HomeMy WebLinkAbout2006- December File Copy
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Jefferson County
Board of 3CeaCth
Agenda
Jl inutes
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December 14, 2006
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JEFFERSON COUNTY BOARD OF HEALTH
Thursday, December 14, 2006
Main Conference Room
Jefferson County Public Health
2:30—4:30 PM
DRAFTAGENDA
I. Approval of Agenda
II. Approval of Minutes of November 16,2006 Board of Health Meeting
III. Public Comments
IV. Old Business and Informational Items
1. West Nile Virus Newsletter—2006 Wrap-up
2. Seasonal Influenza Update
3. 2007 Assessment Project Update
4. New Water Quality Division Manager
5. Fall 2006 Region 2 Public Health Newsletter
6. Emergency Preparedness—Ham Radio Certifications
• V. New Business
1. Appointment to Substance Abuse Advisory Board
2. Jefferson County Public Health Heroes—Follow-up Report
3. Jefferson County Sexually Transmitted Disease Report 2005-2006
4. Communicable Disease Control Priority Setting
V. Activity Update
VII. Agenda Planning
VIII. Next Scheduled Meeting: January 18,2007
2:30PM—4:30 PM
Main Conference Room
Jefferson County Public Health
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%OS'
JEFFERSON
- R ON COUNTY BOARD OF HEALTH
MINUTES
Thursday, November 16, 2006
Board Members: Staff Members:
David Sullivan, Chairman—County Commissioner District#2 Jean Baldwin,Public Health Services Director
Patrick M. Rodgers, Vice Chairman—County Commissioner Julia Danskin,Nursing Programs Director
District#3 Thomas Locke,MD,Health Officer
Phil Johnson— County Commissioner District#1 Mike McNickle,Environmental Health&Natural
Jill Buhler—Hospital Commissioner District#2 Resources Director
Geoff Masci—Port Townsend City Council
Sheila Westerman—Citi,en at Large(City)
Roberta Frissell—Citi<en at Large(County)
Meeting was called to order at 2:30 pm on November 16, 2006 by Chair Sullivan in the
conference room of Jefferson County Public Health. All Board members were present.
All staff members were present with the exception of Dr. Tom Locke. A quorum was
present.
APPROVAL OF AGENDA
• Board Member Buhler moved to approve the agenda as written. Vice Chair
Rodgers seconded the motion,which carried by a unanimous vote.
APPROVAL OF MINUTES
Board Member Johnson moved to approve the minutes as written. Board Member
Westerman seconded the motion,which carried by a unanimous vote.
PUBLIC COMMENTS
None
OLD BUSINESS
Additional Human and Animal West Nile Cases in Washington
Lisa McKenzie, Communicable Disease Program Coordinator, provided the Board with
two updated DOH News Press Releases, which confirmed 1 additional human WNV
infection producing mild disease and 1 case of horse infection, resulting in the death of
the horse bringing the total in Washington to 3 human, 6 horses and 13 bird testing
positive for WNV. Jefferson County sent 15 birds for testing all showing negative.
Surveillance for WNV closes at the end of November and will start up again in the
• Spring.
Jefferson County Public Health Pandemic Flu Forum •
Julia updated the Board in connection with the Pandemic Flu Forum, presented
November 8th by Dr. Locke and Betty Dunaway, RN of the Kitsap County Health
District. All were encouraged to get a flu vaccination. There are 3 clinics planned for
Saturday,Nov. 18. Lisa McKenzie explained the recommendations for getting a flu
vaccination. Flu shots are recommended for anyone 50 and older, anyone with a medical
risk factor, heart or lung disease, diabetes, any immune system problems, pregnant
women, residents of nursing homes or long term care facilities, health care workers and
family members caring for those at risk for influenza complications. Publicly funded flu
vaccine is available for children under age 5 and for household contacts of high risk
individuals up to age 18.
State Association of Local Boards of Health Follow-up
In response to the request at the last BOH meeting a letter was drafted by Dr. Locke and
sent to Council Member Patterson regarding a State Association of Local Boards of
Health. John Fishbach informed the Board of Health that the County Commissioners
have taken a position on this issue. A letter was sent from the Office of the
Commissioner's recommending that Boards of Health work through WSAC rather than
form their own association. Concern was expressed by members of the BOH regarding
this action and member Westerman suggested that from this point forward, if issues are
not time sensitive they come to the Board of Health.
Breast Cancer Prevention & Girls Night Out
Jean reported on Main Street Project, Girl's Night Out. The event was well attended and •
exciting. Retailers supported this project selling raffle tickets for "Goodie Bags". The
proceeds were donated to Jefferson County Public Health for the Mobile Mammogram
and Breast Cancer Awareness. This is the fourth year the Mobile Mammogram came to
Quilcene, funded by Susan G. Komen Foundation and staffed by employees from Public
Health. This year there were 25 women screened. This program continues to be well
attended.
Updated 901 Education Letter
A draft of the Clean Indoor Air Act compliance letter was presented to the Board.
Member Masci moved to approve the letter with minor verbiage changes. Member
Rodgers seconded the motion, which passed by unanimous vote.
NEW BUSINESS
4410 Public Health Funding Update
Jean updated the Board on EHCR 4410-Public Health Funding. There was a joint
committee on Public Health Financing. The joint committee has concluded gaps in the
system are resulting in deterioration of the whole system and the state bears some
responsibility for addressing this funding shortfall. The joint committee proposes that
fifty million dollars annually would be dedicated to public health funding. These
increases are focused on targeted gaps, Communicable Disease programs, Chronic
•
Disease and Disabilities Prevention, Healthy Families, Environmental Public Health
programs, Preparedness for Health Emergencies, Access to Health Care and Health
Information. This money is for use at a local level. Upon receiving this money the plan
would be for each County to review their Standards with their BOH to determine how to
correct identified deficiencies. This is not a replacement for any existing funding but
would be used to address current gaps. Several health departments were interviewed to
identify and prioritize gaps. John Fischbach and Vice Chair Rodgers questioned the
rationale behind calculating statewide costs. Jean will report back on the rationale for
these calculations. Jean Baldwin would like to contact the legislators representing
Jefferson County soon to educate them on local Public Health priorities and encouraged
Board members to contact the legislature.
On-Site Operation and Maintenance—Potential Changes
Mike McNickle updated the Board on the On-site Regulation Code draft. Mike will meet
with PUD about changing operation and maintenance functions. Mike will be coming to
the Board for policy direction over the next couple of months. PUD does not want to
continue their role in operation and maintenance of on-site sewage systems. Mike will be
talking with Clallam County and Kitsap County Environmental Health Directors in an
attempt to regionalize on-site protocols. Training is being conducted between the three
counties Environmental Health staff in an effort to work together on essential issues.
Member Westerman suggested talking to septic pumpers in an effort to find out what they
would require for on-site maintenance in order to make it more marketable to the private
sector and to invite representatives from the private sector to a meeting to find out what it
would take for them to get involved.
• Discovery Bay Shellfish Protection District
The Department of Health sent a letter informing Jefferson County that part of Discovery
Bay shellfish growing area has been reclassified from Approved to Restricted because of
water quality results at Station 48. Reclassification will be effective 35 days after the
report is distributed unless the County appeals. After that time, JCPH will be required to
develop a closure response plan within 60 days that includes a plan to reopen Station 48.
The goal is to find the water quality problem and fix it in a timely manner. Once a closure
response plan is in effect the county must form a shellfish protection district within 180
days. In the meantime the county has provided money to start water sampling from 17
stations around Snow and Salmon Creek.
Green Business Awards
Three businesses were presented with Green Business Awards for their efforts to reduce
waste, save energy, reduce water use, and increase recycling. This program recognized
Auto Works, Monroe Street Medical Clinic and Wholistic Skin Therapy Center.
PTTV, "Many Faces of Public Health", featured Dentistry Northwest, a recipient of the
Governor's Award, in September and discussed Green Business. Dentistry NW reported
that they have 15 new clients since that segment aired.
Substance Abuse Advisory Board Nomination
Interviews were conducted after the Board of Health meeting.
•
Activity Update—Public Health Heros •
Eagle Harbor has been providing Jefferson County Public Health with free books for the
past year. These books are distributed between the Quilcene Clinic and the Port
Townsend Health Department lobby. By providing these books to our clients the waiting
room is as welcoming as it is professional. Also mentioned was Wooden Boat
Foundation for their use in recyclable corncob cups and Aldrich's for their refusal to sell
tobacco products.
Jean Baldwin asked for the participation in nominating heroes. Member Masci, Member
Frissell and Jean will be meeting to discuss BOH criteria for awards. Member Masci
suggested placing a notice in the Leader asking for nominations and a way to get the
public involved.
Member Rodgers praised Hospice of Jefferson County for their diligent work and their
support given to families in the community.
Member Rodgers complimented Mike McNickle for his hard work and effort in the South
County Solid Waste clean up. Member Rodgers reported that a great deal of work has
taken place in South County and tons of vehicle trash is gone.
Agenda Planning
Jean Baldwin spoke about the 1/10th of 1%revenue, which will help support assessment
work on community impacts of co-occurring disorders. There is a great deal of data that
we have not had the ability to look at. JCPH is negotiating with Kitsap to provide •
technical assistance in this area.
Meeting adjourned at 4:25 pm.
Next Board of Health meeting is December 14, 2006.
JEFFERSON COUNTY BOARD OF HEALTH
David Sullivan, Chair Jill Buhler, Member
Patrick M. Rodgers, Vice Chair Sheila Westerman, Member
Roberta Frissell, Member Phil Johnson, Member
David Sullivan, Chairman
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•
Board-of Health
Odd Business
Agenda Items # 1
• West Nide Virus Newsletter
2006 Wrap-up
December 14, 2006
1
', _` _ ..
• West Nile Virus Newsletter
Zoonotic Disease Program, Washington State Department of Health
1rer 47x : ��`
?,v. 3 .-1 _ i '*,- t "' .a,-, � r Volume 4, Issue 13
Purpose West Nile virus activity in the northwest, 2006
To keep our partners
and other interested
entities informed about
West Nile virus(WNV) t �
� � �'" hMI No Activity Detected
In This Issue _ vvruvActivity Detected
Planning for WNV,2007 1ti� f =
Ask Jay answers:Will -4'
It*winter kill;WNV-carrying K r. -_ ,
w.A
41111111K44Source:
't'�' ��� � s, ,,. Ore4104` �, Idaho Department of Health&Welfare
xF=T•F,, 'if ( =IA g )` � r}. .� Web site,November 9,2006.
S - c' Oregon Department of Human Services
�� 3 IIIr, S = Web site,November 8,2006.
"' 4 ' .,.,. :: .f Washington State Department of
"� r 1 - "A'- Health Web site,November 15,2006.
std ell anee re
sum
Mosquito misters banned
in New York State WNV positive in the northwest
• Ontario court blocks Washington 3 humans, 6 horses, 13 birds
West Nile suite Idaho: 911 humans, 324 horses, 118 birds, mosquito pools detected in 6 counties
Oregon: 67 humans, 34 horses, 26 birds, 24 mosquito pools
Public comment period
for mosquito permit
National,regional, and Planning for West Nile virus in 2007
state surveillance update
By Dorothy Tibbetts, 1)or•othi /fl,Pcstty ata`oh tiva.gov WA DOH's Zoonotic Disease Program
Previous Issue West Nile virus has steadily established itself in new areas of the northwest. This
Clark County resident year has been our state's most significant in terms of WNV cases, but if Idaho and
and eight birds test Oregon's recent history of WNV is any indication on what's to come for us, we
positive for WNV need to plan accordingly. Planning for WNV can be difficult when dealing with
Long term health effects the uncertainties of funding and not knowing exactly where the virus will appear
from WNV illnesses and cause problems. But there are things that local health jurisdictions, municipal
Study unveils Wlvv governments, and the general public can do to become better prepared.
immune evasion,points
to vaccine development Local governments can create response plans that outline their communication,
View the October education, surveillance, and control strategies. Local and state health departments
WNV Newsletter can assist with the development of response plans and the coordinating of control
strategies. Local residents can encourage their local governments to have proactive
Subscribe, plans in place before WNV is a problem in their community. Local residents and
Submit Articles, governments can also establish organized and sustainable mosquito control
Suggestions districts, which can lead the local effort in education, surveillance, and control.
• Contact Ben Hamilton
n s f.�� � This winter, the Department of Health is offering WNV planning assistance to
local health jurisdictions and other government agencies, and plans to have an
updated Mosquito-borne Disease Response Plan available by March, 2007.
\ t
mosquito pools, 1 bird and 1 horse confirmed for WNV in 2005. All four positives
Mosquito Focus were relatively close to one another with only the bird being just outside of our
District border. On top of this, both Idaho and Oregon had confirmed cases of •
.., _.....,
WNV. So, in response to these factors, we increased our surveillance for the 2006
,. . season.
2005 2006 Difference
Adult Mosquito Trapping Events 336 397 +18%
Total Mosquitoes Trapped 63.914 145,374 —127°'0
Ochlerotatus japonicus, Total Mosquitoes Tested 23.064 32,708 +42%
a species native to Asia, #of Mosquito Pools(grouped mosquitoes for testing) 494 745 +51%
was first found in the #of Pools Tested In-House(using RAMP) 94 230 —145%
United States in New #of Pools Tested at Oregon State Health Laboratory 400 515 +29%
York and New Jersey in
1998. As you can see from the above table, we conducted 18% more trapping events,
In 2001, Oc.japonicus which resulted in 127% more mosquitoes trapped. This is not due to any major
was discovered for the change in trap placement or timing but rather to an increase in overall mosquito
first time in Washington
state in King County. It populations. And unfortunately, from a WNV perspective, we noticed a large
was then found in Pierce increase in the Culex spp. populations (Culex pipiens -- :;
and Snohomish counties and tarsalis being the species of highest concern '. 4 --z.
in 2003.The 2006 ��` _:
findings in Cowlitz within our District). But even with these factors, no > ;
County signify an WNV was detected.
expanded range of this
species in our state.
What does this mean for our District next year? _"
Oc.japonicus is Surveillance proved itself in 2005 and we believe it : ,,
considered a possible m`- " '
vector of WNV in the US. gdia
is a critical component of any mosquito abatement L''
program. Consequently,we will continue with an aggressive surveillance program
Larvae are often found in with the hopes that this will provide us an early warning of the presence of WNV •
natural and artificial (or other mosquito-borne illness). Ideally, an early warning of WNV activity will
containers such as bird
baths, buckets, animal allow us to inform the public, focus our surveillance and effectively use our
watering troughs, catch resources to reduce mosquito populations in an attempt to minimize the
basins, coastal or stream transmission of West Nile virus.
rock pools, and tires.
Oc.japonicus prefers Del Gilkerson, Cowlitz County Mosquito Control District
feeding on mammals, This was a fairly typical year for our district. We used our adult mosquito
and unlike most
mosquito species, it will surveillance program to locate problem areas and better allocate our resources. We
actively feed during the placed a total of 297 EVS traps . , -F
daytime. �� ��`
throughout the county in response to Hind leg of
A unique identifying service calls. We also used gravid traps Ochlerotatus japonicus
Photo:Seth Irish
characteristic of this for the first time and found two new
species is that it has species in our county. Ochlerotatus
three broad pale bands
on the first three japonicus was first found in an EVS
tarsomeres on the hind trap near Kelso. We set gravid traps in P-
leg.The last two tarsal ,-,5-ii:-that location and several other places in ':?,..4,',,,
segments are entirelytarsomeres
dark. the county and found additional in a
second location, about 10 miles from
the first discovery. We also picked up
one Culex territans in a gravid trap. �
We submitted mosquitopools to WA three broad pale bands
q on tarsus 1-3
DOH and tested many other pools in6,,, (tarsus 4&5 are dark) •
our lab. A total of 83 pools were tested iii
Page 3 from Cowlitz County and none were positive for West Nile virus.
WNV in Greater Pesticide misting system taken off market in New York
Sage-Grouse Office of New York State Attorney General Eliot Spitzer, News Release, November 9, 2006
41) Since July 2006,greater Attorney General Eliot Spitzer and Department of Environmental Conservation
sage-grouse deaths from Commissioner Denise M. Sheehan todayannounced an agreement that removes a
WNV have been g
reported in eight central ' potentially dangerous pesticide misting device from the market in New York.
and western states.
Biologists and others are The state alleged that BuzzOff Mosquito, LLC, a Louisiana-based company
encouraged to report g q p Y and its
sage-grouse mortality to authorized dealer in Saratoga Springs, BuzzOff Mosquito Control of Eastern New
their respective agencies York, unlawfully marketed a pesticide and an accompanying misting system as
or the USES National "safe" and "non-toxic." Under the agreement, both companies will stopmarketing Health Center.
the pesticide and the misting system in New York and will offer full refunds to
Experimental studies at consumers who purchased the products from them. The companies have also
the USDA National agreed to a $25,000 penalty.
Wildlife Research Center
have shown that WNV is
usually fatal to sage- BuzzOff misting systems are designed to automatically spray a pesticide solution
grouse, resulting in at timed intervals from a series of nozzles connected bynylon tubingto a reservoir
death within 6 days Y
of infection. and pump. The misters are typically installed along the eaves of a house, perimeter
fencing, and around landscaped areas.
A wildlife health bulletin
of interim reports from
affected states and from Read more at t ttp:/ivwww.oae,state.nv.usipress..2006lnovinov09a 06,html.
USGS investigators is
available at
1 � te Ontario court blocks West Nile suite
r
By Kirk Makin, Justice Reporter, The Globe and Mail, November 4, 2006
• Polar Bear's Death A lawsuit launched against the Ontario government by 40 victims of the West Nile
Believed to be virus was stopped in its tracks yesterday by the Ontario Court of Appeal.
Caused by WNV
Kunik,a 26-year-old, The victims, who fell seriously ill in 2002, had hoped to show at trial that the
545-kilogram,polar bear province negligently failed to take reasonable steps to curtail the West Nile
at the Toronto Zoo had people living
eo loutbreak and to warn e in areas where the risk was highest.
to be euthanized after
his hind legs became
paralyzed: Post-mortem However, the province asked the court to strike out their statement of claim on the
examination of the bear's basis that the victims had no proper legal cause of action. Lawyers for the provincebrain tissue came up
strongly positive for argued that Ontario's only duty of care lay with the public at large -- not with
WNV,which conflicted specific, private individuals, The Court of Appeal agreed, overturning two lower-
with an earlier blood test court decisions. It said that while the Minister of Health owes ageneralpublic duty
that came out negative.
to protect the health of Ontario residents, this does not translate into a private duty
Zoo veterinarians believe "to protect all persons within its boundaries from contracting a disease."
he likely contracted WNV.
from a mosquito bite. If
confirmed,they think it The victims and their lawyers expressed great disappointment with the ruling
would be the first known yesterday, "If this ruling is allowed to stand, it may mean that ordinary people can
case of a polar bear never holdp ublic health officials accountable in a court of law when their careless
contracting the virus.
mistakes hurt and even kill people," said Douglas Elliott, a lawyer for the families.
Read the article at
"I am distressed that we may never have our day in court," said a victim, Pat
Anweiler, a Toronto nurse who will use a wheelchair for the rest of her life as a
result of West Nile virus infection, "People need to remember that back in 2002,
4) the government was not telling us how serious a threat West Nile virus was and
what we needed to do to protect ourselves," she said in a press release issued after
Page 5 the ruling.
Board of Health
Old Business
.agenda Item # 5
TalC2oo6 Region 2
Public 3fealtFi NetivsCetter
•
December 14, 2006
Fall 2006 C
Oco ,''
2�
,fit M1 !
e ft
01,,,,KRSAP COUNTYRegion 2HEALT T ublic Healt f
• the Peninsulas
---..,------____41/4T4
. . . Tis the Season . . . For the Flu and More . . .
September through March is the prime time for the 5 biggies: RSV,adenovirus,parainfluenza,
influenza A and influenza B.
2005-2006 Respiratory Virus Detections
Who cares?Why test?You wouldn't/ 20 — RSV
shouldn't treat strep without testing to — Parainfluenza
make sure antibiotics are indicated. You
t s —Adenovirus
wouldn't/shouldn't treat unverified viral Influenza A
disease without testing first. _ �_ Influenza B
Benefits of testing include: 10I
Source:
4Cost effective prescription with correct uw Clinical
antiviral,if indicated. 5d. Virology
+Savings from not using antibiotics
Laboratory
inappropriately. —
-3Reduction of antibiotic overuse resulting 0 —==r �- T- + 411110. �Y
----
in resistance. ,5) c?,��,10 ,$) 45)o,p /- ��e- ,47 �Q`Q/ /J
. 4Reinforcement of good infection control.
Medicaid will reimburse for RSV and flu Websites of interest:
tests and some private insurance plans www.cdc.gov/ncidod/dvrd/revb/index.htm
also offer reimbursement. www.depts.washington.edu/rspvirus/
www.cdc.gov/flu/professionals/diagnosis/0607testingguide.htm
Kitsap gets hygienic!
Kitsap County RSV riu,_ Flu B Adenovirus Parainfluenza
Fair goers * -
model masks
,
that help pre ` w •Sudden onset •Common cold •Common cold
vent the
Acute *Fever,chill symptoms symptoms
spread of res- t,---
respiratory •Malaise Severe res ira- *Croup
Symptomspiratory infec tract illness
tions. Myalgia tory disease •Pneumonia
el •Headache •Gastroenteritis
Incubation 2-6 days 2-8 days 2-14 for 2-6 days
respiratory
Kitsap Health ms ® m Rapid test 4 hours 2 hours Available in 2 Blood test
Officer,Dr. hours 1-4 days
Scott 11111111Antivirals
Lindquist,cuts Suppor- within 2 days Supportive care
the ribbon on Treatment tive care Y
new hand VO,l of symptoms
sanitizer dis- onset
I
tribpensers in the Infection Vaccinate Avoid Human Crowding
• Bremerton
clinic. Control Hand hygiene
+Standard–Contact-Droplet Precautions.
The Region 2 Public Health Emergency&Preparedness Program(PHEPR)endeavors,through this newsletter,to keep you,our health care providers in Clallam,
Jefferson,and Kitsap Counties,informed about Public Health issues that affect you and the patients you serve.If you have questions,comments or need more
information about items in this newsletter,please contact the editor,Ruth Westergaard,by phone(360)337-5752,FAX(360)475-9344,email wester@health.co.
kitsap.wa.us or at 345 Sixth Street,Suite 300,Bremerton,WA 98337.Fall 2006 edition published 11/15/06.
Fall 2006—Page 2
CDC recommends HIV RDO in Action •
"opt-out" testing Ever wondered when and why directly. "Getting hospitals to
Effective September 2006 the to call the Regional Duty Officer seek TB consultations on
Centers for Disease Control (CDC) (RDO)?The range of calls varies weekends," says Dr. Tom Locke,
recommends HIV screening for from pertussis to sewage spills. Health Officer for Clallam and
patients 13 to 64 after the patient is The Department of Fish& Jefferson Counties,"is one of the
notified that testing will be Wildlife connected with the RDO reasons we set up the RDO
performed unless the patient opts- in March by first calling Cencom. system."
out of testing.The CDC also Fish&Wildlife reported bags of You can locate the RDO pager
recommends: "self-serve" shellfish outside a number in your Public Health
+Incorporating HIV screening into vender's booth at an outdoor resource binder OR you can call
the general consent form. market. The RDO contacted 911 and ask to be connected to
4At least once a ___.._..____.____-...---- Environmental Health staff who Public Health.
"Treating HIV like investigated,closed the booth
year testing of any other disease g
people at high risk could also help and ticketed the owner. earth
for HIV infection lessen the stigma... Health regulations do not cast US pu
ow self-serve shellfish, b%IC N
And studies show allh 2
4Not requiring that those who Regio
prevention know their status the bags did not have
are only half as certification tags and the
counseling.
likely to infect Clallam County Health&Human Services
someone else, operator did not have a
For pregnant when compared food establishment permit. www.clallam.net/HealthServices
women CDC with an HIV carrier Last December an ER (360) 417-2274
recommends: who is still in the doctor called the RDO •
dark." The New Jefferson County Public Health
HIV screening in York Times 1/13/06 pager to ask if public wwWjeffersoncountypublichealth.org
the routine panel -----_a._..__.._.__e_____health advised admitting (360) 385-9400
of all pregnant women; and isolating a patient with
Repeat screening in the 3rd a possible case of TB.The Kitsap County Health District
trimester in areas with elevated RDO immediately called www.kitsapcountyhealth.com
rates of HIV. the health officer who (360) 337-5235
For complete set of recommendations go contacted the ER doctor
to:www.cdc.gov/mmwr/preview/
mmwrhtml/rr5514a 1.htm
Region 2 Public Health
Kitsap County Health District
345 Sixth Street,Suite 300
Bremerton,WA 98337
j Medical Reserve Corps—A Call to Action
The Medical Reserve Corps is your opportunity to be ready _* .y
to serve in any emergency.
If you pre-register now as a Medical
Reserve Corps emergency volunteer,your N.'
credentials will be on record and you'll be i "►1
set to serve whenever an emergency arises. r
As a Medical Reserve Corps volunteer
you can be as involved as you want.The
only requirements are an •orientation session, CPR certification w •
and Bloodborne Pathogen training.
Sign up in Kitsap now—(360) 307-5870 or go to http://
www.kitsapdem.org/default.asp?ID=20.
Clallam and Jefferson Medical Reserve Corps will be activated
in 2007. Look for specifics in upcoming newsletters.
•
Board of 3feaCth
OCd Business
.agenda Item # IV., 6
Emergency Preparedness
3-lam Radio Certifications
December 14, 2006
JEFFERSON COUNTY PUBLIC HEALTH
�qsn o� 615 Sheridan Street • Port Townsend •Washington • 98368
• www.jeffersoncountypublichealth.org
December 7, 2006
To: Alan Gardner
Marty Johnson
Anna McEnery
Lisa McKenzie
Veronica Morris-Nakano
Jenny Spinning , !
From: Julia Danskin,
Local Emergency Response oordinator for Public Health
Re: HAM Radio
I want to congratulate all of you on successfully passing the Federal
• Communication Commissions HAM Radio Exam in order to become a licensed
Ham Radio Technician.
Your new skills and license is a valuable resource in our Department and within
Jefferson County. Communication is critical in any emergency. Depending on
the extent of damage to the infrastructure within our routine communication
networks, HAM Radio may be our only source of communication.
Thank-you for your on-going commitment to Emergency Preparedness and our
Community.
Cc: Jefferson County Board of Health
•
DEVELOPMENTAL DISABILITIES PUBLIC HEALTH ENVIRONMENTAL HEALTH
MAIN:360-385-9400 AL vAYS wORK:NG=0R A SAFER AND NATURAL RESOURCES
MAIN
FAX 360-385-9401 HEALTHIER COMMUNITY :360-385-940
FAX 360-385-9401
Board of Health
Netiv Business
Agenda Item #17., 1
• .appointment to
Substance Abuse
.advisory Board
December 14, 2006
•
Jefferson County Community Network
III
August 17, 2006
Jefferson County Board of Heatlh
615 Sheridan Street
Port Townsend,WA 98368
Dear Board Members:
Please accept this letter as application to serve on the Substance Abuse Advisory Board. The
position fits very well with my background, experience and current position as the Program
Manager for the Jefferson County Community Network.
I feel I bring to the table a skill set that is transferable and relevant to the needs of the Substance
Abuse Advisory Board. As Program Manager for the JCCN I am responsible for working with a
volunteer board and looking at the big picture of prevention in Jefferson County. This includes
prevention of substance abuse, with a particular emphasis on preventing youth substance abuse.
The JCCN convenes a youth substance abuse prevention group named the Healthy Youth
Coalition. This group is a 160-member group of youth-servicing agencies,organizations, school
and parents.
I also work with the Jefferson County Meth Action Team. Currently the group is working
towards bringing a viable Drug Endangered Children protocol to Jefferson County. The current
effort is primarily focused on pregnant women and newborns,but we are also working on a
broader protocol for all first responders in Jefferson County in the hope of getting help for
families challenged by substance abuse. We hope to develop these programs in the next year.
• Through personal experience and volunteer opportunities I am very familiar and very comfortable
with substance abuse issues(child through adult). While growing up I experienced living in a
substance-abusing home. I personally experimented with and abused multiple substances and as
a result of a lot of hard work, education,treatment and faith,I recently celebrated 12 years of
sobriety.
Substance abuse is not going away in our community. The devastating effects of substance abuse
are far-reaching and continually permeating aspects of our society with a negative impact on the
health and overall well-being of youth and adults alike. My desire is to work within the
community to provide opportunities for change,recovery and hope!
I greatly appreciate your consideration. Please feel free to contact me at 360-379-4495 if you
have additional questions. Thank you.
Sincerely,
4
Anne D. Winegar
Program Manager
III
•615 Sheridan•Castle Hifi Center•Port Townsend,WA 98368•
•360/379-4495•FAX 385-9401 •
Board of Health
New Business
.agenda Item #`V., 2
Jefferson County Public
• Health Heroes -
FoClow-up
December 14, 20196
1
DRAFT News Release
March , 2007
Contact: Jean Baldwin, Director
Jefferson County Public Health
(360) 385-9400
Jefferson County Public Health (JCPH) began honoring Public Health Heroes as a way to locally
celebrate National Public Health Week. The annual public health award celebration recognizes the
contributions that community members make through their work or volunteerism to protect and promote
the health of all of us in Jefferson County. The Public Health Heroes awards honor people who live or
work in Jefferson County and promote public health in their daily lives.
Nominations will be open to the public on the web page from to
Please send in a nomination for an individual, agency or group you feel is making a difference in the
Health of Jefferson County.
Public Health Hero awards are given in the following categories:
• Community Health Promotion
• Public Health Leadership
• Business
• Community-Based Organization
• Young Heroes
• Jefferson County Employee
• • Special Recognition Award
• Healthy Systems Development
•
The Public Health Leadership Award honors those in our community who have provided leadership in
creating policy solutions that assure, promote, and protect the community health.
The Community Health Promotion award honors individuals or groups whose efforts increase the
quality of life in the county.
Business's merit awards for environmentally sound practices but many make healthy choices in what
they sell, how they support employees, and how they promote community health.
Community Based Organization awards recognized those who provide infrastructure and services that
promote public health in a variety of ways.
Young Heroes come forward every year in different services and ways to inspire a new generation of
community health proponents.
Jefferson County Public Health Employees are often times recognized for their training, expertise and
work outside of the community. There is a need to applaud them at home.
Special Recognition Award for the Public Health Hero who helps us to identify a problem and help the
community work towards its resolution, e.g. planting trees, building trails, promoting physical exercise
or healthy diets, or fitting children's car seats.
`Public Health Heroes' is to honor those who work to make Jefferson County a healthier place to
live," states JCPH Director, Jean Baldwin.
•
00
National Public Health Week
History of National Public Health Week
In 1995, former President William Jefferson Clinton proclaimed the
first full week of April as National Public Health Week (NPHW). Each
year since then the public health community has focused on issues that
..',1:2:41:'
a. are important to improving the public's health.
Every year,the American Public Health Association(APHA)serves
as the organizer of NPHW and develops a national campaign to edu-
cate the public,policy makers and practitioners about issues related to
the theme. APHA creates comprehensive planning, organizing and
outreach materials that can be used during and after the week to raise
awareness. Now, in its 12th year, NPHW is celebrated in every state
across the nation. In 2003, APHA began highlighting a specific public
health issue each year.
This year's theme is "Preparedness and Public Health Threats:
Addressing the Unique Needs of the Nation's Vulnerable Populations."
The tagline is "Take the First Step!"APHA and its partners will high-
light the week by inspiring Americans to take the first step toward
preparing effectively for public health threats.
• $ NPHW timeline
1988 The Los Angeles County Department of Health Services begins
celebrating Public Health Week during the first week of April.
1993 APHA adopts a policy resolution endorsing a national and
annual celebration of Public Health Week during the week in
April in which World Health Day occurs.
1995 President Clinton proclaimed National Public Health Week the
first full week of April with the week focusing on defining
.4:sitftiiV
public health.
1996 Theme:Celebrating Success
1997 Theme: Public Health—An Investment in Your Future
1998 Theme: Healthy People in Healthy Communities
1999 Theme: Healthy People in Healthy Communities
1:11,1;;:-1f,';`,,.:.
2000 Theme: Healthy People in Healthy Communities
2001 Theme: Healthy People in Healthy Communities
F 2002 Theme: Healthy People in Healthy Communities
41044 2003 Theme: Getting In Shape for the Future: Healthy Eating and
Active Living
2004 Theme: Eliminating Health Disparities: Communities Moving
from Statistics to Solutions
2005 Theme: Empowering Americans to Live Stronger, Longer
2006 Theme: Designing Healthy Communities: Raising Healthy Kids
y
.'' � � a° meg.
- �� oft- a1ii� iT . ?. o
MAKING PUBLIC HEALTH VISIBLE
By Bobbie Berkowitz, Director, Turning Point National Program Office, Summer 2004
Bobby Pestronk, Genesee County(Michigan) Health Officer,recognizes government
officials, local residents, policy makers, health care providers,business owners, and the
media as partners in the process necessary to improve the public's health. He also knows
that public health, and especially local governmental public health agencies, are invisible,
or "off the radar," for most people.
In a previous job, a co-worker gave Bobby a few of her deceased husband's bow ties. He
started to wear them on occasion as a silent tribute to his friend. Before long, Bobby
noticed that the ties always drew comments. Complete strangers would recognize him
when he was out and about in the community because they recognized the bow tie from a
meeting, a TV show, or some other event. As a trademark, the tie had come to represent
his department and, more broadly, public health.
At a recent NACCHO meeting, Bobby observed that governmental public health can be
made more visible not only through major policy initiatives, large budgets, and program
success (or failure),but also through minor,perhaps even superficial, efforts. With his
bow tie, Bobby is a little more recognizable and memorable. Although just a small detail,
he is remembered as "that public health guy," and in a small but significant way, public
health in Genesee County is more visible, too. "Whatever it takes,"he says.
• At our recent conference, States of Change, participants talked about the need to make
public health visible. Public health successes often lie in what doesn't happen, rather than
what does. Until the media start to report on the number of people who didn't get sick at
restaurants today, many of our accomplishments will be invisible to the general public.
But we can create higher visibility. In Arizona, for example,public health information
kiosks are now present in libraries. And on the other side of the country, Virginians can
look up public health information specific to their geographic area through an interactive
online health atlas. New York Turning Point's highly acclaimed satellite monthly series
on public health issues, the Third Thursday Breakfast Broadcast(T2B2), now reaches
across the country. Oklahoma Turning Point has become adept at focusing media
attention on public health programs, such as their public walkathons to bring obesity
issues to the forefront of Oklahomans' minds. In Nebraska, new bricks-and-mortar health
departments are a physical manifestation of the renewed presence of public health in
communities. Throughout all the Turning Point states, reports, new institutions, and
policy and statute revisions clearly reflect increased visibility.
So often we put off touting public health until we can make a big splash. But we can
make public health visible in large and small ways—using technology and the Web,
creating diverse partnerships, and nominating outstanding public health programs for
awards. As we search for ways to express public health's value we can also learn from
other fields.
•
Board of Health
Wow Business
.agenda Item #`V., 3
• Jefferson County Sexual-Cy
transmitted Disease Report
2oo5-Zoo6
December 14, 20496
1
0
0
•
•
Sexually
Transmitted
Disease Profile
Jefferson County 2005
boa
els
o, Health
Summary
This report describes the sexually transmitted disease burden in Jefferson County. Primary
emphasis is placed on chlamydia and gonorrhea since they are the most frequently reported
STDs in Washington State. The 2005 incidence rates by age and sex for gonorrhea and
chlamydia are presented. The report concludes with a presentation of which providers in your
county reported STDs.
Contents
County STD Trends
Table 1: Washington State Reportable Sexually Transmitted Diseases, 2005 1
Chlamydia
Figure 1: Chlamydia Incidence Rates,by Age and Gender, 2005 2
Figure 2: Chlamydia Cases by Age(13-19) and Gender, 2005 3
Table 2: Chlamydia Repeater Infections, 2005 3
Table 3: Chlamydia Asymptomatic Infections, 2005 4
Gonorrhea
Table 4: Gonorrhea Symptomatic Infections, 2005 5
Conclusion •
Table 5: Reported Cases of Gonorrhea and Chlamydia by Provider Type, 2005 5
Health People 2010 National Objective for Chlamydia 6
Health People 2010 National Objective for Gonorrhea 6
Appendix
A: Data Sources,Analyses, and Limitations 7
• Jefferson County STD Disease Trends
Table 1: Washington State Reportable Sexually Transmitted Diseases, Jefferson County, 2005.
2004 2005 2005 2005
Jefferson Jefferson Jefferson, Washington
Disease County Cases County Cases County Rate' State Rate'
(per 100,000) (per 100,000)
Chlamydia 37 57 206.5
Gonorrhea 297.6
3 2 * 59.7
Early Syphilis 0 1
Congenital Syphilis 0 3.5
0 - 0.0 (live births)
Late/Late Latent Syphilis 0 0 -
Herpes(initial infection) 11 14 2.3
50.7 37.3
GI/LGV/Chancroid** 0 0
HIV cases** 0.0
0 0
AIDS cases** 0 0
TOTAL 51 74 268.1 400.3
(excluding HIV/AIDS cases)
x Denominator estimates for the calculation of incidence rates from Washington State Adjusted Population Estimates,OFM,February 2005.
*Rates cannot be calculated for years with fewer than five cases.
**See Appendix A for explanation of disease acronyms.
III
In 2005, Jefferson County experienced a increase from 2004 in its combined reportable STD
cases. With 74 cases of STDs (excluding HIV/AIDS cases') in 2005, the incidence rate for all
STDs was 286.1 per 100,000 persons. This is 33%less than the 400.3 per 100,000 combined
reportable STD rate for Washington State in 2005. Jefferson County reported no cases of
congenital syphilis or GI/LGV/Chancroid in 2005.
The chlamydia and gonorrhea cases reports in 2005 for Jefferson County were missing the
following information:
Date of Birth-2 Race— 10 Ethnicity— 12
Treatment Date—6 Treatment—6
2005 compared to 2004:
• Chlamydia had a 54%increase in reported cases (57 vs. 37).
• Gonorrhea had a 33%decrease in reported cases (2 vs. 3).
• Initial infection herpes had a 27% increase in reported cases (14 vs. 11).
1 Complete information on the HIV/AIDS epidemic in Washington can be found in Washington State HIV/AIDS
illSurveillance Report,Washington State Department of Health,IDRH Assessment Unit.
1
•Chlamydia
Figure 1: Chlamydia Incidence Rates by Age and Gender,Jefferson County, 2005.'
4000
E Female Rate
3500 — 0 Male Rate
0 3000 —
0
0
1— 2500 L
tl
N 2000
�T/3
1500- --
•
c 1000 —
gas
500
0
0-9 10-14 15-19 20-24 25-29 30-34 35-39 40+
•
Age (years)
Female Rate - - 2428.0 3335.4 1175.7 * - -
Male Rate - * 1723.2 * * *
Female Cases 18 14 5 1
Male Cases - - 2 9 2 3 1 -
Denominator estimates for the calculation of incidence rates from Washington State Adjusted Population Estimates,OFM,February 2005.
Incidence rates rounded to the nearest whole number.
*Rates cannot be calculated for ages with fewer than five cases
In, 2005 the female chlamydia incidence rate was highest among the 20-24 year old age group in
Jefferson County, at 3,335.4 cases per 100,000.
Women are preferentially screened for chlamydia. Because active case-finding is preferentially
limited to women, the incidence of chlamydia in men may be under-reported by comparison.
Caution should be used in interpreting comparisons of chlamydia rates between genders.
The 2002 STD Treatment Guidelines from CDC recommend that all women diagnosed with
chlamydia be re-screened three to four months after treatment. This was suggested because of
the high prevalence of chlamydia found in women diagnosed with the disease in the preceding
months,presumably as a result of re-infection.
2
0 Figure 2: Chlamydia Cases by Age(13 - 19) and Gender, Jefferson County, 2005.
9
IIFemale 0 Male 8
7-- —
w 6 6
O -
Co
co
U 5
O
4
":13 4- — —
E
3
Z3—
2 —
1 1
1 ----
U I
13 14 15 16 17 18 19
Age (years)
Repeater Infections (Persons having more than one infection in a 12-month period.)
•
Recurrent infection is common and associated with increased risk ofelvic inflammatorydisease
p
(PID) and other serious outcomes. Data suggest that young age and incomplete therapy increase
the risk for persistent/recurrent infection. Studies also suggest that women's current male sex
partners are not receiving treatment for chlamydia and that women are being re-infected by
resuming sex with previous (and infected) sex partners. Careful interviewing and prompt,
concurrent treatment of all partners is important. People should be coached to ask health care
providers for re-screening.
Table 2: Chlamydia Repeater Infections, Jefferson County, 2005.
MALE FEMALE TOTAL
Reported Cases 17 40 57
Repeaters Identified 0 3 3
%Repeaters 0% 8% 5%
Asymptomatic Infection
STD infections often lack any signs and symptoms. Routine screening and treatment is essential
to prevent serious complications that may not appear until long after infection. Screening all
sexually active adolescents (19 years and younger) during sports physicals and routine office
visits should be done even if symptoms are not present. Screening women and men aged 20-25
is also suggested,particularly those who have new or multiple sex partners. Women who are
•
3
0 pregnant,have sex partners infected with chlamydia,have mucopurulent cervicitis or are
planning an IUD insertion should also be screened. Careful interviewing and treatment of all
partners is important.
Table 3: Reported Cases of Chlamydia by Diagnostic Category,Jefferson County, 2005.
Diagnosis Private Public Total Total
Male Female Male Female Male Female Cases
Asymptomatic 2 10 11 20 13 30 43
Symptomatic-Uncomplicated 1 2 2 6 3 8 11
Pelvic Inflammatory Disease - - - - - - 0
Other 1 1 - - 1 1 2
Unknown - - - 1 - 1 1
TOTAL 4 13 13 27 17 40 1 57
Gonorrhea
Jefferson County rates for gonorrhea by age groups cannot be calculated because all age groups
have less than five cases reported in 2005.
In Washington State the reported rate of gonorrhea incidence in 2005 was 59.7/100,000, an
increase from the 2004 rate. Statewide, the greatest incidence of disease among both males and
•
females is among 20-24 year olds (248.2/100,000). However,the burden of disease is
disproportionately shared across older age groups among males. Males also had a higher overall
gonorrhea rate (67.9/100,000) than females (51.7/100,000). A major factor contributing to the
differences in the distribution of gonorrhea incidence across different age by gender is a
documented outbreak of GC among men who have sex with men(MSM), whose median
reported age was 30.
Findings from the Gonococcal Isolate Surveillance Project(GISP) in Seattle have indicated that
Washington State is now an area with increased prevalence of quinolone-resistant Neisseria
gonorrhoeae(QRNG). Based on these findings,the Washington State Depattment of Health
recommends that health care providers in the state should no longer use fluoroquinolones
(ciprofloxacin, levofloxacin and ofloxacin) as first line therapy for gonorrhea. The antibiotics of
choice are ceftriaxone (RocephinTM)or cefpodoxime(VantinTM) accompanied by either
azithromycin or doxycycline to treat possible coexisting chlamydial infection.
Because most gonorrhea infections cause symptoms and prompt individuals to seek medical
care, reported cases are considered to be an accurate reflection of true disease incidence in the
overall population. Providers in Washington State who reported gonorrhea cases in 2005
indicated that 77% of the men were symptomatic for gonorrhea; 42% of the women were
symptomatic.
1111
4
v.
IIITable 4: Reported Cases of Gonorrhea by Diagnostic Category, Jefferson County, 2005.
Diagnosis Private Public Total Total
Male Female Male Female Male Female Cases
Asymptomatic - - - 1 - 1 1
Symptomatic-Uncomplicated 1 - - - 1 - 1
Pelvic Inflammatory Disease - - - - - - 0
Other
Unknown - - - - - - 0
TOTAL 1 0 0 1 1 1 2
Conclusion
Table 5: Reported Cases of Chlamydia and Gonorrhea by Provider Type, Jefferson County,
2005.
Chlamydia Gonorrhea
No of No.of Percent of No.of No.of Percent of
Provider Type
Providers Cases Total Cases Provider Cases Total Cases
s
Alcohol/Substance Abuse - - - - - -
Blood Bank/Plasma Center - - _ - - -
411 Community Health Center - - - - - -
Emergency Care(excl.hosp.) - - - -
Family Planning 3 4 7% - - -
Health Plan/HMOs 1 1 2% - _ -
HIV/AIDS - _ - - - -
Hospitals 1 2 4% 1 1 50%
Indian Health _ _ _ - - -
Jail/Correction/Detention - - - 1 1 50%
Job Corps _ - - - - -
Migrant Health _ _ - - - -
Military _ - - - - -
Neighborhood Health - - - - - -
OB/GYN - - - - - -
Other 4 10 18% - - -
Private Physicians - - - - - _
Reproductive Health 2 39 68% - - -
STD Clinics -
Student Health _ 1 1 2% - - -
TOTAL 12 57 100% 2 1 2 1 100%
In Jefferson County, the reproductive health providers reported the highest number of chlamydia
cases. These providers reported 68% of the total. Other providers reported the second highest
number of chlamydia cases(18%).
•
5
The Healthy People 2010 national objectives for chlamydia incidence are: 410
Females aged 15-24 attending family planning clinics: 3%.
There are zero (0) Region X Infertility Prevention Project(IPP) family planning clinics in
Jefferson County.
Females aged 15-24 attending STD clinics: 3%.
Males aged 15-24 attending STD clinics: 3%.
There is one(1) Region X IPP STD/reproductive health clinic in Jefferson County. The
2005 positivity rate was:
Male Female
No.of No.of Percent No.of No.of Percent
Sites Tests Pos. Pos. Tests Pos. Pos.
Jefferson Co FP—Pt.Townsend 105 13 12.4 691 28 4.1
See attachment A for Region X IPP screening criteria.
The Health People 2010 national objective for gonorrhea incidence is 19 cases per 100,000.
The 2005 rates for gonorrhea by age groups cannot be calculated because Jefferson County
has less than five cases reported. In 2005, two (0) cases were reported in Jefferson County.
•
The Aptima test used to diagnose chlamydia is a combined test that will also diagnose
gonorrhea. Gonorrhea positives from the Region X IPP sites include:
Male Female
No.of No.of Percent No.of No.of Percent
STD/Reproductive Health Sites Tests Pos. Pos. Tests Pos. Pos.
Jefferson Co FP—Pt.Townsend 105 0 0.0 684 0 0.0
6
• . '
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WASHINGTON STATE INFERTILITY PREVENTION PROJECT
111)
STD PROGRAM AREA ONE, 2005 1999
CHLAMYDIA SCREENING
I
I
MALE FEMALE TOTAL
#Tests #Pos %Pos 1#Tests #Pos % Pos #Tests #Pos % Pos
JEFFERSON COUNTY-2005
Jefferson Co. Rep. Health 105 13 12.4 691 28 4.1 796 41 5.2
TOTAL 105 13 12.4 691 28 4.1 796 41 5.2
JEFFERSON COUNTY-1999
Jefferson Co. Rep. Health 60 9 15 I 467 14 3 527 23 4..
TOTAL 60 9 15 467 14 3 527 23 4.4
1
RIM
•
SOURCE: INFERTILITY PREVENTION PROJECT
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•
Board of Health
Netiv Business
Agenda Item #v, 4
Communicable Disease
• Control Priority Setting
December 14, 2006
1
1111 Protecting People from Disease (CD)
` '` ' :" Standard CD9 CD1.4S Annual goals and objectives for
''''''''' '74''i'''''''''''''''''''''''4:7 1 A surveillance and reporting system is communicable disease are apart of the DOH maintained to identify emerging health Planning process.Key indicators and implications for
A, threats.
investigation,intervention,or education efforts are
, documented.
s
Local measures: CD1.55 Astatewidedatabaseforreportable
'''''''i� ' ::":".f..,'4-1',s ' CD1.1 L Information is provided to the public conditions is maintained;surveillance data are
., on how to contact the LHJ to report a public health summarized and disseminated to LHJs at least
concern 24 hours per day.Law enforcement has annually.Uniform data standards and case
" current local and state 24-hour emergency contact definitions are updated and published at least
f 1 �, lists. annually.
CD1.2L Health care providers and labs know CD1.65 Staff members receive training on
", which diseases require reporting,have timeframes, reporting of communicable disease as evidenced by
:: - ,' I. and have 24-hour local contact information.There training documentation.
- is a process for identifying new providers in the
'" communityandengagingp g Standard CD2
tidal., " i them in the repo
process. Response plans delineate roles
? CD1.3L There are annual reports to the BOH that and responsibilities in the event of
Z,S£? a l "� ) include communicable disease surveillance activity communicable disease outbreaks and
and related data from the local core set of indicators. other health risks that threaten the
r q CD1.4L Written protocols are maintained for health of people.
receiving and managing information on notifiable Local measures:
conditions.The protocols include role-specific
w steps to take when receiving information as well as CD2.1 L Phone numbers for weekday and after-
'11 1
guidance on providing information to the public. hours emergency contacts are available to DOH
CD1.5L The local core indicators relatin to and appropriate local agencies,such as schools and
41 t,...,'/,:::, ‘ g hospitals.
communicable disease are analyzed annually,
and implications for changes in investigation, CD2.2L A primary contact person or designated
intervention,or education efforts are identified. phone line for the LHJ is clearly identified in
,,:
CD1.6L A communicable disease trackingcommunications to health providers and appropriate
public safety officials for reporting purposes.
'4:::'
system is used which documents the initial report,
.,1'1':.;::7,7'4:,'14::"I'''
.`,;::;:'!1(;;,''''':';:',',v;:::r7;.,4,,,7::,„':f:::'..,'?',:','',..---':;4 k = investigatFederal.
on,findings,and subsequent reporting to CD2.3L Written policies or procedures delineate
. `.' state and Federal agencies. specific roles and responsibilitieswithin agency
divisions for local response and case investigations of
Protecting people from disease eml ers Thereis documentation that staff disease outbreaks and other health risks.
members receive training on reporting of
— -"Wa- f7 '7;-47:74::;'"44'44Pli,41-41HI''''-,Lli:': communicable disease. State measures:
State measures:
CD2.1$ Phone numbers for after-hours contacts
k CD1.1 S Information is provided to the ublic for all local and state public health jurisdictions are
% a P P updated and disseminated statewide at least annuall
on how to contact the DOH toreort a ublic health y'
P P CD2.25 Writtenpolicies or r
concern 24 hours per day.Law enforcement has procedures delineate
current state 24-hour emergency contact lists. specific roles and responsibilities for state response
�� ':1-, CD1.25 Consultation and technical assistance to disease outbreaks or public health emergencies.
x There is a formal description of the roles and
are provided to LHJs on surveillance and reporting relationship between communicable disease,
�` as documented by case summaries or reports.
. , ,..:ii ' x � x , Laboratories and health care providers,including environmental health,and program administration.
Variations from overall process are identified in
new licensees,are provided with information on disease-specific protocols.
I disease reporting requirements,timeframes,and a
24 hour DOH point of contact. CD2.3S Written procedures describe how
x " CD1.35 Written procedures are maintained expanded lab capacity is made readily available when
needed for outbreak response,and there is a current
::::::'!i":::1';'':::':f::A:::;;;P''r:
� � and disseminated for how to obtain state or federal list of labs having the capacity to analyze specimens.
£'� `f':::::.:*r
consultation and technical assistance for LH]s.
Assistance includes surveillance,reporting disease CD2.45 DOH staff members receive training
intervention management during outbreaks or public on the policies and procedures regarding roles and
health emergencies,and accuracy and clarity of responsibilities for response to public health threats
public health messages. as evidenced by protocols.
5 Standards for Public Health in Washington State
Standard CD3 CD3.4S DOH identifies key performance measures Standard CD5
Communicable disease investigation for communicable disease investigations andill
consultation. Communicable disease and other health
and control procedures are in place and risk responses are routinely evaluated
actions documented. CD3.5S Staff members conducting disease for opportunities to improve public
investigations have appropriate skills and training as health system response.
Local measures: evidenced in job descriptions and resumes.
CD3.1 L Lists of private and public sources for Standard CD4 Local measures:
referral to treatment are accessible to LHJ staff. CDSLL An evaluation for each significant
CD3.2L Information is given to local providers Urgent public health messages are outbreak response documents what worked well and
through public health alerts and newsletters about communicated quickly and clearly and what process improvements are recommended for
managing reportable conditions. actions documented. the future.Feedback is solicited from appropriate
CD3.31 Disease-specific protocols identify Local measures: entities,such as hospitals and providers.Meetings are
informationconvened to assess how the outbreak was handled,
about the disease,case investigation
steps(including timeframes for initiating the CD4.1 L Information is provided through public identify issues,and recommend changes in response
investigation),reporting requirements,contact and health alerts to key stakeholders and press releases to procedures.
clinical management(including referral to care),use the media. CD5.2L Recommendations based on outbreak
of emergency biologics,and the process for exercising CD4.2L A current contact list of media and response evaluation and recommendations for
legal authority for disease control(including non- providers is maintained and updated at least effective response efforts are reported to the BOH.
voluntary isolation). Documentation demonstrates annually.This list is in the communicable disease CD531 Local protocols are revised based on
staff member actions are in compliance with manual and at other appropriate departmental outbreak response evaluation findings or model
protocols and state statutes. locations. materials disseminated by DOH.
CD3.41 An annual self-audit,using a sample CD4.3L Roles are identified for working with CD5.4L Issues identified in outbreak evaluations
of communicable disease investigations,is done to the news media.Policies identify the timeframes are addressed in future goals and objectives for
monitor timeliness and compliance with disease- for communications and the expectations for all communicable disease programs.
specific protocols. staff regarding information sharing and response
CD3.51 LHJs identify key performance measures to questions as well as the steps for creating and CD5.5L Staff training in communicable disease
distributing clear and accurate public health alerts and other health risk issues is documented.
for communicable disease investigation and and media releases. CD5.6L There is documentation that outbreak
enforcement actions.
CD4.4L All staff that have lead roles in responses are evaluated and that evaluation findings
CD3.6L Staff members conducting disease communicating urgent messages have been trained are used for process improvement,which takes into •
investigations have appropriate skills and training as in risk communications. consideration surveillance processes,staff roles,
evidenced in job descriptions and resumes. investigation procedures,and communication efforts.
State measures: State measures:
CD4.1 S A communication system is maintained State measures:
CD3.1 S Consultation and staff time are provided for rapid dissemination of urgent public health CD5.1 S Timely information about best practices
to LHJs for local support of disease intervention messages to the media and other state and national in disease control is gathered and disseminated.
management during outbreaks or public health contacts. Coordination is provided for a state and local.
emergencies as documented by case write-ups. debriefing to evaluate extraordinary disease
Recent research findings relating to the most effective CD4.2S A communication system is maintained events that required a multi-agency response;
population-based methods of disease prevention for rapid dissemination of urgent public health a written summary of evaluation findings and
and control are provided to LHJs.Labs are provided messages to LIIJs,other agencies,and health recommendations is disseminated statewide.
written protocols for the handling,storage,and providers.Consultation is provided to LHJs to
transportation of specimens. assure the accuracy and clarity of public health CD5.2$ Model plans,protocols,and evaluation
CD3.2S DOH leads statewide development and information associated with an outbreak or public templates for response to disease outbreaks or public
use of a standardized set of written protocols and health emergency as documented by case write-ups. health emergencies are developed and disseminated
State-issued announcements are shared with LHJs in to LHJs.
state statutes for communicable disease investigation a timely manner. CD5.3S Model materials are revised based on
and control,including templates for documenta-
tion. Disease-specific protocols identify information CD4.3S Roles are identified for working with the evaluation findings,including review of outbreaks.
about the disease,case investigation steps(including news media.Written policies identify the timeframes CD5.4S Response issues identified in outbreak
timeframes for initiating investigations),reporting for communications and the expectations for all evaluations are addressed in future goals and
requirements,contact and clinical management staff regarding information sharing and response objectives for communicable disease programs.
(including referral to care),use of emergency biolog- to questions as well as the steps for creating and
ics,and the process for exercising legal authority for distributing clear and accurate public health alerts CD5.55 Staff members are trained in surveillance,
and media releases. outbreak response,and communicable disease
disease control(including non voluntary isolation). control and are provided with standardized tools.
CD3.35 An annual self-audit of a sample of DOH CD4.4S Communication issues identified in CD5.6S There is documentation that outbreak
communicable disease investigations is done to outbreak response evaluations are addressed in responses are evaluated and that evaluation findings
monitor timeliness and compliance with disease- writing with future goals and objectives in the are used for process improvement,which takes into
specific protocols. communicable disease quality improvement plan. consideration surveillance processes,staff roles,
IIIII ,
CD4.55 All staff that have lead roles in investigation procedures,and communication efforts.
communicating urgent messages have been trained
in risk communications.
Standards for Public Health in Washington State 6
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Nam 1
•
Board of Health
.Media Report
•
December 14, 2006
• Jefferson County Public Health
November —December 2006
NEWS ARTICLES
1. "Flu vaccine arriving; clinics set in county",PT Leader, November 15, 2006
2. "Mental health service range charted for 2006",PT Leader, November 15, 2006
3. "Cruise line fined over sewage",Peninsula Daily News, November 17, 2006
4. "Options listed to new property valuations: Tax reduction programs available to
qualified owners...", Peninsula Daily News,November 17, 2006
5. "Shelter plans shape up in PT" (2 pages),Peninsula Daily News,November 20, 2006
6. "Number of records requests soaring", Peninsula Daily News,November 21, 2006
7. "Adoption of the surface water management plan",BOCC Board's Official Business,
November 28, 2006
411 8. "County certifies new green businesses",PT Leader,November 29, 2006
9. "Employees can learn how to help employees with tobacco cessation", PT Leader,
December 6, 2006
•
Ya••
•
I:
,.Flu vaccine arriving.
�
:: clinics set in county
Flu vaccine shipments PT. Saturday, Nov. 18, 9 a.m.-
from manufacturers have been noon. Medicare patients please
delayed this year because one bring Medicare cards.All others
of the vaccine components took $20 cash or check.Private insur-
.longer to produce than expected. ance will not be billed.
4,But shipments of adult vaccine Olympic Primary Care,
••are now arriving, and previ- 1010 Sheridan, PT. Saturdays,
ously postponed flu shot clinics Nov. 18 and Dec.9,9 a.m.-noon.
I' in Jefferson County are being Medicare patients please bring
I rescheduled. Medicare cards. All others, $20
The Washington State cash or check. Private insurance
• :1 Department ofHealthprovides flu will not be billed.
vaccine for many children under Port Hadlock Medical
age 19. The pediatric vaccine is Care, 121 Oak Bay Road, Port
• also delayed, but is expected to Hadlock. Flu vaccine available
arrive locally within about two Mondays through Fridays. Call
weeks.The following clinics(all for appointment, 379-6737.
in Port Townsend)will have vac- Port Townsend Family
cine for children ages 6 months Physicians, 934 Sheridan, PT.
to 59 months, high-risk children Saturday, Nov. 18, 9 a.m.-noon.
under age 19 and children who Medicare patients please bring
are household contacts of high- Medicare cards. All others, $20
risk persons: Jefferson County cash or check. Private insurance
Public Health, 615 Sheridan St.; will not be billed.
• Jefferson Medical & Pediatric QFC Store, 515 Sheridan,
Group, 834 Sheridan; Olympic PT. Wednesday, Nov. 15, 10
Primary Care, 1010 Sheridan; a.m.-2 p.m.; Thursday, Nov. 16,
and Port Townsend Family 3-7 p.m.; Saturday, Nov. 18,
Physicians,934 Sheridan. 10 a.m.-2 p.m. Medicare and
Jefferson County Public Medicaid accepted. Flu shots,
Health suggests calling provid- $28;pneumonia shots,$40.
ers for an appointment and to Safeway Pharmacy, 442
verify that pediatric vaccines are Sims Way,PT.Call for availabil-
' in stock. ity Tuesday through Friday,385-
- Currently scheduled influ- 2860. Medicare and Medicaid •
enza immunization clinics are accepted. Flu shots, $25; pneu-
as follows: monia vaccine also available.
• FluMist available by request.
Jefferson Medical & Shingles vaccine available by p f-•Pediatric Group, 834 Sheridan, prescription.
114 5"°3°
S
:Mental health service
range charted for 2006
Jefferson Mental Health
Services reports that service According to the report, 47
of thservices were pro-
numbers for 2006 are likely to per
cent in Port Townsend, 18 per-
be higher than services provided cent in Port Hadlock, 7 percent
in 2005.
in
•' The 2005 report includes L llcene, 7 percent in Port
udlow,more than 2,000 crises services 4 percent in , 3 u percent
(phone calls,walk-ins,jail visits, percent in Brum° 3
in Sequim,3 percent"other"and
,1 hospital emergency room visits), 1 percent in Oak Harbor.
and more than 12,100 servic-
es provided to enrolled clients
;,(group and individual therapy,
adults, children and geriatrics,
brief and long-term treatments,
medication management, case
- management and protective
payee).
There were more than 500
services provided last year to
• non-enrolled clients(evaluations •
for partners agencies,client with
limited funding but needing
care).
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•
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Number of records requests•
q ests soaring
BY EVAN CAEL Belenski, who made 33 of the of the information to sue the responsible and not abuse it."
PENINSULA DAILY News 276 records requests this year, county several times. Joe D'Amico, owner and
PORT TOWNSEND said the increase is an indica- He said the increased num- president of Security Services
Public records q SE in Jef- tion that the county is not as ber of record requests indicates Northwest,entangled in a legal
ferson County have increased transparent as it should be. to him that county residents battle with the county over
from 63 o ty to 2 n so far "If you were a little bit more are getting more involved in security training on his prop-
this year in and honest about things, local politics. erty on Discovery Bay,has filed
you could probably cut that in "It warms myheartthat I 25 records requests this year.
'We re just being deluged half," Belenski told county can sit in a meeting and some- D'Amico on Monday said it's
, with records requests," said commissioners during public one says, 'I'm going to get the the public's right to know what
County Administrator John comment period of their Mon- records on that,'" Belenski
Fischbach. day meetingsaid government is doing.
County officials say He filed allegations on Nov. Some of the requests Belen- "If you don't know if the
responding to the increase has 13 that could initiate the ski has made are of phone mes- county laws are be•
ing followed,
recently occupied an average of processto recall Commission- sages from Johnson and Sulli- You have to look for yourself.
, 3.5 full-time-equivalent ers Phil Johnson, D-Port van,and a `stack of sit- D'Amco said.
employees on a continual basis. Townsend,and David Sullivan, tinon Phil Johnsons chair.." Fischbach said an additional
Fischbach said a position D-Cape George. When asked why he believes employee will not be budgeted
might need to be created specif- The third commissioner,Pat the number of records requests this year, but could be in the
ically to respond to records Rodgers, R-Brinnon, steps have increased so dramatically, future if the high volume of
requests, to prevent regular down from the board at the end Sullivan said: records requests continues.
staff members from being of the year. "Suspiciousness. People are
drawn away from routine Belenski has sought county looking for things rather than
duties. documents over the past sev- Reporter Evan Cael can be reached at
@
Mats Mats resident Mike eral years, and has used some just participating in the pennsuladaiI coro evan.cael�
process.You hope people will be peninsuladailynews.com.
•
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BOvwcl1 s'
Offi...., B.,
Highlights from Monday's Commissioner Meeting November 28,2006 I
COUNTY ADMINISTRATOR'S BRIEFING: the 2006 Public Service Grant with OIyCAP;
The following items were discussed: Hearing scheduled for Monday, December 11,
• The Hearing Examiner has a final 2006 at 10:05 a.m. in the Commissioners'
hearing scheduled for November 30 Chambers
on the plan revision for the Port 3 RESOLUTIONS: Naming Private Roads; Fire
Ludlow Resort buildout and marina District#2, Applicant: 1) Maury Anderson Road;
expansion. 2) Silver Marmot Drive; and, 3) Quilcrest Lane
• The appointment of outside counsel 2 AGREEMENTS: 1) Supported employment
for the Security Services Northwest for individuals with developmental disabilities;
lawsuit was handled according to the amendment to increase funding with
statute. Washington Initiative for Supported
• The final report for the ORV study will Employment, and 2) Jury+ Jury Management
go to the Parks & Recreation Advisory System Software Maintenance with Jury
Board in January. The Consultant will Systems Incorporated
present the final draft study to the
Board in February. LETTER OF SUPPORT: The Board signed a
letter to State DNR, Commissioner of Public
ADOPTION OF THE SURFACE WATER Lands in support of the expansion of
MANAGEMENT PLAN: A majority of the conservation efforts in Tarboo-Dabob Bay
Board voted to adopt the Surface Water under the DNR's Natural Areas Program and •
Management Plan and implement a Surface Trust Land Transfer Program.
Water Management Program. Environmental
Health will take over as lead department. HEARINGS; 2007 BUDGET HEARING AND
AD VALORUM TAX LEVIES HEARING: After
PUBLIC COMMENT PERIOD: The following the public hearing, the Board unanimously
comments were made by citizens. There are approved the final 2007 Budget. The following
no jobs available in the County for blue collar documents were approved:
workers; the Board should call a meeting of • Letter to Assessor detailing the 2007
all the governmental entities to discuss real and personal property levy amounts
planned future tax increases; the dissolved • Resolution re: Increase in the County
oxygen issue in Hood Canal and the dead General Fund Levy for 2007 Taxes
zone on the Oregon coast are due to a • Resolution re: Increase in the County
change in the prevailing winds and it is Road Levy for 2007 Taxes
important to look at similar issues regarding Resolution re: Increase in the County
the environment objectively and scientifically; Conservation Futures Levy for 2007
the National Park wants to acquire more Taxes
property, but first they need to take care of •
Resolution re: Adoption of the Annual
the property they have; before the County Budget Including the General Fund,
passes stricter ordinances, they need to Public Works, Special Funds, Jefferson
review the regulations already in place; the County Road Construction Program and
Board is ultimately responsible for procedural County Tax Levy
mistakes and staff needs to be held account-
able; and Security Services Northwest CONSERVATION FUTURES PROJECTS
requested a formal investigation regarding UPDATE: The Chair of the Conservation
the appointment of Outside Counsel in their Futures Citizen Oversight Committee reviewed
lawsuit. the annual status reports of the projects that
have received this funding. They include: •
CONSENT AGENDA: All of the items on the Winona Wetlands, Tomanowas Rock, East
Consent Agenda were approved. Tarboo Creek, North Gateway Buffer, Quimper
HEARING NOTICE:1) CDBG Application; Wildlife Corridor, and Sunfield Farm.
2007 Public Service Grant and close out of
1111
,Countytertifies new
green businesses-
Jefferson County Public Health
recognizes three new green busi-
nesses,all located in Port Townsend:
Auto.Works, Monroe Street Clinic
and Wholistic Skin Therapy Center.
"These businesses have shown
their dedication to reducing waste -
and more efficiently using valuable
resources,"said Anita Hicklin of the
department.
The green business program was
developed to recognize local busi-
,
• nesses that integrate environmen-
• tally sensitive decisions and use
sustainable practices' in their day-
to-day operations. It is funded by
a grant from the Washington State
Department of Ecology.
Customers who want to support
environmentally sound businesses
can look for a certificate of recogni-
• tion at the business and a window
decal that indicates the business is
making an effort to minimize its
impact on the environment.
For more information or to
become a,certified green business,
call Jefferson County Environmental
Health at 385-9444.
T/
1110
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Wednesday,December 6,2006•B 9
Employers can learn
how to help
•
employees
with tobacco cessation
on
Dr. W. Kirk Harris from employees? An employee who and reduced healthcare costs. tobacco user back to tobacco."
Olympia introduces Chantix smokes costs his employer about Employers investing in cessa- Advances in pharmaceutical
— a new picotine agonist that $3,400 per year,according to the tion can expect a solid return on technologies like the new drug
is showing great promise for Centers for Disease Control.For investment in three years, with Chantix (Verenacline) boost the
tobacco users who are ready to the employer,these costs show benefits exceeding costs within success rate for tobacco users
quit-at a complementary lunch up as smoke breaks, absentee- five years. who want to quit because it
for local worksite wellness coor- ism, healthcare costs and lost "At Jefferson County Public helps to reduce nicotine crav-
dinators, human resource three- productivity. Health, we believe that one of ings,according to Ragan.
tors and managers. Sponsored "Tobacco cessation is one the best things a person can To reserve space at the lun-
by Jefferson County Public of the best investments that do for their health is to quit cheon or for additional informa-
Health, the.presentation is 1-2 an employer can make," notes , tobacco,"continued Ragan."We tion about tobacco prevention
p.m. Friday, Dec. 8 at Seaport Kellie Ragan,local public health also know that quitting takes activities in Jefferson County,
Landing, 1201 Hancock in Port tobacco prevention program practice. Cravings often lead a contact Ragan at 385-9446.
Townsend. coordinator. "Cost-effectiveness
Why should employers care is reflected almost immediately
about tobacco use among their through increased productivity
••
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4¢F °. ( I JEFFERSON COUNTY PUBLIC HEALTH
615 Sheridan Street • Port Townsend •Washington • 98368
1111 www.jeffersoncountypublichealth.org
December 14, 2006
Commissioner Pat Rodgers
P.O. Box 1220
Port Townsend,
WA 98368
Dear Commissioner Rodgers,
We, the management staff of the Jefferson County Board of Health would like to
extend our sincere gratitude for your 3 years of service on the Board and the
impact it has had on the health of Jefferson County residents. Your consistent
advocacy for the welfare of families in South Jefferson County and efforts to
assure a healthy future for children through support of Nurse Family Partnerships
is much appreciated. Your expertise on Hood Canal and leadership in finding
creative approaches to environmental degradation has been most valuable.
On many occasions you have reminded us that a healthy economy is necessary
for a healthy community. Your efforts to promote family wage jobs and
II reasonable economic development have drawn greater attention to this crucial
link between economic prosperity and community health. Your support for an
additional 1/10th of 1% sales tax to address urgent unmet mental health and
chemical dependency needs has allowed new resources to be focused on these
growing community problems.
All though few county commissioners run for office with the intent to serve on the
local board of health, you approached this responsibility with dedication, hard
work, and good humor. Thank you for your effort to make Jefferson County a
safer and healthier place.
Sincerely,
J n Baldwin, D' ctor Mike McNickle, Environmental Health Director
( tr------72.-v,„ ----D--x--v-
'om Locke, Health Officer Julia Danskin Public Health Supervisor
0 * t7 ,IIIcam.
ronic. orris-Nakano, inancial & Administrative Manager
ill COMMUNITY HEALTH
DEVELOPMENTAL DISABILITIES !„FPUBLIC�HEALTH ENVIRONMENTAL
RESOURCES
MAIN:360-385-9400 v "w v SAFER MAIN:360-385-9444
FAX: 360-385-9401 HEALTHIER COMMUNITY FAX:360-385-9401
•
JEFFERSON COUNTY BOARD OF HEALTH
Thursday, December 14, 2006
Main Conference Room
Jefferson County Public Health
2:30—4:30 PM
DRAFTAGENDA
I. Approval of Agenda
II. Approval of Minutes of November 16, 2006 Board of Health Meeting
III. Public Comments
IV. Old Business and Informational Items
1. West Nile Virus Newsletter—2006 Wrap-up
2. Seasonal Influenza Update
3. 2007 Assessment Project Update
4. New Water Quality Division Manager
5. Fall 2006 Region 2 Public Health Newsletter
6. Emergency Preparedness—Ham Radio Certifications
• V. New Business
1. Appointment to Substance Abuse Advisory Board
2. Jefferson County Public Health Heroes—Follow-up Report
3. Jefferson County Sexually Transmitted Disease Report 2005-2006
44 Comknunicable Disease Control Priority Setting
V. Activity Update La• ,_,e tt.p� �-/ (4,p c ct�tcl t� r,
VII. Agenda Planning
VIII. Next Scheduled Meeting: January 18, 2007
2:30PM—4:30 PM
Main Conference Room
Jefferson County Public Health
Making Washington One of the Healthiest States in the Nation
MOVING PUBLIC HEALTH FORWARD
• . , p; November 2006
PUBLIC HEALTH
ALWAYS WORKING FOR A SAFER AND
HEALTHIER WASHINGTON
Bipartisan Joint Select Committee on Public Health Financing unanimously found that:
• There are genuine gaps in Washington's public health system.
• The system has deteriorated in part to funding not keeping pace with inflation and population.
• As a first step, the State of Washington should provide $100 million in dedicated funding
increases, targeted at specific public health gaps.
• Public health funding should continue to be a partnership between state and local
government.
The Facts
The public health system delivers outcomes when adequately funded. The tobacco prevention work is proof of this.
Despite increasing challenges like West Nile Virus,E. coli infections from raw milk and spinach, and pandemic flu,
state per capita public health funding has decreased 25%from 1998-2004 when controlling for inflation.
• Infectious diseases and environmental threats cross geographic boundaries creating a state interest in their control.
Increasing health care costs are driven in part by chronic disease. As Washingtonian's health is improved by
decreasing tobacco use,the next great challenge is to decrease diabetes, heart disease, stroke, and cancers. Risk
factors for all of these are inadequate physical activity and poor nutrition. Public health intervention is required to
reduce the 59%of Washington adults and 25%of 8th graders who are overweight or obese.
Early learning begins during pregnancy and babies need supportive, nurturing parents to help assure their children's
full potential. Public health nurse-family home visiting delivers results during pregnancy and through adolescence.
The Strategy
Long-Term
To move Washington's public health system forward and assure that Washington becomes one of the healthiest
states in the nation, public health must become a higher priority of government and the estimated $600 million gap
in public health funding must be closed.
2007-2009 Biennium
An initial$100 million down payment of new funding in the 2007 -2009 biennium with built in accountability
should be invested in key areas of health improvement. The initial prioritized public health services include:
• stopping communicable diseases before they spread,
• decreasing chronic disease,
• growing healthy babies and supporting healthy mothers,
• protecting the safety of food,drinking water,and air,and
• obtaining health information in local communities to prioritize services and measure performance.
• The Accountability
Accountability will occur in three ways: performance measures will be written into contracts with DOH,key health
indicators will be finalized, implemented, and reported on, and biennial reports will be given to the legislature.
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WASHINGTON STATE INFERTILITY PREVENTION PROJECT
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STD PROGRAM AREA ONE, 2005 1999
CHLAMYDIA SCREENING
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MALE FEMALE TOTAL
#Tests #Pos %Pos 1#Tests #Pos %o Pos #Tests #Pos % Pos
JEFFERSON COUNTY-2005
Jefferson Co. Rep. Health 105 13 12.4 691 28 4.1 796 41 5.2
TOTAL 105 13 12.4 691 28 4.1 796 41 5.2
JEFFERSON COUNTY-1999
40 Jefferson Co. Rep. Health 60 9 15 I 467 3 527 23 4.4
TOTAL 60 9 15 467 3 527 23 4.4
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SOURCE: INFERTILITY PREVENTION PROJECT
4
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e JEFFERSON COUNTY PUBLIC HEALTH
615 Sheridan Street • Port Townsend •Washington • 98368
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www.jeffersoncountypublichealth.org
Jefferson County Board of Health
RESOLUTION NO. 01-06
SUPPORTING THE FINDINGS, CONCLUSIONS AND
RECOMMENDATIONS OF THE JOINT SELECT
COMMITTEE ON PUBLIC HEALTH FINANCING
WHEREAS, in 2005, the State Legislature created the Joint Select Committee on
Public Health Financing (JSC) to study and recommend alternative financing
strategies for public health services; and
WHEREAS, the JSC evaluated the current status of the public health system in
Washington; and
WHEREAS, the JSC found there are major gaps in the public health system and
that the system is under-funded; and
WHEREAS, the JSC concluded that public health services are essential to
Washington's residents and that additional funding is needed; and
WHEREAS, a dedicated funding source for public health does not exist in
Washington, and state funding has not increased since 1999 and has been
eroded by inflation and other rising costs; and
WHEREAS, Washington is 44th in the nation in per capita spending on public
health; and
WHEREAS, the JSC unanimously recommends that certain core public health
functions should be consistently available throughout the state, including:
stopping communicable disease, promoting health, investing in healthy families,
protecting against environmental health risks, and helping people access care;
and
WHEREAS, the JSC unanimously recommends that the state maintain its current
investment in public health and provide additional investments through a stable
and dedicated funding source; and
COMMUNITY HEALTH PUBLIC HEALTH ENVIRONMENTAL HEALTH
0- 85- 0DEVELOPMENTAL DISABILITIES ALWAYS WORKING FOR
SAFER AND NATURAL RESOURCES
MAIN:60-385-9401 HEALTHIER COMMUNITY MAX 360 385-9401
FAX 360-3$5-9401
s
WHEREAS, the JSC unanimously recommends that the state provide additional
funding in the amount of $200 million during the '07209 biennium, as an initial
investment; and
WHEREAS, to receive the additional state funding, the 4410 Joint Select
Committee recommends that local governments should be required to maintain
at least their current level of funding for public health, and
NOW, THEREFORE, BE IT RESOLVED THAT THE JEFFERSON COUNTY
BOARD OF HEALTH:
1. Supports the findings, conclusions and recommendations of the JSC and
2. Urges Governor Gregoire to include funding for public health in her budget, in
accordance with the Joint Select Committee recommendations for stable,
dedicated public health funding; and
3. Urges Jefferson County's legislative delegation to support legislation in the
2007 session, implementing the JSC recommendations for stable, dedicated
public health funding and
4. Urges that legislation implementing the JSC recommendations allow local
health jurisdictions the flexibility needed to effectively address high priority
community health issues, build and sustain regional partnerships, and produce
measurable improvements in community health status over both the short and
long-term.
December 14, 2006
• COMMUNITY HEALTH
DEVELOPMENTAL DISABILITIES PUBLIC HEALTH ENVIRONMENTAL HEALTH
NATURAL RESOURCES
MAIN:360-385-9400 ALWAYS WORM FOR A SAFER AND MAIN:360-385-9444
FAX: 360-385-9401 HEALTHIER COMMUNITY FAX:360-385-9401
•
David Sullivan, Chairman
County Commissioner District#2
11160.-44,4
.•rte:::
Patrick M. Rodgers, Vice Chairman
County -6 missioy(er District#3
,00,01
Phil Johnsq
County Commissioner District#1
`6 L�
Jill Buhler
Hospital Commissioner District#2
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GeffMas
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Port Townsend City Council
k.0;1 ,,6
Sheila Westerman
Citizen at Large (City)
ree:, 11
Roberta Frissell
Citizen at Large (County)
• COMMUNITY HEALTH PUBLIC HEALTH ENVIRONMENTAL HEALTH
DEVELOPMENTAL DISABILITIES PUBLICALWA �l�RIH �iSrArrr H NATURAL RESOURCES
MAIN:360-385-9400 MAIN:360-385-9444
FAX 360-385-9401 HEALTHIER COMMUNITY FAX 360-385-9401