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HomeMy WebLinkAbout2007- December File Copy • Jefferson County Board of a CeaCthi .Agenda & _Minutes • December 20, 2007 • • JEFFERSON COUNTY BOARD OF HEALTH Thursday,December 20, 2007 Main Conference Room Jefferson County Public Health 2:30—4:30 PM DRAFTAGENDA I. Approval of Agenda II. Approval of Minutes of October 18,2007 Board of Health Meeting III. Public Comments IV. Old Business and Informational Items 1. Region 2 Public Health Newsletter 2. Tire Pile Cleanup 3. Port Ludlow Yacht Club Gift 4. Port Townsend Paper Corporation Employee petition response • 5. Substance Abuse Advisory Board Minutes 6. MRSA Press Release V. New Business 1. Olympic Area Agency on Aging: Victoria House and Long-Term Care Access Issues in Jefferson County 2. Jefferson County Septic Code 8.15: Pre-adoption briefing on proposed changes regarding Operation and Maintenance Plan Implementation. Recommended Call for Public Hearing for January 17,2008 3. 2007 Hood Canal Environmental Achievement Award—Jefferson County Public Health 4. Green Business Award: Blue Heron Middle School 5. Appointment of Substance Abuse Advisory Board Members VI. Activity Update VII. Agenda Planning VIII. Next Scheduled Meeting: January 17, 2008 2:30 PM - 4:30 PM Main Conference Room Jefferson County Public Health • %.\\1 5`i • JEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, October 18, 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 Dans kin,Nursing Programs Director Jill Buhler—Hospital Commissioner District#2 Mike McNickle,Environmental Health& Geoff Masci—Port Townsend Ciy Council WaterQualiy Director Sheila Westerman—Citiren at Large (Ciy) Roberta Frissell, Chair—Citizen at Large (Couny) Meeting was called to order at 2:30 pm on October 18, 2007 by Chair Frissell in the conference room of Jefferson County Public Health. Members present: Chair Frissell, Member Austin, Member Johnson, and Member Buhler. Members absent: Member Sullivan, Member Masci and Member Westerman. A quorum was present. APPROVAL OF AGENDA • Board Member Austin moved to approve the agenda as written. Member Buhler seconded the motion,which carried by a unanimous vote. APPROVAL OF MINUTES Board Member Austin moved to approve the minutes of September 20, 2007 with amendment of the sentence"JCPH has proposed that the county contribute to Substance Abuse Prevention using the same formula as the city,which would provide an increase of$15,000 - $16,000" to read, "JCPH has proposed that the county contribute to Substance Abuse Prevention using the same formula as the city,which would provide an increase of "between"$15,000 - $16,000"; thus making clear the intention of the proposed county contribution to Substance Abuse. Board Member Johnson seconded the motion,which carried by a unanimous vote. PUBLIC COMMENTS Comments were provided by Ken Morse and Ezra Eichmeyer regarding a sewage treatment device known as the"SludgeHammer". Chair Frissell determined that the presentation was not appropriate for the public comment section and referred the presenters to the State Department of Health, Environmental Health Division for evaluation of their device. Member Austin also noted that the Board should prohibit • advertising specific products during a public meeting. Jefferson County Board of Health,September 20,2007 Page 1 of 5 OLD BUSINESS •Informational Items ■ Influenza Vaccination 2007-2008 Season: Dr. Locke noted that Public Health agencies have begun to actively promote influenza vaccination. This year there is an abundant supply of the vaccine. There will be an estimated 130,000,000 doses made this year in the U.S., which is 1/3 of the world's supply of the vaccine. In addition to groups at high risk for influenza complications that have been targeted in the past, this year children ages 6 months through 4 years of age and adults 50 years and older have been added to the priority list. The Washington State Lottery is promoting influenza vaccine this year by giving lottery ticket coupons to those who get vaccinated in a supermarket on specific days. The vaccine is available in a live attenuated virus nasal spray to those who are 2 years— 50 years old and an injectable inactivated virus form for everyone else. ■ Food Service News Letter: Dr. Locke pointed out that JCPH publishes a quarterly Food Service Newsletter filled with important and useful information. NEW BUSINESS 2007 Community Health Assessment Data Re: Substance Abuse & Mental Health Siri Kirschner, Epidemiologist, contracted through the Kitsap Health District, presented • an update of data, specific to Mental Health,Alcohol use and Substance Abuse in Jefferson County with comparisons to Washington State. The assessment was based on an update of Jefferson County Behavioral Risk Factors Surveillance System, (BRFSS). The data presented is posted on the Jefferson County Public Health website at http://www.jeffersoncountypublichealth.org/index.php?health of county and is Part Two of an update of Jefferson County health indicators. The document can be viewed online. The Data Steering Committee will reconvene in the near future. The Committee will analyze the data released to date and determine future community health assessment priorities. Substance Abuse Advisory Board Report John Barth introduced Kelly Matlock, Jefferson County Prevention Coordinator and Health Educator. Kellie told the Board that the Six Year Strategic Planning Group will be meeting soon to begin the implementation of the Six Year Plan. She gave an overview of her collaborative work with Anne Winegar from Jefferson County Community Network and Ford Kessler of Safe Harbor. Project Alert Project Alert classes have started at Blue Heron Middle School. The classes have been scheduled for the 2007 -2008 school year for Chimacum and Quilcene School Districts. During this last year booster classes were added for the Chimacum School District. Booster classes for the Quilcene School District will be added this year. • (The booster classes have been presented in Port Townsend for some time.) Work Jefferson County Board of Health,September 20,2007 Page 2 of 5 0 continues with the schools to have Peer-Educators from Peer-In present the booster • classes For Project Alert for this next school year. Parenting Wisely The Parenting Wisely programs have arrived. Videos are available in both English and Spanish. One set will be kept at the Jefferson County Public Library. The other set with be rotated through the three different school districts. Protecting You/Protecting Me Kelli King, with the Sheriffs Department, will be presenting the Protecting You/ Protecting Me prevention curriculum in Chimacum this school year to the 5th grade class. Troy Surber, with Port Townsend Police, is scheduled to present the curriculum in Port Townsend to the 5th grade class. Hopefully both Kelli Matlock and Troy will be attending the annual Washington State Prevention Summit in Vancouver this November. SAAB Power Point Committee Meeting There is a copy of the Power Point Committee meeting. John Barth distributed the Substance Abuse Advisory Board (SAAB) Bylaws that were passed in 2001. He stated that he had a revised copy dated 2005, but did not have documentation showing that the 2005 copy was voted on and approved. He stated that there was work to be done to see if the newer bylaws were in accordance with the state RCWs and to determine if this was the direction the Board wanted the SAAB to go. He informed the Board that there was conditional money from the state allocated to Safe Harbor earmarked to put counselors back in the schools one day of week. • Mr. Barth pointed out that JCPH does a lot of work behind the scenes of the SAAB. He remarked that the County Alcohol and Substance Abuse Coordinator should be the driving force but that is not currently happening. Mr. Barth pointed out that the Coordinator does not work for the county and that his funds come from the state. He also noted that the Jefferson County Alcohol and Substance Abuse Coordinator is a member of the SAAB but the bylaws state that no member may be a provider of alcoholism and other drug addiction treatment services, at the same time remarked at what a great job Ford Kessler has done. The SAAB has a couple of members who are also providers of services. Mr. Barth stated that the County Alcohol and Substance Abuse Coordinator should to be responsible to the county and one way to do that is to have the coordinator work for the SAAB, he needs to have fair impartiality. He operates the only treatment facility in the county. We need another treatment center in the county so clients have a choice. He recommended having the current County Alcohol and Substance Abuse Coordinator come to work for the SAAB writing grants, paying him a stipend. Mr. Barth suggested having the SAAB set an agenda for the County Alcohol and Substance Abuse Coordinator. He also suggested cutting down on the number of SAAB members and noted the bylaws stated members need to live in the county; Mr. Barth no longer does. Jean Baldwin suggested a review of the bylaws which in turn will be given back to John Barth to take to the SAAB for discussion and then routed back to the Board of Health for approval. Jean asked to form a subcommittee and review these issues and come back with • recommendations. Members Buhler and Johnson volunteered to be on the subcommittee. Jefferson County Board of Health,September 20,2007 Page 3 of 5 On-site Sewage Operation and Maintenance Plan, Public Meeting Report Mike gave a brief overview on current O&M Program changes, state regulation changes, • and the need for more options for homeowners to meet requirements. He briefed the Board on the current on-site monitoring program and changes in the program since the start-up. He sited the number of contracts with PUD at 3,000—4,000 (of approximately 12,000 -15,000 systems county-wide). He described the four possible trouble spots for the 0 &M plan. 1) Homeowners have the choice to continue with their PUD contract until expiration or they can terminate their contract 2) Homeowners can perform O&M on their own OSS 3)Homeowners can hire a O&M Specialist from the list of certified Specialists at the time of inspection 4) Homeowner can"buy-in"to Private Third Party O&M contract for O&M inspections. Mike also mentioned that PUD does not have a termination clause in their contract with the homeowners and as rates go up this will make it a more difficult choice for homeowners. JCPH will list providers so homeowners can choose professional operation and monitoring by way of contract that will guarantee the price over the next 5 years with a set number of inspections included. This will likely be more economical than the PUD or having a specialist do it. At present there are 2 firms that offer homeowner O&M training and certification and six O&M specialists in the county. Mike spoke briefly about the O&M web-based reporting and the tracking system. He talked about the low income loans available to those in need of repairs and who financially qualify. Seven public meetings have been held in Quilcene, Port Hadlock, Gardiner and extra • meetings in Port Ludlow because of the amount of interest generated. Mike recommended the implementation start with the former PUD contracts first. And roll out to other areas over a year. Informational Items • Jefferson County passed a Proclamation declaring October as Developmental Disabilities Awareness month. • Immunization Update meeting, October 11, 2007, 5:30 - 7:30 pm, Manresa Castle • Health Care Forum, November 13, 2007 10 am— 1 pm, PT Community Center ACTIVITY UPDATE None AGENDA PLANNING • 0 &M Regulation draft hearing • Fee schedule language changes • Jefferson County Board of Health,September 20,2007 Page 4 of 5 Member Austin moved to cancel the November Board of Health meeting due to conflicting schedules. Member Buhler seconded the motion,which passed by unanimous decision. Meeting was adjourned at 4:45 p.m. Next Board of Health meeting is December 20, 2007 JEFFERSON COUNTY BOARD OF HEALTH Excused Roberta Frissell, Chair Sheila Westerman, Member Excused John Austin, Vice Chair Geoff Masci, Member Excused • Jill Buhler, Member David Sullivan, Member Phil Johnson, Member • Jefferson County Board of Health,September 20,2007 Page 5 of 5 JEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, October 18, 2007 Board Members: Staff Members: Phil Johnson—Coun y 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 Dans kin,Nursing Programs Director Jill Buhler—Hospital Commissioner District#2 Mike McNickle,Environmental Health Geoff Masci—Port TownsendCi y Council WaterQualit'Director Sheila Westerman—Citizen at Large(Ci y) Roberta Frissell, Chair—Citi,en at Large (Count') Meeting was called to order at 2:30 pm on October 18, 2007 by Chair Frissell in the conference room of Jefferson County Public Health. Members present: Chair Frissell, Member Austin, Member Johnson, and Member Buhler. Members absent: Member Sullivan, Member Masci and Member Westerman. A quorum was present. APPROVAL OF AGENDA • Board Member Austin moved to approve the agenda as written. Member Buhler seconded the motion,which carried by a unanimous vote. APPROVAL OF MINUTES Board Member Austin moved to approve the minutes of September 20, 2007 with amendment of the sentence"JCPH has proposed that the county contribute to Substance Abuse Prevention using the same formula as the city,which would provide an increase of$15,000 - $16,000" to read, "JCPH has proposed that the county contribute to Substance Abuse Prevention using the same formula as the city,which would provide an increase of "between"$15,000 - $16,000"; thus making clear the intention of the proposed county contribution to Substance Abuse. Board Member Johnson seconded the motion,which carried by a unanimous vote. PUBLIC COMMENTS Comments were provided by Ken Morse and Ezra Eichmeyer regarding a sewage treatment device known as the "SludgeHammer". Chair Frissell determined that the presentation was not appropriate for the public comment section and referred the presenters to the State Department of Health, Environmental Health Division for evaluation of their device. Member Austin also noted that the Board should prohibit advertising specific products during a public meeting. • Jefferson County Board of Health, Page I of 5 OLD BUSINESS Informational Items • ■ Influenza Vaccination 2007-2008 Season: Dr. Locke noted that Public Health agencies have begun to actively promote influenza vaccination. This year there is an abundant supply of the vaccine. There will be an estimated 130,000,000 doses made this year in the U.S., which is 1/3 of the world's supply of the vaccine. In addition to groups at high risk for influenza complications that have been targeted in the past,this year children ages 6 months through 4 years of age and adults 50 years and older have been added to the priority list. The Washington State Lottery is promoting influenza vaccine this year by giving lottery ticket coupons to those who get vaccinated in a supermarket on specific days. The vaccine is available in a live attenuated virus nasal spray to those who are 2 years—50 years old and an injectable inactivated virus form for everyone else. ■ Food Service News Letter: Dr. Locke pointed out that JCPH publishes a quarterly Food Service Newsletter filled with important and useful information. NEW BUSINESS 2007 Community Health Assessment Data Re: Substance Abuse & Mental Health Siri Kirschner, Epidemiologist, contracted through the Kitsap Health District, presented an update of data, specific to Mental Health, Alcohol use and Substance Abuse in • Jefferson County with comparisons to Washington State. The assessment was based on an update of Jefferson County Behavioral Risk Factors Surveillance System, (BRFSS). The data presented is posted on the Jefferson County Public Health website at http://www.jeffersoncountypublichealth.org/index.php?health of county and is Part Two of an update of Jefferson County health indicators. The document can be viewed online. The Data Steering Committee will reconvene in the near future. The Committee will analyze the data released to date and determine future community health assessment priorities. Substance Abuse Advisory Board Report John Barth introduced Kelly Matlock, Jefferson County Prevention Coordinator and Health Educator. Kellie told the Board that the Six Year Strategic Planning Group will be meeting soon to begin the implementation of the Six Year Plan. She gave an overview of her collaborative work with Anne Winegar from Jefferson County Community Network and Ford Kessler of Safe Harbor. Project Alert Project Alert classes have started at Blue Heron Middle School. The classes have been scheduled for the 2007 -2008 school year for Chimacum and Quilcene School Districts. During this last year booster classes were added for the Chimacum School District. Booster classes for the Quilcene School District will be added this year. (The booster classes have been presented in Port Townsend for some time.) Work • Jefferson County Board of Health, Page 2 of 5 continues with the schools to have Peer-Educators from Peer-In present the booster classes For Project Alert for this next school year. • Parenting Wisely The Parenting Wisely programs have arrived. Videos are available in both English and Spanish. One set will be kept at the Jefferson County Public Library. The other set with be rotated through the three different school districts. Protecting You/Protecting Me Kelli King, with the Sheriffs Department, will be presenting the Protecting You/ Protecting Me prevention curriculum in Chimacum this school year to the 5th grade class. Troy Surber, with Port Townsend Police, is scheduled to present the curriculum in Port Townsend to the 5th grade class. Hopefully both Kelli Matlock and Troy will be attending the annual Washington State Prevention Summit in Vancouver this November. SAAB Power Point Committee Meeting There is a copy of the Power Point Committee meeting. John Barth distributed the Substance Abuse Advisory Board (SAAB) Bylaws that were passed in 2001. He stated that he had a revised copy dated 2005,but did not have documentation showing that the 2005 copy was voted on and approved. He stated that there was work to be done to see if the newer bylaws were in accordance with the state RCWs and to determine if this was the direction the Board wanted the SAAB to go. He informed the Board that there was conditional money from the state allocated to Safe Harbor earmarked to put counselors back in the schools one day of week. • Mr. Barth pointed out that JCPH does a lot of work behind the scenes of the SAAB. He remarked that the County Alcohol and Substance Abuse Coordinator should be the driving force but that is not currently happening. Mr. Barth pointed out that the Coordinator does not work for the county and that his funds come from the state. He also noted that the Jefferson County Alcohol and Substance Abuse Coordinator is a member of the SAAB but the bylaws state that no member may be a provider of alcoholism and other drug addiction treatment services, at the same time remarked at what a great job Ford Kessler has done. The SAAB has a couple of members who are also providers of services. Mr. Barth stated that the County Alcohol and Substance Abuse Coordinator should to be responsible to the county and one way to do that is to have the coordinator work for the SAAB, he needs to have fair impartiality. He operates the only treatment facility in the county. We need another treatment center in the county so clients have a choice. He recommended having the current County Alcohol and Substance Abuse Coordinator come to work for the SAAB writing grants, paying him a stipend. Mr. Barth suggested having the SAAB set an agenda for the County Alcohol and Substance Abuse Coordinator. He also suggested cutting down on the number of SAAB members and noted the bylaws stated members need to live in the county; Mr. Barth no longer does. Jean Baldwin suggested a review of the bylaws which in turn will be given back to John Barth to take to the SAAB for discussion and then routed back to the Board of Health for approval. Jean asked to form a subcommittee and review these issues and come back with recommendations. Members Buhler and Johnson volunteered to be on the subcommittee. • Jefferson County Board of Health, Page 3 of 5 On-site Sewage Operation and Maintenance Plan, Public Meeting Report Mike gave a brief overview on current O&M Program changes, state regulation changes, and the need for more options for homeowners to meet requirements. He briefed the . Board on the current on-site monitoring program and changes in the program since the start-up. He cited the number of contracts with PUD at 3,000—4,000 (of approximately 12,000 -15,000 systems county-wide). He described the four possible trouble spots for the 0 & M plan. 1) Homeowners have the choice to continue with their PUD contract until expiration or they can terminate their contract 2) Homeowners can perform O&M on their own OSS 3) Homeowners can hire a O&M Specialist from the list of certified Specialists at the time of inspection 4) Homeowner can"buy-in" to Private Third Party O&M contract for O&M inspections. Mike also mentioned that PUD does not have a termination clause in their contract with the homeowners and as rates go up this will make it a more difficult choice for homeowners. JCPH will list providers so homeowners can choose professional operation and monitoring by way of contract that will guarantee the price over the next 5 years with a set number of inspections included. This will likely be more economical than the PUD or having a specialist do it. At present there are 2 firms that offer homeowner O&M training and certification and six O&M specialists in the county. Mike spoke briefly about the O&M web-based reporting and the tracking system. He talked about the low income loans available to those in need of repairs and who financially qualify. Seven public meetings have been held in Quilcene, Port Hadlock, Gardiner and extra meetings in Port Ludlow because of the amount of interest generated. • Mike recommended the implementation start with the former PUD contracts first. And roll out to other areas over a year. Informational Items • Jefferson County passed a Proclamation declaring October as Developmental Disabilities Awareness month. • Immunization Update meeting, October 11, 2007, 5:30 - 7:30 pm, Manresa Castle • Health Care Forum,November 13, 2007 10 am— 1 pm, PT Community Center ACTIVITY UPDATE None AGENDA PLANNING • 0 & M Regulation draft hearing • Fee schedule language changes • Jefferson County Board of Health Page 4 of 5 Member Austin moved to cancel the November Board of Health meeting due to • conflicting schedules. Member Buhler seconded the motion,which passed by unanimous decision. Meeting was adjourned at 4:45 p.m. Next Board of Health meeting is December 20, 2007 JEFFERSON COUNTY BOARD OF HEALTH Excused Roberta Frissell, Chair Sheila Westerman, Member Z Excused o Austin, Vice Chair Geoff Masci, Member Excused 41 ill Buhler, Member David Sullivan, Member Phil Johnson, Member • Jefferson County Board of Health, Page 5of5 • Board of Health OCd Business .agenda Items # IV., 1 • Region 2 Public 3fealth NetivsCetter December 20, 2007 • October 2007 t. ,,.., III9 N 4 KITSAP COUNri Re ion 2 HEALT <,,--- ',,-75c', for the Peninsulas DISTRICT �Y�y;�,��,�� Public Healt � ' Ii Vis` ... Ready or Not? �, %.. . Welcome Pharmacists! #,� _ :.. f .'` . We are pleased to welcome Will your clinic be ready when we . ' � I `- \ ' pharmacists to our Region 2 have a disease outbreak like 1 �, f iv'i newsletter community. Encouraged pandemic influenza or an s P _-,.«, by local pharmacists,we're earthquake?Are there enough on _ 1ir• f.' launching a Wallet Med Card a , supplies on hand for your patients - campaign. Poster displays offering and staff? Could your office see 5wallet medication cards will be patients from a clinic that had to ' ' distributed to pharmacies close?Would you be willing to help if , throughout the region. Call Ruth at at a facility designated by the localAil (360) 337-5752 if you'd like to healthcare coalition? I participate. Region 2—Clallam,Jefferson Clallam County Health&Human What's in and Kitsap Counties—has formed Services(CCHHS)staff and Medical Your Wallet? a Healthcare Coalition that brings Reserve Corps volunteers screened hospitals and clinics throughout and dispensed tetanus vaccine to Wallet Clallam residents ata community aro plan for to erMed Card • the 3 counties together clinic held in September. CCHHS � emergencies. The coalition wants extends a big thank you to • to know whereyou are inyour tame:Bond, ,jamas 8otid , J Nikola 'Fireless in Sequim for preparations and what would be providing free internet connection Phone:(007)007.7007 , helpful to enable your readiness. on short notice.This allowed the Euu_r nt<-v Ctnttact\une to Plaine , , 16 clinic to use the state immunization $Uey The Community Liaisons registry. M (511)616-1166 N Allergies&Reactions: will help you complete a"Facility eoatrhifseoNt — Hives Emergency Preparedness Assessment Survey." The Healthcare What medications shouid Coalition is counting on input from large and small facilities to assess i include? our community readiness. Prescription medicines Over-the-Counter medicines Emergency Notification Click on this icon at Inhaler, Herbal remedies www.kitsapdem.org to sign up for emergency warning and disaster Vitamins K,µ,,,,Nowt recovery alerts from Kitsap County Emergency Management. Faeto*d treat The World Health Pan Flu Action Kit m www.kitsapcountyhealth.com Garfield Organization(WHO) has Now online under Health Information Resources defined six distinct pandemic A great deal of planning for pandemic flu is underway 40' influenzahases to facilitate p at the federal, state and local level. The information in preparedness planning. Do you know this toolkit will help schools continue their planning which phase we are currently in?The answer efforts. The information should also help parents begin is hidden somewhere in this newsletter! Visit their preparations. It's important for everyone to the WHO website for more info. www.who.int/ understand how influenza is spread and how to prevent csr/disease/avian_influenza/phase/en/ 0 index.html that spread. p The Region 2 Public Health Emergency&Preparedness Program(PHEPR)endeavors,through this newsletter,to keep you,our health care providers in Clallam, Jefferson,and Kitsap Counties,informed about Public Health issues that affect you and the patients you serve.If you have questions,comments or need more information about items in this newsletter,please contact Ruth Westergaard,by phone(360)337-5752,FAX(360)475-9344,email wester@health.co.kitsap.wa.us or at 345 Sixth Street,Suite 300,Bremerton,WA 98337.October 2007 edition published 10/11/07.Region 2 Emergency Information Line 1-877-256-4859 October 2007-Page 2 Three SSS • Region 2 c•o Communicable Disease 10 `a �a`>`e• �. eoe`, a a • Surveillance Data �01� o*e� Q��° a�. a'�`�``S CoA ? oSs`s , o<<re v. Kitsap 2007 Cases (as of 6/30/071 0 5 9 5 0 0 3 5 314 31 2006 Total Cases 6 17 23 8 0 1 30 6 680 65 2005 Total Cases 6 21 28 1 1 0 1 48 6 608 76 *2005-06 Incidence Rate per 100,000 2.5 7.9 10.5 3.9 ** ** 16.1 2.5 266.2 29.1 residents National Goal (cases per 100,000) 1.0 13.2 N/A 13.2 N/A 13.2 13.2 1.0 170.0 19.0 Jefferson _ 2007 Cases(as of 6/30/07) 0 2 1 3 2 0 0 1 15 1 2006 Total Cases 0 3 1 4 0 0 1 0 30 6 2005 Total Cases 0 2 9 7 0 0 4 1 57 2 *2005-06 Incidence Rate per 100,000 ** 9.0 17.9 19.7 ** ** 9.0 ** 155.9 14.3 residents National Goal (cases per 100,000) 1.0 13.2 N/A 13.2 N/A 13.2 13.2 1.0 170.0 19.0 Clallam 2007 Cases(as of 6/30/07) 0 8 1 2 1 0 0 2 61 4 2006 Total Cases 0 1 7 5 0 0 0 1 30 4 • 2005 Total Cases 1 2 7 4 3 0 2 0 135 18 *2005-06 Incidence Rate per 100,000 ** ** 10.4 6.7 ** ** ** ** 122.6 16.3 residents National Goal (cases per 100,000) 1.0 13.2 N/A 13.2 N/A 13.2 13.2 1.0 170.0 19.0 *2005 population: Kitsap (240,400),Jefferson (27,600), Clallam (66,800) *2006 population: Kitsap (243,400),Jefferson (28,200), Clallam (67,800) **Incidence rates not calculated for<5 cases. Data source: Public Health Issues Management System(PHIMS);Washington State Department of Health Monthly Morbidity Data Region 2 Public Health Kitsap County Health District 345 Sixth Street,Suite 300 Bremerton,WA 98337 tit zea - Hand Sanitizers- A poisoning risk? w • Studies show hand sanitizers were effective in reducing illnesses in home and schools. • Adults should supervise the use of hand sanitizer gel and keep out of reach of children. • Hand sanitizer gel does contain about the same percentage ethanol as a strong alcoholic beverage BUT its bad taste makes ingestion unlikely. Licking hands after use will not cause poisoning. Sources:�Kitsap County Health District Injury Prevention and Washington State Poison Control WWW.wapc.org Olympic Area Agency on Aging • Senior Information & Assistance Serving Rhody Drive Older Persons Port Hadlock, WA 98339 and Persons with Disabilities in Phone: 360-379-5064 CLALLAM,JEFFERSON, GRAYS HARBOR"and PACIFIC or 1-866-720-4863 COUNTIES FAX: 360-379-5074 Lonq Term Care Access in Jefferson County Olympic Area Agency on Aging Overview: Area Agencies on Aging (AAA's)were created through the Older Americans Act in 1973 to coordinate services and service delivery systems in local communities for adults 60 or older. Olympic Area Agency on Aging is part of a nation-wide Aging Network. There are over 650 Area Agencies on Aging across the country, thirteen of which are designated in Washington State. (See our website for more info:O3A.org) Lonq Term Care • Long term care is support that people need to meet personal care and other community living needs, Activities of Daily Living (ADL's), Instrumental Activities of Daily Living (IADL's) • Most long term care, like most other care in our country, is provided by unpaid family or other informal supports (approx. 75-80%) • In Washington state, we have worked hard over the last two decades to"re-balance"the paid long term care system to provide an array of long term care supports: In-Home Care, Adult • Family Homes, Boarding Homes (including Assisted Living Contracted ones), Skilled Nursing Facilities (Nursing Homes) • In Jefferson County there is one Skilled Nursing Facility (approximately 30-35 Medicaid residents), two Boarding Homes (approximately 15 Medicaid residents), two Adult Family Homes (neither accept Medicaid) and 170 In-Home Medicaid clients. Most clients in all settings are older persons. Jefferson County has one of the highest percentages of people 65 or older in the nation (approx. 22.8%for Jefferson, state average is 11.5%, close to the national average)! • Washington and a few other states lead the nation in achieving a more balanced LTC system. Over 55% of LTC clients live in-home; another 21% live in non-nursing home residential settings (AFH and BH/AL). All settings: Approx. 50,000 clients; $1.3 billion (public dollars) per year in WA • Who pays for residential long term care: Most is paid by public funds (Medicaid), very limited Medicare, and private/other third party funds are a significant portion. • Future issues: An aging society with limited options in rural areas puts tremendous pressure on the few residential providers within Jefferson County. • Considerations: continued development of family caregiver supports, and both in-home care and residential options, through system advocacy, service format changes, and rate adjustments. Roy Walker, M.S. Executive Director 360/379-5064 www.o3a.orq • December 20,2007 Advocates for Independence, Individual Choice and Quality Community Services 4----, i --...,4 • I- (..) "---- -' . CO si° cn \?........ z a) --- >- "\----) o c, '-.o C 4., 0 c E g .5t . 0 .0 ›.. .0 O z 2 --- ----, CI 3 a . . .., Z I— 0 E 2 zt 0 :Et = < 0 a. \ . ce -,-.. CO co ce it \-3\ °3-- -c----S ____ ----.) T ,. ....., ) X '<----------. C.-,t . z --• . V-) . -.-.... 1 • Board of 3-feaCth OCef Business .Agenda Item # XV., 2 Tire Pile Cleanup • December 20, 2007 • TA�7o:. o s..r.,,f4t, blms9 STATE OF WASHINGTON • DEPARTMENT OF ECOLOGY PO Box 47600 • Olympia, WA 98504-7600 • 360-407-6000 711 for Washington Relay Service • Persons with a speech disability can call 877-833-6341 November 28, 2007 Glenda McDonald 13393 Airport Cutoff Road Port Townsend, WA 98368 Dear Ms. McDonald: Thank you for working with Washington State Department of Ecology (Ecology) and the Jefferson County Health Department to remove the Mac's Auto Wrecking Tire Pile. Removal of tires from your property was a one-time only, no charge, cleanup effort by Ecology. Here is a review of the cleanup at the Mac's Auto Wrecking Tire Pile, located at 13393 Airport Cutoff Road in Port Townsend. The contractor hired by Ecology completed the tire pile cleanup • on November 5, 2007. • A total of 157 tons of tires were removed from the site. • Tire disposal included 85 tons landfilled, 45 tons used for fuel, and 27 tons recycled. • Ecology paid $37,818 for this tire pile cleanup. You are responsible for any further accumulation of waste tires that takes place on this property. You will be held liable for the cost of this cleanup action if another unauthorized tire pile is created at this site at a later date. If you intend to store or recycle waste tires, you must comply with state and local health department regulations. I am enclosing a fact sheet that outlines the responsibilities for properly managing waste tires. If you have questions please call me at 360-407-6250. Sincerely, Kara J. ' tewar , Project Manager Solid Waste and Financial Assistance Program Enclosure • cc: Jean Baldwin, Jefferson County Health Department STATE O � 't 1889 • STATE OF WASHINGTON DEPARTMENT OF ECOLOGY PO Box 47600• Olympia, WA 98504-7600• 360-407-6000 711 for Washington Relay Service • Persons with a speech disability can call 877-833-6341 November 28, 2007 Anthony Richardson 1 S Bay Way Port Ludlow, WA 98362 Dear Ms. McDonald: Thank you for working with Washington State Department of Ecology(Ecology)and the Jefferson County Health Department to remove the A&G Import Auto Tire Pile. Removal of tires from your property was a one-time only,no charge, cleanup effort by Ecology. Here is a review of the cleanup at the A&G Import Auto Tire Pile,located at 10565 Rhody Drive in Port Hadlock. The contractor hired by Ecology completed the tire pile cleanup on October 22, 2007. • • A total of 34 tons of tires were removed from the site. • Tire disposal included 20 tons landfilled and 14 tons used for fuel. • Ecology paid$9,101 for this tire pile cleanup. You are responsible for any further accumulation of waste tires that takes place on this property. You will be held liable for the cost of this cleanup action if another unauthorized tire pile is created at this site at a later date. If you intend to store or recycle waste tires,you must comply with state and local health department regulations. I am enclosing a fact sheet that outlines the responsibilities for properly managing waste tires. If you have questions please call me at 360-407-6250. Sincerely, Kar J. Steward, Project Manager Solid Waste and Financial Assistance Program Enclosure cc: Jean Baldwin,Jefferson County Health Department -421, ��,szarg o • y:i'.. 'yc �1889'�C) STATE OF WASHINGTON DEPARTMENT OF ECOLOGY PO Box 47600 • Olympia,WA 98504-7600•360-407-6000 711 for Washington Relay Service • Persons with a speech disability can call 877-833-6341 November 28, 2007 Michael Anderson 270 W Maude St Port Hadlock, WA 98339 Dear Mr. Anderson: Thank you for working with Washington State Department of Ecology(Ecology)and the Jefferson County Health Department to remove the Anderson Property Tire Pile. Removal of tires from your property was a one-time only, no charge,cleanup effort by Ecology. Here is a review of the cleanup at the Anderson Property Tire Pile, located at 860 Old Hadlock Road in Port Hadlock. The contractor hired by Ecology completed the tire pile cleanup on . October 22,2007. • A total of 51 tons of tires were removed from the site. • Tire disposal included 18 tons landfilled, 15 tons used for fuel, and 18 tons recycled. • Ecology paid$17,287 for this tire pile cleanup. You are responsible for any further accumulation of waste tires that takes place on this property. You will be held liable for the cost of this cleanup action if another unauthorized tire pile is created at this site at a later date. If you intend to store or recycle waste tires, you must comply with state and local health department regulations. I am enclosing a fact sheet that outlines the responsibilities for properly managing waste tires. If you have questions please call me at 360-407-6250. Sincerely, Kara J. Ste ard, Project Manager Solid Waste and Financial Assistance Program Enclosure cc: Jean Baldwin,Jefferson County Health Department O Board of HeaCth Old Business .agenda Item # lV., 3 Port Ludlotiv � yacht Club "Women's Group cft December 20, 2007 S Jean Baldwin Health Department Director Jefferson County Public Health 615 Sheridan Port Townsend, WA 98368 November 15, 2007 On behalf of the Port Ludlow Yacht Club Women' s Group, I am pleased to present you with a second check for $644. 90 as a contribution to the Jefferson County Breast and Cervical Health Program. This contribution represents the additional net proceeds from the sale of our "A Culinary Cruise with the Port Ludlow Yacht Club" cookbook. As we discussed in July, our initial goal was to sell 250 • cookbooks and contribute $2500 to BCHP. When all was said and done, we sold 472 cookbooks and contributed an additional 25 to your "Girls Night Out" fundraiser. We are proud to have been able to contribute a total of $4, 659. 38 to BCHP this year. The PLYC Women' s Group hopes these funds will help the Jefferson County BCHP so it can continue to serve the women of our community with various outreach events. Res ctfully Anne Jening � Co-Chair Cookbook Project Port Ludlow Yacht Club Women' s Group lxs g: t. • _ e fi 9S)r Coda Public ;y_`;? Board of Health Old Business .agenda Item #M, 4 Port Townsend Paper � Corporation Employee Petition Response December 20, 2007 JEFFERSON COUNTY PUBLIC HEALTH { 615 Sheridan Street • Port Townsend •Washington • 98368 • www.jeffersoncountypublichealth.org November 8, 2007 Jennifer Elias, on behalf of Port Townsend Paper Corporation — Employee Petitioners 2541 Hastings Ave. West Port Townsend, WA 98368 RE: Employee petition in support of Port Townsend Paper Corporation Dear Ms. Elias and Employee Petitioners: Jefferson County Public Health (JCPH) acknowledges receipt of the petition signed by Port Townsend Paper Corporation employees regarding emissions from Port Townsend Paper. In acknowledging this petition in support of Port Townsend Paper Corporation, JCPH wants you to know that we are concerned about the health and safety of every person residing in and/or visiting Jefferson County and share your concerns about the economic contributions the Mill makes to our community. JCPH will refer your petition to the Washington State Department of Ecology (Ecology). As you may know, air pollution control in Washington is based on federal, state and local • laws and regulations. The federal Environmental Protection Agency, Ecology and local clean air agencies, all regulate air quality. Ecology also has jurisdiction over pulp mills, like Port Townsend Paper. Since Ecology has jurisdiction over air pollution issues in Port Townsend via an air quality permit, JCPH defers all questions and concerns from Jefferson County citizens to Ecology. Additionally, JCPH, as well as most other small rural health jurisdictions do not have the knowledge, expertise, or equipment to perform any ambient air quality monitoring. Ambient air quality monitoring for Port Townsend Paper's permit would be conducted and analyzed by Ecology. If Port Townsend Paper was found to be out of compliance with their air quality permit, Ecology would most likely seek means to assure Port Townsend Paper complied with the provisions of their permit in a timely fashion. In conclusion, JCPH will refer your concerns to Ecology. You may contact Ecology directly at the following address/phone/fax number: Southwest Regional Office 300 Desmond Drive PO Box 47775 Olympia, WA 98504-7775 (360) 407-6300 (360) 407-6305/fax COMMUNITY HEALTH PUBLIC HEALTH ENVIRONMENTAL HEALTH DEVELOPMENTAL DISABILITIES ALWAYS WORKING rn, SAFER WATER QUALITY MAIN: 360385-9400HEALTHIER COMMUNITY M AIN: 360385-9444 FAX: 36x3855-940011FAX: 360385-9401 -9 • Please note that JCPH will be asked to review the Washington State Department of Health (DOH) assessments of any measurable impact of citizen health from air quality. The DOH draft evaluation report will be submitted for comments and review in December, 2007. If you have any additional questions or concerns, please feel free to contact me at (360) 385-9400. Best regards, Jean Baldwin, Director Jefferson County Public Health cc: Jefferson County Board of Health John Fischbach, Jefferson County Administrator Dr. Tom Locke, Health Officer Washington State Department of Ecology, Southwest Regional Office Washington State Department of Health, Epidemiology Section Olympic Region Clean Air Agency COMMUNITY HEALTH PUBLIC HEALTH ENVIRONMENTAL HEALTH110 DEVELOPMENTAL DISABILITIES NATURAL RESOURCES MAIN:360-385-9400 ALWAYS WORKING FORA SAFER AND MAIN:360-385-9444 FAX:360-385-9401 HEALTHIER COMMUNITY FAX:360-385-9401 • Board of Health Old Business .Agenda Item #IV., 5 Substance Abuse • Advisory Board Minutes December 20, 2007 • Jefferson County Substance Abuse Advisory Board DATE: October 9, 2007 3:30-5:00 p.m. Jefferson Mental Health Meeting Minutes Board Members Present: John Barth, John Austin, Sherry Kimbrough, Dean Robertson, Kimber Rotchford, Laurie Strong, Ann Winegar Board Members Absent: John Chiles, Connor Daily, Caroleena Einarson, Betty Harmon, Catharine Robinson Staff Present: Ford Kessler, Kelly Matlock, Teresa Wirth, Stacey Souza Staff Absent: Julia Danskin Guests: John Newport and Chris Moore I. CALL TO ORDER/APPROVAL OF AGENDA The Jefferson County Substance Abuse Advisory Board Meeting was • called to order at 3:40 pm. Motion to approve the Agenda M-S-A Laurie Strong and Anne Winegar. II. INTRODUCTIONS John Newport Ph.D. was introduced to Stacey. Chris Moore was introduced to the group by Dean Robertson. III. APPROVAL OF MINUTES FROM THE LAST MEETING Sherry noted that her name was spelled incorrectly in both the August and September minutes. Motion to accept minutes as amended M-S-A Laurie Strong and Anne Winegar. IV. PUBLIC COMMENTS/FROM THE FLOOR/ANNOUNCEMENTS John Newport announced he had just returned from California where he was the key note speaker for the California Association of Alcohol and Drug Abuse Counselors (CAADAC). John also announced the development of a series of workbooks on recovery in collaboration with Terence T. Gorski. Ford stated John had also done a presentation to Drug Court participants and it was well received. Laurie announced CODIT was not awarded the Substance Abuse and Mental Health Services Administration (SAMHSA) grant. No reason was provided from the SAMHSA as to why CODIT did not receive the grant. CODIT had an independent as completation for the ed by an outsiderst year of e firm eration and it went well. The evaluation specializing in evaluating programs conferng enceen Yakimical Dmaprecently and Madrona staff attended th the theme was "Hopefulness". Ford announced the development and implementation of the Family Therapeutic Court (FTC). He went on to provide a description of the concept of the FTC and stated the program had its first participating family. Kimber announced Jim Hargrove was honored at the Washington State Medical Association (WSMA) annual event. Kialso Fornoted that Roger Goodman, head of the King County Drug Task made a presentation at this event. V. OLD BUSINESS SIX-YEAR PLAN / POWERPOINT SUBCOMMITTEE The Six Year Strategic Planning Group will be meeting soon to begin the implementation of the Six Year Plan. Kelly provided a copy of the PowerPoint presentation to date. It still • needs quotes from key local community members. It will also need to be edit and polished by someone who is knowledgeable with PowerPoint. Sherry volunteered for this task. LAW AND JUSTICE Ford reported that a lawyer from Kitsap County made a presentation at the Law and Justice meeting about returning roffenders to the was a caution community. One point stressed during the pen of not placing Department of Correction's duties on the community. DATA/QUESTIONNAIRE SUBCOMMITTEE No Report VI. PROVIDER REPORTS PREVENTION/PUBLIC HEALTH Project Alert- Project Alert classesrtedthe atB1J07 2008 lue heronschool School. The classes have been scheduled for year for Chimacum and Quilce�th the mchool ecumm School DistrictBooster 111110 booster classes were added fo • classes for the Quilcene School District will be added this year. (The booster classes have been presented in Port Townsend for some time.) Kelly is continuing to work with the schools to have Peer- Educators from Peer-In present in the booster classes for Project Alert for this next school year. Parenting Wisely- The Parenting Wisely programs have arrived. There are videos in both English and Spanish. One set will be kept at the Jefferson County Public Library. The other set will be rotated through the three different school districts. Protecting You / Protecting Me — Kelli King with the Jefferson County Sherriff's Department will be presenting the Protecting You / Protecting Me prevention curriculum in Chimacum this school year to the 5th grade class. Dan with Port Townsend Police will be presenting the curriculum in Port Townsend to the 5th grade class. Hopefully both Kelli and Dan will be attending the annual Washington State Prevention Summit in Vancouver this November. Both Chimacum and Port Townsend opted to not take Kelly up on her offer of doing one other grade if a district staff person would do a third grade level. Both school districts are considering this proposition for the 2008-2009 school years. Mini RUad Grant—The Jefferson county Sherriff's Department has received a mini RUad Grant. As a part of this grant Kelly has been working to have 3 school assemblies and one Town Hall meeting in the • end of October. Jerry Blackburn from Lakeside Milam will be presenting on the impact alcohol and drugs have on the developing teenage brain. Leadership groups from Port Townsend High School and Chimacum High School will be planning the publicity. The Port Townsend and Chimacum assemblies will be Thursday, November 1St The Quilcene assembly and Town Hall meeting are tentatively scheduled for Wednesday, November 7th. New Health Department Health Educator—The Health Department has hired Karen Obermeyer to work with Kelly on Substance Abuse Prevention. Karen will start her new job October 15, 2007. Karen will attend a CSAP training Prevention training the week of October 22nd Karen will also be trained for Project Alert classes. COUNTY ALCOHOL AND DRUG ABUSE COORDINATOR'S REPORT Ford recently spoke to John Taylor concerning the option of having a counselor in the school system again this year. Ford went on to report that Barb Carr had recently reported an increase in juvenile crime. Ford is expecting an answer from the state in several days. Ford has also requested assistance from Jefferson County specifically from the • 1/10 of 1% committee. • VII. NEW BUSINESS John Barth will be making a presentation to the Board of Health next week about what the Substance Abuse Advisory Board has been working on. John also announced that he is becoming involved in Clallam County and has noticed that prevention is very evident there. He noted that the recovery community is very involved in the schools and parents do not appear to be permissive towards drug and alcohol use. John informed the group that his involvement in Clallam County may affect his availability for the Substance Abuse Advisory Board in the future. ADJOURN M/S/A Laurie Strong and Anne Winegar. The meeting was adjourned at 4:56 pm. NEXT MEETING: November 13, 2007 @ 3:30 Respectfully submitted by: Stacey Souza • • f • Jefferson County Substance Abuse Advisory Board DATE November 13, 2007 3:30-5:00 p.m. Jefferson Mental Health Meeting Minutes Board Members Present: John Barth, Betty Harmon, Catharine Robinson, Dean Robertson and Anne Winegar Board Members Absent: Laurie Strong, Sherry Kimbrough, Kimber Rotchford, John Austin, John Chiles, Caroleena Einarson and Conner Daily Staff Present: Ford Kessler, Kelly Matlock, Stacey Souza and Teresa Wirth Staff Absent: Julia Danskin Guests: Jean Baldwin I. CALL TO ORDER/APPROVAL OF AGENDA The November 13, 2007 Substance Abuse Advisory board meeting could not be called to order because there was not a quorum present. John Barth acknowledged this was not a formal board meeting but he requested there be a discussion as Jean Baldwin had some information to share. John also requested notes from the discussion are kept. John explained that Jean was at the SAAB meeting as a result of his recent attendance at the State Board of Health meeting. At this meeting John provided information and made recommendations to the Board of Health. John made the following recommendations. 1). Stop creating new Boards, other Jefferson County Substance Abuse boards should be moved under the SAAB, the SAAB needs to be given more teeth 2). John addressed the issue of different versions of the SAAB By Laws. There are different versions of the SAAB By Laws floating around, the revised version has never been adopted. 3). The Drug & Alcohol County Coordinator should report to county government and should answer to the SAAB. The Drug & Alcohol County Coordinator should receive monthly stipends of $1000.00 monthly. As a result of the Board of Health meeting Jean Baldwin was at the SAAB meeting to address the SAAB By Laws. Jean brought the official copy of the SAAB By Laws that is on record at the county court house to the SAAB meeting. • A review of the official SAAB By Laws will be discussed at the next SAAB meeting on December 11, 2007. The discussion points will include: a. Board Membership, Vacancies, Appointments and Resignations b. Board member absences c. RCW 70.96A.300 D. Reference in the By Law's discussion the RCW 70.96A.300 statement about residency vs. representation in the county There was discussion about the make up of the 1110th of 1% Board in Jefferson County. There were many questions about the 1110th of 1% Board in Jefferson County. Jean stated that once the SAAB meeting minutes are approved by the SAAB they should be emailed to Donna Marvin. The approved meeting minutes will be put on the Board of Health website Jean asked that anyone interested in being considered as an applicant for open positions on the SAAB write a letter to the Board of Health attention Jean Baldwin. Jean and Donna will track the Board members attendance, appointments and resignations for the County • Commissioners. II. INTRODUCTIONS III. APPROVAL OF MINUTES FROM THE LAST MEETING IV. PUBLIC COMMENTS/FROM THE FLOOR/ANNOUNCEMENTS V. OLD BUSINESS SIX-YEAR PLAN / POWERPOINT SUBCOMMITTEE — LAW AND JUSTICE - DATA/QUESTIONNAIRE SUBCOMMITTEE — • VI. PROVIDER REPORTS PREVENTION/PUBLIC HEALTH — COUNTY ALCOHOL AND DRUG ABUSE COORDINATOR'S REPORT — VII. NEW BUSINESS ADJOURN — NEXT MEETING: Respectfully submitted by • • • PREVENTION REPORT/SAAB Board Meeting • November 13, 2007 Kelly Matlock New Health Department Health Educator Karen Obermeyer is unable to attend the SAAB Board Meeting today due to a prior family appointment. She will be attending on December 11, 2007. We have been co-facilitating Project Alert for the last two weeks. She will be doing them solo from this point on. Project Alert The 6th grade Project Alert classes will be completed at Blue Heron Middle School next month. The classes have been scheduled for the 2007 -2008 school year for Chimacum and Quilcene School Districts. This last year the booster classes were added for the Chimacum School District. Booster classes for the Quilcene School District will be added this year. (The booster classes have been presented in Port Townsend for some time.) Karen and I are continuing to work with the schools to have Peer-Educators co-present the booster classes For Project Alert for this next school year. Parenting Wisely-same as last month. Protecting You/ Protecting Me-same as last month. Six Year Strategic Plan The Six Year Strategic Planning Group will be meeting soon to talk about how the implementation is going to date and how to continue with the plan. • SAAB Power Point Committee Meeting The Power Point presentation was re-structured by Sherry Kimbrough. The Power Point Committee will need to decide if there is anything that needs to be added. Mini RUad Grant The Jefferson County Sheriff's Department has received a mini RUad Grant. This grant funded 3 school assemblies. Jerry Blackburn from Lakeside Milam presented at the Chimacum High School and the Port Townsend High School on the impact alcohol and drugs have on the developing teenage brain. He will be presenting this information tomorrow morning at Quilcene High School. This presentation will be the foundation of the Town Hall Meeting on November 14, 2007. The ASB from Port Townsend High School and a the senior Leadership Class at Chimacum High School sponsored theses assemblies. Participants from the Port Townsend ASB and the Chimacum Leadership Class made a presentation to the students of Blue Heron Middle School and the Chimacum Middle School inviting the students and their parents to hear the presentation at the Town Hall Meeting tomorrow night. The Boiler Room and Jefferson Community School have been invited to attend the Town Hall Meeting and invited to host a community meeting. SAMSHA Stipend I have applied for a$500 stipend from SAMSHA for another Town Hall Meeting. Community Network/Jeff. Co. Public Health Partnership Anne Wineger, Karen Obermeyer and I have been working on a campaign for next April. April is national child abuse month,so we are planning a campaign that will focus on "Healthy Child, Healthy Family, Healthy Community." Details will be shared as they • develop. • i Ci - 3 e ::••••!..;;!.'14•7,s,4:-::- .:.; e . 3 ♦i j5 • . - IS TEENAGE -- •DRINKING & DRUGGING• • A RItE OF Pry. £CAGE ? i t` Y'?.� c `' _v�?- meq, • '�' '{ -,j:.i- .;.,4-.4‘4-t .:adt. .-,,..„, :- ,_ '''''•-tii:4‘,„--;:-t.:., .„ ''' '-' .-.=,---.':-.*-,._ .:.,;:t.,v, a •L• ET'S TALK ABO•UT IT. �.- -mak _ a. .1-,1 ,''t'- ''.1'c:::: :,,,_, ---Arn,....44,... \-z----- .'''' ' V\----'-'• - _ . .. - . . . • .-....:-A 0 : - -• .e.---- -'''''' .. . "" } lt. 1 r..t. .. .. • TOWN HALL MEETING PRESENTATION:HOW ALCOHOL AND DRUGS AFFECT THE BRAIN WHEN: WEDNESDAY, NOV, 1•4TH 6:00PMTO8:00PM WHERE: — • BLUE -HERON MIDDLE FOOD: --- HEARTY APPETIZERS TALK: a QUESTION & ANSWERS AND DISCUSSION TO FOLLOW PRESENTATION .- QUESTIONS: CALL KELLY MATLOCK 379-4476 • FUNDED BY:•RUaD GRANT(REDUCE UNDERAGE DRINKING) r SPONSORED BY :COUNTY JEFFERSON C•OUNTY PUBLIC HEALTH,JEFFERSON • SHERIFF'S OFFICE,"JEFFERSON COUNTY PUBLIC SCHOOLS,JEFFERSON COUNTY COMMUNITY NETWORK—HEALTHY YOUTH COALITION,JEFFERSON COUNTrMETH 1 ACTION TEAM,JEFFERSON COUNTY JUVENILE FAMILY COURT SERVICES,PORT • TOWNSEND POLICE DEPARTMENT,SAFE HARBOR RECOVERY CENTER AND•BEACON'- • Board of 3feaCt( Old Business .agenda Item #117., 6 NiRSA Press Release • December 20, 2007 • o^ C Jefferson {..: Healthcare In response to growing public awareness of methicillin-resistant Staphylococcus aureus (MRSA), Jefferson County Public Health and Jefferson Health Care are providing information and resources to parents, health care workers, local businesses, and other community members that should be useful in responding to questions and concerns. Staphyloccus aureus, often referred to simply as"staph" is a type of bacteria commonly carried on the skin or in the nose of healthy people. This infection can also cause skin infections, and rarely, more serious infections of the lungs or bloodstream. 25-30%of the population is colonized with Staph (i.e. bacteria are temporarily present without causing infections or symptoms) but only about I%are colonized with the type of bacteria that is resistant to commonly used antibiotics and known as MRSA. MRSA- caused skin infections are becoming increasing common throughout the country. In 2005, a survey of Washington state laboratories reported that 30-64%of Staph aureus cultures were classified as MRSA. Staph infections are most frequently transmitted by direct skin-to-skin contact, contact with shared items(like damp towels, athletic equipment, or clothing) or surfaces that • have come into contact with an infected area of a person's body. Although Staph infections in general and MRSA in particular are an important public health and medical care issue, the current news media's focus on the most dramatic cases of MRSA do not accurately reflect the typical types of illness that this bacteria causes. Most MRSA infections are readily treatable and heal with proper medical care, often without the use of antibiotics. More severe MRSA infections in previously healthy people are rare, do not tend to spread to others, and respond to special types of antibiotics. Jefferson County Public Health and Jefferson Health Care recommend the following measures to prevent transmission of MRSA: • Persons with skin and soft tissue infections should see their health care providers promptly for evaluation and treatment. • Open or draining wounds should be covered at all times—contact with drainage from an infected wound greatly increases the chance of transmission. • Persons who have an open wound that cannot be kept securely covered should not have physical contact with others until the wound is healed. • Frequent hand washing and good personal hygiene are highly effective ways to prevent a wide range of infections, including MRSA. • Regular cleaning and disinfection of equipment that has frequent skin contact reduces the risk of bacterial transmission. Towels and other personal equipment should not be shared. Particular attention should be paid to surfaces that are likely to come into contact with uncovered or poorly covered infections. • • Detergent-based cleaners of EPA-registered disinfectants are effective at • removing MRSA and other disease-causing germs from the environment. Greater awareness of how to prevent skin infections, including MRSA, is an important goal in this age of antibiotic resistant infections. Excellent and informative material is available at the Washington State Dept. of Health website at: http://www.doh.wa_aov/"Topics/Antibiotics/MRSA.htm and Public Health Seattle and King County at: http://www.metrokc.e,ov/health/prevcont/mrsa.htm Sincerely, Thomas Locke, MD, MPH Todd Carlson MD Jefferson County Health Officer Chief of Staff Jefferson Healthcare • . ��,0N c` � nn ccyolrO(„/---- (1\76- KITSAP COUNTY �1P !i • HEALTH DISTRICT v � News Release FOR IMMEDIATE RELEASE: November 7, 2007 CONTACTS: Scott Lindquist, MD, MPH Tom Locke, MD, MPH Kitsap County Health Officer Jefferson & Clallam County Health Officer (206) 718-2664 (360) 461-9327 lindgs@health.co.kitsap.wa.us tlocke@co.jefferson.wa.us Local Public Health Agencies Provide Guidance on MRSA • BREMERTON---In response to recent media reporting,public health officials in Kitsap,Jefferson and Clallam counties have issued guidance to parents, schools,and daycare facilities about Methicillin-resistant Staphylococcus aureus (MRSA) bacteria. "Staph" bacteria (Staphylococcus aureus) are a common cause of skin infections. Although a staph skin infection can be serious to the individual, almost all cases can be effectively treated. Staph bacteria that are resistant to certain antibiotics are called MRSA (Methicillin-resistant Staphylococcus aureus). Local public health agencies recommend that parents, schools, and daycares use the following guidelines: 1. Recognize that Staphylococcus aureus are common skin bacteria that can cause infections. 2. Recognize that Staphylococcus aureus can also cause serious life threatening illness. 3. Recognize that in Washington State, anywhere from 21%-46% (or more) of Staphylococcus aureus laboratory cultures are classified as MRSA. 4. MRSA is Staphylococcus aureus,not a "super-bug", as described in some media reports. • 5. MRSA or staph bacteria transmission can be prevented by simple measures including: g ---MORE"Local Public Health Agencies Provide Guidance on MRSA" ---Page 2 • Practicing good hygiene,e.g.,keeping hands clean by washing with soap and water or using an alcohol-based hand sanitizer and showering immediately after participating in exercise; • • Covering skin trauma such as abrasions or cuts with a clean dry bandage until healed; • Avoiding sharing personal items(e.g., towels, razors) that come into contact with bare skin; and using a barrier (e.g.,clothing or a towel)between skin and shared equipment such as weight-training benches; • Maintaining a clean environment by establishing cleaning procedures for frequently touched surfaces and surfaces that come into direct contact with people's skin. 6. If more than two or three students that share common classes,buses, sports teams,etc.,have skin infections due to Staphylococcus aureus (including MRSA),call your local public health department for consultation: • Kitsap County Health District: (360)337-5235 • Jefferson County Public Health: (360) 385-9400 • Clallam County Health&Human Services Department: (360) 417-2274 7. Recognize that rarely does a school need to close due to MRSA, and,unless directed by a physician,students with MRSA infections should not be excluded from attending school. • Exclusion from school and sports activities should be reserved for those with wound drainage ("pus") that cannot be covered and contained with a clean, dry bandage, and for those who cannot maintain good personal hygiene. 8. Recognize that rarely do all students need to be notified of a student or teacher with MRSA. Many in the general population have MRSA present on their skin and many of these individuals with MRSA never develop any infections. 9. Schools and daycares are not advised to notify the public about an individual case of MRSA unless there is a clear public health benefit to doing so.This would be determined in consultation with the local public health agency. In Washington State there is no requirement to report MRSA cases. Nevertheless, schools, daycares, and other facilities are encouraged to contact their local public health agency for guidance on any question related to staph or MRSA. For additional information,visit the Centers for Disease Control and Prevention's MRSA website at: http://cdc.gov/Features/MRSAinSchools/ or the Washington State Department of Health's MRSA • website at: http://www.doh.wa.gov/Topics/Antibiotics/MRSA.htm. # ## Board of Health Netiv Business .agenda Items # `V., 2 Jefferson County Septic Code 8.15: Pre-adoption Briefing on • Proposed Changes - Operation & Maintenance Plan Implementation December 20, 2007 • DRAFT • Jefferson County Septic Code 8.15 JCC 8.15.010 AUTHORITY/SCOPE Pursuant to RCW 70.05 and RCW 43.20, the Jefferson County Board of Health is charged with the duty of protecting the public health and safety of all inhabitants of Jefferson County, and enacting such rules and regulations as are necessary in order to carry out these responsibilities and provide for the enforcement thereof. The provisions of this regulation shall apply to all territory within the boundaries of Jefferson County, and to all on-site sewage systems located therein, whether or not a permit was issued for their construction. JCC 8.15.020 PURPOSE The purpose of these regulations is to assure protection of public health by: (1) Minimizing the public health effects of on-site sewage systems on surface water and ground water; (2) Minimizing the potential for public exposure to sewage; (3) Establishing design, installation and management requirements for on-site sewage systems to accommodate long-term treatment and disposal of sewage; se 1 (4) Enhancing protection of -- ' e - ••-- _ -• ' .. - _ -. critical areas within Jefferson County; and (5) Compliance with the intent of Chapter 246-272A, WAC JCC 8.15.030 ADOPTION BY REFERENCE Washington Administrative Code Chapter, 246-272A On-site Sewage Systems Rules and Regulations of the State Board of Health, and all policies signed by the Jefferson County Board of Health, as now or hereafter amended, are-+s hereby adopted by reference as Rules and Regulations of the Jefferson County Board of Health. JCC 8.15.040 ADMINISTRATION The Jefferson County - _ ••- - - - -_ • :' -_ e Health Officer, through authority delegated by the Jefferson County Board of Health,and the Jefferson County Health Officer shall administer these regulations. The County Health Officer may appoint designees to administer and enforce these regulations. Fees may be charged for this administration. I JC Code 8.15 revised 2007 page 1 of 47 DRAFT JCC 8.15.050 DEFINITIONS . In addition to those definitions set forth in WAC Chapter 246-272A the following definitions shall also apply in this regulation: Accessory Dwelling Unit: An additional dwelling unit either in or added to an existing single-family detached dwelling, or in a separate accessory structure on the same let property as the main structure, for use as a complete, independent living facility with provisions within the accessory dwelling unit for cooking, eating, sanitation, and sleeping. Such a dwelling shall be considered an accessory use of the main dwelling and be clearly subordinate to the main dwelling. Certification: A certificate granted by the Health Officer permitting a person to practice in the field of sewage disposal as a Homeowner Operator, Operation and Monitoring Specialist, Installer, or Pumper of onsite sewage systems. Chain of Custody: A procedure to ensure that samples have been in the possession of, or secured by, an authorized person at all times from sample collection to receipt by the laboratory. The procedure includes: 1. Obtaining the sample by Health Officer or designee with owner or owner representative present. 2. Assignment of sample ID number. 3. Labeling/tagging the sample container with assigned number and location taken. 4. Documentation by authorized sampler of date and location of samples taken. IND 5. Delivery by secured means to the certified laboratory. Community On-site Sewage System: Any on-site sewage system designed to serve two (2) or more independent stand-alone dwelling units with design flows of up to 3,500 gallons per day. An OSS serving only one single-family residence plus one accessory dwelling unit is not considered a community on-site sewage system. Commercial On-site Sewage System: Any nonresidential or combined residential/nonresidential on-site sewage system with a design flow of up to 3,500 gallons per day. Critical areas: Geologically hazardous areas, frequently flooded areas, critical aquifer recharge areas, wetlands, and fish and wildlife habitat conservation areas, all as defined through WAC 356-190 as "critical areas" and regulated in Jefferson County Chapter 18.15 as adopted or hereinafter amended. Department: The Washington State Department of Health Design: An on-site sewage disposal system design shall consist of a complete scale drawing of the site plan showing the proposed sewage disposal system, including all relevant details as specified herein and in WAC 246-272A and Jefferson County Policies. The design shall use the format and forms provided or approved by JCPH. JC Code 8.15 revised 2007 page 2 of 47 DRAFT • Proper identification and location of soil logs and drainfield components at the site are considered to be part of the design. Designer: An individual authorized by the Washington State Department of Licensing to perform design services for on-site wastewater treatment system pursuant to 18.210 RCW. Throughout this chapter this term applies to both on-site sewage treatment system designers licensed under chapter 18.210 RCW and professional engineers licensed under chapter 18.43 RCW. Dwelling Unit: A unit providing complete independent living facilities for one or more persons, including permanent provisions for living, sleeping, eating, cooking and sanitation. Education Contact Hours: Contact participation in an organized educational experience led or facilitated by qualified sponsorship, capable of direction and qualified instruction, Courses must be approved by the Health Officer or designee and be sources of expanded knowledge pertaining to on-site sewage treatment and disposal. A copy of the agenda or syllabus showing date, time, subject matter, presenter, sponsor and evidence of actual participation must be presented at the time of certification renewal. This evidence could be in the form of a certificate of completion, a receipt or a copy of the attendance roster of the training event. ar as, all as defined through WAC 356 190 as "critical areas" and regulated in Jefferson . . 1 . - e• . . -- information specified on forms approved by JCPH. Expansion: A change in a residence, facility, site, parcel, parcels or use that: 1. Causes an on site sewage system to exceed its existing treatment or disposal capability Causes the sewage quantity or quality to exceed the existing design flow of the OSS: for example, when a residence is increased from two to three bedrooms; or there is a change in use of the residence; or a change in use from an office to a restaurant; or 2. Reduces the treatment or disposal capability of the existing on-site sewage system or the reserve area: for example, when a building is placed over a reserve area. Failure: A condition of an on-site sewage system that threatens the public health by inadequately treating sewage or by creating a potential for direct or indirect contact between sewage and the public. Examples of failure include, but are not limited to: JC Code 8.15 revised 2007 page 3 of 47 DRAFT 1. Sewage on the surface of the ground; 2. Sewage backing up into a structure caused by slow soil absorption of septic tank effluent; 3. Sewage leaking from a septic tank, pump chamber, holding tank, septic system component other than the drainfield, or collection system; 4. Cesspools or seepage pits where evidence of ground water or surface water quality degradation exists; 5. Inadequately treated effluent contaminating ground water or surface water, as demonstrated through 1) a positive tracing dye result; and 2) a coliform count of at least 500 organisms per 100mL of water; or 3) the presence of the disposal component of the on-site sewage system located in ground water; or 6. Noncompliance with conditions stipulated on the OSS permit. Fees: Charges as hereinafter authorized by the Jefferson County Board of Commissioners or the Jefferson County Board of Health for issuing permits, processing records, making inspections as found necessary, administrative processes, and certifying individuals in the practice of installing, pumping or maintaining/monitoring on- site sewage systems. Gray water: means sewage from bathtubs, showers, bathroom sinks, washing machines, dishwashers, and kitchen sinks. It includes sewage from any source in a residence or structure that has not come into contact with toilet wastes. Health Officer: The local Health Officer of Jefferson County Public Health, or a representative authorized by and under the direct supervision of the local Health Officer, as defined in chapter 70.05 RCW. Homeowner O&M Inspection: An operation and monitoring inspection performed by an individual holding a valid Homeowner Operator certificate from JCPH. Homeowner Operator: An individual with training in the monitoring and operation of their own OSS and who is certified by JCPH to inspect and monitor the performance of that particular OSS. This certification does not allow the holder to practice as an Operation and Monitoring Specialist. Installer: An individual who has passed the Jefferson County installer's exam, holds a current bond and insurance as specified in JCC 8.15.120, personally holds an Installer's Certificate and directly supervises the installation and/or repair of an on-site sewage disposal system in Jefferson County. JCPH: Jefferson County Public Health Modification: Alteration of an existing on-site sewage component that does not result in an increase of the capacity of the system. • JC Code 8.15 revised 2007 page 4 of 47 DRAFT • Notice of Violation: Written determination that an element or section of these rules and regulations has not been complied with. On-site Sewage System (OSS): An integrated system of components, located on or nearby the property it serves, that conveys, stores, treats, and/or provides subsurface soil treatment and dispersal of sewage. It consists of a collection system, a treatment component or treatment sequence, a soil dispersal component, and a reserve area. An on-site sewage system also refers to a holding tank sewage system or other system that does not have a soil dispersal component. This includes systems previously defined as: 1. Conventional: systems consisting solely of a septic tank and a gravity SSAS, or those including a pump to a gravity SSAS. 2. Alternative: all systems not defined as conventional, such as pressurized, public domain treatment devices and proprietary products . Operation and Monitoring (O&M) Inspection: A monitoring inspection of an OSS meeting the criteria listed in these regulations. Also known as an Evaluation of an Existing System (EES). Operation and Monitoring Specialist: An individual with training, skill, and experience in the maintenance, monitoring, and operation of OSS and who is certified by JCPH to 1111) inspect and monitor the performance of an OSS. Ordinary high-water mark: The mark on lakes, streams, springs, and tidal waters, found by examining the beds and banks and ascertaining where the presence and action of waters are so common and usual, and so long continued in all ordinary years, as to mark upon the soil a character distinct from that of the abutting upland with respect to vegetation, as that condition exists on the effective date of this chapter, or as it may naturally change thereafter. The following definitions apply where the ordinary high-water mark cannot be found: a) The ordinary high-water mark adjoining marine water is the elevation at mean higher high tide; and b) The ordinary high-water mark adjoining freshwater is the line of mean high water. Pre-occupancy Inspection: Any inspection/s of the OSS that are required before a certificate of occupancy can be issued. Probation: A penalty period where the individual committing the violation shall be subject to additional review, reporting and/or inspection. Professional O&M Inspection: An operation and monitoring inspection performed by either: a) JCPH; 2) a licensed designer; or 3) an individual holding a valid Operation and Monitoring Specialist certification from JCPH. 410 Proprietary product: A sewage treatment or distribution technology, method, or JC Code 8.15 revised 2007 page 5 of 47 DRAFT material subject to a patent or a trademark. • Pumper: An individual approved and granted a Certificate to operatc by the Health Officer with training, skill, and experience in the pumping of OSS and who is certified by JCPH to remove and transport wastewater or septage from septic tanks, pump chambers, holding tanks, and portable toilets. Said individuals may repair baffles within the septic tank, install or repair risers on septic tanks Of pump chambers, vacuum and hydro jet systems, and install outlet baffle filters in a septic tank. Record Drawing: An accurate graphic and written record of the location and features of the OSS that are needed to properly monitor, operate, and maintain that system. Repair: The reconstruction, relocation, or replacement of any portion of a failed or sub- standard on-site sewage system. This includes actions proposed to impact the soils surrounding the disposal component to increase the dispersal of effluent or remediate clogged soil surfaces. Reserve Area: An area of land approved by JCPH for the installation of a conforming system that is protected and maintained for replacement of the drainfield upon its failure. Resident Owner: A person who owns and occupies, or intends to occupy, a property. 411 Residential Sewage: Sewage having the constituency and strength typical of wastewater from domestic households not containing chemicals or other waste components atypical of a residential source. Revocation: The termination of all the rights and privileges associated with a certification. RS&G: Washington State Department of Health Recommended Standards and Guidance document Scale bar: The graphic representation by which distances can be measured. Scum: Lighter solids, such as fats and grease that rise to the top of a septic tank, holding tank or pump chamber. Septage: The mixture of solid wastes, scum, sludge, and liquids pumped from within septic tanks, holding tanks, pump chambers, and other OSS components or removed from grease traps. Septic Tank: A watertight treatment receptacle receiving the discharge of sewage from JC Code 8.15 revised 2007 page 6 of 47 • DRAFT • a building sewer or sewers, designed and constructed to permit separation of settleable and floating solids from the liquid, detention and anaerobic digestion of the organic matter, prior to discharge of the liquid. Sewage Disposal Permit: A written permit, including conditions of approval, issued by the Health Officer or designee granting permission for the installation, modification, expansion, or repair of an on-site sewage system. Site Installer: An individual that has passed the installer's exam and maintains an annual Certificate, but is working under the direction, insurance and bond of a Certified Installer. Sludge: Heavy solids that settle to the bottom of a septic tank, holding tank or pump chamber. Soil Log: A detailed description of soil characteristics providing information on the soil's capacity to act as an acceptable treatment and disposal medium for sewage. It includes the excavation as described in WAC 246-272A-0220(3). SSAS: Subsurface soil absorption system, as defined in WAC 246-272A-0010(2). Surface water: Any body of water, whether fresh or marine, flowing or contained in natural or artificial unlined depressions for significant periods of the year, including natural and artificial lakes, ponds, springs, rivers, streams, swamps, marshes, irrigation canals and tidal waters. Suspension: The temporary termination of all rights and privileges associated with a certification. Violation: A failure to comply with the provisions of applicable laws, rules or regulations including, but not limited to instances or cases when: 1. A Designer submits a permit application or an record drawing of an on-site sewage disposal system which contains any significant deviation below the minimum requirements for siting or sizing of on-site waste water treatment. 2. An individual designs or installs an on-site sewage system that is not in accordance with the applicable regulations, or is not fitting the size, shape or topography of the site, within setbacks, as specified in the WAC Chapter 246- 272A; specification or approval of inadequate construction material, devices or methods. 3. A system is not installed in accordance with the approved permit. 4. Installer fails to notify the designer and/or JCPH when site conditions have changed making installation of the approved permitted system impossible or impractical. S 5. A pumper disposes of wastewater or septage at an unapproved disposal site; 6. A designer fails to submit record drawing plans as specified in chapter JC Code 8.15 revised 2007 page 7 of 47 DRAFT 8.15.110(4). • 7. An authorized person fails to submit required reports to JCPH as specified in the conditions of the on-site sewage disposal permit or in this chapter. 8. A Certificate holder fails to pay fees as specified by Jefferson County Ordinance. 9. A person holding a Certificate or license to install, pump or monitor an OSS fails to report to JCPH within 24 hours any nonfunctioning on-site components that could result in human contact with sewage effluent. 10.An owner fails to complete required 0 & M inspections, comply with the 0 & M schedule in TABLE 1 and/or submit the reports to JCPH or the approved entity. 11.An owner fails to comply with conditions of the on-site sewage permit. WAC : Washington Administrative Code JCC 8.15.060 ADEQUATE SEWAGE DISPOSAL REQUIRED (1) Every residence, place of business, or other building or place where people congregate, reside or are employed shall be connected to an approved public sewer. If no public sewer is available, the building sewer shall be connected to an on-site sewage system approved by the Health Officer. Said sewage disposal system shall be built or rebuilt, constructed and maintained in such manner as to meet the requirements as prescribed by the Health Officer in accordance with minimum requirements and standards of WAC 246-272A and this code. Such system may include the use of waterless toilet devices in conjunction with an approved gray water system or other proprietary products approved by Washington State Department of Health. (2) Any unit/facility with the potential to generate waste water by virtue of being equipped with a toilet, sink, shower or other plumbing fixture shall be connected to an approved public sewer or shall be connected to an on-site sewage system approved by the Health Officer. (3) Any new or replacement residence or commercial structure, or any expansion, as that term is defined in Section 8.15.050 of this Code, may be connected to a pre- existing on-site sewage system only when the pre-existing system has hydraulic capacity, sufficient vertical and horizontal separation, an adequate reserve area and satisfies all other requirements to be in compliance with current code. (4) Any new or replacement structure, addition, change of use, increase in plumbing fixtures, change in the height or configuration of the roof, or expansion may be approved by JCPH only when: a. adequate sewage disposal is provided per these regulations, and b. an adequate reserve area has been approved by JCPH, and c. the OSS is in compliance with the Operation, Monitoring and Maintenance requirements found in Section 8.15.150 of this Code. JCC 8.15.070 NO DISCHARGE TO WATER OR GROUND SURFACE Effluent from any on-site sewage disposal system shall not be discharged directly or JC Code 8.15 revised 2007 page 8 of 47 DRAFT • indirectly to surface water or upon the surface of the ground, except where expressly I permitted by JCPH or by the Washington State Department of Ecology. JCC 8.15.080 ON-SITE SEWAGE SYSTEM PERMIT (1) No person shall install or cause to be installed a new on-site sewage system, nor perform any modification, extension, repair, relocation or connection to an existing on-site sewage system without a valid permit issued by the Health Officer. (2) When applying for a permit to install an on-site sewage system, a detailed to-scale construction plan of the proposed system and site is required and shall include all items identified herein. Each application shall contain the information required herein, and those items identified on the Septic Permit Application form as a minimum. (3) The minimum land area required for approval of an OSS permit shall be determined by either Method 1 or Method 2 analysis as established in WAC 246-272A. Applications shall be reviewed in accordance with Jefferson County Policy 97-2 adopted by the Board of Health as amended or replaced. (4) Where more than one lot is required to meet minimum land area requirements for issuance of a permit, a Declaration of Restrictive Covenant shall be recorded binding together, at a minimum, the lots required to meet the minimum land area requirements. Any remaining lots not included in the Declaration of Restrictive Covenant must either meet minimum land area requirements or have a notice 4111. recorded to the title stating that the lots do not meet minimum land area requirements for a septic system and that the lots are not eligible for a waiver under Jefferson County Policy 97-2 or as amended or replaced. (5) Permits are transferable with property ownership. (6) Any sewage disposal permit issued under this section shall be valid for a period of three(3) years from the date of issuance. a. The permit may remain valid if the property for which the permit has been issued also has an active building permit for a structure that will be connected to the on-site sewage system. b. If the system is not installed before the permit expires, a new permit may be applied for, based on standards in effect at the date of the new application. Information as specified in JCC 8.15.090 shall be submitted with any new application. (7) Repair permit. Repair permits shall expire ninety (90) days from the date of issue. Repair permits may be renewed for - - _ e" ._ _ •••- •e e _ additional time if the Health Officer determines it is warranted. (8) The Health Officer may revoke or deny a permit for due cause. Examples include, but are not limited to: a. Development or continued use of an OSS that threatens the public health; b. Misrepresentation or inaccuracy in the construction plan or the permit application whether intended or accidental, shall be considered as grounds for invalidating and voiding any application or permit issued under this 40 section. The applicant or their authorized agent is responsible for the accurate representation of all information presented to the Health Officer; JC Code 8.15 revised 2007 page 9 of 47 DRAFT c. Failure to meet conditions of the permit or the regulations; or • d. Changes or alterations to the site such as grading, filling, clearing, or burning operations. (9) Jefferson County Public Health shall have neither an obligation nor the power to reduce the requirements to accommodate a Designer or Installer's error. (10) For any on-site sewage system proposed to serve a structure requiring a flood control zone permit under the provisions of chapter 86.16 RCW and chapter 508- 60 WAC, or requiring a flood plain certification by Jefferson County under the provision of the Flood Damage Prevention Ordinance, the OSS installation permit shall not be issued until a flood control zone permit or flood plain certification has been issued in accordance with Jefferson County Ordinance 18-1120-95 or subsequent amendments. An OSS installation permit shall comply with the standards in said ordinance. (11) On-site sewage disposal permits shall comply with regulations and policies established in the Jefferson County Comprehensive Plan, Jefferson County Zoning Code, Critical Areas Ordinance, The Jefferson County Shoreline Master Plan and any other duly adopted land use regulations of Jefferson County, the City of Port Townsend in the case of lands within the city, or the State of Washington. (12) Any pending and all future permits and approvals by the JCPH for the subject property shall be withheld when written notice of noncompliance with Jefferson County and other applicable codes has been provided to the property owner. Permits and applications shall be released only upon satisfactory remedy of the non-complying action or activity. (13) No on-site sewage system permit shall be issued for industrial, chemical or hazardous waste disposal. (14) A soil log report shall be provided on a health department approved form by the individual who performed the soil evaluation. The report shall identify the date the soil observations were made and the name of the individual who logged the soils for the report. Soils evaluation shall be completed by a Designer or Professional Engineer licensed in the state of Washington, soil scientist licensed in the state of Washington, the local health officer or designee. (15) Uniform soil testing procedures shall be as described under WAC246-272A-0220 and be used in addition to the following procedures: a. A minimum of 2 soil logs shall be dug in each, the proposed primary area and the proposed reserve area of sufficient size and depth to accurately determine site suitability for on-site sewage disposal; b. The Health Officer or designee may require additional soil logs or such further testing as is necessary to determine the adequacy of a site for on-site sewage disposal. c. Where sieve analysis tests are required they shall be completed by a certified lab and chain of custody requirements shall be followed. (16) It shall be the responsibility of the owner or owner's authorized representative to fill/cover the holes provided for evaluation of the soils for an installation permit or subdivision review within ten (10) days following notification that the inspection by the Health Officer is complete. The property owner shall be notified in writing when the inspection has been completed. • JC Code 8.15 revised 2007 page 10 of 47 DRAFT • (17) Any OSS not located entirely on the property originating the sewage must be secured by appropriate easements and/or covenant recorded with the Jefferson County Auditors Office prior to issuance of the permit unless specifically waived by the health officer. In all cases the easement or covenant shall be secured and recorded prior to final approval of the system installation. (18) Pending on-site sewage disposal permit applications. a. Applications for which no decision has been issued within twelve (12) months following the date of application, due to a lack of action by the applicant, and after receipt of written notice of pending expiration, shall expire by limitation. b. The Health Officer may extend the time for action by the applicant for a period not to exceed 180 days upon written request by the applicant showing that circumstances beyond the control of the applicant have prevented action from being taken. No application shall be extended more than once. c. In order to renew action on an application after expiration, the applicant shall resubmit the application and plans, pay current application fees and meet current rules and regulations. d. The applicant shall be provided a 60-day notice by certified mail of the pending expiration of a permit application. e. The statement "Voided - Lack of Action" shall be entered on the record for an expired pending permit application. f. Plans and other data submitted for review shall thereafter be retained as per the Jefferson County Records Retention Schedule. 4111. JCC 8.15.090 DESIGN (1) All on-site sewage disposal systems shall be designed in accordance with these rules, and the criteria in WAC 246-272A, by the local Health Officer, by an on-site sewage system designer licensed by the Washington State Department of Licensing to perform design work pursuant to chapter 18.120 RCW or by a licensed engineer pursuant to RCW 18.43 RCW. (2) Permits shall be issued for wastewater meeting domestic waste strength criteria as defined in the "Design Manual: On-site wastewater Treatment and Disposal Systems," United States Environmental Protection Agency, EPA-625/1-80-012 and EPA-625/R-00/008 except where modified by, or in conflict with WAC246-272A or this code. Pretreatment shall be required for non-residential/high- strength waste streams. (3) Sewage system sizing criteria shall comply with the standards in WAC246-272A. a - -- - --- --•' •- - -- - --•• -- - --= --•• . •: _ • additional heated rooms not labeled as batter-oems, kitchen, living room and - - - • ' -- - , - - - -- - _ . - -_ . . . . - •, a. - declares the maximum capacity in bedrooms of the sewage system. 40 JC Code 8.15 revised 2007 page 11 of 47 DRAFT number of rooms labeled as bedrooms or sleeping rooms such as guest room • or bunk room. c.The minimum design flow for any dwelling unit is 240 gallons per days a. The OSS shall be sized at 120 gallons per day for each heated room excluding bathrooms, kitchens, living rooms, dining rooms, utility or laundry rooms, and one bonus room. b. An OSS may be sized for fewer gallons per day than determined above if a covenant declaring the maximum capacity of the sewage system is filed and recorded with the Jefferson County Auditor, so as to be discovered during a title search. This covenant shall be provided by the health officer and signed by the property owner. c. In no case shall the OSS be sized for less than 120 gallons per day for each bedroom or sleeping room (i.e. guest room, bunk room). d. In no case shall the OSS be sized for less than 240 gallons per day for each dwelling unit. (4) Reserve Area. As a minimum an area equal to that required for a 100% replacement or repair, completely separate from the primary area, and shown dimensioned on the site plan. (5) Permit Application Submittal shall include the following items. Each page shall contain a header with the name and address of the property owner, and the address or parcel number of the property. a. One copy of the JCPH "Septic Permit Application Form" providing all identified information. This form shall have the signature of the property owner or authorized representative as provided in writing. b. Three copies of the design and construction specifications. One copy shall have an original stamp and Designer signature with date prepared. c. One copy of the soil log report submitted on a separate 81/2" X 11" sheet/s. The evaluation shall include the date of evaluation and identify the soil evaluator. d. One copy of the calculations and assumptions supporting the proposed design including all items outlined in JCC 8.15.090(7). e. One copy of the following information: i. Directions to the site. ii. Identification if the parcel is within the boundaries of a sewer utility. iii. If connecting to a community OSS provide: 1. The name, location and permit number of said system, 2. The name, address and point of contact with the system's management entity, 3. A Customer Agreement with the management entity that provides a commitment to serve the parcel. iv. All easements impacting the OSS or access to the OSS, whether public or private and whether or not recorded. v. All Covenants impacting the OSS or access to the OSS, whether public or private and whether or not recorded. vi. One copy of any special reports applicable to the project, such as geotechnical report or wetland delineation. JC Code 8.15 revised 2007 page 12 of 47 DRAFT • vii. One copy of an Operation and Monitoring Inspection report, current per Table 1, for any existing OSS on the property, unless the existing OSS will be decommissioned as a condition of the new permit OR a current inspection report is already on file with JCPH. (6) Design and construction specifications shall include the following items and those required by WAC 246-272A. This portion of the application shall be no more than 10 pages 11" X 17" unless specifically authorized by the Health Officer. All sheets must be at least 8 1/2" X 11" but not more than 11" X 17". a. A complete, detailed, and dimensional site plan including: i. The date of the design, the Designer's seal and the Designer's signature. ii. An overall plan that represents the entire parcel to scale and identifying the location of the system components. A scale bar is required. iii. A scaled drawing of the area within 100' of the system that is at an engineering scale not to exceed 1" = 50'. A scale bar is required. iv. Designated and dimensioned areas for the proposed primary system and the reserve area. v. The location of all soil logs and other soil tests for the OSS. vi. Location of utilities. vii. General topography and the percent slope of the site within 100' of the system and reserve areas. viii. Drainage characteristics. ix. The location of existing and proposed encumbrances including legal access documents if any component of the OSS is not on the lot where the sewage is generated. x. An arrow indicating north on all site plans. xi. Location of the essential tightline components of the sewage disposal system, including all plumbing stub outlets between the building(s) and septic tank(s), pump chamber(s), siphon chamber(s), tightline between septic tank or pump chamber and distribution network and all drainfield lines. xii. Identify cuts, banks, terraces, foundations, watersf the st + waters, wells, driveways, waterlines, and surface or subsurfacertae drains within 100' of the system and reserve. xiii. Identify the access route or driveway to the site. xiv. Clearly indicate scale on each site plan, including a scale bar. b. Construction specifications. c. Vertical cross-section drawings showing: i. The depth of the disposal component from native grade, the vertical separation, and depth of soil cover; ii. Septic tank; iii. Pump tank and its components; 40iv. Monitoring and access ports. (7) Calculations and assumptions supporting the proposed design, including: JC Code 8.15 revised 2007 page 13 of 47 DRAFT a. Soil type b. Hydraulic loading rate in the disposal component • c. Systems maximum and average daily flow capacity and how determined d. Source of the sewage including waste strength characteristics e. Where pumps are included provide friction loss and dynamic head calculations. (8) Nothing herein shall preclude the Designer from providing supplemental information regarding the design directly to the client under separate cover. (9) The proposed drainfield lateral/bed shall be staked in the field inspection and review unless specifically waived by the Health Officer ordesignee. (10) Septic tanks shall: a. Have watertight pumping access ports to ground surface over both compartments and at the outlet and inlet to facilitate inspection and maintenance. A homeowner may provide access ports to within 6" of the surface of the ground provided that the owner will uncover them for all- . - required O&M inspections. - - - • •_ _ - _ - --• - e - • -• •- - b. Be set on a self 'e=e"naglevel, stable base. (11) Distribution boxes shall be fitted with risers to grade. Distrib i on the boxbox sers shalshabel be sized adequately to allow visible inspection of liquid constructed of durable materials and shall be equipped with secure, tightly fitted lids. JCC 8.15.095 COMMERCIAL ONSITE SEWAGE SYSTEMS (1) Commercial onsite sewage systems as defined in this chapter shall be designed according to the standards contained in WAC 246-272A and this code. (2) If the ownership is by more than one individual a ManagementJand PH aOpe ationed to s Agreement shall be prepared by the applicant, approvedby the property as a covenant. ment l (3) All individual connections or separate uses within a amon torpgg flows tolthe be equipped with a water meter or other approved method for onsite sewage system. (4) All commercial on-site sewage systems shall provide an annual report to JCPH including the following at a minimum: a. Number of connections to the system and each connection's design flow. b. Copies of inspection reports consisting of the items detailed in 8.15.150 (7) completed per TABLE 1. c. Records identifying any maintenance completed on the system components. JCC 8.15.100 COMMUNITY ON-SITE SEWAGE DISPOSAL SYSTEMS (1) Community on-site sewage systems as defined athis maintenance clritel eia asg enetdforth in accordance with WAC 246-272A, this code nd the in the current Washington State Departmente"Dis n theytandards for Large may be hereafter On-Site Sewage Systems," 1996, and WAC 246-272B ors page 14 of 47 JC Code 8.15 revised 2007 DRAFT • amended. (2) Management of community on-site sewage systems shall be by an entity approved by JCPH. If the lots are individually owned the management shall in all cases be provided by a public entity. A homeowners association is not considered an approved entity for the management of a community on-site sewage system. (3) A covenant shall be recorded to the property and shall remain in place for the life of the on-site sewage system or until the on-site sewage system is no longer needed. It shall provide the management entity the following items including but not limited to: a. A legal easement allowing access for construction, operation and maintenance, and repair of the OSS; and b. Identification of an adequate financing mechanism to assure the funding of operation, maintenance, and repair of the OSS. (4) All lots, parcels, or individual connections to a community system shall be equipped with a water meter or other approved method for monitoring flows into the system. (5) Sites proposing community systems shall conform to the minimum land area requirements of WAC 246-272A. (6) All community on-site sewage systems shall provide an annual report to JCPH including the following at a minimum: a. Number of connections to the system and each connection's design flow. b. Copies of inspection reports consisting of the items identified on forms provided or approved by JCPH per 8.15.150 (8) and completed per TABLE 1. c. Records identifying all maintenance completed on the system components. 4110 8.15.105 SUBDIVISION REQUIREMENTS (1) A person proposing the development of Subdivisions, Planned Unit Developments, Binding site plans and other land division shall obtain approval from the Health Officer, where the use of OSS is proposed, prior to any development. (2) The proposal shall comply with the standards of WAC 246-272A -0320 and the Jefferson County Unified Development Code as amended. (3) Where preliminary approval is requested the following shall be submitted at the time of application: a. Applicable fees b. Preliminary plan of the proposal showing the layout of the lots. c. A soils report and preliminary plan submitted by a licensed designer or licensed professional engineer that: i. Shows an area for each proposed lot/segregation that is suitable for onsite sewage disposal and, ii. Provides a minimum of 4 test pits, 2' X 4' x 6'deep, 2 in the area of the primary drainfield and 2 in the area of the reserve. Test pits shall be flagged with the lot number and, iii. Identifies the locations of the test pits on the preliminary plan. d. Soil test pits shall be made available for observation by Health Department Staff and must be filled in upon completion of review and notification of such by the Health Department. JC Code 8.15 revised 2007 page 15 of 47 DRAFT e. Statements as to the type of potable water supply. S (4) To obtain Preliminary Approval a. The Health Department staff shall review the application and perform field visits. b. The highest anticipated ground water table elevation shall be determined. The Health Officer or designee may require an evaluation during the months of suspected high water table conditions where less than 18" of usable soil is observed. c. Lot sizes shall meet minimum area requirements. d. Soils suitable for the installation of OSS be requiredust be by theled for each Health Officer tor e. Conceptual or detailed designs may designee. f. An evaluation of all existing onsite sewage systems within the bounds of the project shall be completed by an entity authorized by the Health Officer or designee. g. Where a community system or large onsite sewage system is proposed as the method of sewage disposal a preliminary layout design of the system must be submitted to the Health Department as well as a letter from an approved management entity indicating that they will meet the standards of JCC8.15.100. h. For the water supply a Utility Service Review shall be completed. i. Public water supplies shall be developed consistent with provision of the Jefferson County Coordinated Water rSSystem mWAC246-2900 on State Department of Health Drinking Waterregulations as amended and Washington State Department of Ecology water rights provisions RCW 90.03 AND/OR RCW 90.44. ii. Wells, whether individual or public, shall not encumber adjacent property owner/s and shall be protected by a sanitary control cannot be a 100 foot radius. If a sanitary control area of a 100' met, ad'acent •ro•ert owners must si•n and record a restrictive covenant. - -- - - - :9 _: „- - For existing wells the sanitary control area shall be established by covenant and portrayed graphically on the face of the plat. (5) To obtain Final Approval shall be met a. All conditions of the preliminary approval b. The locations of test pits used for the preparation of the soils report shall be portrayed on the final plat. c. Wells must be: i. graphically portrayed with a 100' protective area, and ii. identified with a uni•ue identif in. code or descri•tion and iii. labeled with the parcel the well serves, where applicable. S page 16 of 47 JC Code 8.15 revised 2007 DRAFT . JCC 8.15.110 INSPECTION (1) An initial inspection by the Health Officer or designee shall be conducted to verify soil and site conditions for the proposed design unless expressly waived by the health officer. (2) The Health Officer or designee may make inspections during construction to determine compliance with these regulations. (3) It shall be the responsibility of the Installer of the system to notify the Designer for inspections as specified in the design or in permit conditions. (4) It shall be the responsibility of the Installer of the system to notify the health department within one working day prior to commencement of system construction, of the intent to install the system. This shall be done by means of a start card to be submitted by fax or emailed to a designated address. (5) Final inspection a. A pre-cover inspection shall be conducted on all systems by the Designer of record or other licensed Designer or engineer where that person is taking responsibility to certify the system installation. b. For pressurized or proprietary systems- i. The Designer shall be responsible for all inspections during the construction of the OSS. ii. After completion of the system, when the system is fully functional the Designer shall contact the Health Officer or designee to schedule a joint inspection of the OSS. Mc. The Designer of record or other licensed Designer or engineer where that person is taking responsibility to certify the system installation shall submit a record drawing of the system installation including the items specified in this section. d. No part of any on-site sewage system installation shall be put into use until final approval has been obtained from the Health Officer or designee. (6) Partial installation may be allowed and shall be subject to all of the following requirements and limitations: a. Installation shall take place prior to the expiration date of the permit and; b. The Health Officer or designee shall be notified of the intent to install the system as described in this section and; c. At a minimum the treatment and disposal components shall be installed and; d. The system shall be vested only for the portions that are installed and; e. The system shall be subject to review at the time of building permit for a structure to use the system under 8.15.060(3) and; f. A report shall be submitted by the designer of record or other licensed designer or engineer where that person is taking responsibility to certify the system installation. The report shall provide details on what was installed and shall be accompanied by a drawing locating the components that were installed prior to the expiration of the permit. g. An additional inspection and/or permit, with appropriate fees, may be required to complete the installation and finalize the system. (7) Final approval of on-site systems by the Health Officer can be made only after; a. Satisfactory inspection of the installed system JC Code 8.15 revised 2007 page 17 of 47 DRAFT b. Receipt by JCPH of record drawings of the final construction with the • operational settings and installation data report, c. Receipt of the Homeowner Operations conditions of the permit Monitoring Manual, and d. Compliance with installation (8) If installation or workmanship of the on-site sewage system does not meet the requirements of this code or conditions of the permit, the Health Officer or designee shall order corrections and cause a subsequent inspection to be made. Fees may be charged for subsequent inspections. (9) Designer inspections. Nothing contained herein shall prohibit the Designer of record from requiring additional Designer-performed inspections to ensure compliance with the design and regulations. (10) Record Drawings: a. After installation of the sewage disposal system has been completed, a scaled and dimensional record drawing of the sewage disposal system shall be prepared by the Designer of the system as specified in JCC 8.15.110 (5) a;2) and (3) on forms provided or approved by JCPH. b. The record drawing shall include: i. Information identified on the JCPH "Final Inspection Report " Form as applicable to the system installed; ii. Measurements to existing site features enabling the first tank manhole to be easily located; iii. A dimensioned reserve area; iv. For repaired or altered OSS, the new, repaired or altered components with their relationship to the existing system; 411 v. North direction indicated; vi. Location of all sewage system components; vii. Stub outs; viii. Tightlines; ix. Pump and/or siphon chamber(s); x. D-box(s); xi. Drainfield lines or bed and fill area(s) when applicable; xii. Other treatment components — sand filter, proprietary device, disinfection unit; xiii. Driveway — existing and/or proposed; xiv. Building(s) size, shape and placement; xv. Water line(s); xvi. Location of utility and/or other easements; xvii. Slope(s) - direction and percent; xviii. Cuts, banks, terraces; xix. Foundations; xx. Property lines; xxi. Surface waters, springs, wells; xxii. Additional information as required for systems that are covered by Washington State Guidelines; xxiii. Designer's stamp and signature, and date of installation; xxiv. Other pertinent information. page 18 of 47 JC Code 8.15 revised 2007 DRAFT . (11) The Designer shall provide to the property owner: a. One copy of the Homeowners Operations and Monitoring Manual and, b. The "record drawing" of the completed system with the operational settings and installation data. (12) A Pre occupancy Inspection pPrior to occupancy of a rT ide ce permanent structure, an additional inspection shall be required when: if there were no a. the OSS and the system requires a pump and or siphon or b. there was not permanent power wired to a permanent structure connected to the OSS at the time of finalization of the OSS permit. the OSS control panel did not have permanent power when the permit was finaled. This inspection may be performed by the Health Department, Designer, or a Certified Operations and Maintenance Specialist. This inspection shall verify that conditions are consistent with the final inspection and system settings are the same. The inspection report shall be submitted on forms provided or approved by JCPH. Fees shall be charged for inspection. JCC 8.15.120 SEWAGE SYSTEM INSTALLER (1) Certificate Required. It shall be unlawful for any person, firm or corporation to engage in construction, alteration, repair or modification of on-site sewage systems without first having been issued a Septic System Installer's Certificate by the Health Officer except as allowed in Section 8.15.120 (8) of this Code. (2) Requirements for Sewage System Installer shall include the following: a. Application shall be made on forms provided by the Health Officer. b. Certificate and/or application fees as set forth in the Fee Schedule shall be payable to JCPH. c. Written proof showing a minimum of one year experience under the direct supervision of a Certified Installer,— or Designer e e e- _ _ _ .e e•. - _ Specialist. Completion of classroom training specific to on-site sewage system installation as approved by JCPH may be substituted for up to six months of work experience. •_ -ee- _ •- . _ . .e• _ - - - available examination. Fees for reexamination shall be required. Take and pass a written examination to verify the applicant's knowledge of the operation and monitoring requirements, both herein and in WAC 246-272A or as amended, for the on-site sewage systems approved by the Washington State Department of Health, excepting those proprietary devices requiring a special authorization from the system proprietor. A passing score is a minimum of 70% correct. IP (3) Renewal of Certificate. Application is required annually for certificate renewal. All certificate renewal applications, along with the required bond, renewal fee, and JC Code 8.15 revised 2007 page 19 of 47 DRAFT verification of continuing education shall be submitted to the Health Officer no later • than March 1. The Certificate shall not be issued or renewed if the applicant is found by the Health Officer to be out of compliance or in violation of the provisions of this chapter. (4) Lapse of certification for lack of bond, payment of fees or verification of continuing education shall require completion and passage of the JCPH examination and provision of items identified. (5) An Installer's Certificate is not transferable. (6) An Installer's Certificate grants authority to install any on-site sewage system approved for use in the State of Washington, EXCEPT in the case of a proprietary product where a special authorization, in writing, is required by the manufacturer or patent holder. (7) A Jefferson County Certified Installer, or Site Installer as defined in JCC 8.15.120 shall be present on the site during all phases of system installation. (8) Exception. A bona fide resident owner truct, alter, repairproperty fo his/her own, or duse ify a permitted on-site sewage system on his/her own without obtaining an Installer's Certificate, PROVIDED: a. That he/she complies with other terms of this chapter, WAC 246-272A-0250, AND b. That he/she installs no more than one (1) system in any one (1) calendar year, AND c. The on-site sewage system is intended to serve the primary residence of the owner, AND41110 d. The resident owner does not arrange for, nor contract, nor hire, with or without reimbursement, any person or concern to perform that work, unless that person is a Jefferson County Certified Sewage System Installer as set forth in this section, AND e. The sewage system is located one same lot as the residence and legally listed as am situated on adjoining property controlled by th encumbrance, AND f. Prior to beginning installationtoschedule e reqlth uired inspfficer or ections, ANDnee the Designer are contacted (9) A property owner may not install the OSS and its components, unless specifically allowed by the Health Officer or designee, if the site meets any of the following criteria: i. Has horizontal or vertical separations less than required in WAC 246- 272A; ii. Receives commercial or industrial wastewater as defined in WAC 246- 272A; iii. Is permitted as a nonconforming repair; iv. Has a reduced drainfield size of 50% or less; v. Is within 200' of surface water, as measured from the ordinary high water mark; vi. Is within 200' of a Category I or II wetland; vii. Is in a 100yr floodplain, as defined by the Federal Emergency Management Agency; 11/ page 20 of 47 JC Code 8.15 revised 2007 DRAFT • viii. Is in a Special Aquifer Recharge Protection Areas as defined in JCC 18.15.240 or as amended; ix. Is in a Marine Recovery Area; x. Is adjacent to a marine shoreline. (10) Site Installer. A Certified Sewage System Installer may sponsor a site installer to be responsible for compliance with WAC 246-272A. The Certified Installer shall inform the Health Officer of the site installer's name(s) and of any changes in employment status of sponsored site installers. Site installers must pass the Installer's exam and maintain their annual certificate. (11) Bond and Insurance Required. Prior to the issuance of a Sewage System Installer's Certificate, the applicant must be in possession of a bond obtained in accordance with the Special or General Contractors Laws of the State of Washington running to Jefferson County Public Health on a form approved by JCPH in the sum of$20,000 and executed by a surety company duly authorized to do business in the state of Washington. The bond shall be conditioned that the holder of the certificate and his/her agents, in performing work governed by these rules and regulations, shall exercise all reasonable care and skill and shall comply with all the terms and conditions of these rules and regulations. The bond must be kept in effect during the period of time for which the certificate is issued and cancellation of the bond shall automatically suspend the certificate. The bond shall run for a period of thirty-six (36) months following termination of the certificate. Applicant shall provide 411. proof of business liability insurance in the minimum amount of five hundred thousand dollars ($500,000.00) in accordance with the Special or General Contractors Laws of the State of Washington. EXCEPT, site installers working for or under the direction of a general contractor who is also a certified installer may have this requirement waived if the general contractor provides a written statement indicating their assumption of responsibility for the individual's work, and agreement to coverage of the individual by the general contractor's bond and liability insurance. (12) Continuing Education. Each installer shall obtain a minimum of eight (8) hours of approved classroom training every two (2) years. Subject matter must be directly related to on-site sewage disposal and be acceptable to the Health Officer. Proof of training shall be submitted annually with application for certificate renewal. (13) Suspension/Revocation. A sewage system Installers certificate may be revoked or suspended as set forth in JCC 8.15.180 if he/she has been found to be in noncompliance with provisions of this chapter or has performed with negligence, incompetence or misrepresentation. 8.15.130 SEPTIC TANK PUMPERS (1) Certificate Required. It shall be unlawful for any person, firm, or corporation to engage in the activity of cleaning any septic tank, pump chamber, holding tank, chemica4portable toilet, or removing other accumulations of sewage without first having obtained a Septic Tank Pumper's Certificate from the-He th of ce+-JCPH. JC Code 8.15 revised 2007 page 21 of 47 DRAFT (2) Renewal of Certificate. Application is required annually for certificate renewal. All certificate renewal applications, along with the required bond, renewal fee, and • verification of continuing education shall be submitted to the Health Officer no later than March 1. The Certificate shall not be issued or renewed if the applicant is found by the Health Officer to be out of compliance or in violation of the provisions of this chapter. After March 1 of any particular year, the certificateefFectissued to Ip mperthatt pumper for the prior year shall become void and of nos certification lapses or becomes void, then to become recertified, the applicant must comply with all requirements of this section, including passing the written examination. (3) A Septic Tank Pumper's Certificate is not transferable. (4) Septage Disposal Site Approval. It shall be unlawful to dispose of septic tank pumpings or other accumulated sewage at any location other than disposal sites designated and approved by the Washington State Department of Ecology. (5) No material/substance shall be discharged into any component of the OSS during excepting that tank/s may be filled with water to prevent floatation. (6) Scope of Practice: a. The Sestic Tank Pum•er ma remove and trans•ort wastewater or se•tase from sestic tanks sum. chambers holdin• tanks and sortable toilets and dis•ose of it at a dissosal site desi•nated and as •roved b the Washin•ton Department of Ecology. b. The Septic Tank Pumper may complete the following if authorized by the homeowner: i. Repair baffles within the septic tank ii. Install or repair risers on septic tanks or pump chambers iii. Install, repair, or clean outlet baffle filters in a septic tank iv. Vacuum or hydro-jet system components c. No Se•tic Tank Pum•er ma resair or modi an OSS exce•t as outlined in b unless they also hold a valid Installer or Operation and Monitoring Specialist certificate. (7) Reporting Requirements. +�,� uo,,+►, nc� JCPH not later than the tenth a. Each pumper shall submit to or electronic forms day of each month a report on paper approved by JCPH. Said report shall be accompanied by the required fees, and shall contain: i. The dates, sources, disposal site, disposal receipts, and volume of each load of wastes handled from the preceding calendar month. ii. Vacuuming system on each occurrence with the ate and er namehysical address of the system vacuumed and property iii. Hydro-jetting system on each occurrence ewith the e nameand hysical address of the system hydro-jetted and property owner b. Each pumper shall complete an inspection report at each site where a holding tank, portable toilet, septic tank, or pump chamber, is serviced. Inspection reports shall be submitted to JCPH. Said report shall include at a minimum the followinginformation: page 22 of 47 JC Code 8.15 revised 2007 DRAFT Si. Measured depth of scum and sludge in the septic tank and pump chamber if present. ii. Condition of tank(s), baffles, risers, screens iii. Record signs of backflow from drainfield iv. Record signs of ground water infiltration into tank(s) v. Each pumper shall list portable toilet locations, the frequency of service and the disposal location on theeach monthly report. (8) Pump Tank Requirements. Pumping equipment must be presented to JCPH for inspection at the time of certificate application and renewal or upon request of the health officer as requested by JCPH. a. The pump tank must be of at least 1,000 gallons in capacity and must be in good repair and of cleanable construction. b. All hoses and pumping equipment shall be kept in a clean and sanitary condition while stored or in transit. c. All discharge valves shall be in good repair, free from leaks and be fitted with watertight caps. d. The name of the operating firm shall be prominently displayed on the sides of the vehicle. (9) Bond Required. Prior to the issuance of a Septic Tank Pumper's Certificate, the applicant must post a bond with JCPH in a form approved by the Prosecuting Attorney of Jefferson County, and executed by a surety company authorized to do business in the State of Washington, in the sum of two thousand dollars ($2,000). 4110 (10) Continuing Education. Each pumper shall obtain a minimum of six (6) hours of approved classroom training every two (2) years. Subject matter must be directly related to on-site sewage disposal and be acceptable to the Health Officer. Proof of training shall be submitted annually with application for renewal. (11) Suspension/Revocation. A Septic Tank Pumper's Certificate may be revoked or suspended as set forth in 8.15.180 if he/she has been found to be in noncompliance with the terms of this chapter or has performed with negligence, incompetence or misrepresentation. 8.15.140 OPERATION AND MONITORING SPECIALIST (1) Certificate required. It shall be unlawful for any person, firm or corporation to engage in any operation and maintenance/monitoring inspection required by JCPH without first having been issued an Operation and Monitoring Specialist Certificate by the Health Officer, except as specified in Section 8.15.150(5) of this Code. (2) A sewage system Operation and Monitoring Specialist Certificate shall not be transferable. (3) Requirements for Monitoring Specialist Certificate shall include all of the following: a. Application shall be made on forms provided by the Health OfficerJCPH. b. Certificate and/or application fees as set forth in the Fee Schedule shall be payable to JCPH. c. Written proof showing a minimum of one-year experience under the direct supervision of a Certified Installer, Designer or Operation and Monitoring JC Code 8.15 revised 2007 page 23 of 47 DRAFT Specialist or other experience as approved by the Health Officer. Completion of classroom training specific to on-site sewage system operation and • maintenance as approved by JCPH may be substituted for up to six months work experience. d. Written proof of completion of a minimum of sixteen (16) hours of training education contact hours in on-site wastewater treatment, operation and maintenance at the Northwest On-site Wastewater Training Center or equivalent. e. Take and pass a written examination to determincverify the applicant's knowledge of the operation and monitoring requirements, both herein and in WAC 246-272A or as amended, for the on-site sewage systems approved by the Washington State Department of Health, excepting those proprietary devices requiring a special authorization from the system proprietor. A passing score is a minimum of 70% correct. (4) Scope of Practice a. The Operations and Monitoring Specialist may complete regular maintenanccmonitorinq of an on-site sewage system including: i. Measuring levels of sludge, scum and liquid in the system components; ii. Visual evaluation of the condition of all system components; iii. Inspect and report the condition of system components; monitoring ports and the surface above the drainfield/disposal area; or iv. Record information from devices such as cycle counter or operating hour meters and waterflow meters b. The Operations and Monitoring Specialist may complete the following maintenance if authorized by the homeowner: i. Clean pump screen or outlet baffle screen; ii. Install and repair septic tank lids, risers and baffles; iii. Install and repair distribution boxes and their risers iv. Replace pumps, float switches, and check valves intended to -- - e - • .-- e •- - - - - - - in the pump chamber, within Washington State Labor and Industry requirements; or v. Make repairs to a septic tank or pump chamber to correct a condition of ground water intrusion or leakage. vi. Excavate for purposes of affixing sweeping 45 degree angle lateral ends and removable end caps on manifolds and lateral lines, for purposes of maintenance, such as flushing, jetting and brushing. vii. Or other as approved by the Health Officer. c. The Operations and Monitoring Specialist may expose portions of the OSS to create a scaled location diagram with measurements to permanent objects. i. Finaled Permit: This diagram may be used to verify OSS component locations where a finaled permit is on file with JCPH. ii. Not Completed Permit: To final an incomplete/unfinaled or 'N' status permit on file with JCPH, the location diagram must be verified by JCPH inspection or a licensed designer. JC Code 8.15 revised 2007 page 24 of 47 • a d. The Operations and MonitoringDRAFT Specialist shall not: i. Pump the septic tank and/or pump chamber, EXCEPT in the case where he/she also holds a valid Septic Tank Pumper's Certificate; ii. Excavate an OSS's drainfield or any drainfield component, EXCEPT as stated in 8.15.140 (4)(b) above, OR in the case where he/she also holds a valid Installer's Certificate; iii. Alter devices such as cycle counters or operating hour meters without the prior written approval of JCPH; iv. Alter or replace any portion of the subsurface disposal component or pretreatment components, EXCEPT as stated in 8.15.140(b) (v) and EXCEPT in the case where he/she also holds a valid Installer's Certificate and a permit has been obtained for such work; or v. Replace or alter devices that monitor or regulate the distribution of the effluent. (5) The Operations and Monitoring Specialist shall report failure of an on-site sewage system to JCPH within 24 hours of first identifying the failure. (6) Inspection Reports shall be submitted by the Operations and Monitoring Specialist to JCPH or other authorized agency within thirty (30) days following the inspection, and shall be accompanied by the required fees. By submitting these reports, Operation and Monitoring Specialists shall warrant that they have performed at least the minimum 0 & M inspections required in these regulations for the respective system by visiting the site, visually inspecting all tanks, pump basins and other components 411011 of the system as detailed on the record drawing for inspection access (as applicable to era and system type), and completing and submitting all required documents to the owner and JCPH. (7) Maintenance items shall be reported on the inspection report to JCPH. (8) Only certified Operation and Monitoring Specialists that have also obtained written approval from either the manufacturer or patent holder may operate and maintain proprietary devices governed by this chapter. (9) Continuing Education. Each Operations and Monitoring Specialist shall obtain a minimum of eight (8) hours of approved classroom training pertaining to on-site sewage treatment and disposal every two (2) years. Proof of training shall be submitted annually with application for renewal. (10) Bond Required. Prior to the issuance of an Operation and Monitoring Specialist Certificate, the applicant must be in possession of a bond obtained in accordance with the Special or General Contractors Laws of the State of Washington and provide proof of business liability insurance in the minimum amount of five hundred thousand dollars ($500,000.00). (11) Renewal of Certificate. Application is required annually for certificate renewal. All certificate renewal applications, along with the required bond, renewal fee, and verification of continuing education shall be submitted to the Health OfficerJCPH by March 1. The certificate shall not be issued or renewed if the applicant is found by the Health Officer to be out of compliance or in violation of the provisions of this chapter. (12) Suspension/Revocation. An Operation and Monitoring Specialist's Certificate may be revoked or suspended as set forth in 8.15.180 if he/she has been found to be in JC Code 8.15 revised 2007 page 25 of 47 DRAFT noncompliance with the terms of this chapter or has performed with negligence, incompetence or misrepresentation. 8.15.145 HOMEOWNER OPERATOR (1) A Homeowner Operator certificate allows the certificate holder to inspect one OSS serving property that he/she owns regardless of the quantity of properties owned by the landowner holding a Homeowner Operator Certificate.- An individual owning multiple OSS may hold multiple Homeowner Operator certificates. (2) A sewage system Homeowner Operator certificate is issued to a particular individual and shall not be transferable. (3) Requirements for a Homeowner Operator certificate shall include all of the following: a. Application shall be made on forms provided by JCPH and specify the OSS to be inspected. b. Certificate and/or application fees as set forth in the Fee Schedule shall be payable to JCPH. Each certificate shall be charged a separate fee. c. Written proof of completion of operation and monitoring classes provided by a JCPH-approved agency within the past three years. This class must cover the applicant's specific system type. Fees may be charged for this class. d. Take and pass a written examination from a JCPH-approved agency within the past three years to verify the applicant's knowledge of the operation and monitoring for their specific system type. Fees may be charged for this examination. e. An individual's completion of the class and passing of the examination may, if applicable based on system type, be applied to more than one Homeowner Operator certificate,. (4) The Homeowner Operator certificate does not authorize the holder of that Certificate to maintain or repair an OSS of which the Homeowner Operator is not a resident owner, nor to maintain a proprietary product that requires maintenance by a manufacturer-authorized person. (5) The Homeowner Operator shall report failure of an on-site sewage system to JCPH within 24 hours of first identifying the failure. (6) Inspection Reports shall be submitted by the Homeowner Operator to JCPH or other authorized agency within thirty (30) days following the inspection, and shall be accompanied by the required fees. (7) Maintenance items shall be reported on the inspection report to JCPH. (8) If the system contains a proprietary product requiring maintenance by manufacturer- authorized personnel, the Homeowner Operator shall include written documentation of such maintenance as part of the required inspection reports. (9) A bond is not required for Homeowner Operator certificates. (10) Continuing Education: A system-type specific refresher and test authorized by JCPH is required within one year prior to each renewal of the Homeowner Operator certificate. Fees may be charged. JC Code 8.15 revised 2007 page 26 of 47 DRAFT • (11) Renewal of Certificate. Certificate renewal is required every three years. Application, fees, and proof of continuing education shall be submitted to JCPH prior to each inspection. The certificate shall not be issued or renewed if the applicant is found by the Health Officer to be out of compliance or in violation of the provisions of this chapter. (12) Suspension/Revocation. A Homeowner Operator certificate may be revoked or suspended as set forth in 8.15.180 if he/she has been found to be in noncompliance with the terms of this chapter or has performed with negligence, incompetence, or misrepresentation. 8.15.150 OPERATION, MAINTENANCE AND MONITORING (1) Responsibility of Owner(s). The owner of every residence, business, or other place where persons congregate, reside or are employed that is served by an OSS, and each person with access to deposit materials in the OSS shall use, operate, and maintain the system to eliminate the risk to the public associated with improperly treated sewage. Owners' duties are included, without limitation, in the following list: a. They shall comply with the conditions stated on the on-site sewage permit. b. They shall employ an approved pumper to remove the septage from the tank(s) when the level of solids and scum indicates that removal is necessary. The septic tank shall be pumped when the total amount of solids equals or 411. exceeds one-third (1/3) the volume of the tank. The pump and/or siphon chamber(s) shall be pumped when solids are observed. c. They shall not use water in quantities that exceed the OSS's designed capacity for treatment and disposal. d. They shall not deposit solid, hazardous waste, or chemicals other than household cleaners in the OSS. e. They shall not deposit waste or other material that causes the effluent entering the drainfield to exceed the parameters of residential/household waste strength. f. They shall not build any structure in the OSS area or reserve area without express, prior consent of the Health Officer. g. They shall neither place nor remove fill over the OSS or reserve area without express, prior consent of the Health Officer. h. They shall not pave or place other impervious cover over the OSS or reserve area. i. They shall divert drains, such as footing or roof drains away from the area of the OSS. j. They shall comply with inspection requirements in JCC 8.15.150, JCPH Policy 04-01, and WAC 246-272A or as amended. k. They shall complete maintenance and repair of the OSS as recommended by the monitoring entity. I. They should not dispose of excess food waste via a garbage disposal. 410 m. They should not drive, park or store vehicles or equipment over the drainfield or reserve area. JC Code 8.15 revised 2007 page 27 of 47 DRAFT n. They should not allow livestock access to the OSS area or reserve area. • o. They shall comply with WAC 246-272A-270. p. They shall ensure that all maintenance or repair is performed by an authorized person and reported to JCPH on approved forms. q. If a reserve area has not been approved by JCPH, they shall protect and maintain all potentially-useable land under contiguous ownership to the same standards required for a reserve area. (2) Breach of Owner's Responsibilities. An owner's or occupier's failure to fulfill any of the responsibilities in 8.15.150 (1) shall be a basis for a Notice of Violation and for the Health Officer to decline to issue approval for further development on the parcel. (3) Where a proprietary product is included as a part of the onsite sewage system a notice shall be placed on the title of the property providing notice that the site is served by an alternative method of sewage disposal and requires regular maintenance that must be performed by a person authorized by the device manufacturer and certified by JCPH. This notice shall be recorded prior to final approval of the system on forms approved by JCPH. (4) The Health Officer shall be responsible to make available written guidance on the proper maintenance and operation of the OSS to the owner. Information shall be made available at JCPH,and the Jefferson County Department of Community i- ... . .. . .. .. .. ... as-e e• - ee ._ e e - e - - e (5) Certificate Required a. It shall be unlawful for any person, firm or corporation, other than JCPH, to engage in any operation and monitoring inspection required by JCPH without holding either: i. a valid Operation and Monitoring Specialist certification from JCPH ii. a valid license from the Washington Department of Licensing to design on-site sewage systems iii. a valid Homeowner Operator certification from JCPH. b. It shall be unlawful for any person, firm, or corporation to maintain an OSS without holding a valid license or certification that allows such work. This also includes vacuuming or jetting an OSS. EXCEPT Resident Owners may maintain their own OSS. (6) Inspection Requirements. - _ \_ .. • _•_• e • .. - e . ee •e ee - •e • • • • _ C A —. . • e— _ • • . S JC Code 8.15 revised 2007 page 28 of 47 DRAFT • e •- e - •e . •: •- • 9 - - e-•- •e - - e e - •- • a. The owner shall assure a complete evaluation of the system components and/or property to determine functionality, maintenance needs and compliance with regulations and any permits: i. At least once every three years for all systems consisting solely of a septic tank and gravity drainfield; ii. Annually for all other systems unless more frequent inspections are specified by these regulations or the local health officer. b. Annual Professional O&M Inspections are required of any OSS that: i. Receives wastewater of greater than residential strength ii. Receives wastewater from a food-service establishment. iii. Is permitted as a nonconforming repair iv. Has horizontal setbacks to a well or surface water less than that required by WAC 246-272A or as amended v. Is in a Marine Recovery Area or other area as designated by the Jefferson County Board of Health. c. Treatment devices and Proprietary products. An OSS containing a treatment device or proprietary product shall be inspected at the frequency established in the RS&G, if: i. The treatment device or proprietary product is required in order to meet a treatment standard, or ii. Chapter 246-272A WAC or the RS&G require ongoing operation and maintenance as a condition of approval d. The Health Officer may require more frequent inspections for systems where a problem has been identified. e. Multiple Requirements. If the manufacturer, patent holder, state, JCPH, and any other relevant body have differing recommendations or requirements for inspection and maintenance intervals for an OSS or any component of the OSS, then the owner shall follow the most frequent service interval. (7) Operations and Monitoring Agreement. a. The owner of any site where a permit is issued for an on-site sewage component shall complete and record to the property title an Operations and Monitoring Agreement prior to finalization of the permit. The agreement shall be on a form approved by the Public Health Department. b. The owner of a conventionalan OSS shall be subject to a permit condition requiring compliance with the inspection schedule specified in JCC 8.15 Table 1 beginning with the earliest of the following events: i. The installation of an OSS. ii. The repair of an OSS. iii. The modification of an OSS. c. Owners of existing e. . -- - - -•• •- ee - - . • ' ". . _ - - -_ !• _ - 1 _ -- •e e _ - •_ - - _ •-- OSS that have not yet received an initial O&M Inspection, or that are not in compliance with the monitoring schedule in Table 1, shall obtain a Professional O&M JC Code 8.15 revised 2007 page 29 of 47 DRAFT Inspection and comply with the inspection schedule specified in JCC 8.15 • TABLE 1 beginning with the earliest of the following events: i. The sale or transfer of the property. The inspection report must be on file with JCPH prior to the sale or transfer. ii. The application for a building permit on the site, per JCPH Policy 04- 01 oras amended. iii. The use of an OSS as a community OSS. iv. Identification that any component of an OSS 1. Receives wastewater of greater than residential strength. 2. Receives wastewater from a food-service establishment. 3. Is permitted as a nonconforming repair 4. Is within 200' of surface water, as measured from the ordinary high water mark. 5. Is within 200' of a Category I or II wetland, 6. Is in a 100yr floodplain, as defined by the Federal Emergency Management Agency. 7. Is in a Special Aquifer Recharge Protection Areas as defined in JCC 18.15.240 or as amended. 8. Is in a Marine Recovery Area or Shellfish Protection District or other area as designated by the Jefferson County Board of Health. v. January 1, 2015 iv. Identification that a system has received a WaiverNariance from State or Local Code. lib proprietary systems after meeting manufacturers training requirements) may - -- - - - e _ -e •- •- - e -• -e - e - - - i. Routine O&M ii. The sale or transfer of a property expansion. annually by an approved monitoring entity. January 1, 2015 (8) Operation and Monitoring Requirements. a. On-site Sewage Systems in Jefferson County shall be inspected and maintained monitored as set forth in JCC 8.15 TABLE 1 by an approved monitoring entity that meets the standards set forth in 8.15.140. EXCEPT: Systems consisting solely of a septic tank with a gravity connection to a community drainfield may be inspected by an individual holding a valid Septic Tank Pumper certificate. 111 JC Code 8.15 revised 2007 page 30 of 47 DRAFT • b. Access Required. The owner of the system shall provide access to the system for inspection and maintenance/monitoring as follows: i. Septic tank. Septic tanks shall be fitted with watertight pumping access risers to the ground surface over both compartments and over the outlet baffle, EXCEPT, as set forth in 8.15.090 (10). The risers shall have a means to lock or secure the lid against tampering and accidental access. ii. Pump Chamber. Pump chambers shall have a watertight riser to ground surface over the pump. The riser shall have a means to lock or secure the lid against tampering and accidental access. iii. Proprietary Devices and Disinfection Equipment. Access shall be provided as determined by the manufacturer or patent holder and shall include access to ground surface for effluent sample collection, observation and inspection of the unit. c. Fees for inspections and contracts shall be set by the service provider. (9) Inspection Report. The inspection report shall be submitted to JCPH on JCPH approved paper or electronic forms. The inspection report form shall be completed in full for an inspection to be considered valid. (10) Professional O&M Inspection Required: a. At the following events, owners of existing OSS must obtain a Professional O&M Inspection unless the OSS has had a Professional O&M Inspection 11011 within the time frame specified in Table 1. A Homeowner O&M Inspection shall not be used to satisfy this requirement. i. The initial O&M inspection for a new or existing system that has not yet received a Professional O&M Inspection. ii. The sale or transfer of a property. The inspection report must be on file with JCPH prior to the sale or transfer. iii. The application for a building permit on the site per JCPH Policy 04- 01 or as amended. b. If an OSS meets the following criteria, all required inspections must be Professional O&M Inspections. A Homeowner O&M Inspection shall not be used to satisfy this requirement. i. Receives wastewater of greater than residential strength. ii. Receives wastewater from a food-service establishment. iii. Is permitted as a nonconforming repair iv. Has horizontal setbacks to surface water or a well less than that required by WAC 246-272A or as amended. v. Is in a Marine Recovery Area or other area as designated by the Jefferson County Board of Health. 8.15.165 WAIVER OF STATE OR LOCAL REGULATIONS (1) Applicability. Any person who owns or operates an OSS may apply to the Health S Officer for a waiver from any paragraph of these regulations. (2) Granting Requirements. JC Code 8.15 revised 2007 page 31 of 47 DRAFT a. The Health Officer may grant such a waiver if it finds that: • i. Special circumstances exist that are not of the applicant's making; ii. An unnecessary hardship will occur without the waiver; iii. The Health Officer has determined that the waiver is consistent with the standards in, and the intent of, the public health protection purpose and objectives of these rules; iv. Corresponding mitigation measure(s) to assure that public health and water quality protection, at least equal to that established by these rules, is provided. b. The Health Officer may grant a waiver conditioned by a timetable if: i. Compliance with this regulation will require spreading of costs over a considerable time period; and ii. The timetable is for a period that is needed to comply with this regulation. c. The Health Officer may grant waivers from these regulations for standards that are more stringent than the standards of Chapter 246-272A WAC, or from provisions in these regulations that are not contained in Chapter 246- 272A without Department of Health approval. (3) Application. a. The application shall be made on forms provided by JCPH and accompanied by all information required by the Health Officer or designee. b. The Health Officer may request additional information if required to make a decision. c. An application for a waiver, or for the renewal thereof, submitted to the Health Officer shall be approved or disapproved by the Health Officer within ninety (90) calendar days of receipt unless the applicant and the Health Officer agree to a continuance. (4) Renewal. The Health Officer may renew any waiver granted pursuant to this paragraph on terms and conditions and for periods that would be appropriate on initial granting of a waiver. No renewal shall be granted except on written application. Any such application shall be made at least sixty (60) calendar days prior to the expiration of the variance. JCC 8.15.170 APPEAL/HEARING (1) Appeal of Public Health Action — Health Officer Administrative Hearing. Any person aggrieved by the contents of a notice and order to correct violation issued under this regulation, or by any inspection, permit issuance or enforcement action conducted by Public Health under this regulation, may request, in writing, a hearing before the Health Officer or his or her designee. The appellant shall submit specific statements in writing of the reason why error is assigned to the decision of Public Health. Such request shall be presented to the Health Officer within ten (10) business days of the action appealed; except in the case of a suspension, the request for a hearing must be made within five (5) business days. Upon receipt of such request together with hearing fees, the Health Officer shall notify the person of • JC Code 8.15 revised 2007 page 32 of 47 DRAFT the time, date, and place of such hearing, which shall be set at a mutually convenient time not less than five (5) business days nor more than thirty (30) business days from the date the request was received. The Health Officer will issue a decision upholding or reversing Public Health's action. The Health Officer may require additional actions as part of the decision. (2) Appeal of Administrative Hearing. a. Any person aggrieved by the findings or required actions of an administrative hearing shall have the right to appeal the matter by requesting a hearing before the Board of Health. Such notice of appeal shall be in writing and presented to the Health Officer within five (5) business days of the findings and actions from the administrative hearing and shall be accompanied by a fee as established in the current Public Health fee schedule. The appellant shall submit specific statements in writing of the reason why error is assigned to the decision of the Health Officer. The appellant and the Health Officer may submit additional information to the Board of Health for review. b. The notice and order to correct violation shall remain in effect during the appeal. Any person affected by the notice and order to correct violation may make a written request for a stay of the decision to the Health Officer within five (5) business days of the Health Officer's decision. The Health Officer will grant or deny the request within five (5) business days. c. Upon receipt of a timely written notice of appeal together with the hearing fee, the Health Officer shall set a time, date, and place for the requested hearing M before the Board of Health and shall give the appellant written notice thereof. Such hearing shall be set at a mutually convenient time not less than five (5) business days or more than thirty (30) business days from the date the appeal was received by the Health Officer. d. Any decision of the Board of Health shall be final and may be reviewed by an action filed in superior court. Any action to review the Board's decision must be filed within thirty (30) business days of the date of the decision. (3) All revocation hearings shall be conducted by the Board of Health. (4) The following guidelines apply to all hearings and appeals conducted by the Board of Health pursuant to this section: a. Appeals shall be made in writing and shall be signed and dated by the petitioning party. b. Appeals shall include a brief and concise statement of the law and facts, which affirmatively establish that the Health Officer has committed an error. c. Appeals shall be transmitted to the Board of Health by JCPH following receipt from the petitioning party together with all relevant material associated with the Health Officers action, including but not limited to, applications, reports, soil logs, photographs, staff analysis and recommendations. d. Upon receipt of the appeal materials transmitted by JCPH, the Board of Health shall conduct a hearing to determine the correctness of the decision by the Health Officer within thirty-five (35) days. The petitioner shall be given five (5) days' notice by certified mail of the purpose, time, date and place of said hearing. Further, if the petitioning party is a person other than the permit JC Code 8.15 revised 2007 page 33 of 47 DRAFT applicant or a permit holder, then notice of the purpose, time, date, and place • of said hearing shall likewise be mailed by certified mail to the permit applicant or permit holder. e. Any hearing conducted pursuant to this section shall be a public hearing and the chairperson of the Board of Health shall open the hearing and take testimony from any interested persons; provided, that testimony in suspension or revocation hearings shall be limited to that presented by the Health Officer, the certificate holder and any witness called by them; provided further, that the chairperson may limit the length of the testimony to a specific amount of time to be applied equally to those interested persons wishing to speak except in suspension or revocation hearings where the Board of Health is authorized to use its discretion. f. The procedure to be utilized during any hearing conducted pursuant to this section shall be as follows: i. The petitioning party, permit applicant, or permit holder and the Health Officer, if not the petitioning party, shall be given an opportunity to present evidence, analysis and recommendations. ii. Members of the Board of Health may direct questions to the petitioning party, permit applicant or permit holder and Health Officer. iii. The chairperson of the Board of Health shall permit the presentation of testimony by any interested person as set forth in this chapter. iv. Following presentation of evidence and testimony, the chairperson of the Board of Health shall close the hearing and initiate discussion with other board members on the matters presented. v. Following discussion, the Board of Health shall make ruling on the appeal. vi. Under no circumstances shall cross-examination of persons making presentations at the hearing be permitted, notwithstanding that the Board of Health may ask questions as set forth above. g. Should the Board of Health require additional testimony, it may continue the public hearing to a date and time not to exceed thirty-five (35) days following the date of the initial public hearing; PROVIDED that at the close of the second public hearing the Board of Health may continue its deliberations on the appeal to another time and date not to exceed thirty-five (35) days following the close of the second public hearing conducted to receive additional testimony. In all other cases the Board of Health may continue its deliberations on the appeal to another date and time not to exceed thirty-five (35) days following the close of the public hearing. h. Relevant evidence is admissible, if in the opinion of the Board of Health it is the best evidence reasonably obtainable having due regard for its necessity, availability and trustworthiness; provided that, in passing upon the admissibility of evidence the Jefferson County Board of Health may give consideration to, but shall not be bound to follow the rules of evidence governing civil proceedings in matters not involving trial by jury in the Superior Court of the State of Washington. • JC Code 8.15 revised 2007 page 34 of 47 DRAFT . i. A full and complete record shall be kept of all proceedings and all testimony shall be recorded. The record of testimony and exhibits together with all papers and requests filed in the proceedings shall constitute the exclusive record for the decision in accordance with the law. j. All decisions shall become a part of the record and shall include a statement of Findings and Conclusions. k. Notice of the decision of the Board of Health shall be provided not later than ten (10) days following the date of its decision. I. The petitioning party, permit applicant, permit holder, or designated agent, and JCPH shall be notified of the decision of the Board of Health, together with the Findings and Conclusions. JCC 8.15.180 ENFORCEMENT/PENALTY (1) Other Laws, Regulations and Agency Requirements a. All OSS management shall be subject to the authority of other laws, regulations or other agency requirements in addition to these rules and regulations. Nothing in these rules and regulations is intended to abridge or alter the rights of action by the state or by persons, which exist in equity, common law or other statutes to abate pollution or to abate a nuisance. b. If a conflict exists between the interpretation of Chapter 246-272A WAC and these regulations, the more stringent regulation shall apply to better protect al° public health and the environment. (2) Enforcement Authority. The Health Officer, his or her designee, or any person appointed as an "Enforcement Officer" by the Jefferson County Board of Health shall have the authority to enforce the provisions of these regulations equally on all persons. The Health Officer is also authorized to adopt rules consistent with the provisions of these rules and regulations for the purpose of enforcing and carrying out its provisions. (3) Right of Entry a. Whenever necessary to make an inspection to enforce or determine compliance with the provisions of these regulations, and other relevant laws and regulations, or whenever the Health Officer has cause to believe that a violation of these regulations has or is being committed, the Health Officer or his/her duly authorized inspector may, in accordance with federal and state law, seek entry of any building, structure, property or portion thereof at reasonable times to inspect the same. b. Prior to entering any building, structure, property or portion thereof the Health Officer or his/her duly authorized inspector shall attempt to secure the consent of the owner, occupant or other person having apparent charge or control of said building, structure, property or portion thereof. i. If such building, structure, property or portion thereof is occupied, the inspector shall present identification credentials, state the reason for the inspection, and request entry. ii. In attempting to contact the owner, occupier or other persons having apparent control of said building, structure, property or portion thereof, JC Code 8.15 revised 2007 page 35 of 47 DRAFT the inspector may approach said building or structure by a • recognizable access route, e.g., a street or driveway, leading to said building or structure. c. If permission to enter said building, structure, property or portion thereof is not obtained from the owner, occupier or other persons having apparent control of said building, structure, property or portion thereof the inspector may enter said building, structure, property or portion thereof only if the entry into the building, structure, or property is consistent with applicable state and federal law. d. If permission to enter said building, structure, property or portion thereof is not obtained from the owner, occupier or others persons having apparent control of said building, structure, property or portion thereof, the Health Officer or his/her duly authorized inspector shall also have recourse to any other remedies provided by law to secure entry, including but not limited to search warrants based on probable cause or statutory authority. (4) Notice and Order to Correct Violation a. Issuance. Whenever the Health Officer determines that a violation of these regulations has occurred or is occurring, he/she may issue a written notice and order to correct violation to the property owner or to any person causing, allowing or participating in the violation. b. Content. The notice and order to correct violation shall contain: i. The name and address of the property owner or other persons to whom the notice and order to correct violation is directed; ii. The street address or description sufficient for identification of the building, structure, premises, or land upon or within which the violation has occurred or is occurring; iii. A description of the violation and a reference to that provision of the regulation, which has been violated; iv. A statement of the action required to be taken to correct the violation and a date or time by which correction is to be completed; v. A statement that each violation of this regulation shall be a separate and distinct offense and in the case of a continuing violation, each day's continuance shall be a separate and distinct violation; vi. A statement that the person, to whom the Notice and Order is directed, can appeal the Order to the Health Officer, in accordance with the terms of this Chapter, and that any such appeal must be presented to the Health Officer with ten days; vii. A statement that the failure to obey this notice may result in the issuance of a notice of civil infraction, and/or the assessment of an administrative remedy, and/or, if applicable, the imposition of criminal penalties. c. Receipts. The notice and order to correct violation may also include a statement requiring the person to whom the notice and order to correct violation is directed to produce receipts from a certified professional to demonstrate compliance with an order issued by the Health Officer. 1111 JC Code 8.15 revised 2007 page 36 of 47 • DRAFT . d. Service of Order. The notice and order to correct violation shall be served upon the person to whom it is directed, either personally or by mailing a copy of the order to correct violations by first class and / or certified mail postage prepaid, return receipt requested, to such person at his/her last known address. The notice and order to correct violation shall also be served via certified mail/return receipt requested to the owner of the parcel or parcels where the alleged violations are occurring, to the owner's last known address. e. Extension. Upon written request received prior to the correction date or time, the Health Officer may extend the date set for corrections for good cause. The Health Officer may consider substantial completion of the necessary correction or unforeseeable circumstances that render completion impossible by the date established as a good cause. f. Supplemental Order to Correct Violation. The Health Officer may at any time add to, rescind in part, or otherwise modify a notice and order to correct violation. The supplemental order shall be governed by the same procedures applicable to all notice and order to correct violations procedures contained in these regulations. g. Enforcement of Order. If, after any order is duly issued by the Health Officer, the person to whom such order is directed fails, neglects, or refuses to obey such order, the Health Officer may: i. Utilize any remedy or penalty under Section 180(5) of these regulations; and/or N ii. Abate the health violation using the procedures of these regulations; and/or iii. Pursue any other appropriate remedy at law or equity. h. Written Assurance of Discontinuance. The Health Officer may accept a written assurance of discontinuance of any act in violation of this regulation from any person who has engaged in such act. Failure to comply with the assurance of discontinuance shall be a further violation of this regulation. (5) Violations, Remedies and Penalties a. Violations. i. Violations of these regulations may be addressed through the remedies and penalties provided in this section. ii. Each violation of these regulations shall be a separate and distinct offense and in the case of a continuing violation, each day's continuance shall be considered a separate and distinct violation. iii. The Health Officer may investigate alleged or apparent violations of these regulations. Upon request of the Health Officer or designee, the person allegedly or apparently in violation of these regulations shall provide information identifying themselves. iv. Violations, apparent or alleged, that occurred or are occurring in - • - • ••- • - - • - - -- critical areas, as that term is defined in this Chapter, of Jefferson County will have the highest priority for investigation by those persons charged in this Chapter with 11111 investigating such violations and enforcing this Chapter and such violations will be subject to a 'zero tolerance' policy. JC Code 8.15 revised 2007 page 37 of 47 DRAFT b. Civil Remedies. • i. Except as provided in Section 180, the violation of any provision of these regulations is designated as a Class 1 civil infraction pursuant to Chapter 7.80 RCW, Civil Infractions. ii. In addition to or as an alternative to any other judicial or administrative remedy provided herein, or by law, any person or establishment who violates this regulation, may be assessed a civil penalty up to $513.00 per day of continuous violation to be directly assessed by the Health Officer until such violation is corrected. iii. The Health Officer may issue a notice of civil infraction pursuant to Chapter 7.80 RCW if the Health Officer has reasonable cause to believe that the person has violated any provision of these regulations or has not corrected the violation as required by a written notice and order to correct violation. Civil infractions shall be issued, heard and determined as described in Chapter 7.80 RCW, and any applicable court rules. iv. All other legal and equitable remedies are also deemed available to Public Health or its Health Officer and may be invoked, utilized or sought at any time regardless of whether other remedies have or have not been undertaken or sought. c. Criminal Penalties. i. Any person who fails, neglects, or refuses to obey an order of the Health Officer to correct a violation as set forth in Section 180 above shall be, upon conviction, guilty of a misdemeanor and shall be subject to a fine of not more than $1000, or imprisonment in the county jail not to exceed ninety (90) days, or both. The court may also impose restitution. ii. Any person who fails, neglects, or refuses to comply with a written assurance of discontinuance pursuant to Section 180 above shall be, upon conviction, guilty of a misdemeanor and shall be subject to a fine of not more than $1000, or imprisonment in the county jail not to exceed ninety (90) days, or both. The court may also impose restitution. d. Stop-Work Orders. The Health Officer may cause a Stop-Work order to be issued whenever the Health Officer has reason to believe that a violation of this regulation is occurring. The effect of the Stop-Work order shall be to require the immediate cessation of such work or activity that has contributed to the violation until authorized by the Health Officer to proceed. i. Content. A Stop-Work Order shall include the following: 1. The name and address for the person responsible for the alleged violation; 2. The street address or description sufficient for identification of the building, structure or premises, or land upon or within which the alleged violation has occurred or is occurring. • JC Code 8.15 revised 2007 page 38 of 47 • DRAFT • 3. A description of the violation and reference to the provision of the Jefferson County Board of Health Ordinance, which has been allegedly violated; 4. The required corrective action; 5. A statement that a failure to comply with the order may lead to issuance of a civil infraction to the person named in the order; 6. A statement that the person to whom the Stop Work Order is directed can appeal the Order to the Health Officer in accordance with Section 170 of this Chapter and that any such appeal must be presented to the Health Officer within ten days. ii. Service of Notice. The Health Officer shall serve the Stop Work Order upon the owner of the property where the alleged violation occurred or is occurring and the person, firm or business entity that has allegedly violated this Chapter, either personally or by mailing a copy of the notice by regular and certified or registered mail, within a five-day return receipt requested, to the owner at his or her last known address. A copy of the Order shall also be posted on the property where the alleged violation occurred or is occurring. iii. Posting of Notice. In addition to service of the notice listed above, an additional notice shall be posted on the property in substantially the following form: Under the authority of Jefferson County Public Health Code 8.15 Onsite Sewage Regulations you are hereby required to immediately STOP WORK This order is in effect at this property for all work and activities that relate to violations of Jefferson County Public Health Code 8.15 Onsite Sewage Regulations, and remains in effect until removed by Public Health. It is a violation of these regulations to remove, deface, destroy, or conceal a posted Stop Work Order. FAILURE TO COMPLY WITH THIS ORDER MAY RESULT IN THE ISSUANCE OF A CIVIL INFRACTION. e. Voluntary Correction. When the Health Officer determines that a violation has occurred or is occurring, he or she shall attempt to secure voluntary correction by contacting the person responsible for the alleged violation and, where possible, explaining the violation and requesting correction. i. Voluntary Correction Agreement. The person responsible for the alleged violation may enter into a voluntary correction agreement with Public Health. The voluntary correction agreement is a contract between Public Health and the person responsible for the violation in which such person agrees to abate the alleged violation within a specified time and according to specified conditions. The voluntary correction agreement will be in lieu of the issuance of further citations or the abatement of the property pursuant to RCW 7.48 or of this JC Code 8.15 revised 2007 page 39 of 47 DRAFT Chapter. The voluntary correction agreement shall include the • following: 1. The name and address of the person responsible for the alleged violation; 2. The street address or other description sufficient for identification of the building, structure, premises, or land upon or within which the alleged violation has occurred or is occurring; 3. A description of the alleged violation and a reference to the regulation, which has been violated; 4. The necessary corrective action to be taken, and a date or time by which correction must be completed; 5. An agreement by the person responsible for the alleged violation that Public Health may enter the property and inspect the premises as may be necessary to determine compliance with the voluntary correction agreement; 6. An agreement by the person responsible for the alleged violation that Public Health may enter the property to abate the violation and recover its costs and expenses (including administrative, hearing and removal costs) from the person responsible for the alleged violation if the terms of the voluntary correction agreement are not satisfied; and 7. An agreement that by entering into the voluntary correction agreement, the person responsible for the alleged violation waives the right to a hearing before the Health Officer under IAD these regulations or otherwise, regarding the matter of the alleged violation and/or the required corrective action. ii. Right to a Hearing Waived. By entering into a voluntary correction agreement, the person responsible for the alleged violation waives the right to a hearing before the Health Officer under these regulations or otherwise, regarding the matter of the violation and/or the required corrective action. The person responsible dfor tot ealleged Health Officer, state n may, by through written documentation pro his or her decision to reject and nullify the voluntary correction agreement, at which time that person is entitled to an appeal to the Health Officer pursuant to Section 170 of this Chapter. iii. Extension and Modification. The Health Officer may, at his or her discretion, grant an extension of the time limit for correction or a modification of the required corrective action if the person responsible for the alleged violation has shown due diligence and/or substantial progress in correcting the violation, but unforeseen circumstances have delayed correction under the original conditions. iv. Abatement by Public Health. The county may abate the alleged violation in accordance with Section 180(5)(f) if all terms of the voluntary correction agreement are not met. v. Collection of Costs. If all terms of the voluntary correction agreement are not met, the person responsible for the alleged violation shall be page 40 of 47 JC Code 8.15 revised 2007 DRAFT assessed all costs and expenses of abatement, as set forth in Jefferson County Public Health Code 8.15. f. Abatement Orders. Where the Health Officer has determined that a violation of these regulations has occurred or is occurring, he or she may issue an Abatement Order to the person responsible for the alleged violation requiring that the unlawful condition be abated within a reasonable time period as determined by the Health Officer. i. Prerequisite to Abatement Order. Absent conditions which pose an immediate threat to the public health, safety or welfare of the environment, the procedures for abatement of conditions constituting a violation of these regulations should be utilized by Public Health only after corrections of such conditions have been attempted through the use of the civil infractions process. Once it has been determined by Public Health that there is an immediate threat to the public health's safety or welfare and that correction of such conditions has not been adequately achieved through use of the civil infraction process, then Public Health is authorized to proceed with abatement of such conditions pursuant to these regulations. Public Health shall also attempt to enter into a voluntary corrections agreement prior to issuing an Abatement Order. ii. Content. An Abatement Order shall include the following: 1. The name and address for the person responsible for the 41. alleged violation; 2. The street address or description sufficient for identification of the building, structure or premises, or land upon or within which the alleged violation has occurred or is occurring; 3. A description of the violation and reference to the provision of the Jefferson County Board of Health Ordinance, which has been allegedly violated; 4. The required corrective action and a date and time by which the correction must be completed and after which, the Health Officer may abate the unlawful condition in accordance with this Chapter. 5. A statement that the costs and expenses incurred by Public Health pursuant to of this Chapter, including any amount expended on staff time to oversee the abatement, may be assessed against a person to whom the Abatement Order is directed in a manner consistent with this Chapter; and 6. A statement that the person to whom the Abatement Order is directed can appeal the Order to the Health Officer in accordance with this Chapter. iii. Service of Notice. The Health Officer shall serve the Abatement Order upon the owner of the property where the alleged violation occurred or is occurring, either personally or by mailing a copy of the notice by regular and certified or registered mail, a five-day return receipt requested, to the owner at his or her last known address. The Order JC Code 8.15 revised 2007 page 41 of 47 DRAFT shall also be served on each of the following if known to the Health • Officer or disclosed from official public records: the holder of any mortgage or deed of trust or other lien or encumbrance of record; the owner or holder of any lease of record and the holder of any other estate or legal interest of record in or to the property or any structures on the property. The failure of the Health Officer to serve any person required herein to be served, shall not invalidate any proceedings hereunder as to any other person duly served or relieve any such served person from any duty or obligation imposed by the provisions of this section. A copy of the Order shall also be posted on the property where the alleged violation occurred or is occurring. iv. Authorized Action by Public Health. Using any lawful means, Public Health may enter the subject property and may remove or correct the condition that is subject to abatement. v. Recovery of Costs and Expense. The costs of correcting a condition which constitutes a violation of these regulations, including all incidental expenses, shall be billed to the owner of the property upon which the alleged violation occurred or is occurring, and shall become due within fifteen calendar days of the date of mailing the billing for abatement. The term "incidental expenses" includes, but is not limited to, personnel costs, both direct and indirect and including attorney's fees; costs incurred in documenting the violation; towing/hauling, storage and removal/disposal expenses; and actual expenses and costs to Public Health in preparing notices, specifications and contracts 41110 associated with the abatement, and in accomplishing and /or contracting and inspecting the work; and the costs of any required printing and mailing. vi. Collection of Costs and Expenses. The costs and expenses of correcting a condition, which constitutes a violation of these regulations, shall constitute a personal obligation of the person to whom the Abatement Order is directed. Within fifteen days of abating any violation, the Health Officer shall send the person named in the Abatement Order a bill that details the work performed, materials removed, labor used and the costs and expenses related to those tasks as well as any other costs and expenses incurred in abating the violation. g. Notice to Vacate. When a condition constitutes a violation of these regulations and poses an immediate threat to life, limb, property, or safety of the public or persons residing on the property, the Health Officer may issue a Notice to Vacate. i. Content. A Notice to Vacate shall include the following: 1. The name and address for the person responsible for the alleged violation; 2. The street address or description sufficient for identification of the building, structure or premises, or land upon or within which the alleged violation has occurred or is occurring; • JC Code 8.15 revised 2007 page 42 of 47 DRAFT • 3. A description of the violation constituting an emergency and reference to the provisions of the Jefferson County Board of Health regulations, which has been allegedly violated; 4. A date, as determined by the severity of the emergency, by which any persons must vacate the premises. Incase of extreme danger to persons or property immediate compliance shall be required; 5. The required corrective action; 6. A statement that the person to whom the Notice to Vacate is directed can appeal the order to the Health Officer in accordance with Section 170 of this Chapter and that any such appeal must be presented to the Health Officer within ten days. ii. Service of Notice. The Health Officer shall serve the Abatement Order upon the owner of the property where the alleged violation occurred or is occurring, either personally or by mailing a copy of the notice by regular and certified or registered mail, with a five-day return receipt requested, to the owner at his or her last known address. A copy of the Order shall also be posted on the property where the alleged violation occurred or is occurring. iii. Posting the Notice. In addition to providing service as states above, an additional notice shall be posted on the property in substantially the following form: 41110 DO NOT ENTER UNSAFE TO OCCUPY It is a violation of the Jefferson County Board of Health Code 8.15 to occupy this building, or to remove or deface this notice. , Health Officer Jefferson County Public Health iv. Compliance. No person shall remain in or enter any building, structure, or property which has been so posted, except that entry may be made to repair or correct any conditions causing or contributing to the threat to life, limb, property, or safety of the public or persons residing on the property. No person shall remove or deface any such notice after it is posted until the required corrective action has been completed and approved. (6) Appeals — see section 8.15.170. (7) Administrative — Certificate Holders. a. Suspension of Certificate. i. The Health Officer may suspend any certificate upon making the determination, after a hearing between the Health Officer and the certificate holder, that the holder has performed with negligence, incompetence, misrepresentation or failure to comply with the applicable rules, regulations, guidelines, policies or practices which pertain to water supply and waste water disposal, to have made JC Code 8.15 revised 2007 page 43 of 47 DRAFT fraudulent misrepresentation in making application for a certificate or to • have made fraudulent misrepresentation in making application for a permit to install an on-site sewage system, either existing at the time of certification or as thereafter enacted. ii. The Health Officer shall give written notice of the hearing to any person aggrieved who has filed a written complaint with the Health Officer and the affected certificate holder(s). iii. For the first confirmed violation under this subsection, the suspension period shall not exceed thirty (30) days; and the second violation in any three (3) year period shall result in a suspension of the certificate for a period not less than fifteen (15) days and not to exceed one hundred eighty (180) days. iv. If the Health Officer suspends a certificate, the certificate holder shall not proceed with any further work in connection with the activity covered by the certificate. v. The certificate holder shall be notified by certified mail of suspension of the certificate upon determination of a finding that a violation has occurred requiring suspension. b. Revocation of Certificate. i. A certificate may be revoked for repeated violation of any of the requirements of these regulations or any other applicable regulation or if, after a hearing with the Board of Health, the holder of such certificate shall be found grossly incompetent or negligent, or to have made fraudulent misrepresentations in making application for a alp certificate or for a permit to install an on-site sewage system, or should the bond or insurance required herein be cancelled. ii. The Health Officer shall give written notice of the hearing to any person aggrieved who has filed a written complaint with the Health Officer and the affected certificate holder(s). iii. The third Notice of Violation issued by JCPH staff within any twelve (12) month period shall be considered as repeated violations and result in certificate revocation. iv. If the Board of Health revokes a certificate, the certificate holder shall not proceed with any further work in connection with the activity covered by the certificate. v. The certificate holder shall be notified by certified mail of revocation of the certificate, upon determination of a finding that a violation has occurred requiring revocation. vi. If, after revocation of a certificate, the applicant desires to reapply for a certificate, the applicant must wait six (6) months prior to reapplication. Any person whose certificate has been revoked will be required to pay all applicable fees and take and pass the written examination again before issuance of a new certificate. c. Reinstatement of Suspended or Revoked Certificate. i. The certificate holder shall make written application for reinstatement to the Environmental Health Director specifying what practices, • JC Code 8.15 revised 2007 page 44 of 47 DRAFT 110 performance, and conditions that were named as grounds for suspension or revocation have been remedied; and the certificate holder will provide a description of the changes in performance that will occur which will directly avoid the repetition of past violations. ii. The Environmental Health Director, upon determining that noted deficiencies have been satisfactorily addressed, shall schedule the individual for participation in the next available examination where applicable. Reissuance of the certificate is subject to the individual's successful completion of the application and testing procedure and payment of testing and certification fees as per the Fee Ordinance. d. Probation. A period of probation consisting of additional reporting or inspection requirements may be imposed on a certificate holder as a result of violations of these rules or as a condition of operation following suspension/revocation of a certificate. Said period and requirements shall be the decision of the Health Officer and shall be determined after an administrative hearing with the certificate holder. e. Appeal. Any person feeling aggrieved because of the suspension or denial of a certificate by the Health Officer may, within fifteen (15) days of the suspension or denial, appeal to the Board of Health as set forth in JCC 8.15. 170. (8) Administrative — Property Owners a. Notice to Title. If the Health Officer finds than an owner has failed to comply 4110 with the requirements of this regulation, AND all administrative remedies have been exhausted, AND the case has been forwarded to the Jefferson County Prosecuting Attorney for further action, the Health Officer may record a Notice of Potential Uncorrected Violation finding on the title of the property with the Jefferson County Auditor. b. Removal of Notice. The owner shall make written request to the Health Officer for rescission of the Notice to Title. The request shall specify corrective actions that have been completed. c. The Health Officer, upon determining that noticed violation has been corrected, shall record a Rescission of Notice with the Jefferson County Auditor. d. The owner shall pay fees as required to complete inspection(s) to verify correction and to record the Rescission prepared by JCPH. JCC 8.15.190 SEVERABILITY Provisions of these rules and regulations are hereby declared to be separable, and if any section, subsection, sentence, clause, phrase, or portion of these rules and regulations is for any reason held to be invalid or unconstitutional by the decision of any court of competent jurisdiction, such decision shall not affect the validity of the remaining portions of these rules and regulations. I JC Code 8.15 revised 2007 page 45 of 47 DRAFT JCC 8.15.200 FEES • (1) Fees shall be as per Jefferson County Public Health Fee Schedule. (2) Refunds shall not be granted if field investigation, plan review, site visit or design review has been completed by JCPH. (3) A refund of the application fee minus an administrative fee of forty-five dollars ($45.00) shall be granted upon written request of the applicant/owner, EXCEPT as noted in (2) above. (4) All Sewage System Installer's, Septic Tank Pumper's, and Operation and Monitoring Specialist Certificates are renewable annually on March 1. Should any renewal fee remain unpaid by March 31, a penalty fee according to the Fee Schedule shall be charged. Previously issued certificates shall become void if not renewed prior to April 1. (5) Fees generated under this authority cannot be used to support non-public health activities. JCC 8.15.210 EFFECTIVE DATE This chapter shall be effective ten (10) days after approval is obtained from the Department of Health as per WAC 246-272A-0015 (10) JCC 8.15.220 CONFLICT Where other County regulations are in conflict with this ordinance, the more restrictive regulation shall apply and such application shall extend only to those specific provisions that are more restrictive. • JC Code 8.15 revised 2007 page 46 of 47 DRAFT • TABLE 1: OPERATION & MONITORING INSPECTION SCHEDULE FOR ONSITE SEWAGE SYSTEMS Type Of System Standard OSS OSS meeting criteria in 8.15.150.6(b) OSS consisting solely Every 3 years, Annually, of a septic tank and gravity drainfield Professional or Homeowner Professional Other systems not Annually, Annually, containing proprietary products Professional or Homeowner Professional Systems containing Annually unless more Annually unless more frequent proprietary products frequent inspections are inspections are required per required per DOH or DOH or manufacturers' manufacturers' guidelines, guidelines, Professional or Homeowner Professional These inspections do not alleviate the responsibility of the homeowner to complete inspections as required in the 0 & M Manual provided by the system designer and maintain the system when problems are observed. All maintenance of proprietary devices shall be completed by factory authorized personnel. 011111 S JC Code 8.15 revised 2007 page 47 of 47 • Amendment to add additional fees to existing Jefferson County Public Health Fees Ordinance No. 11 - 1215-05 as a result of changes to the • Operation 86 Monitoring Program. • • Amendment of additional fees to existing Jefferson County Public Health Fees Ordinance No. 11-1215-05 as a result of changes to the Operation and Monitoring Program to include: ENVIRONMENTAL HEALTH 2008 FEE ADDITIONAL FEES AND OTHER INFORMATION Evaluation of Existing System/Monitoring Inspection Filing Fee -Electronic 39.00 Filing Fee—Paper 46.00 Pumper Report Filing Fee—Electronic 2.00 Filing Fee—Paper 9.00 O&M Homeowner Certification Homeowner Operator 98.00 Renewal 50.00 • • • Board of Health Netiv Business .agenda Item # "V., 3 • 2007 3food Cana(Environmental Achievement Award- .I033-1 December 20, 2007 • s 0 4 0 3 o 0 36a o h CD N s °1 A-D BOO 0444( ti �1 P a3 a, ale 9% Ei m a o � K D �- 7 " ' -n•O n n rD 3 O O c c =_h ri „'' m r 1.N 0 m N • W N N _. _. � Z _. -+ _. _, to l0 l0 N V1 Vi 0 tri V1 t.V 0 W O A O Vi V1 0 S ,, O 0 O Vt tit 0 a ' 3 • n p - = O -s C n 3, O m a _ O r n • CO 3; <- r T — n D w a 0 Fa ar n g rD to O S' lb n •_'r•• 3 p , rt m A- z- n O om, _' S ,rDrn O = r g JI. 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A° Q Fr �• y 8 0 ° Fes{+ Q.. o r g �. cg) 8- ,,._, 0-- 0 0 0 a, G �, O w o co v am' o �' ^. p- O; 8 .-0 -'1 —43 5 A r X 5 ; " El n O. . o F o A- " �' °° x r $' o PT. `G a- ° w Qom" :; w Ar R- Ar " w A- rD •.T• ."S.. A'• A ^ 0 n C. o n O w •o w cm �' n CIQ M CD' y e- y '6• 'Z•. l-1 Ar eb ry f1• n ' '', • O (. 5 n -^.. a .--�Up y .'T G n7"' y `C .n" Cr rb ti 0 `C .0 L'1,CM O n ° O f I O w f 0 O O A 0 "Q C P" w P� . O �. O w �" O" A -0 w .w-, "c cm •w_, "7 W A "L3 �, n p.. ''" on .^_. va CJQ " y w A w p O a pa o , O " 0 UOQ A- p n n 0 o a ¢-'� ; cr w " O ri' 0 VQ u nE t a ': «P "II ens P • '0 Cb p� P- O" c) v,• . co CD 0 P. • CC .h UQ n ' CnA .1' L _ ' RO x -, P 5L n CD ffn n H fp M 0 ., n CD �' Pi Uq ' •n, ° rD �" v, • Board of Health Netiv Business .Agenda Item # 17., 4 Green Business Ativardi • Blue 3-feron i►/liddCe SchooC December 20, 2007 • co JEFFERSON COUNTY PUBLIC HEALTH . Always Working for a Safer and Healthier Jefferson November 16, 2007 Jefferson County Board of Health PO Box 1220 Port Townsend, WA 98368 Dear Board of Health Members: The Green Business program is proud to announce a new business. Blue Heron Middle School, 3939 San Juan Ave, Port Townsend, has become the second school to become a Green Business. This business is going the extra mile to conserve water, energy and other valuable resources. They are leaders in the Community and both businesses have developed unique ways to protect the environment while doing business. • After signing the award, please return them to: Anita Hicklin Jefferson County Public Health Solid Waste Management Program 615 Sheridan Street Port Townsend, WA 98368 Thank you for your continued support of the Green Business Program! Sincerely, Anita Hicklin Environmental Health Specialist Jefferson County Public Health • COMMUNITY ENVIRONMENTAL DEVELOPMENTAL NATURAL HEALTH HEALTH DISABILITIES RESOURCES (360) 385-9400 (360) 385-9444 (360) 385-9400 (360) 385-9444 615 Sheridan Street, Port Townsend. Washington 98368 fax (360)385-9401 web: www.jeffersoncountypublichealth.org og9,) a m C C comic pO 3 t Rot (Z°°II 1:411 II 1 I I 11 t: i N 111110 cmi ?(Aoma 0 0 � �m �I (p y' O c m n ^' ,..„t _41-,f-4,-)._4..p.- iimmi) 5 . .„: : - c4 '*:a : r,...-4, tea - /4/� j 4'u ��` a Imo fuilli 14: red CIID :. -- ,_ : gift:, Ch ix Aro trd ft o /� { � .�"„a (111111.4 fto o 'w V • 0 ..y 41 etm Board of Health .Media Report December 20, 2007 t Jefferson County Public Health October - November 2007 NEWS ARTICLES 1. "Free Discount Prescription Cards Debut-With Questions," PT Leader,October 3`d, 2007. 2. "County Closes Lake Leland,"Peninsula Daily News, October 14th, 2007. 3. "Bird-Flu Plan Needs Help From Public," Peninsula Daily News, October 14th,2007. 4. "Algae Closes Lake Leland,"Peninsula Daily News, October 17th, 2007. 5. "PT Main Street Debuts Mint Tins,"Peninsula Daily News, October 17th',2007. 6. "Housing Affordability Cited as Reason for McNickle leaving as County Health Leader", PT Leader, October 17th, 2007. 7. "PTHS Drinking Worry Prompts Dance Police," PT Leader, October 17th, 2007. 8. "Jefferson Will Discuss Clean Water District,"Peninsula Daily News, October 17th, 2007. 9. "Clean-water Unit OK'd in Jefferson,"Peninsula Daily News, October 18th, 2007. 10. "Flu Clinics are Open," PT Leader, October 18th, 2007. 11. "Environmental Health Director Resigns,"Peninsula Daily News, October 19th, 2007. 12. "Killer Fungus Not Among Us,"Peninsula Daily News, October 22"d, 2007. 13. "When Will 'The Big One' Hit Our Quake Zone,"PT Leader, October 24th, 2007. 14. "Children's Flu Vaccine Arriving in County; Public Clinics Continue,"PT Leader, October 24th, 2007. 15. "Infection on Rise Locally,"Peninsula Daily News, October 28th, 2007. 16. 'Flu Clinics Open,"PT Leader, October 31st, 2007. 17. "3-digit Help Line Marks First Anniversary,"Peninsula Daily News,November 15t, 2007. 18. "Football Game Canceled After Player Contracts MRSA," Peninsula Daily News,November 2nd, 2007. 19. "Basic Personal Hygiene Helps Keep You Healthy in Light of MRSA Threat," Peninsula Daily News, November 3rd, 2007. • 20. "Red Cross to Celebrate 'Real Heroes',"Peninsula Daily News, November 4th, 2007. 21. "Clallam Schools Take Safe Route on MRSA,"Peninsula Daily News,November 4th, 2007. 22. "Infection at Second PT School,"Peninsula Daily News, November 4th, 2007. 23. "Port Townsend High School Attendance Back to Normal Today after Bout with MRSA," Peninsula Daily News, November 5th'2007. 24. "High School Back to Normal, but Preschool,Recreation Center Disinfected for MRSA as Precaution," Peninsula Daily News,November 6th, 2007. 25. "Flu Shot Clinics are Ready for You,"PT Leader,November 7th, 2007. 26. "Forum Topic is Healthcare System Critique," PT Leader,November 7th, 2007. 27. "Sixth-grader is Cleared of MRSA,"PT Leader, November 7th, 2007. 28. "School Bug is NOT Super Bug,"PT Leader,November 7th, 2007. 29. "Jefferson Public Health Wins Award,"Peninsula Daily News,November 13th, 2007. 30. "Is Teenage Drinking&Drugging A Rite of Passage?" PT Leader,November 14th, 2007. 31. "Helping Out," Peninsula Daily News,November 20th, 2007. 32. "Ginny Correa,County Health Staff Honored for Protecting Environment,"PT Leader, November 21st, 2007. 33. "From Sex Ed to Pulmonary Rehab,Hilary Metzger has seen Community Grow Up,"PT Leader, November 28th, 2007. 34. "Main Street Helps Health Program,"PT Leader,November 28th, 2007. 35. "Arms Out for Flu Clinics,"PT Leader,November 28th, 2007. 36. "Medicaid Not the Issue at Victoria House,"PT Leader,November 28th, 2007. 37. "Marathon Sessions on County Budget,"PT Leader,November 28th, 2007. 38. "County's Red Ink,"Peninsula Daily News,November 30th, 2007. 39. "Flu Clinic Offered in Chimacum,"PT Leader, December 5th, 2007. • 40. "Survey Shows `Alarming' Health Issues Among Jefferson County Kids," Peninsula Daily News, December 11th, 2007. 41. "Rise in Imported Puppies Prompts Rabies Concerns,"ABC News, October 24, 2007. I' I-CC UlscU Ull t piesciipuuii cards debut — withquestions By Allison Arthur ed him about participating, although NACo lists • Leader Staff Writer him as a participating provider. Hoglund, who •is affiliated with Caremark Don Hoglund of Don's Pharmacy in Port through another program,said yesterday that since Townsend and 70-year-old Reva Basket of Port no one had yet to present the county's discount Hadlock are both wondering today just how a card to him, it's too early for him to determine its free discount prescription program that debuted impact on his business. Monday will impact them. "I haven't had anyone come in and sample it Jefferson County signed up to participate in the for reimbursement,"Hoglund said."It's premature Caremark discount program through the National to make a d:::.ermination at this point. I'd like to Association of Counties(NACo),and about 10,000 see how it gces and reserve the prerogative to not of the discount cards were printed. acce it." Distribution of the cards started late Monday, Htglund said he was trying to keep an open with Jefferson County Public Health Nursing mind about it. He said some discount cards, such Director Julia Danskin making them available at the as one offered to patients for$7.95 a month called county library in Port Hadlock, the city library in People's, imply that the provider of the card is Port Townsend,at the county health department and sharing the cost of the lower-cost prescription at the commissioners'office in the Courthouse. when,in fact,it is not—and the pharmacy ends up The cards were not available at Don's Pharmacy, absorbing the discount. • and Hoglund said no one from the county contact- See CARDS,Page 3 ar s that county discount card at her said Monday that the informa- any benefit to the pharmacist. local QFC. Pharmacists there tion she had was that the library, NACo lists Don's Pharmacy Continued from Page 1 • - said they would try the card city hall,municipal offices, clip- and Safeway as participants. A Reva Basket already has a for her even though they aren't ics and some pharmacies had the Safeway spokeswoman conic People's card and she's won- listed as a program participant. card. She could not name the not be reached for commen dering if the county discount ' "I want to see if it helps," pharmacies or the clinics. yesterday on whether the Por • card — which she couldn't find Basket, said, adding she's been She•also said people do not Townsend store had processec anywhere in•Port Hadlock on told she and her husband don't have to call the toll-free number any prescriptions. Monday morning—will offer just qualify for other discount pre- — 800-364-6331 - to activate A spokesman for QFC, her, as good a discount and allow her scription programs. the card. Baskett shops,said the pharmac' to stop paying$7.95 a month. '"Once the member uses the there will accept the cards. . Where they are card, it will activate it," she Baskett hopes that when sh Consumer hopes . Danskin said she distribut- said. presents the county's card it wil Basket says any savings ed the cards .by about 4 p.m. The Caremark spokeswom- offer a better discount than whi would help. Monday.to •the county library an said her information is that she has now. "I can't afford the copay and the city library, and they've the card should save users an — on Plan.D," Baskett said•of a been available — in English and average of 20 percent on medi-. Medicare plan. •Other than the in Spanish, at the county health cations. But she noted that it People's discount card,. she department next to the Port can't be used in conjunction says she can't afford any of the Townsend QFC grocery. She with other insurance programs. drug plans she's seen so far, and also said•people could call the In other words, people can't her medication can run $400 a health department at 385-9400 use the People's card and the month. Her and her 80-year-old if they.need,a card mailed. The Jefferson County card together, husband's Social Security ben- county librasaid it also will or the county card and'an insur- efits are being stretchedas far carry the cards on the bookmo- ance card together. as they can, as food and electric bile for those in outlying areas. The Caremark spokeswoman costs go up. 'J A spokeswoman for Caremark did not know whether there was It's the beginning of the • month, time to pay bills, and Basket was doing that Tuesday morning, trying to figure out her. budget for:the month. "I was just figuring out how r /66/-1.e r- • much I have left.Right now I fig- ured out I have $216 for grocer- 0- 3-0'7 . ies this month and my husband's medication,"Baskett said. . Next week,when her.medica-` tions run out, she'll be testing.: �Yy ' xYRY�., 4 z-----ito : 4 r__\----F, - Pat s7 izi ,c,,,z-, .a • 0,gLOV9ry�y N. _i. 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V O > 1ONAs° � o � t. 08 O" O at03 I a v ` .01 .2 ,,,..,.g fg3a0El.0 cu Ca o.2.-, 0 O C O Gi 2 °•° 3C °� Cqa 0 '0 ° w C � • V N w 3 C, c b w ° CI) 7v; "o0p ps av � ° - oo y09 � °0Paao` ° O yet"8"o.f > 0 0 yV• y a; goi. gK cd . � � y �•� ,ck ' � w0 .' C aia0 0U - y- C C > a�Dz .pv'a&.. 3 o ., .5cyOk.00-rco 0 0a .qr ,.. 0• - 0-.5- , wm•. .. m_VC4 34, EAs a 0 � a- 04N . ... 0cT0y 0s 7 °O . '.w yCO ; 0. -- 40.0a 6. W'z v. 9 AI 7,4 o " U •Pa o .N Cp . F. ,a0 ~ E0 0o1 > q....�p > d XIp° , a 0 ' aoic. C- .�w: 3 ' wo 1-1 aC0° a _ mw 3 C ^- .0.,- C >11 . , "TZ.i 44 • MIMMI c� 4) U c /,s7 E , 0 0 .a N (-11 (1)$.' W = U t-4a y )� Ct 4 3 O w ,_0 z I • o �, W U r., uA w �_ CU) o > o Wa) r"� P.. a 'a Brief! � Brief!y . • r= Bird-flu plan needs help from public The state Department of Fish and Wildlife is hoping people will call 1-800-606- 8768 to report dead birds as part of its monitoring pro- gram for avian flu and West Nile virus. Wild birds are known to carry various strains of avian influenza,most often without serious health. effects. But one strain,known as Highly Pathogenic Avian Influenza,H5N1,has sick- ened and killed birds in Asia,Europe and Africa. • No birds have tested pos- itive in Washington,but officials have tested more • than 4,000 birds here. The state is especially interested in waterfowl, such as ducks, geese and swans,that have died recently. At the same time, public health officials in Jefferson and Clallam counties are interested in testing dead crows,ravens, magpies and jays for West Nile virus. To report a dead bird, phone 360-385-9444 in Jef • - ferson County or 360-417- 2274 in Clallam County. Pl) (o - 7 • ' 1 • . '9 3 °p' b n C . v o .8 >' - a) 8 Mit: . °,,, ° $ X > °o '=2 i • 0. el ... 3 c I \.,. i ,:= 8 8 1 .., uil t- . ct 4-0 ... a) -� .fir � VJo Vito y o � w i -at o 8a3 o � go •aa, o -�-� � w o. ; o 3 ati alb � `� o —`= iii# aj `goo eu 'd ° a3 , . ° 8 v � a°ie .o T� = to ami � °' a) ° y :o . SG - :o .0 p.4 ia) A. 8 888 .8 Wiz , '� 5 °I' ° W ocu ..:a: c,3 .s .o v 4 0 .5 .io Q 2 v., ..0 ..o v., pia - a, o 5 a) C% C o w cn b 6 3 0 ° .o�0 HI ° 3 a 2.4Eo • gzon 1' .y o g a) on, 14v 0") 8 0 8 c, '''' E t -0 :8 1-A' , )73 .I1 '*a.) a) V ULUIH 5 . ° o .� 1 (13 --2 S 1 v. v °,0y -.. 3 .) b 5 .-a O ' , .14 od O ~ 8 (Ni 4) y i M .5 O O •❑❑' N p u !A 7, t 1 ii ›;# t tj +4 it4) 4 .>1 u a) � ' '-glk� . 1 li? w 4 0 4 •• a 3 0 e. ;.,..40 ..... '§ >, 11 ... t - t -0 .= -,804.) , CU e . 0 _ 5 . aw sU. 2 (24 "ok V) 4'4.'1. .0 v 4 0 o .0 g t 8 5 :101u . U o '.o v SN •g.o,Vo FP. il0 5 N ,Sa 6 • 4 • ..,, YENINSULA LJAILY NEWS ® ®®® ��1 '' ' 'a 0 9' ( -,:- "';':,; '''''' iii'17''' ". "'. 71! Z4,,,,,,-y. .,,,, -, •� '�r.-sem \ii0 , (.J.P. \f- ' ' ''''' --11' -"'""I'''''' '1 ':'. t U0/-\ -1,,,.',,,z,,,-,,,,,. , \ ,< r, \, ,i) 91 '''''''-i '1' t"M;A: I''';',tr4,,,:„.; ' Ziso ' ,fin..,• 1:7: '''' t//// in ion ' `"*14",;;,- 40; 'tj .,,,,,,,,.,„_. _ #.0.1 4 ‘,... with er- ' t0 `w ,n A a -•lay ,- Iast nt « , JENNIFER JACKSON/PENICSUL\DAILY Ne s en Port Townsend store owner Marion Ludwick, right, sells Susan O'Brien the first tin ad of Main Street Mints on Monday at Abracadabra. a ,b, Main en ,, PT Street iE • as so Ir, -e us mint n BY JENNIFER JACKSON "I think locals will like them to add to your souvenir gift J. PENINSULA DAILY NEWS — they love the fountain — basket, as a party favor, guest d and tourists will buy them as a amenity, event souvenir, PORT TOWNSEND — memento," said Marion Lod- reunion gift, or hospitality s These mints are minted in wick,owner of Abracadabra on gift." It Port Townsend. Water Street, one of the stores The Port Townsend version i You can buy Empire State selling the mints. would also make a nice stock- a Mints e New York City and The idea of offerin corn in stuffier for a college stu- Monumental Mints in Wash- g g g e ington,D.C. memorative mints is the latest dent, Lodwick said. t Now visitors to Port effort of Port Townsend Main In addition to Abracadabra, s Townsend can take home a lit Street's promotion committee. Main Street Mints are avail- tle bit of history in a tin with The mints sell for $3, with able at The Green Eyeshade. Monday's debut of Main Street partof the proceeds going to Sport Townsend, Elevated Ice Mints. support historic preservation Cream and Candy, The Wan- The small white breath and economic vitality in the Bering Wardrobe, Lehani's mints come in a tin with a pho city's historic downtown and Deli and Coffee, Maricee Fash- tograph of Galatea, the "lady uptown business districts. ion, Personalize It! and The in the fountain, that graces Mullen took the photograph Perfect Season. Haller Fountain in downtown of the statue that is used on The Port Townsend Leader Port Townsend. the tin. office also sells Main Street The first shipment of mints "I walk by Haller Fountain Mints. • arrived on Friday, and were every day — she is one of my Upcoming Main Street distributed by Mari' ari Mullen, favorite Port Townsend land- events include the Downtown Port Townsend Main Street marks,"Mullen said. Trick and Treat and Costume program director,on Monday. _ According to an ad for Parade at 4 p.m. Oct. 31, and Nine stores have signed up Washington, D.C., souvenir the Merchant Holiday Open to sell the mints,Mullen said. mints, the product is "perfect House on Nov. 24. a ll1 °' .cam fj a v' .> R! o ,. 8 5 of •ami •b ,, . • ?' is 0 -eti3 5 ' •> ,0 - •n �:-�O1 Ute .) gel > ai 4)) Z oqq •o . � U �p .y 3 0 4 o o TTT� �+ .� U .� O g iC; •c7 O U ,�'"' �,pp cUi 1 cd N 00-" o„,. a N•C 'O N y •b• N !'• cd 0 c'OC U 4cd •b 7 , 0 �/ o a ' ,§ 1 ,1) ('ca o .� d 3 p ov °' N s�, �� o o 3 3 5 `"a � aJi �� "F ,0, co e ? a, 0 ra �J 2 n� aw o 3 0 o O 0-2 '00.5 o St- a> N � o N. N 0.1) 0S956) SII • w }+ ? is, ..G' �1I 'V N O• . yam' 0 'G 8 y p .5 o N U ..a O , Y 4-, N•'" U on yC7 .SU 5 .l V cd O r..1 N O N 'a p O U N 1'4 '. - d y r;b $.§ 5 N p-U .+ 0 � U F. 2 �� I1iIJii' 4111113: -6 -• •••"( .0o 1/4,-,d ..§ p N c. aUG a c d " b F Q U y .d eq y U >, a >` o a 2 'du U r'"^ •C•5 g '?- % •5 • 'y Too 0 .: y O' u `a /U °, +� V1 op 8 •A - .e -2,-2 „ � x 5 �4,� ter,, - ;, i aons, 00 `° m i4 "C ° o ' oar ' .0oo0 ^ 2 .5 2, a : 5 > 0 .o 0...o 4.1 5 U >, ^ �1a. • c . Al 4, mm a3i {offM4Qs- .g .yy p a y bj >, O N w0 Q — M 5 N 5 b ° a a' '$ A � , O U c. a ve, N9dat 1 ..11 cvo ,; vi °, � z 1flhih1d Y • � • � ; 1 :, .4, `" „ .2 2 .-E.b -0 ° 9 ° acs . � 5 x p, V1 - ' N .g 42 p r3 p � oo �� „ Ui° g � oc Z 2 ° oma 2 S:0 ,D �py ° .°cam v d 3 5 o E cd O Li ;27 m ° , EU/a 0 .9 m 'dam 5o b `5 . eN - " � ,z .)a� s do d 7 .. z 3 0� t -on — e sa, via A a V O m 1IllhI1h .9 E ,nn„›... • 4 V_'• ." 'a t- .. _ Z .. g O L S « S 7 O.t. Lo Wednesday October 17,2007 • Vol. 118 No.42 • —. PTHS ddrinking worry p dance police By Blythe Lawrence at school dances has been the subject Leader Staff Writer of weeks of discussion and negotia- tion among the school administration, Following the lead of districts that student leaders and parents. Police have beefed up police presence at presence at the dance is a compromise school functions, Port Townsend High among students and parents who want School administrators have hired two the dances to start at 9 p.m. and end police officers to help supervise Sill- at midnight, other parents who lob- dents during the bied for a dance Homecoming time of 7 to 10 dance Oct.27. "I think more kids p.m., and school The uniformed administrators, officers may use than ever are will- who say they're • breathalyzerstired of students to test students ing to admit that showing up to suspected to dances under the have been con- we have an alcohol influence of alco- suming alcohol, hol. PTHS Principal problem at our danc- "We've never Carrie Ehrhardt , had this level said Tuesday. es and we cant con— of intervention Breathalyzers are time to ignore it. " before," Principal standard equip- Ehrhardt said, ment for police, noting that other Ehrhardt said. Carrie Ehrhardt schools have taken "They'll be principal Port Townsend High School able to go through similar measures to discourage stu- whatever mea- dents from drink- sures necessary in conducting their ing before the dances. investigation," she added, noting that "It's time for Port Townsend to • if a student is found to be intoxicated take that step too," she said. "It's not he or she will be arrested but not hand- what [students] want, but as we've cuffed and"taken downtown."Instead, talked about in ASB fa`ssociated stu- the student's parents will be called and dent body leadership], r think more asked to come pick up their child, she kids than ever are willing to admit that said. we have an alcohol problem at our How to handle possible drinking See PTHS,Page 14 • / T/ea h/" T 8- 1 .° 1 i=6 ° 3 .9 1 '.) �..5-. . o s o5 - >`'o. 3 c ;. u 8� • t1 ! x° 0 d I u ct .8 1.,„ 0.... gl4igg ! k.,.±‘ 1. ..,a •,; t. -b -§ i..., kEcil, 7,:i ii) 3 t) " H 8 y W b O .5 Q.5 O'1 2.g .0 T O G -2 •O . T-4d d .a e t',8 3 0gigg c ° `"oo u ed ~b oo � '� o g A . `$% $•a 8• o 0 3 u 3 o ▪ a 0 g �,a N cb 8 tog o a V .% g „ ° � „ us p V V 'b❑ mOv•� N'tlj�1f 0_ aosGu•aWd 3 .0 104 g oto • d iC , NqOO d6' 6i ,ahr � a"4 . 441 U o 8uN W93 2 a a J a s . CI) i - .. cA N a 8 : mo5 N .14 r r 1 CA 0.5 4� o4 -81, . `• o~ °,E � fou 03 —rzt ed C H 7000 � 0 ° 8.a I v g�C acs t) ,t1 „ � E d u 32- ,- .Qgv „ 55 .5 o u a. ,ct.6 ›., "4, 76 E g ' •a $ .o1 v.n I 5 g '0 •,„61, °x :14 o " r- •3 °° N �3 Eb c4 Ams @ � � � a � $ ; `°� Wo ? c� � � `° v ,13b ° buyaA $ N3o q ,' ,, .> _ o N gu La' l2U 0C3 �. g au `° NE , aw,c 2 `pv 0 - 0 $4) m `�'� > 03 3•y ,_..� d a � r� �° ay+ ' a5 . rnvo , a u .5 $ is i': . .a v .7 o o •t�. n - u .9 44 g •d v • vo � COa u " 350 .53 270 ' "2Y i " c� o w I o H E. 0 V. .dd " J p, 0 0 6 m_ $ v y N .2 u w `-� i s I u `•i " 2 c� PtiiisiiinzI11i•E V) •:O ' ° r ' .: O 2 V u b 41 O 'd 4"' 0 -0o) °! . o -' 5 , .o Nti v vd0 o ;c °o� ... C •ouoc5ao`' v AJgq u v d u 4, jg4 -a 21 4 CO a sm a ...0 �Y WCuva s Ec . ,48O •.. y -. . g .0 y L a� vt- o ° �s c 8 g VL 5 u >a u v• � o aN C " 0Hc a-L' N02 suyds349 Lo 5o ° cv $" ca - I,'d 0 u °° o ` t, u00 . -,- c ° a ` ]•ao . 6. - o c o14S) � �b o . ? [•a > v °° v - c2xyca5 oTso3 m va . 0 o0 EN � ❑ 5 = 'DLaE4,g: O ' � _� cW =V ' 0a• -UZ � y ; CQy toE 'viw o.m;. : va.zo u* /•• 1 4 g ° x T. L � Q D . C + 2 -a t � A a o ° a -5o333a � ' A 5.13o, . �.� ° 2 ,s r 801, ° .70 .= 3 ` a UH1tU 'o °p ,� rr�� � „ $ v o g 'Oy , N T a 6 G.: • 44 C U 0 > j.JiflIj 0 ,0!$hflufIIh !0. . - t ��at N y °4 .0 .- v �j • Ga L. � N Sv ° a. •a >v,25 $ 1 a. v) U"' .5.5 .5 3 ° E PENINSULA DAILY NEws—(J) s Jefferson will discuss clean water district BY EVAN CAEL fund$55,000 from the county's PENINSULA DAILY NEWS reserves to match an annual PORT TOWNSEND=The amount of $162,000 from the Jefferson County commission- stateDepartmentof Ecology a shell- ers will discuss and consider for three years to adopting a clean water district fish protection district in Dis- adopting for all of East Jeffer- covery Bay. The commissioners have son County at a special meeting until.January 2008 to fund the at 9 a.m. today. pl Public comments will not be Thee stater Department 17. t of taken at the meeting at the Health has mandated that a Superior Court courtroom on shellfish protection district be the second floor of the county created in Discovery Bay_ courthouse, 1820 Jefferson St., because of fecal coliform pollu- Port Townsend. tion detected there. After a recent reassessment of the courtroom's capacity,it is State restrictions now considered to be able to legally hold 173 people, as The state department • opposed to its previous capacity restricted shellfish harvesting in of 90 people, said County the southern portion of the bay. Administrator John Fischbach. That prompted the proposal The original hearing for a for the eastern county clean clean water district was Sept. water district,which was drafted 17 in the courtroom, but an by the Jefferson County Depart- overflow crowd forced the hear- ment of Environmental Health. ing to be postponed. Also included in today's meet- The commissioners are ing agenda is discussion and pos- revisiting the issue after hear- sible approval of a grant for the ing repeated comments against Hood Canal,in which state Ecol- a proposed funding of the dis- ogy would pay$435,000 and the trict at a Sept. 26 public hear- county would pay$144,833 over ing at Fort Worden State Park a three year period. Commons, which was attended Jefferson County Auditor by almost 200 people. Donna Eldridge said on Tues- Most who spoke were in day she has received inquiries favor of clean water and moni- about how to appeal the corn- toting,but they opposed a$18- missioners' decision if they do . per-parcel fee proposed to fund adopt an east county clean the district. water district today. The fee would raise about After a decision is made, 1 $500,000 a year. appeals must be filed within The commissioners took no seven days at the Auditor's action after the hearing, Office. Then, there is a 30-day instead choosing to postpone deadline to gather a petition of discussion. • 25 percent of the registered vot- 1 The Oct. 1 deadline to ers in the county. include the fee on next year's If that is successful, the tax bills has passed,so the corn- clean water district issue would 111 missioners no longer have that go before the voters in a special �/� option for funding the district election. next year. �} j y `'► They will take off the table a e Reporter Evan Cael can be reached at fl,'— l ( — (� / motion made by Commissioner 2335 or evan.cael@ John Austin,D-Port Ludlow,to peninsuladairynews.com. PENINSULA DAILY NEWS Water:Clean-water ■ Funds • r- unit OK'd • remain unclear i n J elIe rs o rn • CONTIN• UED FROM Al "T• hat's the height of Wednesday's meeting in the irresponsibility t0 pass a Superior Court courtroom, East County district in place; where public comment was programplace."without funding not taken, hada turnout of in funding method to follow, about 20 people. JIM HAaeH Jim Hagen, president of Olympic Stewardship Foundation BY EVAN CAEL Olympic Stewardship Founds- president PENINSULA DAILY NEWS tion, was one of those who attended. PORT TOWNSEND - A.clean-water district "That's the height of irre- has been formed over all of East Jefferson County. g three years to create a plan for But the district has no funding source. sponsibility to pass a program Discovery Bay. Jefferson Count commis without funding in place," Y Hagen said after the meeting. They also approved a simi- sioners unanimously created g' lar grant for Hood Canal, in the..district at a special meeting a ,� Sullivan said after the which state Ecology would pay Wednesday : meeting, `What we've done is $435,000 and the county They rejected a proposed ` created a'framework for build- would pay $144,833 over a funding source for the'district ing programs," adding that he three-year period. an $18-per-parcel fee, which , 4,,,;,444.47,7' thought it would have been As for fundingthe remain- had been met with opposition +A ,,l' irresponsible not to create the from county residents. mi district. der of clean water district, the That fee would have ener- commissioners had no clear g Commissioner'Phil John- idea of that on Wednesday. ated about$500,000 to fund the Y son, D-Port Townsend, said four-element plan. Sullivan that commissioners were faced They each said they would 110 The elements are water qual- with a Sunday deadline to cre- lobby for a bill expected to go ity monitoring,pollution identification and correc- ate a shellfish district in Dis- to the state Legislature next tion, on-site septic operation and maintenance, covery Bay, and they had to year in which small counties and education and outreach. act. like Jefferson would collect "Without education, if you make gains you're "We're in theposition of 0.04 percent of sales tax to go constantly going back,"Neil Harrington,Jefferson to on-site sewage systems and County environmental specialist,told the commis- having to do something with possibly other water quality sinners during a brief presentation at the start of Discovery Bay,"Johnson said. programs. the meeting. The state Department of That could give the county `,`It keeps the gains we've made." Health.has mandated that a about $176,000 a year for the shellfish protection district be district, but they each said Four parts to plan created' in Discovery Bay they can't count on that because of fecal coliform pollu- money because new bills often The four elements are all part of the plan that tion detected there, which take a matter ofto ears as was adopted on Wednesday. caused the department to Y p s' "You mention all those things in the plan," Johnson said he would restrict shellfish harvesting in Commissioner David Sullivan, D-Cape George, ' the southern portion of the explore funding options said to Harrington. • bay through the Puget Sound "But if the plan isn't funded, none of those Partnership. things will happen." That prompted a proposal Sullivan said a task force "Pretty much not,"Harrington replied. for the East County clean will likely be created in the water district, drafted bythe near future to see if a per-par- Harrington added that other counties have sim- filar programs. • ,.:_, Jefferson County Department cel fee to fund the district can Nearly 200 people showed up at a pt}blic hearing of Environmental Health. be made more equitable. on Sept. 26 concerning the proposed clean-water But he said implementation district. Discovery Bay of a per-parcel fee would be TURN TO WATER/A6 At Wednesday's meeting, fnot in the foreseeableuture." the commissioners also unani- mously f voted to fund $55,000 to match an annual amount of Reporter Evan Cael can be reached $162,000 from the state at 360-385-P335 or evan.cael@ Department of Ecology for peninsuladailynews.com. Flu clinics are open • State-supplied children's flu Port Townsend. A complete list vaccines will be available soon was published in our Oct. 10 for children ages 6 months to 59 edition and can now be found months and high-risk children online at ptleader.com under the younger than 19 at: Jefferson Our Place section. The list will County Public Health, 615 be printed again in our Oct. 24 Sheridan; Jefferson Medical & edition. Pediatric Group, 834 Sheridan; • Olympic Primary Care, 1010 Sheridan;Port Townsend Family Physicians,934 Sheridan. Adult flu shot clinics are available in Port Hadlock and • /a _ • • (111) 3 TA " ,•E U c) ooa bESO a ow OV H C ' 0EC' •ab.• .V ^U at!L . ab � 0o o+ w au to—,..0 N •�.. Ooyq v0-oO . C u+ iwu �C` ° 0.m ....'r:4 Aasq ' m. . oma a� i co oa'- cNi '( • if) 10) Imo U0G d onro rooc -G � o.�'bA w A m 0 3y o ;Oa:3 � G cpo N c. G Ac4 vi r ":u'p 6� svb > n 3d A m O yu V ao o y, C 03-.-'•-• cu G p^�" �A >ro Q.H <`.0C Gro a p"itlAG °'. ww —_'" CW a >> a'c" A . N'd,. 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U H v ,n . CA rn CT a o . U x cn CI " o0n." o b •a * "o * ' tfi ' l N � baa 0 °'� O � C . . � y � p O Obi) n cd p •� 0 «., 1" b aT O 1 III. • �°y b to� � c' ob i .0 tb 0 .0 � � c ��� u 0 u . on 0 v) p.,.5 >, a,.0 .5 ;4 0 3 0 b cin ca o 4 • o g ami a pA� 0 1-40 d ."_' 00 ' p 3 v ° � U 3 5 r' ca. �o pw a .' g � � :J 0Pm* �' �3 0 013 :- � ° ° 0 0 a' diz • • ro o Wil ;: • cpd• ° W1Hd i a C ti1Tg I 4 o 2 'b0 - E _ v -4 „ ,4 5 -d ," ° So30 0 g °' "0 ."-g o U o 0 x >,' g o ° Oa o ob 0 P :aq b LI) •= S ° v ' 0gb ° °2 o6c° 8on0 a o o • • r--)b)\) ID -.Q-g-'7 v-t.Ni � � ,," � Infection r tt 7- 4 4. 1 �. Yi ..-_,..3.....T.,:t.,....„44„,,,,v...1_,,,,,,,,....,,,. ,,i,..,. :.4-.,,,,A,f,. ', -i...1..... ....-.--,;.--- - .. on rise 1 4 c •.' a#,,�- ,. - X,, "F i .,..,t,4•4_.,:,_„:wc,„,_.,0_ , locally y }` •r � err* �> � � � Not an outbreak, v but cases of MRSA worry area docs y • ,,, 4.,',,,,,,_,%44-'''', k z BY VALERIE GIBBONS ' . I:_ ,,.F, FOR PENINSULA DAILY NEWS 1.� «� { , *- ' r Health officials �} ,7, .�� 1 p z.,;f4 on the North ��; iOlympic Peninsula sunda'y .;,44--!' saytheyare seeing Showcase x. increasing num- „• ';--4:-'14.,i-1!:t4'4.,.''''''''' � {_ 4444 bers of cases of an ,,,,,-,-4,: : antibiotic-resistant A T 4 —and potentially life-threatening— s strain of staphyloccocus in emergency -r rooms and doctors'offices. .t-4::'-'1'-'4 ;` ,, ''` Hospitals on the Peninsula don't now : " test for the presence of mureusllin- . ry resistant staphylococcus aureus bacteria— aErtrr>Fes JACK O PEmrsuu DA LY NEws or MRSA(pronounced mur-sah)infections. Katie Davis, a nurse's assistant at Jefferson Healthcare hospital In Port But Olympic Medical Center in Port Townsend, gets ready to don a combination eye shield and facemask that Angeles may soon,after a-study is coin- hospital staff wear while in contact with patients having communicable diseases. pleted. The yellow paper gown, latex gloves and paper booties complete the ensemble. TURN TO MRSA/A9 Drug-resistant bug may be worse than AIDS BY LINDSEY TANNER The Chicago suburbanite's personal cru- tough to enforce. Tes ASSOCIATED PRESS sade led Illinois this year to become the Yet,Thomas prevailed. Testing all new hospital patients for a first states to order testing of all high-risk Similar measures passed this year in hospital patients and isolation of those who dangerous staph superbug could help wipe Pennsylvania and New Jersey. out a germ that likely kills more Americans carry the staph germ called MRSA. And Thomas' national crusade to make than AIDS,consumer advocates say and Powerful doctor groups fought against it. hospitals test for MRSA and report their early evidence suggests. The testing and isolation of patients infection rates gained steam last week after Yet few U.S. hospitals do it,and many would be too costly,they said. a Virginia teenager died from the germ,and fight efforts to require it.Why? Many other germs that plague hospitals a government report estimated it causes Jeanine Thomas,who nearly died from also require attention. dangerous infections that sicken more than the drug-resistant staph bug,says the rea- said a more proven approach 90,000 Americans each year and kill nearly son is simple: "Doctors don't want to be would focus on better hand washing 19,000. told what to do." by hospital staff a simple measure TURN TO DEADLY/A9 SundayShowcase -- - „ ,!,..\,,,,,_„.,,,,..,.,„ xi A9 I'r:n•inst'.t.,�DAILY Nees -- MRSA: -Cases on infection slow but steadily increasing CONTINUED FROM Al - - PM Because of the impression ""' _ .� �.. ... Deadly: Germs that cases are on the rise,Dr. '• •:`.: -..t‘•'s Tom Locke,chief medical offs- ,,N.”. �'.�= car for Clallam and Jefferson w c +'.: .4-,...-.;....-76,4 ` CONTINUED FROM Al Washington Medical Cen- r • !� --zz...,.. !e i, ter,only babies in the counties,and OMC will launch ,} - /r,- ii' People in health care set- a study early next year to pin- c' " E y P neonatal intensive care point information about the 'f q tings,such as hospitals and unit are routinely screened := tt - nursinghomes,are most at hard-to-treat infection. l:Y ,--/ / •*s 1 for MRSA,said epidemiolo- yam_ i•.- r>.- risk of MRSA infections. gist Estella Wh mbey. Jefferson Healthcare is con- r ; t5r r v • /.i Doctors and who suiting with a Vashon-based - �. t - ...• r treat staph-infected and nurses patients Other patients are epidemiologist to determine a • �"•" ,,- ^''• and then don't carefully screened if they sho• w plan of its own. .•`'^ - " wash up can spread the symptoms. • Locke and Dr.Penny Becker, • c �. +� germ Patients with bedsores, the infection control coordina- �+ to other patients. • C "� Germ-contaminated open infected wounds,an for at Olympic Medical Center, • s ...,."' .<.. - ' r*�* h nhv-ass or surgical infec- will begin testingfor the bade- .l.:1..!...-",;"-- ! f �' medical devices used on tions are screened for !:- ta . �� • „tF'�;.r people having dialysis or ria with a nasal swab at various fes.+ '• ro �pr cern MRSA at Swedish Medical sites throughout the county, a,.� spread staph. Center in Seattle,along including the hospital. . ✓ •_ Many note that MRSA is with patients undergoing The and risksabac patterns, • h: 4. _ just one of dozens of risky open-heart surgery trendsoand factors in the + • communication. _ I germs that often infect peer Next year,the hospital The results may dictate { - pie in hospitals—particu- will pilot a rapid laboratory whether Olympic Medical Cen- y , . • laxly those with weakened test to screen patients as e•s - • immune systems or open they are admitted and get for decides to tests its patients a'�•” �.' , a - wounds. for MRSA when they are admit- ''"--"... tt.: • "There are MRSA trans- results within a few hours. led. - -s About 1.7 million Ameri- i:"c""- • missions in every hospital ions each year develop infec- Laws inq place the testlliare _ -�+zx i?c"_, all over the world,"said Dr. already in place in Illinois, ,, ' ',•,i; J chief of tions from various germs in Pennsylvania and New Jersey. - - .,-.;-.;'.-.....:i - _ * _A' -- ..-c.. Robert Kakita, hospitals and almost 100,000 KEITH TuoaaE tzln'Enin u o��,N`"•s infectious diseases at Seat- of them die,says the U.S. Not an outbreak Virginia Mason Med- Tanya Rutherford,director of medicine,surgical and pediatrics for Olympic Medical ical Center where patients Centers for Disease Control "This is not an outbreak," Center In Port Angeles,describes the contents of a cart that would be placedaien't routinely screened and Prevention. Locke said. outside the room of a patient that might have a communicable disease. for MRSA- MRSA accounts for only The number of cases in Clal- - "Riapin in general is s about 10 percent of these lam and Jefferson counties isn't Censers lir Disease Control :� �; • dangerous bug mrd it's inlections. known guidelines for infectious disease # f4Sr;it ,4'•+N impo important to do something A infections h ria MRS But health officials in both control. r4' i ? - about all infections."Clalhoggedattention,part The Forks Community Hos- _ • +K•yi of -- - sr - _ Kakita said the hospital said they and Jeffersonscounties P because they're on the rise. said have seen a slow but Pitalai executive director was not kM r 4 1`i4a would implement soiree And,acknowledges the steady increase in cases of available for comment last 3, ' '` • form of routine screening CDC's Dr.John Jenugar infection outside health care week. 7" -..,-,,-;.-1.,..,i„,....., r within the next six to eight facilities Health care workers follow \, z0._`, "-,,,� � o•ag • "MRSA likely accounts for a "We're seeing 10 to 12 new contact isolation procedures, - ,.�, -- e e} k� months. disproportionate anlount of • yC \ -Harbor-view Medical cases every month,"said Jeffer- Putting the patient in a repo rx,y a �,ti illness and death"because of x 1• Center in Seattle does Car- son's chief quality officer,Terri rate room, donninggoggles, �'+ t',eFC 1� +? f its strength and resistance ; ted MRSA screening with gloves and gowns and usingcis A ' to mainline antibiotics. Camp. • %1'; t' surgical patients and inten- WVect we take a culture of possibl equipment whenever l(;: 1`< f'..' I sive-care unit patients who an infected wound,52 percent Feasible. f • are at increased risk. The Ssaele Fos-tnte/ge narar The key isg reduce the risk of the time it is MRSA,"said ""' ,.%:' .`' AC the University. achedS this Posit pw,ker. of transferring the germ from Ten years ago,the antibiotic- patient-to-patient on equip- Tom Locke,public health officer for both Clallam and resistant strain was seen gener- ment or by hospital staff. Jefferson counties,uses the Internet from a laptop ally in health care facilities, The single most effective computer to find information on the specifics of t ouuoble bodily flueds.when the coed seoeconditionsalrimes,at been hospital where it was particularly dan- method for halting the•spread communicable diseases, gerous because of open wounds of the infection is also the easi- colony of bacteria on the skin gets But now that the bacteru in patients with weakened est—hand washing. guage is ridiculous,"Preston said but is not causing any problem into the system through open has moved out beyond the immune systems. "Health care workers are "Certain strains of staphylo- — and an infection, which wound or a medical procedure. health care setting the defini "Tbe problem with MRSA is specifically trained to avoid the coccus started to show iasis- means it is causing dia.... The germ can become a sys- tion of at-risk is changing. that it is more aggressive than kind of contact that would tance to penicillin way back in He,said that while a third of temic infection, possibly lead- "You have kids who are goini other strains,"Locke said. result in colonization," Locke 1968. the population has been colo- ing to organ failure and death. to tae kwon do or the gym,get Over the last five years, said, "but the problem is the "In 2002, this strain,began nized by MRSA,the number of MRSA, pronounced mux- ting a burn or a scrape and get MRSA has emerged in patients workers are also human and to show a resistance to some of people who are infected by it is sail., has been blamed for more ting infected."said Camp. who have not had contact with mistakes do happen." our common antibiotics. no cause for alarm, than 19,000 deaths in the In 2004 Jefferson Count, a health care environment. Dr. Gary Preston, an epi- "The fact that[this strain of But Locke said it is impor- United States and 94,000 life- was sued for$10 million by! The cases within hospitals in demiologist from the Vashon- staph]is becoming increasingly tant to know who is carrying threatening infections in the man who said officials at the jai the North Olympic Peninsula based Healthcare Management resistant to antibiotics is not the bug. last year,said the Journal of the failed to act quickly enough ti have remained steady at about Alternatives who serves on Jef- surprising." "Those colonized by MRSA Americon Medical Association. treat a MRSA infection•tha 3 percent of the population per ferson's Infection Control Com- Preston drew a sharp con- are more likely to get an infer- In the past,people would be eventually caused the amputa year over the last five years, mittee,sees no need for studies trast between people who-are tion and are harder to treat" considered to be at-risk if they tion of his pinkie finger. Ior-ke said on which new groups of people colonized by the bacteria — The bacteria is passed by had weakened immune sys- A federal jury found [hi But officials said they see may be carrying the bug. meaning it exists on their body either skin-to-skin contact or tems, several chronic medical county was not at fault in 2006 more cases of infection are corn- He said the best way to con- ing in from the community to taro the bacteria is to motivate emergency rooms and doctor's health care staff to take sten- offices. dard precautions. "We'll see a child who will "The challenge is increasing come in with an infected boil the reliability of their tech- and then a few weeks later,the nique,"he said. father will come in with an "It will go only as far as you • 'infection,"Becker said can throw it or carry'it but it II "MRSA is not uncommon in has to be planted." ' the emergency room." Since the death of a high • MESA, unlike other infec- school student in Virginia ear- tions such as AIDS or tubercu- her this month,the-strain has loris, is not reported to local gained"superbug"status in the health departments. media. In the meantime,.Olympic But Preston said the Medical Center and Jefferson moniker may be overblown. Healthcare are following the "All of this 'superbug' Ian- Flu ' clinics open • Influenza vaccine for children vative-free for high-risk patients has arrived in Jefferson County. only. Cost is $30 Per shot. Please The state-funded flu vaccine is call 385-5658 for an appointment. recommended for children from No insurance will be billed. age 6 months to 59 months and •Olympic Primary Care, 1010 for high-risk children younger Sheridan St, Port Townsend. than 19. Saturday, Nov. 3, 9 a.m.-noon. Children's flu vaccine is now Medicare patients please bring available at the following clin- Medicare cards. All others, $20 ics; please call for an appoint- cash or check. Private insurance inent: Jefferson Medical & will not be billed. Pediatric Group, 834 Sheridan, •Port Hadlock Medical Care, 385-4848;Olympic Primary Care, 121 Oak Bay Road,Port Hadlock. 1010 Sheridan, 379-8031; Port Avoid long lines; call 379-6737 Townsend Family Physicians, for appointment. Medicare and 934 Sheridan, 385-3500. It also Medicaid billed. Please bring • is available at Jefferson County your cards.Flu shots$25.Public • Public Health,615 Sheridan,Port welcome. Townsend.Walk-in clinics are 1-4 • Port Townsend Family k.m.Tuesdays and Thursdays.. Physicians, 934 Sheridan, Port Townsend.Saturdays,Nov.3 and Flu clinics continue Dec. 1, 9 a.m.-noon. Medicare Adults and children can also patients please bring Medicare get a flu shot at one of the many cards. All others, $20 cash or public flu clinics in the area. check.Private insurance will not •Jefferson Medical&Pediatric be billed. Group, 834 Sheridan St, Port •Safeway Pharmacy,442 Sims Townsend. Saturday, Nov. 3, 9 Way, Port Townsend. Friday, a.m.-noon. Medicare patients Nov.30,9 a.m.-7 p.m.;Saturday, please bring Medicare cards. All Dec. 1, 9 a.m.-6 p.m. Some • others, $20 cash or check.Private walk-in appointments available. insurance will not be billed. Call 385-2860 for scheduling. • Madrona Hill Urgent Care, Medicare and Medicaid accepted 2500 Sims Way,Port Townsend. (except Healthy Options). Some Flu vaccine available during insurance billed.Bring insurance clinic hours Monday-Friday, 9 card. Flu shots $28. Pneumonia a.m.-7 p.m.; Saturday 9 a.m.-4 shots $45. Clients must be at p.m.;and Sunday, 10 a.m.-2 p.m. least 11 years old. Flu shots are$25;limited supply of preservative-free vaccine is available for adults. •Monroe Street Medical Clinic, 242 Monroe St., Port Townsend. There is a limited supply ofpreser- . • Women ' s healthis focus .. . . of lnl C planned 2009 • By Allison Arthur Dr. Kuznetsov made a pre- Kuznetsov completed a fellow- reason to go anywhere but here," Leader Staff Writer sentation to Jefferson Healthcare ship that focused on women's Kuznetsov said of meeting the commissioners Sept.26.He told issues, including incontinence, needs of older women he in the asked Urologist Dimitri D. them that his urology business is prolapse and recurring urinary munity."Thoughts?" Hospital CEO Vic Dirksen Kuznetsov plans to retire in Port successful, stable and at capac- tract infections. isn't Townsend after watching his ity right now,and he asked them "In the future I'm hoping,and. saidmammography but that the in in itselffollow-up two young sons grow up. In the what they thought of his plans. this is a very preliminary stage, profitableid meantime, he is enjoying the In order to grow, he said, he to develop a specialized cen- care is where the dollars go. community and his practice,and needs to offer new services and ter femaleurologyexcellencelencthatissuads dre skis Bueses Clor aid oneChas i airwOman Jed ill he hopes to expand in the future technology. �>Kuznetsov said. with the presentation. by adding a women's clinic to While at Virginia Mason community, his practice. Medical Center in Seattle, His idea is to create what he "I think this has is screaming our calls a center for pelvic medicine community that focuses on such health issues for,for a long time,"Buhler said. as incontinence,sexual dysfunc- Dirksen praised Kuznetsov tion, irritable bowel issues and for honoring the physician he other health concerns of middle- purchased his practice from, Dr. aged and older women. Bertram Levy. "Patients are getting older, Kuznetsov turned Dirksen's but they don't want to give up comments around, saying the their quality of life," he said. credit goes to Levy for staying "You cannot enjoy yourself on a in touch with patients in Port hike if you are incontinent." Townsend. Kuznetsov said space exists Kuznetsov also said that a in his office to remodel it for a benefit of small-town life is that women's health center. Because if you treat people well and"get he does not do mammography, it right," the word will spread. • he inquired whether the hospital He said that's why thinks his might be interested in supporting business is flourishing. that service in the future. (Contact Allison Arthur at "Hopefully, they'd have no aarthur@ptleader.com.) ,';f_ J,c_ ' - J 4 • . . • 3-digit help marks ' rs anniversary BY JIM CASEY �; :' said it has received "very high PENINSULA DAILY NEWS per capita calling compared to : other counties." Three little numbers are 't , producing impressive statis "` t tics for helping people across Calls triple in Clallam the North Olympic Peninsula f a, ,r< f•' She said calls had tripled The 2-1-1 non-emergency % c F ri - ~4 ,r = over the volume received by help line received 863 calls 2-1 1's predecessor, an 800 from Clallam County residents -. number. and 172 from Jefferson Moss Peden "That means we've helped County callers in its first full many people access services," year in operation. links callers to a center in Bre- Moss said. Peninsula 2-1-1 went opera- merton that serves Claliam, The one-call clearinghouse tional Oct. 16, 2006, offering Jefferson and Kitsap counties. benefits not only the people free and confidential referrals The system eight such haswho need services but also for services such as shelter, employers whose workers drug and alcohol treatment, centers across Washington. needn't take so much time off help with aging parents or United Way sponsors 2-1-1 the job to find help for family with children. • in Clallam,and Jody Moss,the problems. 111 The three-digit number charity's executive director, Moss said 2-1-1 was ........ another reason to contribute to United Way, currently in the midst of campaign to raise "1-1 by the numbers $1,125 million in 2007. Peninsula 2-1-1 connects S TO PENIN-NIN_ Wit: 18 residents with a database of 2.1.1 on the North ■Utilities: 23 more than 30,000 local, state is Peninsula " and national resources, said a included theseprroblems ,,s_ on County Moss. 0� � sof The line also provides a link Oma' ,5 j , I e. a ,s 7 to agencies in areas hit by dis- . �€n • 4 k asters, such as Southern Cali- E� : 4Emergency al elter s a , , X� aste44 rs, recent wildfires, she m 40: fi V t x said. 1 general health 9 In both Clallam and Jeffery� s son counties, the number of 180 I ��� .. calls climbed as the year went8 ' on. I" tai.health: 11 hei ....,...ii : : 4.x m TURN TO HELP/A7 • THURSDAY, NOVEMBER 1,2007 AS ..Spreading the word • "We're making progress," said Bob Peden, executive director of United Good Neighbors, which supports 2-1-1 in Jefferson County. "We advertise it in our brochures. We're using community newsletters that go out to agencies. "Hopefully we'll make 2-1-1 a pretty commonplace term." Currently, 2-1-1 is answered directly from 8 a.m. to 5 p.m., with after-hours calls shifting to Kitsap County's crisis line. It knows about agencies and services in Clallam and Jefferson, Peden said. The system can't operate 24/7 without additional funding from the Legislature, he said. 2-1-1 organizers sought $8 million from the state but received only $1 million per year for the current biennium. They'll ask lawmakers to add $2.5 million in 2008 so the system can handle increasing numbers of callers. Organizers also are trying to get all cellular telephone service providers to add the 2-1-1 link as they do the 9-1-1 emergency line. • • • Football game canceled after player contracts MRSA; campus to be disinfected this weekend By Jeff Chew, Peninsula Daily News, November 2, 2007 PORT TOWNSEND - The Port Townsend High School football season ended early Thursday after a player was diagnosed with a potentially life-threatening, antibiotic-resistant strain of staphyloccosus. Port Townsend School District Superintendent Tom Opstad said the 1 p.m. Saturday game scheduled against Steilacoom at Jefferson County Memorial Field in Port Townsend was canceled as a precaution. The student player, a senior, was reported to school officials Wednesday as having contracted methicillin-resistant staphylococcus aureaus bacteria, or MRSA (pronounced mur-sah) , infection. "We're probably being overly conservative, but we're dealing with kids, so it's better to be concerned, " said Opstad. "We're taking precautions mainly because it's better on the safe side. " The boy's name was not disclosed. After consulting with state health officials and Jefferson County Health Officer, Dr. Tom Locke, school district officials decided to keep the school open today. Parents were given the option of keeping their children at home, but asked to report absences to the main office. Campus to be disinfected The athletic facilities were closed Thursday and are to be cleaned and disinfected over the weekend, said Opstad. S The school will also sanitize and disinfect surfaces on campus. The gym, locker room and weight room are closed for the remainder of the week until those areas can be thoroughly sanitized this weekend. Principal Carrie Ehrhardt and Assistant Principal Patrick Kane sent notes out to parents Thursday. "This biological infection, methicillin-resistant Staphylococcus aureus, is a difficult-to-treat infection in humans as it has the ability to survive many antibiotics, " their notice states. Teachers talked to students Thursday morning during first-period classes about the infection, how it is spread and how it can best be prevented. "Students were encouraged to report any infected scratches or sores to the office . . . , " the Ehrhardt-Kane note said. It also encouraged parents to check their children: "If you see anything suspicious, especially resembling a lesion or boil, please seek medical attention immediately. "We are unable to determine how the student contracted the infection and it is likely that we will never know. We do know that it is highly contagious and easily spread. " Game cancellation While Locke, who is also Clallam County health officer, said his office was not recommending that Saturday's football game against Steilacoom be canceled. That, he said, was the school district's decision. "Among the things we try to emphasize is that nothing has changed about MRSA recently, " Locke said. 5 "It has been building over a decade. " Skin infections with MRSA are not rare, he said. "This is not something the public should be alarmed about. But they should be informed about it, " Locke said. • An increasing number of MRSA cases have been discovered in North Olympic Peninsula emergency rooms and doctors offices. With 52 percent of Clallam County staphyloccosus cases determined to be MRSA between January and June of this year, Locke said: "I don't have any real reason that it would be any different [in Jefferson County] . "More and more of that staph has been becoming resistant to multiple antibiotics, " he added. Preventing MRSA Locke said preventing MRSA is simple. "It really comes down to some basic hygiene things, " the health officer said. "Handwashing is the most important thing. "People who develop skin infections need to have them checked out. " A patient with a MRSA wound should keep it covered and restrict activities for the time it takes the wound to heal, Locke said. The sharing of towels in a gymnasium has the potential for transmitting the infection, he said. Port Townsend School District Athletic Director Scott Ricardo said even though the football game was important - especially for the seniors - all agreed it was better not to take a chance of spreading the staph infection. "All of our players are handling it pretty well, knowing safety is most important thing, " Ricardo said. Jefferson County residents having questions about MRSA should contact the county Health Department at 360-385-9400. • The phone number for Clallam County Health Services, where Clallam residents can inquire, is 360-417-2274. Port Townsend-Jefferson County Editor Jeff Chew can be reached at 360-385-2335 or jeff.chew@peninsuladailynews.com. • Basic personal hygiene helps keep you healthy in light of MRSA threat Peninsula Daily News, November 3, 2007 Like Port Townsend High School, high schools in Sacramento and Modesto, Calif. , and in at least seven other states have disinfected their locker rooms, bathrooms and sports equipment after students came down with suspected antibiotic-resistant staph infections. Methicillin-resistant staphylococcus aureus — known as MRSA — has been prompted school administrators to take preventive measures against the potentially dangerous bacterial infection. While health officials stress the vast majority of MRSA infections occur in hospitals and nursing homes — and those cases usually involve people with existing health problems — infections also have been turning up in schools, especially in places like gyms and locker rooms where students share towels and athletic equipment. For people who are otherwise healthy, health officials say, MRSA infections usually heal on their own or with treatment. Serious complications are rare. Health officials say they're not aware of the infection spreading in schools except sometimes among sports teams. They also say that the number of cases emerging now is neither surprising nor alarming. More infections may be surfacing in part because people are on hyper-alert • after recent media reports about MRSA deaths — and thus more are being tested for it. While healthy people normally make a full recovery, MRSA is believed to have been responsible last month for the death of a Virginia high school student. New York state health officials also believe it caused the death of a New York City middle school student last month. Responds to treatment According to health officials, good hygiene — such as washing hands — is the best defense against the bacteria, and any open wounds need to be cleaned and covered. Unlike the more deadly and difficult to treat form of MRSA found in hospitals, the community form found at schools responds well to treatment and is rarely fatal but is more contagious, said Dr. John Walker, a Stanislaus County, Calif. , public health officer. "It is resistant to a specific drug called methicillin, which is what we normally prescribe, but it is not an organism that is resistant to all antibiotics," Walker said. "It is very, very important to note that this is treatable, and it is rarely fatal." Although the exceptions aren't fully understood, he said, people with immune deficiencies and diabetes are at higher risk for developing a fatal case. The infection resembles a spider bite and often is mistaken for one. It is often are red, swollen and painful — and most often affects areas of previous cuts or abrasions. • If untreated, it can lead to complications. p Public health officials have launched information campaigns during the past two years targeting highest-risk groups, including sports teams apt to be • in environments with skin-to-skin contact where the infection is transmitted. They urge disinfecting locker rooms and hand washing or using antibacterial alcohol cleansers. Heightened awareness Public health officials said more cases of suspected MRSA are being reported because of increased awareness triggered by a report last month from the federal Centers for Disease Control and Prevention that in 2005 an estimated 94, 000 Americans became seriously ill from it and nearly 19,000 died. That is more than people who died from AIDS, but fewer than the number killed annually by complications from seasonal flu. Bruce Hirsch, an infectious disease physician at North Shore University Hospital in Manhasset, N.Y. , said the increase in MRSA infections hasn't occurred in the last few weeks but over the last decade. "This is kind of old news to us," he said. He emphasized there is "no dreadful new epidemic." But he said that the increase in community-acquired MRSA, which he in part attributed to the overuse of antibiotics, is troubling. Last modified: November 03 . 2007 9:12AM s 0 Red Cross to celebrate 'real heroes' • Peninsula Daily News, November 4,2007 BLYN-The North Olympic Peninsula Red Cross will honor local"heroes"on Thursday. The Red Cross'annual Real Heroes Dinner, scheduled at 6 p.m. at 7 Cedars Casino in Blyn,will honor Clallam and Jefferson county residents involved in 10 humanitarian or lifesaving situations during the past year. The awards recognize people who have saved lives or shown courage and commitment to the community, said Phyllis Darling of the Red Cross chapter. A limited number of tickets to the free event are available on a first-come,first-served basis. Phone the Red Cross office in Sequim,360-457-7933, or in Port Hadlock, 360-385-2737. The stories of each recipient of this year's awards: • Coast Guard Chief Petty Officer John Linnborn:Amid hurricane-force winds of 91 mph on Nov. 15,the Coast Guard Group/Air Station Port Angeles rescued an injured Ukrainian sailor from the 700-foot container ship, lolcos Glory, off Cape Flattery. Vyacheslav Kornya's left leg had been crushed by a one-ton piston that tore loose in the storm, and the leg was bleeding heavily. He could have died from blood loss, but for Linnborn's efforts. Linnborn volunteered to make the dangerous landing from the helicopter onto the ship,which was pitching in 25-foot seas. Linnborn loaded Kornya, whose leg was split open from knee to ankle, onto a rescue litter and wrenched a tourniquet tight with a crank handle. He slowed the bleeding enough that Kornya survived the 90-mile trip to Olympic Medical Center in Port Angeles. Linnborn's efforts also maintained circulation in the leg,which gave Dr. Bob Watkins a chance to save both the leg and the mariner's life. On April 18, after 10 surgeries,a period of rehabilitation-and loaded with presents from area residents- Kornya flew home to the Ukraine to be reunited with his wife and child. Anne Schneider and Ruth Merryman:The two women founded Working Image in Port Townsend in 1998 to help women who are starting their careers but cannot afford to buy professional clothes. • In addition to the clothing bank in the Port Townsend Business Park, 803 W. Park Ave.,the program,which operates through Olympic Community Action Programs, also offers workshops on job interviewing and other topics in Jefferson, Clallam and Kitsap counties. Women who have benefited from the program include Red Cross referrals, victims of fires and domestic violence and needy women re-entering the work force, Darling said. Coast Guard Lt. Daniel Leary, Lt.j.g.Christian Polyak, and Aviation Mechanic Technician First Class Mike Cook: These helicopter crew members from Coast Guard Group/Air Station Port Angeles accomplished the highest-altitude recovery ever attempted on the North Olympic Peninsula. Flying at just over 7,000 feet,the HH-65C Dolphin helicopter crew plucked an injured 64 year-old climber off a peak in the Olympic Mountains. John Williams, the climber, had ruptured an Achilles tendon while climbing near the summit of The Brothers, a Jefferson County peak which rises 6,866 feet near the southwest boundary of Olympic National Park and Olympic National Forest. Arlene Engel, instrumental in setting up the Life Line Emergency Medical Alert button, Engel continued her lifesaving efforts as a commissioner on the board of Olympic Medical Center by helping to acquire the Volunteers in Medicine in the Olympics free clinic building in Port Angeles. Engel also has acted as an advocate for senior citizens, the disadvantaged and the disabled. As well as making sure OMC provided funding for a psychiatric nurse at the free clinic, she also helped enact the Hargrove Bill-named after state Sen.Jim Hargrove,whose district includes Clallam and Jefferson counties. The bill provides mental health funding and insurance for Clallam and Jefferson counties. John,Susan, Evan and William O'Brien,and Max Gunn:These Port Townsend residents on vacation helped to rescue one man and tried to save another after the men's canoe capsized on Lake Ozette last April 4. John O'Brien heard a call for help from campers at Ozette and took his son,William, and friend, Max Gunn, to find two men who had been pulled from the lake after their canoe capsized. Both Alex Joseph Dixon, 21, of Olympia and a friend with him in the canoe had been in the 46-degree water for 15 minutes before campers in another canoe pulled them from the water onto the shore. • While Gunn and William O'Brien called 9-1-1, John O'Brien took the men to the family's cabin. Susan O'Brien began cardiopulmonary resuscitation on one man while Evan O'Brien put heated towels on another and gave him hot chocolate. Susan O'Brien administered CPR for a half-hour before a Coast Guard HH-65 Dolphin helicopter crew,which was training near Neah Bay, arrived. PID/1, Dixon was pronounced dead at Forks Community Hospital,while the other man,who was found cold but conscious,was not treated. Olympic National Park officials did not release the names of the rest of the camping party, but said they were all from • Olympia. The next day,the O'Briens and their friend held an informal memorial service for the man they could •not save, and gave thanks for the man who survived. Craig and Josh Jacobs:While fishing in a small boat near the Strait of Juan de Fuca shore on April 7,the Port Angeles father and son saw black smoke rising from a yacht east of Pillar Point. After calling 9-1-1 from a cellular phone,they headed toward the yacht in their 15-foot fishing boat. When they thought they heard someone call out,they turned off the boat engines and listened. They heard-and then saw-Jerald Justis,who had been living on the yacht,in the water. The father and son struggled to pull the 300-pound Justis out of the water and away from the fire. Immobilized by the extremely cold water, Justis was unable to move, but the Jacobses, aided by another set of fisherman,were finally able to pull him to safety. After being transferred to a larger Canadian vessel,Justis was taken by a Coast Guard helicopter to OMC,where he was treated and discharged. Port Angeles Police Officer Daniel Morse:This three-year veteran of the Port Angeles Police Department saved the life of a 16 year-old girl who shot herself in the chest with a handgun on Jan.9. Morse administered first aid and stopped her bleeding while emergency crews from the Port Angeles Fire Department were on their way. Morse kept the girl calm and conscious while waiting for the ambulance. Riding with her in the ambulance, Morse continued to administer aid. He visited her several times in Olympic Medical Center as she recovered-and saw her back in school,where she is doing well. Rob Edwards and Dave Hull:Climbing for several hours, a high mountain technical rescue team led by volunteers Edwards and Hull rescued hunter David Lee McLean of Gig Harbor,who had suffered a serious injury when a falling rock broke his leg in late November. Using ropes,the team of volunteers from Clallam County Fire District No. 3 lowered McLean off the ledge. They reached base camp as the sun was setting and the temperature neared freezing, and loaded the injured man into an ambulance. He was taken to Olympic Medical Center and treated. • Port Angeles Fire Department:When a large motor home careened down the highway from Hurricane Ridge on July 17, struck several cars and broke through a guardrail on Race Street in Port Angeles to fall 20 feet,the firefighters of the Port Angeles Fire Department were faced with major challenges. A total of 14 injured patients required medical attention and transportation. Not all of the patients spoke English,and the seven passengers in the motor home-all from out of state-had both immediate and long-term needs to be met. Five children needed care,because their mother was hospitalized and father fatally injured. Over the next few hours, Port Angeles Fire Department personnel worked with the Olympic Medical Center hospital staff to mobilize the community. Food, shelter and dollar donations were collected as the Fire Department and the hospital worked to meet the needs of the family. The department will be represented at the Real Heroes Dinner by Assistant Chief Jamie Mason,Todd German and Jake Patterson. Elaine Grinnell:This elder of the Lower Elwha Klallam tribe has been an educator, storyteller and counselor in the area school districts for years. An advocate for bringing the Klallam language to the schools, Grinnell has worked to preserve and teach the language. She uses artifacts to teach about the history of the tribes in the area. She also has worked as a counselor to help get students to school,keep them in school and find success in education. Last modified: November 03. 2007 9:00PM • • INFECTION at second PT school By Evan Cael, Peninsula Daily News, November 4, 2007 PORT TOWNSEND - An additional case of a potentially life-threatening, antibiotic-resistant strain of bacteria has been confirmed in the Port Townsend School District - at a second school. And a third case is pending the results of laboratory tests. The first case of methicillin-resistant staphylococcus aureus, or MRSA (pronounced MUR-sah) , confirmed Wednesday in a Port Townsend High School senior football player, resulted in the cancellation of Saturday's final football game of the season so that athletic facilities on the high school campus could be disinfected this weekend. Now, another Port Townsend football player believed to have contracted the infection has been tested, but lab results are pending, head football coach Tom Sly said. On Friday, a second case of MRSA was confirmed in an adult in the preschool portion of Grant Street Elementary School, said Principal Steve Finch. Adult infected, not preschooler "It has come to our attention today that a person who has been at the preschool has also been diagnosed with MRSA, " Finch wrote in a letter to parents delivered Friday. Finch would only say the person diagnosed with MRSA was an adult and not a preschooler, but wouldn't offer further details. He added that the person had received medical treatment, is on antibiotics • and is no longer contagious. "At this time, we have no reason to believe that there are any connections between these two cases [at Grant Street and at the high school] , " Finch said. Preschool canceled Both morning and afternoon preschool at Grant will be canceled on Monday and Tuesday to allow cleaning crews to disinfect the classroom. The preschool is always closed on Wednesdays, so the 40 preschoolers won't return until Thursday. The rest of the elementary school will be open as usual Monday,Finch said. Because the preschool classroom has so many small objects, toys, nooks and crannies, the cleaning job will be difficult, Finch said. "It's a place where fluid lives - it's a preschool, " he said. The preschool classroom is housed in a portable unit across the parking lot from the main Grant Street Elementary building at 1637 Grant St. "I'm quite certain no lives are in jeopardy on this side of the parking lot, " Finch said Friday while sitting in his office in the main building. Contact with skin The infection is transmitted when it comes in contact with skin. Finch encouraged parents to check their children for any suspicious lesions or boils. If any are found, they should seek medical attention immediately, he said. Cleaning crews spent Saturday disinfecting every surface in the Port Townsend High School gymnasium,locker rooms, weight room and classrooms within the athletic area to rid any lingering MRSA bacteria. • Two custodians sprayed a solution of one part bleach to 100 parts water, as recommended by Jefferson County Public Health. /'/1/7 A Scholastic Aptitude Test - required for college entrance - took place in • the high school' s main building Saturday as scheduled. Although the high school held classes on Friday - one day after the MRSA case was announced by school officials - parents were given the option of keeping their children at home as long as the school attendance office was notified. And about 50 percent stayed away, said Schools Superintendent Tom Opstad. "There were a fair number of students who decided to stay home on Friday, " Opstad said. Students who called the high school had an excused absence. Opstad said Monday will be business - and attendance policies - as usual at the high school, and the entire campus, including the athletic facilities, will be open. Quiet campus on Friday One sophomore who attended class Friday noted that the campus was nearly desolate. Dreena Bailey-Gohn, 15, said usually her classes have about 30 students. But on Friday, none had more than 12 students, and one had only three. It doesn't really concern me, " Bailey-Gohn said of the MRSA cases. But she added that MRSA was the topic of the day. "People were freaking out, " she said. "Some girls were constantly in the bathroom washing their hands. " Hand-washing is considered key to preventing the spread of MRSA, said Tom Locke, health officer for Jefferson and Clallam counties. "It really comes down to some basic hygiene things, " Locke said. "Handwashing is the most important thing. "People who develop skin infections need to have them checked out. " A patient with a MRSA wound should keep it covered and restrict activities for the time it takes for the would to heal, he said. Opstad said the MRSA cases will contribute to heightened sanitation policies. "We might look at some of the hand sanitizers, some of the wipes, those sort of things, " he said. Football player recovering Sly, the Port Townsend High School football coach, said his player who had the confirmed case of MRSA and remains unidentified has received treatment and is doing well. He said all the football equipment has been rounded up and will be cleaned by a private company to ensure they are disinfected for next season. He said all the other football players have been checked, with only one other player potentially infected. "We're just going to keep monitoring all the kids until we're absolutely certain no one is carrying it, " Sly said. Reporter Evan Cael can be reached at 360-385-2335 or evan.cael@peninsuladailynews.com. Last modified: November 03. 2007 9:00PM • : parr schools tok.� e Cv,f safe route on MRSA iik,,,/,,/ky Staffs stepping up cleaning; Hans spokeswoman okeswoman Annette students urg�red to wash hands Hanson said Port Townsend b officials had assured Sequim administrators there was no BY JIM CASEY abscess or turf burn. MRSA danger of contagion to Sequim PENINSULA DAILY NEWS spreads by skin-to-skin con- football players from their tact or touching surfaces that game against Port Townsend Schools across Clallam have MRSA on them. last weekend. County haven't hit the panic In Port Angeles schools,"we button about MRSA infections, Wash hands, wash hands but they've given the button are going to take some precau- and all other shared surfaces— 'denary measures: disinfecting Teachers and staff were locker rooms, restrooms and told to be alert for any chil- an extra-careful cleaning. common surface areas," said dren's scratches or sores that MRSA has infected a senior 'school district spokeswoman seemed to be infected, she football player at Port Tina Smith-O'Hara. Townsend High School and and adult who came into contact Students and their parents In addition, "we're letting with the o cat Street Elemen- were told to wash their hands staff and students know about frequently. all the daily sanitizing mea- tTow arySc o l preschool in Port "That's simply the best sures they can take," she said. And lab results are awaited thing to do," Smith-O'Hara "This is something we rein- on a second football player said. , force on a daily basis — to who might have contracted Athletic coaches also were wash hands thoroughly with the staphinfection. reminded to tell students not soap and water, to always keep Port -to .share towels after they cuts and scrapes covered with Coincidentally toshower,she said. bandages until they are Townsend cases, the King- County medical examiner's healed, and especially to avoid office sad _ S8111t12ers effective sharing personal items such as d a 46-year-old Fed- . eral Way man died Wednesday Schools also have hand-san- towels." of methicillin-resistant itizer stations filled with alco- Peninsula .College Vice staphylococcus aureus — the .hol-based lotion that is at least President Deborah Frazier medical name for the acronym as effective as washing with said the school hasn't canceled MRSA,pronounced MUR-sa. soap and warm water any events. It was not known how John although ingesting the lotion "We maintain contact with Jonescontracted thebacteria is hazardous. the health departmentoffi- infection; the King' County Sanitizer stations are avail- cials here in Clallam County office said, able in most schools across the and in Jefferson County all Port Townsend High School .Peninsula,•including the Cres- the time," she said. canceled its scheduled Satur- cent School District in Joyce. `Aggressive cleaning' day football game against There, Superintendent Steilacoom at Jefferson, Tom Anderson said custodians As for the Pirates' gym and County Memorial Field. had made sure that all class- locker room, "we have an Other schools on the North rooms were well supplied with aggressive cleaning schedule Olympic Peninsula'didn't take :,cleaning materials. anyhow," Frazier said. such drastic measures;but offi-' Also, "we've taken the "We pay attention and we cials said Friday that they've opportunity to have conversa- take the usual measures." stepped up routine cleaning of tions with kids about their That also was the message locker rooms, showers, coup- ;,responsibility to keep them- from the Clallam County Fam- • ters and classrooms. selves clean,"Anderson said. ily YMCA. Custodial superintendent "We have disinfectant for They also stressed to staff and students the importance Randy Rooney will attend a the public to use in areas of hand washing..— the first Wednesday workshop on envi- where appropriate," said Dan and possibly. best defense ronmental health that the McGuire, the Y's executive against the potentially life Olympic Educational Service director. threatening germ. Y -District had scheduled before Patrons bring their own 4,,' Port Townsend's MRSA out- towels, he said, and locker Resiantibiotins break.. sts rooms and showers are disin- • Rooney also has told custo- fected daily. 'ARM resists many antibi- •dians "to clean with a little "I think we've got a great otics. Common signs of a skin more attention than you oth- staff and they keep them infection include redness, erwise might,"Anderson said. clean," he said. • warmth, swelling and tender- At Sequim High School, ness. showers, locker rooms and A MRSA infection often wrestling mats were receivingReporter Jim Casey cantibem reached looks like a spider bite, boil, extra cleaning, said school dipeninsulaad7i y ews.comat jim.casey� Port Townsend High School attendance back to • normal today after bout with MRSA Peninsula Daily News, November 5,2007 PORT TOWNSEND- Port Townsend High School attendance policy is in full effect today after all of its athletic facilities were sanitized over the weekend. Pre-schoolers at Grant Street Elementary will not return to class until Thursday, Superintendent Tom Opstad said. Two cases of a potentially life-threatening, antibiotic-resistant strain of bacteria were confirmed in the Port Townsend School District last week. One case was that of a senior football player at Port Townsend High School and another of an adult who had entered the preschool at Grant Street Elementary. Neither was identified by the school district, and both are said to be recovering. A third case-of a second high school football player-is pending the results of laboratory tests. The first case of methicillin-resistant staphylococcus aureus, or MRSA, confirmed Wednesday in a Port Townsend High School senior football player, resulted in the cancellation of Saturday's final football game of the season. That allowed athletic facilities on the high school campus to be disinfected on Saturday. A second Port Townsend football player has been tested for MRSA, but lab results are pending, head football coach Tom Sly said Friday. An adult who had entered the pre-school but was not named by the school district, also had a confirmed case. The pre-school will be sanitized on Monday and Tuesday. The school has a regular day off on Wednesdays so students won't return until Thursday. • The preschool is in a separate facility from the rest of the elementary school, so the cancellations will not affect any other grade, Opstad said. "They should finish spraying everything in the preschool [today], but then we'll give the teachers a little bit to get everything in the classrooms wiped down before the kids get back," Opstad said. Cleaning crews spent the day Saturday spraying disinfectant on every surface in athletic facilities and classrooms in the area to get rid of any lingering MRSA bacteria. "We probably have the cleanest facility in town, now," Opstad said. Two custodians spent four or five hours on Saturday spraying a solution of one part bleach to 100 parts water, as recommended by Jefferson County Public Health. All of the football equipment will be rounded up and disinfected by a private company before next season. Students were given the option of calling the attendance office for an excused day off on Friday; about 50 percent of high schoolers took up the offer, Opstad said. In addition to the school's efforts to eliminate the bacteria, hand-washing is considered key to preventing the spread of MRSA, said Tom Locke, health officer for Jefferson and Clallam counties. Last modified: November 04. 2007 9:00PM High school back to normal, but preschool, recreation center • disinfected for MRSA as precaution By Evan Cael, Peninsula Daily News, November 6,2007 PORT TOWNSEND- Port Townsend High School was back to normal Monday after one of its students was diagnosed last week with a potentially life-threatening staph infection that is stubborn to treat. But an elementary school preschool was closed Monday for disinfection after an unidentified adult connected with the preschool contracted the infection commonly known by the abbreviation MRSA. Also Monday, the Jefferson County Recreation Center, located in the basement of the Port Townsend Community Center at 620 Tyler St. in uptown Port Townsend, was closed on Monday to be disinfected -although no cases of MRSA linked to the center were reported. The recreation center will be open as usual today, although the preschool at Grant Street Elementary School, 1637 Grant St., remains closed until Thursday. The closures and cautionary disinfecting with a bleach solution followed two confirmed MRSA cases last week. The precautions at the high school were triggered when a senior football player contracted the infection, methicilliin- resistant staphylococcus aureus, abbreviated to MRSA and pronounced MUR-sah. The strain is unusually resistant to antibiotics, including penicillin. Second student uninfected Lab tests on a second high school senior football player who was believed last week to have contracted the infection were confirmed Monday to be negative, Port Townsend School District Superintendent Tom Opstad said. The adult who had been inside the preschool classroom at Grant Street Elementary was diagnosed with MRSA last week, resulting in the preschool's closure as a precaution. The unidentified person had been treated and is no longer contagious, said Grant Street Elementary Principal Steve Finch. No other cases have been reported on the North Olympic Peninsula. The vast majority of MRSA infections occur in hospitals and nursing homes, health officials say-and those cases usually involve people with existing health problems. But schools in at least eight states in which MRSA cases have emerged have closed for disinfection, usually with a solution that is one part bleach to five parts water. For people who are otherwise healthy, health officials say, MRSA infections - resembling spider bites and often red, swollen and painful-usually heal on their own or with treatment. The infection, they say, is best prevented by handwashing and other good hygienic practices. Preschool back Thursday Classes will resume for the 40 preschoolers on Thursday because Wednesday is a regular day off. The preschool classroom, which is housed in a building separate from the main Grant Street Elementary School building, was disinfected Saturday. The elementary school operated Monday on a regular schedule, but Finch said about 40 non-preschool students out of an enrollment of 240 were absent. He couldn't confirm if the absences were the result of the MRSA concern, but he noted that the total of 40 absences was not out of the ordinary. Preschool teachers spent Monday reorganizing the classroom and doing additional sanitation. "We're going to go ahead and double-clean just so we feel better," Finch said. "We're trying to develop some protocols to make sure we're cautious about preventing bacteria in the preschool." MRSA student returns Scott Ricardo, Port Townsend High School athletic director, said the unidentified senior who contracted MRSA is well on his way to a full recovery and was back at school Monday. Ricardo said a private company based in the Everett area was contracted to sterilize the football equipment. 41, Ricardo said the football players -especially the seniors -were disappointed that their final football game, scheduled Saturday at Memorial Field, was canceled, but that they understood the importance of erring on the side of safety. High school students uncomfortable going to school Friday, the day after parents were notified of the MRSA case, were given an excused absence on Friday if they called the attendance office. Of roughly 600 high school students, 362 were absent. •Seventy-seven were absent Monday, which is slightly more than the average number on a given day, said Karlena • Black, the high school's attendance secretary. And what do the students think? SOME PORT TOWNSEND High School students interviewed Monday believed the issue of MRSA and subsequent disinfecting of high school athletic facilities were blown out of proportion. "A lot of us really think some of the actions taken were unnecessary," said senior Paul Tshering, 17, on Monday. Tshering attended class on Friday, but he was almost alone- none of his classes had more than seven students, he said. He said many of the students who were absent Friday simply wanted a three-day weekend. Jacob DeBerry, 17, who was absent Friday, said on Monday that"I really wasn't concerned, but I just felt like taking the day off." Then there were students who were generally concerned. "It's sort of a scary thing 'cause it can kill you," said freshman Ben Reinhart, 14. He said his parents required him to stay home as a precaution. Senior Steven Nutter, 17, who took advantage of the day off Friday, said what was on the minds of many regarding the MRSA situation: "I think it was kind of overblown." Reporter Evan Cael can be reached at 360-385-2335 or evan.cael@peninsuladailynews.com. • • . . students 51 on valuable p .lel S Of lif• e By Blythe Lawrence have captured students' atten- collects at least 50 pints, going Leader Staff Writer t o � tion. to high schools is an investment -.4' d,`,',,:.' � � "It's gotten so the kids antici- that pays blood dividends for Blood donation takes the idea tt o i' � ark t l b,pad is pate it"she said. the organization in the years to of"giving of oneself'to a whole o k pT�rt [ l e uta different level. � �� ��" "�€ � �� ��<k. And like anything else, peo- come. 3e:wait:ettter'#,�kV�fYs- pie who are apt to donate blood "They like to come and get If the 51 pints of blood taken '' to ate �psb ,p start doingso at a from students at Port Townsend ���„,� ,;, 3�������1��tt�� young age. the kids involved because then Although Sherwood estimates they've got donors for life,"she High School for the Puget Sound that the Silverdale-based blood said. Blood Center on Oct. 25 is any Honor Society coordinator, said center doesn't break even on the (Contact Blythe Lawrence at indication, Port Townsend stu- the twice-yearly blood drives trip to Port Townsend unless it blawrence@ptleader.com.) dents are extremely generous. - Members of the PTHS chapter of the National Honor Society help put on a blood drive twice per year. This fall, more than 50 students signed up for a trip to Lois Stterwood's science classroom- turned-blood-donation center, where students gave blood and helped themselves to. cookies — and, if necessary, a lie-down —afterward. According to the Puget Sound Blood Center's website, someone in Western Washington needs a blood transfusion every two minutes. "I think it's a really good way people can give," said senior Jenny Peterson, who helped organize the drive. "I think each 1 year we've been getting more blood." . Sherwood, the National • ,,� • 1/ fed e�/ • Flu shot clinics are ready for you Flu clinics continue in •Port Hadlock Medical Care, Jefferson County for both chil- 121 Oak Bay Road,Port Hadlock. dren and adults. - Avoid long lines; call 379-6737 The state-funded flu vaccine for appointment. Medicare and is available for children from Medicaid billed, 'Please bring age 6 months to 59 months and your cards.Flu shots$25.Public for high-risk children younger welcome. than 19 at the following clinics; • Port Townsend' Family please call for an appointment: Physicians, 934 Sheridan, Port Jefferson Medical & Pediatric Townsend. 'Saturday,'Dec. 1; 9 Group; 834 " Sheridan, 385- a.m.-noon. Medicare patients 4848; Olympic Primary Care, please bring Medicare cards. 1010 Sheridan, 379-8031; Port All others, $20 cash or check. Townsend Family Physicians, Private insurance will 'not be 934 Sheridan, 385-3500. It also billed.' is available at Jefferson County •SafewayPharmacy,442 Sims Public Health, 615 Sheridan, Way, Port Townsend." Friday, Port Townsend. Walk-in clin- Nov.30,"9 a.m.-7 p.m.;Saturday, ics are 1-4 p.m. Tuesdays and Dec. 1, 9 a.m.-6 p.m. Some . Thursdays. walk-in appointments available. Call 385-2860 for scheduling. Flu clinics Medicare and Medicaid accepted • Madrona Hill Urgent Care, (except Healthy Options). Some 2500 Sims Way, Port Townsend. insurance billed.73ring insurance Flu vaccine available during card. Flu shots $28. Pneumonia clinic hours Monday-Friday, 9 shots $45. Clients must be at a.m.=7 p.m.; Saturday 9 a.m.-4 least 11 years old. p.m.;and Sunday, 10 a.m.-2 p.m. Flu shots are$25;limited supply of preservative-free vaccine is available for adults. • Monroe Street Medical Clinic, 242 Monroe St., Port Townsend. There is a limited supply of preservative-free for • high-risk patients only. Cost is $30 per shot. Please call 385- 5658 for an appointment. No insurance will be billed. • • 1' Forum to iC is' hhealthcare : . car e system critique "What is Wrong with ,Nationally,more than 47 Mil- America's Healthcare System" lion people:are unable,to;afford is the topic of a forum presented ;health.. insurance ,and an esti_ at 10 a.m. Tuesday,.Nov. 13.at :mated S0_ million,:t people are the Port Townsend Community underinsured. More than half of Center, sponsored by Jefferson personal bankruptcies are due to County. Citizens for Healthcare medical debt. Access. . According,to Dr. Locke: "In Jefferson Healthcare offers the; global `Health;Olympics,' a flu clinic at the event. Free .the.United;States.holds pnly,one shots,are offered for people.on gold.Medal 7 for the;most dol- Medicare; the cost is $20 .for Lars.spent per citizen in„pursuit others of good health. In.the category Art, Zoloth, doctor of phar- that,really counts—how well our • macy, ,a nationally renowned healthcare..system.performs in advocate for reform of the Phar- keepingits citizens healthy—the maceutical industry, speaks on United States ranks;,37th in the "Pills,Profits and Politics," and world.". Dr. Tom Locke, public health The forum ecamines how officer for Jefferson and Clallam local ,people are affected by counties, presents "Fixing a these national trends and how Broken System." to ,move toward solutions. For Following the presentations, more inforrnationrpntact Jenifer the speakers join a panel to answer Taylor, ;at 385-300, or jentay- questions from the audience. ., for©olympus.net., . • PT ,fie /ei- /r/27 • Sixth-grader rader • is cleared of'''M RSA THE ASSOCIATED PRESS YELM — A sixth-grader in Yelm doesn't have a drug- resistant bacterial infection _ after all, but school officials ' the Thurston County town say they're forging ahead with precautions. Yelm, School Superinten- dent Alan Burke says hand sanitizing gear will be installed in all classrooms that don't have sinks, and all sinks will be checked to make sure they're working,. Last week,a Yelm Prairie Elementary School student was sent home for fear that he might have the superbug MRSA, or methicillin-resis- tant staphylococcus aureus. Burke said Monday the stu- dent was found to have an inflamed wart. In other school districts, two .MRSA cases each have been confirmed in Tumwater and Port Townsend. - A 46-year-old Federal Way. man died of MRSA recently at Harborview Medical Center in Seattle. The government reported last month that more than ,, 90,000 Americans are sick- ened �Aannually by which is resistant to standard antibiotics, and nearly 19,000 — likely more than the num- • ber who die annually from AIDS-die from MRSA infec- tions each year. % • . i • • School is NOT super b g By Patrickl.Sullivan said Jean Baldwin,director of Jefferson and Blythe Lawrence County Public Health Department. Leader Staff Writers It's much different from the "super bug"known as hospital MRSA, which The two known cases of methi- is resistant to medicine and most often cillin-resistant Staphylococcus aureus crops up in medical facilities. (MRSA)found in Jefferson County last "The fear factor is hard to justify week are nothing to be alarmed about, because we're probably not at risk for say local health officials. a super bug,"Baldwin said on Tuesday. The common bacterial infection The county health department(385- found here is known as "community" 9400) has prepared an informational MRSA.It is easily treatable by antibiot- packet for distribution to local schools ics and is not even a reportable disease, See MRSA,Page 12 y>. e. MRSA : as our an s 0 Continued from Page 1 ,x, ; e*t and others ,regarding how to $ : 1* t�,, ' a address this health issue. g F i i;. T Initial reaction t �,t4 k The Port Townsend Schooltoff' :1117014111.1,t,- P . District sent a letter home with- �,��� ���`' *1 �� students last Thursday suggest I� �� - i i a ., , � ing parents check for any lesions "ag� '~ • lr or boils on the skin after a'senior '4 I <° member of the Port Townsend ' €wv-4,4 , t e . High School football team : reported contracting communityt � � >` ' ,. MRSA. • • 1 « 4 q l', 9 We are unable to determine ki l „ �. how the student contracted the. �� infection,and it is likely that we 1,. r will never know,"Port Townsend facilities for cleaning and can- High School. Principal Came `celed its final football game of Ehrhardt and Assistant Principal the season, scheduled here Nov. Patrick Kane wrote in the Nov. 3. Facilities at Jefferson County 1 letter.- Memorial Field, where both ::4.second football player was Port Townsend and Chimacum tested for MRSA but did..not :high.'schools play their home have the infection, the school •football games,were disinfected district announced.Monday.''No with bleach Friday afternoon in other cases have been reported. anticipation of Chimacuni's final PTHS closed campus athletic home game Nov:2. The PTHS • fl/7X7 team played there the previous " Several Seattlenews media weekend: . `t ' ' ' - outlets came to Port Townsend • School district officials con- to film.the Grant Street and high suited with local and state offi- school campuses and interview cials and were`told the school's students. • general buildings are safe to The experience heightened occupy. Grant Street's vigilance about The opening of the school making sure everything is clean, Lessons learned play "Noises Off' on Friday Principal Finch said Tuesday. Baldwin said-her,department night and the. Saturday SAT "We're very confident that had received a lot of calls last testing at the`high school,were we're regularly clean in our week, but not this week. People staged as planned — but play schools.to industry standards," who operate private gyms and attendance'was low. Finch said. "Nonetheless, we're Students : ingrades nine dance studios are rightfully doing some things to up the ante a interested in how to keep their through 12 were given the option little,to raise our standard a bit." facilities clean, she noted. .of staying home Friday with an Changes planned include "People want to know how excused absence.A total of 362cleaning the school's health they can proactively deal with missed class Nov.2. room after every student visits this,"Baldwin said. "It was a weird day at school," instead of just once per day, and The key thing she wanted said art instructor Kathleen making sure food is placed on emphasized is that the MRSA Burgett."It was like a ghost town. paper plates instead of tabletops, found here is common in the gen- I think the mos" had in class Finch said. eral population and is not even a today was seven; four was about Jefferson County Parks and reportable illness, Baldwin said. average,but I know the freshman Recreation took action at sev- ' However, cases of MRSA in class turnout was higher.", ' eral facilities. In addition to Jefferson, Clallam and Kitsap Ehrhardt said she approved of cleaning the Memorial,Athletic counties will be tracked "to see teachers who gave extra credit to Field facilities. on Friday, on if there's been a huge change," students who didn't miss classMonday, the rec center in the she noted. Friday. basement of the Port Townsend Baldwin would not second- "Kids who chose to make the Community Center was closed guess the school district for the effort when it wasn't mandatory for. sanitization., Although no Nov. 1 letter to parents stating to come to school, I think that's - that MRSA"is difficult to treat" • great," she said. Most students health problems"were reported, in humans"and has the ability to returned to classes Monday. it was'decided-to close the bas- survive many antibiotics." Grant Street ketball gym'and`the downstairs "The schools have to alert Street caset Elementary -rec'center-Nov:`S` so all sur- parents to possible risks," SchoolGrant oStecials learned ElFrementary faces and.equipment could be Baldwin said. "The perception that an adult.-who: had been-at cleaned. `' of risk is always what's hard to At the hi school, teachers . . , ,_ high' I,d�'. ' ,ipttgr;,inrlicated=a 'the ,preschool portion, of. the .and staff:w� given sanitizers higher community risk." 'Grant`Street campus had MRSA• for their classrooms, while cus- Baldwin said the benefit of Preschool 'is canceled until todians wipeddown the weight the whole experience is "peo- Thursday—there is no preschool room, locker rooms, gym and pie are now aware to do good on Wednesday—while that area shop area with a bleach solu- wound care when they have a isthoroughly cleaned. Other lion. , wound: Clean it, cover it, and classes and programs at Grant "We are continuing by pro- if it gets red and inflamed, use Street were open as.usual. viding the sanitizing wipes to antibiotics. Use waterless hand The initial Port Townsend teachers;and encouraging them 'cleaners. During flu season, it news came less than 24 hours to sanitize'their desktops at least can cut down absenteeism by 30 after a 46-year-old Federal Way a couple of times per week," percent. When people practice man reportedly died from MRSA Ehrhardt said.'The gym floor good personal hygiene, we can at 110)orview,Medical Center in is sanitized by: the night ens- avoid a lot of problems." Seattle.Another report of a prob- ;todian on Wednesdays, so it lem at a school in Yelm,coupled was deemed safe for the vol- with concerns at the two Port leyball team to practice there last Townsend schools,. unleashed Thursday and Friday, Ehrhardt what Grant ;Street Elementary said. Students were not allowed Sc 1jcipa 14Steve.,gin in the locker rooms either day. • cep {,media hYsteAa:"•. � «, ' , PortTownsend&Jefferson County Leader • Bacteria Q & AA. Jefferson County Public Health Nurse Lisa McKenzie answered our questions on MRSA symptoms and prevention. Can a person with acne get infected? Yes,just like anyone else.Compromised skin,such as abra- What is methicillin-resistant Staphylococcus aureus sions or cuts,can be a risk factor,although acne itself has not (MRSA)? I' been singled out as a risk MRSA is a skin infection that spreads by contact;it is NOT an airborne virus.There are two basic types of MRSA: How effective is hand sanitizer? Hand sanitizer is very effective,so long as it is at least 60 The common"community"MRSA,easily treatable and not a reportable disease,.and the"hospital"MRSA, sometimes percent alcohol.Most of the commercial hand sanitizers will called the"superbug,"which is more resistant to antibiotics. work The one situation where hand sanitizers aren't as effec- . five is if the hands are visibly soiled.In that instance it's best - What are the symptoms of MRSA? to wash hands with soap and water. If it starts where there's a cut of abrasion,the area starts to look infected,becoming more red or'swollen,or starts to have •; How long does the bacteria live?: pus-like drainage.It can also be warm to the touch.On areas E MRSA is not spore-forming bacteria so it does not live +• of the skin without an abrasion MRSA begins by looking like well in the environment.It would be likely to live longer in a a spider bite and developing into a boil. t. moist warm place where it has something to live on.On a dry, .hard surface it's not•going to live very long: What are false symptoms? There are other bacteria that can cause skin infections.Not 1_ What is the solution recommended to disinfect? all infected skin.is MRSA• Suspected infections should be ; According to all the information we've seen from the diagnosed by a doctor,and a culture should be.taken.That's Centers for Disease,Control,any Environmental Protection. the only way to know if it's the antibiotic-resistant strain of Agency-registered disinfectants that state on the label that MRSA... .. they are staph-resistant should be fine.A bleach solution of one tablespoon of bleach to one quartof water also works • What do I do if I think I've got it?Should I go to the hos- well.Note that bleach solutions need to be made fresh every pital emergency room immediately or wait until I can see day because bleach evaporates. my doctor? .. If you can be seen by a doctor within the next day,waiting 1 How do I keep my home or business safe? until a doctor's office is open is fine,although it does dependBasic transmission prevention works everywhere.Frequent on the situation.If a s ' hand-washing throughout the suspected infected area is.quite_large and. :: g. gh day is strongly recommended, has a lot of drainage,goingas is not touching anyone else's sores.Infected areas should III . . into the ER is appropriate. . {' be completely covered by a Band-Aid or dressing and not How,do you dispose of your bandage if you have MRSA? I. touched.Sharing personal items like towels or razors is also Throwing bandages,in the regular garbage is fine, but 1rnot recommended. Basic cleaning and sanitizing of shared 1 , washing one's hands well"after handling them is always rec.. ' items such as telephones and desks;with sanitizing wipes is ommended. recommended, • PENINSULA DAILY NEWS I . 1 Jefferson • Public Health ,, . wins award PENINSULA DAILY NEWS She also served on the Jef- NEWS SOURCES ferson Land Trust, where she PORT HADLOCK — The examined the requirements for I, Jefferson County Public successful stewardship pro- Health i8 one of four recipients g4�ion in fand ederal secure mabout of a 2007 Hood Canal Environ- PattyI i Stone and Terry mental Achievement Award. Mills:The two have generated q Agency officials will receive local interest in improving the award from the Hood Canal water quality in their neigh- II Environmental Council during borhood on the north shore of La j 1-,a conference Nov 30 at the Inn the Canal,near Belfair. iu 'I at'Port Hadlock, 310 Hadlock. A community beach event BaRoad' attracted about 75 people to 3 "The health and protection discuss septic systems and of Hood Canal has long been a other issues: special: focus of Jefferson At their home they have -.County Public Health," the restored native vegetation,cre award citation says. ated bioswales and rain gar- They have taken an active dens to absorb stormwater and r. role to improve the conditions It of the Canal's watersheds and used pervious pavement for marine environments with driveways, walkways and many of their solid waste, on- decks.L . site sewage system and water II Chris Drivdahl:For the – quality programs." past six years, Drivdahl has ' The award citation notes worked to restore salmon .1 that the agency improved con- recovery in the Canal as part of . i ditions in the Canal with a new the Governor's Salmon Recov- • ordinance that targets illegal ery Office,where she has coor- dumping and an EnviroStar dinated with tribes, state and program that encourages federal agencies and numerous ; n; proper handling of chemicals. local partners. She also promoted the Hood N rr Produced video Canal Coordinating Council as nthe regional recovery orgaza- The agency has also pro- organize- . within the Puget Sound ): " duced a 30-minute video that partnership. discusses Canal issues,and,the -` citation notes, its staff mem- Morning conference n. hers have been active in mon- toring water quality and pro- The Nov 30 event will ' tecting local habitats. include a morning conference 1 • • ' "Since 2004, Public Health featuring science writer David t has undertaken salmon habitat Gordon, author of Heaven on s - projects, to protect floodplain the Half Shell. along the Dosewallips and Other speakers will address e Duckabush rivers, which pro- salmon and ecosystem restora- s .I tect a total of more than 75 tion. acres,"the citation says. , They include.Scott Brewer n' "These property acquisi= and Richard Brocksmith, both tions have involved extensive of the Hood Canal Coordinat- '' ,cleanup and restoration efforts. ing Council;Randy Johnson of "Finally, Public Health is the Jamestown S'Klallam l '1` activelyworking with elected Tribe; Neil Werner of Hood I officials and local citizens to Canal Salmon Enhancement 4 seek dedicated funding for the Group; Rich Geiger of Mason , sc establishment of a countywide Conservation District; and 1 'clean:water district to protect Jack Turner of the Skokomish • to Hood Canal's aquatic 'Tribe: resources for the long-term." To register for the confer- ) II Other recipients of achieve- ence at the Inn at Port Hadlock 1 ment award: , and awards ceremony, send a I III Ginna CorreA biolo- $15 fee by this Friday to Hood gist with the state Department Canal Coordinating Council, ,,O n/ of Fish and Wildlife, she was 17791 Fjord Drive NE, Box instrumental in studying the HH,Poulsbo 98370-8481. factors that cause chinook and For information,phone 360 summer churn salmon to 394-0046, or click on // //•�c 7 Belenskj 1 loses to co unt y i• Watchdog loses open-meetings suit By Allison Arthur • Other people, not just needs to agree to, Belenski Leader Staff Writer attorneys, can be present at would have 30 days to appeal an executive session called to the decision,Alvarez said. Government watchdog Mike discuss potential or actual liti- This is the fourth suit Belenski has lost another legal gation; round with Jefferson County. 20 6,Alvarezi has i since August • When a document is 2006, said. Jefferson County Deputy approved in a public meeting, Belenski lost a recall effort Civil Attorney David Alvarez that document can be signed against Jefferson County announced Tuesday that a deci- outside of a public meeting; Commissioner David Sullivan, sion Nov. 9 by Judge George • Public official position D-Port Ludlow, and a recall L. Wood of Clallam County bonds have been in place since effort against Phil Johnson, Superior Court he had just 1998 and do protect the county D-Port Townsend as well as received"constitutes a 100 per- from the possible malfeasance another case in which Belenski cent victory for the county." of an official; Alvarez said all ofBelenski's • The clerk to the Board of state laws the co governing unty had plates claims in his most recent suit County Commissioners fulfills meetings. g g Public relating to allegations that her statutory duty by recordingg Jefferson County commission- the Alvarez. estimated he had proceedings and making spent 67 hours dealing with the i ers had violated the state Open minutes from those recordings most recent lawsuit. Belenski Public Meetings Act had been although the clerk or staff may has been acting as his own rejected. not be physically esent dur- Belenski said Tuesday he ing the entire publicrmeeting. attorney. wanted to go back and read "I'm just pleased the judge officials spend of tiBelenskie ts the decision again. lie said he was so explicit," Alvarez said open-records requests has • was surprised by the summary Tuesday. judgment and needed time tobecome a Alvarez said he had sent last year. sore one subject tinge look it over. Belenski an electronic copy Alvarez cursed at Belenski and Alvarez said Judge Wood ruled of a proposed order for Wood later apologized. in favor of the county on four key to sign. Once the judge signs (Contact Allison Arthur at issues,which were that: the final order, which Belenski aarthur@ptleader.corn.) i IS TEENAGE DRINKING & DRUGGING - A`R•ITE OF• PASSAGE? .;:::: . , 4 .... ...,:f.,,st.c..„,...,::4„.i...,. . (.,. :...,,......,...... .1.: -. mt, • ....; ,,. . ..I_ ... ,....„;......-„,4 ..._ .,, ..„.,. _. ..„ „... # LET'S TALK ABOUT IT. ,i ,r Jl w fir' ° TOWN HALL MEETING PRESENTATION:How Alcohol and Drugs affect the brain WHEN: Wednesday,Nov.14,6:00-8:OOpm WHERE: Blue Heron Middle school FOOD: Hearty Appetizers TALK: Question&Answers and Discussion to Follow Presentation • QUESTIONS: Call Kelly Matlock,379-4476 FUNDED BY:RUaD Grant(Reduce underage Drinking) P%,Zje/" SPONSORED BY:Jefferson County Public Health,Jefferson County' '//���®� Sheriff's Office,Jefferson CountyPublic Schools,Jefferson County Community Network-Healthy Youth Coalition,Jefferson County Meth Action Team,Jefferson County Juvenile Family Court Services, Port Townsend Police Department,Safe Harbor Recovery Center and Beacon of Hope. - • ,v +� a o a":":R Z3 to v w t323 CC:.)'.::' • '� r" 0O CO F.tet* {3 V p p 0) 0 t b.A ' i. t I• L yy INNIMI 0 L v s' �{ d`c„ 0' t.,0 ami Q y , c' ,. '� H °' `` ' w- v ,� ° t3 •v �Q y` w, v v � � ,c3 p � � 4'4t3 � v s.. p � cU �„ v o � �3 v v1:40 p �.�. ^� � �� °PKC 2 • W� •2J ,.o s`. ..aF-+ o '� « ki' • a zt act. ' 11101 x ` e�� z`,,,., a .✓'� .- azo � � > F w s" '. '▪ .x � -x,¢ ` y 4 a x - 'm y a - r i ray s .: ��� n,'��� � :. y, '�'H i.� $ -`.`A ^��e y'E'.�' q.�:o * I. J � 3 k"u��fi� '43'4 � { y K� +Si' 4 :. K.' '.> f S N • ..1.;,'........1::':gitiiii!:;..,;i.":„..,.!....... I: t� ,$ `l K y -sib' A $ x' 3 � � gR .e k yt � > � ��. .s. A'3 ms's a�, s: � � � ''xR.h/s`4 /� x K g n' E Et.✓'' 5 A r...'''''''''''''" k. g �9E( ' a. M Y i? l ��° ffid : . F • gar / ..1< i Z , , >UF � . soT k .. asks%,.'. - • • 411 Wednesday,November 21,2007•B 5 GinnyCorrea, countyhealth staff honoredforenvironment protecting Four individuals and one the needs of the Hood Canal environments with many of its dents in canal watersheds repair organization have been selected region. The Hood Canal water- solid waste, onsite sewage sys- and replace their onsite sewage to receive the 2007 Hood Canal shed did not fit the geographic tem and water quality programs. systems. This effort dovetailed Environmental Achievement area that was predetermined A new solid waste ordinance with an existing effort to sur- Award conferred by the Hood by the commission; however, developed by the department vey streams, culverts and seeps Canal Coordinating Council she was able to pull everyone took effect in October 2005. It for bacterial and nitrogen pollu- (HCCC). Two of the recipi- together, address their interests, underpins a successful education tion entering Hood Canal,and to ents are from Jefferson County: and ultimately meet their needs and enforcement effort targeting educate landowners on prevent- Ginna Correa and Jefferson and gain unanimous support for threats to water quality from ing that pollution. This effort County Public Health. The oth- the final document. illegal dumping and junk vehi- continues in 2007, thanks to a ers are Patty Stone and Terry In the late 1990s Correa cies. Centennial Clean Water Fund Mills of Mason County and joined the board of Jefferson Public Health has built a grant for the Hood Canal Clean Chris Drivdahl of the governor's Land Trust and was a dedicated strong community ofEnviroStars Water Project. Salmon Recovery Office. All volunteer for a number of years. member organizations, includ- Since 2004, the Health will be honored at the HCCC During her tenure on the Land ing a recipient of last year's Department has undertak- annual conference Nov.30 at the Trust board,she learned the corn- Governor's Award. It produced en salmon habitat projects to Inn at Port Hadlock. ponents of land conservation and 30-minute video programs on protect floodplains along the the challenges and obligations of topics related to Hood Canal for Dosewallips and Duckabush Gin na Correa stewardship of protected proper- the local public-access television rivers, which protect a total of Correa, a biologist with a ties.As a result, she recognized station,and in 2007 it sponsored more than 75 acres.These prop- long history of working for the financial requirements neces- an extensive educational dis- erty acquisitions have involved the Washington Department of sary for an effective stewardship play at the county fair focusing extensive cleanup and restora- Wildlife, has been a tireless program and was instrumental on protecting and restoring our tion efforts. champion for habitat protec- in securing nearly $4 million in aquatic resources. Finally, the department is tion in Washington state. She federal money in stewardship In addition to participating actively working with elected I was instrumental in drafting the funding through the Washington in the Washington BEACH officials and local citizens to "Limiting Factors Analysis for Landowner Incentive Program and shellfish biotoxin moni- seek dedicated funding for the Chinook and Summer Chum" that benefit species at risk. This toting programs, the depart- establishment of a countywide s salmon through her work at the is one of the few grant sources ment was the first to apply for clean water district to protect to Washington State Conservation that recognize the importance of funds through the Puget Sound Hood Canal's aquatic resources Commission. In that role, she providing funding for long-term Initiative Project to help resi- for the long term. _ worked exhaustively to make stewardship. sure that all data available were compiled to make the report as Public Health Tired? Depressed? , complete and useful as pos- The health and protection of Let Me Help You Get Moving! Bible. That report provided Hood Canal has long been a 44.* _ invaluable undergirding for focus of Jefferson County Public General Health & Fitness Programs , . the development of the Hood Health.It has taken an active role Martial Arts Training • Post Rehab Sports-Specific Conditioning Canal Summer Chum Salmon to improve the conditions of the Personal Protection Coaching Recovery Plan, the federally canal's watersheds and marine Bruce Fountain, HFI adopted recovery plan for that Cutting Edge Fitness Systems,Inc. • species. a ACSM Certified•Black Belt Instructor Correa also worked hard as an • Consulting•Home Programs Tak h InterlTledl anion Over 30 Years Experience in Health/Fitness 8Self-Defense g numerous g 360-385-2509 • tazmol@cablespeed.com groups and the commission to _ adapt the standard format for the N E W Limiting Factors report to meet . Patientst ',•r dl i /EN A R NU , ,. From sex ed to utmonary p rehabHilary Metzger has , • seen community grow up By Allison Arthur health job, she continues in health- Leader Staff Writer care,moving across the street from the . health department office on Sheridan Fresh from a Nia dance class at Fort Street to a job with Jefferson Healthcare Worden State Park, registered nurse Hospital. Hilary Metzger seems energized,ready "Hilary Metzger is professionally for a cup of coffee at Lehani's and a con- intuitive,verbally gifted and a gracious versation about nursing and her future scientist. She's wonderful to work with in healthcare in Jefferson County. and she's given so much to the corn- Metzger resigned this month as munity," says Jefferson County Public a health educator for the Jefferson Health Director Jean Baldwin. County Public Health Department after The way Metzger sees it, the corn- 20 years of service. Co-workers and munity invested in her 25 years ago and friends celebrated her dedication and she has simply been returning the favor. commitment Nov. 20 with a commu- And she expects that will continue for a nity open house. long,long time. Although she has left the county See HILARY,Page 14 CI ' r .i .i: I I &' 1 z Pr"'- . .w 6th :m +. { P 0 -. . ', CA s Y C f Tvq it, : 4t,. '.....4.1.i,'41t6a'tr ..: W " tN :gip l S ! ../ ;;`i a.A"_: Reglstered'nurse Hilary Metzger(left)has left a job with Jefferson County to be a pulmo- nary rehabilitation case manager with Jefferson Healthcare Hospital.She's working with .Carol Reed of Sequiin,who is awaiting a lung transplant.Both Metzger and.Reed say they ' wish more people would be organ donors. Photo by Allison Arthur - • • //%8Vev A 14.Wednesday,November 28,2007 Hilary: job •at hospitaL Continued from Page 1 ever before, but Metzger says "The most important thing to , she doesn't think young people « , me is to work where I live and I know several are necessarily better informed. She s wonder)" serve my own community,"says "I don't think they are a woman who has taught health former students more savvy, to work with and but they are more 7" education to a generation and who •are oin exposed,"she says. •she 's iven so now will teach people how to going g breathe better as a pulmonary into nursing, Education advocate much to the rehabilitation case manager at I Metzger says there were prob- the hospital. and think ably more young women who community, became pregnant in the 1950s Starting out . everyone should -before access to birth control, Jean Baldwin Metzger came to Port abortions and education — but " Jefferson County Public Health Townsend in 1982 with her hus- be a nurse. there are probably more single Director band and two young sons. She teenage mothers today than there started out as a nursing assis- Hilary Metzger were then. tant at Kah Tai Care Center and registered nurse "They got married and Johnny back to Port Townsend some decided a year later to go to nurs- Jefferson Healthcare Hospital got a job.He didn't have to go to day and sue her for the motherly ; ing school at Peninsula College. high school," she says. Today's transgression. "I had childcare assistance ' pregnant teen"becomes a single `There's no such thing as I when I was a student,"Metzger -essentially sex education—in a mom"and relies on the state and the perfect parent," she says of recalls. "I felt the community small community was not easy. the community for help. parenting. "It's not what you j had made an investment in me, "Some people thought of it as Still, she notes that teen say or what you don't say. It's and I returned the investment." a feminist subversion,"Metzger pregnancy rates have decreased your availability" that matters, Metzger first landed a job recalls.She remembered how,at nationally thanks to education, she says. with what was then Jefferson a meeting of parents, one parent access to contraception and Plan While 20 years of fam- General Hospital,but she decid- spoke up and asked whether she B. But teens still are less likely ily planning might be enough ed she loved public health work would teach about "shame." It to terminate a pregnancy than for most people, Metzger so took a$10,000-a-year pay cut was a turning point, she says, adults,she says. believer in learning new til to work for the county. because most parents realized While Metzger clearly is an and keeping going. While her The daughter of a nurse, they had a choice between mov- advocate for health education, co-workers lament her depar- Metzger gravitated to family ing forward and teaching their she also is an advocate for all tore, they realize she'll just be planning. children about health issues or education-in both schools and across the street. "The AIDS epidemic changed keeping them in the dark about community: There's a connec- my life," she says. "The 1988 an issue that was impacting the` tion between the two,she says. Pulmonary rehab HIV/AIDS Omnibus bill man- world. "I'm concerned with the Metzger is essentially return- dated that HIV/AIDS education Metzger has been involved shrinking school population. I ing to Jefferson Healthcare, ' be taught.The requirement paved in developing a curriculum as see schools as community build- where she teaches pulmonary the way to enhancement of HIV/ Part of a project through The ers," she says. "I like to see a rehabilitation for patients with AIDS ed, with human growth Evergreen State College,and she diverse community." chronic lung problems. and development, healthy ado- believes Washington state has Metzger has lived in Port "It is fabulous to be learning. lescence and human reproduo- one of the best family life and Townsend—in the Happy Valley I am learning from my peo- tion, and sexual health classes health programs in the country. neighborhood—long enough to ple," she says of her patients at in fifth,eighth and ninth grades, Metzger was pleased that watch a generation grow up. Jefferson Healthcare. respectively, to promote health the Healthy Youth Act of 2007 There are at least four young At 54,Metzger seems revved ed as opposed to only disease passed, because it requires families in her neighborhood up to continue learning wherever prevention." schools to ensure that any pro- that probably went through her she is and to continue teaching Even before she was with gram that is taught is "scien- sex-ed classes. people — if not about sex, then the county, Metzger had been tifically based and comprehen- Her two sons, both of whom about their lungs,about the ben- a one-woman family planning sive." are now studying law, also went efits of not smoking, and the counselor. The county then took "It means we can't lie to kids. through her class. benefits of dance and staying over those services and enhanced Imagine that," says the nurse "My older son, Spruce, as active. them,she notes. who was on a state Healthy class speaker at graduation in "I know several former Stu- Youth Coalition that advocated 1996[from Port Townsend High dents who are going into Sex.educafton for that legislation. School],told the audience:"What ing.I think everyone shoul Metzger has been and still The program teaches youths nurse," g happened at school today? You she says. is at the forefront of develop- about abstinence while also corn- used the word `penis'in front of As for the county, she says ing health education curriculum. municating about prevention and all my friends. You ruined my the health department is creative, She's now doing that through the birth control. life,'"she recalls. innovative and courageous in University of Washington. Young people today have Under her breath, Metzger how it promotes health in the Teaching family planning" more access to information than jokes that perhaps he'll come community. i • H ,, ,,, a th ' PF ts tl ft "'• ,.? , ,- , . f' .f a, 45 t*exp. r , , 3 ' .- Fyt F V „„ ieFr'. ''',-,‘,•:`,:••ss 3 : Ft > '& 0 Main Street helps health program Port Townsend Main Street Promotion Committee members Sue Arthur(right)and Kathy Decker(center) present a check for$3,366 to Susan O'Brien,nurse practitioner,and Jenny Spinning(far left)of Jefferson County Public Health from the sales of Main Street's Girls' Night Out"goody bags."The money raised helps fund cancer screen- ings for local women in need through the county's Breast and Cervical Health Program.Nineteen merchants donated,and hundreds of event attendees purchased nearly 500 bags.Since the Girls'Night Out event began in 2004,the Port Townsend Main Street Program,with the help of participating merchants,has raised 510,447 for the Breast and Cervical Health Program. Submitted photo 4111 / r f: r//415/r • Arms out for flu clinics Influenza vaccine for children Flu shots are$25;limited supply Medicare and Medicaid accepted has arrived in Jefferson County. of preservative-free vaccine is (except Healthy Options). Some The state-funded flu vaccine is available for adults. insurance billed.Bring insurance recommended for children from • Monroe Street Medical card. Flu shots $28. Pneumonia age 6 months to 59 months and Clinic, 242 Monroe St., Port shots $45. Clients must be at for high-risk children younger Townsend. There is a limited least 11 years old. than 19. supply of preservative-free vac- Children's flu vaccine is cine for high-risk patients only. available at the following clinics; Cost is $30 per shot. Please call please call for an appointment: 385-5658 for an appointment. Jefferson Medical & Pediatric No insurance will be billed. Group, 834 Sheridan, 385- • Port Hadlock Medical . 4848; Olympic Primary Care, Care, 121 Oak Bay Road, Port 1010 Sheridan, 379-8031; Port Hadlock. Please call 379-6737 Townsend Family Physicians, for appointment. Medicare and 934 Sheridan, 385-3500. It also Medicaid•`billed; please bring is available at Jefferson County yo cards.Flu shots$25.Public Public Health,615 Sheridan,Port. welcome. Townsend.Walk-in clinics are 1- • Port .Townsend. Family. 4 p.m.Tuesdays and Thursdays. Physicians, 934 Sheridan, Port Townsend. Saturday, Dec. 1, 9 • Flu clinics continue a.m.-noon. Medicare patients Adults and children can also please bring Medicare cards. get a flu shot at one of the many All others,.$20 cash or check. public flu clinics in Jefferson Private insurance will not be County. billed. • Madrona Hill Urgent Care, •Safeway Pharmacy,442 Sims 2500 Sims Way,PortTownsend. Way, Port Townsend. Friday, Flu vaccine available during Nov.30,9 a.m.-7 p.m.;Saturday, clinic.hours Monday-Friday, 9 Dec. 1, 9 .a.m.-6 p.m. Some a.m.-7 p.m.; Saturday 9 a.m.-4 walk-in appointments available. p.m.;and Sunday,10 a.m.-2 p.m. Call 385-2860' forr scheduling. • Medicaid not in which we have asked the state to find jj.,� skilled nursing placement for several , i S SUe .a 1+ residents.The state has offered(through the the case manager in attendance)to pro- vide us with higher reimbursement and Victoria House our response has been that's not what • Editor,Leader: we're asking for. The resident needs to Recently both The Leader and move to a skilled nursing facility to have Peninsula Daily News had articles the additional oversight,care and medi- on the decision by'Assisted Living cal assessments necessary to meet their Concepts(cision o cancel its Medicaid needs in a quality way This,of course, contract with Victoria House,which is is more costly for the state.than any tantamount to eviction of the residents reimbursement they are offering us. living there who rely on Medicaid to To end our Medicaid contract is assist in covering the cost of their care. anything but financially lucrative for Reporters contacted Laurie Bebo,presi- Victoria House. We have simply put dent and CEO of ALC, for her corn- the care and safety of our residents meets.Ms.Bebo indicated that the main and staff above the negative financial reason for the decision was that there implications of ending the -Medicaid are residents who require skilled ran- in Although we are not interested ing care and have refused to move to in growing:our Medicaid population, another setting.I would like to respond our plan was to,reduce;our Medicaid to that accusation. population through natural attrition. RCW ata70:129.110 provides for`the As people.pass away,-need to move to discharge of residents.I won't bore you a higher level of care or simply move to by quoting the law,but it requires facili- a different community,we would slowly ties to permit residents to remain in the exit the Medicaid program. The state's facility wiless oertaix;requirements are 'unwillingness to:see the-appropriate mcility One of the reasons that;a resident: placement needs of the residents has discharged,is if their needs can- ,.., created this unfortunate situation. maybe f not be met.:rn the facility. Before the There is a process for discharging facility disel;Aes a;resident it`must residents in the regulations, but the attempt to avoid the disc a throughstate has to agree. The state has not reasonable accommodations,"and a`30- agreed to move out any one of our Medicaid day.notice is d-if accommo :residents all year The'proof dations do,not resolve the=problem: in whether these residents are appropri- Bate itinei;liVIV. •1tiad frlcfd+read?l • ate for assisted living is in the fact that sontOt disohatge'residentioib claims several were denied for assisted living should not be in its`facility;it would- placement and will have togo to a have done so. skilled nursing facility when they leave It just so happens that several of. Victoria House. the residents who will be evicted are Some residents will appropriately be placed in assisted living—these are the outspoken about the shortcomings re the facility. same residents we offered to take at one Bebo states that the low reimburse- of our other houses f they didn t find men;rate is not the-yea for ALUs placement nearby. decision, but I.,would lie`to speak to . The Other'residents that will have that issue. The reimbursement rate is ' to move"to a‘skilled:nursing,facility too low Therehas'not been;a substan- (SNF) need to recognize it is in their tial increase in many years The'reim best interest to do so,as their needs are brate does cover the cost such that the SNF care environment will of.. bursement rnecaro for not cover the cost best accommodate them.Most residents providinghave alrea been accepted are many good providers who have already . p d in a nearby elected not to accept Medicaid residents 'assisted living or skilled nursing facility forcthat reason: Action by state•legis= of their choice.•We are confident the last lators is badly needed to;correct this Couupple of residents can be placed in a situation.I ask readers to contact their "skilled nursin f lieility as well. -t', /,rkFedwy ,i ''1EYtbS1"That the representatives and ask them_to attend r,,. to this matter, Medicaid i{etKiburdse3neti't•rates are too For more information on the Victoria,. low for assisted living I look forward 10 House eviction issue, please;visit our further work being done in'this area wog" at 'littp//act-against-eviction:; well as to the:area of appropriate blogspot.com. • , ' placement.)- ' SUE ESTES ,: regional long-term care ombudsman Olympic Area Agency on Aging (Laurie Bebo,president and CEO of • Assisted Living Concepts Inc.,responds: Although•we cannot get-into:details,• about.individitpl,residetrts,;,lye;,have,, documented monthly care conferences P T- . �fE' .. . / f: e a• , 1t ' 5f`-t. lvlaratnon sessions on county ouaget . _i. By Allison Arthur declined to be too specific, and Leader Staff Writer commissioners decided they How much is 1 percent tax increase? wanted to meet on Thursday so Jefferson County commis- they could call officials with A 1 percent property tax increase equals about$60,000 to sioners plan to meet-Thursday questions. :: Jefferson County's general budget. ., afternoon and Saturday morning Sartin also told commission- With virtually no public comment,Jefferson County com- to plow through a 2008 county ers that the health department's missioners on Monday approved three resolutions to allow budget that will require dipping proposed expense budget of three county departments to collect 1 percent more in property into reserves and possible pro- $4,202,482 still needs to be cut taxes in 2008 than they did in 2007. gram cuts to balance. by$385,000, and of that, about The county's general fund will take in an estimated The meeting Thursday is $200,000 might be related to the $5,985,988.60. This total amounts to an increase of roughly at 2 p.m. in the commission- proposed clean water district. $60,000 from what the county collected this year in property ers' chambers. The meeting "It's going to put them under taxes. Saturday starts at 9 a.m. in.the a lot of pressure," Sartin told "Onepercent is $60,000, which doesn't buy a lot of gov- commissioners, meeting room. commissioners of health depart- ernment, remarked Commissioner David Sullivan, D-Cape Commissioners also may:meet went officials. As of yesterday, George. with the..Jamestown S'Klallam Sartin said he had not heard The county's conservation futures levy, with a 1 percent Tribe at-11 a.m.Saturday. from Jean Baldwin, department increase, will raise $186,824.76, according to a resolution With Administrator John director, on what her plan was approved by the board.That's$1,860 more than this year. Fischbach out until Thursday for cuts. For roads, the county will collect $3,392,511.88 in 2008, because of a death in his family, Sartin explained that there are which is$33,925 more than it collected this year. Central Services Director Allen about 57 budgets he deals with The totals do not include new construction revenue, Sartin was appointed acting and only the county's general according to Assessor Jack Westerman.In the past,the county administrator. Sartin also was fund and the health department has received another 2.5 percent in revenue thanks to new working nonstop this week with budget are out of kilter.Because construction each year. elected and appointed officials to the two are related, the health The 1 percent increases are in keeping with Initiative 747. fine-tune budget revisions. department budget could impact Although the state Supreme Court recently decided that initia- Sartin told commission- the general fund budget. five was invalid,Gov.Christine Gregoire is moving to ensure ers Monday the county's pro- With construction revenue governments across the state refrain from taking the previous posed general expense budget of and sales tax revenue declining, annual limit of 6 percent on property taxes. $14,892,466 exceeded revenues Sartin told commissioners the by$734,780. Sartin said various budget crisis they are facing this • departments had helped bridge year is a problem"that may not said he wanted to know what the in the County Courthouse, that difference by cutting about go away in one year." cuts meant to each department. DCD and health department. $405,000 and by dipping into a Although Sartin said he did In other words, if $25,000 is Commissioners are expected to $1.6 million reserve account for not think he could be ready to cut from a program, who will see that contract this week and another$330,000. give county commissioners more feel that cut and how? Without decide next week whether to Sartin also told county coin- specifics by Thursday, commis- that understanding,Sullivan said approve it. missioners they might not like sioners said they wanted more commissioners would have a Auditor Donna Eldridge said some of the proposed cuts. time to look at it and have a difficult time giving staff direc- she could not plug the new num- As an example,he said there conversation with others. tion on what to keep and what bers from that contract into the was a suggestion to eliminate "I'm really concerned that to cut. budget yet because commission- .hiring a hearing examiner and without adequate information "This is mush in my mind ers hadn't approved the con- put that job back on county com- the board could start forming now because I have no idea tract. missioners. He did not assign a an opinion without full informa- what the cuts are," Chairman Eldridge also questioned cost savings to that idea. tion,"Sartin said. Phil Johnson said. whether commissioners had Other than that, Sartin Commissioner David Sullivan Departments that have been taken a look at programs that asked to make cuts include the were created because grant ' sheriff's department and animal money was available and then services, parks and recreation, maintained even after the fund- Washington State University ing dried up. Extension, and the Department Johnson said he thinks the of Community Services. county can get through this In the meantime, county year. officials were told that a union "Next year, it all depends on representing about 100 employ- how the state functions, and so ees voted Nov. 20 to accept a much is depending on cons new contract. The United Food tion. If construction stays and Commercial Workers rep- we'll have another tight budget," resents 100 administrative staff Johnson said. 4 i i 7 • County 's red $735,000 shortfall set for Saturday review BY EVAN CAEL PENINSULA DAILY NEWS PORT TOWNSEND — Jefferson County commissioners heard suggestions from depart- ment heads and fellow elected officials Thurs- day about how to balance the 2008 budget— which now shows a$735,000 shortfall—and learned that they may have$510,000 in unen- cumbered reserves they didn't know about. • The three commissioners went into Thurs- day's meeting at the county courthouse believ- ing$990,000 was available in reserves—given the figure by Central Services Director Allen Sartin — but near the end of the meeting, Auditor Donna Eldridge, who reports the county's finances to the State Auditor's Office each year, came up with a different number: $1.5 million in unencumbered reserves. TURN TO COUNTY/A8 • Countr Meeting ends answerless CONTINUED FROM Al the public health budget were van, D-Cape George, said that come to the meeting with The meeting ended about each proposed to be cut by would be a cost he's not will- $100,000 reductions for his 4;30 p.m. na clear $100,000. ing to pay to balance the bud- proposed budget. ;30tq the withoutdiscrepancy Parks and Recreation, get. which is an arm of county "We're not going to balance He suggested the enforce- answerthe two amounts. Public Works, was asked to the budget on the backs of the ment officer position be cut. That issue,and exactly how come with a proposal of an kids and the vulnerable peo- That position responds sto e to balance the budget, will be additional$100,000 in cuts. ple,"Sullivan said. complaints of illegal land-use discussed at a meeting at 9 Matt Tyler, Parks and Rec Assessor Jack Westerman activities. •a.m. Saturday in the commis- manager, presented his pro- turned to Tyler and noted that He also suggested that the sioners chambers on the posal, which included closure Parks and Recreation is vul- hearings examiner position be ground floor of the county of Jefferson County Memorial nerable to budget cuts because eliminated, which the county courthouse, 1820 Jefferson Athletic Field and abandoning it is one of the few depart- contracts in the amount of St.,Port Townsend. a project to improve Chi- ments in the county that is not $45,000,and have the commis- As currently proposed, the macum's H.J. Carroll Park, mandated by the state or the sioners take over the duty of 2008 general fund, which is which would include a skate federal government. presiding over land-use peti- the primary county fund that park and BMX race track. "To a degree, it's always finances most departments, Eldridge chimed in that going to be unfair to you," tion hearings.om shows $14,157,000 in rev- without supportingY The commissioners will con- enues and $14,892,000 in the count parks in Westerman said. study the suggestions and expenditures. up in y youngsters will The cut for Washington tinue discussions at their Sat- rson Department heads were ney] JuelieP[Dalzell's] place County .Extension was e University epro-asked to arrive at Thursday's because they'll have nowhere posed at$50,000. expected meeting, of the pee, posed 2008 budget, which is meeting with suggested cuts to go." The proposed cut for the to be adopted on Dec. to their proposed budgets. Commissioner Phil John- Department of Emergency 17. No department head pro- son, D-Port Townsend, added: Manager was$25,000. • posed cutting positions of "And [Sheriff] Mike [Bras- Al Scalf, director of the Reporter Evan Cael can be reached employees presently working. field's]place." De artment of Communit 360-385- The sheriff's budget and Commissioner David Sulli- Development, was asked to yat or evan.cael� peninsuladailynews.com. ri ftp v r � • Wednesday,December 5,2007 B 3 Flu clinic offered in Chimacum Keep your children healthy • during flu season. Jefferson County Public Health • offers free children's flu immu- nizations during the Christmas Craft Fair this Saturday,Dec.8 at Chimacum School. Nurses will staffthe children's flu clinic from 10 a.m.to 2 p.m. in the elemen- tary music room. Nasal spray vaccine will be available for children ages 2 to 18. Flu shots will be available for children ages 6 months to 2 years and for children who can- not receive the nasal spray vac- cine because of asthma or other chronic medical conditions. Call 385-9400 with immuni- zation questions. • __4 Survey shows 'alarming' health issues among Jefferson • County kids By Evan Cael, Peninsula Daily News PORT TOWNSEND-Thirty percent of Jefferson County 10th-graders feel sad and hopeless almost every day and have given up usual activities as a result. One in 10 eighth-graders has attempted suicide in the past year. Twenty-eight percent of 10th-graders reported being drunk or high on illegal drugs at school at least once in the past year. These statistics are part of a recently released report by Jefferson County Department of Public Health on the health of Jefferson County residents, a report focused primarily on youth. 'When you see certain alarms,you pay attention to them,"said Jean Baldwin, county public health director. "These are alarming statistics." Surveys in 2006 Last year, Public Health sent surveys out to Port Townsend, Chimacum and Quilcene school district students. The immediate goal of the assessment project is to provide policy makers with high-quality data about the needs of Jefferson County residents for more informed decisions. The ultimate goal of the process is a healthier community, according to a Public Health news release. The most striking statistics from the survey are: • More than 25 percent of eighth-graders,30 percent of 10th-graders and nearly 25 percent of 12-graders reported feeling so sad or hopeless almost every day for two weeks in a row that they stopped some usual activity. • One in 25 sixth-graders, One in 10 eighth-graders and one in 25 10th-graders reported attempting suicide • in the past year. • Eight percent of eighth-graders reported having had five or more alcoholic drinks in a row in the preceding two weeks. The number jumps to 27 percent of 10th-graders and 36 percent of 12th-graders. • Nearly one in 10 eighth-graders reported being drunk or high at school at least once in the past year. Twenty-eight percent of 10th-graders and 25 percent of 12th-graders reported being drunk or high in school. • One percent of sixth-graders reported smoking marijuana at least one day in the preceding month.The number jumps to 10 percent of eighth-graders and 30 percent of 10th and 12th-graders. 'More needs' "The suicide attempts and the substance abuse patterns indicate Jefferson County kids in school may have more needs than current schools,agencies and recreation can provide for,"said Baldwin. Baldwin said the amount of young people attempting suicide is a startling figure, indicating mental health issues. The substance abuse statistics, Baldwin said, might be possibly caused by self-medication as the result of mental health issues in young people. "Mental health indicators are always an incomplete snapshot of a complicated local issue. Chimacum School District Superintendent Mike Blair said the report reinforces his opinion that a community dialogue about mental health related to young people is important. • Mental health issues • "The data in Jefferson County have consistently demonstrated the need for a serious discussion around the area of mental health issues for our young people," Blair said in a prepared statement. "My hope is that we will have this discussion and continue to work collaboratively to address the problem." Port Townsend Superintendent Tom Opstad said Monday that he hadn't read the report. Baldwin said mental health solutions have traditionally been difficult to implement and track. "Mental illness is an orphan in health care nationally," Baldwin said. "Kids get lost in the health care system if they have mental health needs." For more information, phone Jefferson County Public Health at 360-385-9400. For a full copy of the report,visit Jefferson County Public Health's Web site at www.jeffersoncountypublichealth.orq. Reporter Evan Cael can be reached at 360-385-2335 or evan.caeapeninsuladailynews.com. Last modified: December 10.2007 9:00PM • tits( News: Puppy Demand Sparks Rabies Alert Page 1 • D0110ownload our FREE patient summary of the ADA guidelines at w .G nein l , , fie!,,,c, , " ( oocl tinning America I t1"or.lil \eces 20/20 Primetime i�rigl tli 'NEWS Primetime: Amazing Medical M} le ,:: b start here Register i Sign In . . , - • ..". 1 Blotter , Politics Money health ; E ntei-lautmertt ± ESI'N Short' Home > Health Rise in Imported Puppies Prompts Rabies Concerns CDC, After Declaring Canine Rabies Eradicated, Now Looks at New, Stricter Rules w Your c a `:aa ' " T1s: �: A' mC ..6.,„ .,,...ktk , .,,,,-..--..,,,,,4 4.',4,,,' ,s1.0.\,(#„ ' '.,� y` -, ' '..',. .'s." :4,". WHAT OTHERS ARE 27 Comments • ' ' ' . '...' 'It:. ,, - '',,,y-3.. ,3., SAYING We love our dogs and I see no 4 " 4 1 ':4iN‘4V ,f } 4 problems wit... P " neutralone 3:35 PM 40 �y � k t a, a � Maybe we could solve this problem s '3x" t 4 a'; ," '� and Offe... �� f� �� ;.-1.5.::-,,...,.-„,,,,t'" ' " ' unity_not_extremism_05 3:17 PM s , ,4,1.,,,...,14,Wi..N.N.:‘ ,„„.. ..„„„ What a sad statement, to the values, � ..,.* " 7. Reenthequeen2000 2:54 PM Hoover- a healthy mixed breed dog was 10 weeks old when Amy and Leif Gustayson adopted him from the Save a Sato Foundation in Puerto Rico six years ago. "He was one of the lucky ones," said Amy. "He was found in a box by the side of a busy road."The Gustaysons of Spencer, Mass., are one of an increasing number of Americans who are adopting , puppies from outside the continental U.S. Thousands of stray dogs are rescued from Puerto Rica each year. (Amy Gustayson) 'COMMENT" ' By SUSAN DONALDSON JAMES Oct. 24, 2007 NEWS Post Video Just last month the Centers for Disease Control and Font Size Prevention declared victory over canine rabies in A ...,.. the United States -- a fatal virus that kills 55,000 ei E-mail the s illpeople a year globally. � y� �, 4. �;=r Newwsmmaakeer That declaration may have been premature. CI Share - http://www.abcnews.go.com/Health/story?id=3 765973&page=1 10/24/2007 ABC News: Puppy Demand Sparks Rabies Alert rage 2, Capture video of a A growing demand for overseas dogs -- many from countries news event? where the disease is endemic and the animals are too young to i-CALlDHT Upload it now. be vaccinated111 CRPTURE has put rabies back on the government's radar THE NEWS, and caused the CDC to go to work on stricter rules aimed at imported dogs. Driving the import trend is the demand for puppies, rather than older dogs that have behavioral or health issues. :` essage Boa s The Border Puppy Task Force in California estimates that 10,000 DISCUSS THIS Read All puppies entered San Diego County from Mexico in just one year. TOPIC WITH THE ABC NEWS Some only a few weeks old are sold for $1,000 each in shopping COMMUNITY center parking lots on the street. EP "Most people don't think about this deadly disease," said Dr. Nina Chat About Health and Fitness Marano, director of the regulatory unit at the CDC. "People take Issues for granted that their dogs are not at risk." Puppy From India Infected Most vie All Just this spring, a puppy from India got a clean bill of health AUDIENCE ViewFAVORITES from officials at Seattle Tacoma International Airport. Days later, at its destination in Alaska, the dog was diagnosed with rabies, 0 No Joke: Colbert '08 Could Be according to Washington's Veterinary Board of Governors, which Illegal is investigating the case. 0 W.Va. Woman Hopes Her In 2004, Los Angeles saw its first case of rabies in 30 years with Torturers 'Fry' a puppy imported from Mexico. In Massachusetts, a dog VIDEO: Behind Marie Osmond's imported from Puerto Rico -- a U.S. territory where stray dogs Fall are rampant -- was diagnosed with the disease. • VIDEO: Nightline Webcast: In another Massachusetts case in 2003, a 14-week-old boxer California Wildfires purchased by a breeder tested positive for rabies six weeks after its adoption, exposing 22 people to the disease on a ferry ride, el PHOTOS: Picture Perfect Babies according to local press reports. Rabies Concerns 0 PHOTOS: Battling the Inferno Rise in Imported Puppies Prompts 1 2 3 Next ::,BOOKMARK r . =`f.- I Read All 27 Comments and Post Your Own Sponsored Links Lose 25 Pounds This Month Oprah and CBS featured Hoodia,a dieting miracle.Try a Free Sample http://www.mylipoplex.com Outpatient Spine Surgery Patented arthroscopic procedure 90%+successful on spine problems. bonati.com Lose 25 lbs this Fall Oprah&CBS featured Hoodia, a dieting miracle.Get 1 Week Free sample www.curbyourcravings.com • Buy a link here http://www.abcnews.go.com/Health/story?id=3765973&page=1 10/24/2007