HomeMy WebLinkAbout2008- September File Copy
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Jefferson County
Board of Health
.Agenda
Minutes
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September 18, 2008
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i JEFFERSON COUNTY BOARD OF HEALTH
Thursday September 18,2008
2:30 PM—4:30 PM
Jefferson County Courthouse
1st Floor Conference Room
Port Townsend, WA
DRAFTAGENDA
Approval of Agenda
II. Approval of Minutes of August 21,2008 Board of Health Meeting
III. Public Comments
This time is dedicated to listening to the public. All speakers shall confine their remarks to facts that are
germane and relevant to Public Health. Be civil. Focus on issues, not individuals. Personal attacks,
derogatory language or threatening remarks will not be tolerated. To ensure equal opportunity for the
public to comment, all comments shall be limited to three(3)minutes per person. To further ensure
equal opportunity for the public to comment, each person may address the Board one(1) time during
public comment period. Please state your name and address. (If the light is present and when it turns
green the speaker may proceed to speak; the yellow light will go on when the speaker has 30 seconds
remaining; the red light illuminated mean stop). The Board will typically not respond to comments.
• IV. Old Business and Informational Items
1. Quilcene Bay Oyster Harvest Closed Due to Vibriosis Risk
2. West Nile Virus Activity in Washington State
4. Implementation of E-Onsite in Jefferson County and Homeowner Inspections in
Clallam County—follow-up Report
5. Breast and Cervical Health Program "Girls Night Out" Fundraiser
V. New Business
1. National Alcohol and Drug Abuse Recovery Month
2. Shellfish and Discovery Bay Water Quality Update
3. Public Health Funding Resolutions—Washington State Medical Association and
Draft Jefferson County Board of Health
VI. Activity Update
VII. Agenda Planning
VIII. Next Scheduled Meeting: October 16, 2008
2:30—4:30 PM
Pope Marine Building
100 Madison St.
Port Townsend,WA 98368
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VVJEFFERSON COUNTY BOARD OF HEALTH ‘S\
aist. MINUTES
ss4VAA Thursday, August 21, 2008 2:30 PM—4:30 PM
Court House, First Floor Conference Room, Port Townsend
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, Chair, County Commissioner,District#3 Andrew Shogren, Environmental Health Director
Chuck Russell,Hospital Commissioner, District#2 Julia Danskin, Nursing Services Director
Michelle Sandoval,Port Townsend City Council
Sheila Westerman, Vice Chair, Citizen at large(City)
Roberta Frissell, Citizen at large(County)
Chair John Austin called the meeting of the Jefferson County Board of Health to order at 2:30
PM in the First Floor Conference Room of the Jefferson County Court House, Port Townsend,
WA.
Members Present: John Austin, Roberta Frissell, Phil Johnson, Chuck Russell, David Sullivan,
Sheila Westerman
Members Absent: Michelle Sandoval
• Staff Present: Jean Baldwin, Dr. Thomas Locke, Andrew Shogren
A quorum was present.
APPROVAL OF AGENDA
Chair Austin added one item to the agenda under New Business, item 5: Approval of the
appointment of Michael Blair to the Substance Abuse Advisory Board. Member Westerman
moved and Member Frissell seconded for approval of the agenda, as amended. The motion to
approve the agenda, as amended,was passed by unanimous vote.
APPROVAL OF MINUTES
July 17, 2008: Member Frissell moved to approve the minutes of July 17, 2008; the motion was
seconded by Member Westerman. The minutes of July 17, 2008 were approved unanimously,
as written.
June 12, 2008: Approval of this set of minutes had been deferred in order to get clarification
regarding the previous month's minutes regarding the total cost of onsite program in Clallam
County. Dr. Locke said that the recording of the meeting had not included that information. The
next step is to contact the speaker, Andy Brastad, when he returns from his vacation.
• Jefferson County Board of Health 1 August 21,2008
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PUBLIC COMMENT •
There were no public comments.
OLD BUSINESS and INFORMATIONAL ITEMS
Port Townsend Paper Air Quality Agreement
Dr. Locke said that this item was a follow up to a presentation made to the BOH several months
earlier regarding the air quality consultation. Port Townsend Paper and the State Department of
Ecology (DOE) have reached an agreement, which Dr. Locke considered to be a very positive
step. He said that information had been lacking about specific chemicals that might be released
in the air, and where they might be dispersed within the community; this agreement is designed
to determine that. He said much more accurate assessments of health threats would be possible
with that information.
Mental Health Consultation Outreach Access Line
DSHS has targeted two regions in the State for a new program called PAL, Partnership Access
Line, that will provide mental health consultation for children to any primary care provider.
Jefferson County is part of Region 6, Southwest Washington. Jean Baldwin said that physicians •
and medical providers will be able to access mental health consults with Children's Hospital,
including downloads through the interactive video systems. DSHS can be billed for phone
consultation time and immediate mental health backup. Ms. Baldwin said this has been a
continuing problem for families, which can possibly be alleviated by assisting medical providers
in this way. The targeted areas are those with smaller counties and less well developed systems
and infrastructure. Full funding for the staff at Children's Hospital will be provided by the State.
Children are defined as those up to and including the age of 18 years of age. There was a brief
discussion about the reimbursement amount, which is comparable to that of a short office visit
for DSHS patients.
Board of Health Letter re: City of Victoria Sewage Treatment
Dr. Locke noted that there had been a request several months ago from an advocate in Canada
that the BOH submit a letter of support to the Capital Regional District regarding a planned
waste water treatment system for Victoria BC and surrounding areas. He said he had requested
additional information and had not received a timely response. Recently, he was able to
determine that the Capital Regional District and the BC Ministry of the Environment are still
firmly behind the project, but that complications, including a well organized opposition group,
have resulted in further delays. There was a brief discussion about the draft letter that Dr. Locke
had included in the packet. He also described what he had learned about the opposition to the
project. Several former health officers were among those opposed to the project. A major
argument cited was the cost of the project, and other health needs that could be addressed with •
Jefferson County Board of Health 2 August 21,2008
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$1.2 billion dollars. Another is that the science is not rock solid and conclusive. However,
• proponents have provided a strong environmental case, and elected officials are apparently
resolute in moving forward. Dr. Locke said that the cost projections are $500 per system user
per year additional cost. Phil Johnson moved and Roberta Frissell seconded to approve the
letter, as written. The draft letter to the Capital Regional District was approved
unanimously,with agreement that each individual BOH member would sign it.
NEW BUSINESS
Nurse Family Partnership Annual Update
Quen Zorrah pointed out the packet materials on Family Support, Planned Performance
Measures 2009, are also posted on the web site. Included for the first time is the new Mission
statement for the Family Support Program.
Improve Quality of Care giving—Ms. Zorrah noted that the mandate of offering services to all
families with young children was renewed last year by the BOH. She said that in consideration
of resource and financial restrictions, the Family Support group carefully triages their services, to
continue to offer population based services, but not duplicating what is already out in the
community. She said it is important to acknowledge the dwindling resources for the whole
county, especially reduced access to housing and child healthcare.
• Preventing harm to mothers, infants and families at risk for maternal depression. There is now
eight years of ongoing data collection showing a consistent 35-40%positive screening for
maternal depression. However, she said there are limited treatment options. Medicaid patients
are still losing their medical coupon two months post partum, and now many babies are also
losing their coupons. She said it is now necessary to have identification and verification for
everyone is the household whether they are applying for benefits or not. Many people,
especially the homeless or those in unstable situations, are not able to provide the needed
documentation. She noted that more infants are losing their coverage than ever, but that it is
extremely difficult to get statistical data from DSHS about this. She noted the $20 cost for a
birth certificate copy. DSHS does not accept the hospital proof of birth certificate. There are
also enforced federal requirements for providing proof of residency. There was a discussion as
to whether the County could help provide/pay for the birth certificates for those who cannot
afford them.
Encourage and support breastfeeding for optimal nutrition and health—The Health Department
has been holding a weekly group continually for fourteen years; this is the only community in the
State that has been able to achieve that. This is the main outreach and response to all community
women who are breastfeeding; the group tends to be mixed ages and income. She said this is a
great resource for women who do not qualify for maternity support services or nurse family
partnership. She said that the sessions include much more than breastfeeding, i.e. parenting,
health education, nutrition, mental health, etc. It is advertised in the newspapers, brochures,
childbirth classes and through the web.
• Jefferson County Board of Health
3 August 21,2008
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Improve birth outcomes—Ms. Zorrah pointed out that access to prenatal care is slipping and
access to this care for women on Medicaid is below what it was in 1990. Although the 2010 goal •
is 90%,the current rate is only 70%for Medicaid and 88%for private insurance. The gap for
those who get no prenatal care at all is quite significant for those on Medicaid. She said she is
working with Jefferson Health Care to bring people in sooner.
Healthcare access—Children in South County are particularly far behind in immunizations and
well child care. Rises in fuel and other costs have exacerbated the situation since many families
cannot afford to make the trip to the doctor, or even to afford cell phone minutes for making
appointments. Board members expressed concern that there is currently no medical service for
children in Quilcene. Member Russell said that he would check further on this issue.
Nurse Family Partnership Program—Ms. Zorrah said that this is one of the most well
researched programs. She pointed out the article from the Washington State Institute for Public
Policy on costs and benefits related to children and the welfare system. She said that for this
program the total benefits minus costs in keeping children out of the child welfare system is
$18,054 per person. She noted that the cost of foster care was not factored into the cost/benefit
analysis. There was a brief discussion about the methodology. Jean Baldwin pointed out that the
methodology for the analysis is on the web page and appears in the report prior this one. She
noted that foster care affects only a small number of children. What is known is that the number
of cases referred to Public Health for prevention, intervention and possible neglect have
quadrupled in the last few years. Concurrently, demands from Children's Administration on
nursing service providers are increasing. Jefferson County has a high rate of grandparents raising
grandchildren but there are no specific services for these cases. This remains a gap in services •
that should be addressed. Member Sullivan asked if O3A had resources for this segment. Ms.
Zorrah said although there are general referrals for the grandparents, certain mental health
grief/anger issues and complex family dynamics typical in this population are not addressed by
any agency. She said that what is seen in general is that there is more economic stress, more
mental illness, more violence and addiction in the community, which tend to lead to neglect.
Infants are the fastest growing category entering into the child welfare system and the most
expensive. Nationally, 43%of all fatalities attributed to abuse and neglect are infants under the
age of one year. Other statistics show that 21%of all children in foster care entered before age
one. Infants stay in care longer and are more likely to be re-victimized. As adults,those who
were in foster care in some part of their childhood had significantly higher rates of mental
illness, PTSD, and rates of addiction higher than comparable young adults in the general
population. They were also less likely to complete high school or be employed. There are two
main strategies for working with this vulnerable population: prevention,through the Nurse—
Family partnership and intervention,through the CPS contracts. Ms. Zorrah said that Public
Health is also beginning to work with the Family Therapeutic Court, similar to the Drug Court.
She said that there is interest in utilizing this Court for families at risk, i.e. preventative (rather
than waiting until the child has entered the child welfare system), which would be more cost
effective. There was a brief discussion about how this shift could be accomplished and
consensus that the Court system would need to make this change. Member Westerman, who is
also a member of a related funding advisory committee, suggested a meeting between the BOH
and a representative of the Court. Pierce County was cited as the one jurisdiction that has •
Jefferson County Board of Health 4 August 21,2008
already implemented a preventative Family Therapeutic Court and as a possible resource for
• protocols and other information. Member Sullivan advised that all the facts and implications,
including mandatory reporting requirements, should be investigated up front. Ms. Zorrah noted
that the Court Coordinator had contacted Pierce County about their program.
Ms. Zorrah then introduced two Family Support nurses, Yuko Umeda and Mary Jo Mackenzie,
There are five nursing staff, about 3 full time equivalents, involved in Family Support services.
Member Westerman and the Board commended this group for their dedicated services over
many years.
Port Townsend/Chimacum School Based Clinic Update
Yuko Umeda presented a Power Point Presentation on the School Based Health program.
Earlier this year, the Health Department received a planning grant from the State Department of
Health to begin planning school based health centers. This includes seeking community support
and building partnerships with other organizations to launch this program. School based health
centers have been in existence throughout the U.S. Washington State currently has 17 centers,
almost all in the Seattle area. There is also a center in Kingston. The original impetus was
providing health care for teens because this age group often lacks access to various types of
health care and this is a very efficient means to meet those needs.
Ms. Umeda noted that typically school based heath care includes physical and mental health
• services provided by a team of providers specializing in adolescent health care, i.e. nurse
practitioner and mental health counselors. The program for Jefferson County will begin with
Port Townsend High School and Chimacum High School, with eventual inclusion of the middle
schools. Broad community support is very important and there has been very positive interest
and cooperation in both Port Townsend and Chimacum. Jefferson County Public Health,
Jefferson HealthCare, and the two school districts are partners in this program. She said the first
sports physicals had occurred, earlier in the week. The governance structure consists of a
governance board represented by the Chimacum School District #49, Port Townsend School
District #50, Jefferson County Public Health, and Jefferson Healthcare. The advisory group
includes parents, teachers and community members.
Services include acute health care, health education; oral health; chronic illness care,
reproductive health, and mental health care. Currently, the Health Department serves more than
40% of 15-19 year old females for reproductive health. Ms. Umeda noted also the importance of
mental health services, screening and counselor referrals to those specializing in adolescent
mental health. This will include a contract with Kitsap Mental Health for a skilled adolescent
counselor. The services of a team of intervention specialists (drugs and alcohol) were also
mentioned. The funding for the mental health component will come from the 1/10th of 1 % sales
tax for Mental Health services in Jefferson County.
In the U.S., one in five children has some sort of mental health issue that impacts them. In
Jefferson County, per a bi-annual survey of school children, 30% of 8 and 10th grade students
• reported feeling sad or hopeless every day. 11% of 8th graders and 19% of 10th graders reported
Jefferson County Board of Health 5
August 21,2008
that they had seriously considered suicide. Ms. Umeda cited examples of the many health issues
for adolescents, which can affect their academic performance as well as family and community •
interactions.
Related statistics were cited: about 17% of children, ages 5-17, in Jefferson County live below
the poverty line; over 50% qualify for the school lunch program.
The plan provides for providers to be on site at each school center two days per week. One
crucial aspect is the trust that can be established between providers and students.
Member Johnson inquired as to the funding/payment structure after the planning grant has been
expended. Jean Baldwin said that the original hope was that by taking family planning to the
school districts, there would be an equal expenditure of Public Health dollars. However, it now
appears that some elements will break even and some will not. The provider time,which is to be
split with Jefferson HealthCare, is the most significant expense; school facilities and
infrastructure costs are borne by the schools. She noted the impact of the weakened economy in
recent months and lower certainty that all costs can be covered. This has led to the decision to
implement only some services and delay the implementation on the provider side. Three grant
applications are pending, which could cover up to three years. Medicaid reimbursement for
children has increased and it is possible that with insurance billing the program could break even.
Ms. Baldwin said that there has been a hugely positive response from the community and
schools; contracts and facilities have been completed in very short order.
There was a brief discussion about the school districts' related spending, Olympic Educational •
Service District(OESD), OSPI and the mechanisms through which substance abuse and other
specialists had been placed in the schools. Jean Baldwin noted that the school districts are
extremely interested in mental health services, having seen the benefits and results in past years,
mainly through start up grants. They also do not wish to carry the supervision responsibilities.
Therefore, they do not directly employ mental health professionals to do therapeutic work. He
said that one important aspect was the ongoing presence of the counselors, the trust that
developed, allowing earlier intervention and better outcomes. She noted that the various existing
programs for children could be transitioned to the school based program umbrella and financing
adjusted accordingly.
Jean Baldwin also noted that many school based health programs do not charge for services at
the outset, considering it as investment in prevention. She said that this is clearly not possible
for Jefferson County, but that it should be possible to operate at about the same financial profit as
current clinic services.
In response to a question about school nurses, Ms. Baldwin said that all the schools contract with
Public Health for school nursing. Currently, Chimacum and Port Townsend each get 8 hours per
week, while Quilcene and Brinnon each get 4 hours per week. With the implementation of the
school based program,the school nurse would not do medical exams, etc., but would do
screening and referrals.
Jefferson County Board of Health 6 August 21,2008 •
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In summary, Ms. Baldwin said that her intention is to proceed slowly, with no additional staff,
and monitor the finances very carefully. Member Austin asked if there is any possibility for
additional State funding, and/or if any encouragement or advocacy from the BOH would be of
help. Ms. Baldwin said that she plans to apply for a Department of Health grant due in October.
At minimum, this would allow for the designation to do DHSH billing; she also mentioned
applications for Legacy and Rural Health grants. However, she believes that the BOH could be
an advocacy group for ongoing funding. She said that this program is directed at 1400 students
in the County. It is not expected to have the same dramatic family change as the best practice
Nurse Family Partnership. However, she said it is a good way to provide services. Final
arrangements with Jefferson Health Care are still in negotiation. A new start up date for the
program, originally scheduled to begin in October, has not been set.
Cyanobacteria (Blue Green Algae) in Jefferson County Status Report
Neil Harrington reported on the status of this water quality problem. There are four lakes in
Jefferson County that are currently at a Warning state: Anderson, Leland, Gibbs, and Crocker.
Tarboo Lake is at Cautionary status. Teal Lake is a drive by lake; if no surface algae are
observed, it is not sampled every week. In general, a Warning is triggered by over 100,000
cells/mL and Caution at 30,000 cells/mL.
Mr. Harrington referred to web site handouts and discussed the multiple types of cyanobacteria
found in Lake Leland. He said that the latest sample showed both microcystin and anatoxin-a.
SAnderson Lake was posted with a warning in late April based on its history and cell density. The
lake was closed in late May after high cell density and scums formed, subsequently in early June
anatoxin-a was detected in the lake. There is little swimming in Anderson Lake, but there is
recreational fishing and boat use, so there is concern about exposure if a boat capsizes. Two
dogs had died there in 2006 after exposure to lake water. The park has not been closed
completely, but the lake has been closed and dogs are required to be leashed. After an algal
bloom in April, the bloom subsided and spiked again in early June, which is consistent with
timing during the previous two years. In late June, there was an extremely high reading of
172,640n/1 (ppb) for anatoxin-a, which is among the highest in the literature according to Joan
Hardy, State DOH cyanobacteria specialist.
Lake Leland has had a strong microcystis bloom during the summer. On August 11, the reading
was 191 µg/1 of microcystin and about 100,000 cells/mL of microcystis. The recreational
guidance is 61.1g/1 for swimming. With the observed presence of microcystin in early July, staff
phoned everyone in the Lake Leland shoreline to ensure that they were not drinking water
around the lake. He noted that there are residents with surface water rights and wells in the area.
With regard to Gibbs Lake, there have been various types of cyanobacteria blooming throughout
the summer. In order to downgrade from Warning to Cautionary, the staff needs to see at least
two consecutive weeks under 100,000 cells/mL and a decreasing trend. However, that has not
happened as yet. In response to a question about the process by which the toxicity decreases,
Mr. Harrington said that is toxin dependent. Microcystin is fairly stable, and anatoxin-a tends to
• degrade rapidly. Organisms that are stressed by depletion of nutrients tend to produce more
Jefferson County Board of Health 7 August 21,2008
toxin. This has implications for lake treatment regimens. He mentioned an instance where
aeration was attempted at Anderson Lake,which resulted in lower levels of dissolved oxygen, .
possibly as a result of stirring up the bottom of the lake. Mr. Harrington noted that bottom
sediments, such as phosphorous, can also have a negative impact when stirred up. One treatment
being considered here is alum treatment, which both clarifies the water and binds the
phosphorous and sediments for about five years. However, this requires further research.
Regarding the budget status, $28,300 has been spent so far this year, with some about$4,000
coming from the State Parks. A grant from the Department of Ecology for$40,000 is expected
to reduce the need for General Fund monies next year. Mr. Harrington said that having staff take
over monitoring and cell counts, in an effort to cut cost, is under consideration. Expenses not
reimbursed amount to about $19,000, mostly for lab and staff costs. Member Sullivan said that
one option is to close the lake, and not monitor unless the State provides the funds to do so.
Mr. Harrington responded to a question about long term aeration, stating that he had not seen
research indicating that as a possible solution. He noted that the characteristics and conditions of
each lake are fairly unique. There was a brief discussion about phosphates and a new law in
Washington State requiring reduction of phosphates in laundry detergent. There was
acknowledgement that the long term conditions of Lake Anderson have not been fully monitored
and documented. There can be short term shifts in variables such as wind, sun and temperature
associated with large shifts in algae blooms.
Dr. Locke said that this situation is characteristic of an emerging health problem where basic
scientific information is lacking. Officials are then forced to make decisions with high degrees •
of uncertainty, including recommending against healthy behaviors such as swimming and
fishing. He said there are also concerns about longer term exposure. He pointed out the need to
respond to citizens' questions and concerns, and noted the educational materials that had been
prepared. He said that Lake Leland residents have been informed about detoxification and
disinfection methods, but which are complicated and expensive. He noted that pets and livestock
are more at risk because of the possibility of drinking untreated lake water.
There have been no observations of this problem or of scum layers in any Clallam County lakes.
This is likely attributable to the fact that these lakes tend to be deeper, colder and spring fed.
Lake Southerland, which is surrounded by heavy development and is likely experiencing nutrient
loading, is very deep and has a fast recharge.
In a follow up comment regarding the budget, Veronica Shaw said that funding for lake
monitoring had been requested during the preparation of the 2008 budget. At that time, $5,000
was granted from the General Fund, with a directive to request additional money if necessary.
In consideration of the tight budget situation, staff had then sought grant funding from DOE. For
2009, this will cover most of the 2009 expenses, but a small portion will still be needed from the
General Fund.
Jefferson County Board
of Health 8 August 21,2008 •
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Approval of Appointment of Michael Blair to Substance Abuse Advisory Board
• Chair Austin stated that he and Jean Baldwin had interviewed Mr. Blair, and heartily
recommended him for appointment to the Substance Abuse Advisory Board. Mike Blair,
Superintendent of Chimacum Schools, had indicated his interest in serving on the advisory
board. Member Sullivan moved to appoint Mr. Blair to the advisory board and member Johnson
seconded. Member Westerman suggested that the BOH send Mr. Blair a letter of thanks, noting
that she had sought to involve the school districts in this endeavor for many years. Member
Russell added his support for Mr. Blair. The BOH voted unanimously to approve the motion
to appoint Michael Blair to the Substance Abuse Advisory Board and to send him a letter
of thanks.
Jefferson County Public Health 2009 Budget Planning
Budget packet materials were supplemented by several charts and graphs. Veronica Shaw
briefly reviewed the budget materials. She noted that Environmental Health permit fees for
drinking water and programs are down about 50% at this time, with little expectation that they
will rise in the near future. This amounts to a loss of about $300,000 over two years. On the
other hand, the budget must accommodate wage and benefit cost increases.
The approach is to analyze Environmental Health programs and to consider possible steps to
balance the budget and continue to monitor it. Last week there was staff reduction and the
decision not to fill two vacancies. Reduction in hours (4 days, 9 hours per day) was offered to all
• Environmental Health and Water Quality staff. Jean Baldwin noted that the union has no
objection to this arrangement since it is voluntary.
Additionally, the department requests that the County continue to fund the match for the
Discovery Bay and Hood Canal grants for next year. Ms. Shaw and Ms. Baldwin explained that
the increases for wages and benefits would amount to over $177,000 in 2009. Considering the
overall picture for the County, Public Health developed a formula allowing for the full increases
to be applied only in those areas where there is no opportunity for recovery. For example, in
Administration, only 50% (of the increase) is requested from the General Fund. For Community
Health, the budget shows 75%, with the rest coming from grants.
Public Health Emergency Preparedness and Response funds are being decreased. There is also a
slight decrease in Family Planning funding from state and federal grants. Several other changes
were mentioned. Bill 5930 Blue Ribbon funding did come in, but has additional deliverables.
Ms. Westerman commended staff on the budget documents, noting they were very clear and
understandable. The department will return with the fee analysis work in November. She said
they were looking at service costs in surrounding counties, what we are charging and actual
costs. JCPH has not restructured fees for five years. She suggested that everyone retain their
copies of reports/charts for future discussion.
IIIJefferson County Board of Health 9
August 21,2008
Activity Update
Chair Austin reminded that the State Board of Health would be meeting in Jefferson County on
Wednesday,November 12, at the Inn at Port Hadlock from 9:00 AM to 3:30 PM. The BOH is
invited to attend. An agenda will be distributed about two weeks prior to the meeting via e-mail.
Commissioners Austin said he is otherwise scheduled on that day, so will be unable to attend.
Agenda Planning
Member Frissell raised the question of whether the BOH would be meeting with legislators this
year. After a brief discussion, there was agreement that it would be well to set up a meeting
including the Clallam BOH.
Member Westerman restated her request that staff follow up with Pierce County on the
Preventative Therapeutic Court issues mentioned earlier, and provide an update at the next
meeting.
The next BOH meeting is scheduled for September 18 in the Court House First Floor Conference
Room, unless otherwise announced.
Adjournment
Member Westerman moved to adjourn the meeting, which was seconded by Member Johnson.
Chair Austin adjourned the meeting at 4:39 PM.
JEFFERSON COUNTY BOARD OF HEALTH
John Austin, Chair Sheila Westerman, Vice Chair
Roberta Frissell, Member Chuck Russell, Member
Phil Johnson, Member David Sullivan, Member
Absent
Michelle Sandoval, Member
•
Jefferson County Board of Health 10 August 21,2008
• JEFFERSON COUNTY BOARD OF HEALTH
MINUTES
Thursday, Sept 18, 2008 2:30 PM—4:30 PM
Court House, First Floor Conference Room, Port Townsend
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, Chair, County Commissioner,District#3 Andrew Shogren, Environmental Health Director
Chuck Russell,Hospital Commissioner, District#2
Michelle Sandoval,Port Townsend City Council Julia Danskin,Nursing Services Director
Sheila Westerman, Vice Chair, Citizen at large(City)
Roberta Frissell, Citizen at large(County)
Chair John Austin called the meeting of the Jefferson County Board of Health to order at 2:30
PM in the First Floor Conference Room of the Jefferson County Court House, Port Townsend,
WA.
Members Present: John Austin, Roberta Frissell, Phil Johnson, Chuck Russell, David Sullivan,
Sheila Westerman
Members Absent: Michelle Sandoval
• Guests Present: Frances Joswick, Substance Abuse Advisory Board
Staff Present: Jean Baldwin, Dr. Thomas Locke, Andrew Shogren,
A quorum was present.
APPROVAL OF AGENDA
Roberta Frissell moved to approve the agenda and Chuck Russell seconded. The agenda
was unanimously approved, as written.
APPROVAL OF MINUTES
Dr. Locke said that approval of the June 12 minutes had been deferred until information could be
obtained from Mr. Andy Brastad. He read the updated information aloud: "Mr. Brastad stated
that Clallam County spent approximately $50,000 the first year on facilitation and stakeholder
group in development of the 0 & M Plan. The $50,000 was part of an approximately $100,000
grant from the Department of Ecology."
Sheila Westerman moved to approve the June 12, 2008 minutes, as amended. The motion
• was seconded by Roberta Frissell, and approved by unanimous vote.
Page 1 of 8 September 18, 2008
• Sheila Westerman moved to approve the minutes of August 21, 2008, as submitted. The
motion was seconded by Phil Johnson, and approved by unanimous vote.
PUBLIC COMMENTS
There were no public comments.
OLD BUSINESS
Quilcene Bay Oyster Harvest Closed Due to Vibriosis Risk
Dr. Locke stated that Vibriosis risk is becoming an annual occurrence in Hood Canal and other
areas of Puget Sound. The Vibrio organism tends to proliferate in warm weather, particularly in
shallow tidal areas. Ingestion of infected oysters can cause serious human illness including
diarrhea, intestinal cramps, vomiting, and fever. Skin rashes and skin infection can also occur
from wading or swimming in water where Vibrio is present. Dr. Locke said that the State of
Washington has enhanced its monitoring, testing and shellfish closure procedures in recent years.
Dr. Locke said he knew of at least one case of intestinal infection and one skin infection have
occurred in Jefferson County this season. DOE water samples/cultures are showing increased
Vibrio levels, as well. Case counts are compiled at the end of the season.
West Nile Virus Activity in Washington State
• Dr. Locke reported that there have been almost 50 positive mosquito
numerous birds carrying the virus found in Eastern Washington. One phumanools, case was and
discovered in a blood donor. Jean Baldwin said that earlier in the day there was also one
reported case from Seattle and one from Yakima. The Seattle individual had traveled extensively
in Eastern Washington. Dr. Locke said there appears to be increasing activity in Eastern
Washington, and the season typically lasts through the end of October, i.e. until the first hard
freeze. He noted that there are many variables, but thus far Washington State has had some of
the lowest West Nile activity in the continental US.
Chair Austin asked if blood centers typically test for West Nile virus. Dr. Locke said that they
do. About 80% of carriers do not know they have the virus; potential blood donors can pass it on
without knowing they have it. He said there had been at least a dozen cases of West Nile
inadvertently passed on to others through blood transfusions before screening was employed.
Implementation of E-Onsite in Jefferson County and Homeowner Inspections in Clallam
County—Follow Up Report
Andrew Shogren, Environmental Health Director, introduced Angela Pieratt, Environmental
Health Specialist. He said that this presentation would include a follow up to the presentation by
Andrew Brastad's June report on Clallam County Homeowner Inspections.
• Ms. Pieratt stepped through a slide presentation on Clallam County's code revisions, their
homeowner pilot project, 0 & M implementation and training.
Page 2 of 8 September 18, 2008
Clallam adopted the revised code on August 19, 2008. She pointed out highlights of their code:
• new Homeowner Program; new Professional 0 & M program; Inspection at time of sale; and
new Inspection for Land Use/Building Permit.
Homeowner Pilot Project—Before the code was adopted, homeowner trainings and classes were
held. The 8.5 hour one day class was free to participants; 120 spaces were available. Funding
was provided by a grant from the Washington State Department of Health. The total cost, which
included administration, staffing and provider fees, is estimated at about$200 per participant.
Training was for conventional, permitted, gravity systems only. The provider is WOSSA,
Washington Onsite Sewer Association. WOSSA supplied the original estimate for Jefferson
County homeowner classes. Staff members who attended the class in Clallam County said the
class was very well done, which was also reflected in high ratings based on evaluation forms.
Ms. Pieratt noted, however, that thus far relatively few inspection reports have been received
from participants.
Member Westerman questioned whether there was information indicating that such as class
could be done at a lesser cost. Staff indicated that it may be possible to shorten the class to 5
hours. Much of the time was devoted to safety and very basic information about septic systems.
Clallam future plans for the class are uncertain at this point.
O & M Implementation—Clallam County does not plan to implement enforcement until the
entire program is up and running. Although the Homeowner program is limited to systems under
a certain size, the number of inspections per person is not limited. Electronic submittal of
• inspection reports (E-Onsite) is available. A fee structure has yet to be determined.
Future Homeowner Trainings—Education and training will be required. Training and testing
must be approved by the Health Officer, and will be offered if grant funding is available. There
was mention of a special program that will be offered in December for septic systems of special
concern that is separately grant funded. They are presently focusing on conventional and
pressure system types, and will issue an RFP for training and materials. In the case of systems in
Marine Recovery Areas or unpermitted systems, initial inspection must be done by a
professional. Building/land use activities require inspection by a licensed designer.
Member Westerman asked for clarification on the process and expectations regarding submission
of the reports by the participants in the pilot. Dr. Locke said that participants had signed an
agreement to submit reports electronically, and that input was essential to the evaluation of the
training and program.
There was a brief discussion about State deadlines. Jean Baldwin stated that the effective date
for the new state 0 & M mandates was July of 207.
Ms. Pieratt then described the work that had been done on the Jefferson County database and
website application enhancements via recent grant funding. Permits dating back to 1974 - 2004
have been scanned and made accessible in a database. More recent permits, as well as those
from 1970 - 1974 will also be entered. Tidemark is the permit database that is used by the
• Health Department and Public Works. eOnsite.net is an internet driven database system that has
been designed and developed to support local health jurisdictions. She walked through a series
of screens and functions that are used by staff for reference, for permit processing, as well as for
Page 3 of 8 September 18, 2008
•
professionals (and possibly homeowners) to submit inspection reports online. The public can
• access parcel and permit information, etc. Eventually, there will be convenient linkage among
the three websites employed: www.co.jefferson.wa.us ; www.jeffersoncountypublichealth.org;
and eonsite.net.
The number of cases in the database is about 8,000 out of about 11,000 known septic systems in
the County.
Breast and Cervical Health Program "Girls Night Out" Fundraiser
Julia Danskin described this fundraiser scheduled for October 2 that is sponsored by Jefferson
Healthcare Home Health and Hospice, the Port Townsend Wedding Guild and Wedding Show
and other Main Street Project participating merchants. Proceeds go to the Jefferson County
Health Breast and Cervical Health program. In 2007, over$3,300 was raised. The program
offers health exams, pap smears and mammograms to low income women ages 40 to 64 with
limited or no health insurance. Approximately 100 - 110 women are served by this program per
year. Ms. Danskin said that funding is also received from King County and the State. This
additional funding is used to ensure that there is no waiting list. For those who may not be
eligible for free services, referrals to other providers are given. The coverage includes those with
incomes up to 150%of the federal poverty level. Anyone diagnosed with either cervical or
breast cancer through this program can get on full medical assistance through Washington State.
This year the mobile mammogram from Swedish Hospital will be brought to Quilcene. Several
• BOH members affirmed that this is a great program and enjoyable community event.
NEW BUSINESS
National Alcohol Abuse And Recovery Month
Kelly Matlock, Health Educator, said that the Substance Abuse Advisory Board, Jefferson
Community Networks, and Jefferson County Public Health had partnered this year to promote
September as National Alcohol Abuse and Recovery Month. A series of awareness articles were
written and published by the Leader. The Substance Abuse Advisory Board (SAAB) has also
placed a referral information ad in the Leader.
Ms. Matlock also presented written information on methamphetamine treatment services,
including copies of a brochure and special cards listing resources and telephone numbers, which
are being distributed throughout the County. The intention of the cards is to urge people to call
for support, for themselves or someone else. In addition, the methamphetamine white paper has
been published, and is now available on the web site. Hard copies are also available.
Jean Baldwin noted that the two year methamphetamine treatment funds are from the Office of
Financial Management, provided to counties who adopted the one tenth of one percent provision.
• Frances Joswick added that the SAAB has approved implementation of a relapse prevention
program for the County Jail. It is expected to begin on October 1. The recidivism rate for
Page 4 of 8 September 18, 2008
Jefferson County is about 70%, one of the highest in the State. The SAAB has decided to initiate
• different types of intervention, and this program was considered to be the easiest, as well as
doable without special grant funding. The jail has hired Patricia Wiggins, a nurse with
considerable relevant experience, for 20 hours per week. Many inmates, having experienced
relapses several times, had requested such a program. There will be two educational gender
specific classes per week, provided by Safe Harbor at no cost. A third session will be a 12-step
meeting to help participants get involved with the 12 step community, which is well established
and has many experienced members. Lack of a structured program is considered to be a major
factor for those who relapse. The goal is to reduce the recidivism rate, possibly to 60-62% by
October 2009.
There was a brief discussion about the need to track the budget process to ensure that monies for
programs do not fall away. Commissioner Sullivan requested that the BOCC should be kept
apprised of funding status so that they can provide support as needed.
Ms. Joswick noted that it is important to spread community awareness of the startling statistics
about drug and alcohol abuse locally. To that end, Ann Winegar is developing a PowerPoint
presentation. The SAAB welcomes help in reaching various community groups about this
serious problem.
Members Sullivan and Johnson moved and seconded that staff should send a letter to
legislators regarding the need for continued funding. The motion was unanimously
approved.
•
Shell Fish and Discovery Bay Water Quality Update
Andrew Shogren said that a letter from the State Department of Health had proposed the upgrade
of Discovery Bay from Restricted to Approved. Neil Harrington, Water Quality Manager,
walked through a slide presentation explaining the background, reasons for the upgrade and
discussed related issues, including shellfish economics and safety.
The portion of Discovery Bay that was downgraded early in 2007 has recently been proposed for
upgrade to Approved; that order should become final on October 14. Mr. Harrington pointed out
the 50 acre area on the map and explained the two conditions for upgrading. The area needs to
meet water quality standards for growing commercial shellfish, and pollution sources need to be
sought out and, if found, corrected.
He showed where Snow Creek and Salmon Creek flow near the station. He explained the two
part standard and sampling requirements. The area(Station 48) had failed the standard estimated
at the 90th percentile in late 2006. For the last 18 months, however, the FC (Fecal Coliform)
level has been sufficiently low to again meet the standard.
Mr. Harrington retraced the history including the convening of a closure response group (DOH,
Conservation District and JCPH as lead agency) and the development of a Closure Response
• Plan. Actions taken included: water quality monitoring of the Salmon and Snow Creek
watersheds; implementation of agricultural best management practices; shoreline surveys; and
door to door sanitary surveys to talk to residents about their septic systems.
Page 5 of 8 September 18, 2008
IDHe said they found no major sources in terms of re-samples from shorelines and small streams.
There were several corrections and repairs for septic systems where problems, potential
problems or failure to meet code were identified. Certain stations on Salmon and Snow Creeks
still do not meet the freshwater standards. Continuing work is to show where best management
practices could make a difference. Also continuing are shoreline surveys to sample small
drainages to catch any seepages that may occur.
Other areas of concern-Mr. Harrington said that a Centennial Grant was recently received to
address threatened Mats Mats Bay water quality, where either septics, boats or possibly wildlife
are suspected.
Mr. Harrington also noted high readings in the area of Hood Canal #3 in the Duckabush delta,
which is a shellfish growing area. Mystery Bay is also on the threatened list due to boat
moorage. The standards do not allow shellfish to be grown in a marina. In this case, there is a
question as to whether or not this should be classified as a marina; the number of actual "live
aboards" is not known. However, samples continue to be clean. He pointed out that the water
quality sampling method is intended to detect chronic pollution problems, not episodic events.
Paralytic Shellfish Poisoning—Mr. Harrington said that the Health Department,with the help of
seven volunteers, submits shellfish samples to the DOH every two weeks during the growing
season. Results are known in 24 hours, and signs posted immediately if appropriate. He said the
process has been very effective and there has only been one case of illness in the last few years,
• which was caused by eating butter clams from a beach in Kitsap.
Regarding closures, there was a very fast bloom in Kilisut Harbor, which led to recall of
commercial shellfish product. There have also been blooms in Mystery Bay, Port Ludlow,
Discovery Bay, and Port Townsend Bay, and these areas have been closed. There have also been
closures for Vibriosis in Quilcene Bay due to several confirmed cases in commercial product.
He noted the need for education and tight procedures, i.e. cold temperatures, all the way from
harvest site to consumption.
Economic Impact— Statistics for Jefferson County (2006) were reviewed:
• 15 million pounds of shellfish harvested each year;
• Estimated $22 million in gross sales/year(including hatcheries);
• 17-20% of production for Washington State;
• Third most productive county in Washington;
• Two largest shellfish hatcheries in North America;
• Impact of V. tubiasi; affects larvae development;
• Possible implications of low dissolved oxygen and increased acidity;
• Tribal harvest is estimated at about 283,000 pound of clams and geoducks and 2.9 million
oysters;
• 77 jobs generated in the County.
Recreational harvest is estimated at 74,000 pounds of clams, 111,000 pounds of oysters; 30, 324
• harvester-days.
Page 6 of 8 September 18, 2008.
Mr. Harrington displayed a map showing the numerous locations throughout the county that are
• approved for shellfish harvesting in Jefferson County, and which must be monitored to control
health threats.
Public Health Funding Resolutions—Washington State Medical Association and Draft
Jefferson County Board of Health
Dr. Locke reviewed the background to the funding resolutions, which address the issue of
providing adequate, stable and dedicated long term funding for local public health statewide.
He said that at the urging of Public Health leaders statewide the legislature had created the Joint
Select Committee on Public Health Funding and had made recommendations last year, which
were not acted upon. During recent years, a number of large health departments have been
spending down reserves in anticipation of enhanced statewide funding. Since the easy budget
reductions had already been made, important core public health programs are now being
eliminated.
An attempt is now being made to return to the legislature, with support from existing partners
such as the State Medical Association and local Boards of Health. Dr. Locke said that the
outcome is not at all certain. In some counties, lay offs may occur before the legislature is in
session to consider the requests. Jean Baldwin added that in some cases, such as King County,
the notion of taxing districts is also now on the table for discussion. She mentioned the types of
cut backs that are occurring in several large counties.
• Member Westerman said she was discouraged by the lack of new ideas for addressing this
problem statewide. She mentioned past experience with the motor vehicle excise tax, and
suggested that something similar, targeted only for public health, is needed again. Dr. Locke
said that there has been much discussion about specific taxes and junior taxing districts, which
all have problems. He said that the favorite proposal seems to be a"sin tax" on alcohol and
tobacco, but the legislature had not placed sufficient priority on this whole issue.
There was a brief discussion about strategies and possible eventual outcomes. Jean Baldwin
noted the lack of a statewide solution, and the chances of survival and transition to taxing
districts by the larger counties.
Sheila Westerman moved that the BOH sign and send the draft BOH Resolution. The
motion was seconded by Roberta Frissell, and approved unanimously.
ACTIVITY UPDATE
Jean Baldwin reported that staff is working on the idea from the previous meeting regarding
acquisition of birth certificate copies for low income families. This item will be on a future
agenda.
A Substance Abuse Advisory Board presentation will be scheduled for the October meeting.
Homeowner septic systems discussion will be scheduled for November.
Page 7 of 8 September 18, 2008
• Jean Baldwin is continuing to seek information on the Pierce County Preventative Therapeutic
Court model.
ADJOURNMENT
Phil Johnson moved to adjourn and Chuck Russell seconded. Chair Austin adjourned the
meeting at 4:40 PM.
JEFFERSON COUNTY BOARD OF HEALTH
114 \k)
Jo ustin, Ch it Sheila esteyman .Vice Chair ,
ill
Roberta Frissell, Member Chuck Russell, Member
•
IPPhil Johnson, Member David Sullivan, Member
Absent
Michelle Sandoval, Member
Page 8 of 8 September 18, 2008
•
Board of.3-feaCth
Old Business
.agenda Items # 1`V., 1
• QuiCcene Bay Oyster Harvest
Closed-Due to Ti6riosis Risk
September 18, 2008
•
f)\
`- JEFFERSON COUNTY PUBLIC HEALTH
615 Sheridan Street • Port Townsend •Washington • 98368
www.jeffersoncountypublichealth.org
News Release
For Immediate Release September 5, 2008
Contact person Andrew Shogren
Director, Environmental Health/Water Quality
Phone: 360-385-9444
Email: ashogren@co.jefferson.wa.us
QUILCENE BAY CLOSED TO RECREATIONAL HARVEST OF OYSTERS
Jefferson County—The sport harvest of oysters has been closed in Quilcene Bay by the
Washington State Department of Health. This closure includes Triton Cove State Park. This
closure was based on a number of human vibriosis cases associated with eating raw oysters
from Quilcene Bay. Quilcene Bay will remain closed to the recreational harvest of oysters at
least through the month of September. Recreational beaches affected are the Quilcene Bay
Tidelands, West Quilcene Bay Beach, and Point Whitney Tidelands.
• Vibrio causes a variety of symptoms including diarrhea, abdominal crams nausea,, vomiting,
headache, fever, and chills. The symptoms usually appear about 12 hours after eating infected
shellfish but can occur anywhere from 2 to 48 hours after consumption. The illness is usually
mild to moderate and lasts for 2 to 7 days.
Each summer the Department of Health issues a Vibrio advisory for all of Hood Canal. The
advisory reminds recreational shellfish harvesters that shellfish in Hood Canal should be
thoroughly cooked between the months of May thru October to avoid vibriosis. Vibriosis is an
intestinal illness caused by naturally occurring bacteria known as Vibrio parahaemolyticus.
Unlike paralytic shellfish poisoning (PSP) and domoic acid toxins, Vibrio is destroyed by
thorough cooking.
The Department of Health offers the following tips to summer harvesters of shellfish in
Washington State:
• Always check the pollution and biotoxin status of the beach before you harvest
• Harvest as soon as possible after the tide goes out
• Do not harvest shellfish that have been exposed to direct sunlight for more than 4 hours
. COMMUNITY HEALTH PUBLICHEALTH ENVIRONMENTAL HEALTH
DEVELOPMENTAL DISABILITIES ALWAYS NATURAL RESOURCES
MAIN: 360-385-9400 ,,L,tv S 'OR I G ROR n SAFER AND
FAX: 360-385-9401 HEALTHIER COMMUNITY
MAIN. 360-385-94
FAX:360-385-940101
JEFFERSON COUNTY PUBLIC HEALTH
615 Sheridan Street • Port Townsend •Washington • 98368
www.jeffersoncountypublichealth.org
•
• Refrigerate or ice as soon as possible and within 4 hours of harvest
• Thoroughly cook shellfish
The Department of Health additionally reminds consumers that store-bought shellfish must be
refrigerated and handled properly to prevent illness.
The general public should look at notification of closure for marinas and recreational beaches
by checking the department's Biotoxin Web site (http://www.doh.wa.gov/ehp/sf/biotoxin.htm)
or the biotoxin hotline at 1-800-562-5632. Harvesters should also look for and obey warning
signs that have been posted at marinas and recreational beaches.
Contact person: Neil Harrington, Jefferson County Water Quality (360) 385-9411
###
•
COMMUNITY HEALTH PUBLIC HEALTH ENVIRONMENTAL HEALTH •
DEVELOPMENTAL DISABILITIES ;� NATURAL RESOURCES
MAIN: 360-385-9400 `' "' MAIN: 360-385-9444
FAX 360-385-9401 HEALTHIER COMMUNITY FAX 360-385-9401
•
Board of 3-teaCth
OCc(Business
.agenda Item # 1'V., 5
Breast & Cervical HeaCth Program
• "GirCs Night Out"
fundraiser
September 18, 2008
•
• r -
OR
Main Street Invites You
& Your Girlfriends to '`
Birds of a Feather...Shop
p Together
Girls' Night Out
Thursday, October 2, 2008, 11 am to BpmN�,,
.� d f,- 19 CENT
rf �,f
'4Z,-14‘ To"'\ ,i'"a"- F Thr
1�I •ten; 1 n
i i �1r;
`• o-b f f A: l la.f
"Girls' Night Out" encourages friends to enjoy a "girls' night out" on the
town full of fun, camaraderie and shopping. October is
Itfz,
"Breast Cancer Awareness Month." In 2007, over 500 women came and we sold nearly all 500 goody bags.
The sale of goody bags netted $3300 for the Breast/Cervical Health Program for cancer exams to help women
in need in Jefferson County.
Past Girls' Night Out" activities have included:
• Book signings Beauty demos (nails/mini facials)
Wine tasting Fashion show/trunk show
* Food sampling Store coupons/discounts
* Coffee/tea tasting Fashion consulting
* Special menu items in restaurants In-store promotions
Celebrate a Day & Night of Girlfriend FUN& Shopping
in dozens of Port Townsend stores. Join in the fun & wear a hat to Girls' Night Out!
Enter the "Feathered Friends Night on the Town" raffle...
winner announced at the wrap up party at 8:00 p.m.
at Water Street Brewing, 639 Water Street...door prizes too!
POT
Details at :srtnr.ptmainsfror aft'
ee .
Sponsored by Jefferson Healthcare Home Health & Hospice,
The Port Townsend Wedding Guild and Wedding Show& Participating Merchants
•
•
Board-of 3leaCth.
.New Business
Agenda Item # 17., 1
Mat-Iona ACcohoCand Drug
• Abuse Recovery Months
September 18, 2008
•
JEFFERSON COUNTY PUBLIC HEALTH
615 Sheridan Street • Port Townsend •Washington • 98368
www.jeffersoncountypublichealth.org
•
September 10, 2008
September is National Alcohol and Drug Abuse Recovery Month. In honor
of this Jefferson County Public Health, Jefferson Community Network and
the Substance Abuse Advisory Board have:
• Submitted a Proclamation that has been signed by the Jefferson
County Commissioners and the City of Port Townsend. (See
attached copies.)
• Written two articles and an information box that are to be printed in
The Jefferson County and Port Townsend Leader (see attached
copies):
1) OBSTACLES TO RECOVERY (to appear on 9-10-08)
2) INFORMATION ON RESOURCES (to appear on 9-10-08)
3) RECOVERY FROM ADDICTION CAN BE MAGICAL (to
appear on 9-17-08)
•
Contact at Jefferson County Public Health:
Kelly Matlock
379-4476
kmatlock@co.jefferson.wa.us
•
COMMUNITY HEALTH ENVIRONMENTAL HEALTH
DEVELOPMENTAL DISABILITIES PUBLIC HEALTH WATER QUALITY
MAIN: (360)385-9400 ALWAYS WORKING FOR A SAFER AND MAIN: (360)385-9444
FAX: (360)385-9401 HEALTHIER COMMUNITY FAX: (360) 379-4487
pROcL A A TION
WHEREAS, it is important to recognize the achievements of those who seek treatment services,
celebrate their successes, and find help for those still in need; and
WHEREAS, treatment and long-term recovery from substance use disorders can offer a renewed
outlook on life for those who are addicted and their family members; and
WHEREAS, substance use disorders impact 22.6 million people aged 12 or older in the United States
(or 9.2 percent of the population), which is more than the number of people living with coronary heart disease,
cancer, or Alzheimer's disease combined; and
WHEREAS, people who receive treatment for substance use disorders can lead more productive and
fulfilling lives, personally and professionally; and
WHEREAS, studies have consistently found that individualized treatment is essential for people to be
successful in their path of recovery; and
WHEREAS, real stories of long-term recovery can inspire others to ask for help and improve their own
lives,the lives of their families, and the entire community; and
WHEREAS, it is critical that we educate our community members that substance use disorders are
serious health care problems, but treatable and by treating them like other chronic diseases, we can improve the
quality of life for the entire community; and
WHEREAS, to help achieve this goal, the U.S. Department of Health and Human Services,the
Substance Abuse and Mental Health Services Administration, the White House Office of National Drug Control
Policy, the Jefferson County Community Network, Jefferson County Public Health and the Jefferson County
Substance Abuse Advisory Board invite all residents of Jefferson County to participate; and
NOW, THEREFORE, BE IT RESOLVED,the Jefferson County Commissioners, do hereby proclaim
the month of September 2008 as
National Alcohol and Drug Addiction Recovery Month
in Jefferson Coity and call upon the people of Jefferson County to join us in observing this occasion.
�_ caw
C AIMED this 2nd day of September, 2008.
JEFFERSON COUNTY
r - , t BO��air � „00/4U
MMISSIONERS
T'F a: -ciPhil o f:so
r
An] ra an
ii9,(1A,C)72141-JACAJ, e/T)C .--3).-f,,,„,,,,
Day i bu'r v , ber
ulie Matthes, CMC r
Deputy Clerk of the Board John` ustin,"member
°��e
City of Port Townsend °RT T°ipy
Tct
Office of the Mayor ., a
• 250 Madison Street, Suite 2,PortTownsend,WA 98368 1'
(360)379-5047 FAX(360)385-4290 c�Iy �
PROCLAMATION
WHEREAS,it is important to recognize the achievements of those who seek treatment services,
celebrate their successes, and find help for those still in need; and
WHEREAS,treatment and long-term recovery from substance use disorders can offer a renewed
outlook on life for those who are addicted and their family members; and
WHEREAS,substance use disorders impact 22.6 million people aged 12 or older in the United
States(or 9.2 percent of the population),which is more than the number of people living with coronary
heart disease,cancer, or Alzheimer's disease combined; and
WHEREAS,people who receive treatment for substance use disorders can lead more productive
and fulfilling lives, personally and professionally; and
WHEREAS,studies have consistently found that individualized treatment is essential for people
to be successful in their path of recovery; and
WHEREAS,real stories of long-term recovery can inspire others to ask for help and improve
• their own lives,the lives of their families, and the entire community; and
WHEREAS, it is critical that we educate our community members that substance use disorders
are serious health care problems, but treatable and by treating them like other chronic diseases,we can
improve the quality of life for the entire community; and
WHEREAS,to help achieve this goal, the U.S. Department of Health and Human Services,the
Substance Abuse and Mental Health Services Administration,the White House Office of National Drug
Control Policy,the Jefferson County Community Network,Jefferson County Public Health and the
Jefferson County Substance Abuse Advisory Board invite all residents of Jefferson County to participate
in National Alcohol and Drug Addiction Recovery Month,
NOW THEREFORE,I,Michelle Sandoval, Mayor of the City of Port Townsend, do hereby
proclaim the month of September 2008 as
National Alcohol and Drug Addiction Recovery Month
in Port Townsend and urge all citizens to join me in observing this occasion.
,
ECel{. it ii
F
ac-C LC_,
Michelle Sandoval, Mayor
E }• > September 2, 2008 vv t
>
•
September is National Alcohol and Drug Abuse Recovery Month.
OBSTACLES TO RECOVERY
Christopher Q. finally decided that perhaps his wife and friends were right. Perhaps the
beer he drank daily and the pot he smoked every once in a while did have a negative
effect on his moods and were complicating his life. Maybe his problems were actually
the beer and the pot. He knew he wasn't an alcoholic or a drug addict, but maybe he
needed to do something. He went to a business that assesses and treats people with
substance abuse issues in Jefferson County to find out. There he learned that he did
have a problem. He was actually relieved to find out that chemical dependency is a
disease and that there is treatment for his illness.
Professionals in the field of substance abuse know that there is a small window of
opportunity when an alcoholic or drug addict is ready and has the commitment to do
something about their disease. If that person can access treatment during this time
period, the chances of increasing his/her odds in recovering from this life threatening
disease greatly go up. But for those who have to rely on state supported treatment there
are some obstacles.
. So Christopher Q. was ready to stop drinking and drugging. Unfortunately he did not
have health insurance and he didn't earn enough money to pay for treatment. With the
help of the local treatment center he began the application process for state financial
assistance for his treatment. But for those who have to rely on state supported
treatment there are some obstacles. There would most likely be a waiting period to get
into a residential program. But he couldn't wait!
SOME FACTS: In a 2005 study commissioned by the Division of Alcohol and Substance
Abuse (DASA) Washington State spent approximately 20 times more money in costs
related to alcohol abuse than the State received in revenues from alcohol taxes. While
the state made $150 million in alcohol tax revenue, it cost the state a staggering $2.92
billion to deal with the devastating consequences from alcohol-only consumption in
2005. When drug abuse costs are added to this figure, it rises to $5.21 billion. This is a
105% increase in costs since 1996. (See chart below)
•
t
•
Costs related to Alcohol abuse in Wash. State in 2005 were
approximately 20 times greater than revenues received from
State Alcohol Taxes.
$2.92 Billion
$150 Million
Soto Alcohol Ti*
Revenue 2045
Costs Related tier
Alcohol Abuse 2005
Source: Wickizer,T<The beoncaawCasts ofDrug and/kohol Aluminx litterAvnetanSiage,20f? Washirgbon
State Department of Soca!and Hemhh Services,D vision of Alcohol and 5uhstatKeAb ete.2007.
Of the total money ($5.21 billion) spent by Washington State on alcohol and drug- •
related expenses, only 2% paid for treatment services.
Distribution of Drug and Alcohol-Related Costs
Other
Diseases-1%
Crimp-21%
Mortality-34
3.iadi�alp
tare 1S% '4170,7P
Other Treatment-2%
Related
Crete-2% morbidity-200
Source:Vi ickicer,T.,The Eeoncolk Corry a'ay,a7dA:co. 'Ab se in llicr.:'rcrm Stare 200;.Washington
State Departmern.d Social and Health Services,Dr hien of Alcohol and Sdosnance Abuse,2007.
What does this mean for state residents? In 2006 due to the limits of available funding •
an average of only 31.1% of people who needed treatment for substance abuse issues
received it. This means that 68.9% of those needing treatment did not receive it.
As a state, as a nation and as a culture we end up paying a high price for the
devastating effects of substance abuse/addiction. We do not proactively invest in
prevention programs and treatment for people who need it. WHY NOT?
• The answer to this question is very complex. But a significant factor has to do with our
cultural, romantic notion that hard drinking (and for some of us, drug use) is a part of the
adventurous, freewheeling American life. We seem to glorify partying, equating it with
the rugged, independent American spirit—a part of the "good life". On the other side of
the coin we have a cultural denial about the real effects of alcohol and drug use and
abuse - especially in light of the rapidly growing body of research about the biochemical
impact alcohol and drugs have on our bodies, particularly on brain development and on-
going brain chemistry.
Despite the fact that the World Health Organization as far back as 1951 acknowledged
alcoholism as a serious medical problem, the American Medical Association in 1956
declared it to be a treatable disease, and researchers/health care professionals late in
the 20th century generally applied this "disease concept" to all substance addiction, most
Americans still believe alcohol and drug addiction is a choice and a moral issue. We
mistakenly believe that alcoholics and drug addicts choose to be addicts. With this
choice comes the cultural stigma attached to alcohol and drug addiction. People
suffering from alcohol and drug abuse/addiction can be overwhelmed with shame and
guilt. While being accountable for their behaviors needs to be a part of a recovery
process, shame and guilt can make it extremely difficult to initiate and to maintain
recovery.
So what can we do for Christopher Q. or a friend or family member who we think drinks
or drugs too much? On a personal level we can:
• Challenge ourselves to learn more about this disease;
• Review our own attitudes and behaviors regarding alcohol and drug use;
• Realize that it can be having an impact on our own lives, and if we need help,
reach out for it (there are services and support groups that specifically work with
family and friends of people who are addicted);
• Know what the resources are in our community to help someone else or
ourselves;
• Listen if someone tells you his/her concerns; and
• Tell the truth to family members and friends if you believe alcohol or drug use is
affecting his/her life.
On a community level we can:
• Educate ourselves about what constitutes effective policy about alcohol and drug
use in our families, our workplace, our clubs and service groups, and in our
community;
• Support prevention and treatment programs in our community;
• Support family-friendly, alcohol free events, like Port Townsend's First Night
event;
• Encourage our local, state and national leaders to support prevention and
treatment programs.
• As friends, family members, employers, community members, andolic maker
p y s we
need to know that recovery from this disease is possible. We can help make a
difference. When our community's attitudes and resources support the recovery
process, there will be a breakdown of the cultural stigma, greater acceptance of the
recovery process and more opportunities for people to seek help and reclaim their lives
and health.
P.S. Christopher Q. did make it to residential treatment. He is now doing aftercare •
treatment and is involved in a support group.
Kelly Matlock, Jefferson County Public Health
Karen Obermeyer, Jefferson County Public Health
Anne Winegar, Jefferson County Community Network
•
•
• For information on what can be done forour
y self or a family member who
needs substance abuse treatment you can contact:
National Resource:
SAMHSA's Toll-Free 800-662-HELP (4357)
24-hour Substance Abuse or
Treatment Referral Service www.findtreatment.samhsa.gov
for information & suggestions or
(English and Espanol). 800-487-4889 (TDD)
Washington State:
• The Alcohol /Drug 24-Hour Helpline 800-562-1240.
Confidential, statewide treatment
referral service. If you need
information in Spanish, please
ask for assistance in Spanish.
Jefferson County Resources:
• Alcoholics Anonymous 360-385-0266
• Al-Anon / Ala-Teen 360-385-1870
•40Narcotics Anonymous 360-385-0266
• Alano Club 360-385-7098
Daily 12 Step support meetings.
•
•
RECOVERY FROM ADDICTION CAN BE MAGICAL
Sarah Z. is a tall, pretty, intelligent and accomplished woman. She has been sober for
26 years - over a quarter of a century. Despite the fact that she only drank
alcoholically for a little over 3 years, she shares that she can instantly go back to the
intensity of the emotions from he`r drinking years. "While we recovering folks may have
very different stories about the style of our active addictions, we all share the same
feelings from those times --- loneliness, isolation, fear, and self-doubt." Looking at this
articulate, well-poised woman I challenge the notion that she ever had self-doubt or was
lonely, isolated and fearful. "Well, that's the thing - whether you're a late stage drunk or
an alcoholic who has not gone that far down the path of addiction - alcohol and drugs
crumble all of your assets, your sense of self, your confidence, your compassion and
your ability to connect with those you love."
My curiosity gets the better of me and I ask Sarah Z. what triggered her drinking. "I
could talk about that for a long time. I was going through some very challenging life
situations, and used alcohol to cope. But in the end what is really important is how I
moved into a recovery process. I am very grateful that I had friends and family members
who questioned my drinking. Despite their concern I did not think I had a problem. After
all I was raised in a good middle class family, I had a Master's Degree in business, and
not only did I have a good job, I was a `rising star.' Me, an alcoholic— NEVER! This was
just a rough patch I was going through in my personal life. But as time went on I was
haunted by my friends' and family members' continued concerns. I had an assessment
and was given the diagnosis of alcoholism. Truthfully, at this point in the process I would
rather have been told I was a late stage syphilitic leper than an alcoholic. But as I
entered a treatment program, learned more about this disease and started attending a
12 Step support group, the magic began to happen. I am sure that this may sound really
strange, but today I am a very grateful recovering alcoholic."
Sarah Z. is right - this does sound strange. So again I question her. "What are you
grateful for?"
"Well, I am not exactly grateful for what I put myself and others through. That was not
fun! But I am grateful for the current results. I believe that the daily process I need to
incorporate in my life to keep me in remission from this disease has basically helped me
live the type of life with the kinds of values that I really always wanted to live. This
disease impacts the mind, body and spirit of the addict, as well as the family and friends
who love the addict. To recover I have been given wonderful tools to keep my mind,
body and spirit healthy. This is turn has had a powerful impact on the people I love. And
lastly I am profoundly grateful for my family and the friends who loved me through my
drinking years and who, along with my new friends, have supported me in my sobriety."
•
Another question — "Why do you use the term `recovering."
Sarah tells me that within the recovery community there are different opinions about
using the term "recovering" or "recovered." She uses the term "recovering' because she
knows that her recovery is an on-going process. "I need to put energy into my recovery
every day. Just as someone with heart disease or diabetes must do things every day to
help them live with their disease, I also have to be working to insure my health."
I am also curious about resources she would suggest to anyone who is looking at the
issue of alcohol and drugs in their life or in the life of someone they love. "Well, I
believe that there are many ways to get and stay sober. If someone really wants to stop
drinking or taking drugs I hope that they can stay open to different methods. Today
there are many wonderful treatment programs that can help someone be assessed,
learn about this disease, as well as introduce different strategies, techniques and
support groups to aid in their recovery. That's how I started - with a treatment program
that focused on mind, body and spirit solutions. Once I was stabilized I have maintained
my sobriety with a 12 Step support group. In Jefferson County I would call one of the 12
Step programs or for information about treatment there is the Alcohol /Drug 24-Hour
Helpline (800-562-1240).
I ask her what a 12 Step program is. She tells me that they are support groups like
Alcoholic Anonymous, Al-Anon (which is for family and friends of addicts), or Narcotics
Anonymous. When I ask her what "12 Steps" refers to, she says, "To learn about the 12
Steps, this is where the magic begins."
Sarah Z.'s name has been changed to honor the "anonymity"tradition in Alcoholics
Anonymous. Members are asked not to share their identity at the level of"press, radio,
or film."
•
Board of.9CeaCth
Netiv Business
.agenda Item #17., 3
Public aCealth Funding
• Resolutions -
'YVA State .714edicaCAssociation &
Draft .Iefferson County Board of
3feaCt(
September 18, 2008
Resolution to 2008 Washington State Medical Association House of Delegates
• Submitted by Thomas Locke, MD, MPH
Delegate, Washington Public Health
Officers Society
Public Health System Funding Crisis
Whereas, WSMA policy adopted in 2002 calls for "enactment of a statewide system of stable,
dedicated funding for essential public health services designed to assure that all local health
jurisdictions have sufficient resources to fully meet the Standards for Public Health as published
in the 2000 Public Health Improvement Plan", and
Whereas, the Joint Select Committee of the Washington State Legislature, authorized by HB
4410 in 2005, evaluated the status of the State's public health system and found major gaps and
serious underfunding of essential services, and
Whereas, a study of the funding necessary to fully meet the public health standards developed as
part of Washington State's Public Health Improvement Plan estimated that over$300 million of
new funding would be necessary annually to assure essential public health services statewide,
and
Whereas, the Joint Select Committee recommended an appropriation of$50 million/year as an
initial investment in rebuilding the public health system with additional funding increases in the
future, and
• Whereas, the Washington State Legislature failed to enact the Joint Select Committee's
recommendations as requested, and
Whereas, new funding in the amount of$10 million/year was added to ESSB 5930, the
Governor's request legislation implementing the recommendations of the Blue Ribbon
Commission on Health Care Costs and Access, for public health services. This new funding
came with new mandates and reporting requirements and is being narrowly targeted at improving
childhood immunization rates and communicable disease reporting, and
Whereas, local public health jurisdictions throughout Washington State are facing severe revenue
shortfalls estimated to exceed $40 million dollars for the 2009 budget year that will result in
substantial public health service cutbacks, and
Whereas, these substantial cutbacks will force the layoff of highly skilled public health workers,
require reductions or discontinuation of programs serving mothers, infants and youth, and impair
the ability of local health departments to respond to disease outbreaks and public health
emergencies
Be It Therefore Resolved,
WSMA calls on the state of Washington to urgently address the issue of providing adequate,
stable, dedicated, long-term financing for local public health statewide and to provide financing
• options for local jurisdictions to protect, promote and provide for the health of the public.
Resolution to 2008 Washington State Medical Association House of Delegates
• Submitted by Thomas Locke, MD, MPH
Delegate, Washington Public Health
Officers Society
Expanding Physician Use of the CHILD Profile Immunization Registry
Whereas, CHILD (Children's Health Immunization Linkages and Development) Profile is a
state-of-the-art online immunization registry developed by the Snohomish Health District and
Public Health— Seattle/King County and currently managed by the Washington State
Department of Health, and
Whereas, childhood vaccination play an essential role in the protection of children from a variety
of life threatening diseases and has a crucial role in preventing communicable disease outbreaks
in communities, and
Whereas, Washington State's immunization completion rate for children under 3 years of age
was 56.2% in 2003, the lowest level of the 50 States, and had risen to 71.4% in 2006 (still only
42" best in the nation), and
Whereas, timely and convenient access to immunization records provides emergency rooms and
important information about the vaccination status of patients requiring urgent or emergent care,
. and
Whereas, electronic immunization registries allow public health agencies to track community
immunization levels and identify community-specific gaps in immunization coverage that
increase the risk of outbreaks of measles, pertussis, mumps, rubella, and other vaccine-
preventable diseases, and
Whereas, only 77% of Washington State's children under age 6 have at least one vaccination
recorded in CHILD Profile and only 61% of these children have 2 or more vaccines entered, and
Whereas, further improvement in Washington State's immunization levels will require greater
use of the existing statewide immunization registry to identify gaps on immunization coverage,
target efforts to improve vaccination rates, and monitor progress towards achieving needed levels
of disease-specific immunity in communities, and
Whereas, physician leadership and participation is crucial in expanding the number of solo
practices, group practices, and hospital-based clinics that utilize the CHILD Profile system both
to access patient immunization records and to record the vaccinations they administer,
Therefore be it resolved that, the WSMA urges all member physicians providing childhood
immunization services to fully utilize the CHILD Profile system by enrolling all of their pediatric
patients in this electronic immunization registry and maintaining accurate, up-to-date
IDimmunization profiles on these patients.
JEFFERSON COUNTY
BOARD OF HEALTH
A RESOLUTION calling on the state of Washington to provide adequate, stable,
dedicated, long-term financing for local public health statewide and to provide financing options
for local jurisdictions to protect, promote and provide for the health of the public.
WHEREAS, state law vests in the Jefferson County Board of Health oversight of all
matters pertaining to the preservation of the life and health of the people of Jefferson County,
including the adoption of countywide public health policy and the enactment and enforcement of
local public health regulations, and
WHEREAS, over the past century, public health functions have led to remarkable gains
in health that have significantly increased longevity and improved quality of life, including
accomplishments such as: safe food and water dramatically reducing illness and deaths;
fluoridation of water reducing tooth decay and tooth loss; population-wide vaccination programs
eradicating smallpox worldwide and making other once-common diseases rare; and better
hygiene, nutrition, antibiotics and access to health care, contributing to a ninety percent decrease
in infant mortality and a ninety-nine percent decrease in maternal mortality since 1900,
nationwide, and
. WHEREAS, public health functions provided by the Jefferson County Public Health
protect, promote and provide for the health of the public every day, and
WHEREAS, over the past decade, federal and state revenues that support public health,
such as the motor vehicle excise tax, have been eliminated, limited or reduced, thus requiring
significant increases in the level of county general fund resources for public health services, and
WHEREAS, increases in county general fund contributions to public health are not
sustainable over the long term, and
WHEREAS, in a study on county financial health, the Washington state Department of
Community, Trade and Economic Development found that all counties across the state are
fiscally distressed, and
WHEREAS, the Washington state legislature's 4410 Joint Select Committee concluded
that the Washington state public health system is under-funded by more than $600 million each
biennium and that the need for additional funding for local public health jurisdictions statewide
is critical, and
WHEREAS, the 4410 Joint Select Committee concluded that funding for public health
must be a joint responsibility of the state and local jurisdictions, and
WHEREAS, counties have limited local authority to provide for adequate funding for
public health
•
615 Sheridan • Castle Hill Center• Port Townsend • WA
(360)385-9400
NOW, THEREFORE, BE IT RESOLVED by the Board of Health of Jefferson County:
A. The Board of Health reaffirms the mission of Jefferson County Public Health to
protect the health of all Jefferson County residents by promoting safe, healthy communities and
environments and finds that the lack of adequate financing for public health places
implementation of this mission at risk.
B. The Board of Health finds that the resulting risks to the health of the public are
unacceptable.
C. The Board of Health finds that it is imperative to identify and acquire adequate,
stable, dedicated, long-term state and local funding sources for public health in order to protect,
promote and provide for the health of the public.
D. The Board of Health calls on the state of Washington to provide adequate, stable,
dedicated, long-term financing for local public health statewide and to provide financing options
for local jurisdictions to protect, promote and provide for the health of the public.
E. The Board of Health calls on Jefferson County and the city of Port Townsend to place
public health financing as a top priority on their state legislative agendas.
F. The Board of Health commits to working with community, regional, and state partners
to educate the public about the value of public health and the need for adequate, stable,
dedicated, long-term state and local funding sources.
G. The Board of Health urges the State to examine any and all adequate and stable
options for state and local financing for public health.
H. The Board of Health requests that the department considers possible revenue
enhancements and proposes for the board's consideration reasonable fees and fee increases that
fully pays for the cost of services they support, in lieu of reductions in services.
•
Resolution passed September 18, 2008
Chair, Jefferson County Board of Health
Attest:
Jefferson County Board of Health •
615 Sheridan • Castle Hill Center• Port Townsend • WA
(360)385-9400
•
Board of 3CeaCth
.activity 2(pdate
.Agenda Item #17I.
•
September 18, 2008
•
JEFFERSON COUNTY PUBLIC HEALTH
615 Sheridan Street • Port Townsend •Washington • 98368
. www.jeffersoncountypublichealth.org
News Release
For Immediate Release: September 5, 2008
Contact person: Andrew Shogren
Director, Environmental Health/Water Quality
Phone: 360-385-9444
Email: ashogren@co.jefferson.wa.us
Tarboo Lake downgraded to Warning— not safe for recreational use
Lab Results Show Toxic Blue Green Algae Species are present
Port Townsend, WA—Jefferson County Public Health has received the results of submitted
water samples from Tarboo Lake. The samples, from September 2, 2008, have confirmed high
levels of blue-green algae species.
Blue-green algae found in the lake are from the genera Microcystis, Anabaena and
Aphanizomenon. These algae can produce anatoxin-a or microsystin that can cause liver
• damage or nerve impairment. Small children and people with liver problems (e.g. chronic
hepatitis) are most at risk from these toxins. Users are warned not to drink lake water, swim in
the lake, or consume fish from these lakes.
At this time, Tarboo Lake is open for recreational boating.
At other county lakes, samples from September 2, 2008 continue to confirm high levels blue-
green algae. JCPH continues to issue a health advisory warning (red) of high levels of
potentially-toxic blue-green algae in Anderson Lake, Gibbs Lake, and Crocker Lake. Users are
warned not to drink lake water, swim in the lakes, or consume fish from these lakes. In
addition, Anderson Lake is closed to boating.
At Lake Leland, JCPH continues to issue a health advisory caution (yellow) of moderate levels of
potentially toxic blue-green algae. The lake is not safe for drinking water; recreational use is OK
with some simple cautions. Small children and pets should stay out of the water. Fish caught
for consumption should be cleaned in fresh water and the organs and skin discarded.
All of these lakes additionally have the potential to form dense scums of algae that pose a high
risk. These scums are visible, and can range in appearance from pale cottony masses to green
• COMMUNITY HEALTH PUBLIC HEALTH ENVIRONMENTAL HEALTH
DEVELOPMENTAL DISABILITIESNATURAL RESOURCES
MAIN: 360-385-9400 A,',A',y ' :i v,iN "ORA SAFER AN
FAX: 360-385-9401 HEALTHIER COMMUNITY MAIN: 360-385-9404
FAX: 360-385-9401
JEFFERSON COUNTY PUBLIC HEALTH
615 Sheridan Street • Port Townsend •Washington • 98368
www.jeffersoncountypublichealth.org •
fuzzy blobs to slicks that look like a paint spill. People should avoid coming in contact with any
visible scums.
Jefferson County Public Health is monitoring publicly-accessible lakes in Jefferson County during
the recreational season of April-September. Anderson Lake, Lake Leland, and Gibbs Lake have a
history of blue-green algae blooms and are being sampled weekly. Other publicly-accessible
lakes in the county are sampled when blooms are observed. These samples are sent to a
laboratory in Tacoma to identify the algal species present and determine their concentrations.
Current lake status and more detailed recommendations can be found on the Jefferson County
Public Health website at http://www.jeffersoncountypublichealth.org.
Anderson, Leland, and Gibbs are being sampled each week, usually on Mondays. Other public-
access lakes in the county are sampled less frequently when visible blooms are seen. To report
an algae bloom in a lake not listed above, please call JCPH at 360-385-9444.
!ittp://www 'etre rsoncoun '}%(:3u it heatth t_m..."l'aL ex ?" ,'a.'t(.i-._1 11,0j0.z,'_...`.;:.
###
•
COMMUNITY HEALTH PUBLIC HEALTH ENVIRONMENTAL HEALTH •
DEVELOPMENTAL DISABILITIES NATURAL RESOURCES
r s; fo ,I G �;A JAS R AND MAIN: 360-385-9444
FAX 360-3-385-94-94011
MAIN: 360-385-9400HEALTHIER COMMUNITY FAX:360-385-9401
•
Board of 3feaCth
Media Report
•
September 18, 2008
•
• Jefferson County Public Health
August/September 2008
NEWS ARTICLES
1. "Derelict boats on way out,"Peninsula Daily News, August 17th, 2008.
2. "Salmon Creek estuary renewed after 50 years," Port Townsend Leader, August 20th, 2008.
3. "Tobacco cessation class offered this fall,"Port Townsend Leader, August 27th, 2008.
4. "Lake algae problem not going away yet,"Port Townsend Leader, August 27th, 2008.
5. "Lake Leland toxic algae levels drop,"Peninsula Daily News, August 29th, 2008.
6. "A plea to county workers,"Peninsula Daily News, August 29th, 2008.
7. "Lake Leland upgraded for recreational use," Port Townsend Leader, September 3`d, 2008.
8. "County budget off by$1.5 million,"Port Townsend Leader, September 3`d, 2008.
9. "Slow economy blamed for$1.5 million county deficit," Peninsula County News, September 4th,
2008.
10. "Sickness from eating raw oysters leads to sport harvest closure of Quilcene Bay beaches,"
Port Townsend Leader, September 5th, 2008.
11. "State closes 2 areas for shellfishing,"Peninsula Daily News, September 7th, 2008.
12. "Quilcene bay is closed to recreational harvest of oysters,"Port Townsend Leader, September
10, 2008.
13. "Toxic algae take over Tarboo Lake,"Port Townsend Leader, September 10,2008.
•
•
rel sct
boats on wayout
Vessels may
• be removed i.
if not claimed ,'
BY JEFF CHEW
PENINSULA DAILY NEWS +0 '
NORDLAND — Jefferson {
County and state officials have
identified six derelict or aban-
doned boats in Mystery Bay,
.�r a
and will remove them if their
::',0:171:4.,4''''-',**:::''7:11'4,4:::.:.***:.
owners don't speak up. i
"If there is no response
from [olwadsnteel
rs within 30 da s � . � , '" � ''�
from Thursda , we w 11
have cide if they have to �., � __ ,
'?:t%,I*;:::t,,l
be removed," Molly Pearson ;;..[::;f:;:":::, " y
county code enforcement offi 2, . r
cer said Friday. � w�
She and other county ander
state officials cruised Mystery �4 �
Bay on Thursday to tag and @ 9 ,7 '
record the global positioning -
system points of each of 64 � JEFF CHEW,PEN!N'SUL nDAILYe NEW,
moorage buoys, the same Most of the boats moored around Mystery Bay near Nordland on Marrowsto
number identified earlier this Island are locally owned, Jefferson County officials now say.
summer.
The hope is that owners to the highest bidder, if any interests along the bay's only seven of 64 buoys were
will properly remove the bidders are interested. shorelines, are involved in found with legal county and
derelict vessels from the bay. This is an alternative to review of procedures. state Resources permits.
cutting it up and disposing it The county Department of Pearson said owners have
Too many boats in a landfill. Community Development, now properly marked most of
• The issue, county officials Moving or disposing aban- Resources, state fisheries and the buoys.
say,is that too many boats are doped or derelict vessels pre- other interested agencies will The county is working with
scattered around Mystery Bay, vents oil and fuel leaks should meet Aug.26 to decide what to Resources, state Fish and
which increases the water poi- the boats sink. do with derelict or abandoned Wildlife, state Department of
lution threat to the bay's clean boats and how to handle the Health,county Environmental
commercial to fish beds. Find owners growing number of boats in Health and the tribes to come
the bay. up with a"compliance model,"
Consequently, a plan of Now that the locations of said AI Scalf, county Depart-
action must be devised along the boats have been pin- Community meeting ment of Community Develop
with state and tribal and pri- pointed,the GPS points can be ment director.
vate shellfish interests, offi- compared with Resources' Also in the works is a coin- "Once we get a compliance
cials say. map to find the owners and munity meeting. model, we will apply it to
"It's certainly not a cheap retrieve other information. By the end of September, Lower Hadlock [harbor] and
option to have to move them," That includes determining Pearson said, a county-neigh- Mat Mats Bay," he recently
Pearson added, saying divers which vessels have proper borhood meeting will be called said.
would have to check the authorization from Jefferson on Marrowstone Island to dis- private recreational moor-
anchors to see they can be County and other agencies cuss the issue. ing buoys on state-owned
removed. involved. The community develop- aquatic lands are not autho-
When the county legally The state Department of ment department has verified rized for residential "live
takes possession of a derelict Fish and Wildlife installs the that recreational mooring aboards" or commercial pur-
boat in conjunction with the buoys. Resources owns the buoys in Mystery Bay have poses.
state Department of Natural tidelands. And area tribes, either the valid Shoreline In addition to county per-
Resources, it is auctioned off who have commercial shellfish Development permits or mitt or exemption approval,
Shoreline Substantial Devel- mooring buoys must be regis
opment permit exemption tered or licensed through
approval required by the Jef- , d require
ferson County Code. hydraulic anpermmayit approval
Pearson said Friday that from Fish and Wildlife.
she still is getting responses Cost of a new permit is
from boat owners d by $357.
mail earlier this summer. The existing owners of
id MysterycontacteBay
Pearson sabuoys in Mystery Bay do not
marson@coje
waterfront property owners have to pay that fee.
hold most of the exemption Questions about county
permits. mooring buoy compliance
A significant number of be asked of Pearson at 36can-
0
• them are local,"she said. 379-4458, or via email at
"And there are those allow- pefferson.wa.0 .
s
ing someone else to use it."
After conducting a survey Jefferson County Editor Jeff Chew
of buoys earlier this summer, can be reached at 360-385-2335 or
county officials found that jeff..chew@peninsuladailynews.com.
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• Tobacco cessation,class offered this fall
fferson Healthcare offers a tobacco Cessation . 4.to
5 pJe.m. on Wedneesdays, Sept..17-Oct. 29, in the Pugetclass Roomfrom at the
hospital.
There is no need to pre-register;just come on Sept 17.Questions
may be directed to Brenda-DiPrete, 385-2200,•
ext. 2300 or bdi
prete@jeffersonhealthcare.com.
Lake algae problem not going away yet
The warm summer months are nearing an end but there has been
no recorded improvement for the Jefferson County lakes put off lim-
• its due to toxic blue-green algae.
Jefferson County Public Health has posted a"warning" advisory
against humans or pets swimmingor otherwise coming in contact
with the water at Crocker Lake, Lake Leland, Gibbs Lake and
Anderson Lake.The warnings were last updated Aug. 11.
The lakes with blue'green algae, which contain the powerful
neurotoxin Anatoxin-A, are closed to swimming, and pets should
not be allowed.to drink the water.No fish caught in the lakes should
be eaten.
Tarboo Lake still carries a"caution"label as of Aug. 4.The lake
is not safe for drinking water,according to the county.Small children
and pets should stay out of the water. Fish caught for consumption
should be cleaned in fresh water and the organs and skin discarded.
Teal Lake and Sandy Shore Lake are reported to be clear. Sandy
• Shore,located just south of State Route 104,is the only viable fresh-
water swimming hole.
Anderson,Leland and Gibbs are being sampled each week,usual-
ly on a Monday.Other public-access lakes in the county are sampled
less frequently, when visible blooms are seen. To report an algae
bloom in a lake not listed above, call Public Health at 385-9444.
Current lake status and more detailed recommendations can be
found on the Public Health website, wwwjeffersoncountypubli-
chealth.org.
i
/D7d-e
ceA2 2/F
.,; , .,..„ . .
LakeLejflj';'
Lakes: Watch out
dti' •
tom i ce v '��
drop for al ae scum
leveis `�'_ CONTINUED FROM Al in that lake.
r, ,.,r,-- I.X rx r 44'x(i q, i r''J " Thepublic must still be
f - ,;`� ; "Basically, you can swim in cautious f ng Tarbox Lake,
,•J :;' al of
BY JEFF CHEW . the lake, but watch out for
PENINSULA DAILY NEWS algae scum. Don't swim in the north Quilcene, which,
scum, and don't drink it," remains on the list and is now
PORT TOWNSEND — 'The Shogren said, adding that guts in the same caution category
water-quality warning on Lake"" from fish caught in the lake as Lake Leland.
'Leland'north'of'Quilcene has been- should be discarded before the Jefferson County Public
`upgraded"'to' a "Caution",'status -= fish are eaten. Health is monitoring publicly-
which:.allows'recreational use i �' No toxic blue-green algae accessible lakes during the
f Andrew Shogren, Jefferson has been reported in Clallam recreational season through
County environmental health direr- County lakes. September.
for said a"sam la;`Eaken'this`,week`,': Clallam County officials do
p Sampled weekly
not test for the toxins.
showed a decline in toxic blue-green Instead, they are monitoring
algae levels in Lake Leland, which Anderson Lake, Lake
has•a county'boat�ramp for fishingi;:; the lakes through visible Leland,and Gibbs Lake have a
and,which partially bounds a rest inspections. hi9tory of blue-green algae
dential neighborhood,liril ,> Blue-green algae can pro- blooms and are being sampled
duce anatoxin-a, which can wee
cause liver damage or nerve
• 3
'URN TO TIMMS/A7, her" publicly -accessible
.• impairment. lakes in the county are sam-
Anderson still closed pled when blooms are
observed.
Anderson Lake, which is in These samples are sent to a
a state park near Port Had- laboratory in Tacoma to iden-
lock, remains closed for the tify the algae species present
Labor Day weekend. and determine their concen-
It was the first lake closed trations. .
in Jefferson County closed Current lake status, and
because of algae toxins. The more detailed. recommenda-
first closure was in 2006 after tions, can be found on the Jef-
a dog died from drinking the ferson County Public Health
water. Web site at www.jefferson-
Anderson Lake State Park countypublichealth.org.
remains open for recreational To report an algae bloom in
uses outside the lake. a Jefferson County lake not
Gibbs Lake, near Chi- listed, phone 360-385-9444.
macum, and Crocker Lake, ' The Public Health web site
near the intersection of U.S. has been updated with infor-
Highway 101 and state High- mation that tells swimmers
way 104 between Discovery what to do if they accidentally
Bay and Lake Leland remain swim in a lake marked with
on the list of freshwater bodies warning signs as toxic.
with toxic blue-green algae In Clallam County, the
levels that threaten public Environmental Health office
health and should be avoided. can be reached at 360-417-
"We really wanted to open 2258.
Gibbs, but it ended up a lot
higher than we had hoped," Jefferson County Editor Jeff Chew
Shogren said, referring to can be reached at 360-385-2335 or
blue-green algae levels tested jeff.chewOpeninsuladadynews.Fom.
III
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P4a. • CO - 03.11,oa '.. a . .aaato3. .F-m o-c•• ' m.N aa)i.: . °a4:.
Lake Leland upgraded
•
for recreational use
Jefferson County Public Blue-green algae found in
Health has upgraded the recre- the lakes are from the genera
ational use for Lake Leland to Anabaena, Micro cystis and
"caution," removing its health Aphanizomenon. These algae
advisory warning. Recent water can produce anatoxin-a, which
samples from the lake show a can cause liver damage or nerve
lower level of potentially toxic impairment. Small children and
blue-green algae species. people with liver problems,such
The upgrade to caution as chronic hepatitis, are most at
allows recreational uses in Lake risk from these toxins.
Leland with these cautions: Do All of these lakes additionally
not drink the lake water, keep have the potential to form dense
small children and pets out of scums of algae.that pose a high
the water, and avoid visible risk.These scums are visible and
scums. Guts from fish caught can range in appearance from
in the lake should be discard- pale cottony masses to green
ed properly before the fish are fuzzy blobs to slicks that look
eaten. like a paint spill. People should
Public Health continues its avoid coming in contact with
health advisory warning of high any visible scums.
levels of potentially toxic blue- Jefferson County Public
green algae in Anderson, Gibbs Health is monitoring publicly
and Crocker lakes. Users are accessible lakes in Jefferson •
warned not to drink lake water, County during the recreation-
swim in the lakes or consume al season from April through
fish from these lakes.Washington September.Anderson Lake,Lake
State Parks has closed Anderson Leland, and Gibbs Lake have
Lake to boating until further a history of blue-green algae
notice to minimize the public's blooms and are being sampled
exposure to the water. weekly. Other publicly acces-
Tarboo Lake continues to sible lakes in the county are sam-
be posted with a caution. Like pled when blooms are observed.
Lake Leland,the lake is not safe These samples are sent to a labo-
for drinking water. The lake is ratory in Tacoma to identify the
OK for recreational use with algal species present and deter-
these cautions: Small children mine their concentrations.
and pets should stay out of the Current lake status and more
water.Avoid visible scums. Fish detailed recommendations can
caught for consumption should be found on the Jefferson County
be cleaned in fresh water and the Public Health website at www.
organs and skin discarded. jeffersoncountypublichealth.org.
•
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Slow economy
blamed for ,
$ 1.5 ,
$ 1,5 , county deficit •
BY JEFF CHEW gram dollars. Employees are being asked to
PENINSULA DAILY NEWS Besides county rr 'f. `, restrict driving of county vehicles
PORT TOWNSEND — A soft, offices headed by whenever possible.
elected officials, c Richards is also calling for staff to
slow economy has left Jefferson the general fund kl,` ,C t work together to share resources.
County with a general fund budget also subsidizes .a.mpr • As scheduled, a preliminary bal-
nearly$1.5 million in the hole. key services such �r'it , anced budget must be presented to
That, combined with a declining as Public Health c,•‘-,-'',. '`-,T the Jefferson County commissioners
number of funding sources, is why animal services by Dec.22,and they are required to
county leaders are considering cuts, and Washington4 .'''';,,i'''- adopt a final budget and present it
such as having some of the county's State University Sartin to the state auditor by year's end.
320 employees voluntarily work four Extension. The commissioners are expected
nine-hour shifts,or a 36-hour week. "The prob- to turn o the ion rsr their pectet
"The big problem we have is the lem's there" in the general fund, November.h
general fund,"said Allen Sartin,Jef- Sartin said. work inn cited the following revenue
ferson County director or central "But it could reach out and touch losses:
services and the county financial other operations."Th g
III 2005,the county brought in
expert, Wednesday. $1.5 million in real estate excise tax.
ggeneral fund the one that Staffing held up Last year, the real estate excise
is going to be hard to balance."
The general fund was off about Interim county Administrator tax came to $935,000,and this year
$700,000 this time last year. Dennis Richards last week said it is projected at about$650,000.
Sartin said the dilemma can be between eight and 10 staff openings Debt service,usually paid by real
blamed on lower sales, excise and have been left unfilled, and more estate excise tax,is about$741,000.
real estate tax revenues, construc- positions may have to remain open "The next year's budget has
tion declines and higher fuel, — at least until the budget is bal- money in general fund to help pay
asphalt and transportation costs. anced. the debt service,"Sartin said.
Aggravating the situation are the The county is not filling vacant. "In the five years I've been here,
loss of federal grants and a loss of staff positions and limiting training that hasn't happened."
about $1.3 million in the roads and and travel to only to that which is TURN TO COUNTY/A6
schools federal timber subsidy pro- mandatory. .
County: .Sartin stresses 3 options
CONTINUED FROM Al ■Another point of concern "We've had trouble getting supports cuts in staff hours.
is the state law that requires. people here,based on what we Austin said that, besides
I County sales tax rev- sales tax to remain at the base pay them,"Sullivan said. the salary savings, employees
enues are down 2 percent for of sale. He added that he wants o would have one less day to
the period of January to June. For example, if a Jefferson save as many staff positions drive to work, partly compen-
During that period in 2007, County resident buys an item now in preparation for addi- sating for any income lost.
revenue was $1.27 million, here that is delivered to Ren- tional services needed when He also wants to look
compared to$1.23 million dur- ton,the sales tax stays in Ren- the economy improves. closely at paring back
ing the same period this year. ton,he said. Sullivan'said he brought up employee training costs.
"`Phe fact that this is off, the idea last year to reduce Austin also supports users
and given the price of fuel and Three options employee hours, but the com- paying fees, such as that pro-
the ferry situation, and the tnissioners decided not to do it. posed for disposal of yard
fact that the [Hood Canal Consequently, Sartin He added that he was con- waste through the county
Bridge) will be closed next stresses that the.,county has cerned about the county's loss waste transfer station and the
year [May-June),. I'm con- three options, raise income, of thousands of dollars in fed- city-operated biosolids corn-
cerned about sales tax." cut programs or use cash on eral and state grants, but it posting program.
Sartin refers to service cut hand. was the loss of more common Austin urges "hammering
to one ferry for the Port "This year, given the pre- funding sources that hurts the at" state and federal lawmak-
Townsend-Keystone route and dictions we have at the most. ers to save or create new fund-
the six- to eight-week Hood moment, they could not do it "Construction is down, and ing sources, such as Secured
Canal Bridge closure to replace on cash,"Sartin said. sales taxes are down, and Rural School Act timber rev-
its eastern half next year. County Commissioner that's how we balance our enues, which the count)
II New construction is David Sullivan, D-Cape budget,"he said. recently lost.
down$30 million in two years, George, said he would rather "We're trying to stretch our
with $118 million collected in scale back hours than cut posi- reserves as far as we can." Jefferson County Editor Jett Chew
2006 and $88.7 collected in tions of less senior union County Commissioner John can be reached at 360-385-2335 or
2008. employees. Austin,D-Port Ludlow,said he jef..chew@peninsuladailynews corn
• •
•
PiZ)/v
Sickness from eating raw oysters leads to sport harvest closure of Quilcene Bay beaches Page 1 of 2
••
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AcouWaaarar ' home:daily news lash:daily news flash en.a„ver ror�,o.t September 08,2008
- __-- - -- 9/5/2008 5a8:00 PM Email this article•Print this whole
Sickness from eating raw oysters leads to sport Toxic algae takes over Tarboo
.. harvest closure of Quilcene Bay beaches Lake
tshiiiilocatly ,1; The sport harvest of oysters has been closed for the month of •
a a . September in Quilcene Bay by the Washington State Department of Samples of water from Tarboo Lakei�
*l Health.This closure includes Triton Cove State Park on Hood Canal. show high levels of blue-green algae, t We'll
local coupons # Quilcene Bay beaches affected are the Quilcene Bay Tidelands,West prompting Jefferson County Public t make it
....---,A Quilcene Bay Beach,and Point Whitney Tidelands. Health on Sept.5 to downgrade the lake quick.
and issue a warning not to drink the
news °" � This closure was based on a number of human vibriosis cases water,swim or eat fish caught from the
associated with eating raw oysters from Quilcene Bay,Jefferson lake. .
Daily News Flash County Public Health reported Sept.5.Quilcene Bay will remain closed
Top Stories to the recreational harvest of oysters at least through the month of Algae can produce anatoxin-a or
September. microsystin that can cause liver damage LEADER CLASSIFIEDS
Arts&Entertainment or nerve impairment,health official say. (360)385-2900
Gallery Walk Vibrio causes a variety of symptoms including diarrhea,abdominal This is the first time this year that Taboo
Opinion Forum cramps,nausea,vomiting,headache,fever,and chills.The symptoms Lake has reached this problem level.
Our Place usually appear about 12 hours after eating infected shellfish but can
occur anywhere from 2 to 48 hours after consumption.The illness is "Small children and people with liver GET
Columns usually mild to moderate and lasts for 2 to 7 days. problems(e.g.chronic hepatitis)are
Sports most at risk from these toxins,"the CLICKED!
Marketplace Each summer the Department of Health issues a Vibrio advisory for all health department warned Sept.5. VAG ■
of Hood Canal.The advisory reminds recreational shellfish harvesters
Law&Justice that shellfish in Hood Canal should be thoroughly cooked between the Samples taken Sept.2 also conform
40 Hood Canal Update months of May thru October to avoid vibriosis.Vibriosis is an intestinal high levels of blue-green algae in other •-*-Nerer
Citizen Journalist illness caused by naturally occurring bacteria known as Vibrio lakes in Jefferson County.The health
parahaemolyticus.Unlike paralytic shellfish poisoning(PSP)and department continues to issue a health " .'
News Release Forms domoic acid
toxins,Vibrio is destroyed by thorough cooking• advisorywarning
in Anderson Lake,COMMUnity
Gibbs Lake and Crocker Lake.
Community Billboard The Department of Health offers the following tips to summer
harvesters of shellfish in Washington State:Always check the pollution And at Lake Leland,the health
Community Calendar and biotoxin status of the beach before you harvest;Harvest as soon as department has a health advisory
Online Calendar possible •after the tide goes out;Do not harvest shellfish that have been caution of moderate levels of toxic blue- t
Activities Guide exposed to direct sunlight for more than 4 hours;Refrigerate or ice as green algae.The lake is not safe for
Government Meetings soon as possible and within 4 hours of harvest;and thoroughly cook drinking water but recreational use is
shellfish. OK.Small children and pets should still
Links Directory stay out of the water.Fish caught in
2608 Support Groups The Department of Health additionally reminds consumers that store- Lake Leland can be cleaned in fresh
VisftOr3
bought shellfish must be refrigerated and handled properly to prevent water before consumed but the organs
illness. and skin should be discarded.
Visitor information
public Getaway Guide
The general should look at notification of closure for marinas and Teal Lake and Sandy Shore Lake are
recreational beaches by checking the department's Biotoxin Web site the only two lakes being samples that
multimedia (http://www.doh.wa.gov/ehp/sf/biotoxin.htm)or the biotoxin hotline at 1- are"clear"of health warnings.
Photo Gallery 800-562-5632.Harvesters should also look for and obey warning signs
Photo Sideshowsthat have been posted at marinas and recreational beaches. All lakes have the potential to form 6vu4Zee48.: 7.rctia
dense scums of algae that pose a high Jefferson County's
Local Music health risks.The scums are visible and
L coal Video can range from pale cottony masses to Elite Co-ed
iiirDCral Se Hafts green fuzzy blobs to"slicks that look like Fitness Center
Publications a paint spill."Avoid contact with any
Pon Townsend Ferry visible scums,the health department
Insider Map! Travel to San Juan warns. /' do
wad ,. Islands and watch Orca ,'ie
advertising whales.Reserve today! The health department is monitoring .441
- . r I
Display Ad Rates publicly accessible lakes weekly in
Jefferson County between April andOnline Advertising 'ii
September.Other lakes are sampled a C''•,7 I' 41
Classifieds with blooms are observed.
Legal Notices uewldrtse run
o tj t j•®I _
a -olit iii .. Manage your own Algae blooms on lakes not listed can be
project.More home for reported to the health department at Port Townsend
Newsstand Locations your money! 360-385-9444. building site
Freedom of Information
NIB Current lake status and more detailed
Archives recommendations can be found on the 4
Jefferson County Public Health website ::.:*°`•:±440:::.‘':"` ,.
0 Leader History at www.jeffersoncountypublichealth.org.
Interact with Staff
http://www.ptleader.com/main.asp?SectionID=4&SubSectionlD=4&ArticleID=21752&TM... 9/8/2008
State
closes
. .
2 areas for
•
sheilfishi
• ,
Tarboo Lake ibrio-causes a variety
• of symptoms
Status raised including diarrhea,
to `warnin abdominal cramps, nausea,
g vomiting, headache, fever,
BY JEFF CHEW and chills. .
PENINSULA DAILY NEWS The Department of Health • A dog died after drinking
Quilcene Bay will remain Anderson Lake water in 2006.
PORT TOWNSENDof —The closed to the recreational har-` offers the following tips to The lake was closed for the
• state Department of Health vest of oysters at least through summer harvesters of shellfish first time after the incident.
has closed Quilcene Bay and the month of September, he in Washington State: Fish caught for codent.
Triton Cove State Park in Jef- said ■ Always check the pollu- tionF should becaught
for c inn fresh
ferson County to the rafte Recreational beaches tion and biotoxin status of the water and the organs and skin
ational harvest of oysters after affected are'the Quilcene'Bay beach before you harvest. discarded.
several vibriosis cases were Tidelands,West Quilcene Bay ■Harvest as soon as possi- a he lakes have poten-
reported. Beach, and Point Whitney ble after the tide goes out. tial of forming lkes have the scums of
The recreational oyster Tidelands. • ■ Do not harvest shellfish algae that pose a high risk.
harvest closure also includes Vibrio ca •uses a variety of that have.been exposed to The scum can appear as a
the shores of Triton Cove symptoms including diarrhea, direct sunlight for more than pale cottony mass, a green
State Park at the Jefferson- abdominal cramps, nausea, four hours. fuzzy blob,or a slick that looks
Mason County line, the vomiting, headache, fever,and ■Refrigerate or ice as soon like a paint spill.
department said Friday. chills. as possible and within four People should avoid coming
In an unrelated released
The symptoms usually hours of harvest.ein contact with them.
ity report, also released Fri- appear about 12 hours after ■ Thorou hl cook shell- The county health cepa -
day, Jefferson County Public ap fish.
Health has given Tarboo Lake eating infected shellfish, but ment is monitoring pub
a "warning" status after they can occur anywhere from Store-bought shellfish accessible lakes in Jeffe
heightened levels of toxic blue- two to 48 hours after con County during the recre-
green algae were•found in lab sumption. The Department of Health ational season of April-Sep-
tests last week. The illness.is,usually mild additionally reminds con- tember.
Blue-green algae found in to moderate,.and lasts for two sumers that store-bought Anderson Lake, Lake
to seven days. shellfish must be refrigerated Leland,and Gibbs Lake have a
the lake are from the genera Vibriosis is an intestinal ill- and handled properly to pre- history of blue-green algae
microcystis, anabaena and ness caused by naturally vent illness. blooms and are being sampled
apha These algae
.: occurring bacteria known as At other county lakes,sam weekly.
algae can.produce Vibrio parahaemolyticus. plea taken Tuesday continued Other publicly-accessible
anatoxin-a or d yatin that Unlike paralytic shellfish to confirm high levels blue- lakes in the county are sam-
can cause liver. damage or poisoning and domoic acid tox - green algae. pled when blooms are
nerve impairment. . ins, Vibrio is destroyed by Jefferson County' Public observed.
Small children and people thorough cooking. • Health continues to issue a These samples are sent to a
with liver.problems are most Each summer the state health advisorywarningof
at risk from thwarne ins. De artment of Health issues a laboratory in Tacoma to iden-
Users are warned not to p. high levels of potentially toxic tify the algal species present
drink lake water, swim in the vibrio advisory for All of Hood blue-green algae in Anderson and determine their concen-
lake,or consume fish from the Canal to remind recreational Lake,Gibbs Lake and Crocker trations.
lake. shellfish harvesters that shell Lake.
Tarboo Lake is open for fish in Hood Canal should be State Park officials more Jefferson County Editor Jeff Chew
recreational boating. thoroughly cooked• between than a month ago closed can:be reached at 360.385.2335 or
Clallam County lakes.have the months of May through Anderson Lake to boating. jell..chew®peninsma 360.385.23.
not been tested for toxic blue October to avoid vibriosis. At Lake Leland,the county
green algae. Health officials health department continues
are visually monitoring them. to issue a health advisory cau-
tioning users of moderate lev-
Raw oysters els of potentially toxic blue-
green algae.
The vibrio,closures were Lake Leland isnot safe for
based on a•number othurn n drinking water recreational
vibriosis cases associated with use is OK; with some simple
eating ,raw oysters from cautions.
Quilcene Bay, said Andrew
Shogren, Jefferson County
environmental health director.• III
•1 closed to
BsQuilcene
recreational• harvest
The sport harvest of oysters has been hours after eating infected shellfish but can tion and biotoxin status of the beach before
closed for the month of September in occur anywhere from two to 48 hours after you harvest.Harvest as soon as possible after
Quilcene Bay by the Washington State consumption. The illness is usually mild to the tide goes out. Do not harvest shellfish
Department of Health.This closure includes moderate and lasts for two to seven days. that have been exposed to direct sunlight
Triton Cove State Park on Hood Canal. Each summer the Department of Health for more than four hours. Refrigerate or ice
Quilcene Bay beaches affected are the issues a vibrio advisory for all of Hood as soon as possible and within four hours of
Quilcene Bay Tidelands,West Quilcene Bay Canal. The advisory reminds recreational harvest.Thoroughly cook shellfish.
Beach,and Point Whitney Tidelands. - shellfish harvesters that shellfish in Hood The Department of Health additionally
This closure was based on a number of Canal should be thoroughly cooked from the reminds consumers that store-bought shell-
human vibriosis cases associated with eating month of May through October to avoid vib- fish must be refrigerated and handled prop-
raw oysters from Quilcene Bay, Jefferson riosis.Vibriosis is an intestinal illness caused erly to prevent illness.
County Public Health reported Sept. 5. by naturally occurring bacteria known as The general public should look at notifi-
Quilcene Bay will remain closed to the rec- Vibrio parahaemolyticus. Unlike paralytic cation of closure for marinas and recreation-
reational harvest of oysters at least through shellfish poisoning (PSP) and domoic acid al beaches by checking the department's
the month of September. toxins,vibrio is destroyed by thorough cook- biotoxin website, www.doh.wa.gov/ehp/sf/
Vibrio causes a variety of-symptoms, ing. biotoxin.htm, or the biotoxin hotline at 800-
including diarrhea, abdominal cramps, nau- The Department of Health offers the fol- 562-5632. Harvesters should also look for
sea, vomiting, headache, fever and chills. lowing tips to summer harvesters of shellfish and obey warning signs that have been
The symptoms usually appear about 12 in Washington state:Always check.the pollu- posted at marinas and recreational beaches.
•
•
/DTa-e-acaec.
9'/ul6))
Toxicalgae take
•
over Tarboo Lake
Samples of water from health department has a health
Tarboo Lake show high levels advisory caution of moder-
of blue-green algae,prompting ate levels of toxic blue-green
Jefferson County Public Health algae. The lake is not safe for
on Sept. 5 to downgrade the drinking water but recreation-
lake and issue a warning not al use is OK. Small children
to drink the water,swim or eat and pets should stay out of
fish caught from the lake. the water. Fish caught in Lake
Algae can produce ana- Leland can be cleaned in fresh
toxin-a or microsystin, which water before being consumed,
can cause liver damage or but the organs and skin should
nerve impairment, health offi- be discarded.
cials say. This is the first time Teal Lake and Sandy Shore
this year that Tarboo Lake has Lake are the only two lakes
reached this problem level. producing water samples that
"Small children and people are"cleat"of health warnings.
with liver problems(i.e.,chron- All lakes have the potential
is hepatitis) are most at risk to form dense scums ofalgae
from these toxins," the health that pose high health risks.The
department warned Sept. 5. scums are visible and can range
Samples taken Sept. 2 also from pale cottony masses to
confirm high levels of blue- green fuzzy blobs to "slicks
green algae in other lakes in that look like a paint spill." •
Jefferson County. The health Avoid contact with any visible
department continues to issue scums, the health department
a health advisory warning for warns.
Anderson Lake, Gibbs Lake The health department is
and Crocker Lake. monitoring publicly accessible
And at Lake Leland, the See TARBOO,Page 8
Tarboo: Algae
Continued from Page 2 health department at 385-9444.
lakes weekly in Jefferson County Current lake status and more
between April and September. detailed recommendations
Other lakes are sampled when can be found on the Jefferson
blooms pre observed. County Public Health website
Algae blooms on lakes not at www.jeffersoncountypublic-
listed can be reported to the health.org.
110
?7-deacie,t-
9/18/2008
•
Jefferson County Shellfish
Update
Washington State Department of
Health proposes to upgrade
Discovery Bay to Approved
Outline
• Discovery Bay Shellfish Growing area
proposed for upgrade
• • Other areas in county on threatened or
concerned list for shellfish growing
• Economics of shellfish in Jefferson County
• Shellfish safety: biotoxin and vibriosis
roundup for 2008
In order for DOH to upgrade a growing
area from Restricted to Approved two
conditions need to be met:
1)The area needs to meet water quality standards for
the growing of commercial shellfish and
2)Pollution sources need to be looked for and,if
found,corrected.
The good news:both of these conditions have been
met in the Discovery Bay area.
•
1
•
9/18/2008
•
Discovery Say Shellfish Closure Response
�y Project Area
or•.04-114 }
f
DOH water quality data
• Water quality data
improved at DOH
sampling station#48
• Estimated 90th
•
percentile improved
from 46 FC/100m14060,/,44
during the downgrade .
to 11 FC/100m1
currently
• Standard is 43
FC/100m1
History of Issue
• Downgraded from Approved to Restricted in
early 2007
• Convened, a closure, response group in 2007 of
DOHJCCDJCPH and other entities
• By Mp
place,althougharch2007 somehadClosure work hadResalreadyonse Plan begunin
• JCted tbt
closelyPH withmandaJCCDo throughoutehelead theagency-project
•
2
9/18/2008
•
Actions taken:
• Comprehensive freshwater quality monitoring
in the Salmon and Snow Creek watersheds
(JCCD and JCPH)
• Implementation of Agricultural BMPs(JCCD)
• Shoreline Surveys(JCPH)
• Door to Door sanitary surveys to talk to
residents about their septic systems. (JCPH)
Sampling Stations
e
311-0074-11 1'4174r°
s
,s to
s"
II ��
y4;'' Vatorpg:
A
'1
Freshwater Quality Results
• Show where agricultural
BMPs could make a
difference
• Show that certain :.:. 'a x . a
stations on Salmon and ,_ • .,
Snow Creek do not ''' , y-
meet the freshwater '4
standards �
•
3
•
9/18/2008
Fecal Coliform Concentration(Aug.12,2008)
sp
el mm.....+ n w
112
df'uxrMvmbr w°n w I
WI v.3-6 y Smw Grk
°x wmm•m aen*C
5(04:::mas.X Cm.wxen .Y u !y NMmw GeeM
•xWCtt++sn�•r t°Mx•°ex tsr� 4�.6M y�
TWO T R HWATER:
1)GM VPAROF LESS
FC THANSTANDARD 50 FC/100 ML OR
2)FEWER THAN 10%OF SAMPFOLESFRESCAN EXCEED IOOFC/IOOML
Livestock Bridge
5
__ •
°
Agricultural BMPs: Fencing and
off-stream watering troughs
, P e f„�°zy, m *
ria *AutfER
4
9/18/2008
•
Shoreline and Sanitary Surveys
• No major sources of
pollution found from
shoreline seeps and
small streams
• Sanitary surveys and
review of records led to a pl
several corrections of
septic practices and/or
to repairs
Continuing Work
• Trying to meet the freshwater standards for
Fecal coliform in Salmon and Snow Creeks.
• Continuing to implement agricultural best
• management practices in the Salmon/Snow
watershed
• Continue shoreline surveys to sample small
drainages and seeps
• Educating residents about maintaining their
OSSs
Other areas of concern:
• Mats Mats Bay growing area on threatened list
based on poor water quality
• Hood Canal #3 on concerned list for water
quality(Duckabush Delta)
• Mystery Bay on threatened list due to boat
moorage
•
5
9/18/2008
•
Controlling Health Threats to Public
• Paralytic Shellfish Poisoning
—JCPH has 7 volunteer samplers who submit samples to
DOH for testing every two weeks during the growing
season
—Closures for PSP in Kilisut Harbor,Mystery Bay,Port
Ludlow,Discovery Bay and Port Townsend Bay this
year
—Closures for Vibriosis in Quilcene Bay due to several
confirmed cases in commercial product
• Industry,tribes,FDA and DOH are going to be working on
education,etc to control vibrio in commercial product --
Economic Impact of Shellfish in
Jefferson County
• Commercial:
–15 million lbs of live shellfish harvested each year
–Est.$22 million in gross sales/year(including •
hatcheries)
–17-20%of the production of Washington State
–Third most productive county after Pacific and ——
Mason
–Two largest shellfish hatcheries in North America —s
–Impact of V.tubiashii
Economics, continued
• Tribal harvest
—282,954lbs of clams and
geoducks
—2,912,888 oysters tie
ah
• Recreational Harvest � � 4 � • , � —•-
—Est.74,174 lbs of clams
— 111,419 oysters `ra
—30,324 Harvester-days
—Est.74,174 lbs of clams
•
6
9/18/2008
• Our efforts to prevent
illness and preserve
water quality help , n,
preserve shellfish `' ""
harvest as an important
part of our economy
J
a
.
7
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•
Port Townsend,
Jefferso,n County Leader Wednesday,September 17,2008 Al2
The City of Port Townsend and Jefferson County
proclaim and celebrate September as
National Alcohol and Drug Abuse Recovery Month
,
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From left:SAAB Board Members Mike Blair,Anne Winegar,
Frances C.Joswick(Chair),Conner Daily(Vice Chair),and Robert Archibald.
Sponsored by The Substance Abuse Advisory Board of Jefferson County(SAAB),
Jefferson County Community Networks,and Jefferson County Public Health.
Ad paid for by Safe Harbor Recovery Center and Beacon of Nope.
111
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: „..
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JCPH: Working for a safer and
healthier Jefferson County!
Revised Code Highlights
:;,;r"" Code Adopted August 19,2008
I..A'.I.AM C01UN TA
'e,'";•0';,,,,rral Ile 'Ih •Homeowner Program
S11 VICES
Clallam County •Professional O&M Program*
• New Code
•Inspection at time of sale*
Professional inspection within last year,
by June 2010.
•Inspection for Land Use/
Building Permit*
*Existing in Jefferson County
June'08 Homeowner Pilot Proiect
-... l,. w, •Cost: Free for pilot project,120 spaces
t;ALLAM COUNTY
,,grt,,,„^xNl 7 i,,,jo, •Funding: Washington State Department of
SIR S I c S,S Health Grant
Clallam County •Provider: Washington OnSite Sewage
AssoCiation(VVOSSA)
•Length: 8 i hours
•Expiration: Valid for 5 years
•
•
O&M Implementation
•Enforcement:
i.A n c O N FY Only after entire program is up and running
< t1('r!.neIi;Ii 7-tt"rtltY:
INN
' FS
•Homeowner Limitations:
Clallam County Limited to systems with waste strength of
residential strength and less than two
connections
•Electronic submittal of inspections.
•Fee: None set,will look at hiring consultant to
help in determining best stable funding source in
the future.Possibly a New Assessment,collected
with property taxes for all OSS owners.
., Future Homeowner Trainlnos
-- '`° •Education/Training Required:
<::.A,.1.A n COO N r v Training and testing approved by health officer,
will be offered if Grant funded.
SERVICE'S
Clallam County •Eligible System Types: Presently focusing
1111
on conventional and pressure. Will request RFP
to develop training and materials.
•Constraints: If in Marine Recovery Areas or
unpermitted system,initial inspection by
professional.Building Permits/Land Use
activities require inspection by a licensed
designer.
,e-s°N `b O&M Progress Report
t9'SrrrNcd' •Database Enhancements
•Website
•Scanned Permits 1974-2004
Jefferson County •eOnsite.com
O&M Progress Report •Tidemark
•
•
jeer ul;ttt
PUBLIC HEALTH
HEAUTIERJEFFERSON
Onslte Sewage Program ias` t'i
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rix fir a
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Database Enhancement '
Environmental Health , q '
www.JeffersonCountyPublicHealthorq
PUBLIC HEALTH
HEALTHIERJEFFERSON
, Septic Permits Online
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Web Information �L-
• Jefferson County ,..
www.co.jefferson.wa.us •
• Environmental Health
www.JeffersonCountyPublicHealth.orq
—Scanned Permits—1974-2004 now available
—Designers,O&M, Installers, Forms
• e-Onsite
www.eOnsite.net
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JCPH: Working for a safer and
healthier Jefferson County!
•
f
9/18/2008
•
Jefferson County Shellfish
Update
Washington State Department of
Health proposes to upgrade
Discovery Bay to Approved
Outline
• Discovery Bay Shellfish Growing area
proposed for upgrade
• Other areas in county on threatened or
• concerned list for shellfish growing
• Economics of shellfish in Jefferson County
• Shellfish safety: biotoxin and vibriosis
roundup for 2008
In order for DOH to upgrade a growing
area from Restricted to Approved two
conditions need to be met:
1)The area needs to meet water quality standards for
the growing of commercial shellfish and
2)Pollution sources need to be looked for and,if
found,corrected.
The good news: both of these conditions have been
met in the Discovery Bay area.
i
1
1
9/18/2008
•
Discovery Bay Shellfish Closure Response
Project Area
4e:,vi: -s:1.4",!..6 ,i.":13:Allic. s,
4,!1.4.,,K1114.1 4401*.144$
yas' f
DOH water quality data
• Water quality data
improved at DOH
sampling station#48 ,
� J�
• Estimated 90`h ° t
percentile improved x�
from 46 FC/100m1 ,'
during the downgrade ,.
to 11 FC/100m1 IT --
currently , t n I
• Standard is 43
FC/100m1
History of Issue —
• Downgraded from Approved to Restricted in
early 2007
• Convened JCCD,JCPHclosre andrespotherse entities
• By March 2007 had Closure Response Plan in
place,although some work had already begun
• JCPH mandated to be the lead agency-worked
closely with JCCD throughout the project III
2
9/18/2008
•
Actions taken:
• Comprehensive freshwater quality monitoring
in the Salmon and Snow Creek watersheds
(JCCD and JCPH)
• Implementation of Agricultural BMPs(JCCD)
• Shoreline Surveys(JCPH)
• Door to Door sanitary surveys to talk to
residents about their septic systems. (JCPH)
Sampling Stations
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Freshwater Quality Results
• Show where agricultural
BMPs could make a
difference
• Show that certain
stations on Salmon and i•
Snow Creek do not � ,
meet the freshwater
standards � ��`
cx 7
•
3
•
9/18/2008
•
Fecal Calitor.Con entration(Aug.12,2005)
How-1 Cr*
ig
WI 0—toostoom OD*
,....w.... ... Ye.vax..omY. Io w
,,,,,,,,,„moan
I sa n Urn Valley Dilch
s.l.a-wwuuaouiw • o. Smw Creak
W.A...�wnw.r pan. " •. N�Wva Creek
aa0l.n«an+.r wl w....r �q y. y
b
TWO PART FC STANDARD FOR FRESHWATER:
1)CMV OF LESS THAN 50 FC/100 ML OR
2)FEWER THAN 10%OF SAMPLES CAN EXCEED 100FC/IOOML
Livestock Bridge
a
41/ -
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1
Agricultural BMPs: Fencing and
off-stream watering troughs
t
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•, 'Vi
4
9/18/2008
Shoreline and Sanitary Surveys
• No major sources of
pollution found from
shoreline seeps and
small streams
• Sanitary surveys and
review of records led to
several corrections of
septic practices and/or
to repairs .R ... ,.
Continuing Work
• Trying to meet the freshwater standards for
Fecal coliform in Salmon and Snow Creeks.
• Continuing to implement agricultural best
management practices in the Salmon/Snow
watershed
• Continue shoreline surveys to sample small
drainages and seeps
• Educating residents about maintaining their
OSSs
Other areas of concern:
• Mats Mats Bay growing area on threatened list
based on poor water quality
• Hood Canal#3 on concerned list for water
quality(Duckabush Delta)
• Mystery Bay on threatened list due to boat
moorage
•
5
9/18/2008
•
Controlling Health Threats to Public
• Paralytic Shellfish Poisoning
–JCPH has 7 volunteer samplers who submit samples to
DOH for testing every two weeks during the growing
season
–Closures for PSP in Kilisut Harbor,Mystery Bay,Port
Ludlow,Discovery Bay and Port Townsend Bay this
year
–Closures for Vibriosis in Quilcene Bay due to several
confirmed cases in commercial product
• Industry,tribes,FDA and DOH are going to be working on
education,etc to control vibrio in commercial product
Economic Impact of Shellfish in
Jefferson County
• Commercial:
–15 million lbs of live shellfish harvested each year
–Est.$22 million in gross sales/year(including
hatcheries)
–17-20%of the production of Washington State •
–Third most productive county after Pacific and
Mason
–Two largest shellfish hatcheries in North America
–Impact of V.tubiashii
Economics, continued —
• Tribal harvest
–282,954 lbs of clams and
geoducks '7 -
–2,912,888 oysters
• Recreational Harvest t
–Est.74,174 lbs of clams
–111,419 oysters 34k. —
–30,324 Harvester-days
4ms
–Est.74,174lbs of clams
•
6
9/18/2008
•
• Our efforts to prevent �� /u'
illness and preserve R 11i,,,,,,',41.,,,..:
s`\f'
water quality help ,t c t''
preserve shellfish fit;
harvest as an important �/ '-`
part of our economy j
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