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HomeMy WebLinkAbout2009- April File Copy • Jefferson County Board of a Cealth Agenda rMinutes • AyriC16, 2009 • • JEFFERSON COUNTY BOARD OF HEALTH April 16, 2009 Jefferson County Public Health 615 Sheridan Street Port Townsend,WA 2:30—4:30 PM DRAFTAGENDA I. Approval of Agenda II. Approval of Minutes of March 19,2009 Board of Health Meeting III. Public Comments IV. Old Business and Informational Items 1. PH Heroes—Awards to be given 2. Public Health Week Proclamation by BOCC 3. Multi County PH Mutual Aid Agreement signed by BOCC 4. Letter for SAAB membership removal • 5. Tobacco Cessation Classes V. New Business 1. BOH Bylaws for review 2. JCPH Immunization Program 3. County Budget changes 4. Legislative update VI. Activity Update VII. Agenda Planning: May, Permit Appeal Hearing VIII. Next Scheduled Meeting: May 21, 2009 2:30—4:30 PM Jefferson County Public Health IP %\l ‘ JEFFERSON COUNTY BOARD OF HEALTH %cl \\%*1 MINUTES Thursday, March 19, 2009 2:30 PM—4:30 PM Health Department Conference Room, 615 Sheridan Street, 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, County Commissioner,District#3 Julia Danskin,Nursing Services Director Michelle Sandoval,Port Townsend City Council Sheila Westerman, Chair, Citizen at large(City) Chuck Russell, Vice Chair, Hospital Commissioner,District#2 Roberta Frissell, Citizen at large(County) Chair Westerman called the meeting of the Jefferson County Board of Health to order at 2:30 PM. Members Present: John Austin, Roberta Frissell, David Sullivan, Sheila Westerman Excused: Phil Johnson Absent: Chuck Russell, Michelle Sandoval • Guest: Frances Joswick, SAAB Staff Present: Jean Baldwin, Dr. Thomas Locke, Julia Danskin A quorum was present. APPROVAL OF AGENDA Member Austin suggested that, under New Business, item 6 be moved to item 1. Member Frissell moved and Member Sullivan seconded for approval of the agenda with that change. The agenda was approved unanimously, as amended. APPROVAL OF MINUTES Correction - page 3, section on 2008 State Board of Health Annual Report, paragraph 1: The second sentence should read "Member Austin stated that the State Board of Health is not on the list to be eliminated, while the Ferry Advisory, EcoSystem Council and many other Boards/Councils will be eliminated". Member Austin moved for approval of the minutes, as amended; Member Frissell seconded. The minutes of February 19, 2009 were approved, as amended. • Page 1 of 9 PUBLIC COMMENTS There were no public comments. OLD BUSINESS Regional Influenza Activity Dr. Locke stated that the flu season was at its peak in the northwest, and that the peak was persisting on the East coast,particularly in the Southeast. During the previous week,there had been a slight drop off but there was no certainty that incidence would not rise again. Reports from schools and hospitals indicate higher than usual seasonal changes. The figures are not yet available on the percentage of people who were vaccinated, although the amount of vaccine produced was the largest amount on record. The type of flu circulating in the Northwest is the H1N1 strain that is highly resistant to oseltamivir phosphate (Tami-flu), the widely used anti- viral medication. This year influenza B is also prevalent; this is a milder form of flu which does not produce pandemics. Dr. Locke expected that within a month the peak would be past. However, full data about mortality levels and vaccination rates would not be available until mid- summer. There was a brief follow up discussion on how flu incidence and mortality data is collected and interpreted. Death with Dignity Act and Vital Records Registrars Dr. Locke noted that one of the more obscure functions of Health Officers is to serve as Vital • Records Registrars for the County. This includes certification of death certificates and issuance of burial transit permits. One requirement of the Death with Dignity Act is that suicide may not be listed as the cause of death. In response to a question with regard to tracking the number of suicides over time, Dr. Locke said that he believes there are such provisions in the Act, but that the statistics are definitely not tracked via the death certificates. Public Health Funding Letter Jean Baldwin referred to the copy of the letter in the packet to Senator Jim Hargrove from the BOH. There was a discussion about the status of funding overall. Jean Baldwin said that in her understanding Lynn Kessler supported retaining current funding. Dr. Locke said that legislative deliberations were still going on and that the final budget forecast was in progress. There were expectations of up to a$9 billion dollar State deficit/gap in revenue. He understood that there would be about $2.5 billion in federal stimulus funding in the budget. Jean Baldwin reported that maternity support (Nurse Family Partnership) appears to be safe through June 2009. She also discussed the County shortfall of tax, investment revenue, and timber dollars. Department heads are meeting with the County Administrator to review the long and short term prognoses. Mr. Morley is seeking to implement some action in April to address the shortfall, which may include personnel changes. Certain departments may also be asked to stop spending General Fund allocations for this fiscal year. She said that once the implications for the Public Health Department are clear, she will bring the options forward to the BOH. Page 2 of 9 • There was additional discussion acknowledging the complexity and dynamic nature of evolving budget information at the federal and state level. Ms. Baldwin said she was pleased to see that the Obama Administration has given some priority to Nurse Family Partnership as part of a national program of long range prevention. She also sees the appointment of Seattle Police Chief Gil Kerlikowske to head the Office of National Drug Control Policy as a positive sign; Mr. Kerlikowske has a reputation for supporting drug use prevention in addition to enforcement. Member Sullivan also pointed out that elimination of a particular government department does not necessarily mean that the associated services will be unfunded. Our Kids: Our Business Julia Danskin referred to the packet materials, noting one change to planned events for March and April. Seattle Police Chief Gil Kerlikowske, who was one of two planned speakers at the March 27 Kick Off luncheon, will be in Washington DC at the time. Laura Wells, Director of Fight Crime: Invest in Kids and assistant to Chief Kerlikowske will speak in his place. Dr. Claudia Black, writer and researcher on the effects of drugs and alcohol on families, will also speak. Member Sullivan will be accepting an award on behalf of the Board of Health. She also invited BOH members to sign the Our Kids: Our Business Call to Action pledge; names of those who sign will be published in the Leader in May. Chair Westerman suggested that individual member names appear together under Board of Health. Members Austin and Sullivan moved and seconded that Chair Westerman's suggestion be adopted,which was approved • unanimously. Ms. Danskin also pointed out the two planned training sessions on Adverse Childhood Experiences scheduled for April 14 and April 20. Jean Baldwin said that this is an excellent opportunity to hear about issues and concerns from the community. It may be the last time that funding is available for this type of educational session. More information on all events and activities can be found at www.jeffcocommunitynetwork.org NEW BUSINESS Substance Abuse Advisory Board Appointments Member Austin spoke on behalf of the SAAB subcommittee in presenting the recommendation to approve the membership of Raymond Hunter and Tony Hernandez to the Substance Advisory Board. He provided brief background information on Mr. Hunter, a long time active Jefferson County resident. Tony Hernandez, formerly Undersheriff, has a great deal of relevant experience and knowledge, and was recently appointed by the BOCC to replace retiring Sheriff Mike Brasfield. Member Austin moved that both appointees, Sheriff Hernandez and Mr. Hunter, be approved for SAAB membership; Member Sullivan seconded. The motion was • unanimously approved. Page 3of9 Substance Abuse Advisory Bylaws —Request for Review and Approval . This item was moved up on the agenda in order to accommodate Ms. Joswick's schedule. Chair Westerman acknowledged the importance for regular review and update of the bylaws for any organization, and commended SAAB Chair Joswick for having undertaken this update. Ms. Joswick noted that the SAAB had found and corrected omissions and necessary changes; they requested BOH approval of the updated bylaws. She said the revised document (copy included in packet) had been reviewed by Deputy Prosecutor Alvarez. Jean Baldwin pointed out a correction (page 1, Article III: Duties), i.e., that the SAAB nominates to the BOH, not the BOCC. Member Sullivan pointed out that the change must also be made on page 2, in the first sentence under Article IV: Membership. The extra period following the last sentence on page 1 was identified for removal. In response to a question, Ms. Joswick confirmed that the current composition of the SAAB is 12 members, including the two new appointees. Member Austin moved to approve the bylaws as amended by the BOH. Member Sullivan seconded the motion. Jean Baldwin sought clarification regarding the Article VII section on Resignations. Ms. Joswick explained that the SAAB recommends having resignations and removals to be approved by the BOH,just as appointments are. There was also clarification on the responsibility of SAAB for maintaining the master copy of the bylaws and of providing copies to the BOH and BOCC. The motion to approve the updated SAAB bylaws, as amended,was unanimously approved. Ms. Joswick said she would process the changes through the SAAB Secretary, and send amended copies to Jean Baldwin for official processing and filing. Ms. Joswick then provided a brief status report on SAAB activities. She said she is proud of the work of the board subcommittees in three areas: community education, resource brochure, as well as intervention, treatment and after care. The relapse prevention program at the jail is flourishing. Pat Wiggins continues to communicate with Ms. Joswick on a regular basis. Her only concern is that the program is currently underfunded, but she is optimistic that the County Administrator and the City of Port Townsend will be successful in obtaining stimulus funds that are available for this type of program Meanwhile, there have been no returns, to date, of people who have been through the drug anti- recidivism program, which began on October 1, 2008. The recidivism rate (%) was in the high 60s. The program is totally voluntary; participants get appropriate after care education and support with AA (Alcoholics Anonymous). That is, AA representatives visit the jail three times per week to establish contact and provide information prior to release from jail, so the support system is already in place when inmates leave. Jean Baldwin added that Pat Wiggins is paid from the 1/10th of one percent fund. • Page 4 of 9 Julia Danskin referred to the copy of the March 12 letter in the packet from the SAAB to the • BOH. She noted that item 2 requests the removal of Nicole Black from the SAAB. Member Austin moved that the BOH remove Nicole Black from the SAAB because of her failure to meet her obligations as a Board member, and that a letter acknowledging her past work on the Board be sent to her. It was agreed that the letter would be signed by the Board of Health. Julia Danskin agreed to write the letter indicating the BOH action and include appreciation of Ms. Black's SAAB work. Roberta Frissell seconded the motion. The BOH approved the motion unanimously. 2008 Jefferson County Public Health Performance Measures Julia Danskin reviewed the 2008 reports for performance measures. This year there is an additional section Study/Analysis of Results, which provides department reflections on the results. This was motivated by the Public Health Standards Review last year, which indicated that perhaps there had been insufficient attention to the Study portion of the Plan, View, Act, Study cycle. She said staff, particularly Environmental Health, employees found the exercise to be worthwhile. Jean Baldwin noted that this material could show certain economic indicators. The recession started to be seen in 2007, as Environmental Health permits dropped off, and then dropped more drastically in 2008. She noted that other areas did not show the same indications until later. For example, the total number of people in WIC rose early and continued to rise. Child Protective Services referrals to PH rose from 30 to 40 and continue to rise. She also pointed out the sharp • rise in confirmed communicable disease reports from 2007 to 2008. Member Austin raised the topic of the percentage of people opting out of vaccinations. Chair Westerman reviewed the past attempts of the BOH to address this problem through education and work with the schools. She said that there is a fairly large group of parents who are convinced that their children are better off without vaccinations. She said that some people are not acknowledging their responsibility to the community. There was acknowledgement that Jefferson County has one of the lowest vaccination rates in the State. Member Sullivan added that lack of trust in the health care system and government are also a factor. Member Frissell noted that policy changes were occurring at the national level and that it would be prudent to take advantage of that shift. Member Austin suggested that perhaps the matter should be taken up again with the State Board of Health. Dr. Locke said that this is a priority issue for the Washington State Medical Association. Both the National and State Academies of Pediatrics are attempting to promote discussions between parents and their most trusted health advisors. He reviewed the passage of a new bill through the House. It requires a medical certificate indicating that one has been fully informed of benefits and risks of vaccination and is hoped to have a significant impact on reducing "convenience exemptions". It is believed that about half of the exemptions are convenience exemptions, i.e. not based on philosophical objections to vaccinations but rather done because easy access to vaccinations is lacking. . There was further discussion about the ongoing efforts of the Health Department to keep school personnel up to date regarding the purpose and process for exemptions. Jean Baldwin said that Page Sof 9 the hospital and all the clinics participate with the Child Profile database system, allowing all shots in Jefferson County to be tracked. Dr. Locke suggested that the new legislative actions • should be publicized to draw attention to the issue throughout the County. Another idea is to meet with or set up a presentation to groups of parents that are opposed to vaccination. Jean Baldwin noted that progress is being made with some vaccines, including HPV. She said that funding through Bill 5930 to increase immunization rates has been well used, and that details of the overall program would be shared with the BOH in the future. Chair Westerman referred to the on site sewage program statistics. She briefly reviewed the history of this issue within the BOH, noting that monitoring had not worked out as planned. The report(page 2 of 2—Onsite Sewage Program) shows that implementation will now focus on coordination with private contractors. There has been a decrease in monitoring inspections which is likely related to the fact that the PUD had been charging only $50 for monitoring; the charge is now cost-based at about $200. She said that, in her understanding, relatively infrequent testing is being offered due to staffing constraints. She inquired if it would be possible to offer the test more frequently, by finding ways to minimize the direct staff oversight of the test. Jean Baldwin said that that area of the department had been reduced by two staff members last year, and that the test was being offered every two months. She said that staff was looking into other options. Chair Westerman said that she believed the BOH and Health Department should strive to find ways to facilitate the success of private entrepreneurs in this area, presenting a better face to the public. She offered to assist by monitoring the testing herself, particularly for those being retested. Dr. Locke mentioned training offered by WOSA, as well as the possibility of • reciprocity across counties. There was agreement that every attempt should be made to move forward on this issue. If at all possible, the retesting should be offered on a more frequent basis. Jean Baldwin provided a brief overview of what would be involved in developing a reciprocal arrangement among neighboring counties. This will require extended planning with the Kitsap and Clallam Boards of Health, and some forms of standardization. 2009 Activities Update Jean Baldwin explained the set of Program Service Activity graphs and charts for WIC, Family, Maternity Support, Immunization, and On-Site Septic services, dated March 12, 2009. She noted that the scales and parameters differed among the various graphs and services. Julia Danskin pointed out the steep increase in WIC activity in the second half of 2008 over the previous months and over 2007. The increase has continued into January and February of 2009. Ms. Baldwin briefly reviewed the results for other services. Family Planning is showing a modest rise in client visits. Maternity Support has dropped off in February 2009,which is not fully explained as yet. Immunization Services showed a slight 2008 increase over 2007. Traveler Immunization tracked closely with the previous year in 2008 and is down in 2009. On-Site new septic permits are • Page 6 of 9 down 40% in 2009 over previous years. However, other septic permits, such as modifications • and remodels, are actually up in 2009. Ms. Baldwin pointed out that these sets of services, which are most volatile during the economic downturn, are being tracked monthly. Not shown on these charts, Food Service has shown a decrease in the number of restaurants, and an increase in food workers, likely due to turnover. License renewal fees are down in 2009. Legislative Update Dr. Locke referred to the packet document, House Bill Report ESHB 1703, regarding childhood immunization exemptions. He noted that Representative Cody's bill was in response to national and state decreasing immunization trends. It requires parents/guardians to provide an explanation of the reason for an exemption request. He said there are critical numbers for each of the vaccines. In dropping below certain thresholds the population becomes susceptible to outbreaks, and that point has been reached. He said this measure would represent a significant change in Washington's personal exemption law. There does not seem to be serious support for repealing the exemption, as some states have done. The only other immunization bill still under active consideration is a pilot project for flu vaccination in schools, which is indirectly aimed at reducing personal exemptions. Although influenza vaccine is not mandatory in this State, experience in other states shows that offering vaccinations in the schools would improve immunization rates, in general. • A few initial bills aimed at further regulating vaccines have been dropped. Dr. Locke mentioned two examples: one bill required notification that vaccination represented exposure to hazardous substances; another bill required pharmaceutical manufacturers to take back unused drugs for proper disposal. He said removal of drug compounds from public water treatment systems and from private septic systems remains unresolved. One important goal is to stop people from flushing pills down their toilets. Dr. Locke mentioned a plan by two pharmacists in Sequim to collect unused drugs (not including controlled substances) and transfer them to the Sheriff for transportation to Spokane for incineration. Jefferson County does not have pharmacies willing to offer this service. There was a brief discussion about special disposal containers for drugs. Jean Baldwin said that the Solid Waste Advisory Committee had considered but not funded that measure due to limited funds. She reviewed other educational activities that had been done related to water quality. In summary, Dr. Locke stated that the key to legislative outcomes is budgets. He said the session is scheduled to run through the last Sunday of April. All bills must be passed by April 17. Health Heroes Award Nominations Roberta Frissell reported that ten Health Hero applications were received. The subcommittee • (Julia Danskin and Roberta Frissell) is recommending that six awards and four honorable mentions be granted in 2009. Referring to the written report to the BOH included in the packet, Page 7of9 she stepped through each of the awards and read laudatory excerpts from the application documents. • 1. Community Supporters of Jefferson County School Based Health Centers including the Boeing Blue Bills, Peninsula Floors and Furnishings, Assoc. Student Body Port Townsend HS, McCrorie Carpet One, J. Dean Burton and Kevin Nighswonger—for their contributions to the Health of School Age Children. 2. Marilyn Brown, Quilcene—for her role in creating and sustaining the South County Playgroup. 3. Gary Fell—for 6 years of service as volunteer Communication Coordinator at Jefferson County Emergency Operation Center and Coordinator/trainer for the local HAM radio group. 4. Judith Rubin—for community tree planting over the past 5 years involving school kids and restoration of fish/wildlife habitat. 5. Nancy Speser—for her Public Health promotion through water safety classes and water exercise for adults, and commitment to the community to improve safety and health for all. 6. All of Jefferson County—for 10 years of support for the local Nurse Family Partnership Program. Member Frissell said that, if the awards are approved by the BOH, the first five will be awarded at the BOH meeting on April 16. David Sullivan has been invited to receive the sixth award on behalf of the citizens of Jefferson County at the "Our Kids: Our Business" Luncheon on March 27, 2009. Member Frissell also announced the list of Honorable Mentions: • 1. Carrie Lennox, Jefferson County Parks and Recreation for her promotion of healthy activities and diet for young families; 2. Duke (John) Shold—for his contributions to community health and wellness in his role as installer of onsite sewage systems over the past 35 years 3. JoAnn Porter—for her spirit, enthusiasm and work helping others as a Vista Volunteer 4. Scott Swantner—for his work as plumber, contributing to the community by ensuring access to clean water and plumbing services. Member Austin moved that the BOH approve the above nominations for awards; Member Sullivan seconded the motion. The motion was approved unanimously. Julia Danskin confirmed that the nurses from Nurse Family Partnership Program and some families will be present for the luncheon awards. Roberta Frissell said that there will be certificates for both the Health Hero and the Honorable Mention award recipients, all of whom will be invited to the April BOH meeting. Newspaper coverage including photos of recipients will also be arranged. The Elks Club Luncheon event will be televised. Member Austin offered to arrange a BOCC proclamation regarding Public Health Week, April 6-14. If possible, a banner celebrating the Public Health Heroes will also be obtained. Page 8 of 9 w • Agenda Planning Health Hero Awards will be given at the beginning of the April 16 meeting. Budget updates and related County issues will also be on the agenda. Chair Westerman requested that a copy of the BOH bylaws be included in the packet to enable a review of rules, requirements and procedures. Adjournment Chair Westerman adjourned the meeting at 4:18 PM. JEFFERSON COUNTY BOARD OF HEALTH Excused Sheila Westerman, Chair Phil Johnson, Member Absent Absent IIIChuck Russell, Vice-Chair Michelle Sandoval, Member Roberta Frissell, Member David Sullivan, Member John Austin, Member 411 Page 9of9 • JEFFERSON COUNTY BOARD OF HEALTH • MINUTES Thursday, March 19, 2009 2:30 PM—4:30 PM Health Department Conference Room, 615 Sheridan Street, 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, County Commissioner,District#3 Julia Danskin,Nursing Services Director Michelle Sandoval,Port Townsend City Council Sheila Westerman, Chair, Citizen at large(City) Chuck Russell, Vice Chair,Hospital Commissioner,District#2 Roberta Frissell, Citizen at large(County) Chair Westerman called the meeting of the Jefferson County Board of Health to order at 2:30 PM. Members Present: John Austin, Roberta Frissell, David Sullivan, Sheila Westerman Excused: Phil Johnson Absent: Chuck Russell, Michelle Sandoval • Guest: Frances Joswick, SAAB Staff Present: Jean Baldwin, Dr. Thomas Locke, Julia Danskin A quorum was present. APPROVAL OF AGENDA Member Austin suggested that, under New Business, item 6 be moved to item 1. Member Frissell moved and Member Sullivan seconded for approval of the agenda with that change. The agenda was approved unanimously, as amended. APPROVAL OF MINUTES Correction - page 3, section on 2008 State Board of Health Annual Report, paragraph 1: The second sentence should read"Member Austin stated that the State Board of Health is not on the list to be eliminated, while the Ferry Advisory, EcoSystem Council and many other Boards/Councils will be eliminated". Member Austin moved for approval of the minutes, as amended; Member Frissell seconded. The minutes of February 19, 2009 were approved, as amended. • Page 1 of 9 PUBLIC COMMENTS There were no public comments. • OLD BUSINESS Regional Influenza Activity Dr. Locke stated that the flu season was at its peak in the northwest, and that the peak was persisting on the East coast, particularly in the Southeast. During the previous week, there had been a slight drop off but there was no certainty that incidence would not rise again. Reports from schools and hospitals indicate higher than usual seasonal changes. The figures are not yet available on the percentage of people who were vaccinated, although the amount of vaccine produced was the largest amount on record. The type of flu circulating in the Northwest is the H1N1 strain that is highly resistant to oseltamivir phosphate (Tami-flu), the widely used anti- viral medication. This year influenza B is also prevalent; this is a milder form of flu which does not produce pandemics. Dr. Locke expected that within a month the peak would be past. However, full data about mortality levels and vaccination rates would not be available until mid- summer. There was a brief follow up discussion on how flu incidence and mortality data is collected and interpreted. Death with Dignity Act and Vital Records Registrars Dr. Locke noted that one of the more obscure functions of Health Officers is to serve as Vital • Records Registrars for the County. This includes certification of death certificates and issuance of burial transit permits. One requirement of the Death with Dignity Act is that suicide may not be listed as the cause of death. In response to a question with regard to tracking the number of suicides over time, Dr. Locke said that he believes there are such provisions in the Act, but that the statistics are definitely not tracked via the death certificates. Public Health Funding Letter Jean Baldwin referred to the copy of the letter in the packet to Senator Jim Hargrove from the BOH. There was a discussion about the status of funding overall. Jean Baldwin said that in her understanding Lynn Kessler supported retaining current funding. Dr. Locke said that legislative deliberations were still going on and that the final budget forecast was in progress. There were expectations of up to a$9 billion dollar State deficit/gap in revenue. He understood that there would be about $2.5 billion in federal stimulus funding in the budget. Jean Baldwin reported that maternity support (Nurse Family Partnership) appears to be safe through June 2009. She also discussed the County shortfall of tax, investment revenue, and timber dollars. Department heads are meeting with the County Administrator to review the long and short term prognoses. Mr. Morley is seeking to implement some action in April to address the shortfall, which may include personnel changes. Certain departments may also be asked to stop spending General Fund allocations for this fiscal year. She said that once the implications for the Public Health Department are clear, she will bring the options forward to the BOH. • Page 2 of 9 • There was additional discussion acknowledging the complexity and dynamic nature of evolving budget information at the federal and state level. Ms. Baldwin said she was pleased to see that the Obama Administration has given some priority to Nurse Family Partnership as part of a national program of long range prevention. She also sees the appointment of Seattle Police Chief Gil Kerlikowske to head the Office of National Drug Control Policy as a positive sign; Mr. Kerlikowske has a reputation for supporting drug use prevention in addition to enforcement. Member Sullivan also pointed out that elimination of a particular government department does not necessarily mean that the associated services will be unfunded. Our Kids: Our Business Julia Danskin referred to the packet materials, noting one change to planned events for March and April. Seattle Police Chief Gil Kerlikowske, who was one of two planned speakers at the March 27 Kick Off luncheon, will be in Washington DC at the time. Laura Wells, Director of Fight Crime: Invest in Kids and assistant to Chief Kerlikowske will speak in his place. Dr. Claudia Black, writer and researcher on the effects of drugs and alcohol on families, will also speak. Member Sullivan will be accepting an award on behalf of the Board of Health. She also invited BOH members to sign the Our Kids: Our Business Call to Action pledge; names of those who sign will be published in the Leader in May. Chair Westerman suggested that individual member names appear together under Board of Health. Members Austin and Sullivan moved and seconded that Chair Westerman's suggestion be adopted,which was approved unanimously. Ms. Danskin also pointed out the two planned training sessions on Adverse Childhood Experiences scheduled for April 14 and April 20. Jean Baldwin said that this is an excellent opportunity to hear about issues and concerns from the community. It may be the last time that funding is available for this type of educational session. More information on all events and activities can be found at www.jeffcocommunitynetwork.org NEW BUSINESS Substance Abuse Advisory Board Appointments Member Austin spoke on behalf of the SAAB subcommittee in presenting the recommendation to approve the membership of Raymond Hunter and Tony Hernandez to the Substance Advisory Board. He provided brief background information on Mr. Hunter, a long time active Jefferson County resident. Tony Hernandez, formerly Undersheriff, has a great deal of relevant experience and knowledge, and was recently appointed by the BOCC to replace retiring Sheriff Mike Brasfield. Member Austin moved that both appointees, Sheriff Hernandez and Mr. Hunter, be approved for SAAB membership; Member Sullivan seconded. The motion was • unanimously approved. Page 3 of 9 Substance Abuse Advisory Bylaws—Request for Review and Approval • This item was moved up on the agenda in order to accommodate Ms. Joswick's schedule. Chair Westerman acknowledged the importance for regular review and update of the bylaws for any organization, and commended SAAB Chair Joswick for having undertaken this update. Ms. Joswick noted that the SAAB had found and corrected omissions and necessary changes; they requested BOH approval of the updated bylaws. She said the revised document (copy included in packet) had been reviewed by Deputy Prosecutor Alvarez. Jean Baldwin pointed out a correction (page 1, Article III: Duties), i.e., that the SAAB nominates to the BOH, not the BOCC. Member Sullivan pointed out that the change must also be made on page 2, in the first sentence under Article IV: Membership. The extra period following the last sentence on page 1 was identified for removal. In response to a question, Ms. Joswick confirmed that the current composition of the SAAB is 12 members, including the two new appointees. Member Austin moved to approve the bylaws as amended by the BOH. Member Sullivan seconded the motion. Jean Baldwin sought clarification regarding the Article VII section on Resignations. Ms. Joswick explained that the SAAB recommends having resignations and removals to be approved by the BOH,just as appointments are. There was also clarification on the responsibility of SAAB for maintaining the master copy of the bylaws and of providing • copies to the BOH and BOCC. The motion to approve the updated SAAB bylaws, as amended,was unanimously approved. Ms. Joswick said she would process the changes through the SAAB Secretary, and send amended copies to Jean Baldwin for official processing and filing. Ms. Joswick then provided a brief status report on SAAB activities. She said she is proud of the work of the board subcommittees in three areas: community education, resource brochure, as well as intervention,treatment and after care. The relapse prevention program at the jail is flourishing. Pat Wiggins continues to communicate with Ms. Joswick on a regular basis. Her only concern is that the program is currently underfunded, but she is optimistic that the County Administrator and the City of Port Townsend will be successful in obtaining stimulus funds that are available for this type of program Meanwhile, there have been no returns, to date, of people who have been through the drug anti- recidivism program, which began on October 1, 2008. The recidivism rate (%) was in the high 60s. The program is totally voluntary; participants get appropriate after care education and support with AA (Alcoholics Anonymous). That is, AA representatives visit the jail three times per week to establish contact and provide information prior to release from jail, so the support system is already in place when inmates leave. Jean Baldwin added that Pat Wiggins is paid from the 1/10th of one percent fund. • Page 4 of 9 r Julia Danskin referred to the copy of the March 12 letter in the packet from the SAAB to the • BOH. She noted that item 2 requests the removal of Nicole Black from the SAAB. Member Austin moved that the BOH remove Nicole Black from the SAAB because of her failure to meet her obligations as a Board member, and that a letter acknowledging her past work on the Board be sent to her. It was agreed that the letter would be signed by the Board of Health. Julia Danskin agreed to write the letter indicating the BOH action and include appreciation of Ms. Black's SAAB work. Roberta Frissell seconded the motion. The BOH approved the motion unanimously. 2008 Jefferson County Public Health Performance Measures Julia Danskin reviewed the 2008 reports for performance measures. This year there is an additional section Study/Analysis of Results, which provides department reflections on the results. This was motivated by the Public Health Standards Review last year, which indicated that perhaps there had been insufficient attention to the Study portion of the Plan, View, Act, Study cycle. She said staff, particularly Environmental Health, employees found the exercise to be worthwhile. Jean Baldwin noted that this material could show certain economic indicators. The recession started to be seen in 2007, as Environmental Health permits dropped off, and then dropped more drastically in 2008. She noted that other areas did not show the same indications until later. For example, the total number of people in WIC rose early and continued to rise. Child Protective Services referrals to PH rose from 30 to 40 and continue to rise. She also pointed out the sharp • rise in confirmed communicable disease reports from 2007 to 2008. Member Austin raised the topic of the percentage of people opting out of vaccinations. Chair Westerman reviewed the past attempts of the BOH to address this problem through education and work with the schools. She said that there is a fairly large group of parents who are convinced that their children are better off without vaccinations. She said that some people are not acknowledging their responsibility to the community. There was acknowledgement that Jefferson County has one of the lowest vaccination rates in the State. Member Sullivan added that lack of trust in the health care system and government are also a factor. Member Frissell noted that policy changes were occurring at the national level and that it would be prudent to take advantage of that shift. Member Austin suggested that perhaps the matter should be taken up again with the State Board of Health. Dr. Locke said that this is a priority issue for the Washington State Medical Association. Both the National and State Academies of Pediatrics are attempting to promote discussions between parents and their most trusted health advisors. He reviewed the passage of a new bill through the House. It requires a medical certificate indicating that one has been fully informed of benefits and risks of vaccination and is hoped to have a significant impact on reducing "convenience exemptions". It is believed that about half of the exemptions are convenience exemptions, i.e. not based on philosophical objections to vaccinations but rather done because easy access to vaccinations is lacking. There was further discussion about the ongoing efforts of the Health Department to keep school personnel up to date regarding the purpose and process for exemptions. Jean Baldwin said that Page 5 of 9 the hospital and all the clinics participate with the Child Profile database system, allowing all shots in Jefferson County to be tracked. Dr. Locke suggested that the new legislative actions • should be publicized to draw attention to the issue throughout the County. Another idea is to meet with or set up a presentation to groups of parents that are opposed to vaccination. Jean Baldwin noted that progress is being made with some vaccines, including HPV. She said that funding through Bill 5930 to increase immunization rates has been well used, and that details of the overall program would be shared with the BOH in the future. Chair Westerman referred to the on site sewage program statistics. She briefly reviewed the history of this issue within the BOH, noting that monitoring had not worked out as planned. The report (page 2 of 2 —Onsite Sewage Program) shows that implementation will now focus on coordination with private contractors. There has been a decrease in monitoring inspections which is likely related to the fact that the PUD had been charging only $50 for monitoring; the charge is now cost-based at about $200. She said that, in her understanding, relatively infrequent testing is being offered due to staffing constraints. She inquired if it would be possible to offer the test more frequently, by finding ways to minimize the direct staff oversight of the test. Jean Baldwin said that that area of the department had been reduced by two staff members last year, and that the test was being offered every two months. She said that staff was looking into other options. Chair Westerman said that she believed the BOH and Health Department should strive to find ways to facilitate the success of private entrepreneurs in this area, presenting a better face to the public. She offered to assist by monitoring the testing herself, particularly for those being retested. Dr. Locke mentioned training offered by WOSA, as well as the possibility of reciprocity across counties. There was agreement that every attempt should be made to move • forward on this issue. If at all possible, the retesting should be offered on a more frequent basis. Jean Baldwin provided a brief overview of what would be involved in developing a reciprocal arrangement among neighboring counties. This will require extended planning with the Kitsap and Clallam Boards of Health, and some forms of standardization. 2009 Activities Update Jean Baldwin explained the set of Program Service Activity graphs and charts for WIC, Family, Maternity Support, Immunization, and On-Site Septic services, dated March 12, 2009. She noted that the scales and parameters differed among the various graphs and services. Julia Danskin pointed out the steep increase in WIC activity in the second half of 2008 over the previous months and over 2007. The increase has continued into January and February of 2009. Ms. Baldwin briefly reviewed the results for other services. Family Planning is showing a modest rise in client visits. Maternity Support has dropped off in February 2009, which is not fully explained as yet. Immunization Services showed a slight 2008 increase over 2007. Traveler Immunization tracked closely with the previous year in 2008 and is down in 2009. On-Site new septic permits are Page 6 of 9 down 40% in 2009 over previous years. However, other septic permits, such as modifications • and remodels, are actually up in 2009. Ms. Baldwin pointed out that these sets of services, which are most volatile during the economic downturn, are being tracked monthly. Not shown on these charts, Food Service has shown a decrease in the number of restaurants, and an increase in food workers, likely due to turnover. License renewal fees are down in 2009. Legislative Update Dr. Locke referred to the packet document, House Bill Report ESHB 1703, regarding childhood immunization exemptions. He noted that Representative Cody's bill was in response to national and state decreasing immunization trends. It requires parents/guardians to provide an explanation of the reason for an exemption request. He said there are critical numbers for each of the vaccines. In dropping below certain thresholds the population becomes susceptible to outbreaks, and that point has been reached. He said this measure would represent a significant change in Washington's personal exemption law. There does not seem to be serious support for repealing the exemption, as some states have done. The only other immunization bill still under active consideration is a pilot project for flu vaccination in schools, which is indirectly aimed at reducing personal exemptions. Although influenza vaccine is not mandatory in this State, experience in other states shows that offering vaccinations in the schools would improve immunization rates, in general. • A few initial bills aimed at further regulating vaccines have been dropped. Dr. Locke mentioned two examples: one bill required notification that vaccination represented exposure to hazardous substances; another bill required pharmaceutical manufacturers to take back unused drugs for proper disposal. He said removal of drug compounds from public water treatment systems and from private septic systems remains unresolved. One important goal is to stop people from flushing pills down their toilets. Dr. Locke mentioned a plan by two pharmacists in Sequim to collect unused drugs (not including controlled substances) and transfer them to the Sheriff for transportation to Spokane for incineration. Jefferson County does not have pharmacies willing to offer this service. There was a brief discussion about special disposal containers for drugs. Jean Baldwin said that the Solid Waste Advisory Committee had considered but not funded that measure due to limited funds. She reviewed other educational activities that had been done related to water quality. In summary, Dr. Locke stated that the key to legislative outcomes is budgets. He said the session is scheduled to run through the last Sunday of April. All bills must be passed by April 17. Health Heroes Award Nominations Roberta Frissell reported that ten Health Hero applications were received. The subcommittee (Julia Danskin and Roberta Frissell) is recommending that six awards and four honorable • mentions be granted in 2009. Referring to the written report to the BOH included in the packet, Page 7of9 she stepped through each of the awards and read laudatory excerpts from the application documents. • 1. Community Supporters of Jefferson County School Based Health Centers including the Boeing Blue Bills, Peninsula Floors and Furnishings, Assoc. Student Body Port Townsend HS, McCrorie Carpet One, J. Dean Burton and Kevin Nighswonger—for their contributions to the Health of School Age Children. 2. Marilyn Brown, Quilcene—for her role in creating and sustaining the South County Playgroup. 3. Gary Fell—for 6 years of service as volunteer Communication Coordinator at Jefferson County Emergency Operation Center and Coordinator/trainer for the local HAM radio group. 4. Judith Rubin—for community tree planting over the past 5 years involving school kids and restoration of fish/wildlife habitat. 5. Nancy Speser—for her Public Health promotion through water safety classes and water exercise for adults, and commitment to the community to improve safety and health for all. 6. All of Jefferson County—for 10 years of support for the local Nurse Family Partnership Program. Member Frissell said that, if the awards are approved by the BOH, the first five will be awarded at the BOH meeting on April 16. David Sullivan has been invited to receive the sixth award on behalf of the citizens of Jefferson County at the "Our Kids: Our Business" Luncheon on March 27, 2009. Member Frissell also announced the list of Honorable Mentions: . 1. Carrie Lennox, Jefferson County Parks and Recreation for her promotion of healthy activities and diet for young families; 2. Duke (John) Shold—for his contributions to community health and wellness in his role as installer of onsite sewage systems over the past 35 years 3. JoAnn Porter— for her spirit, enthusiasm and work helping others as a Vista Volunteer 4. Scott Swantner—for his work as plumber, contributing to the community by ensuring access to clean water and plumbing services. Member Austin moved that the BOH approve the above nominations for awards; Member Sullivan seconded the motion. The motion was approved unanimously. Julia Danskin confirmed that the nurses from Nurse Family Partnership Program and some families will be present for the luncheon awards. Roberta Frissell said that there will be certificates for both the Health Hero and the Honorable Mention award recipients, all of whom will be invited to the April BOH meeting. Newspaper coverage including photos of recipients will also be arranged. The Elks Club Luncheon event will be televised. Member Austin offered to arrange a BOCC proclamation regarding Public Health Week, April 6-14. If possible, a banner celebrating the Public Health Heroes will also be obtained. 111 Page 8 of 9 • Agenda Planning Health Hero Awards will be given at the beginning of the April 16 meeting. Budget updates and related County issues will also be on the agenda. Chair Westerman requested that a copy of the BOH bylaws be included in the packet to enable a review of rules, requirements and procedures. Adjournment Chair Westerman adjourned the meeting at 4:18 PM. JEFFERSON COUNTY BOARD OF HEALTH Excused Sheila Westerman, Chair Phil Johnson, Member Absent Absent Chuck Russell, Vice-Chair Michelle Sandoval, Member • Roberta Frissell, Member David uilivan, Member John`Austin, Member • Page 9of9 • Board of Health Ord-Business .agenda Items # IV., 2 • Public HeaCth Week Proclamation by BOCC Ayrili6, 2009 ! ti;On 11 II! 0," 95111\GCS it I PRO I i WHEREAS, our nation spends more on health care than any other country, yet our health jQ system is failing and we are not as healthy as we could be; and ! WHEREAS, American infants are three times more likely to die than those born in other I, 1 developing countries; and WHEREAS, low income populations face difficulties in purchasing health insurance and are !� less likely to access preventive health care;and II WHEREAS, 16% of children age 5 to 17 live below the federal poverty level in Jefferson I I County; one third are considered low income; and II' Ii WHEREAS, despite these challenges, public health professionals in Jefferson County have I jl contributed to dramatic progress in the past 10 years in community health by decreasing child �!� I abuse through nurse home visits to families, decreasing the number of premature infants, !! 11 attributable to the WIC nutrition program, giving children a good start in life, and protecting water I+ I quality by monitoring beaches and septic systems; and 1�I ►�1. WHEREAS, there can be no successful health reform without the support of a strong public �! ► ealth infrastructure, reducing the cost of overall health care by supporting prevention strategies II !Ruch as tobacco prevention programs and familyplanningprograms; and I' I i I WHEREAS, by supporting our nation's public health system, we can build on the successes !► of the past and establish the solid foundation needed for a healthy community; ij NOW, THEREFORE, the Jefferson County Board of Commissioners do hereby proclaim the week of April 6 through 12, 2009 as: ! National Health � 1 in Jefferson County and call upon all citizens to observe this week by helping our families,friends, ,, neighbors, co-workers and leaders better understand the importance of public health to a successful health system, in light of this year's theme, "Building the Foundation for a Healthy America." PROCLAIMED this 6th day of April,2009. SEAL: - , , F, -.- til,/,,� JEFFERSON COUNTY tv BOARD OF CO's/1M10 ERS 4 , 1.' �.e, ': .k Dav -. utlivlan, al Mari .... 4 ' ,{ '' Phil dhns�n ember TTES A ' ' " `, ' `' �b ll �` f4 John Austro, lIem her ulie Matthes,CMC '()F:i t',,' a Deputy Clerk of the Board • Board of Health Oki-Business .agenda Item # IV., 3 • MuCti County Public Health Nlutual Aid Agreement .�.prili6, 2009 ti jrr PUBLIC HEALTH INTER-JURISDICTIONAL . MUTUAL AID AGREEMENT This Public Health Inter-Jurisdictional Mutual Aid Agreement("Agreement") is made and entered into by the signatory Health Department or signatory Health District, or signatory County within the State of Washington that operates a public health department or division within its county government, ("Party HD") individually with all other signatory Party HDs legally joining the Agreement. PURPOSE The undersigned Party HDs confront numerous threats to public health, including but not limited to, Public Health Incidents, Emergencies and/or Disasters that could overwhelm the capabilities of an immediate local or regional response. None of the Party HDs to this Agreement possesses all of the necessary resources to cope with every possible Public Health Incident, Emergency or Disaster by itself, and a more efficient,effective response can best be achieved by the application and leveraging of collective resources. Each Party HD desires to voluntarily aid and assist each other by the interchange of public health resources and services in the event that a Public Health Incident, Emergency or Disaster situation should occur. The Party HDs find it necessary and desirable to execute this Agreement for the interchange of such mutual Assistance on a county, regional and/or statewide basis. • The Party HDs to this Agreement have determined it is in their collective best interest to develop and implement a Plan, and incorporate mutual aid response into their existing emergency response plans. Training and exercising Mutual Aid protocols, in advance of a Public Health Incident, Emergency or Disaster, will enhance the efficiency and effectiveness of each responding party. The Party HDs desire to cooperate with one another to receive state and/or federal resources provided such cooperation does not compromise a Party HD's public health response. The Party HDs desire to engage in frequent consultation and to allow free exchange of information, plans, and resource records related to Assistance activities. ARTICLE I DEFINITIONS Assisting Party HD: A Party HD providing Assistance to a Requesting Party HD from another jurisdiction that has requested Assistance to confront a Public Health Incident, Emergency or Disaster. Assistance: Assistance means personnel, equipment, materials, supplies, facilities, services, and/or related resources. • 1 x\ Authorized Representative: The person or persons designated by each Party HD in the Plan to request Assistance from or grant Assistance to another Party HD pursuant to the terms of this • Agreement. Mutual Aid: A prearranged written Agreement and Plan whereby Assistance is requested and may be provided between two or more jurisdictions during a Public Health Incident, Emergency or Disaster under the terms of this Agreement. Period of Assistance: The period of time beginning with the departure of any personnel, equipment, materials, supplies, services, and/or related resources of the Assisting Party HD from any point for the purpose of traveling to provide Assistance exclusively to the Requesting Party HD, and ending on the return of all of the Assisting Party HD's personnel, equipment, materials, supplies, services, and/or related resources to their regular place of work or assignment, or otherwise terminated through written or verbal notice of the Authorized Representative of the Assisting Party HD. With respect to facility use, the Period of Assistance shall commence on the date agreed upon between the Requesting and Assisting Party HD and shall end when the Requesting Party HD returns possession of the facility to the Assisting Party HD, or when otherwise terminated through written or verbal notice of the Authorized Representative of the Assisting Party HD. Plan: a written public health inter jurisdictional Mutual Aid Plan that meets the requirements set forth in Article VII. Public Health Incident, Emergency, or Disaster: Any occurrence, or threat thereof, whether natural or caused by man, in war or in peace,to which any Party HD may respond pursuant to its • authority under chapter 70.05 or 70.46 RCW, or other applicable law, and that, in the judgment of the Requesting Party HD,results or may result in circumstances sufficient to exceed the capabilities of immediate local or regional public health response. Requesting Party HD: A Party HD that has requested Assistance from a Party HD from another jurisdiction participating in this Agreement. ARTICLE II IMPLEMENTATION This Agreement shall become effective immediately upon its execution by any two Party HDs. After the first two such executions, this Agreement shall become effective as to any other Party HD in the State of Washington upon its execution by such Party HD. The Agreement shall remain in effect as between each and every Party HD until participation in this Agreement is terminated by a withdrawing Party HD in writing pursuant to Article XVII. Termination of participation in this Agreement by a withdrawing Party HD shall not affect the continued operation of this Agreement as between the remaining Party HDs. • 2 v ARTICLE III • PARTICIPATION The Party HDs have a desire to be of help to one another in response to a request for Assistance related to a Public Health Incident, Emergency or Disaster. The Party HDs agree that this Agreement,however, does not create a legal duty to provide Assistance. The Party HDs agree that any and all actions taken pursuant to this Agreement shall be voluntary and in each Party HD's sole discretion. A Party HD may elect to voluntarily furnish such Assistance to another Party HD as is available, and shall take into consideration whether such actions might unreasonably diminish its capacity to provide basic public health services to its own jurisdiction. ARTICLE IV HOW TO INVOKE ASSISTANCE The Authorized Representative of a Party HD may request Assistance of another Party HD by contacting the Authorized Representative of that Party HD. The provisions of this Agreement shall only apply to requests for Assistance made by and to Authorized Representatives or their designee. Requests may be verbal or in writing. If verbal, the request shall be confirmed in writing before the Period of Assistance begins to the extent it is practical. ARTICLE V • LIABILITY RELATED TO DELAY OR FAILURE TO RESPOND No Party HD shall be liable to another Party HD for, or be considered in breach of or default under this Agreement on account of any delay in or failure to perform any obligation under this Agreement, except to make payment as specified herein. Nothing in this Agreement shall be construed to create any rights in or duties to any third party, nor any liability to or standard of care with reference to any third party. This Agreement shall not confer any right or remedy upon any person other than the Party HDs. This Agreement shall not release or discharge any obligation or liability of any third party to any Party HD. ARTICLE VI WITHDRAWAL FROM ASSISTANCE An Assisting Party HD may withdraw Assistance by giving verbal or written notice to the Requesting Party HD. Each Assisting Party HD that is providing Assistance to a Requesting Party HD agrees to give reasonable notice to the Requesting Party HD under the circumstances as they exist at the time before withdrawing Assistance.No Party HD shall be liable to another Party HD for, or be considered in breach of or default under this Agreement on account of, any withdrawal of assistance. • 3 w ARTICLE VII PLANNING, MEETING AND TRAINING • Party HDs are expected to: 1) ensure that other Party HDs have their most current contact information; 2) participate in scheduled meetings to coordinate operational and implementation matters, and 3) participate in the creation of a public health inter jurisdictional Mutual Aid Plan that will contain, among other things, current contact information, inventory of resources available for Assistance, training planning, and agreed upon forms to be used related to this Agreement. Party HDs agree to incorporate protocols related to this Agreement into regular emergency preparedness exercises and trainings, and will train in accordance with the Plan. Requesting Party HDs agree to provide"Just In Time Training" during Public Health Incidents, Emergencies or Disasters on their policies, procedures and protocols for Assisting Party HD personnel. Party HDs agree to exchange their emergency preparedness plans, and other documents that may be beneficial in preparing personnel from another Party HD to respond to a request for Assistance. ARTICLE VIII COMMAND AND CONTROL . Resources from the Assisting Party HD shall be under the operational control of the Requesting Party HD's public health leadership. All personnel provided by an Assisting Party HD will be under the authority of the Local Health Officer in the Requesting Party HD. The Party HDs intend to follow the National Incident Management System's "Incident Command System" when such system is activated. ARTICLE IX ASSISTING PARTY EMPLOYEES Employees of an Assisting Party HD shall at all times while performing Assistance continue to be employees of the Assisting Party HD for any purpose. Wages, hours and other terms and conditions of employment of Assisting Party HD shall remain applicable to all of its employees who perform Assistance under this Agreement. Assisting Party HD shall be solely responsible for payment of its employees' wages,any required payroll taxes and any benefits or other compensation. Requesting Party HD shall not be responsible for paying any wages, benefits, taxes or other compensation to Assisting Party HD's employees. • 4 .,r ARTICLE X • INJURY COMPENSATION AND DEATH BENEFITS Each Party HD shall provide for the payment of Workers' Compensation benefits to its own injured personnel and/or to representatives of its own personnel in case such personnel sustain injuries or are killed while rendering aid under this Agreement, in the same manner and on the same terms as if the injury or death were sustained within its own jurisdiction. Nothing in this Agreement shall abrogate or waive any Party HD's right to reimbursement or other payment available from any local, state or federal governments or abrogate or waive the effect of any waiver, indemnity or immunity available to a Party HD under local, state or federal law or other governmental action. To the extent that such reimbursement, payment, waiver, indemnity or immunity does not apply, then each Party HD shall remain fully responsible as employer for all taxes, assessments, fees, premiums, wages,withholdings, Workers' Compensation, and other direct and indirect compensation, benefits, and related obligations with respect to its own employees. Each Party HD shall provide Workers' Compensation in compliance with the statutory requirements of the State of Washington. ARTICLE XI REIMBURSEMENT OF COSTS AND CONDITIONS OF LOAN The Requesting Party HD agrees to reimburse the Assisting Party HD for the costs of personnel, equipment, materials, supplies, facilities, services, and/or related resources used during the Period of Assistance on the basis of mutually accepted costs associated with these resources. When an Assisting Party HD deploys employees under the terms of this Agreement to a Requesting Party HD, the Assisting Party HD will be reimbursed by the Requesting Party HD equal to the Assisting Party HD's full cost, including employee's salary or hourly wages, call back or overtime costs, benefits and overhead, and consistent with the Assisting Party HD's personnel union contracts, if any, or other conditions of employment. Reusable materials and supplies that are returned to the Assisting Party HD in clean, damage free condition, excepting normal wear and tear, shall not be charged to the Requesting Party HD and no rental fee shall be charged. The Assisting Party HD shall determine whether items are returned in clean and damage free condition, and any items found to be damaged shall be treated as partially consumed and/or as non-returnable materials and supplies. The Assisting Party HD shall be entitled to receive payment for the cost of repair or replacement of damaged and consumed materials and supplies. The Assisting Party HD shall send the Requesting Party HD an invoice or invoices for all valid Assistance Costs and the Requesting Party HD shall pay the invoice(s) within sixty (60) days of receipt of each invoice. • 5 ARTICLE XII WORKER REGISTRATION, LIABILITY AND DISPUTE RESOLUTION • 1. WORKER REGISTRATION AND LIABILITY. The Party HDs to this Agreement agree that each will take all actions necessary to qualify and maintain qualification of its own personnel, employees and volunteers as emergency workers, or covered volunteer emergency workers, as appropriate,pursuant to RCW 38.52 et seq.,WAC 118-04 et seq., and any other applicable statute, regulation or law. The Party HDs agree that prior to invoking a request for Assistance under this Agreement, the Requesting Party HD, through its local department of emergency management, will request the issuance of a mission number from the Washington military department, emergency management division. A Party HD may condition its willingness to respond and the continuance of its response under this Agreement on the issuance of a mission number, and compliance with RCW 38.52 et seq., WAC 118-04 et seq., or other law, by the Assisting and Requesting Party HDs. 2. In the event local, state and/or federal governments or laws provide waiver, immunity, indemnification, reimbursement or other payment related to liability that would otherwise be the responsibility of a Party HD,then such waiver, immunity, indemnification, reimbursement or other payment shall limit a Party HD's liability. The Party HDs agree to exhaust their rights to waiver, immunity, indemnification, reimbursement or other payment from local, state, and/or federal governments. However, to the extent that local, state or federal governments or laws do not provide complete waiver, immunity, indemnification, reimbursement or other payment related to Party HD liability,then the following provisions will apply: A. Each party to this Agreement shall be legally responsible for its own acts and omissions arising under this Agreement, and that of its respective appointed and elected officials, employees, officers,agents, agencies, assigns and representatives. Each party agrees to defend, indemnify, and hold harmless the other party, and its respective appointed and elected officials, employees, officers, agents, agencies, assigns and representatives from and against any and all liability, loss, cost, damage and expense arising or alleged to have arisen directly or indirectly out of or in consequence of the performance of this Agreement by the indemnitor. B. GROSS NEGLIGENCE OR WILLFUL OR WANTON MISCONDUCT. Any Party HD shall not be required under this Agreement to release, indemnify, hold harmless or defend any other Party HD from any claim, loss,harm, liability, damage, cost or expense caused by or resulting from the activities of any Party HD's officers, employees, or agents acting in such a manner that constitutes willful misconduct, gross negligence or bad faith. C. LIABILITY FOR PARTICIPATION. In the event of any liability, claim, demand, action or proceeding, of whatever kind or nature arising out of the rendering of • Assistance through this Agreement,the Requesting Party HD agrees,to 6 V indemnify, hold harmless, and defend, to the fullest extent of the law, each • signatory to this Agreement, whose only involvement in the transaction or occurrence which is the subject of such claim, action, demand, or other proceeding, is the execution and approval of this Agreement. D. LITIGATION PROCEDURES. Party HD's personnel shall cooperate and participate in legal proceedings if so requested by another Party HD, and/or required by a court of competent jurisdiction. E. TORT CLAIMS ACT. No provision of this Agreement shall remove from any Party HD any protection provided by any applicable Tort Claims Act. F. WAIVER OF RIGHTS. Any waiver at any time by any Party HD of its rights with respect to a default under this Agreement, or with respect to any other matter arising in connection with this Agreement, shall not constitute or be deemed a waiver with respect to any subsequent default or other matter arising in connection with this Agreement. Any delay in asserting or enforcing any right, except those related to the statutes of limitations, shall not constitute or be deemed a waiver. 3. DISPUTE RESOLUTION. If a dispute between the parties to this Agreement arises out of or related to this Agreement, or the breach thereof, and if the dispute cannot be settled through direct discussions, the Party HDs agree to first endeavor to settle the dispute in • an amicable manner by mediation. Thereafter, any unresolved controversy or claim arising out of or related to this Agreement, or breach thereof, may be settled in a court having jurisdiction thereof. The Party HDs may seek to resolve disputes pursuant to mediation or arbitration, but are not required to do so. ARTICLE XIII LICENSES AND PERMITS When invoking Assistance, the Requesting Party HD shall define as precisely as possible the licensure requirements of personnel being requested from the Assisting Party HD. The Assisting Party HD agrees to exercise reasonable diligence in verifying personnel's licensure and in responding to the specific licensure requirements requested by the Requesting Party HD. • 7 tr ti ARTICLE XIV RECORD KEEPING • Time sheets and/or daily logs showing hours worked and equipment and materials used or provided by the Assisting Party HD will be recorded on a shift by shift basis by the Requesting Party HD and/or the loaned employee(s) and will be provided to the Assisting Party HD as needed. Additionally,the Assisting Party HD will provide shipping records for materials, supplies, equipment and/or related resources, and the Requesting Party HD is responsible for any required documentation of use of materials, supplies, equipment, facilities, services, and/or related resources for state or federal reimbursement. Under all circumstances, the Requesting Party HD remains responsible for ensuring that the amount and quality of all documentation is adequate to enable state or federal reimbursement. ARTICLE XV OTHER OR PRIOR AGREEMENTS This Agreement is not intended to be exclusive among the Party HDs. Any Party HD may enter into separate agreements with any other entity. No such separate agreement shall terminate any responsibility under this Agreement. ARTICLE XVI EFFECT OF DECLARATION OF EMERGENCY • The Party HDs recognize that state or federal declarations of emergency, or orders related thereto, may supercede the arrangements made or actions taken for rendering Assistance pursuant to this Agreement. ARTICLE XVII MODIFICATION/TERMINATION OF AGREEMENT No provision of this Agreement may be modified, altered or rescinded by any individual Party HD without the unanimous concurrence of the Party HDs. Modifications to this Agreement must be in writing and will become effective upon the approval of the modification by Party HDs. Modifications must be signed by each Party HD. A Party HD opting to terminate this Agreement shall provide written termination notification to the Authorized Representatives of all Party HDs. Notice of termination becomes effective upon receipt by all Authorized Representatives. Any terminating Party HD shall remain liable for all obligations incurred during its Period of Assistance until the obligation is satisfied. • 8 ARTICLE XVIII • ENTIRE AGREEMENT This Agreement constitutes the entire agreement amongst the Party HDs. ARTICLE XIX SUCCESSORS AND ASSIGNS This Agreement is not transferable nor assignable, in whole or in part, and any Party HD may terminate its participation in the Agreement pursuant to Article XVII. ARTICLE XX GOVERNING LAW This Agreement shall be interpreted, construed and enforced in accordance with the laws of the State of Washington. ARTICLE XXI INVALID PROVISION The provisions of this Agreement are severable. If any portion of this Agreement is determined by a court to be void, unconstitutional or otherwise unenforceable, the remainder of this Agreement will remain in full force and effect. ARTICLE XXII NOTICES Except as otherwise provided herein, any notice, demand, information, report, or item otherwise required, authorized or provided for in this Agreement shall be given in writing and shall be deemed properly given if(i) delivered personally, (ii)transmitted and received by telephone facsimile device and confirmed by telephone, (iii) sent by United States Mail, postage prepaid, to the Authorized Representatives of all affected Party HDs at the address designated by such Authorized Representative, or (iv) sent by email with electronic signature of the Party HD's Authorized Representative. S 9 ARTICLE XXIII NO DEDICATION OF FACILITIES • No undertaking by one Party HD to the other Party HD under any provision of this Agreement shall constitute a dedication of the facilities or assets of such Party HD,or any portion thereof,to the public or to the other Party HD. Nothing in this Agreement shall be construed to give a Party HD any right of ownership, possession, use or control of the facilities or assets of the other Party HD. ARTICLE XXIV NO PARTNERSHIP This Agreement shall not be interpreted or construed to create an association,joint venture or partnership among the Party HDs or to impose any partnership obligation or liability upon any Party HD. Further, no Party HD shall have any undertaking for or on behalf of, or to act as or be an agent or representative of, or to otherwise bind any other Party HD. i 10 This Agreement may be executed in two or more counterparts, each of which shall be deemed an IIII original, but all of which together shall constitute one and the same instrument. For purposes hereof, a facsimile copy of this Agreement, including the signature pages hereto, shall be deemed to be an original. IN WITNESS WHEREOF,this Agreement has been executed and approved and is effective and operative as to each of the Party HDs as herein provided. fdif / z,z, Jefferson CountyPublic Health Department '' El f t , �4 airy ; p /�7 rf JV�,^A . BY: civ s)e. A��N, C4-�� _ /- V A,,, f_ i' f' Its: C tr\t�' "WA V\ ..j:01.1 Co. Prose. iil Date: LA it o 1 O el 0 • 11 Board of Health Old Business .agenda Item # IV., 4 Letter for SAAB • Nlem6ership Removal A_priCi6, 2009 JEFFERSON COUNTY BOARD OF HEALTH ---------------- ---- • March 20, 2009 Nicole Black 1014 Duckabush Rd. Brinnon, WA 98320 Dear Nicole, On behalf of the Jefferson County Board of Health (BOH), I want to thank you for your contribution to the Substance Abuse Advisory Board(SAAB). Your enthusiasm has raised the awareness of the need for quality Drug and Alcohol treatment services in Jefferson County. The BOH understands you are busy and attending the SAAB meetings has been a challenge. However,the SAAB bylaws state that three consecutive unexcused absences constitute reason for removal. Based on your lack of attendance,the SAAB has requested that the BOH act to remove you from the SAAB. At the March 19th BOH meeting there was a vote,which passed,to approve the SAAB's request. shank you again for all your service Sincerely, fi Sheila Westerman Chair, Jefferson County Board of Health Cc Fran Joswick, Chair, Substance Abuse Advisory Board 615 Sheridan • Castle Hill Center. Port Townsend • WA (360) 385-9400 • Board of 3leaCtli Old Business Agenda Item #117., 5 • Tobacco Cessation Classes April16, 2009 • Tobacco Cessation Glasse a state-of-the-art cessation program developed to help smokers at all stages of the quitting process. Address the physiological addiction to nicotine as well as the social, psychological and emotional aspects of the smoking habit. • May 13-June 17 4:30-5:30. Meets for 6 Wednesdays Jefferson Healthcare Puget Room. FREE Registration: 385-2200 ext 2300 • Tobacco Cessation Support Group 2nd & 4th Wednesdays of each month 5:30-6:30 pm Jefferson Healthcare—Puget Room. Offered at no cost. • No need to sign up,just show up. For more information: 385-2200 ext 2300 • Board of 3fealth Netiv Business .agenda Item #`V., 1 • BOW- By Caws For Review Ayrill6, 2009 N • BYLAWS OF THE JEFFERSON COUNTY BOARD OF HEALTH ARTICLE 1. NAME The name of this organization shall be the Jefferson County Board of Health. ARTICLE II. PURPOSE The purpose of the Jefferson County Board of Health is to supervise all matters pertaining to the preservation of the life and health of the people of Jefferson County and to comply fully with the requirements of all applicable chapters of Title 70, Revised Code of Washington. The Board of Health shall: • Collect, analyze and disseminate to the community, through the Jefferson County Health& Human Services department. information about community health conditions, risks and resources, and the availability of • resources to address identified problems. • Enact such rules, regulations and policies as are necessary to preserve, promote and improve the health status of Jefferson County residents, and guide the allocation of appropriate and necessary public health resources. • Assure that necessary, high quality, effective public health services are available for the protection of the people of Jefferson County, including the control and prevention of any dangerous, contagious or infectious disease within the county. • Provide for the prevention, control and abatement of nuisances detrimental to public health. • Enforce, through the Health Officer, the public health statutes of the state and county. • Establish fee schedules for issuing and renewing licenses and permits, or for such other services as are authorized by the law and rules of the State Board of Health. • Jefferson County Board of Health Page 2 Bylaws ARTICLE III. REPRESENTATION • Membership: The Board of Health shall consist of 7 members, selected as follows: • Each member of the Jefferson County Board of County Commissioners shall serve as a member of the Board of Health for the duration of their elected term of office. • Four members of the Board of Health shall be appointed by the County Commissioners. Appointed members shall include one Port Townsend City Council Member and one Jefferson County Public Hospital District #2 Commissioner nominated by their respective organizations, plus two at-large community representatives. Terms: Appointed members shall serve for three year terms. Board of Health members may serve more than one term, including consecutive terms. Vacancies: In the event that a vacancy occurs for an appointed representative, the Board of County Commissioners shall appoint another representative within thirty (30) days of the date of vacancy. In the event that a vacancy occurs from the Port Townsend City Council or Jefferson County Hospital District #2,the City or District shall nominate another representative from their membership within thirty(30) days. Absences: Board members shall notify the Chairperson in advance if unable to attend any regular meeting of the Board of Health. Appointed Board members may • be removed from Board membership by action of the County Commissioners for lack of attendance. Three or more unexcused absences from regular Board of Health meetings in one calendar year will be considered cause for removal. ARTICLE IV. OFFICERS Chairperson: The presiding officer of the Board of Health shall be the Chairperson, who shall serve for a term of one (1) year. The Chairperson shall be selected by a majority vote of the Board members present at the first regular meeting of each year. Vice-Chairperson: At the same meeting, a Vice-Chairperson shall also be selected for a term of one (1) year, who shall preside over all proceedings of the Board in the absence of the Chairperson. Vacancies: In the event of a vacancy in the office of Chairperson, the Vice- Chairperson shall immediately assume the duties of the Chairperson for the remainder of the year. Another representative shall be selected to serve as Vice-Chairperson at the next regular or special meeting of the Board. Consecutive Terms: Board members shall not serve consecutive terms as Chairperson or Vice Chairperson. • Jefferson County Board of Health Page 3 Bylaws ARTICLE V. RULES OF BUSINESS • Business shall be conducted in accordance with the most current edition of Robert's Rules of Order, so long as they are consistent with these Bylaws or amendments thereto. ARTICLE VI. COMMITTEES The Chairperson shall appoint subcommittees from the Board of Health and/or members of the community from time to time as the Chairperson shall deem necessary. The Chairperson shall be an ex-officio member of all committees. ARTICLE VII. ADMINISTRATIVE OFFICER The Board of Health shall appoint an Administrative Officer who shall fulfill the responsibilities specified by RCW 70.05.045, including administering the operations of the Health Department. The Administrative Officer shall serve at the will and approval of the Board. ARTICLE VIII. HEALTH OFFICER The Board of Health shall appoint a County Health Officer, who shall be a qualified physician trained and experienced in public health, who shall exercise the • powers, and perform the duties prescribed in RCW 70.05.070. The Health Officer shall serve at the will and approval of the Board. ARTICLE IX. OPERATING RULES Section 1. Meetings Regular Meeting: Regular meetings of the Board of Health shall be held on the third Thursday of each month. If the third Thursday is a legal holiday, an alternate day may be selected by the Chair. Any regular meeting of the Board of Health may be cancelled with the concurrence of a majority of the Board. The location of the meetings shall be within Jefferson County. Special Meeting: The Chair or two-thirds of the members of the Board may call a special meeting of the Board consistent with RCW 42.30.080. Executive Session: The Board may hold executive sessions from which the public may be excluded for the purposes set forth in RCW 42.30.110. Quorum: A majority of all Board members, including at least two Jefferson County Commissioners, shall constitute a quorum for Board meetings. Tape Recordings: The proceedings of all Board meetings shall be recorded electronically. Any person may have a copy of tape a recording of any meeting of the Board by furnishing an appropriate recording tape to the Health Department . Director's office and paying the costs of reproduction. Jefferson County Board of Health Page 4 Bylaws Minutes: Written minutes of each Board meeting shall be prepared and approved by the Board at the subsequent regular meeting. Minutes shall be signed by the Chair at the time of their approval by the Board. Meetings Open to Public: All regular and special meetings of the Board and Board committees shall be open to the public, in accordance with RCW 42.30. Materials to Board Members: Except in cases of emergency, the agenda and materials related to action items shall be sent to Board members in advance of the meeting at which the items will be considered. Section 2. Voting Actions Requiring a Vote: Each member of the Board shall be entitled to one vote on all actions of the Board that require a vote. An affirmative vote of a majority of Board members shall be required to pass an action of the Board, provided that a quorum of the Board is present. Tie Vote: In the event of a tie vote, the action does not pass. Voting By Proxy: There will be no voting by proxy on any question before the Board. Section 3. Ethics Conflict of Interest: Members of the Board of Health having personal or professional interest on an action item that may be deemed conflicting or infringe upon the appearance of fairness shall declare the conflict and refrain from discussing or voting on such matters. • Section 4. Public Testimony General Public Comments: At each meeting, according to the usual order of business, the Chair shall call for general comments. Persons wishing to comment shall give their name. The Chair may establish time limits for individuals who wish to speak. Comments on Action Items: Prior to voting on any item requiring action by the Board, the Chair shall call for comments by persons interested in or affected by the matter under consideration before the Board. Persons wishing to comment on action items shall give their name, and the Chair may establish time limits for individuals who wish to speak. ARTICLE X. MISCELLANEOUS Reimbursement of Expenses: Board of Health members may receive reimbursement for approved expenses related to completion of their responsibilities. • • Jefferson County Board of Health Page 5 Bylaws ARTICLE XI. AMENDMENTS TO BYLAWS 11111 These Bylaws can be amended at any regular meeting of the Board by two-thirds (2/3) vote, provided the amendment has been submitted in writing to the Board of Health at least ten(10) days prior to said meeting. ADOPTED the 206 day of November, 1997 Chairperson, Jeffers15171 County Board of Health • • STATE OF WASHINGTON JEFFERSON COUNTY In the matter of an Ordinance ) . Defining the Responsibilities and ) 03-0505-97 Expanding the Membership ) ORDINANCE NO. of the Jefferson County County Board of Health ) WHEREAS: Pursuant to RCW 70.05.030, the Board of County Commissioners has constituted the Jefferson County Board of Health. WHEREAS: Section 6 of RCW 70.05.030 and 1993 c 492 s 235 were each amended in 1995 to include the • following: The board of county commissioners may, at its discretion adopt an ordinance expanding the si:e and composition of the board of health to include elected officials from cities and towns and persons other than elected officials as members so long as persons other than elected officials do not constitute a majority. An ordinance adopted under this section shall include provisions for appointment, term, and compensation, or reimbursement of expenses. . WHEREAS: The health and safety of the citizens of Jefferson County, and the condition of their living environment, are of paramount importance to the County's well being. WHEREAS: The Board of County Commissioners, sitting as the Board of Health,determined at its February 25, 1997 meeting that the addition of persons with knowledge, interest, and expertise regarding the health, safety, and io well-being of Jefferson County citizens and their living environment would benefit the operation of the Board of Health and the citizens of Jefferson County. NOW, THEREFORE, BE IT ORDAINED That the Board of County Commissioners after due deliberation and in the best interest of the public, does hereby expand the size and composition of the Jefferson County Board of Health. BE IT FURTHER ORDAINED That Title 8. Health and Safety, of the Jefferson County Code be amended to include a new Chapter 8.00, Board of Health. defining the responsibilities and membership of the Jefferson County Board of Health. as follows: 8.00.010 Duties and Responsibilities: The Board of Health shall have responsibilities over all matters pertaining to the preservation of the life and health of the people of Jefferson County and shall: (I) Collect, analyze and disseminate to the community, through the Jefferson County Health & Human Services department. information about community health conditions, risks and resources, and the availability of resources to address identified problems: (2) Enact such rules, regulations and policies as are necessary to preserve, promote and improve the health status of Jefferson County residents, and guide the allocation of appropriate and necessary public health resources: (3) Assure that necessary, high quality, effective public health services are available for the protection of the people of Jefferson County. including the control and prevention of any dangerous, contagious or infectious disease within the county: (4) Provide for the prevention, control and abatement of nuisances detrimental to public health: (5) Enforce, through the Health Officer. the public health statutes of the state and county: and . (6) Establish fee schedules for issuing and renewing licenses and permits. or for such other services as are authorized by the law and rules of the State Board of Health. Ordinance No.03-)505-17 Board of Health 8.00.020 Members: The Board of Health shall be composed of seven members. The three elected members of the Board of County Commissioners shall be members of the Board of Health. Four members of the Board of Health shall be appointed by the County Commissioners. Appointed members of the Board of Health shall • include one elected official from the City of Port Townsend City Council and three non-elected community representatives. Community representatives shall include one resident of the City of Port Townsend and two residents of unincorporated Jefferson County. One community representative shall be a Jefferson County Public Hospital District 42 commissioner; two community representatives shall be at-large members. 8.00.030 Terms: Appointed members shall serve for three year terms. Of the members initially appointed, an equal number shall be appointed for two years and for three years. The term of office for all appointees shall commence on the first day of June in the year in which the term is to commence. 8.00.040 Appointment: The chairperson of the Board of County Commissioners shall appoint the initial members to the Board of Health with the approval of the majority of the Board of County Commissioners. The Board shall request that the City of Port Townsend and Jefferson County Public Hospital District #2 each nominate one candidate for appointment to the Board of Health. The County Commissioners shall seek applications from citizens of Jefferson County to fill the at-large membership positions on the Board of • Health. 8.00.050 Vacancies: Vacancies on the Board of Health shall be filled by appointment by the chairperson of the Board of County Commissioners in the same manner as initial appointments are made. Appointments shall be for the unexpired portion of the term of the position filled. 8.00.060 Organization: The Board of Health shall elect a chairperson and vice-chairperson from among its members. 8.00.070 Meetings: The Board of Health shall hold no fewer than one regular meeting in each month of each year; provided that if no issues over which the Board has jurisdiction are pending upon its calendar- a meeting may be canceled. All meetings of the Board of Health meetings shall be open and public, pursuant to the Open Public Meetings Act, codified at RCW 42.30 et seq. Meetings shall be held at such times and at such locations as to be convenient for attendance by Board of Health members and the public, as determined . by a Resolution passed by a majority of Board of Health members. 8.00.080 Rules and Record of Proceedings: The Board of Health shall adopt Bylaws for the transaction of its business. No actions shall be taken by the Board of Health unless a majority of members are present. including at least two Jefferson County Commissioners. The Board of Health shall keep a public record of its transactions, findings and decisions. 8.00.090 Compensation or Reimbursement: Appointed members of the Board of Health shall not receive compensation for their services. Appointed members may receive reimbursement for approved expenses related to the completion of their responsibilities. BE IT FURTHER ORDAINED That such amendment shall be effective immediately upon execution of this document by the Board of County Commissioners. APPROVED and ADOPTED this `i day of / --== . 1997. JJ • J JEFFERSON CO T SEAL. ( r► ••1 • e I_OF CO - COM "ii ;RS • • - . .,, i � � .. ��d Wojt, Chairman .)• t j v101, � • \ ' ,.t v - Glen)iuntingford. i.„-'ti.er ATTEST: Lorna Delaney. CMC Dan Harpole, Memb Clerk of the Board • Board of Health Nledia Report • Ayrili6, 2009 • • Jefferson County Public Health March/April 2009 NEWS ARTICLES 1. "Speaker update," Peninsula Daily News, March 19th, 2009. 2. "Child abuse prevention month kicks off," Port Townsend Leader, March 25th, 2009 3. "County revenues lower than estimates," Port Townsend Leader, March 25th, 2009. 4. "City balks at PUD water plan," Port Townsend Leader, March 25th, 2009. 5. "Charity care easier with new policy," Port Townsend Leader, March 25th, 2009. 6. "1-800-Quit-Now", Peninsula Daily News, March 27th, 2009. 7. "Child abuse focus kicks off this month," Port Townsend Leader, April 1st, 2009. 8. "Events set for OKOB," Port Townsend Leader, April 1st, 2009. 9. "Brinnon awards for community service," Port Townsend Leader, April 1st, 2009. 10. "County officials looking to cut some staff hours," Peninsula Daily News, April 7th, 2009. 11. "County still short$1 million, new cuts considered," Port Townsend Leader, April 8th, 2009. 12. "'Our Kids: Our Business' events continue in April," Port Townsend Leader, April 8th, 2009. • • • • Briefly . . . Xdent Baraek Obama to be the director of the Office of National Drug Control Pol- icy,will attend briefings and Speaker update meetings with senators in PORT TOWNSEND Washington,D.C.,in prepa Laura Wells,director of ration for his confirmation hearings later this year. Fight Crime:Invest in Kids, The luncheon,'a kickoff and ClaudiaBlack will; for the second annual"Our speak in,place of Gil Ker- Kids:Our Business,"will be hkowske,police chief from held at the Elks Lodge,555 the Seattle Police Depart Otto St.,from noon to 1:30 ment,during the Jefferson' p.m. County Public Health and .. Doors will open at 11:30 Jefferson County Commu- a.m. . nity Network luncheon on Space is limited. Friday,March 27:' To register,or for more Kerlikowske,who was information,click on www. recently nominated by Presi- jeffcocommunitynetwork:org. • • /0/V ,g/7©- Child abuse prevention • month kicks off Laura Wells, director of ings in prepara- Fight Crime: Invest in Kids, tion for other Washington,will be one of two hearings, orga- guest speakers March 27 at �` x 4 y nizers said: a kick-off luncheon for "Our � ` si Wells has Kids: Our. Business," a social been work- awareness campaign set for ing with April that focuses on child '� Kerlikowske on abuse prevention. . child abuse and Dr. Claudia Black, who was. Dr.Claudia neglect since born and raised in Jefferson Black 2006. County and has become inter- Black is a nationally recognized for her renowned author and trainer work with traumatized familyinternationally recognized for systems and addictive disor- her pioneering and contempo- ders, also speaks. rary work with family systems Wells replaces Gil and addictive disorders. Kerlikowske of the Seattle The luncheon is from noon Police Department, who was to 1:30 p.m. at the Elks Lodge, recently nominated by President 555 Otto St.Doors open at 11:30 Obama to be the new director a.m. Space is limited; those of the Office of National Drug interested'should .register at Control Policy.Kerlikowske had www.jeffcocommunitynetwork. to withdraw his Port Townsend org. To learn. more,. contact appearance because he will be Kelly, Matlock at kmatlock@ • in Washington, D.C., for brief- co.jefferson.wa.us. • PT(71e revenues County Shortfall : Count EmItevenues droppenc lower - By the end of February this tightening, in other words - is year, the county had taken in • ' ! happening first, he said, adding $26,051 in interest income on estrrlates . that the county wants to support anticipated earnings of $830,000 •"valued employees and maintain for the entire year - compared ' current services: to $109,733 it had collected dur- "As I'm sitting here today, I ing the same period last year on By Allison Arthur of The Leader don't have all the answers," $971,351 it actually collected. said Morley, who took the helm Specific numbers for January Jefferson County could face a $1.25 million revenue in October and immediately and February sales tax and real shortfall if sales taxes,real estate excise taxes,timber sales worked with the Department of estate excise tax were not imme- revenue and interest income continue to come up short. Community Development (DCD) diately available Tuesday morn- "The economy has underperformed ourmost conser- to cut back hours and cut staff ing by deadline. vative estimates," Jefferson, County Administrator Philip in the building and long-range Morley said Monday. planning department because of OTHER COUNTIES Elected officials and department heads have been kept a decrease in building permit fee Morley said Jefferson County informed of the continued downturn in revenue and are activity. Six employees were laid is doing well compared to other working together to look for ways off in December, and as of last counties in the state. F week only one had found new "Looking at some of these sto- to cut expenses while retaining employment, DCD Director Al ries, suddenly our lot doesn't fe employees. t Scsaid. .so � bad in comparison," Morl We're still looking. We're look . s DCD now operates Monday wrote March 20 to county depart- ing at what we can do to narrow iaT ' ; what we think the gap may be," +'" �; + / through Thursday and is closed ment heads and elected officials, Morleysaid,-declining to predict cut �t� '� 44-+'' Friday.DCD employees also took as he shared information from '.„;0=.% •,', 10 percent pay cuts. Pierce,Thurston,Snohomish and backs said he betternnumbers. t�' • Since Morley.took the helm, Kitsap counties. He said and elected officials ,r, ', r_s E , the economy has not improved. Information provided to would work collaboratively to mons { r tor the revenue shortfall, meet in x�o ' s In January, state Department of Morley by a state association of mid-April to review the information, . `4ry�iih ,, Natural Resources (DNR) offs- counties shows that Thurston and implement any action by May 1 i"'\ It 1,'i�I!`;,yiv1;`4 cials warned that oduce as much as it had hoped NeighboringR wouldn't County cut Kitsapnin County January t if necessary. p Auditor Donna Eldridge said yes- Philip Morley for the county because no one has 67.36 positions and eliminated terday she and other departments have been asked to cut 7.4 been bidding on timber sales on funding for recreation programs, percent and report to Morley by March 26 with any possible state lands. and might need to close a sub- changes in revenue. ! Interest income from invest- stance abuse treatment center, a "I don't think we'll meet our target level for the year. I ments also has dropped signifi- report on that county's situation think we'll be about$10,000 short," Eldridge said. "I have cantly from projections, accord- said. to come up with a plan. I think what we want to do is be consistent." Eldridge has noted in the past that in many departments, 92 to 96 percent of the budgets are personnel costs.But she also noted yesterday that the stock market had gone up and she was feeling a bit more hopeful than she has recently. In the meantime Morley has asked that all departments look to see if they have revenue left over from last year that they could use instead of receiving money from the general fund.After that,capital expenses such as equipment replace- ments would be put on hold. • • See SHORTFALL,Page 10V P7 aaiee s. a.+ $.-0 k•+ O ti 4.icd a) 4'b u ho . ar.:I „, .) 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' people to seek care before an ill sive drugs.In that case,Bachelor , , +s pw ' i , ness becomes an emergency 'said:,the hospital worked with • v+.Z1:gyri w�q �`--"' '49.15:-.---1 The public hospital'district the patient and found a different P ', ` '`:A=1.; recently updated its charity-care healthcare plan that worked bet- .4C>\\ 'ice i . policy in an•effort to keep up ter for the family's needs.; „ •' i + with tough economic tunes and. • Both Dirksen and;Bachelor • help people feel more comfort say'tire first person the patient - t i t,ice s ".> i able seeking health care needs to talk to is his doctor• ,,, q r; rid z d 61 , ` " "We don't want people to 'The doctor will,get,the ball �a /; 0 , ' k `., . tet 3 -557_p "` F.1 w : � fit ' s a € x uta - --,state - `` . 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"Cp.., p c v .f _ _ c � E �vav5.v �.av3E -o +.'. ..a8 vEnnup• va; ° ; o o ro V � C) " D pa °u ^ aci o 0 4 (11) 2,5) o o.'� .°c � , � O °tea -6 a a ? ► o•E .°c .. v) 6 3 ca ..Q g _ u ro ma a.2-o .v0 5, To-o' -5 _a c v v :a • Events-set .for OKOB � "Our Kids; Our Business" is vptleader.eom. the theme of a Jefferson.County campaign in April that s con- nected,with National Child Abuse Online updates on Prevention and 'Sexual Assault 'Our Kids:Our Business' Awareness Month. 7 A number of organizations and old i t "l will g in City Hall There be businesses are sponsoring events • opportunities to make a pinwheel, throughout April, and more are help decorate a family mural play being developed throughout museum bingo,and win a prize. the month, according to Kelly .•Conversations: Jefferson Matlock, a prevention specialist County Community`Networks and health educator with Jefferson hosts two "Adverse Childhood County Public Health. Experiences: Opening the Everyone' is invited to sign Conversation trainings, with a up to take a free "Call to Action" discussion luncheon to follow,on pledge to make.Jefferson County Tuesday, April'14 and Tuesday, a more nurturing'and,safe envi April 28:Register in advance at • ronment for children, Matlock www.jeffcocommunitynetwork. said. Pledge forms are available. org. -- at www.jeffcocommunitynetwork:; Videos: Jefferson; County org'or at Jefferson County Public ::.4-H youths have produced videos Health offices,615 Sheridan St. about"Our'Kids: Our Business" Dr.,Claudia Black and Laura events, including interviews with Wells kicked off the monthlong Laura Wells and Claudia Black at • series of events last Friday. last Friday's luncheon.PTTV.col- Other.events include: ' :laborates on projects. Third.'Ear: The;Third 'Ear :Big Brothers, Big' Sisters: • Project,, hosts a Community , The' nonprofit• youth-mentoring Potluck Housewarming organization offers a showing.of Celebration at its new location in "Akeelah and the Bee" at 1 p.m. Building 262 at Fort Worden from Saturday,'•April 18 at the"Rose 6 to 9 p.m. Friday,April 3. People :Theatre.Doors open at 12:30 p.m. are welcome to connect with the A brief presentation precedes the growing nonviolentand compas- movie. • sionate communication and Third Boiler '•Room: The Boiler Ear community. Room features events including Free fun day. The Jefferson crafts, movie nights; a discussion County Historical Society spon- group, open:,mike, :game night sors a Free Family Fun Day from and free soup."For details visit 11:30 a.m.,to 3:30 p.m.Saturday, www.ptbr.org/calendar or call April 4 at the society's museum 379-8247. • 'I S . • 127- eco /y • • Wednesday,April 1,2009• B 3 Vol w tx n ic4 - littit:Y4 4*--'—: ' 4 — ',.;;;.. ."1-‘5.' -.4:'''../.; r'' -4; ', ‘..,.:- • , .',,'-'`'..4, "*''''''''''',V _Iiiiiggio, ,N..., .,. *,'4',..,,,0---.-.‘,:,:-•'-,4/,•-,',!,-,,,i,, 4---- 1 y ". Z '''s 14 �"T \ '• 4 tet. _ tr l • :�k 3�ty 4 '� �5 G. 4n 91v� !' / i III Brinnoit n awards for community service Brinnon Veterans of Foreign Wars Post and Auxiliary 10706 honored area residents for their service in 2008.Pictured are(from left)Auxiliary President Jenny Loring; Patriotic Award for Myrtle Corey representing Brinnon Cemetery Board; Law Enforcement Officer of the Year Tracy Petrasek;VFW Post Commander John Dowd;Citizen of the Year Evelyn Cemper;District 4 Firefighter of the Year Ron Garrison;and District 4 EMT of the Year Ken McEdwards. III J9i riZ a' /-6c- g/1/0 County officials. lookin • to cut some staff hours Jefferson i emains W o r k - require hour reductions equiva- hour reduc lent to half hour to 1 hour per $1 million below tions would ,R day,"he said. have to go R For departments within the budget projections into effectgeneral fund,it is estimated that May 1, he a# a combined total of about said. V,,,v,r,,i. $370,000 in reductions need to be BY JEFFClow An April } ' made. PENINSULA DAILY NEWS 27 public Budget reductions are likely PORT TOWNSEND — Feel- hearingwould to be smaller for departments Mg the deepening recession and be scheduled that absorbed major reductions g g for the bud Morley when the 2009 budget was its impact on tax revenues, Jef- et amend- adopted in December, he said, ferson County is about$1 million ment he said. such as the Department of Com- below budget projections for 2009, Addressing the county com munity Development. • and county Administrator Philip missioners Monday morning, When the commissioners Morley proposes cuts in payroll Morley said the county has con- adopted the county's $48 million by as much as five hours a week tatted the United Food and Com- 2009 budget, 13 job cuts—six of for staff: mercial Works and the Team them layoffs — were limited to "At this point, we're not look- ster's unions representing county the DCD. mg at any layoffs," Morley told employees to open negotiations. '_That department's remaining the commissioners, indicating This would give staff as much staffers were cut to 36 hour work that the possibility existed should advance notice as possible "that weeks, including Al Scalf, tom the county financial picture changes are likely coming that munity development director. worsen. . may affect staffing levels and/or TURN TO BUDGET/A6 • Budget': Maki'n cutsto hours? CONTINUED FROM Al would likely include the year reduced a deputy.posi- After May 1,Morley said, county commissioners, tion, saving $92,000, and further budget adjustments The reductions amounted county administrator, audi- reduced professional ser- could be made depending on to two full-time positions. tor/elections, assessor, trea- vices by$70,000.The sheriff state and federal general A 4.3 percent staff reduc- surer, clerk, prosecuting also budgeted adequate fund revenue. tion was approved with the attorney, District Court and overtime of$225,000 in sal- County Commissioner 2009 budget, leaving the Superior Court, including aries and benefits, which John Austin,D-Port Ludlow, county.with 297.6 full-time- Juvenile Services. previously had notbeen said he endorsed Morley's equivalent positions. "We are still working with' done. proposal "favoring a reduc- Morley at the time Sheriff [Anthony] Hernan- This year, Morley said tion in hours rather than warned that he would con- dez to identify what econo- the sheriff would be asked to employees." tinue to monitor revenue mies the sheriff's office can trim more than $200,000 flow and propose additional make,recognizing its unique from his budget. adjustments,if necessaryoperationalsafety Port Townsend-Jefferson County and con- The Sheriff's Department Editor Jeff Chew can be reached at On Monday, Morley said straints,"Morley said. accounts for about 25 per- 360-385-2335 or at jeff.chew@ newly affected departments The Sheriff's Office last cent of the general fund. peninsuladailynews.com. • • y //fr7o9 y 1 T v v c -8.EE o 5 N �'v % G v A c a 5 .°'"v v xi.vN v 3 • a cv ° 0 v3 u v cx 0.0 3 ovac v,,9 '> oc aav .L ax0:� 0 v 0 'n a_,E 01tNo ^. vT .c' O v.? o °° n'' 3 'E cv O Ja 8 C' Ct '' E`".n u4 r° ' ' L, o R 2-= 5,5' 0 vv, 3 >, c G°;tar, :,1,-''Zgo v 10 v=3 �_ ' vAvv,F,,`0,( 0IY. •C 4J.V C.. 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Ep °tqd..'0.bwv=x•cO _ N �U7, NC0roT O-0. .' cO^- • tvy ciT' govvwcV� � i'm � , v ° xv2 �lEu cai� t -.r.. ^.0.._,......0 .., .x'.0 .., . . - 0 ._ v3 _ v x av'O xv O 0 � oNEv C .D .c N 0.3 1F,' D.D S3AL ''F'' '''''2 vvCa. o avc0. Cv 5, g xao vo7' o c ,' o c v au 'a maao .-yL ', o ~ ce = w 8 6•Wednesday,April 8,2009 'Our Kids: Our Business' .< �. 4 t-, t events continue in April � k4 y, t: .2 9 �n Free events aimed at draw- w 3 i ., -.0 etr f: r ing attention to "Our Kids: Our `` _. Business," a child-abuse aware- Online updates on { r ness campaign,are being offeredBusiness" t """" {- throughout April. "Our Kids:Our , Everyone is invited to sign £s , up to take a free"Call to Action" Our Co-op Kids:The Food ,,, i "- pledge to make Jefferson County Co-op,the City of Port Townsend "` a more nurturing and safe envi- and Sound Experience host an i ' • } ronment for children. Pledge Earth Day celebration,from 1 to 4 t r ' forms are available at www. p.m.Sunday,April 26 at The Food `!r`tf jeffcocommunitynetwork.org or Co-op in Port Townsend. '4 at Jefferson County Public Health The event celebrates boats, �'r'''',11,....,•;� offices,615 Sheridan St planes,worms and fish. • And a number of conversa- Participants are Sound r ':::1414.."4• t>a tions and events are planned for Experience, Northwest . IL x IT ?e April including: Maritime Center/Wooden Boat .r > > ` W Training and discussion: Foundation, PT Sea Scouts, the a Jefferson County Community Schooner Martha, the SchoonerS a Networks hosts two "Adverse Alcyone, Puget Sound Explorers, + Childhood Experiences:Opening Northwest School of Wooden the Conversation"trainings,with Boatbuilding, SeedSpring, PT 4,,, &. a discussion luncheon to follow, Aero Museum, Tri-Area School " 't V 4- on Tuesday,April 14 and Tuesday, Garden/Compost and PT Marine April 28. Register in advance at Science Center. . www.jeffcocommunitynetwork. There will be fish printing, org. knot tying, worm bins, model Big Brothers Big Sisters: airplanes, boats, music and face The nonprofit youth-mentoring painting, all in the co-op parking Kelly Matlock(left),a prevention specialist and health educator with Jefferson organization offers a screening of lot at 414 Kearney St. County Public Health,enjoys a moment with Anne D.Winegar,program Bevel- • "Akeelah and the Bee" at 1 p.m. Quilcene school event: oper for Jefferson County Community Network, at an event that kicked off Saturday, April 18 at the Rose Washington State Patrol con- "Our Kids:Our Business."Photo by Allison Arthur Theatre.Doors open at 12:30 p.m. ducts a presentation titled"Street A brief presentation precedes the Smart" at 10:15 a.m. Tuesday, the Port Townsend High School calendar. DVSA also airs video TTV movie. April 28 at Quilcene High library. programs on Pon sexual Boiler Room: The Boiler School. Dating violence issue:The assault throughout the month Room features events including Child brain presentation: Domestic Violence and Sexual of April. crafts,movie nights,a discussion Project Success sponsors a pre- Assault (DVSA) Program leads Videos: Jefferson County 4- group, open mike, game night sentation by Elizabeth Turner a presentation on "Dating H youths have produced videos and free soup. For details, visit titled"The Exuberant Mind:The Violence" at The Boiler Room about "Our Kids: Our Business' www.ptbr.org/calendar or call Adolescent Brain," from 7 to on Wednesday, April 29. Learn events, including interviews with 379-8247. 8:30 p.m.Wednesday,April 29 at the time at www.ptbr.org/ Laura Wells and Claudia Black at last Friday's luncheon.FITV col- laborates on projects. Drinking while pregnant: Jefferson County Developmental Disability Advisory Board spon- sors a campaign to encourage pregnant women not to drink alcohol to prevent fetal alcohol spectrum disorders.Fetal Alcohol Syndrome is the number-one pre- ventable disability for infants,offi- cials say. Love and Logic: Michele Barti facilitates a series of"Lo,,, and Logic" parenting classes at Grant Street preschool ,.. Thursday evenings 'ruin .Apr'. 16 through May 13. Interested parties should sign up at 3u1 gl 2894 or michelebartl'sgmail. com. e. Pinwheel displays Businesses, agencies and org • nizations that provide services for children, youths and families display pinwheels throughout th month of April to represent the p/'-a- -(-- children and families served by their programs. y. ' 3 qa ;a:, h'`."; I v r. LS '<aA-1,...- 1-'z.-i',7..:.. '''...