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2011- November
File Copy • Jefferson County Roam(of 3Cealth Agenda lvlinutes • November 17, 2011 • • JEFFERSON COUNTY BOARD OF HEALTH November 17,2011 Jefferson County Public Health 615 Sheridan Street Port Townsend,WA 2:30—4:30 PM DRAFT AGENDA I. Approval of Agenda IL Approval of Minutes of October 20,2011 Board of Health Meeting III. Public Comments IV. Old Business and Informational Items 1. Nurse Family Partnership—Regional Approach 2. EPA Homeowner Process Report • 3. Health Changes/state budgets 4. Smile Mobile, WIC V. New Business 1. Proposed Environmental Health Fee Schedule (Public Hearing Dec) 2. Substance abuse Prevention Redesign Initiative 3. Temporary Food Service Report 4. Letter To Legislature VI. Activity Update VII. Agenda Planning Calendar VIII. Next Scheduled Meeting: December 15, 2011 2:30-4:30 pm Jefferson County Public Health • f JEFFERSON COUNTY BOARD OF HEALTH MINUTES /1 Thursday, October 20,2011 -2:30 PM—4:30 PM Public Health Conference Room, 615 Sheridan Street,Port Townsend Board Members Staff Members Phil Johnson, Vice Chair, 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 Roberta Frissell, Citizen at large(County) Sheila Westerman, Citizen at large(City) Kristen Nelson, Chair,Port Townsend City Council Jill Buhler,Hospital Commissioner,District#2 Vice Chair Phil Johnson called the meeting of the Jefferson County Board of Health to order at 2:35 PM. A quorum was present. Members Present: Phil Johnson, David Sullivan, John Austin, Sheila Westettttan, Roberta Frissell, (Kristen Nelson and Jill Buhler, arrived late) Staff Present: Dr. Thomas Locke, Jean Baldwin, Julia Danskin, Veronica Shaw • APPROVAL OF AGENDA Member Austin moved to approve the agenda for the October 20,2011 BOH Meeting; the motion was seconded. The motion passed unanimously. APPROVAL OF MINUTES Member Austin moved to approve the minutes for the September 15, 2011 BOH Meeting; the motion was seconded. The motion passed unanimously. PUBLIC COMMENTS None OLD BUSINESS and INFORMATIONAL ITEMS Correspondence—Department of Health Dr. Locke announced that Jefferson County has been renewed as a Geographic Primary Care Health Professional Shortage Area. This designation allows an enhanced reimbursement for primary care services delivered by rural health clinics, higher Medicare payments for physicians, • and eligibility for recruitment of National Health Service Corps-sponsored practitioners. 1 BOH Minutes October 20,2011 Frances Joswick, Chair of the Substance Abuse Advisory Board presented a Ietter that the • Substance Abuse Advisory Board sent to the legislature requesting the current recommended budget cuts not be implemented for essential substance abuse and mental health services. Ms. Joswick requested that Dr. Locke,Ms. Baldwin, and the Board also submit a letter to support the efforts of the Substance Abuse Advisory Board. There was discussion as to what needs to be included in the letter,where reductions are possible,revenue sources and the importance of focusing on community impacts when we face huge cuts. A draft letter will be included in the November agenda packet. Regulation of E-Cigarettes and Single Cigarettes Ms. Danskin presented a tobacco awareness handout. The handout covers how to report a violation of smoking in public places and states that the sale of single cigarettes is illegal. It addresses what an e-cigarette is and law concerning the sale and use of E-cigarettes. King County has adopted rules which make it illegal to sell e-cigarettes to minors, via vending machine, offer free or discounted e-cigarettes or to use e-cigarettes in any area where smoking is prohibited by law. The Board discussed the benefit of adopting an ordinance such as King County's. 2011 Girls Night Out Report Ms. Danskin announced that she received an e-mail stating that JCPH will be receiving a check for over$3,000 from proceeds at Girls Night Out. • Kitsap Public Health District Strategic Plan at a Glance Dr. Locke included a copy of the 2011-2021 Strategic Plan at a Glance for Kitsap County. The plan presents a vision for what Kitsap Public Health should look like in five years. Jefferson County is facing many of the same issues that the Kitsap County Health District addressed in their strategic plan. Staff Stars Ms. Baldwin congratulated four JCPH employee's for their recent accomplishments. Margie Boyd,Environmental Health Specialist,received the solid waste trophy,Ms. Danskin received the trophy from Main Street Program, Ms. Shaw,partnering with the Department of Health, CDC, and other county health departments has completed the Immunization Billing Resource Guide; Tammy Pokorny was recognized for the technical writing of the manual. Quen was invited by Dr. Robert Anda(CDC)to join with him in presenting at the Alberta Family Wellness Initiative on the topic of Adverse Childhood Experiences(ACES). This was a huge honor in recognition of her leading role in bringing ACES into practice in Jefferson County. The event was broadcast and will be posted online. • 2 BOH Minutes October 20,201 1 • Port Townsend Paper Company Solid Waste Permit Update A copy of a recent letter sent by Dr. Locke to the Port Townsend Paper Company was included in the Board packet as an information item. The State Department of Ecology and Jefferson County Public Health are in the process of reviewing the classification of the Company's solid waste landfill and have determined that it should be reclassified from an inert waste to a limited purpose landfill. Dr. Locke advised the Board that the Jefferson County Solid Waste Code has a two step appeals process for regulatory decisions. The first step is an administrative hearing before the health officer. The second step involves an appeal before the local board of health. Should the Port Townsend Paper Company decide to appeal the reclassification decision,the issue could eventually come before the Board. New Business Proposal to Combine City and County Solid Waste Enforcement Ms. Baldwin discussed a letter to the City Council that was included in the agenda packet which outlined the current solid waste enforcement jurisdictions between the City and County. Ms. Baldwin clarified the scope of JCPH's authority and work and discussed the proposal to combine City and County solid waste enforcement efforts. WA State Public Health Indicators • Dr. Locke presented 3 graphs from the recently updated version of the Washington State Local Public Health Indicators. Dr. Locke included 3 graphs in the agenda packet as examples of how Jefferson County compares to other counties and to the State average. The graphs showed that Jefferson County has lower teen pregnancy rates and more years of healthy life expected at age 20 than the State average. Teen alcohol use is higher than the State average. Dr. Locke stated that the Public Health Indicators system was created to track changes in key measures of community health status. All data and graphs can be found on line at www.fortress.wa.gov. EPA Homeowner Process Report Linda Atkins, Environmental Health Specialist,updated the Board on the status of upcoming changes to the onsite sewage code. She announced they will be assembling an advisory board to prepare the onsite sewage code that would allow homeowners to do their own monitoring inspections. She informed the Board that Environmental Health has continued to work with Online RME, a computer data entry company, and Clallam County regarding the way homeowners will input their data in the computer. She has been in contact with Clallam County on the status of their pilot program for online education for homeowner inspection. Ms. Atkins also informed the Board that she has attended two realtor meetings in an effort to educate professionals in the county on ways to access septic records and monitoring inspections on line. Member Westerman recommended that an ad be run in The Leader posting the positions on the • advisory board. In addition Member Buhler suggested that the applicants must have specific qualifications to be chosen as a part of the advisory board. 3 BOH Minutes October 20,2011 Ms. Atkins concluded by stating that the hope is to bring the revisions of the code to the Board • by February 2012. Environmental Health Time Study Report Veronica Shaw reported that a unit cost study is nearly completed to be used to establish fees. Environmental Health Fees Ms. Baldwin reported that the time study is tied to proposed revisions of the Environmental Health Fees. After completion of the time study, a fee schedule change will be brought to the November Board meeting. Nurse Family Partnership—Regional Approach Ms. Baldwin informed the Board that she has been involved in several meetings with counties that are interested in becoming involved with Nurse Family Partnership. Ms. Baldwin reported that a discussion has been started with the Port Gamble S'Klallam Tribe, who has a grant, staff and approval from tribal council,but they do not have staff trained in supervision. JCPH has trained supervisory staff but is losing funds to pay for the position, so they are discussing working with the tribe to do the supervision,which would help the tribes to get started. Ms. Baldwin stated that they will be making the same proposal to the hospital and other Tribes in Clallam County. • ACTIVITY UPDATE Member Austin suggested that after hearing a talk on the cleanup of water quality on Discovery Bay this may be a worthwhile topic for a presentation to the BOH. Member Austin informed the Board that the new Board of Health Director will be at JCPH October 21, 2011. Chair Nelson asked the status of the Environmental Health Director position being filled. Ms. Baldwin stated that they will be performing a second interview of an applicant in November. AGENDA PLANNING CALENDAR The next scheduled BOH meeting will be held Thursday November 17, 2011 from 2:30—4:30 PM at Jefferson County Public Health, 615 Sheridan Street, Port Townsend,WA. • 4 BOH Minutes October 20,2011 • ADJOURNMENT Chair Nelson adjourned the October BOH meeting at 4:30 p.m. JEFFERSON COUNTY BOARD OF HEALTH Kristen Nelson, Chair Phil Johnson, Vice-Chair Jill Buhler, Member John Austin, Member Roberta Frissell,Member David Sullivan, Member Sheila Westerman, Member • • 5 BOH Minutes October 20,2011 JEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, November 17, 2011 - 2:30 PM—4:30 PM Public Health Conference Room, 615 Sheridan Street, Port Townsend Board Members Staff Members Phil Johnson, Vice Chair, County Commissioner District#1 Thomas Locke, MD,MPH Health Officer David Sullivan, County Commissioner, District 112 Jean Baldwin, Public Health Services Director John Austin, County Commissioner,District#3 Julia Danskin, Nursing Services Director Roberta Frissell, Citizen at large(County) Kristen Nelson,Chair,Port Townsend City Council Sheila Westerman, Citizen at large(City) Jill Buhler,Hospital Commissioner,District#2 Member Austin moved to nominate Member Westerman as chair pro tem. The motion was seconded. The motion passed unanimously. Member Westerman called the meeting of the Jefferson County Board of Health to order at 2:35 PM. A quorum was present. Members Present: Roberta Frissell, John Austin, David Sullivan, Jill Buhler, Sheila Westerman (Kristen Nelson arrived shortly after the meeting began and assumed the Chair duties) Staff Present: Dr. Thomas Locke, Jean Baldwin, Julia Danskin, Veronica Shaw Members Excused: Phil Johnson APPROVAL OF AGENDA Member Austin moved to approve the agenda for the November 17, 2011 BOH Meeting. The motion was seconded. The motion passed unanimously. APPROVAL OF MINUTES Member Buhler moved to approve the minutes for the October 20, 2011 BOH meeting. The motion was seconded. The motion passed unanimously. PUBLIC COMMENTS None OLD BUSINESS and INFORMATIONAL ITEMS Nurse Family Partnership—Regional Approach • Ms. Baldwin reported that she met with the Clallam County BOH to discuss how Nurse Family Partnership can help reduce the numbers of low birth weight,preterm delivery, teen births and infant mortality in Clallam County. Clallam County BOH was supportive of JCPH writing letters to the Tribes and home visiting providers to offer NFP services. EPA Homeowner Process Report Linda Atkins,Environmental Health Specialist, updated the Board on the progress of forming a work group to facilitate changes to the onsite sewage code. She reported that bid requests went out to 5 firms for facilitation of the work group. The bids are due November 21, 2011. There will be an ad in the Leader next week for work group participants. Ms. Atkins anticipates the work group to meet over the first 3 months and expects them to complete their work and bring a draft of recommendations of changes of the onsite sewage codes O&M section by March 2012 to the BOH. Health Changes/State Budgets Ms. Baldwin reviewed the press release on the Governors suggested budget cuts. Ms. Danskin handed out OFM's 4th quarter budget predictions and there was a handout was from Jefferson Healthcare on talking points for legislative visits. They are hoping for revenue plus cuts rather than an all cut budget. If an agreement is reached in special session it will be a worse case scenario of what all the cuts would look like and then they would try to buy back programs with targeted revenue. Member Buhler reported this is the first year she has meet with Congressional representatives in Washington, D.C. and was told that federal resources are no longer available to help fund needed programs and that she would have to go back to her local community for support. Member Buhler stressed that the Critical Access funding formula for rural hospitals must be protected. Smile Mobile,WIC Ms. Danskin reported that the Smile Mobile was in Chirnacum for a week and a half JCPH scheduled the appointments for the Smile Mobile. Ms. Danskin also presented a graph that outlined how WIC Outreach efforts have been a success and there has been an increase in participation since July. New Business Proposed Environmental Health Fee Schedule Briefing Ms. Baldwin handed out a table from Clan=County which compares the environmental health fees of comparable counties. Ms. Shaw presented a spreadsheet comparing 2011 Environmental Health fees to the 2012 proposed fees which show a CPIW(Consumer Price Index for Washington)increase of 3.9%. Ms. Shaw pointed out that the only other change made to the fees were for Well Inspection and Water Sample for Loan. This is a new fee which Susan Porto explained was previously rolled into Onsite Evaluation of Existing System fee. Banks are requiring a separate inspection be done by the health department for the property owner's loan. • • Member Westerman moved to hold a public hearing at the December 15,2011 BOH meeting on the revised Environmental Health fees. The motion was seconded. The motion passed unanimously. Substance Abuse Prevention Redesign Initiative Ms. Danskin reported that Port Townsend is one of 19 communities chosen to receive support from the Prevention Redesign Initiative to focus on keeping youth, young adults and others free of alcohol and other drug misuse. Ms. Danskin also announced that Port Townsend was chosen by the State to receive training by 'Communities That Care' to assist the community and PRI work group in identifying the highest prevention needs in Port Townsend, creating a strategic work plan and implementing evidence-based strategies. Temporary Food Service Report Alison Petty, Environmental Health Specialist gave a presentation on the challenges the food team has encountered in temporary food service permitting and inspections. Ms. Petty showed examples of what a temporary food establishment is and the risk factors involved with serving food in temporary settings. Ms. Baldwin discussed the draft letter that was included in the agenda packet which is intended to be sent to event coordinators in Jefferson County, advising event coordinators on the information necessary to process multiple day event applications. • Ms. Baldwin announced Jared Keefer is the new Environmental Health Director and will be starting in January. Letter to Legislature Dr. Locke discussed the letter to Representatives Tharinger and Van De Wege and Senator Hargrove, a draft copy of which was included in the agenda packet. Dr. Locke pointed out the section in the letter that addresses public health funding sources that have already been greatly reduced and the impact that has had on public health. He also stated the letter advocates for a balanced approach of increased revenue and decreased expenditures rather than an -all cuts" budget. Board Members suggested changes to verbiage in the letter and corrections to errors that are in Board Members titles on the letter head. Member Austin made a motion to direct the Medical Officer to complete the letter with agreed changes and submit for signatures of the Board Members. The motion was seconded. The motion passed unanimously. ACTIVITY UPDATE Julia Danskin announced there will be a forum on jobs in Jefferson County December 6, 2011 at the Unitarian Church in Port Townsend. • • Member Austin announced on November 22,2011 from 9 to 2 the Environmental Health Commission of the State Board of Health will be meeting at the Commissioners Chambers. Member Austin invited anyone interested to come to the meeting. AGENDA PLANNING CALENDAR The next scheduled BOH meeting will be held Thursday December 15, 2011 from 2:30—4:30 PM at Jefferson County Public Health, 615 Sheridan Street, Port Townsend, WA. ADJOURNMENT Chair Nelson adjourned the November BOH meeting at 4:28 p.m. JE ERSON COUNTY BOARD OF HEALTH ill Buhler, Member (excused) Phil Johnson, Vice-Chair iftallik\ M 1 'sten Nelson, Chair Jo us tin, Member /t?ife411-"/L1-4iese Roberta Frissell, Member 1 / / 4 c / Davi u lian;1terL e I NA t.....W AiiblIve`' Sheila Westerman, Member 41111 • ,Jefferson County Board of Health OCdBusiness .agenda Item # �V, 1 Nurse TamI(y Partnership • R.egionalApproach November 17, 2011 • r=' JEFFERSON COUNTY PUBLIC HEALTH ton • 98368 615 Sheridan Street • Port Townsend •Washington g • www.jeffersoncountypublichealth.org November 7, 2011 To: Clallam County Board of Health From: Jean Baldwin JCPH Director Jefferson County Public Health (JCPH) has been providing the evidenced-based community health program, Nurse Family Partnership (NFP), since 1999, when it was first implemented in Washington State. The Washington State NFP consortium has worked towards building coalitions between communities and community partners to currently offering NFP in 11 counties across the state. Jefferson County Public Health has recently started working with the Port Gamble S'Klallam Tribe to establish NFP in their community under the umbrella of the Jefferson NFP team. This approach of regionalization helps provide needed services to smaller and rural populations that may not have the financial or program infrastructure support to implement evidence-based programs. JCPH is interested in extending this guidance and support to other populations and tribes, including those in Clallam County. Clallam • County has the second largest percentage of births to American Indian/Alaska Natives in Washington (Washington State Department of Health Home Visiting Needs Assessment, 2010). WA State data shows that risk factors affecting the health of infants are elevated among American Indian/Alaska native mothers and infants. These factors include low birth weight, preterm delivery, teen births and infant mortality. A recent comparison of data on these same factors (see attachment) demonstrate a trend where Clallam County rates are not dropping in these areas as they are in Jefferson and Washington State. In its 12 years of providing NFP services, the Jefferson NFP team of nurses has developed an expertise in the NFP model of care that is recognized by our community partners in health care (medical providers), social services (DSHS and DCFS/CPS) and importantly, the clients and general community. The Jefferson NFP team is capable of providing mentorship to neighboring communities with small populations to initiate a life changing home visiting program. This expertise includes having nurse supervisors with the ability to provide reflective supervision to nurse home visitors from other agencies or tribes, and experience with the data management system necessary to maintain fidelity to the program model. I would like your permission to offer these services in Clallam County to tribes and local home visiting providers. JCPH would like the Olympic Peninsula to have a successful regional Home visiting program. ID COMMUNITY HEALTHPUBLIC LT ENVIRONMENTAL HEALTH DEVELOPMENTAL DISABILITIES WATER QUALITY MAIN: (360) 385-9400 ALWAYS WORKING FOR A SAFER AND MAIN: (360)385-9444 FAX: (360)385-9401 HEALTHIER COMMUNITY FAX: (360) 379-4487 • Comparisons of DOH Home Visitations Data Report Information with newer data DOH are the original data presented in the Home Visitations Data Report; newest are data as new as 2010 using the same definitions as DOH. Preterm Low Birth Wt Infant Mortality Late/noPNC Teen Births Clallam DOH 81 © s4 4 , t,3 5 ' ' 13 4; a.�a'v6 �^°ceA a � �L ham a Ri „,, ,y, a" ,..�' d r ; e ,g,+o-"' *:, . 'e'} 3, Jefferson OH 'xa a,o8.5 i s 5.3 -_'� 5. �, t '.> /� i � ��"� h� J,.,> ra`^. t"�„ , � $ i} x '"j, �. W A � ur o z �w . data time DOH 2006 08 2006 08 2002-08 2006-08 2-000046--0108 004 08 periods newest 2008-10 2008 10 2004 10 2008-1° 2006 10 1614 =_Clallam DOH o 12 o Clallam newest • o 8 �. Jefferson DOH � e` 0_ 6 aJefferson newest ,c?,) g ,."';': ,:ii 2 it WA DOH „,,3 „,,,1 1.„..; i.,,,,..„, ,,,,:x: ..,,, i c2 4 7,41 i 1 ■WA newest Preterm Low Birth Wt Infant Late/noPNC Teen Births Mortality Red circles highlight 4 apparent trends in Clallam County where rates are not dropping as they are in Jefferson and WA State For 3 indicators, Clallam rates are up, for the 4th, the Clallam rate is only down slightly. Sources: Prior to 2010:WA Dept.of Health,Center for Health Statistics,Birth Certificate or Death Certificate Database,Accessed in CHAT 0 2010:Kitsap County Health District Vital Statistics Databases,from WA Dept of Health,Center for Health Statistics. 2010 denominator for teen birth rate from US Census 2010. Prepared by:Siri Kushner 7-Nov-11 • • Jefferson County Board of.1 fealth OCdBusiness .agenda Item # 117, 3 • Smile .�vlo6ile, SIC November 17, 2011 it Affordable Dental Care for Local Children , .,., ,, .s, 4,,, ,, k ,,0 :..0,.....,,w.v—*--zit., 444 a'd4. Ap. " 7th ' v' k �,„' 40 ,g•i' � \ .: ' 4;4 *' 4$4 o .,,, , ‘,„,,,...,..„ �N .... CDontal caret ,_ for needy it rn ikiMobjicr Jefferson.Co. Public Health � �{,�, , partnered with the WA Stade ' "�""' "'lll Dental Foundation Smile .. e to address the need altaorit# ll�rvil ►5 for local dental services for c - without dental in- ll i l, ranee • h DSHS dNov,11, ental . „ _ ei The Smile ., �a ,, �, cum Hig ool From October ,, go n1 l0 er 1 o . lnlnta� t 1A fr n Dart/1 ts.llitVr Ff 9 d �., `r11u0111 sorwoo 49$Hiht4+pllll0 II ,a r*1$ wttl►pr�i kla � i- (I 1� 4r«,r'n 144111444, More 1 fo w< a �liib +rr�tlr M�Irtlalw, t*tT I t { hy n wllnl+std«t # d ► d dural wl divnttHink 6 lin r nr lucid vol.tu*Wur d+irntal olon is +tt nt11t1i r!et lvisit.*rl itt .onch c nuowill w , . al ctH4Lrn4 !»a , r 1 . �a iE e jd'1 TApCrtreponrgi! t' Yat rbAfll i 4,10°441:1T r Atn during Ett1t uPkir, 64AdMlln 04001,1024140Irl i:0 Plitt' HST - ptoti FORA SAFER AND K.Obermeyer Nov 2011 WIC Outreach efforts a success. • Outreach efforts that began in July 2011 yield an increase in WIC service to under-served vulnerable population. Jefferson Co. WA WIC 2012 participation 540 520 500 480 460 440 420 400 - 380 360 340 —•—Port Townsend WIC 320 300 280 . 111•-Chimacum WIC 260 240 220 —Quilcene WIC 200 180 160 --Total WIC 140 participation 120 - • 100 - 80 July 2011 60 *Outreach started 40 J.._ — 20 *Chimacum clinic 0 added 2nd day of c _or — v a ,, service per month ,Q) g n f6 0 L5), *Quilcene decreased to 2 days of service/ WIC is a nutrition program that helps pregnant women, new mothers, &young children eat well, learn about nutrition and stay healthy.WIC is the "Federal Special Supplemental Nutrition Program for Women, Infants and Children." funded by the USDA. WIC provides: *Health screening *Nutrition and health education *Breastfeeding promotion and support *Referrals to other services and *Checks for nutritious foods Increased participation means increase food resources for local families with limited resources and increased education and referrals. Jefferson county grocers cash $306,633 in WIC checks. • Local farmers market checks distributed totaled $2,172 PUBLIC HEALTH K.Obermeyer Nov 2011 �`WHQ f01tjp�j • Jeffco unduplicated WIC participation 900 800 700 600 500 400 300 Jeffco unduplicated part. 200 100 0 IIIIIIIIIII O. c* 61' 61' OP` Oh OHO 01 O`6 O°) N'Qi • • • Jefferson County Board of aCealth Netiv Business & Informationalltems .agenda Item # 17, 1 Proposed Environmental Health, • dee Schedule (Tubtic .fearing December) November 17, 2011 • Jtr-rtKJUN L.UUN I T 1-'U13L1l,MAL I hi ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH 2011 FEES 2012 Additional Fees and Other Information Proposed (CPIW 3.9%) GENERAL-P,Z - t, .. . .... /" q' r ,? ," . 7` e" . '5, " z-,;*- , .. Ith Officer Administrative Hearing 287.00 298.00 inistrative Hearing Appeal 287.00 298.00 chnical Assistance/Plan Review-Minimum 65.00 65.00 Technical Assistance/Plan Review-Per Hour 65.00 65.00` _ Filing Fee 49.00 51.00 ONSITEjSEWAGE DISPOSAL " .. /.,. ..., Sewage Disposal Permits New Conventional 520.00 540.00 Valid for 3 years New Alternative 620,00 644.00 Valid for 3 years New septic tank and/or pump chamber only 247.00 257.00 Issued in conjunction with an existing sewage disposal New Community or>1000 G.P.D.(base fee) 520.00 540.00 Plus$85 per connection-valid for 3 yrs New Commercial>1000 G.P.D. Conventional 620.00 644.00 Valid for 3years Alternative 663.00 689.00 Valid for 3 years Repair/Upg_rade/Modification/Designate Reserve Area 115.00 119.00 Applies to existing installed sewage disposal system Expansion 387.00 403.00 Redesign 115.00 119.00 Applies to pending or active but not installed Reinspection 144.00 149.00 Evaluation of Existing System/Monitoring Inspection Septic system only - 287.00 298.00 Septic system plus water sample 298.00 310.00 Retest/Reinspection 100.00 104.00 On Site Sewage OnSite-Site Plan Advanced Approval Determination(SPAAD) 287.00 298.00 Septic Permit with SPAAD(conventional) 280.00 291.00 _ Septic Permit with SPAAD(alternative) 388.00 403.00 Subdivision Review Base Fee 372.00 386.00 Plus$76.00 Per Lot Boundary line adjustment review fee 146.00 152.00 Plus$76.00 Per Lot; ENVIRONMENTAL HEALTH 2011 FEES 2012 Additional Fees and Other Information Proposed (CPIW 3.9%) Temporary Permits Single Events _ Limited Menu Initial Application(First Event) 98.00 102.00 Not to exceed 21 days at your location • Additional Events(Same Menu) 15.00 16.00 Not to exceed 21 days at your location Additional Events(Different Menu) 98.00 102.00 Not to exceed 21 days at your location Complex Menu Initial Application(First Event) 130.00 135.00 Not to exceed 21 days at your location Additional Events(Same Menu) 15.00 16.00 Not to exceed 21 days at your location Additional Events(Different Menu) 130.00 135.00 Not to exceed 21 days at your location Organized Recurring Events(e.g.Farmers Markets) - Limited Menu . - Initial Application(First Event) 98.00 102.00 Not to exceed 3 days a week Additional Events(Same Menu) 15.00 16.6p Not to exceed 3 days a week Additional Events(Different Menu) 98.00 102.00 Not to exceed3 days a week Complex Menu Initial Application(First Event) 130.00 \135.00 Not to exceed 3'days a week Additional Events(Same Menu) 1,5.00 ^116.00 Not to exceed 3 4ays a week Additional Events(Different Menu) 130'p0 f35.00 Not to exceed 3 days a week +50 °of fee` +50%of fee`., Additional(Paid wffen application is submitted less than 7 Late Fee for Temporary Permits ',` \` days prior to the event) Other Food Fees Waiver \ , 37.00 �\ 39.00 Plan Review Pre-opening Inspection' � \\, ^� • 65.00 65.00 Per Hour Minimum \ \ i 65.00 65.00 Per Hour , \' \ i 65.00 65.00 Reinspection ) '\ First Inspection `\ 87.00 90.00 Each inspection after first \ / 149.00 155.00 Reopening Fee 65.00 65.00 Per Hour Food Handler Card \- 10.00 10.00 Reissue Unexpired Food Handler Card 10.00 10.00 Managers Course211 00 219.00 SOLIP WASTE': a s�` -'.11,..,-- .7-00,„'r .".ti. . 4 'ha„ ;',---1:--44,-,,"*":„.":„. k.r,„, ,; 'PA 4 ,..-.-.: .." :?1 -I,'-'*.44,-:4, '1:47i',6,;-v: rr Q''',,, :',',";',',- Landfills :,a'<Landfills requiring environmental monitoring 508.00 528.00 Inert Landfills 322.00 335.00 Biosolid Utilization 446.00 464.00 Other Solid Waste Facility Permits 322.00 335.00 S Drop Boxes 149.00 155.00 New Facility Application 409.00 425.00 Plan Review 65.00 65.00 Per Hour NVATEik 1: a' .:- xI, ,'k v '.r Ni I;•, ,"*---.2j, rsP .- 7:1,06v."-', '"i'g.".'. t, ."ti,,.f ,r. .t, .,: „y ; -, r, 149.00 155.00 Inspection of well construction,decommission& Application Feereconstruction _ Determination of Adequate Water Supply 62.00 64.00 Building Permit Process Well Inspection&Water Sample for Loan 130.00 NEW FEE TO CAPTURE COSTS OF SERVICE Well Site Inspection-Proposed public water supply 298.00 309.00 LIVING ENVIRONMENTS:(Annual Permit). ..--,."'-',,V,:.,,,,, -;,',141.f, -..„,-,,,,,,,W2?-,:. fir,..., ,. 0.,, . 'V',,,-, 40 Pool _ 273.00 283.00 Spa 273.00 283.00 Pool/Spa Combined 372.00 387,00 Plan Review 65.00 65.00 Per Hour Compliance Enforcement 65.00 65.00 Per Hour Reinspection 73.00 76.00 Rebuttal Application 146.00 152.00 Note: 2012 Fees have been adjusted per Ordinance 12-1209-96,Section 4-Annual Fee Indexing:Fixed amount fees established by this ordinance shall be adjusted annually on the first business day of January (Adjusted Date)by the amount of the increase in the Consumer Price Index(CPIW). The CPIW is the Consumer Price Index-US City Average for At Urban Wage Earners and Clerical Workers,published by the Bureau of Labor Statistics for the United States Department of Labor. The annual fee adjustment shall be calculated as follows: each fee in effect immediately prior to the Adjustment Date will be increased by the percentage increase in the CPIW as reported for the month of September preceding the Adjustment Date. Increases will be rounded to the nearest dollar. A fee shall not be reduced by reason of such calculation. However,fee increases in accordance with this calculation shall not exceed 5 percent per year. • 2 of 2 11/10/2011 12:48 PM • Jefferson County Board of Cealth Netiv Business & Informational Items .agenda Item # 17, 2 Substance Abuse Prevention • Redesign Initiative November 17, 2011 • Jefferson County Prevention Redesign Initiative 1 lit _ a1 a it 1!, ! 111 ! e .. A ',u` A 1 111 1 i r `'"'ii X(11 1111 OW r 1 y 1 . t 1 RI 4.4g 1 'Washington.a State _ "` ".• ''n- P/loto by Tyler Johnson_ Division of Behavioral Health and Recovery - - - - - _ PORT TOWNSEND, WASHINGTON ;, Prevention Redesign Initiative Port Townsend is one of 19 communities statewide selected to receive support ,de- to focus on keeping youth, young adults and others free of alcohol and other drug misuse, while creating healthier communities. The program is called Prevention Jefferson County Redesign Initiative (PRI). It is a collaboration between Olympic Educational Community Network Service District 114, Port Townsend School District, Jefferson County Public Health and the Jefferson County Community Network. It is funded by the state "Working together to help Department of Social and Health Services' Division of Behavioral Health and children,youth and Recovery (DBHR). Jefferson CountyCommunityNetwork will facilitate the families succeed." program through a PRI work group. 615 Sheridan Street Port Townsend,WA 98368 The Jefferson County Community Network (JCCN) is a prevention • www.ieffcocommunitvnetwork.orq advocacy organization that brings parents, schools, agencies, and community groups together to work on preventing youth substance abuse and Prevention Redesign child abuse/neglect. The JCCN is part of the Family Policy Council, a DSHS Community Coordinator agency that focuses on social issues at the local level. The JCCN is also - , -- Jefferson County's policy board for the Washington State Community Mobilization I program. The Community Network is governed by a policy board consisting of citizen volunteers and representatives from local agencies. Ire t ft 1 ` - 'l, ., 4 Communities That Care Trainings Port Townsend was exclusively chosen to receive training by Communities That Kelly Matlock Care, a University of Washington evidence-based prevention-planning system. Jefferson County The 6-month training will assist the community and the PRI work group in Public Health identifying the highest prevention needs in Port Townsend, creating a strategic 615 Sheridan Street Port Townsend, WA 98368 work plan and implementing evidence-based strategies. The process will also (360) 379-4476 focus on leveraging local resources and evaluating the impact of the plan created. kmatlockCa)co.jefferson.wa.us www.ieffersoncountypublichealth.orq Key Leaders from the Port Townsend community are invited to attend a meeting on Thursday, January 26, 2012. If you are interested in participating in this Kelly has worked in substance abuse training and comprehensive process, please contact: treatment for 21 years,and for the last Kelly Matlock at 360-379-4476 or kmatlock(a,co.jefferson.wa.us or Ofive years has worked in substance Anne Dean at 360-379-4495 or adean anjeffcocommunitynetwork.orq. use prevention. Her skills include ,:ommunity mobilization,coalition building,capacity building and direct We work to promote healthy children, service delivery. healthy families and a healthy community. Version: 2011-11-10 Other PRI Contacts Community Profile for Port Townsend, WA Jefferson County Highlights of Local Problems General Statistics: ó Community Network Port Townsend High School is a small Community: Port Townsend rural school with limited school and Population: 9055 community resources. Some of the Zoning: Rural • categories where Jefferson Co. youth Ethnic Diversity: I: 'f reported higher use rates than the White 96.8% State in the 2010 Healthy Youth African American 0.3% Vit` ,. American Indian Survey are: ° ii_ and Alaska Native 0.5% 8th grade Jeff. Co. WA Asian 0.8% Anne Dean 30 day marijuana use 13.2% 9.2% One or more race 1.7% (360) 379-4495 30 day illegal drug use 13.3% 9.7% Median Household Income: adean(�ieffcocommunitvnmmunitvnetwork.orq $40,224 10th grade Coalition Founded: 1994 Olympic Educational 30 day alcohol use 36.7%° 27.5% Service District 114 30 marijuana use 34/° 19.9% Prevention/Intervention Specialist Believe there is no harm What is the TRUE COST of from marijuana use 39.5% 8.4% SUBSTANCE ABUSE? Student perception that In 2010 the Jefferson Co. Substance j regular alcohol Abuse Advisory Board did a r-,,. . use is not wrong 30.4% 18.4% comprehensive review and report of i. _ iipublic funding spent on the direct and indirect costs associated with . d substance abuse in Jefferson Co. for • Barbara Hansen Current Prevention Programs 200T The report was modeled on a study completed by Columbia Port Townsend High School (Evidence-Based) University's Center of Alcohol and 1500 Van Ness Street Substance Abuse(CASA). The cost Port Townsend, WA 98368 County Middle Schools was estimated at over$17 million. (360) 379-4520 Protecting You/Protecting Me This means that in Jefferson County . bhansenptsd50.orq Project Alert the cost of substance abuse to Port Townsend High School every man, woman and child was County Contact & Project Success approximately$600(in 2007). JCCN Board Member To learn more go to: , www.ieffcocommunitynetwork.org/truecost ,• JCCN Board Members Cynthia Koan Angel Duerst Anji Scalf Barbara Carr Bruce Marston Carla Montgomery Julia Danskin Carrie Ehrhardt Catharine Robinson Conner Daily Jefferson County Jim Funaro Julia Danskin Kate Pike Public Health Louise Huntingford Tod Wakefield 615 Sheridan Street Port Townsend, WA 98368 To learn more about the JCCN, please visit www.jeffcocommunitvnetwork.orq (360) 379-4476 jdanskin(a co.iefferson.wa.usNk.,... * _ ,F PRI & CTC also sponsored by W�inIngton starrJefferson County's 71 r Department or social A` " Our Kids: Our Business"Campaign 11 1 &Health Semites IDBHRDivision ofBehavioral Our "No one person can do everything, Health and Recovery Kids: but everyone can do something, Version 2011-11-6 Our Business and together we can change for the better." • Jefferson County Board of iCealth Netiv Business & Informational Items Agenda Item # 'V, 3 temporary Joocf • Service Report November 17, 2011 • o^ r`= JEFFERSON COUNTY PUBLIC HEALTH �< r 615 Sheridan Street • Port Townsend •Washington • 98368 www.jeffersoncountypublichealth.org • Dear Event Coordinator, Multiple thousands of people in our community and tourists from around the country and world are served food from temporary food vendors during many of our county's public festivals and events. A food borne illness outbreak from improperly handled food could essentially affect multiple thousands of people. Jefferson County Public Health's (JCPH) role is to standardize food vendors by assisting with the interpretation and subsequent implementation of the Washington Administrative Code (WAC) regarding safe and proper food handling. JCPH is eager to work with event coordinators regarding requirements for food vendors per WAC with the intention that future event seasons will be straightforward for food vendors, event coordinators and JCPH staff Temporary Food Service (TFS)permits are required for any vendor serving (for free or purchase) food that must be prepared, assembled, cooked, and/or temperature held. Some examples of foods not requiring permit are pre-packaged foods like candy bars, chips, and soda pop sold in their original commercially produced packaging. TFS permit • applications must be filed and fees submitted 7 days prior to the event or a late fee will be charged. While there are many requirements surrounding TFS events outlined in our guidelines document (enclosed), there are additional, specific requirements that involve multiple day events. These specific requirements must be addressed prior to next year's events and include: I °A three compartment sink must be available within 200 feet of all food vendors. The three compartment sink;must have drain boards and an adequate supply of hot and cold running water. 2. A separate vegetable sink must be available for food vendors who wish to prepare, cut or chop food items on site. In most cases, JCPH requires all food preparation to be done in advance at an approved commissary. Some vendors request prepping food on site. If you wish for vendors to be able to prepare, cut, or chop on site, you must provide a vegetable sink for food vendors. 3. Restrooms must be made available to food vendors within 200 feet of their booth. Hand washing must be available at ALL restrooms for food vendors and the public. Hand washing must include warm running water, soap and single use paper towels. • COMMUNITY HEALTHENVIRONMENTAL HEALTH DEVELOPMENTAL DISABILITIES LIHEALTHWATER QUALITY MAIN: (360)385-9400 ALWAYS WORKING FOR A SAFER AND MAIN: (360) 385-9444 FAX: (360)385-9401 HEALTHIER COMMUNITY FAX: (360) 379-4487 4. Access to an approved potable water source, waste water disposal and garbage facilities is required for most food vendors. One suggestion for achieving these requirements would be to have a 3 compartment sink, vegetable sink, and hand sink in a centralized kiosk available to all food vendors. This kiosk could also effectively serve as the potable water source, waste water disposal and garbage disposal if it was well organized and arranged resourcefully. All of the facilities would be required to be maintained and cleaned prior to events as well as during and after events. It may be in everyone's best interest if event coordinators require food vendors to submit a current temporary food service permit with their application BEFORE they are approved as a food vendor at your event. JCPH staff would be willing to work with event coordinators by providing necessary applications, requirements and guidance. We appreciate your assistance. Please contact us with any questions or concerns. We look forward to another great season of food and fun in 2012. Sincerely, Alison Petty, R.S. Jefferson County Public Health • (360) 379-4491 Enclosure COMMUNITY HEALTH PUBLIC HEALTH ENVIRONMENTAL HWATER QUALITY • DEVELOPMENTAL DISABILITIES ALL'A`SS WORKING FOR A SAFER AND MAIN: 360385-9444 FAX: 3600385-9385-94011 MAIN: 360385-9400HEALTHIER COMMUNITY FAX: 3603794487 • Jefferson County Board of HeaCth Netiv Business & Informational ltems .agenda Item # PV, 4 Letter to Cesiglature • November 17, 2011 • JEFFERSON COUNTY BOARD OF HEALTH • November 17, 2011 Rep. Steve Tharinger P.O. Box 4600 Olympia, WA 98504-0600 Dear Representative Tharinger: As Jefferson County's Board of Health, we have been entrusted with a broad range of responsibilities to preserve and protect the health of those who reside within our jurisdiction. In addition to the direct oversight of public health services provided by Jefferson County Public Health, we are also very concerned about access of our citizens to other needed health services such as mental health care, substance abuse treatment, and medical care services. As you are well aware, Washington State is facing a severe and ongoing budget crisis. Significant cuts have already been made in core public services during the past three legislative sessions. Now the Governor and Legislature are faced with the prospect of an almost 2 billion dollars in less than anticipated revenue for the current biennium. Governor Gregoire has submitted a series of proposed funding cuts to address Washington State's revenue shortfall. The potential community impacts of these proposed cuts is alarming—major reductions in state • public health funding, ending the Basic Health plan for the working poor, severe cuts in substance abuse treatment programs, ending all Medicaid coverage of pharmacy benefits, and drastically reducing payments to Critical Access Hospitals. In addition to the loss of matching federal funds that most of these budget cuts involve, their adoption would ultimately fail to solve the budget crisis. Communicable diseases, substance abuse, the pharmaceutical needs of Medicaid enrollees, and the medical care needs of rural populations will not go away. Delayed care is almost always more expensive care. What the state "saves" in short-term funding reduction, will be quickly offset by the costly consequences of those short sighted decisions. We, the undersigned members of the Jefferson County Board of Health, strongly urge the Washington State Legislature to resist the politically expedient rush to an "all cuts" budget. Responsible governance requires a balanced approach of cutbacks in non-essential governmental services combined with a renewed effort to increase revenues to cover the continuation of critical governmental services. Public health funding is a shared responsibility of state and local government. Two funding streams, known as MVET Backfill and 5930 (aka "Blue Ribbon Commission"), represent a substantial share of the State's responsibility to meet. Local health departments have already undergone dramatic funding cuts for the past three budget cycles. The lack of a dedicated, sustainable, and flexible funding source of essential public health services has already forced the Board Members Kristen Nelson,Chair,Port Townsend City Council, Phil Johnson, Vice-Chair,County Commissioner District#1, • David Sullivan,County Commissioner,District#2, John Austin,County Commissioner, Jill Buhler Hospital Commissioner, Sheila Westerman,Chair,Citizen at large(Cit),', Roberta Frissell,Citizen at large(County) 615 Sheridan • Castle Hill Center• Port Townsend • WA • 98368 (360)385-9400 discontinuation of a number of core public health services. Further cuts to the already greatly • reduced state funding for local public health will have dire consequences for the remaining services and departments by further reducing their expert staff. We strongly urge you, as our elected representative,to take a balanced approach to closing Washington State's current budget gap. This will require the difficult decisions regarding additional service cuts coupled with revenue increases to preserve essential services. In the longer run, we urge the Legislature to create a dedicated, sustainable funding source to support essential public health services. Sincerely, Jefferson County Board of Health • Board Members Kristen Nelson,Chair,Port Townsend City Council, Phil Johnson, Vice-Chair,County Commissioner District#1. David Sullivan,County Commissioner,District#2, John Austin,County Commissioner, Jill Buhler,Hospital Commissioner, • Sheila Westerman,Chair,Citizen at large(Cit)v, Roberta Frissell,Citizen at large(Count) 615 Sheridan • Castle Hill Center• Port Townsend• WA • 98368 (360)385-9400 • Jefferson County Board of aCeaCth Nleclia Report • November 17, 2011 • • Jefferson County Public Health October/November 2011 NEWS ARTICLES i. "Flu vaccines available," Port Townsend Leader, October 19th, 2011. "Girls' Night Out," Port Townsend Leader, October 19th, 2011. 2. 3. "Privacy breach notice a matter of procedure," Port Townsend Leader, October 19th, 2011. Peninsula Daily News, October 23`d, 2011. 4. "Lake closed a week early," » Port Townsend Leader, October 26th, 2011. 5. "Police to take back prescription drugs, 6. "Luncheon Speakers — Nov. 7 — Employing disabled panel," Port Townsend Leader, October 26th, 2011/Jefferson County Chamber of Commerce, November 2011. 7. "Mobile visits from e enMonday," lnsula Daily e ws, �b er ? 011. g_ "Dental care for neYat Sm IeMoblePensula Daily NewsOctober • • . . • nes availableFlu vaca , Flu season is coming,but ics accept Medicare, private Medicaid accepted for clients Jefferson County residents insurance and cash.Vaccines ages 19 and older. Flu shots can take comfort in knowing are$25. $30. High-dose flu shots, that the flu vaccine is avail- $57. Pneumonia vaccine also OTHER MEDICAL FACILITIES: available.Clients must be at able to tuse vaccines Madrona Hill Urgent least 8.years old. Because orhe only pro- Care: 9 a.m.-7 p.m.,Monday State supplied vaccines tett people for the current Monday- Friday, and 9 a.m.-4 m. State-su lied children's season, it's important to get Y� P• pp vaccinated every year,health Saturday. 2500 Sims Way, flu vaccines are now recom- Port Townsend. Vaccine mended for all children ages officials say. Practicing good hygiene available for clients ages 3 6 months through 18 years years and older. Flu shots, old. Children's vaccines are habits, such as washing hands, covering coughs and $30. Medicare will be billed; available at the following staying home when sick,will bring Medicare card.All oth- clinics.Call your provider for help prevent the spread of ers must pay cash. an appointment. sickness,including flu. QFC Hadlock Pharmacy: Jefferson Medical & Flu vaccine clinics cur- 1890 Irondale Road, Port Pediatric Group:382-4848 rently scheduled in Jefferson Hadlock. Walk-ins welcome. Jefferson Healthcare County include: . Medicare, Medicaid and Primary Care:379-8031 Jefferson Healthcare insurance billed;bring cards. Jefferson Healthcare Family Medicine: 9 a.m.- Flu shots, $25. Pneumonia Family Medicine:385-3500 noon,Oct.22, 1010 Sheridan shots,$70.Clients must be at South County Medical St.,Suite 101,Port Townsend. least 11 years old. Clinic: 294843 Highway 101, Jefferson Healthcare Safeway Pharmacy: Quilcene,765-3111 Primary Care: 9 a.m.-noon, 10 a.m.-1 p.m. and 2-4 Jefferson County Public Oct. 29 and Oct. 29. 915 p.m., Mondays through Health: Walk-in clinics, 1-4 • Sheridan St. Fridays. 442 Sims Way, Port p.m. every Tuesday and Jefferson Medical & Townsend. No appointment Thursday. 615 Sheridan St., Pediatric Group:9 a.m.-noon, necessary for vaccinations. Port Townsend. No appoint- Nov.5.915 Sheridan St. .Medicare and most insur- ment necessary. Call 385- Jefferson Healthcare clip- ances billed; bring card. 9400. • PT (eCLL efi' /' '). / Girls' Night Out Port Townsend Main Street's "Girls' Night Out" on Oct. 6 drew a big crowd. . Nearly all of the 500 goodie bags were sold. and about 100 women came to the "Wrap-Up" Party at Alchemy Bistro and Wine Bar to continue the fun, graze on appetizers and win raffle prizes. The winner of dinner for two at the Fireside Restaurant and an overnight stay at the Resort at Port Ludlow,valued at$400,was local resident Tina Holeman, a cancer survivor. Winners of the "Unleash Your Inner Leopard Gift Baskets," val- ued at $160 each, included Port Townsend residents Jan Burr and Christy Spencer. Melanie Bozak and Paula Dowdle won door prizes for their leopard attire. This year's goodie bags and raffle ticket sales raised $6,395.42 to ben- efit the Jefferson County Public Health Department's Breast and Cervical Cancer Program (BCHP) and the • Port Townsend Main Street Program. The Mad Hatter, William's Gallery and Sport Townsend raised extra funds for the BCHP. /6)/;i//, • ac reach notice Prw _ y of a matter prodecure By Lauren Satcedo of the Leader took laptop notes tandon a then personal of he breach, public but Leadto infom .noe Jeffersonork has come rward o report MentalbeenHealth vid- computer..m to her Although wthe any other poroblemstwi h the jagvevesr hashi been p ing every high school and notes were transferred to a system. The staff member some middle schools in the e secured computer, the atrver n tthale work who pol- being retrained ned d inpolicy is order to county with counseling vices free to the students. icy violation was that the prevent future problems. In April 2011, a breach notes existed on a personal convenientSince laptops t are eamore of privacy was discovered laptop at all. during a routine review of "It we were required to edng skinpscompletely,JMHS s invest- that secure procedures. "It wasn't considered report, we just want to work laptops for employees, malicious at all," said make sure that we are he said. JMHS executive director taking every precaution to "We provide an avenue Sam Markow. "It was basi- protect the personal infor- for kids to talk to someone tally a staff member not mation of students who they trust," Markow said. rocedure." use our services," Markow "So we are just reminding following p A mental health servic- said. employees of the policy, in es staff member aHigh School publishedOct n.legal n12 in the of o • was orer to studentsotect the privacy at Chimacum Hig • • jam/ .�1 ��;C - .+r ' - Yuen, = Y , :-,..T14"4 ke ..---:..e early a� za ,Dangerous toxin :..,,„:„1„,,t..,,,,,,a.: Y • i level in water again Wi >,e C i s y 4 BY LEAH LEACH � k °'"".17,47''''''W..",''•'.,;' - c r +hc r .:. �,..4. ,tea�� -��rr � �2�.=•€ ���'�`s �.f'�y- PKNI!�SU A DAILY NEWS 1t*` � �a., 4 V. j - "''.4's r'� K r.'''",441‘,.;`;.'!0-i.44.2 ...1` s c#-a `V C , �`{ ��,.. � aqx" ,� Ax ;h a,Y Anderson Lake was closed to fishing, �s ai. y}.rte ,x .if 3 y .i* , boating and swimming Friday,alittle -,,,, ,.-.W11,.7.;, rt- r 'x f- .lam ' more than a week before it would have0 "`-'~N-- .••.w F ,. -1 been closed for the season. xr,'�` �. The level of a fast-acting nene toxin :1r4., � , ' � w�+ "' r `. 0 x '� ;, shot up,according to the latest results of A: °� -Gf r 7 i,, tests of water samples from the lake,said gli , x a { Greg Thomason Jefferson County envi- ".,? {{-' ._ �", i k ..-4, r '" �- ^s it ji '• ronmental health specialist. A.: . -? The toxin,anatoxin-a,was recorded at ,� A - •�s- ,gA X �� a level of 6.58 micrograms per liter.The f r gib'*- .� -ii f recreational safety threshold for ana- e rn m F fit#:- .5„i �q s.:i. ,-V,. "� toxin-a is 1 microgram per liter. '- .gip ice'hY 5 VF4-F4-IA'zAiS _rs h s p- , �,r" a. Frau*.� ccr��..t... ' t`�$,„,,,-.K` s. .•.s'" .G',-* 'r",'`_' Thomason recommended to Mike Zim _,�,,, sb , �,&`, .� ... -4.. 1 rT i _?+Y`w idtf a'�.,r: w''..w... ?I.*ti✓n'"'�s �4>"-'.1+-ac'. :*- x ,;i .-..^ z.."4 merman,Anderson Lake State Park manager,that the lake be either posted CHARLIE BF:H1L\7/Pc:\! >Ct-;DAILY\ ,p with a warning sign or closed. Barriers posted at Anderson Lake are shown at midday Saturday. Park to close Nov.i lake sampled in East Jefferson County Anderson Lake State Park,which is "At this time,it's probably best to close last week that showed a level of algae- around the lake,has never been closed to it rather than put up a warning sign," created toxin—either anatoxin-a or the recreation. said Zimmerman,"since the park itself liver toxin microcystin—above safe lev- Toxins are created by certain species closes for the season on the first of els,Thomason said. of blue-green algae. November. This is the second closure of the lake The growth of the algae is thought to "We don't want to have to continue to prompted by toxins this year. be fueled by warm,sunny weather when change the signage on the lake,"he Anderson Lakhautg e hadbeen closed sine reopened sufficient nutrients,such as phosphates. Aug. added. are present. Anderson Lake,which is within a June 10 because of high levels of aria- state park near Chimacum,was the only toxin-a. Tur.:TO LA.KEJA5 II Lake: Warm fall possibility Next check in March _ C0WnINUED FROM Al , Anderson LalkeIWoirt' be': But researchers don't Anatoxin-a,a neurotoxin ciallyheavy at Crocker ' March or again�until late Y March or early April,Zim- understand why some spe- that acts quickly and that Lake,which is off U.S.High- merman said. cies of blue-green algae will can be fatal,was also found way 101 near the intersec- After the winter closure begin to produce toxins,nor in high levels—in the hun- tion with state Highway that begins Nov. 1,the lake what drives increases in the dreds of micrograms per 104. is expected to be reopened amount of toxins. liter — in Kitsap Lake in "It's as heavy a bloom as at the beginning of the fish- Bremerton and Lake Spo- anything we've seen in ing season the last Satur- A surprise kane,Thomason said. Anderson,"Thomason said. day of April—if toxin levels The resurgence of toxins "Anderson was not the "This is the first time are below the safety thresh- this late in the year was a only one,"he said. we've seen this kind of old. "There's been a late bloom in Crocker.' Information about Jeff- surprise. bloom of algae around Seat- Gibbs Lake south of Port erson County lakegualit is This is the latest we've tle° Townsend also contains a posted at http:/ltinyurl. seen anatoxin-a come back," Thomason said. heavy bloom,while that at comI6z64bry. The cause is open to Heavy algae blooms Lake Leland north of Quil- To report blooms in Jeff- speculation. Although the levels of cene is.lighter. erson County, phone 360- When King County both anatoxin-a and micro- Overall,"it's been a bad 385-9444. Environmental Labs cystin,a slower-acting liver year for toxic algae blooms," Clallam County lakes, returned the results of toxin,were below the safety Thomason said. most of which are deep and water samples,it noted that threshold in Leland, Gibbs "They're hanging on late relatively free of algae,are the area has experienced a, and Crocker lakes, caution for some reason." not tested for toxins. IIIwarm fall with a•lot of signs remain posted at all To report algae blooms sunny days,Thomason said. three lakes because of algae in Clallam County, phone That"probably accounts blooms. 360-417-2258. for the algae doing their The algae bloom is espe- . • thing a little later than nor- Managing Editor/News Leah mal,"he said. Leach can be reached al 360-417- 3531 or leah.leach@peninsula � // dailynews.com. /L)/7-)/1/ / C2/2.3/// health the following items not be brought in for disposal: IV tn solutions, syringes; medical Police to take back operated by the DEA and waste,syringes with liquids, more than 3,000 state and old crutches, air casts and prescPtptiOn drugs local law enforcement part splints. The Port Townsend Police ners. Department and the Drug According to the 2010 Enforcement Administration Washington Healthy Youth (DEA) plan to take back Survey, about one in 10 potentially dangerous, expi- Jefferson County eighth-gra • - red, unused and unwanted ders and one in five Jefferson prescription 'drugs from 10 County 10th-graders repor- a.m. to 2 p.m. on Saturday, ted using a pain killer to get Oct.29. high at least once (based on Bring medications for dis- reporting a location where posal to Safeway, 442 W. they had gotten pain killers). Sims Way, Port Townsend. The Healthy Youth The service is free and anon- Survey also reports that 8 ymous. percent of students in grades Last April, Americans 10 and 12 used a prescrip- - turned in 376,593 pounds tion pain medication to get — 188 tons — of prescription high in the past 30 days. drugs at nearly 5,400 sites Authorities request that • • i,r e&y- G, e, LUNCHEON SPEAKERS • Jefferson County Chamber of Commerce luncheon meetings are held at the Port Townsend Elks Lodge, 555 Otto St,at noon each Monday,federal holidays • excluded.Everyone is welcome! Nov.7-Employing disabled panel A panel of employment specialists wills eaktothebenefitsofhirin9 people le (...f.77 p P :, .%,�y with disabilities.The panel will include: r. Anna McEnery, DD Coordinator from the Jefferson County Developmental 14, C,_y .t Disabilities Program, Cheryl Spector, Job Developer from Concerned Citizens, Gary Novak, Case Manager from McEnery Jefferson Mental Health, Iris Wehrle, Vocational Rehabilitation Counselor from the Division of Vocational Rehabilitation, Paul Vertrees, DVR Vocational Supervisor from the Division of Vocational Rehabilitation, and Lisa Falcone, Program Manager from Skookum. Ajax Café is the sponsor. Nov.14-Shelly Randall Shelly Randall reports on the ` • diverse sustainability initiatives in Jefferson County that are drawing regional and national attention.She is a fir_': communications consultant and blogs at SustainableTogether.com. Randall Nov.21-Judith Alexander • Judith Alexander of Local 20/20 will facilitate a spedal hour-long program featuring roundtable discussions on how Jefferson County is moving toward sustainability in the areas of food,energy, waste,local investing,climate action,etc. Nov.28-Angela Bennink Angela Bennink of NoaNet will talk a ' • about broadband in rural communities and how NoaNet has worked to bridge the technology divide.Switch Tactical Marketing is the sponsor. Bennink • /-.7\ 7jfEGL /0/6,76'/� /7 Mobile visits 4p.m.Tuesday and • Wey. from dentist Follow-up treatment • appointments will be star • • s Monday scheduled on a space-avail- able basis.during the rest of the week CHIMACUM—The Medicaid and fees based Washington Dental Service on a sliding scale are Foundation SmileMobile will visit Chimacum High accepted as reimbursement for services. School,91 West Valley Road,from Monday to - day,Nov 11. The SmileMobile,a 38-foot dental clinic on wheels,provides dental care to children from low- income families who might not otherwise have access to care. The SmileMobile is sponsored by the Washing- ton Dental Service in part- nership with Seattle Chil- dren's Hospital. Children birth through high school with limited access to care can be sched- uled by phoning Jefferson County Public Health at 360-385-9400 before Mon- day. The SmileMobile is staffed by a clinic manager, dentist and dental assis- tant,and teams of local volunteer dental profes- sionals in each comms nity it visits. Examinations will be from 12:45 p.m.to 4 p.m. Monday and 8:45 a.m.to • • "fit tL'� e-'/ `7//i ,a4 Dental care on a sliding scale are • accepted as reimbursement for needy at for services. SmileMobile CHIMACUM— • Appointments;may still be possible for the Washington Dental Service Foundation . • SmileMobile at Chimacum High School,91 West Valley Road,today through Friday, Nov 11. The SmileMobile,a 38-foot dental clinic on wheels,provides dental care to children—infants to high school-age—from low-income families who might not otherwise have access to care. The SmileMobile is sponsored by the Washing- ton Dental Service in part- nership with Seattle Chil- dren's Hospital. There still may be appointments available. Phone Karen Obermeyer at Jefferson County Public Health,360-385-9400, today. The SmileMobile is staffed by a clinic manager, dentist and dental assis- tant,and teams of local vol- unteer dental professionals in each community it visits. Examinations will be from 12:45 p.m.to 4 p.m. Mondays and 8:45 a.m.to 4 p.m.Tuesdays and Wednesdays. Follow-up treatment appointments will be sched- uled on a space-available basis during the rest of the week. Medicaid and fees based /%//,