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•
Jefferson County
Board of 3-fealth
.agenda
40
Minutes
July 21, 2005
i
JEFFERSON COUNTY BOARD OF HEALTH
Thursday, July 21, 2005
2:30—3:00 PM
Auditorium
Jefferson General Hospital
DRAFT AGENDA
I. Approval of Agenda
II. Approval of Minutes of May 19,2005 Board of Health Meeting
III. Public Comments
IV. Old Business and Informational Items
1. HIV Rule Simplification
2. June 30, 2005 Congressional Testimony of Mary Selecky,DOH Secretary
V. New Business
11410 1. Budget Preview
VI. Activity Update
VII. Agenda Planning
VIII. Next Scheduled Meeting: August 18, 2005
Risk Communication Training
1:00 PM-4:00 PM
Fort Worden State Park
0
JEFFERSON COUNTY BOARD OF HEALTH
MINUTES `
• Thursday, June 16, 2005
Board Members: StaffMembers:
Geoffrey Masci, Chairman—Port Townsend City Council Jean Baldwin,Health d.,'Human Services Director
David Sullivan, Vice Chairman—County Commissioner District#2 Julia Danskin,Nursing Services Director
Phil Johnson—County Commissioner District#1 Thomas Locke,MD,Health Officer
Patrick M.Rodgers-County Commissioner District#3 Mike McNickle,Environmental Health Director
Jill Buhler—Hospital Commissioner District#2
Sheila Westerman—Citizen at Large(City)
Roberta Frissell-Citizen at Large(County)
Chair Masci called the meeting to order at 2:31 p.m. in the Health Department Conference Room.
All Board and Staff members were present with the exception of Member Frissell. John Fischbach
was also in attendance. There was a quorum.
APPROVAL OF AGENDA
Jean Baldwin requested two additions to the agenda under Old Business and Informational Items.
She would like to add item IV.6. Health Department moving update and, item IV.7 DSHS Contract.
Member Rodgers moved to approve the Agenda as amended. Member Buhler seconded the
motion,which carried by a unanimous vote.
APPROVAL OF MINUTES
Member Buhler requested corrections on wording from the May 19, 2005 minutes under Activity
Update/Other Announcements/Hospital District. The corrected wording of the 2nd sentence should
read She provided background about the hospital's shift to critical access designation, reviewed
opportunities it has for growth and described methods being used to reduce expenses, which will
result in a net financial gain.
Member Westerman moved to approve the Minutes from May 19, 2005 as amended.
Commissioner Johnson seconded the motion,which carried by a unanimous vote.
PUBLIC COMMENT—None
OLD BUSINESS AND INFORMATIONAL ITEMS
West Nile Virus Provider Alert: Dr. Tom Locke reviewed a letter (included in BOH packet) sent
out by WA State Department of Health to all health care providers that served as an educational
piece providing information on West Nile virus (WNV). The letter asked for assistance in
monitoring and reporting known cases of WNV. In 2003, WNV infection became a provisionally
notifiable condition in Washington, and in 2004 the State Board of Health revised the WA
Administrative Code to include Arboviral Diseases. Reporting of suspected and confirmed cases are
to be done through the local health department or district. Dr. Locke noted that Jefferson County
doesn't have any known cases at this time but it is anticipated that the State will have a few cases in
summer. There followed additional discussion about any threat that might come from sites in the
HEALTH BOARD MINUTES —June 16, 2005 Page: 2
county. Environmental Health Director Mike McNickle noted that DOH/JCPH are training local
volunteers monitor and research mosquitos. This training will be sponsored by State DOH will
provide training&materials and will not incur any internal costs.
Avian Flu: Dr. Tom Locke reported on an article (included in BOH packet) about the World
Health Organization's alarm concerning an imminent threat posed by the outbreak of H5N1
influenza in South Asia. He noted that this comes as close to Pandemic since the 1960s and that
there is an international debate going on about whether it would be best for countries to stockpile
the anti retroviral drugs for their own citizens, or if it would be more effective to send the drugs to
Asia to try to stop the outbreak. It would take the entire world supply to stop it, and there is question
whether that would even be possible.
Letter Re: OnSite Sewage Rule: Dr. Tom Locke gave background on the letter prepared per the
request of the JCBOH dated 4-13-05 (included in packet). This letter is in regard to the Onsite Rule
that is going through the Public Hearing process with the WA State BOH and is on track to be
adopted July 136. It states that the Jefferson County BOH is in support of the update of the WA
State Department of Health's proposed Draft Onsite Sewage System Rule. Both Dr. Locke and
Mike McNickle, Environmental Health Director, commented that they are pleased that the Draft
Rule is written with a minimum of mandates, leaving a lot of discretion to the local BOH. Mike
made further comments on funding; the Sewage Management Plan; and a template that will be
provided in 2006 by the WA State Department of Health to make a management plan.
E2SSB 5763 — Omnibus Treatment of Mental and Substance Abuse Disorders Act of 2005:
Health Department Director, Jean Baldwin referred to the portion included in the packet that lists •
the key components. As a discussion item she referenced point #25 that indicates that a county
legislative authority may impose a 1/10th of one percent sales tax. In Jefferson County this would be
approximately $273,000. There is a need for clarification on how substance abuse and mental health
would work together towards determining priorities. Extensive group discussion followed. Jean
advised the Board that there is a County legislative piece if the Commissioners want to raise the tax,
but there's no County legislative piece for evaluation. Chair Masci recommended that they develop
a timeline to discuss further. Member Westerman noted that it would be a difficult decision for the
Commissioners to make unless they know what the money is going to be used for.
Member Westerman moved that staff develop a plan for what would be done with the money
that would come from a decision by the BOCC to raise the tax. The motion was seconded by
Member Buhler and carried by a unanimous vote.
A 60 day timeline was set for completion of the proposal. Further discussion led to a decision to
pursue the formation of some kind of a joint task force with Law & Justice. Geoff Masci and David
Sullivan will attend the next meeting of Law& Justice on July 23rd.
ServSafe Manager Certification Course: Mike McNickle explained the State requirement that all
persons in charge of food service establishments must demonstrate knowledge of food safety during
an inspection. One way to meet this requirement is to be certified with ServSafe. Mike McNickle
will be teaching this course on June 28m to a full class of 10 students. He noted that the course is
quite comprehensive and will require reading the text book to pass. There are 90 questions on the
exam and students must have 70% or better to pass. Dana Fickeisen will be teaching future classes. •
Dr. Locke noted that because of a very high turnover in the restaurant industry, the training of
HEALTH BOARD MINUTES—June 16, 2005 Page: 3
management is a point of assurance for food safety and he is very glad and supportive of this new
itraining.
Health Department Moving Update: Jean Baldwin reported that JCPH will be closed on Friday,
July 8th for the second leg of the departmental move. Fiscal and Natural Resources have already
moved into their temporary quarters in the old DSHS building. The remaining staff will make their
move into the DSHS building on the 8th. Clinic will move to their temporary location immediately
next door on the 8th where space is limited, but adequate. Volume will be down during this time.
Clinic will resume seeing clients again on Monday, July 11th. The general contractor will begin his
work on July 11th and completion must meet schedule requirements to allow DCD to vacate their
premises for the final stage of the remodel. JCPH will issue a press release and post notices on the
doors. Jean also noted that meeting room space in the DSHS building is quite small and the Board
will need to meet at a different location during this transition.
DSHS Contract: Jean Baldwin reported that the Prosecuting Attorneys of several counties have
met with DSHS over a period of a year regarding the general terms and conditions of the DSHS
contract. This particular contract has been onerous and irritating for many years. She noted that
DSHS has the counties responsible for the liability for many things.Negotiations have broken down
and several counties are trying to negotiate changes. There will be a discussion with the
Commissioners about what Jefferson County should do. She explained that this is a"FYI" -that the
contract is not ideal. David Alverez has been very helpful articulating the County's issues. This is
worrisome because it is such a large contract for local services. Julia Danskin added that the
renewal dates for most of these contracts is July 1St and that we have functioned in the past under
• these contracts without them all being signed, but it is a little nerve-wracking to provide services
without a signed contract. David Alverez is scheduled to meet with the Commissioners on July 27th.
NEW BUSINESS
Solid Waste Program — Board of Health as Jurisdictional Health Authority for RCW 70.95:
State law established the BOH as the jurisdictional health authority for solid waste rules. This is
somewhat unusual since it is a Department of Ecology code, but is assigned to the Health
Departments and the Board of Health. He explained that what this means is that if one of these solid
waste permitting decisions is appealed, it will be appealed to the BOH with potentially very high
stakes.
Mike McNickle briefed members further on where Environment Health is going in the county with
solid waste. He reported that the department has hired Mark Nelson as an Environmental Health
(EH) Specialist to deal with solid waste issues and enforcement. It is our mandate under State law
and as a Health Department we need to address this issue. He indicated that EH will be coming to
the BOH and the BOCC regarding the need for a nuisance ordinance so that enforcement can be
done properly. Two solid waste employees will be hired to strengthen the solid waste program. First
priorities are permitted facilities verifying that code and State requirements are being met. BOH will
be reviewing the local solid waste ordinance.
Jean Baldwin pointed out that due to maternity leave and vacancies this work has not been staffed.
Dr. Locke and Member Rodgers elaborated on other benefits of a strong, detailed and focused local
• code. There followed extensive group discussion about solid waste issues.
HEALTH BOARD MINUTES—June 16, 2005 Page: 4
Mike invited the BOH members to join him for a tour of Kitsap County's Moderate Risk Waste •
(MRW) and recycling facility as well as their transfer station operation. He feels this might give an
idea of what we will need to do in the future and that it would be very worthwhile. He would
arrange to tour our own facility as well, on the same day. Members expressed interest in doing this
and David Sullivan requested to wait until about two months after his brace comes off so he can
also participate.
Public Health Identity Communication Project: Dr. Locke stated the communication project is
an initiative the Public Health Improvement Plan and is about the survival of Public Health in the
State. Demands are increasing every year and funding is going down (it's dropped at least 10% in
the last decade). Fundamentally this communication campaign promotes Public Health as an
essential investment
Julia Danskin attended a State training on the "Public Health Identity Campaign". The history of
this campaign to communicate a unified message of what we do and how we work together. Julia
passed around a copy of a booklet published by the State, "Public Health Always Working for a
Safer and Healthier WA" that she had received at the training. This introduces the common logo
that is being used by many Health Districts and Departments. JCPH will be adding this logo on all
of our letterhead and literature and it will read "JEFFERSON COUNTY PUBLIC HEALTH — ALWAYS
WORKING FOR A SAFER AND HEALTHIER COMMUNITY". She gave details on some things that other
counties have been doing to implement the campaign and specific things that we will be doing
locally. The State has tried to make it as easy and affordable as possible by providing various tools
that can be downloaded off the Web.
Jean Baldwin elaborated on the idea of"branding" and it's importance to Public Health. We need to •
keep putting the message out. We will have a booth at the County Fair where this motto will be
displayed.
Powers and Duties of Local Boards of Health—Routine and Emergency: Dr. Locke pointed out
that member packets contain a copy of the laws that govern local health jurisdictions and confers
specific powers and duties to a local BOH and to the Health Officer that serves under the direction
of the Board. He explained that his understanding of the design of this is that the BOH is not really
the emergency responder, but rather it is a policy and oversight Board. Emergency action really
occur with the Health Officer and all the people within the local Health Department that serve as
Health Officers (anyone who is invoking the legal authorities is, in effect, the Health Officer for the
purposes of the law). In recent context of emergency response, the role of the local BOH has to do
with risk communication and public communication and community leadership, not engaged in the
"nuts and bolts" of response. The powers and duties of the BOH are broadly written in the State. He
noted that he personally goes back and reads this section of the statute several times a year as a
starting point in answering the questions "Is this something we really need to be involved in? Is this
part of the organizational mission? Does it fall under this statutory mandate?". If it doesn't pass this
test, maybe it's not something we should be involved in.
Member Westerman expressed her interest in having us consider changing our Bylaws so we don't
have to have two County Commissioners here to hold a BOH meeting (she noted that we have
asked staff to check with David Alverez on this). She referenced RCW Section 70.05.030 and made
the point that we actually have 5 elected officials on the Board and only 2 non-elected, so as far as
this Statute goes,we can do pretty much what we want. •
Member Rodgers addressed the need to begin thinking about how to best provide direction to the
Substance Abuse Board and how to execute that direction.
HEALTH BOARD MINUTES—June 16, 2005 Page: 5
Joint Board Meeting—Potential Agenda Items : Dr. Locke noted that he has been meeting with
• Vic Dirksen (Administrator, Jefferson Healthcare) on a regular basis and they have been collecting
issues, have some things to brief the joint Boards on and may have some action items. July or
August would be a good time to have a joint meeting with the Hospital Board. He asked the BOH if
such a meeting should be scheduled and if so, are there any particular issues they would like to see
on that agenda. Member Buehler, Hospital Commissioner, commented that the Hospital Board is
anxious to have another joint meeting and felt strongly that it is very worthwhile to meet on a
quarterly basis or twice a year.
Dr. Locke noted that it would be helpful to allow the BOH to have a half-hour business meeting
immediately prior to the joint meeting, as this would be taking the place of the normally scheduled
BOH meeting. The proposed date is July 21St. There was discussion about the starting time. Member
Buehler will check to see what time frame would work best for the Hospital Board. Jean Baldwin
asked about items for the agenda. Responses include 1) the Hospital's new urgent care issue, 2)
Access, 3) Assessment, 4) Summer indigency issues and impacts, and 5) Challenges that the
Hospital is facing (recruiting, finances, medical community). Jean Baldwin will check about
availability of the Hospital's conference room for the joint meeting
ACTIVITY UPDATE/OTHER ANNOUNCEMENTS
Jean Baldwin informed that the Hood Canal Coordinating Council wants to meet jointly with the
Boards of Health from Kitsap, Jefferson and Mason Counties to talk about contract issues and
priorities. She proposed that the meeting be held at Kitsap Health Department in September or
• October.
Jean Baldwin also announced that JCPH is sending out a survey on substance abuse under a separate
grant. She had intended to (but did not) include a copy of the survey in the packets. She will send it out
by email. The University of Minnesota has actually done all the work and we bought the service from
them. We will receive and compile the data and the University will compile.
AGENDA PLANNING/ADJOURN
The meeting was adjourned at 4:24 p.m. The next meeting will be on July 21, 2005. Exact time and
location to be announced.
JEFFERSON COUNTY BOARD OF HEALTH
Geoff Masci, Chairman Jill Buhler,Member
Commissioner Sullivan, Vice Chairman Sheila Westerman, Member
Patrick M. Rodgers, Member Phil Johnson,Member
ipExcused
Roberta Frissell,Member
•
Board of 3-fealth
OCdBusiness
.agenda Item # IV., 1
• 311V Rule
Simplfication
July Zi, zoos
•
• p
Washington Statt
6HeaZth
Release
For immediate release: July 8, 2005 (05-086)
Contacts: Jack Jourden, Infectious Disease and Reproductive Health 360-236-3466
John Peppert, HIV Prevention and Education Services 360-236-3427
Craig McLaughlin, Washington State Board of Health 360-236-4106
Jeff Smith, Communications Office 360-236-4072
Washington streamlines HIV notification, counseling rules
Washington Board of Health and Department of Health make first significant changes to HIV testing
rules in 14 years
OLYMPIA—New rules supported by the Washington Department of Health and adopted by the
State Board of Health will make it easier for physicians to tailor HIV testing to their patients. The
new rules also clarify that local health agencies will have the primary responsibility of notifying
sexual partners of a person found to be infected with HIV.
•
HIV testing is critical to the state's efforts to reduce AIDS because a person with HN is most
infectious early in their own infection. In many cases,people infected with HIV are unaware of it
and pass it to others through risky sexual and drug behaviors. They frequently do not discover their
own infection until they become seriously ill. In Washington it is estimated that 3,000 to 5,000
persons may be infected with HW and not know it.
To encourage more people to undergo voluntary testing, the Washington State Board of Health
recently adopted rule changes that streamline HIV counseling, testing and partner notification. The
changes were based on two years of review and public input by both agencies.
There have been 15,141 cases of HIV and AIDS reported in Washington since the beginning of the
epidemic in 1982. Identifying infected persons who are unaware of their own infection and getting
them into treatment are vital steps in controlling the further spread of HIV in Washington.
"These changes will make it considerably easier to be tested for HIV and to ensure that people
• receive the critical information they need,"said State Health Officer Dr. Maxine Hayes. "Better
--More--
HIV testing rules
July 7, 2005
Page 2
access to HIV testing will make a significant impact on reducing the number of AIDS cases in i
Washington."
One significant rule change allows physicians to tailor the amount of information they need to give a
person who is being tested. Previously,physicians were required to give extensive information on
HIV prior to the test even if the patient received the information during previous tests. Now,
physicians can use the patient's history to judge how much information is needed.
The rules also clarify that local public health agencies have the primary responsibility in notifying
the sex partners of a person who has tested positive for HIV. However,physicians can request to do
the notifications themselves if they choose.
"These changes represent the changing nature of the epidemic," said Craig McLaughlin, executive
director of the Board of Health. "When the rules were first drafted in the late 1980s and early 1990s,
there wasn't much information available publicly and we had no way to treat the disease."
McLaughlin said streamlining the process of reporting and testing makes it easier for health care410/
providers to encourage people to receive HIV testing. Washington joins a national effort to lower the
number of new annual infections currently estimated at 40,000 nationwide. Spearheaded by the
Centers for Disease Control and Prevention, this initiative is known as Advancing HIV Prevention. It
aims to reduce barriers to early diagnosis of HIV infection and increase access to quality medical
care and treatment.
###
Visit the Washington Department of Health Web site at http://www.doh.wa.gov for a healthy dose of information.
•
Board of Health
OCdBusiness
Agenda Item # fl' , 2
• June _30, Zoos
Congressional testimony
Of
Mary Selecky,
DO31-Secretary
July 21, 2005
•
•
Statement of
MARY C. SELECKY
SECRETARY
WASHINGTON STATE DEPARTMENT OF HEALTH
Before the
UNITED STATES HOUSE OF REPRESENTATIVES
• GOVERNMENT REFORM COMMITTEE
JUNE 30, 2005
Representing
THE ASSOCIATION OF STATE AND TERRITORIAL HEALTH OFFICIALS
(ASTHO)
•
Mr. Chairman and distinguished members of the House Government Reform Committee,
• I am Mary C. Selecky, Secretary of the Washington State Department of Health, and I am
honored to be appearing before you today on behalf of the Association of State and
Territorial Health Officials (ASTHO). I would like to thank the Chair and the Committee
members for continuing to focus attention on our nation's preparedness levels and our
ability to respond to a flu pandemic.
In the last year, my colleagues from Virginia and Arkansas have testified before this
committee about the challenges public health leaders across the nation faced during this
past year's flu season.
My colleagues suggested three actions that the federal government should consider to
avoid a repeat of last year's situation— 1) development of a national plan to deal with
vaccine shortages; 2) establishment of a Vaccine For Adults Program; and 3) expansion
of funding for the Centers for Disease Control and Prevention's (CDC)National
Immunization Program. These three actions will help to ensure that all our underserved
citizens receive the vaccines they need and allow states and localities to enhance adult
immunization programs. ASTHO continues to strongly urge the Congress and the
Administration to support these efforts.
I would like to focus my remarks on pandemic flu preparedness.
Lessons learned from the last annual influenza season, the history of influenza
• pandemics, and the 2001 anthrax attacks continue to underscore the need for public
1
health preparedness. Health officials must have overall preparedness plans in place, an
• advanced understanding of our unique role during an influenzaandemic and a
p ,
knowledge of the resources available to us to protect the public. State health officials
will be looked to as a controlling health authority by governors, legislatures, and the
public they all serve; state and local health officials will need to assert significant
leadership to mobilize and sustain private and public healthcare response during an
influenza pandemic.
It will take federal, state and local public health agencies working cooperatively to deal
effectively and efficiently with a public health concern of this magnitude; to date, that
collaboration has been good.
We do remain concerned, however, that public health agencies have been asked to take
on pandemic flu activities on top of existing priorities already established for the federal
preparedness cooperative agreement funding. If the federal government is truly
committed to enhancing our pandemic flu response, we need significant increases in
resources for state and local efforts. Vaccines and antivirals are an important part of the
answer,but not nearly enough by themselves. All the preventive and therapeutic
measures in the world are useless without the ability to get them to those who desperately
need them.
Development of national guidelines is critically important to ensure a consistent response
across the country. However, these guidelines must be flexible enough to allow each
• state to address its specific needs and essential services.
2
There is already significant work going on at the state level. States are required to have
• pandemic flu plans completed in July 2005. This has been verydifficult ult because the
federal plan hasn't been completed and is unavailable for use as a guide for state
planners.
Having a plan is a good first step. Exercising those plans to see what works and what
needs to be improved upon is just as important. In Washington State, we recently
conducted a pandemic flu tabletop exercise with our neighbors to the north in Vancouver,
British Columbia, Canada. In addition, Public Health Seattle King County, our largest
local health jurisdiction, held a pandemic tabletop exercise with major health care
facilities in the community, as well as other county agencies.
• We have an unprecedented opportunity to improve the nation's response to future
pandemics. Pandemic flu preparedness must be an integral part of overall preparedness.
It is impossible to predict when the next influenza pandemic will occur and challenge us
to respond. We must now devote significant time and resources to addressing this
priority issue. This is exactly the wrong time for the federal government to cut state and
local preparedness funding by$130 million.
States have plans for many potential public health threats including pandemic flu. We
are exercising those plans and will continue to improve upon them. We are making
progress. Are we fully prepared to respond to an influenza pandemic? Absolutely not!
We are more prepared today than we were several years ago,but we are not prepared
• enough.
3
• The new Trust for America's Health report estimates more than half
P a million Americans
may die in a pandemic. Our families, our neighbors, and all the people of this country
expect us to be ready when that time comes. I have no doubt that the work we do today
can save lives tomorrow. Please help us make sure we have the resources to get the job
done right.
In closing, let me reiterate four important points: 1)Pandemic flu preparedness is a
critical issue for public health to address as part of its overall prevention, detection, and
response efforts for any natural or terrorist event; 2) Collaboration among all levels of
governmental public health is essential for influenza pandemic preparedness; 3)Reducing
federal funding for preparedness is exactly the wrong thing to do at this time—a
III
sustained federal commitment to preparedness is vital; and, 4) Prowess has been made,
but there is much more to be done.
The public health community stands ready to work with you to address this threat. We
need your help and your support.
I would be pleased to answer any questions you might have.
•
4
•
Board-of 3Cealth
311edia Report
•
July 21, 2005
•
• Jefferson County Health and Human Services
JUNE — JULY 2005
NEWS ARTICLES
1. "Study: AIDS cases hit women harder than men",Peninsula Daily News,
June 13, 2005
2. "HIV testing offered", P.T. Leader, June 15, 2005
3. "How to stay germ-free at the pool",P.T. Leader, June 22, 2005
4. "Rotary awards grant for preventing substance abuse",P.T. Leader, June 29, 2005
5. "Opinions sought on teen drinking",P.T. Leader, July 6, 2005
6. "Local sales of tobacco to minors is diminishing,says health department",
P.T. Leader, July 6, 2005
• 7. "Health offices to move July 8",P.T. Leader, July 6, 2005
8. "Full steam ahead for Boiler Room", Peninsula Daily News, July 13, 2005
•
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41111
HgIV`�testin offered
Jefferson County Public Jefferson County Public
Health, Family Planning of Health offers testing on
Clallam County and Clallam Mondays and Thursdays and by
County Health and Human appointment. Call 385-9400.
Services announce local HIV Testing is provided on a sliding
testing sites for National HIV fee scale from $0 to $30,
Testing Day on June 27. depending on income.
National HIV Testing Day is Family Planning of Clallam
a campaign held each June. County offers testing free
Coordinated by the National through its HIV Reduction
Association of People with Program, sponsored by a grant
AIDS (NAPWA), this campaign from the U.S. Department of
helps reach millions of Health and Human Services. In
Americans at risk for HIV with addition to regular testing times,
the message: "It's better to appointments also are available
know." on Monday,June 27 for National
Why is testing important? HIV Testing Day. Call 360-452-
The Centers for Disease Control 2954.
estimates that between 850,000 Clallam County Health and
and 950,000 Americans are liv- Human Services offers testing
ing with HIV,yet nearly 180,000 on a sliding fee scale from$0 to .
to 280,000 are unaware of their $30, depending on income. Call
HIV infection. Locally, 31 360-417-2274.
HIV/AIDS cases have been
diagnosed in Jefferson County
since 1982. In Clallam County,
68 cases have been identified
during the same period. ..t
• The decision to take the test
is the first step in taking •
responsibility for personal
• health and the health of others
with whom someone may be
intimately involved. As
NAPWA puts it: "Take the test.
Take control."
Port Townsend Er Jefferson County Leader
i .
How to germ-
free
stayYat the pool •
This
summer, local swim- recreational water illnesses
ming pools will be filled with are killed by chlorine. But
. people having fun and stay- chlorine doesn't work right
ing cool.But germs can cont- away, and some germs are
aminate swimmingwater resistant to chlorine and can
even if it is treated with chlo- live in pools for days. Even
a rine, say representatives of the best-maintained pools can
Jefferson County Public spread illness,he said.
r Health. Healthy swimming behav-
• Learning about recreation- iors can offer protection
al water illnesses,spread by against recreational water ill-
swimming in contaminated nesses and will help stop
recreational waters such as germs from getting in the
swimming pools, water pool in thefirst place. Some
parks, lakes and saltwater tips:
bodies, can offer protection • Do not swim when you
against getting sick, said or your children have diar-
Michael McNickle, Jefferson rhea. This is especially
County Environmental important for kids in diapers.
•
H Recrhceational water ill- water. In fact,ctor. • Do not savoid w getting pool
nesses are caused by germs water in your mouthgetting
such as Giardia, E. coli and • Practice good personal
Shigella and are spread by hygiene. Take a shower
accidentally swallowing before swimming and wash
•
water that has been cairiami- hands after using the toilet or
rfecalmatter. In changing naked with diapers.
addition, swimming in cont- • 'Fake kids on bathroom
aminated water can cause breaks or change diapers
infections in the eyes, nose, often. Change diapers in a
ears,and in cuts and scrapes. bathroom and not at poolside.
Swimming pools, water Germs can spread to surfaces
parks, hot tubs and spas can and objects in and around the
be contaminated by germs pool and spread illness.
that are rinsed off swim- •Wash children thorough-
• mers' bodies. Lakes, rivers ly with soap and water before
• and the ocean can be conta- they go swimming.
minated by sewage spills, For more information
animal waste and water about safe family swimming
runoff. , this summer, contact Susan '
McNickle said the good , Porto at Jefferson County.
. news is that germs causing Public Health,385-9444.
Rotary awards grant for
preventing substance abuse
Jefferson County Community Healthy Youth Coalition and the
• Network has received a $500 "Guide to Prevention in
grant from Port Townsend Jefferson Cpunty," the
Rotary Club, which meets at Community Network strength:
noon Tuesdays. ens support for youths to make
The grant supports the net- healthy choices,said Wilmart.
work's goal of preventing youth The grant was awarded by
substance abuse, said Beth Rotary's Community Development
Wilmart,program manager. Committee, chaired by Mamie
Through activities such as the Frederickson.
PTs
6
-a—c/
•
•
Opinions •drinking
soughton teen
Starting next week,Jefferson Minnesota Institute of Public randomly selected county resi- underage •
County Public Health launches a Health, is aimed at discerning dents. Survey results are to be violence among teens. 4,.
survey which seeks opinions adult beliefs and attitudes about published in mid-July. Results g drinking, drug use and
from adults about drinking,drug how local teens should behave will be shared with policy mak- Survey is funded througha +V.•
use and violence among versus what they are actually ers, schoolCommunity ReadrnEs$
44
teenagers in Jefferson Countyadministrators and eral Drug Free Commum'
doing.
The "Community Readiness Jefferson Countycomvidmunity important
groups and will pro- Grant administered by the healtti.:
Survey," conducted by the Health is sending the survey Publicto data about oaduullt attitudes toward seline de Questions about the survey
�.. can be directed to Jean Baldwin,;
director of Jefferson County
Public Health,385-9400.
•
iciza41214,
•
ti
Wednesday,July 6,2005•)3S;
%;*.
Local sales of tobacco to minors is . . •
F M
diminishing , says health departmenI
Tobacco use is one of the the sale of tobacco products to recognition. it periodically hosts "check •
leading causes of preventable those under othe age of 18. The In the department's most trainings, conducted in park ;,
death in our country. Because Health Department recruits recent round of checks conduct- ship with the Liq)
most tobacco user's who start youths age 14-17 and trains ed in May and June 2005,youths Enforcement Agency.
before age 18 .are likely to them to purchase tobacco prod- were able to purchase tobacco Anyone who thinks a retappr:
become regular users, the ucts. These youth operatives, products 9.3 percent of the time. is selling tobacco to under-age:
Jefferson County Public Health accompanied by an adult escort, This is a great improvement over youths can make a report of tile..
Department works to prevent visit tobacco retailers throughout 2004, when county youths were incident. To learn how, contac
youths from accessing tobacco the county and attempt to pur- able to purchase tobacco prod- Kellie Ragan, tobacco progiaru-.
products. It does this by con- chase tobacco products. In case ucts 36.4 percent of the time. coordinator, at 385-9446. Poi-4
ducting tobacco compliance of a sale,information is forward- In addition to compliance complete listing of the results+ef
checks on a regular basis to ed to the Liquor Enforcement checks, Public Health provides this year's compliance checks;or
insure that retailers are following Agency. If no sale is made over educational materials to retailers to view the tobacco prevent/in)
youth access laws. the course of a year, compliant to help better educate them about and control strategic plan, siJ.
Youth access laws prohibit retailers receive a certificate of . youth access laws. Additionally, jeffersoncountypublichealth.o
rk•
•
•
•
HealthofficeS to move -July l•
8 Co anty Public
Currently, Jefferson
Health closes on July 8 in order County relocated next door at 617
move to a oJuly8location order
while Public Health is located of 615
t1
o move to newbuildingSheridan St., in the Castle Hill Sheridan h beginning July 1-
ed. is renovat- center next to and through the end of the suin-
Health c • QFC grocery. mer.Environmental health,nat-
luuc services will be ural resources and field nursing
will be relocated to 623
Sheridan St. until fall.
Regularly scheduled meetings
are to be held in available
spaces throughout the county.
Check the Jefferson County
Public Health website for meet-
ing locations: www•jefferson-
coun typublichealth.org.
There will be no changes in
hours, phone numbers or ser-
vices after the move. To locate
personnel or services, call 385-
9400.
•
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•
Joint
Board
• .fleeting
July 21, 2005
•
Joint Board Meeting
• Jefferson County Board of Health
Jefferson Health Care Board of Commissioners
Thursday,July 21,2005
3:00 PM—5:00 PM
Auditorium
Jefferson General Hospital
Agenda
I. Introductions
II. Review of Past Joint Board Activities
III. Updates—Jefferson County Public Health
IV. Updates—Jefferson Health Care
V. Future of Rural Health Care Integrative Healthcare Model
VI. Joint Board Options
1. Annual Meeting
• 2. Joint Projects
3. Special Community Summit Meetings
•
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TABLE 2-2 Personal Health Care System and Community-Level Interventions: Illustrative Examples for.Effectiveness 4
Definition Measures Interventions
Personal Health Population Health Personal Health Personal Health
Focus Focus Care System Community Level Care System Community Level
Provide health care Pursue Percent of diabetic Incidence and Enhanced follow-up Use of evidence-
services and communitywide patients who had an prevalence of for obese and/or based community-
interventions based interventions to annual eye and foot obesity and diabetic patients to level strategies to
on scientific enhance health that exam and percent of diabetes in the improve compliance decrease obesity,
knowledge are based on patients with normal residents of a with practice such as community
scientific knowledge blood glucose levels rural community guidelines and planning to
treatment regimens encourage exercise
and public policies
that encourage
schools to provide
nutritious food
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TABLE 2-4 Personal Health Care System and Community-Level Interventions: Illustrative Examples for Timeliness
Definition Measures interventions •
Personal Health Population Health Personal Health Personal Health
Focus Focus Care System Community Level Care System Community Level
Reduce waits and Ensure early Measures of timely Population-based Enhanced hospital Community-level
sometimes harmful intervention to receipt of services for measures of obesity and office scheduling education programs
delays for both those prevent or delay the patients(e.g.,average and diabetes(by systems and redesign on the importance of
who receive and onset and wait times for stage of illness)by of care processes to nutrition and
those who give care progression of routine care and population age group improve patient flow exercise,aimed at
disease elective procedures) parents of young
Enhanced children
Response time for recruitment and
emergency services retention of providers Public policy to
of emergency services encourage nutritious
meals and exercise
programs in schools
•
TABLE 2-5 Personal Health Care System and Community-Level Interventions: Illustrative Examples for Efficiency
Definition Measures Interventions
Personal Health Population Health. Personal Health Personal Health
Focus Focus Care System Community Level Care System Community Level
Avoid waste, Avoid waste, Measures of clinical Tobacco cessation Dissemination of Public reporting of
including waste of including waste of efficiency(e.g.,rates rates associated with best practices population-based
equipment,supplies, equipment,supplies, of use of evidence- per capita regarding outpatient measures of health
ideas,and energy,in ideas,and energy, based practices) expenditures on and inpatient care use -
the delivery of in the delivery of communitywide workflow efficiency
personal health care population health Measures of smoking cessation Development of
services services production efficiency programs Financial incentives public policy that
(e.g.,average annual to providers to encourages(through
Seek efficient health care costs for Measures of average reward adherence to financial and other
allocation of care of a patient with days lost from work protocols and incentives)a balance
community resources diabetes) or school due to coordination of care between personal
and assets to preventable illness health care and
personal and Measures of per resident Finance strategies community health
population health clinician time spent that allow for more improvement
services to maximize on paperwork flexible integration of programs
health impact for the services(e.g.,
community Measures of service behavioral health,
duplication(e.g., long-term care)
ordering of redundant .
tests) Investment in
electronic health
records
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