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Home My WebLink About2010- July File Copy • Jefferson County Board of 3--CeaCth .Agenda Hyl mutes • JuCy 15, 2010 • • JEFFERSON COUNTY BOARD OF HEALTH July 15, 2010 Jefferson County Public Health 615 Sheridan Street Port Townsend, WA 2:30 - 4:30 PM DRAFT AGENDA I) Approval of Agenda II) Approval of Minutes of June 10, 2010 Board of Health Meeting III) Public Comments IV) Old Business and Informational Items 1. Correspondence from EH Directors and Puget Sound Partnership 2. State furloughs (DOH, DSHS) 3. Health and Human Services Programs in Washington Counties 4. Packet given to City of PT June 21 presentation ArranGt. , 6. ()6-1.e_c C . la) D nGtp r,G�- • V) New Business 1. Olympic Regional Tribal-Public Health Mutual Assistance Agreement - Board of Health Roles and Responsibilities 2. Environmental Protection Agency Grant Award to Jefferson County Public Health and Clallam County Health and Human Services 3. National Health Care Reform: Nurse Family Partnership in Washington State 4. Green Business Certificates VI) Activity Update VII) Agenda Planning Calendar VIII) Next Scheduled Meeting: August 19, 2010, 2:30 - 4:30 pm Jefferson County Public Health • 1 JEFFERSON COUNTY BOARD OF HEALTH • ® MINUTES Thursday, June 10, 2010 2:30 PM—4:30 PM Public Health 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 2:37 PM. A quorum was present. Members Present: John Austin, Phil Johnson, Kristen Nelson, Chuck Russell, David Sullivan, Sheila Westerman Members Excused: Roberta Frissell • Staff Present: Dr. Thomas Locke, Jean Baldwin, Julia Danskin Guest: Frances Joswick, Substance Abuse Advisory Board (SAAB) APPROVAL OF AGENDA Member Austin suggested the addition of an item under New Business: Appointment of Anne Dean to the SAAB. Member Austin moved and Member Russell seconded for approval of the agenda, as amended. The agenda was approved unanimously, as amended. APPROVAL OF MINUTES Member Westerman noted a typographical correction at the top of page 3: "through the local ...." . Member Sullivan moved for approval of the May 20, 2010 BOH meeting minutes, as amended; Member Nelson seconded. The minutes of May 20, 2010 were approved unanimously, amended. • Page 1 of 9 e PUBLIC COMMENTS Chair Russell asked speakers to limit their comments to three minutes or less. • Tom Brotherton noted that, because of the placement of the Public Comment period at the top of the agenda, it is difficult for any member of the public to comment on the business of the meeting. He said that it would be easier to comment if that was permitted following the presentation of information for any agenda item. In addition, Mr. Brotherton referred to an agenda item from the May meeting during which accreditation was discussed. He noted that there had been no discussion of the benefits expected from attaining national accreditation, and believes that should be part of the discussion and consideration before spending money and resources in that regard. DAv�S / ntsnA ..11a34€1-Steelquist stated that he had sent an e-mail to the Board of Health and the BOCC. He stated that the publication of the BOH meeting agenda had not been timely: the May agenda was never posted and the June 10 agenda did not appear until June 9. He referred to the relevant RCW noting that the agenda is to be published 10 days in advance of the meeting. He also noted that minutes are to be published within 10 days after approval, if there were decisions made. However,he said that the minutes for February, March and April 2010 were missing from the web site. He quoted RCW 42.30 with regard to the obligation to keep the public informed of government actions and decisions. Mr. Steelquist also noted that, since he had not seen the minutes, he did not know the background of the agenda item"Why are we not spending enough on Public Health". He expressed concern about the availability of metrics that show where we are succeeding and where we need to do better. He cited reports from the State Board of Health • indicating that Jefferson County is average or below average performance in some areas. He requested that the BOH or BOCC publish relevant metrics. In addition, Mr. Steelquist expressed his concern and cautioned that, with regard to treating people or providing services, "we are becoming more of an enabling organization than one that is solving some of our problems". Jacob Johnson introduced himself as a life long resident of Jefferson County and owner of several businesses which employ people locally. He noted the slow economy and the fall off in construction work. He said that he was representing a client of his excavation business who had a drain field designed by a licensed designer in 2003; she had intended to build but, because of a boundary line dispute and the economy, the project was delayed. The permit expired in 2006. She is now unable to renew the permit because the regulations have changed. Mr. Johnson said he has verified, with the help of a licensed designer, that the soils and conditions at the site have not changed. Mr. Johnson and his client are seeking a reconsideration of the situation and the permission to construct the drain field as originally designed, without the undue expense of a whole new design and permitting process. He urged County officials and staff to work with the community toward solutions, particularly in these difficult economic times. Jean Baldwin requested that Mr. Johnson provide the client name in writing for staff follow up. • Page 2 of 9 1 With regard to timely publication of meeting agendas and minutes, Ms. Baldwin noted • that a staff member had been on medical leave for 8 weeks, but that those duties had been reassigned temporarily. She was concerned that some data/documents may have been deleted from the web recently and said that she would attempt to restore that. She also noted that the metrics are published, appearing under the Standards for Public Health by County. [Mr. Steelquist added, at this point, that the minutes for the Substance Abuse Advisory Board and Developmentally Disabled Advisory Board are also not available on the web.] OLD BUSINESS and INFORMATIONAL ITEMS Puget Sound Septic System Repair Loan Program Dr. Locke referred to the letter in the packet from the 12 Washington coastal county Environmental Health directors to the Puget Sound Partnership seeking help in establishing a regional septic system repair loan program. The letter calls attention to the need for resources to repair failing septic systems once they are identified. Jean Baldwin added that Jefferson County has been fortunate to have Shore Bank funding through the Hood Canal Regional Septic Loan Program. Clallam and other non-Hood Canal Counties have not had benefit of such a program. Member Sullivan noted that up front capitalization is the biggest hurdle for such programs, since they do eventually pay for themselves. • Correspondence Jean Baldwin referred to the letter in the packet, addressed to her, from Mr. Brotherton (and Mr. Whitaker) dated April 2, 2010, along with her April 23 letter of response, which included an invitation to attend a BOH meeting. She noted that she does not routinely share with the BOH correspondence addressed directly to her. However, she had done so at this time because a very similar letter had appeared in the Leader from Mr. Steelquist dealing with the same issues. She said she wished to address the misinformation that had appeared in the Leader and other places. She said there is confusion about the quality of services provided by our local Health Department compared to other counties. One source is a University of Wisconsin study that discusses the physical environment, such as number of liquor stores, availability of produce and air quality. She explained that these particular measures are not valid measures of the Health Department and that the department has no control over these quality of life factors. For other quality of life indicators, Jefferson County rated in the top third of the State. Regarding another issue, per capita funding of Health Departments, Ms. Baldwin said that there are major differences in accounting methods, in categorization of programs, how overhead is spread, and many other factors that complicate comparisons between local health departments. Some Health Departments do not include Environmental • Page 3 of 9 Health—as Jefferson County does. In fact, Jefferson County Public Health has an unusually large number of different programs, such as Environmental Health, Water Quality, Developmental Disabilities, Substance Abuse, and Community Health, organized under one department. This is one of the reasons that per capita expenditures for"public health" are not readily comparable from county to county. In addition, Ms. Baldwin noted that the source document cited is old and had been shown to be erroneous in a number of aspects. Member Austin noted that a significant number of services provided by this Health Department are not covered in other jurisdictions. Exemption to New Bottled Water Tax Dr. Locke discussed the provisions of the recently enacted tax on bottled beverages including bottled water. He said many people had not realized that this includes the large 5 gallon containers of water used by some people as their main source of drinking water. However, for those drinking bottled water for health reasons or for those who do not have access to a safe source,there is an exemption. One such health reason for drinking bottled water is for those who suffer from a serious immune system disorder and have been advised not to drink water from any surface water source (e.g. the Port Townsend municipal water system). This is because it is not possible to assure that unfiltered surface water is free from Cryptosporidium, a parasite that can cause chronic infections in those with severe immune deficiency. In order to obtain the exemption, an individual must have a prescription or letter by a licensed health care practitioner recommending avoidance of unfiltered surface water or some evidence that they have no access to a source of potable water. Ms. Joswick inquired whether the information regarding Cryptosporidium and auto- immune disease is available on the web site, and whether people understand they can get information and help from the Health Department. Ms. Baldwin said that there had been several notices sent to providers, who would be aware of patients with severe autoimmune disease. The process for obtaining special tax exemptions is also available on the website. New Low Cost Health Coverage Offered Julia Danskin briefly described the new low-cost health coverage program announced in May by the Washington State Health Care Authority (HCA). There is a waiting list of over 100,000 people for the state's Basic Health program, which provides coverage for 65,000 Washington residents. The new program, Washington Health Program, is a non- subsidized version of Basic Health; enrollees pay the full premium, plus a small amount for administrative costs, and there are caps on annual costs. There are no income limitations on enrollees. Community Health Plan of Washington is under contract with the HCA to provide this health plan coverage. Ms. Danskin noted that children under the age of 19 continue to be eligible for the Basic Health subsidized coverage. • Page 4 of 9 • Dr. Locke noted that few states have programs like Basic Health. The Washington Health Program is, in effect, Washington's own "public option" for health insurance access. "Why We Don't Spend Enough on Public Health" Dr. Locke discussed an article by David Hemenway that appeared in the May issue of the New England Journal of Medicine. He noted that there is a great deal of national discussion about investing more in Public Health as part of the health reform initiatives. He said that compared to other countries the United States spends only a fraction of its health care budgets on Public Health. This is a major reason for the high incidence of many preventable health conditions in the United States as compared to other industrialized nations. The article lays out 4 major reasons that this under-spending on Public Health has occurred historically. Effectively addressing these issues is part of the the challenge in trying to promote greater investment in public health infrastructure as part of National Health Reform. NEW BUSINESS Annual Review of Jefferson County Shellfish Growing Areas Follow Up • Alison Petty, registered sanitarian and member of the water quality staff, distributed copies of the 2010 Shellfish report and provided an update for the BOH based on this report. She explained that accreditation is based on the FDA regulated National Shellfish Sanitation requirements. There are four classifications for shellfish growing areas: Approved, Conditionally Approved, Restricted, and Prohibited. The Washington State Department of Health now has a Concern status, as well, to provide an early warning for shellfish growers. Dabob Bay: Ms. Petty displayed a map showing the area of Station 296. She explained the evaluation scheme, noting that a count of"23" (fecal coliform per 100 ml) is the value at the 90th percentile. This means that of all samples for the last five years, 10% or more are greater than or equal to 23, which is higher than it should be. A count from 20 to 30 places the station in Concern status; from 31 to 43 is Threatened; anything above 43 is Prohibited. She pointed out that there are no other water quality concerns in Dabob Bay. In examining the detailed sample data, Ms. Petty indicated that one very high sample of 1600 in the past has greatly skewed the average. That instance was likely caused by storm water runoff during a period of very heavy rain, 4" in one day. Another factor is that there is little flushing in this bay. In response to a question, she acknowledged that mistakes can also happen, such as an erroneous value being reported, but that is fairly rare. S Page 5 of 9 Hood Canal#3: There are four stations of concern: 136, 137, 140, and 143. From 1988 through 2001, this area was rated as Prohibited due to seal activity. After erection of • fencing,the conditions improved and the area was upgraded to Approved. However, Ms. Petty noted that there are occasionally some high readings, likely stemming from the Duckabush River. She said this may always be an area of concern. She also pointed out the reading at Station 143 at the Fulton Creek. Ms. Pettie said that the Water Quality team spends considerable time doing sanitary surveys,visiting property owners and doing water quality sampling. There have been some high hits prompting follow up with home owners on septic systems. Mats Mats: Station 10 is Conditionally Approved; it has had some high readings. There is a commercial grower here, Mats Mats Oysters. Ms. Petty noted that the Mats Mats Bay project is underway. She said that there is frequent monitoring/sampling and active efforts by the Health Department in talking with property owners about their septic systems. She said that the source of any persistent problem would be identified and corrected. Ms. Petty said she does not believe flushing is very good in this location either. Mystery Bay: There are four stations in Threatened status due to boat moorage; there are no water quality problems. However, es length at hOH s, a collaborative effort by the Countynd many otherageniand shellfish hasled to development of a management plan to implement a no anchoring zone, reduce the number of boats and ensure proper water conditions. Port Townsend: Station 33, which is actually in Port Hadlock, is in Threatened status due • to boat moorage. Ms. Petty said the water quality samples have shown absolutely no water quality issues. DNR has begun tagging boats, with the hope of moving or removing some of them. If this is not successful,the area may be downgraded. In response to a request from a member of the audience,Ms. Petty displayed data for Mystery Bay, where water quality is excellent. She said that data for other areas, such as Kilisut Harbor, is available online under the website for the Office of Shellfish and Water Protection (www.doh.wa.gov/ehp/sf/). Community Leadership Letter Revisions Dr. Locke noted that the draft in the packet reflects a series of revisions based on the discussions of the previous meeting, with specific input from Member Westerman and then further modifications by Jean Baldwin and Dr. Locke. He explained that it has become clear to them that a two stage process, at a minimum, is necessary. Considerable groundwork will be needed before making application for federal and community transformation grants. Furthermore, grant application for national health reform grants is not really an option until 2011 at the earliest. The first stage of the proposed community assessment project likely involves a smaller group to work on data collection, updating ongoing measurements, and identifying gaps and missing information. • Page 6 of 9 Jean Baldwin added that the data discussions originated in the Healthcare Access • Committee. Members include Vic Dirksen, Dr. Locke, Jean Baldwin, Julia Danskin, and OlyCap, O3A, and Mental Health representatives. They had realized that the new census will not provide the depth of information compared to previous censuses. There are common issues of concern, particularly homelessness and hunger. Mr. Dirksen also wished to delve into healthcare access issues and behavioral work with regard to tobacco, domestic violence, etc. A second issue is that some shift in the membership will occur due to the transitions of several school and agency administrators and the retirement of Mr. Dirksen. She mentioned UGN, Domestic Violence, Mental Health and the Community Foundation, most of which have expressed great interest in pursuing data collection/analysis, collaboratively. Economic Development will engage consultants to look at broad economic indicators, but will not do in depth demographic analysis targeting family income, housing and healthcare; this would need to be done by the Data Working Group. Ms. Baldwin said,however,that she would track the results from the Economic Development study and from the joint County/City/Port planning effort. Ms. Baldwin recalled that in an earlier process, a community group had narrowed a list of nine in-depth issues to three, and these still rise to the top: families with children have more health problems; economic development to increase family wage jobs; and substance abuse is a problem across the age span. She noted that the intention is to reexamine key issues in depth, through a non-political community partnership including the County, Hospital and, hopefully, the City. BOH members are welcome; she asked for Ms. Nelson's help in finding other City representatives. • With regard to the draft, Member Nelson suggested that, if possible, a synonym should be found for"kickoff'. Later in the meeting, Member Westerman suggested several other options: "introductory meeting, initial meeting, first meeting or startup meeting". Ms. Baldwin said that the letter would be mailed to the distribution and that she would follow up with phone calls. Chair Russell indicated that he had signed the letter, as presented. Emergency Water Plans for Licensed Food Service Establishments Jean Baldwin discussed the letter and Guidelines document that had been mailed to food service establishments in December 2009, requesting each to submit a proposed water emergency plan; copies of documents are in the meeting packet. She said that some restaurants had responded and their plans had been approved. The Health Department will continue to follow up on this issue in discussions with food service establishments as part of the regular licensing process. An important component is to update records with emergency alternative contact numbers and e-mail addresses. Member Austin suggested a presentation to the Chamber of Commerce. Dr. Locke said that in the event of a water supply problem or Boil Water Advisory,the public health goal is close a minimum of food service establishments. For those with a • Page 7 of 9 plan in place, it should be possible to keep operating, using bottled water, disinfection, boiled water, and other emergency procedures. This applies to any licensed food service establishments: restaurants, filling stations, grocery stores, etc. He said that health clubs and shower facilities etc. are not regulated. Member Nelson said that, as a business owner, she found the letter to be very appropriate and helpful. Dana Fickheisen, Food Inspector, noted that in the event of such an emergency, she would like to be able to contact a manager who can verify that an approved plan is being followed. Dr. Locke noted the process will depend on the seriousness of the situation and the type of contamination. There are minimal contamination situations where the process can be streamlined. For serious cases, there are additional precautions and steps that must be taken. Jean Baldwin also noted that the food service rules and fees are being reviewed to ensure that all is clear, complete, simple and unambiguous. In response to a question from the audience, she verified that all changes would be properly noticed and reviewed through a public hearing process. New Jefferson County Public Health Web Page Jean Baldwin reported on the transition to the redesigned web site, which has been in process for about five months. It will soon be possible to track usage/number of hits per item. An important design goal is making the information readable, clear, easily accessible and meaningful. She said that decisions on placement,navigation and linkage • are challenging. Some of the headings are changed, and there are a number of specialty pages and links for providers only, WRIA-17 only, and other specific users. These pages are not secured from other users but are intended to be as convenient as possible for physicians, etc. In the future, targeted e-mails will contain embedded links to new information. Ms. Baldwin noted that, as indicated earlier in the meeting, certain material had been inadvertently dropped and would be restored. She invited everyone to tour the website and inform her of any problems or things that should be corrected or improved. The new site will not be announced until it has been finalized and reviewed more thoroughly. SAAB Reappointment—Anne Dean Member Austin commended Anne Dean for her work on the recently completed substance abuse cost study and with the One tenth of One Percent Advisory Group. He moved that the BOH reappoint Anne Dean as an SAAB member. Member Westerman and Francis Joswick expressed their enthusiastic support; the motion was seconded. The BOH unanimously approved the reappointment of Anne Dean to the SAAB. S Page 8 of 9 . ACTIVITY UPDATE Member Austin reported on the State Board of Health meeting in Snohomish County on June 9. He mentioned that Snohomish has two full time statisticians. He noted a presentation on health statistics for that county that included mortality rates for young people. The number one cause of death is car accidents. Death from poisoning, associated with overdoses or lethal combinations of prescription drugs, an apparent "recreational"trend, is a close second. In addition, there is a petition for a rule change on State regulations regarding fluoride. Dr. Osmundsen, a cosmetic dentist, and an attorney, James Deal, testified against community water fluoridation. They wish to see fluoride widely advertised as a poison. They also wanted the Food and Drug Administration (FDA) to regulate fluoride added to drinking water as a medication. However, the Environmental Health committee advised that the Board to not act on the petition since the FDA has already decided not to regulate fluoride in water and that it lies within the jurisdiction of the Environmental Protection Agency. The school rules have still not been funded. Discussions are in progress on Class B water systems, those having 14 or fewer connections. The Board is considering exceptions for systems with only two connections, in an attempt to allow flexibility for local health jurisdictions. • Member Nelson noted that Jean Baldwin and Sheila Westerman will present their quarterly report to City Council on June 21. AGENDA PLANNING CALENDAR The next scheduled meeting is on Thursday, July 15, 2010. Member Westerman will be unable to attend. ADJOURNMENT Chair Russell adjourned the BOH meeting at 3:52 PM. • Page 9 of 9 JEFFERSON COUNTY BOARD OF HEALTH MINUTES • Thursday, June 10, 2010 2:30 PM—4:30 PM Public Health 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 2:37 PM. A quorum was present. Members Present: John Austin, Phil Johnson, Kristen Nelson, Chuck Russell, David Sullivan, Sheila Westerman Members Excused: Roberta Frissell Staff Present: Dr. Thomas Locke, Jean Baldwin, Julia Danskin • Guest: Frances Joswick, Substance Abuse Advisory Board (SAAB) APPROVAL OF AGENDA Member Austin suggested the addition of an item under New Business: Appointment of Anne Dean to the SAAB. Member Austin moved and Member Russell seconded for approval of the agenda, as amended. The agenda was approved unanimously, as amended. APPROVAL OF MINUTES Member Westerman noted a typographical correction at the top of page 3: "through the local ...." . Member Sullivan moved for approval of the May 20, 2010 BOH meeting minutes, as amended; Member Nelson seconded. The minutes of May 20, 2010 were approved unanimously, amended. • Page 1 of 10 Board of Health -June 10, 2010 PUBLIC COMMENTS Chair Russell asked speakers to limit their comments to three minutes or less. • Tom Brotherton noted that, because of the placement of the Public Comment period at the top of the agenda, it is difficult for any member of the public to comment on the business of the meeting. He said that it would be easier to comment if that was permitted following the presentation of information for any agenda item. In addition, Mr. Brotherton referred to an agenda item from the May meeting during which accreditation was discussed. He noted that there had been no discussion of the benefits expected from attaining national accreditation, and believes that should be part of the discussion and consideration before spending money and resources in that regard. David Steelquist stated that he had sent an e-mail to the Board of Health and the BOCC. He stated that the publication of the BOH meeting agenda had not been timely: the May agenda was never posted and the June 10 agenda did not appear until June 9. He referred to the relevant RCW noting that the agenda is to be published 10 days in advance of the meeting. He also noted that minutes are to be published within 10 days after approval, if there were decisions made. However, he said that the minutes for February, March and April 2010 were missing from the web site. He quoted RCW 42.30 with regard to the obligation to keep the public informed of government actions and decisions. Mr. Steelquist also noted that, since he had not seen the minutes,he did not know the background of the agenda item"Why are we not spending enough on Public Health". He expressed concern about the availability of metrics that show where we are succeeding and where we need to do better. He cited reports from the State Board of Health • indicating that Jefferson County is average or below average performance in some areas. He requested that the BOH or BOCC publish relevant metrics. In addition, Mr. Steelquist expressed his concern and cautioned that, with regard to treating people or providing services, "we are becoming more of an enabling organization than one that is solving some of our problems". Jacob Johnson introduced himself as a life long resident of Jefferson County and owner of several businesses which employ people locally. He noted the slow economy and the fall off in construction work. He said that he was representing a client of his excavation business who had a drain field designed by a licensed designer in 2003; she had intended to build but, because of a boundary line dispute and the economy, the project was delayed. The permit expired in 2006. She is now unable to renew the permit because the regulations have changed. Mr. Johnson said he has verified, with the help of a licensed designer,that the soils and conditions at the site have not changed. Mr. Johnson and his client are seeking a reconsideration of the situation and the permission to construct the drain field as originally designed, without the undue expense of a whole new design and permitting process. He urged County officials and staff to work with the community toward solutions, particularly in these difficult economic times. Jean Baldwin requested that Mr. Johnson provide the client name in writing for staff follow up. 111110 Page 2 of 10 Board of Health —June 10, 2010 With regard to timely publication of meeting agendas and minutes, Ms. Baldwin noted that a staff member had been on medical leave for 8 weeks, but that those duties had been • reassigned temporarily. She was concerned that some data/documents may have been deleted from the web recently and said that she would attempt to restore that. She also noted that the metrics are published, appearing under the Standards for Public Health by County. [Mr. Steelquist added, at this point, that the minutes for the Substance Abuse Advisory Board and Developmentally Disabled Advisory Board are also not available on the web.] OLD BUSINESS and INFORMATIONAL ITEMS Puget Sound Septic System Repair Loan Program Dr. Locke referred to the letter in the packet from the 12 Washington coastal county Environmental Health directors to the Puget Sound Partnership seeking help in establishing a regional septic system repair loan program. The letter calls attention to the need for resources to repair failing septic systems once they are identified. Jean Baldwin added that Jefferson County has been fortunate to have Shore Bank funding through the Hood Canal Regional Septic Loan Program. Clallam and other non-Hood Canal Counties have not had benefit of such a program. Member Sullivan noted that up front capitalization is the biggest hurdle for such programs, since they do eventually pay for themselves. • Correspondence Jean Baldwin referred to the letter in the packet, addressed to her, from Mr. Brotherton (and Mr. Whitaker) dated April 2, 2010, along with her April 23 letter of response, which included an invitation to attend a BOH meeting. She noted that she does not routinely share with the BOH correspondence addressed directly to her. However, she had done so at this time because a very similar letter had appeared in the Leader from Mr. Steelquist dealing with the same issues. She said she wished to address the misinformation that had appeared in the Leader and other places. She said there is confusion about the quality of services provided by our local Health Department compared to other counties. One source is a University of Wisconsin study that discusses the physical environment, such as number of liquor stores, availability of produce and air quality. She explained that these particular measures are not valid measures of the Health Department and that the department has no control over these quality of life factors. For other quality of life indicators, Jefferson County rated in the top third of the State. Regarding another issue, per capita funding of Health Departments, Ms. Baldwin said that there are major differences in accounting methods, in categorization of programs, how overhead is spread, and many other factors that complicate comparisons between local health departments. Some Health Departments do not include Environmental Health—as Jefferson County does. In fact, Jefferson County Public Health has an i Page 3 of 10 Board of Health—June 10, 2010 e. unusually large number of different programs, such as Environmental Health, Water Quality, Developmental Disabilities, Substance Abuse, and Community Health, organized under one department. This is one of the reasons that per capita expenditures • for"public health"are not readily comparable from county to county. In addition, Ms. Baldwin noted that the source document cited is old and had been shown to be erroneous in a number of aspects. Member Austin noted that a significant number of services provided by this Health Department are not covered in other jurisdictions. Exemption to New Bottled Water Tax Dr. Locke discussed the provisions of the recently enacted tax on bottled beverages including bottled water. He said many people had not realized that this includes the large 5 gallon containers of water used by some people as their main source of drinking water. However, for those drinking bottled water for health reasons or for those who do not have access to a safe source, there is an exemption. One such health reason for drinking bottled water is for those who suffer from a serious immune system disorder and have been advised not to drink water from any surface water source(e.g. the Port Townsend municipal water system). This is because it is not possible to assure that unfiltered surface water is free from Cryptosporidium, a parasite that can cause chronic infections in those with severe immune deficiency. In order to obtain the exemption, an individual must have a prescription or letter by a licensed health care practitioner recommending avoidance of unfiltered surface water or some evidence that they have no access to a source of potable water. • Ms. Joswick inquired whether the information regarding Cryptosporidium and auto- immune disease is available on the web site, and whether people understand they can get information and help from the Health Department. Ms. Baldwin said that there had been several notices sent to providers, who would be aware of patients with severe autoimmune disease. The process for obtaining special tax exemptions is also available on the website. New Low Cost Health Coverage Offered Julia Danskin briefly described the new low-cost health coverage program announced in May by the Washington State Health Care Authority(HCA). There is a waiting list of over 100,000 people for the state's Basic Health program, which provides coverage for 65,000 Washington residents. The new program, Washington Health Program, is a non- subsidized version of Basic Health; enrollees pay the full premium, plus a small amount for administrative costs, and there are caps on annual costs. There are no income limitations on enrollees. Community Health Plan of Washington is under contract with the HCA to provide this health plan coverage. Ms. Danskin noted that children under the age of 19 continue to be eligible for the Basic Health subsidized coverage. • Page 4 of 10 Board of Health —June 10, 2010 Dr. Locke noted that few states have programs like Basic Health. The Washington Health Program is, in effect, Washington's own "public option" for health insurance • access. "Why We Don't Spend Enough on Public Health" Dr. Locke discussed an article by David Hemenway that appeared in the May issue of the New England Journal of Medicine. He noted that there is a great deal of national discussion about investing more in Public Health as part of the health reform initiatives. He said that compared to other countries the United States spends only a fraction of its health care budgets on Public Health. This is a major reason for the high incidence of many preventable health conditions in the United States as compared to other industrialized nations. The article lays out 4 major reasons that this under-spending on Public Health has occurred historically. Effectively addressing these issues is part of the the challenge in trying to promote greater investment in public health infrastructure as part of National Health Reform. NEW BUSINESS Annual Review of Jefferson County Shellfish Growing Areas Follow Up Alison Petty, registered sanitarian and member of the water quality staff, distributed • copies of the 2010 Shellfish report and provided an update for the BOH based on this report. She explained that accreditation is based on the FDA regulated National Shellfish Sanitation requirements. There are four classifications for shellfish growing areas: Approved, Conditionally Approved, Restricted, and Prohibited. The Washington State Department of Health now has a Concern status, as well, to provide an early warning for shellfish growers. Dabob Bay: Ms. Petty displayed a map showing the area of Station 296. She explained the evaluation scheme, noting that a count of"23" (fecal coliform per 100 ml) is the value at the 90th percentile. This means that of all samples for the last five years, 10% or more are greater than or equal to 23, which is higher than it should be. A count from 20 to 30 places the station in Concern status; from 31 to 43 is Threatened; anything above 43 is Prohibited. She pointed out that there are no other water quality concerns in Dabob Bay. In examining the detailed sample data, Ms. Petty indicated that one very high sample of 1600 in the past has greatly skewed the average. That instance was likely caused by storm water runoff during a period of very heavy rain, 4" in one day. Another factor is that there is little flushing in this bay. In response to a question, she acknowledged that mistakes can also happen, such as an erroneous value being reported, but that is fairly rare. Hood Canal #3: There are four stations of concern: 136, 137, 140, and 143. From 1988 through 2001, this area was rated as Prohibited due to seal activity. After erection of • Page 5 of 10 Board of Health—June 10, 2010 fencing, the conditions improved and the area was upgraded to Approved. However, Ms. Petty noted that there are occasionally some high readings, likely stemming from the . Duckabush River. She said this may always be an area of concern. She also pointed out the reading at Station 143 at the Fulton Creek. Ms. Pettie said that the Water Quality team spends considerable time doing sanitary surveys, visiting property owners and doing water quality sampling. There have been some high hits prompting follow up with home owners on septic systems. Mats Mats: Station 10 is Conditionally Approved; it has had some high readings. There is a commercial grower here, Mats Mats Oysters. Ms. Petty noted that the Mats Mats Bay project is underway. She said that there is frequent monitoring/sampling and active efforts by the Health Department in talking with property owners about their septic systems. She said that the source of any persistent problem would be identified and corrected. Ms. Petty said she does not believe flushing is very good in this location either. Mystery Bay: There are four stations in Threatened status due to boat moorage; there are no water quality problems. However, as discussed at length in previous BOH meetings, a collaborative effort by the County and many other agencies and shellfish growers has led to development of a management plan to implement a no anchoring zone, reduce the number of boats and ensure proper water conditions. Port Townsend: Station 33, which is actually in Port Hadlock, is in Threatened status due to boat moorage. Ms. Petty said the water quality samples have shown absolutely no water quality issues. DNR has begun tagging boats, with the hope of moving or • removing some of them. If this is not successful, the area may be downgraded. In response to a request from a member of the audience,Ms. Petty displayed data for Mystery Bay, where water quality is excellent. She said that data for other areas, such as Kilisut Harbor, is available online under the website for the Office of Shellfish and Water Protection (www.doh.wa.gov/ehp/sf/). Community Leadership Letter Revisions Dr. Locke noted that the draft in the packet reflects a series of revisions based on the discussions of the previous meeting, with specific input from Member Westerman and then further modifications by Jean Baldwin and Dr. Locke. He explained that it has become clear to them that a two stage process, at a minimum, is necessary. Considerable groundwork will be needed before making application for federal and community transformation grants. Furthermore, grant application for national health reform grants is not really an option until 2011 at the earliest. The first stage of the proposed community assessment project likely involves a smaller group to work on data collection,updating ongoing measurements, and identifying gaps and missing information. • Page 6 of 10 Board of Health —June 10, 2010 Jean Baldwin added that the data discussions originated in the Healthcare Access Committee. Members include Vic Dirksen, Dr. Locke, Jean Baldwin, Julia Danskin, and • OlyCap, O3A, and Mental Health representatives. They had realized that the new census will not provide the depth of information compared to previous censuses. There are common issues of concern, particularly homelessness and hunger. Mr. Dirksen also wished to delve into healthcare access issues and behavioral work with regard to tobacco, domestic violence, etc. A second issue is that some shift in the membership will occur due to the transitions of several school and agency administrators and the retirement of Mr. Dirksen. She mentioned UGN, Domestic Violence, Mental Health and the Community Foundation, most of which have expressed great interest in pursuing data collection/analysis, collaboratively. Economic Development will engage consultants to look at broad economic indicators, but will not do in depth demographic analysis targeting family income, housing and healthcare; this would need to be done by the Data Working Group. Ms. Baldwin said, however, that she would track the results from the Economic Development study and from the joint County/City/Port planning effort. Ms. Baldwin recalled that in an earlier process, a community group had narrowed a list of nine in-depth issues to three, and these still rise to the top: families with children have more health problems; economic development to increase family wage jobs; and substance abuse is a problem across the age span. She noted that the intention is to reexamine key issues in depth, through a non-political community partnership including the County, Hospital and, hopefully, the City. BOH members are welcome; she asked for Ms. Nelson's help in finding other City representatives. 1111 With regard to the draft, Member Nelson suggested that, if possible, a synonym should be found for "kickoff". Later in the meeting, Member Westerman suggested several other options: "introductory meeting, initial meeting, first meeting or startup meeting". Ms. Baldwin said that the letter would be mailed to the distribution and that she would follow up with phone calls. Chair Russell indicated that he had signed the letter, as presented. Emergency Water Plans for Licensed Food Service Establishments Jean Baldwin discussed the letter and Guidelines document that had been mailed to food service establishments in December 2009, requesting each to submit a proposed water emergency plan; copies of documents are in the meeting packet. She said that some restaurants had responded and their plans had been approved. The Health Department will continue to follow up on this issue in discussions with food service establishments as part of the regular licensing process. An important component is to update records with emergency alternative contact numbers and e-mail addresses. Member Austin suggested a presentation to the Chamber of Commerce. Dr. Locke said that in the event of a water supply problem or Boil Water Advisory, the public health goal is close a minimum of food service establishments. For those with a plan in place, it should be possible to keep operating, using bottled water, disinfection, r Page 7 of 10 Board of Health—June 10, 2010 boiled water, and other emergency procedures. This applies to any licensed food service establishments: restaurants, filling stations, grocery stores, etc. He said that health clubs and shower facilities etc. are not regulated. • Member Nelson said that, as a business owner, she found the letter to be very appropriate and helpful. Dana Fickheisen, Food Inspector, noted that in the event of such an emergency, she would like to be able to contact a manager who can verify that an approved plan is being followed. Dr. Locke noted the process will depend on the seriousness of the situation and the type of contamination. There are minimal contamination situations where the process can be streamlined. For serious cases,there are additional precautions and steps that must be taken. Jean Baldwin also noted that the food service rules and fees are being reviewed to ensure that all is clear, complete, simple and unambiguous. In response to a question from the audience, she verified that all changes would be properly noticed and reviewed through a public hearing process. New Jefferson County Public Health Web Page Jean Baldwin reported on the transition to the redesigned web site, which has been in process for about five months. It will soon be possible to track usage/number of hits per item. An important design goal is making the information readable, clear, easily accessible and meaningful. She said that decisions on placement, navigation and linkage are challenging. Some of the headings are changed, and there are a number of specialty ID pages and links for providers only, WRIA-17 only, and other specific users. These pages are not secured from other users but are intended to be as convenient as possible for physicians, etc. In the future, targeted e-mails will contain embedded links to new information. Ms. Baldwin noted that, as indicated earlier in the meeting, certain material had been inadvertently dropped and would be restored. She invited everyone to tour the website and inform her of any problems or things that should be corrected or improved. The new site will not be announced until it has been finalized and reviewed more thoroughly. SAAB Re-appointment—Anne Dean Member Austin commended Anne Dean for her work on the recently completed substance abuse cost study and with the One tenth of One Percent Advisory Group. He moved that the BOH re-appoint Anne Dean as an SAAB member. Member Westerman and Francis Joswick expressed their enthusiastic support; the motion was seconded. The BOH unanimously approved the reappointment of Anne Dean to the SAAB. • Page 8 of 10 Board of Health—June 10, 2010 ACTIVITY UPDATE • Member Austin reported on the State Board of Health meeting in Snohomish County on June 9. He mentioned that Snohomish has two full time statisticians. He noted a presentation on health statistics for that county that included mortality rates for young people. The number one cause of death is car accidents. Death from poisoning, associated with overdoses or lethal combinations of prescription drugs, an apparent "recreational" trend, is a close second. In addition, there is a petition for a rule change on State regulations regarding fluoride. Dr. Osmundsen, a cosmetic dentist, and an attorney, James Deal, testified against community water fluoridation. They wish to see fluoride widely advertised as a poison. They also wanted the Food and Drug Administration (FDA) to regulate fluoride added to drinking water as a medication. However, the Environmental Health committee advised that the Board to not act on the petition since the FDA has already decided not to regulate fluoride in water and that it lies within the jurisdiction of the Environmental Protection Agency. The school rules have still not been funded. Discussions are in progress on Class B water systems, those having 14 or fewer connections. The Board is considering exceptions for systems with only two connections, in an attempt to allow flexibility for local health jurisdictions. Member Nelson noted that Jean Baldwin and Sheila Westerman will present their quarterly report to City Council on June 21. AGENDA PLANNING CALENDAR The next scheduled meeting is on Thursday, July 15, 2010. Member Westerman will be unable to attend. ADJOURNMENT Chair Russell adjourned the BOH meeting at 3:52 PM. S Page 9 of 10 Board of Health—June 10, 2010 JEFFER II N C 1 4 NTY B 5 ARD OF HEALTH '� '' 0 C •c Mussell, Chair Phil Johnso , Member ,, (/ Ilk ( ,, _ ,,,,,,,,,, _ , Kristen Ni\ \40 , -Chair John Austin, Member `Al:i-f--4/: ----4-,.." Excused Roberta Frissell, Member David Sullivan, Member 'j k..6_,. - -ej,..MA/tAt-o—=----- Sheila Westerman i • Page 10 of 10 Board of Health—June 10, 2010 • Jefferson County Board of Health OCdBusiness .agenda Item # IV, 1 Corresyondence from • EliDirectors & Puget Sound Partnershp July IS, Zoio • • • e „, Washington State ii Environmental Health Directors 4tLeading,Developing&Influencing Environmental Health PO Box 68 • 4/7„,r`11+,kSouth Bend, WA 98586 June 1, 2010 Mr. David Dicks, Executive Director Puget Sound Partnership P.O. Box 40900 Olympia, WA 98504-0900 RE: PUGET SOUND SEPTIC SYSTEM REPAIR LOAN PROGRAM Dear Mr. Dicks: On behalf of the Environmental Health Directors of the Puget Sound local health jurisdictions listed at the end of this letter, I am writing to you to request your agency's assistance to help develop a regional approach to financing septic system repairs. Specifically, we are asking for the Partnership's help to identify and secure funding from federal, state, and/or other sources to provide needed capital to create • a self-sustaining loan fund program for septic system repairs. We envision a type of public/private partnership, similar to the Hood Canal Regional Septic Loan Program,to provide various types of low- interest loans to individual property owners to repair failing septic systems. Failing septic systems are,and will continue to be, a threat to the health of Puget Sound, its resources, and its people. The Puget Sound Partnership (and its predecessor the Puget Sound Action Team), Local Health Jurisdictions, the Departments of Health and Ecology,the Legislature, shellfish growers, environmental groups, county governments, and even the Legislature all agree that finding and repairing failing septic systems is one of the highest priorities for cleaning up Puget Sound. In fact, there are several state codes that require the 12 Puget Sound Local Health Jurisdictions to develop and implement programs to identify and correct failing septic systems, in addition to the Puget Sound Partnership Action Agenda which includes several action items(Section C.4.) related to finding and enforcing the repair of failing septic systems and providing a method for homeowners to pay for needed septic system repairs. All Puget Sound Local Health Jurisdictions are implementing approved local management plans, and all are actively finding and enforcing the repair of failing septic systems. But the missing cog in this equation is financial assistance for the individual homeowner to repair their failing septic system. • Mr. David Dicks Page 2 The typical costs for a replacement septic system ranges between $10,000 to$30,000 and more.These costs, especially during tough economic times when loans are very difficult to come by, can make a • septic system repair unobtainable even when the homeowner wants to do the right thing. Homeowners need help.This issue was brought to the Partnership's attention in a November 2008 letter by the Puget Sound Environmental Health Directors. There are programs that have successfully addressed this funding dilemma.The Hood Canal Regional Septic Loan Program, managed in partnership with Shorebank Enterprise Cascadia and the counties of Kitsap,Jefferson, and Mason, has a successful track record and seems to be an ideal model for a Puget Sound-wide program. In less than three years the public/private partnership of the Hood Canal Regional Septic Loan Program has financed over 200 sewage system improvement projects.These projects ensure that over 25 million gallons of sewage annually is properly treated before reaching ground or surface waters. More than $5.7 million has been infused into the regional economy through more than 100 small businesses,while retaining nearly 60 family wage jobs and helping over 90 low income families have the resilience to keep their homes.The program succeeded in meeting the numerical goal set in the contract between Ecology and Kitsap County one year earlier than planned.The response has been outstanding and the need for the initiative and the demand for the loan product have been well established. Please help us clean up Puget Sound. Please help provide the resources needed to establish a regional • septic system repair loan program, like the Hood Canal model,for the entire Puget Sound Region. Please call (360-337-5284)or write if you have any questions or need further information. Sincerely, Keith Grellner Art Starry Andy Brastad Kitsap County Health District Thurston County Health Dept. Clallam County Health Dept. Aaron Henderson Debbie Riley Jean Baldwin Island County Health Dept. Mason County Health Dept. Jefferson County Health Dept. Steve Marek Larry Fay John Wolpers Tacoma-Pierce County Health Seattle-King County Health Dept. Whatcom County Health Dept. Mark Tompkins Corinne Story Randy Darst San Juan County Health Dept. Skagit County Health Dept. Snohomish County Health Dist. • Jean Baldwin From: David Dicks [david.dicks@psp.wa.gov] *Sent: Wednesday, July 07, 2010 9:23 AM To: Grellner, Keith Cc: abrastad@co.clallam.wa.us; aaronh@co.island.wa.us; larry.fay@kingcounty.gov; dlr@co.mason.wa.us; smarek@tpchd.org; markt@co.san-juan.wa.us; corinnes@co.skagit.wa.us; kplemel@shd.snohomish.wa.gov; starrya@co.thurston.wa.us; jwolpers@co.whatcom.wa.us; Jean Baldwin; rdarst@shd.snohomish.wa.gov; Duane Fagergren; Jennifer Eberle Subject: Request for Assistance Importance: High Dear Keith: Thank you for your recent letter on behalf of the Environmental Health Directors of Puget Sound local health jurisdictions. We are well aware of the efficient and effective septic loan repair program administered by Shorebank Enterprise Cascadia. John Berdes and Terry Hull made a presentation to our Leadership Council last year on this program. They provided us with their annual report for the Hood Canal program, with support from Kitsap County and working in conjunction with the Hood Canal Coordinating Council. As you know, Hood Canal represents one of the leading priorities for me personally and for the Partnership in its implementation of the Action Agenda. I am convinced that resolving the myriad complex issues related to On Site Septic Systems (OSSs) is key to achieving a healthy Puget Sound, and broader, to reducing pathogens (and nutrients) in sensitive areas such as Lower Hood Canal and in other critically important areas such as shellfish growing areas. •Environmental Health officers and our state Department of Health lead the way in this area, and I want you to know how much I appreciate your leadership. Clearly, Kitsap County's Surface and Stormwater Management Program and your Health Department's Pollution Identification and Correction Program are model programs in finding and fixing failing OSSs and improving ground and surface water quality. One of the key elements in solving the ongoing challenges related to OSSs is adequate and accessible funding for homeowners. You clearly and compellingly laid out reasons for supporting and expanding the geographical coverage of Shorebank's proven successful loan program. I value the strong support of the Environmental Health Directors, who are clearly closest to the real world of what works and needs to be enhanced by state and federal resources. I am meeting with other state natural resource agency directors to discuss key initiatives for next biennium that we can promote to restore and protect Puget Sound. I will explore the idea with Ted Sturdevant, the Department of Ecology director, the potential to use existing state or federal funding to establish a regional septic system repair loan program. Also as you may know, the Environmental Protection Agency Region 10 anticipates soliciting grant proposals this fall for Puget Sound protection and restoration activities. I would ask that the Environmental Health Directors work with the Partnership, the Department of Ecology and the Department of Health to develop a proposal that would reduce the impact of OSS on Hood Canal and the broader Puget Sound. Sincerely, • David D. Dicks Executive Director i • Jefferson County Board of Health OCdBusiness .agenda Item # 1"V, 2 • State furloughs (DOM, DSHS) July 15, 2010 • ti�sTrtTe c > n �btti��r • STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES COMMUNITY SERVICES DIVISION Economic Services Administration Post Office Box 45440 Olympia WA 98504-5440 June 18, 2010 TO: Community Partners FROM: Babs Roberts, Acting Di cto SUBJECT: OFFICE CLOSURES DUE TO ENGROSSED SUBSTITUTE SENATE BILL (ESSB) 6503 Due to the implementation of ESSB 6503,the Department of Social and Health Services (DSHS), Community Services Division(CSD)will be closed on the following days during the next 12 months: • July 12, 2010 • • August 6, 2010 • September 7, 2010 • October 11, 2010 • December 27, 2010 • January 28, 2011 • February 22, 2011 • March 11, 2011 • April 22, 2011 • June 10, 2011 The local Community Services Offices, Statewide Customer Service Center, and the out- stationed employees of CSD will not work on these days and the offices will not open. However, some other DSHS services will be available on these days including the DSHS Online Application for Benefits. We would appreciate your assistance in communicating this message to our shared customers and we regret any hardship caused by this closure. Thank you for your assistance. • • 1`kah>lun Lott State DLvattmoit of (41f Health 1 News Release For immediate release: July 6, 2010 (10-107) Contacts: Tim Church, Communications Office 360-236-4077 Donn Moyer, Communications Office 360-236-4076 Temporary layoffs mean Department of Health offices will close July 12 OLYMPIA—All Washington State Department of Health offices will be closed to the public July 12 due to state budget reductions. The law, ESSB 6503, calls for reductions in agencies that are part of the executive, legislative, and judicial branches. Ten temporary layoff days are part of the package that will reduce spending by an estimated $70 million. July 12 is the first of those days, which extend from July of this year through June of 2011. A small number of agency employees in patient safety and laboratory testing are exempt from • the temporary layoffs and will work regular schedules. The Department of Health is headquartered in Tumwater. It also has offices at Spokane, Yakima, Richland, Kent, and Shoreline. Regular office hours will resume July 13. A complete list of state agency temporary layoff days (www.ofm.wa.gov/layoff/default.asp) is available online. ### Visit the Washington Department of Health Web site at http://www.doh.wa.gov for a healthy dose of information. • 0 I Jefferson County Board of Health OCdBusiness .agenda Item # r7, 3 • Health & .3-Curran Services Programs in Wasfiington Counties July 15, 2010 • Orv'+ TS 4 s. V ct .� 3 '� a) 0 w ca N- u a) a) v O .a] as O _ w O }; O 0 4. O > v) a) v O +-5 L. - O 4 .0 V) 0 a u L 'L.. c u • w s~ O . '� V) V) vvi O) V) o = a)U '. C) O C '0 U a f~ 4 . ' a)0. 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Special Presentation(s): A. Proclamation - Park& Recreation Month B. Jefferson County Public Health Report (Julia Danskin, Karen Obermeyer and Sheila Westerman) V. Comments from the Public(re consent agenda items and items not on the agenda) (Each person has 3 min. to comment—City Clerk will signal at 2 min. 30 sec.) A. Public comment B. City staff response VI. Consent Agenda Action: Motion to adopt the consent agenda or request to remove any individual item from the consent agenda. • A. Approval of Bills, Claims and Warrants B. Approval of Minutes: May 10, 2010; May 12, 2010; and June 7, 2010 C. Authorization to Apply for"Secure Our Schools" Grant D. Resource Conservation Manager—Interlocal Agreement E. Resolution 10-019, Accepting Preserve America Grant for the Wayfinding Project F. Resolution 10-020, Authorizing Application(s) for Funding Assistance for a Washington Wildlife and Recreation Program (WWRP) Project to the Recreation and Conservation Office (RCO) as Provided in Chapter 79A.15 RCW, Acquisition of Habitat Conservation and Outdoor Recreation Lands G. Appointment to the PEG Access Coordinating Committee H. Professional Services Contract with Hill & Knowlton for public relations campaign on launch of the Ferry Chetzemoka VII. Public Hearing(s): VIII. Unfinished Business A. Ordinance 3035, Amendments to the Port Townsend Municipal Code (PTMC) Title 9, Peace, Morals and Safety; Title 17, Zoning; and Title 18, Land Division Action: Motion to adopt Ordinance 3035, Amendments to the Port Townsend Municipal Code (PTMC) Title 9, Peace, Morals and Safety; Title 17, Zoning; and Title 18, Land Division. 1. Staff presentation 2. Public comment • 3. Council deliberation and action B. Ordinance 3026, amending procedures in PTMC Chapters 1.14—Uniform Appeal Procedure, 2.14—Hearing Examiner, 19.04—SEPA, and 20.01 —Land • Development Administrative Procedures to change appeals from the City Council to the Hearing Examiner, and updating processes and removing outmoded references. Action: Move for first reading of Ordinance 3026, amending procedures in PTMC Chapters 1.14— Uniform Appeal Procedure, 2.14—Hearing Examiner, 19.04—SEPA, and 20.01 —Land Development Administrative Procedures to change appeals from the City Council to the Hearing Examiner, and updating processes and removing outmoded references. 1. Staff presentation 2. Public comment 3. Council deliberation and action C. Resolution 10-021, Approving the Formation of a Regional Fire Protection Service Authority Planning Committee Action: Move to approve Resolution 10-021, approving the Formation of a Regional Fire Protection Service Authority Planning Committee 1. Staff presentation 2. Public comment 3. Council deliberation and action D. Ordinance 3040, amending the Port Townsend Municipal Code, Chapter 5.08 Business Licenses to change appeals to Hearing Examiner and remove outmoded • references to Treasurer Move for first reading of Ordinance 3040, amending the Port Townsend Municipal Code, Chapter 5.08 Business Licenses to change appeals to Hearing Examiner and remove outmoded references to Treasurer. 1. Staff presentation 2. Public comment 3. Council deliberation and action IX. New Business X. Presiding Officer's Report XI. City Manager's Report XII. Standing Committee Reports XIII. Suggestions for next or future agenda, regular meeting and/or study session XIV. Comments from Council XV. Executive Session XVI. Adjourn Americans with Disabilities Act In compliance with the Americans with Disabilities Act, those requiring accommodation for this meeting should • notify the City Clerk's Office at least 24 hours prior to the meeting at(360)379-5045. jEFFERSON Y;_,, LIC ilEALTH. 615 Sheridan Street • Port Townsend •Washington • 98368 www.jeffersoncountypublichealth.org • Raising the awareness of Substance Abuse issues in Port Townsend with data, research, education and training June 21, 2010 Port Townsend City Council presentation Thank-you for your support for Substance Abuse Prevention programs. You are part of the solution. Jefferson County Public Health (JCPH), along with the Substance Abuse Advisory Board (SAAB) and Jefferson County Community Network(JCCN) has worked for many years to raise the awareness of the problems of drug and alcohol abuse in our community. The hope is that by raising the awareness with data, research, education and trainings the community and individuals will be motivate to: - Get involved in prevention activities, - Change behaviors that harm themselves and the community, and - Change community norms. Jefferson County Public Health is all about prevention. By preventing problems in the first place we prevent the long term consequences and cost of treatment and intervention later. JCPH works on preventing the spread of disease though the Communicable Disease Prevention • program. It works in preventing untended pregnancies through Family Planning Programs and it works on preventing child abuse and neglect through Family Support programs. There are many layers to prevention programs. This evening we will highlight Jefferson County Public Health Substance Abuse Prevention programs. At a later meeting we will highlight Jefferson County Public Health, Nurse Family Partnership program and how it provides a Best Practice Substance Abuse Prevention program for families. Attachments: • Overview chart of state and local government agencies, advisory boards and funding for Substance Abuse Prevention • Washington State Institute for Public Policy(WSIPP) Benefits and Costs of Prevention and Early Intervention Programs for Youth • Project ALERT report for Port Townsend 2009-2010 school Year • Community Capacity Building report for Port Townsend • Also Board of Health Invitation to participate in Steering workgroup. • COMMUNITY HEALTH ENVIRONMENTAL HEALTH DEVELOPMENTAL DISABILITIESPUBLIC HEALTH WATER QUALITY MAIN: (360)385-9400 ALWAYS WORKING FOR A SAFER AND MAIN: (360) 385-9444 FAX: (360)385-9401 HEALTHIER COFAX: (360)379-4487 • . • mm -c m c V a c3s N Jul rnac 8'FE 3mo C oa° aEm ° 0E = v5 >,g0c9 Z0aCNw ai .wLc � 'a m mmCSm W C iN c-.3t. 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