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Home My WebLink About2010- April File Copy • Jefferson County Board of HeaCth .agenda Minutes • Aprill5, 2010 • • JEFFERSON COUNTY BOARD OF HEALTH April 15, 2010 Mountain View Commons (PTPD entrance) 1925 Blaine Street Port Townsend, WA 2:30—4:30 PM DRAFTAGENDA I. Approval of Agenda II. Approval of Minutes of March 18,2010 Board of Health Meeting III. Public Comments IV. New Business 1. 2010 Public Health Heroes Awards 2. "Our Kids, Our Business" JCPH roles 3. Public Records requests • 4. Data Steering committee workgroup report from Healthcare access group 5. Legislative Update/Wrap-up V. Old Business and Informational Items 1. Mystery Bay shellfish growing area now Approved 2. Green Business award: Wandering Wardrobe 3. Letter to Senator Hargrove re immunizations waiver 4. Newsletter: Hood Canal update on projects VI. Activity Update VII. Agenda Planning Calendar VIII. Next Scheduled Meeting: May 20, 2010 2:30—4:30 PM • 4 JEFFERSON COUNTY BOARD OF HEALTH 11‘%. MINUTES Thursday, March 18, 2010 2:30 PM—4:30 PM Health Department Conference Room, 615 Sheridan Street, Port Townsend Board Members Staff Members Phil Johnson, County Commissioner District#1 Thomas Locke,MD,Health Officer David Sullivan, County Commissioner,District#2 Jean Baldwin, Public Health Services Director John Austin, County Commissioner,District#3 Julia Danskin,Nursing Services Director Kristen Nelson, Vice Chair,Port Townsend City Council Sheila Westerman,Citizen at large(City) Chuck Russell, Chair,Hospital Commissioner,District#2 Roberta Frissell, Citizen at large(County) Chair Chuck Russell called the meeting of the Jefferson County Board of Health to order at 2:32 PM. A quorum was established at 2:36 PM. Members Present: John Austin, Roberta Frissell, Kristen Nelson, Chuck Russell, David Sullivan, Sheila Westerman Members Excused: Phil Johnson Staff Present: Dr. Thomas Locke, Jean Baldwin, Julia Danskin, Veronica Shaw • Guest: Frances Joswick, SAAB APPROVAL OF AGENDA Member Nelson moved and Member Austin seconded for approval of the agenda. The agenda was approved unanimously, as written. (The order of business was altered during the meeting to accommodate the schedules of presenters.) APPROVAL OF MINUTES Member Austin moved for approval of the February 28 minutes; Member Frissell seconded. Member Nelson suggested that, on page 3, member names of those opposed to the motion be listed. Dr. Locke stated that the names were edited out from the draft minutes, and that this is an option under Robert's Rules. After a brief discussion, members agreed to consider the matter further at a future meeting. (Ms. Baldwin reported that the letter that was subject to the motion had not been sent because of the Governor's letter the day following the BOH meeting.) Dr. Locke suggested that, in the future, members could make a separate motion that the full details of a vote be recorded when they so desire. The minutes of February 28, 2010, as submitted,were • approved unanimously. Jefferson County Board of Health—March 18, 2010 - 1 - PUBLIC COMMENTS (None) • OLD BUSINESS AND INFORMATIONAL ITEMS National Estimates of the Cost of Foodborne Illness Dr. Locke pointed out the article in the packet, which announces a new web site called 'Make Our Food Safe" and information from the Produce Safety Project. He noted the very high cost associated with food borne illness. The web site presents information by state on various economic measures. Kiwanis Club of Port Townsend Team Leaders Award Program Jean Baldwin explained that it is the practice of the Health Department to nominate youth for awards when they display initiative in community service. She said that Nathaniel Christiansen had stepped forward for the Chimacum School Based Clinic and other school endeavors. For his volunteer efforts he had received the 2009 Thomas J. Majhan Team Leaders Award. He then donated his prize money to the school based clinic. A letter from the Kiwanis Club to the Chimacum School Based Health Clinic is included in the packet. Substance Abuse Advisory Board's Recidivism Reduction Grant Application to • Department of Justice Francis Joswick reported that the SAAB has submitted a grant application to the Department of Justice on behalf of the Sheriff's Department. The amount requested, $417, 861, is to fully implement existing programs and institute the new comprehensive program for reduction of recidivism rate of mental health/substance abuse offenders in the County Jail. She was very pleased that all three congressional representatives provided written support of the application. Ms. Joswick indicated that the SAAB and those involved are optimistic that the full treatment program will be funded at the jail. Member Austin noted that Ms. Joswick was highly instrumental in guiding this effort and thanked her for her leadership. The awards will be announced after July 1. She said that the cost of this problem is extremely high; Jefferson County has one of the highest recidivism rates in the State. Ms. Shaw inquired whether the recidivism rate had changed since the Drug Court had been instituted; Ms. Joswick said that it had not changed. • Jefferson County Board of Health—March 18, 2010 -2 - i �x NEW BUSINESS • Family Planning Cost Analysis Veronica Shaw presented the Clinical Fee Analysis process and fee schedule update. She noted that by ordinance the Health Department is required to provide a fee analysis annually. Based on the 2007 analysis, fees were raised to include 100% of the suggested cost adjustment. Ms. Shaw said that she had completed the 2009 analysis, but was recommending no actual increase in fees this year. The analysis reveals that, with the implementation of the previous increase, there has been a 178% increase in delinquent accounts. However, the write-offs have decreased—as a result of working with clients to allow them to pay when and as much as possible for them. She clarified that a sliding scale, not shown in the packet materials, is still being applied. Member Westerman asked if delaying the increase actually threatens the ability to provide the services. Ms. Shaw said that services are not threatened and that the 2007 increase is sufficient for the time being. Jean Baldwin noted that the 2009 fees are still considerably below market price, but are closer to insurers' reimbursement rates. Members Sullivan, Austin and Nelson expressed concerns about the true costs,the cost of collections, and the de facto sources of"gap" funds. There was acknowledgement that a portion of the shortfall comes from the General Fund. • Member Westerman inquired about the history of fee increases. Ms. Baldwin said that fee increases have not occurred each year. Also, prior to last year,they were not based on this level of analysis, but on what Medicaid would pay. Currently, it is permissible to increase charges for medications, for example, when the cost of medications increase. Ms. Shaw referred to the complexity of the analysis model that the department is using, noting its embedded formulas, RVUs (relative value units), COLA, and estimates of nursing/provider time for particular procedures or services. She said that the derived figures are still estimates and cannot be interpreted as the absolutely accurate and actual costs. It was also noted that this model is not being used for other departments and services. Ms. Danskin explained that Jefferson County Public Health receives federal Title X Family Planning funds, which requires use of a sliding scale; services are provided and fees are charged on the basis of a client's ability to pay, down to $0. The federal contract also requires the use this cost analysis system to set fees. Ms. Baldwin noted that Planned Parenthood of Washington has similar costs. She also noted that the Jefferson Health Department had been contacted by the State to help train other jurisdictions to improve their insurance billing processes. Similarly, Ms. Shaw has a 2010 grant to teach other health departments how to do billing for immunizations. She stressed that the methods and expertise in this area are still evolving. There was further discussion about finding the optimal balance. Issues considered • included high co-pay rates and the young family client population whose credit ratings Jefferson County Board of Health—March 18, 2010 - 3 - can be adversely impacted if medical bills cannot be paid. Member Sullivan said he believes the insurance companies should be billed at the full rate, and that there should be . compassionate treatment for those without adequate insurance. Ms. Danskin confirmed that the sliding scale applies up to 250% of the federal poverty level. There was agreement that insurance does not cover the full amount in any case, and 20 to 25% is paid by the client or written off, which ultimately is paid by the General Fund. Member Westerman reminded that an increase was needed in the previous year, which had been delayed for several years. She said she could agree to the "no increase"recommendation for one year, but urged that the department fees keep pace with actual costs so that clients do not see huge increases all at once. Jean Baldwin stated that the Ordinance does specify every other year, that rates are current, and that a decision is actually not needed until next year. 2009 Performance Measures Reports Jean Baldwin introduced the 2009 performance measure reports, noting that the department does a great deal of work,but sometimes does not tell its story as well as possible. The reports in the packet include data for the year ending December 2009. Staff is continuing to refine and update the summary statements and end of year analyses. Ms. Danskin briefly explained that the goals and objectives are written in July 2008 for the 2009 budget. In January 2010, staff then reported on the actual activity, outcomes and analysis for the previous 12 months. She said that considerably more detail is prepared and submitted to various funders and contractors. The appearance and content of the reports vary by team; measurements are generally those that were already in place • when this planning/budgeting/reporting structure was adopted. Communicable Disease—This report shows the unusually large volume of work accomplished and the stresses on the system at the State and Federal levels. There were also considerable demands regionally, working with Clallam and Kitsap counties, because of H1N1 and one outbreak of foodborne illness. Family Support—Member Austin inquired about item 7 under Performance Indicators. Jean Baldwin confirmed that these are the families served by the Health Department with allocations from two contracts from CPS/DSHS (Alternative Response System and Early Family Support Services). This covers families screened by CPS that need additional services from a nurse. The others are families that are too low risk to be screened into CPS, but need support services. The future of both contracts is uncertain; DSHS is undergoing reorganization and shuffling of services, some of which may not be continued in the long term. Targeted Clinical Health Services—Staff pointed out the low STD rates and low teen pregnancy rates. There was a brief discussion about the success of the school based clinics. Ms. Baldwin said there has been excellent community collaboration and that students, including high risk individuals, are making use of all of these services. She reported on a recent Community Advisory Board meeting attended by representatives of the hospital, public health and school districts, as well as parents and community • Jefferson County Board of Health—March 18, 2010 -4 - f members. She noted that the BOCC is credited with having passed the 1/10th of one percent funding resolution that makes drug and mental health services possible. She • noted that the greatest demand in the school clinics is for mental health services; providers are seeing at least 59 youth per month. The Foot Care program continues to see a high volume of patients; with a general fund budget of about$6,000, it is almost self-sustaining. The program serves seniors across the economic spectrum and provides opportunity for other necessary referrals. The increased mobility for seniors keeps them in their homes longer. Member Nelson commented on the usefulness of the reports in general. She said she was impressed with the ability of teams to maintain service levels despite budget cuts and•to read the reasons why certain goals could not be met. She noted the importance of the H1N1 pandemic and its impact on the overall workload of the department. Members agreed that the Performance reports should be posted on the website for public review. Communication with City Council—Member Nelson also expressed her appreciation to Jean Baldwin and Sheila Westerman for their recent visit and presentation to City Council. She said that providing an introduction to the work of the Health Department will serve as a foundation for future communication and collaboration. Ms. Baldwin distributed copies of an update community needs that she had mailed to the City. Ms. Nelson also mentioned that the e-mail about Our Kids, Our Business had been received • by City Councilors on the same day as the presentation. All agreed that establishing a regular forum for this type of communication is a very positive step. Public Health Heroes Nominations Jean Baldwin distributed an updated version of the March 12 nominations memorandum in the packet. The nominations included agencies, clinics, pharmacies, and individuals who with the Public Health Department built a community response to the H1N1 Pandemic of 2009. Member Austin stated he would like to add the Public Health Staff who worked on this outbreak to the list of nominations. He cited several indicators from the 2009 Communicable Disease Performance Measures Report, noting that staff had done extraordinary work in preparation and management of the H1N1 pandemic. He said that the County should be proud that H1N1 did not gain a strong foothold here, which he attributed to the excellent work of the Public Health staff. Member Austin moved that the Jefferson County Public Health staff should be included along with the other Public Health Heroes nominations. Member Frissell seconded the motion. Member Westerman initiated a discussion to clarify the placement of the nomination on the announcement memorandum; all agreed that the staff should be recognized at the top of the list. There was also agreement that the awards should be made at the April BOH meeting, possibly in a more spacious venue. The • possibility of the Hospital auditorium was mentioned. Jean Baldwin and Julia Danskin Jefferson County Board of Health—March 18, 2010 - 5 - suggested that a letter of invitation would be sent to all the nominated groups, asking each to send a representative. The motion was approved unanimously. Legislative Update/Wrap up • Dr. Locke noted that the Washington State Legislature had gone into Special Session. He said that he is a member of a group of public health officials that tracks public health legislation. This body had a 19 page report of the bills submitted this year; 16 pages listed all the legislation that"died". Of the passed or active bills, about half remained unresolved at the end of the regular session. One very significant bill that passed set up an alternate universal purchase system for childhood vaccines. This bill was the work of a broad coalition, and had very strong bi- partisan support. As previously reported, the Pharmacy Disposal bill was not adopted. Several environmental toxin bills were sent to the legislature. One sets up a mandatory system for manufacturers of florescent light devices, which contain mercury. It requires that producers establish a disposal and recycling system, thereby preventing the mercury from entering the solid waste stream. A second toxin bill regulates the plastic agent, bisphenol A (BPA), that had been extensively used for baby bottles, sports drink bottles and the linings of metal cans. This bill bans the substance in products for children under the age of three, in sports bottles, but not within cans. He said that there is pressure from the federal government to move to alternative can lining materials. The health concern is that BPAs are chemicals that mimic hormonal effects. • The pending bill that would place higher requirements for vaccine exemptions has passed through the House and gone into the Special Session. The outcomes on the remainder of the health related bills are still uncertain. Dr. Locke noted that the budget issues are significant; the gap remains at about $2.8 billion. The largest cuts in the Governor's balanced budget were in health programs, including the elimination of the Basic Health Plan which served 65,000 people, many on the Olympic Peninsula. Dr. Locke also mentioned the pending cuts in child health programs, adult Medicaid dental services, and funds for health department support for dental care for young children (ABDC program). Ultimately, the extent to which these programs can be restored depends on revenues, federal monies, and one-time fixes. Expectations are that there will be serious problems balancing the budget for at least the next two years. The fate of national health reform will have great impact on State budgets because health items are a major component of State expenditures. By 2013, federal funding will provide some relief to States for Medicaid and other programs. John Austin inquired about the likelihood of the vaccine exemption bill passing; Dr. Locke said the outcome is uncertain. After a brief discussion, Member Austin moved that the BOH direct the Chair to send an e-mail/letter to the appropriate legislators encouraging them to support the vaccine exemption requirements bill. Member Westerman seconded. The motion was approved unanimously. • Jefferson County Board of Health—March 18, 2010 -6 - . ACTIVITY UPDATES Member Austin stated that the State Board of Health (SBOH) is considering issues related to on site septic systems. One question is how much monitoring will be required; the options range from virtually no monitoring to several times per year. Member Frissell inquired as to whether or not the State Board of Health had considered pleas from local jurisdictions about the septic system regulations. She recalled that this issue had been raised at the SBOH meeting in Port Hadlock, particularly the negative public response that local BOHs are experiencing. Member Austin said that the topic is on the SBOH agenda. There was a brief discussion about the ability to implement these regulations and the fact that the legislature has said that,just as in the case of school rules,there must not be any more unfunded mandates. Dr. Locke noted that he had been Chair of the SBOH when the septic system regulations were passed. He said that the language of the regulations attempts to avoid unfunded mandates. That is, to the extent that there is funding for local jurisdictions to implement, there is an obligation to do so. And if the funding is lacking,there is not that obligation. He said that the legislature had expected to provide the basic funding, which would be supplemented by permit fees. However, because of the general economic/budgetary shortfalls, that had not occurred. ADJOURNMENT • Members Sullivan and Frissell moved to adjourn. Chair Russell adjourned the meeting at 4:01 PM. JEFFERSON COUNTY BOARD OF HEALTH Excused Chuck Russell, Chair Phil Johnson, Member Kristen Nelson, Vice-Chair John Austin, Member Roberta Frissell, Member David Sullivan, Member Sheila Westerman, Member Jefferson County Board of Health—March 18,2010 - 7 - JEFFERSON COUNTY BOARD OF HEALTH 1111 MINUTES Thursday, March 18, 2010 2:30 PM—4:30 PM Health Department Conference Room, 615 Sheridan Street, Port Townsend Board Members Phil Johnson, County Commissioner District#1 Staff i emb s David Sullivan, County Commissioner,District#2 Thomas Locke,MD,Health Officer John Austin, County Commissioner,District#3 Jean Baldwin,Public Health Services Director Julia Danskin,Nursing Services Director Kristen Nelson, Vice Chair,Port Townsend City Council Sheila Westerman, Citizen at large(City) Chuck Russell, Chair,Hospital Commissioner,District#2 Roberta Frissell, Citizen at large(County) Chair Chuck Russell called the meeting of the Jefferson County Board of Health to order at 2:32 PM. A quorum was established at 2:36 PM. Members Present: John Austin, Roberta Frissell, Kristen Nelson, Chuck Russell, David Sullivan, Sheila Westerman Members Excused: Phil Johnson Staff Present: Dr. Thomas Locke, Jean Baldwin, Julia Danskin, Veronica Shaw • Guest: Frances Joswick, SAAB APPROVAL OF AGENDA Member Nelson moved and Member Austin seconded for approval of the agenda. The agenda was approved unanimously, as written. (The order of business was altered during the meeting to accommodate the schedules of presenters.) APPROVAL OF MINUTES Member Austin moved for approval of the February 28 minutes; Member Frissell seconded. Member Nelson suggested that, on page 3, member names of those opposed to the motion be listed. Dr. Locke stated that the names were edited out from the draft minutes, and that this is an option under Robert's Rules. After a brief discussion, members agreed to consider the matter further at a future meeting. (Ms. Baldwin reported that the letter that was subject to the motion had not been sent because of the Governor's letter the day following the BOH meeting.) Dr. Locke suggested that, in the future, members could make a separate motion that the full details of a vote be recorded when they so desire. The minutes of February 28, 2010, as submitted,were approved unanimously. 110 Jefferson County Board of Health—March 18, 2010 - j - • PUBLIC COMMENTS (None) OLD BUSINESS AND INFORMATIONAL ITEMS National Estimates of the Cost of Foodborne Illness Dr. Locke pointed out the article in the packet, which announces a new web site called 'Make Our Food Safe" and information from the Produce Safety Project. He noted the very high cost associated with food borne illness. The web site presents information by state on various economic measures. Kiwanis Club of Port Townsend Team Leaders Award Program Jean Baldwin explained that it is the practice of the Health Department to nominate youth for awards when they display initiative in community service. She said that Nathaniel Christiansen had stepped forward for the Chimacum School Based Clinic and other school endeavors. For his volunteer efforts he had received the 2009 Thomas J. Majhan Team Leaders Award. He then donated his prize money to the school based clinic. A letter from the Kiwanis Club to the Chimacum School Based Health Clinic is included in the packet. • Substance Abuse Advisory Board's Recidivism Reduction Grant Application to Department of Justice Francis Joswick reported that the SAAB has submitted a grant application to the Department of Justice on behalf of the Sheriffs Department. The amount requested, $417, 861, is to fully implement existing programs and institute the new comprehensive program for reduction of recidivism rate of mental health/substance abuse offenders in the County Jail. She was very pleased that all three congressional representatives provided written support of the application. Ms. Joswick indicated that the SAAB and those involved are optimistic that the full treatment program will be funded at the jail. Member Austin noted that Ms. Joswick was highly instrumental in guiding this effort and thanked her for her leadership. The awards will be announced after July 1. She said that the cost of this problem is extremely high; Jefferson County has one of the highest recidivism rates in the State. Ms. Shaw inquired whether the recidivism rate had changed since the Drug Court had been instituted; Ms. Joswick said that it had not changed. • Jefferson County Board of Health—March 18, 2010 -2 - NEW BUSINESS • Family Planning Cost Analysis Veronica Shaw presented the Clinical Fee Analysis process and fee schedule update. She noted that by ordinance the Health Department is required to provide a fee analysis annually. Based on the 2007 analysis, fees were raised to include 100% of the suggested cost adjustment. Ms. Shaw said that she had completed the 2009 analysis, but was recommending no actual increase in fees this year. The analysis reveals that, with the implementation of the previous increase, there has been a 178% increase in delinquent accounts. However, the write-offs have decreased—as a result of working with clients to allow them to pay when and as much as possible for them. She clarified that a sliding scale,not shown in the packet materials, is still being applied. Member Westerman asked if delaying the increase actually threatens the ability to provide the services. Ms. Shaw said that services are not threatened and that the 2007 increase is sufficient for the time being. Jean Baldwin noted that the 2009 fees are still considerably below market price, but are closer to insurers' reimbursement rates. Members Sullivan, Austin and Nelson expressed concerns about the true costs, the cost of collections, and the de facto sources of"gap" funds. There was acknowledgement that a portion of the shortfall comes from the General Fund. Member Westerman inquired about the history of fee increases. Ms. Baldwin said that • fee increases have not occurred each year. Also, prior to last year, they were not based on this level of analysis, but on what Medicaid would pay. Currently, it is permissible to increase charges for medications, for example, when the cost of medications increase. Ms. Shaw referred to the complexity of the analysis model that the department is using, noting its embedded formulas, RVUs (relative value units), COLA, and estimates of nursing/provider time for particular procedures or services. She said that the derived figures are still estimates and cannot be interpreted as the absolutely accurate and actual costs. It was also noted that this model is not being used for other departments and services. Ms. Danskin explained that Jefferson County Public Health receives federal Title X Family Planning funds, which requires use of a sliding scale; services are provided and fees are charged on the basis of a client's ability to pay, down to $0. The federal contract also requires the use this cost analysis system to set fees. Ms. Baldwin noted that Planned Parenthood of Washington has similar costs. She also noted that the Jefferson Health Department had been contacted by the State to help train other jurisdictions to improve their insurance billing processes. Similarly, Ms. Shaw has a 2010 grant to teach other health departments how to do billing for immunizations. She stressed that the methods and expertise in this area are still evolving. There was further discussion about finding the optimal balance. Issues considered included high co-pay rates and the young family client population whose credit ratings • Jefferson County Board of Health—March 18, 2010 -3 - can be adversely impacted if medical bills cannot be paid. Member Sullivan said he believes the insurance companies should be billed at the full rate, and that there should be • compassionate treatment for those without adequate insurance. Ms. Danskin confirmed that the sliding scale applies up to 250% of the federal poverty level. There was agreement that insurance does not cover the full amount in any case, and 20 to 25% is paid by the client or written off, which ultimately is paid by the General Fund. Member Westerman reminded that an increase was needed in the previous year, which had been delayed for several years. She said she could agree to the "no increase"recommendation for one year, but urged that the department fees keep pace with actual costs so that clients do not see huge increases all at once. Jean Baldwin stated that the Ordinance does specify every other year, that rates are current, and that a decision is actually not needed until next year. 2009 Performance Measures Reports Jean Baldwin introduced the 2009 performance measure reports, noting that the department does a great deal of work, but sometimes does not tell its story as well as possible. The reports in the packet include data for the year ending December 2009. Staff is continuing to refine and update the summary statements and end of year analyses. Ms. Danskin briefly explained that the goals and objectives are written in July 2008 for the 2009 budget. In January 2010, staff then reported on the actual activity, outcomes and analysis for the previous 12 months. She said that considerably more detail is prepared and submitted to various funders and contractors. The appearance and content of the reports vary by team; measurements are generally those that were already in place • when this planning/budgeting/reporting structure was adopted. Communicable Disease—This report shows the unusually large volume of work accomplished and the stresses on the system at the State and Federal levels. There were also considerable demands regionally, working with Clallam and Kitsap counties, because of HIN1 and one outbreak of foodborne illness. Family Support—Member Austin inquired about item 7 under Performance Indicators. Jean Baldwin confirmed that these are the families served by the Health Department with allocations from two contracts from CPS/DSHS (Alternative Response System and Early Family Support Services). This covers families screened by CPS that need additional services from a nurse. The others are families that are too low risk to be screened into CPS, but need support services. The future of both contracts is uncertain; DSHS is undergoing reorganization and shuffling of services, some of which may not be continued in the long term. Targeted Clinical Health Services— Staff pointed out the low STD rates and low teen pregnancy rates. There was a brief discussion about the success of the school based clinics. Ms. Baldwin said there has been excellent community collaboration and that students, including high risk individuals, are making use of all of these services. She reported on a recent Community Advisory Board meeting attended by representatives of the hospital, public health and school districts, as well as parents and community • Jefferson County Board of Health—March 18, 2010 - 4 - members. She noted that the BOCC is credited with having passed the 1/10th of one percent funding resolution that makes drug and mental health services possible. She • noted that the greatest demand in the school clinics is for mental health services; providers are seeing at least 59 youth per month. The Foot Care program continues to see a high volume of patients; with a general fund budget of about $6,000, it is almost self-sustaining. The program serves seniors across the economic spectrum and provides opportunity for other necessary referrals. The increased mobility for seniors keeps them in their homes longer. Member Nelson commented on the usefulness of the reports in general. She said she was impressed with the ability of teams to maintain service levels despite budget cuts and to read the reasons why certain goals could not be met. She noted the importance of the H1N1 pandemic and its impact on the overall workload of the department. Members agreed that the Performance reports should be posted on the website for public review. Communication with City Council—Member Nelson also expressed her appreciation to Jean Baldwin and Sheila Westerman for their recent visit and presentation to City Council. She said that providing an introduction to the work of the Health Department will serve as a foundation for future communication and collaboration. Ms. Baldwin distributed copies of an update community needs that she had mailed to the City. Ms. Nelson also mentioned that the e-mail about Our Kids, Our Business had been received • by City Councilors on the same day as the presentation. All agreed that establishing a regular forum for this type of communication is a very positive step. Public Health Heroes Nominations Jean Baldwin distributed an updated version of the March 12 nominations memorandum in the packet. The nominations included agencies, clinics, pharmacies, and individuals who with the Public Health Department built a community response to the H1N1 Pandemic of 2009. Member Austin stated he would like to add the Public Health Staff who worked on this outbreak to the list of nominations. He cited several indicators from the 2009 Communicable Disease Performance Measures Report, noting that staff had done extraordinary work in preparation and management of the H1N1 pandemic. He said that the County should be proud that H1N1 did not gain a strong foothold here, which he attributed to the excellent work of the Public Health staff. Member Austin moved that the Jefferson County Public Health staff should be included along with the other Public Health Heroes nominations. Member Frissell seconded the motion. Member Westerman initiated a discussion to clarify the placement of the nomination on the announcement memorandum; all agreed that the staff should be recognized at the top of the list. There was also agreement that the awards should be made at the April BOH meeting, possibly in a more spacious venue. The possibility of the Hospital auditorium was mentioned. Jean Baldwin and Julia Danskin • Jefferson County Board of Health—March 18, 2010 - 5 - • suggested that a letter of invitation would be sent to all the nominated groups, asking each to send a representative. The motion was approved unanimously. • Legislative Update/Wrap up Dr. Locke noted that the Washington State Legislature had gone into Special Session. He said that he is a member of a group of public health officials that tracks public health legislation. This body had a 19 page report of the bills submitted this year; 16 pages listed all the legislation that"died". Of the passed or active bills, about half remained unresolved at the end of the regular session. One very significant bill that passed set up an alternate universal purchase system for childhood vaccines. This bill was the work of a broad coalition, and had very strong bi- partisan support. As previously reported, the Pharmacy Disposal bill was not adopted. Several environmental toxin bills were sent to the legislature. One sets up a mandatory system for manufacturers of florescent light devices, which contain mercury. It requires that producers establish a disposal and recycling system, thereby preventing the mercury from entering the solid waste stream. A second toxin bill regulates the plastic agent, bisphenol A (BPA), that had been extensively used for baby bottles, sports drink bottles and the linings of metal cans. This bill bans the substance in products for children under the age of three, in sports bottles, but not within cans. He said that there is pressure from the federal government to move to alternative can lining materials. The health concern is that BPAs are chemicals that mimic hormonal effects. • The pending bill that would place higher requirements for vaccine exemptions has passed through the House and gone into the Special Session. The outcomes on the remainder of the health related bills are still uncertain. Dr. Locke noted that the budget issues are significant; the gap remains at about $2.8 billion. The largest cuts in the Governor's balanced budget were in health programs, including the elimination of the Basic Health Plan which served 65,000 people, many on the Olympic Peninsula. Dr. Locke also mentioned the pending cuts in child health programs, adult Medicaid dental services, and funds for health department support for dental care for young children (ABDC program). Ultimately, the extent to which these programs can be restored depends on revenues, federal monies, and one-time fixes. Expectations are that there will be serious problems balancing the budget for at least the next two years. The fate of national health reform will have great impact on State budgets because health items are a major component of State expenditures. By 2013, federal funding will provide some relief to States for Medicaid and other programs. John Austin inquired about the likelihood of the vaccine exemption bill passing; Dr. Locke said the outcome is uncertain. After a brief discussion, Member Austin moved that the BOH direct the Chair to send an e-mail/letter to the appropriate legislators encouraging them to support the vaccine exemption requirements bill. Member Westerman seconded. The motion was approved unanimously. • Jefferson County Board of Health—March 18, 2010 - 6 - ACTIVITY UPDATES • Member Austin stated that the State Board of Health (SBOH) is considering issues related to on site septic systems. One question is how much monitoring will be required; the options range from virtually no monitoring to several times per year. Member Frissell inquired as to whether or not the State Board of Health had considered pleas from local jurisdictions about the septic system regulations. She recalled that this issue had been raised at the SBOH meeting in Port Hadlock, particularly the negative public response that local BOHs are experiencing. Member Austin said that the topic is on the SBOH agenda. There was a brief discussion about the ability to implement these regulations and the fact that the legislature has said that,just as in the case of school rules, there must not be any more unfunded mandates. Dr. Locke noted that he had been Chair of the SBOH when the septic system regulations were passed. He said that the language of the regulations attempts to avoid unfunded mandates. That is, to the extent that there is funding for local jurisdictions to implement, there is an obligation to do so. And if the funding is lacking,there is not that obligation. He said that the legislature had expected to provide the basic funding, which would be supplemented by permit fees. However, because of the general economic/budgetary shortfalls, that had not occurred. ADJOURNMENT Members Sullivan and Frissell moved to adjourn. Chair Russell adjourned the meeting at 411 4:01 PM. JEFFE:SO CO , TY BO• RD OF HEALTH Excused .huck "ussell, Chai Phil Johns n, Member Kristen Nelson, Vice-Chair Jo Austin, Member Roberta Frissell, Member David u livan, ember L.7)\14/\16._ Sheila Westerman, Member S Jefferson County Board of Health—March 18, 2010 - 7 - Jefferson County Board of Health Wow Business .Agenda Item # 1V, 1 2010 • Public .7Cealth 3-fero Awards priC15, 2010 • ... . . . .. . .. _ 40 PROCLAMATION WHEREAS, our nation spends more on health care than any other country, but nearly 900,000 people die from deaths than can be prevented each year. WHEREAS, by supporting our nation's public health system., we can build on the successes of the past and maintain the solid partnerships with all local medical providers needed to build a healthy community; WHEREAS, for the first time, American children may live shorter lives than their parents. WHEREAS, low income populations arc less likely to access preventive health care; and WHEREAS, 20% of children under age 18 live in poverty in Jefferson County and WHEREAS, despite these challenges, public health professionals in Jefferson County have contributed to dramatic progress in the past 11 years in community health by decreasing child abuse through nurse home visits to families, decreasing the number of premature infants, attributable to the WIC nutrition program, giving children a good start in life, and protecting water quality by monitoring beaches and septic systems; and WHEREAS,there can be no successful health reform without the support of a strong public iihealth infrastructure, reducing the cost of overall health care by supporting prevention strategies; and NOW, THEREFORE, the Jefferson County Board of Commissioners do hereby proclaim the week of April 5 through 11, 2010 as: National Public Health Week in Jefferson County and call upon all citizens to observe this week by embracing healthy lifestyles and creating communities and neighborhoods make it easy for us to make healthy choices, in light of thisw•ear's theme, "A Healthier America: One Community at a time." "t-,s t"' l I .GCLAINI,FD this 5th day of April, 2010. r .4 ' ,.. �... . w JEFFERSOAI COUNTY `+ AL:. Yt - BOARD.01 CI�y1"S - HERS •#' _ l , a f it sir �s.a _. rr. t , j Davi v'a, : airman . „. .. . s i R .- Phil Iii t ,4 r ember ATTEST: . . _ . I k ,..-- , t 1 ,t. ‘,. - - Ill - i untJgretr rt Jo Aus in, MemberClerk of the Board Draft 2010 Public Health week proclamation spends more on health care than any our nation other country, but nearly 900,000 people die from deaths than can be prevented each year. WHEREAS, for the first time, American children may live shorter lives than their parents. WHEREAS, low income populations face difficulties in purchasing health insurance and are less likely to access preventive health care; and WHEREAS, 20% of children under age 18 live in poverty in Jefferson County and WHEREAS, despite these challenges, public health professionals in Jefferson County have contributed to dramatic progress in the past 11 years in community health by decreasing child abuse through nurse home visits to families, decreasing the number of premature infants, attributable to the WIC nutrition program, giving children a good start in life, and protecting water quality by monitoring beaches and septic systems; and WHEREAS, there can be no successful health reform without the support of a strong public health infrastructure, reducing the cost of overall health care by supporting prevention strategies such as tobacco prevention programs and family planning programs; and WHEREAS, by supporting our nation's public health system, we can build on the successes of the past and establish the solid foundation needed for a healthy community; NOW, THEREFORE, the Jefferson County Board of Commissioners do hereby proclaim the week of April 5 through 11, 2010 as: National Public Health Week in Jefferson County and call upon all citizens to observe this week by embracing healthy lifestyles and creating communities and neighborhoods make it easy for us to make healthy choices, in light of this year's theme, "A Healthier America: One Community at a time." PROCLAIMED this 5th day of April, 2010. • ON co„ JEFFERSON COUNTY PUBLIC HEALTH 4, N0_, 615 Sheridan Street • Port Townsend •Washington • 98368 w • ww.jeffersoncountypublichealth.org For Immediate Release: April 1, 2010 Contact person: Jean Baldwin Jefferson County Public Health Phone: 360-385-9400 Public Health Hero Awards for 2010 Building our Community Health Care response: Port Townsend, April 1, 2010 - In honor of National Public Health Week, April 5 to 11, Jefferson County Board of Health (BOH) will recognize the 2010 Public Health Heroes. This year the theme for National Public Health week is "A Healthier America: One Community at a Time," through positive changes at the individual, school, workplace, community and national level. Learn more at: www.nphw.org/nphw10/home1.htm. The BOH has selected nominations that recognize the work of the many healthcare providers and agencies during the H1N1 influenza outbreak. The Pandemic of 2009 was an outbreak that struck a population of younger people, yet for the general population it remained relatively mild. The local health care system responded quickly, so by mid-February over 6,000 H1N1 vaccines were administered in Jefferson County by thirteen local providers. • Commissioner Austin and Commissioner Sullivan also nominated the Jefferson County Public Health Communicable Disease team for their leadership since the beginning of the H1N1 Pandemic, April 2009. The Board of Health recognized the commitment of all the community partners working together creating a comprehensive health care system with a planned response to the outbreak. The 2010 Public Health Heroes will be recognized for their achievements April 15, 2010, 2:30 PM, at Mountain View Commons area (Port Townsend Police Department Entrance), 1925 Blaine Street. • H1N1 tracking and surveillance: Recognizes Jefferson County Medical Providers; JHC Infection Control team; JHC Lab and Emergency Room; JCPH staff; Madrona Hill Urgent Care and Jefferson Medical/Pediatrics group who volunteered to be sentinel surveillance providers within Washington state. • H1N1 coordination within Jefferson Healthcare (JHC): Recognizes JHC administration, especially Paula Dowdle for coordination of clinics, hospital and emergency room. • H1N1 coordination with State, regional & Federal entities: Recognizes Jefferson County Public Health's Communicable Disease team for distribution of vaccine and anti-virals, lab information, overseeing surveillance, and providing shots. • H1N1 Work in the schools: Recognizes Jefferson County school staff and teachers who encouraged students to wash their hands, cover their cough, and stay home when they were sick. • COMMUNITY HEALTH ENVIRONMENTAL HEALTH DEVELOPMENTAL DISABILITIES PUBLIC HEALTH WATER QUALITY MAIN: (360) 385-9400 ALWAYS WORKING FOR A SAFER AND MAIN: (360)385-9444 FAX: (360)385-9401 HEALTHIER COMMUNITY FAX: (360)379-4487 • H1N1 Vaccine Administration: Recognizes all of the immunization nurses • and clinics who worked so hard to organize the clinics, call patients in, and administer the vaccine - all following the best medical advice as recommendations changed. • Jefferson Medical and Pediatric Group • Port Townsend Family Physicians • Kah Tai Care Center • QFC Pharmacy, Port Hadlock • Madrona Hill Urgent Care • Richard Lynn, MD • Monroe Street Medical Clinic • Safeway Pharmacy • Olympic Primary Care • South County Medical Clinic • Port Hadlock Medical Care • JCPH immunization and WIC teams o Jefferson Healthcare - Both within the hospital and the clinics, immunizing Health Care Providers • Federal Strategic National Stockpile storage and distribution of antiviral medications: Recognizes Don's Pharmacy; QFC Pharmacy, Port Hadlock; Safeway Pharmacy; and Jefferson Healthcare Pharmacy. • ### Always Working for a Safer & Healthier Jefferson County COMMUNITY HEALTH PUBLIC HEALTH ENVIRONMENTAL HEALTH • DEVELOPMENTAL DISABILITIES c WATER QUALITY ALWAYS WORKING FOR SAFER AND MAIN: 36x385-9444 MAIN: 360385-9400385-91HEALTHIER COMMUNITY FAX: 36x379-4487 FAX: 36x385.9401 1,: mrtse.wwwwwwsamula& 111 Q O )14 •--, ^ W W R 1ON 4-• .M. 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R rn - d 2oo _ti _ ii a� ao wa tiN _3G c = °3 '� m c fyZ d� � �� 3 � a� 2a o n TA— „r ff 3 — RI sT a 0 • Jefferson County Board of.1CeaCth Netiv Business .agenda Item # IV, 2 • "Our aids, Our Business " Crotes Aprill5, 2010 • PROCLAMATION WHEREAS, every child deserves to be cared for in a safe and nurturing environment; and WHEREAS, safe and healthy childhoods help produce confident and successful adults;and WHEREAS, child abuse and neglect often occur when people find themselves in stressful situations,without community resources,and not knowing how to cope; and WHEREAS, the majority of child abuse cases stem from situations and conditions that are preventable in an engaged and supportive community;and WHEREAS, child abuse and neglect can be reduced by making sure every family in Jefferson County has the support they need and deserve,to raise their children in a healthy environment; and WHEREAS, effective child abuse prevention programs succeed because of partnerships created among social service agencies, schools, faith communities, civic organizations, law enforcement agencies, and the business community; and WHEREAS, the citizens of Jefferson County are invited to become involved in supporting families in raising their children in a safe,nurturing environment; and WHEREAS, no one person can do everything, but everyone can do something,and together we can create change for the better; and WHEREAS, we encourage all citizens of Jefferson County to sign the 2010"Call to Action" pledge; and WHEREAS, displaying a pinwheel in April will serve as a positive reminder that together we can prevent child abuse and keep children safe. NOW, THEREFORE,BE IT RESOLVED, the Jefferson County Commissioners, do hereby proclaim April 2010 as Ch)4,Al, ,Prevention,Month' And ask all citizens to continue the work of preventing child abuse in Jefferson County,and we ask all citizens to j fl ss-in observing this occasion. f 4fS Eb Jh s 22' day of March,2010. j," ' JEFFE' ON COUNTY BOA cit OF IONERS • % .` I); 74' t i ' . r< airman ATTES xt �• . 4, P hn o/Member Erin Lundgren Jo Aust ember Deputy Clerk of the Board O�QORT TO�y City of Port Townsendt Office of the Mayor 250 Madison Street,Suite 2,Port Townsend,WA 98368 �� (360)379-5047 FAX(360)385-4290 w PROCLAMATION WHEREAS,every child deserves to be cared for in a safe and nurturing environment;and WHEREAS,safe and healthy childhoods help produce confident and successful adults; and WHEREAS,child abuse and neglect often occur when people find themselves in stressful situations,without community resources,and not knowing how to cope;and WHEREAS,the majority of child abuse cases stem from situations and conditions that are preventable in an engaged and supportive community;and WHEREAS,child abuse and neglect can be reduced by making sure every family in the City of Port Townsend has the support they need and deserve to raise their children in a healthy environment; and WHEREAS,effective child abuse prevention programs succeed because of partnerships created among social service agencies,schools,faith communities,civic organizations,law enforcement agencies, and the business community;and WHEREAS,the citizens of Port Townsend are invited to become involved in supporting families in raising their children in a safe,nurturing environment;and WHEREAS,no one person can do everything,but everyone can do something,and together we can create change for the better; and WHEREAS,we encourage all citizens of the City of Port Townsend to sign the 2010"Call to Action"pledge;and WHEREAS,displaying a pinwheel in April will serve as a positive reminder that together we can prevent child abuse and keep children safe, NOW,THEREFORE,I,Michelle Sandoval,Mayor of the City of Port Townsend,do hereby proclaim April 2010 as Child Abuse Prevention Month. ice Michelle Sandoval,Mayor March 15,2010 r' • i "OUR KIDS: OUR BUSINESS" HISTORY Agit In Spokane, Washington in the fall of 2006, Steve Smith, 9the Editor of the Spokesman Review, and Mary Ann ch Murphy, the Executive Director of Partners with Families • Kids: and Children, developed the idea for a month long social awareness campaign for April, 2007. April is National Child Our Business Abuse Prevention Month and the campaign was given the name "Our Kids: Our Business." Researching the Spokane campaign, Jefferson County Public Health and Jefferson County Community Network initiated Jefferson County's first "Our Kids: Our Business" campaign in April, 2008. It is now an annual campaign. INTEGRAL PARTS OF THE CAMPAIGN • A "Call to Action" for the residents of Jefferson County inviting citizens to pledge an action that will make Jefferson County a more nurturing and safe environment for children. (The pledge is asking for action, not money. Adapted from America's Promise Alliance.) • Port Townsend City Council and Jefferson County Commissioners proclaim April to be National Child Abuse Prevention Month. • Trainings and educational events on issues related to child abuse and sexual assault prevention happen throughout the month of April. • Businesses, agencies, and organizations that provide services for children, youth and families will display pinwheels to represent the children and families served by their programs. • Media coverage where possible to cover the mission of the campaign, and • information about community resources, proven prevention programs, the multi-layered triggers for child abuse, information about how Jefferson County residents can become involved, and about "Our Kids: Our Business" events and activities. HIGH POINTS FOR EACH CAMPAIGN YEAR 2008 — In the inaugural year The Leader ran a front page story every week in April on an issue to do with child abuse or child abuse prevention. Community partners developed events — PTHS had a 2 half-day conference on a variety of topics related to prevention. Jeff. Co. Historic Society had an art show on "The impact of child abuse and what a happy home looks like" for county students. It was displayed in the Museum and participated on the Gallery Walk. 2009 — Kick-off luncheon with Dr. Claudia Black (a Jeff. Co. girl) and Laura Wells from Fight Crime: invest in Kids. Two trainings in "Adverse Childhood Experiences" for county residents. Community partners developed events — The Food Co-Op and Sound Experience hosted "Our Co-Op Kids." Jeff. Co. Historic Society had a Family Fun Day. 2010 — Articles in the magazine "Living on the Peninsula." Community partners developed events — The Food Co-Op and Sound Experience will host "Our Co-Op Kids." Jeff. Co. Historic Society had a Family Fun Day. Dove House Advocacy Service will host a Youth Health Fair and "Walk a Mile in her Shoes." PTHS Student Task Force will host a Town Hall Meeting on underage drinking. The Developmental Disability Board, Jefferson County Tobacco Prevention and Control, PT Kiwanis, Jefferson County SAAB, Jefferson County Community Network, and Jefferson County Public Health are sponsoring a county-wide "Posters & Coasters Campaign to Prevent Fetal Alcohol Spectrum Disorders" to educate the public about the risk of birth defects caused by drinking and smoking at any time during pregnancy. Presented by: Jefferson County Community Network and Jefferson County Public Health Also Sponsored by: City of Port Townsend —All Department, Jefferson County — All Departments, Dove House Advocacy Services, Jefferson County Historic Society, Jefferson County METH Action Team, Jefferson County 4-H, Jefferson County YMCA, Developmental Disabilities Advisory Board, the Boiler Room, Safe Harbor Recovery Center, Substance Abuse Advisory Board, Jefferson Teen Center, Department of Children and Family Services/Children's Administration, Jumping Mouse Children's Center, Jefferson Mental Health Services, Jefferson Community School, Jefferson NAMI, makewavesl, Sunfield Farm, OLYCAP, Brinnon School District, Chimacum School District, Port Townsend School District, Quilcene School District, DBHR, DSHS, PT Kiwanis, The Rose Theatre and the Elks Lodge, and many, many more businesses, agencies and service clubs. For information, please contact Kelly Matlock at 360-379-4476 or kmatlock(a�co.jefferson.wa.us,or Anne Dean at 360-379-4495 or adeanAco.jeffeson.wa.us. • • Jefferson County Board of.9Cealth Netiv Business .agenda Item # IJV, 3 • Public Records Requests Aprill5, 2010 • ,oe JEFFERSON TPUBLIC HEALTH ISH Department: Division: Section of Procedure Manual: • Jefferson County Public Health Administration Legal Title: What Are Public Records? Subject: What is a public record and what to do with the information you gather Effective (date): Replaces (date): Renewal due (date): Page: 1 of: 2 10/09 07/09 10/10 Originated by: Veronica Shaw Approved by: Jean Baldwin What Are Public Records? A "public record" is defined to include, . . . any writing containing information relating to the conduct of government or the performance of any governmental or proprietary function prepared, owned, used, or retained by any state or local agency regardless of physical form or characteristics. RCW 42.17.020(41) "Writing" is also defined in the disclosure statues: "Writing" means handwriting, typewriting, printing, photostating, photographing, and every other means of recording any form of communication . or representation, including, but not limited to, letters, words, pictures, sounds, or symbols, or combination thereof, and all papers, maps, magnetic or paper tapes, photographic films and prints, motion picture, film and video recordings, magnetic or punched cards, discs, drums, diskettes, sound recordings, and other documents including existing data compilations from which information may be obtained or translated. RCW 42.17.020(48) Deputy Prosecutor's advice to determine if an e-mail is public record: While examining an email, ask if it was an essential link in your getting your job duties done. Did you need the substance of that e-mail to conduct and complete your job duties? Various Scenarios • While you were out, Bill Smith called at 11:15. - no need to save • While you were out, Bill Smith called and stated his neighbor cleared a huge area. - this would be saved • I can attend the 11 AM meeting - no need to save • I can attend the 11 AM meeting. Are we going to talk about the Jones BLA at the meeting? - this would be saved • I can't find Jones file. - no need to save • I want you to send out a NOCV on the Jones file. - this would be saved • On date X I went to the site and did Y. I met Joe and told him Z. He said he was waiting for Mike to do A before he could do Z. - this would be saved • You are facilitating a meeting and you send out an agenda as an e-mail attachment. Save e-mail and attachment. • • For that same meeting you are one of many persons attending the meeting and you receive the agenda via an e-mail. No need to save e-mail or attachment. Important Notes: There are many exemptions to consider when a public records request is received, however; ". . . full access to information concerning the conduct of • government on every level must be assured as fundamental and necessary precondition to the sound governance of a free society." RCW 42.17.010. As a result, exemptions are narrowly construed and disclosure is favored. Practice tips: Practically, the safest route is if in doubt, then assume the record is a Public Record that must be retained. If it must be retained, then you must retain in its original format, i.e., maintain an e-mail on your computer or a disc. Similarly, you must archive the voice messages on your phone if they relate to conducting county business. The CORTELCO phone includes an archive function available to you when the message(s) is/are finished. IT IS NOT SUFFICIENT to print out the e-mail and put it in the file. THIS INTERNAL POLICY ONLY SUPPLEMENTS THE COUNTY'S "RECORD ACCESS POLICY," CURRENTLY ATTACHMENT "A" TO RESOLUTION #99-06, adopted June 26, 2006. If this internal policy conflicts with the County's "Records Access Policy," then the Record Access Policy shall control. • G• ,, -''':,:;:::::: O N C U a) O Q U � O N c m __ cu a1 << ,e•ao ONI v) i O ) a a) O Ul0 N +-+ p Ni a) N N (n O fa U —_ Nv) cc CIO L •.§ LLI VV) >• a co 'il a O co 2 co > W Ce U U v o la-) co • Ce ate--+ U N = 0 a) O O O = CT 0 v V �' °' o CA v V, o +' N Ce CD o _ p cu = no . V 0 a)sp L Ll L a--+ :C a) L J s o C ° V) N co o- 0_ +-+ N +� = O co co a) a) a1 CO v � v > •3 O +� a� p co Q� co i _o . N U 4+- p a v X2aJ -0 ca C i a) U L- - O. o � � O N c v - = N O Ov 0- C CL C >' - a✓ U aJ cn a) 3 i � 1 fa0 co >, C CO U o f ° 0 2 2 0 > v C . p a� > , Ncr H p L f6 _cu L.' 0 L. Ocu u N w. � +, co E _ _ 0 w CU 4- = s Q a a a > U es°N-co '`,14 JEFFERSON COUNTY PUBLIC HEALTH • Department: Jefferson County Public Health Division: Section of Procedure Manual: All Legal Title: Public Records Requests Subject: Process for Public Records Requests Effective (date): Replaces (date): Renewal due (date): Page: 1 of: 1 07/09 04/07 07/11 Originated by: Approved by: Jean Baldwin Veronica Shaw Public Records Requests • All requests for Public Records, whether verbal, written or electronic are to be submitted to the Chief Operations Director or Public Health Assistant for tracking and oversight. • The Chief Operations Director or Public Health Assistant will determine appropriate method of proceeding. • The Administrative team will collect information requested and process • accordingly. • When request is completed, the request will be closed and the Public Health Assistant will copy all documents and submit to the Board of County Commissioners office. • The Public Health Assistant will purge files annually and send to archives, to be kept for five years. • NOTE: Speed is of the essence when you are asked to assist with a response to a request because the agency must, per state law, provide an initial "five-day" response (letter or e-mail) to the requester within five business days of the request. In general terms, this "five-day" letter either provides the responsive documents, denies the request with an explanation, and asks for clarification or more time, or any combination of those alternatives. THIS INTERNAL POLICY ONLY SUPPLEMENTS THE COUNTY'S "RECORD ACCESS POLICY," CURRENTLY ATTACHMENT "A" TO RESOLUTION #99-06, adopted June 26, 2006. If this internal • policy conflicts with the County's"Records Access Policy,"then the Record Access Policy shall control. 4/7/2010 • Jefferson County Board of Health OCdBusiness & InformationaCltems .agenda Item # 1; 1 • l‘lystery Bay shellfish growing area now approved April 15, 2010 • 4,STATE :.7 yl '1 e69 STATE OF WASHINGTON DEPARTMENT OF HEALTH OFFICE OF SHELLFISH AND WATER PROTECTION PO Box 47824•Olympia, Washington 98504.7824 (360)236-3330• TDD Relay Service: 1-800-833-6388 e ,_. : March 25, 2010 bt . 2011 Jaffe1 o " Dear Interested Party: ErlvicOfll Our office is reclassifying part of the Mystery Bay commercial shellfish growing area in Marrowstone Island from Conditionally Approved to Approved. This reclassification returns the growing area to the classification it held before August of 2009. We anticipate that the reclassification will be finalized by April 29,2010. The successful implementation of the Mystery Bay Management Plan will control the number and location of mooring buoys and boats in Mystery Bay,resulting in compliance with standards • for an Approved classification. The area being reclassified is identified by boundary lines in Map 3 of the enclosed Sanitary Survey report. If you have any questions,please contact Mark Toy at(360) 236-3321 or mark.toy(iidoh.wa.gov, or Bob Woolrich at(360)236-3329 or bob.woolrich@doh.wa.gov. Sincerely, d Maryanne Guichard Office Director Enclosure 4- 4 4 • ' Pacific it WHealth 1, 5 b : a .iQ POINTources POINT NO TREATY COUNCIL '�-> � Natural Port Gamble Tam•Jamestown 5'Klallam £515'4ol4-o.b Ce Q&A Factsheet: Mystery Bay Q. What is the issue and goal in Mystery Bay? A. The issue is the threat of closure of shellfish harvesting in Mystery Bay because of too many boats anchored or moored near shellfish beds. The goal is to develop a strategy prior to May 1, 2010, that will avoid closure of Mystery Bay to shellfish harvesting. The strategy must consider all uses in the bay and include a long-term approach for the whole bay that allows sustainable coexistence of commercial shellfish operations, boat moorage, and other appropriate uses. Q. Why the concern about shellfish safety? A. Shellfish (oysters, clams and mussels) feed by filtering the water in which they live. One oyster can filter 50 gallons in a day. These animals ingest and concentrate whatever is in the water, which can include bacteria and viruses when they are present. Because people often eat shellfish raw or lightly cooked, shellfish harvested from polluted areas can be hazardous to eat. Because of these factors, shellfish are a highly regulated food. Q. Why are we protecting commercial shellfish operations in Mystery Bay? A. Mystery Bay shellfish operations are important to Jefferson County's economy and the bay's ecology. Eleven of Jefferson County's 26 shellfish companies do business in Mystery Bay. Operations include shellfish farms, seed sales, harvest and processing, with estimated sales of $7 million annually—roughly 32 percent of the county's annual shellfish sales. At least 37 individuals are employed through Mystery Bay shellfish operations, not including local services providers or suppliers. Environmentally, shellfish are a key species that graze down phytoplankton as they eat, keeping marine waters clean. • Mystery Bay Q&A Fact Sheet v5 January 19, 2010 Page 1 4, Q: Why keep Mystery Bay open to shellfish harvest during the 411 summer when conflicts with increased boating traffic might occur? A. Summer is the busiest season for Mystery Bay shellfish farmers as this is when the greatest number of tourists come to the area - tourists hungry for fresh, local seafood! More than half of Mystery Bay's estimated $7 million annual sales take place during this busy boating season. Q. What is the concern about boat discharges? A. There are two concerns. (1) Septic or other discharges from boats (intentional or unintentional) can concentrate in shellfish and, if ingested, make people ill. The more boats present, the higher the likelihood of • discharges occurring. (2) Like all shellfish-producing states, Washington must comply with the shellfish growing water standards of the National Shellfish Sanitation Program (NSSP), as established by the US Food and Drug Administration, and administered here by the Department of Health (DOH). Under the NSSP a "marina" is defined as any water area that is used for temporary or permanent docking or mooring for more than 10 boats. When an area meets this threshold, the DOH is required to develop a management plan to assure that shellfish in the area or adjacent to it are • safe for consumption. The plan can include permanent or temporary closures and other protective measures. Q. Why are the Tribes concerned about Mystery Bay? A. Historically, Tribes have harvested shellfish for ceremonial, subsistence, and trade purposes. Commercial shellfish harvesting continues to be an important source of income for many Tribal citizens. Closures due to pollution or other environmental degradation are a direct impact to the Tribes' ability to access shellfish beds and violate their treaty rights. Treaty Tribes are also co-managers of fish and shellfish resources, along with the State of Washington. One of these co-management responsibilities is to ensure that shellfish harvested is safe for human consumption by following the NSSP guidelines. Q. Water quality results have been fine. Why close the shellfish beds? A. NSSP determines health risks by the number and location of boats, not water sample results. This is because marine toilets, as opposed to septic Mystery Bay Q&A Fact Sheet v5 January 19, 2010 Page 2 4. 4 • systems, provide only limited or no treatment and the discharge can reach shellfish quickly and with little dilution. Because the discharges are sporadic, water samples rarely capture boating waste, especially considering that marine water is sampled only once every 60 days. Q. Does Mystery Bay meet the NSSP definition of a marina? A. DOH has determined that, at times, parts of Mystery Bay meet the NSSP definition of a marina. NOTE DOH counts only boats that can accommodate a marine toilet. Q. Will DOH exempt some boats from being counted in Mystery Bay? A. Yes, the DOH will exempt a boat if it belongs to a property owner that lives immediately upland of their moored boat, and if the owner agrees that the boat will not be used overnight and will not discharge wastewater (documented by submission of a signed affidavit authorized by the DOH). This is the first time DOH has considered exempting boats from being counted. Q. How many buoys/vessels are in Mystery Bay? How many of these • uses are authorized? A. As of May 2009, there were 59 mooring buoys in Mystery Bay, not counting the State Park buoys. There were 30-40 vessels moored year- round in the bay. Naturally, the bay sees increased uses in the spring and summer and the exact number of vessels changes frequently during this time. Q. How many buoys/vessels are in Mystery Bay? How many of these uses are authorized? A. According to the DNR's May 2009 report, of the 59 buoys in the bay: • 25 were fully authorized or have pending applications in good standing • 19 have been issued authorizations or pending applications that have questionable standing. • 5 no longer apply or are incidental to other uses not involving mooring buoys • 10 buoys not in good standing have been identified for removal. As new information is received, these numbers will change. • Mystery Bay Q&A Fact Sheet v5 January 19, 2010 Page 3 Q. So, how many vessels can stay in Mystery Bay? • A. This has not been determined. This depends upon the long term plan for the bay, including the number of boats DOH can exempt. Efforts will be made to maximize the number of vessels while maintaining a viable commercial shellfish operation. Other factors—including protecting eelgrass, designating navigation channels, and controlling transient use— also will be involved in determining the carrying capacity of the bay. Q. What is the DNR's responsibility and how will they determine what buoys remain in Mystery Bay? A. The DNR is the land manager (in this case, the bedlands under Mystery Bay) and, as such, is responsible for determining appropriate uses in the bay on behalf of all citizens of the state. The other agencies and Tribes involved with the stakeholder group act in a regulatory and stewardship capacity. DNR, in coordination with the County, has determined the authorization status of buoys in Mystery Bay. Some are fully authorized, while others are in various stages of the authorization process. Some buoys are simply not authorized. DOH regulations, along with other stakeholder input, will help determine • the authorization status of buoys in the bay. If there is an eventual determination that there are too many buoys for non-exempt vessels, DNR will develop an equitable process for buoy authorization. Q. What authorizations are necessary in order to have a fully legal mooring buoy in Mystery Bay? A. The DNR requires either a registration, a license or a lease depending on individual factors. Jefferson County requires a shoreline development permit or exemption. WDFW requires a Hydraulic Project Approval. The U.S. Army Corp of Engineers automatically covers permitting of mooring buoys under Nation Wide Permit 10 if the use meets the terms and conditions covered by that general authorization. • Mystery Bay Q&A Fact Sheet v5 January 19, 2010 Page 4 Jefferson County Board of HeaCth. 0 121 Business & Informational Items Agenda Item # T, 2 • Green Business award 'Wandering Wardrobe .ilprili5, 2010 • N x EFF - U I HEALTH 615 Sheridan Street • Port Townsend •Washington • 98368 • www.jeffersoncountypublichealth.org April 5, 2010 Jefferson County Board of Health PO Box 1220 Port Townsend, WA 98368 Dear Board of Health Members: The Green Business program is proud to announce that the Wandering Wardrobe, located at 936 Washington Street, Port Townsend, WA 98368, has obtained Green Business certification! This business is going the extra mile to conserves water, energy and other resources in business operations. After signing the award, please return it to: Jefferson County Public Health Attn: Lori Clark • 615 Sheridan Street Port Townsend, WA 98368 Thank you for your continued support of the Green Business Program! Sincerely, lW Oaiz/c Lori Clark, MS Environmental Health Specialist Jefferson County Public Health • .�. COMMUNITY HEALTH . IC 11FOLTHENVIRONMENTAL HEALTH DEVELOPMENTAL DISABILITIES - WATER QUALITY MAIN- (360) 385-9400 � u MAIN: (360)385-9444 FAX: (360)385-9401 4 UNITY FAX: (360) 379-4487 Jefferson County Board of Health, OCdBusiness & InformationaCltems .agenda item # 17, 3 • Letter to Senator 3-fargrove re: immunizations tivaiver A_prill5, 201 • • E-mail Successfully Sent The following message was sent to Senator James Hargrove(D), Represent Representative Lynn Kessler(D)of the 24th district. TO: Senator James Hargrove CC: Representative Kevin Van De Wege Representative Lynn Kessler FROM: Mr. Thomas Locke STREET ADDRESS: 615 Sheridan St Port Townsend, WA 983 EMAIL: tlocke@co.jefferson.wa.L PHONE: (360) 385 - 9448 BILL: 2706 (For) SUBJECT: Please vote for SHB2706 • MESSAGE: At the March 18, 2010 the Jefferson County Board of Health voted unanimously to urge Senator Hargrove to support SHB2706, requiring that parents receive appropriate counseling from a licensed health care provider before seeking immunization exemptions for their children. High levels of childhood vaccine exemption in Jefferson County (reaching 11.9% of school aged children in 2008) are a serious problem affecting public health. As levels of vaccination decline among children, the threat of school-based outbreaks increases. SHB2706 addresses this problem through improved parental education with parents retaining the final choice of which vaccines their child receives. Please support this important legislation which has passed the House, has the Governor's support, but still requires Senate action. Sincerely, Thomas Locke, MD, MPH Jefferson County Health Officer • RESPONSE: Mr. Locke has requested a response to this message. • Jefferson County Board of.1 Ieafth OCcCBusiness & Informational Items .Agenda Item # 17, 4 • Netivsletter: 3-food Cana( update on projects .April i5, 2010 • OE mE 7 7 0 0„ 0, • t, 12 M2-,p Vo'Q C s al L a Var LN ° u R a,S mAy Y bo 3 C '% a5a .. i° R = YLuy• L',= i COC RL n = E2 O v y W uc •_ L — g E A TR R O et _ Y u') A y O E u x ca a c a E s y L, v. o N x 5 °A 3 v °1 'y a c = ti O C C ,.3 t o a, '° opoAvtoO _ y toy ,, soo s o 7 d Et.., OT G. -x EE - oy ,, A .o ° a p vC '' uar n ; 00,, ° y ' .yRoo r0 -E f0 n c A v ] L , yi X = NV c ° uC r o r. ca GE t C i09EmN A v ° vC = ;. r YR t,3 .L 'O_ py12 L = TV y m - °.v5 $ aa ? 1 L O o lay a, -'' o c 2aR °'o U Lb9 0v aa, v AE v E « vc= ai ( te2 `^u Ra O "' a .d a E Y - s EoU A Q NON R B ao a,-60 . YrWoo c wc v gr +, uy ay o .°2 -4LA ' 3m2ggCt o4TE ,g ° _ 0 $ soa ,o 2..'. 0, ,. 'd, u ' 5 . 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"State sees rise in TB cases," Peninsula Daily News, March 28th, 2010. 5. "Agency starts assault, abuse awareness drive," Peninsula Daily News, April 2nd, 2010. 6. "Shellfishing to stay in Mystery Bay," Peninsula Daily News, April 4th, 2010. 7. "Health heroes: Soldiers in flu outbreak feted April 15," Peninsula Daily News, April 7th 2010. • • Wellness, safety fair • PORT TOWNSEND — The third annual Jefferson County Wellness and Safety Fair will be held at Blue Heron Middle School, 3939 San Juan Ave.,from 11 a.m. to 3 p.m.Saturday. Vendor booths in the main gym will offer infor- mation on a variety of top- ics as well as free health screening services. Special presenters will be featured on the main stage in the Commons area and Mexican food from Bub's Tacos-Fresh, baked goods from On Common Grounds and snacks from the Rhododendron Festival Royalty,will be sold in the cafeteria. Many booths will offer free samples. • Main-stage presenta- tions will be offered by: ■ Dr. 'Kimber 'Rotch- ford"of Olympic Pain and Addiction Service with"Part of the Problem or Part of the Solution — Medication • for Pain"at 11:30 a.m. ■ Gary Fell from the Jefferson County Depart- ment of Emergency Man- agement with "When All Else Fails"at 12:30 p.m. ■ Dr. Paul Cunning- ham,,a family physician and''geriatrician for the 'Jamestown Family Health Clinic in Sequim and the medical director of Assured Hospice of Clallam and Jef- ferson County and cf Avamere.Olympic Rehabili- tation of Sequim,will pres- ent "Advanced Directives: Taking Control of Your Health Care"at 1:30 p.m. I Barbara Henry, an orchestra teacher in the Port Townsend School Dis- trict, and director, of, the YMCA :.Family orchestra, will bring the family orches- tra for a musical set and an "Instrument Petting Zoo" which will allow the.public to try out instruments for • fit and sound. 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Y,, ,, = E _>, 3 _ � . :.i am•= 2 2^.. .J. �ti ._. -_-_,- L .Y. i, t :=4. 2= L ti � Stat. e sees rise In.• TB cases • Few re orts "Some years there are no particularly those from develop active disease. p active cases of tuberculosis Mexico and Central Amer- Some may be infected with in either county,"Locke said. •ica, are at the highest risk tuberculosis for months or In past years The counties with the of catching active tubercu- years before showing symp- most cases in 2009 were • losis,Locke said. toms. on Peninsula King(130),Pierce(34),Sno- More than 70 percent of An infected person who homish(28),Clark(16),and last year's cases were in does not have symptoms of BY ROB OtitxatNEN Spokane (nine), the state foreign-born individuals, tuberculosis cannot spread PENINSULA DAILY NEWS department reported. the state Department of it to others,the f Depah saint Nationally, the number. Health said. The best PORT ANGELES — of tuberculosis cases has Asians had „ wayto stopest Although Washington state been dropping for 17 the highest Many people spead of the statistics show a 12 percent straight years. rate increase think tuberculosis tuberculosis isf spike in new cases of tuber- Washington is one of the in 2009 com- iS a thingof the to cover the culosis in 2009, the North few states where the infec- pared with mouth andh Olympic Peninsula had only tion is on the.rise,.and the 2008. past, but we know nose when one case and no trend state Department of Health American df ereTltly. coughing, and toward an increase. says the trend for the first Indian and MARY SELECKY takeg alln tubed Clallam County had the quarter of this year shows A 1 a s k a n states y of health culosis meer- only reported case of tuber- •the increase may continue. Natives. had cine exactly as culosis last year. Jefferson ' "Many people`. think the: biggesth sician, County had no cases,health tuberculosis is a thing of decrease, the department prescribed tin a of Health officials said. the past, but we know dif- said. Washington state had ferently,"said Mary Selecky, Locke said tuberculosis said. 256 cases in 2009 com ., secretarx, of hea�lt.h,hip..a. is a ,"true .public health Antibiotic treatment is to 2 $;.cases;R,.2 prepailed'stattetnen$ . problem because it is an the key to survival and state Department of Health,, .."P,eople, are often ,hit airborne bacterial infection' avoiding severe symptoms,– announced Tuesday. hard by TB. It's a difficult that can spread quickly. the department said. The Department of `.disease'to treat, especially "The fact that the rates Just 75 years ago,tuber El - Health says timely treat- for patients who have drug- are going up is bad news," culosis killed nearly 1,000 ment with proper antibiot- 'resistant strains." Locke said."'They should be Washington residents every ics is the key to survival Such strains are resis- going down." year. There were three because some patients have tant to two of the five main Tuberculosis usually deaths fromn the in infection in drug-resistant strains of the drugs used to treat tubercu- affects the lungs,but it can W sh n�a information on lung disease. losis. also affect lymph nodes, Over the past decade,the "Fortunately, we do not kidneys, bones, joints and tuberculosis, visit the number of tuberculosis have multidrug-resistant' other parts of the body. Department of Health at cases in Clallam or Jeffer tuberculosis in Clallam or Common symptoms tinyurl.com I yenrdgt. son' county has ranged Jefferson county," Locke include fever, night sweats, between none and three per said."That's a big,big con- fatigue, weight loss and a Reporter Rob 011ikainen can be year, said Dr. Tom Locke, cern for us . ..Its an ever- persistent cough. reached at 360-417-3537 or at rob. public health officer for Clal- present threat Most people infected ollikainen®peninsuladailynews. lam and Jefferson counties. , Immigrant populations, with tuberculosis never com. • r ' Agency starts assault, abuse • awareness drive Jefferson Public tion, Port Townsend. Sea Scouts, Northwest School Health, others of Wooden Boatbuilding, Port Townsend Marine plan activities Science Center, Schooner Martha, Community Boat PENINSULA DAILY Nrws Project, Port Townsend Aero Museum, Tri-Area PORT TOWNSEND— RC Club and the Tri-Area In recognition of National School Garden/Compost Child Abuse Prevention Program. and Sexual Assault Aware- ■ Crime Victims Ser- ness Month in April, Jef- vice Center will host a ferson County Public free Family Fun Fest at Health presents"Our Kids: the former Mountain View Our Business," a social Elementary School from awareness and prevention 10 a.m.to 3 p.m.Saturday, campaign. April 24. Many community part- Children and families ners are collaborating to will be able to learn about highlight the things indi- health and safety and com- viduals, organizations, munity resources in a fun agencies and businesses and interactive environ- can do to prevent child ment. abuse and sexual assault. Free child ID Kits will Planned activities be available. include: ■ Port Townsend ■ Jefferson County High School Student Historical Society will Task Force will sponsor a host a Museum History Town Hall Meeting on Hunt from 11 a.m.to 3:30 Tuesday, April 27, to • p.m. on Saturday, April address community strat- 10. egies to reduce underage Games will give chil- drinking. dren and families a fun II Dove House Advo- way to learn Jefferson cacy Services will spon- County History. sor a"Walk a Mile In Her Prizes will be given for Shoes"event at 6 p.m. on completing the history Wednesday,April 28. game. The walk will attempt The event is free for to bring awareness to the children. issues of sexual assault ■ Jefferson County and rape. Sheriff's Office and Jef- It will begin at Rotary fcom 911 Dispatch Cen- Park,next to US Bank,at ter will host an open house 6 from 1 p.m.to 3 p.m.Sat- p'm. urday,April 17. Men are encouraged to "Kids of all ages" can walk in women's shoes. meet Sheriff Tony Hernan- Women and children can dez and the deputies,check take part as well. out the emergency vehi- Preregistration forms des, dust for fingerprints are available at the Food and tour the Sheriff's Co-op, Jefferson Health- Office and Jeffcom 911 care and Dove House. Dispatch Center. Sponsors of the walk Balloons, badges, age- are Jefferson Healthcare, appropriate coloring books, the Food Co-Op and the child-identification and Northwest Maritime Cen- DNA kits, and treats will ter. be provided. The Port Townsend • The Food Co-op Light House Lion's Club and Sound Experience will provide refreshments. will host"Our Co-Op Kids," This event is part of a an Earth Day festival cel- national men's movement ebrating boats, planes, to bring an end to sexual worms and fish in the Food violence. • • Co-op parking lot from 1 ■ The Boiler Room will p.m. to 4 p.m. Sunday, feature events throughout April 18. the month of April. • Other participants at For detailed informa- the event will be the tion, visit www.ptbr.org/ • Northwest Maritime Cen- calendar or phone 360- ter,Wooden Boat Founda- 379-8247. i . . • Shellfishiñg . , o stay in .Shellfish: Part of bay closed Mystery last summer T Plans hopesto reduce CONTINUED FROM Al marina threshold counts. • A way to manage As the steward and transient boaters through lease managers of state- a voluntary "No Anchor number of boats in area owned aquatic lands, Zone"and to develop infor- including portions of the mation that directs tran- PENINSULA DAILY NEWS and againin the spring of 2011 commercial shellfish beds sient boaters to dock orP g in Mystery Bay, DNR to weigh the success,of the plan. Y Y Y moor in Mystery Bay State NORDLAND — Commercial began meeting with stake- Park. It will be considered a com• holders in 2008 to find adevelop shellfishing along Mystery Bay's fete success if there are no do- shores ■ Plans to a shores on Marrowstone Island P workable and sustainable long-term boat monitoring sures because of too many boats. solution to keepthe shell- will continue,the result of a plan It will be judged a significant fish site openafter con plan to assure that the to reduce the number of boatsnumbers and densities of mooring in the area. success if there are less than cerns were raised by the The.collaborative agreement three closures because of the state Department of boats do not exceed the number of boats and if the do- marina.threshold counts. among government agencies, Health. • • Developing mans e sures are no more than 14 daysP g g - tribes, shellfish growers and each The outer bay was ment strategies to address local residents was reached late closed last summer to corn- But week, said Brady Scott, But if closures are too numer- mercial shellfish harvest, changes in the bay.and its aquatic lands manager for.the ous,or are for too long a period of usage as they occur. time, the group will, reconvene outside a line between The plan says that, as state Department of Natural 30 days to evaluate the Griffith Point and Mysterywithin of January, several unau- Resources. Bay State Park, but the Commercial problem and take inner bay was left open. thorized buoys have been shellfishing in "This plan will be aaction, if necea- Seven mooring buoys removed,and the Jefferson • Mystery Bay has removed •last year, six of County Marine Resource long been a major way to balance the The state them in inner,one on the Committee and the stake- Department of holder grouphave begun source of revenue diverse uses in the outer bay. • Health had been "The bigthingon the to develop a monitoring in Jefferson bay, while protecting considering limit- Count and or prohibitinginner bay is, it is where plan. Puget Sound — Puget Sound." ing they hold their shellfish on Stakeholders include commercial shell- c o n t r i b u t i n g BRADY Scorn the beaches,but have some the Jefferson County about$77 million aquatic lands manager, fiatei h beds on outer,"Scott said. Marine Resources Com- a year. Department of Natural Resources "If that was shut down, mittee and Departments Shellfish are the number and that would have had a of Community Develop- location of unau- also huge impact." ment, Natural Resources important to the bay's eco- g P thorized boats and mooring buoys The result of the effort and CommunityHealth; logical health,officials said. in the bay exceeded national "This plan was developed to safety standards for a commercial is the Mystery Ba Y man- Marrowstone Island Com- ensure a healthy aquatic envi- - agement plan,intended to munity Association; state shellfish growing area. helpresolve use conflicts ronment and help keep shellfish Departments of Health, The National Shellfish Sani- within the baybetween sites working,"Scott said. Natural Resources, Fish tation Program standards are boaters and shellfish har- "This plan will be a way to designed to prevent contamina- oate s. and Wildlife, and State balance the diverse uses in the Parks; Army Corps of tion of shellfish that could harm The includes: bay, while protecting Puget human health. plan Engineers; Pacific Coast Sound? ■ Permitting and man Shellfish Growers Associa- The plan "would not have An excessive number of boats aging future boat moorage P —10 or more—moorin in an tion;treaty tribes;and the g to ensure that commercial been possible without the unprec- area can produce enough sewage shellfish beds do not have Northwest Indian Fisher- edented involvement of numer- ies Commission. ous stakeholders,"he added. or other discharge to oontami- to be closed. A draft of the final plan Stakeholders will meet this nate shellfish. ■ • Removal of buoys can be found at h /l fall after boating season ends TURN To SHELLFISH/A6 that do not have permits can ubecfou a at http: from Jefferson County and Y y j are not authorized by DNR.. Port Townsend-Jefferson ■ A method of exempt- County Editor Jeff Chew can be ing boats and mooring reached at 360-385-2335 or at buoys owned by shoreline jeffchewdipeninsuladailynews. property owners from the corn. • • . • /,ti 1v m 1 > W 2 L ., C M O ^ ^._ L O L J L J /; ® x L E ro Tom L m E— $ 3 .5 J • m S.2 $)i _• r • i ti _ _ ^ ' t V— r 4,'!_ : 4 ;7: E--a"; CDc v c m -o r''� v CG iiimoi L l •j^p 1 , Y . p y L :y.. ^ L V � :ta J E a) x y y c cu y Y O. _Y r-j E Y Lill •p c n Y Y c V 3 E•5 > Y L...- •-•c c z y O Jc E x r •.JCL ✓-1 FY S. . c P.3 � Y 3 c y ,�° c ti J-Z x Y'-^�' — N L • fir — oz ° '�,� � c y 3 n g ot c ,0 C �_ C.JJ c ti Y .27 Y L O y L 'n c Y c c 'L' • eL 'd L` �12 il x IN a .r'E:C' E J - CCS J -- X L cO Dc ' O E Cc . ` Til Nc. yJ z• c �a oF '':c-o 4:1011 > . > occ.7"_^ c ov YE. snv Y' 7 U Yy iC 2�Z cT, ,A4. _., • -'' . E im :O - -.a _ cyc53 "v ' a � .�y iU �U� �• E o ° Yz 6c al) o cu J A Y Y L yy 0 12 J J n U a, 3 _ W • ,: t x ATTACHMENT A � ,y R a exV , r r Executive Summary Background Mystery Bay is located on the west side of Marrowstone Island in Jefferson County, in the northern half of the Puget Sound,just inside Admiralty Inlet. Mystery Bay, like other areas of the Puget Sound, has multiple and sometimes competing uses. Mystery Bay is a prolific shellfish area and is the site of many tribal shellfish beds and commercial shellfish operations. Mystery Bay is also a popular destination harbor for traveling boaters, visited almost continually since at least the late-1700s. It serves as a homeport for many upland landowners and other Marrowstone Island residents and includes Mystery Bay State Park, a 10-acre marine park. The number of boats using Mystery Bay has increased over the past several years,to the point where they are impacting commercial shellfish operations. • Shellfish In 2009,the Washington State Department of Health (DOH) imposed a boating-season shellfish bed closure over the majority of Mystery Bay due to the number of boats moored and anchored in the bay. The number of boats exceeded National Shellfish Sanitation Program (NSSP) standards that must be adopted by states that export shellfish commercially. Among other requirements,the NSSP requires the closure of commercial shellfish areas when the number and density of boats exceeds specified numerical limits called the "marina threshold levels." Along with privately owned companies,western Washington's tribes are also active in commercial shellfish operations and have treaty rights providing access to shellfish beds. Shellfish have been harvested by northwest tribes for thousands of years and shellfish have been farmed commercially for more than 150 years. The shellfish industry represents a significant portion of Washington State's economy and provides thousands of family-wage jobs in coastal communities. Not only do shellfish bed closures affect commercial companies, but are also a direct impact to the Treaty Tribes' ability to access shellfish beds and infringes upon their treaty rights. To learn more about the specific issues and concerns, a Question and Answer Factsheet on Mystery Bay was developed in 2008, and has been recently updated (see Appendix A). The Plan To address the problem of too many boats anchored or moored near shellfish beds in the bay and the threat of shellfish harvest closures, a group of stakeholders began to meet in 2008,to find a workable and sustainable solution. The group's goal is to manage boater usage in a manner that ensures year- • Mystery Bay FINAL DRAFT Management Plan v13 February 24, 2010 round harvest of commercial shellfish while balancing that interest with the legitimate use of the bay • for public recreation. The stakeholder group includes local, state, and federal agencies; four treaty tribes; commercial shellfish interests; and a local community organization (see Appendix B). This management plan is the result of the collaborative efforts of the stakeholder group and provides a unique model to help resolve multiple use conflicts in manner that may have broad application throughout Puget Sound. The group was guided by and operates under the legal framework and regulatory authority currently in place (see Appendix C). The Mystery Bay plan contains the following major elements: 1. Permitting and managing future boat moorage to ensure that commercial shellfish beds do not have to be closed. 2. Removal of buoys that are unpermitted by Jefferson County and unauthorized by the Washington Department of Natural Resources (DNR). 3. Providing a method of exempting the boats (and mooring buoy) owned by shoreline property owners toward the NSSP marina threshold level. 4. Manage transient boaters through voluntary "No Anchor Zone" and developing information for transient boaters to direct them to dock or moor their boats in Mystery Bay State Park. 5. Establish long-term boat monitoring plan. Developing a monitoring plan to assure that the • numbers and densities of boats do not exceed the marina threshold counts. 6. Develop adaptive management to address ongoing changes. In order to determine the success level of the plan, the stakeholder group will convene, at a • minimum, once in the fall of 2010, after the boating season ends and once in the spring of 2011, before the boating season begins. The success of the plan will be ranked as follows: • A complete success if there are no closures because of too many boats; • A significant success if closures (due to boats) are no more than two and limited in duration to no more than 14 days total and the bay is quickly re-opened to harvest. Note- If closures (due to boats) number greater than two or if closures last longer than 14 days cumulatively, the stakeholder group will reconvene as soon as practical, but no later than 45 days after notification, to evaluate the problem and take action, if necessary. As of January 2010, all of the following activities have begun: • Numerous unauthorized buoys have already been removed. • A draft notification plan is being developed to inform transient boaters of the importance of docking or mooring within the State Park. • DOH has developed a strategy for exempting shoreline residents' boats from the marina threshold counts. • Jefferson County and the DNR have developed plans to ensure that future mooring buoys are properly permitted. • The Jefferson County Marine Resource Committee and the stakeholder group have begun to develop a monitoring plan. • Mystery Bay FINAL DRAFT Management Plan v13 February 24, 2010 ii i • MAP 2 Previous Classification—August 2009 ., , -'''-' ::-:::',11'7;11:: _ :;.11 ':::Siii'ilji.li,4:::';':::-Ii---''''-%41---1..'''-;,.'‘ -5:-.;r-tA'A-1'.:::111, Itk.' :1-'3'''' '''' '''''-'.1„, 'A' D 'CONCONDITIONALLY NI) 4 3° 3., } ;'' h '® III 5 t t � �s_ � t 1�{ I Illi;, f ..,,, 3 .1, ...4!:13,vc?1,3-gt,..ii • i { �� d � -i G,F ttt V�r .:L-':'",12® • • 17 1 MAP 3 • Proposed Classification "N.,,,, ,\\":.t.' illititr. ,_. _ 1110, 111 ,.. 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