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HomeMy WebLinkAbout2010- September File Copy e erson County ff Board of Health .Agenda rM inutes r September 16, 2010 • JEFFERSON COUNTY BOARD OF HEALTH September 16, 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 July 15, 2010 Board of Health Meeting III) Public Comments IV) Old Business and Informational Items 1. Initiatives 1100 and 1105 —Public Health Impacts 2. Washington State Revenue Forecasts and Proposed Budget Cuts 3. September 25th Tire Recycling Event 4. October Presentation - Port Townsend City Council Meeting 5. Clean Water District and Environmental Health Projects • V) New Business 1. Protocol for Response to Tobacco Complaints 2. Olympic Regional Tribal-Public Health Mutual Assistance Agreement—Mutual Aid Authority Resolution (ACTION ITEM) 3. Jefferson County Budget Review 4. Summary of 9/9/10 Data Steering Committee Meeting 5. 2011-2012 Fee Revision Timetable 6. Substance Abuse Board Nominations VI) Activity Update VII) Agenda Planning Calendar 1. Nurse Family Partnership Reports: New Local Data, Foundation of Lifelong Health Essential Findings Report, Washington State Adverse Childhood Experiences Report VIII) Next Scheduled Meeting: October 21, 2010, 2:30—4:30 pm • Jefferson County Public Health JEFFERSON COUNTY BOARD OF HEALTH MINUTES • VI Thursday, July 15, 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,MPH 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, Roberta Frissell, Chuck Russell, David Sullivan Members Excused: Phil Johnson, Kristen Nelson, Sheila Westerman Staff Present: Dr. Thomas Locke, Jean Baldwin, Julia Danskin Guests: Frances Joswick, Substance Abuse Advisory Board (SAAB); David Alvarez, • Deputy Prosecuting Attorney APPROVAL OF AGENDA Member Austin requested the addition of an item under New Business: action and correspondence concerning removal of an SAAB Board member. The agenda was approved unanimously, as amended. APPROVAL OF MINUTES Member Austin pointed out a spelling correction on page 3 for the name, Davis Steelquist. Member Austin moved for approval of the June 10, 2010 BOH meeting minutes, as amended; Member Sullivan seconded. The minutes of June 10, 2010 were approved unanimously, as amended. PUBLIC COMMENTS - None • Page 1 of 11 OLD BUSINESS and INFORMATIONAL ITEMS Correspondence from EH Directors and Puget Sound Partnership 411 Jean Baldwin referred to correspondence in the packet, noting the receipt of an additional letter received earlier in the day from the Director of the State Department of Ecology (DOE). She explained that the Washington State Environmental Health Directors had approached Puget Sound Partnership about continuation of the Shore Banks Loan program for septic repair. Mr. David Dicks' response is included in the materials. He urged the EH Directors to speak with DOE. Although all are nominally in favor of the idea, there has been no commitment or action on this. She said that the first Shore Bank program had arisen from private foundations and Ecology grants; the next funding will come from Puget Sound Partnership and possibly other sources. Ms. Baldwin noted that the public -private program must be funded to manage 15 to 30-year loans. She mentioned the possibility that this will become a national program. State Furloughs (DOH, DSHS) Jean Baldwin reviewed this informational item regarding the schedule for temporary closures (one lay off day per month) of State Offices in accordance with ESSB 6503, which is intended to reduce spending by an estimated $70,000,000. The packet contains two examples of communications announcing this measure. Health and Human Services Programs in Washington Counties Ms. Baldwin presented another informational item, a matrix showing those Washington • Counties that have Health and Human Services combined in some form. For each county, its population and organization of services in indicated. Jefferson County Public Health is the only entity that has some Chemical Dependency services ("prevention contracts with DSHS for substance abuse and review of private housing contracts"), but not all. Counties not included in the matrix are those with separate Public Health and Human Services departments. Packet given to City of Port Townsend June 21 Presentation Jean Baldwin referred to the copy of the Regional Service Agreement on Public Health and Animal Services between Jefferson County and the City of Port Townsend. The agreement/document is up for renewal; it expires in December, 2010. She noted the importance of allowing adequate time for renewal of terms and for the County services to be re-included in the City budget, after an inadvertent lapse. Julia Danskin reported that the City has initiated a process whereby private non-profits and other agencies apply for City funds, but assumes a different process is appropriate for County/City service contracts. Jean Baldwin said that Member Nelson, in anticipation of her absence, had asked Jean to convey to the Board: 1. two pending liquor excise tax initiatives would drop the liquor excise tax income for the City and County; and 2. expression of gratitude to Julia Danskin and her team for their excellent presentation on substance abuse to City • Page 2 of 11 Council. Ms. Nelson had noted that the City Council now understands how their funds are being applied. • Julia Danskin then briefly reviewed the packet materials and content of the City Council presentation. She noted the challenge of providing meaningful annual reports for programs and goals of long term impact. She pointed out the item entitled: JCPH— Substance Abuse Prevention Program and Funding, Overview Flow Chart, June 21, 2010. She noted that there had been a question from City Council about the Hospital's role. She and other presenters had explained Chuck Russell's membership on the BOH, and the Hospital's collaboration with the County on Tobacco Prevention. She said such revisions would be made for future versions of the Flow Chart. NEW BUSINESS Olympic Regional Tribal-Public Health Mutual Assistance Agreement—Board of Health Roles and Responsibilities David Alvarez, Deputy Prosecuting Attorney, was present for this agenda item. Dr. Locke referred to the copy of the Agreement between three counties and seven Tribes, which is the first such agreement in the nation. He said it provides a structure for offering mutual assistance in emergency conditions or in certain non-emergency situations where one or more jurisdictions need help. He noted that this will be used for the first time beginning in the following week, when Clallam County sends two • environmental health specialists and one public health nurse to Neah Bay for the Tribal Canoe Journeys, where an additional 7,000 - 9,000 people are expected to gather for the events. The agreement was passed in the fall of 2009 as an inter-governmental agreement, under the legislative authority of the respective Counties/Health Districts and Tribal governments. Following adoption, a detailed Operational Plan has been in development for a number of months and is near completion. As part of that process, a meeting was held in June to address legal issues; it was attended by attorneys from Jefferson, Clallam and Kitsap counties and legal advisors for the Suquamish and Jamestown S'Klallam Tribes. One of the chief issues, command and control (page 5 and 6 of the Agreement), was considered; i.e. when a local health department is called in for a local emergency, whose laws apply? Dr. Locke noted that Washington State has detailed public health laws and codes. Most Tribes have no comparable public health regulations. State and local public health codes have no jurisdiction within the geographical boundaries of tribal health jurisdictions. The agreement provides for two options: 1. A Tribal Council would agree that under certain circumstances, Washington law would apply within their jurisdiction for a specified period and for certain conditions; 2. if a Tribal Council had their own public health codes, then those would be enforced. The latter is the desired long-term future direction, particularly with regard to food safety. In option #1, there is intermingling of BOH authority as well as Health Officer authority. The authority to take police actions, such as quarantine people, close restaurants, etc. flows from the State • Page 3 of 11 legislature through state and local Boards of Health to Health Officers and their designees. Dr. Locke said that the Kitsap attorney, Alan Miles, had drafted a resolution for discussion: By resolution, the Board of Health would delegate the Health Officer to • make a decision in an emergency regarding Tribal jurisdiction, and the BOH would subsequently affirm or not affirm that decision. The BOH would receive status reports on the situation; it would hold the ultimate authority. There was a brief discussion about the current lack of structure and authority for the County to assist or intervene in emergencies, such as in the event of a contagious outbreak on a tribal reservation bordered by State lands and communities. Dr. Locke noted that originally the federal public health authority would have filled that role, but that federal involvement except in felony criminal prosecutions has greatly diminished over time. Furthermore, there are insufficient public health resources available to assume that role at the federal level. Dr. Locke cited examples of how these situations have been dealt with in the past. Mr. Alvarez also spoke about jurisdictional authority and granting of authority. A "grant of authority" from the governing Tribal Council would mean that whatever authority is carried by a local health officer, that same authority could be used on the reservation. He described several items from the June 21 meeting. He mentioned a list of specific non- native local health code regulations that the Tribe would invoke as applicable to its persons or its facilities. There would be a request of the local health jurisdiction to observe cultural differences. There would be a start date and end date for any grant of authority. There would be a list of designated tribal representatives as contacts. Tribes may also choose to cross deputize local health officers and his/her designees as tribal health officers, allowing them to appear in tribal court actions. Mr. Alvarez said that he would also prefer to see an agreement that the Tribal Council would publicize the terms of any emergency agreement or grant of authority throughout the tribal jurisdiction in order to prepare their members and promote cooperation. He noted that the due process to be followed could be different for tribal versus non-tribal members, as for example in a quarantine situation. There may be different appeal rights; different notice and different notice rights. In addition, a situation may likely arise on a holiday or time when the BOH can't easily convene. He listed policy issues for the BOH to consider: 1. Does the County BOH need to ratify the LHO's decision to accept the Grant of Authority, and if so, how soon? Does the County BOH want regular status reports, and if so how often? Does the County BOH retain the right to rescind the acceptance of the Grant of Authority? Dr. Locke and Mr. Alvarez had been asked to obtain a comment or policy decision on the three items from the BOH by July 20 and bring them back to the facilitator of this process, Susan Ferguson. Member Russell requested and received clarification about the ad-hoc, specific situational and temporary nature of a grant of authority. There was also discussion about liability insurance. Mr. Alvarez noted the complexity of this type of agreement. In response to a question about initiation, Dr. Locke noted that the details of who is • Page 4 of 11 p authorized to make a request and who may respond are spelled out in the Operational Plan. II/ Dr. Locke said that he was seeking some sense of the BOH g re ardin theapproach to g take to the grant of authority issues and to obtain feedback on any additional questions or issues that should be researched or resolved. He mentioned again that he and the other Health Officers are encouraging the Tribes to develop their own public health code, or adopt state or national health codes by reference. They are also encouraging the tribes to have local health officers or deputy health officers, who would serve as additional resources particularly in an emergency. Most of the tribes now hire physicians, who could be trained to handle public health functions, with Dr. Lindquist and Dr. Locke serving as advisors. Dr. Locke commented that the Alan Miles proposal seems most reasonable with regard to Option 1. He said he would ask that he be given the authority to respond to a Grant of Authority as needed, but that in most cases, an emergency meeting of the BOH would be called as soon as possible thereafter. He added that another expectation is that all three County Boards of Health would eventually adopt similar policies and procedures to the extent possible. Member Sullivan added that it would be essential to publicize this agreement and its provisions in advance and to iron out issues and implications in advance. Dr. Locke and Mr. Alvarez also pointed out that any services exchanged would be paid for by the receiving entity and would not represent an unreimbursed drain on County resources; the provisions are found on page 8, article 12. • There was a brief discussion as to the Tribes that are party to this agreement and the fact that the parent agreement limits participation to federally recognized Tribes. Each tribe enrolls and records their own membership. After further discussion, Member Austin, acknowledging that the BOH is in general agreement with the draft resolution, moved to await a formal recommendation from the Health Officer(s) and a final draft of the resolution Establishing the Health Officer's Authority to Accept Tribal Grant of Authority under Mutual Aid Agreement. Member Sullivan seconded the motion,which was approved unanimously. Environmental Protection Agency Grant Award to Jefferson County Public Health and Clallam County Public Health Jean Baldwin introduced Linda Atkins to describe the first rollout of this project to the public. Ms. Baldwin said it will come before the BOCC for signatures within a few weeks. She noted that the initial EPA press release was misleading in that it was unclear that the one million dollar grant is shared among 4 entities for 4 years. She also noted that, per the BOH request, Linda Atkins and Neil Harrington had prepared the grant application and had been successful in obtaining the award. • Page 5 of 11 Ms. Atkins said that this project had been envisioned as a coordinated effort between Clallam and Jefferson County,which share many concerns about shellfish and surface waters, and have similar mandates from the State. She said this joint grant was seen as a • good way to bring multiple elements under the same umbrella with greater coordination both internally and with regard to the public. She said that they are looking at identifying and addressing issues that are resulting from changing patterns of development,the cumulative impacts of past development and the effects of seasonal inundation and flooding. The goal is to maintain enhanced water quality and safeguard the available resources, as well as support the recreational enjoyment of our waterways. Work in both Jefferson and Clallam Counties will focus on areas designated as a Marine Resource Area (MRA). Work will be done in the entire eastern Jefferson County Clean Water District; the Clallam area is more narrowly defined. She pointed out the MRA on a map: from Tallah Point in Port Ludlow Bay to the southern boundary of Jefferson County. There are other water quality grants that have been covering this rather large area, as well. Other aspects include development of a low interest loan program in Clallam County, similar to the Shore Bank program in Jefferson County. The lack of access to those monies has been a hindrance to Clallam County in the past. The Conservation Districts will continue to work with land owners on updating their management plans and implementing best management practices for waste management and protection of water ways. The Jefferson County Conservation District will also continue to do fresh water sampling along a number of streams to identify long term trends. • For Jefferson County Public Health,the intention is to strengthen its operations and monitoring program and to coordinate with the Water Quality program's efforts. A list of the elements is included in the packet. The overall goal is to strengthen and to provide support to the professionals in the On Site Sewage industry (designers, installers and operations and monitoring specialists) so that they may provide consistent information, service and communication with the public. The intention is to reconvene an advisory group consisting of OSS professionals, property owners, utility owners and others to provide input and feedback regarding evolving policies and procedures. With regard to technical assistance, Ms. Atkins cited the Clallam County initiative to develop a home owner inspection program, which includes an instructional video. She noted that it is extremely costly to provide individual training in a classroom setting. The Jefferson County goal would be to model that approach, and do so at a reasonable cost. . Ms. Atkins also spoke about an incentive approach for property owners, either by installing riser systems and monitoring ports on septic systems, or by having their first inspection done by a professional. Jefferson County will also continue to improve public access to OSS records and status of O & M inspection. Public access to the E-Onsite system is now available. • Page 6 of 11 Another important element is to identify systems (unknown systems) for which there are • no current records and to provide information about operating and maintaining OSS systems. In addition, they will develop standard operating procedures and support to track failures and violations identified during the inspections process. In addition, through this and other grants, the goal is to coordinate with other counties to use similar messages, and to share resources, outreach/informational materials and tools. In closing, Ms. Atkins noted that the preceding summary represents the scope of work over four years, and that staff will return to the BOH with code revisions, matters of policy and implementation in the future. Ms. Baldwin recalled that the grant and implementation plan was in response to requests from the BOH to move the On Site Septic program forward. She suggested that Linda Atkins, Conservation District representatives and Andy Bradstad attend the upcoming BOCC meeting for signing of a memorandum of understanding. In response to a question from Member Russell, Linda Atkins said that by State mandate, septic systems with pumps are required to have annual inspections. Conventional gravity systems must be inspected every three years. Administrative details must be managed internally, and will be developed with the help of the advisory group mentioned earlier. Ms. Atkins said the department recognizes the need to help keep cost manageable for home owners. There was a brief discussion about how to verify the locations of septic • tanks. She said that it is rarely necessary to uncover drain fields unless there are obvious failures. Member Austin inquired as to the need for additional staff to be hired. Ms. Baldwin said that a decision would be made before October 2010; some additional staff resources will likely be needed and would be covered by the grant. Ms. Baldwin recalled that the staff complement had previously dropped from 5 to 2. Member Austin also inquired about possible use of existing training materials from Island or Clallam Counties. Ms. Atkins said that to the extent possible, their materials would be "borrowed", but that some customization would be necessary. Ms. Baldwin also briefly explained tentative plans developed by DCD and Public Health for the stewardship resource center staffing. She said that Public Health is looking at filling a vacancy and/or a grant funded position, and that some relief is expected for the DCD permitting functions. Ms. Atkins also discussed the issue of requirements for a complete septic permit. That is, how can staff facilitate providing the most complete information for an application; where can reference material be found and how to use it. She said she plans on coordinating professionals and in-house staff in this regard. Ms. Baldwin also noted that a checklist would be very valuable in this process. In conclusion, Ms. Atkins noted that the On-site Inspection Program concepts are now more fully developed and the public is now more informed and less apprehensive about • Page 7of11 t expected changes. The Public Health department will continue to seek better ways to educate home owners and move the program forward. National Health Care Reform: Nurse Family Partnership in Washington State • Jean Baldwin introduced Quen Zorrah who reported on the Nurse Family Partnership program in the context of National Health Care Reform. She pointed out the synopsis of a feasibility study that had been included in the packet. Ms. Zorrah noted that according to the Federal Health Care Reform funding criteria, preference will be given to those states that have a state wide implementation plan for home visiting. Washington State does not have such a plan at this point. In order to prepare for federal funds, this feasibility study was initiated, not by DOH,but by a group, (NFP consortium and CHLF), who work in collaboration with DOH. The part of the Health Care Reform legislation that applies directly to Public Health in Jefferson County is the Maternal, Infant, Early Childhood home visiting program. The vision is to create a comprehensive cross-agency continuum of services for children, pre- natal through age eight to address a range of health issues. First, state governments had to submit their intention to apply for the funds. Washington State was initially undecided but upon learning of ties to other funding did submit the application. The next step is a needs assessment, which is being done by the DOH MCH team. Ms. Zorrah noted that the assessment makes use of health indicators, including identifying communities with high concentrations of certain risks, such as are reflected in the feasibility study. She mentioned as examples: low birth weight babies, poverty, crime rate, domestic violence, • and high school drop-out rate. The needs assessment must address all these issues on a community wide basis and, somewhat surprisingly, must also assess the community's need to serve families with substance abuse issues. Jean Baldwin noted that she had chosen to include the data for a selected group of counties: Jefferson, Clallam, Mason, Kitsap and King. She pointed out some of the apparent similarities and differences in these populations. Ms. Zorrah said that under consideration for the State needs assessment is the possibility of breaking out the data by communities within counties. This is because at an aggregated level the degree of need may not be apparent. However, the federal criteria for the assessment have not yet been released, although the data must be complete and submitted by September 1. Meanwhile,based on formula projections from the State DOH, Washington would be eligible for $1.3 million for FY 2010. If benchmarks are met, based on outcome assessments, the allocation can increase in following years. Ms. Zorrah said it still unclear whether that would be on a calendar program-wide basis or a state-wide basis. The current plan is for DOH to take $500,000 to do the needs assessment plus 25% for administrative costs, leaving about $800,000. There would be $400,000 for evidence-based home visiting for the entire State; therefore Jefferson County may receive some "trickle-down" benefit. Additionally, DOH has decided to split the program among four agencies: DOH will take the fiscal administration role and • Page 8 of 11 t serve as the lead agency for Nurse-Family Partnership; Early Learning will have all the other programs Council for Children and Families will do the evaluation; DSHS will • coordinate billing. In summary, the amount of funding and the plan may not provide significant benefit for this county. Ms. Zorrah said that the likelihood for the State to receive funding this year may be low, due to a lack of leadership and coordination among many competing agencies. However, Ms. Zorrah cited the department's 11-year experience with Nurse-Family Partnership, without a State-wide infrastructure. She said that if funding is received, hopefully it will enable the establishment of some infrastructure that could be well leveraged for better data analysis, report writing, etc. Jean Baldwin noted that Jefferson County's teen pregnancy rate is significantly better than neighboring counties and the State; the drop-out rate is also much better. These are examples of services that are measurably effective. In addition, those in need receive Medicaid to deliver babies. Poverty rates are similar to surrounding counties, with the exception of Kitsap, which is lower. Ms. Zorrah said that staff continues to seek ways to improve the program with minimal resources, such as partnering with Clallam and Kitsap to increase capacity. She added that, throughout the State, those who have Nurse-Family Partnership programs wish to prioritize resources to sustain current sites. Member Frissell noted the high Maternal Smoking during Pregnancy rates and requested more information on possible reasons and solutions. Ms. Baldwin said that the Tobacco Program continues to work on this, along with the Hospital and physicians. She said the Tobacco program has only one more year of State funding. Julia Danskin said that due to reduced funding for maternity support services, nursing staff is not able to see many of • the pregnant women receiving medical assistance, as in the past. Ms. Zorrah added that a percentage of women in this group are recovering from alcohol or drug addiction, and/or related depression that is often untreated. Although the smoking is of concern, it is one among several serious risks. She also said that the NFP data shows that from the time of intake to the time of delivery, there is a reduction in the rate of smoking. She said that this is a very high risk population and staff works very hard on this issue. Green Business Certificates On behalf of the BOH, Chair Russell signed EnviroStars awards for five businesses: Point Hudson, Boat Haven, Marketech Inc./J& S Fabrication, Pleasant Harbor Marina, and All City Autobody& Towing. Removal of SAAB Member Member Austin explained that a member of the Substance Abuse Advisory Board, Laura Blake, who had been appointed about one year ago, had not attended a high percentage of SAAB meetings. According to the SAAB Bylaws, three consecutive unexcused absences constitute reason for removal. Therefore, Member Austin, a member of both the BOH and SAAB, requested that the BOH remove Ms. Blake from the SAAB. • Page 9 of 11 0 Member Austin moved and Member Sullivan seconded a motion to remove Ms. Laura Blake from the SAAB based on lack of attendance, and to inform Ms. Blake of this action by letter signed by BOH Chair Russell. The motion was approved • unanimously. (Chair Russell signed the letter to Ms. Blake on behalf of the BOH, dated July 15, 2010.) There was mention that Mike Blair was leaving the SAAB and acknowledgement that a letter of appreciation would be sent to Mr. Blair for his service. ACTIVITY UPDATE Member Frissell reported on her experience on an Alaska cruise where there was an outbreak of an unidentified intestinal virus. She noted the communications to passengers and the extent of sanitizing and precautionary measures taken by the crew. AGENDA PLANNING CALENDAR There were no items discussed. NEXT SCHEDULED MEETING Dr. Locke requested that he be excused from the next scheduled BOH meeting on August • 19 due to a family commitment. He also suggested that the August meeting might be cancelled entirely, since no action items are yet scheduled for August. Ms. Baldwin noted that typically there is a budget presentation and discussion at the August meeting, but that it could be done in September. She mentioned that the annual fees analysis had been completed and could be presented at either time. Member Austin moved for cancellation of the August 19, 2010 BOH meeting; the motion was seconded by Member Frissell, and approved unanimously. ADJOURNMENT Member Austin moved for adjournment; the motion was seconded by Member Sullivan. Chair Russell adjourned the Board of Health meeting at 4:10 PM. • Page 10 of 11 1 JEFFERSON COUNTY BOARD OF HEALTH Excused Chuck Russell, Chair Phil Johnson, Member Excused Kristen Nelson, Vice-Chair John Austin, Member Roberta Frissell, Member David Sullivan, Member Excused Sheila Westerman S Page 11 of 11 JEFFERSON COUNTY BOARD OF HEALTH • MINUTES Thursday, July 15, 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, Roberta Frissell, Chuck Russell, David Sullivan Members Excused: Phil Johnson, Kristen Nelson, Sheila Westerman Staff Present: Dr. Thomas Locke, Jean Baldwin, Julia Danskin Guests: Frances Joswick, SAAB; David Alvarez, Deputy Prosecuting Attorney • APPROVAL OF AGENDA Member Austin requested the addition of an item under New Business: action and correspondence concerning removal of an SAAB Board member. The agenda was approved unanimously, as amended. APPROVAL OF MINUTES Member Austin pointed out a spelling correction on page 3 for the name, Davis Steelquist. Member Austin moved for approval of the June 10, 2010 BOH meeting minutes, as amended; Member Sullivan seconded. The minutes of June 10, 2010 were approved unanimously, as amended. PUBLIC COMMENTS - None • Page 1 of 11 OLD BUSINESS and INFORMATIONAL ITEMS Correspondence from EH Directors and Puget Sound Partnership • Jean Baldwin referred to correspondence in the packet, noting the receipt of an additional letter received earlier in the day from the Director of the State Department of Ecology (DOE). She explained that the Washington State Environmental Health Directors had approached Puget Sound Partnership about continuation of the Shore Banks Loan program for septic repair. Mr. David Dicks' response is included in the materials. He urged the EH Directors to speak with DOE. Basically, although all are nominally in favor of the idea,there has been no commitment or action on this. She said that the first Shore Bank program had arisen from private foundations and Ecology grants; the next funding will come from Puget Sound Partnership and possibly other sources. Ms. Baldwin noted that the public - private program must be funded to manage 15 to 30-year loans. She mentioned the possibility that this will become a national program. State Furloughs (DOH, DSHS) Jean Baldwin reviewed this informational item regarding the schedule for temporary closures (one lay off day per month) of State Offices in accordance with ESSB 6503, which is intended to reduce spending by an estimated $70,000,000. The packet contains two examples of communications announcing this measure. • Health and Human Services Programs in Washington Counties Ms. Baldwin presented another informational item, a matrix showing those Washington Counties that have Health and Human Services combined in some form. For each county, its population and organization of services in indicated. Jefferson County Public Health is the only entity that has some Chemical Dependency services ("prevention contracts with DSHS for substance abuse and review of private housing contracts"), but not all. Counties not included in the matrix are those with separate Public Health and Human Services departments. Packet given to City of Port Townsend June 21 Presentation Jean Baldwin referred to the copy of the Regional Service Agreement on Public Health and Animal Services between Jefferson County and the City of Port Townsend. The agreement/document is up for renewal; it expires in December, 2010. She noted the importance of allowing adequate time for renewal of terms and for the County services to be re-included in the City budget, after an inadvertent lapse. Julia Danskin reported that the City has initiated a process whereby private non-profits and other agencies apply for City funds, but assumes a different process is appropriate for County/City service • Page 2 of 11 I contracts. Jean Baldwin said that Member Nelson, in anticipation of her absence, had asked Jean to convey to the Board: 1. two pending liquor excise tax initiatives would • drop the liquor excise tax income for the City and County; and 2. expression of gratitude to Julia Danskin and her team for their excellent presentation on substance abuse to City Council. Ms. Nelson had noted that the City Council now understands how their funds are being applied. Julia Danskin then briefly reviewed the packet materials and content of the City Council presentation. She noted the challenge of providing meaningful annual reports for programs and goals of long term impact. She pointed out the item entitled: JCPH— Substance Abuse Prevention Program and Funding, Overview Flow Chart, June 21, 2010. She noted that there had been a question from City Council about the Hospital's role. She and other presenters had explained Chuck Russell's membership on the BOH, and the Hospital's collaboration with the County on Tobacco Prevention. She said such revisions would be made for future versions of the Flow Chart. NEW BUSINESS Olympic Regional Tribal-Public Health Mutual Assistance Agreement— Board of Health Roles and Responsibilities David Alvarez, Deputy Prosecuting Attorney, was present for this agenda item. Dr. • Locke referred to the copy of the Agreement between three counties and seven Tribes, which is the first such agreement in the nation. He said it provides a structure for offering mutual assistance in emergency conditions or in certain non-emergency situations where one or more jurisdictions need help. He noted that this will be used for the first time beginning in the following week, when Clallam County sends two environmental health specialists and one public health nurse to Neah Bay for the Tribal Journeys, where an additional 7,000 - 9,000 people are expected to gather for the events. The agreement was passed in the fall of 2009 as an inter-governmental agreement, under the legislative authority of the respective Counties/Health Districts and Tribal governments. Following adoption, a detailed Operational Plan has been in development for a number of months and is near completion. As part of that process, a meeting was held in June to address legal issues; it was attended by attorneys from Jefferson, Clallam and Kitsap counties and legal advisors for the Suquamish and Jamestown S'Klallam Tribes. One of the chief issues, command and control (page 5 and 6 of the Agreement), was considered; i.e. when a local health department is called in for a local emergency, whose laws apply? Dr. Locke noted that Washington State has detailed laws and protocols, while the Makah Nation has none. The agreement provides for two options: 1. the Makah Tribal Council would agree that under certain circumstances, Washington law would apply within their district for a specified period and for certain conditions; 2. if the Makah had their own public health code and protocols, then those would be enforced. The latter is the targeted future direction, particularly with regard to food safety. In • Page 3 of 11 option#1, there is intermingling of BOH authority as well as Health Officer authority. The authority to take police actions, such as quarantine people, close restaurants, etc. flows from the State legislature through state and local Boards of Health to Health Officers and their designees. Dr. Locke said that the Kitsap attorney, Alan Miles, had • drafted a resolution for discussion: By resolution, the Board of Health would delegate the Health Officer to make a decision in an emergency regarding Tribal jurisdiction, and the BOH would subsequently affirm or not affirm that decision. The BOH would receive status reports on the situation; it would hold the ultimate authority. There was a brief discussion about the current lack of structure and authority for the County to assist or intervene in emergencies, such as in the event of a contagious outbreak on a tribal reservation bordered by State lands and communities. Dr. Locke noted that originally the federal public health authority would have filled that role, but that federal involvement except in felony level instances has greatly diminished over time. Furthermore, there are insufficient public health resources available to assume that role at the federal level. Dr. Locke cited examples of how these situations have been dealt with in the past. [Recorder's Note: The following was partially inaudible and should be reviewed by David Alvarez:) Mr. Alvarez also spoke about jurisdictional authority and granting of authority. A"grant of authority" from the governing Tribal Council would mean that whatever authority is carried as/by a local health officer,that same authority could be used on the reservation. He described several items from the June 21 meeting. He mentioned a list of specific non-native local health code regulations that the Tribe would invoke as applicable to its persons or its facilities. The of its due process rights and appeal and notice that would probably be parallel tracks between a tribal and non-tribal persons. There would be a request of the local health jurisdiction to observe cultural differences. There would be a start date and end date. There would be a list of designated tribal representatives as contacts. There would be an option for a delegation of authority from the Tribal Governing Body to their Executive Director. They may also cross deputize LHO (Local Health Officer)and his/her designees and statements about their authority if they had to appear in tribal court. Mr. Alvarez said that he would also prefer to see an agreement that the Tribal Council would publicize the terms of any emergency agreement or grant of authority throughout the tribal jurisdiction in order to prepare their members and promote cooperation. He noted that the due process to be followed could be different for tribal versus non-tribal members, as for example in a quarantine situation. There may be different appeal rights; different notice and different notice rights. In addition, a situation may likely arise on a holiday or time when the BOH can't easily convene. He listed policy issues for the BOH to consider: 1. Does the County BOH need to ratify the LHO's decision to accept the Grant of Authority, and if so, how soon? Does the County BOH want regular status reports, and if so how often? Does the County BOH retain the right to rescind the acceptance of the Grant of Authority? Dr. Locke and Mr. Alvarez had been asked to • Page 4 of 11 obtain a comment or policy decision on the three items from the BOH by July 20 and m bring them back to the facilitator of this process, Susan Ferguson. Member Russell requested and received clarification about the ad-hoc, specific situational and temporary nature of a grant of authority. There was also discussion about insurance, and involvement of the Office and School authorities. [Note: This was largely inaudible.] Mr. Alvarez noted the complexity of this type of agreement. In, response to a question about initiation, Dr. Locke noted that the details of who is authorized to make a request and who may respond are spelled out in the Operational Plan. He acknowledged that the Tribes may have some resources including facilities that the Counties may need at some point. Dr. Locke said that he was seeking some sense of the BOH regarding the approach and to obtain feedback on any additional questions or issues that should be researched or resolved. He mentioned again that he and the other Health Officers are encouraging the Tribes to develop their own public health code, or adopt state or national health codes by reference. They are also encouraging the tribes to have local health officers or deputy health officers, who would serve as additional resources particularly in an emergency. Most of the tribes now hire physicians, who could be trained to handle public health functions, with Dr. Lindquist and Dr. Locke serving as advisors. Dr. Locke commented that the Alan Miles proposal seems most reasonable with regard to Option 1. He said he would ask that he be given the authority to respond to a Grant of Authority as needed, but that in most cases, an emergency meeting of the BOH would be called as soon as possible thereafter. He added that another expectation is that all three County Boards of Health would eventually adopt similar policies and procedures to the extent possible. Member Sullivan added that it would be essential to publicize this agreement and its provisions in advance and to iron out issues and implications in advance. Dr. Locke and Mr. Alvarez also pointed out that any services exchanged would be paid for by the receiving entity and would not represent an unreimbursed drain on County resources; the provisions are found on page 8, article 12. There was a brief discussion as to the Tribes that are party to this agreement and the fact that the parent agreement limits participation to federally recognized Tribes. Each tribe enrolls and records its own membership. After further discussion, Member Austin, acknowledging that the BOH is in general agreement with the draft resolution, moved to await a formal recommendation from the Health Officer(s) and a final draft of the resolution Establishing the Health Officer's Authority to Accept Tribal Grant of Authority under Mutual Aid Agreement. Member Sullivan seconded the motion,which was approved unanimously. i Page 5 of 11 Environmental Protection Agency Grant Award to Jefferson County Public Health and Clallam County Public Health Jean Baldwin introduced Linda Atkins to describe the first rollout of this project to .the • public. Ms. Baldwin said it will come before the BOCC for signatures within a few weeks. She noted that the initial EPA press release was misleading in that it was unclear that the one million dollar grant is shared among 4 entities for 4 years. She also noted that, per the BOH request, Linda Atkins and Neil Harrington had prepared the grant application and had been successful in obtaining the award. Ms. Atkins said that this project had been envisioned as a coordinated effort between Clallam and Jefferson County, which share many concerns about shellfish and surface waters, and have similar mandates from the State. She said this joint grant was seen as a good way to bring multiple elements under the same umbrella with greater coordination both internally and with regard to the public. She said that they are looking at identifying and addressing issues that are resulting from changing patterns of development, the cumulative impacts of past development and the effects of seasonal inundation and flooding. The goal is to maintain enhanced water quality and safeguard the available resources, as well as support the recreational enjoyment of our waterways. Work in both Jefferson and Clallam Counties will focus on areas designated as a Marine Resource Area(MRA). Work will be done in the entire eastern Jefferson County Clean Water District; the Clallam area is more narrowly defined. She pointed out the MRA on • a map: from Tallah Point in Port Ludlow Bay to the southern boundary of Jefferson County. There are other water quality grants that have been covering this rather large area, as well. Other aspects include development of a low interest loan program in Clallam County, similar to the Shore Bank program in Jefferson County. The lack of access to those monies has been a hindrance to Clallam County in the past. The Conservation Districts will continue to work with land owners on updating their management plans and implementing best management practices for waste management and protection of water ways. The Jefferson County Conservation District will also continue to do fresh water sampling along a number of streams to identify long term trends. For Jefferson County Public Health, the intention is to strengthen its operations and monitoring program and to coordinate with the Water Quality program's efforts. A list of the elements is included in the packet. The overall goal is to strengthen and to provide support to the professionals in the On Site Sewage industry (designers, installers and operations and monitoring specialists) so that they may provide consistent information, service and communication with the public. The intention is to reconvene an advisory group consisting of OSS professionals, property owners, utility owners and others to provide input and feedback regarding evolving policies and procedures. • Page 6 of 11 With regard to technical assistance, Ms. Atkins cited the Clallam County initiative to develop a home owner inspection program, which includes an instructional video. She . noted that it is extremely costly to provide individual training in a classroom setting. The Jefferson County goal would be to model that approach, and do so at a reasonable cost. . Ms. Atkins also spoke about an incentive approach for property owners, either by installing riser systems and monitoring ports on septic systems, or by having their first inspection done by a professional. Jefferson County will also continue to improve public access to OSS records and status of O & M inspection. Public access to the E-Onsite system is now available. Another important element is to identify systems (unknown systems) for which there are no current records and to provide information about operating and maintaining OSS systems. In addition, they will develop standard operating procedures and support to track failures and violations identified during the inspections process. In addition, through this and other grants, the goal is to coordinate with other counties to use similar messages, and to share resources, outreach/informational materials and tools. In closing, Ms. Atkins noted that the preceding summary represents the scope of work over four years, and that staff will return to the BOH with code revisions, matters of policy and implementation in the future. • Ms. Baldwin recalled that the grant and implementation plan was in response to requests from the BOH to move the On Site Septic program forward. She suggested that Linda Atkins, Conservation District representatives and Andy Bradstad attend the upcoming BOCC meeting for signing of a memorandum of understanding. In response to a question from Member Russell, Linda Atkins said that by State mandate, septic systems with pumps are required to have annual inspections. Conventional gravity systems must be inspected every three years. Administrative details must be managed internally, and will be developed with the help of the advisory group mentioned earlier. Ms. Atkins said the department recognizes the need to help keep cost manageable for home owners. There was a brief discussion about how to verify the locations of septic tanks. She said that it is rarely necessary to uncover drain fields unless there are obvious failures. Member Austin inquired as to the need for additional staff to be hired. Ms. Baldwin said that a decision would be made before October 2010; some additional staff resources will likely be needed and would be covered by the grant. Ms. Baldwin recalled that the staff complement had previously dropped from 5 to 2. Member Austin also inquired about possible use of existing training materials from Island or Clallam Counties. Ms. Atkins said that to the extent possible, their materials would be "borrowed", but that some customization would be necessary. Ms. Baldwin also briefly explained tentative plans developed by DCD and Public Health for the stewardship resource center staffing. She • Page 7of11 said that Public Health is looking at filling a vacancy and/or a grant funded position,and that some relief is expected for the DCD permitting functions. Ms. Atkins also discussed the issue of requirements for a complete septic permit. That is, • how can staff facilitate providing the most complete information for an application; where can reference material be found and how to use it. She said she plans on coordinating professionals and in-house staff in this regard. Ms. Baldwin also noted that a checklist would be very valuable in this process. In conclusion, Ms. Atkins noted that the On-site Inspection Program concepts are now more fully developed and the public is now more informed and less apprehensive about expected changes. The Public Health department will continue to seek better ways to educate home owners and move the program forward. National Health Care Reform: Nurse Family Partnership in Washington State Jean Baldwin introduced Quen Zorrah who reported on the Nurse Family Partnership program in the context of National Health Care Reform. She pointed out the synopsis of a feasibility study that had been included in the packet. Ms. Zorrah noted that according to the Federal Health Care Reform funding criteria, preference will be given to those states that have a state wide implementation plan for home visiting. Washington State does not have such a plan at this point. In order to prepare for federal funds, this feasibility study was initiated, not by DOH,but by a group, . (NFP consortium and CHLF), who work in collaboration with DOH. The part of the Health Care Reform legislation that applies directly to Public Health in Jefferson County is the Maternal, Infant, Early Childhood home visiting program. The vision is to create a comprehensive cross-agency continuum of services for children, pre- natal through age eight to address a range of health issues. First, state governments had to submit their intention to apply for the funds. Washington State was initially undecided but upon learning of ties to other funding did submit the application. The next step is a needs assessment, which is being done by the DOH MCH team. Ms. Zorrah noted that the assessment makes use of health indicators, including identifying communities with high concentrations of certain risks, such as are reflected in the feasibility study. She mentioned as examples: low birth weight babies, poverty, crime rate, domestic violence, and high school drop-out rate. The needs assessment must address all these issues on a community wide basis and, somewhat surprisingly, must also assess the community's need to serve families with substance abuse issues. Jean Baldwin noted that she had chosen to include the data for a selected group of counties: Jefferson, Clallam, Mason, Kitsap and King. She pointed out some of the apparent similarities and differences in these populations. • Page 8 of 11 Ms. Zorrah said that under consideration for the State needs assessment is the possibility of breaking out the data by communities within counties. This is because at an • aggregated level the degree of need may not be apparent. However, the federal criteria for the assessment have not yet been released, although the data must be complete and submitted by September 1. Meanwhile, based on formula projections from the State DOH, Washington would be eligible for$1.3 million for FY 2010. If benchmarks are met, based on outcome assessments, the allocation can increase in following years. Ms. Zorrah said it still unclear whether that would be on a calendar program-wide basis or a state-wide basis. The current plan is for DOH to take $500,000 to do the needs assessment plus 25% for administrative costs, leaving about $800,000. There would be $400,000 for evidence-based home visiting for the entire State; therefore Jefferson County may receive some "trickle-down" benefit. Additionally, DOH has decided to split the program among four agencies: DOH will take the fiscal administration role and serve as the lead agency for Nurse-Family Partnership; Early Learning will have all the other programs Council for Children and Families will do the evaluation; DSHS will coordinate billing. In summary, the amount of funding and the plan may not provide significant benefit for this county. Ms. Zorrah said that the likelihood for the State to receive funding this year may be low, due to a lack of leadership and coordination among many competing agencies. However, Ms. Zorrah cited the department's 11-year experience with Nurse-Family Partnership, without a State-wide infrastructure. She said that if funding is received, hopefully it will enable the establishment of some infrastructure that could be well leveraged for better data analysis, report writing, etc. Jean Baldwin noted that Jefferson County's teen pregnancy rate is significantly better than neighboring counties and the State; the drop-out rate is also much better. These are examples of services that are measurably effective. In addition, those in need receive Medicaid to deliver babies. Poverty rates are similar to surrounding counties, with the exception of Kitsap's, which is lower. Ms. Zorrah said that staff continues to seek ways to improve the program with minimal resources, such as partnering with Clallam and Kitsap to increase capacity. She added that, throughout the State, those who have Nurse- Family Partnership programs wish to prioritize resources to sustain current sites. Member Frissell noted the high Maternal Smoking during Pregnancy rates and requested more information on possible reasons and solutions. Ms. Baldwin said that the Tobacco Program continues to work on this, along with the Hospital and physicians. She said the Tobacco program has only one more year of State funding. Julia Danskin said that due to reduced funding for maternity support services, nursing staff is not able to see many of the pregnant women receiving medical assistance, as in the past. Ms. Zorrah added that a percentage of women in this group are recovering from alcohol or drug addiction, and/or related depression that is often untreated. Although the smoking is of concern, it is one among several serious risks. She also said that the NFP data shows that from the time of intake to the time of delivery, there is a reduction in the rate of smoking. She said that this is a very high risk population and staff works very hard on this issue. • Page 9 of 11 Green Business Certificates On behalf of the BOH, Chair Russell signed EnviroStars awards for five businesses: • Point Hudson, Boat Haven, Marketech Inc./J & S Fabrication, Pleasant Harbor Marina, and All City Autobody & Towing. Removal of SAAB Member Member Austin explained that a member of the Substance Abuse Advisory Board, Laura Blake, who had been appointed about one year ago, had not attended a high percentage of SAAB meetings. According to the SAAB Bylaws, three consecutive unexcused absences constitute reason for removal. Therefore, Member Austin, a member of both the BOH and SAAB, requested that the BOH remove Ms. Blake from the SAAB. Member Austin moved and Member Sullivan seconded a motion to remove Ms. Laura Blake from the SAAB based on lack of attendance, and to inform Ms. Blake of this action by letter signed by BOH Chair Russell. The motion was approved unanimously. (Chair Russell signed the letter to Ms. Blake on behalf of the BOH, dated July 15, 2010.) There was mention that Mike Blair was leaving the SAAB and acknowledgement that a letter of appreciation would be sent to Mr. Blair for his service. ACTIVITY UPDATE • Member Frissell reported on her experience on an Alaska cruise where there was an outbreak of an unidentified intestinal virus. She noted the communications to passengers and the extent of sanitizing and precautionary measures taken by the crew. AGENDA PLANNING CALENDAR There were no items discussed. NEXT SCHEDULED MEETING Dr. Locke requested that he be excused from the next scheduled BOH meeting on August 19 due to personal business. He also suggested that the August meeting might be cancelled entirely, since there were no action items yet scheduled for August. Ms. Baldwin noted that typically there is a budget presentation and discussion at the August meeting, but that it could be done in September. She mentioned that the annual fees analysis had been completed and could be presented at either time. • Page 10 of 11 Member Austin moved for cancellation of the August 19, 2010 BOH meeting; the motion was seconded by Member Frissell, and approved unanimously. • ADJOURNMENT Member Austin moved for adjournment; the motion was seconded by Member Sullivan. Chair Russell adjourned the Board of Health meeting at 4:10 PM. JEFFERSON COUNTY BOARD OF HEALTH '. Excused Chuck Russell, Chair Phil Johnson, Member Excused I Kristen Nelson, Vice-Chair John Austin, Member 0144 turi Roberta Frissell, Member • David Sullivan, Member Excused Sheila Westerman • Page 11 of 11 • Board of Health Old-Business & Informational Items .agenda Item # .�V, 1. • Initiatives iloo & iioS - Public 3feaCth Impacts September 16, 2010 • R Initiative Measure 1100 • Full Text Initiative Measure No. 1100 concerns liquor (beer, wine and spirits). This measure would close state liquor stores; authorize sale, distribution, and importation of spirits by private parties; and repeal certain requirements that govern the business operations of beer and wine distributers and producers. Should this measure be enacted into law? [ ] Yes [ ] No The Official Ballot Title and the Explanatory Statement were written by the Attorney General as required by law. The Fiscal Impact Statement was written by the Office of Financial Management as required by law. The Secretary of State is not responsible for the content of arguments or statements (WAC 434-381-180). +Fiscal ;naps_ . ., ., The Law As It Presently Exists Currently, the state controls the sale and distribution of spirits in Washington. The term "spirits" refers to the alcoholic beverages commonly called "hard liquor" (whiskies, vodka, gin, etc.), any beverage containing distilled alcohol (except flavored malt beverages), and wines exceeding twenty-four percent alcohol by volume. Spirits are sold at retail by state • liquor stores and contract liquor stores (which are businesses selling liquor on behalf of the state through a contract with the state). Spirits are distributed within Washington by the state Liquor Control Board. The Board purchases spirits from manufacturers, distillers, and suppliers, furnishes spirits to state liquor stores, and sells spirits directly to authorized purchasers, such as restaurants. Spirits manufacturers, distillers, and suppliers may sell spirits within the state only to the Board. The Liquor Control Board is responsible for the general control, management, and supervision of all state liquor stores and contract stores, as well as the state's spirits distribution operation. The Board regulates the kind, character, and location of liquor advertising. The Board is not authorized to advertise its sales of spirits. The Liquor Control Board sets prices for spirits based on wholesale cost, a markup by the Board, and taxes. The net proceeds from the markup on the sales of spirits are distributed to the state, cities, and counties, according to formulas set by state law. A variety of taxes are imposed on the retail sale of spirits. The generally applicable retail sales tax does not apply to spirits. The tax revenues from sales of spirits are distributed to the state, cities, counties, and to fund specific state and local programs, according to formulas established by state law. Under existing law, private parties who are licensed may sell and distribute beer and wine not exceeding twenty-four percent alcohol by volume. Private beer and wine license holders operate under a "three-tier system". Under the three-tier system, there are separate licenses for (1) manufacturing, (2) distributing, and (3) retailing of beer and wine. The three-tier system regulates the financial relationships and business transactions between Slicensed parties in the three tiers. Retailers are allowed to purchase beer and wine only from licensed distributors, with certain exceptions, and licensed distributors are allowed to purchase only from licensed manufacturers, with certain exceptions. The licensed distributors and manufacturers are required to maintain and adhere to published price lists • and to offer uniform pricing to all customers on a statewide basis. Uniform pricing precludes a distributor from selling spirits at a discount to individual retailers if the same price is not available to other retailers, and similarly precludes a manufacturer from making discounted sales to individual wholesalers. The Effects Of The Proposed Measure If Approved If approved, Initiative 1100 would direct the Liquor Control Board to close all state liquor stores, to terminate contracts with the private contract liquor stores, and to shut down the state's spirits distribution operation. It would allow licensed private parties to sell spirits as retailers or distributors, and it would terminate the state's authority to sell spirits. This would eliminate the net proceeds from the Board's markup on sales of spirits at state liquor stores and contract liquor stores, which are distributed to the state, cities, and counties. Initiative 1100 would retain existing taxes on the sales of spirits, with minor modifications. Initiative Measure 1100 would change the Liquor Control Board's powers. It would eliminate the Board's authority to manage liquor stores, distribute spirits, set spirit prices, and require the Board to close state stores by December 31, 2011. The measure would limit the Board's rulemaking powers to regulation of licensing matters, taxation, and the prevention of abusive consumption and underage drinking. The Board's authority to regulate the kind, character, and location of advertising of liquor would be subject to new limitations. Initiative 1100 would authorize the Board to license private entities to sell spirits at retail, to distribute spirits to retailers, and to manufacture or import spirits in Washington. With exceptions, license holders would pay annual licensing fees. The licensing fees would be used for the costs of administration, for enforcement of licensing laws, and to reduce • abusive consumption of alcohol and underage drinking. Under Initiative 1100, a "general liquor retailer's license" would allow the license holder to sell spirits, beer, and wine at retail. This retailing license would be available to any person who applies for the license, meets requirements, and pays the necessary licensing fee. In addition, any grocery store or specialty store with a beer and/or wine license in good standing could pay a fee and obtain a general liquor retailer's license, which would allow sales of spirits. All of the stores that formerly sold spirits under a contract with the state could obtain a general liquor retailer's license without paying a fee. A "general liquor distributor's license" would allow the license holder to distribute beer, wine, and spirits obtained from authorized sources, such as licensed manufacturers and importers. Current holders of a beer or wine distributor license could obtain a general liquor distributor's license allowing distribution of spirits by paying a licensing fee. A person could also obtain a spirits distributor license to distribute only spirits. A licensed distillery or manufacturer could act as a distributor and retailer of its own products. Under Initiative 1100, spirits could be produced under a distillery license or manufacturer's license, subject to regulation by the Board. A license for spirits importers would allow the import and export of spirits, subject to regulation by the Board. Other licenses or certificates of approval would allow a distiller or manufacturer of spirits outside the state to sell and ship spirits into the state. Initiative 1100 also changes the laws that regulate the importation, distribution, delivery, and retail sales of beer and wine. Initiative Measure 1100 would eliminate the existing • three-tier regulatory system for beer and wine that, in general, requires licensed manufacturers to sell only to licensed distributors, and licensed distributors to sell only to • licensed retailers. It would repeal the uniform pricing requirement that requires each manufacturer to offer beer or wine at a uniform price to all distributors and requires each distributor to offer beer and wine at a uniform price to all retailers. Statement For Statement Against I-1100: The best way to end the state Initiative 1100 completely deregulates sales liquor monopoly and enforcement of hard liquor, beer and As part of a modernization of law concerning wine, threatening public safety and costing beer, wine and liquor, I-1100 ends the taxpayers millions. state's monopoly on liquor sales, in the best interests of consumers. It directs the Liquor More Hard Liquor Consumption, More Board to concentrate on enforcement of Problems liquor laws, such as prohibiting underage Under this scheme hard liquor outlets will drinking, rather than devote its time and explode from 315 to 3,300, three times more financial resources to marketing distilled per person than California. More than 2,000 spirits. The state has no business promoting convenience stores, neighborhood mini- and profiting from the sale of liquor. marts, and gas stations — many near schools and in high crime areas — will sell I-1100 stops the state's 51.9 percent liquor until 2 am. More consumption means mark-up more drunk driving, underage drinking and Washington has the highest liquor taxes in crime. the nation. In addition to high taxes, the state also charges a profit margin of 51.9 1100 Goes Too Far percent on each liter of alcohol it sells. I- I-1100 threatens public safety, wiping out • 1100 will end the monopoly profits that alcohol regulation, including enforcement, make ours the most expensive liquor in the making Washington the most deregulated country. I-1100 would allow retailers to state in the country. Washington currently purchase directly from manufacturers rather ranks #1 in keeping hard liquor out of the than accepting additional costs of a hands of minors, but private outlets like middleman. mini-marts are 400% more likely to sell liquor to minors, according to Liquor Control I-1100 creates private sector jobs Board data. Closing state liquor stores creates hundreds of new private sector jobs. 1100 Costs Taxpayers State sales generate over $350 million I-1100 improves competition annually, funding for local schools, health Old laws protect distributors from care, police, firefighters, and alcohol and competition and stifle innovation. 1100 ends drug abuse prevention. 1100 will wipe out Prohibition era laws, improving competition much of that revenue, meaning fewer for consumers. services, higher taxes, or both. Given our budget crisis now isn't the time to lose these Ending state liquor sales and making resources. enforcement of liquor laws the primary responsibility of the Liquor Control Board is And 1100 makes it harder for Washington's the best way to protect our kids and ensure small businesses to compete. Big out-of- fair competition. Please vote yes on I-1100. state corporations will be given an unfair competitive advantage over our local craft breweries and wineries—costing us jobs • when we can least afford it. The Washington State Firefighters, Washington Association of Churches, law • enforcement leaders and many others agree: Vote no on I-1100. Rebuttal of Statement Against Rebuttal of Statement For • Opposition is really about money, not public safety. I-1100 closes state liquor stores and 1100 creates an explosion of liquor outlets, returns state's focus where it belongs: to 3,300. Hard liquor will be available at enforcement of liquor laws. I-1100 provides convenience stores and mini-marts, which choice and convenience to consumers and are 400% more likely to sell to kids. It wipes grows private sector jobs. Taxes remain but out enforcement funding, and an price gouging ends. Local zoning controls independent analysis found 1100 slashes where stores are located. California has $275 million from services like schools and private liquor sales and fewer alcohol-related public safety. Washington's craft brewers driving deaths per capita than Washington. and winemakers oppose, because it The facts are clear; wild opposition claims threatens their ability to compete and create are baseless. I-1100 makes sense. jobs. 1100: too risky, goes too far. Vote no. Statement Prepared By Statement Prepared By Jim Sinegal, CEO, Costco Wholesale Jim Cooper, Washington Association for Corporation; Anthony Anton, Substance Abuse and Violence Prevention; President/CEO of 5000 Member Washington Alice Woldt, Executive Director, Washington Restaurant Association; Paul Beveridge, Association of Churches; Kelly Fox, President, Family Wineries of Washington, President, Washington State Council of Owner, Wildridge Winery. Firefighters; John Lovick, Snohomish • County Sheriff, Sharon Ness, RN, Acute For more information: Care Nurse, Craig Sousie, Emergency (206) 381-5396 Medical Technician, Renton Fire and www.yestoll00.cogrj- Emergency Services. For more information: info(bprotectourcommunities.com www.protectou[communities.cQrrd • Initiative Measure 1105 • Full Text Initiative Measure No. 1105 concerns liquor (beer, wine and spirits). This measure would close all state liquor stores and license private parties to sell or distribute spirits. It would revise laws concerning regulation, taxation and government revenues from distribution and sale of spirits. Should this measure be enacted into law? [ ] Yes [ ] No The Official Ballot Title and the Explanatory Statement were written by the Attorney General as required by law. The Fiscal Impact Statement was written by the Office of Financial Management as required by law. The Secretary of State is not responsible for the content of arguments or statements (WAC 434-381-180). The Law As It Presently Exists Currently, the state controls the sale and distribution of spirits in Washington. The term "spirits" refers to the alcoholic beverages commonly called "hard liquor" (whiskies, vodka, gin, etc.), any beverage containing distilled alcohol (except flavored malt beverages), and wines exceeding twenty-four percent alcohol by volume. Spirits are sold at retail by state liquor stores and contract liquor stores (which are businesses selling liquor on behalf of the state through a contract with the state). Spirits are distributed within Washington by the • state Liquor Control Board. The Board purchases spirits from manufacturers, distillers, and suppliers, furnishes spirits to state liquor stores, and sells spirits directly to authorized purchasers, such as restaurants. Spirits manufacturers, distillers, and suppliers may sell spirits within the state only to the Board. The Liquor Control Board is responsible for the general control, management, and supervision of all state liquor stores and contract stores, as well as the state's spirits distribution operation. The Board regulates the kind, character, and location of liquor advertising. The Board is not authorized to advertise its sales of spirits. The Liquor Control Board sets prices for spirits based on wholesale cost, a markup by the Board, and taxes. The net proceeds from the markup on the sales of spirits are distributed to the state, cities, and counties, according to formulas set by state law. A variety of taxes are imposed on the retail sale of spirits. The generally applicable retail sales tax does not apply to spirits. The tax revenues from sales of spirits are distributed to the state, cities, counties, and to fund specific state and local programs, according to formulas established by state law. The Effects Of The Proposed Measure If Approved If approved, Initiative 1105 would direct the Liquor Control Board to close all state liquor stores and to shut down the state's spirits distribution operation. It would allow licensed private parties to sell spirits as retailers or distributors, and it would terminate the state's authority to sell spirits. This would eliminate the net proceeds from the Board's markup on sales of spirits at state liquor stores and contract liquor stores, which are distributed to the state, cities, and counties. The measure would generate new proceeds by requiring private spirits retailers and distributors to pay the state a percentage of their gross sales for five years. The measure would eliminate existing taxes on the retail sale of spirits, and would . direct the Board to recommend to the legislature a new tax on the sale of spirits to spirits distributors. Initiative 1105 would change the Liquor Control Board's powers. It would eliminate the Board's authority to manage liquor stores, distribute spirits, and set spirits prices. It would require the Board to close state liquor stores by April 1, 2012, and to make a good-faith effort to sell its liquor store inventory and assets by that time. It would authorize the Board to issue licenses allowing private parties to sell or distribute spirits, and to regulate the sale of spirits under those licenses. Under Initiative 1105, a "spirits retailer license"would allow the license holder to sell spirits at retail in original containers, beginning November 1, 2011. The Board would establish license criteria, making spirits retailer licenses available to applicants who could provide the same degree of safety and security as current state-operated stores. The measure encourages the Board to make spirits retailer licenses available to existing contract stores. Spirits retailer license holders would pay an annual license fee. They would also pay the state six percent of their gross annual spirits sales during their first five years of sales, to be deposited into the state general fund. Under Initiative 1105, a "spirits distributor license" would allow spirits distributors to buy spirits from manufacturers, distillers, and suppliers, and to sell spirits to any person holding a license to sell spirits in Washington, beginning October 1, 2011. The Board would make spirits distributor licenses available to all applicants who are appointed by, or agents of, spirits manufacturers, distillers, or suppliers, unless the Board determined that issuing a license to a particular applicant would not be in the public interest. Spirits distributors would • pay an annual license fee. They would also pay the state one percent of their gross annual spirits sales during their first five years of sales, to be deposited into the state general fund. The Board would no longer set prices for spirits. Each licensed spirits distributor, and each manufacturer, distiller, and importer, would be required to maintain and adhere to its published price list and to offer uniform pricing to all customers on a statewide basis. Price discrimination would be prohibited. Quantity discounts on spirits would be allowed. Initiative 1105 would establish a three-tier system for the spirits industry. The three-tier system would separate manufacturing, distributing, and retailing of spirits, and regulate the financial relationships and business transactions among entities in these tiers. Under the three-tier system, licensed spirits retailers would be allowed to purchase spirits only from duly-licensed spirits distributors, with certain limited exceptions. Spirits manufacturers and distillers, and licensed spirits retailers, would not be permitted to have any interest in a spirits distributor license or in any entity that has a spirits distributor license. Initiative 1105 would repeal existing taxes on the retail sale of spirits. It would direct the Board to recommend to the legislature a new tax that would be paid by licensed spirits distributors on all spirits they purchase. The measure would direct the Board to recommend a tax rate projected to generate, in combination with other spirits-related revenues, at least the same annual revenue for state and local governments as the current state-controlled system of spirits sales and distribution, plus at least an additional one hundred million dollars net over the five-year period beginning November 1, 2011. arra • Statement For Statement Against • Get state government out of the liquor Initiative 1105 will increase taxes and business. Vote yes on I-1105 to close state decrease public safety. liquor stores and let qualified retailers sell spirits safely and responsibly. More Hard Liquor Consumption, More Problems Support Local Firefighters and Law I-1105 allows hard liquor stores to explode Enforcement from 315 to more than 3,300: three times Yes on I-1105 creates more revenue for local more per person than California. More than firefighters and police protection in cities and 2,000 convenience stores, neighborhood counties across the state. Local jurisdictions mini-marts, and gas stations - near schools, rely on revenue from liquor sales for services churches, and in high crime areas - will sell like public safety. I-1105 will "generate at hard liquor, until 2 am. More consumption least the same annual revenue for the state means more drunk driving, more underage and local jurisdictions...as well as an drinking, and more crime. Using California's additional $100 million." rate of binge drinking as an example we can expect 40,000 more irresponsible drinkers in I-1105 is Responsible our state. I-1105 responsibly privatizes liquor sales the way 32 other states currently allow the 1105 Wipes Out All Liquor Taxes private sector to operate liquor sales. I-1105 1105 repeals all state liquor taxes and will ensure all taxes are paid and there is a directs the legislature make up the difference paper trail documenting all liquor sales in the with new taxes. That means more taxes on state. Under I-1105, applicants for retail the middle class. We can't trust the Olympia licenses must be qualified to sell spirits and politicians to get this right. prove they meet certain safety and security • standards. The current system generates $350 million annually to pay for schools, health care, Protects Against Underage Drinking police, firefighters, and alcohol prevention. A yes vote on I-1105 will allow the Liquor 1105 will eliminate all that revenue. The Control Board to focus on preventing state has a huge budget shortfall -- now is underage drinking, over consumption and not the time to make it worse. making sure there isn't an explosion of liquor stores. Any license holder caught selling to a 1105 Puts Public Safety at Risk minor would immediately lose their license. Washington currently ranks #1 nationally in keeping hard liquor away from minors, but Better for Consumers and Jobs private outlets like mini-marts are 400% I-1105 offers consumers convenience, more more likely to sell alcohol to minors variety and more affordable prices while according to Liquor Control Board data. Let's keeping public health and safety standards not make it easier for kids and drunk drivers intact. I-1105 provides for the training and to get liquor. placement of displaced liquor store employees into new jobs in the private The Washington State Council of Firefighters, sector. Washington Association of Churches, law enforcement leaders and community leaders agree: Vote no on I-1105. Rebuttal of Statement Against Rebuttal of Statement For Initiative 1105 is clear. It will "generate at The big corporations funding this initiative least the same annual revenue for the state have gone too far. 1105 harms community and local jurisdictions as under the current services, costs taxpayers and cost jobs. It state control system, as well as at least an eliminates enforcement funding for underage additional one hundred million dollars." purchases and all liquor taxes and leaves it to the legislature to make up the difference. • That's more money for local firefighters, An independent analysis found that 1105 will police officers, and teachers in our reduce revenue by over $700 million, neighborhoods. slashing funding from schools and public safety. That's why small busiinesses, Vote yes on I-1105 to responsibly get the teachers, and law enforcement leaders say: state out of the liquor business and let vote no. qualified businesses in the private sector sell spirits safely. Statement Prepared By Statement Prepared By Jack Rabourn, Former Washington State Jim Cooper, Washington Association for Liquor Control Board Member; Al O'Brien, Substance Abuse and Violence Prevention; State Representative, former Criminal Justice Alice Woldt, Executive Director, Washington • Committee Chairman; Ken Oplinger, Association of Churches; Kelly Fox, Bellingham/Whatcom Chamber of Commerce President, Washington State Council of & Industry President; Tom Pierson, Federal Firefighters; John Lovick, Snohomish Way Chamber of Commerce CEO; Po County Sheriff, Sharon Ness, RN, Acute Chang, President of Summa Foods; Charlie Care Nurse, Craig Sousie, Emergency James, African American Business and Medical Technician, Renton Fire and Employment Activist and Columnist. Emergency Services. For more information: For more information: (877) YES-1105 info protectourcommurlities.com info@liquorreforrn.orq www.protectourcommunities.com1 www.liquorre(orm-org/ . • • • • Board of Health 061-Business & Informational Items .agenda Item # 1-V., 2 • Washington State Revenue Forecasts & Proposed Budget Cuts September 16, 2010 • Gov. Gregoire announces next steps for state budget Page 1 of 2 Gov. Gregoire announces next steps for state budget For Immediate Release: August 12, 2010 OLYMPIA—Gov. Chris Gregoire today announced steps to address a potential shortfall in the current state budget and directed agencies to prepare for the expected budget gap in the 2011-13 biennium. "Thanks to the incredible hard work of Washington state's delegation, especially Sen. Murray, we dodged a bullet and have avoided across the board cuts for now," said Gregoire. "But our state budget remains under stress. To be fiscally responsible, we must transform the way we provide services and take action now to prepare for potential shortfalls." Due to legislation passed by Congress this week to send emergency state aid to states, including Washington,the need for any drastic cuts to be taken immediately was narrowly averted. In addition, agency and department savings from across all of state government implemented last year has yielded $89 million in savings to the state budget. Over the last three years,the state has cut$5.1 billion in state spending. This has come in the form of service reductions, facility closures and the laying off of thousands of public employees. Over the last two months however, revenue collections have been$125 million below expected amounts and the state today has an ending fund balance of$72 million for the 2009-11 biennium. If the upcoming September forecast or a later revenue report comes in less than expected,the state could be faced with a shortfall that eliminates the ending fund balance, • which would necessitate further action, likely across the board cuts. The state is also currently projected to face a$3 billion deficit for the next two year budget. To prepare for the upcoming two-year budget and be ready for any immediate action that needs to be taken to correct the current budget, Gregoire today announced that she would direct state agencies to: • Prepare reductions of 4-7 percent for the possibility of across the board cuts starting October 1st if the next forecast or revenue receipts are lower than expected. • Prepare budget reductions for a supplemental budget for the last six months of the current biennium equal to $500 million statewide to be passed in January. • Draft 2011-2013 budgets to prepare for the expected $3 billion shortfall which will require a 10 percent reduction in the expected general fund budget. "By necessity, government must be smaller. We must make a dramatic shift in what can be expected of state government," said Gregoire. "Essential services for those most in need must continue, but it must be done as efficiently as possible. As we put together a budget that reflects • our values, we will demand performance out of every program. The recovery will be long and bumpy,but we will survive this crisis and we will emerge stronger." http://www.governor.wa.gov/news/news-view.asp?pressRelease=15 5 7&newsType=1 9/9/2010 Board of Health OCd Business .agenda Item # IV., 3 September 25th • moire Recycling Event September 16, 2010 • s • Jefferson County Public Health & Sheriff's Department •zda,,eoit Present ), 3 { ; ",`,.M' I`5 0 Saturday September 25th 9:00 a.m - 3:00 p.m. Quilcene Transfer Station 295312 Highway 101 9051 • Regular sized car, motorcycle, and light truck tires only • • Jefferson County residents only • Tires on rim okay, off-rim preferred 1101 • Tires from businesses (call JCPH for tire recycling options) • Tractor, large truck, or oversized tires, or tires on axles Funded by a grant from Washington State Department of Ecology With special thanks to Public Works for the use of the Transfer Station For More Information call Jefferson County Public Health 385-9444 • Where to Dispose v oV Vehicle 'Gives 1'11'1'1 t 4 • Ate Regular size vehicle tires without rims , Zf--) Les Schwab Tire Center $1.00 per tire 4 tire limit 2355 Sims Way, Port Townsend Walmart Tire Center $1.50 per tire 9 tire limit 1110 West Washington Street, Sequim Z-*-)Walmart Tire Center $1.50 per tire 9 tire limit 21200 Olhava Way NW. Poulsbo Regular or Oversize tires Jefferson County Transfer Station 325 Landfill Road, Port Townsend $110 per ton with or without rims Quilcene Transfer Station $4.95 per car tire 295312 Highway 101, Quilcene $6.19 per truck tire ak $14.85 per oversize tirSIP Z- L&S Tires $1.20 per tire No limit 9215 39th Avenue SW, Lakewood Extra for rims & oversize (253) 582-5556 tires Per ton for larger amounts Z4-1=Tires are recycled or re-used, not landfilled. *SOR . Jefferson County Public Health Port Townsend,WA 98368 e r www.ieffersoncountvpublichealth.orc]/ Phone:360-385-9444 • Board of Health Old Business Agenda Item #V., 5 Clean / Water District & • Environmental Health Projects September 16, 2010 • • .: ,t ' Clean Water The Team District '„ ' "ri C ALLAM COUN 1 Y �rironlr7�,ntat 11e zltii :s 0 " * Activities SFRviCFFs ,� 1. it.4,kr,:=:: ,.444,f,**.;14,4.1*.:;::":':y.'.';',N-4,- e!) Jefferson & G" Clallam idf,o�County Con.,e�ano„o,s«« Conservation Clallam CountyDistrict SoundPartnership It ,— Project Goals Project Area "° • Clean Water ,a, • Maintain,restore and enhance water quality Districts of ;.� r • Safe and valuable economic resources ° .@ �, $u Jefferson and \'~�,, 0 such as shellfish ,, p , Clallam • Support recreational enjoyment in the Counties Strait of Juan de Fuca and the Hood Canal ' � r @ A Project Elements • Clallam County Environmental Health •Jefferson County Environmental Health Develop a low interest loan program through anon- Model Clallam Counties profit lending institution similar to the"Shorebank- Homeowner Onsite `�� Enterprise-Cascadia"program used in Jefferson Sewage System County. Monitoring Inspection Program 01 CLA AM CON lima arz 01,41 i1U2aliTHY \ SE RY3 CES III 1 „. • � , �� t Provide program of I _� .40in�” s -'',,, .-..-'..,.,..::.q.-7,..--- centives • Install components to i��� : monitor onsite sepne "" • { ^,` systems `=m.wv.m '..0.4,k'-'-'2-7'"!•,,, kel • Complete 1"monitoung •� s" '" ' � w inspection 1_74711,......,..„.7.....- �' '- Identfyanddocument ' '' propertieswithpreviously — e J. unknown septic systems. _!'" t � � Improve access to --4.7'--- * ,i Monnonng Inspection • Clip from i"draft of Gallam County Video records 1„ • Conservation Districts Work with land owners 1 i • Jefferson County . - to develop and Conservation District ' - ,.�..�. � � Via, i�� implement best -Continue monitor ng ands *- , management practices testing along streams in • that improve and :;' �� the project area. t protect water quahry. �r • Update or create farm - - conservation plans - a�• - • t • Install waste74, a * .a^ management tools t e ` a� ' �, fencing,manure storage ..,,,,,.,,,,,Itr,f.,,, -,'41,04*iikti.il.". ea) . 'f„,..-..,, -,:!:,7,,,,;:„,..,,L.ea - fr ' Wiliam �t tvanaG '. mr; .�yr e A� What is the Action Agenda? • Unprecedented collaborative process to create a regional document called the Action Agenda,outlining steps needed to recover Puget Sound • A,tion Agenda adop[ed December 2008,updated May 2009 • Identifies immediate and long-term actions.regional and local a non .� t b,� nn s it ea5tt a 4>' and « �..; °-te° • 2 0 Board of Health Netiv Business .Agenda Item #(V., 1 Protocolfor Response to • Tio6acco ComyCaints September 16, 2010 • _ n > kk 0 n n S.cD co oh \ \ \\ 0 £ i/ 0 \ } � , - 2 2 5' » ' 0 ` • � /� \ Cr CD ni13 1 $ 0 ii k= \ a \ o \ 7 & \\ CD Roc ,-0 1 o < 1 . 0 . 0 ' m 0. a ° \ @ / 5 ° k / § { ► \ ( / / \ \ co . 7 CD /\ f 0 0 / q u. < , > r _ 0 / ± 0 % _ � , a ) q \ / ; CD . .. = CO _ C-) = • -. o o9 { k •a � 0 o 0 < �\ Q � o - F.n c - « E K3 Ko E § am a -I $ E J E a k a m § = , E m E { ƒ ° \ m \ g ) o 0o % o /§ \ c , _ , 2 # 7 z 01 m m § mz m I% k m mm mCD on 0 O. E a . . 2 * M f + 73 ` 2 Z CD m ° co = CD ® so o k E � / /7 ) \] C/ C® � \ \ < ® �7 ±z a \ \ / * > -I& & oE & &4— � « � 2 * � a \ 4— i / & E \ J * r * « { : } }a ƒ - 57 a - - k { } � } 0k . 0 ƒ \ ! \ •\ � oi§ { \ E & } ... > r • Board of Health New Business .agenda Item #17., 2 Olympic Regional7ri6al-Public 3-fealth Mutual-_Assistance • .agreement - .MutualAuthority Resolution September 16, 2010 r JEFFERSON COUNTY BOARD OF HEALTH RESOLUTION NO. 2010- • Establishing Health Officer's Authority to Accept Tribal Grant of Authority under Mutual Aid Agreement WHEREAS,the Jefferson County Board of County Commissioners on or about November 3, 2009 entered into an Olympic Regional Tribal—Public Health Collaboration and Mutual Aid Agreement(the "Mutual Aid Agreement"); and WHEREAS, under Option One of Article IX of the Mutual Aid Agreement, a party tribal government (a"Party TG")may wish to grant to a party public health department or district (a "Party HD"), such as Jefferson County Public Health, public health authority under the terms and conditions contained the Mutual Aid Agreement; and WHEREAS, either the Party TG or the Party HD may withdraw, rescind, decline or refuse this grant of authority at any time; and WHEREAS,the Board of Health now wishes to establish the authority of its Health Officer with respect to such potential and actual grants of public health authority by a Party TG to Jefferson County Public Health, recognizing that exigent circumstances may require prompt action by the Health Department in such instances; • Now,THEREFORE,BE IT RESOLVED AS FOLLOWS: 1. Health Officer's Authority. The Board of Health grants to the Health Officer, or his or her designee, the authority and discretion to refuse, accept, withdraw, rescind or take any similar action with respect to actual or potential grants of public health authority by a Party TG under the Mutual Aid Agreement. 2. Board Affirmation. When reasonably practical to do so, the Health Officer, or his or her designee, will seek at its next regular or special meeting Board of Health affirmation of the Health Officer's decision to refuse, accept, withdraw, rescind or take similar action with respect to such actual or potential grants of public health authority; provided, however, that failure to obtain such affirmation shall not in any way terminate or impair the validity or effectiveness of the decision of the Health Officer or his or her designee, subject, however, to Section 4 below. 3. Status Reports to Board. When reasonably practical to do so, the Health Officer, or his or her designee, shall report to the Board periodically, and at least once every 30 days, on the status of any active actual or potential grants of public health authority by a Party TG under the Mutual Aid Agreement. 4. Ultimate Authority in Board. The Board of Health at all times retains ultimate authority over whether Jefferson County Public Health will refuse, accept, withdraw, rescind or take any similar action with respect to actual or potential grants of public health authority by a • • Board of Health Netiv Business .agenda Item #T., 3 . Tefferson County Budget Review • September 16, 2010 • ul Z Q O w 7 J CI ii I- w F 0 2 • O z t7 ¢ I z z ■ in N "1-) J 7 z m z i., m Q. 2 0 O 0 0 LL O K as? 3 I -0y _ 3 C O Oit 0L ' o LL O i p 0 L. 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Goal: To provide an ongoing source of accurate, current, and local community and health information for review by local policy boards and Jefferson County Board of Health for use in policy making, priority setting, and identifying community strengths and needs. Project Activities: • Develop a set of core community health indicators. Using a similar process as the Healthy Jefferson Report's Data Steering Committee in 2003 and add indicators as needed. • Reconvene and staff a new Data Steering Committee made up of community leaders and other project partners to guide and review specific assessment efforts. • Explore new sources of data and include them in updated community health reports. • Perform focused analysis of issues of high priority & present to the data steering committee members. • Reconvene and staff a minimum of three Data Steering Committee meetings. Post all findings on the JCPH web site: http//:www.jeffersoncountypublichealth.org the day after the meetings. • • http:Ilwww.jeffersoncountypublichealth.orq/index.php?health-of-jefferson-county Analyze and prepare reports using existing data sources including: ➢ Death Certificate: deaths by manner; primary and contributing causes; demographics ➢ Birth Certificate: birth related information, mothers demographics ➢ Comprehensive Hospital Abstract Reporting System: hospital inpatient discharge by diagnosis, patient demographics ➢ Behavioral Risk Factor Surveillance System: prevalence of adult health conditions, health-related behaviors, and risk and protective behavior factors, demographics ➢ Healthy Youth Survey: prevalence of youth perceptions, behaviors, and influences, demographics. Jefferson County Schools all 6,8,10 &12 graders participate ➢ Public Health Information Management System: counts of reportable communicable diseases and sexually transmitted infections ➢ Cancer Registry: cancer incidence by type, demographics ➢ Other sources: alcohol and substance abuse treatment program participation, school and academic information, population, employment, income, poverty, crime and arrests, real estate, injury and safety, Medicaid program participation. • JEFFERSON COUNTY BOARD OF HEALTH Timeline Data Committee Meeting Review Demographic updates September 2010 Substance Abuse and Mental Health October 2010 Access to health care and community health November 2010 Death, birth, quality of life February 2011 Summary and prioritizations March 2011 Jefferson County Data Steering Committee • Draft agenda September 9, 2010 3:00-5:00 p.m. Jefferson Healthcare Auditorium 1. Introductions 3:00 Staff: Jean Baldwin, JCPH Siri Kushner, Kitsap County Health District 2. Goal of committee meetings 3. 2001-2003 community issues, three choices for action. What to watch now? 4. Data sharing, 6 sections today, 5 minutes of discussion at the end of each section 3:15 to 4:45 5. Agenda/ next data topics to explore/ planning next meetings 5:00 • The Health of Jefferson County: 2010 Demographic Update BACKGROUND • How people live-the sociodemographic context of their lives-influences their health. People who have lower incomes may not have the resources to meet basic needs including food, clothing, shelter, and healthcare. Insufficient resources can lead to negative health outcomes.Those with higher incomes may have adequate resources to meet basic needs,which in turn leads to improved heath outcomes. Communities with concentrations of low-income populations often have higher levels of health-related problems than more affluent communities. Identifying these patterns is important because differences between a community's demographic characteristics can help explain differences in health indicators for these communities. Therefore, understanding variations in community characteristics is an important part of community assessment. The Jefferson County Demographic Update includes data on population growth, gender, age, race/ethnicity, education, employment, income, poverty, households, marital status and housing. SUMMARY POPULATION Total population and annual population growth • The 2010 estimated population is 29,300 persons. • Population growth has been around one percent since the 2000. • Between 2000 and 2009, the population grew about 3,000 persons. Components of population growth • Population growth has resulted from in-migration since the mid-1990's. • Population by gender and age groups • Among both men and women, the population age 35+ has grown considerably while the population age 20-34 has decreased. Population change by age groups • From 1990 to 2000, the population age 85+ increased nearly 100%followed by the 50-64 age group (82%) and 75-84 age group (66%); each increase was at least 50% higher than Washington State. • From 2000 to 2009, the population age 85+ and age 50-64 increased 38%, each increase was 10%lower than Washington State. Median Age • The 2009 median age was 50.2 years, an increase of 15 years since 1980; 13 years above the Washington median. Race and Ethnicity • Jefferson County is predominately whitq(90%), the proportion of non-whites increased 2%from 2000 to 2010. • Eighty-four percent of public school students are white, the proportion of non-whites increased 3.2%from 2000 to 2009 (2.3%increase in Hispanic students alone). Disability status • From 2000 to 2005-07, the population age 16+with a disability increased by almost 1,000. • Fewer Jefferson adults age 65+ report being disabled (34%) than Washington State adults age 65+ (42%), however more Jefferson adults age 16-64 report being disabled (18%) than Washington adults age 16-64 (14%). • Jefferson County Public Health September 2010 The Health of Jefferson County: 2010 Demographic Update EDUCATION Highest education attained • • About a third of adults report a high school or less (35%) or some post high school (33%); 18% report a bachelors degree and 14%a graduate or professional degree. • Compared to 1990, more adults report a bachelor's or higher degree. • Compared to Washington, more Jefferson adults report a graduate or professional degree. High School graduation rates • The high school ontime graduation rate is 80%; higher (better) in Chimacum and among females and better than Washington State. • The high school drop out rate is 3%; lower in Chimdcum and lower than Washington. • The high school extended graduation rate is 85%; higher among females. Public School enrollment • Public School enrollment is down in all Jefferson districts from 1999-00. EMPLOYMENT Unemployment rate • The unemployment rate peaked at 10.9%in February 2010, down to 8.6% by June. Employment by Industry • Employment was down in goods producing and service providing industries except for government between June 2009 and 2010 INCOME AND POVERTY Per capita personal income • 2008 per capita personal income was $43,105, $358 above Washington, 3rd highest in WA. Median household income • • 2009 median household income was $47,660, down $1,170 from 2008 and about$5,000 below Washington. Average earnings per job • From 1969 to 2008, average earnings per job increased 346% however after adjusting for inflation, earnings per job actually fell 8%. • From 1969 to 2008, average earnings per job in Washington increased 45%; 46%in the US. Poverty of all residents • About 12%of Jefferson and 11%fo Washington State residents live at 100%of poverty-a family of four earning less than$22,050 per year. • Highest in the West End (40%), lowest in Chimacum/Beaver Valley/Port Ludlow and NW Port Townsend areas (6%). Children age 5-17 living in families in poverty • Nearly 17%of children age 5-17 live at 100%of poverty compared to 12.5%in Washington. • Highest in Queets-Clearwater (26%) and Quilcene (23%) districts; lowest in Chimacum (14%). • Since 1999, rate increased about 2%in all districts but Queets-Clearwater (down 31%). Poverty by age group • Jefferson and Washington adults age 18-64 in poverty increased from 1999 to 2006-08. • Jefferson adults age 65+ in poverty increased from 1999 to 2006-08, decreased in WA. Working poor • About 9,000 (31.5%) of Jefferson residents live at 185%of poverty- a family of four earning less than $40,793 per year-compared to 25%of Washington State residents. • From 2000 to 2006-08, Jefferson residents at 185%of poverty increased nearly 6%, 1%in WA. 0 Jefferson County Public Health September 2010 The Health of Jefferson County: 2010 Demographic Update Public School student applications to the free and reduced lunch program • • In 2009,47%of public school students applied for the free and reduced meals program compared to 42%in Washington; both up sharply from previous years. • Highest in the Queets-Clearwater and Brinnon districts, lowest in Chimacum. Medicaid-paid births • About 6 in 10 (61.5%) 2008 births were covered by Medicaid compared to 48%in WA. HOUSEHOLD COMPOSITION AND MARITAL STATUS Household Composition • Nearly 4 in 10 Jefferson households are married couples with no children compared to about 3 in 10 in WA. • Jefferson had a slight increase in married couple with no children and nonfamily 1+ person households between 2000 and 2006-08 while both decreased in WA. Marital Status • Since 1990, the proportion of married persons has decreased; never married persons has increased in both Jefferson County and WA. • From 1990 to 2000, the proportion of divorced persons increased, but decreased from 2000 to 2006-08. Divorce Rate • The divorce rate has been declining -in 2008 the rate was 4 per 1,000; 5 per 1,000 in WA. Births to Unmarried Women • About 4 in 10 births are to unmarried women; increasing since 1997-99, higher than WA. HOUSING • Median house prices • Median house price peaked in 2007 but appears to be increasing again as of 1st qtr 2010. Housing affordability gap • In 2009, Jefferson residents earning an average income wanting to purchase an average priced home have an affordability gap of about$24,000, down from $38.000 in 2007. Housing affordability • One in four Jefferson households earn an income that would allow them to purchase an average priced house compared to 37%of Washington households. Owner-occupied housing • About three-quarters of houses are owner-occupied compared to two-thirds in WA. Housing costs • Twenty-seven percent of Jefferson residents spend 35% or more of monthly income on owned housing, about the same as WA. • Nearly half of Jefferson residents spend 35% or more of their monthly income on rented housing, 10% higher than WA. S Jefferson County Public Health September 2010 • Board of 3Cealth N(edia Report • September 16, 2010 Jefferson County Public Health i July/September 2010 NEWS ARTICLES 1. "Jefferson, Clallam get cleanup grants," Peninsula Daily News, July 11th, 2010. 2. "Red tide closures hit Admiralty area," Peninsula Daily News, July 14th, 2010. 3. "Recreational shellfishing nixed at PT Bay beaches," Peninsula Daily News, July 14th, 2010. 4. "Admiralty Inlet, Port Townsend Bay added to red tide shellfish closures," Port Townsend Leader, July 15th, 2010. 5. "County department returns to full time," Peninsula Daily News, July 20th, 2010. 6. "County agrees to target economic improvement," Peninsula Daily News, July 20th, 2010. 7. "County unveils strategic plan," Port Townsend Leader, July 21st, 2010. 8. "Red tide closes Admiralty Inlet, Pt. Townsend Bay," Port Townsend Leader, July 21st, 2010. 9. "Study: Canal's acidic water hurts oysters," Port Townsend Leader, July 21st, 2010. 10. "Watch out for toxic blooms in area lakes," Port Townsend Leader, July 21st, 2010. 11. "Ludlow Bay closed to swimming," Peninsula Daily News, July 22nd, 2010. 12. "CDC: 15 U.S. deaths tied to fungus," Peninsula Daily News, July 23`d, 2010. 13. "Port Ludlow Bay reopened to swimming; advisory lifted," Peninsula Daily News, July 25th, 2010. 14. "County expects budget deficit," Peninsula Daily News, July 28th, 2010. 15. "Celebrate breastfeeding," Port Townsend Leader, July 28th, 2010. 16. "'Morley: County could face $500K gap in 2011," Port Townsend Leader, July 28th, 2010. • 17. "County may seek sales tax increase," Peninsula Daily News, July 30th, 2010. 18. "Sales tax hike to ballot," Peninsula Daily News, August 3'd, 2010. 19. "It's never too late for pregnant women to quit smoking," Port Townsend Leader, August 4th, 2010. 20. "County sales tax vote likely," Port Townsend Leader, August 4th, 2010. 21. "Plan to hike tax to get a twice-over," Peninsula Daily News, August 8th, 2010. 22. "Jefferson County Public Health releases updated Youth Yellow Pages," Port Townsend Leader, August 10th, 2010. 23. "Youth Yellow Pages hot off the press," Port Townsend Leader, August 11th, 2010. 24. "Get your physical before Aug. 18," Port Townsend Leader, August 11th, 2010. 25. "Tiny toads invade beleaguered lake," Peninsula Daily News, August 15th, 2010. 26. "PT Bay reopened to shellfish," Peninsula Daily News, September 1st, 2010. 27. "Biotoxin levels improve in PT Bay," Port Townsend Leader, September 1st, 2010. 28. "New environmental health chief shared with Kitsap," Peninsula Daily News, September 2nd 2010. 29. "Jefferson County Will Share Kitsap Health Official," Kitsap Sun, September 2nd, 2010. 30. "PT Cogen Project — Providing Green, Renewable, and Local Electricity," Port Townsend Leader, September 8th, 2010. 31. "Take back prescription drugs on Sept. 25," Port Townsend Leader, September 8th, 2010. 32. "Disabled? Special needs? Free classes are available," Port Townsend Leader, September 8th 2010. 33. "In wheelchair— ready to rock in case of an emergency," Port Townsend Leader, September 8th 2010. 34. 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V PC t C� 1'7E Z2:5 i • • •• • shellfishin Recreational g d at PT Baynixe beaches • High levels of toxin found, state says "It is easier for us toknow the areas that are BY CHARLIE BERMANT beaches in Port Townsend commercially harvested," he said."It's harder for us to PENINSULA DAILY NEWS and Port Hadlock. l where the average High levels of paralytic control PORT TOWNSEND — shellfish poisoning, or PSP, person tmight go." The state Department of prompted closures of Cox said lower readings Health has closed all , beaches on the Strait of in a Skagit County location beaches in Port Townsend Juan de Fuca from Neah suggest that toxin levels Bay to the recreational car Bay to Discovery Bay — elsewhere could also fall. vesting of shellfish because including a commercial "There is no way to tell of high levels of paralytic tract near Jamestown—in what will happen," he said. shellfish taken found this mid-June. "We need to take this one samples taken earlier The marine toxin can day at a time." week. cause illness or death if Symptoms of paralytic That means all of the beaches on the North Olym- ingested in either cooked or a ear within minutes shellfish poisoning can n pic Peninsula—aside from uncooked shellfish. pp or Dungeness Bay— are now Shellfish affected are hours and usually begin closed to recreational shell- clams,oysters, scallops and with tingling lips and fish harvesting because of mussels. tongue, with the tingling the potentially deadly Crab meat is not known moving to the hands and marine toxin,also known as to contain the biotoxin,but feet followed by difficulty red tide. the guts can contain unsafe breathing and potentially levels.To be safe,clean crab death. Commercial safe thoroughly and discard the Any one experiencing •guts. these symptoms should con- Commercial shellfish tact a health-care provider. purchased through legal Blooms unpredictable For extreme reactions, dial channels is safe to eat "These blooms are unpre- 9-1-1. because the areas are rigor- Recreational shellfish dictable,"said state marine ously tested,health officials biotoxin coordinator Frank harvesters should check the say. Cox on Wednesday. "So state Health Department On Tuesday, the state when we get a high reading, website at www.doh. closed Discovery Bay, Port we close a wide area to be wa.gov I ehp I sf I biotoxin. Ludlow, Mats Mats Bay safe. htm or phone the Health Kilisut Harbor, Mystery "After the next test, we Department's biotoxin hot .Bay and Admiralty Inlet will narrow the area of do- line at 800-562-5632 before after toxin levels of 154 sure if there are no other harvesting shellfish any- micrograms were detected high readings,"he said. where in the state. earlier this week in a mus Cox is testing samples sol sample Fort r.Wednesday from commercial facilities Announced ffected areas and Jefferson County reporter Char were closures of Fort Fla- near the a lie Bermant can be reached at 360- gler, Old Fort Townsend, expects results by the end 385-2335 or at charlie.bermant@ Chimacum Beach and of the week. peninsuladailynews.com. 7/15/2010 11:06:00 AM—Port Townsend Leader Admiralty Inlet, Port Townsend Bay added to red tide shellfish closures Marine biotoxins, also known as red tide, that cause paralytic shellfish poisoning (PSP) have been detected at concentrations above the closure level in shellfish samples collected from beaches at Fort Flagler. As a result, the Washington State Department of Health (DOH) has closed all beaches in Port Townsend Bay and Admiralty Inlet to the recreational harvest of shellfish. Recreational beaches affected are Fort Flagler, Old Fort Townsend, Chimacum Beach (Irondale Co. Park) and beaches in Port Townsend and Port Hadlock. Previous closures still in effect in Jefferson County include: Discovery Bay, Port Ludlow, Mats Mats Bay, and Kilisut Harbor, including Mystery Bay. Commercially harvested shellfish are sampled separately and products on the market should be safe to eat. Signs are to be posted at high-use beaches warning people not to collect shellfish from these areas. The closure includes clams, oysters, mussels, scallops and other species of molluscan shellfish. Crab is not included in the closure, but the "crab butter" should be discarded and only the meat should be eaten. • Marine biotoxins are not destroyed by cooking or freezing and can be life- threatening. People can become ill from eating shellfish contaminated with the naturally occurring marine algae that contains toxins that are harmful to humans. Symptoms of PSP can appear within minutes or hours and usually begins with a tingling of the lips and tongue that moves to the hands and feet, followed by difficulty breathing and potentially death. Anyone experiencing these symptoms should contact a health-care provider. For extreme reactions call 911. In most cases the algae that contain the toxins cannot be seen and must be detected using laboratory testing. Recreational shellfish harvesters should check the DOH website at doh.wa.gov/ehp/sf/biotoxin.htm or call the DOH Biotoxin Hotline at 800-562-5632 before harvesting shellfish anywhere in Washington State. County department returns to full time • Building he remaining department staff— cut permits 38% after residential permits plunged from p 209 in 2007 to 74 in 2009 and 32 through Over forecast June this year — compares to a 2007 staff of nearly 26 full-time equivalent positions. BY JEFF CHEW PENINSULA DAILY NEWS time equivalent positions. developers and builders, PORT TOWNSEND — For single-family homes, eventually led to the deci- Hearing support from the median number of days sion. building industry repre- to secure a county building Kevin Coker,vice presi- sentatives and seeing a permit has increased from dent of the Jefferson seasonal upswing in Jef- 49 days in 2007 to 79 this County Home Builders ferson County building year, county statistics Association and one of permits,the county's dras- show. those who shared his tically cut back Depart- When the commission- thoughts with Morley,Scalf ment of Community Devel- ers adopted the county's and other county officials opment will return to a $48 million 2009 budget, on speeding and simplify- 40-hour workweek to help 13 job cuts — six of them ing the permit process, county staff expedite the layoffs — were limited to said the group's members permit process. the county Department of were taking a 'wait-and- Community Development see"stance on the move. CountAministrator Philip Morley announced to help offset revenues lost "We think it's construc- the change,effective Aug.1, in a weakened economy. tive that they are meeting with the industry," Coker which will bring the Com Budget for 2010 said,adding his main con- munity Development staff 9 cern was that permits were 411 of 11.38 full-time equiva- The department was not always handled on a lents back to full work- granted a$1.2 million bud- first-come, first serve weeks — an increase of get for 2010, approved by basis. four hours a week per the county commissioners employee. in late December. Concentration The staffers are now That department's working four nine-hour remaining staffers were Instead, he said, "they days and will be brought cut to 36-hour work weeks should concentrate on the back to five eight-hour at the beginning of this permits that are going to days. year, including Al Scalf, bring in the business." For the balance of the community development County Commissioner year,Morley said,the move director. David Sullivan, D-Cape will cost the county about The hour reductions George, said Monday that $40,000 and $90,000 in amounted to two full-time Woulded the improve e system 2011,he said. positions. pro- "Presently, permits are Morley said until an cessing. He said represen- running higher than pro- Environmental Protection tatives of the county's jetted a year ago," Morley Administration grant building industry often ., said comes through, the Com- share their concerns about "Now, permit revenue munity Development per- the permit system. volumes year to date are mit office will not be open "I think mostly they are 'running 38 percent above to office hours on Fridays, feeling the pain of the what we budgeted." but staff would be focusing recession and want to do The remaining depart- on pushing permits what they can," Sullivan said. ment staff—cut after resi- through.Morley said recent dential permits plunged from 209 in 2007 to 74 in meetings with the Jeffer port Townsend Jefferson 2009 and 32 through June son County building indus- County Editor Jeff Chew can be this year— compares to a try representatives,includ- reached at 360-385-2335 or at Jeff • • 2007 staff of nearly 26 full- ing bankers, engineers, chew@peninsuladailynews.com. . 7/6s/c. • -,...- - F 59-Liti.4 .hIspA .1., I VIE•° 61 `,2> _ leg ploa %. . ,0 0.0 c)4 i 8 ...)1`P'll §. 0 8 I . oi Ph . ct a.) v4 ,dcdJiI. oip O a' 1ii11 vO b C n LS G i• -d >oA wcdC .004 !0.. bSo `c� w � O 9 a4 IlD .5-d....3. m� 4 0E ac `° Ct0 bg,. as . ,w • • a � qaro � c +. 000,+' adamv � > > g ° 8> CC.• ca,-9 TCy ca 47 Qd � � 2, apQcd C"cii . b• b o. a).5.Z.� oo OW O 4vo °.y •• b0 v' 8 U ��w�-00,0oc', ,iy a)..'. 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Ecs' p 5 -g-•o74 0 .v. -1-0 0 bf3 -.4z q •5.° g: a -8.-8td 1-4 o *4"- 0 3 �.5) 8Sou pii = 0 m 5 C 0 , O -I aO - Oc p - > toyy,O .O tdG9A °riWE i. County unveils strategicplan � , By James Robinson of the Leader sales tax revenue, Treasurer heads,many of whom are inde- Judi Morris said the county pendently elected.He said they With certain revenue has seen dips in real estate have worked together 'very streams at a trickle and budget excise tax revenues and inter- well.Morris said the new plan preparation season just around est income. began at zero. I insisted on the corner, Jefferson County "Interest earnings are just starting from scratch,and mak- commissioners unanimously deplorable, and until cred- ing it something the staff and approved a strategic plan July it opens up, I don't see that the citizens could understand," 19 that they say will guide changing," Morris said. She she said. them through lean financial once earned 7-8 percent from As I sit here today,in 2011, times ahead. county investments, but now we can't eke by any more," Commissioners and top sees receives 28 percent on Morley said."Me property tax staff said last week that the some investments,and slightly base grows at 1 percent,per budget picture,already tight in better on certificates of deposit. year,while expenses,most of 2010,could be even tighter in Despite certain revenue which are labor,are going up 2011 and beyond. dips,Jefferson County appears 4 percent per year.That's the The new plan provides a — for now—able to keep its driver." blueprint for keeping county head above water. County Commissioner ledgers balanced while creat- "For 2010, while sales tax David Sullivan and Morris both ing efficiencies and maintain- revenues are down by over 10 said their information is that ing county services. percent and investment income the recession won't be ending One key, County is down as well,despite those anytime soon. Administrator Philip Morley shortfalls, in 2010 we have The commissioners will said, is to negotiate new con- some extraordinary one-time vote on a budget resolution tracts with the county's two revenues that appear to more July 26,which along with the primary labor unions — the than make up the difference," strategic plan will set the stage United Food and Commercial Morley said. for budget preparation and Workers and the Teamsters. Of those one-time disburse- adoption in December.Morley, Some contracts are expiring, ments, Morley pointed to who has guided the county for and Morley said he has pro- $197,000 in state reimburse- 18 months,noted that one new posed renegotiating a contract ments for costs associated with item in the budget request will that is not yet expired. Labor the murder trial of Michael J. be an assistant county admin- costs are the county's top Pierce, $118,000 in addition- istrator. The new employee expense,he said.The unions, al PILT (payment in lieu of was in the budget before but he said,are listening. taxes)dollars and higher than Morley did not fill the position "At the end of the day,you anticipated timber revenues, in an effort to save money. have to match expenditures according-to staff with the "I need help,"he said."The 41/ with revenues,"said Morley. state Department of Natural county needs internal manage- In addition to negotiat- Resources. ment infrastructure to get this ing labor contracts, Morley "Despite flagging revenues done."The new person would said staff at the Department in 2010, one-time income has focus on the budget and finan- of Community Development made up for that,but it does cial planning,managing central returns to a 40-hour workweek deepen the budget challenges services and seeking efficien- beginning Aug.1.He is hoping for 2011 and beyond,"Morley cies,hee budget committee that assists economic develop- said. ment by allowing a quicker Hence the reason for the will review U�ount, nty nances at suat turnaround of building proj- strategic plan. ects• Morley credited the com- floor conference room at the "The focus is to get those missioners and the department Jefferson County Courthouse. permit applications out the • door,"Morley said. ^ . i • The board's approval x w e t 1 • comes as county department • t .•4 , y` , heads and elected officials sit 'u' '' 4._,,,, ,,,. sii Y+' , .,. t, poised to begin months of bud- • getary wrangling over dollarsiii =-a, is that appear fewer,yet must be fi "t`"•• <i,-*/ stretched further. r `'a "tr r a-6,,,, 'v For example, sales tax " revenue as of June 2010 has .. t+)`, :„`p Ali tri i / 1 1 plummeted to an eight-year ^.A,,r a, iii I I Il el; low, with cumulative collec- i t dons down $98,448, or 13.4 •'S ��I�6�I'�j I �i� I I el; percent as compared to last d I year, according to data from G�I �' I���,, I j >J� the treasurer's office. ��it , ;II ilei' In addition to flagging €: :. T ka7. i f N� � " lig � ��P .� / . 0 his County officials have prepared a new strategic plan.Pictured(from left)are Treasurer Judi Morns,Administrator Philip Morley and Commissioner David Sullivan.Photo by Scott Wilson • Port Townsend&Jefferson County Leader ■ Ade ■ it Inlet, Pt. Townsend Bay Red tide. Jefferson County include Discovery Bay, Port Unhappy words for humans who like to har- Ludlow, Mats Mats Bay and Kilisut Harbor, vest shellfish from area beaches. Nonetheless, including Mystery Bay. Commercially harvest- the Washington State Department of Health has ed shellfish are sampled separately.Products on determined that the beaches of Port Townsend the market should be safe to eat. Bay and Admiralty Inlet must be closed to shell- The closure covers clams,oysters, mussels, fishing because of these marine biotoxins. scallops and other species. Red tide can cause paralytic shellfish poison- Crab is not included in the closure, but the ing (PSP). Concentrations of the toxin have "crab butter"should be discarded,and only the been detected in shellfish samples collected meat should be eaten. from beaches at Fort Flagler. Marine biotoxins are not destroyed by cook- • Beaches affected are Fort Hagler, Old Fort ing or freezing and can be life-threatening. Townsend, Chimacum Beach (Irondale Co. Symptoms of PSP are deadly and can appear Park) and beaches in Port Townsend and Port within minutes or hours and usually begin with Hadlock. Previous closures still in effect in a tingling of the lips and tongue. 7`a2//, , . Canal's acidiStudy: c . . water hurts oysters • By Nicholas Johnson of the Leader leaky septic systems, the canal's slow water circulation and nutrient- • •• Taylor Shellfish Farms hasn't had filled runoff. much luck in the past few years. The lack of oxygen has surely Acidic: U Its Dabob Bay hatchery, on the made the last few years a challenge north end of Hood Canal, produced for Hood Canal hatcheries as shells ♦Continued from page 1 The study's scientists have 40 percent the oyster larvae need- dissolve in the highly corrosive blowing from the north, he called for Congressional ed for a complete catch in 2008, water,allowing a fraction of the pro- would be a bear." action, asking the body to and 20 percent in 2009. This year, jected catch to survive. At the time a north mitigate carbon dioxide spokesman Bill Dewey is optimistic; However, Dewey hasn't lost wind meant larvae would emissions immediately. despite recently published research hope. He knows the future is grim, be blown down the canal, However, efforts to slow cli- suggesting water quality problems but, as he recalls, shellfish farming thus he would get a small- mate change mean little to are here to stay. has always required that he adapt to er catch. But now Dewey Dewey concerning the here Resulting from a recent study, environmental shifts. knows that wind causes and now. scientists at the University of "I think the Jefferson County "upwelling" events — a "Even if we change policy Washington and the National industry has been largely unaffect- break in the water's ther- now, we still have 50 years Oceanic and Atmospheric ed,"Dewey said. mocline layer—that allows of bad water,"he said. "That Administration announced Monday, The major reason: Taylor deep, stagnant water to means we can't expect to July 12 that the deep waters of Hood Shellfish Farms has expanded its mix with the warmer water see improvement in our life- Canal are experiencing remarkably Kona, Hawaii, hatchery operation above it. The temperature time." high levels of acidity, which means to fill the void. The firm has also drops significantly, creat- For now, Dewey feels shellfish are fighting for their lives invested in sophisticated monitor- ing unfit conditions for the best option is to adapt — and more often than not, they're ing equipment that allows hatchery shellfish production. — something in which Hood losing. workers to follow chemical changes Corrosive ocean water Canal's shellfish industry is The study, which was pub- in the water before allowing it into finds its way into the well versed. fished online and will appear in the their shellfish beds. canal through upwelling. "For us the problems are Estuarine, Coastal and Shelf Science Upwelling allows roughly immediate,"he said, "so journal this August,found that high- WIND,WATER 50-year-old water to rise and solutions must be imm ly acidic ocean water,or water with a Dewey said these recent findings further acidify the canal. ate." low pH level, is causing an increase remind him of the impact of wind in the Hood Canal's acidity by 24 to on shellfish farming. While work- 49 percent.That could increase to 80 ing for Dick Steele in the 1980s as percent years down the line,accord- a shellfish biologist at Rock Point ing to the study. Oyster Company in Quilcene, he said he could always tell what mood OXYGEN SHORTAGE his boss would be in by testing the This compounds existing water direction of the wind on his way to quality concerns, such as a lack of the hatchery. dissolved oxygen. Low levels of dis- "If it was a south wind,he would solved oxygen come from increased be fine," he said. "But if it was carbon dioxide, which is caused by See ACIDIC,Page 10♦ c' • ' 1 . /TIeaoef Woe/ho • Watch out for toxic • blooms in area lakes Now that the weather is feed algae blooms. They overwater. turning warmer and people are found in animal and • Dogs: Scoop, bag and are enjoying the water, be human waste (sewage), trash dog droppings. on guard against toxic algae in fertilizers and even in • Babies: Keep dirty blooms in Washington's rainwater. People can help diapers out of the water. lakes. Such blooms can keep these nutrients out • Cars: Don't allow soap make people sick, especial- of Washington waters in to flow into storm drains. ly children. If the level of these ways: Wash cars on lawns or at a toxins is high enough, pets, • Home septic tanks: commercial car wash. livestock and wildlife can die Check, fix and maintain To learn more about from drinking water laden them regularly. what can be done to keep with toxic algae. • Yards: Reduce the Washington's waters clean, The Washington use of fertilizers, especially visit ecy.wa.gov/washing- Department of Ecology and before a big rain, and don't ton_waters. local governments are moni- toring algae toxins in lakes across the state. So far this year, few lakes have experi- enced toxic blooms,but that may change with warmer, sunnier weather.So far,toxic algae blooms have been con- firmed in Jefferson County's Anderson Lake. Algae blooms can smell 410 bad and have the appear- ance of spilled paint, oil or sewage. If you cannot deter- mine for certain that a toxic algae bloom is present, stay out of the water. To report a suspected freshwater toxic algae bloom, contact Ecology at 407-6300 or visit ecy.wa.gov/reportaproblem. html. To report an illness relat- ed to algae bloom exposure, contact Jefferson County Environmental Health at 385-9444,or the Washington State Department of Health at 236-3173. The state health department website has information about symptoms related to blue-green algae toxins at doh.wa.gov/ehp/algae/ default.htm. • Phosphorus and nitro- gen are nutrients. that • /eaek- 7///o 4041) - t'" ' ' :-ic ! 1'1 O C ,i.44 ;-. - 7:1 x ›, '8 — xi E !�1 'd g q. 0. ..„ ,.... ,,. ... ., w o'L7 F. "d . ;.. ... ... ...., ... . .... ,„ . c,„ 01r . -448" 0, t.- z , -. aD E�dti5. . •B o u ' ,01--' 0,1' swi— ,gS g ÷' a) ,c) crs,t4 0 2-dg ■ ° o ° � � r,� 0N 4 • f q o � >F- � � " a O cd ; .5 0 Cf)(1) 0 03 a);"' c'. tl E R. 41.1 ° as g °oO o V UI.,. J3'a ,s .G4 u c. u 1.11:3 , . 4 so 4 . 1.4'a os §.0 ,.," "5 4 g 0 X .4 ,ba 'fat CD 0 1 ..........„ ,, , mcgo .._, -iEb. 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LUDLOW—Jef- The release occurred 300 PORT LUDLOW maintenance check after a valve did not feet from shore at a depth of ferson CountyPublic Health close, he said, and the company reviewed 60 feet,he said. officials said Friday that its procedures toprevent future spills. Toy said that a shellfish Port Ludlow Bay is safe closure currently in effect once again after 5,000 gal- severe. the spill is less Ions of partially treated Smith on Wednesdaysaid company that operates the severe. sewage spilled into the bay P Y P Spills of this nature the sewage release was the Port Ludlow sewage treat- dilute by a factor of 10 on a Tuesday and prompted its result of a "routine opera- ment system, said Friday, daily basis, he said, and a closure to swimming and , other contact. tion that went awry." decliningto comment fur- wider closure was not nec- other of[Friday) the warn- ther. ing signs As of(Friday] ve the warn- Valve failed to close Smith was not available essPet oved for comment Friday. Petty said Public Health and the no-water-contact The spill occurred dor y received a number of quer- advisory has been lifted," ing a routine maintenance The 1 p.m.Tuesday spill tions from those around the county Environmental check after a valve did not prompted the Jefferson bay. Health Specialist Allison close,he said,and the com County Public Health Petty said. Department to issue a "Some questioned about pany reviewed its proce- crabbing,but in such a case health advisory forbidding sory "It was a pretty isolated dures to prevent future event, and we erred on the spills. any swimming until Friday. you only needed to wash your hands and keep the side of caution." The company posted sev- "The plant is operating eral signs at access points crabs clean," Petty said, Olympic Water and normally,"Greg Rae, opera- on Wednesday to alert the adding that,just as a pre- Sewer president Larry tions supervisor for the public. caution, crabbers should Probably avoid dropping • Mark Toy, an environ- and pulling pots until any mental manager for the state Department of Health closure is lifted. said the sewage was"return activated sludge" that was Port Townsend-Jefferson about midway in the treat- County Editor Jeff Chew can be ment from solid waste into reached at 360-385-2335 or at jeff that which is safe to allow chew@penlnsuladailynews.com. • • 74j/rc5 1 , C i'"" C i v 0 o t..)W.>> N qd � gy o o .a oupe N �U03 . N, • o > .�o ° b 3aoF ~ ot�yaCL.� `' bv " c��cnk\._ w � ❑ � mBomor� , �yo ao ao � A� j caa 05 mttn ° � b CE E- , .Q 0 > 4 cg. a p•o ao •. �T m ❑ o � m o o a mocai ci o ° (1, a).x a>. 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'`1 0 2g o-5 o ..� p ° o# te ca m E 0t-F,CL (1) N 0 � o �e . g g o m t, aO cir°'° = 8 a � .5 1a � X Ci..) ,--r b ► b d t E r^ ca �� o818� -d 00 ,0 0 Ct tlgt4 .5 " ,11) -N-7:3 Q,› o 0 7 0 8 io al yv�'' tars�, ...ea >, 0 N Ct 41 73 CU CL-4 C't •C)t > °-8 ) w g d = a 9 C a o °...„101 Q�1.)\ cn r g .2 a,' g o Arg 0 o . 5 0 g w c„•t �' o °' o. v, .wC V/ a) coi cE v1 V W .3"J y N .N+�.0. O >i + 0 •5 MIMI •G N q ..4 w��. .>'� 6 a) ami ^O .4 ! .° c°� G. •5 of -." iY c� C •U -1—' -bw• 2080 a m go p d d mr. a .. mw o• "'moy$ � ao o • a a.. C .0 To pA a Z = C/) w 14 I . -.aw>, 0ao o 1 S a c m " o O � . Oacbs- wo8 3 .-2. 10 ° 81 k e� 0U —1 Ct jo0 : : Ii1D E O Ci) . 0 .4 CF.+ t "0 • o.5:-g C E • Celebrate breastfeeding The week of Aug.1-7 marks WIC program give their chit 4111 the annual global celebration of dren a healthy start by breast- breastfeeding. feeding.The national rate is 53 In Jefferson County, percent. Call Jefferson County a celebration of World Public Health at 385-94(X). Breastfeeding Week is being held at Chetzenwka Park on Wednesday, Aug. 4 at 12:30 p.m. Breastfeeding moms, moms who have breastfed, babies, children, families and fiends are invited to a picnic at the park to celebrate a conn munity that supports breast- feeding. Eighty-three percent of women in Jefferson County's • • M • • . r • ac O o >' C J Ov y . bq . C YX y ' Cy v, tv: 4 >, aCy coL 7 CCOA o . ,j2) (15.Ny • 12 '�^, O y v. 0y, 'D D C C C 5 .0 U C a) O •'y O C •G `� y •E yc ,3.., CL nya) ay?. vv � Eas s yy . ® :a cL n c c y y L)x . c o c : 3 L L 3 • ® o > ccy . y��.C•> � cvdny `otog � y _ ° v3a; y •L y ,_ L G•J E Ov L L c ,� 4. n. U w C 'y .n i 3 "n v c c c y > c 7 y y y y ,? y o bo-6L E o G, L,i-„ .„.. N C :C y E ••C ty, ca .0 . =b O f z •..., 3 , > c.y r r: a-a a) ' o ro co v C c .1 c y 3 ' c "Ecr o y y y c .ok ._ c v • v Q c • a � 2 c on ri■ i n ct j Coy ' i � �, C C p.O a t.. ^ OcV yL UG 'd O ..+ a CZ i a y C b >o NCC ro . 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"If they call it a law For this tax, the law and justice tax, it needs requires that the county to go to law and justice," receive 60 percent of reve- Voters to get measure said Tom Thiersch of Port nue collected and the Townsend during Mon- remainder be allocated to on their Nov. 2 ballot day's public comment any local municipality. section. Since Port Townsend is BY CHARLIE BERMANT "If this passes, every the only city in Jefferson PENINSULA DAILY NEWS penny it raises should go County, it stands to receive to [Sheriff]Tony Hernan- an additional $400,000 in PORT TOWNSEND—Jefferson County corn- dez's department," revenue. missioners have instructed its staff to craft a bal- Thiersch said. Morley said he was work- lot measure that will impose a countywide sales ing on an agreement with tax increase to smooth a bumpy county budget. , the city where half of the As proposed, the sales tax rate in Jefferson No pubic Input city's share would go to sup- County would be hiked by 0.3 percent,from the pres- Thiersch also took Port law and justice. ent 8.4 percent to 8.7 percent,or three cents for every issue with Morley's state- All numbers are based $10 purchase. ment that the public will on projections, so actual The ballot measure would also spell out to voters be choosing what to cut, funds collected could be • what services the proposed tax increase would sup- saying,"We are giving the more or less,Morley said. port. opportunity to cut from The final language will be addressed at the co - the list of programs that Jefferson County Reporter missioners'meeting next Monday,in time to be sub- you provide, and there Charlie Bermant can be reached at mitted by the Aug.10 deadline for the Nov 2 ballot. has been no input from 360-385-2335 or charlie.bermant@ If approved,the new sales tax would take effect the public about this." peninsuladailynews.com. on April 1,2011. The immediate task is to write the ballot lan- guage and explain the measure in 75 words. This is not an easy task, according to County Administrator Philip Morley,as the proposed fund allocation is not easily explained. Property or sales tax? Morley approached the commissioners and other elected officials last Wednesday about a pro- jected$900,000 budget shortfall in 2011. There were two choices,Morley said—a prop- erty tax lift or a sales tax increase. There emerged a preference for the latter,par- tially because sales tax is an elective expense and a peircentage of the funds will be generated by tourists. Morley said persuading the voters to approve a 0.3 percent sales tax increase will not be easy. One issue is how the measure is labeled as a "public safety sales tax increase." . Under the law,municipalities can impose such a measure as long as one third of the revenues go . to law and justice areas.The remainder,according to plan,would go to support other programs which will be spelled out in the ballot measure. TURN TO CHOICE/A6 / It's never too late for pregnant Q quitsmoking .a women to N � � a p. (o The love she felt for her I'm going to change!"'said nant women in Jefferson first son on the day he was Mead. County smoke during preg- born led Mary Mead of Port Many mothers in nancy,compared to 10 per- a Townsend to decide it was Jefferson County struggle cent in Washington state. a 3 • time to quit a pack-a-day with trying to quit smok- It may be difficult, smoking habit. ing, according to Karen Obermeyer said, but what o "I tried to quit. It was Obermeyer of the Tobacco better reason is there to so hard. I cut down when Prevention and Control quit than to help give a baby I was pregnant,but when I Program at Jefferson a good head-start? saw him for the first time,I County Public Health. "Once you cut out smok- said:`I want to change and About 24 percent of preg- ing,your baby will get more oxygen," Obermeyer said, "which means each day that you don't smoke you're helping your baby grow and reducing the risk of prema- ture delivery and low birth weight." Women who quit smok- ing before or early in preg- nancy significantly reduce the risk for several pre-anda post-natal problems,such as , delay in conception,prema- ture rupture of membranes, placental abruption, and° placenta previa, low birth weight, and Sudden Infant Death Syndrome (SIDS). Eliminating a baby's expo- sure to secondhand smoke " will reduce the risk for bronchitis, pneumonia, ear infections, more severe asthma, respiratory symp- toms slowed lung growth and SIDS: "You can do it," Obermeyer said. "You can live free." Shehe suggests ts people411 make a commitment and then increase their chances of quitting by getting the support they need,through several convenient sources, including: • Quit Line, 1-800-Quit- Now,a state phone line that provides free and confiden- tial services that include private counseling and sup- port, advice on designing a quitting plan, and help inn deciding about prod- ucts and medications that can help make quitting easier and more successful. At least 143 people from Jefferson County called the Quit Line in the past year. • Ex (becomeanex.org) is a free website created by the American Legacy Foundation with the help of smoking-cessation experts at the Mayo Clinic's Nicotine. Dependence Center. • "Freedom from Smoking" classes and sup- port group are offered through Jefferson Healthcare. Call 385-2200, ext.2300. For a complete list of local resources, visit jeffersoncountypubli chealth.org. Click on • Tobacco Program and then Cessation Resources. �� • N t V ia'c h b•n t4, g, i \'• f �>41 4. • 11111pg o9 3 3 ",P i "ao iltX, ,!"0 a) h.4g3g--s.§ Vg .1 ‘6.41 N. I'ng 511. mile -s-19:641-dxt.-. v -6 .,T,: v 4- nt H-g- F6E'S R 4-a. -0E.8,05 y �� p ., tt=y,, L.SL 4 = = III■ C 4'11111 4 ' 1 1 1 C 1 +,�. j�',O"1 1 1 ..IF• Ui al, p2(QQu1. . "g,JI. ! 1..v ..1 -2_NSI O Q1D ayO yyJE.FJO •.Jjy4 y77 •C xr� yL SAA WW � rt�tl pp fn O•N !ZI Nta, � Oi �'d ���.`r�/� O�_ � }}}111'(::) Q /0py5 Np} U f0 G • g 10,.0.(3 37 V+ C t3 V 25 t• 7 x y 1., '. -:,• -_- I t y X •v �")•C f, • N 'tl; g,`:(0) O N OLP �..� —;27-::.i-': 7-1i;8724 R y G v $ XJ' ° •o v r • — '1• 5 •- •.-z = •> c - J a ,,,F..-- ; o �y G.9 °6.5 �' ayt a "." -'°6- 15 T E l v: >,3 .? SA R C• - 4, ,r.,--: -. t-•E p. (S p . t y G 4 L' O a R ,0 C R C ,_ = f 3 t .5 O >yto c X CL �5 �5 C 'C O C G g C,g a ' M E a g O g.t-E =G E y' C C .4 Y >_ y. 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" 111-8., c �1.c 8'•Rom " I.; c i a i y g j c.: 11142 g= g 8 J.,„ )5, 3a a $ `o ° vZ g ° E•a c � N EEEEr o S � ai Qv/1v g 7 R .7 8.1§ig Thilci 7��j G R' S: C ,r�l}1�, Y.�-O ••• fl N �+ p°p i d � RL '.•O L?..-co '6 T 2-' 'a y gI g i*'°�,'�3 .5 ° 0 . T O pp++ to �' y E� 7 L.6'' �... • t. C �0 I.2 .e.ag.4 ""15 E lig.'zit.118 ' y� SNg >w`oi3' $ " 3r� o co.4= [� � �g 8c. o 'er Cm) irv. "`E 5 O0 ° ;z. C C T7 '3.R i'l0'S Q J '.�.E t.^ gS i 3 1'L N E . R g a O U . Ci PI cileo S 1 , • . . . • . • .• . ,to hike 1• c) mm • taxtogetn , C �_ U a twice-overcii . Un a , M( w County Cl measure on the ballot is Tuesday. �� 11.41 v•� v m w The measure, it is estimated, r^ 11 11 o would raise $637,000 for Jeffer- C J G. '" son County. n 1 g-61.0 q g set reviews The City Council will meet at VJ to•q p o 6:30 p.m. in chambers at 540 n g d °.2 • 8 Water St.,to consider supporting trh/ ' 6++" a1 0 on Monday the measure, which would raise r-1 an estimated $425,000 for the ww �oo ii l BY r city. y Council members also are !�� o. PENINSULADAILY Ne , expected to discuss an agreement PORT TOWNSEND—A pro- to use half of its revenue to sup- "4—, s' ' 4 6 posal to raise the sales tax in Jef- port public safety and the remain- (j ) S. q".o o.> ca ferson County to compensate for a der to support the maintenance VV.•// o. U El o oo. `' projected $900,000 county short- and operation of the Port n N 2 fall will get marathon consider- Townsend Community Center �N oB a F ation Monday, coming before the and Memorial Field,both county A b t 8 Jefferson County commissioners facilities. Ti 0 3 y in the morning and the Port If the City Council takes issuev - 2 = Townsend City Council at night. with the proposal and it needs 1.--...-4d ,;d 1 0 4 As proposed,the sales tax rate fine tuning, the commissioners g g d in Jefferson County would be have scheduled a special meeting w o hiked by 0.3 percent, from the at 8:30 a.m. Tuesday to address • those matters. O d present 8.4 percent to 8.7 percent, �'' d C or three cents for every $10 pur- Both meetings allocate time 0 w, for public comments. o °S a, chase. The Jefferson County prosecut- -0c5 $ Projected revenue from the o - b a4 ing attorney is scheduled to 0 measure, which commissioners inspect the proposed ballot mea- n l U a plan to place on the Nov.2 ballot, sure on Tuesday prior to submit- �/ d m '� would be$1,062,000. ting it to the county auditor for ( 1 ;.r� '�'• g • Forty percent of the tax inclusion on the Nov 2 ballot. V �'o 0o 0 increase revenue would,by law,go The measure will be desig- ♦ 1�"'1 cb l °' E g ao v,d to Port Townsend. nated as a "public safety" mea- �•j� a) o S > o ;' If approved,the new sales tax sure.By law,one third of its reve- C4.—.16 U a w 6'a would take effect April 1,2011. nues, in each of the county and c The commissioners will discuss city jurisdictions, would have.to 0g a� o I f the initiative at 11 a.m. Monday, used to support law and justice: g l b • 9 o after their regular business meet- The remaining two thirds can m 6 'a� e.oN ing begins at 9 a.m.in the Jeffer- be spent in other areas. E S.0-a h•4. son County Courthouse,1820 Jef- The ballot measure, "Proposi- 1, c. ,��, rn ferson St.,Port Townsend. tion 1,Local sales and use tax'for �i �0 `cd °'b They are expected to approve public safety, youth and senior f , �o a o-o a o ballot language for the measure, services and basic government `�1 g to a o o a• decide to pace it on the Nov 2 bal- public services," would list:13 U 0 o td 0 o lot, and pass a resolution that endangered programs that will be o d a u outlines what programs will not funded if the measure passes, (1 ) om 0 g b oEi be cut if the measure is County Administrator Philip Mor- �V r)' oley said. Qapproved. tto a. oThe deadline for placing the TURN TO Tnx/A6 VJow 0 CD 0, a CD o . a 6 ■ ■ 3>. a, ,N�ydd,d Vv •Ps/V P%/o • 8/10/2010 1.31:00 PM Jefferson County Public Health releases updated Youth Yellow Pages Jefferson County Public Health is now distributing its updated Youth Yellow Pages. The Youth Yellow Pages were created to provide an easy-to-access resource for Jefferson County youth. The organizations listed are primarily local nonprofits that offer support, direct services and community-based programs for youth, young adults and families. It also includes facts and information about health and well-being to help individuals make informed decisions. Access the Youth Yellow Pages online by visiting jeffersoncountypublichealth.org/index.php?publications-data. For additional copies, contact Public Health at 385-9405 or info©co.jefferson.wa.us. 110 • OT er �/ilI10 Youth Yellow Pages • hot off the press • Jefferson County Public adults and families. It also Health is now distributing includes facts and informa- its updated Youth Yellow tion about health and well- Pages. The Youth Yellow being to help individuals Pages were created to make informed decisions. provide an easy-to-access Access the Youth Yellow resource for Jefferson Pages online by visiting County youth. jeffersoncountypub- The organizations listed lichealth.org/index. are primarily local nonprofits php?publications-data. For that offer support,direct ser- additional copies, contact vices and community-based Public Health at 385-9405 or programs for youth, young info©co.jefferson.wa.us. 411 • • Get your physical before Aug. 18 It's the last week of summer vacation for high school football players,because practice starts on Wednesday,Aug. 18. Chimacum,Port Townsend and Quilcene high school coaches urge players(and their parents) to com- plete the necessary school district paperwork and be ready to play. All other school district fall sports can begin practice Monday, Aug. 23 and that means those student-athletes need to get their paperwork ready. The Washington Interscholastic Activities Association requires that • students have 10 practices (12 for football) before competing in a contest. Student athletes are not eligible to practice or compete until physical exams and school district forms are complete, and fees are paid. The WIAA requires the first three days of football practice to be with helmets, but no pads. (Sorry,two-a-day sessions still only count as one practice per eligibility requirements.) GET PHYSICALS Port Townsend High School athletes can receive a physical exam start- ing on Aug. 18 at the school-based health center located in the Gael Stuart Building on the PTHS campus. For an appointment, call Jefferson r. County Public Health at 385-9400. Chimacum High School also has a health clinic,located in the Commons across from the library.Appointments for physicals may be made from 8:30 a.m. to 2:30 p.m. on Tuesday- Wednesday,Aug.17-18 and Monday- Wednesday, Aug. 23-25. Call Public Health at 385-9400 for an appoint- ment. • Athletes may also visit their local phy- sician or other health clinic. PT/eaa/e,- Tiny toads S3 I wa`Je4.-'JR4 a Oz -?' ys �" !yh`, r. beleaguered lake t X-if�y -. • I r of them heading toward the woods," state park :*�''if -" �rz' "rf ~ d Lots of phenomenon ranger Mike Zimmerman said Fr day afternoon ` . f ' t 'There are no more polliwogs,"he added. ' r at Jefferson ponds, too Instead,the four-legged tiny toads,between a quaz \.".„,•c'..17,-."......0)1",,A.,,,..,,,..,,,!.,;-7-,,i t 1- ter-and half-inch in body length,are"up in the woods „:7:71.1-4 f .£2 5 _ BY DIANE URBANI DE LA PAZ The ground was just absolutely alive with them .,.„,../.4,...41...1,:',1. 2G.r''� `. - / PENINSULA DAILY NEWS "It's a pretty unique situation,"added Zimmer ...---..-...,.„.1. „,°fii..,,..;,+ ' t,` - " .. t, ` man,who has been manager of Fort Flagler and +`,t; � ,,r' Y, �' CHIMACUM—Anderson Lake was known,atAnderson Lake state parks for some 14 years. least until now,for its trout and for the toxic blue-green "I haven't seen this phenomenon"in those years, .. f t algae that spurred public health officials to close the he said. ` ` lake but leave the state park around it open. For the next several days,however,the lake nearThis August,the toad yield appears excellent not ,1,,,,,.....4, s i`' Chimacum will be noticed instead for its streams of just at Anderson Lake but around East Jefferson County. • • dime-sized Western toads,first noticed last week. r-/'�.;: - They'renewly metamorphosed ex-tadpoles,doing "I've talked to people with ponds on their prop- ` their amphibious thing and scrambling across the erty,and they are experiencing the same thing— s r e t u sY PE.n 0„, . >ru, land around the lake—in impressive numbers. lots more toads,"Zimmerman said. A dime placed on the ground of Anderson Lake State Park "I was just out there yesterday,and saw a million TURN TO TOADS/A8 near Chimacum shows the relative size of the toads. �z G _ + : Toads: Tiny amphibians 1 i- ' .:.,, - r c probably in Clallam, too 44,4:4,, N. ..."::1%, - r .. CONTINUED FROM Al the ranger said "It's a possibility they YW3' 1,2.3 ` e i �� . , i���tt5 y_• The counter-intuitive have developed some type f �Rt^"y . ' /� And at the state park, thing about this is that the of immunity" the ranger 1 ''it *-, '�4 )*! t,r * '° d ftp. ,i we have created a little lake is considered person added. 4 f- ..W '� G r•' { ¢ �� ,,q _ t ���� more visitation...the ped- ous. That is their world;'so t ��,'\'' 1� y` -,,s-...„,_....,,,- € r �t y� ole who drove up made a lt's been closed to fishing perhaps it's not surprising atu;c a o �, " r beeline for the shore,with and other waterborne recre- that the lake tadpoles can 1.4 + i r' -^ their cameras,"in hopes of ation for all but a few weeks coexist with algae that isn't • „}+' �+�' °k` 1 � ,- .1.,c,'„,"1:144., toad photos. this year, after Jefferson good for humans or domes- o:' • =I-++ oatr ,.,4„4",„, x The tiny toads probably County Public Health offi- tic mammals. i are creeping all over Clal- dials found anatoxin-a, a Jefferson County moni- 0,--'44i...'1!„."'0,71:ri lam County as well, potent neurotoxin at about tors Anderson Lake weekly. te 1 � although they haven't 100 times the level consid- and will keep it closed as ^x+ �° '• t :^ -, ,' 4:4. received the attention of ered safe. long as the visible algae IF ° this ears Anderson Lake An algae bloom was seen blooms linger. } s t o. ai" 5 amphibians. in the lake Aug.2,according On land,though,hiking, ".,`,';'. ,, " ;..,........•?* • 3 �,'''';'''"'N,.,'-'p ,,, 3 . ,,,a` While not having noticed to Jefferson County Public bicycling and horseback rid- as well as toad-watch- STINE d- Sieve MUI.I.Esoso/ess PENINSULA DAILY NEWS the toads this year, state Health, which publishes ing are as toad-watch- A group of Port Townsend children hold tiny toads at the boat ramp at Fish and Wildlife Officer water-quality reports at Toads ow fast—a cou- Anderson Lake State Park on Thursday.From left are Ula Camastro 10, Win Miller rbmembers see• http://dnyurl.com/o/gaelake. le of millimeters a month Anna Molotsky5,Hannah Marx 9,Mimi Molotsky10,Joseph Molots 7 ing"hundreds of thousands" The toxic algae was first P and Rachel arx 12. p of them, so thick it was discovered back in spring — and by adulthood they can travel 550 meters to 2 imposible not to step on 2006, when two dogs per- them on the trail, in the ished after drinking some kilometers per year, said Hoh high country. lake water. Marc Hayes, a senior Yet Dr.Tom Locke,Jef- research scientist at the Bufo boreas ferson County's health offi- state Department of Fish cer,said this May that it's and Wildlife. Migrations of the western still a mystery why Ander- Hayes wasn't terrifically toad, or bu/b boreas, are son Lake grows the impressed by the report of noted throughout its range, danger- ous algae. toadlet hordes at Anderson which extends from western Heghas also said that Lake State Park. British Colombia and soutly, this lake i one of the worst, Its typical for them to em Alaska through Wash- if not the worst,in Washing- metamorphose (from tad- ington,Oregon,Idaho,west- poled en masse,"he said. ern Montana,and western ton state. 1 think it's a function of People are still eager to where you are and what Wyoming to northern Cali- go boating on Anderson fornia,Nevada,western Col- Lake, Zimmerman said. you're paying attention to." • orado,and western Utah. They certainly don't expect Baby toads "tend to They are so numerous to be drinking the bad water crowd together on top of during their annual migra- each other . you'll see tions in Chilliwack,British in it. each "if you fall out of them aggregated in large Columbia,that the city this your boat, your first read- numbers for a few weeks year agreed to temporary tion is to take a bigl We before they slowly disperse," closures of roads near a lake P' Hayes added. don't want to put you at And those amphibian to allow thousands of baby toads to migrate from wet- risk of getting realty ill." rivers "could be simply a lands to forest without dan- Doesn't bother toads very normal situation;nor- ger, the Vancouver Sun mal toad production" reported last month. At the same time,"what Wordgot out late last we have surmised is that Features Editor Diane Urban week that an estimated 2 the toxic algae is not harm- de to Paz can be reached at 360. million toads were emerg- ing the frogs," nor the 417.3550 or at dune uroanie ing from Anderson Lake, toads. penlnsetadaitynews.com. • a I...0°'-'0'.. t >, 'bq 3� d • o,o � 0 0.0:, a) O alai Q•y v aE0.co cy „ 0 a X0.0.. °,,,,,,,° °ti vi 0 t3, ac, ° - ggI ° u) owe 0� m y °waoby 3 °a ig: o .� ) A`� 5 °x4 pgi; PGE-- 3 as oG*, y pgdaa Z uO V/ aAa °'bx o o t p .. z ) 83; ti�4 ( D t ° `d� 3 4) a)yH4'b' 1 � ' • 11.....1 ..]opp 49o.5 m of c2 U g 8 a.n.5 ,5P° }� ° x tin g m � 2 8.2 6M o4 a 1 T'g .-1� a FLUS o �q vJ ° 2..^ 36'u� °'$ ( i) O e W "as s.a U g a• 'a3E , ct °a> .cam to • �•a y3i � � c � • �mo maEpin � °y� o w3a ° o ■ ° ma v �o ° aim mo - ° ma ° § s .0 v as•- n:, n. g t.,-..zto 115 .�Q Z's, a 8 �� `tw m � > 2 t°�� 0as o 73 0� a,c ° om ,,,:, ,JA O ,-+ ° •oma ° N Zc �2 3 �(.7 I. �'za � °�Gc xd I� x 3 ' ° 0 PW U 3 W� �b aNi vi'� G o o `°w W='o % 7 a ° ° CC$ m Z .03,,,..1-, e:c o 3 d ov o m W,.oa,� �� F w % 0v Z 0 oz ��;; 3 E z a)..;.-.., - �' �0 > v o'a t; a a °' p o 8 t'-'4.- a,— asfaFp� oo0 °00m3 ` to > v..,b A4 tqyFAXIM g 4-1 —rj yid o 0. ° 02 m owHi L ' bW 73 0 E3 4.._+ 0.3 T- t°. 3. c� qo�y +3° +� G C� a'.Y.'6 a.0'� cla ° q o k•° q 0 I 0.10.`' L1E°CO m 3 m 8 V coB m E o <2 aa> CO) E J.,I,' a'.:n� E • Biotoxin levels improve in PT Bay • Jefferson County Public Health has Island, reopened to all species of shellfish reopened recreational shellfish harvest except butter clams. near Port Townsend because marine bio- Beaches on Discovery Bay, Mats Mats toxin levels have improved. Bay and in Port Ludlow remain closed for Effective Aug. 30, sport harvest of all shellfish harvest. shellfish reopened in Port Townsend Bay All species means clams (including geo- and Admiralty Inlet. cluck),oysters, mussels and other mollusks Kilisut Harbor and Mystery Bay. such as moon snails. Crabmeat is not between Indian Island and Marrowstone known to contain PSP toxin. • • New environmental alth i chief shared with .. BY CHARLIE BERMANT -. - PENINSULA DAILY NEWS - --''?` PORT TOWNSEND — The , 177-- Jefferson County Department of ,,,• *sir I "t' r Public Health has entered into a personnel-sharing agreement I r ..--t with Kitsap County to till a poll $" :-' tion that has been vacant for >.• ....*14.1- " nearly three years. a�� a' , Stuart Whitford, who has ti', — 'frit� • r.• d ; t worked as the Kitsap Countysk 1 � ; pollution management program ' 'is--4a # for 17 years,was named Jefferson �" ` ' n- #". County environmental health --: director in earlyAugust. - — cti,r.rE BERN1A.Y-r/Pr ,i suu Dmu NEWS We have a lot of partnerships with Kitsap and Clallam coun- Jefferson County Public Health Nursing Director Julia ties,"said Jefferson County Public Danskln and Public Health Department Director Jean Health Department Director Jean Baldwin meet with Stuart Whitford,the county's newly Baldwin. appointed environmental health director. "We face the same issues, so there is a lot of overlap." will be billed at a rate of$88.50 an Under the new agreement, Whitford remains a full-time hour. Whitford will spend alternate employee for Kitsap County, Over a six-month period,Jef- weeks in Jefferson County,where which pays him an annual salary ferson County will pay Kitsap he will supervise a staff of 14. of$80,000 annually. County approximately $41,000 His hours for Jefferson County for Whitford,Baldwin said. TURN TO SHARED/A.4 Shared: Fvaluating systems • CONTINUED FROM Al Baldwin said the contract mance of the same duties in utes,"Baldwin said. is a good deal for the county. Clallam County. Funding also has been When he is in Kitsap "With Stuart, we get Under this arrangement, inconsistent and was with- County,theJefferson County someone to carry our pager Jefferson County pays Locke drawn in the middle of a staff will handle the load as and respond to issues 24/7," about$38,000 a year,Bald- previous training process, they have done for the past she said. win said. she said. several years,Baldwin said. "During the contract The environmental Whitford expects the period,he will evaluate our Open since late 2007 health department is respon- alternate-week system to be systems and tell us what we The environmental sible for maintaining and more efficient than chang- need to do to keep them health director position has enforcing regulations ing offices daily because if going. been open since late 2007. regarding soil,air,water and he is in single location for "At the end of the con- The opening has been food quality. a whole week, he can stay tract,if we want to continue advertised several times This includes restaurant more focused. the arrangement,we will be since then, but the county inspections,shellfish quality He added, however,that able to renegotiate at a lower has been unable to find a septic system inspections "we will see how this works rate." candidate with the neces- and water quality issues and whether we have to Baldwin said the county sary technical skills specific among other duties. change it." has a similar arrangement to the region,Baldwin said. Whitford lives in Poulsbo with Dr. Tom Locke, who "We needed someone who Jefferson County Reporter Char. and will commute to Port functions as Jefferson Coun- understood Puget Sound lie Berman can be reached ai 360- Townsend for his weeks on ty's Chief Medical Officer in and has a knowledge of the 385-2335 or charlie.bermanta duty. , tandem with his perfor- local regulations and stat- peninsuiadaiiynews.com. Jefferson County Will Share Kitsap Health Official : Kitsap Sun Page 1 of 1 ` p tsa un Read more at krtsepsurr corn • Jefferson County Will Share Kitsap Health Official K+, - ',3"' BREMERTON— The Kitsap County Health District has agreed to share one of its top environmental health administrators, filling a position in Jefferson County that has been vacant three years. Stuart Whitford, who runs Kitsap's Pollution Investigation and Correction Program, will head up Jefferson County Environmental Health under a contract that allows him to spend up to half his time in Jefferson County. Whitford will remain an employee of Kitsap County Health District, according to Keith Grellner, director of Kitsap County Environmental Health. The Jefferson County program will reimburse his actual costs of about $84 an hour, including salary and benefits, for no more than half his total time. • Initially, Whitford, who lives in North Kitsap, is alternating his work, one week at a time, between the two counties. Grellner said the arrangement allows Kitsap to retain Whitford's expertise while saving money in a tight budget year. In addition, it will provide a way for both health departments to learn from each other, leading to better overall operations. The contract is structured on a similar sharing arrangement in which the Jefferson County Department of Public Health uses an epidemiologist employed by the Kitsap County Health District. `m ©2010 Scripps Newspaper Group—Online pip • http://www.kitsapsun.com/news/2010/sep/02/jefferson-county-will-share-kitsap-health/?pri... 9/3/2010 ` a,z wem,ew.,..sev�me�e,:aw " P Family Of Companies e..` E '; '-J d.' PACKAGING ' P CROW \ C: RE __: T INIE C; R0 (.: P • We recently completed our public hearing on the Port Townsend Paper Cogeneration Project and • would like to continue the process of communicating with our neighbors and community members with facts and information.This project is a great opportunity to generate local and renewable green energy.It will also create jobs and reduce the use of fossil fuels. . PROPOSED GREENHOUSEA SCOPE EMISSIONS ., t The project will upgrade The definition of Biomass Carbon Neutrality is actively being debated our existing Power Boiler to and studied by industry,environmental groups,state and federal ��, more efficiently burn wood agencies.The science and policy decisions will take years to settle `� biomass and install a new and fully understand.Most scientists,however,consider carbon dioxide generated from the burning of biomass to be carbon NM simia steam turbine generator neutral"The forest carbon cycle consumers carbon dioxide as trees capable of generating up grow and releases it as wood decays or burns in forest fires.This to 25 megawatts of power.The project will add 510 million of new project will be part of that cycle and will burn wood with state-of- air pollution control equipment to ensure that the Power Boiler the-art pollution control equipment instead of uncontrolled burns emissions are improved over today's levels,and be lower than all or natural decay.By reducing the consumption of oil,we reduce the State and Federal emissions limits. emissions of Carbon Dioxide from a source that has been locked up for millions of years-and that is a good thing. FUELSif We will be using the same type of fuels in the Power Boiler that we - +sr:, • have used for decades.We will be shifting the proportion of fuels kgby increasing the amount of wood biomass,and the decreasing the t -i amount of petroleum based fuel oil burned in the boiler.Our permitTe FORE :uN does not allow us to burn material that is treated,contains lead paint The additional biomass fuel will ., , hazardous materials or trash. largely consist of limbs and tops r (slash)from existing commercial tree ' $ farms.This material has historically "t A •", i been piled up and burned in the forest EMISSIONS b ' "; to prepare the land for replanting. ' • Overall,the emissions from the mill will # '.-.' No mature trees will be harvested for be reduced as a result of this project.The '- the sole purpose of providing fuel to S s the project.In addition to collecting 4 particulate emissions from the boiler # slash from the Olympic Peninsula, will be reduced by approximately 70%. our barging system allows us to The emissions of Carbon Monoxide 9 9 Y s and Volatile Organic Compounds bring in fuel from Olympia to Canada.The Port Townsend Paper mill will increase slightly(7%and 12% wood procurement system is certified as a sustainable process by • —, respectively).The increases are well independent auditors using the Forest Stewardship Council(FSC)and ' below the protective"significance level" Sustainable Forestry Initiative(SFI)standards.The FSC certification is a�fined by project will also the most rigorous forest sustainability certification in the world. add control equipment that will reduce the emissions of Nitrogen Oxides(NOx)and Sulfur dioxide(SO2). r "y,, :( • , !Y14014-ii I.', - }�`t.:1; ,, c ,, rig, The project will`increase Thee mill is already required to monitor ., incoming truck traffic by and report air emissions.As part of the zr.. � mss, " tg%based on total trucks in project,ou will be installing additional new ..p--,----,', ..„, 'Tz and out of the mill.This will Continuous Emissions Monitoring Systems ' y on the Power Boiler to monitor and record �. be partially offset by fewer `. .ts� fuel oil trucks In addition, compliance with the limits for particulate, --4, ^€a tr - _. we are working on a project NOx,SO2 and other emissions.All emissions to increase the use of barges for moving trucks to and from the mill. data are certified by mill technicians and can Even after including the diesel fuel for these additional trucks,the be audited by the State agencies at any time.Also,there are State and amount of fossil fuel used by the mill will decrease by 1.8 million Federal laws and regulations that mandate strict compliance with gallons annually. reporting accurate data. '# 1 T ; The new equipment we plan ''„ y"dY,.;Ya7E • to use for the project is very -- , w f.` SUPPORT- i i effective at recycling water < and minimizing consumption. ;.,..„,.-•:-, '" ~. We expect 30 new full- 'i f�;;_. In addition,we have ongoing time,permanentjobs will ' `'' `" be created in Jefferson and > , plans for additional water -*' "--.. , conservation measures. T";„ 4 Clallam counties to process Overall,we expect that the biomass fuel.We also _ -:' after the project the mill will operate without increasing our water expect that the equivalent of 35 full-time construction jobs will be ,, consumption and will generate the same wastewater volume as created for one year.But most importantly,this project will sustain we do today.As has always been the case,the priorities for the Port and strengthen mill employment for nearly 300 people,and support Townsend water system are preserving salmon habitat,the City of benefits for over 400 dependents and retirees.These families are a 3 PortTownsend water supply and mill supply-in that order. vital part of our community and help sustain the local economy. { i 1” WASTE D.P7POSAL , The mill operates a on-site landfill in compliance with WA State Solid I tt '"*:,.,rtF�`'a regulations under The employees sincerely appreciate the support 9 permit Solid Wasteson • i ,< '= County.We are permitted to put inert, of our community,and continually strive to . t' , non-toxic boiler ash into the landfill,and find ways we can all work together to improve 1} _r.. ..,z,. cowregularly to test it tensure the landfill the economic and environmental strength of -1 r ,., -fir...4.,-,;,;'.;','_ continues to be safe and well maintained, g i The project will generate more wood ash Jefferson County-thank you! a ..yi than it does today and there is adequate .. _� space in the landfill to last well into the future. For more information on Biomass and Green Renewable energy,please see the following links: i www.ptpc.com/environment.html m ent.html www.washington.edu/alumni/partnerships/cfr/201004/biomass.html ' vv • www.afanr-Ipa.org/RenewableEnergy.aspx +t )i / .1e J www-wutc.wa.gov/greenpower - �� apps3.eere.energy.gov/greenpower wwwepa.gov/cleanFiji/j// p e :,.P..,...,."...m ._,.,...,.�.... .,_.,:._». ..:._., ................_..,,A_....... .._.. .,,:_...,..,. . .-. .,. ,.._..:.._._� - ...�..:_ ti/A,4,om,. LJ J ro o . — s. caw co pii4 .° n 75 'el ° iip. 0 ... o s~ 7.a� oma .`"� o a0 q,0 a444 cu `i � 'd ;. in 5 .arooa, Co � 4" U v Q 0 0 0 w .tyw a, 0i0oo o • 0o 4 '�w . 5.x :-i5 tap tap z bp o o ro ro ES k WV ; • Wednesday,September 8,2010•C,3 I- L y '' III .,:„!-.3i4:„.if,,,:,-,0._..;:,,:„.., ,::,,,.../vkl 1 m i - ti ^,_ .1,1 E 1 ‹ ,i t 3 y', t, 1 9rr1 c p ° a r , t". - rb''',:-'''. -",,Itf?:It.'F';:t3,-3" '...'-'...'-= ,,,, L ,. ,I..7 .-?;'.-- ‘ - ' -' 44 \i I � x it'.' ..0 ., 1*'_---,-'-',.)°,-..t.'-',,;4",-W4,,a.,,:-',-r4t,-;..1- , -,'I,-;.',..,. '''',"*-R.,Z1' ,-:1' . ........**. ..---- . -;. Backpacks with supplies are available to people with disabilities who take a class on being prepared.In front are Pat Teal and Lou Louchard.Back row (left to right)are Gin Bunch,Dennis Crawford,Anna McEnery,Ron Olsen,Lynn Gressley and Mary Jo Smith.Submitted photo Disabled? Special ne s? classesFree areavailable • Class offers help, backpack " Class times,availability. with emergency supplies Classes on how people with disabilities and special needs can prepare for an emergency are offered in a six-week program from By Anna McEnery Contributor preparedness solutions for 1-3:30 p.m.Fridays with dates to be determined.When enough persons with disabilities people express an interest in a class,the class starts,explains Disaster preparedness and special needs. Anna McEnery,Jefferson County developmental disabilities coor- is a concern that B o b dinator. transcends all politi- Hamlin, cur- cal and partisan rent direc- People with disabilities receive a free"grab-and-go"backpack positions. � for of the 1 with supplies once they complete the class,which offers informa- People with dis- of ` tion about first aid,pet first aid,emotional help,how to prepare abilities represeet (, of Emergency your shelter,what to expect at a Red Cross shelter and what 19.3 percent of the ` Management emergency supplies should be in the backpack. 257.2 million people for Jefferson ages 5 and older, or County 5 The class also is going on the road this year.Typically,the class nearly one person in five, obtained a grant from is offered at the Jefferson County Public Health office at 615 according to the 2000 U.S. the Federal Emergency Sheridan St.If people in apartment complexes or agencies that Census. Management Agency serve people with special needs are interested,teachers can Yet only 39 percent• of (FEMA)to purchase back- come to them,McEnery said. people surveyed had an packs to help people with f emergency plan in place for disabilities prepare. Call McEnery at 385-9410 to sign up for a class or for more evacuating their home in The following class pre- information. the event of an emergency, senters are also the key or safely use some of the one survey found, members who raised funds in GREAT EQUALIZER standard resources offered In response. Jefferson order to purchase emergency Emergency prepared- in disaster preparedness. . County Public Health supplies for the backpacks: ness is a great equalizer The curriculum also recog• and Dennis Crawford Shirley Williams, a Red and a common denomina- nizes that a disability does from the Jefferson County Cross nurse; Carl Hanson, for across all socioeconomic not always mean a person Department of Emergency a local minister and co- groups and divides. People will need help in an emer- Management co•facilitated chair of the Developmental with disabilities and special gency. the first emergency pre- Disabilities board; Lynn needs include people who The goal of this group paredness meeting for per- Gressley, president of are vulnerable,at risk That a is to continue to bridge the sons with disabilities and Disability Awareness Starts fixed income or elderly.That divide between disabilities, special needs. Here(DASH);Pat Teal,vice meant that the class cur- special needs and emergen- Over the last few years, president of DASH; and riculum was written to focus cy preparedness by holding 1110 members from that group Dennis Crawford. broadly on disability issues 'an ongoing Sei es of six free collaborated and produced As developmental dis- and special needs. classes for people with dis- an emergency prepared- abilities coordinator for For example,a screening abilities and special needsfl.—/ �', ,{ , ness curriculum that sup- Jefferson County Public factor might be an individ- along with a free backpack C ports responsibility, confi- Health,I also participated. ual who cannot comfortably with emergency supplies. F�/ dente,interdependence and 0//I/�6) Pod Townsend&Jefferson County Leader In wheelchair - ready to rock in case of an • emergency By Ann Robertson Contributor First and foremost,to rt0 MI 11 the best of our ability,we all need to be responsible for ourselves.It empowers us.It makes us independent.This 10 0■ applies to everyone,including those of us with some type of September is Emergency disability. Preparedness Month Statistics show that 19 percent of the U.S.popula- tion has a disability and 13 percent of those disabilities >' are considered severe. For the past five years,I u' have been in a wheelchair, because of the effects of a w ram,debilitating muscle dis- tg ease I've had for 40 years.I have learned over time that > t it is up to me to take control3. of my special needs,and I °" ` ' have always been concerned about my safety. What would I do in a ti disaster,such as a major 1- , earthquake?I cannot drop, ts cover and hold or run to a Ann Robertson is ready to take care safe place.If I am alone, of herself in an emergency. what will I do,who will help plies are stored and where me? the utilities are located. • Anyone dealing with a Also posted are very specific disability,or anyone who instructions about my care • may be vulnerable,must for those who may need to think about possible disas- help me.I have thought ters and prepare for any about where I can go if I emergency situation that can't stay at home and who could affect them.A week- will go with me.These are long winter storm could just some of the things that cause power outages and people with special needs, • close roads.I have prepared disabilities,or vulnerable myself and my home for mul- populations need to seriously tiple scenarios by doing what consider and act upon in all of us need to do. advance of any emergency I have written plans for situation. what to do,whom to contact and what supplies I need,to GROUP FOR DISABILITIES be safe before,during and After moving here last I after a disaster.I have made July,I thought about teach- specific plans and lists of ing emergency preparation items I may need that relate classes for people with dis- i to my disability. abilities,but was impressed to find a group already exist- GRAB-AND-GO KIT READY ed here in Port'I'ownsend. My family,caregivers and This group,associated with friends will check in on me.I Jefferson County Public am currently organizing my Health,offers classes once neighborhood's emergency a week for six consecutive preparedness group.I have weeks.It also provides free a grab-aid-go evacuation grab-and-go backpacks and kit in my car with an extra supplies for those who need week's supply of my medi- them.There are many organi- cations.My wheelchair is zations that can help you. always charged. First responders like fire- With help,emergency fighters and paramedics will supplies for my home and for be busy during an emergency my pet have been gathered, situation,and you should not and there is food and water rely on them to come to your stored for more than seven rescue.As much as you are days.I compiled and have able,take the time and the posted lists of important responsibility for your own �j) /� er contacts,my medical history, well-being and find the help /° prescriptions I take,and a you need to prepare for any ;9 /u.; list of where emergency sup- disaster. /Ul J Port Townsend&Jefferson County Leader Back to school shots • 0 required this fall With school. starting this week, students need SEVENTH THROUGH NINTH to get required school vac- FIRST AND SECOND GRADES cinations, according to GRADES • Chickenpox vaccine is rec- Jefferson County Public • Two doses of chicken pox ommended but not required at Health. vaccine, or medical provider this grade level. A child who is not fully verification of disease, or a • immunized is at increased blood test showing immunity • One dose of Tdap vaccine if to chickenpox it has been at least five years risk of getting a vaccine- since the last tetanus-contain- preventable disease and •Three doses of DTaP vaccine ing vaccine may be excluded from with the last dose on or after . school or childcare during the fourth birthday • Polio, MMR and hepatitis B requirements as listed for kin- an outbreak of disease, . polio, MMR and hepatitis B dergarten possibly for weeks. He or requirements at listed for kin- she may also infect others dergarten. who don't have the option 10TH THROUGH 12TH of vaccine protection, such THIRD AND FOURTH GRADES as those with weakened GRADES • Chickenpox vaccine is rec- immune systems or infants .One dose of chickenpox vac ommended but not required at too young to be completely cine or a history of the disease. this grade level. protected by vaccines. A parent's report of disease •One dose of Tdap vaccine is Different immuniza- history is adequate at this recommended but not required tions are required for dif- grade level. if it has been at least five years ferent grade levels. Some .Three doses of DTaP vaccine since the last tetanus-contain- children who have receivedwith the last dose on or after ing vaccine. all recommended vaccines the fourth birthday • Polio, MMR and hepatitis B will have more doses of requirements as listed for kin- 0 • Polio, MMR and some vaccines than the hepatitis B dergarten. minimum listed for school requirements as listed for kin- attendance. dergarten Be sure to take your The seasonal flu vaccine child's immunization FIFTH GRADE is recommended for all chil- • records. Following are the • Chickenpox vaccine is rec dren ages 6 months through minimum required immu- ommended but not required at 18 years. This year's flu nizations for the 2010- this grade level. vaccine should be available in the coming weeks. 2011 school year. •Three doses of DTaP vaccine Other vaccines are with the last dose on or after available and recommend- KINDERGARTEN the fourth birthday ed for children and teens • Four last dosef DTaPn orvaafterne • Polio, MMR and hepatitis B by the Centers for Disease with the last on or after the fourth birthday requirements as listed for kin- Control and Prevention dergarten (CDC),but are not required • Three doses of polio vaccine for school attendance. with the last dose on or after To schedule an appoint the fourth birthday SIXTH GRADE •One dose of chickenpox vac- ment for school immuni- • Three doses of hepatitis B cine or a history of the dis- zations, call your medical vaccine ease. A parent's report of dis- provider. • Two doses of measles, ease history is adequate at this Also, Jefferson County mumps and rubella vaccine grade level. Public Health has walk-in (MMR) • One dose of tetanus, diph immunization clinics every • Two doses of chicken pox theria and pertussis(Tdap)vac- Tuesday and Thursday, vaccine, or medical provider cine if it has been at least five 1-4 p.m. at 615 Sheridan verification of disease, or a years since the last tetanus- - St., Port Townsend. No blood test showing immunity containing vaccine appointment is necessary. to chickenpox - • Polio, MMR and hepatitis B • Call 385-9400. requirements as listed for kin- - dergarten News Release FOR IMMEDIATE RELEASE August 19, 2010 Contact: DEA Public Affairs Number: 202-307-7977 • DEA Heads First-Ever Nationwide Prescription Drug Take-Back Day AUG 19--WASHINGTON, D.C.—The Drug Enforcement Administration and government, community, public health and law enforcement partners today announced a nationwide prescription drug "Take-Back" initiative that seeks to prevent increased pill abuse and theft. DEA will be collecting potentially dangerous expired, unused, and unwanted prescription drugs for destruction at sites nationwide on Saturday, September 25 th from 10 a.m. to 2 p.m. local time. The service is free and anonymous, no questions asked. This initiative addresses a vital public safety and public health issue. Many Americans are not aware that medicines that languish in home cabinets are highly susceptible to diversion, misuse, and abuse. Rates of prescription drug abuse in the U.S. are increasing at alarming rates, as are the number of accidental poisonings and overdoses due to these drugs. Studies show that a majority of abused prescription drugs are obtained from family and friends, including from the home medicine cabinet. In addition, many Americans do not know how to properly dispose of their unused medicine, often flushing them down the toilet or throwing them away— both potential safety and health hazards. "Today we are launching a first-ever National Prescription Drug Take-Back campaign that will provide a safe way for Americans to dispose of their unwanted prescription drugs," said Michele M. Leonhart, Acting Administrator of the Drug Enforcement Administration. "This effort symbolizes DEA's commitment to halting the disturbing rise in addiction caused by their misuse and abuse. Working together with our state and local partners, the medical community, anti-drug coalitions, and a concerned public, we will eliminate a major source of abused prescription drugs, and reduce the hazard they pose to our families and communities in a safe, legal, and environmentally sound way." • "With this National Prescription Drug Take-Back campaign, we are aggressively reaching out to individuals to encourage them to rid their households of unused prescription drugs that pose a safety hazard and can contribute to prescription drug abuse," said Acting Deputy Attorney General Gary G. Grindler. "The Department of Justice is committed to doing everything we can to make our communities safer, and this initiative represents a new front in our efforts." "Prescription drug abuse is the Nation's fastest-growing drug problem, and take-back events like this one are an indispensable tool for reducing the threat that the diversion and abuse of these drugs pose to public health," said Director of National Drug Control Policy Gil Kerlikowske. "The Federal/state/and local collaboration represented in this initiative is key in our national efforts to reduce pharmaceutical drug diversion and abuse." Collection sites in every local community can be found by going to www.dea.gov . This site will be continuously updated with new take-back locations. Other participants in this initiative include the White House Office of National Drug Control Policy; the Partnership for a Drug-Free America; the International Association of Chiefs of Police; the National Association of Attorneys General; the National Association of Boards of Pharmacy; the Federation of State Medical Boards; and the National District Attorneys Association. • JLFFERSON COUNTY PUbLIC HEALTH 615 Sheridan Street 4 Port Townsend *Washington a 98368 .i.jeffersoncountypublichealth.org July 12, 2010 Dear Jefferson County Resident: I am writing to ask for your help with an important survey. The Washington State Department of Health would like to find out if people in Washington are exposed to metals and pesticides from the environment. Public health will use this information to help reduce exposures in the future. Your home was chosen at random to participate in the survey. In a few days, field staff working for the Washington State Department of Health will come to your home to see if you are willing to take part. The survey is completely voluntary—you do not have to take part. It is important, however, that as many people take part as possible. We hope that you and your family members will agree to participate. We would like all people ages 6 and older living in your home to take part. • I have enclosed a brochure that describes the survey in more detail and answers questions you may have. The brochure lists a toll-free number you can call if you want talk to someone in person about the survey. You can also get information from the survey website at: http://vvww.doh.wa.govJEHSPHL/Biomonitoring.htm. Thank you for considering this request to help public health learn important information to improve the health of our community. Sincerely, Thomas Locke, MD, MPH Jefferson County Health Officer Enclosure • COMMUNITY HEALTH ENVIRONMENTAL HEALTH DEVELOPMENTAL DISABILITIESPUBLIC HEALTH WATER QUALITY MAIN: (360) 385-9400 ALWAYS WORKING FOR A SAFER mid MAIN: (360) 385-9444 FAX: (360) 385-9401 HEALTHIER COFAX: (360) 379-4487 JI-TFERSON CO my BOARD OF HEALTH • September 16, 2010 Chase Glenn 539 19th Street Port Townsend,WA 98368 Dear Mr. Glenn: On September 16, 2010 the Jefferson County Board of Health was pleased to appoint you to serve a three (3) year term on the Jefferson County Substance Abuse Services Advisory Board. Your term will expire September 16, 2013. We look forward to working with you and are confident of your many worthwhile contributions to be offered in this service to the community. We appreciate your willingness to devote time to this Board. • Sincerely,. L, if/ Chuck Russell,Chair Jefferson County Board of Health cc: Ford Kessler Fran Joswick • 615 Sheridan• Castle Hill Center• Port Townsend • WA (360)385-9400 JF,FFERSON COUNTY BOARD OF HIHALTH • September 16, 2010 HarGopal 70 Gibbs Lake Road Chimacum, WA 98325 Dear HarGopal: On September 16,2010 the Jefferson County Board of Health was pleased to appoint you to serve a three (3) year term on the Jefferson County Substance Abuse Services Advisory Board. Your term will expire September 16, 2013. We look forward to working with you and are confident of your many worthwhile contributions to be offered in this service to the community. We appreciate your willingness to devote time to this Board. • Sincerel Ati/ uck Russell, Chair Jefferson County Board of Health cc: Ford Kessler Fran Joswick • 615 Sheridan •Castle Hill Center• Port Townsend• WA (360)385-9400 JEITERSON COUNTY BOARD F HEALTH JEFFERSON COUNTY BOARD OF HEALTH RESOLUTION NO. 35-10 Establishing Health Officer's Authority to Accept Tribal Grant of Authority under Mutual Aid Agreement WHEREAS,the Jefferson County Board of County Commissioners has entered into the Olympic Regional Tribal—Public Health Collaboration and Mutual Aid Agreement(the "Mutual Aid Agreement"); and WHEREAS,under Option One of Article IX of the Mutual Aid Agreement, a party tribal government(a"Party TG") may wish to grant to a party public health department or district(a "Party HD"), such as Jefferson County Public Health, public health authority under the terms and conditions contained in the Mutual Aid Agreement; and WHEREAS, either the Party TG or the Party HD may withdraw, rescind, decline or refuse this grant of authority at any time, subject to the terms and conditions of the Mutual Aid Agreement; and • WHEREAS,the Board of Health now wishes to establish the authority of its Health Officer with respect to such potential and actual grants of public health authority by a Party TG to Jefferson County Public Health, recognizing that exigent circumstances may require prompt action by the Health Department in such instances; NOW,THEREFORE,BE IT RESOLVED AS FOLLOWS: 1. Health Officer's Authority. The Board of Health grants to the Health Officer, or his or her designee, the authority and discretion to refuse, accept, withdraw,rescind, or take any similar action with respect to actual or potential grants of public health authority by a Party TG under the Mutual Aid Agreement. 2. Board Affirmation. When reasonably practical to do so, the Health Officer, or his or her designee, will seek at its next regular or special meeting Board of Health affirmation of the Health Officer's decision to refuse, accept, withdraw, rescind or take similar action with respect to such actual or potential grants of public health authority; provided, however, that failure to obtain such affirmation shall not in any way terminate or impair the validity or effectiveness of the decision of the Health Officer or his or her designee, subject, however, to Section 4 below. • 615 Sheridan• Castle Hill Center• Port Townsend • WA•98368 (360)385-9400 JEFFERSON COUNTY BOARD OF HEALTH • 3. Status Reports to Board. When reasonably practical to do so, the Health Officer, or his or her designee, shall report to the Board periodically, and at least once every 30 days, on the status of any active actual or potential grants of public health authority by a Party TG under the Mutual Aid Agreement. 4. Ultimate Authority in Board. The Board of Health at all times retains ultimate authority over whether Jefferson County Public Health will refuse, accept, withdraw, rescind or take any similar action with respect to actual or potential grants of public health authority by a Party TG under the Mutual Aid Agreement and its determinations in the matter shall be final and conclusive as to all persons and parties; provided, however, that, consistent with Article VII of the Mutual Aid Agreement, before withdrawing assistance the Health Department will give such notice to the requesting Party TG as is reasonable under the circumstances as they exist at the time. ADOPTED this /Q. day of ;� S a 2010. JEFFERSON COUNTY BOARD OF HEALTH • 111 lF Chuck Russell, Chair Board Members Chuck Russell,Chair,Hospital Commissioner,District#2, Kristen Nelson, Vice Chair,Port Townsend City Council Phil Johnson,County Commissioner District#1, David Sullivan,County Commissioner,District#2, John Austin,County Commissioner,District#3, Sheila Westerman,Citizen at large(City), Roberta Frissell,Citizen at large(County) • 615 Sheridan• Castle Hill Center• Port Townsend • WA• 98368 (360)385-9400