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Home My WebLink About2007- May File Copy i Jefferson County Board of 3leaCth Agenda & ni mutes • .clay 17, 2007 • • JEFFERSON COUNTY BOARD OF HEALTH Thursday, May 17, 2007 Main Conference Room Jefferson County Public Health 2:30—4:30 PM DRAFTAGENDA I. Approval of Agenda II. Approval of Minutes of April 19, 2007 Board of Health Meeting III. Public Comments IV. Old Business and Informational Items 1. Jefferson County WIC Facts 2006 2. Adenovirus 14 Alert 3. 3 - CL Ail AP ADDF_l) V. New Business • 1. Substance Abuse Advisory Board Report 2. Jefferson County Septic Code Revision—Update (Action Item: Recommend Cancellation of June 21, 2007 Public Hearing and new Call for Public Hearing on July 19, 2007) 3. Jefferson County 6 Year Substance Abuse Prevention Plan 4. Utilization of Public Health Services—Port Townsend/Jefferson County Comparisons 5. HIV/AIDS Policy—National, State, and Local Challenges 6. 4th Annual Cross Borders Emergency Preparedness Conference Report VI. Activity Update 1. Data Steering Committee VII. Agenda Planning 1. June Board of Health Retreat Topics VIII. Next Scheduled Meeting: June 14, 2007 1:00 PM--4:00 PM Main Conference Room Jefferson County Public Health E R • JIFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, April 19, 2007 Board Members: Staff Members: Phil Johnson— County Commissioner District#1 Thomas Locke,MD, Health Officer David Sullivan—County Commissioner District#2 Jean Baldwin, Public Health Services Director John Austin, Vice Chairman—County Commissioner District#3 Julia Danskin, Nursing Programs Director Jill Buhler—Hospital Commissioner District#2 Mike McNickle, Environmental Health& Geoff Masci—Port Townsend City Council WaterQualiy Director Sheila Westerman—Citizen at Large(Ciy) Roberta Frissell, Chair—Citizen at Large (County) Meeting was called to order at 2:30 pm on April 19, 2007 by Chair Frissell in the conference room of Jefferson County Public Health. All Board members were present. A quorum was present. APPROVAL OF AGENDA • Member Sullivan made a motion to approve the Agenda as amended. Member Buhler seconded the motion,which passed by unanimous vote. The agenda was amended to add a letter to Old Business from Jefferson Healthcare Board of Commissioners, addressing SHB 1825/SSB 5729. Public Health Heroes Awards was moved to 4:00 pm on the agenda. Correction to Activity Update—Pandemic Influenza Tabletop Exercise. Corrected date will read as April 27, 2007. APPROVAL OF MINUTES Board Member Masci moved to approve the minutes of February 12, 2007, as written. The motion was seconded and carried by a unanimous vote. PUBLIC COMMENTS None OLD BUSINESS Board Correspondence The Board received a letter from the State Board of Health. The letter was a request for the opportunity for members of the State Board of Health to meet with local Boards of Health. Dr. Locke will contact and invite them to attend a Jefferson County Board of Health meeting in the • future. Discussion focused on a letter from the Substance Abuse Advisory Board (SAAB)requesting the Chair of SAAB have a seat on the Board of Health. RCW 70.05.030 outlines the ground rules O for local board of health expansion and requires that a majority of BOH members need to be county or city elected officials. To add another non-elected official to the Board would require that the Jefferson County Board of Health be expanded to 9 members. Under the Boards bylaws, it can add non-voting ex officio members. Jean Baldwin asked the members if they would like to hold sub-committee meetings with some of the other boards and work in the capacity of liaison getting other community board items on the BOH agenda for discussion. Dr. Locke suggested having a SAAB report as a recurring agenda item. This report and any testimony or discussion that accompanied it would be part of the official record. Member Buhler felt it would be unwise to have too many ex-officio's members making it almost impossible to deny any other boards that wanted ex-officio positions with the Board. Mr. Barth, Chair for the Substance Abuse Advisory Board addressed the Board with concerns that the Board was not taking advantage of the expertise of the members of SAAB. The letter was sent as opportunity to communicate the SAAB's belief that the leading public health issue in Jefferson County is alcohol and substance abuse and the SAAB and would like to bring information to the Board each month about this problem. Member Westerman moved to appoint the Chair of the SAAB as an ex-officio, non-voting member of the Board of Health. The motion was seconded by Vice-Chair Austin. • Member Johnson commented that the BOCC found Substance Abuse and Mental Health so important that they passed a 1/10 of 1% tax and felt it was appropriate that the Chair of SAAB to sit at the table. Member Sullivan said that it was a very important issue that doesn't get enough press and was an issue that needs attention. The motion carried, effective April 19, 2007. On-site Sewage Operation and Maintenance Update Mike talked about the letter he received from the Public Utility District (PUD) formally requesting that Jefferson County take over the Operation& Maintenance (0 & M) Program. He recommends that PUD continue to maintain the community systems that they own. Communication continues and Mike will ask for clarification on specific proposals contained in the letter. The agreement deadline to work out details is January 1, 2008. An 0 & M draft ordinance is being written as part of the revision of the Jefferson County Septic Code and will be presented to the Board in late summer. Member Westerman remarked that she feels that the County needs to take the responsibility to educate the community on the proper operation and maintenance of each individuals septic system. Mike McNickle talked about the new program and using a rebate system as incentive. S • • He also spoke briefly about Resolution 34-07; Hood Canal Regional Septic Loan Program, and handed out a brochure on the Shorebank Enterprise Cascadia Septic Loan Program. The Jefferson County Board of County Commissioners adopted the resolution appointing Shorebank as the resource for low interest loans for people with failing septic systems. Their loan program started on April 1 and will follow the process from design through installation. Region 2 Public Health Newsletter There was brief discussion around the Communicable Disease Surveillance Data from 2006 presented in the Region II newsletter. Jefferson County Medical Reserve Corps Jean Baldwin spoke to the Board about the Medical Reserve Corps. JCPH would like to recruit and train retired health care professionals to provide services in a health emergency. Setting up and maintaining a program of this nature is time intensive. The Kitsap Department of Emergency Management has agreed to assume the management of Medical Reserve Corps program for Kitsap, Clallam and Jefferson County. Julia Danskin serves as a representative. A brochure was distributed describing the program. Public Health Funding—HB 1825/SB 5729 Member Buhler presented the Board with a letter written by Jefferson Healthcare Board of Commissioners which was addressed and mailed to every member of the state legislature. She also presented the Board with the Jefferson County Public Health Care Service District No. 2 • Resolution 2007-06 asking for support to increase state funding for core public health services. NEW BUSINESS Jefferson County Septic Code Revision—Pre-adoption Briefing Linda Atkins, Registered Sanitarian, walked the Board through the changes made to the Draft Jefferson County Septic Code. The State Board of Health passed a revision of WAC 246-272A On-site Sewage Systems Rules and Regulations in July of 2005. Local health departments have the option of adopting local codes to supplement state rules. The state code was compared with Jefferson County's current code and changes were made to assure consistency. Linda answered questions from the board. Environmental Health staff has formed an advisory group and sent the revisions to them and will be meeting with them for the first time on May 10. JCPH has been meeting with a county on-site designer round-table group for several years and they have been very helpful in formulating and making revisions where needed. JCPH has also been working with Clallam, Kitsap, and Mason Counties to assure that regulations use consistent definitions and are compatible with one another. Linda pointed out the new language that was added to the On-site Sewage Systems Rules and Regulations and sections of the current code that were deleted or modified. There was long discussion regarding specific language. • Member Masci moved to schedule a hearing for the OSS revision to the County Code 8.15 for June 21, 2007. Member Westerman seconded the motion. Member Sullivan asked if the draft would be ready for public discussion and if there was a distribution list of interested parties to contact. Mike and Linda will put together a list.The motion carried. 2006 Performance Measures Jean presented the Board with an update to the 2006 Performance Measures for the Communicable Disease Program. She said that Performance Measures were a valuable tool for the staff to look at trends and make sure that we are addressing priority issues. Performance measures are also used in constructing a budget for the next year. Jean pointed out that we are down 3 nurse positions over the past 5 years and is noticeable in the comp time hours being reported. Jean suggested that it might be a good time for a retreat in order to get more in-depth information about staffing levels and program deliverables. It was decided that a half-day retreat would be enough time to discuss current issues. Member Masci suggested that the retreat be held before the end of June and before the budget is submitted. Legislative Update—Public Health Funding HB 1825 was introduced by the Joint Select Committee on public health funding. Its intent was to establish a dedicated funding source for stable public health funding. It was passed unanimously by the House but died in a Senate committee. The language was appended to a bill implementing the recommendations of the Governor's Blue Ribbon Commission. A $20 million appropriation was attached to this bill for the biennium. The legislation establishes a number of . conditions on use of the funds. An increased investment in communicable disease control was the highest priority in the Joint Select Committee's report. Public Health Heroes Awards Glenn Gately from Jefferson County Conservation District was given the award for his work on water quality protection. Glenn has worked for the Jefferson Conservation District's water quality program since 1994. The data he has collected, compiled and analyzed, documents surface water quality trends throughout Jefferson County and is used to implement water quality improvement programs in partnership with private landowners. His work builds trust so citizens are willing to work with Glenn to make water quality improvements. Many of the improvements in surface water quality through Jefferson County can be attributed to Glenn's efforts." Dana Fickeisen, Environmental Health Specialist,thanked him for his many years of excellent service. The second nomination was given to Friends of Family Planning. The award was presented to long time members, Roberta Frissell, Ruth Merryman, Beth Wilmart, and Dee Stewart. Hilary Metzger presented the award and pointed out that Friends of Family Planning is a community advocate group for women's health and JCPH Family Planning programs. Friends of Family Planning are advocates for increased access to family planning services and public policies in Jefferson County. She also said that Beth Wilmart is leaving the program and moving to Oregon. Her contributions played an important role in shaping the future of Friends of Family Planning. • ' ACTIVITY UPATE • Jefferson County Pandemic Influenza Tabletop Exercise,April 27, 2007 Dr. Locke pointed out that this was another contract deliverable for JCPH. These exercises have already been conducted in Kitsap and Clallam Counties. This is a full-scale multimedia tabletop exercise that will encompass a severe influenza pandemic. Pandemics are graded from 1-5 and this will simulate a grade 4 pandemic. Julia Danskin invited the Board to attend. There will be several from the hospital attending and she is working to involve law enforcement. Engaging the courts and law enforcement in public health emergency preparedness is a major challenge statewide. A "bench book"of laws, relevant documents, court orders, due process rulings, and other legal resources for judges and prosecutor has been created to assist criminal justice officials in preparing for public health emergencies. AGENDA PLANNING Retreat Invite State Board of Health to the local Board of Health meeting Invite Don Sloma of the Washington Health Foundation to talk to the Board Topics to bring to the City for discussion at the City/County meeting, May 17 Meeting adjourned at 4:35 pm. Next Board of Health meeting is May 17, 2007. • JEFFERSON COUNTY BOARD OF HEALTH Roberta Frissell, Chair Sheila Westerman, Member John Austin, Vice Chair Geoff Masci, Member David Sullivan, Member Jill Buhler, Member Phil Johnson, Member • Board of 3feaCth Old Business .agenda Items # �V., 1 • .Tefferson County 'WIC Facts 2006 .flay 17, 2007 • Air s v * N rt rl 0 -,, D C La . . . . . . v -n - h -6 C s n v A� Q = to 70 (1 m 0. < C z oo m f1 -0 = °r rrDD rD s a v v In n (D v V■ E. rD C rD D rD C v lQ rD -. n v = rD C ' O = s n) Q - ° -. S 7 rT C C -o Q n Q D -' lQ v T v 7• d N ai C d Lc v - c 'n' . �r rD rD T - c rD c v o v, C v n rp .„� rt v, ^ rD LO cu fl' c, up v^, O r, D -0 7s rD Ln r^D n ,O-r Q`C .h v �' a. N r�D s T, n C h o p rt n `^ n '^ '^ C ...0° ° C r rD p a rD rD o t ,. c3 n- D c -+, s � v < ss �� N + sQ -" 0 ° -* � fp � �tQtig � ° � " rt ^O rr '' r+ v <-rt' S? 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Y1 ::2'CI1 N ' c 0 C ^ 2 s6 vvi5. ° F,> QCC11::,: i C1 •= N s O 2 ' v• V r�o p •>§ 0 O 'p O i 10 .O °' a) I▪A V aE , CL L v, • V Niit N i N ...15 - v i s '�' p -O • .vim V Q C O o ,may a. r0 47 L v N (0,0...„. d ■•14•1 Ov E �+ i ,a; Y V if Q O O O O •� C Q v, O ++ 3 +� L i• GJ G3 v, w! ?3 ._0 C G c(13 �iie 'a N y N C N IL' Q W U V v = Z O� v N C 4J F- R Q O Q S .� U r6 Q • . • n O N U I:lc; fa �1 34; .„...„,t,„.„.. �3 Jefferson County • Statewide WIC Facts 2006 f " '�" "q WIC served 273,000 pregnant women,new mothers and children under age 5 Jefferson Co ra 67%were from workin families. ' g g Brinnon / �� A�AMA- ''''' :4 414 a �` 11,500 were women in the armed services and women and children Chimacum z - PortTownsenda living in military households. Quilcene • Families received healthy foods,educatggiion and counseling on nutrition 34 � � „ and physical activity,referrals,and breastfeeding support. � �4 . � 44;44- Quileute Tribe WIC contributed $103 million in local Hoh Tribe grocery stores sales • Each client received checks to purchase an average of$58 a month in healthy foods. • Families buy healthy food with their WIC checks at more than 700 ' grocery stores statewide. r , In addition,throughthe Farmers Market Nutrition Program,WIC famil' bought more than $792,000 in fresh fruits and vegetables from local 331 a :� ,�a �� farmers in 30 counties. 33,44404.,454444 44- G , , WIC's breastfeeding rate is 4th-41-44.0.4m...tEki,ti-ti#21.90t=.t.tvoiitwwgig,takgf%*z,-kgkkg„.i.,kym-ttz:44.tt*cl highest in the nation ifkigglifitiriv"" '`14714#0.07441#46117#1:41e:.4/01:5:114-74k • All pregnant women on WIC receive breastfeeding education and support;80%of WIC mothers breastfed their babies. • Children who are not breastfed have higher rates of infections,allergies, , . asthma,diabetes,SIDS,and childhood obesity.3 �1 � • Breastfed infants are 80% less likely to die before age 1 than those never � � breastfed 4 • Mothers who breastfeed have lower rates of breast cancer and osteoporosis 3 �2. AIn the past 30 years,Washington WIC has contributed more than $1 billion in grocery sales and saved an estimated $700 million in health care costs. s 1 Federal Fiscal Year 2006. rA4446TX44.11-Ao-140,4' 2 "Mothers Survey,Ross Products Division,and Abbott Laboratories.”2004-AbbottLaboratories. a,: 3 U.S.Dept.of Health and Human Services.HHS Blueprint forAction on Breastfeeding,Wash.D.C.,DHHS,Office of m a Women's Health,2000. 4 Forste R,Weiss J,Lippincott E."The Decision to Breastfeed in the United States:Does Race Matter?"Pediatrics. 4140411:1104-. k 2001;108;291-296. S Mathematics Policy Research:The savings in Medicaid costs for newborns and their mothers from prenatal participation in the WIC program.Prepared for U.S.Department of Agriculture,Food and Nutrition Service,October 1990. 4,Health Washington State Department ot Contact Us Visit www.doh.wa.gov/cfh/wictofindmoreinformation about WashingtonWIC,a copyof ourAnnualReport,and county specific fact sheets.You can also call 1.800.841.1410 and press 0,or write PO Box 47886,Olympia WlCisanequalopportunityprogram WA98504-7886.For persons with disabilities,this document is available on request in other formats. ri Nam . Few . : eimil e erson County albratiotalW p WIC Facts: 2006 MPIP Special Supplemental Nutrition Program for Women , Infants and Children ( WIC) Infants Born WIC Families Served by WIC Working families 60% County 54% Families living in poverty 72% Statewide 50% Even though they are working,the majority of WIC families are living in poverty. In 2006,the monthly income for a family of four living in poverty was $1,613 or less. Women, Infants and Children Served WIC Nutrition Education Total: 872 Promotes Healthy Choices Infants and Total nutrition education sessions 2,393 children under 5 606 WIC nutrition education: Wgnant, • Emphasizes healthy habits so families can eat better and breastfeeding and stay active to prevent obesity and other chronic diseases. postpartum women 266 • Promotes breastfeeding for at least the first year of life. And,helps working mothers breastfeed longer by providing breast pumps. WIC and the Farmers • Helps prevent early childhood caries by giving parents Market Nutrition ideas for healthy snacks and stressing dental care by Programs Benefit the age one. Local Economy WIC Attracts Families to Dollars to grocery stores Prenatal Care/MSS`' $291,494 Immunizations Preventive Health Services Family Planning WIC referrals 4,402 Dollars to farmers Dental Care $2,202 Quit Smoking WIC helps families get the services they need. *Maternity Support Services Washington WIC "...improving the lifelong health and nutrition of women,infants and young children" • Board of 3-CeaCth OCdBusiness .Agenda Item # 2 .Adenovirus 14 .Cert • .May 17, 2007 0 Health Alert —May 8f Washington Stale Department of 2007 1' Severe Adenovirus Respiratory Infections — A l mea i • Oregon and Washington Oregon Health Services is investigating a cluster of serious lung infections caused by an uncommon adenovirus—adenovirus 14. There are currently 35 patients known or suspected to be infected with adenovirus 14, most have been hospitalized, and several people with other serious long-term illnesses have died from complications of the infection. So far there does not appear to be any connection between the patients; how widespread the infections are is unknown, and epidemiologists are currently investigating exposures and potential risk factors associated with these cases. It is possible that we are only detecting the most severe illnesses and that milder adenovirus 14 infections are also occurring. Clark County Health Department and Washington State Department of Health are working with Oregon Health Services and the Centers for Disease Control and Prevention to investigate these illnesses. We are asking hospitals and healthcare providers in Southwest Washington and elsewhere in the state to be aware that adenovirus 14 is circulating and may be a cause of serious illness. There is no approved treatment for adenoviral infections and no vaccine for prevention. Standard, droplet and contact precautions for the duration of illness are recommended for infection control of adenoviral infections. • Adenoviral infections are not notifiable in Washington, however, any suspected outbreak of an unusual infectious disease is considered a rare disease of public health significance and is notifiable. Please consider adenovirus in any patients reported to have pneumonia of unknown etiology that requires ICU-level care, and report these cases to local public health. Clinical laboratories are asked to submit adenovirus isolates from patients with severe respiratory infection of unknown etiology to the Washington State Department of Health(DOH)Public Health Laboratories (WAPHL). Preferred samples are nasopharyngeal swab or aspirate, and/or oropharyngeal swabs in viral transport medium;NP and OP swabs can be combined in the same vial. Fluid obtained by bronchoalveolar lavage is also acceptable. Peak viral shedding occurs during the first three days of onset of illness,but may persist for longer periods. For additional information, please contact your local public health department or Reena Gulati, MD, DOH Communicable Disease Epidemiology Section at 206.418.5602, or call the main DOH Communicable Disease Epidemiology Section phone number: 206.418.5500. III Communicable Disease Epidemiology Section PUBLIC HEALTH Revised 5/10/2007 ALWAYS WORKING FOR A SAFER AND HEALTHIER WASHINGTON • Board of Health Netiv Business .Agenda Item # 17., 2 • Jefferson County Septic Code Revision - 'Update May 17, 2007 • Onsite Code revision update to Board of Health May 17, 2007 Notices and a schedule of the public information meetings have gone out to 14 homeowner and community groups. A press release and notices for the public information meetings is ready for submittal to the Jefferson County Leader and the Peninsula Daily News. A draft will be available for public review May 21 on the web as well as local libraries, community centers and at our office. May 10 was the first meeting of the Advisory Committee. It was very productive. Several people expressed that it was a learning experience to hear the viewpoint of other professionals involved in dealing with the code and were glad that there was such broad representation on the committee. We set the next meeting for May 24. Minutes from the meeting will be on the web May 21. The Designer Roundtable will meet again to review the code revisions on May 31. • Schedule of public information meetings: Monday, June 4, 4 p.m. Port Ludlow Fire Hall Wednesday, June 6, 7 p.m. Brinnon Booster Club Tuesday, June 12, 7 p.m. Tri-Area Community Center Thursday June 14, 4 p.m. Quilcene Community Center The Public Hearing for Onsite Code Revision was moved to July BOH meeting. • Review of onsite code Revisions Page 1 of 1 April 19, 2007 • Board of 3fealth New Business .agenda Item #`V., 3 • . Tefferson County 6 year Substance Abuse Prevention Pian it/lay 17, 2007 • Prevention Overview and Definition • The goal of prevention is to foster a climate in which: • Alcohol use is acceptable only for those of legal age and only when the risk of adverse consequences is minimal. Illegal drugs are not used at all. • Prescription and over the counter drugs are used only for the purposes for which they are intended. • Other substance that are abused, such as gasoline or aerosols, are used only for their intended purposes. • Pregnant women and women who may become pregnant do not use alcohol, tobacco, or other drugs. What does Prevention look like? As classified by the Institute of Medicine (IOM) prevention programs can be described by the audience or intervention level for which they are designed: Universal, Selective, and Indicated. Universal prevention programs/strategies reach the general population —such as all students in a school or all parents of middle school students. For example, the Project Alert is a prevention curriculum that all sixth graders receive. Selective prevention programs target groups at risk or subsets of the population — such as children of drug users or poor school achievers. For example, the Strengthening Families Program is designed to help substance-abuse parents improve their parenting skills and reduce their children's • risk factors. Indicated prevention programs identify individuals who are exhibiting early signs of problem behavior(s) and target them with special programs to prevent further onset of difficulties. For example, Functional Family Therapy provides services to youth ages 10-18 and their families, whose problems range from acting out to conduct disorder to alcohol/substance abuse. The Jefferson County Goal The overall goal is to develop a sustainable local and focused Six Year Strategic Prevention Plan emphasizing Prevention, Intervention, Treatment and Aftercare (P-I-T-A). Our common vision is to improve the quality of life for all residents in Jefferson County. To this end, our overarching goal is to prevent or delay youth tobacco, alcohol, marijuana and other drug use and to address adult mis- use, abuse and addiction issues to alcohol, marijuana and other drugs through a variety of individual, population-specific and community-based approaches. The Prevention goals will be achieved by accomplishing the following outcomes: • Increase support for a broad range of age-appropriate prevention policy and services in East Jefferson County. • Increase understanding of the power and influence of formal and informal community laws and norms. • Increase protective factors among school age youth who are at risk for substance use, mis-use and abuse. • Increase awareness among key stakeholders about comprehensive efforts. • Maintain capacity to assess, monitor and evaluate prevention efforts. • Page 6 of 52 2007 Jefferson County 6YSP-PREVENTION Community Needs Assessment - Related to Prevention The Six Year Strategic Plan Workgroup reviewed data from the following sources to understand • the needs of Jefferson County related to prevention: • 2004 and 2006 Jefferson County Healthy Youth Surveys • The 2003 Health of Jefferson County • Behavioral Risk Factor Surveillance System (BRFSS) • Office of Fiscal Management Data • Census 2000 • OSPI Data • Jefferson County Community Needs Assessment Survey • Jefferson County Tobacco Compliance Check Data • Jefferson County Sheriff's Department Alcohol Compliance Check Data • Key Informant, individual and professional experiences /perceptions An internal review team consisting of DASA funded Prevention Specialist, Program Manager for the Community Networks (Community Mobilization staff), Drug-Free Community Grant Manager, and DASA Substance Abuse County Coordinator reviewed the 17 DASA/Community Mobilization identified risk factors. 12 risk factors were ruled out due to limited archival data and relevance. Emerging Themes The Six Year Strategic Plan Workgroup members pointed out that there is a plethora of data to choose from that support the identified six year planning efforts. The emerging themes, based on a review of the data, are: • East Jefferson County youth ATOD data reflects statistically higher rates than the state; • • County youth report that they are actively involved in pro-social activities and that parents are engaged in the lives of their children; • Community norms (formal and informal) reflect high adult alcohol and youth ATOD use; • Youth witness and experience mixed messages from the adult community around alcohol and drug use. Setting Priorities Based on these findings, the Six Year Strategic Plan Workgroup proposed the following indicators: • Early Initiation of Problem Behavior • Community Laws and Norms Favorable to Use • Friends Who Engage in the Problem Behavior • Extreme Economic Deprivation • Availability of Drugs • Protective Factors Jefferson County Community Needs Assessment Survey The Six Year Strategic Plan Workgroup developed an on-line Community Needs Assessment Survey of 79 questions related to Prevention, Intervention, Treatment and Aftercare in Jefferson County that was distributed to approximately 300 individuals on e-mail. Recipients were also asked to pass the survey on to anyone they thought would like to have input. In addition two press releases were sent to the local newspapers. There was a response from 93 community members, and the results were tabulated through SurveyMonkey.com. The complete results from the prevention related survey questions and 37 narrative comments from the Community Needs Assessment Survey are listed in Appendix B. • Page 12 of 52 2007 Jefferson County 6YSP-PREVENTION Community Forums • The Six Year Strategic Plan Workgroup found that the results from the on-line Community Needs Assessment Survey supported the risk factors that the Workgroup had prioritized. These risk factors and the protective factors were then presented by the Six Year Strategic Plan Workgroup to community members at the community forums. Forum participants were asked to help complete the data fields for each indicator. Data pertaining to each indicator The following pages look at each indicator in greater detail by examining the: • Supporting data from: 2004 and 2006 Jefferson County Healthy Youth Surveys The 2003 Health of Jefferson County Behavioral Risk Factor Surveillance System (BRFSS) Office of Fiscal Management Data Census 2000 OSP! Data Jefferson County Community Needs Assessment Survey Jefferson County Tobacco Compliance Check Data Jefferson County Sheriff's Department Alcohol Compliance Check Data • Current services available in Jefferson County— input from the Community forums and key informant interviews • Gaps in services — input from the Community forums and key informant interviews • Recommendations — input from the Community forums and key informant interviews • Next Steps — input from the Community forums and key informant interviews • Key Partners — input from the Community forums and key informant interviews • S Page 13 of 52 2007 Jefferson Carat),6YSP-PREVENTION Indicator: Early Initiation of Problem Behavior The earlier young people begin using drugs, committing crimes, engaging in violent activity, III dropping out of school, and becoming sexually active, the greater the likelihood that they will have problems with these behaviors later on. For example, research shows that young people who initiate drug use before the age of 15 are at twice the risk of having drug problems as those who wait until after the age of 19. Rationale (Supporting Data): • Among county 8th graders who reported any use, the average age of 1st use of tobacco, alcohol or marijuana was 11.5 years or younger(tobacco-11.2 years, alcohol-11.4 years and marijuaua-11.2 years). • About 1 in 6 County youth reported being drunk or high at school in the past 30 days • About 1 in 4 County youth reported drinking 5 or more drinks at 1 sitting in past 2 weeks • About 1 in 6 County youth reported smoking marijuana in the past 30 days. • 48% of Community Needs Survey participants strongly agree that youth are using alcohol, tobacco and other drugs at an early age. • 45% of Community Needs Survey participants agree that youth are using alcohol, tobacco and other drugs at an early age. Services: Nurse Family Partnership* (1St trimester-2 year old-indicated) Project Alert* (Middle School provides education/resistance skills-Universal) Big Brothers Big Sisters* (Age 6-14-provides caring relationship-Indicated) Second Step* (violence prevention 6th grade-Universal) Birth to three • Jumping Mouse Dare Eagle Time Early Builders School Policies Scholl Counselors Formal and Informal Parent Networks YMCA and Jefferson County Recreation Scouting/Youth Programs (Boys Scouts, Girl Scouts, Sea Scouts, 4H, etc) Gaps: Age-appropriate resistance skills for elementary school age youth Lack of funding for qualified counselors for youth Lack of free or low cost counseling for youth Lack of funding for programs Economic barriers to extra-curricular activities or community activities Lack of"real" drug and alcohol free activities Parental and community attitudes about youth use Recommendations: Elementary school curriculum that includes age-appropriate resistance skills Expand age-appropriate resistance skills across the school years (K-12) Maintenance of current effort such as Nurse Family Partnership, Project Alert, Big Brothers Big Sisters) IDAddress "health" in school like any other core curriculum Universal "seamless continuum of care"for families and children Page 14 of 52 2007 Jefferson County 6YSP-PREVENTION Counselors and community members' awareness of and referral to 12 Step groups • Increased avenues for youth to feel accepted Continue and expand the Social Services Intern position at the Boiler Room Next Steps: Expand Mentorship programs to include older youth and adults Increase community education and awareness Sponsor more Town Halls and Forums, etc. Increase community awareness about alternative supports(in addition to 12 Steps)to alcohol and drug free living Raise community awareness through advocacy and advocates Sponsor"interactive' presentations like Poetic Justice Theatre Ensemble Security Resource Officer(SRO) in all middle and high schools Work collaboratively with school boards Key Partners: Parents School Boards/schools Collaboration among many Service Organizations, and government agencies Health Youth Coalition Community Network Jefferson County Public Health Faith-based organizations Youth (peers listen to peers) YMCA and Jefferson County Recreation • Scouting /Youth Programs (Boys Scouts, Girl Scouts, Sea Scouts, 4H, etc) County Chambers of Commerce Business Community Hospital Stakeholders who are decision-makers to lead and influence change Recovery community • P&ge 15 of 52 2007 Jefferson Coumty 6YSP-PREVENTION • Indicator: Community Laws and Norms Favorable to Use Community norms -the attitudes and policies a community holds about drug use and crime-are • communicated in a variety of ways: through laws and written policies, through informal social practices, and through the expectations parents and other members of the community have of young people. One example of the community law affecting drug use is the taxation of alcoholic beverages. Higher rates of taxation decrease the rate of alcohol use at every level of use. Rationale (Supporting Data): Youth Perception about adult attitudes: • About 4 in 5 county youth reported that their parents would think it would be wrong or very wrong for you to drink alcohol regularly. • About 9 in 10 youth reported that their parents would think it would be wrong or very wrong for you to smoke marijuana. • About half of county youth reported that parents would know if they drank alcohol. Risk of Harm • About 15% of county youth report that there is no or slight risk of harm if they smoke marijuana regularly. • About 1 in 3 (36%) of county youth report that there is no or slight risk of harm if they take on or 2 drinks of alcohol nearly every day. • About 1 in 3 (28%) county youth reported being a passenger in a vehicle driven by someone who had been drinking. Among households with children: • One in four adults were current smokers • • One in three adults were heavy drinkers (*5 or more drinks at 1 sitting in past 30 days) Future Use: • About 2 in 5 (28%) county youth report that they will not drink beer, wine or liquor when they are an adult (grades 8, 10, 12). • About 4 in 5 (82%) of county youth report that they will not smoke marijuana when they are an adult(grades 8, 10, 12). • 40% of Community Needs Survey participants strongly agree that Jefferson County has permissive attitudes regarding alcohol, tobacco and other drug use. • 34% of Community Needs Survey participants agree that Jefferson County has permissive attitudes regarding alcohol, tobacco and other drug use. • 53% of Community Needs Survey participants strongly agree that youth can easily obtain alcohol, tobacco and other drugs. • 39% of Community Needs Survey participants agree that youth can easily obtain alcohol, tobacco and other drugs. • 36% of Community Needs Survey participants agree that parents are too permissive toward use of alcohol, tobacco and other drugs. • 35% of Community Needs Survey participants strongly agree that parents are too permissive toward use of alcohol, tobacco and other drugs. • 49% of Community Needs Survey participants strongly agree that the permissive attitudes of kids towards alcohol, tobacco and other drugs are a problem. • 34% of Community Needs Survey participants agree that the permissive attitudes of kids towards alcohol, tobacco and other • drugs is a problem. Page 16 of 52 2007 Jefferson County 6YSP-PREVENTION Services: Co-occurring tax (acknowledges need for treatment) 1/10 of 1% Tax • Restorative Justice —Adult(such as Drug Court,) Restorative Justice-Youth (such as Functional Family Therapy) Gaps: Beer Gardens at multiple community all-age events Current controversy involving PTHS Athletic Policy Funding for family and community education programs Need for the community to see things beyond "black and white" - some issues may be gray Recommendations: Maintain comprehensive approach to retailer compliance Increase in Community Education and Forums Keep children /youth engaged Increase education for youth, families and the community about effects and impact of ATOD Developing ways to for youth to survive adolescence in a health and responsible way • "No/ never/can't" is never going to work. • Is it delusional to think that youth will never drink or drug? • Do prevention efforts need to include "harm reduction" strategies? • Give alternatives to drugs and alcohol for youth that work. • What need / needs for youth are not being met? • Teach responsibility, consequences for actions, decision-making skills. • Develop consequences that are appropriate and helpful. Look at the bigger picture and treat the whole family • Increase community awareness about the Boiler Room "safe Ride Home" program Next Steps: Policies reviewed for impact on youth - policies written to benefit youth Broad-based community education on ATOD Parent education on multiple parenting styles and alternative ways to deal with youth use Involve youth in data collections and community presentations Key Partners: Parents School Boards /schools Collaboration among many Service Organizations, and government agencies Health Youth Coalition Community Network Jefferson County Public Health Faith-based organizations Youth (peers listen to peers) YMCA and Jefferson County Recreation Scouting /Youth Programs (Boys Scouts, Girl Scouts, Sea Scouts, 4H, etc) County Chambers of Commerce Business Community Hospital Stakeholders who are decision-makers to lead and influence change • Recovery community Page 17 of 52 2007 Jefferson County 6YSP-PREVENTION Friends Who Engage in the Problem Behavior Young people who associate with peers who engage in problem behavior-delinquency, substance • abuse, violent activity, sexual activity, or school dropout - are much more likely to engage in the same problem behavior. This is one of the most consistent predictors that research has identified. Even when young people come from well-managed families and do not experience other risk factors, just hanging out with friends who engage in the problem behavior greatly increases the child's risk of that problem. However, young people who experience a low number of risk factors are less likely to associate with friends who are involved in the problem behavior. Rationale (Supporting Data): • Among county 8th graders who reported any use, the average age of 1St use of tobacco, alcohol or marijuana was 11.5 years or younger(tobacco-11.2 years, alcohol-11.4 years and marijuaua-11.2 years). • About 1 in 6 County youth reported being drunk or high at school in the past 30 days • About 1 in 4 County youth reported drinking 5 or more drinks at 1 sitting in past 2 weeks • About 1 in 6 County youth reported smoking marijuana in the past 30 days. • About 9 in 10 (85%) of county youth reported that none of their best friends had been suspended from school in the past 12 months. • About 9 in 10 (85%) of county youth reported that none of their best friends had dropped out of school in the past 12 months. • 58% of Community Needs Survey participants strongly agree that kids with friends who use alcohol, tobacco and other drugs are at risk. • 40% of Community Needs Survey participants agree that kids with friends who use alcohol, tobacco and other drugs are at risk. • 49% of Community Needs Survey participants strongly agree that the permissive attitudes of kids towards alcohol, tobacco and other drugs is a problem. • 34% of Community Needs Survey participants agree that the permissive attitudes of kids towards alcohol, tobacco and other drugs is a problem. • 53% of Community Needs Survey participants strongly agree that youth can easily obtain alcohol, tobacco and other drugs. • 39% of Community Needs Survey participants agree that youth can easily obtain alcohol, tobacco and other drugs. Services: Pro-social activities (BBBS, extracurricular, County Rec, Y, Scouts, 4-H, Boiler Room) Gaps: Economic affordability for extra-curricular and community activities and events Youth feel "lost" Families are not"engaged" in youth's life Recommendations: Increase in self-esteem through involvement in pro-social activities Decrease in economic barriers to access extracurricular Increase in non-use among adult role models Increase youth, individual, family and community awareness about: • "Healthy Brains" • Exercise and nutrition • • "Healthy" relationships Engage youth in individual interests Page 18 of 52 2007 Jefferson County 6YSP-PREVENTION El learningyouth opportunities for youth • responsibilities Teach youth how to follow up on their interests Teach youth how to network Community involvement through volunteer work, etc Next Steps: Increase youth, individual, family and community awareness about : • "Healthy Brains" • Exercise and Nutrition • "Healthy" Relationships Engage youth in individual interests Increase learning opportunities for youth Emphasize youth responsibilities Teach youth how to follow up on their interests Teach youth how to network Community involvement through volunteer work, etc. Provide incentives for volunteer work, etc. and other ways to "capture" youth's interests Scholarships or sliding-scale costs for activities and events Key Partners: Parents School Boards/schools Collaboration among many Service Organizations, and government agencies • Health Youth Coalition Community Network Jefferson County Public Health Faith-based organizations Youth (peers listen to peers) YMCA and Jefferson County Recreation Scouting /Youth Programs (Boys Scouts, Girl Scouts, Sea Scouts, 4H, etc) County Chambers of Commerce Business Community Hospital Stakeholders who are decision-makers to lead and influence change Recovery community Health clubs Bus system • Page 19 of 52 2007 Jefferson County 6YSP-PREVENTION Indicator: Availability of Drugs The more available drugs are in a community, the higher the risk that young people will abuse • drugs in the community. Perceived availability of drugs is also associated with risk. In schools where children just think that drugs are more available, a higher rate of drug use occurs. Rationale (Supporting Data): Retail Sales (Tobacco and Alcohol) • About 1 in 5 (20%) of East Jefferson County Tobacco Retailers were non-complaint in 2005 and 2006 • About 1 in 7 (17%) of East Jefferson County Alcohol Retailers were non-compliant in 2005 and 2006 Easy Availability • About half(54%) of county youth reported that it would be hard or very hard to get alcohol. • About half(54%) of county youth reported that it would be hard or very hard to get marijuana. • About 9 in 10 (85%) of county youth reported that it would be hard or very hard to get drugs like cocaine, LSD or amphetamine. • 53% of Community Needs Survey participants strongly agree that youth can easily obtain alcohol, tobacco and other drugs. • 39% of Community Needs Survey participants agree that youth can easily obtain alcohol, • tobacco and other drugs. Services: Formal and informal parent networks • Jefferson county Health Department(compliance checks) Jefferson County Sheriff's Department (compliance checks) Port Townsend Police Gaps: Availability of alcohol and drugs Funding for law enforcement • Not a consistent and continual prevention message - Mobilization occurs after a tragic event, but it does not last Community's ignorance or lack of awareness of problem Recommendations: Comprehensive approach to support retailer compliance Parent education and empowerment Community education about ATOD issues in Jefferson County Consistent, simple prevention messages Media campaign about prevention Utilizing media to not"glamorize use" Reduce demand Environmental changes, ie. lighting downtown, etc. Continued work on changing community attitudes Next Steps: • Higher profile of treatment availability Page 20 of 52 2007 Jefferson Comity 6YSP-PREVENTION Decrease barriers to treatment • Success stories from treatment and youth in recovery Examine how we define "success" - celebrate small victories or youth, families and the community Key Partners: Media community Law enforcement Parents School Boards /schools Collaboration among many Service Organizations, and government agencies Health Youth Coalition Community Network Jefferson County Public Health Faith-based organizations Youth (peers listen to peers) YMCA and Jefferson County Recreation Scouting /Youth Programs (Boys Scouts, Girl Scouts, Sea Scouts, 4H, etc) County Chambers of Commerce Business Community Hospital Stakeholders who are decision-makers to lead and influence change Recovery community • • Page 21 of 52 2007 Jefferson County 6YSP-PREVENTION Indicator: Extreme Economic Deprivation Children who live in deteriorating and crime-ridden neighborhoods characterized by extreme • poverty are more likely to develop problems with delinquency, teen pregnancy, school dropout, and violence. Children who live in these areas--and have behavior and adjustment problems early in life--are also more likely to have problems with drugs later on. Rationale (Supporting Data): • In Jefferson County, 1 out of 6 children younger than 18 lives below the 100% poverty level. • In Port Townsend, Port Hadlock/Irondale, Brinnon, and Quilcene, 1 out of 5 children were in a living below the 100% poverty level. • One out of three children in Jefferson County lives below the 185% poverty level. • Three out of five children in female-headed households lives below the 185% poverty level. • In Jefferson County, roughly 3 out of 10 births occur to unmarried mothers. • One out of two births to Jefferson County mothers are paid for by Medicaid • 40% of Community Needs Survey participants agree that poverty contributes to youth alcohol, tobacco and other drug use. • 38% of Community Needs Survey participants strongly agree that poverty contributes to youth alcohol, tobacco and other drug use. • 41% of Community Needs Survey participants agree that poverty contributes to adult alcohol, tobacco and other drug use. • 40% of Community Needs Survey participants strongly agree that poverty contributes to adult alcohol, tobacco and other drug use. Services: • Self sufficiency(OlyCap; Habitat for Humanity) Post-secondary education programs and opportunities WorkSource Work First Goodwill Bus system Gaps: Lack of resources to support Post-Secondary education Lack of family wage jobs Lack of affordable housing Lack of affordable health care Limited transportation options, especially in the rural parts of the county Lack of funding for work support programs Recommendations: Decrease barriers to Post secondary education (childcare, housing cost, transportation, etc.) Increase in economic development at city and county level Family wage jobs Training and education about poverty "Basic Needs" must be met in our community Need advocacy to learn how to utilize and empower people to greater potentials Mentoring programs for adults • Greater advocacy for issues around poverty Page 22 of 52 2007 Jefferson County 6YSP-PREVENTION Next Steps: • Helping low-income people understand the difference between "being impoverished" and living in poverty Community-wide information about programs, availability of programs and resources, and access to social and economic programs and opportunities Grassroots methods to communicate resources to the community, ie. fliers at Laundromats, etc. Key Partners: ECHHO Bus system Media community Law enforcement Parents School Boards/schools Collaboration among many Service Organizations, and government agencies Health Youth Coalition Community Network Jefferson County Public Health Faith-based organizations County Chambers of Commerce Business Community Hospital Stakeholders who are decision-makers to lead and influence change Recovery community • YMCA and Jefferson County Recreation Scouting /Youth Programs (Boys Scouts, Girl Scouts, Sea Scouts, 4H, etc) • Page 23 of 52 2007 Ieffe son County 6YSP-PREVENTION Indicator: Protective Factors Rationale (Supporting Data): • Resistance Education • 2 in 5 (47%) County youth reported practicing ways to say no to tobacco (primary reporters 6th grade). Family Involvement • Nearly all county youth (85%) reported that their parents asked if they'd gotten homework done. • Nearly all county youth (83%) reported that their parents would know if they did not come home on time. • Nearly all county youth (82%) reported that `parent know where I am and who I am with". • Nearly all county youth (80%) reported that rules in family are clear. • Nearly all county youth (80%) reported that rules about alcohol and drug use are clear. Pro-social Involvement • About 1 in 5 county youth (23%) reported that they never participated in clubs, organizations or activities in school. • About 1 in 4 (25%) of county youth reported that they have done extra work on their own for schools. • About half(53%) of county youth reported that they have never volunteered to do community service. Services: • Nurse Family Partnership* (1St trimester-2 years old, indicated) Project Alert* (Middle School provides education/resistance skills-Universal) Big Brothers Big Sisters*(Age 6-14-provides caring relationship-Indicated) Second Step* (violence prevention 6th grade-Universal) Dare Eagle Time Early Builders YMCA, Jeff. Co. Comm. Rec Center, 4-H, Boy Scouts, Girls Scouts, Sea Scouts Boiler Room Formal and Informal Parent Networks Peer-In Head Start Port Townsend Co-Op Playschool Formal and informal parent networks and educational resources Faith-based community Gaps: Certain neighborhoods and residential areas that are not as safe as other areas Economic affordability Lack of awareness of places and programs Economic/insurance / liability issues • Recommendations: Page 24 of 52 2007 Jefferson Cowry 6YSP-PREVENTION Do "something"to improve neighborhoods • Teaching adults "to play"without drugs Free alcohol and drug free activities and events Alternative learning opportunities Next Steps: "Hold Harmless"/waivers so groups can sponsor activities and events County Commissioners look at: • Financial aid • Consideration for additional education Key Partners: Media community Law enforcement Parents School Boards/schools Collaboration among many Service Organizations, and government agencies Health Youth Coalition Community Network Jefferson County Public Health Faith-based organizations County Chambers of Commerce Business Community Hospital Stakeholders who are decision-makers to lead and influence change Recovery community Youth (peers listen to peers) YMCA and Jefferson County Recreation Scouting /Youth Programs (Boys Scouts, Girl Scouts, Sea Scouts, 4H, etc) The prevention portion of the Community Needs Assessment Survey did not ask questions related to protective factors. In retrospect, this is an area the Workgroup wished they would have looked at as well. • Page 25 of 52 2007 Jefferson Cowty 6YSP-PREVENTION Comprehensive Plan & Goal Formation Data Analysis of Risk & Protective Factors and the Priorities of the Community • At the conclusion of the Community Forums, the attendees were asked to rank which indicators they felt that Jefferson County should address over the next six years. The group unanimously voted to include the Protective Factors of: • Resistance Education To be addressed in Years 1 —2 for the Six Year Strategic Plan • Family Involvement To be addressed in Years 1 —2 for the Six Year Strategic Plan • Pro-Social Involvement To be addressed in Years 1 —2 for the Six Year Strategic Plan In addition, the group prioritized the following risk factor indicators rank by order: • Early Initiation of Problem Behavior To be addressed in Years 1 —2 for the Six Year Strategic Plan • Friends Who Engage in the Problem Behavior To be addressed in Years 1 —2 for the Six Year Strategic Plan • Community Laws & Norms Favorable to Use To be addressed in Years 1 —2 for the Six Year Strategic Plan • Extreme Economic Deprivation To be re-evaluated in Year 3 of the Six Year Strategic Plan • Availability of Drugs To be re-evaluated in Year 3 of the Six Year Strategic Plan The next section will further outline how these community priorities will be addressed in the Six Year Strategic Plan. Assessment of Community Readiness The Six Year Strategic Plan Workgroup used two sources for the Community Readiness Survey. They are the Minnesota Institute of Public Health "Community Readiness Survey" and the Jefferson County Needs Assessment Survey. The Minnesota Institute of Public Health "Community Readiness Survey" A random survey of Jefferson County residents conducted in the fall of 2005 shows that people recognize there is a problem with alcohol, tobacco and other drugs and they are ready to do something about it. The "Community Readiness Survey" developed and administered by the Minnesota Institute of Public Health measures a community's readiness for prevention services regarding alcohol, tobacco, and other drug use problems. The survey was mailed to 600 randomly selected households throughout Jefferson County. Fifty-nine percent of the surveys (323)were returned. The results of the CRS will be used in the development of the Jefferson County Prevention Plan. Community Readiness Survey highlights: • 80% of respondents believe alcohol use by teens is a moderate or serious problem • 66% of respondents believe alcohol use by adults is a moderate or serious problem • 52% of respondents believe drugs and alcohol contribute quite a bit or a great deal to crashes and injuries • • 22% of respondents believe it is OK for 18-21 year olds to drink alcohol Page 26 of 52 2007 Jefferson County 6YSP-PREVENTION • 52% of respondents believe it is OK for adults to offer alcohol to teens in their own • home (their own children) • 95% of respondents believe it is never OK for adults to offer alcohol to teens in their home (other than to their own children) • 70% of respondents favor law enforcement spending more time enforcing laws prohibiting sales of tobacco to teens and enforcing the minimum drinking age • 75% of respondents agree that the community has the responsibility to set up prevention programs to help people avoid problems • 51% of respondents would be willing to increase taxes on alcohol to pay for prevention services Jefferson County Community Needs Assessment Survey Snapshot Utilizing the 2007 Jefferson County Community Needs Assessment Survey prevention information, it appears that many respondents agree with the data from the Minnesota Institute of Public Health survey in that there is a problem with alcohol, tobacco and other drugs and they would like to see additional action taken in regard to prevention. In answer to the question, "Do you have any additional comments about Prevention Services in Jefferson County?" some of the comments and ideas about prevention services in Jefferson County include: • "It seems as though we have been this route before, but after surveys, and meetings, nothing ever seems to be carried through. I realize that funding is a huge problem, but think more people would be involved if they saw some concrete results as to studies, and surveys, etc. I wish you well and am very concerned with our youth, and the risky behaviors exhibited around drugs, alcohol in our County." • "Where are the preventions services? How young should prevention start? Why isn't the community aware of and committed to supporting prevention?" • "If very young children are taught about alcoholism as a disease rather than as a moral issue from a very young age, when they DO try alcohol and/or drugs--as they will--they will recognize the signs of the alcoholic." • "Too little. We need the involvement of all the community and increased awareness of the scope of the problem." • "We need to put some effort into adult behavior. Kids learn what they see at home and in the community." • "I THINK COMBINING EFFORTS INSTEAD OF MULTIPLE GROUPS CONSTANTLY "REINVENTING THE WHEEL"WOULD GET THE COMMUNITY WHERE IT NEEDS TO BE MUCH QUICKER. PARTNERSHIPS BETWEEN THE CITY, COUNTY, JC NETWORK, BEACON OF HOPE, MENTAL HEALTH, JC REC CENTER, BBBS, ETC. SHOULD WORK TOGETHER AND SHARE THE SAME GOALS AND FUNDING TO SUPPORT YOUTH PREVENTION ACTIVITIES. THE BOARDS FOR THESE AGENCIES SHOULD ALSO WORK TOGETHER AND OUTLINE GOALS. I THINK THE COMMUNITY WOULD SUPPORT THESE EFFORTS WITH THEIR TIME AND MONEY." • "Prevention is a way to positively impact families of"school age youth" to help with connections to school & agencies, and pro-social opportunities.. Free events etc. How to engage them is a HUGE issue!!" • "I feel the best prevention of drug use is allowing our children to feel loved and accomplished, and give them activities that liven there hearts and minds. If we do this they will not want to risk there happiness by using." • "Community norms in Jefferson County strongly favor alcohol and drug use. Education of 11111 adults is where prevention needs to begin. Societal norms are hard to change. The Healthy Youth Coalition needs to expand to The Healthy Community Coalition that involves each Page 27 of 52 2007 Jefferson Cowry 6YSP-PREVENTION and every organization in the community. As individuals, we need to determine who "we" (really, "I")are by understanding how"our" ("my") brain controls "us" ("me")." • "Services need to be comprehensive, multi-faceted, and developmentally appropriate with • an eye toward long term solutions." • "Recreation is a cheap way to prevent drug and alcohol abuse. For complete list of responses, please see Appendix B. Based on this information and input from the community meetings, there is a sense of community knowledge of substance abuse issues and a desire to have prevention programs available and utilized. On the other hand, the participants recognize there may be additional opportunities to educate the community about prevention principles and opportunities. As well, the community seems to highlight some of the barriers to the success of prevention programs, including funding, group cooperation and what are the best programs to utilize for prevention. • Page 28 of 52 2007 Jefferson County 6YSP-PREVENTION • Board of Health Netiv Business .agenda Item #17., 4 Utilization of Pu6Cic Health • Services - Port rotivnsend/ Jefferson Co. Comparisons May 17, 2007 • May 11, 2007, Jefferson County Public Health DRAFT Community Health Services 2006 City of Port Townsend and County split Family Planning unduplicated Clients 2006 (Ahlers data) Recorded place or residence Port Townsend 747 Chimacum/Port Hadlock/ Nordland/ Port Ludlow 360 Quilcene 68 Brinnon 34 Other 46 Total 1255 In 2006 Split City/County — 747/ 1255 = 59% Port Townsend, 41% County WIC Clients 2006 from WIC CIMS Port Townsend . 429 Chimacum/Port Hadlock/ Nordland/ Port Ludlow 312 Quilcene 96 Brinnon 21 Other 31 Total 889 • In 2006 Split City/County 429/889 = 48% Port Townsend, 52% County Immunizations Encounters 2006 (KIPHS data) Port Townsend 336 Chimacum/Port Hadlock/Nordland/Port Ludlow 139 Quilcene 18 Brinnon 6 Other 158 Total 657 In 2006 Split City/County 336/657 = 51% Port Townsend, 49% County 2006 TB Skin Test encounters (KIPHS data) Port Townsend 100 Chimacum/Port Hadlock/ Nordland/ Port Ludlow 65 Quilcene 15 Brinnon 2 Other 55 Total 237 • In 2006 Split City County 100/237 = 42% Port Townsend, 58% County • Board of Health New Business Agenda Item #'V., 5 • Hfl7 / AIDS ToCicy WationaC, State & LocaCChaCCenges Jvl ay 17, 2007 • What are the functions of these components? EIS- Early Intervention Services Activities designed to identify individuals who are HIV-positive and get them into care as quickly as possible. As funded through Parts A, B, or C of RWHATMA, includes outreach, counseling and testing, information and referral services. This service can include CTR. EIS and CTR may potentially be funded by either prevention or care dollars. (note: only being implemented in Part A areas) CTR-Counseling, Testing & Referrals A service provided to persons at high risk for acquiring HIV whose primary mission is case finding. Additionally, clients receive HIV prevention counseling to reduce risk-taking behaviors, and can begin to access to appropriate medical, preventive, and psychosocial support services as needed. CDC Guidance can be found at this website: http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5019al.htm PCRS- Partner Counseling and Referral Service A prevention activity that provides services to HIV-infected persons and their sex and needle-sharing partners so they can avoid infection or, if already infected, can prevent • transmission to others. Additionally, this service assists partners in gaining earlier access to individualized counseling, HIV testing, medical evaluation, treatment, and other prevention services. Promotes early knowledge of HIV status through HIV testing and ensure that all persons either recommended or receiving HIV testing are provided information regarding transmission, prevention, and the meaning of HIV test results. CDC Guidance is located at this website: http://www.cdc.gov/hiv/pubs/pers.htm Also see: http://www.cdc.gov/hiv/pubs/pers/pers-doc.htm Medical HIV Case Management, including Treatment Adherence Services Since HIV is a chronic disabling illness, frequently involving significant co-morbidities, this service involves ongoing coordination of primary and specialist medical care, as well as insurance and social support services. Current Washington State definition: A range of client-centered services that ensure timely and coordinated access to primary medical care, medications, and other support services, including treatment adherence, for HIV-positive individuals. Primary activities link a person to primary medical care or services. Secondary activities may be needed for HIV-positive individuals to achieve their medical outcomes and must have a direct relationship to an individual's HIV clinical outcomes. • Primary activities of Medical HIV Case Management include assistance and support with applying, accessing, and adhering to core medical services, including: Integrated HIV Prevention and Care.doc - 2 - • Entitlement program benefits such as Medicare, Medicaid, Veteran's Administration, • HIV medical management services: HIV Early Intervention Program (EIP), Evergreen Health Insurance Program (EHIP), • Primary medical care, including medications, oral health care, home health care services, medical nutritional services, mental health services, and substance abuse outpatient treatment. Secondary activities of Medical HIV Case Management include assistance with applying and accessing support services including: • Housing assistance, • Medical transportation, • Food and meal programs, • Linguistic services, • HIV-related legal services, and/or • Referrals forgother health care and support services. See Medical HIV Case Management Standards, March 2007, for a complete definition and required medical indicators (ILI) Individual Prevention Intervention—Prevention with Positives A time-limited, intensive, individual level, behavioral intervention designed to assist HIV positive and HIV negative persons who are having, or likely to have difficulty initiating and sustaining practices that limit the transmission and the acquisition of HIV. Applicable to HIV+ people whether or not they have a new diagnosis. Prevention with Positives may also include routine or episodic interventions delivered by case managers or medical providers, for example Partnership for Health. Community Prevention Generally, primary HIV prevention interventions that target high-risk populations, promoting behaviors that will prevent or reduce the transmission of HIV. Priorities in Region 6 include: • Syringe Exchange • Partner Notification and Referral Services • Counseling Testing Services • Interventions targeting MSM, IDU, woment at risk through IDU or heterosexual contact with high risk individuals • Latino and African American MSM 4 • Integrated HIV Prevention and Care.doc - 3 - • Board of 3feaCth Netiv Business .agenda Item #T., 6 4th AnnuaC Cross Borders • Emergency Preparedness Conference Report May 17, 2007 • BRITISH (" ok-nit,StottDparimentof COLUMBIA ` t1( Hea1th Cross Border Public Health Collaboration: Opportunities and Challenges Harbour Towers Hotel & Suites 345 Quebec Street, Victoria, British Columbia May 14 — 16, 2007 Agenda Pre-Workshop Workgroup Meetings Monday, May 14, 2007 • 1:30-4:30 Pre-Workshop Workgroup Meetings ❖ Epidemiology Workgroup ❖ Public Health Laboratories Workgroup ❖ Emergency Management Surge Capacity Workgroup ❖ Emergency Medical Services Workgroup ❖ Communications Workgroup ❖ Exercise Planning Workgroup ❖ Public Health Law Workgroup Noon-7:00 Registration Pre-Workshop Workgroup Meetings Purpose: To update participants on discipline-specific cross border activities as a precursor to the workshop's May 15`h breakout sessions. All workshop participants are invited to attend the pre-workshop meetings. Participants are encouraged to • attend a workgroup meeting in their field of expertise. 1 of 4 ., BRITISH if', Lira ngton State Dirriment of ..4 COLUMBIA fiffiHealth • Workshop Day 1 Tuesday, May 15, 2007 (Morning Plenary Session) 7:00-8:00 Registration / Continental Breakfast 8:00-8:40 Welcome and Introduction — Dr. Eric Young, Deputy Provincial Health Officer, British Columbia Ministry of Health • Hon. George Abbott, Minister of Health, British Columbia Ministry of Health • Mary Selecky, Secretary, Washington State Department of Health 8:40-10:00 Keynote Addresses — • Dr. James Young, MD, Special Advisor to the Minister, Public Safety and Emergency Preparedness Canada • RADM Craig Vanderwagen, MD, Assistant Secretary for Preparedness and Response, U.S. Department of Health and Human Services 10:00-10:30 Break • 10:30-11:30 2010 Olympic and Paralympic Winter Games (Wayne Dauphinee, Presiding) • Dr. Jack Taunton, Chief Medical Officer, Vancouver 2010 Olympic Games • Dr. Patty Daly, Medical Officer, Vancouver Coastal Health Authority • Ron Weaver, Joint Chief of Staff, Washington State Military Department 11:30-11:45 Overview of the National Biosurveillance Integration System— Dr. William Lyerly, Director of International Affairs, Special Assistant for Global Health Security, US Department of Homeland Security 11:45-Noon Pacific NW Cross Border Alliance • Wayne Dauphinee, Emergency Management Consultant, BC Ministry of Health • John Erickson, Special Assistant, Washington State Department of Health Noon-1:30 Lunch — Dr. Jude Van Buren, Assistant Secretary, Washington State Department of Health, Presiding) • A Framework for Assessing Regional Public Health Preparedness — RADM Patrick O'Carroll, MD, MPH, Regional Health Administrator, Office of Public Health and Science, US Department of Health & Human Services, Region X • 2 of 4 1 BRITISH /"A 4kEw{fra tanSPaateDeNnffieR,Of COLUMBIA f ealt • Workshop Day 1 (continued) Tuesday, May 15, 2007 (Afternoon Breakout Sessions) 1:30-5:00 Facilitated Workgroup Sessions* ❖ Epidemiology • Canadian Lead: Dr. David Patrick, British Columbia Centre for Disease Control • US Lead: Dr. Jo Hofmann, Washington State Department of Health ❖ Public Health Laboratories • US Lead: Dr. Romesh Gautom, Washington State Department of Health • Canadian Lead: Dr. Judith Isaac-Renton, British Columbia Centre for Disease Control • ❖ Emergency Management Surge Capacity/Emergency Medical Services • Canadian Leads: Wayne Dauphinee, British Columbia Ministry of Health; Bruce Harford, British Columbia Ambulance Service • US Leads: John Erickson, Washington State Department of Health; Michael Smith, Washington State Department of Health ❖ Communications • US Lead: Laura Blaske, Washington State Department of Health • Canadian Lead: Peter Dalton, British Columbia Public Affairs Bureau ❖ Public Health Law • Canadian Lead: Paul Bailey, British Columbia Ministry of Health • US Lead: Joyce Roper, Washington State Office of the Attorney General *Workgroup Breaks-Afternoon beverages and snacks will be available at 3:00 PM 5:30-7:30 Meet and greet mixer (cash bar)followed by dinner on your own 3 of 4 BRITISH Washy/von Side Detrimentof COLUMBIA r fia#. I h • Workshop Day 2 Wednesday, May 16, 2007 (Morning Plenary Session) 7:00-8:00 Continental Breakfast 8:00-8:50 Opportunities and Challenges (John Erickson, WA Department of Health, Presiding) • Dr. Richard Besser, Centers for Disease Control and Prevention — Opportunities and Challenges in Cross Border Public Health Preparedness and Response • Dr. Bonnie Henry, British Columbia Centre for Disease Control — Lessons Learned from SARS in Toronto 8:50-9:30 Tribes and First Nations: Cross Border Collaboration (Dr. Mark Oberle, NW Center for Public Health Practice, Presiding) • Byron Loucks, Emergency Management Consultant/ Dr. David Martin, Program Medical Officer, Health Canada, British Columbia Region, First Nations and Inuit Health — First Nations Preparedness in British Columbia • • Joe Finkbonner, Executive Director, NW Portland Area Indian Health Board — Tribal Preparedness in the Pacific Northwest 9:30-10:00 Break 10:00-Noon Panel Discussion: Pandemic Influenza Planning in Canada and the United States: Similarities and Differences (Moderator: RADM Patrick O'Carroll, MD) 10:00-10:40 Community(Non-Pharmaceutical) Measures to Mitigate Spread • Jill Sciberras, Senior Epidemiologist, Public Health Agency of Canada • Dr. Marty Cetron, Director, CDC, Division of Global Migration and Quarantine 10:40-11:20 Use of Antiviral Medicines • Jill Sciberras, Senior Epidemiologist, Public Health Agency of Canada • Dr. Benjamin Schwartz, Senior Science Advisor, HHS, National Vaccine Program Office 11:20-Noon Travel and Border Issues • Dennis Brodie /Thomas Kind — Public Health Agency of Canada • Dr. Marty Cetron, Director, CDC, Division of Global Migration and Quarantine Noon-12:30 Workshop Accomplishments and Closing Remarks • Mary Selecky, Secretary, Washington State Department of Health • Dr. Eric Young, Health Officer, British Columbia Ministry of Health 12:30 Farewell Break -Afternoon beverages and snacks will be available at 12:30 PM 4 of 4 • Board of Health Media Report • flay 17, 2007 • • a am /Je 'erson Ear Learnin9 Kids are Everyone's Business: Investing in Early Learning Makes Excellent Sense and Cents Saturday, June 9, 2007 ~ 10-3 K a am Jamestown Tribal enterw Highway III During this summit together we will identify gaps in our Early Learning System, identify priorities to work on and begin the steps of forming a Clallam/Jefferson County Early Learning Coalition.We need partners from all segments including parents,care providers,tribal representatives,schools, business and civic leaders Planned by: Clallam/Jefferson Co. Early Learning Summit Team Please RSVP so we can plan for lunch RSVP: NancyMartin Lutheran Community Service 1 -800-300-1247 or 360-452-5437 nmartin@lcsnw.org • ..- C: y-. a `_ .'1 :(‘/':). I •%` • / 1 11$0,‘ / ' ,tori iv, a--„,,,, : : 3,0; 4.; : ---- -_- ..---_, ./...: : ,;111•1 ,ii • toot b r� , tip* T •Food SerV1Ce s i ewS Jefferson County Public Health 615 Sheridan Street .\4-0 Port Townsend, WA 98368 ;14e For more information,visit: www.ieffersoncountypublichealth.org • Food Worker Cards Info • Food Worker Manual • Guidelines for setting up a new full-service or temporary establishment • Permits for Full Service Establishments • Temporary Permits • Inspections • Rules&Regulations inside... 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Pc0e2 SprIk+,0 -2007- Proper Sanitation Practices for a Clean & Healthy Environment . r Pour wash water into a mop sink,not a dish washing sink. Never dump in a parking lot,sidewalk,or street. • (VFW r' Don't hose down spills. Use dry methods for spill cleanup,and always place solid waste in a garbage can or dumpster. , :firh, , I Clean floor mats,filters,and garbage cans in a mop sink or floor drain. Do not wash them in a parking lot,alley,or street. 114-0 1..• I r Recycle grease and oil. Don't pour it into sinks,floor drains, parking lots,or streets. Grease traps should be cleaned . , , routinely to prevent plumbing and sewer backups. I r - Keep the dumpster area clean and the lid closed. Don't fill it with liquid waste or hose it out. Make sure that the clean-out plug has not I been removed and that the dumpster is not leaking. L J tr- v.-- - Healthy food workers are one of the most important ingredients in foodborne illness prevention. Even with strong food safety practices, ill food employees may unintentionally spread illness if they work while sick. To protect public health, ill food employees must either be restricted from certain food handling activities or excluded from working in food establishments. Employee Illness 4 According to the food rule, ill employees have: symptoms of a gastrointestinal infection (such as diar rhea, vomiting or jaundice); diagnosed infections from one of the 'Big 4' (Salmonella, Shigella, Shiga toxin-producing E. coli, or hepatitis A); infected, uncovered wounds; or discharges from the eyes, nose or mouth (persistent sneezing, coughing or runny nose) even when caused by non-infectious sources such as allergies. Under the new rule, an ill food worker must report these conditions to the Person in Charge(PIC)and be restricted from food handling. Responsibilities of the PIC 4 The new food rule requires that PICs: Inform employees of the need to report the above con ditions to the PIC; Recognize the diseases that are transmitted by foods; Restrict ill employees from working withI; and Notify the regulatory authority when a food employee has jaundice or an infection that can be transmitted through foo . Diseases transmitted through food 4 A list of diseases spread by infected food workers is published each year. Available on the Federal Register,the list includes Norovirus, Hepatitis A,Salmonella, Shigella, Staph. aureus, Strep.pyogenes, certain types of E. coli, and a few other, less common, infections. Restriction and Exclusion -3 Restriction 4 When an ill employee is restricted, he or she may not work around unpackaged foods, food preparation areas, food distribution areas, or clean utensils. Unless excluded by the regulatory authority, a restricted employee may work where there is wrapped food and wrapped single-use articles, or with soiled utensils and soiled food equipment. Examples of allow- able activities include running the cash register, seating patrons, stocking dry goods, bussing tables, and performing building maintenance.A restricted employee may return to regular food service activities when the symptoms of illness are gone. Exclusion -› Some illnesses (such as the Big 4) require that the regulatory authority exclude the ill employee from working in the establishment until medically cleared. If a facility has different sections (such as in a department store) the employee that is excluded from food service may be permitted to work in an area that is away from the food preparation, service, or storage areas. Restriction, Exclusion and the ADA 4 The food rule requires that ill food employees be restricted or excluded, but the Americans with Disabilities Act (ADA) requires that employers make reasonable efforts to accommodate the employees by finding alternative duties that do not threaten public health or cause an undue hardship on the business. A guide to help food service employers comply with both the FDA restriction and exclusion requirements and the ADA's requirements for accom- modation is available from the US Equal Employment Opportunity Commission. (www.eeoc.gov/facts/restaurant_guide.html) Other medical conditions 4 Certain medical conditions, such as Crohn's disease, hepatitis C and irritable bowel syndrome, can cause gastrointestinal symptoms that do not spread illness. If an employee with these conditions provides medical documentation to the regulatory authority, the employee may work in food * service without special restriction. emsn� + Washington's Revised Food Code(www.doh.wa.gov/ehp/sf/FoodRuleMain.htm) °00 Page 3 Spring .260y- ., ,FOOD WORKER CL55A5 When& Where: Class is held Every Wednesday 4-5:30 at the Health Department by the QFC in Port Townsend. inn Also,the Fourth (4th)Thursday of the month at the Tri-Area Community Center from 3-4:30. ve 15 minutes early to check-in and reserve a seat for either class. Holidays may mean cancelled classes. Please call 385-9444 to check. i . Cost: $10 check or exact change please. Pre-Registration: Call to pre-register if you can (drop-ins are welcome, but seat is not guaranteed).When you pre-register you still need to arrive 15 minutes early to secure your seat.After quarter to the hour we give away your seat to drop-ins. Special Classes: During the off season (October to May)we will provide a class per request at your site if you have at least 10 people.We can no longer do this during the summer season due to our work load. Food Safety is Everybody's Business If you are a food worker with a special need for assistance(language, reading difficulty, or other needs), let us Your guide toprevenling loodboma Illness know and we will assist you with a special class.We offer the class in several languages if requested. , Your Food Worker Card: You will receive a 2-year Washington State Food Workers Card upon successful -= 44. completion of the class. ! , o' Keep a copy of the card at each place you work in food service.You will get a three year card if you renew within 2 weeks of expiration of your previous Washington State Food Worker card. CALL 385-9444 FOR DETAILS OR TO SIGN UP FOR A CLASS. PLEASE FEEL FREE TO PICK UP A WA STATE FOOD&BEVERAGE WORKERS'MANUAL TO STUDY FOR THE TEST. WeWngtan stale Feed a ee.«eve workers Manual ***A4* .` *k*. h *:''*° ***** - is*** f **1 **** _' ,******************,4******1 * SERV-SAFE MANAGER CERTIFICATION COURSE TUESDAY, MAY 29, 2007 * 10 AM - 6 PM *4- Sor:Irv_ fe * = THE FOOD MANAGERS CERTIFICATION CLASS IS OFFERED TWICE A YEAR AT THE HEALTH DEPARTMENT (SPRING Et FALL) e $196 INCLUDES BOOK, INSTRUCTION, EXAM, 5-YEAR SERVSAFE CERTIFICATE, a 5-YEAR WA FOOD WORKER CARD �i * *MEETS REQUIREMENTS FOR PERSON-IN-CHARGE TRAINING* . �l * **PLEASE SIGN UP BY MAY 1 5 BY STOPPING BY THE ENVIRONMENTAL HEALTH OFFICE AT 615 SHERIDAN STREET (NEXT TO QFC), * 2t it lititi ItiliialliYla'm::!'ma'f!'I!.'w< minim`timimit itIrl:dlIl rmitermitimf1'i!'iY:!'itimltl.'imit m:m ild imititi it TOP TIPS FOR HANDLING A FOOD CRISIS (Adapted from article by Nish Ajmani Wade-The Front Berner(WRA Magazine-Feb 2007) WHAT TO DO IF A FOODSAFETYISSUE DEVELOPS -- Get the Manager. Remind your employees that they should always call a manager to the scene, whether a customer is complaining about a hair in their soup or that your food made them sick. GATHER THE CUSTOMER'S INFORMATION If someone says they became sick after eating at your restaurant, get their contact information and as much information as you can about when they ate at your restau- rant, what they ate, where they ate it (for example, bar or dining area) and what their symptoms are. "You want to be hi front of the problem, not chasing it," says Erin Thompson,WRAEF educational program coordinator. "Even if this is the first person to complain about getting sick, there could be more."Unless there is an outbreak taking place, you do not need to contact the health department at this time. However, according to Thompson, if the customer believes they have a foodborne illness, they need to tell their physician so that it can be authenticated. Most lab tests go to the state Department of Health's lab. INFORM THE HEALTH DEPARTMENT If two or more people say they were sick after eating at your restaurant, it's time to call your local health department. "Contrary to popular belief, calling the health department can be a good thing," says Thompson. "They will investigate and determine if there is an outbreak and how the outbreak occurred. It could be that the out- break is not the fault of the restaurant and this will prove it." INFORM YOUR EMPLOYEES Make sure your employees know what's going on. At this point, you could have a crisis on your hands and the media could start calling. Iou want your employees to get the facts from you, not later from someone else, on TV or from the newspaper. And, they may be asked to comment on the situation, so it is critical to keep them in- formed. ************************************* QUICK FOOD SAFETY TIPS ************************************* 1. Avoid Cross Contamination: Buy different colored cutting boards and assign a product to each color. For example, green for chicken, blue for pork, white for Irbeef, red for vegetables. The Food Danger Zone is 41°F to 140°F: For cooling, you need to bring hot food from 140°F to 70°F within 2 hours and then 70°F to 41°F within the next 4 hours. For compliance, keep a time and temperature log for your cooling, so you and your employees can track the progress of your food. 3. Offer Adequate Sick Leave: When your employees become ill, they need to stay home, or be put in a work position far away from food production. If your employees can't_afford to stay home, then they won't tell you they're sick. 4. Wash Your Hands: To make sure you and your employees are in compliance with the 20-second hand wash rule, sing the Happy Birthday song twice. You can post a sign with "Happy Birthday" on it above each sink as a reminder. ' -fl-Vt,,,,,.., ,,,..dilgeNt14_ kx ANL , ,-t,„ ,,,, ----- -7-Zza-40.9 FOOD, _ --- -34-: -k-i. ---. , SERVICE t _, _ . . _NEWS -, --.- - 4- ' JEFFERSON COUNTY PUBLIC HEALTH Fk - spP kvg 2007 FOOD ESTABLISHMENT INSPECTION SCORES ON THE WEB! Inspection scores are now posted on the Jefferson County Public Health website! Interested parties may look up favorite eater- ies by name at www.ieffersoncountypublichealth.org and find out how they did on their most recent inspections. PROPER STORAGE .... IS YOUR FRIDGE IN ORDER? ia Foods Top Shelf Items: fi Should be Cooked Fruits &Vegetables; What if your refrigerated units can't keep food at 41°F? Stored in the refl ig- Other Cooked Items; er If your current equipment is able to keep food 45°F but unable Dairy Products; Raw Fruits & to keep food 41°F, you will have until May 2010 to replace the erator according to Vegetables cooler with compliant equipment. their COOKing tem- Lower Shelf Items: . ---j The five-year grace period is only for machines unable to perature. so, foods Raw Eggs, Fish, Steaks 4� F meet the requirement—if your cooler is mechanically able with higher coofcing (Cooking temp.145'F) to keep foods 41°F, you will be required to adjust it to temperatures should Raw Ground Beef, Sausage meet the required temperature. (Cooking temp.155'F) 4If your cooler is unable to keep your foods 45°F or be lower in the Bottom Shelf Items: colder, it must not be used for potentially hazardous fridge. ,�`! Poultry foods. ��• . (Cooking temp.165°F) WHO'S IN CHARGE?? PERSON IN CHARGE(PIC) REQUIREMENT A lack of food safety knowledge can have serious consequences to your customers and your business and will also be reflected on your inspection report.The May 2005 Food Code requires every permitted food establishment must have a designated PIC on the premises during all operating hours.The PIC is required to:have food safety knowledge,take appropriate preventive and corrective actions(including excluding ill food workers),and demonstrate knowledge to the regulatory authority. 1.Food Safety Knowledge The designation of a PIC during all hours of operation is intended to ensure the continuous presence of someone able to identify and prevent high-risk practicL avoid the transmission of foodborne disease to the community.The PIC must be able to recognize hazards that may contribute to foodborne illness and be able to take appropriate preventive and corrective actions. The PIC must have sound knowledge of the basics of proper food handling,the requirements of the food code, and the operating procedures within the establishment. 2.Preventive and Corrective Actions The PIC must ensure that all provisions of the food code are followed,including: • Proper methods are used to sanitize surfaces, utensils and equip- • Food preparation and storage occur in proper areas. ment. • Employees effectively wash their hands as needed. • Ill employees and unauthorized people are excluded or restricted • Foods are received in good condition and from approved sources. as appropriate. • Potentially hazardous foods are properly prepared, cooked, cooled, handled and • Bare hand contact with ready-to-eat foods is prevented. stored. • Employees have valid food worker cards and are properly trained • Consumer advisories are posted if needed. for their duties. 3.Demonstration of Knowledge During an inspection,the PIC will need to demonstrate knowledge to the inspector. Knowledge must be demonstrated in one of three ways: Compliance with the Code. No"Red”High Risk violations noted on the current inspection report.or Certification. Valid certificate from an ANSI-accredited manager certification course(such as ServSafee),or Knowledge. Correct answers to food safety questions asked by the inspector. What kind of questions will be asked of the Person In Charge? If the establishment has"Red" High Risk violations during its inspection and the PIC does not have a valid manager certificate, the PIC mustcorrectly respond to questions regarding food safety practices. The regulatory authority will not ask questions that do not relate to the food handling in your operation.Depending on the foods prepared at your establishment,the questions will be from areas of knowledge such as these: Foodborne Disease Relationships between foodborne illness,bare hand contact,personal hygiene,and cross contamination;prevention of transmission by an ill food employee Potentially Hazardous Foods The hazards involved in eating undercooked animal products;temperatures and times for receiving,holding,cooling,cooking,and reheating Contamination Prevention , Proper food storage and handling; procedures for cleaning and sanitizing utensils and other food contact surfaces; protecting the water source; identifying ill materials and ensuring safe handling,storage,and disposal Operating Procedures Food safety procedures in the establishment;the responsibilities of food workers,PTCs,and the regulatory authority as stated in the food code Washington's Revised Food Code(Chapter 246-215 WAC) http://www.doh.wa.qov/ehp/sf/food/FoodRuleMain.htm • Jefferson County Public Health April May 2007 NEWS ARTICLES 1. "Vaccine notification bill clears Legislature", Peninsula Daily News, April 15, 2007 2. "Here is how our lawmakers voted on the issues: Sex education in schools SB5297", Peninsula Daily News, April 16, 2007 3. "Irondale Beach to reopen after five-month closure", Peninsula Daily News, April 17, 2007 4. "First funds delegated from mental health tax", Peninsula Daily News, April 17, 2007 5. "State to pay for cleanup of old oil at Irondale beach", P.T. Leader, April 18, 2007 6. "Blind lead blindfolded in students' DASH exercise", Peninsula Daily News, April 19, 2007 • 7. "Public health board honors Jefferson County heroes", Peninsula Daily News, April 22, 2007 8. "Fungus among us" (2 pages), Peninsula Daily News, May 1, 2007 9. "Deputies rescue 80 neglected animals", Peninsula Daily News, April 24, 2007 10. "Women talk about HIV, AIDS", P.T. Leader, May 9, 2007 11. "Alcohol, medication suspected in death", P.T. Leader, May 9, 2007 12. "Woman falls to death along canal near Brinnon", P.T. Leader, May 9, 2007 S • Alt SUNDAY,APRIL 15,2007—(J) Vaccine- notification bill clears Legislature THE ASSOCIATED PRESS schools. The Senate version OLYMPIA — A measure requires private schools to tell requiring all public schools in parents information about the the state to provide parents virus and vaccine was avail with information about a sex- able to pick up, but would not ually transmitted virus that require it be handed out at • /can cause cervical cancer and school. about a vaccine to protect Lawmakers have also against it is headed to Gov. included money in the budget Chris Gregoire. to make the vaccine part of the The House,on,a 76-18 vote, 'state's universal vaccine pro- agreed Saturday to changes gram, which would make it made by the Senate. Gre- available to girls between the goire's spokeswoman Holly ages of nine and -18 at almost Armstrong said the governor no cost. is expected to sign the mea- Parents would still have to sure into law. - pay doctor visit fees, but the • The bill would require all cost of the three-dose vaccine public schools to give parents — about $360 — would be • of entering sixth graders infor- picked up by the state. mation on the human papil- ,"As parents learn more loma virus, its symptoms, about the availability of the causes and places to obtain vaccine and see that they can vaccinations. access it, then we'll see a lot The original House bill more girls protected," said would have extended the Rep. Jeannie Darneille, D- requirement to private Tacoma, the bill's sponsor. • IP • .• fr Ob O611.1)..2.):2: �� a l b d � o b 11'� dN 04'00 ci, a W � s.Ow 0a) ca) , 0y > 0.,wxcao i . be a,) aoc +b ., a..Ls m m ba s.• ? 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O 11 MIN m o To p 0o�o 4'b 0.) 0 �,OR o ��Ob 00 as m cog0� 0>+ 0 0 co b •D m°max °.d (A xQf-0X d d o•ds.oy .. s°. o ♦,'L y I +a7.' qp Z •='ti d:Pel Cr)• a.K."N•i�0 4"air O.I-1 '� • LE aF C amiA aa�i > > '� pOH0 o4' r,.413 an alOap �— A 2 a V"a....5, A :II a u3 0 0 o N 44b^ ox ac ] x 0.5 p,§ 04'-o ed 3 ci.0 abotoo, O a a >,d a Ties OU m,ax+ ) 0Z 33 �0 0 ; ....) 0 aa..ccooao Ill N Ul L11 VV LLD L PENINSULA DAmy NEWS Irondale Beachp to reo en after five-month closure BY EVAN CAEL PENINSULA DAILY NEWS ;:,'"v IRONDALE - In-g' to, ase Ei " � -Beach Park will reopen Irondale r� S en on s' .as �xX# s Wednesday after being closed V? „0.44. x` 2 e4,� '3z . . to the public for five months, but cleanup is still to be " . undertaken in the future. [ �:�sa�i Since December, when the 13-acre Irondale Beach Park ";SAY j)NL at 562 E. Moore St. in.Iron- ''. Iv dale was placed on the Gover- nor s Puget Sound Initiative , list of sites on Pugetx _ � Sound in •: =fir :UEIS 6 ,0 need of clean-up, 45 samples ` '' :',!,..,,,,t,'-_;!.. , � "� -- from the site, including shell- • " "" fish tissue,have been tested. co;, t ,,,Ln, r� ; The Jefferson County g•':,. • �a;� Department of Environmen ,ets:_,',.•••,:, .. -. t tal Health is suggesting that :,,,,..,..,,,,:,,:,'..,-.,....i,-,,� visitors do not eat shellfish •w gleaned from the - beach's t , shores. „ • '�;N:;r -�.."-'.:» a;..J Lead seems to be the only EVAN CAEUPENINSULA DAILY NEWS element of concern," said Irondale Beach Park will reopen for day use on Mike McNickle, director of Wednesday after being closed to the public since the county environmental December 2006 to test for contaminants in the water. • health department. The Puget Sound Initiative "Giving specific advice on according to a letter Ecology is an effort led by Gov. Chris the limited information we sent to Jefferson County Pub- Gregoire to protect and have would not be a ro ri- \ restore Puget Sound and ate,"Palcisko said. pp p lic Works on u 10, 2006.t Hood Canal by cleaning toxic A signtellingEcologybeconductedrethe sites, restoring habitat and eat shelfish from thesitewill tests complaint that it thehreceived a preventing oil spills and other be posted at the park. park had contamination. Contaminants that have visible oil contamination.siteud McNickle sent the test been found at the site in the Sincethuthetsite is included in results to state Department of past have included weathered Jefferson Puget Countyyd Initiative, willHealth Toxicologist Gary Pal- fuel oil, chromium, copper, officials will cisko, who advises the county zinc and lead,Matt Tyler,Jef work with Ecology to deter- department on these matters. ferson County Parks and mine the extent of cleanup "We thought lead might be Recreation manager,has said. needed. a little high,"Palcisko said. The project will be funded "We don't really know if Deposited toxins with county,state and federal He said the toxins probablymoney,said Tyler. there is a wide spread conte- H urination or not." Irondale Beach Park is Fere deposited there when Originally, the state slated for a remedial investi- the Irondale Steel Mill was in gation by Ecology as part of Department of Health sug-to the countyDepart- operation on the site from the Puget Sound Initiative. ment of Environmental1881 to 1919. . Health that peopleshould Thb remedial investigation Prior to purchasing the area for $582,000 in 2001, may begin as soon as this consume no more than 10 Jefferson County Public spring, according to a Jeffer- grams of shellfish from the Health tested the soil in sev- son County Parks and Recre- site a day, or 1.5 pounds per eral spots where the indus- ation news release. month. trial activity had taken place. During this process it may But, when McNickle con- The county concluded that be necessary to close all or tatted Palcisko on Monday to no more cleanup would be part of the park because of verify that advice — because necessary the presence of heavy a sign was to be posted at the However,the state Depart- machinery or other testing park limiting shellfish con- ment of Ecology conducted a equipment. • sumption — Palcisko said it soil sample at the park on would be better if people were Nov. 3, 2005, and alerted the told not to eat any shellfish county that weathered fuel oil at 360-385-2335 Reporter Evan Cael can be reached l7 from the beach. had been found at the site, sulaarldais or evan.cael� ' i peninynews.com. • First funds delegated from mental health tax BY JIM CASEY ment cannot be provided by Agencies who submit pro- PENINSULA DAILY NEWS Medicaid or Medicare, posals should be collaborative PORT — Psy- $175,000. rather than competitive in chi PORtric nurse ANGELESpractitioners to •A behavioral health team their approach to providing treat brain-disordered and for youth in the juvenile court mental health and substance drug-dependentbr -didansystem, $200,000. abuse services, said Florence peopleCombined, the programs Bucierka, planner with the among the first proposals for would cost about $640,000 a county Health and Human spending a mental health sales year, about two-thirds of the Services Department. tax in Clallam County. estimated annual revenue Such cooperation already is County officials Monday from the tax. a hallmark of the county's pro- unveiled four initial strategies Clallam County has collected gram so far, said Tharinger. that would be funded under the one-tenth of 1 percent mea- "Collaboration has been a what is known as the Har- sure —which needed no voter big benefit," he said. grove Bill., approval—since last July 1. "We've probably had the The bill was written by Dis- County commissioners most collaborative process of trict 24's state Sen. Jim Har- approved it about a year ago any of the counties who have grove,D-Hoquiam, who repre- after receiving overwhelming been doing this." sents Clallam,Jefferson and a support from letters, e-mails The Hargrove Bill also portion of Grays Harbor coun- and people testifying at a mandates that counties set up ties. packed public hearing. therapeutic drug courts to — • .;The two part-time Since September, an advi- reunite parents with children providers,each working about sory board of 16 representa- removed from their care due 24 hours each week, mostly tives from schools, tribes, gov- to the adults' drug addiction. would serve adolescents and ernments, law enforcement Future funds for such a adults with co-occurring disor- agencies and mental health court have been set aside, ders — simultaneous mental organizations has worked on Bucierka said. illnesses and drug addictions. the first four programs. However, the tax probably The program would cost It will take about another cannot raise sufficient funds $90,000 a year. week for the strategies to for emergency inpatient treat- Other programs and their receive a last legal review ment, said Tharinger. costs include: Commissioners expect to Such a crisis center is esti- II An intensive outpatient officially request proposals mated to cost$1 million a year, program for adults with co- next Tuesday. he said. occurring disorders, $175,000. 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V Wednesday,May 9,2007•B 9 4 Women talk about HIV AIDS • May 14 program informed discussions and trust „Free"talks Monday,May 14 among women. is free and frankHal hopes women learn to `Women Talking"''is"the theme of"two free conversations set for communicate about sexual issues discussn Monday,May 14 in Port Townsend on the unique Issues faced by that could impact their lives. "I women alio are HlV-posItive.The taiici are Sponsored by Jefferson was naïve. I thought that that By Allison Arthur County Public Health,Jefferson AIDS Services,and Peninsula Pride kind of thing doesn't happen to -Alliance people like me,"she said. Leader Staff Writer 3,, "'' The Babes Network visits the Boiler Rbom On Water Street from But it did.And it's why she's Kelly Hill is a 30-year-old 4 to 5 p.m.At 6 p.m.the conversation continues at Pope Marine Park coming to Port Townsend to talk 4.:Bulkfingatm ybock nextiothepouceStum about issues she couldn't discuss college-educated mother of a 5 Both events are o year-old boy. She's also HIV- pin togiti:andWomenonly with her mother. positive. �rmore infort�latlon onefBabest(efworfc,vtsk www habesnet That last fact makes Hill r °Hon onHNand DS,visitwwwtdcgov: uniquely qualified to talk to other women about HIV, AIDS and could have prevented herself after the first three months of her sexually transmitted diseases. from becoming HIV-positive. pregnancy to ensure that her son " She is one of two women "He would have found out he did not get the disease. I, from the Babes Network, a Was HIV-positive then, before "He's 5 Po years old now and ' Seattle nonprofit program asso- he became sick,and then I could he's negative," she said. "The ciated with the YWCA,to speak have avoided becoming being chances of him getting HIV ' May 14 in Port Townsend on HIV-positive,"she said. when I was pregnant were 1 to what it's like to be an HIV-posi- "That feeling of being uncom- 2 percent," she said. However, tive woman and what conversa- fortable and being scared of talk- she was unable to breastfeed • t tions women can have to protect ing about being uncomfortable because HIV can be transmitted themselves against this and other is far less scary than what you through breast milk. f diseases. might have to deal with if you Myths and facts of HIV and As outreach coordinator for don't talk about it,"she said. AIDS and other sexually trans- the Seattle-based organization, Hill hopes more mothers and mitted diseases are openly dis- Hill says women need to be able daughters and girlfriends and cussed by the only-for-women to communicate with one anoth- women in general will talk openly talks next week. • er and with their sexual partners about sexual issues.While there's "I think it's important for better than ever before. talk in high school about con- people to be themselves and not The Centers for Disease dom use,"there's not enough talk feel like they are being judged. Control(CDC)reports that if new about our kids having sex" and If they feel like they're going to HIV infections continue at their what kinds of sexual behaviors be judged,they're going to shut current rate worldwide, "women are safe or not safe,she said. down,"Hill said. with HIV may soon outnumber Hill,who grew up on Whidbey . She reminds mothers of teens men with HIV." The CDC also Island, says she's an effective that they have no control over reports that young women and spokeswoman for what it's like what their teenage daughters women of color are hardest hit being HIV-positive because she and sons will do, but that they and that AIDS is a common killer gives a face to the disease that can give their children the tools of women, behind only cancer is typical. of good and open communica- and heart disease. "The fastest population being tion,which could lead to better- "I think what is part of the affected is ages 15 to 24 and problem is that people aren't women of color," she said. "It talking about it,"said Hill.That would have been helpful to me creates a stigma around it and for someone to come to my high contributes to the spread of the school,"she said. disease.It's more comfortable to Hill contracted HIV from her not talk about it." son's father,who now has AIDS. Because HIV is no longer She learned a year before she "disease of the week" — and became pregnant that he had people are surviving it—people HIV, and she took medication aren't talking about HIV,AIDS and other sexually transmitted diseases,she said. "You are putting so much at stake by not being open and hon- 1 est with each other,"she said. • I For example, if Hill.had insisted on being tested for HIV ' • with her partner before they were • sexually active,she believes she • • • ' Alcohol, medication -sus ected in p death A47-year-old Port Townsend ping with them and she declined, -woman was found dead May 1 -they told authorities. The next -in her home by her parents day at about 1 p.m. the parents after she had checked herself checked on her and found her out of Jefferson Healthcare dead,Perry said. 'Hospital. A sheriff's report said there It is the second death depu- were six empty 16-ounce beer ties have investigated within a cans near the bed and one empty month involving medication and in the living room. The medi- alcohol apparently consumed cation Meehan had been given - at the same time, according to for her heart condition stated Undersheriff Tim Perry. • that it should not be consumed Claudia Meehan told her par- with alcohol,according to Perry. ents she was unhappy with the There was no indication she had treatment she was getting for taken more of the medication a heart condition, her parents than had been prescribed, Perry ? told a Jefferson County sheriff's said. '-deputy. There were no signs of trau- • r. After she returned home,her ma or foul play, a deputy con- parents invited her to go shop- eluded. 3 'PT :icts,or 1 , • • • • WOman falls to death alongcanal near Brinnon Janice Norris of Brinnon apparently slipped her up,"Perry said a report of the incident shows. and fell 120 feet to her death at Triton Point along After her husband reported her missing, a Hood Canal on May 6. search began. Friends were called, but no one "It's being investigated as an accident. The could find her. investigation is still ongoing. It just appears she A man who was hiking out of Triton Point slipped and went over the edge," said Jefferson —just north of the Mason-Jefferson county line County Undersheriff Tim Perry. —Monday morning found cigarettes and a cigarette Norris, 46,was reported missing by her hus- lighter on a rock overlooking a bluff.He also saw band May 6 around 11 p.m. a coat hung up on bushes and then saw Norris on Her husband said the two had returned to their the beach. home in Brinnon in the afternoon,after drinking at "The investigation shows she was probably sit- a tavern.The man told deputies he went to bed,but ting on her jacket.She either moved or slipped off she got in her car and drove off the rock,"Perry said. Witnesses told deputies that they had seen The investigation is continuing, Perry said Norris'car in a ditch and had seen her walk away Tuesday. from the car. Her body was recovered by deputies arriving at • "People who knew her stopped and asked if she the scene by patrol boat. There was no access to wanted a ride,and she got profane so they didn't pick the beach otherwise,Perry said. TT- 62-61 4Q- s • . '.g�4_ .,w,„/ ti :e°Ei�x yy 1884� • STATE OF WASHINGTON WASHINGTON STATE BOARD OF HEALTH 1102 SE Quince Street • PO Box 47990 Olympia, Washington 98504-7990 April 4, 2007 Jefferson County Board of Health 615 Sheridan Street Port Townsend, WA 98368 Dear Board of Health Members: For many years, the State Board of Health (SBOH)has held regular meetings in local health jurisdictions across the state to better understand local concerns, including the concerns of local boards of health. We believe our efforts should support your own, since you are the prime policy makers for public health services. In 2002, SBOH took on a project to strengthen ties with local boards of health. The SBOH 2005-07 Strategic Plan reaffirmed the importance of this work. As part of this project: 1. SBOH will create opportunities for its members to meet in person with local boards and their members. In many jurisdictions,this will take the form of sending an SBOH board member and a staff person to a regular meeting of each local board to hear about local priorities and concerns. Alternatively, the Board will consider joint meetings with local boards on special topics of mutual interest or invite local board of health members to address SBOH when it meets in their jurisdiction. Ideally, SBOH representatives would visit with each local board of health at least once every three years. 2. SBOH has asked that it be added to the mailing list for LBOH meeting agendas and minutes. Local board of health minutes are highlighted in the SBOH on-line publication "FYI." This publication also contains a brief summary of the leading public health, medical, and other media articles on health issues and a listing of upcoming state, regional, and national health-related meetings and conferences. It is available on-line anytime at our Web page at www.sboh.wa.gov. 3. Local boards of health have been added to the SBOH meeting agenda distribution list to increase awareness of current topics it is discussing. 4. SBOH will continue its long-standing practice of holding its regular meetings in various local health jurisdictions to give local boards, as well as residents across the state, convenient access to its meetings. Working for the Health of Washington and Its People L? Jefferson County Board of Health April 4, 2007 Page 2 • 5. Our staff has contacted your office recently to update your individual board of health page on our Web site to make sure your complete information is available to the public as well as your fellow public health workers. While we expect these efforts will help each of us improve our knowledge of the other's perspectives, we know there is no substitute for face-to-face discussions. That is why our staff will be calling many of you in the coming weeks to ask that a member of our Board have a few moments to meet with you or your entire board at or near the time and place of one of your upcoming board meetings. Our goal for these talks is to hear your views of how public health activities are faring in your community. To do our jobs better, we would like to hear how you are coping with the strengths (and weaknesses) of both your local public health efforts and the community you serve. How are you coping with funding shortages, regulatory and accountability demands, the need for ever better trained and more widely expert staff, planning for a potential pandemic, strained community medical resources and social support systems, and divergent community attitudes toward the role of government in health areas?Are there messages we can help you bring to Olympia or better ways of doing our business that will increase state government's usefulness? We do not plan a lengthy presentation about the State Board of Health, the Department of Health, or state government policy. We have no new program to offer. We simply hope to hear • from you. If you have any questions about this request, or would like to discuss it, please feel free to call the Board's executive director, Craig McLaughlin, at (360) 236-4106. Thank you and we look forward to meeting you and hearing your thoughts soon about your efforts to create a safer and healthier Washington in these difficult times. Sincerely, 1,224e#744*2Cedir Treuman Katz Chair cc: Thomas H. Locke, Health Officer for Clallam and Jefferson Counties I • March 1, 2007 Washington State House Appropriations Committee Public Health Prevent. Promote. Protect. Dear Member of the Legislature: RE: SHB 1825 and SB 5729 We,your local Boards of Health and public health officials, are reporting to you that your local public health system is deteriorating and failing its citizens.This is directly due to a funding crisis that needs legislative action this session. This is a crisis seven years in the making when public health MVET funding was eliminated in 2000. The legislature made public health a top priority then by restoring funding from the State General Fund. That funding was restored at 90% of 1999 funding levels, and that shortfall has increased every year since with flat funding--no increase for inflation, or population growth, or the increasing complexity of today's public health issues. Other general fund support has also been reduced. State dollars to fight the spread of HIV/AIDS have been reduced by 4% in the last decade,with additional reductions this next year. We • simply cannot afford to have a public health system responding to 21st century issues with pre-1999 funding levels. We bring to your attention the following as evidence that your public health system is deteriorating. • Most local public health jurisdictions are investigating half or less of the reportable diseases they should be investigating. The consequences are that people who should have been tracked down and informed of their exposures are now developing lifelong and life-threatening health consequences that were preventable. And to make matters worse,these unsuspecting people are passing along their infections to others simply because public health didn't have the resources to identify them, offer them education, counseling and testing, and refer them to treatment. We don't believe this is the public health system Washingtonians expect. • Children's immunization rates need improvement to protect our children against serious childhood diseases, as well as deadly complications from influenza. To ensure that children are appropriately immunized at age two and three and that they are immunized against influenza will take increased outreach and education. We know what to do. We don't have people to do the outreach and education needed to get to the many children who fall through the immunization gaps. • Our state's obesity rates are unacceptable and have been rising dramatically over the last decade. Currently, a quarter of our 8th, 10th, and 12th graders and 58% of our adults are overweight/obese. Most local public health jurisdictions have no funding to address the issue. If this were an infectious disease,you would certainly call this is an epidemic and would demand immediate action. It is, indeed, an epidemic, and a very expensive one at that. The University of Washington just released a study that projected physical inactivity will cost Washington $8.8 billion this year • in medical expenses, workers' compensation claims, and lost productivity. That is a high price for business, state government, and our state's economy to pay when there are public health interventions, if funded,that would stop and reduce this epidemic.Public health should be providing communitywide leadership to address these issues and bringing together nonprofits, health care providers,employers and many others to address this major health threat. Public Health Funding Page 2 • • The number of animal-to-human diseases public health is trying to protect against are increasing and come from all parts of the world. These include E. coli 0157,Hantavirus, West Nile Virus, monkeypox, SARS, avian flu, and so on. Our disease identification and tracking system at the local level for these diseases is inadequate,as are our community education and control measures. But hope is not lost if SHB 1825 is passed. This bill will set performance measures for local public health agencies to achieve core public health functions of statewide significance. It will hold public health accountable for performance. It will create a dedicated account, essential to ensure that public health staff focus their time on delivering consistent services at every moment and to let our communities know these services are dependable. We strongly support all of these components of the bill. We raise our collective voice as your local public health officials to say a major down payment on the estimated$600 million public health funding gap is needed this year,this biennium.We strongly support the Joint Select Committee on Public Health Financing's recommendation for a$100 million down payment.It will stop the deterioration and will allow public health to address today's complex public health issues. Waiting yet once again for another biennium,which may or may not make public health funding a priority, is not an option if you intend to count upon your local public health system to do its job. We strongly urge that you make public health a top priority for funding this legislative session. Respectfully submitted, Washington State's Local Public Health Officials and Boards of Health: • Benton& Franklin Counties: Grant County: Max E. Bentz,Jr., Board of Health Chair Mark Wanke, Board of Health Chair Dr. Larry Jecha,Director/Health Officer Peggy Grigg,Administrator Dr. Alex Brzezny,Health Officer Chelan&Douglas Counties: Jay Witherbee,Board of Health Chair Grays Harbor: Barry Kling,Administrator Maryann Welch,Director Dr. Frank Collins,Health Officer Dr. John Bausher, Health Officer Clallam County: John Beitzel, Board of Health Chair Island County: Mike Shelton, County Commissioner Iva Burks, Director Tim McDonald, Director Dr. Thomas Locke, Health Officer Dr. Roger Case, Health Officer Clark County: Steve Stuart, Board of Health Chair Jefferson County: John Wiesman,Director John Austin,Board of Health Chair Dr. Alan Melnick,Health Officer Jean Baldwin,Director Dr. Thomas Locke, Health Officer Columbia County: Fran Martin,Administrator King County: Dr.Timothy Moody,Health Officer Julia Patterson, Board of Health Chair Dr. David Fleming, Director/Health Officer Cowlitz County: Lesley Bombardier, Director Lewis County: • Dr. Mimi Fields,Health Officer Dr. Diana Yu, Health Officer Public Health Funding Page 3 • Mason County: Spokane County: Dr. Diana Yu, Health Officer Mary Verner, Board of Health Chair Torney Smith,Administrator Okanogan County: Dr. Larry Jecha,Health Officer Dr. Paul Waterstrat,Director Thurston County: Pierce County: Diane Obequell, Board of Health Chair Kathy McVay, Board of Health Chair Sherri McDonald,Director Dr. Federico Cruz-Uribe, Director/Health Dr. Diana Yu,Health Officer Officer Wahkiakum County: Skagit County: Dan Cothren, Board of Health Chair Peter Browning, Director Dr. Howard Leibrand, Health Officer Walla Walla County: Dr. Harvey R. Crowder,Administrator Skamania County: Board of Health Whatcom County: Marilyn Butler,Administrator Regina Delahunt,Director Dr.Alan Melnick,Health Officer Dr. Greg Stern, Health Officer Snohomish County: Whitman County: Donna Wright, Board of Health Chair Fran Martin,Administrator Dr. Gary Goldbaum,Director/Health Officer Dr. Timothy Moody, Health Officer Richard B. Mockler,Deputy Administrator • PUBLIC HEALTH ALWAYS WORKING FOR A SAFER AND III HEALTHIER WASHINGTON 0.,STA Tp O� J _ n d = CHRISTINE O.GREGOIREe89 y°yam Governor STATE Of WASHINGTON OFFICE OF THE GOVER\JOR P.O. Box 40002 • Olympia, Washington 98504-0002 • (360) 753-6780 • www.governor.wa.gov March 9, 2007 Jill Buhler 834 Sheridan Port Townsend, WA 98368 Dear Jill: Thank you for contacting Governor Gregoire regarding House Bill 1825 and Senate Bill 5729. The Governor appreciates the time you took to let her know your thoughts on this matter. The legislative process is always enhanced when citizens take an active interest in shaping public policy. Governor Gregoire will review all bills that pass the Legislature and move forward to her desk. She is consulting with legislators and her policy advisors on related legislation,taking into consideration comments from people like you. You are welcome and encouraged to check bill status at http://wwwv.leg.wa.gov/legislature/or by calling the Legislative Hotline at 1-800-562- • 6000. Information about Governor Gregoire's priorities, activities, and office operations is available at http://www.governor.wa.uov. Access Washington provides a link to share government information and services —http://www.access.wa.gov. Once again, thank you for sharing your views with Governor Gregoire. Sincerely, Marty Brown Legislative Director Office of the Governor • • February 21,2007 Representative Larry Haler Washington State House of Representatives 421 John L. O'Brien Building PO Box 40600 Olympia, WA 98504-0600 Dear Representative Haler: RE: Support for SHB 1825/SSB 5729 -Dedicated Public Health Funding We are writing you today in your role on the House Appropriations Committee to ask for your support of SHB 1825/SSB 5729 to increase state funding for core public health services. In 2005 the Legislature appointed the bipartisan Joint Select Committee on Public Health Financing to explore the adequacy of state support for public health services. The committee concluded that there are serious gaps in our public health system and unanimously recommended $100 million of new funding in an account dedicated for local public health. Jefferson Healthcare and our local public health district work in tandem to provide our community with basic health care services. We can't do it alone. Our health care providers rely on the Jefferson County Health Department for disease investigations and contact follow-up care for our patients; for technical advice and consultation on TB, rabies and emerging diseases; data on disease trends; and prevention work that reduces the burden on the Jefferson Healthcare system. Moreover, our work together in disaster • preparedness is essential to our community. Obviously, effective public health is vital to our community. We know there are many claims on state funds, but Washington State ranks only 44`h in per-capita public health funding. We can do better than that. Thank you for considering our viewpoint,and for the work you are doing to make Washington State healthier. We appreciate your help. Sincerely yours, Jefferson Healthcare Board of Commissioners • Jefferson County Public Health Care Service District No. 2 S RESOLUTION 2007-06 A RESOLUTION REQUESTING PROVISION OF ADEQUATE RESOURCES TO SUPPORT THE SERVICES, BOTH CURRENT AND FUTURE,OF THE JEFFERSON COUNTY PUBLIC HEALTH DEPARTMENT WHEREAS, by statute and mission,the JEFFERSON COUNTY PUBLIC HEALTH CARE SERVICE DISTRICT#2, operating Jefferson Healthcare Hospital and related health care facilities, is committed to supporting and fostering the optimal health and wellbeing of the citizens of Eastern Jefferson County, and WHEREAS the JEFFERSON COUNTY PUBLIC HEALTH DEPARTMENT provides, in addition to and in collaboration with those provided by JEFFERSON COUNTY PUBLIC HEALTH CARE SERVICE DISTRICT#2, service critical to the health and wellbeing of the citizens of Eastern Jefferson County, and WHEREAS, We,the members of the Board of Commissioners of JEFFERSON COUNTY PUBLIC HEALTH CARE SERVICE DISTRICT#2 concur and agree that reduction in funding for the JEFFESON COUNTY PUBLIC HEALTH DEPARTMENT would result in the reduction and/or elimination of necessary and vital health services to the citizens of Eastern Jefferson County, and, WHEREAS such reduction of services would have a significant negative impact on the health and wellbeing of the citizens of Eastern Jefferson County, • THEREFORE, we, the Board of Commissioners for JEFFERSON COUNTY PUBLIC HEALTH CARE SERVICE DISTRICT#2, elected by and representing the citizens of Eastern Jefferson County, after due consideration of this matter and in lawful and open meeting of this body, do hereby resolve to take action on this matter, HEREEBY request that the Governor and Legislators of the State of Washington take such action as required to provide adequate resources and funding to the JEFFERSON COUNTY PUBLIC HEALTH DEPARTMENT as needed to support their efforts and services, both current and future, so vital to the health and wellbeing of the citizens of Eastern Jefferson County. APPROVED THIS 21St day of February,2007. APPROVED BY THE COMMISSION: Commission President—Jill Buhler: (Z/7'',1` )L/ c.. Commission Secretary—Chuck Russell: 77- � Attest: Commissioner—Anthony De Leo: __ _ _.L 11) Commissioner—Kathy Hill: 7K % �L ;#'J Commissioner—Joseph F. Wheeler: \‘,.2, v��. , __ _�, lv, Cn CC 5:2-, EabA el Ct b.07 . N e -.!,,,,if '�'h �'aY , j • (R;\ . Xl\ pig ._ „...... .. . „..„., .. 7 ii. 'in ' g A--,4 A.!, "''' 1-Ali ise r 4 „.„. , ,.. ... . .. .. ,. .. :. 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