AIDS with medications, utilities, any
Services, the largest amount of extra money that the family
any individual in the history of needs.
the event, according to Mark "Medications can be $1,000
Gordon, registrar, a month.
"I know a couple of people Nina Jurczynski,- a Port
who are infected with the dis- Townsend High School senior,
ease,"Loch said. designed this year's AIDS Walk
"I want them someday to shirt.
find a cure.—that's my wish." The. Port Townsend Vocal
Lynn Nadeau and Maeve Ensemble provided music, and
Aeolos put up ribbons with the the Port Townsend Rotary
•names of people whose death Club served lunch.
q,(1,0LE
9 PDN
A 2•Wednesday,September 22,2004
•
County ' train wreck
By Sarah J. Bell Goals and Objectives adopted Irondale/Port Hadlock Urban ance plans for union employees,
Leader Staff Writer by the Board of County Growth Area, courthouse refill.- saving the county$153,000.
Commissioners, Fischbach and bishment projects and small Sartin said there have been no
The county has delayed the Sartin presented a working draft changes within department bud- cuts in employees.The possibil-
"budget train wreck,"for now. of the budget Sept. 20. gets as the remaining issues ity of adding requested positions
Working together with coon- "The budget is balanced but before finalizing the 2005 bud- in the Department of
ty departments,Central Services not yet completed," Fischbach get. Community Development is
Manager Allen Sartin and said. "It could legally be adopt- Fischbach also said equip- being reviewed.
County Administrator John ed,but we still have issues to be ment projects requested by "We Meed to make sure the
Fischbach announced they have settled." departments were taken into funding for those positions is
balanced the $33.5 million account. These include the pur- sustainable,"Sartin said. "We've
Jefferson County draft budget Operating costs chase of "touch screen voting made it clear to all of the depart-
for 2005. "The general fund shows devices" for the county auditor, ments that this budget still needs
Utilizing priorities in gov- operating costs that are very flat purchasing additional comput- work and we may go back and
ernment as expressed by county with only a small increase," ers for juvenile services, and a review it."
residents in the 2003 State of Fischbach said. laptop and computerized poly- The county also anticipates
the County survey as well as Fischbach singled out wage graph system for the sheriff's saving money on training
consulting the 2005 Budget costs, the sewer for the office. ($17,000), and it identified state
Decreases in income are grants valued at$178,000.Sartin
expected to come from District said other small reductions have
�Rr�"1` £, ,.:-..--,-.4.,,:44,,..44,,,,,„ Court, which is anticipating a
s � � ,,� � � • allowed them to balance the
tS .t � i� e*fes $45,000 reduction in fine rev- draft budget.
" r ' z mrt� �� 'F Both Fischbach and Sartin
lit lig*�� .
.� ";� tra � enue.
'� j "They've received less fil- thanked the departments for tigh
�'R ��4` willingness to participate inglir
R
f ' ings,"Fischbach explained. gn P P
` * Also affectingcountyrev- budget process and noted that
,senue for the next budget year is each abided by the request to
2004 state legislation that elimi- present two budget scenarios:
,� tT goo, gig
, TO+ �,�1 nated personal property tax on one adding 2 percent, the other
. state timberland sales and initiat- decreasing 15 percent.
Y : ed the sharing of sales.tax with Fischbach said when budgetsR all counties for the sale of timber were first returned,general fund
4,-;10- 4kon public lands. expenditures exceeded revenue
.431" ,
� fst SOLUTIONS . - Fischbach said a large by $120,000, but he and Sartin
amount of the tax burden is on
were able to whittle away at the
the timberland counties for the
���iOt�BUS �s � first few years. deficit and balance the draft bud-
yr • get.
"In 2005, this change is esti-
The working budget takes
x . mated to reduce revenue from
Into account a $150,000
about$61,000 to$39,000,a rev-
For Immediateenue reduction of about
reserve, but Sartin said they
Service Call or $22,000,"Fischbach said. might need to increase the
Fischbach said the county reserve number in case labor
mikekenna@printery.com negotiations lead to a number
will continue to lose money in g
nobull@printery.com T. subsequent years and will not larger than anticipated.
0 Bj f regain the current amount of tim- "We're really pleased that all I
ber revenue until 2008. the departments were really pre
"The county's share of the pared," Sartin said. "At first
Graphic Design • tip to Six Color Digital&Offset Printing sales tax will increase gradually blush it appeared we were start
Digital BMW
- .4:-.-
Color Copying Fulfillment&Mailing from 1.2 percent in 2005 to 4 ing from a deficit,but it's t
Full Color Large Format Posters&Banners percent in 2014," Fischbach some effort and we've wo
4110
reported. everything out." M
r �/t Fischbach said he expected a
- Printery: F
` Budget gains that the final budget proposal to
Sartin said the largest single would be presented to the com- an
8 Year Experts for Coittplete Business Solutions.
631 Tyler St. Uptown PT 385-1256 (800)339-1256 www.printery,com reduction in spending came missioners in mid-October after cu
through changes to health insur- a rini i,-haarincr(l't d
Wednesday,September 29,2004•8 3
Schedule your flu shots
• The change in the weather as above should not get the new Townsend. Saturdays, Oct. 16 your coupon or card.All others,
October approaches signals the vaccine.Those interested in this and 30, 9 a.m.-noon. Medicare $20 for flu shots,$30 for pneu-
beginning of the yearly flu clinic type of vaccination should con- patients bring Medicare cards. monia shots.
season,when many people think tact the Port Hadlock QFC All others $15. No insurance • Safeway Pharmacy, 442
about getting their annual Pharmacy. will be billed. Sims Way, Port Townsend;
influenza shot. The Centers for • Port Townsend Family Saturdays,Oct.16,23 and 30,11
Disease Control has announced Shots in October Physicians, 934 Sheridan, Port a.m.-5 p.m. Medicare will be
that there should be plenty of flu Jefferson County Health & Townsend.Saturdays,Oct.9 and billed. Bring Medicare card.All
vaccine available this year, so Human Services will have flu 23 and Nov. 6, 9 a.m.-noon. others,$20 for flu shots,$35 for
anyone wishing to be immu- vaccine available in October Medicare. patients'. bring pneumonia shots.
nized can get a shot starting in for children 6 months to 23 Medicare cards. All others $15. • South County Medical
mid-October. months old, and for any chil- No insurance will be billed. Clinic, 294843 Highway 101,
Groups for whom the flu dren with risk factors listed • QFC Pharmacy, 1890 Quilcene. Beginning Oct. 4,
shot is recommended have above. Irondale Road, Port Hadlock. Mondays through Thursdays,
changed some for 2004. The The following clinics are Thursday and Friday, Oct. 21 8:30-9:30 a.m. and 5-4 p.m.
recommendations now include available in Jefferson County: and 22, 8 a.m.-12:30 p.m. and Medicare patients bring
young children and all pregnant • Jefferson Medical 1:30-6 p.m. Medicare cards.All others$15.
women. Associates/Dr. William Coyne, • Brinnon clinic, dates to be No insurance will be billed.
The following people have a 2110 Lawrence St., Port announced.Medicare,Medicaid Call 765-3111 for an appoint-
high risk of complications or Townsend. Beginning Oct. 5, and Tricare will be billed.Bring ment.
serious disease if they catch the Tuesday and Thursday, 1:30-5
flu, and they should be immu- p.m. by appointment only.
nized: Medicare will be billed.All oth-
•All children from 6 months ers$20 cash or check.Call 379-
to 23 months old. Young chil- 5121 for an appointment.
dren who catch the flu are just as • Jefferson Medical Group,
likely to need hospitalization as 834 Sheridan St., Port
the elderly.Children under age 9 Townsend. Saturdays, Oct. 16
receiving flu vaccine for the first and 30, 9 a.m.-noon. Medicare
time need two doses given one patients bring Medicare cards.
month apart. All others $15. No insurance
• • Family members and care- will be billed.
givers of infants from birth to 23 • Olympic Primary Care,
months old. 1010 Sheridan St., Port
• Anyone 50 years of age or
older.
• Children and adults with
chronic diseases such as heart
. disease, lung disease, asthma,
diabetes, kidney disease or ane-
mia, people with weakened
immune systems due to
HIV/AIDS, long-term steroid ,
treatment or cancer treatment,
and residents of long-term care
facilities.
• Children receiving long-
term aspirin therapy.
• All women who will be
pregnant anytime during the flu
season.
• Family members or care-
givers of high-risk people listed
above. •
•'Medical providers or others
TT.
Le...641w-
who provide direct care to any of
the above persons.
• Anyone who wants to
reduce their chance of getting
influenza.
•
In addition to the traditional
flu shot,the nasal mist influenza
vaccine is again available.It is to
•
be given only to healthy people
between the ages of 5 through 49
years. Anyone with a medical
condition, pregnancy or one of
the other high-risk factors listed
Ax man threatens county staff •
Property cleanup, complaints spark non-injury incident
By Sarah J.Bell s -
Leader Staff Writer K •t' - ,
: •
An ax-wielding man walked through 5 ~ -t
the back door of a county office last ;i, ' • ,r z
week,saying it was time to"start scalp- {) 1. i
ing some white eyes." t • •
Gary Leavitt, a 66-year-old Lake T„, f
Leland area resident, was apparently tt. t
frustrated after three years of dealing t, ..,-.--z., t � .: r''''''""'f'X s r *''4,-W.,74',44,, -__^ o f{
with the county's Environmental Health -' t + I °,'}+^ iter" I -El.y$�S' - 1't
Vit'
Department.There have been repeated _''t+ fe iS ! �y- -' x tV,„ts, --6., , *' j'n ,,y'� -
complaints about the assorted trash R :44 ^ •ie v Y � —..
abandoned vehicles and lack of a septic s ei ° l� " - t,
system ata propertyon which Leavitt ',;;;:.,:,,1 �.. -„,...7.7:-:„:,.-;;;....„.r-
Yfl�L
resided. The property was owned by — r r.,i. b�.b,. -os \-G 9 1°' T,. T-_ ,',as.
farmer member Jerome Kelly, who "r, ;. • �' '' ; - "" `°"° gif 7 � -
resides out of state. Y -`
Leavitt was arrested by Port �. )try —�� .. ` a a :
Townsend police shortly after the inti r r
dent.He did not actually swing the ax at .s -
anyone, and there were no injuries-
Leavitt was arraigned Sept. 22 on
charges of brandishing a weapon to
intimidate.He pled not guilty and was This is part of the collection on property occupied by Gary Leavitt that the county's Environmental Health Department has
released bail been asking him to clear and clean up.The county now has an enforcement deputy to assist staff In gaining compliance.
oLeavitt was told about a week prior Photo courtesy of Jefferson County
to the Sept.21 incident that a county jail county building code and the Unified county and that people are generally years to bring Leavitt into compliance,
"chain gang"crew would be removing Development Code(UDC). surprised when contacted about viola- Pearson issued the first ticket to him in
the garbage and other assorted items at The investigation and push for corn- tions. May 2003 for being out of compliance -
his expense. pliance was prompted by numerous "We've exhausted all of our avenues with the Jefferson County onsite sewage
The chain gang was arranged complaints received by her office from before we turn things over to Deputy code by not having an onsite septic sys-
through the Environmental Health neighbors of the Leland Creek Road Tony Hernandez,"Pearson said. tern. According to county records,
Department by Molly Pearson,a code property just off U.S.Highway 101,she Deputy Hernandez is a full-time Davin contested the$50 ticket and was
compliance investigator. said. sheriff's department employee and given an extension but failed to comply.
Pearson has worked in the depart- "We always try everything possible spends part of his time enforcing code He instead got a Sani-Can that was _
ment for four years.She said she's never to get people into compliance before for the Environmental Health perched on the edge of a wetland flow-
been personally threatened and she had issuing a ticket,"Pearson said. Department and the Department of ing out of Lake Leland,Pearson said.
been working since 2001 with Leavitt to Pearson said that code compliance Community Development. Later he added old cars and campers
bring him into compliance with the enforcement is relatively new to the After repeated attempts over several See AX,Page A 9
• Ax: County to examine safety issues •
Continued from Page A 1 Leavitt reportedly entered the though he was very rude to her," to do if something were to hap-
as well as other items,in viola- Environmental Health Baldwin noted. pen.
tion of the UDC. Pearson said Department through an open Pearson said she was happy Baldwin said the health -
some of the derelict campers back door near the Department things turned out OK but said department was in a safety meet-
were occupied and complaints of Community Development she understands why things like ing two hours prior to the ax
continued- offices at Castle Hill Shopping this happen. incident.
After several notices to vacate Center in Port Townsend. Jean "It comes with the territory," "There have always been
the property, Leavitt reportedly Baldwin,health and human ser- Pearson said."I was scared and threats,but up until now nothing
continued to reside there and vices director,said-the doors are frightened,but it didn't surprise has happened,"Baldwin said.
also built a two-story structure. open on warm days to improve me." Regular safety meetings are
Deputy Hemandez was soon ventilation. Upon his release,Leavitt was expected to continue, and the
assigned to the case and accom- According to witness reports, 'told by Judge Huth not to go department now keeps the back
paned Pearson to her onsite vis- Leavitt was carrying a splitting within 200 feet of Pearson or the doors locked,Baldwin said.
its. maul ax, typically used to split health department. Currently "We need to beef up personal
On May 11, 2004, Leavitt firewood. Leavitt walked Leavitt is residing in Sea Breeze safety," Baldwin said. "That
• signed a performance contract through the office to the front Mobile Home Park, about 200 includes safety in the field,'
admitting to the violations,with desk. He told a receptionist: feet from the department's back Pearson said she continues to
a contractual agreement to begin "Tell Molly the last Indian has door. Leavitt was granted per- do onsite visits, and although a
correcting the infractions. been pushed off of his land and mission to continue living at the deputy does not go along on all
Pearson said her last onto the reservation" and "It's mobile home park and could of them,she makes sure a deputy
encounter with Leavitt was three time to start scalping some white come and go from his home but is there if a situation is heated or
weeks ago when she visited him eyes." , was told not to have contact with if a person she is dealing with
with Deputy Hernandez. She Accoding to the police the department or with Pearson. has a violent history.
said they were checking the report and witness accounts, Despite a stressful and poten-
progress on work agreed upon in Leavitt appeared intoxicated. Safety for workers tially dangerous situation,
the performance contract,When Leavitt reportedly asked'for , Aftershe security breach last Pearson keeps a sense of humor
they..arrived-,at,-,the,properly, ;-Pearson, but she had left work week .county'"Adr iinis4rator' 'and` aid'she'i4ill continue'ilork-
Leavitt was •illegally••bumingt- 'for•the day and was shopping John Fischbach is looking into ing 'to improve the''county
tires and other items,she report- next door at QFC at the time, employee safety. through code enforcement.
ed.Pearson said she and Deputy The receptionist, who chose "Now we are evaluating poli- "I'm only armed with my
Hemandez made Leavitt extin- not to be named, tried to calm cies and procedures,"Fischbach considerable charm, and in
guish the fire. Leavitt as he held up the ax and said. "The sheriff is working almost every case that's been
• "He was testy during the last said"Tell Molly I'm damn sick with us." enough,"Pearson said.
visit,but he's never been threat- of this"before walking out the The issue of safety was a con- , ear •
ening before," Pearson said. front door. cern that the county commis-
"Burr he always watched what he An office employee over- sinners discussed briefly during
said when Deputy Hernandez heard Leavitt and called the their business meeting Sept.27.
was around." police. Commissioner Glen
Baldwin said the receptionist Huntingford tasked Fischbach to I Ct 1 b
c(
Unlocked door effectively diffused,he situation. look at procedures so that coun- tl
Shortly after 4 p.m.Sept.21, "She took care of things even ty employees are aware of what
. Bu
Budget : cm o •E� � oI o.. ; ti
.� h)
A. ... ° uh■ Fav a�n °
•uiscuscion .b 0.� 8. or op o
in Jefferson g o � � , , 8.. � .. ■ N . � ° 0
� •5 E .. g 8 S a, .s a °
Countyagencies forge CI it.R.,4
& � �
g 'b v N at M w
spending plans for 2005. (� ) 2 41 V
BY JAN RODAH o ��j 3 ;; {p3�p °"p [o�n� S
"' $LI r` V IvW O51 C '.E sgq ��
s.+ ao•.r .0 d N v w
Just shy of three months after y 1 ° g
County gen �� v ° ° d t x a~i-'Cto >avFa
Jefferson officials be
the tedious task of hammering out '' a w o v o 6 "�
an operating budget for 2005, ..";;;14*.,.`,� ' 4 -) v . a N y g v �;
county commissioners heard their n � v..{ .a � ,,L,,-.66'•E 8 -.5
first round of input from the public .r > -- .`g a
" y w
at hearings held Monday. 9. ' � .1 §.2t-'5' i�
a
Now in its midpoint, the public ° 8Q [•c A G 0" °
hearings process continues through :" -4,T o g—.11106(8--S w d'5 o
Friday,with commissioners accept- s s"' 4—) . >," °I017131 n bi
ing input from their constituents Morris ' V a a . 1 b x .-,:a 'c•
0
~
on everything from how many full-
0
ull "� ° '� o ° °
time employees should staff the county Assessor's a 1,E b 3 o g o b 0o, .b
Office to how much funding should be committed Z a' 0ra.,cd 1I°"-o , 0 a
toward managing animal control issues within ?.county
boundaries. CS t' I h,41 -''',t o
Monday's hearings were sparsely attended but Nos °' t8 a a� 8
the public will be invited to weigh in once � y o ° .-'. 8 to`-'5 o
when a more finely tuned budget is presented for .4 g 8 v .� 8 $ R 8 z g F1
final approval in early December. '5.S' .a '3.P 3 g -5''' t
Commissioners on. Monday were briefed by L- cu ...° -z--.14 § _
department heads who had previously submitted NMI -i•-••) d § °c -45' W.8 G ,:x 3
their own budgets for the next calendar year and C/� gg o 8 g ° 8
had an opportunity to seek clarification on any "•5 8 x:� 8 3 1
changes from last year's documents. if , ,‘, ti m
Two budget schemes ig "y• • � � ag8 ,t18_2.-,1
Department heads were instructed to present ^ g 4 a y
0 M
commissioners with two versions of a budget: One 8 >4), N a a 43
reflecting a net" increase of 2 percent over 2004 .O • v o•" c P: o Q a a g..�
expenditures and another with a 15-percent .I...) 'P v 0 0 ° a ) 1 = g w
decrease over 2004 levels. U "� o 1'11.1.5.4 o
The two would provide commissioners with a Cl...) 2 a,8•E
t
° 'range of options as they prepare a consolidated bud- � b .tc 2•a N a o zp
"--4
..� 1 8 rpt°L �. .IIw �a xget,officials said. 8 wThe complex process involves not only depart- O a•E] ta o ot•°,��.2 c
ment-by-department budgeting, but' .consideration c ° d„ a v c, c�] F a a 4•
of how some county functions'may be more effi- I A t mh°l& $ %.,U 8 ;-8
ciently handled through a consolidation between `/ 3 q "o iv
departments. . •d ° w
It involves a detailed study of revenue sources.. `r'tri - ■ 'a x. o °
Treasurer Judi Morris provided information to w8 c a 8
commissioners on a projected increase of$260,000 „ • >
in investment income and an unspecified boost in' O j b E 0 8 0
sales tax revenues. o ° 3 v w o ,,
zo •n2 g ° ov 30.s1 ,,,,!' 8 3 0
l • Tu1'N'ro Bunter/A4 i �' o o °° ;
T mil o n s p gra• .�),v� 8 •
X CO l
•
•
PENINSULA DAILY NEws—(J)
Healthy. •adults
urgedto skip
influenza shOts
THE ASSOCIATED PRESS The Bush administration;
SEATTLE — Health offi- urged the public and doctors
cials in the state's most to begin voluntary rationing of
densely populated county are the roughly 54 million flu
urging most healthy adults to shots that will be available
delay or skip flu shots so that this year.
the elderly and others most at
risk from influenza can get Officials to hold meeting
scarce supplies. Public Health - Seattle and
The recommendation from
the public health department King County said it plans to
serving Seattle and King hold a meeting next week to
County came after British reg- take an inventory of local sup-
ulators unexpectedly shut plies of flu vaccine and help
down a major flu-shot supplier make plans for its use.
today, prompting a record "This is a serious problem,
shortage in this country just as nearly half of the planned
as flu season is about to begin. flu vaccine supply will not be •
In a statement that echoed available for distribution in
an advisory from the Bush the United States," said Dr.
administration, the Public Alonzo Plough, director and
Health - Seattle and King health officer for Public
County asked health-care Health-Seattle&King County.
providers to make sure prior- "Our goal now is to work
ity is given to people at highest with the public and health
risk for complications from the
illness. care providers to ensure that -
That would include chil- those at highest risk for corn-
dren younger than 2 years old, plications from the flu are the
• adults 65 and older, other peo- ones who will receive the vac-
. ple with underlying medical cine,and ask those not at high
conditions and pregnant risk to forgo flu vaccination
women. this year."
1111
•
5_D, ce_n,ts. PoJrt, T Vvitsend,-J,efferlso2,n1CAtinly�'*`Da
•
Flu vauume shortage puts
.1,.....,:..)
• Jefferson clinics• II • . innN
doubt
Some people problems at the Chiron Corp.plant in tions director,said Wednesday.
Y Y England where roughly 46 million That was not the case,however,at
without shots doses destined for the United States supermarket pharmacies in Port
had been manufactured. Townsend and Port Hadlock.
must be `careful' That means only about 54 million
flu shots will be available-in the Shot clinics canceled
BY JEFF C United States this year from a com-
peting
• Safeway Pharmacy in Port .
COHELE
Argo Townsend on Wednesday canceledArgo EI►�.nvE 'I' Jefferson County Health Depart-
PENIt�ISULA DAILY NEWS • ment officials are following federal vaccination clinics that were sched-
Centers for Disease Control and state ��Oct.16,23 and 30 after a vendor
Influenza vaccination clinics in canceled its vaccine order.
_ East Jefferson County were thrown Health Department recommenda- "We were notified today that it
into limbo Wednesday with national tions to only vaccinate"medical risk" won't be available,"said Dave O'Con-
news of a major vaccine shortage. groups such as children ages 6 to 23 nor, pharmacy manager, on Wednes-
The critical situation forced Safe- months and adults 65 and older. day.
way Pharmacy in Port.Townsend to Jefferson General Hospital was "people are really going to have to
cancel clinics this month. still supplied with vaccine and plan- be really careful. . .by washing their
British regulators on Tuesday ning seven clinics through early hands and taking vitamin C."
unexpectedly shut down a major flu- November, Kathy Constantine, Jef-
shot supplier, citing manufacturing ferson Healthcare community rela- TURN TO FLU/A6
Flu: Port Hadlock shots uncertain
• CONTINUED FROM Al 934 Sheridan St. that they can't hold their rationing to get America into
Clinics are also planned planned flu shot clinics. the flu season.
O'Connor said Safeway
Pharmacy distributed more there at the same time Oct. 23 The county department tern- "Take a deep breath. This is
and Nov•5. porarily pulled its online list of not an emergency," Gerberding
than 400 vaccinations last year,
QFC Pharmacy in Port Had- Clinics are also scheduled upcoming clinics until it knows said.
lock, which vaccinated about through the hospital Oct. 16 how much vaccine will be avail- "We don't want people to
1,200 Tri-Area residents last and 30 at Olympic Primary able,and where. rush out and look for a vaccine
year, is left in a state of uncer- Care, 1010 Sheridan St., and "It's affecting the county sig- today."
tainty, said its pharmacy man- Oct. 16 and 30 at Jefferson nificantly,but how significantly Flu vaccine is made rising
ager,Phillip Matt. Medical Associates, 2110 it's too early to tell," said chicken eggs and takes months
"It's going to have a pretty Lawrence St. Kathryn McDaniel, health ser- to brew, meaning manufactur-
big impact on us," Matt said. All clinics are from 9 a.m.to vices program director for ers cannot suddenly produce
"We are unsure if we will get a noon. Health and.Human Services. more.
n
shipment or not." Constantine said the num- Congress allocated $50 mil-
Matt said QFC Pharmacy ber of doses available at the Olympic Medical Center lion in the 2004 budget to begin
was "right on the cusp" of clinics was not known on At Olympic Medical Center, modernizing flu vaccine pro-
receiving its order, but its ven- Wednesday. one of Clallam's largest employ- duction, only half the amount
dor canceled it at the last Lisa McKenzie, Jefferson ers where flu vaccines are federal health officials had
minute. County public health nurse, offered to the staff, spokes- requested, Health and Human
Matt said the pharmacy was said CDC and state Health woman Rhonda LoPresti said Services Secretary Tommy
left with just "a few bottles" Department recommend vacci- the hospital will be prioritizing Thompson said in Washington,
after he sent most of his supply nating children between ages 6 its supply of vaccine for employ- D.C.
to a clinic in Sequim. months and 23 months, senior ees with the highest amount of Chiron's problem began in
"And I'm not sure when I citizens and those with "long- patient contact. August,when it discovered con-
will be able to get more," he term health problems" such as It's still early for flu season tamination in a small amount
said. heart, lung or kidney disease, —it typically hits the state full- of vaccine that delayed its U.S.
The pharmacy has sched- asthma,diabetes and anemia. stride in January and continues shipments.
uled clinics Oct.20 at the Brin- Said McKenzie: "They are into March, though it was seen Tuesday, British regulators
non Senior Center, on Oct. 21- asking public and private in the state by mid-November suspended Chiron's license for
22 in Port Hadlock, and one to providers to really look at these last year. three months, officially pro-
be announced at Quilcene Com- priority groups." In Atlanta, a top federal hibiting export of the Fluvirin
munity Center. In Sequim on Wednesday, a health official, lamenting "a brand that Chiron manufac-
illMatt said he believed he long line of people snaked very fragile vaccine production tures in Liverpool.
would know more in two days through the QFC market dur- system," urged healthy people The sanction means more
and could verify-whether those ingallu=9hattlinio ox?c::•s<{ '• Wednesday to defer getting than a delay, Chiron officials
clinics still will be conducted. Like-in-Jefferson County, their influenza shots so medica- said.The company will ship no
Jefferson General Hospital other grocery stores and agen- tion will be available for those Fluvirin anywhere this year.
plans a clinic from 9 a.m. to cies around Clallam County most at risk.
noon Saturday at • Port notified the county Department Dr. Julie Gerberding, CDC The Associated Press con-
Townsend Family Physicians, of Health and Human Services head, urged voluntary tributed to this report.
.. .
•
Enough flu vaccine for, _._
, most needy, provi d ers-say
BY JEFF CHEW – health department and federal Centers for Dis-
PENiNsuin DAILY NEWS ease Control criteria
Jefferson County residents considered in Health p*bblems qualify . t
"medical risk"health groups are likely to receive
influenza vaccines this year. Those with long-termhealth problems, such
It's doubtful others will • as heart,lung or kidney disease,asthma,diabetes
But many planned shot clinics around the and anemia,also fit that definition.
county that were put on hold Wednesday were After a day of uncertainty Wednesday, Port
rescheduled'Thursday. Hadlock QFC Pharmacy Manager'Phillip Matt
Thursday's actions and the limits on who gets on Thursday said the pharmacy would conduct
vaccinated follow this week's sudden national its vaccination clinics as scheduled, but only
vaccine shortage. high-risk adults 18 and older and seniors will
British. regulators on Tuesday unexpectedly qualify for flu
down a major flu-shot supplier, citing man- ' "We do'know that we're going to continue
ufacturing problems at the Chiron Corp.in Eng- with .our clinics, Matt said, adding that he
land,where roughly.46 million doses destined for 'expected to receive between'.600 to 700 doses
the United States had been manufactured. prior to the pharmacy's first clinic Oct.20 from.9
That means.only about 54 million flu shots am to 2-P.m. at Brinnon.Senior Center.
from a competing firm,Aventis,will be available The pharmacy also plans clinics Oct'21 and 22
in the 50 states this year: from 8 a.m.to 12:30 p.m. and.1:30 p.m.to 6 p.m.• .
Babies ages 6 months to 23 months, adults 65 at the QFC Pharmacy, 1890 Irondale Road, Port.
and older and others with"high risk"health con-
ditions only qualify for flu vaccines under state TURN To.FLu/A6
'
in Flu: Am le stock Port Townsend
CONTINUED FROM Al director,said General Hospital plans a clinic from 9 a.m. to Oct. 16 and 30 at Jefferson
C also planning a has ample stock of vaccine to noon Saturday. at Port Medical. Associates, 2110
QF
clinic Cin is alsolcen
at time to serve the Port Townsend area Townsend Family Physicians, Lawrence St.
be announced. and was still planning seven' 934 Sheridan St. All clinics last from 9 a.m.
"I will be first come, first clinics through early Novem- Clinics are also planned to noon.
ber. there at the same time Oct.23 Lisa McKenzie, public
served,but only people in high "We ordered from Aventis and Nov 5. health nurse with Jefferson
risk,"Matt said. so we have about 5,000 doses Clinics are also scheduled County,said the county health
The pharmacy provided flu • "
vaccine — about 1,200 doses right now, Schmidt said through the hospital Oct. 16 department would wait to see
— to most.of south Jefferson Thursday and 30 at Olympic Primary if there would be vaccine avail-
County last year. Jefferson General Hospital Care, 1010 Sheridan St., and able after high-risk persons
Nancy Schmidt, Jefferson _ are vaccinated. 0
Healthcare wellness program .,
C aye. "�'^2 3r - - - *.-6...t,. ....,,,--_-. -'x .4-'s's.�-�'-' .,
_ _,..,,
-...,÷„4,...„.„ _,.,_
,....._
M -w�..''-., ,. ..' '. 'yr?" • -off s
' 'nom '- 's% ' :1-,;--,z:7-5,-,'T-z-
.. :7-5,-^'' -7 !. •� ip �,� r
't---rte _ ' o -.'ew� F
- x -F ma
g
u
! 9' ,r, '' ',•• u 'C 'tea t_ . 1 `"` v'� '3 ,� '---
Chimacum dairy fanner Roger short invested#�, and a year and a half of his tim -lea Chicnacum Creamery, a
proposed smal9 artisan cheeseopera6 6 ?
tion. Photo by Janet Huck
givin ,1"._• short
up .
Fam
i er its regulat as he
prepares to abandonrolecreamery
By Janet Huck the dairy.`"There's too much red tape and bureaucracy."
Leader Staff Writer The creamery cows go to auction soon. Then he can
stop dumping 40 or 50 gallons of milk everyday,milk that
Chi�nacum dairy far neer Roger Short promised his wife was supposed to go for cheese making.
he would have the Chimacum Creamery up and running by But his business partner, Will O'Donnell, hopes the
last February. In the spring, he and his business partner partnership is not yet over..
revised their start date for cheese production to September. "In my mind Chirnacum Creamery is going to be mak
Now it may be never. ing cheese in 2005,"said O'Donnell. "I'd still like to see
"I give up,"Short said Monday,sitting in his office at See DAIRY,Page A t 5
10 -- sr, -
vg
-
Dairy: Plans are changing
l
Continued from Page A 1 value-added production," added family members.
Roger produce the milk, but I cc IJ¢°RogerLatham. "If Roger can't do it, it In Short's food processing
have options" Cam t doesn't bode well for other small- application for Agriculture
The proposed Chimacum d0 itIt doesn't scale agricultural production." stated he wants to employ -
Creamery is the first artisan , t Last
spring,Latham brokered outside the family,so the apphca
cheese company on the Olympic bode well for a deal with the state Department tion was booted to the
Peninsula and one of only a hand- of Agriculture to allow Short to Department of Health, which <_
ful in the state that represents a other small-scale dispose of cheese-making waste approves drinking water systems. `E
partnership between the tradition- in his cow manure lagoon that "I informed his partner he -
al agricultural community and the agricultural has a 2.5-million gallon capacity. would have to meet the Group B
burgeoning organic movement. ' "The waste from the cheese is design standards last Thursday,"
While some local
dairy farmers production. the same kind of waste as from said Jerrod Davis,assistant region- RI
are giving up and selling their the normal milking operation al manager for the Washington a
cows,Short tried to save the fam- AI Latham that already goes into the State Deparhnent of Health Office wa
ily farm by going organic and manager lagoon,"Latham explained. of Drinking Water.`°There will be
starting a small cheese-making Jefferson County Latham and Short forwarded a financial impact,so they are con- na
business. Chimacum Creamery Conservation District the letter of agreement to Bruce. cemed. We are not stopping the
has been trumpeted as the coun- According to Kirk Robinson, creamery but sayingthese are
just a
ty's first value-added farm pro- lead inspector for Agriculture's the regulations you have to corn-
duction,a model for other farmers, came from a cheese product. livestock nutrient management ply with to provide safe and tell-
A dairy farmer for 40 years, Every agency at every level program, he initially approved able drinking water."
Short said his blood pressure has wants to help him meet public the plan. But after questions A Sequim engineering firm -
skyrocketed in the last three health standards." from Bruce, Robinson thought informed Short it would take
weeks since receiving a letter "Dan Bruce stepped in to Short should make a small $10,000 and two to four months
from Dan Bruce, Jefferson make sure everything went addendum to his nutrient plan to design a Group B public water
County's new environmental smoothly,"said Jefferson County for cheese-making byproducts system. 1
health director,telling him sever- Administrator John Fischbach. such as whey. "That's not for the infrastruc- t
al state approvals for his corn- "Our directions to the staff were "It wouldn't be complicated, ture,just for the plans so we can
mercial creamery had not been to work with Mr. Short to make but we would want to know how get a permit," lamented Short.
addressed properly.Short said he sure he gets through the process whey would react with manure "The product can't pay fo a
had a written agreement with the as easily as possible because we and how much would be placed public water system. I c
state Department of Agriculture want to get the business open and in the lagoon,"said Robinson. comprehend why we would need 1
for creamery waste disposal and running successfully." "The lagoon has a capacity a public water system as long as t
a verbal understanding with the County Commissioner Glen for milking 300 cows and 300 our water meets the standards.
state Department of Health's Huntingford has asked Short for heifers," countered Short. "The I'm not opposed to performance 4
division of drinking water before a list of regulatory requirements maximum number for the standards. I couldn't sleep at
the local agent got involved so together they can work creamery would be 50 cows and night if I thought the water might a
"Now the Department of through them,but Short said he 50 heifers.It's a no-brainer." be contaminated." 4
Agriculture says I may need a didn't do it. The second and far weightier Short has already invested
new dairy nutrient management Short took responsibility issue was the complexity of a $20,000 and a year and a half of
plan and the Department of upon himself for some of the water system. Short felt he had his life into the creamery. He's -
Health says I need a Group B roadblocks. "I don't always stay worked out an agreement with been renovating his 20-year-old
public water system that will on top of things,but the regula- state Agriculture that allowed buildings according to the coun-
cost $10,000 just for an engi- tors have no idea how much him an exemption for a family ty permit requirements. But he
neering plan,"said Short."None things costs,"he said. farm. Family farms with small- said he has had enough.
of the other farms of my size Jefferson County Conservation scale production facilities don't "I don't want to talk to any
with small creameries needed District Manager Al Latham, have to build a Group B public more bureaucrats," he declared.
these things." who oversees agriculture, said water system, but the farmers "A 61-year-old guy isn't sup-
Bruce said he was just doing Short is not overreacting. can employ only immediate posed to get tears."
his job to make sure food busi- "It's frustrating to do things in
nesses and regulatory agencies good faith and find out you have
were on the same page. to do more," said Latham. "In KahTai -
"I found Mr.Short was either any start-up business,everything
not hearing what was said or isn't laid out at the beginning.As Care & Rehabilitation Center
misinterpreting the situation," you go forward,more and more
Bruce said."I think the business people come onboard with more Invites you to join your family and friends at our facility fora free class on
he is proposing is a great idea for ideas. Some bureaucracies let Reco
Jefferson County, but there is a some things slide and others dot 1' Tully
right way and a wrong way to do all the I's and cross all the T's." Stories and History
it.One of the most recent disease "Roger is the first Jefferson
outbreaks in Washington state County farmer to convert to What wonderful Christmas gift for your loved ones!
What a special keepsake-a priceless history for the next generations.
s:October°19®Time:10-I1am
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bid
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cheese factory
A r - -' d farmer new county Environmental Health the commissioners only a week to act,
1 1 `1 Director Dan Bruce,gave county coin- Short responded:
�� county
� � �T � �i mission
a week to come up with a "I've been dealing with this for 1�%z
I 1 solution or he will pull out of his part- years and it has to move forward."
�� easePermits
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nership O'Donnell.
with cheesemaker Will Huntingford assured Short that
the commissioners would do whatever
they can to make his project happen.
BY JEFF Caw No`r dblock' However, Huntingford said: "The
Prim'sures'DAILY "They could have said,`It will hap-
tri
ap county's role is public health, and we
PORT TOWNSEND — fends, pen,we will not be a roadblock and we do have to respond to make sure this
neighbors and farmers packed asour- will not be a hindrance,"' Short said is addressed along with everything
thouse meeting room Monday to sup of the commissioners after the Mon- else'
port longtime Chimacum dairy day morning hearing on his creamery At issue,said Short,is the possibil-
farmer Roger Short,who voiced fres plans. ity that the dairy may need a new
tration with bureaucracy in his bid to After fellow Chimacum dairy nutrient management plan and a new
• build Jefferson County's first organic farmer and commissioners'chairman water system that will cost upwards
cheese processing facility. Glen Huntingford told Short he could of$10,000 for engineering.
Short, who called fox the firing of be hurting his own cause by giving TURN TO HAY/A ;
„ ,
... ,
Dairy: roven health safety
P .
el
CONTINUED FROM Al ing down from the state
hort, a farmer for 40 Department of Agriculture
An option is piping Jeffer- is attempting and Department of Health •
son County Public Utility Dis- years, through the county environ-
trict water 6,000 feet to the to save the family mental health division.
farm, but Short said that dairy by going into the At his Valley View Dairy on
would cost$450,000.
Don- organic cheese business, Center Road, Short said he
Short said he and O
nenhad every intention of partplans the organic cheese pro of the county's cessing plant adjoining his
running a clean operation burgeoning value-added existing milking barn.
with clean water. A farmer for 40 years,Short
"Cheese-making is a spe- agriculture movement. is attempting to save the fam-
cialized process,” he said,
"that if you have the wrong ily dairy by going into the
bug in it,it won't work." After he and about 50 oth- organic cheese business, part
Short added that he has ers confronted the county of the county's burgeoning
produced milk since 1970"and commissioners Monday, Short value-added agriculture move-
nobody's gotten sick." met with Port Townsend Food ment.
He demanded that Bruce Co-op general manager Briar The cheese processing plant
have no more role in the Kolp and Washington State is seen to be a pilot program in
county permitting process, University Cooperative Exten- the county, a model effort for
"otherwise I'm out." sion Service agent Katherine other farmers waiting in the
Bruce told the commis- Bim. wings.
sioner that he came on board Kolp, on behalf of the food Kelly James, a farmer with
during the latter part of the co-op, endorsed the proposed Froghill Farm in Port
permitting process in the cheese-making business, and Townsend for seven years,
creamery proposal. said its products would be sold said mainstream markets are
"To the best of.my knowl- at the co-op. catching on to the organic food
edge there have been no per- "By promoting local pro- movement, making it more
mits issued for Mr Short's duction, we encourage local difficult for small organic
dairy," he told the commis- buying," Kolp told the com- farmers to survive.
sioners Monday prior to the missioners, adding that 20 "This is what's going to kill
hearing. percent of what the co-op sells the small farmers once again," •
Bruce warned that "milk is is locally produced. •she said.
fraught with danger if it is not She said the food co-op
treated correctly . . . I believe offers "any support that it Tearful plea
the county has been painted as can" to the cheese-making Besides Short, his wife,
anti-business,and I take great venture. Sandy, tearfully pleaded with
umbrage with that." Baril urged that a"business the commissioners to "get
facilitator" was needed to
your bottoms into gear,guys."
Going to Olympia assist value-added farmers She said the farm had
.short, who proposes build- make it through the bureau proven its health safety "by a
p � cratic maze.
ing an organic cheese process- "There's no doubt that we test over time."
ing facility under the same want to make this happen," Tom McNerney, county
roof as his milking barn, said Bari].said Planning Commission chair-
he would travel to Olympia man, said his board and the
today to take his case to 24th Bureaucratic roadblocks county commissioners have
District Rep. Lynn Kessler, R- repeatedly shown their sup-
Hoquiam, and 2nd District Short,who earned his bach- port for value-added agricul-
Sen. Marilyn Rasmussen, D- elor's degree in dairy produc- ture.
Eatonville,a family friend and tion from Washington State "You're preaching to the _
ranking member of the Senate University, said he has met choir . . . They're on your
Agriculture Committee. bureaucratic roadblocks filter- side," McNerney said.
•