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HomeMy WebLinkAbout2010- January File Copy • Jefferson County Board of wealth .Agenda & lL inutes • January. 21, 2010 • • JEFFERSON COUNTY BOARD OF HEALTH January 21, 2010 Jefferson County Public Health 615 Sheridan Street Port Townsend, WA 2:30—4:30 PM DRAFTAGENDA I. Approval of Agenda II. Election of Chair and Vice-Chair for 2010 III. Approval of Minutes of December 17, 2009 Board of Health Meeting IV. Public Comments V. Old Business and Informational Items 1. Healthcare Associated Infections Go Online • 2. Draft Letter to Port Townsend City Manager 3. 2009 Jefferson County Board of Health Activity Timeline 4. 2010 Census Preparation 5. Department update 6. Web Link to "An Epidemic of Fear VI. New Business 1. Tobacco Prevention and Control Update 2. Solid Waste Program: Designation of Green Businesses 3. Jefferson County Public Health Waste Reduction and Recycled Product Procurement Policy 4. Priority Setting for Public Health Services 5. Tribal Mutual Assistance Agreement: Next Steps 6. H1N1/Seasonal Flu Update 7. 2010 Legislative Session Update VII. Activity Update VIII. Agenda Planning IX. Next Scheduled Meeting: February 18, 2010 2:30—4:30 PM • $ . j O JEFFERSON COUNTY BOARD OF HEALTH pr • MINUTES Thursday, December 17, 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 Director John Austin, County Commissioner,District#3 Julia Danskin,Nursing Services Director Kristen Nelson,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) Vice Chair Chuck Russell called the meeting of the Jefferson County Board of Health to order at 2:30 PM. Members Present: John Austin, Roberta Frissell, Phil Johnson, Kristen Nelson, Chuck Russell, and David Sullivan Excused: Sheila Westerman, Chair Non-voting Member: Frances Joswick, Substance Abuse Advisory Board (SAAB) • Staff Present: Dr. Thomas Locke, Jean Baldwin, Julia Danskin, Veronica Shaw A quorum was present. APPROVAL OF AGENDA Frances Joswick requested the addition of one item, approval of SAAB Mission Statement, which was placed under New Business item 7. David Sullivan requested discussion about City funding from the Liquor Excise Tax, which as placed under 2010 Budgets: Public Health Impacts. Member Frissell moved and Member Austin seconded for approval of the agenda. The agenda was unanimously approved, as amended. APPROVAL OF MINUTES Member Johnson moved and Member Nelson seconded for approval of the minutes of October 15, 2009. The minutes of October 15, 2009 were approved, as presented. PUBLIC COMMENTS • There were no public comments and no members of the public present. Page 1 of 11 1 OLD BUSINESS and INFORMATIONAL ITEMS • An Epidemic of Fear: One Man's Battle against the Anti-Vaccination Movement Dr. Locke referred to the cover article by Amy Wallace from Wired Magazine, November 2009, included in the packet. This article has received national attention. He discussed the anti-vaccination movement and the issues of misinformation and rising exemption rates. He said that he has been informed that the Washington State legislature will address these issues in 2010 by tightening requirements for ensuring that those seeking vaccine exemptions have been counseled by a licensed healthcare provider on the benefits and risks of vaccinations. Member Austin requested the web site address or electronic copy. Board of Health Correspondence Julia Danskin briefly discussed the letter signed by Chair Westerman thanking the Main Street Program for the $3,010 raised for health screenings during Girls' Night Out. Letter to Governor Gregoire re: Maternity Support Services Jean Baldwin discussed the December 1 letter from Nurse-Family Partnership to Governor Gregoire expressing concern about potential budget cuts and urging protection • of those funds. NEW BUSNESS Public Hearing: Proposed 2010 Environmental Health Fee Schedule Chair Russell opened the public hearing on the proposed 2010 Environmental Health Fee Schedule at 2:40 PM. Seeing no members of the public in attendance, Chair Russell closed the Public Testimony portion of the hearing. There were no written comments or questions submitted. Veronica Shaw referred to the revised Fee Schedule in the packet, where changes had been shown in blue. She noted that the Consumer Price Index (CPI)had decreased in 2009. The applicable Ordinance states that if the CPI falls, the Health Department is permitted to retain the same fees from the previous year, rather than adjust them downward. Her recommendation was to retain the same fees. Member Nelson requested clarification on the "Temporary Permit—Multiple Events" and "Temporary Permit— Single Day Event" items. Veronica Shaw confirmed that a Single Day Event is for one event, but which may last for several days. A Multiple Events permit applies to recurring events. After a brief discussion, Jean Baldwin mentioned that Page 2 of 11 • certain changes to food establishment inspections and other processes/fees would come • before the BOH in March. She mentioned that restaurants will be required to have an emergency water plan for situations such as the recent water main break. Ms. Baldwin also noted that the inspection reports for local food establishments are posted on the web within one week of the inspection. Dr. Locke said that federal, state and local food safety codes are interlinked. Food codes focus on the commercial sales of potentially hazardous foods, i.e. food that can promote the growth of dangerous infections. Pre-packaged, dry foods such as snacks and baked goods are generally exempt from these regulations. Dr. Locke said the fee structure is designed to recover costs of staff time and the cost of inspection/administration—a multiple event permit requires less staff time than a comparable number of single event permits (each requiring a separate inspection) and can thus be provided for a lower fee. Member Austin moved for approval of the proposed 2010 Environmental Health Fee Schedule, as amended to clarify single event temporary permits. Member Johnson seconded. The motion was unanimously approved. School-based Clinic End of Year Re ort • Jean Baldwin referred to the 2009 Report on School Based Health Centers, and a copy of an article that had appeared in the Jefferson Health Care Newsletter on the program. She pointed out that the data in the report is preliminary since the program only started in February 2009 and analysis of data is ongoing. The rise in visits was discussed. Ms. Baldwin noted that Chimacum has more uninsured children. The impacts of recent reductions in the State's Basic Health insurance program are not yet clear. Ms. Baldwin noted that the use is highest by tenth and eleventh graders. She said that for many health indicators, Chimacum and Port Townsend Districts are quite similar but the percentage of uninsured students is significantly higher for Chimacum. A high percentage of students do not have a "dental home". There was a brief discussion about the screening questions. Ms. Baldwin said that the phrasing and terminology have been designed to employ the concepts of medical home, dental home and mental health home in order to reduce any stigma associated with mental health care. She pointed out that mental health issues are the reason for a high number of visits in both school districts. In response to a question about the high percentage of pregnancy/sexually transmitted infection health education visits, Ms. Baldwin pointed out that although they have attended classes on these topics, the clinic provides a safe and private opportunity for students to ask and discuss personal questions. Ms. Baldwin stepped through the categories of data. She noted that the alcohol, • marijuana and tobacco substance use data is quite low and not consistent with other Page 3 of 11 l continue to ree the a confidential screenings. She said that agreed1wt gathering and analysis. Member Russell that the Hospital Board would liketo . receive these reports when final. Ms. Baldwin noted that the schools have been very involved and supportive of these programs and see the high value. In response to a question, she explainedet me proy ocol a for use of the clinics, which are staffed only two days per week. A note for the providers indicating they wish called out of class when they can be seen. ers then schedule an appointment or have the students She said it is done in such a way as to maintain student privacy. Dental needs: Public Health Impacts Member Austin expressed concern regarding a recent decision to postpone the opening of the OlyCap Port Townsend Oral Health Center because of budget issues. He mentioned that there is a new incoming Treasurer. The plans are on hold for at least six months while work is proceeding to ensure financial viability. Mr. Austin requested that the BOH consider possible ways to communicate their concerns to OlyCap. Ms. Baldwin suggested inviting Tim Hockett, OlyCap Executive Director, to a Board of Health meeting or a joint BOH/Hospital Board meeting. Vice Chair Russell noted that the hospital specifically excludes mental and dental care from their mission. There was a brief discussion regarding Health Care Authority funding to OlyCap through the Hospital. Julia Danskin mentioned that Jefferson Healthcare has a contract with OlyCap to provide oral health care access. After additional discussion,the BOH asked staff to • invite Mr. Hockett to the January or February meeting to discuss the eventual plans. Vic Dirksen, Hospital CEO, will also be invited to attend. Julia Danskin added that nursing staff had identified the need for dental care in the schools last spring. Through the Public Health oral health care program, she arranged for a dental hygienist to be present at the school based clinics one day per month beginning the fall of 2009. She provides screening, assessments and fluoride treatment. She assists those with more serious problems to get dental care under the state Medicaid programs. Jean Baldwin said this topic should be included in the discussion with OlyCap. In response to a question regarding when the six month OlyCap hold period begins and ends, Julia Danskin said that in her understanding, Tim Hockett had stated that OlyCap needs to complete financial obligations for the dental facility in Port Angeles before moving ahead with the Port Townsend plans. She said he intends to apply for ADA funding and is also interested in meeting with heldemand for hospital emergency n. She said that Mr. Hockett believes that access to dental care will lessen tcare and reduce unreimbursed costs to the hospital. Ms. Joswick suggested the idea of renting local dental offices on days those facilities are otherwise unused, particularly on an interim basis until more funding is available. Ms. Baldwin said her department had made similar arrangements for Family Planning in Hadlock and Quilcene. • Page 4 of 11 2010 State, County and City Budgets: Public Health Impacts • Washington State Budget: Jean Baldwin referred to the packet materials: a press from the Governor's office regarding the 2010 supplemental budget and a spreadsheet release from the State Department of Health. She noted that it is difficult to interpret the implications of the spreadsheet. She called particular attention to the line item, Local Fund Adjustments. She said that the Health Department has three sources of State non- categorical money: backfill MVET(motor vehicle excise tax) - $87,000 locally; 5930 Blue Ribbon panel—for County communicable disease needs; and local capacity money. She said this fund pays for administrative salaries and non program work.. The Governor's budget did not cut these local non-categorical funding sources, but they may be vulnerable in future revisions. The status of$60-80,000 DSHS funding is as yet unknown. Because of the deficit, there will be budget cuts, but the exact targets are not known. She said she had not been able to determine the Basic Health funding impact as yet. The details available, particularly with regard to DSHS cuts, are very difficult to read and to interpret local impact to individual programs. Ms Baldwin also recalled that there is a lawsuit pending on a prior budget cut that has not gone into effect, meaning that the overall budget deficit may be higher than $2.6 billion. In response to a question about the State level process, Ms. Baldwin said that this budget, if passed or amended by the legislature, should go into effect in July 2010 or sooner. But an example of possible department changes include moving the date up, a panel assigned to deal with the immunization cuts has recommended that those changes go into effect in • March or April. County Budget: Jean Baldwin referred to the copy of the Public Hearing presentation materials in the packet. She pointed out the prior reductions for Public Health on page 9: staff hour reductions equivalent of 3 to 5 FTEs and a General Fund reduction of $100,000. She noted highlights of the budget process related to Public Health on page 10 and page 12, slide 24. She said that the information on cuts by individual departments is misleading, particularly page 16. Ms. Baldwin stated that in the midst of a recession, the County is trying to do a 5-year projection and to address a$1.9 million gap. She said she is concerned that the funding shortfalls will continue for three to five years and the goal of closing the entire gap immediately may be unrealistic. There was a brief discussion as to the necessity of severe cuts immediately. Veronica Shaw added that the many of the populations public health serves are in great need right now, increasing the adverse impact any reductions in those services will have. She said that she had asked to speak directly to the BOH because of her role in managing and balancing the budget. She said that she recalls BOH letters to the Governor and past actions taken in an effort to preserve critical health services. However, the County is now cutting huge amounts of funding that will severely impact these services. • Ms. Shaw presented the reductions that had been applied to the Health Department. Page 5of11 • For 2009,the approved Public Health General Fund budget was $77 72,774. By year end,the actual received will be 12, 4 157,0007774 • The total reduction will be $ Ms. Shaw noted that this is a 20%reduction,far more than the 4.7% average reduction or dollar reduction experienced by other departments. She recalled that when the need first arose,the department had taken immediate steps that included the temporary withdrawal of the application for an Environmental Health Director for one year. For 2010, in accordance with directions, the department submitted the same base budget as in 2009, $772,774. There were subsequent directions to reduce by 4.7% and more, up to a final number of$607,000; i.e. $165,000, a 21.4%total reduction. Ms. Baldwin said that Mr. Morley considers this to be cash carry over that the department is unlikely to need. However, she said,this was achieved through layoffs, furloughs and by making maximal use of all possible funds. Ms. Shaw says that she has consistently postponed spending in anticipation of pending federal and state funds. She said it is important that the BOH be consistent in working to preserve County public health related funding just as it has done when faced with threatened reductions from other sources. Ms. Baldwin added that the funds are there only because of good management and scrupulous monitoring of every expense. Ms. Baldwin said the department cannot find the additional $108,000 nor continue to operate at the current level of service without it. They are seeking guidance from the BOH on a workable solution. She said she does know where to make the State cuts but not where to make the General Fund cuts. She is • very concerned about Environmental Health being understaffed and continuing to function without a Director. She said this is dangerous, particularly in any crisis situation that may arise. Ms. Shaw added that she is very frustrated by the omissions of important facts and the misrepresentation in the Budget presentation to the BOCC. She added that she had been told that another$50,000 of county general fund will be taken from the Health Department in July. It was noted that, with a$4 million total budget, it is obviously necessary to manage cash flow; outgoing funds average over $300,000 per month,without regard to large projects. Ms. Shaw said that withdrawal of cash now is premature, since State funding is not yet final. Other issues include a need to postpone further staffing reductions for 2010,because many individuals have been unable to take vacation time due to continuing high workloads and thin staffing of 2009. 5 to Member Johnson asked for the FTE reduction� on the latter from 2008 to 2010 dfrom numberO.OMe 2008; tMember former was 5 FTEs. Ms. Shaw said she would check Austin pointed out the staffing chart within the Budget packet. Ms. Baldwin confirmed that the Environmental Health Director had been vacant for about 18 months. She noted that the reason for not filling theposition nd worklo d has not decreased.l There was a brief ly. However,the regulatory requirements discussion regarding fees and collaboration between the Health Department and DCD to improve the nexus between these functions. In the past,the majority of the Environmental Health budget(75-80%) has been funded by the General Fund. Ms. • Page 6 of 11 Baldwin noted that the Director position has not been tightly linked to fee revenue, and • should have an independent perspective. Member Russell noted that when popular public programs are threatened, the possibility of generating tax revenue to save those services rises. Member Nelson pointed out that the most needed and appreciated health services are for those who have fewest resources and least influence. After a final review of the total cuts, Ms. Baldwin stated that the Health Department would not be able to sustain the lower budget over three years. She asked the BOH to consider the situation and make other suggestions. These issues will be updated in future meetings. City Budget issues: Jean Baldwin reported on recent City budget changes affecting County funding. Based on a Leader article and on the televised December 7 City Council Budget Hearing, she said there had been a reallocation of$20,000, derived from the Liquor Excise Tax, from the County Prevention Services to Big Brothers/Big Sisters (BBBS) program. She said she had not had advance notice and was unaware of any problem. David Timmons had met with the staff who do the Prevention work twice last year. The former Port Townsend branch of the BBBS program was closed due to lack of funding within the last two months. 20 supporters attended the City Council meeting to request help from the City in reinstating a look-alike BBBS program. The $20,000 represents about one quarter of the Liquor Excise Tax. • Ms. Baldwin said that during the City Council hearing, an out of date (2008)report was read aloud, although the 2009 report had been properly submitted. Ms. Baldwin noted that in hard times when there are many more needs than resources, these decisions are difficult, especially when there is strong public testimony. Member Nelson, who is also a City Councilor, noted that she was present at the City hearing, that the idea to reallocate the Prevention funds had not been pre-announced, and that only one City Councilor and Mr. Timmons were aware of that proposal in advance of the hearing. Ms. Baldwin explained that the Health Department had written the original federal grant that brought the BBBS to the community and provided funding for six years. She said BBBS had then done well in raising their own funding for three years but could not sustain themselves through the recession. She said she expects that other non-profit groups will also "tumble" and need to seek help from the County and City. She noted that, related to the City funding, Mr. Morley had asked her to convene a group to discuss priorities for Youth services. She said she had put together a data framework related to Youth: Poverty/Housing; Education; General Health, Mental Health, Reproductive Health; Violence/Neglect, Jail/Crime, etc. that she would like to share with the City and County to plan for Youth services. In her opinion, the issues and solutions extend beyond the City and County. She said UGN, schools and non-profit organizations have a role. A brief discussion ensued about apparent misperceptions and the need for a shared list of priorities to guide decision making about application of limited funds. • Page 70111 Member Nelson conveyed her understanding that the City budget had been approved with two funds placed on hold pending more specific plans: Boiler Room and County Health • funds. Member Johnson inquired about the request from the Boiler Room. Member Nelson said that their funds are on hold until overall organizational issues are resolved. She noted that the majority of non-profit organizations clearly present their mission, goals, and budgets and show how success is measured. She said that City Council was informed that this type of information was specifically requested of the Health Department on multiple occasions, but has never been received. Ms. Baldwin said she had never been contacted by Mr. Timmons asking for information but there has been a separate regional support contract that negotiated these funds for many years. Ms. Nelson said that the program under discussion had been assigned to the Police Department, which had not produced adequate information or justification for the request to continue funding. Member Nelson mentioned that there are eight programs such as Main Street, Chamber of Commerce and others that plead their case each year for continued or increased funding. These groups first present their cases to a Financial Committee and then sometimes directly to the City Council. Ms. Baldwin suggested that perhaps she should attend the next City Council meeting, as a citizen, and express her concerns about youth services and seek clarification on the funding request process. Member Sullivan stated that, in his opinion, Ms. Baldwin should operate in her official capacity, while coordinating with Mr. Morley,County Administrator. Ms. Nelson suggested that Ms. Baldwin copy City Council members on correspondence with the City • Manager. Member Sullivan pointed out that there is already a plan for the 2010 funds and decisions about adjustments must be made to align with reductions in funding. In summary, there is uncertainty as to the finality of the $20,000 reduction of City funding to the Prevention program and with regard to how the remaining funds should be spent. There was further discussion acknowledging confusion about the City's process for funding. Ms. Nelson suggested a letter to David Timmons regarding the $20,000 Prevention funding. Member Austin suggested that a more effective approach may be for Jean Baldwin to present the program plan to the City Council and to show what cannot be included as a result of the reduction that was made. Member Sullivan agreed that it will be necessary to prioritize the needs within the Prevention program to determine how the remaining funds are best applied. Julia Danskin pointed out that staffing is woven through many programs and activities. When funding that pays for staff drops below a critical mass level, it becomes increasingly difficult to manage both quality and hours to meet target deliverables. There was a brief discussion acknowledging that at some point it is better to close whole programs than to further reduce hours in all programs. • Page 8 of 11 After further discussion, Jean Baldwin summarized what she would include in a letter to • the City Manager and City Council, emphasizing that she had not understood the City's process; she will attach the report previously submitted for 2009. Member Nelson said that, if she had been aware of the process and exact information requirements, as a BOH member and City Councilor she would have contacted Jean Baldwin in advance of the City Budget meeting to ensure all was in order. She also explained that initially during the Budget Hearing there had been a proposal from Councilor Robinson to fund Big Brothers Big Sisters from the City General Fund, but that motion was subsequently changed to take the $20,000 from the County program, and passed by a vote of 5 to 2. In addition to the letter to the City, Jean Baldwin will draft a funding priority list to the January BOH meeting for discussion. Vice Chair Russell moved that the BOH direct Ms. Baldwin to prepare a prioritized list of programs that would need to be cut if expected funding levels are not achieved. Ms. Baldwin said she would prepare a draft for the BOH to review and approve. Member Sullivan said that the list must be correlated with funding sources. Member Austin seconded the motion. The motion was approved unanimously. Pandemic H1N1: The Second Wave Ebbs and Unrestricted Vaccination Begins • Dr. Locke said that the second wave of the H1N1 pandemic is almost over. Incidence levels have dropped back, almost to the base line. It is unknown if there will be a third wave of H1N1 influenza, and/or a seasonal influenza outbreak this year. Reports from around the world show that this has played out differently in different locations. What is known is that there is a growing supply of vaccine. As of Monday, December 13, Jefferson, Clallam and Kitsap Counties opened vaccination to the general public, removing all eligibility barriers. This has resulted in greater demand. Jean Baldwin noted that each of the locations is seeing 60-70 patients per day. Dr. Locke noted that if the full US supply of 150 million doses is administered, that will almost certainly prevent any third wave of H1N1. He noted that for Public Health agencies, despite the workload, immediate response and full attention to emergencies such as this is a necessary and standard practice. Ms. Baldwin noted the need to track nine different types of vaccine, by age, and to simplify the overall process for providers. She said that more than 10% of the population had been vaccinated in the initial phase directed at priority groups. She praised the partnerships with Jefferson Healthcare, Safeway and all those involved. Health Care Worker Vaccination: Legal and Ethical Arguments for Mandate Dr. Locke suggested that this item be tabled for a future meeting. He said that although it • is not time-critical, this issue has growing public health implications. Page 9 of 11 Vice Chair Russell noted that the hospital had adopted the policy that employees must be • vaccinated or wear a mask at all times. He added that one Seattle hospital had gone further, indicating they would dismiss employees who refused a vaccination. Green Business Environmental Award Certificates Jean Baldwin said there would be a presentation on Green Business in January. The Health Department itself intends to become a Green Business, as part of a Global Warming project. A new staff member is actively working with the marinas and many businesses at the Port of Port Townsend. Vice Chair Russell signed three new awards on behalf of the BOH. They are to recognize: St. Paul's Episcopal Church, SOS Printing and Naturally Green Cleaning. In response to a question, Ms. Baldwin said that St. Paul's qualifies as a Green Organization by virtue of their processes such as dishwashing, reusable dishes/utensils, electronic mailing,types of supplies used and many other practices. Substance Abuse Advisory Board Mission Statement Ms. Joswick said that the SAAB believes it necessary to have a contemporary, accurate statement to meet its own needs and when recruiting new members. She distributed copies of a proposed Mission Statement that had been approved by the SAAB at its • December meeting. The text of the Mission Statement is as follows: "Under the direction of the Board of Health,the Substance Abuse Advisory Board,per the RCW 70.96A.300,aims to protect public health within the community by increasing awareness of the impacts of alcohol,substance abuse and chemical dependency on all citizens of Jefferson County. The Board develops and implements cost-effective strategies that prevent, intervene,treat and provide aftercare to reduce the significant impacts on our community. This is accomplished by networking within the community and presenting timely and pertinent information."(created December 8,2009) Ms. Joswick requested that the BOH approve the statement. Member Austin moved for acceptance of the SAAB Mission Statement as written. Member Frissell seconded. Member Sullivan inquired as to the accuracy of the RCW reference within the Statement; Ms. Joswick verified that it was an accurate citation. The motion to accept the SAAB Mission Statement was approved unanimously. • Page 10 of 11 ACTIVITY UPDATE • Member Frissell reported that she has been hearing very positive comments and opinions about the Health Department from throughout the community. She quoted citizens as saying"We have a wonderful Health Department."and "I'm very impressed with our Health Department." Jean Baldwin thanked Ms. Frissell and credited the "amazing staff' of the department. AGENDA PLANNING The next scheduled BOH meeting will be on January 21, 2010. The January meeting will include: draft priority list for budget cuts; Green Businesses; vaccination policy for health care workers; and follow up on any other open items. Elections for Chair and Vice-Chair will be held. ADOURNMENT Vice Chair Russell adjourned the BOH meeting at 4:34 PM. • JEFFERSON COUNTY BOARD OF HEALTH Excused Sheila Westerman, Chair Phil Johnson, Member Chuck Russell, Vice-Chair John Austin, Member Roberta Frissell, Member David Sullivan, Member Kristen Nelson, Member • Page 11 of 11 JEFFERSON COUNTY BOARD OF HEALTH • MINUTES Thursday, December 17, 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 Director John Austin, County Commissioner,District#3 Julia Danskin,Nursing Services Director Kristen Nelson,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) Vice Chair Chuck Russell called the meeting of the Jefferson County Board of Health to order at 2:30 PM. Members Present: John Austin, Roberta Frissell, Phil Johnson, Kristen Nelson, Chuck Russell, and David Sullivan Excused: Sheila Westerman, Chair Non-voting Member: Frances Joswick, Substance Abuse Advisory Board (SAAB) • Staff Present: Dr. Thomas Locke, Jean Baldwin, Julia Danskin, Veronica Shaw A quorum was present. APPROVAL OF AGENDA Frances Joswick requested the addition of one item, approval of SAAB Mission Statement, which was placed under New Business item 7. David Sullivan requested discussion about City funding from the Liquor Excise Tax, which as placed under 2010 Budgets: Public Health Impacts. Member Frissell moved and Member Austin seconded for approval of the agenda. The agenda was unanimously approved, as amended. APPROVAL OF MINUTES Member Johnson moved and Member Nelson seconded for approval of the minutes of October 15, 2009. The minutes of October 15, 2009 were approved, as presented. PUBLIC COMMENTS • There were no public comments and no members of the public present. Page 1 of 11 OLD BUSINESS and INFORMATIONAL ITEMS • An Epidemic of Fear: One Man's Battle against the Anti-Vaccination Movement Dr. Locke referred to the cover article by Amy Wallace from Wired Magazine, November 2009, included in the packet. This article has received national attention. He discussed the anti-vaccination movement and the issues of misinformation and rising exemption rates. He said that he has been informed that the Washington State legislature will address these issues in 2010 by tightening requirements for ensuring that those seeking vaccine exemptions have been counseled by a licensed healthcare provider on the benefits and risks of vaccinations. Member Austin requested the web site address or electronic copy. Board of Health Correspondence Julia Danskin briefly discussed the letter signed by Chair Westerman thanking the Main Street Program for the $3,010 raised for health screenings during Girls' Night Out. Letter to Governor Gregoire re: Maternity Support Services Jean Baldwin discussed the December 1 letter from Nurse-Family Partnership to Governor Gregoire expressing concern about potential budget cuts and urging protection of those funds. NEW BUSNESS Public Hearing: Proposed 2010 Environmental Health Fee Schedule Chair Russell opened the public hearing on the proposed 2010 Environmental Health Fee Schedule at 2:40 PM. Seeing no members of the public in attendance, Chair Russell closed the Public Testimony portion of the hearing. There were no written comments or questions submitted. Veronica Shaw referred to the revised Fee Schedule in the packet, where changes had been shown in blue. She noted that the Consumer Price Index (CPI) had decreased in 2009. The applicable Ordinance states that if the CPI falls, the Health Department is permitted to retain the same fees from the previous year, rather than adjust them downward. Her recommendation was to retain the same fees. Member Nelson requested clarification on the "Temporary Permit—Multiple Events" and "Temporary Permit—Single Day Event" items. Veronica Shaw confirmed that a Single Day Event is for one event, but which may last for several days. A Multiple Events permit applies to recurring events. After a brief discussion, Jean Baldwin mentioned that Page 2 of 11 certain changes to food establishment inspections and other processes/fees would come • before the BOH in March. She mentioned that restaurants will be required to have an emergency water plan for situations such as the recent water main break. Ms. Baldwin also noted that the inspection reports for local food establishments are posted on the web within one week of the inspection. Dr. Locke said that federal, state and local food safety codes are interlinked. Food codes focus on the commercial sales of potentially hazardous foods, i.e. food that can promote the growth of dangerous infections. Pre-packaged, dry foods such as snacks and baked goods are generally exempt from these regulations. Dr. Locke said the fee structure is designed to recover costs of staff time and the cost of inspection/administration—a multiple event permit requires less staff time than a comparable number of single event permits (each requiring a separate inspection) and can thus be provided for a lower fee. Member Austin moved for approval of the proposed 2010 Environmental Health Fee Schedule, as amended to clarify single event temporary permits. Member Johnson seconded. The motion was unanimously approved. School-based Clinic End of Year Report Jean Baldwin referred to the 2009 Report on School Based Health Centers, and a copy of an article that had appeared in the Jefferson Health Care Newsletter on the program. She pointed out that the data in the report is preliminary since the program only started in February 2009 and analysis of data is ongoing. The rise in visits was discussed. Ms. Baldwin noted that Chimacum has more uninsured children. The impacts of recent reductions in the State's Basic Health insurance program are not yet clear. Ms. Baldwin noted that the use is highest by tenth and eleventh graders. She said that for many health indicators, Chimacum and Port Townsend Districts are quite similar but the percentage of uninsured students is significantly higher for Chimacum. A high percentage of students do not have a"dental home". There was a brief discussion about the screening questions. Ms. Baldwin said that the phrasing and terminology have been designed to employ the concepts of medical home, dental home and mental health home in order to reduce any stigma associated with mental health care. She pointed out that mental health issues are the reason for a high number of visits in both school districts. In response to a question about the high percentage of pregnancy/sexually transmitted infection health education visits, Ms. Baldwin pointed out that although they have attended classes on these topics, the clinic provides a safe and private opportunity for students to ask and discuss personal questions. Ms. Baldwin stepped through the categories of data. She noted that the alcohol, marijuana and tobacco substance use data is quite low and not consistent with other Page 3 of 11 confidential screenings. She said that the department will continue to refine the data gathering and analysis. Member Russell agreed that the Hospital Board would like to • receive these reports when final. Ms. Baldwin noted that the schools have been very involved and supportive of these programs and see the high value. In response to a question, she explained the protocol for use of the clinics, which are staffed only two days per week. A student may leave a note for the providers indicating they wish to have a clinic visit. The providers then schedule an appointment or have the students called out of class when they can be seen. She said it is done in such a way as to maintain student privacy. Dental needs: Public Health Impacts Member Austin expressed concern regarding a recent decision to postpone the opening of the OlyCap Port Townsend Oral Health Center because of budget issues. He mentioned that there is a new incoming Treasurer. The plans are on hold for at least six months while work is proceeding to ensure financial viability. Mr. Austin requested that the BOH consider possible ways to communicate their concerns to OlyCap. Ms. Baldwin suggested inviting Tim Hockett, OlyCap Executive Director, to a Board of Health meeting or a joint BOH/Hospital Board meeting. Vice Chair Russell noted that the hospital specifically excludes mental and dental care from their mission. There was a brief discussion regarding Health Care Authority funding to OlyCap through the Hospital. Julia Danskin mentioned that Jefferson Healthcare has a contract with OlyCap to provide oral health care access. After additional discussion,the BOH asked staff to • invite Mr. Hockett to the January or February meeting to discuss the eventual plans. Vic Dirksen, Hospital CEO, will also be invited to attend. Julia Danskin added that nursing staff had identified the need for dental care in the schools last spring. Through the Public Health oral health care program, she arranged for a dental hygienist to be present at the school based clinics one day per month beginning the fall of 2009. She provides screening, assessments and fluoride treatment. She assists those with more serious problems to get dental care under the state Medicaid programs. Jean Baldwin said this topic should be included in the discussion with OlyCap. In response to a question regarding when the six month OlyCap hold period begins and ends, Julia Danskin said that in her understanding, Tim Hockett had stated that OlyCap needs to complete financial obligations for the dental facility in Port Angeles before moving ahead with the Port Townsend plans. She said he intends to apply for ADA funding and is also interested in meeting with the hospital commission. She said that Mr. Hockett believes that access to dental care will lessen the demand for hospital emergency care and reduce unreimbursed costs to the hospital. Ms. Joswick suggested the idea of renting local dental offices on days those facilities are otherwise unused, particularly on an interim basis until more funding is available. Ms. Baldwin said her department had made similar arrangements for Family Planning in Hadlock and Quilcene. • Page 4 of 11 2010 State, County and City Budgets: Public Health Impacts • Washington State Budget: Jean Baldwin referred to the packet materials: a press release from the Governor's office regarding the 2010 supplemental budget and a spreadsheet from the State Department of Health. She noted that it is difficult to interpret the implications of the spreadsheet. She called particular attention to the line item, Local Fund Adjustments. She said that the Health Department has three sources of State non- categorical money: backfill MVET(motor vehicle excise tax) - $87,000 locally; 5930 Blue Ribbon panel—for County communicable disease needs; and local capacity money. She said this fund pays for administrative salaries and non program work.. The Governor's budget did not cut these local non-categorical funding sources, but they may be vulnerable in future revisions. The status of$60-80,000 DSHS funding is as yet unknown. Because of the deficit, there will be budget cuts, but the exact targets are not known. She said she had not been able to determine the Basic Health funding impact as yet. The details available, particularly with regard to DSHS cuts, are very difficult to read and to interpret local impact to individual programs. Ms Baldwin also recalled that there is a lawsuit pending on a prior budget cut that has not gone into effect, meaning that the overall budget deficit may be higher than $2.6 billion. In response to a question about the State level process, Ms. Baldwin said that this budget, if pissed or amended by the legislature, should go into effect in July 2010 or sooner. But an example of possible department changes include moving the date up, a panel assigned to deal with the immunization cuts has recommended that those changes go into effect in • March or April. County Budget: Jean Baldwin referred to the copy of the Public Hearing presentation materials in the packet. She pointed out the prior reductions for Public Health on page 9: staff hour reductions equivalent of 3 to 5 FTEs and a General Fund reduction of $100,000. She noted highlights of the budget process related to Public Health on page 10 and page 12, slide 24. She said that the information on cuts by individual departments is misleading, particularly page 16. Ms. Baldwin stated that in the midst of a recession, the County is trying to do a 5-year projection and to address a $1.9 million gap. She said she is concerned that the funding shortfalls will continue for three to five years and the goal of closing the entire gap immediately may be unrealistic. There was a brief discussion as to the necessity of severe cuts immediately. Veronica Shaw added that the many of the populations public health serves are in great need right now, increasing the adverse impact any reductions in those services will have. She said that she had asked to speak directly to the BOH because of her role in managing and balancing the budget. She said that she recalls BOH letters to the Governor and past actions taken in an effort to preserve critical health services. However, the County is now cutting huge amounts of funding that will severely impact these services. • Ms. Shaw presented the reductions that had been applied to the Health Department. Page 5 of 11 For 2009,the approved Public Health General Fund budget was $ 72 By year end,the actual received will be615,774 157,000 The total reduction will be $ 111) Ms. Shaw noted that this is a 20%reduction, far more than the 4.7% average reduction or dollar reduction experienced by other departments. She recalled that when the need first arose,the department had taken immediate steps that included the temporary withdrawal of the application for an Environmental Health Director for one year. For 2010, in accordance with directions,the department submitted the same base budget as in 2009, $772,774. There were subsequent directions to reduce by 4.7% and more, up to a final number of$607,000; i.e. $165,000, a 21.4%total reduction. Ms. Baldwin said that Mr. Morley considers this to be cash carry over that the department is unlikely to need. However, she said, this was achieved through layoffs, furloughs and by making maximal use of all possible funds. Ms. Shaw says that she has consistently postponed spending in anticipation of pending federal and state funds. She said it is important that the BOH be consistent in working to preserve County public health related funding just as it has done when faced with threatened reductions from other sources. Ms. Baldwin added that the funds are there only because of good management and scrupulous monitoring of every expense. Ms. Baldwin said the department cannot find the additional $108,000 nor continue to operate at the current level of service without it. They are seeking guidance from the BOH on a workable solution. She said she does know where to make the State cuts but not where to make the General Fund cuts. She is • very concerned about Environmental Health being understaffed and continuing to function without a Director. She said this is dangerous, particularly in any crisis situation that may arise. Ms. Shaw added that she is very frustrated by the omissions of important facts and the misrepresentation in the Budget presentation to the BOCC. She added that she had been told that another$50,000 of county general fund will be taken from the Health Department in July. It was noted that, with a$4 million total budget, it is obviously necessary to manage cash flow; outgoing funds average over $300,000 per month,without regard to large projects. Ms. Shaw said that withdrawal of cash now is premature, since State funding is not yet final. Other issues include a need to postpone further staffing reductions for 2010,because many individuals have been unable to take vacation time due to continuing high workloads and thin staffing of 2009. Member Johnson asked for the FTE reduction from 2008 to 2010 and from 2005 to 2008; the former was 5 FTEs. Ms. Shaw said she would check on the latter number. Member Austin pointed out the staffing chart within the Budget packet. Ms. Baldwin confirmed that the Environmental Health Director had been vacant for about 18 months. She noted that the reason for not filling the position was that fees were down considerably. However, the regulatory requirements and workload has not decreased. There was a brief discussion regarding fees and collaboration between the Health Department and DCD to improve the nexus between these functions. In the past,the majority of the Environmental Health budget(75-80%) has been funded by the General Fund. Ms. II Page 6 of 11 Baldwin noted that the Director position has not been tightly linked to fee revenue, and • should have an independent perspective. Member Russell noted that when popular public programs are threatened, the possibility of generating tax revenue to save those services rises. Member Nelson pointed out that the most needed and appreciated health services are for those who have fewest resources and least influence. After a final review of the total cuts, Ms. Baldwin stated that the Health Department would not be able to sustain the lower budget over three years. She asked the BOH to consider the situation and make other suggestions. These issues will be updated in future meetings. City Budget issues: Jean Baldwin reported on recent City budget changes affecting County funding. Based on a Leader article and on the televised December 7 City Council Budget Hearing, she said there had been a reallocation of$20,000, derived from the Liquor Excise Tax, from the County Prevention Services to Big Brothers/Big Sisters (BBBS)program. She said she had not had advance notice and was unaware of any problem. David Timmons had met with the staff who do the Prevention work twice last year. The former Port Townsend branch of the BBBS program was closed due to lack of funding within the last two months. 20 supporters attended the City Council meeting to request help from the City in reinstating a look-alike BBBS program. The $20,000 represents about one quarter of the Liquor Excise Tax. • Ms. Baldwin said that during the City Council hearing, an out of date (2008) report was read aloud, although the 2009 report had been properly submitted. Ms. Baldwin noted that in hard times when there are many more needs than resources, these decisions are difficult, especially when there is strong public testimony. Member Nelson, who is also a City Councilor, noted that she was present at the City hearing, that the idea to reallocate the Prevention funds had not been pre-announced, and that only one City Councilor and Mr. Timmons were aware of that proposal in advance of the hearing. Ms. Baldwin explained that the Health Department had written the original federal grant that brought the BBBS to the community and provided funding for six years. She said BBBS had then done well in raising their own funding for three years but could not sustain themselves through the recession. She said she expects that other non-profit groups will also "tumble"and need to seek help from the County and City. She noted that, related to the City funding, Mr. Morley had asked her to convene a group to discuss priorities for Youth services. She said she had put together a data framework related to Youth: Poverty/Housing; Education; General Health, Mental Health, Reproductive Health; Violence/Neglect, Jail/Crime, etc. that she would like to share with the City and County to plan for Youth services. In her opinion, the issues and solutions extend beyond the City and County. She said UGN, schools and non-profit organizations have a role. A brief discussion ensued about apparent misperceptions and the need for a shared list of priorities to guide decision making about application of limited funds. • Page 7 of 11 Member Nelson conveyed her understanding that the City budget had been approved with two funds placed on hold pending more specific plans: Boiler Room and County Health • funds. Member Johnson inquired about the request from the Boiler Room. Member Nelson said that their funds are on hold until overall organizational issues are resolved. She noted that the majority of non-profit organizations clearly present their mission, goals, and budgets and show how success is measured. She said that City Council was informed that this type of information was specifically requested of the Health Department on multiple occasions, but has never been received. Ms. Baldwin said she had never been contacted by Mr. Timmons asking for information but there has been a separate regional support contract that negotiated these funds for many years. Ms. Nelson said that the program under discussion had been assigned to the Police Department,which had not produced adequate information or justification for the request to continue funding. Member Nelson mentioned that there are eight programs such as Main Street, Chamber of Commerce and others that plead their case each year for continued or increased funding. These groups first present their cases to a Financial Committee and then sometimes directly to the City Council. Ms. Baldwin suggested that perhaps she should attend the next City Council meeting, as a citizen, and express her concerns about youth services and seek clarification on the funding request process. Member Sullivan stated that, in his opinion, Ms. Baldwin should operate in her official capacity, while coordinating with Mr. Morley, County Administrator. Ms. Nelson suggested that Ms. Baldwin copy City Council members on correspondence with the City • Manager. Member Sullivan pointed out that there is already a plan for the 2010 funds and decisions about adjustments must be made to align with reductions in funding. In summary, there is uncertainty as to the finality of the $20,000 reduction of City funding to the Prevention program and with regard to how the remaining funds should be spent. There was further discussion acknowledging confusion about the City's process for funding. Ms. Nelson suggested a letter to David Timmons regarding the $20,000 Prevention funding. Member Austin suggested that a more effective approach may be for Jean Baldwin to present the program plan to the City Council and to show what cannot be included as a result of the reduction that was made. Member Sullivan agreed that it will be necessary to prioritize the needs within the Prevention program to determine how the remaining funds are best applied. Julia Danskin pointed out that staffing is woven through many programs and activities. When funding that pays for staff drops below a critical mass level, it becomes increasingly difficult to manage both quality and hours to meet target deliverables. There was a brief discussion acknowledging that at some point it is better to close whole programs than to further reduce hours in all programs. • Page 8of11 After further discussion, Jean Baldwin summarized what she would include in a letter to • the City Manager and City Council, emphasizing that she had not understood the City's process; she will attach the report previously submitted for 2009. Member Nelson said that, if she had been aware of the process and exact information requirements, as a BOH member and City Councilor she would have contacted Jean Baldwin in advance of the City Budget meeting to ensure all was in order. She also explained that initially during the Budget Hearing there had been a proposal from Councilor Robinson to fund Big Brothers Big Sisters from the City General Fund, but that motion was subsequently changed to take the $20,000 from the County program, and passed by a vote of 5 to 2. In addition to the letter to the City, Jean Baldwin will draft a funding priority list to the January BOH meeting for discussion. Vice Chair Russell moved that the BOH direct Ms. Baldwin to prepare a prioritized list of programs that would need to be cut if expected funding levels are not achieved. Ms. Baldwin said she would prepare a draft for the BOH to review and approve. Member Sullivan said that the list must be correlated with funding sources. Member Austin seconded the motion. The motion was approved unanimously. Pandemic H1N1: The Second Wave Ebbs and Unrestricted Vaccination Begins S Dr. Locke said that the second wave of the H1N1 pandemic is almost over. Incidence levels have dropped back, almost to the base line. It is unknown if there will be a third wave of H1N1 influenza, and/or a seasonal influenza outbreak this year. Reports from around the world show that this has played out differently in different locations. What is known is that there is a growing supply of vaccine. As of Monday, December 13, Jefferson, Clallam and Kitsap Counties opened vaccination to the general public, removing all eligibility barriers. This has resulted in greater demand. Jean Baldwin noted that each of the locations is seeing 60-70 patients per day. Dr. Locke noted that if the full US supply of 150 million doses is administered, that will almost certainly prevent any third wave of H1N1. He noted that for Public Health agencies, despite the workload, immediate response and full attention to emergencies such as this is a necessary and standard practice. Ms. Baldwin noted the need to track nine different types of vaccine, by age, and to simplify the overall process for providers. She said that more than 10% of the population had been vaccinated in the initial phase directed at priority groups. She praised the partnerships with Jefferson Healthcare, Safeway and all those involved. Health Care Worker Vaccination: Legal and Ethical Arguments for Mandate Dr. Locke suggested that this item be tabled for a future meeting. He said that although it • is not time-critical, this issue has growing public health implications. Page 9 of 11 • had hat employees Vice Chair Russell noted that the hoepitHe added thatone Seattlethe policy thospital had gone must be • vaccinated or wear a mask at all tims. further, indicating they would dismiss employees who refused a vaccination. Green Business Environmental Award Certificates Jean Baldwin said there would be a presentation on Green Business in January. The Health Department itself intends to become a Green Business, as part of a Global Warming project. A new staff member is actively working with the marinas and many businesses at the Port of Port Townsend. Vice Chair Russell signed three new awards on behalf of the BOH. They are to recognize: St. Paul's Episcopal Church, SOS Printing and Naturally Green Cleaning. In response to a question, Ms. Baldwin said that St. Paul's qualifies as a Green Organization by virtue of their processes such as dishwashing, reusable dishes/utensils, electronic mailing,types of supplies used and many other practices. Substance Abuse Advisory Board Mission Statement Ms. Joswick said that the SAAB believes it necessary to have a contemporary, accurate statement to meet its own needs aand ment that hadtb en approv d by the SAAB atnew members. She utsd copies of a proposed Mission St • December meeting. The text of the Mission Statement is as follows: "Under the direction of the Board of Health,the Substance Abuse Advisory Board,per the RCW 70.96A.300,aims to protect public health within the community by increasing awareness of the impacts of alcohol,substance abuse and chemical dependency on all citizens of Jefferson County. The Board develops and implements cost-effective strategies that prevent, intervene,treat and provide aftercare to reduce the significant impacts on our community. This is accomplished by networking within the community and presenting timely and pertinent information."(created December 8,2009) Ms. Joswick requested that the BOH approve the statement. Member Austin moved for acceptance of the SAAB Mission Statement as written. Member Frissell seconded. Member Sullivan inquired as to the accuracy of the RCW reference within the Statement; Ms. Joswick verified that it was an accurate citation. The motion to accept the SAAB Mission Statement was approved unanimously. • Page 10 of 11 0 ACTIVITY UPDATE Member Frissell reported that she has been hearing very positive comments and opinions about the Health Department from throughout the community. She quoted citizens as saying "We have a wonderful Health Department." and "I'm very impressed with our Health Department." Jean Baldwin thanked Ms. Frissell and credited the "amazing staff' of the department. AGENDA PLANNING The next scheduled BOH meeting will be on January 21, 2010. The January meeting will include: draft priority list for budget cuts; Green Businesses; vaccination policy for health care workers; and follow up on any other open items. Elections for Chair and Vice-Chair will be held. ADOURNMENT Vice Chair Russell adjourned the BOH meeting at 4:34 PM. • JEFFERSON COUNTY BOARD OF HEALTH Excused l' `\ t Sheila W- terman, C :.'r o P ohnsons Member ,/ i Ct Chuck Russell, Vice-Chair J�� Austin, Member EI 4 VL. ' Roberta Frissell, Member David llivaryN4e;'ber . 1 ,\(\(\\ 0 a,,,,,e(, 4' cep_.. Kristen Nelson, Member • Page.11 of 11 • Board of Health Old Business .agenda Items # 'V., 1 3-fealthcare Associated Infections • Go Online January 21, 2010 • Washm ton Stale Department • of t* I4ea1th News Release For immediate release: January 6, 2010 (10-001) Contacts: Tim Church, Communications Office 360-236-4077 Pamela Lovinger, Health Care Associated Infections 360-236-4225 Hospital infection control in Washington — new tool shows how they rate OLYMPIA—Washington residents can now compare and research infection rates for hospitals (www.doh.wa.gov/ehsphl/hai/0_hai_default.htm) in the state with a first-of-its-kind resource. Infection information reported by the state Department of Health is easily accessible online. Infections that develop during or soon after care in a hospital are known as health care associated infections. The Centers for Disease Control and Prevention says these types of infections are one of the top 10 leading causes of death nationwide—and many of them are preventable. The Web site gives consumers a chance to use infection rates to help make health care decisions. • "Patient safety is our priority and effective infection control is a key," says Secretary of Health Mary Selecky. "People now have easy access to information about infection rates in hospitals across the state that they didn't have before. Our Web site allows everyone to take better control of their health and feel confident about health care choices they make for their families." Project development began in 2007 when the legislature directed the state Department of Health to establish the Health Care Associated Infections Program. The agency worked with the Washington State Hospital Association to create this new resource. "Washington's hospitals are enthusiastic participants in providing this new information about hospital infection rates," said Carol Wagner, vice president for patient safety at the Washington State Hospital Association. "We believe that public reporting offers information that helps hospitals improve, assists consumers in making good decisions about hospital care, and creates the opportunity for collaboration between hospitals and quality experts." Health care professionals and members of the public also helped the state develop the Web site. It has information about infection risks and prevention. • ### Visit the Washington Department of Health Web site at http://www.doh.wa.gov for a healthy dose of information. • Board of Health OCd Business .agenda Item # 17., 2 • Draft Letter to Port Townsend City Manager January 21, 2010 • JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street • Port Townsend •Washington • 98368 • www.jeffersoncountypublichealth.org January 8, 2010 To: City Council and City Manager From: Jean Baldwin, Director Jefferson County Public Health At the December 17th Jefferson County Board of Health meeting, the Board requested I write the city to ask for clarification of the application process for substance abuse prevention funds. After listening to the city council, at the December 7th meeting, it appears there is an application/report process for city grants. It also seems the reports sent to Port Townsend city manager on December 2, 2009, from Jefferson County Public Health (JCPH), were not received. Public Health (JCPH) has received the liquor excise tax for substance abuse prevention from the city of Port Townsend since the early 1980s. This government to government contract is the Regional Service Contract. JCPH has the $42,000 from Port Townsend in the 2010 budget and had negotiated with Port Townsend School District to continue services. The current City of Port Townsend and Jefferson County Regional Services Agreement is in place until December 31, 2010. (see attachment) • JCPH is the largest provider of youth substance abuse prevention services in the city. Staff are in the schools, clinics, homes and community groups. The liquor excise tax from the city is woven together with money from the state, federal and county, to meet the Jefferson Comprehensive Alcohol and Substance Abuse Prevention Plan. This Prevention Plan was adopted in April 2007, after public meetings and input from key citizens, school, city, and county partners. JCPH is unsure how to proceed. We have a current contract with the City of Port Townsend and a plan with the Port Townsend School District for services in 2010. Yet the City Council voted to end 1/2 of the city funds. The need for services is growing as the recession continues; families are losing their abilities to meet basic needs. The county, schools and city elected officials are the people who design policy and plans to stretch a service shrinking dollar to serve kids. Please see attachment for detail of the status of Jefferson County youth or look at www.ieffersoncountypublichealth.org Please let me know if I can be of any assistance in this discussion. Cc: Jefferson County BOH • COMMUNITY HEALTH DEVELOPMENTAL DISABILITIES ENVIRONMENTAL HEALTH PUBLIC HEALTH MAIN: (360) 385-9400 l'o;f v �„V , rr, 2 A / FP MAIN: (WATER ) 385-9444 QUALITY FAX: (360) 385-9401 HEALTHIER I FAX: (360) 379-4487 JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street • Port Townsend •Washington • 98368 www.jeffersoncountypublichealth.org • Date: December 2, 2009 To: David Timmons, Manager, City of Port Townsend cc: Conner Daily, Chief of Police, City of Port Townsend From: Julia Danskin, Public Health Manager Re: Liquor Excise Tax Fund Report for 2009 Jefferson County Public Health provides drug and alcohol prevention/intervention programs with the funding received from the City of Port Townsend and other revenue sources. The City money of $35,969 is only used in Port Townsend. The three areas of prevention in 2009 include: 1. Classroom 2008-2009 school year: Project Alert Drug and Alcohol Prevention classes at Blue Heron Middle school provided by Karen Obermeyer, Health Educator. 6th grade 4 classes with 11 core lessons 44 classes 98 students 7th grade 5 classes with 3 booster lessons 15 classes 114 students Total 59 classes 212 students served • The 2009-2010 school year report is expected to be similar. Project Alert is a nationally accredited Best Practice that integrates the student, family and school into the same drug and alcohol prevention messages. 2. Community Outreach, Drug and Alcohol Prevention: Services are provided by Kelly Matlock, Health Educator. Kelly works with many community partners on the 6 year Community Substance Abuse Prevention Plan. Partners include the Community Network, Substance Abuse Advisory Board, schools, hospital, business community, Jefferson County and the City of Port Townsend. Activities include: Parent nights to discuss substance abuse messages, Peer-In groups for kids to help reach younger kids to prevent use of substances. The Our Kids Our Business campaign (April 2009) was a collaborative community effort including 67 local businesses, organizations, agencies, service clubs, as well as all City of Port Townsend departments and all Jefferson County departments. This was the second year of this social awareness and prevention campaign addressing child abuse prevention and sexual assault awareness. (See attached summary.) 3. Early Intervention with high risk families: This includes Family Support Services, Public Health Nurses, intensive Home Visiting Program, and Nurse Family Partnership. Using about 1/3 of the funds from the City pays for about 3 families to get intensive home visiting that uses a Best Practice that has long-term outcomes of reducing child abuse and neglect, substance abuse and violence. JCPH is in the 10th year of these services and long term consequences and improvements are going on for residents. www.nursefamilypartnership.orq If you have questions, contact me at 385-9420. 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U n,ye .0, k-, U E 4 .0,' 4_) _.‘va ; _r_ _. a 9 ,.. , 0 0.) §. * ---• * _-_,.:..-,T.i.g...,i- S.-•tP tz —I F R. a, ON —I el. 2, —I —I * *- 4!,%ig**•Ott co 8 4 8 E701 4 2gglf i ?La 8 51 a § a * -,: ,,. _ . ... . . .._ * * i,:„.:zg,,, *.i, ,F,,i,ilg,,,T ,,„--..i.. v.:,, ,,,.., ..*.f.„.„--2*.:: 4.. * * * oroz `rz hAbnubl' hoyod 11/tal,uaAn30Act 10npoAd pa_phOa' L pub uollonpay alsbitt • yvbaj o1�gnd hluno3 uos.ta��al ' E `I4, # swan- bpuaBv- ssdip sngnl.am yvvaiGJo p,cvo$ • p DRAFT • 1.0 SUBJECT TITLE: Jefferson County Public Health Waste Reduction and Recycled Product Procurement Policy 2.0 PURPOSE 2.1 The purpose of this policy is to establish policies and procedures for implementing the Jefferson County Public Health (JCPH) Waste Reduction and Recycled Product Procurement Policy. 3.0 DEFINITIONS 3.1"Contractor" means any person, group of persons, consultant, designing architect, association, partnership, corporation, or other business entity that has a contract with Jefferson County (including suppliers) or serves in a subcontracting capacity with an entity having a contract with Jefferson County for the provision of goods or services. 3.2"Designated Products" means recycled and environmentally preferable products and materials designated by the JCPH Purchasing Department pursuant to this policy. 3.3"Environmentally preferable products" means products that have a lesser or • reduced effect on human health and the environment when compared with competing products. This comparison may consider raw materials acquisition, production, manufacturing, packaging, distribution, reuse, operation, maintenance, or disposal of the product. 3.4"Minimum content standards" means standards maintained by JCPH specifying the minimum level of recovered material and/or post-consumer material necessary for designated products to qualify as recycled products. 3.5 "Post-consumer materials" means a material or finished product that has served its intended end-use and has been discarded by a final consumer. "Post-consumer material" is a part of the broader category of"recovered materials". For the purposes of this policy document, office paper must contain 20% post-consumer materials, to qualify as "recycled". 3.6 "Post-consumer recycled materials" means only those products generated by a business or consumer which have served their intended end use, and which have been separated or diverted from the solid waste stream for the purposes of collection, recycling and disposition. 3.7"Practicable"means satisfactory in performance and available at a fair and reasonable price. • 3.8"Price-preference" means a percentage of a price that JCPH will pay to obtain a designated product. • 3.9"Recovered materials" means waste material and by-products which have been recovered or diverted from solid waste, but does not include those materials and by- products generated from, and commonly reused within, an original manufacturing process. 3.10"Recycled paper" means paper meeting the JCPH minimum post-consumer recycled content standards of 20% post-consumer material. 3.11"Recycled Products" means a product manufactured using recovered or diverted material and meeting JCPH Minimum Content Standards. 4.0 POLICIES 4.1 JCPH staff shall use, and require their contractors and consultants to use, products manufactured with the maximum practicable amount of recovered material, especially post-consumer material. 4.2 JCPH staff shall use and require their contractors and consultants to use, environmentally preferable products whenever cost effective and to the extent practicable. • 4.3 JCPH staff will cooperate with other county departments to develop comprehensive, consistent, and effective countywide regional procurement efforts intended to stimulate the market for recycled products, reusable products, and products designed to be recycled. 4.4 JCPH staff shall establish a price-preference of up to fifteen percent (15%) for post-consumer recycled paper products. 4.4 JCPH staff shall ensure that they and their contractors use recycled paper in printed material, and that it bears an imprint identifying the post-consumer recycled content of the paper, whenever practicable. 4.5 JCPH staff shall ensure that they and their contractors use both sides of paper sheets whenever practicable, and reuse single-sided sheets for drafts or note paper. 5.0 RESPONSIBILITIES 5.1 The Purchasing Department shall: 5.1.1 provide division directors with information to facilitate their evaluation • 4111, and purchase of designated products and inform them of their responsibilities under this policy; 5.1.2 revise minimum content standards as necessary to ensure that designated products contain the maximum practicable amount of recovered material and are consistent with guidelines and regulations promulgated by the United States Environmental Protection Agency, the State of Washington, and other Federal and State agencies; 5.1.3 ensure that environmentally preferable products are designated whenever practicable; and 5.1.4 transmit minimum constant standards to division directors. 5.2 The JCPH staff shall: 5.2.1 ensure that contracting procedures do not discriminate against recycled products without justification; 5.2.2 assign appropriate personnel to evaluate each designated product to determine the extent to which it may practicably be used by the agency and its contractors; and • 5.2.3 evaluate the following environmentally preferable products and purchase them whenever the evaluation is favorable. • post-consumer recycled paper and paper products; • recycled paper products other than office paper (ex. post- consumer toilet paper and paper towels); • remanufactured laser printer toner cartridges; • non-toxic cleaning products; • programming and computer equipment that reduces paper use (e.g. send fax direct from computer, printer/copiers with default to double-sided printing, printers that do not discharge unused sheets of paper) • water saving products (e.g. 1.6 gallon per flush toilets, waterless urinals); • energy saving products (ex. compact fluorescent light bulbs); and • other products appropriate for departmental needs/use. 5.2.4 revise contracting procedures to maximize the specifications of designated products whenever practicable and facilitate compilation of data on the purchase of designated products by the JCPH and its contractors; • or 5.2.5 transmit evaluation results and procurement t the rDt by the end of each year. The Fiscal Division will inform the Director, on an annual basis, regarding the results of this Procurement Policy, including recommendations for improvements to the policy, as appropriate; 5.2.6 confer with buyers of various divisions on an ongoing basis, to ensure that these buyers are aware of, and follow this Procurement Policy in the development of purchasing specifications and procurement decisions; 5.2.7 turn off electronics & lights when not in use (program computers to power save) 5.2.8 keep mailing lists up to date to delete repeat mailings both incoming and outgoing; and 5.2.9 ensure waste electronics are recycled. • • Board of Health Wetly Business .agenda Item # (VI., 4 Priority Setting for Public • Health Services January 21, 2010 • BPR Page 1 of 4 Guide for Establishing Public Health Priorities • (Modified from CDC Case Study: Translating Science into Practice) Go back to PH 442 Exercises Go back to PH 445 Exercises Establishing priorities from the multitude of public health problems facing communities today is a necessary and increasingly difficult task. Public health administrators and managers often are faced with an increasing range of pressing problems in light of decreasing resources. A method to establish priorities that is fair, reasonable, and easy to calculate is a necessary management tool. The method described here provides means to compare different health problems in a relative, not absolute, framework, as equally as possible, and in a somewhat objective manner. This method, which has been called both the Hanlon Method and the Basic Priority Rating System (BPRS), is described in Public Health: Administration and Practice (Hanlon and Pickett, Times Mirror/Mosby College Publishing) and Basic Health Planning (Spiegel and Hyman, Aspen Publishers). The method has three major objectives: 1111 • to allow decision-makers to identify explicit factors to be considered in setting priorities • to organize the factors into groups that are weighted relative to each other • to allow the factors to be modified as needed and scored individually. Basic Priority Rating Formula Based on review of repeated trials conducted in identifying health problems, a consistent pattern of criteria became apparent. This pattern is reflected in the components of this system. Component A = Size of the problem Component B = Seriousness of the problem Component C = Estimated effectiveness of the solution Component D = PEARL factors (propriety, economic feasibility, acceptability, resource availability, legality) These components translate into two formulas that provide a numerical score that gives • highest priority to those diseases/conditions with the highest scores. Basic Priority Rating (BPR) > BPR = (A+B)C/3 http://www.uic.edu/sph/prepare/courses/ph440/mods/bpr.htm 1/14/2010 BPR Page 2 of 4 Overall Priority Rating (OPR) > OPR = [(A+B)C/3] x D The difference in the two formulas will become apparent as Component D (PEARL) is described. It is important to recognize and accept that, as with many such processes, a large amount of subjectivity will be present. The choice, definition, and relative weights assigned to the components are a group decision and flexible. Further, the ratings are the judgments of the individual raters. However, some scientific control can be achieved by using precise definitions of terms, and using appropriate and accurate statistical data. Components Component A — Size of the Problem This component is one in which the factors are few in number. Choices usually are limited to a percentage of population directly affected by the problem, i.e. incidence, prevalence, or mortality rates and numbers. Size can also be considered in more than one way. Both the entire population and potential target populations can be considered. Also, diseases with common risk factors that are amenable to a common solution might be considered together. For example, if tobacco-related cancers were considered, lung, esophagus, and oral cancers might be considered as one. If more diseases were also being considered, cardiovascular diseases . might also be considered. The maximum value of this component is 10. The decision of how to define size is usually a group consensus. Component B — Seriousness The group should consider possible factors that define the seriousness of the problem; however, the number of factors should be kept reasonable. The group should be careful not to bring the issues of size or preventability into the discussion, as they fit elsewhere into the equation. The maximum score in this component is 20. The factors must be weighted and carefully defined. By using this number (20), Seriousness is considered to be twice as important as Size. Factors that could be used are: • Urgency: emergent nature of the problem; trends in incidence, mortality, or risk factors; importance relative to the public; current access to needed service. • Severity: survival rates, average age at death, disability, relative premature mortality. • Economic loss: to the community (city/county/State), to the individual. Each of the factors must be weighted. As an example using four factors, the weights could • be 0-5 or any combination that would equal a maximum of 20. It is usually helpful to http://www.uic.edu/sph1prepare/courses/ph440/mods/bpr.htm 1/14/2010 BPR . " Page 3 of 4 establish what would be considered minimum and maximum in each factor. This will help • to establish boundaries to keep some perspective in establishing a numerical rating. A way to consider this is to use as scale such as: 0 = none 1 = some 2 = more 3 = most For example, if premature mortality is being used to define severity, then infant mortality would probably be a 5 and gonorrhea would be a 0. Component C - Effectiveness of Intervention This component should be considered as "How well this problem can be solved, if at all." The factor is scored from 0 - 10. This may be the most subjective component of the formula. There is a large amount of data that is available from studies that document how successful interventions have been. The effectiveness rating, based on known success rates from the literature, is multiplies by • the percent of the target population expected to be reached. Example: Smoking cessation Target population 45,000 smokers Total attempting to stop 13,500 Effectiveness of smoking cessation classes 32% or 0.32 Target population x effectiveness 0.30 x 0.32 = 0.096 or 0.1 or 1 Example: Immunization Target population 200,000 Expected number immunized 193,000 Percent of total 97% or.0.97 Effectiveness 94% or 0.94 • Population reached x effectiveness 0.97 x 0.94 = 0.91 or 9.1 An advantage in considering the target population and the number expected to be reached http://www.uic.edu/sph/prepare/courses/ph440/mods/bpr.htm 1/14/2010 BPR Page4of4 is getting a realistic feel for resources needed and expected ability to meet set objectives. Component D - PEARL • The PEARL is a group of factors that, although not directly related to the health problem, have a high degree of influence in determining whether a particular problem can be addressed. P - Propriety Is the problem one that falls within the agencies' overall missions? E - Economic Feasibility Does it make economic sense to address the problem? Are there economic consequences if the problem is not addressed? A - Acceptability Will the community and/or target population accept the problem being addressed? R - Resources Are resources available to address the problem? L - Legality Do current laws allow the problem to be addressed? Each of these qualifying factors is considered, and the scoring for each factor of the PEARL is 1 if the answer is "yes" and 0 if the answer is "no." When scoring is complete, all of the numbers are multiplied to obtain a final answer. Since together these factors represent a • product and not a sum, if any of the five factors is "no', then D will equal 0. Because D is the final multiplier in the formula, if D=0, then the health problem will not be addressed in the OPR regardless of how high the problem ranks in BPR. However, part of the total planning effort might include addressing the intermediate steps needed to address the PEARL positively in the future. For example, if the intervention is just not acceptable to the population, steps might be taken gradually to educate the population as to the potential benefits of the intervention so that it can be considered in the future. Basic Priority System last revised April 19, 2004 (epowell) http://www.uic.edu/sph/prepare/courses/ph440/mods/bpr.htm 1/14/2010 • Board of Health Netiv Business .agenda Item # 17I., 6 3fiNi / SeasonalFlu 'Update • January 21, 2010 • Influenza Surveillance Report: Kitsap, Clallam, and Jefferson Counties August 30, 2009 to January 9, 2010 (CDC Wks 34 to 52 (2009) and Week 1 (2010)) ill All subtyped influenza A viruses reported to CDC from Region X(WA, OR, ID,and AK)durin thepast 6 week influenza A(H1N1)viruses.(1) 9 s were 2009 WASHINGTON STATE-LEVEL DATA: Washington State's Weekly Influenza Activity Estimate,Week 52: Local(2) World Health Organization/National Respiratory&Enteric Virus Surveillance System,Washington*(1) -Type A(2009 H1N1) Type A(H1 or H3) - Type A not subtyped E.) 420- Type 8 ---/ •ositive d 350 - 100% c m y �f;:.-_280- -80% aa)i o. a210 Boo/ a v # N 140 - o a -40% 5-E a p § -20% o g ® t N i # 0% 5- 12- 19- 26- 3- 10- 17- 24- 31- 7- 14- 21- 28- 5- 12- 19- 26- 2- 9- week Sep Sep Sep Sep Oct Oct Oct Oct Oct Nov Nov Nov Nov Dec Dec Dec Dec Jan Jan ending: 2009 2010 *reporting labs:WA State Public Health Labs,Seattle&King County Public Health Lab,and UW/Children's Hospital Lab Positive Respiratory Viral Specimens,University of Washington Virology Laboratory at Seattle Children's Hospital(3) y .p .,at 300 Influenza A 02 250- -----'Influenza B - '200 ®RSV4 a a.o ®Other resp viruses' e9 w— 0_150- 'includes parainfluenza,adenovirus, i • 100 rhinovirus,and metapneumovirus..- i N 50 _.-- as 5- 12- 19- 26- 3- 10- 17- 24- 31- 7- 14- 21- 28- 5- 12- 19- 26- 2- week SepSep Sep Sep Oct Oct Oct Oct Oct Nov Nov Nov Nov Dec Dec Dec Dec Jan Jan ending: i____ 2009 2010 I COUNTY-LEVEL DATA: Kitsap,Clallam,&Jefferson County Hospitalizations and Deaths with Confirmed Influenza(A or B)(4) y 8 I Kitsap Clallam ®Jefferson I I Kitsap Clallam i Jefferson 1 c 7 5 I N N 4 7 4 � aci .c 3 a 3 m c v 2 t1 1 Malmo _ I I I I I 0 MER■ 11ix1.1..11. .. a week y �n o 0 0 0 o ';' I z 2 o r; ° ® ` 5 ending: ° `b M o < m o N o', week cn Ira Q Ha O z z` I z g1 o o" o °., N N � N N � N O� �, Q ending: N N ^ N N N 2009 2010 week of hospital admission 2009 2010 week of death Kitsap, Clallam&Jefferson County Resident Emergency Department(ED)Visits*for Influenza-like-Illness(ILI)**(5) � m J 12% I m Kitsap r_Clalla J Note:Jefferson County data are not available at this time > 8%13 w o 4 % weekending: 5- 12- 19- 126- 3-Oct 10- 17- 24- 31- 7- ( 14- 21- 28- 5- 12- 19- 26 2- 9- Sep Sep 1 Sep 1 Sep Oct Oct Oct Oct Nov I Nov Nov Nov Dec Dec Dec Dec Jan Jan • L 2009 2010 "Includes Emergency Departments at:Harrison Medical Center Bremerton,Harrison Medical Center Silverdale,Olympic Medical Center and Jefferson General Hospital "Influenza-like-Illness is derived from the patient chief complaint not provider diagnosis and is defined as"influenza'OR fever with cough or sore throat.Data do not represent 100%of ED visit records as not all records contain chief complaint text. Note:All data are preliminary and might change as additional reports are received. Produced by:Kitsap County Health District report date:1/13/10 Influenza Surveillance Report: Kitsap, Clallam, and Jefferson Counties August 30, 2009 to January 9, 2010 (CDC Wks 34 to 52 (2009) and Week 1 (2010)) • Percentage of Kitsap,Clallam and Jefferson County Public Schools Reporting Over 10%Absenteeism on at Least One Day of the School Week(6,7,8) Kitsap Clallam Jefferson #reporting schools: 41 12 18 5 9/14/09-9/18/09 0% ' 0% data reporting system not yet 9/21/09-9/25/09 0% 8% data reporting system not yet 9/28/09-10/2/09 implemented 0% 0% implemented 10/5/09-10/9/09 2% 8% 0% 10/12/09-10/16/09 7% 42% 6% 0% 10/19/09-10/23/09 27% 25% 40% 60% 10/26/09-10/30/09 29% 17% 39% 20% 11/2/09-11/6/09 20% 33% - 6% 40% 11/9/09-11/13/09 0% 8% 0% 20% 11/16/09-11/20/09 0% 0% 0% 11/23/09-11/25/09** 0% 0% 0% 20% 11/29/09-12/5/09 0% 0% 0% 0% 12/7/09-12/11/09 5% 8% 0% 20% 12/14/09-12/18/09** 0% 8% 0% 60% 1/4/10-1/8/10 0% 0% 0% 20% Note:School districts report 10%absenteeism rates or higher;no notification assumes all district schools have absenteeism rates lower than 10% *includes one school serving grades 6-12 and four schools serving grades K-12 **no school in session on 11/26/09&11/27/09 and from 12/20/09-1/1/10 0 Kitsap,Clallam and Jefferson*County Deaths**with Pneumonia or Influenza Listed as Immediate, Underlying or Contributing Cause of Death(6,7.8) #pneumonia deaths %of Kitsap,Clallam and %of Kitsap,Clallam and 5 I•Kitsap is Clallam iii Jefferson 4 Week Jefferson deaths from Jefferson deaths from 3 I ending: pneumonia and influenza influenza alone 2 1 t 29-Aug-09 10% 0% 6% 0% 0 1 1 1 f44 t �. II = 5-Sep-09 $1 m m rn m o o v v N oz N a m N m 12-Sep-09 3% 0% N t7 \ 7 O O O O N 19-Sep-09 15q, 0% 2009 2010 26-Sep-09 0% 0% week ending: 3-Oct-09 3% 0% 10-Oct-o9 6% 0% 2 #influenza deaths I■Kitsap w Clallam ®Jefferson I 17-Oct-09 8% 0% 1 24-Oct-09 5% 2% 0 ' ■ 31-Oct-09 0% 0% N h I N co <o m o n a n i ._ 7-Nov-09 8% 0% N T N O N M ^ 7 N u) N A CIDN N Of a' Er-3 0 0 0 0 N N a a 14-Nov-09 10% 3% 21-Nov-09 7% 0% week endin 2009 2010 9: 28-Nov-09 4% 1% *Jefferson data for the weeks ending 12/26,1/2,and 1/9 are still pending 12-De7% 0% 12-Dec-5-Dec-09 09 9% 0% **includes all deaths occurring in Kitsap,Clallam or Jefferson County regardless of county of residence; 19-Dec-09 data obtained from death certificates received,not based on date of death. 5% 0% 26-Dec-09 3% 0% Note:influenza takes precedence over all other causes incl.pneumonia(i.e.,if death certificate has both 2-Jan-10 4% 0% pneumonia and influenza as underlying causes,death is counted as influenza) 9-Jan-10 16% 0% Note:Haemophilus influenzae and parainfluenza virus are not included as influenza;aspiration pneumonia, pneumonitis,and pneumococcal meningitis are not included as pneumonia • Sources: I)WA State Dept.of Health Communicable Disease Epidemiology Influenza Report 5)Essence-Syndromic Surveillance 2)CDC FluView-Week 52,ending December 26,2009 3)http://depts.vreshington.edu/rspvirus/respiratory.htm 6)Kitsap County Health District 7) f County 4)Public Health Information Management System(PHIMS) Health&Human Services 8)Jefferson County Public Health Note:All data are preliminary and might change as additional reports are received. Produced by:Kitsap County Health District report date:1/13/10 Julia Danskin "I From: Julia Danskin nt: Friday, January 08, 2010 11:10 AM 'Young, Bob' Cc: Lisa Mckenzie Subject: RE: H1N1 Vaccine Feedback Thank-you Bob for the Feedback in getting H1N1 Vaccine to Queets in the Quinault Indian Nation. If we can be of any further assistance let us know. 07;tea Pa/r Public Health Nursing Director Jefferson County Public Health 615 Sheridan Port Townsend, WA 98368 Ph: 360-385-9420 email: jdanskin@co.jefferson.wa.us www.jeffersoncountypublichealth.org Confidentiality Notice: Thise-mail message,including any attachments,is for the sole use of the intended recipient(s)and may contain confidential and previleged information. Any unauthorized review,use,disclosure,or distribution is prohibited. If you are not the intended recipent,please contact the sender by reply e-mail and destroy all copies of the original message. All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act,a state law found at RCW 42.56. Under the Public Records law the County must release this e-mail and its contents to any person who asks to obtain a copy(or for inspection)of this e-mail unless it is also exmpt from the disclosure under state law,including RCW 42.56. Ilm: Young, Bob [mailto:BYOUNG@quinault.org] nt: Friday, January 08, 2010 10:21 AM To: Joan Brewster; Julia Danskin Subject: H1N1 Vaccine Feedback Joan and Julia- In the past week I have received several requests for feedback related to the distribution of H1N1 vaccine to the Quinault Indian Nation. My responses were I believed we were treated respectfully and, given the constraints of the early vaccine availability, we received a reasonable share of vaccine. Joan, I especially want to thank you for listening to my pleas and providing professional and informative responses. I felt we were part of the decision-making process and, for the most part, the right decisions were made. After filling out some of those surveys, I felt I had to thank you two for the fine work you did ... not that this is over, but I have a feeling we have gotten "over the hump" for this go round.. Thanks, again, Bob CAPT Robert P. Young, Pharm.D., J.D., MBA, FACHE Health & Wellness Director Quinault Indian Nation Roger Saux Health Center 1505 Kla-Ook-Wa Drive likBox 219 olah, WA 98587 (360) 276-4405 ex 412 1 O1 N Cr) xt *k 'O *t + , 2 W N (D 1-k < H vi -I NJ NJ 1� CD '< Ql 0 d V O W N N I--� W N F-, NJ 1-, h-� NJ NJ 1-� ,_ • (D .P , n W Di J O W O W a, LD N CT) lD N U7 CO 1--, V 1--, A V CD N 5• ;° v, ,cD v v 00 v a) CD4,1 a, 21-1 v a a D D D D Z Z Z D O O O + m O rD ap , ao -, -N , -' 1S Cr rS en S r)rD n O O O < 2- 21- .s+ -CD Q < Cr 0�q o• -5, a • - _, CO CD v1 _ O 10 CIQ � 0_ CD Q ,-4: v O, cu 1-, Np N CD fD S " f1 1-, 1-, 1, 1-, Ni NJ W 1, V WC p (D 0v W 1-, NJ W O A1-, W l0 tO Ol LD N NJ3 0o Q a0O CD (D - r+ CI)II O ,-+ O 3 0 *t 3 r�-r 0 n (D N v, O• Q CD ^ (D CM v 00 v' NJ Cr) In 1-, CO V NJ N II CD - a)Lri NJ W 0) 0 ,ri O Q W O a) O V lD °1 A ;_-,.• 4:t A H' F N - 0• N N F- - NJ U A . NJ Cr) O O N O O NJ Ur Cr) NJ V •P CO NJ A U•t A vi �' oho O o " 3 < 00 CO 0 a) N p O pn * E T T O 0•U• .=-r N m v_ (D ff�J h, 1-, 1-, N 1--, 1-, N l0 (D N O A N O N N U'1 NJ 1p r* D r* °i Q CD C m n ry3 ro cro °1 1-, N 00 �, �' CD p T N N •P V C Ui 1� W U' O1 lD N O N (i) Q p .D CO 1-, CO Ur NJ O CO 0 V Co A A A W CO '4 II =• c a nuCD I-., D N co • N Q !D v Q Ql 4,t v+ O II Q -o N Cr N II 5' 1-, NJ NJ N 1-, 1--, F n 1-' C71 .P a) U, CO W I-' W O Co co W V N V Uq o i-> V LC) SD . Lir N A tk N 3 N -h o ONJ cu CD I-' h' 1-' .P NJ W NJ N I-+- W V Q1 CO V Co Qi W O V NJ O O V I-I N O N Q U1 4.rD n 3 u:, O Ql 1- C O 21-, W W V W Ui Ur O W 0 V W up 1,1 7, -< O Ui Cr) A LO al N 1p NJ W V 1-+ V A Ui .1.. (inF a O ' Ni am -IF N N 1 -.< O 1-., F--. A C f-, to V NJ W UD Ur LD V W CO V O 1-, 0 h O -P •P W N A 1-' l0 -Pt. CO UI O O W V Q1 1.-, 1--, 1--' -P N ~ U1 Ln ' Ni + A l0 1� U al O Ui V V U't Ui k.O COW Ui W On N W O H O Lr) O i-+ V .P . O Cr)wA Cr) CO NJ CO V v 0 0 0 0 0 0 0 0 0 0 0 O) 1p lD W 0O -P U' Ui W CO W M W NJ • G> ---1 W W W W NJ N NJ N N 1--, 1-, 1--, 1-, p C (D -0 r+ • Board of Health Media Report • January 21, 2010 • • Jefferson County Public Health December 2009 - January 2010 NEWS ARTICLES 1. "Plenty of flu vaccine arrives," Peninsula Daily News, December 11th, 2009. 2. "Swine flu vaccine locations released," Peninsula Daily News, December 13th, 2009. 3. "'10 Budget OK'd with a warning," Peninsula Daily News, December 15th, 2009. 4. "PT boiling water after main breaks," Peninsula Daily News, December 15th, 2009. 5. "H1 N1 vaccine clinics open for all who want it," Port Townsend Leader, December 16th 2009. 6. "Flu clinic is Dec. 19," Port Townsend Leader, December 16th, 2009. 7. "PT recovering from water crisis," Port Townsend Leader, December 16th, 2009. 8. "The Rock, Forever," Port Townsend Leader, December 16th, 2009. 9. "Get your Building Permit No!," Port Townsend Leader, December 16th, 2009. 10. "PT Water Run - Room for improvement," Peninsula Daily News, December 16th, 2009. 11. "Broken main flooded PT American Legion," Peninsula Daily News, December 16th, 2009. 12. "Last seasonal flu vaccine clinic in PT set," Peninsula Daily News, December 18th, 2009. 13. "PT Paper withdraws from Ecology study," Peninsula Daily News, December 21st, 2009. 14. "Swine flu death third on Peninsula," Peninsula Daily News, December 231d, 2009. 15. "Jefferson County reaches out to citizens with night meetings, Internet," Peninsula Daily • News, December 29th, 2009. 16. "Doctors return to South County," Port Townsend Leader, December 30th, 2009. 17. "Jan. 9 clinic provides flu vaccines for all," Port Townsend Leader, December 30th, 2009. 18. "County students strike blow against plastic," Port Townsend Leader, January 6th, 2010. 19. "BOCC road show," Port Townsend Leader, January 6th, 2010. 20. "Jobs, energy, wildlife," Port Townsend Leader, January 6th, 2010. 21. "Clallam, Jefferson clinics offer swine flu vaccine," Peninsula Daily News,January 8th, 2010. 22. "Food benefits usage soars, more available," Peninsula Daily News 23. "U.S. Census will reach out to every household," Peninsula Daily News • • Plenty of fl 'I Flu: More on way y CONTINUED FROM Al pie to get it,"Locke said. "We appreciate that Manufacturing delays People have been patiently s kept early doses of the vac- waiting. One our con- arrivecine in short supply.Health cerns is that pe care workers and pregnant people may have lost interest.Not only women moved to the top of is H 1 N 1 still a threat, a,priority list that included we're anticipating a third children,young adults and wave of this. It's going to Restrictions on m dical .with a nd tion, chronic m nthsack in a couple of "Those restrictions will School vaccination clin- inoeulations will all be removed," Locke its are ongoing. The last said. one on the Peninsula is be lifted Monday Supplies are catching Dec. 18 in Forks. with demand,and more vaccine State Health Depart- vaccine is on its way. State spokesman Donn Health officials are Moyer said every health BY ROB OLLIKAINEN encouraging healthy district is considering lift- PENINSULA DAILY NEWS adults and seniors to get ing restrictions,The Asso- the vaccine before a"third timed Press reported. PORT TOWNSEND—Beginning Mon- day, anyone on the North Olympic Penin- Wa�Se" of the,mild pan- day, who wants the swine flu vaccine can dvuic ex 'hits the region - • -. get it. early next year. Reporter Rob 011ikainen can The H1N1 influenza "We're going to be ve be reached at 360-417.3537 or at • activelyencouraging news,cikainen®peninSuladaily vaccine,which has been g peo- news.com. restricted to high-risk k` x--a.a;, :#' groups since it arrived '' in October, will be i%a,A 'ya, offered at pharmacies ,;,;,;, iifTMw in Port Townsend,Port Angeles, Sequim and ` Forks. ,.. "We're synch roniz- y't '''i, ii--, ing this so we're all - I a. ..4,0,4`;': doing it the same in Clallam, Jefferson and "One.of our Kitsap counties," said concerns is Dr. Tom Locke, public that health officer for Jef ' people ferson and Clallam may have lost counties. interest. "We're all in the same emergency plan- Not only is ning region." H1N1 still a where The pharmacies wil] threat, we're be offered to the gen- anticipating a eral population will be third wave of revealed today.Specific „ locations had not been this. finalized on Thursday. Tom LOCKE Considered mild by Jefferson County pandemic standards, health officer H1N1 is similar to the seasonal flu. Most healthy people recover on their own in a matter of days. Health officials confirmed one fatality of complications of swine flu on the Peninsula. SA Clallam County man in his mid-50s • who had multiple risk factors died•of H1N1-related complications in Port Ange- les on Nov 5. TURN TO FLU/A9 Swine flu _ . .,.,.,..,2. . ,..., 0 vaccine --o.,_-,75 ?...7. o • ! t :! 1h� >..__, T>s g .: oci .$ c ,.0 1-O a 'd i U1 , il1ilhiflHHii0 �•EEQmo01g>, ��.5 o, c �`� ayi�,"locations ,.. � �N � � c ° = �z o dG Eu v. ,o g. - w ;=- � vw � ° a� o v, o � a _ 4.,::=1:"., �j� i released & v ,S.L,%'1 •. '.'2:',;:72,5;›,,,,5:1). g v !191 .S�',n.E 3 2s' --_, F7 � � °.� „ Y T - 1 j a = Time running out • , N N 7 Z-,7., ,1 O a rL= R' u -°, t' p • ca o " o or Za+ca', y �•Z i protect yourself _ 8= ' E.N v c to a cc ^drotg :W4 ° mEG yl3 = 7, = s0'b '�-d y•mx �•b ,:m O v r c�crv.from seasonal strain r = _ `°`, 7 x•p �, T> W dla u'o C^ Qt ? ::E: 1 LJTt cn , a., L a,c., onio o Ela .. _V�'1 LO �'9Gia•L �r�.'Y'•'^. �ch0 y � C ° J ��° vF'BY LRAH LEACH O Lo =.� y va I 'vOF°y O) a4 9 r z u 0 ".PENINSULA DAILY NEWS. - 1r11 I 1 al5 y„, yy m`� � p•o.w o Oc6�478 = , 0. x.E >'=Fr'mrc3As supply`finally catches up with C Fy.Q c aodemand for the swine flu vaccine,so that C va > _ „AE.8 ;.Np .ma.�a a °c•,everyone who wants it can get it starting . �'o °EY , y > = o „:0;1:----:::'75,, e °:vMonday,the pool of seasonal flu shots is , _! v g tovln oc, 3 ° J O — r_ r NJ@ Lon the wane. • cum 9cn ,d �'vi ct-- ,an. z _ — t. 3cWhile announcing 5 c locations offering the ALSO”.• c ” o a ' Y z jYdH1N1 — or swine flu ■Wh.ereto ^`oaU~ - c ° ,aN " me 8 c•°o._— vaccine, the North get vaccines a a 4. '°" aE > o a °•s d= E 6. Olympic Peninsula's in Jefferson (i--�1"1. d$ y o .> ° ° aa —d ° s 8 8 G °top public health offi- county/A6 = b.4 o. >o a = x d' ; E ° ¢ ctial also said that the _ ° CO 55 cn G E x 4.� � d v .-'1 � 9 ° ° -8 s�ccpresent supply of seasonal flu shots will yp, = {. veg.U = e 4 a a.. T _N °O RSA o U A y ° 5 9 fa Eu • •..be the last of the season. g0.m cw �, v c = 1 z"Once this last distribution of sea- >R m cfiv 8 3 ac,,m • n o.E. -E- - 2= Ill sonal flu vaccine is used up, that's it," �> u .Tia y L a o ro oN oysaid Dr.Tom Locke,public health officer1� ,,y n. � ro EvEC o � EE 0- -for Jefferson and Clallam counties, an r�, 4 o > W d a c`..,d .: v •a,r wFriday.. "V •EG,'6 Ol_ '~ a.3 am Eo o s c "They literally can't make an morethe diverted all their produc- .'.a > �' L Ua ma°�L °Lbecause Y tion facilities w H1N1 vaccination. ° Ny, >, tf °.a aq �o o _ "People who are interested in getting ' 6.v-5 ;-d w ,q vo'o @m y Vo-the(seasonal flul vaccine should get it as � ,, i ° . ro5 .0, t7 > ol v E w Z r e~ c T soon as possible" 0 _ .a, E.3a v O d m�NM ° _ti . Two vaccines nn ll z d 3 o� e , d a- > �- °- o.B.g C �1J 011 is tAi -:ry,Pg• 1;a 4: , °x6 a.$-g 0.4 c The well-prepared will be vaccinated 0 51 $v.5 p >> 0 b A a-r•>v..c against both this year. C o m 00 ° .ct .,2 a•� o C > g"To be fully protected against influ• '- x 3 v 3 enza infection this year requires two 4.t G > a .$ > ." 8 F = 1 s a, separate vaccines: one for H1N 1 influ- x d c o W c d z a-c{3 • 8 q ^= a= � . 'o s enza and the other for seasonal flu," • ..~a pa a o'.•a a z^ s ou a c o Locke said. a w o■ ■• x .0 ° E m w u c •c ..—.. ,— The HLN1 vaccine is available at (� til a"ao a° a°:v a °-ft d pharmacies,the public health office and �✓ _ 'E w° 3 .. ' o ave,n co a 9 8 a 0 c 5 -'N'N from private providers. d o a ,- d d 0 C Seasonal flu vaccine is another story. ,,' o c a a.� g� o v I mi. 'f> ai o. N .- acrl ;a a.E o All East Jefferson County vaccine O `4 N o.0 a o col. > co 5 c s• aD c, '~ •v L L c v o providers ran out of seasonal influenza 1 -.. + "' 0 8 E 3 •e oo=—v ° o ° 5 cl-° E 4 v vaccine in the fall until recently,when 00.8 2.. ..,:j- ..g E ''f. 7.4'' c S a m .E E v '' --.6 ,--,',I• " E - �•vy ° a, a, a, ° o.v� a, 3 > vrom•v• c� u . more vaccine arrived at Jefferson a .N a, E a a-y d c V °.3 v = v OJ ,a•—•,,!-: > 6 ❑,vs` E E E 3 d iU'Y a ,.0 e.".tO a/ u u..� ,..5'.. E L u d o ° '10 Healthcare hospital,in the public health o • 'S a, o y'm a o c , a' a ,a to • .y. u X0" department said in a prepared state- d• `° a 3 q-•-.,8 r+ � y tq• a� a> o„-,-., N o-o P P �■ B o zp5 E �r: i ° Iw OSyaco ¢� ment. WwF. 0�. F•''' p„A = al' 'a. vIa ° g.- ItCG ° c "No further shipments of seasonal flu • ` a �,a x I v~°. �' v a o ° x w vaccine are expected this winter," the r ° dg. ° r� o 0.43 a 3 statement said. A final East Jefferson flu vaccine � 1141'84t212. •5 -_ •E n 3 E ?, c N d clinic will be held at Olympic Primary Care,1010 Sheridan St.,Suite 101,Port Townsend, from 9 a.m. to noon Satur- day. III Some North Olympic Peninsula Phar- . macies also may carry supplies of sea- sonal vaccine,Locke said. TURN TO FLU/A6 • '10 Budget 0K 'd Budget: `It's with a warnin not over yet' g BY JEFF CHEW CONTINUED FROM Al.. PENINSULA DAILY News "What I appreciate "My perspective is here is we're looking PORT TOWNSEND — Jefferson County we've done a little bit more commissioners on Monday approved a in 2010 to provide some 111eaCl to maintain stability to our employees FU $52.8 million budget with 10 fewer staff polifunds andSeiHN AU. Lions and all departments cutting more than in• 2011,"Morley said. $1 million in expense_,. After laying off three JOHN AUSTIN, The budget this year, the county Jefferson County includes a general "My perspective IS Department of Community commissioner. fund cut by 2.5 per- Development in 2010 plans ()Tort Ludlow cent, or $383,647, we' done a little a staff reduction of 3.8 full- bringing the general hit more ill 2010 to The department cut q�unity policing time equivalent position. Those include a com- fund to a total of provide some officer $15.6 million. staff by eight in December paid by federal stimulus "We still have Stability 10 OUr 2008 and laid off three dollars,a West End deputy more in August 2009. paid for by the Hoh tribe tough times ahead," employees in on contract and a sheriff's warned County 2011 Administrator Phil Other cutbacks clerk hired through a state PHILMORLEY Morley before thegrant for 2010. commissioners Jclterson Conn Other hits to the county In October,Washington unanimous 1 y �<Iministrau,r budget, Morley sai ,dStale University Coopera- included Public Health, approved the budget which two months ago Love Extension, which the • during their regular Monday meeting. closed Environmental county contracts for eco- "It's not all over yet." Morley said the uncertain economy will • Health on Fridays, cut n development and Public Health nurse su othether services, reduced require county department leaders to closely port to many mothers of staffing and closed Fri- track actual revenue and expenditures "and newborns and cut familydays. adjust our operations to live within our planningclinics byone day What oI appreciatenhere means." a week is we're looking ahead to Making quarterly emergency expenditures, The cuts will bringthe maintain funds and ser- he�said,is no longer an option. countystaff to 287.5 full- vices," said Commissioner John Austin, D-Port Lud- time.equivalent positions low. Pay raises in 2010. Morle Staff cuts include 2.75 for his mwok to survive the Unions representing employees including full-time equivalents in county's budget crisis, the United Food and Commercial Workers and Public Health and 2.64 Commissioner David Sul- the Teamsters negotiated cost of living pay full-time equivalents in livan, D-Cape e told increases ranging from 1.5 percent to 5 per- Parks and Recreation. him:"You've reallyshown cent. Pa} increases were negotiated for sheriff's that you can bring people Undersheriff gone together to do this." pay in other jurisdictions. Morley said he did it deputies and sergeants to meet comparable The county Sheriff's with the help of coopera- Office eliminated its tive elected and hired Most county employees received a 3 percent 'undersheriff position, one county department lead- pay increase,Morley said. deputy, a corrections offi- ers. TURN TO BUDGET/A6 cer• and an almost full-- time data entry clerk but added staffing fully funded Port Townsend-Jefferson County Editor Jeff Chew can be by grant and contraction reached at 360-385-2335 or at jell positions. chew@pentrisuiadadynews.com. • /.,,,_/„ y •,, ,,,4 4, iip (I) ., . =t:,,-,,,,,‘,.,,,, ,,,- ,, :.... 2 1 c„,, r .-- j y 1507; 0 it: 0 c� a - O e c °Ai'' • Ia) /I ' ' 1' .E o P E m L › ` .0Q Ca ,, '�" e t . ., 90« 3 .it:2 . ..„.4., _its. N .... f ty} y 44„... ... 7d (0,1 M 41 M . 1 ..,.. - -,.. so • Sroar _3 % l 4 'Q4�3 C>L CO Picr -` H v.!, ,• ,4tyi I6 0 C r 8 "iia?E 7 .",-, r r r O � 3bDCy �''''4 � V d r E. C � 7 F. +�oO m3N) L a, vcd, i " 1 . L, U.1 ti ' 6v Ev . v «� E $3 "' � o $ acm._.„ - OQgnn aoc = cIiiIll C5 .i..t ir! ' ,u . ,. Dc ,, o c v, ai ro " z 4.� c �" o t *3 C ca >. m gw cD 3 i,, X . v; ..o 7. .c c 3 v— '. 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Medicare patients should bring Medicare cards;all others pay$25 cash or check.Private insurance is not billed. Those for whom the vaccine is recommended include people age 50 years and older,those with chronic medical conditions, preg- nant women, health-care work- ers, orkers, all children ages 6 months- through 18 years, residents of nursing homes or long-term care facilities, and those with a weak- ened eakened immune system. State-supplied children's flu vac- cines are are available at Jefferson County Public Health and the Jefferson Healthcare clinics serv- • ing children.Call 385-9400. 110 , p T ®ecoveria froter crisis By Melanie Lockhart of the Leader City Manager David Timmons said it However,dist,eros 1 tr'clinically a theory cause as much I,ss as this one But the • appeared a pipe coupling was not prof- and not ;-AU porn ,attain, 'Timmons location at the corner ofWaterandMonroe A weakness in the water main is likely erly installed three decades ago, which said. is one of Port "1 ownsend's lowest points. responsible for the break on Monday that "may have created a residual stress factor." "It split horizontally along that line, thus resulting in a"system-wide flushing' pr:•meted the state issued health advisory Combined with vibrations created by the which is who we think the coupling was that stirred up sediments and turned much that stirred up residents and shut down construction that has been ongoing since the source" of the city water hrown,Timmons said. restaurants throughout Port Townsend. this past summer,the pipe finally gave out. Broken water mains don't typically See WATER,page 4♦ Port Townsend 8 Jefferson County Leader Water. :7.--.'—',"0":'-'::.'..,..:-.; ---,:--, -..*, , ,,* ..41 k1 k � k,gip g "., i1 qp°� y�,�a Fv x`kat5rr., +ia 4f *+'a� -7ti �S 7tst� � "' � l' ♦Continued from page 1. �� ewr * ab r�'ua. ;-Y�ra z,Y - + ° The 12-inch pipe split late t; p 1 j Mondaymorn lea + r morning, leaving bust- .a ay rb a 4K x f a l � ..� lyNt,t jt `.3 „t nesses along Water Sheet between k' {- Adams and Monroe without water " ' y t, 1 "c' "l e'' 'ft ur t�"" I s - ^f>` for most of the day. Reports of Nr,,,,, ? i4 t'�, r " t ` "dirty"water throughout the city }fi,u tNa 1t #e{p, s ,$ .� I n prompted the state Deoart the of ..S.::":„..:::',.,!..45.,7::,,-4,.1''.1.'. ..,,.' ,'',,,.',:i 't ,,.� a r- r ter: � 4 y 4 1't i r irrr. Health to issuea boipwater`advi sort'late Monday afternoon.that i�.t �+ ;ti .e it, h.x4 x r � k' ""'s kt ,w 1 r j rt'. Re lasted through most of Tuesday.It '' 'z A e 1` r �::tt°r3 advised the city's 6,000 water cos- .i g i `.. aS rgJ.4y-,'..,:',-.44:, h w'",v t t` t' tourers to purchase bottled water f r t, '' rn''''''''''''',."4,44.,,;,.,-:- M b +i*, v k ., or boil any water used for drinking, *tu x+> x 1 ti'....„,''x + + food preparation,brushing teeth, ft� � cy r'''',.::'.a mav washing dishes and making ice In .4.'..... e ° *".-e „'t . x tl ''r'�t^t'f. f. response,Jefferson County Public a q�rto Ali e y Health ordered all restaurants, rJ 1 r t r 44 a drink and food establishments to `" `a o�v�v , '�'v V'a YyFr close until the advisory was lifted.' r.,abi is ,4 ....,:4.,, ; z Pipe repairs werecom completed ',. 'y`a' `�" • p , ,' p - a- krt > 3 i it . wx and all water service restored by ,,p „!;,H;:,...,,.1,1/41414.:1, ; '� t 7 p.m.Monday,but the city had to f`�Letial- > ” 4T ; r ✓! � r wait 24 hours for water samples to r' " ; r t r , " F,,,,,„..,,,,,,.., r;- ,.' a r r,.,,,..,,„,,,,...,,,7..„.:.;!;A:.,•,.:,:24,..,,,,;,:,,,,„„.. be tested in Kttsap County before L� r 0.' + �z giving the ICtsa r,The first se[ ": 4x,"���{t' }y�4 .4 �f,, y p�t`r ...4A,-,I.� 'pr of tests carne back satisfactory" ' , a t . ipon Tuesday morning said Public t'� y7�a a+ Works Director Ken Clow-The y v ",,,,4',..",04..„,,,i, > health advisory was lifted at 330 , toy a a p.m Tuesday. 1",.4.. y �`�, E r t�1't Earlier Tuesday afternoon, qr• t r s r i t ^a rr p k r Jefferson County Public Health ,ya, "? J � ' Director.Jean Baldwin.said any t :°+� "`' ',,,\ 't�a Direct food-service establishments could 4,i,$10:', "k,,ri� via.; r,1 ; � r s reopen if they complied:with y a-' f the boil-water advisory while it "4''¢ ;�^�,rt .y remained in place. 3, 4 k • .,...,,,,,,,..,,OU,,° 4 Despite media updates online. Q,gj; „g... Monday afternoon and city notices ' �'° r +i>v � r y r �: on its own website and voicemail r, v,.,k q, '''t15,,,,:•.,14* e- r s1Aa y system some residents didn'tlearn y 0.` r 1.1 + of the advisory until late Monday ,t a A.... r, ��yy,..,,,,,;,,,.0.4,,,,,,„..„,,,,,, ,,,I,„�, r*+' T y"ff :. night or Tuesday morning. icssciiz ,r eItri �4 i 0::!itsJ ., a," Clow said that the city contacted �.. , t:;74.'.4 Ssys Yn,ry '�w;f the Port Townsend School District, City crews work one broken water main downtown on Water Street after it split late Monday morning. which has a telephonecomunica- Photo by MelanieLocni'e' m tion system for people within the district But Superintendent Tom when we have a water situation like water sales Monday evening,w th nsurance. Opstad said no notice was sent this one,"Timmons said.There most selling out of gallon tanks For business insurance pur- through the system. t --are ongoing;discussions with before supplies were restocked. poses, Bob Carter of McDonald The Port Townsend Chamber county commissioners and staff, -Stores had plenty of bottled water. Insurance Group said that in order of Commerce sent out email notifi- Timmons said. Port Townsend's QFC worked to merit a chin,a policy would cations using updates front ptlead-.- City officials never believed the with another branch to stock up need to include a"business inter- ercom,and the health department water posed a threat. on tanks Monday evening until }option"clause with"governmen- utilized its emergency.manage-, "All indications are that it is dis- a truckload came Tuesday, said tal action endorsement,"meaning meat team to send out entails and coloration and.not contamination," store manager Laura Hulsey. a governmental entity ordered an make phone calls. Clow said Monday. _ Penny Saver ran out of tanks end to water use, as happened Seattle broadcast news stations' He said' the discoloration •is around 6,p.m Monday and hada here. fust aired stories at 10 and 11 p.m.: caused by material;and sedunent new batch Tuesday morning,man- Monday afternoon, Jefferson hours after the advisory was. ' wady in the pipes.which is sub ager Roger Ramey said. County Public Health contacted issued. • jected to regular c brine treat- Bob Giesler, manager at the most vulnerable population Tunmons said the city recog- moot,_"Itis not.contam• ination'from Safeway's t d they ran out of tanks centers, such as the hospital, nits.hat the community needs the outside getting in,'' early Monday afternoon but placed schools and assisted-living facil- new ways to get emergency infor- The advisory was not the city's an emergency call that resulted in ties,to notify them about safe ways mation out to the public, decision nor was the choice to a"Gull truckload of water"delivered to handle food,Baldwin said. "It demonstrates how impor- dose all restaurants.Still,the issue from Auburn by 9:30 p.m. Kat Tai Care Center immedi- lant a communicatipn system is 'resulted in a citywide scramble. Safeway shut down services in ately began utilizing its three-day Grocery stores saw a peak in- the bakery and.deli before the advi- emergency supply of water,which sory was issued,simply because it always has on hand,said director the water looked bad, Giesler Angela Cerner Food service con- . said.But the county health depart- tinted with regular meals on the meat's notice prohibiting all food- normal schedule,but plastic dishes service establishments from being and utensils were used.They also open meant that 20 to 25 Safeway flushed the building once every employees were told to stay home hour by running taps for 15 rnm- from work on Tuesday. ones,per the city's advice,Cerner .-Business owners citywide dealt said. with frustration as employees wait- Jefferson Healthcare has an ed for the all clear.Chances are emergency boil-water plan that that businesses will have to deal was utilized,Baldwin said."They "~ > with no compensation,as any loss began instituting that plan early - w in revenue is likely not covered by Monday afternoon." .s man®us k preser frimdevelopment ROC - , FOREVER r By Barney Burke of The Leade • Gene Jones Sr.has been making the �; r. " journey since his grandfather first took him there in 1950. It's the most sacred place for our S'Klallam Tribe,"said Janes ofTamanous Rock, near Anderson Lake. The name yy- roughly translates to"Guardian Spirit," he explained. Y> ail 17': ,., Jones has climbed it many rimes in his 64 years,often taking native people , there for the spit dual benefits it offers. c Two weeks ago,the spiritual leader " led a special climb for a group of people • 1 who have worked for years to preserve A u ..,,,,:---,..„„--:,,v_.-, the rock and surrounding land as openF ' ,. space.Jones carried a drum with him " � '� �� '�. `� and alter everyone caught theirL ath ' ,� r i and reflected on the pending acquisitr n ; , ; '� of the ite,Jones stayed behind for a fe _ l bac Facing the rock, he began to sinfi # • 4 � s, ' " ;,i,.,„ :,::' slowly beating his deur as his voce � � Y N` reverberated toward the rock down ' x l * , `"• ,. . the hill',Then he said i prayer, and �� - � � � ? � ,.�� walked own to renin Ih� ` , � _ �' bt he n hr was a ehdd,h hdn'I undo r � �� ' � �� �`▪� _ -, t � ' stand the weird importance or the caves _ - around the rock,Jones said.He wanted r` "� � t--,--;.,4".'t --‘ to play in them, but his grandfather �� � slopped him. 8---.4.A.!1?:,-i.,, �, ° ,x s ' Ynu t and do Ihat, ( . euh idea, _1,-,,,!•::,,;:-.4:-, '- �, e oma lu ),r:uult•dher fold hon -it's lh ., ,, 'r �..� `�- .-g " hour of our am esloi, (tar spirits arc - ft there." �e t3 ' - - - '` _ That respect is something he-s car • n ed through the rest of his life,Jones ',' f • 9• �-` ill said,`"There's stories about people tying x'..-''="--4',-:--2.•:#:' ri, n themselves to the rock,"Jones said of � _ :"..4:''',,, oral history, and those stories mighty ' ,4 ' r relate to the huge tsunami caused by an ; � � earthquake on the Cascadia SubducUnn � Zone in 1700.At one time,he believes Y . ' the base of the rock was at sea level,and �` that's how the caves around the base t . _ were formed. ,i 'r z, x The S'Klallam Tribe was one of the �� <- . . biggest tribes in the state,"said Jones Itr vx once controlled half of the Olympic and „�; -Kitsap peninsulas,with17villa es of 400 t *gto 500 people each,he said. _ - '71'� ° ,HEART OF THEDRAGON . ,- The rock holdsmeaning for other ” ::.‘11'...:::' people as well.If you look at aerial pho- i tos of the Olympic Peninsula,some say, 4 � ,k� it looks like a dragon, and Tamanous Gene Jones Sr. a spiritual leader for the S'Klallam Tr▪ ibe stands in front of Tamanous Rock,near Anderson Lake.For generations,the Rock is the heart of that dragon. rock has held sacred meaning for Native Americans.A sale by the owner to a consortium of tribal,nonprofit and government entities See RocK,Page 5� could preserve the rock as open space forever-provided that long-term financing can be secured.Photo by Barney Burke 0 The Jamestown S'HIallam ROCk ® / + . Tribe, Suquamish Tribe, Port Gamble S'Klallam Tribe, ■ 'sk `, Washington State Parks and ®Continued from page 1 ' e i Jefferson Land Trust are work- ing in concert to raise those (forever],"Jones said."Then one .. funds,she said. day I was sitting at home," he = - ' .,,,,k1,4 :,,,„. ;# �� The Land Trust willhold the said,and got a phone call saying �r = " � title initially,Spaethsaid,b e the land had been sold and would 3' .r- t plan is for either Was be developed for housing.That > State Parks or the Jam was in the early 1990s. Tribe to ownthe property as well "Right here, I met with hisF :.3=' as the adjacent 80 acres known lawyer," said Jones of George - -t.<. , v ' Heidgerken,the developer who • v ;mac as the Nicholson Short Plat.The a planis to protect both proper- signed papers last week selling ties with conservation easements the property to a consortium of at ' r� K r`- issued to the Land Trust, she preservation groups. - , sajd.. After Heidgerken bought 3 t '` . �: , TheJeffersonLandTrustheld it, the tribes arranged a meet- f' = �' an auction several weeks ago, ing with him: That caused a ,,, _3 raising$40,000 toward the pres- (DNR)ment of ralResources 1, ervation.of the rock."I sat there (DNR) employee to fear thattorR almost in tears,"said Jones. there might be a demonstration o or protest of some sort,a story Q J .r recalled vividly by people who've `- ih, �,s been working to save the rock alltiti w these years $41- 4. �,4 Frjda}'S! z„ Jones'wife,Marilyn,recalled s.t T l:t{' Ss 4 Tans the first words from that DNR t -� a4 Paraffin employee when she arrived on r the scene."What going on?"she Treatment asked. "Shut up,my;husband's % $4 Off Haircuts'- , praying," Marilyn Jones told - - it a A "4 new customers her. � " �a �. �- s� � �...� Attempts to purchase the rock �„ �;,&-4T-1,- -‘,7::.-: ,-- Cats Q � T,T from Heidgerken were unsuc- -, ,.s • - -� -t 4 uc ty l c�L l� cessful. Alarm rippled through Many people came together to secure the future of Tamanous Rock, 449 McPherson St. supporters of the rock when he including(from left)Mike Zimmerman,state park manager for the Fort 385 0663 logged some of the property. Flagler area;Phil Johnson,Jefferson County commissioner;Jude Rubin, Peter Bahls, executive director Northwest Watershed Institute;Leo Gaten,government policy advisor for of the Northwest Watershed the Jamestown S'Klallam Tribe;Gene Jones Sr.,spiritual leader for the Institute, said that although S'Klallam Tribe;Peter Bahls,director of the Northwest Watershed Inti- 4`"14 Mary says, some gravel roads were built tote;and Sarah Spaeth,executive director of Jefferson Land Trust. "See our the trees nearest the rock were Photo by Barney Burke c rr r. left standing. II. Earlier this year,Heidgerken posted a "for sale" sign asking. $1,025,000 for the property. Eventually, he agreed to sell it for$600,000. Heidgerken, who is the owner of Managing Green LLC in Tacoma, didn't immediately return a call seeking comment for this story. LONG-TERM FINANCING The deal inked last week cre- ates a two-year window,thanks to a loan from the Bullitt Foundation that provided 80 percent of the purchase funding, said Sarah Spaeth,executive director of the Jefferson Land Trust. "This is just a bridge,"she said. The remaining 20 percent comes from private lenders and donors, said Spaeth. The chal- lenge ahead is to secure federal, state and county funds along with private donations to repay the Bullitt Foundation and com- munity lenders to preserve the rock in perpetuity. • • Ywait t .I ( k • Getyam juicuudlibri t Nbw! Due to the recent Supreme Court ruling—Abbey Road Group vs.City of Bonnie Lake—the Jefferson County Prosecuting Attorneys Office has come out with this statement: "Therefore,my further conclusion could be that an applicant(whose property is within the shoreline jurisdiction)with an approved SPAAD that does NOT have an accompanying complete building permit application Granted, this is the opinion would be subject to the updated or new Shoreline Master of just one attorney, but Program once the updated Shoreline Master Program is it seems reasonable to enacted." anticipate that a parcel —David Alvarez,Chief Civil DPA would need a building Re:Vesting and the Abbey Road LLC case from the State Supreme Court permit to be vested. "RCW 19.27.095 Building Permit Application-Consideration-Requirements • (I)A valid and fully complete building permit application for a structure,that is permitted under the zoning or other land use control ordinances in effect on the date of the application shall be considered under the building permit ordinance in effect at the time of application,and the zoning or other land use control ordinances in effect on the date of application."(To view full RCW go to www.access.wa.gov) e cns by Souza, Inc. can help you obtain a building permit. f Is your property on the shoreline? Are you planning to build within 150'of the shoreline? Already have plans?We can help with the permit process! Your one stop for all your remodel, new home and light commercial design needs. Certified Green Professional ,��i,,,: �.S,.nz>n,iv.s.believes that effective design begins with Aging in Place specialist ns the you-the client-you will have ,c;,,r s:. to live in the design.So we work gar sosoc0""0.d• with you so that we together Energy Star Partner can create a home that both fits supry your wants and still be within your budget.It is vital to design Sustainable Design g a project that you can ultimately build.We can usher you through • 19 the design process with direction and recommendations so that you can realize your dream home. • 10762 Rhody Drive on Highway 19,across from CERTIFIED Carl's Building Supply Port Hadlock / F Certfiedagirron-Plate p, iakst PROFESSIONAL'" Information provided here is courtesy of Designs by Souza.It is up to the reader to verify accuracy and }60— consistency.Designs by Souza does not guarantee or warranty building permits. www.designsbysouza.com PT WATER ':C-iit'';:i':',*:".1-1.;';::;1;:r:.;:::::.1-- 'st-'. '':'. ‘-‘,.-,-.t:;:,;.q,,,,4•,,,,,,-„..,1--,, -,..,-;;;T:,,,,,,,,,,.. .,,,,' . '..-:!,,,,t). L.--; ', ,,,;--th.: ',1-.,„,:;;;-: ;-.- **, 40'- -q:Av:!,,-%71,;,,,, ----::::,:::„.:.,::..,; - . :,„.„,, .„,,,,, rt t+ . E ,zr�.: ,,,,„ :;; .,0„- ,..:,,,,-.--...,,Art',.;,,,L.„--:, #,, h.� E a.:' .4,5-,,,,,,,,-,-.$.4,,,,,,,,...,,c,.,,,,, F —1 - d A 3 dam` d `' - .. '': ' q+ � tr „ is w� q �, r0ib` ,, __ .-.- - ER'F I;IDL&PENIN"iLLA Daat NEWS Deb Shortess,manager at the Port Townsend Food Co-Op,shows the empty shelves where bottled water once was for sale inside the store orimprovement _.. City, county learn lessons from broken water main 'What ERIK HIDLE this situation really by cell phone—but many resi- PENINSULA DAILY NEWS highlights is the need to look at an dents learned the specifics of why • emergency notification system," brown water sted PORT TOWNSEND--Now Timmons said. was spilling from their taps from news alerts p that a broken water main has been "And not just a city system,but on the Peninsula Daily News'Web fixed and city water has been site and at other loca declared safe to drink—after a one that can be used for the entire sites and through TwlitterInteanrnetd 27-hour incident put thousands of county:” Facebook postings. He is going to look into systems A ruptuoe i a. inch main residents,including —wrestaurants,e on that could call and e-mail residents a boil-water advisorywere anynear Water and Monroe streets in lessons learned? in the event of an emergency. th12:e0 cityp.'s tourist district around Port Townsend City Manager Health officials phoned restau m.Monday caused a flush David Timmons said the city rants,schools,the hospital and of approximatelythe 150,000 gallons of should look at quicker ways to senior citizen centers individually water from system. notify residents ofre similar situa- on The news then spread rapidly day. TURN TO WATER/AG tions in the future. :ralter® toss of pressure stirred rust sediment hCONf7NUED FROM Al cialse said plumbing. with daytwas not known Tues- o-how much the repair one Obottleld ofthe store water left on bu t waut we itade unt leWednesda ecisioday Pe pane arecwith large Brown water poured brown water should run cost. the shelf Tuesday after- and start up again then," groups, tand a lot of do pe she said. from taps because the break their tap for at least 15 Timmons said that resi- noon. Gary and Nancy around thiso outtitoe dinnerof r disrupted water pressure, minutes until the water dents were not at risk "If you tare that last per- Tocatlian,owners of T's Res- year." stirring rust sediment cleared up. because of the break. son comin in,then you are taurant, said they shut Gary Tocatlian also said inside the pipes. Timmons said a latent "Nothing new got into in luck,"Shortess said. down operations Monday now they would have to Some 6,000 residents fracture along a pipe rup- the system when the pipe "Beyyond that. we have ni ht afper receiving a call clear out all their water as a were advised by the state tured when a compacting broke,"Timmons said. nothin left and will be out from the city. precaution for their Department of Health to machine working on con- "A l the sediment that is until our next delivery "But we didn't get a call patrons. boil their water or drink struction in the downtown kicking around in there was Wednesday morning." until 5:45 p.m.," Nancy "It's going to cost money bottled water area drove over the ground already there, it just got Shortess said the Co-Op Tocatlian said. to melt all the ice we have, Restaurants and other some four feet above the stirred up." had reports from other We served a full lunch take time to freeze new ice, food service operations were buried pipe. Timmons said sediment stores in the area that they, crowd, and we were clear and replace the filters asked to shut down. Timmons said the pipes included small particles of too, were selling out of slammed." and flush the systems;"he Supermarkets reported in the area were of many rust,sand and other miner- water. said. brisk sales of bottled water. different ages, and it was als that exist within the The deli at the Co-Op Lost money "But we will do it,just to Multiple test samples unknown if the pipe rup- water system. shut down Monday as a be safe." sent to the state came back tured because of dilapi if a- it Stores reported brisk part of the food services The Tocatlians estimate clean at 3 p.m.Tuesday,and tion—or decay—or it sties of bottled water Mon- operation ban imposed by that by missing the out °lost n a the state lifted its `boil was a problem created o da and Tuesday as people the state. Y Reporter Erik Hidis c n be before consuming"advisory the initial construction of stockedyup. "We could have started about$3,000 in business. reached at 360-385-2335 or at and allowed businesses to the pipe. "It's hard to shut down erik.hidle�peninsuladailynews. rent f n. The pipe was repaired Deb Shortess, manager up again at noon[Tuesday] To avoid damaging Monday night. at Port Townsend Food if we boiled water to cook, for dinner during the holi- corn. /-)*i / ) r ,- . •� V: T"' ro CC T O 0 u;,2, i 2'T ur y E c a .� a 4 ro ro /-)n L �•oN ... ❑ $'8 ' E e 140 u $ -0E0 3 :d 815g '5v ro m 8N...1.' .�. 'c '9 c eg` I .ci • r--1 -a, 1, 3qq '° � v... o ' roc T, '4.2-5 wo' E. . c ,., 3 _ & Iwo C ui; JIUhIlI _¢ O ac k. � � 0 c O E� Egg R °� .� 3c�CD 0 ro ,° 3.E o g-0' >, O `o G 9 $ a ° v'o o ° w`>� o c tiro^ SNE ac �� cti a� � i m�$ $ E0.E 3 �� W � E � c �� at: 404 a!-: 5E ' E3 > c0. - cxi'- ` ppG wadvoo %-0b:,,-2• 01,G � jattF il C C L G f✓ E M .O '� V1 O x Vii E C E E '.°-. 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Ste,t. ` 'S' 1 �r W N .+z� d� aro f.. a �� ro ro '75 f, U ` a' �Fa , oU a•„ a • E °'t N °c ala a m t 114 r�i c ; c S e 9 „iier ,... = Y� r � c [� o rr1 � 4— 0 Last seasonal flu vaccine • clinic in PT set PORT TOWNSEND— The final East Jefferson County clinic for the sea- sonal flu vaccine will be Saturday. The clinic will be from 9 a.m.to noon at Olympic Primary Care,1010 Sheridan St.,Suite 101, Port Townsend. A$25 fee will be charged.Medicare patients should bring Medicare cards.All others pay with cash or check.Private insurance will not be billed. No further shipments of seasonal flu vaccine are expected this winter. State-supplied chil- dren's flu vaccines are available at Jefferson County Public Health, 615 Sheridan St.,Port Townsend,and the Jeffer- son Healthcare hospital clinics serving children. •Seasonal flu vaccine for adults is not available from the Clallam County Health and Human Ser- vices Department.The • public health department does provide seasonal flu vaccine for children. Seasonal flu vaccine was available as of last week at several pharma- cies and through private health care providers,Dr. Tom Locke,public health care officer for Clallam and Jefferson counties, said last week. Swine flu vaccine is available at public health departments,pharmacies and private providers. For more information from the Jefferson County public health department, phone 360-385-9400. For more information from the Clallam County public health office,phone the Port Angeles office, which is at 223 E.Fourth St.,at 360-417-2274,and the Forks office,which is at 140 C St.,at 360-374-3121. • bA ci to C, N 1. 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H ° -a C 3 m �.x t o-a0). � aU787�xI ,,f4 sw - � O , g 9i • s W Jefferson County reaches out to citizens with night meetings, Internet • By Jeff Chew Peninsula Daily News PORT TOWNSEND --The three Jefferson County commissioners have scheduled night meetings in Port Townsend, Port Hadlock, Port Ludlow and Quilcene, and will put their agendas online beginning Friday, in an attempt to boost public access. "We actually were going to do it last November, but with budget and holidays coming, we decided to do it at the beginning of the year," said David Sullivan, chairman of the county board that conducts its regular weekly meetings beginning at 9 a.m. Monday. Calling it an experiment that was tried by county commissioners prior to 2004, without much public turnout, Sullivan said he and his fellow commissioners were "looking for ways to engage people about what we do and about county government." Each of the "public outreach workshops," as the county commissioners call the meetings, are scheduled at 7 p.m. Dates and locations of meetings Dates and locations of the meetings are: • Jan. 11 -- Jefferson County Library, 620 Cedar Ave., Port Hadlock. • Jan. 25 -- Port Ludlow Fire Station, 7650 Oak Bay Road, Port Ludlow. • • Feb. 11 -- Port Townsend Community Center, 620 Tyler St., Port Townsend. • March 1 -- Quilcene Community Center, 294952 Old State Highway, Quilcene. "This gives us a chance to visit those communities as a group rather than as individuals," Sullivan said. Agenda packets, which have been available only in paper form, will be posted by noon each Friday at the Jefferson County Web site, www.co.jefferson.wa.us. County Administrator Philip Morley said that, for about the past six months, he has had conversations with the three county commissioners about improving public involvement and accessibility to county documents. "This is where the commissioners can meet in various communities of the county to mostly dialogue with citizens of the communities to discuss their concerns," Morley said. "The idea being that, No. 1, this is bringing county government to the communities rather than have them come to the courthouse," said Morley, who marked his first year as the county's top executive in October. The meetings were scheduled in the evenings to allow more working people an opportunity to attend, Morley said. The online agenda packets will make the county commissioners' agenda items more broadly accessible, he said. While memos from his office and other county departments will be available online, letters and e-mails to • the commissioners will not be posted because it would be too expensive and take too much staff time, Morley said. However, a list of the letters and e-mails by name will be listed online, with hard copies available at • Morley's office on the ground floor of Jefferson County Courthouse, 1820 Jefferson St., Port Townsend. Setting up such public meeting and putting documents online has been a budgetary concern at a time when county staffers have seen staff and service reductions, but Sullivan said the commissioners were trying to create more public access. Unlike the city of Port Townsend, the county cannot afford the highly technical Granicus document search system that even archives videos of City Council meetings, Morley said. Morley said that during the first quarter of 2010, the county Department of Community Development will convene a forum with private sector developers and builders about how the county department that issues building permits can operate better. "This is recognizing that, in a time such as this, that economic development is important," Morley said. "We really need to be working smoothly together." Port Townsend-Jefferson County Editor Jeff Chew can be reached at 360-385-2335 or at jeff.chew(apeninsuladailynews.com. Last modified: December 29. 2009 11:57PM • o ,z, v .f � � ° `° � o ° ro ° 3 ° o fro ° ° v o yE a ° 5 and 0Ne ,:t ,,t, vr� v 1. E �., . 0 c ao E t cu cl). a ao o o • _ a a� > v y 17, � y % o cv a y a _ co O C aJ .n 0. O .0 0. V rn U y E V O C N . o = y > lac c .y •= 0 ay•y o ° ...0 v 3 .a •_o '� E ro c •-o J = o ` y % c y n y E T jj VVi V >>�-+ .^ro, .y_, O _N aC••.r (.f.' C O. 0. _ y .r . y '^ ._ \ .E v C G vi O. •s:, • cd v� C a O ,i) .4 r ry., _..m. f ,� C � '•^ swami 3 e 7,c V a 1.5- ,i,..),- � 2 �' 3 � � , :D = � � '= EE =.a c 0 w ' 4 v o o 0 -o , � 3 ;Io ° oo `rh 'o a ,c''' ,Q a — 0 — aovix ; � bovE3 .> yEvvBEy '- y (5 aoto° u� ❑ y ° ", E � vo _ 0b3 .� y �ovovgy o..� y �v Ew 0 y a •- O ^ •ro � � 'o y c 5 y y �_ Ca) J cOcv q� ro o c o ro o c ,!I > >9-.v .-° y y Y ^ ` - n.w O .E w0 ^p E..y 'D ca O E ca.E p «-. 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O' er V ._ ? .kam' `vm' 3 °5....n oda ,oEa� oo (?) .cy Jan. , 9 , clinic,rprovides , flu vaccines for all , -: Jefferson Healthcare announc-, for both types of influenza vac- es another public clinic for those cine for anyone age 6 rnontlls and who want to receive a vaccina- older. tion-against seasonal.or HI.N1 „t:;The walk-in clinic takes place influenza.It is possible to receive from 9 a.m.to noon on Saturday, both types of flu vaccine on the :Jan. 9 at Jefferson Healthcare's same day. Overflow Clinic, 915 Sheridan St. All risk-group restrictions for Medicare patients should.bring H1N1 vaccine have now been lift-, , their Medicare cards;:all oth- ed. There is unrestricted access ers must pay$25 cash or check. Private insurance is not billed. For more,information about vaccine clinics, call 379-4471 or visit.the Jefferson County Public Health website at jeffersoncounty publichealth org �; *41$i. • R' 4 1A ";.7 .U m V - n 3: c. 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VEmmO m ,, E p E 'E m - a mI U c'-Ooo.°i �,E >.° A w e m= m . o c cyv 'v �' VE '2. 4-) s_ _ cva ' ,mFivC � t., ,, , ..a ° vyC:1 ,5 o.ovaYv m= o`' E amz°.E o E., rvo ° °w� -'gvLavvv. .a4v> E3Emv � a °� cnE•t 0 _ m ' cnENve� mz vvp0_ o v v•-.-4 C..) vco 7-',--2g2.'-a. `' .. -F..62 `3' E vv Cs) 11, '6.0 BOCC road s ow • Starting Jan. 11 in Port Hadlock, commissioners to visit towns By Allison Arthur of the Leader often includes suggestions for how the board can improve and change its ways. Working and can't make a 9 a.m. Most of the people are known to commis- meeting to tell Jefferson County commis- sioners, and most comment on specific sioners what you think? subjects. Would 7 p.m. work better? On Monday, several commented on Commissioners hope a series of night the City of Port Townsend's agenda for meetings will give residents they haven't that same evening, which included a heard from an opportunity to talk about possible legal challenge to the county's issues of concern. approval of a rezone requested by the The first of four outreach meetings Port of Port Townsend. is on Monday, Jan. 11 at the Jefferson Jim Boyer of Port Ludlow called the County Library in Port Hadlock. Other city's possible appeal "Chicago-type poli- meetings are set for Monday, Jan. 25 at tics" and told commissioners they have Port Ludlow Fire Hall; Thursday, Feb. the support of the rural county to"stand 11 at Port Townsend Community Center; your ground." and Monday, March 1 at Quilcene Norm McLeod echoed that by urging Community Center.All start at 7 p.m. commissioners to"stick to your guns.We Several frequent commentators spoke do need to have opportunities for people out Monday in support of commission- outside Port Townsend," McLeod said. ers going on the road and hearing what Larry Carter told commissioners that others have to say. Democrat Bill Miller "emails have been lighting up"since City thanked the board for the meetings. Mayor Michelle Sandoval's comments And so did Jim Tracy,a frequent critic. about the rezone. Tracy is an attorney who drives from "It's my firm belief that she's actu- 411 Kitsap County regularly on behalf of Fred ally declared war on the rural parts of Hill Materials and Thorndyke Resources, Jefferson County," Carter said. "We which are seeking permits to construct a believe there's a certain amount of greed pier south of the Hood Canal Bridge and going on here.and we're going to find out barge gravel from property owned by the source." Pope Resources. At issue is whether Jefferson County In praising the board for taking th-e allows worn for development near the meetings out of Port Townsend and into Jefferson County Airport. the rural areas, Tracy also joked that 'Commissioner 1)avid Sullivan, Jefferson County was taking a"giant leap Democrat from District 2 who lives in into the late 20th century." Cape George-who was re-elected by fel- County commissioners typically start low Commissioners John Austin and Phil their Monday morning sessions with a Johnson to serve as chairman for another half-hour public comment period, which year - said Monday he hoped the city doesn't exercise appeal options on the rezone approval. "It would make it harder to work together,not easier,"Sullivan said,noting an appeal would be costly for both the city and the county. Sullivan has been chairman for the past two years. Austin asked Sullivan to take the seat one more year,and Johnson concurred. Austin. who is in his fourth year.has not been chairman of the board. He is up for re-election this year. • • 1 i • jobs , energy, wl wildlife Area legislators read . By Allison Arthur of the leader children:Allison,8,and With the state facing a $2.6 billion Jack,5. __ deficit,legislators will in looking at new A mineral severance a •.., • S sources of revenue this legislative ses- for yeahas rs eWhileema�g 5 £ stun.A severance tax on mining,as pro- companies, including ��� *rp�� .�'.,�.�kw 'on the Legislature posed by Jefferson County commission- Iron Mountain Quarry's �o• said, noting.legislation didn't ers,could be viewed favorably,says pass last Kevin Van De Wege. Rep. Jim Bennett, don't sup Year. The 60 day session o port it, county commis- Howeveroal sal heto said he's not in favor of a to- De Wege, D- pens Jan. 11.Van sioners have lobbied Rep.Kevin Van general sales tax increase. could be harder than josays h year e session for a tax on minerals De Wege "I think the Legislature has gone to extracted in Jefferson the sales tax too often, and now it's ton "It's going to be a tough 60 days,"Van County and sold elsewhere. Under cur- De Wege said. high,"he said. rHouse Majority leader Rep. Lynn rentf law, taxes are collected at the point SEWERS AND PARKS Kessler and Sen. ender Hargrove, point of exu-action. Jefferson Count 'They've done their homework and to theferson state toouhe alsopwill be looking representatives ins other 24t Legislature,district they've gotten the Washington State funds to complete p provide matching g Association of Counties to support it," for the Port Hadlock wastewater treat- will es profiled in future articles. p Property acquisition Van Dewed said he rVan De Wege said. "And it could give ment facility, Morley deficit will be solved first,anhopeso doe stateharevenue nuwilt to the sate,so that issomething undi g, qualify for Sine million infederal funding,the from tax loopholes and lax-avoidance issues There is also a proposal for a'county the state capital budget. will be high on the agenda. or sure." needs S8Ot1,000 in matching funds from "I think if try to solve it at the end, Townsendutilities, has now much as the City of Port Vanwe De Wege said sewers in Port sten it from the Jefferson County Administrator Philip oritiesc or him.rrPort rHadlock is are pri- the big- get-go, then that would Morley said counties are looking at it. give us more time for public discussion." g gest project of the three under way.The When not serving "It's something that's on the table state also is doing a sewer project in De Wege. 35. is a firefighter-paramedic ltalked about right now because rit doesn't Brinson. Both Morley and Van De Wege in Clallant County who has two young do anything for the slate."Van De Wege See OLYMPIA,Page 9♦ . _-- • Pon Townsend 8 Jetierson County Leader MI Olympia : Difficult year •continued from page 1 state from metering expressed concern about what wells. existing Finally, Van Do Wege also could happen to vulnerable o u- plans on reintroducing HB 1885, P P "I think there are fears in a so-called wildlife-feeding bill lations in Jefferson County with the WRLAs (Water Resource that he sponsored last year,which the state deficit so high.There's Inventory Areas) that the state would make it an infraction to talk of reducing support for some will come in and limit existing feed wildlife, including deer, rac- unemployed people as well as wells, and that has never been coon,elk and cougar. reducing health-care benefits for part of the equation,"he said. low-income families. "Pretty much the message In particular, there's concern is 'Keep wildlife wild,"' he said. "Services that the state pro- in the Chimacum area that the "There are some(leer populations vides to the 24th district,whether state might try to force those with that are sustained during the win- it's unemployment or Medicaid, existing wells to have meters to ter by people feeding them, and people rely on them here pretty monitor their water consumption. that leads to large populations. heavily,and I'll be looking at that," The Port Townsend Pa er he said. I "During the winter, there's a mill and other mills would ben- natural evolution that happens. "People are struggling. efit from a biomass bill,RB 248l, and populations are controlled by Unemployment is up. Families which Van De Wege hopes pass- nature. When they are fed, they are struggling, so job creation is es.It would change how the state live longer" going to be my number one prior- :Department of Natural Resources Feeding wildlife would be ity,"said Van De Wege. puts timber on the market. the On a hopeful note with thistea punishable Departmentbye a cinl infraction. h On year's budget, Van De Wege said massy foro the amills sto sourceof and Wildlifio- Die e wrrolltl respond ronly nif it appears a voluntary$5 donation turn into enerc ' on a more con- there is a complaint, he noted. program is working to keep state sistent basis. "Thparks open. Jefferson County "We're looking at how the state loveethem,peoplebutrtheywo feerdonttheanimalunders - commissioners lobbied for the can better improve the market stand what they are doing, that . voluntary$5 on vehicle tabs. for biomass." he said. Biomass they are hurting the animals,"the BILLS ON THE HORIZON now comes from tree thinning firefighter said. and slash after timber harvests, Van De Wege's term is up after Van De Wege is sponsoring which have been down because this session, and it's likely he'll several bills of interest to Jefferson of the economy lie wants to nakc seek another t,•nn. County involving water, energy the process more consistent its and making it an offense to teed ensure that companies have wood is a great when I seam to be. This ad I love travelin wildlife such as deer and debris to burn and turn into and orking ton solve problems HB 2468 would exempt the energy, he said. • O O 2 .2> .L O .', G"28 § C g'.01 d' 0 i, a aE aM 3,� dU 3 1 §6 00 3 3 C R 0 0 0 a, o.55 O 3U +ty'c�.,' p v N. 0 0\ o ■� F.;.. cC c 0 P� c o� 3y 5� m {a) ?4 4,)'0 , 0 47 i+ V y-z O-ag'd' V ""O O- �+ O O C+ 5 ..' 47 V O a) v) O O O O $.. ° '' O T C CO0 0 "P.,E. 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The first part least 38,000 households on . is on the Peninsula Daily the North Olympic Penin- News Web site at www. sula, but with just 10 quos- peninsuladailynews.com. tions that apply to each household resident. BY PAUL GOTI'LIEB That's the number of ® , PENINSULA DAILY NEWS households in Clallam and • Ten years have passed Jefferson counties as of since the U.S. Census 2000, according to the cen- Bureau conducted its decen- sus, but it's a number sure nial springtime count of to increase, given double- increases in American citizens, asking tion tin both countiespopula respondents to fill out a Clallam County's popu- long form many found lation changed from 64,525 daunting, census officials in 2000 to 71,021 in 2008,a • said last week. 10p ercent increase,accord Local government and ing officials are piecing g to the census. together groundwork for an TURN TO CENSUS/A6 /. . i III . . . , , . . • • r� c w. .. 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