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HomeMy WebLinkAbout2013- March File Copy Jefferson County BoaracofWealth .agenda _Minutes • .arch 21, 2013 JEFFERSON COUNTY BOARD OF HEALTH • March 21, 2013 Jefferson County Public Health 615 Sheridan St. Port Townsend, WA 2:30—4:30 PM DRAFT AGENDA I. Approval of Agenda II. Approval of Minutes of January 17, 2013 Board of Health Meeting III. Old Business and Informational Items 1. Letters to Legislators: Medicaid Administrative Match and Battery Recycling 2. Governor Inslee Appoints New Secretary of Health 3. Implementation of Federal Budget Sequester—WA State Impacts 4. Healthcare Preparedness Network, 2011-2012 Annual Report i IV. New Business 1. 2012 Environmental Health Performance Measures and year end reports 2. National Public Health Week, April 1-7, 2013 3. Resolution Supporting Stable Funding for Foundational Public Health Services 4. Jefferson County Syringe Exchange Program Annual Report 2012 5. Port Townsend Municipal Water System Update 6. 2013 Washington State Food Safety Code Revisions 7. Jefferson County Public Health Infrastructure: Permit Plan and Electronic Medical Records Systems V. Activity Update VI. Public Comments VII. Agenda Planning Calendar 1. Jefferson County Board of Health 2013 Calendar VIII. Next Scheduled Meeting: April 18, 2013 • 2:30—4:30 PM Jefferson County Public Health 615 Sheridan St. Port Townsend, WA 98368 • JEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, January 17, 2013 Jefferson County Public Health, 615 Sheridan Street, Port Townsend, WA 98368 Board Members Staff Members Phil Johnson, County Commissioner District#1 Thomas Locke,MD,MPH Health Officer David Sullivan, Vice Chair, 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) Jared Keefer,Environmental Health Services Director Catharine Robinson,Port Townsend City Council Sheila Westerman, Citizen at large(City) Jill Buhler, Chair,Hospital Commissioner,District#2 Chair Johnson called the meeting of the JeffersonCounty Board of Health to order at 2:33 PM. A quorum was present. Members Present: Phil Johnson, David Sullivan, JohnAustin,Roberta Frissell, Catharine Robinson, Sheila Westerman, Jill Buil Staff Present: Thomas Locke, MD, Jea11tn Julia Dann, Cathy Avery • AP PRO,kL OF ti AA Member Austin requested that a State Board of Health update be added to Agenda Planning. Member Austin moved to approve the agenda of the January 17, 2013 BOH meeting as amended. Member Robinson seconded the motion. The motion passed unanimously ELECTION OF BOARD CHAIR AND VICE CHAIR FOR 2013 Member Westerman nominated Member Buhler as Chair of the Jefferson County Board of Health for 2013. Member Austin seconded the motion. The motion passed unanimously. Member Westerman nominated Member Sullivan as Vice Chair of the Jefferson County Board of Health for 2013. Member Austin seconded the motion. Member Austin moved to close the nominations. The motion passed unanimously. APPROVAL OF MINUTES Member Robinson requested under Activity Update the fourth paragraph be amended to read "Jean Baldwin announced Jared Keefer was awarded a fellowship from Robert Wood Johnson Foundation." Member Robinson moved to approve the minutes of the December 20, 2012 BOH meeting as amended. Member Sullivan seconded the motion. The motion • passed unanimously. 1 BOH Minutes January 17,2013 OLD BUSINESS and INFORMATIONAL ITEMS • Findings of Facts and Conclusions of Law: Port Townsend Paper Corporation Appeal of Inert Waste Landfill Permit Renewal Denial Dr. Locke discussed the Findings of Facts and Conclusions of Law relating to the appeal hearing conducted in November. A copy of the document was included in the agenda packet. Dr. Locke discussed the statutory criteria for inert waste designation and how the waste in the Port Townsend Paper landfill failed to meet these criteria. Accordingly,the inert waste landfill permit was denied and the appeal of that decision was sustained,;xHe also stated that a new limited purpose landfill permit would require the mill to res�A'oundwater monitoring and xt°.`ti'v'ri' establish a financial assurance plan to cover closure costs ,k.;:�w.; Jefferson County Public Health Help Card Julia Danskin stated that JCPH has updated and printed their Help Cards which include service resource phone numbers, warning signs, and what to do in the case of drug overdose or suspected suicide risk. The Help Cards are distributed to local business and schools to hand out. Tobacco Cessation Spending, Part Z Washington State Spending Dr. Locke updated the Board on state s'Aitifid c o preverittou spending data. He pointed out that Washington State has dropped from ® g 21 AiAbe,natioif.the amount spent on tobacco prevention to being 42`x. He also mentionhe CD > imend ,"each state spend about 10% • of their tobacco generated revenue pn preve* Mop State is currently spending 1% "ft54,.h' ,p. of its revenue. _ b 4 554 .,_' AV \\'‘, , y .. �`':�`� ESS ^,,4h EnviroStars Awards f 54 ti w& Jean Baldwin announced Da0oat Wbt1 Rain Shadow Woodworks and Washington State Ferries—Port Townsend TermV41 have all met the criteria and have been awarded EnviroStars awards. . 2012-2013 Influenza Season Update Dr. Locke updated the Board on the 2012-2013 Influenza season. Widespread influenza activity is being seen earlier than usual with predominance of the H3N2 strain, which tends to cause more severe illness. Dr. Locke stated an issue being seen is increased numbers people going to the ER with flu symptoms, so as part of the education campaign they are trying to establish criteria for when someone should and should not seek medical attention. Dr. Locke also mentioned they are seeing high levels of other seasonal respiratory viruses and that this year's influenza vaccine is a good match to the strains that are circulating. • 2 BOH Minutes January 17,2013 JCPH Department Planning for 2013-2014 Biennium • Dr. Locke discussed 3 separate articles included in the agenda packet, which address the planning efforts of local and national organizations relating to the Affordable Care Act (ACA). He stated that 2013 will be spent preparing for the full implementation of the ACA in 2014 when subsidized insurance will become available and there will be a large expansion of the Medicaid program. With these changes in health care financing, the roles and responsibilities of local health departments will be reexamined and could be fundamentally altered. Ms. Baldwin stated that one important goal is to develop a common vision for the transition process and to set up a planning process that involves all the organizations involved. 4., Washington Association of Local Public Health Official O. SALPHO) 2013 Legislative Agenda ,,4.. ,,,< �' . Dr. Locke discussed WSALPHO's top 3 priorities their 2013 LI, slative Agenda. The first priority is to focus on maintaining current flexible funding for 2013. - econdly, WSALPHO will support its partners in pursuing legislation that clarifies and provides cottslqency with regards to the prescribing and dispensing of pharmaceuticals by local health agencies:'The last item on the agenda is to pursue legislation that will allow health districts to operate as their own fiscal agent with the consent of their local board ,hhealth and county government(s). National Association of City and County Health Officials (NACCHO)Ten Things to Watch in 2013 Dr. Locke discussed the article included in the agenda packet whichkdiscusses NACCHO's 10 trends to watch in 2013. He pointed out these•trend "are being watched because they can all have an effect on public health. Dr.Locke brieflyiscussed each of the following trends which include issues such as def .it reduction, sequestration, the Fiscal Cliff, Health Reform, in ` d'role of women in Congress, EPA the Farm Bill, opposition to the ACA,the ira � `,-,:ii.. opposition gractions, Transportation Law, and waitinn or'the Food a etOvIodernization Act Regulation to be fully implemented. ��`t,l, � , ,, . i' 0.:. \ '.tik WA State Department of Health Agenaxsfor Change Action Plan,July—December 2012 Edition xi:, : Dr. Locke pointed out in the Public Health Improvement Partnership (PHIP) newsletter that there is an effort underway to define the minimum level of public health services each citizen has the right to expect. These minimum services are being referred to as "foundational public health services" and represent the fundamental duty of all levels of government to offer basic public health services. The challenge before the legislature is how to maintain those foundational services while enacting major budget cuts. Board Discussion: Goals for 2013-2014 Ms. Baldwin announced she is doing work with the staff, starting with the team leads to review the current strategic plan to better prepare for changes. Right now they are focusing on what . they do now, what is missing and what needs improvement. They will bring the change 3 BOH Minutes January 17,2013 statements back to the Board. Ms. Baldwin suggested to the Board that Jefferson, Clallam and • Kitsap Counties Boards of Health meet together at a future time to discuss how each county is handling the many changes occurring. ACTIVITY UPDATE State Board of Health Update Member Austin announced the State Board of Health has 2 new members; Dr. Thomas Pendergrass and Fran Bessermin. Member Austin watched.presentation last week on the ACA. The power point presentation is available on the State Boar . 'Health website. He was reappointed to his position will remain on the Board unti4 ° � Ms. Baldwin mentioned the Northwest Center foritlic Health Pr*Ace ce distributes postcards with yearly public health highlights, one of wl . >,ghlighted Ms. Baldwin distributed an article that details President Obams gun control legislature and aspects of the Affordable Care Act that require parity for mental`'health and substance abuse treatment. The president also talked:4b iut the cost ofjail's to local government and specifically about the cost of medical care when health insurance (both public and private) is suspended when a person is incarcerated. • PUBLIC COMMENT ;. None AGNDA PLANNING.CALENDAR Ms. Baldwin stated they will be discus,:ing drinking water changes and changes in Environmental Health. :. Member Frissell would like an update on how the onsite sewage classes are going. Member Austin moved to adjourn the January 17,2013 BOH meeting. Member Robinson seconded the motion. The motion passed unanimously. The next Board of Health meeting will be held on February 21, 2013 from 2:30—4:30 pm at Jefferson County Public Health, 615 Sheridan St., Port Townsend, WA 98368 ADJOURNMENT Chair Buhler adjourned the BOH meeting at 4:20 pm. 4 BOH Minutes January 17,2013 .. • JEFFERSON COUNTY BOARD OF HEALTH Jill Buhler, Chair David Sullivan, Vice Chair Roberta Frissell, Member Phil Johnson, Member 4'i Catharine Robinson, Member John Austin, Member { iiii ''''--k,,, Sk k. M'`ySr .. `yxa4.,.,-,,,,,-,,,,,,,,,..Sheila aWesterman, Member 3 '''''''.A*, y -...:*?0,-„,-.,,,,,,,, 1J Respectfully Submitted: 4, k i kms. III Stacie Reid n;_ k -if.,..*:::: 4" aS S k .y 4 k a .ti x4' 'ML.Y.44AS ` III 5 BOH Minutes January 17,2013 • JEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, January 17, 2013 Jefferson County Public Health, 615 Sheridan Street, Port Townsend, WA 98368 Board Members Staff Members Phil Johnson, County Commissioner District#1 Thomas Locke,MD,MPH Health Officer David Sullivan, Vice Chair, 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) Jared Keefer,Environmental Health Services Director Catharine Robinson,Port Townsend City Council Sheila Westerman, Citizen at large(City) Jill Buhler, Chair,Hospital Commissioner,District#2 Chair Johnson called the meeting of the Jefferson County Board of Health to order at 2:33 PM. A quorum was present. Members Present: Phil Johnson, David Sullivan, John Austin, Roberta Frissell, Catharine Robinson, Sheila Westerman, Jill Buhler Staff Present: Thomas Locke, MD, Jean Baldwin, Julia Danskin, Cathy Avery • APPROVAL OF AGENDA Member Austin requested that a State Board of Health update be added to Agenda Planning. Member Austin moved to approve the agenda of the January 17, 2013 BOH meeting as amended. Member Robinson seconded the motion. The motion passed unanimously ELECTION OF BOARD CHAIR AND VICE CHAIR FOR 2013 Member Westerman nominated Member Buhler as Chair of the Jefferson County Board of Health for 2013. Member Austin seconded the motion. The motion passed unanimously. Member Westerman nominated Member Sullivan as Vice Chair of the Jefferson County Board of Health for 2013. Member Austin seconded the motion. Member Austin moved to close the nominations. The motion passed unanimously. APPROVAL OF MINUTES Member Robinson requested under Activity Update the fourth paragraph be amended to read "Jean Baldwin announced Jared Keefer was awarded a fellowship from Robert Wood Johnson Foundation." Member Robinson moved to approve the minutes of the December 20,2012 BOH meeting as amended. Member Sullivan seconded the motion. The motion • passed unanimously. 1 BOH Minutes January 17,2013 OLD BUSINESS and INFORMATIONAL ITEMS Findings of Facts and Conclusions of Law: Port Townsend Paper Corporation Appeal of Inert Waste Landfill Permit Renewal Denial Dr. Locke discussed the Findings of Facts and Conclusions of Law relating to the appeal hearing conducted in November. A copy of the document was included in the agenda packet. Dr. Locke discussed the statutory criteria for inert waste designation and how the waste in the Port Townsend Paper landfill failed to meet these criteria. Accordingly, the inert waste landfill permit was denied and the appeal of that decision was sustained. He also stated that a new limited purpose landfill permit would require the mill to resume groundwater monitoring and establish a financial assurance plan to cover closure costs. Jefferson County Public Health Help Card Julia Danskin stated that JCPH has updated and printed their Help Cards which include service resource phone numbers, warning signs, and what to do in the case of drug overdose or suspected suicide risk. The Help Cards are distributed to local businesses and schools to hand out. Tobacco Cessation Spending,Part 2: Washington State Spending Dr. Locke updated the Board on state specific tobacco prevention spending data. He pointed out that Washington State has dropped from being 21st in the nation for the amount spent on tobacco prevention to being 42n1. He also mentioned the CDC recommends each state spend about 10% 110 of their tobacco generated revenue on prevention and Washington State is currently spending 1% of its revenue. NEW BUSINESS EnviroStars Awards Jean Baldwin announced Day Boat Works, Rain Shadow Woodworks and Washington State Ferries—Port Townsend Terminal have all met the criteria and have been awarded EnviroStars awards. . 2012-2013 Influenza Season Update Dr. Locke updated the Board on the 2012-2013 Influenza season. Widespread influenza activity is being seen earlier than usual with predominance of the H3N2 strain, which tends to cause more severe illness. Dr. Locke stated an issue being seen is increased numbers people going to the ER with flu symptoms, so as part of the education campaign they are trying to establish criteria for when someone should and should not seek medical attention. Dr. Locke also mentioned they are seeing high levels of other seasonal respiratory viruses and that this year's influenza vaccine is a good match to the strains that are circulating. • 2 BOH Minutes January 17,2013 • JCPH Department Planning for 2013-2014 Biennium Dr. Locke discussed 3 separate articles included in the agenda packet, which address the planning efforts of local and national organizations relating to the Affordable Care Act(ACA). He stated that 2013 will be spent preparing for the full implementation of the ACA in 2014 when subsidized insurance will become available and there will be a large expansion of the Medicaid program. With these changes in health care financing,the roles and responsibilities of local health departments will be reexamined and could be fundamentally altered. Ms. Baldwin stated that one important goal is to develop a common vision for the transition process and to set up a planning process that involves all the organizations involved. Washington Association of Local Public Health Officials (WSALPHO) 2013 Legislative Agenda Dr. Locke discussed WSALPHO's top 3 priorities for their 2013 Legislative Agenda. The first priority is to focus on maintaining current flexible funding for 2013. Secondly, WSALPHO will support its partners in pursuing legislation that clarifies and provides consistency with regards to the prescribing and dispensing of pharmaceuticals by local health agencies. The last item on the agenda is to pursue legislation that will allow health districts to operate as their own fiscal agent with the consent of their local board of health and county government(s). National Association of City and County Health Officials (NACCHO) Ten Things to Watch in 2013 • Dr. Locke discussed the article included in the agenda packet which discusses NACCHO's 10 trends to watch in 2013. He pointed out these trends are being watched because they can all have an effect on public health. Dr. Locke briefly discussed each of the following trends which include issues such as deficit reduction, sequestration,the Fiscal Cliff, Health Reform, opposition to the ACA, the increased role of women in Congress, EPA actions,the Farm Bill, Transportation Law, and waiting for the Food Safety Modernization Act Regulation to be fully implemented. WA State Department of Health Agenda for Change Action Plan, July—December 2012 Edition Dr. Locke pointed out in the Public Health Improvement Partnership(PHIP) newsletter that there is an effort underway to define the minimum level of public health services each citizen has the right to expect. These minimum services are being referred to as "foundational public health services" and represent the fundamental duty of all levels of government to offer basic public health services. The challenge before the legislature is how to maintain those foundational services while enacting major budget cuts. Board Discussion: Goals for 2013-2014 Ms. Baldwin announced she is doing work with the staff, starting with the team leads to review the current strategic plan to better prepare for changes. Right now they are focusing on what • they do now,what is missing and what needs improvement. They will bring the change 3 BOH Minutes January 17,2013 statements back to the Board. Ms. Baldwin suggested to the Board that Jefferson, Clallam and Kitsap Counties Boards of Health meet together at a future time to discuss how each county is handling the many changes occurring. ACTIVITY UPDATE State Board of Health Update Member Austin announced the State Board of Health has 2 new members; Dr. Thomas Pendergrass and Fran Bessermin. Member Austin watched a presentation last week on the ACA. The power point presentation is available on the State Board of Health website. He was reappointed to his position will remain on the Board until 2015 Ms. Baldwin mentioned the Northwest Center for Public Health Practice distributes postcards with yearly public health highlights, one of which highlighted JCPH. Ms. Baldwin distributed an article that details President Obama's gun control legislature and aspects of the Affordable Care Act that require parity for mental health and substance abuse treatment. The president also talked about the cost of jail's to local government and specifically about the cost of medical care when health insurance (both public and private) is suspended when a person is incarcerated. PUBLIC COMMENT • None AGENDA PLANNING CALENDAR Ms. Baldwin stated they will be discussing drinking water changes and changes in Environmental Health. Member Frissell would like an update on how the onsite sewage classes are going. Member Austin moved to adjourn the January 17, 2013 BOH meeting. Member Robinson seconded the motion. The motion passed unanimously. The next Board of Health meeting will be held on February 21, 2013 from 2:30—4:30 pm at Jefferson County Public Health, 615 Sheridan St., Port Townsend, WA 98368 ADJOURNMENT Chair Buhler adjourned the BOH meeting at 4:20 pm. • 4 BOH Minutes January 17,2013 JEFFERSON COUNTY BOARD OF HEALTH qt.:a 64..14_ //Z. Ji 1 Buhler, Chair David Sullivan, Vice Chair Roberta Frissell, Member Phi Jo sin, Member Catharine Robinson, Member John stin,Member Sheila Westerman, Member Respectfully Submitted: • Stacie Reid • 5 BOH Minutes January 17,2013 Board of Health Old Business & Informational-Items .agenda Item #III., 1 • Letters to legislators: .�Vledicaid.Administrative Matc( And Battery Recycling March 21, 2 01 • 1 `'rM . JEFFERSON COUNTY PUBLIC HEALTH y,,r,r;<<� 615 Sheridan Street o Port Townsend o Washington o 98368 IIIwww.jeffersoncountypublichealth.org March 11, 2013 Senator Jim Hargrove 24th District 411 Legislative Building Olympia, WA 98504 Dear Senator Hargrove, Recently, the federal government decided to reduce Title XIX Medicaid Administrative Match reimbursements to local health jurisdictions by 50%. This statewide reduction amounts to $8.5 million dollars annually in payments for services to Washington State Public Health and schools. We anticipate the local impact to be $58,000 for Jefferson County Public Health. Negotiations between the state and federal government started last year, but the federal Center for Medicare and Medicaid Services recently decided to cut this funding in half. The decision for Washington State is arbitrary, punitive and inconsistent with other recent Medicaid Administrative Match decisions in other states. • This federal funding source reimburses Public Health for services to Medicaid eligible clients throughout Community Health programs. Reduced services include Communicable Disease Prevention, Immunizations for children and Maternal Child Health that assist families to enroll in Medical Assistance and referral and linkage to health services. The significant cut in funding will decrease one Public Health Nurse at Jefferson County Public Health. The attached issue paper provides more detail on the issues and outlines specific steps you can take to assist in obtaining a fair and equitable resolution for Washington State. Washington Public Health is asking Governor Inslee to please work in concert with our federal delegation to advocate on the following three issues for Washington's Title XIX Medicaid Administrative Match program: Immediate need: 1. Allow local health jurisdictions to assume claiming from July 2012 forward at 100% payable level using our current federally approved system until a new cost allocation plan is approved and implemented. • COMMUNITY HELTH DEVELOPM NTALDISABILITIES PUBLIC HEALTH ENVIRONMENTAL HEALTH WATER QUALITY MAIN: (360)385-9400 ALWAYS WORKING FOR A SAFER AND MAIN: (360)385-9444 FAX: (360)385-9401 HEALTHIER COMMUNITY FAX: (360)379-4487 • Necessary for the new cost allocation plan: 2. Approve the use of a client specific MER(Medicaid Eligible Recipients) in whatever new plan is implemented. (CMS has approved the use of a client-specific MER in other states-Oklahoma and Texas - as recently as last year). 3. Approve local health jurisdictions to "cluster" together based on similar work for the purposes of the Random Moment Time Survey (RMTS). If you have any questions or concerns, please do not hesitate to call me at my office. Yours sincerely, Jean Baldwin Director of Health • COMMUNITY HEALTH PUBLIC HEALTH ENVIRONMENTAL HEALTH • DEVELOPMENTAL DISABILITIESWATER 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 „„, ,r JEFFERSON COUNTY PUBLIC HEALTH I5,,;nO615 Sheridan Street o Port Townsend o Washington o 98368 • www.jeffersoncountypublichealth,org March 7, 2013 Issue Paper Title XIX Medicaid Administrative Match Impact Locally Budget cut of$58,000 in 2013 for the Jefferson County Public Health Reduction of one full time Public Health nurse • Reduction in services that assist families get on Medical Assistance and Link families to needed health services in Maternal Child Health Programs, Immunizations Programs, Communicable Disease Program and Family Planning program across Jefferson County. How can you help? • Please sign on to the letter to Governor Inslee circulating in the state legislature asking him to work with our federal delegation to ensure that these federal funds, which local health jurisdictions use to help the most vulnerable citizens in Washington State, continue. • Background & Details Recently, the federal Center for Medicare and Medicaid Services decided to significantly and retroactively reduce payments made to Washington State public health jurisdictions for activities performed under the- Title XIX Medicaid Administrative Match program. This results in an immediate statewide reduction in Washington State of almost$8.5 million to support public health activities annually. The impact to Jefferson county is $58,000 in 2013. What is Title XIX Medicaid Administrative Match? • State and local governments and their subcontractors may claim reimbursement for administrative activities that are"necessary for the efficient administration of the State's Medicaid program.” • This program is called Title XIX Medicaid Administrative Match (MAM), which is managed by the Centers for Medicare and Medicaid Services (CMS), an agency of the US Department of Health and Human Services. • The federal government pays a minimum of 50% of the cost of performing these activities on behalf of the Medicaid population. The state or local government pays the rest. Why do local health jurisdictions qualify to receive Medicaid Administrative Match? • It is the State's responsibility to ensure that eligible individuals can access Medicaid services but it lacks the resources to do this statewide. The State contracts with local health jurisdictions (LHJs), school districts, and other governmental agencies to perform this work on its behalf. • As part of its agreement with the State, the LHJs pay the non-federal share of the cost so there is 1111 no cost to the State. Who does it benefit? • • At risk populations that are uninsured, underinsured, or on Medicaid. • The program has generated approximately $17 million annually in reimbursement for LHJs statewide. The revenues provide core support for public health work with at risk populations. • Impacted services include outreach to pregnant women, nurse home visits, oral health, and Family Support Centers, which connect families to parenting resources, benefit options, and support services. What are the current concerns with the Medicaid Administrative Match claiming process? • In April, 2011 CMS conducted a financial review of the claiming process in Washington State. Primary issues identified included: 1. Statistically valid time survey and changes in certifying the public expenditures of subcontractors. 2. A new Cost Allocation Plan (CAP), which establishes guidelines for claiming reimbursement; 3. The methodology used to determine the Medicaid Eligibility Rate (MER). a The main point of contention is whether the • Denominator in calculating the formula should be the entire population of the defined geographic area (typically a county) with the numerator based on that population of Medicaid eligible recipients or • Denominator should be the population of clients who receive services from the public health jurisdiction with the numerator based on those • clients served who are Medicaid eligible recipients. • LHJs and the State took action to respond to the identified concerns. The State and CMS continue discussions. • Effective July, 2012, CMS determined that until the issues were resolved,Washington State must stop claiming Medicaid Administrative Match on behalf of LHJs. This has impacted cash flow to LHJs,even as LHJs have continued to provide services to the eligible population. • In February 2013, CMS announced it will allow LHJs to claim only up to 50% of their historical claims until a new plan is submitted and approved Are CMS decisions consistent across the nation? • Oklahoma and Texas—Both states have received approval in the recent past to base the share of cost paid by Medicaid for activities that must be discounted by the percentage of the population on Medicaid on the number of clients served by the LHJ that are on Medicaid a request that CMS has denied for Washington State. • California- CMS has recently required California to revise two plans for Medicaid Administrative Match claiming. Discussion on both plans continue, one has been in negotiation for over two years. CMS has allowed continued claiming for both programs at 100% of the programs' allowable cost under the current system until the new plan is in place. • Y ,3„ - qeta Tacoma-Pierce County :'-' ''''.0,N. ''.4C7 ' itr ' 4 % 4t. -14 ',''''' f 0 „iitHealth Department - ,,, *. ,, a. r Healthy People in Healthy Gomnmunities nformation for Pierce County Stakeholders•March 2013 3629 South D Street,Tacoma,WA 98418 (253)798-2899 Family Support Partnership/Maternal Child Health programs • $1.6 million budget cut, effective May 1, 2013 • 20 or more Health Department positions (with hours reduced or positions eliminated) • Up to 7 Family Support Centers closed What this potentially means to Pierce County communities? Family Support Centers • 38,000 individuals will not be connected to critical services such as financial support (meeting basic needs, housing, etc), mental health or family counseling,job training, substance abuse treatment and prevention. • 500 families (2,000 individuals) will not receive Evidence-Based home visiting services. • Loss of investment of$150,000 for 10 staff trained in Evidence Based Parenting Programs. • 4,664 high risk families will not receive parent support, Evidence-Based parenting classes, family events, community events or other group support. • 4,000 fewer home visits that provide family support service will occur. upLoss of family support in high need rural and low-income communities. • 100 fewer community members/leaders will be educated regarding healthy equity. • Loss of staff will result in over $480,000 in Title 19 Administrative Match revenue which helps to support Strengthening Families Division programs. Maternal Child Health • 76 low-income, high risk families will no longer receive Nurse-Family Partnership home visiting services. • Elimination of Central Intake for all Maternity Support Services in Pierce County, increasing the numbers of pregnant women who fall between the cracks in service referral. • Elimination of outreach, Medicaid application assistance, and Maternity Support referrals for 650 pregnant women in the four highest risk areas of Washington state. • Elimination of nutrition services for children and families with high-risk nutrition problems. • Loss of Nurse-Family Partnership services for families living in rural Pierce County, including Sumner, Bonney Lake, Buckley, Orting, Spanaway, Eatonville, Gig Harbor and Key Peninsula. • Discontinue support for 10 African American churches to ensure that their members have all the services they need to achieve healthy pregnancies, births and child development. • Elimination of SIDS prevention education to 650 families. • 37% cut in an Evidence-Based service that reduces child abuse and neglect, infant hospitalization,juvenile • crime/violence and increases healthy births, child development and school readiness. • Loss of staff also will result in more than $500,000 of lost Title 19 Administrative Match revenue which helps support Strengthening Families Division programs. March 11,2013 Tacoma-Pierce County Health Department•www.tpchd.org page 1 of 1 JEFFERSON COUNTY PUBLIC HEALTH 4- '2 NG�� 615 Sheridan Street o Port Townsend o Washington o 98368 9SH www.jeffersoncountypublichealth.org Rep.Kevin Van De Wege 434A Legislative Building PO Box 40600 Olympia,WA 98504-0600 January 31,2013 Dear Rep.Kevin Van De Wege: I am writing to express Jefferson County's Department of Public Health input regarding HB 1364/ SB 5457 to ensure our state has an effective recycling program for small rechargeable batteries that is convenient,environmentally sound,and financed fairly. This legislation is supported by the Rechargeable Battery Recycling Corporation,which operates the Call2Recycle program in Washington's communities on behalf of most small rechargeable battery manufacturers and marketers. This bill is good for local consumers, good for public health and the environment,and good for participating local governments,retailers and other businesses. Call2Recycle is currently a voluntary program created by manufacturers to ensure that their rechargeable • batteries are responsibly recycled. These companies financially support the Call2Recycle program that provides more than 480 collection locations in Washington for recycling of rechargeable batteries at no extra charge to consumers. Jefferson County relies on Call2Recycle to properly recycle rechargeable batteries they collect from residents. However,the system is in jeopardy because many new rechargeable battery manufacturers entering the marketplace are not participating financially in the program. This legislation is supported by the rechargeable battery industry, local governments, and environmental advocates.The Jefferson County Depai tment of Public Health respectfully urges your attention of HB 1364/SB 5457 to maintain a successful,convenient and safe return program for rechargeable batteries for the benefit of Washington's residents. Sincerely, Bred Keefer, H,RS Director of Environmental Health and Water Quality • COMMUNITY HEALTH PUBLIC EALTH ENVIRONMENTAL HEALTH DEVELOPMENTAL DISABILITIES WATER QUALITY MAIN: (360)385-9400 ALWAYS WORKING FOR P SAFER AND MAIN: (360)385-9444 FAX: (360)385-9401 HEALTHIER COMMUNITY FAX: (360)379-4487 Board-of Health 0 C Business & Informational Items .agenda Item #IIL, 2 Governor Inslee .Appoints Wow Secretary of Health ivlarch. 21, 2013 Sending to Local Health Jurisdiction Leadership, Tribal Health Directors, Tribal Clinic Directors, and Tribal Emergency Contacts I have some important news to share with you. Governor Jay Inslee just announced that he has appointed John Wiesman to be the new Washington Secretary of Health. The announcement was part of a news release issued by the Governor's Office a few minutes ago. The governor, our incoming secretary, and I wanted you to have this news right away,because the story will no doubt be picked up by media. Here's part of the news release: "Inslee announced John Wiesman will head the Department of Health, replacing Mary Selecky who recently announced her retirement. "Wiesman is currently Public Health Director for Clark County Public Health and on the board of the National Association of County and City Health Officials. He has more than 25 years of experience working on HIV/AIDS issues and public health. "Our health officials do so much behind the scenes to keep our communities and families healthy and safe. John's leadership will be essential to continuing and building upon the good work Mary has accomplished these past years,' said Inslee. `I also appreciate John's unique perspective from his work in the AIDS community, and the understanding that brings about the holistic nature of how human services and health care work together.' " The exact timeline for the changeover is still being sorted out;as I've told you, I will continue to be here through this transition. John has terrific public health experiences and leadership skills that will serve him well as secretary of health. Many of us have worked with John in his public health jobs and he most recently co chaired the Agenda for Change workgroup. He has led through crises, dealt with budget reductions, and worked for numerous elected officials. We are well positioned to continue our public health work and take on new challenges under John's leadership. With the legislature in session, along with our regular work, it's a very busy time. I know we can count on all of you to make sure this goes smoothly and we don't miss a beat as we work with our partners to protect and improve the public's health. I'm sure there will be more information in the coming days. We'll absolutely keep you informed. • Mary C. Selecky, Secretary Washington State Department of Health PO Box 47890 Olympia WA 98504-7890 360.236.4030/FAX 360.586.7424 Public Health-Always Working for a Safer and Healthier Washington S Board of 3-feaCth OCcCBusiness & Informational Items .Agenda Item #III., 3 • Implementation of yederaf Budget Sequester - 1N� State Impacts .7vjaYCGI 21, 2013 • House Democratic Steering and Policy Committee Hearing: "Impact of Sequestration on the American Economy, Families, and Small Businesses" February 21, 2013 Testimony of Mary C. Selecky,Secretary Washington State Department of Health Chairman Andrews and Members of the Committee,my name is Mary Selecky and I serve as the Secretary of Health for Washington State and as the Past President and Region X Representative to the Board of Directors for the Association of State and Territorial Health Officials(ASTHO). I have served as the Secretary for 15 years and for three Governors. I appreciate the opportunity to appear before you today to discuss the value and role of public health and the impact funding reductions at the federal, state, and local levels have already had • on our ability to protect the nation's health, as well as the devastating impact federal sequestration will have. Our mission in Washington State is simple: The Department of Health works to protect and improve the health of people in Washington State.And that's what public health does at its core. What is public health?Not every healthcare decision is made in the doctor's office. Most of the health decisions we make occur every day in our communities. Public health depai intents are there to ensure your health and safety is protected in your communities and in your states through such activities as response to outbreaks and food safety and restaurant inspections and that healthy choices are the easy choices for your constituents and for everyone living in the United States. Who is public health?We are the doctors,nurses, community health and social workers, • environmental health specialists,behavioral health professionals, disease detectives, 1 laboratorians, and health policy experts that protect and promote health where you live, work, • and play. Public health is an enterprise. On the governmental side,we are made up of local, state, tribal,territorial, and federal government entities. But we also have significant partnerships in other community-based organizations, such as hospitals,universities,nonprofit provider and patient groups, civic organizations, faith-based organizations, and other healthcare facilities. Each piece of that enterprise is essential to ensure the system works. The federal government's role is significant. Diseases, epidemics or small outbreaks, and public health emergencies such as natural disasters do not recognize state borders. Or international borders. What do state public health agencies do? State public health agencies are responsible for a broad array of services, including population-based primary prevention services,emergency preparedness,and providing linkages between people and personal health services. • State health agencies lead critical programs ranging from disease screening and treatment, such as for TB or diabetes, to operating state laboratories to detect such things as meningitis • or West Nile outbreaks,and from operating or coordinating the state's emergency medical services and trauma system to ensuring the safety of the food people eat. • The vast majority of state health agencies have responsibility for federal initiatives such as Maternal and Infant Health Services(Title V);the Preventive Health and Health Services Block Grant; CDC Preparedness Grants; the National Cancer Prevention and Control Program;the 317 immunization program and Vaccines for Children; and Women, Infants, and Children(WIC). • More than 80 percent of state health agencies provide tobacco prevention and control services,HIV prevention services,and nutrition information and assistance. • More than 90 percent of state health agencies are responsible for vaccine order management and inventory distribution throughout the state. State funding reductions. As with most other states across the country,Washington State's economy has been hit hard. Our state is currently facing a$2 billion budget deficit after • 2 • already reducing more than$10 billion. State funding for important public health programs and activities will be further targeted. Over the past six years, my agency's public health work has been impacted by a 38 percent reduction in state funding. For example,we lost$5 million for family planning and $7 million for HIV-related activities. Our state tobacco prevention funding has been eliminated. A reduction in state and federal funding impacts our local health and community partners. In Clark County, state and federal cuts over the last four years or so have resulted in a 33 percent reduction to the local health department. As a result,they have eliminated 71 positions or 47 percent of its workforce. This is representative of local health departments across the nation. Washington State whooping cough outbreak. As my state health officer Dr. Maxine Hayes says, "Bugs rule." Germs are always looking for another way to outsmart us. That's why our public health work is never done. • Last year I declared a whooping cough epidemic in Washington State. We had more than 4,800 confirmed cases of whooping cough reported and investigated nearly 600 more individuals that had tested positive for the disease but didn't meet the criteria for reporting. This was the highest number of whooping cough cases in our state in the past 70 years. In the past three years, five babies have died, and many more were hospitalized. We—the public health system—were busy with what most people think of as a disease of the past. This came after budget reductions over the past four to six years at both the state and local level. We have fewer public health nurses, epidemiologists, and staff to mount the needed response. But,respond we did. Federal funds were crucial to our response. Emergency preparedness funds from CDC and the HHS Assistant Secretary for Preparedness and Response helped us build an electronic disease reporting system,which is used for emergencies like the whooping cough epidemic and • 3 for everyday public health reporting. It was essential to our ability to understand what was going • on across the whole state through rapid reporting. Our state public health laboratories used federal epidemiology and lab capacity grants from CDC to support our state and local epidemiologists. These "public health detectives" identify and track diseases, provide information to CDC, and help us keep our communities informed. Funds for our immunization program from CDC were used to make the whooping cough booster vaccine available to those who have no insurance—teenagers,parents, grandparents, and more—so they would not spread the germ to vulnerable babies. The 317 immunization funds are core to each state's ability to coordinate its immunization program. Because this disease affects our newborns,who can't be immunized for whooping cough in the first few months of life,maternal and child health funds from the Health Resources and Services Administration were used to work with pregnant women and new moms to make sure • they were immunized and educated so they would not spread the disease to their babies. We relied on our federal partners at CDC to provide additional technical assistance. They sent experts who did an in-depth review of our cases, especially where teens had full immunization and still got sick. State and federal epidemiologists are still evaluating what they learned from the situation in Washington State to provide information about what changes might be needed in the national immunization schedule. As you can see from just this one story, the public health system IS federal,state, and local working together. It takes funds from all sources. Sequestration threatens our ability to respond to communicable disease events like our whooping cough epidemic. Let alone emerging issues, such as chronic diseases. • 4 • • How are state health agencies State Health Agency Sources of Revenue, FY09 f Other State funded? State health agencies rely on a Funds : state General 16% Funds mix of federal grant funds, state general 23% ■ Other Sources funds, fees and fines collected from the 5% ■ Fees and Fines __-• public, and other sources. The average 7% state health agency receives funding from • Medicare and Medicaid a variety of sources,the largest portion of 4% • Discretionary Federal Funds which-45 percent—is discretionary 45% federal funds, followed by state general funds-23 percent. What resources do state health agencies have? • Total state health agency revenue across all states is estimated to be approximately$34 billion a year. • State health agencies employ more than 100,000 full time equivalent employees. • • Collectively,state health agencies have more than 12,400 vacancies but are only actively recruiting for about 15 percent of these positions,most likely due to budget cuts and hiring freezes. • Federal, state,and local government Percentage of State Health Agencies budget cuts are jeopardizing a decade of Experiencing Reduced Workforce Capacity and Programs,June 2012 and significant gains made by state and Cumulatively(since July 2008) Reduced Services91% territorial health agencies. " 24% o Since 2008, 91 percent of stateEntire Programs Cut °/% 62% health agencies have experienced budget reductions; many have Mandatory Furlough 6% ® 60% suffered multiple cuts with Loss of Staff by 31% 91% Attrition continually deepening cuts to Layoffs60% critical programs. -='* 20 % ell Cumulatively o State health agencies have lost Jun-12 0% 20% 40% 60% 80% 100% about 9,800 jobs since the • 5 recession began;more than 46,000 jobs have been lost at state and local health • departments combined. Public health has taken its fair share of budget cuts even before federal sequestration. Fifty agencies (46 states, 3 territories, and DC)have reported budget cuts since July 2008,based on the results of the ASTHO Budget Cuts Surveys. With 20 state health agencies reporting budget cuts between July 2011 and June 2012 and two state health agencies reporting budget cuts for the first time this survey round,the graph below demonstrates that budget cuts, while showing slight increases and decreases over time, are not showing any definitive signs of tapering off. Of those states reporting budget cuts in FY 2012, the amount cut ranged from 1 percent to 15 percent,with an average cut of approximately 4 percent of their current budget. Number of SHAs Reporting Budget Cuts by Survey Round and Cumulatively 60 44 45 48 50 50 40 41 s Survey 40 28 36 Round 30 23 22 21 18 24 20 ■Cumulatively • 20 12 8 100 Dec-08 Jun-09 Dec-09 Jun-10 Dec-10 Jun-11 Dec-11 Jun-12 Budget-wise, how would federal sequestration affect federal public health agencies?At the top line public health agency level, sequestration would cut approximately$1.5 billion from public health programs in FY 2013 alone,with less than half of the fiscal year remaining. Under current law, no department or agency will have control over how the sequester impacts the overall funding of individual programs,although the executive branch will make grant-by-grant and funding administration decisions, which may result in some grantees losing their funds entirely. Sequestration's large cuts will be devastating to the public health enterprise. • 6 i Federal public health spending Federal Public Health Funding FY 2010 — that supports state public health FY 2013 Post-Sequester agencies,which does not include $32,000 $31,411 research funding through the National S31,000 $30,000 Institutes of Health, already has been S29,187 $28,939 $29,000 reduced by$2.5 billion, or 8 percent, $28,000 $27,463 from FY 2010 through FY 2012. ' S27,000 $26,000 Sequestration will reduce that level by $25,000 an additional $1.5 billion, or 5.1 FY2010 FY2011 FY2012 FY201 3 After Sequestration percent,in a single fiscal year for a total reduction since 2010 of$3.9 billion, or 13 percent. What are the health consequences of public health funding reductions? The real story of how sequestration and prior funding reductions at the federal, state, and local public health . levels cannot be told in charts and graphs. The real story is the devastating narrative that accompanies these numbers. The negative health outcomes: the adult who doesn't get vaccinated to protect their newborn baby against a preventable disease, like whooping cough; the patient who loses a trusted nurse or clinician as a result of job losses; the young adult who doesn't get screened for HIV due to lack of testing services at the health department; the furlough days that keep a laboratorian or disease detective from discovering a disease outbreak to stop it even before it spreads ... these are not possibilities,but are very real everyday occurrences that keep all of us in public health up at night. One state's story: Washington State impacts of sequestration of federal funds. Federal funding is a major part of our agency's budget and supports our public health work. At an 8.4 percent reduction to the grants received from the federal government, the Department's state fiscal year 2013 budget would be reduced by about$22 million. The federal agencies may pass along greater reductions, according to memoranda, testimony, and letters from OMB, HHS, and other agencies. • 7 Federal funding has become even more crucial as our state funding for important public health programs has dwindled. Our state legislature is meeting now. There's no way that I can present to them what my reductions in federal support will be in each program area for them to be able to make state funding decisions to backfill some of these federal cuts with the level of uncertainty that federal sequestration causes. The following n,o rammatic impacts are based on an estimated reduction of either 7.8 or 8.2 percent in federal is ant fundin_ and a..1 s.ecificall to Washin_ton State alone: WIC contracts with local health jurisdictions, community agencies, and tribal organizations to provide services. Sequestration would result in a loss of funding in the amount of$12,659,168. This means that 16,400 low-income individuals and families in Washington State would lose services that promote health and nutrition. Our state's 317 Immunization Program funds, which are part of CDC's discretionary appropriations, would be reduced by$404,000-$605,000 for FY 2013 depending on whose • analysis you use. These funds are used to purchase vaccines for underinsured children,monitor and respond to outbreaks of vaccine-preventable diseases, and support the distribution of vaccines to providers that serve low-income and uninsured children. Loss in funding would mean that 4,451 fewer children would receive vaccinations in Washington State alone. Maternal and Child Health Block Grant funding would be reduced by about$721,622. This loss would reduce capacity at the local level, serving and addressing the needs of almost 70,000 fewer women, children, and families, including children with special healthcare needs, such as cleft lip or spina bifida. The loss would also reduce capacity for the training and technical assistance we provide to local communities. The Breast and Cervical Cancer Screening program would be reduced by about $345,700,meaning that 1,372 fewer women would be screened for cancer. • 8 • The Public Health Emergency Preparedness Program would be impacted by a loss of about$1 million. Approximately 53 percent of our public health preparedness funds are passed through to local health and tribal jurisdictions. Over recent years,preparedness funds have been steadily reduced 5 to 10 percent per year. At both the state and local level,budget cuts have resulted in reductions in all categories, including staff,which impacts are ability to respond to public health emergencies, such as the fungal meningitis outbreak,the whooping cough outbreak, or the public health impacts of natural disasters like the Japanese tsunami and subsequent Fukushima disaster. Our Hospital Preparedness Program (HPP) would take an additional loss of$608,835. Approximately 75 percent of our hospital preparedness funds are passed through to healthcare and tribal jurisdictions. HPP is the program that ensures that hospitals are integrated into state and local emergency response plans. The funding has been invaluable in responses across the country,not just in Washington State. My colleagues in New York and New Jersey used HPP resources during Superstorm Sandy's preparedness,response, and recovery efforts. My • colleagues in Missouri used HPP resources to mobilize after the terrible destruction of one of their critical hospitals after a severe tornado. Further cuts to HPP will diminish our ability to evacuate a hospital or respond to a mass casualty event. Ryan White&ADAP funding(AIDS and Drug Assistance Program) would be reduced by$1,349,887. This loss would eliminate our work with the Depaitinent of Corrections connecting prisoners to community services and care upon release. One hundred and fifty fewer people will receive life-saving drugs resulting in illness and potentially death, as well as spread of the infection. It will also decrease funding for medical case management by 11 percent and eliminates: • Substance abuse outpatient care. • Medical nutrition therapy. • Food bank/home-delivered meals. • Medical transportation. • Co-pays on client medical appointments and lab work. • 9 • Our environmental and public health funding to keep drinking water safe would be • reduced by about$1,978,384. Community water systems would not be improved and safe drinking water would be at risk. Patient safety would be undermined Reductions in discretionary funding from the Centers for Medicare and Medicaid Services would mean fewer inspections in healthcare facilities where federal funds support patient care, including ambulatory surgery centers and kidney dialysis centers. These inspections detect health and safety risks for patients and can prevent critical incidents from occurring at all. A reduction to the federal grant for the prescription drug monitoring program means we may not be able to have real-time information about patients who should not have access to refills for certain pain medications. Rural health access issues would continue. Approximately 20 percent of Americans live in rural America,but only 9 percent of physicians practice in rural areas. Health reform brings • hundreds of thousands of newly insured people into the healthcare system. Across the country, federal funding for statewide offices of rural health supports recruitment and retention activities that are vital for providing access to care in rural areas. Our readiness to provide care to those insured under the Affordable Care Act will be slowed down. In conclusion,public health has historically been asked to do more with less. It is now at a breaking point.Unless we start supporting our public health system in a more sustained way, our capacity will continue to erode and our ability to respond quickly and competently will evaporate. Our ability to protect the public's health will be threatened. Getting our federal deficit under control is important. But so is protecting the health and safety of everyone in the United States. It's a tough job you have before you over the next days and weeks to find a politically viable, good policy solution to avert federal sequestration. Put simply, federal sequestration is bad for the public's health. Additional cuts in discretionary public health programs would put the health, safety, and security of all Americans at risk. • 10 • Mary C. Selecky Biography/Introduction Mary C. Selecky has been Secretary of the fi Washington State Department of Health since March 1999, serving under Governor Chris Gregoire and former Governor Gary Locke. Prior to working for the state, Mary served for 20 years as administrator of the Northeast Tri-County Health District in Colville, Washington. Throughout her career, Mary has been a leader in developing local, state, and national public health policies that recognize the unique healthcare challenges • facing both urban and rural communities. As secretary of health, Mary has made tobacco prevention and control, patient safety, and emergency preparedness her top priorities. Mary is known for bringing people and organizations together to improve the public health system and the health of people in Washington. Mary received the American Medical Association's 2010 Nathan Davis Award for Outstanding Government Service. She served two terms as president of the Association of State and Territorial Health Officials, receiving the 2004 McCormack Award for excellence in public health, and has served on the Board of Directors of the National Association of City and County Health Officials. A graduate of the University of Pennsylvania, she's been a Washington State resident since 1974. • 11 0 Board of 3Cealth OCd Business & Informationalltems .agenda Item #III., 4 0 3-fealthcare Preparedness Nettivork 2 01 - 2 01 .Annual Report 31/larch 21, 2013 �efferso �a ea f care p repare® r ss e wo � r �t. Mission: To support and strengthen the ability of community healthcare providers in Region 2 to respond to healthcare needs in emergency situations. Network Members Strategic Planning and the New Network American Red Cross,Kitsap/King Counties In December 2010,the Kitsap Public Health District(KPHD) became the American Red Cross,Olympic Peninsula coalition administrator for the Region 2 Healthcare Coalition. KPHD enlisted Clallam County Fire District#5 Clallam County Health and Human Services the help of consultant Ursula Roosen-Runge to plan and carry out a coalition Clallam County Sheriff's Office EMD strategic planning process in 2011 which resulted in: Department of Corrections • A new Region 2 Healthcare Preparedness Network concept and Discovery Memory Care organization chart Dungeness Courte • A new charter, by-laws, and strategic plan Forks Community Hospital • Identification of regional preparedness priorities Harrison Medical Center Hoh Tribe The newly formed Network consists of four local coalitions that are connected Jamestown S'Klallam Tribe through the Region 2 Healthcare Preparedness Network Steering Committee. Jefferson County Public Health These local coalitions represent Kitsap County,Jefferson County, East Clallam Jefferson Healthcare Jefferson Dept.of Emergency Management County, and West Olympic Peninsula. Kitsap ARES/Medical Team Kitsap Dept.of Emergency Management Our first elected Region 2 Healthcare Preparedness Steering Committee met in Kitsap Mental Health Services September 2011.This committee now meets quarterly and has 12 Kitsap Public Health District representatives,three from each of the four local healthcare coalitions.The Lower Elwha Klallam Tribe 2011—2012 Steering Committee was chaired by Jessica Guidry, Kitsap Public Makah Nation • Region 2 Medical Reserve Corps Health District, and included: Naval Hospital Bremerton • Laura Jull, Harrison Medical Center Northwest Region EMS • Phyllis Mann, Kitsap County Emergency Management Olympic College Olympic Area Agency on Aging • Zena Kinne, Peninsula Community Health Services - Olympic Medical Center • Julia Danskin,Jefferson County Public Health Peninsula Community Health Services Port Gamble S'Klallam Tribe • Kelly O'Connell,Jefferson Healthcare Virginia Mason Clinic Winslow • Nancy McDaniel,Jefferson County Emergency Management Washington Veteran's Home—Retsil • Julie Sell, Olympic Medical Center • Sheila Linde, Discovery Memory Care Local Coalition • Nita Lyman, Clallam ARES • Patricia English, Clallam County Fire District#5 Chairpersons • Rebecca Wilson, Forks Community Hospital Julie Sell(East Clallam) • Andrew Winck, Makah Tribe Julia Danskin,Kelly O'Connell,Nancy McDaniel(Jefferson) Laura Jull(Kitsap) Patricia English(W.Olympic Peninsula) Re:tonal E•ui •ment/Trainin: Purchases This year, Region 2 was allocated $127,497.99 in federal funds to be spent on Network Partners emergency equipment,training, planning, and exercises.The Washington State `---- Hospital Association did the equipment purchasing and reimbursements. Group Health Cooperative The Doctor's Clinic Healthcare agencies who belong to the Network are eligible to request Kitsap Long-term Care Alliance equipment or funds. Requests are accepted based on available funding and Washington State Department of Health 41 Washington State Hospital Association federal guidelines. In our region 12 agencies received equipment or training/ Washington State Community and Migrant planning/exercise reimbursements.These agencies included hospitals, tribes, a Health Centers(WCMHC) community health center and a mental health center. effer Sa g '•F. eaCare ImrepareA' C1eSS Wor "� `"" gat 9 A 1 m ... • 012 Coa>rt •ea � N Wpi �►ccorn"'polishme litS ♦ Conducted coalitiarti ti arnrngs on, op�cs such a 1CSI,c�t� [ncider t str s m na ement teams(East Cial lam,West'_ �. • 'identifi`ed-4ocat,triageand`;treatment centers anct started:develo{am�nt of triage and tr=eatment center training curriculum (All coalitions) • Conducted tabletop exercises(West Olympic Peninsula) • Identified need for mutual aid agreements(Kitsap,West Olympic Peninsula) • Facilitated medically frail shelter agreement(Kitsap) • Facilitated long-term care MOU (Kitsap) • Participated in pediatric planning with Pierce County partners and in trainings conducted by the King County Healthcare Coalition (Kitsap) • Participated in local emergency exercises(All coalitions) • Wrote a draft regional hospital evacuation plan (Network) • Updated our regional healthcare surge plan (Network) • Launched pilot triage and treatment center project(Network) • Designed and conducted a regional healthcare surge exercise (Network) Triage and Treatment Center Project In a catastrophic disaster many of our communities could become isolated and our hospitals overwhelmed with patients.To address this concern,the Network has embarked on a triage and treatment center project to engage clinics to stay open in a disaster so they can help triage and treat patients. Participating clinics receive training on triage,the Incident Command System, and other principles as well as basic triage supplies.The triage and treatment center training was piloted at Virginia Mason Clinic Winslow in April 2012 and is currently under revision.The Network has also identified items to be included in the triage supply kit and started purchasing those supplies. In the next grant year,the Network will recruit and train a cadre of trainers who will provide the training to clinics throughout our region. The clinics will also receive their supply kits. Regional Exercise On April 20, 2012,the Network held a regional online tabletop exercise called Operation Acorn Drop. Eighty individuals from 14 Network member agencies participated in the exercise.These agencies include local public health, hospitals, tribes, emergency management,and a long-term care facility.This exercise tested on-site incident management, emergency communications, evacuation, and medical surge.A major strength that players identified was their staff's knowledge of onsite incident management. Some areas for improvement included redundant communications, resource management, and patient evacuation. Region 2 Vulnerable Populations Snapshot This year, Ruth Westergaard from the Kitsap Public Health District presented data on vulnerable populations in Kitsap, Clallam, and Jefferson Counties.The value of this data in emergency planning is that it shows the variety and numbers of groups with unique needs who could be considered "vulnerable" in an emergency because of language, access to service limitations and other issues.These groups included the medically dependent, latchkey kids, and low-income residents needing substance abuse treatment. For more information on this data, please contact Ruth Westergaard at ruth.westergaard@kitsappublichealth.org or 411 (360)337-5752. For more information on the Network,please contact Jessica Guidry at jessica.guidry@kitsappublichealth.org or(360)337-5267. r Board of Health Netiv Business .agenda Item #IV., 1 2 01 Environmental Health Performance N(easures and year End Reports March 21, 2 01 Jefferson County Public Health Performance Measures 2012Year End Report ON-SITE SEWAGE (OSS) AND • SEPTIC OPERATIONS & MONITORING (O&M) PROGRAMS MISSION: The mission of the Onsite Sewage Program is to minimize the threat of surface and ground water contamination from failing or improperly designed, installed or maintained onsite sewage systems. The mission of the Operation and Monitoring Program is to protect public health by ensuring onsite sewage systems are monitored, identify failures, and items that may lead to costly premature failures of OSS that contaminate ground and surface waters. GOALS FOR FY 2012: 1. Educate homeowners, builders, real estate personnel, banks, installers, designers and onsite system maintenance personnel in the proper operation and maintenance of onsite sewage systems. 2. Assure a high quality-onsite sewage system monitoring program. 3. Implement and enforce state and local rules and regulations governing the installation and use of onsite sewage systems. 4. Investigate action requests and complaints in a timely manner to reduce the threat of human contact with untreated wastewater. 5. Complete all state funded grant activities on-time and on-budget. 6. Assure high quality customer service. 7. Establish a Homeowner Inspection Program to comply with monitoring requirements under WAC 246-272A. OBJECTIVES FOR FY 2012: 1. Develop written informational materials for public distribution and conduct workshops for community groups addressing onsite sewage system operation and maintenance. 2. Provide training to community groups to increase awareness of regulatory requirements for onsite sewage systems. • 3. Review monitoring and inspection reports and provide timely follow up and coordinate with online submittal program data. 4. Identify previously unknown onsite sewage systems. 5. Utilize existing data systems to track action requests and complaints. 6. Update Local Management Plan to reflect progress and necessary changes. 7. Assure communication with applicants regarding the status of onsite sewage permit applications. PERFORMANCE INDICATORS } Number of systems repaired/upgraded 32 32 37 31 38 43 Percent of system failures less than 5 years in use 0 0 0 0 0 0 Number of complaints received 42 43 52 36 50 20 Number of complaints closed* 24 19 33 25 32 26 Number of septic permit applications submitted 1 231 169 158 118 120 147 Number of evaluations of existing system(EES) 295 255 463 469 300 511 Percent of existing systems receiving regular 3rd party 2.20% 1.80% 3.40% 3.40% 2.80% 3.80 monitoring.2 #of previously unknown systems having a monitoring 15 9 10+595 15+855 35 14+9 inspection 35 Percent of monitoring inspections resulting in some 29% 28% 56%4 68%4 29% 59%4 maintenance needed. Percent of monitoring inspections resulting in required 12.5 16% 18.70% 12.40% 15% 18.50 • significant maintenance or repair. Percent of failures/major maintenance <2% <2% <2% <2% <2% <2% Number of educational workshops 6 5 19 4 15 9 Number of workshop participants 239 102 355 156 250 2203 1 of 3 11111, *The number of Closed complaints can be greater than Received because cases from previous years may have been closed during the current year. 'Number of applications does not equal approved permits 2 Based on estimated 13,500 systems in the County(from the Local Sewage Management Plan) • 3Number of workshops includes 5 Septics 101 classes and 4 public workshops on proposed code revisions and homeowner inspection authorization program. 4lncludes inspections where the only maintenance item identified was that the tank needed to be pumped.Previous years did not include this maintenance item. 514 systems were identified and observed via regular monitoring inspections,93 systems were identified(and had some level of observation)via sanitary surveys and are sites where no previous records exist. SUMMARY OF KEY FUNDING/SERVICE ISSUES Tracking will be done with existing data systems to evaluate effectiveness of permitting and monitoring programs. Ongoing O&M activities will be funded through permit and inspections fees as well as the newly formed Clean Water District and state and federal grants. Implementation will focus on developing and implementing a system to allow homeowners to be trained, complete monitoring inspections and report results to meet state requirements for assurance that OSS system are functioning properly. Follow-up with homeowners on inspection results is critical to the understanding of how systems work and why maintenance and proper operation is important. A system for correspondence and follow-up is under development. We will conduct community outreach to increase awareness of the new requirements. An incentive program to assist homeowners in completing inspections and install access risers and monitoring ports is in development for implementation in 2012-2013. Identification of previously unknown onsite sewage systems is ongoing as part of a project in the Marine Recovery Area(MRA) along the Hood Canal. Onsite sewage permitting and staffing has declined due to the economic downturn of the past several years. In • 2012 there was an approximate 25%increase in permitting workload. The corresponding increase in revenue has not yet allowed the program to add staff As a result, existing staff have become more efficient in their work where possible but permit turnaround time has been negatively affected. The team continues to strive to maintain effective communication with our clients and partners(other state and local departments)to effectively manage workload and requests for information while diligently reviewing and enforcing county code and policies. 2012 STUDY/ANALYSIS OF RESULTS • Revisions to the Onsite Sewage Code, JC 8.15,were adopted in May 2012 after an extensive and thorough process that included a Work Group made up of homeowners, industry professionals and other interested parties. The groups meetings and public workshops were professionally facilitated. Code sections were written and revised by staff based on the group's recommendations.New sections include a program to enable most homeowners to complete most of the required monitoring inspections. The requirements for homeowners to become authorized to complete inspections includes completing 2 classes—one on the basics of septic system operations, maintenance and monitoring,the second is the process of completing an inspection and submitting a report to the county. • Based on information available at the time of the code revisions we anticipated that the classes would be available in August and we would begin sending Inspection reminders in September. Unfortunately the classes are not yet available to us online. The State Department of Health will be hosting the videos and • they expect them to be ready early in 2013, March or April. C:\Users\cathya\AppData\LocaI\Microsoft\Windows\Temporary Internet Files {nient.Outlook\R6QWNZMW\2012 OSS Performance Measures Year End-Final.doc • We provided 'in person' Septics 101 classes in September and October in 5 locations around east JC to 120 homeowners. All classes include information on funding available for repair or upgrade of an OSS and are very well received. 110 • The incentive/rebate program for access risers for your first monitoring inspection by a professional began in late 2012. This will assist homeowners of previously unknown systems as well as many older systems that have never been inspected. • Inspection reminders will start to go out as soon as Septics 201 is available. • We did not succeed in identifying all unknown onsite sewage systems by the end of the year. Work will continue toward this goal into next year with a project in the lower Duckabush and the Hood Canal Watershed project. Sanitary Surveys help us to identify that a system is on a property but do not generally include a detailed inspection of the system. These systems are tracked separately from systems that have a regular monitoring inspection completed. • Monitoring Inspection Reports are reviewed. Follow-up letters were sent to 65 property owners where problems/deficiencies are noted that indicate either imminent failure or identify a violation of the permit. Responses to these letters have been excellent and offer an opportunity to give additional information to new property owners. • The Local Management Plan is being reviewed and updated to identify successes and update information. This project will be completed in 2013. • The Onsite Sewage, Solid Waste and Water Quality Divisions worked on Standard Operating • Procedures around enforcement and investigation of complaints and identified problems. These are substantially completed. The Onsite Sewage Division is working on the procedures for all regular practices: permit review and issuance, data entry and reporting, and tracking monitoring inspections and response to necessary corrections. • The number of permits received is slightly above 2010 and 2011 numbers (25% increases from 2011). We currently have one FTE carrying primary responsibility for all septic permit applications. A sustained increase in the permit load will necessitate reallocating staff to maintain timeliness in permit review and issuance. • Response to complaints and identification of problems is coordinated with Water Quality staff We are working to develop better systems for communication and documentation in the database to assure that all staff can see and understand what the status is on a particular site. •C:\Users\cathya\AppData\Local\Microsoft\Windows\Temporary Internet Files Bent.Outlook\R6QWNZMW\2012 OSS Performance Measures Year End-Final.doc Jefferson County Public Health Performance Measures 2012 Year End Report SOLID AND HAZARDOUS WASTE PROGRAMS PROGRAMS: Solid Waste Enforcement, Solid Waste Education& Outreach, Site Hazard Assessment, Small Business Assistance (Local Source Control, EnviroStars Certification, Green Business Certification). MISSION: The mission of the Solid Waste Code Compliance and Education Program is to enforce Washington State and Jefferson County solid and hazardous waste code, educate the community about ways to reduce solid and hazardous waste, and to promote the goals and objectives for solid waste reduction and recycling outlined in the Jefferson County Comprehensive Solid Waste Management Plan. GOALS FOR FY 2012: • Investigate solid and hazardous waste complaints in a timely manner • Resolve solid and hazardous waste violations through voluntary compliance or citations and legal action when necessary • Investigate all Initial Investigations as referred by Ecology • Resolve backlog of Site Hazard Assessments awaiting ranking • Reduce the incidence of illegal dumping • Assure all permitted facilities (past&present) and exempt facilities meet current regulation standards • Increase public awareness of household hazardous waste (HHW) disposal requirements and ioptions • Promote "rethink, reduce, re-use, and recycle"to facilitate the County goal for 50%waste reduction,recycling, composting, and waste diversion • Provide on-site technical assistance site visits to businesses to encourage environmentally sustainable business practices OBJECTIVES FOR FY 2012: • Coordinate with other agencies to resolve complex solid waste violations • Work with the County's Prosecuting Attorney to pursue legal remedy for enforcement cases when warranted • Respond via phone, letter or site visit to all solid waste complaints • Respond to all initial investigations within three business days • Conduct Initial Investigations and Site Hazard Assessments as referred by Ecology • Educate consumers on choosing non-toxic alternatives to HHW • Educate public on proper disposal of HHW • Promote consuming less and re using more. Recycling is not enough • Conduct LSC site visits to identify and actively work with high priority SQG's to ensure use of best management practices and prevent toxic and hazardous wastes from entering surface waters • Promote Green Business and EnviroStar certification programs • 1 PERFORMANCE INDICATORS 03 SOLIiiWitictittt tt R �� s { v . ,f - :: .. .. ..:i., ��.s.�.'�. ,.�' aha. ., , Zd� :Pie.4 " �' j 5^ l ai a.a .4 Total number of solid waste complaints received 60 65 � 68 � 75 Total number of solid waste violations resolved 36 90 68 81 75 _ 60 - #of illegal dumps complaints received 14 11 14 12 #of illegal dumps complaints resolved - 5 _ 19 10 12 12 5 #of illegal burning complaints received 5 7 0 6 2 #of illegal burning complaints resolved 0 7 0 6 #of citations/tickets issued 2 24 58 5 4 #of court hearings attended 19 2 - 7 2 6 Tons/cubic yards of solid waste removed/recycled through 55+ 25 50 compliance efforts(not including junk vehicles) 60 tons _ Total number of solid waste violations awaiting legal 1 2 2 3 2 action/abatement #of warrants of abatement obtained/completed 0 0 1 2-Jan 1 #of Jeff.Co. permitted facilities meeting current regulation 8 of 9 8 8 8 7— 7 - standards(out of 8)(1) #of Jeff.Co. exempt facilities inspected/meeting current 4 4 4 4 regulation standards(out of 4) 4 Total number of active EnviroStars businesses(out of 100 14 18 21 23 eligible in Jefferson County) 26 #of new EnviroStars businesses 3 5 5 3 3 #of active Green Businesses 21 26 24 33 28 #of new Green Businesses 6 6 6 6 •• #of Education and Outreach Activities(articles, PSAs,and 1 " 6dtle t #}12 14 events) r 1 4 �, v '"r f+, +, #of Junk Cars removed/recycled 139 141 35 150 <25 #of"Amnesty Day"events 0 _ 1 0 0 0 Tons/yards of solid waste recycled/disposed of during"Amnesty -- 3000 -- Day" (2) Tires South County R ERTS Received/Investigated "r. ' g���� � � _ 9 10 _ 12 #Initial Investigations Completed 13 7 5 10 12 #Awaiting Site Hazard Assessment 10 10 8 0 3(2— on hold) #Site Hazard Assessments Completed 4 0 4 7 2 #of Local Source Control Visits 9 29 19 72 105 Spill Kits Distributed 0 0 25 0 — 0 Notes:(1)At the end of 2008,JCPH broke out several facilities that had previously been lumped together.(Jefferson County Transfer Station, Recycling Center,and closed Municipal Landfill.)This will enable clarification for the purposes of monitoring and permitting.In 2010, Ecology took over the permitting of the Olympic Corrections Bio-solids composting facility,reducing the number of sites to eight. (2)JCPH worked with Washington Department of Ecology to remove and properly dispose of 904 tons of tires from five large sites,at no cost to Jefferson County.Initial numbers from 2007 were 300 tons.Final numbers for the project by the end of 2008 were 904 tons. JCPH then sponsored a one-day tire-recycling event for county residents that collected an additional 2500 tires. • (3)Until now, Site Hazard Assessments(SHA)and Initial Investigations(II)have not been included in the solid waste team's annual projections. 2 I . STUDY/ANALYSIS Solid Waste Enforcement In 2012,the Solid Waste Program spent a significant amount of time in pre-litigation activities because of the denial of the Port Townsend Paper Company's Inert Waste Permit. We also experienced an increase in the number of public records requests. In all,we received a total of 24 public records requests, a majority of which came in during the summer months. The volume of public records requests nearly overwhelmed administrative staff and highlighted the need for a more streamlined and consistent process for public records. Overall,residential complaints have steadily declined since 2007. Of the sixty cases closed this year,two were long-term,time-intensive cases needing extensive resources to resolve. Currently the program has a backlog of 10 time-intensive cases. These include cases where clients exhibit hoarding-type behaviors and will require more time and resources to resolve (e.g.: multiple citations, court hearings, and warrants of abatement). Our goal is to complete two abatements a year on these longer-term cases. We also may investigate other resources to assist clients with hoarding-type behavior. Without additional funding and staff,these will take at least five years to resolve. There has also been a significant decrease in the number of requests for junk vehicle affidavits. We attribute this to the Sherriff's office reinstituting their volunteers to this work. The number of illegal dump complaints seems to be stabilizing. We expect the numbers for illegal dumping and burning of garbage to remain consistent until/unless there are structural changes such as • mandatory garbage collection service. Over the past year,the Solid Waste Enforcement Program has completed the following quality improvement projects: • Revised the Noticed and Order to Correct Violations(NOCV) so that the readability is within accepted guidelines for communicating with the public • Integrated TideMark into the program to make tracking complaint cases more efficient and developed a TideMark SOP • Produced a guidance document on the management of Solid Waste that is enclosed with our NOCVs • Developed a streamlined Compliance Agreement Solid Waste Education and Outreach Solid Waste public education continues to focus on pollution prevention through education and outreach on proper disposal of household toxics and reducing waste. In 2012, JCPH began developing environmental and waste reduction curriculum for use in the schools. Presentations meet many of the science Essential Academic Learning Requirement and we anticipate scheduling classroom presentations by spring of 2013. In response to several concerns from the community,Public Works, and the Solid Waste Advisory Committee regarding contamination in the recyclables,we started a series of Recycle • Reminders in the City of Port Townsend newsletters and Public Service Announcements (PSA) 3 on KPTZ. These reminders will continue through 2013, and their placements broaden to include venues like The Rose Theater. • The Solid Waste Education and Outreach team took over the management of the 2good2toss site from Public Works for one year to determine if increased advertising in different venue would increase use. Initial use of the site was high, but then tapered off and the team determined that for the amount of money and effort,there was little return, and will not continue operating the site. Currently,there are no performance measures for Solid Waste Education and Outreach and few ways to measure the effectiveness of education and outreach campaigns. Research has shown that brochures and pamphlets are not effective at instituting behavior change. In 2013, our education and outreach will focus on using social marketing concepts and engaging people to take action like signing a pledge/commitment to reduce their waste by one garbage can a month, use durable items like cups and water bottles instead of disposable ones. SMALL BUSINESS ASSISTACE PROGRAM Local Source Control In 2011, JCPH became a full partner in the Local Source Control Program, an Ecology contract to conduct pollution prevention site visits with the goal of reducing polluted runoff in the Puget Sound Region. This has broadened the scope of the Solid Waste Program to include more small businesses as part of its service delivery. Our previous work with small businesses was limited to Green Business and the EnviroStars Program, our incentive-based programs that offer rewards to • business who demonstrate environmental leadership. For businesses operating with sustainable business practices,the LSC program serves as a gateway into EnviroStars and Green Business certification programs. These programs provide free advertisement and other promotional materials to reward good business practices. Sites found to be in gross violation of the law and/or apparently contaminated are referred to the Solid Waste Enforcement Program. It became clear to staff that the Local Source Control Program needed to merge with the Green Business and EnviroStars Program, and renamed to the Small Business Assistance Program to reflect a more comprehensive program. While our service delivery model will not change substantially, we are striving toward integrating the programs so they are seamless. Green Business Participation in this program has remained steady over the years with little change in the numbers. Staff recognized this year that we will need to revise our standards for restaurants to include current standards on handling and disposing of fats, oils, and grease(FOG). This is due to widespread mishandling of FOGs in the retail food establishments visited. We estimate that current businesses will need at least two years to implement the changes in order to remain in the program. • 4 • EJCPHnviroStars staff offer guidance and education regarding the proper management and disposal hazardous waste and best management practices to prevent pollution into the environment. We certified three new businesses—Day Boat Works, Rain Shadow Woodworks, and the Washington State Ferries—Port Townsend Terminal. Hazardous Waste JCPH staff will continue to investigate hazardous waste complaints and perform initial investigations and site hazard assessments (SHA's)for Ecology. The solid waste team will respond to all new referrals from Ecology and expects to resolve the backlog of SHA cases during 2013. Staff will respond to new referrals for Initial Investigation within three business days. General Program Items The Solid Waste Team along with the rest of the Environmental Health Division participated in Enforcement Team meetings. These meetings build consistency within the team and division by developing policies and procedures. To date, the Enforcement Team has revised the Compliant Policy and the Enforcement Policy and is drafting Standard Operating Practices for the division. All EH teams conducted a gap analysis of their policies and procedures. The Solid Waste Team identified the following gaps in their procedures: • Solid Waste Permitting Procedures • Enforcement Decision Matrix(triage) ■ Local Source Control Visits • Abatements • • Soliciting bids and contracts for • Site Hazard Assessments abatement • EnviroStars and Green Business To ensure consistency throughout the life of the programs,the team recommends that the development of SOPs remain a priority. The SOPs will increase efficiency and consistency among staff and over time. Workload Management In the last year,we experienced turnover and gained two new staff members. This afforded us the opportunity to bring in new perspectives and ways of delivering service to the public. One downside to this was that due to our heavy workload, that training was rather stressful to all parties involved. We have reorganized and are currently undergoing workload procedure revision in order to reduce the amount of training time needed for new and experienced staff Primarily due to the added workload of the Port Townsend Paper Company's permit renewal, program limitations were exacerbated. Due to funding constraints,the current program is under- staffed and workload unsustainable. We look to 2013 and funding opportunities that may present themselves to ensure that we retain qualified employees and maintain the public health gains observed over the past couple of years. At the current staffing level, we will fall short of our obligations in contracts and grants, as well as risk employee burnout. S 5 Jefferson County Public Health Performance Measures 2012 Year End Report . FOOD SAFETY PROGRAM MISSION: The mission of the Food Safety Program is to minimize the risk of the spread of disease from improperly prepared, stored or served foods handled in commercial retail settings and community events. GOALS FOR FY 2012: • Train all food service workers on the food safety. • Ensure compliance with the food code. • Reduce the incidents of food borne illness in our community. • Educate food safety workers, food establishment owners, and the public on food safety. • Ensure septic systems serving food establishments are operational. OBJECTIVES FOR FY 2012: • Offer food safety training at a frequency and in locations convenient to food service workers. • Continue to offer online food safety training. • Maintain a list of contacts which may assist food operators such as: building inspectors, WSDA, Fire Marshall, DOH, Labor and Industries, Alcohol and tobacco, and zoning. • Inspect all food service establishments at a frequency adequate to assure compliance with state and local regulatory requirements. • Ensure food safety is prioritized in the establishments by consistently conducting re- inspections where violations indicate a need. • Offer educational materials and technical assistance to non-regulated community groups and organizations where requested. • Provide educational materials"on the spot" as needed. • Update food establishments on new and amended regulations and department changes through the website, phone calls, informational meetings, and mailings. • Assist and Educate food establishments in reducing critical violations and eliminating repeat violations. • Require food establishments to have annual Operations and Maintenance inspections of their septic system. • Prevent septic system failures at food establishments by assisting with enforcement of operations and monitoring requirements. PERFORMANCE INDICATORS: Food Worker Education 2010 2011 2012 2012 Planned Actual Total# of food workers trained 1269 1367 1300 1463 _ • _#of food workers trained in-person 1269 674 400 122 # of food workers trained on-line 0 693 900 1341 #of instructor led classes 92 51 24 14 #of food worker classes at Health Department, special here* 82 42 18 12 1 A # of food worker classes at other locations,Tri-Area, special* 10 9 6 2 Annual Food Service Establishments 2010 2011 2012 2012 Planned Actual4111 #of food establishment permits 235 232 250 241 #of food establishment permits—complex menu** 111 115 107 #of food establishment permits—non-complex menu** 121 135 134 %of required inspections completed 85 97 100 100 #of required routine inspections completed. 331 366 351 # of required routine inspections completed,routine,pre-open,re- inspections *** 249 #of re-inspections required due to violations 6 2 10 16 #of pre-opening inspections completed 41 _ 41 34 #of complaints received and resolved 32 30 28 Annual Food Service Establisiments '�� , 2010 2011 2012 2012 . Planned Actual # of temporary food service permits 82 147 150 146 #of temporary food service inspections completed 150 159 NFood Service Establishments 2010 2011 2012 2012 Annual Planned Actual # of newsletters,press releases,meetings**** 30 10 #of establishments receiving Outstanding Achievement Awards***** 40 28 25 #of Plan Reviews completed 43 44 37 III #of Plan Review Establishments that opened****** 16 41 41 34 SUMMARY OF KEY FUNDING/SERVICE ISSUES: Food Safety Program activities are funded solely through permit and technical assistance fees. We will utilize the hourly technical assistance fee more consistently to recoup costs. STUDY/ANALYSIS: The assessment of the Food Safety Program Performance Measures has been difficult due to changes in staff and program re-organization to focus on workload demands in addition to program goal reconciliation. The revised assessment of Performance Measures for the Food Safety Program for 2012 made interpretation of the figures easier and is expected to improve with the 2013 version. The 2013 version will directly tie measurables to goals and objectives. Food Worker Education: Food Worker's trained on-line surpassed all-time#'s for those trained in-person in 2012. This illustrates the ease at which food workers can obtain and be in compliance with food worker training regulation. However,there is one large question that remains to be answered: How effective is on-line training at educating food workers? In 2012 we did see an increase in poor food safety scores at retail establishments, but no correlation was made to whether or not those Food Workers received their cards on-line or in-person. . 2 *With the addition of on-line online food worker training in Jefferson County we added different columns to show the number of"trained on-line". Historically, we have tracked the location of where those in-person classes were held. We determined that there is no staff or participant performance changes by accounting for class location and will no longer tally this field in 2013. The online food worker class continues to be a success due to the convenience of the process. The actual number of online food worker cards issued in 2012 was almost 50%higher than the estimated figure for that year. Furthermore the low figures for instructor-led classes are evidence of the popularity of the online classes—for example sign-up for the instructor-classes at the Tri- Area Community Center at Chimacum has practically stopped—No classes have been held at that location since 1/27/2012. Finally,the total number of cards issued at instructor-led classes in 2012 was only about 18%of the 2011 figure (online classes became available in June 2011) and only 10% of the 2010 figure—when online classes were not available. If the rate of attendance at the instructor-led classes continues to decline,the frequency of classes will be reduced from 1 x/month to every other month. The fewer face-to-face classes have freed the instructor and enable her redirect time for other aspects of the food service program. Until the end of 2010, only about 85%of required inspections were conducted. The figure increased to 97% in 2011 and was 100% in 2012. Annual Food Service Establishments: **We have separated out the performance indicators "#of food establishment permits"into two categories associated with the number of required inspections per code. We added "complex menu"and"non complex menu". That way more accurate information on inspection percentages can be provided. A complex menu establishment must be inspected at a minimum of twice per • year and a non-complex menu establishment must be inspected at a minimum of once per year. Pre-opening inspections is a reflection of how many new or remodeling establishments are opening per year. A plan was implemented in 2011to ensure that 100%completion of routine inspections are done. The objective of completing 100%routine inspections was achieved in 2012. This plan was stressed in 2012 and will be tested again in 2013 given the low staffing level in the program. ***In 2010 the percent of required inspections completed was at 85%, which is consistent with the previous two years. This calculation had included pre-opening inspections and re- inspections. We decided that a better statistic for determining compliance with the inspection requirements for permitted establishments would be to separate the pre-opening inspections and re-inspections from that total. That number will then establish how well the food program is meeting the goal of 100%of routine inspections as required by permit. We eliminated the redundant"#of inspected establishments that required repeat inspections due to critical violations"because "#of re-inspections required due to violations"was sufficient. Temporary Food Service Establishments: In 2011, we re-visioned the program, established standard inspection protocol for compliance • with Washington guon, of vonce during the year, andState provreidedlatiaccurateinspected record92%of each pertemporarymit. Theevent goal setendors for consistent inspection of temporary events was accomplished. Thus, the large jump in# of permits issued. 3 In 2012,we built upon this success and sought to improve operations and consistency further by streamlining the program as well as revising protocol and inspection forms. Where possible, staff was proactive in gathering partnerships and permitting vendors as soon as possible prior to the • event in order to avoid complications and headaches. One such partnership is with facilities, such as the Elks Lodge,who set temporary food service permit as a criterion prior to allowing the temporary event to occur. Newsletters,press releases, meetings: In 2012, staff participated in four WSU programs that focused on clarification of Washington State food service regulation and the CFR(Codes of Federal Regulations)to members of the food industry including farmers. Staff also participated in Quad County meetings and workshops in order to share challenges of regulating the food industry and also acquires skills for better communication with proprietors, food handlers and the public. Education and assistance of non-regulated community groups was in the form of guidance with various churches and organizations that qualify as Donated Food Distribution Organizations (DFDO). Documents and application packages were mailed to about 42 churches and organizations in Jefferson County in March 2012 to assist with compliance with Donor Kitchens where food is prepared and served to the needy free of charge. The documents had to be reprinted and re-sent for several of the churches. Most churches and organizations now contact the Health Department about the application procedure to ensure compliance. A summary of the upcoming revision to Washington State Food Service Regulations was distributed to all establishments as well as made available electronically in 2012. This was in • order to start the education of the upcoming revision that goes into effect in May 2013. *****Due to data collection difficulties related to database transfer, we do not yet have the number of food establishments receiving the Outstanding Achievement Award. We do anticipate having this data by the end of March 2013. ******Number of Plan Review Establishments that opened was added to the table to illustrate that activities which involve a tremendous amount of staff resources do not always yield a permit, and thus a permit fee. SUMMARY OF KEY FUNDING/SERVICE ISSUES: Education and Outreach: The objective to improve relations with owners of food establishment through activities such as the Food Safety Roundtable (previously known as the Advisory Committee)was partially fulfilled. The purpose of this committee is to assist the food program in developing opportunities and materials to help food service management to better understand and operate under the rules and regulations established by the State of Washington(246-215 WAC) and Jefferson County's Food Safety Program Guidance and Policy's Statements. There was only one Food Safety Roundtable meeting met on 1/26/2012 instead of the proposed 2x/year schedule. Attendance was low—there were a total of about 5 participants from food service establishments in addition to • Jefferson County Public Health. 4 I Once more,the issue of changing the billing cycle came up during the 1/26/2013 Food Safety Roundtable meeting. A few proprietors pushed for the possibility of changing the billing cycle from January to January to June to June. The latter cycle according to the proponents makes S sense since most proprietors earn most of their income during the summer. Because of this interest, Jefferson County Public Health mailed surveys out to 220 establishments in 2011. However, only 10 responses were received and of those only 2 (0.9%of all establishments) thought that a change in permit cycle was warranted. Due to this lack of interest from establishment owners and the database consolidation underway by the Environmental Health Department, it was determined by JCPH that this issue shall be tabled until there is significantly more interest generated by the business community. Staff began working with food establishments to educate proprietors and employees on the best management practices for fats, oils and grease (FOG.) accumulated from food establishments. Food wastes from restaurants are a primary pollutant that can affect the water quality in Puget Sound. The inspections known as Local Source Control (LSC)were combined with routine food inspections. During LSC inspections attention is placed on activities specific to that establishment that may contribute to polluted runoff and increased fats, oils and grease (FOG)in our environment. The LSC partnership focuses directly on assisting small businesses to prevent polluted runoff to Puget Sound. LSC uses pollution-prevention techniques and best management practices (BMPs)to prevent, control, and treat pollutants before they enter the environment. These inspections revealed that a high percentage of restaurants are not adequately managing FOG through multiple routes,primarily by dumping waste water outdoors, not having a properly sized grease trap, or not having a grease trap installed at all. JCPH also worked closely with the City of Port Townsend's Waste Water Operator to confirm presence or absence of grease traps in Scity restaurants. These inspections will continue in 2013. Work load, how much overtime, comp. time accumulated: The original three-person team in the food safety program has been reduced. Duties have been consolidated to one person while two part-time employees act as support and back-up for duties (1.28 Full Time Equivalents (FTEs)). Additionally, a 1x/week food team meeting has been established which added more fluidity, consistency and a better understanding of the program needs. This ultimately allows the program to better serve the public in a timely manner. Finally, as the program is undergoing extreme change,the Environmental Health Director attended most of the food team meetings in order to ensure work flows as smooth as possible. The food safety staff duties are not strictly a Monday to Friday schedule. From spring to fall, there are increasing numbers of temporary food service events to be inspected and despite the assistance from back-up staff overtime of 58 hours in 2012 was observed. This issue of overtime is inevitable if the duties have to be carried out. In 2013,we look to spread more duties out to other staff in order to reduce the overtime. However, staff is running very lean and for each hour that is added to food, another hour is subtracted from another program limiting the other programs ability to complete work. In 2012, we implemented actions to short circuit the amount of time expended by staff. For example, our reception staff is now able to provide application information for prospective S business operators. This will allow inspection staff to focus on other priorities and duties that requires their expertise. Additionally, we have upgraded and re-visioned the permit application and guidelines to deliver more information to prospective operators so that staff time expended 5 in uncompensated technical assistance is reduced. With this update we have provided all of the pertinent information necessary to obtain a permit and open a food service establishment in Jefferson County without the need for lengthy pre-application discussions with staff. In 2010, focus was placed on food establishments served by on-site septic systems which were in non-compliant status. Compliance with state and local on-site septic systems was established as a condition to renewal of food service permit. In 2012, all food service establishments were compliant with the annual 0 & M inspections. Database concerns: KIPHS—This software has numerous short comings and updates by program generators have still not solved all the problems associated with the software. Administrative staff and program team members have to regularly phone KIPHS staff for assistance with problems. These issues have cost permitting delays as well as staff time and agency money. In 2012,the entire Environmental Health Department undertook the task of consolidating the myriad databases used into one database. This is a significant leap forward for the Food Safety Program as this significantly increases the tracking and reporting capabilities for the program. In addition, it allows for more efficient communication to establishment proprietors and streamlines both the initial permitting process as well as the permit renewal process. Starting in April 2012KIPHS is gradually being phased out as the main data base for the Food Program. The process is on-going—and it is expected to be completed by the end of 2013 as there is significant development of the (new to food safety) database occurring as well as a lack • of a database administrator to do the work. Staff worked tirelessly with a part-time database administrator familiar with our system from May 22,2012 till December 31, 2012 to update, transfer data from KIPHS and set up the new data base. The transition for the annual food service establishments was completed at the end of 2012. Temporary food service permitting will be fully integrated by June 2013 and then debugging will be ongoing until the end of 2013. Due to the lack of a Database Administrator in Jefferson County government, time spent by Linda Atkins (the Onsite Septic Program Lead)and the contract Database Administrator are billed to the Food Program. Furthermore, it places a burden on the work load of Linda as her primary duties are in a different program and that program still demands her time. Linda Atkins spent several hours to train members of the Environmental Health Department and the Administrative Assistant on how to use the new database. Staff members appreciate the flexibility of data entry in the new database compared to KIPHS and will enjoy the advantages more as they become skilled in its use. Some of the advantages of transferring to another database are the ability to generate reports of critical figures as opposed to the tedious manual counts to verify figures in KIPHS. Secondly, we will be able to track inspection scores for trend analysis. Thirdly,we will be able to speed up the permitting process by utilizing one database for inspections,permitting and billing, instead of utilizing three independent systems. Fourthly, we will be able to reduce the amount of time spent by food establishment owners when they renew their permits by sending pre-completed applications that only require updates to existing information rather than completely filling our an entire application with information. Finally,we will have the ability to track outstanding balances and violations so that if the facility owes fees or is out of compliance staff can focus on addressing those items rather than issuing a new permit to operate and moving on. 6 Unfortunately,the database transfer did not occur without its hiccups because not all of the establishment data was able to be transferred. Although we are now able to send out pre- ./ completed renewal applications to establishments which will save the proprietors' time renewing their permit, we had to send partially completed permit renewal forms to proprietors in order to reacquire the lost data. Other Adjustments in the food program: In 2012, a variance of inspection score between inspectors was observed. As the agency has historically only had one person inspecting food service establishments in the past this trend had not been observed. A food establishment inspection protocol will be produced and inspector calibration will be conducted in 2013 to ensure that variance between inspectors is reduced. In 2012, existing forms were completely redone and improved so that they are more user friendly along with creating checklists for clarity for the applicant. For annual establishments there is now an electronically generated renewal application, a long application and a short form (for renewals when the electronic form is not available). The guidelines are also more comprehensive and user friendly. The objective for these actions is to ensure that the applicant has incorporated all of the needed information into the application and by the time the plan review is completed, the facility will be ready to open. The temporary food service (TFS) application form was also updated. It is more user-friendly and now has temporary food service rules attached. Food handlers are required to read, sign and post the document in the booth or site of food service and be prepared to answer questions on safe food handling practices during the food safety inspection. This change has significantly improved food safety compliance at temporary events. • Annual Food Service Invoicing, Fee Payment and Permit Renewal: Mid December, to Mid February is a very busy and challenging period for Food Safety Program. In past years,the Administrative Assistant is assisted by a part-time employee to prepare invoices,mail them and print the food service permits to be sent out to proprietors. The handling of the invoices, fees and printing of permits is a two-person job. With the transition to the consolidated database we experienced only a slight reduction in staff workload due to this being the first time with the new program and data transfer difficulties. The late fees charged for late annual food service renewal fees were cancelled effective 2-1- 2012. It was replaced with the closure of facilities after the issuance of a 48-hour closure notice for non-renewal of permit. Approximately 50%of food establishments renewed their permits by the January 31St expiration date. Staff then notified the remaining establishments by phone that their permits had expired and were subject to closure. All but one renewal was completed within 24—48 hours of the phone calls. Only one 48 hour closure notice was issued and no facility was closed in 2012 for not renewing their operating permit. Thanks to the vigilance of Donna Marvin, BOH policies are updated in a timely manner. The Mobile Food Service and the Inspection Frequency policy due for update in January 2013 have been updated. The emergency drinking water policy for food establishments was also updated by Susan Porto and the Environmental Health Director. In 2013,the food safety program looks to 40 add more policies and procedures in order to further standardize their processes. 7 Jefferson County Public Health Performance Measures 2012Year End Report • DRINKING WATER PROGRAM MISSION: The mission of the Drinking Water Program is to protect public health by assuring that residents and visitors to Jefferson County have access to a safe and reliable supply of quality drinking water and that it is reasonably available. By enforcing and monitoring laws regulating public and private water supplies, the Drinking Water Program minimizes the threat of waterborne disease. GOALS FOR FY 2012: 1. Assure that all new wells are constructed in accordance with requirements established by the Washington Department of Ecology. 2. Provide technical assistance when requested so that individual water supplies are safe. 3. Limit public exposure to water systems with known deficiencies. 4. Integrate water adequacy review with compliance to the In-stream Flow Rule and Seawater Intrusion ordinance. 5. Work toward coordination with other permitting agencies to ensure consistence compliance with drinking water requirements. Those include DOH (in-stream flow rule and public water supplies), Washington State Department of Agriculture (food processing permit applications), JC food safety and onsite septic programs and JC Department of Community Development. OBJECTIVES FOR FY 2012: 1. Inspect at least 50% of all new wells constructed with 25% of these with the well driller present and 90% of all wells being de-commissioned. 2. Maintain high rates of compliance with state well drilling regulations. • 3. Review all building permits and project applications to assure that potable water supplies meet basic public health standards as well comply with state statutory and regulatory requirements. 4. Provide technical guidance to any residents requesting assistance with their individual or small water systems to deliver safe drinking water. 5. Establish appropriate policies for alternative water supply systems. 6. Continue contracting with Washington Department of Health for public water supply projects, as long as adequate funding is provided. PERFORMANCE INDICATORS 0*- + 6Asa It 0 # �� Number of well applications received&reviewed 126 127 76 83 61 56 36 Number of new wells start notification(drilled) 131 108 79 77 62 57 24 (includes some well applications from previous years) Number of wells decommissioned 13 16 17 8 13 12 12 Number of new wells inspected(start notification 70 67 48 53 32 31 12 received) Percent of new wells(starts) inspected 53% 62% 63% 68% 52% 54% 50% Number of inspected wells with driller on site 25 28 9 (includes new and decommissioned wells) Ate* OT ?A I e 4 Percent of inspected wells with driller on site �� �i% 55% 65% 75% • Number of decommissioned wells inspected 13 16 17 8 13 12 12 Percent decommissioned well inspected 100% 100% 100% 100% 100% 100% 100% 1 of 2 SUMMARY OF KEY FUNDING/SERVICE ISSUES: • Updates and improvements to our database as well as shifting existing programs into Tidemark have facilitated data transfer across multiple departments for better coordination and efficiency. • • Future performance measures have been substantially modified to more accurately capture goals and objectives that relate directly to tasks. This will require new reporting processes in tidemark and additional features for accurate tracking. Focus must continue to be on maintaining consistent data entry,verify accuracy and determine ways to make information readily available for the public. Standard operating procedures must be completed to ensure processes are documented and consistent work is maintained regardless of future staffing changes. • There continues to be a need to establish a consistent and adequate funding source to focus on water issues in Jefferson County. Water quality and quantity is a topic expected to be at the forefront of future economic and environmental sustainability for quite some time to come. Lacking appropriate resources directed to the issue,public health may be at a severe disadvantage to appropriately respond to the broad range of issues in this regard. • Public outreach included two speaking events for business classes associated with future farmers through programs with WSU and two public meetings with a particular focus on permitting issues, also through WSU. 2012 STUDY/ANALYSIS OF RESULTS • Applications for well inspections continue to be down substantially. There has been a roughly 50%decrease in the number of wells drilled in the county this year as compared to 2008. According to information from the Department of Ecology drilling activities have been declining across the State since 2008,basically mirroring economic conditions. The slight increase in well drilling activity in 2009 can be attributed to public anticipation of the pending WRIA 17 In stream flow water rule that was implemented on December 31, 2010. • • The number of well decommissioning can be directly attributed to septic permitting activities together with the expansion of public water service to areas previously not served. We are also tracking a decommissioning that occurs as a result of an initial attempt to drill, where the result is either dry or untreatable water(mostly chlorides) and the well is decommissioned,prior to the driller leaving the site. That process of tracking started approximately 2007. • The economic downturn impacting application submittals,together with County general fund reductions are resulting in staff program reassignments toward grant funded projects. Staffing in the drinking water program has been reduced to approximately .3 FTE. • As funding sources dissipate, issues related to drinking water become less preventative based and more complaint driven. • In house expertise is being eroded with un-sustained funding. There are limitation on trainings/seminar attendance and multi jurisdictional interaction related to water issues. These forums give rise to new and creative means to initiate policy development for alternative water supplies processes and conservation measures that minimize impacts of water shortages. • Coordinated Water System Planning in the county has been disabled and water resource planning units have lost funding. These are not promising trends. i 2 of 2 • Jefferson County Public Health Performance Measures 2012 Year End Report • FOOD SAFETY PROGRAM MISSION: The mission of the Food Safety Program is to minimize the risk of the spread of disease from improperly prepared, stored or served foods handled in commercial retail settings and community events. GOALS FOR FY 2012: • Train all food service workers on the food safety. • Ensure compliance with the food code. • Reduce the incidents of food borne illness in our community. • Educate food safety workers, food establishment owners, and the public on food safety. • Ensure septic systems serving food establishments are operational. OBJECTIVES FOR FY 2012: • Offer food safety training at a frequency and in locations convenient to food service workers. • Continue to offer online food safety training. • Maintain a list of contacts which may assist food operators such as: building inspectors, WSDA, Fire Marshall, DOH, Labor and Industries, Alcohol and tobacco, and zoning. • • Inspect all food service establishments at a frequency adequate to assure compliance with state and local regulatory requirements. • Ensure food safety is prioritized in the establishments by consistently conducting re- inspections where violations indicate a need. • Offer educational materials and technical assistance to non-regulated community groups and organizations where requested. • Provide educational materials "on the spot" as needed. • Update food establishments on new and amended regulations and department changes through the website, phone calls, informational meetings, and mailings. • Assist and Educate food establishments in reducing critical violations and eliminating repeat violations. • Require food establishments to have annual Operations and Maintenance inspections of their septic system. • Prevent septic system failures at food establishments by assisting with enforcement of operations and monitoring requirements. PERFORMANCE INDICATORS: Food Worker Education 2010 2011 2012 201 Planned; Actual Total# of food workers trained 1269 1367 1300 1463 #of food workers trained in-person 1269 674 400 122 #of food workers trained on-line 0 693 900 1341 #of instructor led classes 92 51 24 14 #of food worker classes at Health Department, special here* 82 42 18 12 1 #of food worker classes at other locations,Tri-Area, special* 10 9 6 2 2012 2012 Annual Food Service Establishments 2010 2011 Planned Actual • #of food establishment permits 235 232 250 241 #of food establishment permits—complex menu** 111 115 107 #of food establishment permits—non-complex menu** 121 135 134 %of required inspections completed 85 97 100 100 #of required routine inspections completed. 331 366 351 #of required routine inspections completed,routine,pre-open,re- 249 inspections *** #of re-inspections required due to violations 6 2 10 16 #of pre-opening inspections completed 41 41 34 #of complaints received and resolved 32 30 28 2012 2012 Annual Food Service Establishments 2010 2011 Planned Actual #of temporary food service permits 82 147 150 146 #of temporary food service inspections completed 150 159 Annual Food Service Establishments 2010 2011 2012 2012 Planned Actual # of newsletters,press releases,meetings**** 30 10 #of establishments receiving Outstanding Achievement 40 28 25 Awards***** #of Plan Reviews completed 43 44 37 #of Plan Review Establishments that opened****** 16 41 41 34 SUMMARY OF KEY FUNDING/SERVICE ISSUES: Food Safety Program activities are funded solely through permit and technical assistance fees. We will utilize the hourly technical assistance fee more consistently to recoup costs. STUDY/ANALYSIS: The assessment of the Food Safety Program Performance Measures has been difficult due to changes in staff and program re-organization to focus on workload demands in addition to program goal reconciliation. The revised assessment of Performance Measures for the Food Safety Program for 2012 made interpretation of the figures easier and is expected to improve with the 2013 version. The 2013 version will directly tie measurables to goals and objectives. Food Worker Education: Food Worker's trained on-line surpassed all-time#'s for those trained in-person in 2012. This illustrates the ease at which food workers can obtain and be in compliance with food worker training regulation. However,there is one large question that remains to be answered: How effective is on-line training at educating food workers? In 2012 we did see an increase in poor food safety scores at retail establishments,but no correlation was made to whether or not those Food Workers received their cards on-line or in-person. • 2 *With the addition of on-line online food worker training in Jefferson County we added different columns to show the number of"trained on-line". Historically, we have tracked the location of where those in-person classes were held. We determined that there is no staff or participant • performance changes by accounting for class location and will no longer tally this field in 2013. The online food worker class continues to be a success due to the convenience of the process. The actual number of online food worker cards issued in 2012 was almost 50%higher than the estimated figure for that year. Furthermore the low figures for instructor-led classes are evidence of the popularity of the online classes—for example sign-up for the instructor-classes at the Tri- Area Community Center at Chimacum has practically stopped—No classes have been held at that location since 1/27/2012. Finally,the total number of cards issued at instructor-led classes in 2012 was only about 18%of the 2011 figure (online classes became available in June 2011) and only 10% of the 2010 figure—when online classes were not available. If the rate of attendance at the instructor-led classes continues to decline,the frequency of classes will be reduced from lx/month to every other month. The fewer face-to-face classes have freed the instructor and enable her redirect time for other aspects of the food service program. Until the end of 2010, only about 85% of required inspections were conducted. The figure increased to 97% in 2011 and was 100%in 2012. Annual Food Service Establishments: **We have separated out the performance indicators "#of food establishment permits"into two categories associated with the number of required inspections per code. We added "complex menu" and"non complex menu". That way more accurate information on inspection percentages • can be provided. A complex menu establishment must be inspected ata minimum of twice per year and a non-complex menu establishment must be inspected ata minimum of once per year. Pre-opening inspections is a reflection of how many new or remodeling establishments are opening per year. A plan was implemented in 2011 to ensure that 100%completion of routine inspections are done. The objective of completing 100%routine inspections was achieved in 2012. This plan was stressed in 2012 and will be tested again in 2013 given the low staffing level in the program. ***In 2010 the percent of required inspections completed was at 85%, which is consistent with the previous two years. This calculation had included pre-opening inspections and inspections. re- We decided that a better statistic for determining compliance with the inspection requirements for permitted establishments would be to separate the pre-opening inspections and re-inspections from that total. That number will then establish how well the food program is meeting the goal of 100%of routine inspections as required by permit. We eliminated the redundant"# of inspected establishments that required repeat inspections due to critical violations"because "#of re-inspections required due to violations"was sufficient. Temporary Food Service Establishments: In 2011, we re-visioned the program, established standard inspection protocol for compliance 1111 with Washington State regulation, inspected 92% of temporary event vendors at least once during the year, and provided accurate record of each permit. The goal set for consistent inspection of temporary events was accomplished. Thus, the large jump in#of permits issued. 3 In 2012, we built upon this success and sought to improve operations and consistency further by streamlining the program as well as revising protocol and inspection forms. Where possible, staff was proactive in gathering partnerships and permitting vendors as soon as possible prior to the • event in order to avoid complications and headaches. One such partnership is with facilities, such as the Elks Lodge, who set temporary food service permit as a criterion prior to allowing the temporary event to occur. Newsletters,press releases,meetings: In 2012, staff participated in four WSU programs that focused on clarification of Washington State food service regulation and the CFR(Codes of Federal Regulations)to members of the food industry including farmers. Staff also participated in Quad County meetings and workshops in order to share challenges of regulating the food industry and also acquires skills for better communication with proprietors, food handlers and the public. Education and assistance of non-regulated community groups was in the form of guidance with various churches and organizations that qualify as Donated Food Distribution Organizations (DFDO). Documents and application packages were mailed to about 42 churches and organizations in Jefferson County in March 2012 to assist with compliance with Donor Kitchens where food is prepared and served to the needy free of charge. The documents had to be reprinted and re-sent for several of the churches. Most churches and organizations now contact the Health Department about the application procedure to ensure compliance. A summary of the upcoming revision to Washington State Food Service Regulations was distributed to all establishments as well as made available electronically in 2012. This was in . order to start the education of the upcoming revision that goes into effect in May 2013. *****Due to data collection difficulties related to database transfer, we do not yet have the number of food establishments receiving the Outstanding Achievement Award. We do anticipate having this data by the end of March 2013. ******Number of Plan Review Establishments that opened was added to the table to illustrate that activities which involve a tremendous amount of staff resources do not always yield a permit, and thus a permit fee. SUMMARY OF KEY FUNDING/SERVICE ISSUES: Education and Outreach: The objective to improve relations with owners of food establishment through activities such as the Food Safety Roundtable (previously known as the Advisory Committee)was partially fulfilled. The purpose of this committee is to assist the food program in developing opportunities and materials to help food service management to better understand and operate under the rules and regulations established by the State of Washington(246-215 WAC) and Jefferson County's Food Safety Program Guidance and Policy's Statements. There was only one Food Safety Roundtable meeting met on 1/26/2012 instead of the proposed 2x/year schedule. Attendance was low—there were a total of about 5 participants from food service establishments in addition to • Jefferson County Public Health. 4 f Once more,the issue of changing the billing cycle came up during the 1/26/2013 Food Safety Roundtable meeting. A few proprietors pushed for the possibility of changing the billing cycle from January to January to June to June. The latter cycle according to the proponents makes . sense since most proprietors earn most of their income during the summer. Because of this interest, Jefferson County Public Health mailed surveys out to 220 establishments in 2011. However, only 10 responses were received and of those only 2 (0.9%of all establishments) thought that a change in permit cycle was warranted. Due to this lack of interest from establishment owners and the database consolidation underway by the Environmental Health Department, it was determined by JCPH that this issue shall be tabled until there is significantly more interest generated by the business community. Staff began working with food establishments to educate proprietors and employees on the best management practices for fats, oils and grease (FOG.) accumulated from food establishments. Food wastes from restaurants are a primary pollutant that can affect the water quality in Puget Sound. The inspections known as Local Source Control (LSC)were combined with routine food inspections. During LSC inspections attention is placed on activities specific to that establishment that may contribute to polluted runoff and increased fats, oils and grease (FOG) in our environment. The LSC partnership focuses directly on assisting small businesses to prevent polluted runoff to Puget Sound. LSC uses pollution-prevention techniques and best management practices (BMPs)to prevent, control, and treat pollutants before they enter the environment. These inspections revealed that a high percentage of restaurants are not adequately managing FOG through multiple routes,primarily by dumping waste water outdoors,not having a properly sized grease trap, or not having a grease trap installed at all. JCPH also worked closely with the City of Port Townsend's Waste Water Operator to confirm presence or absence of grease traps in city restaurants. These inspections will continue in 2013. • Work load, how much overtime, comp. time accumulated: The original three-person team in the food safety program has been reduced. Duties have been consolidated to one person while two part-time employees act as support and back-up for duties (1.28 Full Time Equivalents (FTEs)). Additionally, a 1x/week food team meeting has been established which added more fluidity,consistency and a better understanding of the program needs. This ultimately allows the program to better serve the public in a timely manner. Finally, as the program is undergoing extreme change,the Environmental Health Director attended most of the food team meetings in order to ensure work flows as smooth as possible. The food safety staff duties are not strictly a Monday to Friday schedule. From spring to fall, there are increasing numbers of temporary food service events to be inspected and despite the assistance from back-up staff overtime of 58 hours in 2012 was observed. This issue of overtime is inevitable if the duties have to be carried out. In 2013, we look to spread more duties out to other staff in order to reduce the overtime. However, staff is running very lean and for each hour that is added to food, another hour is subtracted from another program limiting the other programs ability to complete work. In 2012, we implemented actions to short circuit the amount of time expended by staff. For example, our reception staff is now able to provide application information for prospective • business operators. This will allow inspection staff to focus on other priorities and duties that requires their expertise. Additionally, we have upgraded and re-visioned the permit application and guidelines to deliver more information to prospective operators so that staff time expended 5 in uncompensated technical assistance is reduced. With this update we have provided all of the pertinent information necessary to obtain a permit and open a food service establishment in Jefferson County without the need for lengthy pre-application discussions with staff. In 2010, focus was placed on food establishments served by on-site septic systems which were in • non-compliant status. Compliance with state and local on-site septic systems was established as a condition to renewal of food service permit. In 2012, all food service establishments were compliant with the annual 0&M inspections. Database concerns: KIPHS—This software has numerous short comings and updates by program generators have still not solved all the problems associated with the software. Administrative staff and program team members have to regularly phone KIPHS staff for assistance with problems. These issues have cost permitting delays as well as staff time and agency money. In 2012,the entire Environmental Health Department undertook the task of consolidating the myriad databases used into one database. This is a significant leap forward for the Food Safety Program as this significantly increases the tracking and reporting capabilities for the program. In addition, it allows for more efficient communication to establishment proprietors and streamlines both the initial permitting process as well as the permit renewal process. Starting in April 2012KIPHS is gradually being phased out as the main data base for the Food Program. The process is on-going—and it is expected to be completed by the end of 2013 as there is significant development of the (new to food safety) database occurring as well as a lack of a database administrator to do the work. Staff worked tirelessly with a part-time database • administrator familiar with our system from May 22, 2012 till December 31, 2012 to update, transfer data from KIPHS and set up the new data base. The transition for the annual food service establishments was completed at the end of 2012. Temporary food service permitting will be fully integrated by June 2013 and then debugging will be ongoing until the end of 2013. Due to the lack of a Database Administrator in Jefferson County government,time spent by Linda Atkins(the Onsite Septic Program Lead) and the contract Database Administrator are billed to the Food Program. Furthermore, it places a burden on the work load of Linda as her primary duties are in a different program and that program still demands her time. Linda Atkins spent several hours to train members of the Environmental Health Department and the Administrative Assistant on how to use the new database. Staff members appreciate the flexibility of data entry in the new database compared to KIPHS and will enjoy the advantages more as they become skilled in its use. Some of the advantages of transferring to another database are the ability to generate reports of critical figures as opposed to the tedious manual counts to verify figures in KIPHS. Secondly, we will be able to track inspection scores for trend analysis. Thirdly,we will be able to speed up the permitting process by utilizing one database for inspections,permitting and billing, instead of utilizing three independent systems. Fourthly, we will be able to reduce the amount of time spent by food establishment owners when they renew their permits by sending pre-completed applications that only require updates to existing information rather than completely filling our an entire application with information. Finally,we will have the ability to track outstanding • balances and violations so that if the facility owes fees or is out of compliance staff can focus on addressing those items rather than issuing a new permit to operate and moving on. 6 Unfortunately,the database transfer did not occur without its hiccups because not all of the establishment data was able to be transferred. Although we are now able to send out pre- completed renewal applications to establishments which will save the proprietors' time renewing their permit, we had to send partially completed permit renewal forms to proprietors in order to reacquire the lost data. Other Adjustments in the food program: In 2012, a variance of inspection score between inspectors was observed. As the agency has historically only had one person inspecting food service establishments in the past this trend had not been observed. A food establishment inspection protocol will be produced and inspector calibration will be conducted in 2013 to ensure that variance between inspectors is reduced. In 2012, existing forms were completely redone and improved so that they are more user friendly along with creating checklists for clarity for the applicant. For annual establishments there is now an electronically generated renewal application, a long application and a short form(for renewals when the electronic form is not available). The guidelines are also more comprehensive and user friendly. The objective for these actions is to ensure that the applicant has incorporated all of the needed information into the application and by the time the plan review is completed, the facility will be ready to open. The temporary food service (TFS) application form was also updated. It is more user-friendly and now has temporary food service rules attached. Food handlers are required to read, sign and post the document in the booth or site of food service and be prepared to answer questions on safe food handling practices during the food safety inspection. This change has significantly improved food safety compliance at temporary events. • Annual Food Service Invoicing, Fee Payment and Permit Renewal: Mid December,to Mid February is a very busy and challenging period for Food Safety Program. In past years,the Administrative Assistant is assisted by a part-time employee to prepare invoices,mail them and print the food service permits to be sent out to proprietors. The handling of the invoices, fees and printing of permits is a two-person job. With the transition to the consolidated database we experienced only a slight reduction in staff workload due to this being the first time with the new program and data transfer difficulties. The late fees charged for late annual food service renewal fees were cancelled effective 2-1- 2012. It was replaced with the closure of facilities after the issuance of a 48-hour closure notice for non-renewal of permit. Approximately 50% of food establishments renewed their permits by the January 31st expiration date. Staff then notified the remaining establishments by phone that their permits had expired and were subject to closure. All but one renewal was completed within 24—48 hours of the phone calls. Only one 48 hour closure notice was issued and no facility was closed in 2012 for not renewing their operating permit. Thanks to the vigilance of Donna Marvin, BOH policies are updated in a timely manner. The Mobile Food Service and the Inspection Frequency policy due for update in January 2013 have been updated. The emergency drinking water policy for food establishments was also updated by Susan Porto and the Environmental Health Director. In 2013, the food safety program looks to add more policies and procedures in order to further standardize their processes. • 7 f Jefferson County Public Health Performance Measures 2012 Year End Report WATER QUALITY DIVISION • MISSION: The mission of the Water Quality Department is to protect public health by monitoring and responding to threats to water quality for protection of human health and wildlife habitat by using available local, state, and federal funding effectively and efficiently. GOALS FOR FY 2012 1. Recreationalists at popular lakes such as Anderson Lake, Gibbs Lake and Lake Leland will be increasingly aware of toxic algae threats to human and animal health. 2. Water quality trends for parameters such as fecal coliform, dissolved oxygen and temperature will be better understood in the Hood Canal Watershed, Mats Mats Bay and Northeast Jefferson County project areas. 3. Land use and its effects on water quality will be more completely surveyed in project areas. 4. Condition, status and use of approximately 500 more septic systems will have been surveyed in project areas. 5. Actions to restore Leland Creek will be initiated. 6. Residents in eastern Jefferson County will be more aware of project activities and actions they can take to protect water quality in their neighborhood. 7. Recreationalists at Jefferson County marine beaches will be notified of the status of water quality in a timely and efficient manner. 8. The public will stay informed about the safety of recreational shellfish beaches relative to biotoxin threats and will be educated on emerging threats such as Diarrhetic Shellfish Poisoning. 9. Water quantity and the interaction between surface and groundwater will be better understood in the Chimacum Creek Basin. OBJECTIVES FOR FY 2012 1. Monitor all lakes with public access weekly from April through September for bluegreen algae toxins. 2. Maintain and improve JCPH Lake Status webpage and other outreach activities. 3. Use funds awarded by the state Centennial Clean Water Fund to carry out Clean Water projects in Hood Canal, Mats Mats Bay and Northeast Jefferson County. 4. Organize a volunteer network of shellfish samplers to monitor for shellfish biotoxins in a timely and cost effective manner. Coordinate with Washington Department of Health to communicate risks from the recreational harvest of shellfish to the public. 5. Continue public education on the importance of clean water in Jefferson County focusing on actions citizens can take to keep our water clean and productive. 6. Prepare reports on the status and trends of water quality in Jefferson County. 7. Monitor water quality at public swimming beaches on a weekly basis during the swimming season to protect public health. 8. Continue to insure that the stream gauging network is maintained to accurately measure streamflow and water quality in critical streams such as Chimacum Creek, Salmon Creek and Snow Creek. 9. Obtain a groundwater computer model of the Chimacum Basin from the USGS with scenarios of water use impacts. 1 of 3 k PERFORMANCE INDICATORS t r.t "r. " �" `"``"x °' fir. x 2 7 �.:" r�1 _�"� �' ahsi ''� _'�X T,a a - s 1 d - 4 � 71'1 3 A-1,,a. �a ,,m !`� ;,‘,-,,,,k:, .,'y,,6 e.,..2-,1'1 a -`2007:,,,,:,',-2- '. ## I.et:.`.� 5 ''1 v2O rig�,.X31 -`x ;y1 :: l ' ,�, -o ,r PI'Oj�CteE 1~Illsl 4x .. ..iih,. AR k':. A'Fta n, .m`�,. . ra r 4 --,,!,,,,k,,,,_, x.r+�, n.a's'.,, ...N.. ,. Lakes monitored for cyanobacteria 9 9 9 4 3 5 4 4 Water quality stations monitored: Chimacum Creek 0 40 40 28 28 0 28 28 Water quality stations monitored: Salmon&Snow Creeks 0 17 0 19 19 19 _ 0 17 Water quality stations monitored: Hood Canal watershed 0 0 0 0 0 17 17 17 Miles of shoreline surveyed for pollution N/A 5 49 76 77 89 45 11 - Marine water quality stations monitored N/A 7 7 7 17 17 7 9 Sanitary surveys completed N/A N/A N/A 259 241 350 500 553 Beaches monitored for shellfish safety 7 7 7 7 7 7 7 7 Swimming beaches monitored 0 2 3 4 3 6 6 3 Stream gauges maintained 8 8 9 8 8 7 7 0 This department implements the following strategic objectives for the 2012 Budget: • Addressing locally identified public environmental health issues. • Protecting and ensuring adequate clean water supplies for citizens, the shellfish industry and wildlife. • Protecting and enhancing natural resources. • Operating within a business plan based on sustainable resources, measured performance, and outstanding customer service. Study / Analysis • Achieving a stable funding level remains a priority for the division. County general fund was reduced by 37%which reduced the division's ability to utilize grant match funding. The division was able to meet grant deliverables in 2012. However, that may not be possible in future years given the funding level. 2011 lakes toxic algae grant funding was stretched to cover 2012 monitoring due to the lack of additional grant funds. JCPH was able to maintain critical monitoring for toxins,post signs and protect public health even with heavy blooms on 2 lakes. A grant application was submitted for 2013-15 funding. JCPH worked with project partner Jefferson County Conservation District to achieve stream monitoring goals. Stream monitoring in the Chimacum Basin for water year 2011-12 was accomplished. The focus then shifted to Salmon and Snow Creeks in the Discovery Bay drainage for water year 2012-13. JCPH used JCCD data to begin a statistical analysis of long-term trends in Chimacum Creek. 12 out of 28 WQ stations on Chimacum Creek failed state standards for fecal coliform in 2011-12. Hood Canal stream monitoring was completed for phase 1 stations providing a baseline of data for sites that had not previously been monitored. Shoreline survey goals were accomplished in Mats Mats Bay and Hood Canal. Hood Canal sampling documented new water quality concerns which were used to prioritize pollution control activities in those areas. Preparation of the Quality Assurance Project Plan (QAPP) for Northeast . Jefferson has taken longer than anticipated and therefore shoreline surveys for that project have been postponed until Spring 2013. 2 of 3 Both the Mats Mats Bay and Hood Canal Shoreline water quality projects concluded in 2012. Sanitary survey targets were achieved in Mats Mats Bay and Hood Canal shoreline. While efforts were very successful at reducing pollution impacts to water quality, further opportunities • for pollution reduction remain in Mats Mats Bay. With the completion of Mats Mats Bay and Hood Canal Shoreline, staff resources were shifted to the Hood Canal Watershed project to begin surveys there. Larger numbers of suspect septic systems have been encountered so far in the Hood Canal watershed than in other project areas, indicating a need for sustained and concerted effort on the part of water quality staff. State funding for shellfish safety and beach monitoring remained relatively stable. One of the largest Paralytic Shellfish Poisoning(PSP) outbreaks in recorded state history occurred in Discovery Bay. We were able to successfully demonstrate our education, outreach and infrastructure capabilities given our limited resources. JCPH was an active partner with state agencies and volunteers across the entire county during a year that had more extensive and long- lasting closures than is typical. State funding was entirely cut for local support of stream gauge monitoring and JCPH discontinued assisting Ecology. However JCPH advocated for critical gauges to be operated where data supports our concerns about water quality and quantity,particularly in Chimacum Creek. WQ staff convened a Clean Water District Advisory Council and held meetings throughout 2012. The Council was updated on Clean Water District funded projects, evaluated the activities conducted and made recommendations to the board of commissioners to increase funding. I/ • 3 of 3 2012 Jefferson County Environmental Health and Water Quality Accomplishments 2012 was a tremendous year of growth and accomplishment for the two divisions. Opportunities for improvement and accomplishment were sought in all programs. This report is a listing of 57 notable accomplishments which resulted from routine activities as well as focused priorities beyond routine workload. Environmental Health • Upgraded current permitting database used by Environmental Health (EH) and the Department of Community Development(DCD) o More user friendly, more capabilities, more streamlined, better synchronization • Upgraded billing and receipting capabilities for EH using the current database • Added the capability to pay fees on-line with a credit or debit card • Incorporated all EH programs into the permitting database (Food Safety, Solid Waste, Pools, Septic 0 & M) o Consolidated databases into one that is universally utilized, more streamlined, more capabilities • Developed 30 Standard Operating Procedures (SOPs) for the programs o Reduces inconsistencies between staff, speeds up processes • Partnered with DCD in their planned improvement effort • o Reduced completion times on all Building Permit (BLD) reviews by an average of 13% (4 calendar days) for Potable Water reviews and 43% (18 calendar days) for On-site Wastewater reviews • Established new performance measures for all programs emphasizing continuous improvement o These will go into effect in 2013 performance cycle Water Recreation • Created a webpage for the program • Entered into a Joint Plan of Responsibility (JPR) with WA State Department of Health o Established regulatory authority to conduct the program at the local level Septic System Operation and Monitoring • Established a septic system owner Self-Inspection Program o Reduces costs to the septic system owner, complies with state regulations • Conducted 5 homeowner education classes reaching 105 persons(Septics 101) • Established a rebate program for on-site septic system upgrades to facilitate O&M inspections. • Eliminated a 2 year backlog of O&M reports concerning deficient on-site septic systems On-site Wastewater Disposal • Updated regulation to incorporate the new septic system owner Self-Inspection Program ill 2012 Jefferson County Environmental Health and Water Quality Accomplishments • Increased productivity by 25% • o Increased workload/FTEs • Actively participated in Jefferson County Department of Community Development (DCD) permit improvement efforts • Reduced BLD On-site wastewater review turnaround time by 36% (8 calendar days) Drinking Water • Redesigned the program due to cost pressures • Constructed new Potable Water Review application • Reduced BLD Potable Water review turnaround time by 27%(6 calendar days) • Partnered with WSU Extension to conduct permitting workshops Solid and Hazardous Waste • Redesigned and implemented the Solid Waste Education Program • Established a Small Business Assistance Program • Updated the Port Townsend Paper Mill Landfill Permit to be a Limited Purpose Landfill (currently under appeal) Food Safety Program • Increased productivity by 7.4% (as measured by inspections, plan reviews, etc./FTEs) • Trained the most food workers on food safety ever recorded in a single year(1,463) III • Conducted 100%of required food establishment inspections for the first time since the beginning of the recession • Updated and enhanced the programs webpage o Deliver more food recall information, more permitting information, updated regulations o Eliminated redundant content • Partnered with WSU Extension to conduct Food Service Permitting Workshops • Conducted Donor Food Distribution Organization (DFDO) compliance outreach and education o Resulted in 100%compliance by DFDOs in Jefferson County • Constructed a new Temporary Food Establishment Application o More information to the applicant regarding requirements, less work time needed by staff • Constructed a new Food Service Application • Constructed new guidelines for Food Service Establishments o Delivers more information to business owners and operators, less work time needed by staff,owners and operators • Constructed a new Food Service Renewal Application pre-filled so that clients only need to update information that has changed in the last year • Developed a new staff Plan Review regimen 410 ,4. 2012 Jefferson County Environmental Health and Water Quality Accomplishments • Water Quality • Revised performance measures to better measure performance and improvement • Maximized available division project resources o e.g. In Mats Mats Bay project, used all available funds in pollution investigation and correction o e.g. Anticipated to be over-budget for the County Lakes project, actually came in on budget • Found at least 104 suspected or confirmed sites of pollution introduction to Jefferson County waters • Four Water Quality hotspots identified o Naylor's Creek (Chimacum) o Cemetery Drain (Quilcene) o Mats Mats Bay Shoreline o Tarboo Creek(Quilcene) • Obtained funding for database and Geographical Information System (GIS) upgrades and improvements • Partnered with Jefferson County Public Works and lead efforts to prevent fecal contamination of the Big Quilcene River during the 2012 fishing season o Averted the possibility of the shellfish closure scenario that occurred in 2011 • Completed the Hood Canal clean water project • Completed the Mats Mats Bay clean water project • • Completed the Hood Canal Regional Pollution Identification and Control (PIC) Status Report o Partnership with Kitsap Health District and Mason County o Goal: collect and summarize information that will help guide regional monitoring and pollution identification and correction efforts in Hood Canal • Maximized WRIA 17 resources until the statutorily-required end • Began the Hood Canal Watershed clean water project • Began the NE Jefferson clean water project Clean Water District • Conducted the first meetings of the Clean Water District Advisory Council (CWDAC) • CWDAC established recommended activities to be conducted using clean water district funds • Completed the first step of many projects aligned with the CWDAC recommended activities: Hood Canal Regional PIC Status Report o Investigate activities that other Clean Water Districts in Puget Sound conduct Conservation Futures • 135 acres of property rights or land acquired with CF contributions o Quimper Wildlife Corridor acquisition completed in March (1 acre) • o Chimacum Creek property acquisition completed in March (5 acres) 2012 Jefferson County Environmental Health and Water Quality Accomplishments o Tamanowas Rock acquisition completed in December(129 acres total project including a. State Parks acquisition) • Three projects (Boulton Farm,Tarboo Forest Conservation Easement and L Brown Trust II) were approved for funding by the BoCC in June 2012. Floodplain Protections • One property closed (13 acres) on the south side of the Dosewallips River North Pacific Coast Marine Resources Committee (NPC MRC) • Established new interlocal agreement with Clallam County on the NPC MRC • Developed interlocal agreement with UW Olympic Natural Resources Center for facilitation and coordination of the NPC MRC • Participated in planning and communications on county response to marine/tsunami debris • Became lead agency for the North Pacific Coast MRC and facilitated contracting on seven projects (in response to an Request for Proposal (RFP) issued by the NPC MRC) o North Olympic Peninsula Skills Center:to support natural resources-focused senior culminating projects in the Quillayute School District o Western Washington University:to develop a baseline dataset on marine debris by the Resilience Institute o Feiro Marine Life Center: marine debris education for outer coast elementary schools • o Discovery Your Northwest/WA CoastSavers: funds for tipping fees and volunteer support at the annual north coast beach cleanup o The Whale Trail: A brochure to educate area visitors about marine mammal viewing opportunities from shore o Jefferson County Water Quality: to produce two issues of the West End Natural Resources Newsletter o University of Washington Olympic Natural Resources Center: support for the annual Citizen Science Fair • Board of CeaCth Netiv Business Agenda Item #117., 2 S NationaCPu6lic gCealth Nee( April7, 2013 ivlarch 21, 2013 JEFFERSON COUNTY PUBLIC HEALTH 16',71 615 Sheridan Street • Port Townsend •Washington • 98368 "O www.jeffersoncountypublichealth.org • For Immediate Release: March 11, 2013 Contact person: Jean Baldwin Jefferson County Public Health Phone: 360-385-9400 Jefferson County Public Health (JCPH) is Celebrating2013 National Public Health Week beginning April 1, 2013 Jefferson County Public Health (JCPH) is celebrating National Public Health Week April 1-7, 2013. This year the National Public Health Week theme is "Public Health Is ROI (Return On Investment): Save Lives, Save Money". We're focusing on raising awareness about the role of public health and prevention in our lives, our health and our pocketbooks. Poor health comes at a big price - for us all. But research shows that investments in evidence- based public health and prevention can make a big difference. Public Health helps our community be a healthier place to live, work and play. Jean Baldwin, Director of JCPH says "2013 is the year of transition before full implementation of the Affordable Care Act; it is a great time to review and plan the future of Public Health." The concept of Return On Investment drives local Public Health activities. Programs are designed to prevent health problems before they occur. The focus is on improving an entire community's health through achieving healthier lifestyles, better birth outcomes, cleaner • water, and safer food. Using local success stories, JCPH will issue monthly press releases and web updates focusing on ROI throughout the department. Perhaps you've never thought about how your local health department benefits you. • Did you know that every minute of every day, we are on the job to keep you, your family, and everyone in our community safe and healthy? • Eating out? We inspect our community's restaurants and food retailers to ensure they are safely handling our foods. • Going to the beach? We've tested the water to ensure bacteria levels are safe for swimming—or that the shellfish are safe to eat. • Worried about getting sick or injured from hazards in the environment? We partner with Federal, State and local agencies to ensure that drinking water, sewage, garbage or chemicals don't pose a health risk to you through contact with water or ground. • Communicable diseases? We are your immunization experts. When communicable diseases occur, we identify them, isolate them and work with our local health care providers to stop them from spreading. • Birth and death certificates? That's one of our many responsibilities and we make these important documents easy to access locally. • Need medical care? We provide a limited number of family planning services to individuals, while working with our community's medical providers to improve access to care for everyone. COMMUNITY• D SABILITIES PUBLIC HEALTH ENVIRONMENTAL WATER DEVELOPMENTAL HEALTH 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 • Improving the lives and futures of children? For the last 14 years we have been providing Nurse Family Partnership services to high risk families to improve family outcomes. • Teen Pregnancy? We have one of the lowest rates in the state. Learn more about National Public Health week at http://www.apha.org/ For further information contact Jean Baldwin, call (360) 385-9400 or email jbaldwin@co.jefferson.wa.us. ### Always Working for a Safer & Healthier Jefferson County • COMMUNITY HEALTH PUBLIC HEALTH ENVIRONMENTAL HEALTH S DEVELOPMENTAL DISABILITIES ALWAYS WORKING FOR A SAFER AND WATER QUALITY MAIN: 360-385-9400 HEALTHIER COMMUNITY MAIN: 360.385-9444 FAX: 360-385-9401 FAX: 36(1379-4487 mop owl a 'P: < C anal 0eDov r73 r" GO liiO M I- = Lid X" %.<1 ti)...m .....,1k- tir 14 ti,. • . ' 7- C7 0 ^ -1 CU n 0 S n co -1 to 0 5 5 n a O 7 p) 5- rt . y Di 0 m _3• 7 7- CD 7- v 0 0 _,u, 7 0 < 0 c ' . >• O ^� a a Ci N (DET�_ _ 0 0 u c�D 0 N 3 m C r•- — - � t.""VI 6.. -1 7 7 < 0 p) 0 -• u ul 0_ to =-1- d T r: O rt n /7 E. 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COa ? _ 3 y., .. 7 41 CO 7 a) L .L--� L - O C a) N (O L ` '" a N 7 N U O Y •L C 0 L � �''t ;1417,r o a) O L v 0 i • Board of 3fealt( Netiv Business .agenda Item #n7., 3 • R.esoCution Supporting Stable yuncfing For younc(cttIonafTubfic 3fealth Services .TvLarch 21, 2 01 JEFF FRSON COUNTY BOARD OF HEALTH • A RESOLUTION CALLING ON THE WASHINGTON STATE LEGISLATURE TO MAINTAIN CURRENT LEVELS OF FUNDING FOR FOUNDATIONAL PUBLIC HEALTH SERVICES This measure would request that the Washington State Legislature maintain the current level of State funding for the public health system in the 2013-15 biennial budget. WHEREAS, every Washingtonian has the right to expect a strong network of local public health jurisdictions and public health services; and WHEREAS, prevention and public health is recognized to play an important role in improving the health of Washingtonians; and WHEREAS, an effective public health infrastructure is essential to decreasing the burden of chronic disease and ensuring our children are healthy and ready to learn; and WHEREAS, those most essential services that protect everyone— immunizations, water and food safety, infectious disease prevention, and services to vulnerable children and families— must remain strong; and WHEREAS, there is a continued need to protect people from communicable diseases and other public health threats; and WHEREAS, the current State budget protects the most critical funding for foundational local public health services; and • WHEREAS, this funding is an immediate, urgent need and is essential to keeping the public health system operational; and WHEREAS, funding and delivering foundational public health services is a shared responsibility between the state and local governments; and WHEREAS, many local governments have stepped up to ensure this critical component of the broader public safety system in Washington State remains functional; and WHEREAS, substantial efforts are underway to ensure that the public health successes of the 20th century are carried forward by a nimble, sustainable, responsive, cost-effective, and accountable 21st century public health system; NOW, THEREFORE, BE IT RESOLVED that the Jefferson County Board of Health calls upon the Washington State Legislature to maintain the current level of State funding for the public health system in the 2013-15 biennial budget; AND BE IT FURTHER RESOLVED that the Jefferson County Board of Health strongly encourages other local Boards of Health in Washington to adopt similar resolutions. Signed this day of in Port Townsend, Washington. Jill Buhler, Chair Jefferson County Board of Health Board Members • ,till Balder(Chair),llospitol Commissioner,David Sullivan(lice-Chair),County Commissioner,District#3 Phil Johnson County Commissioner District 41,John.Austin,County Commissioner District 43, Catharine Robinson, Port Townsend City Council,Sheila Westerman,Citizen(City),Roberto I rissell,Citizen(Count)) 615 Sheridan • Castle Hill Center• Port Townsend • WA • 98368 (360)385-9400 • Board of HeaCtFi Netiv Business .Agenda Item #IV., 4 • Jefferson County Syringe Exchange Program AnnuaC Report 2012 .7vlarc( 21, 2 01 w 0.ros JEFFERSON COUNTY PUBLIC HEALTH *SHhOco 615 Sheridan Street • Port Townsend •Washington • 98368 • www.jeffersoncountypublichealth.org Jefferson County Syringe Exchange Program (SEP) Annual Report 2012 Jefferson County has provided a Syringe Exchange Program (SEP) since 2000 as part of a state and regional effort to reduce the risk of HIV infection in our communities. This program, also, reduces the risk of Hepatitis A, B and C infections through risk reduction education and referrals, an important part of each visit. Education includes verbal and printed information on hepatitis, HIV, STDs, health alerts (for example, wound botulism and recent heroin overdoses/deaths), care of abscesses, street drugs, tattoo safety, intravenous drug use safety (encouraging one time use of needles), and immunizations. Internal referrals include STD, HIV, Hepatitis B & C screening and counseling, tuberculosis screening, family planning and immunizations. External referrals include drug and alcohol treatment, medical care, mental health care, domestic violence, food, clothing and shelter. HIV services have been funded in the past by the state and federal government and HIV case management services have been provided by Clallam County Health Department in recent years. CDC guidelines focus on funding HIV Prevention Programs for high risk populations based on HIV prevalence in the local area. Jefferson County is classified as a low prevalence • county; thereby, not qualifying for federal funding. There was no state funding available for 2012 and there is none for 2013. The syringe exchange program success is not easily measured in disease prevention numbers but the number of clients seen and syringes exchanged reflects the disease transmission prevention capacity of this program. SEP continues to be well utilized with 142 visits in 2011 and 150 visits in 2012. The number of syringes dispensed in 2012 was 17,405, down very slightly from 17,726 in 2011. The number of IDU prevention materials dispensed increased from 11,024 to 11,535. See tables and graphs on following pages. In 2012, the State Public Health Lab provided a limited number of free HIV tests for high risk clients and will continue to do so in 2013. Though there is no state funding for staff time for HIV counseling and testing services, JCPH staff will continue to provide this service for low income high risk clients with no medical coverage. Others requesting testing will be tested through the Quest lab and the cost of the testing will be billed to the client/insurance. Funding for the state and federal programs for free Hepatitis C testing and free Hepatitis A & B vaccine for high risk clients ended in 2012. For 2013, we have seven Hepatitis C test kits remaining and vaccine for eight clients. • COMMUNDEVETY LOPMENTAL TAL E DISABILITIES PUBLIC HEALTH TH ENVIRONMENTAL 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 Syringe Exchange Utilization, 2000-2012 Jefferson County Washington 1111 160 - 150- 35,000 =Number of client visits 142 — 140 - -e—Number of syringes - 30,000 exchanged co co 13 120 - 0) r 24,585 - 25,000 t ea c. s 100 - x = 21,133 17,726 w CO 18,060 17,905 81 20,000 0 80 = n .� 63 64 65 70 5 17,405 15,000 ,� 0 60 _ — 13,716 — 14,044 0 41 g 222 36 9156 10,000 z 40 , z 20 14 16 4,206 - 5,000 2,076 506 I li � � I 1 1 I 1 I 1 I 1 - 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 • Jefferson County SEP Clinics/Demographics Clinics Clinics Drop-In New Returning Offered Visits' Visits' Clients Client Visits' 2012 98 40 110 18 132 2011 100 22 120 19 123 2010 103 6 75 13 68 2009 102 4 61 12 53 2008 99 6 64 6 64 2007 97 4 61 9 56 2006 126 u/k 542 8 50 2005 119 u/k 352 6 30 2004 136 u/k 522 12 48 2003 119 u/k 582 9 55 2002 108 u/k 331 11 29 2001 98 u/k 142 6 9 2000 33 u/k 132 3 7 Note: • Represents duplicate clients 2Clinic and drop-in visit i 2012 SEP Clinic Participant Visits 2011 SEP Clinic Participant • by Zip Code Visits by Zip Code 5% 1% 110/0 1% 098368 098368 34% "'Other within ■Other within Jefferson Cty Jefferson Cty °Outside Jefferson o °Outside 29% 590/0 Cty 60/o Jefferson Cty OUnknown °Unknown 2012 SEP Clinic Participant 2011 SEP Clinic Participant Syringe Use Syringe Use 2°/0 26% 22% 3% 0 Each syringe 0 Each syringe used once used once 12% ■Each syringe III ■Each syringe44 used 2-5 times used 2-5 times °Each syringe 22% 0 Each syringe 64% used 6+times used 6+times °Unknown °Unknown 2012 SEP Clinic Participant 2011 SEP Clinic Participant Secondary Exchange Secondary Exchange 4% 5% .' ONo secondary 0No secondary exchange 22% exchange ° •Exchanging for 17% •Exchanging for 49% one other person one other person 32% °Exchanging for 2-5 °Exchanging for 2-5 other people 38% other people 0 Exchanging for 6+ °Exchanging for 6+ other people other people •Unknown ■Unknown 0 9% r Materials Distributed by Jefferson County SEP •Syringes IDU Prevention Condoms/ HIV Educational Referral Outreach Exchanged Prevention Kits2 Latex Tests Materials4 Informations Educations Materials' Barriers3 Offered 2012 17,405 11,535 1 406 49 28 128 90 2011 17,726 16,512 1 319 41 10 142 86 2010 9,156 11,024 ] 4 102 36 7 67 29 2009 14,044 7,098 6 271 31 26 51 33 2008 21,330 7,941 0 140 27 32 35 32 2007 24,585 9,988 0 20 22 18 23 N/R5 2006 17,905 9,000 0 0 2 3 2 N/R 2005 13,716 7,611 0 20 0 6 11 N/R 2004 18,060 7,265 6 228 N/O' 48 11 N/R 2003 9,222 1424 38 800 N/O 42 18 N/R 2002 4,206 1,026 35 427 N/O 50 NA N/R 2001 2,076 3 9 14 N/O 9 5 N/R 2000 506 11 15 33 N/O 10 2 N/R Notes IDU Prevention Materials include:Tourniquets,cookers,cottons,sterile water,sharps containers,alcohol preps,antibiotic ointment,band aids and sterile pads for wounds,tape, hygiene items(toothbrush,soap,comb,and razor). Individual items are given on an as needed basis. 2 Prevention Kits include:sample quantity of tourniquets,cookers,cottons,sterile water,sharps containers, alcohol preps,antibiotic ointment, band aids, hygiene items(toothbrush,soap,comb, and razor) 3This number is for condoms dispensed in SEP only and does not account for the number of condoms SEP clients pick up in the lobby where there is a free supply available. °Educational Materials include information on hepatitis, HIV,STDs,health alerts(ex.wound botulism),care of abscesses,street drugs,tattoo safety,needle reuse, IDU safety,domestic violence, immunizations 5Referrals: Internal referrals include STD, HIV and Hepatitis B&C screening and counseling,tuberculosis screening,family planning and immunizations. External referrals include drug treatment,medical care,mental health care,domestic violence,food, clothing and shelter. • 6Outreach education is defined as face-to-face education on safe injecting practices,vein care, blood borne pathogens,risk reduction methods,and other as needed 7N/O: Not offered 6N/R: Not reported 2013 Goals • Continue anonymous, safe services to reduce the risk of HIV infection in our communities by promoting revisits by clients and to encourage clients to tell their friends and contacts about SEP. • Continue dialog with clients regarding improvement of SEP services. • Continue to explore options to start a program for overdose prevention and naloxone distribution. • Continue to inform clients at each visit of resources available at JCPH and in the community. • Continue to offer free HIV testing and counseling at each visit through the state laboratory for low income high risk clients without medical coverage. • Continue to offer free Hepatitis C testing and counseling and Hepatitis A& B vaccine at each visit while supplies last. • Offer free Tdap (tetanus, diphtheria and pertussis) vaccine through the G.I.F.T. or state programs. • Provide each new client with a prevention kit, condoms, educational materials and referral information. • Continue to educate clients on the importance and rational of using each syringe one time only. • Prioritize supplies to be stocked, keeping only those deemed necessary to maintain safe practices among IDU clients. Inform clients of alternative safe materials, such as using pop/soda bottles for the collection of used needles in lieu of sharps containers. Data Source:Jefferson County Public Health SEP Intake Records 0 Prepared by Carol Burwell, PHN,Jefferson County Public Health 02/11/13 Board of Health Netiv Business .Agenda Item #nV., 5 • Port gownsendMunicipal 'Water System Update .March 21, 2 01 .r, JEFFERSON COUNTY UBLIC HEALTH RSNI NCZC `` ` 615 Sheridan Street o Port Townsend o Washington o 98368 www.jeffersoncountypublichealth.org • Date: 2/7/13 To: Jefferson County Assisted Living Facilities From: Tom Locke, MD,MPH,Jefferson County Health Officer In the next several weeks the City of Port Townsend will begin maintenance work on City Lake, a key component of the public water system that serves Port Townsend businesses and residents. Water for the City of Port Townsend and for the Port Townsend Paper Corporation originates from the Big Quilcene River in a protected watershed of the Olympic Mountains. Some of the water is stored in a mountain reservoir, Lords Lake, and some is directly sent to the Mill or to City Lake. Storage in City Lake allows particulate matter that may be present in the water(turbidity)to settle. After settling,the water is disinfected with a chlorination process and distributed to City residents. During the period of City Lake maintenance,the Lake will be drained and taken off line. Water for the Mill and City will flow directly from the Big Quilcene River and/or Lords Lake. The effectiveness of chlorination as a drinking water disinfectant is affected by the turbidity of the water being used. High turbidity reduces the effectiveness of chlorination in killing microbes. If turbidity rises to a level of 5 NTU or greater,the effectiveness of chlorination can no longer be assured and additional measures, such as boiling water or alternate disinfection methods must be used. Renovation of the City Lake outlet will take several months. During this period,there is the possibility that a high turbidity event will occur(most likely in association with heavy seasonal rainfall)and a • Boil Water Advisory would be issued for all users of the Port Townsend Municipal Water System. Should a Boil Water Advisory be issued,all water users will be advised to either use commercially bottled water or boiled water for cooking, drinking,tooth brushing, and any other use that would result in ingestion of the water. Restaurants and other food service establishments that lack an approved plan for operating with boiled water will be required to close for the duration of the emergency. Residents with impaired immune systems are most susceptible to low grade contamination of their drinking water. Faithful adherence to the boil water advisory guidelines should offer adequate protection but in real world circumstances adherence is seldom 100%. Immunocompromised residents(frail elderly, those on immunosuppressant medications, status post stem cell transplant,or on chemotherapy)who consume inadequately disinfected water are at increased risk of bacterial, viral,and protozoal/parasitic infections. Of the latter, Giardia and Cryptosporidium are the two most common waterborne infections on the Olympic Peninsula and are not uncommon in those who drink untreated surface water in wilderness areas. Summary: Essential repairs will begin in February on the Port Townsend Municipal Water system. During this preventive maintenance period,there is the possibility that water turbidity will rise,rendering the existing chlorination process insufficient to adequately disinfect the water to drinking water standards. Should this occur, a Boil Water Advisory will be issued by the Washington State Department of Health and/or the City of Port Townsend.Jefferson County Public Health will be carefully monitoring this situation and is prepared to respond to any community health emergencies that might occur. Should a Boil Water Advisory be issued,your facility should have a plan in place to protect vulnerable populations from exposure to possible contaminated water and exposure to possible water borne pathogens. The following are actions to consider in making your emergency water plan. • COMMUNITY HEALTH PUBLIC I T ENVIRONMENTAL HEALTH DEVELOPMENTAL DISABILITIES WATER QUALITY MAIN: (360)385-9400 ALWAYS WORKING FOR 4 SAFER.A'If' MAIN: (360)385-9444 FAX: (360)385-9401 HEALTHIER CO UNITY FAX: (360)379-4487 `"�p\ �` JEFFERSON COUNTY PUBLIC HEALTH K ,,o 615 Sheridan Street o Port Townsend o Washington o 98368 www.jeffersoncountypublichealth.org Shut off ✓ Ice Machines Dishwashing options: ✓ Drinking water fountains ./ Mechanical dishwasher with high temperature or ✓ Preclude misters chemical sanitizer(verify correct operation; or ✓ Bottled water refill machines ✓ Three compartment sink with boiled water: use ✓ Pop Dispensers connected to water supply existing 3 compartment sink or use a temporary set ✓ Running water dippers wells up with 3 adequately size clean tubs: V Discard: 1. disinfected sinks or tubs with 1 tsp chlorine per ✓ Ice made with contaminated water gallon of water ✓ Beverages made with contaminated water 2. Wash items in hot water with detergent 3. Rinse items in warm water Ice: 4. Sanitize in cool water chlorine solution (1 tsp Use packaged ice from an approved source chlorine per gallon of water)or hot water(170 degrees)for 1 minute. Boiled Water: 5. Air dry Use boiled(rolling boil for 1 min. minimum then cooled) or bottled water for: Employee/Resident information: ✓ Drinking ✓ Post signs or copies of water system's health / Cooking advisory ✓ Food preparation ✓ Develop a plan to notify and educate employees and ✓ Washing produce residents about emergency procedures • Dishwashing Hand washing Menu: V Evaluate your facilities menu and consider Emergency contact: modify it to eliminate or minimize foods that ✓ Create a list of contacts that will be readily available would be at higher risk to contamination, ie: during an emergency specific to your facility. ready to eat foods that have no cooking/kill step as a barrier to food borne illness risk. Hand washing: ✓ Prohibit specified menu items deemed too difficult ✓ Wash with antibacterial soap and boiled or bottled to prepare without adequate potable water. water 41110TY HEALTH PUBLIC HEALTH 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 _ City of Pori- Townsend kFf� � "`.'_.:;r .�--�1-fe "3 *+•i ,4y��!. _., m�-�� ,aat a� i +� ars iJ �►rt�Tr 11�� �i�' T - _ (360) 379-5047 (email: citycouncil@cityofpt.us) www.cityofpt.us February 2013 I City Lake construction project update We are beginning the final phase of the City Lake pipeline replacement project. We do not anticipate any disruption to your water service during the project, but we want you to know what's happening. We will temporarily drain and bypass the City Lake reservoir beginning in early February. You may notice a slight increase of fine particles in your tap water while City Lake is out of service because the water will not undergo the natural settling process that occurs in the reservoir. We're working closely with the state and local health departments to anticipate and respond to po- tential water quality problems. We will increase water quality monitoring during this time to ensure the water remains safe to drink. The health departments recommend that people with very weak im- mune systems talk to their health care provider for additional guidance. Port Townsend treats unfiltered water from the Big Quilcene River and Lords Lake with chlorine dis- infection. If there's flooding or heavy seasonal runoff during construction, we may ask you to con- serve water to help us manage the water supply. In a worst case scenario, it may become necessary to issue a boil-water advisory because heavy sediment can interfere with our ability to disinfect the water. We don't expect this to happen. _- e City Lake project involves replacing 700 feet of aging pipe, installing seismic tection and upgrading water flow controls. When the project is complete, it will enhance our ability to control water transmission from City Lake to Port Townsend. :\o,� � � Construction is scheduled to end in late May, and we expect to bring City Lake back on-line this summer. Start of the construc- tion at City Lake Just as you do to prepare for earthquakes and other emergencies, we recommend that you consider storing three days of water supply per person as a precautionary measure. If you notice cloudy or slightly discolored water, please contact Port Townsend Public Works at 379-5096. We will provide updates on the status of the City Lake pipeline replacement project on the City's web page http://www.cityofpt.us/. PORT TOI)J11 EI1b PVBLN LIBRF1RY Throughout March, the Port Townsend Public Library Community Read will provide discus- 6 r sion groups, a juried art show, collaborative presentations and involvement with PT Shorts, Madrona MindBody Institute, the Rose Thea- Ohl IclVIlFl"YREF V tre, and more, while reviewing Contents May Have Shifted. And, last but not least, meet the 2.013 author Pam Houston, on March 28, 7 p.m., at the PT High School Auditorium. All events are free. There is a limited number of free copies Port Townsend Reads ... of the book available . community coming together through reading More information at the Library %;: :� �y � PAM HOUSTON or www.ptpubliclibrary.org. k\ Contents May Have Shifted The Library Centennial 1913-2013 Narrator Pam—a lifelong wanderlust who's lookingfor-something"— The Library is celebrating its Centennial this Jefferson County Conservation /,,,s°N roe Port Townsend Public Library Futures Program Open Space w Offers Free Basic Computer Classes - .***' ti Grants Availablek, If learning computer skills is a personal • The Jefferson County Board of �Sr °� resolution of yours for 2013, then your local Ii- Commissioners invites applications brary can help. You will get free computer help in for projects to enhance the County's open space all aspects of computer operation: preserves. Projects must provide permanent pro- Introduction to Computers tection of open space lands through acquisition of February 20, 8:30 — 10 a.m. real property or development rights. Open spaces Mountain View Library computer lab. include wildlife habitat, agriculture and timber- lands, trail rights-of-way, scenic areas, and cul- An introductory course designed to teach tural sites. basic computer vocabulary, use of the mouse, To be considered for funding, a matching contri- the keyboard and layout of the desktop. Space bution of at least 50% of the project's total cost is limited to ten people. Sign-up required. required. Approximately $240,000 is available Introduction to the Internet Level I this year to fund projects, including operation and February 27, 8:30 — 10 a.m. maintenance (0 & M) requests. Citizens, land- Mountain View Library computer lab owners, and citizen groups as well as local gov- An introductory course designed to provide a ba- ernment agencies, special purpose districts, and sic overview of how to use the Internet. Space non-profit corporations within Jefferson County limited to ten people. Sign-up required. may apply in partnership, as needed, with an eli- gible sponsor. Call the library or come in to sign up for these two free classes. For more information, contact Deadline for submission is Friday, March 1, 2013 Keith at 385-3181/344-3061 or email at 4:30 PM to the Jefferson County Public Health kdarrock@ city p of t.us. • Dept. For more information and an application, contact Tami Pokornyat 379-4498or News from Jefferson Transit: ° tpokorny@co.jefferson.wa.us, or visit the Conser- Schedules & Sunday Service .b vation Futures Program website: www.co.jefferson.wa.us/commissioners/ With the New Year brings new bus schedules! Conservation/conservation.asp. Updated and revised schedules were released VJefferson County on January 13. They include many small time- Family YMCA point changes to all routes, revised departure times for several of the commuter routes, addi- r Did you know that in addition to being tional evening #11 Shuttles, and other changes. the only licensed provider of after school child- Please visit www.jeffersontransit.com to see the care in the City for children ages 5-12, the Y also new schedules or pick one up from your bus offers adult computer classes, fencing, parenting driver. classes, yoga and more? Please note however that the new schedules do For program information and registration call not reflect the Sunday Service cancellation that Erica Delma at 385-5811. will go into effect on July 1, 2013. The last day of Financial assistance available. www.jeffymca.org Sunday Service will be June 30, 2013. 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J O • Board of 3-fealth .Media Report March 21, 2013 Jefferson County Public Health January/March 2013 NEWS ARTICLES 1. "Ah-choo: Flu season has yet to peak on Peninsula, health officer says," Peninsula Daily News, January 13th, 2013. 2. "Irondale Beach County Park Grand Re-opening Celebration," Jefferson County Parks & Recreation & Dept. of Ecology brochure, January 2013 3. "Arms out for flu vaccines," Port Townsend Leader, January 16th, 2013. 4. "First-time, low-income mothers get help from successful Nurse-Family Partnership," Seattle Times, January 21st, 2013. 5. "Jefferson County to offer homeowner septic system monitoring classes in February," Port Townsend Leader, January 22nd, 2013. 6. "FREE Septic System Classes Offered," Port Townsend Leader, January 23`d, 2013. 7. "Septic basics to be covered in workshops," Peninsula Daily News, January 27th, 2013. 8. "Jefferson County Conservation Futures: County invites open-space projects," Port Townsend Leader, January 27th, 2013. 9. "Flu season reaches a crescendo, health officials say," Peninsula Daily News, January 28th, 2013. 10. "Port Townsend Paper mill files appeal of landfill decision," Peninsula Daily News, January 30th, 2013. 11. "Septic system classes offered," Port Townsend Leader, January 30th, 2013. • 12. "Early flu season work of 1968 strain," Port Townsend Leader, January 30th, 2013. 13. "Jefferson County Conservation Futures Program Open Space Grants Available," City of Port Townsend Newsletter, February 2013. 14. "Mill appeals county decision on landfill," Port Townsend Leader, February 6th, 2013. 15. "Medical Care for Students," Envelope stuffer included in the February 2013 Port Townsend High School report card mailing. 16. "Flu season still active but 'over the hump,' official says," Peninsula Daily News, February 11th, 2013. 17. "School Based Health Clinic Provides Mental health Counseling," PTHS Newsletter, February 2013. 18. "Pets banned from bars, restaurants," Port Townsend Leader, February 27th 2013. 19. "Nurture children to increase security," Port Townsend Leader, February 27th, 2013. 20. "Ecology joins with Jefferson County in mill landfill case," Port Townsend Leader, March 7th 2013. 21. "Support for Some, Not All, Gun Controls," The Elway Poll, March 2013 • • Ah-choo: Flu season has yet to peak on Peninsula, health officer says By Rob 011ikainen ,Peninsula Daily News,January 13,2013 0/1;--1 "r ''''' 7 : ' Les , , MiseraDia . " ,, }..� .# i #..i -V �,eira 1 r'f `i yi T "ivy Joe Heller Is it the flu or just a cold? By The Associated Press The common cold and flu are caused by different viruses but can have some similar symptoms, making them tough to tell apart. In general, the flu is worse, and symptoms are more intense. IDCOLDS: Usual symptoms include stuffy or runny nose, sore throat and sneezing. Coughs are hacking and productive. It's unusual to have fever, chills, headaches and body aches, and if they do occur, they are mild. FLU: Fever is usually present, along with chills, headache and moderate-to-severe body aches and tiredness. Symptoms can come on rapidly,within three to six hours. Coughs are dry and unproductive, and sore throats are less common. PREVENTION: To avoid colds and flu, wash your hands with warm water and soap after you've been out in public or around sick people. Don't share cups or utensils. And get a flu vaccination—officials say it's not too late, even in places where flu is raging. TREATMENT: People with colds or mild cases of the flu should get plenty of rest and fluids. Those with severe symptoms, such as a high fever or difficulty breathing, should see a doctor and may be prescribed antiviral drugs or other medications. Children should not be given aspirin without a doctor's approval. • —Sources: U.S. Centers for Disease Control and Prevention;Roche, maker of Tamiflu PORT ANGELES— Flu season is ramping up from coast to coast, and the North Olympic Peninsula is not immune. "As we're seeing elsewhere in the country, this looks to be a fairly bad flu season in Washington," said Dr. Tom Locke, public health officer for Clallam and Jefferson counties, who urged residents to be vaccinated against the flu. 111 "We're expecting this to get worse before it gets better," Locke said. "It's my estimation that it will probably be two weeks until we see the peak of this." The state Department of Health said Friday that flu is now widespread in Washington. Flu is in more than half of the communities in the state, health department spokesman Donn Moyer said. He added that activity statewide appears to be increasing and could be worse than the previous two seasons, which were considered mild. Nationwide, health officials also have forecast a potentially bad flu season, but the latest numbers hint that the flu season may already have peaked in some states— not, however, in Washington. Flu was widespread in 47 states last week, up from 41 the week before, the national Centers for Disease Control and Prevention, or CDC, said Friday. The only states without widespread flu are California, Mississippi and Hawaii. The hardest hit states fell last week to 24 from 29, with Florida, Arkansas and South Carolina in the South, the first region hit this flu season, dropped off the list. Locke predicted that the flu would remain widespread in Washington state through March. "It won't all disappear in two weeks," he said. "Typically it peaks, then there's another two to four weeks after the peak." He added: "Influenza never completely goes away." If you haven't had a flu shot, now's the time to get one, state and local health officials said. It usually takes a week or two to develop protective immunity. "It's not too late," Locke said. "We still recommend it." Flu vaccinations are recommended for everyone 6 months or older. This year's vaccine is a good match for the H3N2 strain that is most prevalent this year, Locke said. Nationwide, nearly 130 million doses of flu vaccine were distributed this year, and at least 112 million have been used. Six people in Western Washington have died of the flu since September. That includes one child and four who were elderly. None of those deaths involved Peninsula residents, Locke said. There were 18 flu deaths in the state in 2011-2012 and 36 the previous year. The most state deaths were 98 in the H1N1 swine flu season of 2009-2010. Even though the H1N1 flu caused a pandemic, health officials saw a lower number of hospitalizations for flu than in a • typical year. Nationally, 20 children have died of the flu this season, The Associated Press said. There is no running tally of adult deaths, but the CDC estimates that the flu kills about 24,000 people in an average year. •ocke declared the official start of flu season in Clallam and Jefferson counties late last month. The declaration means that health care workers must wear masks if they haven't been vaccinated. "In Washington state, as we've been expecting,the influenza activity continues to accelerate," Locke said. Of the 138 laboratory confirmed cases, nearly all were the H3N2 strain. "The significance of that is the H3N2—a lot of times we call it H3—tends to make people sicker," Locke said. "So they have a more severe illness." Those infected with the H3 strain are more likely to hospitalized and are at a greater risk of developing complications than people who have the H1 N1 or influenza B. "The hospital (Olympic Medical Center in Port Angeles) is nearing capacity," Locke said. "They're approaching full census. Sometimes that means delaying elective admissions." OMC Chief Nursing Officer Lorraine Wall said the Port Angeles hospital can handle 62 patients without a significant strain on resources. The patient census on Friday morning was 59. "We are not testing all patients for influenza A,"Wall said. "We have a few confirmed cases of influenza in our patient population, but overall the majority of patients are here for other illnesses and conditions. Olympic Medical employees are also vulnerable to illness. Employees with influenza-like symptoms— whether or not they are immunized—are asked to stay home." •OMC is planning to handle a sustained presence of the flu,Wall said. Officials from Jefferson Healthcare and Forks Community Hospital did not return phone calls Friday. Flu symptoms include sore throat,fever, cough and generalized aches and pains, Locke said. Some experience nausea and vomiting, usually children. People who come down with the flu can be sick with a fever for five to seven days,and be contagious for 10 to 14 days. Health officials stress hand hygiene and recommend that people with the flu stay home for at least 24 hours after the fever is gone to avoid spreading the virus. Rest, liquids and over the counter medicines are common treatments.Antibiotics don't work against a viral illness. "There's several other kinds of infection going around now,too," Locke said. A food-borne gastrointestinal virus known as winter vomiting sickness is among those that a flu shot won't cover. However, this year's vaccine is a"very good match"for common flu strains, Locke said. Those who were hospitalized for swine flu three years ago include a higher percentage of children. "So far were not seeing that trend," Locke said. "We're certainly not seeing it in Washington state." "A lot of the reason this is such a public health problem is trying to protect vulnerable populations." iikReporter Rob 011ikainen can be reached at 360-452-2345,ext.5072,or at rollikainen(o�peninsuladailynews.com. 'Sa[�'..- .�" fah''": �' sm '� kA.Y-~ }c`x s. ,-,-..,7'.4:74.14* ,�'"'M '✓w`�''v v v.pw-; • .‘,1,....-If',t d ,--- 7'a-- �-. r h , -•;...‘,.4.7 `.4�r' "`f tom' - ,0-" a. r --c ,,..- E.4:_,i'''2 "ct�'"# jz a m"' u• .r �, "..t �" ?.' �Y � .d 'L\} *£moi - { -.7-- .r�,{v^2 € -,,,,ii,„'..,,,,t,,,;- -1,--:-,-4fi�' .i' '"�� ,47 ,y� :r x- Vis_ s¥ `K a ?: k • .c j „ `d d • ��amrw' ,'rodCr z --• --.;,-.2,t4f,k, � ,- rY a u- ,S� a x r� , ../,,,,,.;r::7'.,... t,*(4P.';4.%,.:::Iv•,,,,,,41,--- s ,,t---O-':,t:':.,!;fc,ff,"1:57;-t:;'k.ktt-,'-z::z. ,..ro.,,r,„. .,,,:::...04:77,77:47,i,l,t, iii,",,,A7f,,,,,,;ii.,4,7;z1.,,,-17,,,i_yiezgi:—.-;,;;.-it„,.,e-,,,,,-,:r•ii si--, t.-:-::i t a Grand Re,=C peeing Celebration s'.7',=,,,'�^ ';'FRv+.r e `� { fr rte'') '3:-'! January 24, 2013 , . Irondale, Washington . e s 9 1441 04- i - i `s' a °� �'$ a Z4--,'-`4,'," 3w� " ,""'",4 &,' 4 • PROGRAM Welcoming Remarks Kathleen Kler, MC, Jefferson County Parks and Recreation Advisory Board • Featured Speakers: • Phil Johnson, Jefferson County Board of Commissioners • Sally Toteff, Regional Director, Southwest Regional Office, De- partment of Ecology • Rebecca Lawson, Section Manager, Toxics Cleanup Program, Southwest Region, Department of Ecology • Doris Small, Region 6 Watershed Steward-Fish Habitat Biologist, Washington State Department of Fish and Wildlife . • Susie Learned, Friends of Chimacum Creek • Steve Teel, Site Manager, Department of Ecology • Ribbon Cutting: Fox Elder, Grade 4, Chimacum Middle School • Optional Site Tour. Tour guide: Steve Teel Welcome Table: Susie Learned, Friends of Chimacum Creek; Cheryl Lowe, WSU Extension Refreshments Provided by Jane Storm, Friends of Parks and Recreation Picture Display by Jim Stark Site Diagram Poster by GeoEngineers • Jefferson County Parks and the Department of Ecology would like to recognize the following for their special contributions to the success of this project: AEC Collette Miller Beach Watchers Philip Morley,Jefferson County Manager Chimacum School District North Olympic Salmon Coalition Chumsortium Olympia Peninsula YMCA Dorothy Cotton Olympic Rentals Ecology Youth Corps Port Gamble S'Klallam Tribe Friends of Chimacum Creek Port Townsend School District Friends of Jefferson County Parks and Puget Sound Partnership Recreation Seton Construction GeoEngineers William Steurer,Jefferson County Parks and Hood Canal Coordinating Council Recreation, Retired Hood Canal Salmon Enhancement Group SWCA • Jamestown S'Klallam Tribe Matt Tyler,Jefferson County Parks and Jefferson County Board of Commissioners: Recreation Manager John Austin, Phil Johnson, David Sullivan US Army Corps of Engineers Jefferson County Conservation District Washington State Department of Ecology Jefferson County Department of Community Staff:Jim Pendowski,Sally Toteff,Re- Development becca Lawson,Steve Teel,Diana Smith, Jefferson County Land Trust Hugh Shipman,Owen French, Michael Jefferson County Marine Resources Committee Bergman Jefferson County Parks and Recreation Washington State Department of Fish and Advisory Board Wildlife Jefferson County Public Health Washington State Department of Archaeology Jefferson County Public Works: and Historic Preservation Frank Gifford,Director,Nik Worden,staff WSU Extension Jefferson County Sheriff Killdeer Landscaping A project of and funded a r Al Latham,Citizen at Large through the • Libby Environmental Puget Sound Initiative 1/16/2013 3:12:00 AM,Port Townsend Leader Arms out for flu vaccines Flu vaccine is available from many health-care providers in our area, according to the Jefferson County Public Health website. Flu season usually peaks in January, according to the website, which recommends that everyone 6 months of age and older get a flu shot. It's especially important for young kids, people ages 65 and older, pregnant women, parents of newborns, and people with medical conditions such as asthma and other lung diseases, heart disease, diabetes and neurological conditions. There is also a high-dose vaccine for people 65 and older, and a nasal spray vaccine for healthy people ages 2-49. This season's flu vaccine protects against three different strains of flu virus, but not against the newer H3N2 variant virus that is showing up in other parts of the country. Most cases of this new virus have been from direct contact with pigs at county fairs. There are no reported cases in our state. Jefferson County Public Health also recommends good health habits, such as washing your hands, covering your cough and staying home when you're sick. • Flu vaccines are available locally from Jefferson Healthcare clinics; Madrona Hill Urgent Care, 2500 Sims Way; Monroe Street Clinic, 242 Monroe St.; Port Hadlock Medical Care, 121 Oak Bay Road; QFC Hadlock Pharmacy, 1890 lrondale Road; and Safeway Pharmacy, 442 Sims Way. Contact health-care providers for more information or visit jeffersoncountypublichealth.org. • First-time, low-income mothers get help from successful Nurse-Family Partnership I Loca... Page 1 of 3 eSeattteabllCS IPWinner of Nine Pulitzer Prizes Local News Originally published January 21, 2013 at 8:00 PM I Page modified January 21, 2013 at 9:00 PM First-time, low-income mothers get help from successful Nurse-Family Partnership The Nurse-Family Partnership, a national program in which specially trained nurses make in-home visits to low-income,first-time moms, receives a significant financial boost from the Seattle City Council. By Sara Jean Green Seattle Times staff reporter It took a few gentle,prodding voice messages before Christina Dudder finally returned Jen Price's calls. Dudder,then 17,was 15 weeks pregnant the first time she spoke with Price,a registered `A '71 st II nurse who works for the Nurse-Family ISk s' Partnership. 11111 "I'm so grateful Jen kept trying"to make contact, said Dudder,the mother of a now 3 -month-old girl. . k Dudder and her boyfriend,Earl Park, 18, say they don't know how they would have made it through the pregnancy,the birth of their daughter, Penny,or bringing the baby home without Price's guidance,encouragement and knowledge about babies and early-childhood development. The young Shoreline couple had no idea the program they signed up for—in which specially trained nurses make in-home visits to first-time,low-income mothers until their child reaches age 2—has been shown to drastically reduce cases of child abuse and neglect,decrease involvement of both mothers and children in the criminal-justice system,and improve a child's health and a mother's economic self-sufficiency. But"it definitely makes sense,"said Dudder,now 18,who calls Price a"walking encyclopedia of babies." The Nurse-Family Partnership,which started in Elmira,N.Y.,in the late 1970s,has served nearly 5,000 Washington families since its launch here in 1999.The program—which has tracked groups of participants over the course of years in three separate research trials —is now offered in 42 states and the U.S.Virgin Islands,serving more than 23,000 women nationwide.Most of them—an estimated 8o to 85 percent—are single moms. In King and Snohomish counties,limited funding has meant the program has only been offered 40 to eligible first-time moms younger than 24,said Lauren Platt,the Seattle-based regional program developer for Washington,Oregon,Montana,Idaho,Nevada and Missouri. http://seattletimes.com/html/localnews/2020185210_newmomsxml.html 1/22/2013 First-time, low-income mothers get help from successful Nurse-Family Partnership j Loca... Page 2 of 3 The Seattle City Council in November unanimously voted to bolster the amount of money Mayor Mike McGinn already had budgeted for the program in 2013 and 2014.The City Council added $527,000 for this year,bringing the total to a little more than $1.6 million;next year,an • additional $1.145 million added by the council will see the program funded with$2.285 million. The extra money means Seattle will join a handful of big cities across the country—including New York,Indianapolis and San Diego—in offering the program to all women who qualify, regardless of age. "This program has been probed and poked,and it's stunningly good,"said Councilmember Tim Burgess,who took the budget proposal to his council colleagues. In 2012,212 Seattle women participated in the program.The number is expected to increase to 349 this year and to 45o in 2014. An estimated 40 percent of all pregnant women—both first-time moms and women who already have had at least one child—qualify for Medicaid,the most commonly used indicator for determining low-income status.First-time moms who qualify for Medicaid also are eligible for participation in the Nurse-Family Partnership. Citing research by the Washington State Institute for Public Policy,Burgess said that for every $1 invested in the Nurse-Family Partnership,local communities can expect to save $2.61 in future spending on health care,welfare and the criminal justice system.In other states,the figure is as high as$5 saved for every$1 invested. "This program shows that when we invest early,we can reap huge dividends"down the road, Burgess said. By offering help to poor,first-time moms,"we're going to lower crime,we'll impact the economic stability of that little family and we're going to improve education and safety for the • children." According to Platt,mothers involved in the program had 6o percent fewer arrests and 72 percent fewer convictions compared to low-income mothers not served by the Nurse-Family Partnership. Similarly,children of mothers in the program had 59 percent fewer arrests by age 15 than children whose mothers did not participate,Platt said.The program also has been shown to improve a mother's economic self-sufficiency and a child's readiness to start school,while decreasing language delays,behavioral and cognitive problems,and injuries to a child,she said. In addition to answering a mother's health-related questions,nurses act as personal cheerleaders,confidantes and advocates,helping new moms access a variety of social services, from housing to education,Platt said. The Nurse-Family Partnership was started by David Olds,a developmental psychologist in the pediatrics department in the School of Medicine at the University of Colorado,Denver. A woman's first pregnancy represents a major life change,when she experiences both "heightened vulnerability and receptivity to help,"especially from someone who is an acknowledged expert in the issues a first-time mom is concerned about,Olds said in a phone interview from Denver. Studies have shown that the brains of babies and young children who are abused,neglected or exposed to neurotoxins like tobacco and alcohol are compromised and typically lead to problems with regulating behavior—and those children have a greater susceptibility to later • criminal delinquency,Olds said.By intervening early in a woman's first pregnancy and arming http://seattletimes.com/html/localnews/2020185210_newmomsxml.html 1/22/2013 First-time, low-income mothers get help from successful Nurse-Family Partnership Loca... Page 3 of 3 her with knowledge,she'll make better choices that can have long-term impacts on her child's health,he said. 11110 For mothers,having an ongoing relationship with a nurse can help them to"start envisioning what kind of life they want to create for themselves,"especially in terms of schooling,work and relationships with men,Olds said. "They become attached to the world of work and self-sufficiency.It's a positive cycle between their own accomplishments and care of their children that makes them less vulnerable to anti- social influences,"Olds said. Dudder and Park say they consider Price a member of the family—so much so that they've told Price not to bother knocking when she arrives for visits at Dudder's grandmother's house, where the couple live with Penny in a basement bedroom. Dudder said she was"totally freaked out"when she learned she was a pregnant teen and dealt with a lot of judgment,from family and strangers alike. But Price,she said,never judges,no matter what Dudder reveals. Price has not only answered a slew of health-related questions but she also helped Dudder contest a hospital bill and found a counselor to help her through a bout of depression. Price is helping the couple find an apartment of their own. "It's definitely made me the best mom I can possibly be,"Dudder said of her relationship with Price."It's definitely like,OK,no matter what we go through,we have Jen." Added Park: "I really do believe that as a father,I wouldn't have known anything without Jen. ...She's there all the time and she's the only person available for us to call and ask questions." For Price,it's been satisfying to see Dudder and Park bond with Penny and watch the baby hit her developmental milestones.A big part of the job,she said,is focusing on parents'strengths and telling them when they're doing a good job,something few new parents ever hear. "I think they have really amazing instincts for parenthood. It's easy to just affirm their instincts,"Price said of the young couple. She praised them for the strength of their relationship and the devotion they've shown to their daughter. "This is a stressful time in your lives,"she told the couple. "I hope this gets you on that road so you can do this yourselves,which you're already doing." Sara Jean Green:206-515-5654 or sgreen@seattletimes.com • http://seattletimes.com/html/localnews/2020185210_newmomsxml.html 1/22/2013 1/22/2013 9:15:00 PM,Port Townsend Leader Jefferson County to offer homeowner septic system monitoring classes in February Due to regulations being relaxed in May 2012, the Jefferson County Board of Health can now authorize homeowners to complete most required septic system monitoring inspections. Homeowners who want this authorization need to complete two training courses, which are offered free of charge beginning in February. The classes also are to be made available online by March 2013, according to a press release. The program provides information about septic system operations, maintenance and inspections, and makes it easier to complete the monitoring inspections at a more reasonable cost. The two-part course begins with Septics 101, which covers the basics of day-to-day septic systems operation and maintenance, landscaping, garbage disposals, projects in Jefferson County to protect water quality, and the impact of a working or failing septic system on drinking water, groundwater and surface water. Septics 101 will be available online and offered in a classroom format. Septics 201, offered online only, covers step-by-step septic system inspection and reporting of results. The classroom version of Septics 101 is offered four times in February: 3-5 p.m., Tuesday, Feb. 5, at the Quilcene Community Center; 3-5 p.m., Thursday, Feb. 7, at the Gardiner Community Center; 6-8 p.m., Monday, Feb. 11, at the Tri-Area Community Center in Chimacum; and 3-5 p.m., Monday, Feb. 14, at the Tri-Area Community Center. Registration is required, and space is limited; call 385-9444 to sign up. A link to the online classes and the future classroom training schedule will be posted at jeffersoncountypublichealth.org. • • „: REESept.ic-Sy,:stern:„, Classes Offered SEPTICS 101: Basics of septic system operation and maintenance. Learn how your septic system works and how you can protect your investment in this important part of your home.This is the first of two classes required to get a Homeowner Authorization to complete monitoring inspections of your septic system. February 5th,Tuesday, 3pm-5pm k' Quilcene Community Center,294952 Hwy 101,Quilcene February 7th,Thursday, 3pm-5pm Gardiner Community Center,980 Old Gardiner Rd.,Sequim • February 11,Monday, 6pm-8pm Tri-Area Community Center,10 W.Valley Rd.,Chimacum February 14,Thursday,3pm-5pm— Tri-Area Community Center,10 W.Valley Rd.,Chimacum Registration is required. Space is limited,contact 385-9444 to sign up. . • For more information go to www.jeffersoncountypublichealth.org; • • Septic basics Topics covered include: how•septic systems oper- to be covered ate;maintenance;impacts of a failing system on in workshops drinking,ground and sur- face water;and more. The upcoming classroom Free Septic 101 work- schedule for Septic 101: shops will be offered in ■ (zluilcene Commu- February by Jefferson nity Center,294952 U.S. County Public Health. Highway 101,.from 3 p.m. Last May,the Jefferson to 5 p.m.Tuesday,Feb.5. County Board of Health ■ Gardiner Commu- relaxed regulations to • nity Center,980 Old Gar- allow authorized homeown- diner Road,from 3 p.m.to ers to complete most 5 p.m.Thursday,Feb.7. required septic-system Y Tri-Area Commu- monitoring inspections. nity Center, 10 West Val- Homeowners that want ley Road in Chimacum, to be authorized need to from 6 p.m.to 8 p.m.Mon- complete Septic 101 (septic day,Feb. 11,and from system basics)and the 3 p.m.to 5 p.m.Thursday, online-only Septic 201 Feb. 14. (step-by-step inspection of Septic 101 and 201 will the septic system and be offered online beginning results reporting). in March. The Septic 101 class coy- Registration to 360-385- ers day-to-day operation of 9444 is required. • septic systems,how people can protect their investment in the septic system and . projects in Jefferson County to protect water quality • /t/V ) 1/27/2013 12:28:00 PM, d ort r JeffersonPCTountydeConservation Futures: County invites 1111, Y open-space projects In partnership with the public, local nonprofit organizations and governments, the Jefferson County Conservation Futures Program provides funding for the protection of the county's important open spaces. Applications are now sought for new open-space projects. It is estimated that, for 2013, $240,000 is available to fund such projects. Completed applications must be received by Jefferson County Environmental Health no later than Friday, March 1. Open spaces include wildlife habitat, farms, timberlands, trail rights-of-way, scenic areas and cultural sites. According to Tami Pokorny of the Conservation Futures staff, these areas may serve important functions, such as providing safe passage for native wildlife; conserving or enhancing natural or cultural resources; helping maintain natural flood-water control systems; protecting existing habitat, water quality, water supply and soils; enhancing or protecting scenic views; providing opportunities for outdoor education and non-motorized recreation; and ensuring that current and future generations realize benefits from maintaining a balanced natural system. Citizens, landowners and citizen groups as well as local government agencies, special purpose districts and nonprofit corporations within Jefferson County may apply for funds in partnership, as needed, with an eligible sponsor. Project sponsors are required to provide matching contributions of at least 50 percent of a project's cost in the form of non-county grant funds, private contributions or the value of other open space linked to the project. Pokorny invites interested individuals and groups to contact her to discuss the program and ideas for new projects. Past and current conservation futures projects include: • 21 acres of wildlife habitat along Chimacum Creek and its estuary • Conservation easements to maintain the Boulton, Sunfield, Glendale and Finnriver farms and the Chimacum Dairy in agriculture • Forested acreage in the Tarboo Creek watershed • Protections for Tamanowas Rock and the surrounding area • Parcels within the Quimper Wildlife Corridor and "Cappy's Trails" The Conservation Futures Fund supports the purchase of land or development rights through an application process guided by the Jefferson County Code and overseen by the Conservation Futures Citizen Oversight Committee. The program is funded by the county's smallest property tax levy and staffed by the county Environmental Health Department. The Board of County Commissioners makes funding decisions after project applications have been vetted and ranked by the oversight committee and a public hearing is held. For an application and more information, or to schedule a meeting or program workshop, contact Pokorny at 379- 4498 or tpokorny@co.jefferson.wa.us. Visit the Jefferson County Conservation Futures Program online at co.jefferson.wa.us/commissioners. • Flu season reaches a crescendo, health officials say By Rob 011ikainen,Peninsula Daily News,January 28`",2013 OORT TOWNSEND—Flu activity may be cresting on North Olympic Peninsula and around the region,health officials say. Based on the latest statistics from the Centers for Disease Control and Prevention, it"looks pretty strongly like we're at the peak,at least in Western Washington,"Dr.Tom Locke, public health officer for Jefferson and Clallam counties,said. "But it's a little too early to tell,"he added. Of the 762 lab specimens statewide that were tested the week ending Jan. 19,20.5 percent tested positive for influenza. That's down from 33.3 percent the week ending Jan. 12 and 27.8 percent the week before. • "We're over the peak if that pattern holds,"Locke said. "This might be one of those years when we have a rapid increase and a rapid decrease." Locke added:"Given the various numbers,this week and into next week is going to be the peak of the influenza season." "Then we'll see a drop off,"he said. The state Department of Health said there have been 17 laboratory-confirmed flu deaths so far this winter, 15 of which occurred in people 65 or older. None of those 17 deaths involved Clallam or Jefferson County residents. Most of the confirmed flu cases in Washington have been the H3N2 strain,which is associated with more severe symptoms than H1 N1 and Influenza B. All three strains are covered by this year's vaccine,which remains in good supply at area pharmacies. 0 New government figures show that flu cases seem to be leveling off nationwide but are still rising in the West. National statistics show hospitalizations and deaths spiked last week,especially among the elderly,The Associated Press reported. According to the Centers for Disease Control and Prevention,eight children died from the flu last week,bringing the nationwide total of pediatric deaths to 37. About 100 children die in an average flu season. In Washington,the flu generally hits eastern Washington before crossing the Cascades. "This year,we've had the opposite,"Locke said. The state Health Department said 22.8 percent of western Washington lab tests were confirmed influenza, and 18 percent of eastern Washington samples were the flu. While levels of non-influenza respiratory illness are on the rise, Locke said those with true influenza are at the greatest risk of complications. Influenza-like illness is defined as a fever of 100 degrees or higher with a cough or sore throat. People who come down with the flu can be sick with a fever for five to seven days,and be contagious for 10 to 14 days. Health officials stress hand hygiene and recommend that people with the flu stay home for at least 24 hours after the fever is gone to avoid spreading the virus. Rest,liquids and over the counter medicines are common treatments.Antibiotics don't work against a viral illness. For more information,see the state health department website at www.doh wa.gov/or the Centers for Disease Control website at www.cdc.gov/flu. • Reporter Rob 011ikainen can be reached at 360-452-2345,ext.5072,or at rollikainen(a)peninsuladailynews.com. Port Townsend Paper mill files appeal of landfill decision By Charlie Bermant,Peninsula Daily News,January 30,2013 fitORT TOWNSEND—The Port Townsend Paper Corp. has filed an appeal to the state Pollution Control Hearings oard asking that it reverse the Jefferson County Public Health Department's denial of an inert-waste permit for its landfill operation. "We feel the laws have not changed, the process and the waste have not changed, so the process should not change either," said Kevin Scott, company spokesman, in a statement. "This moves the appeal process to the next step with the Pollution Control Hearings Board and one step closer to a long-term resolution." In the appeal, the company says the decision by Dr. Tom Locke, public health officer for Jefferson and Clallam counties, is"unlawful or unjust" because the wastes generated by the mill and placed in the landfill haven't changed since 2004. That year, the county health department and the state Department of Ecology concurred with the designation of wastes as inert, and the landfill has been permitted as an inert-waste landfill since then, the appeal said. "The regulations governing the waste and landfill have not changed, nor have the mill processes that generated the waste," the appeal said, concluding that the company's"inert-waste landfill permit should have been renewed." In his denial of the permit, Locke expressed concerns about the changing nature of waste generated by the mill during operation of an expanded biomass cogeneration plant. A state hearing has not been scheduled and might not occur until the fall, according to Jan Buechler, a legal assistant with the Environmental and Land Use Hearing Office, which houses the Pollution Control Hearings Board. . Motions will be heard up to the hearing date beginning in mid-February, Buechler said. Until the matter is resolved, the mill can continue to operate under the terms of an inert-waste permit. Port Townsend Paper—the county's largest private employer, with nearly 300 workers—requested in September an extension of its inert-waste permit, which had been in effect since 1989. The county health department said Oct. 17 that the company should be required to attain a more stringent limited-use permit. The mill filed an appeal Oct. 22, triggering a Nov. 27 hearing to review the decision. Locke issued a denial of the appeal Dec. 3. A denial of reconsideration was posted on the county health department's website Dec. 31. The paper company then announced its intention to appeal to the Pollution Control Hearings Board. If the board rules in the company's favor, it would instruct Jefferson County to grant the permit. If the ruling is upheld, the denial of the permit will stand. Either side could ask the Superior Court for reconsideration. "We were expecting this," said Jefferson County Environmental Health officer Pinky Feria-Mingo. "It is their legal right to appeal, our system is built upon a series of checks and balances." •The Port Townsend mill's $55 million, 24-megawatt biomass cogeneration expansion originally was expected to be put into operation this April, but work on the facility has been delayed until 2014 or 2015, the company said after a Dec. 10 state Court of Appeals ruling that sends a suit filed by five environmental groups to the state Supreme Court. The suit—filed by PT Airwatchers, No Biomass Burn, the Olympic Environmental Council, the Olympic Forest Coalition and the World Temperate Rainforest Network—urges the requirement of an environmental impact statement prior to construction of the expanded facility that burns wood waste to create electricity. Nippon Paper Industries USA Inc. in Port Angeles also is expanding its biomass cogeneration facility to generate 20 megawatts in a $71 million project that's slated for completion this year. It also has been opposed by environmental groups who say the facilities will increase pollution, especially of ultrafine particles that can lodge in the lungs. To see the full text of the Port Townsend Paper Corp. appeal, visit http://tinyurl.com/a5q483t. Jefferson County Editor Charlie Bermant can be reached at 360-385-2335 or at charlie.bermantApeninsuladailynews.com. • Septic system• : classes offered Due to regulations being, relaxed in May 2012, the Jefferson County Board of Health can now authorize homeowners to complete most required septic system moni- toring inspections. Homeowners who want this authorization need to complete two training courses, which are offered free of charge beginning in February.The classes also are to be made available online by March 2013, according to a press release. The program provides information about.septic sys- tem operations, maintenance and inspections, and makes it easier to complete the moni- toring inspections at a more reasonable cost. The two-part course begins with Septics 101,which covers the basics of day-to=day septic'' systemsoperation and main- tenance,landscaping,garbage ain-tenance,landscaping,garbage disposals;projects in Jefferson • • /`fid//3 • Earl-: ...v flu season work of 1968 strain By Tristan Hieglerof the Leader According 'to` the occur with fevers of 104 to direct contact with pigs at Washington State 105 degrees. county, fairs.There,are no This influenza season Department of•Health, 160 "Low to moderate fevers reported cases in our state. is earlier and more viru- out of 596 samples tested are good-for you; the body's Jefferson County Public lent compared to,those of in the 'state are the flu. doing it for'a reason," Locke Health also recommends the past two years, accord- According to a department said. good health habits, such as ing to.Jefferson County's top report,as of Jan. 12,`almost washing your hands, cover- health official. all viruses tested were influ- VACCINES AND PREVENTION ing your cough and staying "This is a somewhat enza A(H3N2)viruses." s The Jefferson when County_ homeyou re sick. y , . unusual flu year. I think A number of other viruses. 'Public Healthwebsite rec- Flu vaccines are avail- how unusual is somewhat also are hitting hard this. =mends that everyone able locally.from Jefferson being played up," said Dr. year, Locke said, some of 6 months of age and older Healthcare clinics; Madrona Tom Locke,:health officer which mimic the symptoms get a flu shot. It's especially Hill Urgent Care, 2500 for Jefferson County Public of the flu. important for young kids, Sims. Way; Monroe Street Health."We've had very mild "There are a lot of things people ages 65 and older, Clinic, 242 Monroe St.; years in the preceding two." hitting at once,"he said. pregnant women, parents of Port Hadlock Medical Care, Speaking at the Jan. 17 Locke recommended that newborns, and people with 121 Oak Bay Road; QFC Board of Health meeting, in order to not overload the medical conditions such as Hadlock Pharmacy, 1890. Locke said the season has region's emergency rooms, asthma and other lung dis- Irondale Road; and Safeway started earlier than usual. anyone with flu-like symp- eases, heart disease, diabe- Pharmacy,442 Sims Way. "Typically, we see a flu toms and a temperature of tes and neurological condi- Contact health- peak in late February or less than 102 degrees should tions. care providers for more March,"he said. call their doctor before com- There is.also a high-dose information or visit He identified the main ing in for care vaccine for people 65 and jeffersoncountypublichealth. culprit as H3N2, a strain of "What you should do is older, and a nasal spray vac- org. • the virus that first appeared contact your doctor, let them cine for healthy people ages in Hong Kong in 1968. know how you're feeling and 2-49. Locke said 98 percent of they'll make some recom- This season's flu vaccine the flu cases confirmed in mendations,"he said. protects against three differ- Washington so far this year Fevers of less than 102 ent strains of flu virus, but have been due to H3N2. degrees can actually be ben- not against a newer H3N2 "It's not brand new; it's eficial, Locke said, as the variant virus that is show- been around for several sea- higher temperature means ing up in other parts of the sons, he said, adding, "Itthe body is trying to fight country. Most cases of this makes you sicker." the virus. He'said problems new virus have been from • //so/3 Jefferson County Conservation � _soN c, Futures Program Open Space W /,� Grants Available The Jefferson County Board of LG�ShrNo�o) Commissioners invites applications for projects to enhance the County's open space preserves. Projects must provide permanent pro- tection of open space lands through acquisition of real property or development rights. Open spaces include wildlife habitat, agriculture and timber- lands, trail rights-of-way, scenic areas, and cul- tural sites. To be considered for funding, a matching contri- bution of at least 50% of the project's total cost is required. Approximately $240,000 is available this year to fund projects, including operation and maintenance (0 & M) requests. Citizens, land- owners, and citizen groups as well as local gov- ernment agencies, special purpose districts, and non-profit corporations within Jefferson County may apply in partnership, as needed, with-an eli- gible sponsor. Deadline for submission is Friday, March 1, 2013 at 4:30 PM to the Jefferson County Public Health Dept. For more information and an application, contact Tami Pokorny at 379-4498 or tpokorny@co.jefferson.wa.us, or visit the Conser- vation Futures Program website: www.co.jefferson.wa.us/commissioners/ Conservation/conservation.asp. • y ��i teeeeo,/. a, dee( /3 Mill ill aappeals c • decision on By Allison Arthur and HEARINGS BOARD be drilled to properly moni- Tristan Hiegler of the Leader During the Jefferson tor the water underneath the County Board of Health landfill,he added. Port Townsend Paper meeting on Jan. 17, Locke Corp. has formally appealed said the mill hearing could DELAYS ON BIOMASS Jefferson County Public take some time to happen. The landfill dispute is Health officer Dr. Tom "This is not right around not directly connected to the Locke's decision to deny the the corner should they choose mill's controversial $55 mil- mill an inert landfill permit. to appeal to the [Pollution lion cogeneration project. The disagreement Control Hearings Board]," However, the state between the mill and the Locke said. Department of Ecology(DQE) county over the status of the He said that when he did recently give the mill an 25-acre landfill now heads inquired back in December 18-month extension to make to the state Pollution Control 2012, the earliest date for progress on the biomass proj- Hearings Board. the hearing would be in June ect and cited appeals of the The mill's move, which 2013. Locke estimated the mill's proposal as a reason for the mill advised the county wait could be even longer. the extension. of on Jan. 25, was antici- Locke also presented the The DOE originally pated. county's findings of facts• approved the mill's notice Mill officials maintained and conclusions of law to theof construction on Oct. 20, throughout 2012 that they health board, summarizing '..2010.:That order allowed should be allowed to keep the LPL hearing of Nov. 28, the mill to pursue its plans their basic inert permit and which Locke oversaw. without doing a full envi- not have to seek a more "As the hearing officer, I ronmental impact state- stringent permit called a thought the facts really sup- ment. limited purpose landfill ported the county's.position DOE, officials sided (LPL) permit, which would on this,"he said. with the mill in conclud- require quarterly ground- He said changes in the ing the project would not water testing and financial mill's •waste stream meant have adverse environmental proof that the mill has the.. the ash stored at the land- impacts. means to close the land- fill could have a negative In that permit dispute fill once it has reached its impact on groundwater. — which is separate from capacity. Locke said if the Pollution the landfill dispute — the "As you know,we feel that Control Hearings Board hearings board sided with the laws have not changed, rules against the mill, the the DOE, as did Thurston the process and waste have mill would have to reapply County Superior Court not changed, so the land- for a LPL or stop using the Judge Thomas McPhee in fill designation should not landfill to store waste. March 2012. change either," Kevin Scott, "It would not be a logical In December 2012, the environmental director for ` or reasonable thing to do," state Court of Appeals sent the mill, wrote in an email Locke said of the mill pos- the case directly to the state announcement. sibly not applying for a new Supreme Court. The high "This moves the appeal permit. court has not yet agreed to process to the next step The LPL would require look at that permit issue. with the Pollution Control groundwater monitoring In the meantime, the Hearings Board(PCHB)and and financial assurances for landfill permit heads to one step closer to a long-term landfill cleanup, Locke said. the state Pollution Control resolution,"he added. Two new wells might need to Hearings Board. • i27diez • This 3.5" x 8.5" envelope stuffer was included in the February i 3 Port Townsend High School report card mailing sent to parents of all PTHS students Q MEDICAL CARE FOR STUDENTS • ...,_ LOCATED IN PORT TOWNSEND HIGH SCHOOL Students go to the SBHC for ,.. 4toAt ," comprehensive medical care: easy acce-0-. . � • Illness and injury Cpn{� • Sports Physicals dab ��; • Immunizations, P►�{o dor z� healtticas uderts `� Birth control h_0,00 School Based Health Center • Mental Health services big PROFESSIONAL MEDICAL STAFF Stress. Relationship issues � 71 .` . L to R: Susan O'Brien, Nurse Practitioner Julie Canterbury.Jefferson Mental Health Services Therapist Sarah Kirkegaard,Nurse Practitioner Ryann McChesney.Support No student will be denied services due to inability to pay. 0 Flu season still active but'over the hump,'official says By Rob 011ikainen,Peninsula Daily News,February 11,2013 Flu is still widespread in Western Washington, but it appears that the worst of it is over. The percentage of influenza-positive lab tests from samples processed in state labs fell sharply—from 35.2 percent to 20.3 percent —from Jan. 12 to Feb. 2,the state Department of Health announced Friday. "That's generally a sign that we're over the hump,that we're past the peak of the outbreak,"said Dr. Tom Locke, public health officer for Clallam and Jefferson counties. But at the current rate, Locke predicted that it will be"several more weeks"before the flu subsides for the year. "We're still very much in flu season," he cautioned. "We're seeing a lot of people with influenza-like illness. "It's pretty much the same pattern it's been all flu season, in which the H3N2 strain is dominate." H3N2 flu is associated with more severe symptoms than the H1 N1 and Influenza B strains that were prevalent in recent years. The Health Department reported 34 flu-associated deaths between Sept. 30 through Wednesday, none of which involved North Olympic Peninsula residents. There were 18 flu deaths in Washington state during the 2011-2012 flu season and 36 the previous year. The record for flu deaths in Washington occurred during the H1 N1 swine flu outbreak of 2009-2010,when 98 died. Twenty-seven of the 34 who died this year were 65 and older. Locke declared the start of the flu season in Clallam and Jefferson counties in late December. • The declaration meant that health care workers at Olympic Medical Center,Jefferson Healthcare and Forks Community Hospital must wear a mask around their patients if they haven't had a flu shot. Health officials recommend flu shots for anyone 6 months and older. This year's vaccine,which covers all common strains but takes a few weeks to work, is available at area pharmacies. Jefferson Healthcare in Port Townsend is"definitely seeing a lot of people with flulike illness in populations that are susceptible to complications, mainly the elderly,"said Locke,who met with officials there Thursday. Olympic Medical Center spokeswoman Bobby Beeman said the patient census has been stable. To prevent the spread of flu, health officials stress hand hygiene and recommend that people with the flu stay home for at least 24 hours after the fever subsides. Flu symptoms include sore throat,fever,cough and generalized aches and pains, Locke said. Some—usually children— experience nausea and vomiting. People who come down with the flu can be sick with a fever for five to seven days,and be contagious for 10 to 14 days. Reporter Rob 011ikainen can be reached at 360-452-2345,ext.5072,or at rollikainen 6 peninsuladailynews.com. S • SECOND SEMESTER PARENT NEWS FEBRUARY, 2013 IIPTH S N Upcoming School Safety Informational Meeting for Parents - Details Inside Reading and Writing Tests Scheduled for March Students Must Meet Standard on Washington State Exams as a Graduation Requirement, Port Townsend High School will run a STATE EXAM REQUIREMENTS modified schedule during the week of March 11 Class of 2oi3- entered 9th grade in 2009-10 to accommodate the administration of the 2012 Reading High School Proficiency Exam High School Proficiency Exams in reading and writing. Participation in these tests are Writing High School Proficiency Exam mandatory, as students must pass these exams Math End-of-Course Exam in order to graduate. The reading and writing exams will be given to all registered tenth graders, as well as any students in grades eleven Class of 2014-entered 9th grade in 2010-1I and twelve,who have not yet met standard on Reading High School Proficiency Exam these tests. Writing High School Proficiency Exam Students will be assigned to a testing group Math End-of-Course Exam . in a classroom with two teachers, serving as proctors. We do keep the testing groups as small as possible so that students are testing in Class of 2015- entered 9th grade in 2011-12 a comfortable environment. Reading High School Proficiency Exam The testing exam for March has been Writing High School Proficiency Exam inserted into this newsletter. Students are not Biology End-of-Course Exam allowed to begin the exams late, so it is important that your child be on time for the Math Year 1 End-of-Course Exam tests. Testing will begin promptly at 8:oo a.m. Math Year 2 End-of-Course Exam on each testing day. Student score information assists our Class of 2016 - entered 9th grade in 2012-13 district and high school in refining instructional Reading High School Proficiency Exam practices. It also gives families valuable information about how well their child is doing, Writing High School Proficiency Exam and where additional academic support might Biology End-of-Course Exam be needed. Math Year 1 End-of-Course Exam The state does require other exams in Math Year 2 End-of-Course Exam addition to reading and writing, that students must pass in order to graduate. Exams may differ, depending on the intended graduation Exam schedule for March is • year. Here is a list of state exams that must be • passed, prior to graduation. enclosed in this newsletter! PAGE SECOND SEMESTER PARENT NEWS FEBRUARY, 2013 SCHOOL SAFETY MEETING PLANNED FOR PTHS PARENTS • The district will host a Safety Information Meeting for parents who are interested in learning more about our emergency protocol and lockdown procedures. The meeting will be held on Wednesday,February 20 at 6:oo p.m. at Blue Heron School. School administration from PTHS and Blue Heron, as well as our School Resource Officer, Garin Williams,will be in attendance to present information, answer questions and dialogue with you about keeping students and staff safe during a crisis. SCHOOL BASED HEALTH CLINIC PROVIDES MENTAL HEALTH COUNSELING Our School Based Health Clinic provides a 'avoids friends,wants to be alone all of the mental health therapist for high school students. time and has lost interest in things usually This service is free and confidential,providing enjoyed; access to counseling services. Students may "has unexplained changes in eating or request a meeting or be referred by a parent or sleeping habits; school staff. Julie Canterbury is the clinician and 'expresses feelings or behaviors of hopeless- she is available two days per week. She can be ness, or that life is too hard; contacted through the high school counseling office (379-4523) or at Jefferson Mental Health •is dealing with a lot of stress due to a (385-0321). personal or family situation; Mental health problems are real, painful and "is dealing with grief due to a death; can be severe. They can lead to school failure, 'experiences a significant drop in school 4110loss of friends, or family conflict. Parents and performance caregivers of teens are asked to pay attention if Being a parent or caregiver for a teenager has your child: many challenges of its own! Parents are also "feels angry, guilty,worthless or anxious; encouraged to contact Julie for guidance on how •is extremely fearful, or cries much of the to help and support their child navigate the time; teenage years. The clinic is provided through a •is constantly concerned about physical partnership between Jefferson Healthcare, our problems or their physical appearance; County Health Department and the Port Townsend School District. WASHINGTON'APPLE HEALTH'FOR KIDS 6,_geo:, Apple Health for kids is free or low cost health coverage available �y for children and teens under age 19. To qualify for this medical . N.,:#1,, assistance for the child,parents must be a resident of the State of 4� -_ 0 Washington and meet specific state financial guidelines. Apple Health provides one year of continuous coverage, including full medical, dental and vision care. You can find out more information about this coverage through the PTHS counseling office at 379-4523, or by calling the Jefferson County Health Department at 385-9400. Apple Health application forms are also available at the high school counseling office and in our student health clinic. We know that healthy students are III better learners. Please contact us if we can help you determine if your child qualifies for this health coverage. PAGE 2 • Pets banned from bars, restaurants ByTristan Hi ler of the Leader " i # on the premises of a food'. Its the owner's 1 �� odes^' '�F service establishment can't While Port Townsend responsibility pets,I ng animals, visit: have but he added those residents might be used to to exclude all '"f rules have some leeway. seeing dogs scamper through Keefer said if a bar or bars like the Pourhouse and animals that restaurant owner can show the Uptown Pub,state regu- aren't service to leavedogs at home during food or beverages wouldn't lations say pets need to stay very busy weekends. be contaminated, pets could home. animals in a Ned Herbert,owner of the remain in an outdoor area. Jared Keefer, direc- food service Pourhouse, said that during Herbert said he did tor of Jefferson Countytheir annual inspection on receive permission from the Environmental Health, said establishment." Feb. 14, the inspector asked health inspector to allow that excepting service ani- if an animal in the bar was dogs and other pets in the mals, furry friends are not Jared Keefer a service animal. When Pourhouse's patio area. permitted in food-service director of Jefferson County Herbert replied it was not, According •to the establishments such as bars, Environmental Health he was told it couldn't be Washington State restaurants, grocery stores allowed inside. Department of Health, the and temporary food stalls. food service establishment." Before then, Herbert said state adopted the 2001 edi- "It's the owner's responsi A local area of concern has he was under the impression tion of the U.S. Food and bility to exclude all animals been the Jefferson County dogs were OK in the bar Drug Administration's food that aren't service animals Farmers Market, Keefer since the Pourhouse does not code with a few modifica- in a food service establish- said. He said people have have a kitchen or prepare tions. ment,"Keefer said. voiced concerns about dogs food. He said he was told The adopted code states He added that while near the produce. Keefer since they pour and serve non-service animals can Jefferson County doesn't said dogs are allowed at beer, they fall under the be allowed in food service have an ordinance about the market, but they aren't same regulations as a food areas if they are edible or pets,the county's food-safety0 allowed in the food stalls. service establishment. decorative fish,shellfish and program must obey the state Port Townsend Farmers As 'for outdoor area and crustaceans in aquariums, regulations. Market manager Will patios, Keefer said non-ser- and if they are'patrol dogs "It's not a new. regula- O'Donnell said on Monday vice animals are technically accompanying police or secu- tion," Keefer noted. "We get that the market loves dogs not supposed to be in those rity officers,and that service complaints every once in and is not planning to ban areas. He said the state animals must be under their awhile about animals in a dogs, but would like people codes stipulate any areas owners'control at all times. S 664- 2/,.2 -2/,? Nurture children to- increase security • We agree that a key requisite of school security lies in prioritizing In 14 years of providing this mental and emotional health in care, our services have more than our community.The earlier we can quadrupled. And with an ongoing start, the better. waiting list and increasing refer- Port Townsend and Jefferson rals from doctors, teachers, par- County are fortunate to have ents and grandparents, the need resources in place to support is not going away. children's well-being. Our Nurse Our interconnected response Family Partnership program, throughout the community must • Jefferson County Community continue. For our part, we've Network, city police depart- begun our expansion at Jumping meat, and others have put Port Mouse to double our therapy ser- Townsend on the national map for vices by 2015, increase support to identifying and mitigating adverse parents and teachers, and collabo- childhood experiences to improve rate with community partners to lifelong health. help more kids and families. Research confirms that child- To truly increase safety and hood adversity can affect our men- security, we must nurture chil- tal and physical health later in dren's healthy relationships at life. According to the Centers for home and beyond. All the locks in Disease Control and Prevention, the world won't keep a child safe childhood trauma correlates if she has no adult in her life she directly with increased depression, can trust. heart disease, poverty, violence We are thankful for the con- and early death. Between two- tinued community support for our thirds and 80 percent of attempted kids.Together,we can build a coin- suicides could be attributed to munity where children feel safe at • adverse childhood experiences. home, school and elsewhere. Children impacted by grief, DOTT KELLY&KRIS changing family structures, medi- BECKER cal issues, or violence and sub- Jumping Mouse Children's stance abuse at home or in the Center • community deserve access to qual- Port Townsend ity mental health care. S t2/79/i3 i Ecology joins with Jefferson County in mill landfill case By Charlie Bermant, Peninsula Daily News, March 7th, 2013 SORT TOWNSEND—The state Department of Ecology has joined with the Jefferson County Public Health Department in recommending the denial of an inert-waste permit to the Port Townsend Paper Corp. "Ecology has joined the case on our behalf," said Jared Keefer, the county's director of environmental health and water quality. "They will be co-leads in the case, showing that the ruling that the permit should not be inert is not just the opinion of the county." Said Peter Lyon, Ecology's Waste 2 Resources Program resources manager, in an email: "We agree with the county's assessment that such issues cannot be adequately addressed without correcting the landfill's misclassification as inert." Ecology filed a motion to intervene Feb. 20. The matter is scheduled to be addressed Aug. 20-21 by the Pollutions Control Hearings Board in the agency's Tumwater office. "Ecology intervened because we believe it's important for the Port Townsend Paper Corp. to monitor groundwater and to provide financial assurance for closure costs should the landfill ever cease operations," Lyon wrote. "If the landfill were classified as a limited purpose landfill, as opposed to an inert landfill, the company would have to meet these criteria." 4I)Calls requesting comment from the paper mill company Wednesday were not returned. Company representatives previously have argued that the regulations and processes have not changed, so the permit should be renewed. If the Pollutions Control Hearings Board rules in the company's favor, it will instruct Jefferson County to grant the permit. If the ruling is upheld, the denial of the permit will stand, though either side could ask the Superior Court for reconsideration. Until the ruling, the company will continue operation under the inert permit, Keefer said. Port Townsend Paper—the county's largest private employer, with nearly 300 workers— requested in September an extension of its inert-waste permit, which had been in effect since 1989. The county health department said Oct. 17 that the company should be required to attain a more stringent limited-use permit. The mill appealed the decision Oct. 22, triggering a Nov. 27 review. Dr. Tom Locke, public health officer for Jefferson and Clallam counties, issued a denial of the appeal Dec. 3. The paper company filed its appeal to the Pollution Control Hearings Board in January. • Jefferson County Editor Charlie Bermant can be reached at 360-385-2335 or at charlie.bermantRpeninsuladailynews.com ■/////■////\ ■■/■■■/►�// /.dam An independent /////�_ �/ ,�► .i nonpartisan ..r r. i`111Mik .r :. 'i ea"lairalga. EWE MK 1.0111111.11.1%0IR Firm rimparrominwsui at awkizil ' ® anat sis of 41////h. ME a V £ ME . # W ALJ 1 VMS _/ a 1 L — public opinion //l. `111111110111111111111111111111 M ■ I ■ — Y7 'A i/'4 t T' MR MI I • ►�: trends in !/1111. • '#��+ �f * t �i `�' IMA i ' �� w.P v. ////p 1/ Washington and MOM • ■///1r' % the Northwest 5 MARCH 2013 Support for Some, Not All, Gun Controls For most Washington voters, protecting the right of Americans to own guns is more important than con- trolling gun ownership. This position puts most Washington voters just on the other side of that question from most other Americans. Even so, majorities of Washington voters interviewed for this Elway Poll were on the gun control side of 4 out of 5 proposals they were asked about. Some 42% of these Washington voters said they have firearms in their homes; 48% did not and 10% would not say.Recent national polls have put gun ownership at anywhere from 33%to 50%. Protecting the right to own guns was rated as more important than controlling gun ownership by ma- jorities of both men and women, people in all age categories and in households both with and without chil- dren. Seattle was the only area of the state where there was a majority in favor of controlling gun owner- ship (70%) There was a deep partisan divide,however: 68% of Democrats said controlling gun ownership was more important,while 84%of Republicans said gun owner rights were more important. Independents tended to side with Republicans-63%said gun owner rights were more important. There was a consistent minority of 30-40% in almost every demographic category on the other side of the question, reflecting how divisive this issue is. But the divide may not be as stark as it is sometimes por- trayed. For example, 23% of gun owners said that controlling ownership was the more important consid- eration. And despite majority support for gun owner rights, majorities favored 3 of the 4 gun control pro- posals included in this survey,led by strong support for background checks: 79%favored background checks for all gun sales, • including sales between individuals; MORE IMPORTANT: PROTECTING GUN OWNER RIGHTS 54%favored banning"military style semi-automatic OR CONTROLLING GUN OWNERHIP? guns,which automatically re-load when the (3-state and national comparison) trigger is pulled"; and ■RIGHT TOOWN GUNS UNSURE ■CONT ROLGUNS 54% favored a banning ammunition magazines or WA 55 a 37 clips that can hold more than 10 rounds. In addition: 0 54 9 37 62%opposed allowing school administrators or teachers to carry concealed weapons in school. CA 34 5 61 On the other side: 56%opposed requiring gun owners to buy special USA 45 5 51 liability insurance; and The popularity of universal background MAJORITIES FAVOR 3 OF 4 GUN CONTROL PROPOSALS; checks extended to gun owners (71% of whom supported them) and those who said •FAV UNDEC /OPP that protecting gun owner rights was more 7w important than controlling gun ownership BACKGROUND CHECKS /9 18 (66%). Support for allowing teachers and school BAN SEMI-AUTOMATICS 54 42 administrators to carry was strongest among households consisting of a couple with chil- BAN to+ROUND CLIPS 54 42 dren (42%).Those couples may not all agree, 34 56 however: 41% of men supported the idea, LIABILITY INSURANCE 6 compared to only 27%of women. • ALLOW TEACHERS TO CARRY 34 62 THE ELWAY POLL is intended for the exclusive use of its subscribers.The material contained herein may not be copied or disseminated without the written consent of Elway Research.Inc. Excerpts may be quoted with attribution. 111111100...— , ©THE ELWAY POLL 5 MAR 13 8 P C 0 •f 1 8 West Coast States Favor • $a 111 p Gun Control Measures 412 registered voters selected at random from registered voter lists in Washington ever the past month, polls in Washington, Oregon state,were interviewed Feb.28-Mar 2 2013 by live,professional interviewers.17%of and California have asked similar questions about the interviews were conducted on cell phones.The margin of sampling error is±5%at the 95%level of confidence.This means,in theory,that had this same survey been con- gun control proposals.The table below compares the ducted 100 times,the results would be within±5%of the results reported here at least results. The Oregon survey was conducted for The 95 times. Oregonian (2/3/13)by Elway Research. The Califor- REGION nia results are from The California Poll(2/26/13). King County 30% Pierce+Kitsap 15% •Residents of all three states are in general agree- North Sound(Snohomish to Whatcom) 17% ment in favor of banning ammunition magazines Western Washington(ciauam to ciark) 17% Eastern Washington 20% that can hold more than ten rounds.Californians are most likely to favor that proposal,Oregonians the GENDER Male 50% least,but majorities in all three states were in favor. Female 50% •By almost identical numbers,residents of the three AGE states favored a proposed ban on military-style 18-35 12% 36-50 24% semi-automatic guns. 51-64 35% .Washington and Oregon residents were strongly 65+ 28% likely to favor universal background checks: 8 in 10 PARTY IDENTIFICATION in each state favored that proposal.The question Democrat 30% Republican 24% was not asked in California. Independent 46% •The California Poll asked about two proposals not HOUSEHOLD MAKEUP 32% included in Washington or Oregon.Both met with Couple/Children at Home high approval rates: Couple/No Children at Home 41% Single/Children at Home 6% 75%favored background checks for ammunition Single/No Children at Home 18% • purchases; and HOUSEHOLD INCOME 32% $50-150-100,000 30% 61%favored higher taxes on ammunition. $ 000 .Washingtonians and Californians both opposed al- $100,000+ 23% lowing teachers and school administrators to carry No Answer 14% weapons in school,a question not asked in Oregon. FIREARMS IN HOME Yes 42% No 48% GUN CONTROL PROPOSALS IN Won't Say 10% WASHINGTON, OREGON & CALIFORNIA The Elway 1 w s� y Poll PROPORTION IN SUPPORT OF... WA OR CA The Elway Poll is an independent,non-partisaneanalysis of public Requiring gun owners to buy special liability insur- 34% — — opinion in Washington and the Northwest available exclusively ance to subscribers. SUBSCRIPTION:An annual subscription is$250. Requiring background checks for all gun sales 79% 81% — PROPRIETARY QUESTIONS: Each month,space Banning ammunition magazines or clips that can 540/0 530/0 58% is reserved in the questionnaire to allow subscribers to insert hold more than 10 rounds proprietary questions.The fee for proprietary questions is$600 per question.You will receive the results of your question(s)with Banning military-style semi-automatic guns, full crosstabulations within three days. which automatically reload when the trigger is 54% 52% 57% CROSSTABS: A full set of cross-tabulation tables for any pulled survey is available for$100. Allowing school administrators or teachers to cavy 34% — 28% concealed guns in school The Elway Poll 7035 Palatine N. Requiring anyone buying ammunition to get a — — 75% Seattle, WA 98103 permit and undergo a background check 206/264-1500 FAX: 264-0301 Higher taxes on ammunition with proceeds used — — 61 epollQeiwayresearch.com for violence protection programs Copying Not Permitted 2 Washington State Legislature March 14, 2013 Governor Jay Inslee Office of the Governor PO Box 40002 Olympia, WA 98504-0002 CC: Congressional Delegation Dear Governor Jay Inslee We are writing to request that you partner with Senator Patty Murray, Senator Maria Cantwell and our congressional delegation in working to resolve significant issues facing local health jurisdictions participating in Washington's Title XIX Medicaid Administrative Match (MAM) program so as to ensure equitable treatment for Washington State. Local Health Jurisdictions across Washington state participate in the MAM program, which is overseen by the state's Health Care Authority(HCA). This funding is used to • support activities that increase access to Medicaid health coverage. The MAM program will be critical in helping to ensure that vulnerable people are enrolled in the Medicaid Expansion and connected with health services. Since August of 2011, local health jurisdictions and Washington State Association of Local Public Health Officials(WSALPHO) have been working diligently with HCA to respond to a directive from the federal Center for Medicare and Medicaid Services (CMS)to develop an entirely new way of operating the program (through a new Cost Allocation Plan). Recently, CMS decided to significantly and retroactively reduce payments made to Washington State public health jurisdictions for activities performed under the Title XIX Medicaid Administrative Match program. This results in an immediate statewide reduction of almost $8.6 million to support public health activities annually. This decision was arbitrary, unjustifiably punitive and not consistent with CMS directives for other states going through similar processes. We ask that you please work in concert with our federal delegation to advocate on the following three issues for Washington's Title XIX Medicaid Administrative Match program: Immediate need: • a r • 1. Allow local health jurisdictions to assume claiming from July 2012 forward at 100% payable level using our current federally approved system until a new cost allocation plan is approved and implemented. Necessary for the new cost allocation plan: 2. Approve the use of a client specific MER (Medicaid Eligible Recipients) in whatever new plan is implemented. (CMS has approved the use of a client- specific MER in other states-Oklahoma and Texas - as recently as last year) 3. Approve local health jurisdictions to "cluster" together based on similar work for the purposes of the Random Moment Time Survey (RMTS). We would greatly appreciate your prompt attention and effort to help resolve this very important program that serves thousands of Washington State's most vulnerable citizens. Sincerely, • Rep. Sherry Appleton Rep. Brian Blake Rep. Reuven Carlyle ad*C- (9/ AIP n-oflefr_ 'eve,ai-4,..../0„7. Senator Annette Cleveland Rep. Eileen Cody Senator Steve Conway ,j(414,(44--AC440-4 a Senator Bruce Dammeier Senator Jeannie Darneille Rep. Jessyn Farrell, 62,04 9oc- -7-7171, Rep. Jake Fey Rep. Joe Fitzgibbon Senator Karen Fraser • • 62(r. v 41.1.7 (1)44 7:2,.... . --112-4"' Rep. Roger Goodman Rep. Tami Green Rep. Drew Hansen I( 69.A...... .- ‘71"*"' "'' Senator Brian Hatfield Rep. Laurie Jinkins Rep. Norm Johnson tat, ---/-e_f__ — 7“---d---- ,./ Rep. Ruth Kagi Senator Karen Keiser Senator Adam Kline • .,,..., rCluji?...14,lia Rep. Linda Kochmar Senator Jeanne Kohl-Welles Rep. Marcie Maxwell -4(441gr)44"4g ?lc &44 -'' tipp--) ', _ - '-,,, 11 Z5 Vroie_„....-.----, Senator Rosemary McAuliffe Rep. John McCoy Rep. Jim Moeller ckA (APZ?.000i Rep. Dawn Morrell Senator Ed Murray Rep. Steve O'Ban Xi: 0--1,,,,_ 61 Off 1 Rep. Timm Ormsby Rep. Tina Orwall Rep. Gerry Pollet • X4-211)- allfg4 is j Rep. Larry Seaquist Rep. Chris Reykdal Rep. Mary Helen Roberts 446 Senator Christine Rolfes Rep. Cindy Ryu Rep. Mikeolfes 4"/" Rep. Sharon Tomiko Santos Senator Nathan Schlicher Rep. Derek Stanford • )i Dgcla,ft ,4-4d6 Rep. Pat Sullivan Rep. Dean Takko Rep. Gael Tarleton (tit jet‘yvd DC`APe- 4:Clur4v-c? Rep. Steve Tharinger Rep. Dave Upthegrove Rep. Judy Warnick Gtr _.14414- Rep. Kevin Van De Wege Rep. Sharon Wylie Rep. Hans Zeiger • Bert Loomis 235 Edgewood Drive • Port Ludlow,Washington 98365 360-437-0901 bertl@cablespeed.com March 15, 2013 David W. Johnson Jefferson County Development Review Division 621 Sheridan Street Port Townsend, WA 98368 RE: Extension of the Port Ludlow Development Agreement Dear David: I have reviewed the application submitted by Port Ludlow Associates (PLA) and Olympic Water and Sewer Inc. (OWSI)for an extension of the Port Ludlow Development Agreement through May 8, 2025. After careful consideration, I would support the extension request subject to the following conditions: • a) The prompt and complete cleanup of all toxic contaminants at well #2, subject to a completion bond approval by the Washington State Department of Ecology (WSDOE) (see attached details). b) The complete removal of all toxic contaminants from the Port Ludlow Golf Course, with a posted completion bond subject to approval by WSDOE (see attached details). c) Written confirmation from the Washington State Department of Ecology that PLA/OWSI has obtained adequate Water Rights for full build-out of the Port Ludlow Master Planned Resort (see attached details). Jefferson County has an obligation and responsibility to our community,to assure that we have an adequate and reliable water source. Attached is a July 23, 2007 report from WSDOE stating that PLA/OWSI does not have adequate Water Rights. WSDOE has listed two Port Ludlow properties on its"Hazardous Sites List" (02/27/13) (see attached details). Both sites are located on PLA/OWSI owned properties. PLA/OWSI, and/or their predecessors, contaminated those sites, and therefore must bear full responsibility for remediation to the satisfaction of WSDOE. Port Ludlow residence and Jefferson County taxpayers shall not pay any of the remediation cost. • 1 Therefore,the County must require the posting of appropriate bonds to assure the complete • remediation of those sites by the developer. I was pleased to learn that Jefferson County has recently required the Pleasant Harbor Developer to post bonds as a precondition for obtaining development permits. Port Ludlow residences certainly deserve the same level of protection. I hope we can avoid another IMQ-type fiasco and that the County will protect the interest of our community instead of the developer's. Perhaps Jefferson County should revisit the(95)Loomis vs.Jefferson County decision before proceeding in haste to rubber stamp the extension request. Our community,deserves,and is entitled to,a beneficial and timely resolution of these issues. Sincerely, Bert Loomis Enc: Water Rights Tracking System(3/4/13) 7.1.1 Instantaneous Water Right Evaluation(7/23/07) 1-lazardous Sties List(2/27/13) DOE Site Hazard Assessment Work Sheet Well 2(4/26/11) DOE Interactions/Toxics/Port Ludlow Golf Course(3/13/13) Peninsula Daily News(1/18/13) Final Decision&Order/Loomis vs.Jefferson County,Pope Resources(9/6/95) CC: John Austin JCPH • Phil Morley WUTC David Alverez WSDOE Carl Smith PUD No.1-Burke David Mann PUD No.1-King 2 • , . S . . As Of 3/4/2013. WATER RIGHTS TRACKING SYSTEM CURRENT WATER RIGHT&WATER RIGHT CHANGE APPLICATIONS PENDING WITH ECOLOGY County: Jefferson Disclaimer This report contains information about water right applications and water right change applications.Applicators do not constitute an approval of water rights. WRIA:17 Control Nbr Business/Person Name Priority Dt Qi Qa Purpose Source TRS QUAD G2-29445 WASHINGTON WATER SERVICE 12/09/1996 600.00 DM WELL T30 N/R02 W-28 G2-29342 Paul Schmidt 01/17/1996 294.17 IR WELL T27 N/R01 W-18 WELL T27 N/R01 W-18 WELL T27 N/R01 W-18 G2-29326 Jefferson Cnty Fire Dist 3 11/20/1995 38.00 DM WELL T28 N/R01 E-32 S2-29162 Richard Hoidal 12/06/1994 1.50 IR UNNAMED POND T27 N/R02 W-14 S2-29170. Donalda Porter 12/27/1994 0.07 DS UNNAMED STREAM T27 N/R01 E-20 G2-29222 Jefferson Cnty PUD 1 05/10/1995 15.00 DM WELL T28 N/R01 E-04 G2-29130 Discovery Bay Village Water Co 09/08/1994 100.00 DM WELL T29 N/R02 W-13 G2-29120 Jefferson Cnty 09/29/1994 250.00 DM FR WELL T27 N/R02 W-13 S2-28637 GERALD L&SANDRA K YONKE 10/05/1992 0.04 FS IR UNNAMED SOURCE T28 N/R01 E-33 UNNAMED SOURCE T28 N/R01 E-33 UNNAMED SOURCE T28 N/R01 E-33 G2-28918 Cape George Colony Club Inc 09/21/1993 370.00 225.00 DM WELL T30 N/R01 W-18 02-29078 ROGER SHORT 07/20/1994 400.00 IR WELL T29 N/R01 W-24 02-28632 Jefferson Cnty PUD 1 10/02/1992 60.00 CI WELL T28 N/R01 E-33 • 02-28732 Pope Resources 01/22/1993 60.00 DS MI WELL T28 N/R01 E-31 G2-29104. Olympic Water&Sewer 09/14/1994 50.00. 48.00 DM WELL 128 N/R01 5-09 G2-30059 Port Townsend City 06/13/2002 150.00 IR WELL T30 N/R01 W-02 G2-30083 Jefferson Cnty PUD 1 10/31/2002 600.00 DM WELL T30 N/R01 W-33 02-30003 Leonard Sarin 07/10/2001 750,00 CI WELL 129 N/R01 W-11 02-30025 James Headley 08/24/2001 20.00 DS IR WELL#t T30 N/R01 W-05 WELL#2 T30 N/R01 W-05 S2-29980 Harvey Minnthan 04/13/2001 0.11 IR ST Teal creek T28 N/R01 E-27 S2-29898 Frances Mangan 01/24/2000 0.02 DS UNNAMED SPRING T25 N/R01 W-04 S2-30114 Duane Davis 06/05/2003 0.03 DS IR LAKE LELAND 128 N/R02 W-25 S2-30302 Shawn Lacey 01/17/2006 0.20 0.32 DS UNNAMED SPRING 127 N/R01 W-29 G2-30316 Jefferson Cnty PUD 1 03/13/2006 50.00 30,00 MU well 128 N/R02 W-02 Page 2 of 3 • July 23,2007 Section 7 S Source of Supply Analysis This section addresses existing water rights,and their ability to support current and projected future levels of water demand. A comparison is also made between source pumping capacity and demands. 7.1 Water Rights Evaluation A summary of OWSI's existing water rights is provided in Table 7-1,organized by service zone. This includes existing rights associated with two wells(4A and 9)that are presently inactive due primarily to aesthetic water quality concerns (i.e., iron, manganese, and hydrogen sulfide). Appendix G contains completed Water Rights Self-Assessment forms. Table 7-1 Water Rights Summary Water Right No, Q3(afy) l Qi(gpm)(2) Service Zone A Well 2 G2-00194C 120 150 We113 G2-00193C 88 110 Well 4N G2-25627C _122 150 Sub-Total 330 410 Service Zone 13 Active Wells(3) Well 13 G2-25816C 35(45 S) 175 Welt 14 G2-27492P (161 S) 300 • Sub-Total 35(206 S) 475 Inactive Wells Well 4A G2-21542C 30 23 Well9 G2-21543C 70 46 Sub-Total 100 69 System Total 465 954 Notes: afy=acre-feet per year; gpm=gallons per minute Information in this table is based on information in Department of Ecology's water right records. (1) Annual quantity. Numbers in parentheses indicate supplemental quantities,which are not additive to primary quantities. (2) Instantaneous quantities. (3) The water rights for Wells 13 and 14 include Well 16 as an additional point of withdrawal. 7.1.1 instantaneous Water Right Evaluation Table'7-2 provides a summary comparison of instantaneous water rights and projected maximum day demands. As shown in the table, Service Zone A instantaneous water rights are sufficient to meet current and projected maximum clay demands. However, Service Zone B instantaneous water rights(associated with active wells)are not sufficient to meet long-term project maximum day demands.. By 2025, there is a water right deficiency of 39 gpm in Service Zone B. Section 7-Source of Supply Analysis 7-1 Olympic Water and Sewer,Inc.-Water System Plan Update • r.;4. ;0',4_ k '.u-343,YY"c :4 .�:. ,4 e'1. ek3i S `-" � E � q t;ii 4„,, !,-,41Intstt.".'ye,,,. Clir:;.: .e. ;4:17.PatnftitiatrablikalVairrigtaftiegOVI ' ''''''''''''''''''' • „; -T IA, .4i....,,..tr.i, 0-41*, Adit ,c.:' OFPARTM�NT 0f a r OW'42 ECOLOGY �•+�[C`O i` (p`�yJ(/�,''gyp/ �t � ra s, _ 3. � ";as.i: s- <.a7-F�.,»"*. . ,;j^�. 'erg=" Stat,of Washington oxics Cleanup program De.artmentofEcology,PDSox 47600,Olympia*WA 98504.7600 February 27,.2013 HAZARDOUS SITES LIST & NOTICE OF HAZARD RANKING This issue is an updated Hazardous Sites List as required by WAC 173-340-330. It includes all sites that have been assessed and ranked using the Washington Ranking Method. Also listed are National Priorities List(NPL) sites. Additions to the list,changes in remedial status of sites on the list,and removals from the list are published twice a year. Placing of a site on the Hazardous Sites List does not,by itself,imply that persons associated with the site are liable under Chapter 70.105D RCW. For additional information about a site on this list,please contact the appropriate indicated person. Please direct questions regarding circulation of the Hazardous Sites List or Site Register to Ted Benson at(360)407-6683 or tben461@ecy.wa.gov. Ecology is an equal-opportunity employer. If you need this document in a format for the visually impaired,call Toxics Cleanup Program at 360-407-7170. Persons with hearing loss can call 711 for Washington Relay Service. Persons with a speech disability can call 877-833-6341. HOW A SITE GETS ON THE HAZARDOUS SITES LIST Sites on the Hazardous Sites List(excluding NPL and TSP sites)have undergone a preliminary study called a Site Hazard Assessment(SHA). An SHA provides Ecology with basic information about a site. Ecology then uses the Washington Ranking Method(WARM)to estimate the potential threat the site poses,if not cleaned up, to human health and the environment. The estimate is based on the amount of contaminants,how toxic they are,and how easily they can come in contact with people and the environment. Sites are ranked relative to each other on a scale of one to five. A rank of one represents the highest level of concern relative to other sites,and a rank of five the lowest. Hazard ranking helps Ecology target where to spend cleanup funds. However,a site's actual impact on human health and the environment,public concern,a need for an immediate response,and available cleanup staff and funding also affect which sites get first priority for cleanup. HOW A SITE GETS REMOVED FROM THE LIST • A site may be removed from the list only if the site is cleaned up.In some cases,long-term monitoring and periodic reviews may be required to ensure the cleanup is adequate to protect the public and the environment. Ecology will hold a public notice for any site it proposes to remove from the Hazardous Sites List. HOW TO ACCESS DEPARTMENT OF ECOLOGY SITE FILES To review a file or record pertaining to a site on the Hazardous Sites List,please contact the Public Disclosure Coordinator listed for the region in which the site resides. •Central Regional Office:Roger Johnson,15 W Yakima Ave.Ste.200,Yakima 98902-3463,(509)454-7658,rjoh461@ecy.wa.gov •Eastern Regional Office:Kari Johnson,N 4601 Monroe St.,Spokane 99205-1265,(509)329-3415,kajo461@eey.wa.gov • Industrial Section:Ann Lowe,300 Desmond Dr.SE,Lacey 98503-1274,(360)407-6916,alow461@ecy.wa.gov • Northwest Regional Office:Sally Perkins,3190 160th Ave.SE,Bellevue 98008-5452,(425)649-7190,sper461@ecy.wa.gov •Northwest Regional Office:Sally Alexander,3190 160th Ave.SE,Bellevue 98008-5452,(425)649-7239,saa1461@ecy.wa.gov • • Nuclear Waste Program:Valarie Peery,3100 Port of Benton Blvd.,Richland 99352,(509)372-7920,vpee461@ecy.wa.gov •Site Cleanup/Underground Storage Tank Unit:Carol Dorn,300 Desmond.Dr.SE,Lacey 98503,(360)407-7224,ccsg461(tijecy.wa. • Southwest Regional Office:Debbie Nelson,300 Desmond Dr.SE,Lacey 98503-1274,(360)407-6365,dene461(decy.wa.gov i Ecology provides additional information about each sde through as various stte lists located ai hitp!lmw a wa ov! remsttcp/adea/udea himl 1 Publication 13-09.042A • SITE REGISTER SPECIAL ISSUE--February 2T 2493 • Grant . � .-�; � FS ID SITE NAME CITY RANK STATUS RU 14193738 US BUREAU OF RECLAMATION GRAND COULEE 5 Cleanup Started EA 2802409 WARDEN CITY WATER SUPPLY WELLS 4&5 WARDEN 3 Cleanup Started EA 52332779 WHITNEY DISTRIBUTING CO MOSES LAKE 1 Awaiting Cleanup EA Grays Harbor FS ID SITE NAME CITY RANK STATUS • RU 33315723 ANDERSON&MIDDLETON CO HOQUIAM 5 Awaiting Cleanup SW 33541272 APEX ENVIRONMENTAL HOQUIAM 5 Awaiting Cleanup SW 1121 BERGS MARINE CONSTRUCTION&REPAIR HOQUIAM 1 Awaiting Cleanup SW 94658144 BRUMFIELDTWIDWELL MONTESANO 2 Cleanup Started SW 1141 CRYSTAL STEAM BATHS ABERDEEN 5 Awaiting Cleanup SW 1130 HOWARD MOE ENTERPRISES HOQUIAM 3 Awaiting Cleanup SW 1127 HUNGRY WHALE GROCERY WESTPORT 2 Awaiting Cleanup SW 1117 MOST WESTERN LAUNDRY Hoquiam 1 Cleanup Started SW 6508672 PEDERSON PROPERTY MONTESANO MONTESANO 1 Cleanup Started SW 4061791 RODERICK TIMBER CO JUNCTION CITY 1 Cleanup Started SW 1125 SAGINAW MILL ABERDEEN 1 Construction Complete-Performance Monitoring SW 9401122 SHERMAN PROPERTY ABERDEEN 5 Awaiting Cleanup SW 97193494 TONYS SHORT STOP MONTESANO 3 Cleanup Started SW 1128 VIRGIL FOSTER MONTESANO 1 Awaiting Cleanup SW 36813164 WHITNEYS CHEV INC MONTESANO 3 Cleanup Started SW Island FS ID SITE NAME CITY RANK STATUS RU 2016 ADAMSON BUILDING LANGLEY 5 Cleanup Started NW 91445142•COUPES GREENBANK STORE GREENBANK 5 Cleanup Started NW 2011 DECEPTION BAY MARINA OAK HARBOR 5 Cleanup Started NW 39633333 HARBOR AIRLINES INC OAK HARBOR 3 Awaiting Cleanup NW 4066617 HOLMES HARBOR ROD&GUN CLUB LANGLEY 4 Awaiting Cleanup NW 1087945 HWY 20&SLEEPER RD OAK HARBOR 1 Awaiting Cleanup NW 2006 MELCO MFG TRACT 4 OAK HARBOR 5 Awaiting Cleanup NW 2007 OAK HARBOR LOFL OAK HARBOR 2 Awaiting Cleanup NW 2008 UNOCAL COUPEVILLE BULK PLANT COUPEVILLE 1 Cleanup Started NW 130 US NAVY AIR STATION WHIDBEY ISLAND AULT OAK HARBOR 0 A Cleanup Started EP 136 US NAVY WHIDBEY HWES OAK HARBOR 0 A Cleanup Started EP 137 US NAVY WHIDBEY LAKE HANCOCK OAK HARBOR 1 Cleanup Started HQ • 131 US NAVY WHIDBEY OWOAK HARBOR 0♦ Construction Complete-Performance Monitoring EP 132 US NAVY WHIDBEY OU2 OAK HARBOR 0 l Cleanup Started EP 133 US NAVY WHIDBEY OU3 OAK HARBOR 0 A Cleanup Started EP 135 US NAVY WHIDBEY OU5 OAK HARBOR 0 A Cleanup Started EP 2015 WHIDBEY OIL CLINTON 5 Awaiting Cleanup NW 67449232 WHIDBEY PRESS OAK HARBOR 5 Cleanup Started NW Jefferson t, FS ID SITE NAME CITY RANK STATUS RU 9412888 ANDERSON PROPERTY OLD HADLOCK RD PORT HADLOCK 1 Awaiting Cleanup SW 96498799 BRINNON GENERAL STORE BRINNON 1 Awaiting Cleanup SW 1148 CHEVRON BULK PLANT PORT TOWNSEND 1323 PORT TOWNSEND 1 Cleanup Started SW 3828620 GLEN NEET BUZZYS PROPERTY SCRAP YARD PORT TOWNSEND 2 Awaiting Cleanup SW 95275518 IRONDALE IRON&STEEL PLANT FORMER PORT HADLOCK 1 Cleanup Started SW 24761 LEES TRUCK REPAIR CHIMACUM 1 Cleanup Started SW 8531364 MOUNT BAKER BLOCK BUILDING PORT TOWNSEND 5 Awaiting Cleanup SW 62223345 OLYMPIC WATER&SEWER INC PORT LUDLOW 2 Awaiting Cleanup SW 89236919 PENNY SAVER MART PORT TOWNSEND 1 Cleanup Started SW 91762839 PORT LUDLOW GOLF COURSE PORT LUDLOW 3 Awaiting Cleanup SW 1079161 ROGER BROWN PROPERTY CHIMACUM 3 Awaiting Cleanup SW 11656968 SANDYS CHEVRON QUILCENE 2 Cleanup Started SW 203 US NAVY PORT HADLOCK PORT HADLOCK 0 4 Cleanup Started HQ Hazard Sites List Legend: •New site added to the ranked list Responsible Unit(RU)Site Contacts • New site added to the National Priorities List(NPL) Central Regional Office:Frosts Smith(509)454-7841/Ted Benson(360)407.6683: 4. Site re-ranked Eastern Regional Office:Patti Carter(509)329-3522/Ted Benson(360)407-6683' ✓ Superfund site:State has lead Northwest Regional Office:Donna Musa(425 649-7136/Ted Benson(360)407-6883 A Superfund site;Federal(EPA)has lead Southwest Regional Office:Rebecca Lawson(360)407-6241/T Benson(360)407-6683 6 Superfund site;Joint lead Headquarters Site Cleanup Section'Barry Rogowskl(360)407-72431T Benson(360)407-6683 4 Superfund site;Under a Federal Facilities Agreement Industrial Section:Paul Skyllingstad(360)407.694917 Benson(380)407-6683 4 Tacoma Smelter Plume(State Lead) Nuclear Waste Program:John Price(509)372-7921/Brenda Jentzen(509)372-7912 • SI FE HAZARD ASSESSMENT WORKSHEET I Summary Score Sheet SITE INFORMATION: Olympic Water and Sewer Inc. 781 Walker Way Port Ludlow,WA 98365 Parcel#821084004 Ecology Facility Site ID No.:62223345 Section/Township/Range:SE '/4 Section 8 Township 28N Range I E Latitude:47.92813 Longitude:-122.69877 Site scored/ranked for the August 2011 update April 26,2011 SITE DESCRIPTION: The subject property is owned by Olympic Water and Sewer Incorporated (OWSI),a private utility that services Port Ludlow,a resort/retirement community located along the Hood Canal.The site,approximately 2.2 acres in size,is located at 781 Walker Way in a wooded rural-residential neighborhood in Port Ludlow.Approximately%z acre of the site has been developed and consists of unpaved land that gently slopes to the southwest.There are three structures on the property:an approximately 20 ft.x50 ft.maintenance office/shop/garage;a single-wide trailer used for storage;and a 20 ft.x l0 ft.pump-house along the northwestern fence-line which houses Well#2,a group-A public water well,There is an asphalt driveway that runs down the middle of the developed area from Walker Way to approximately the storage trailer. . The lot is bordered by a ravine on the west,a residential property to the south,by a road(Walker Way) to the north,and a flat,wooded area and small road to the east.The western half of the property is wooded and contains a ravine with a seasonal stream/drainage that the Department of Natural Resources classifies as fish habitat.This water drains to Port Ludlow Hay and Puget Sound. Soils are of the Cassolary-Everett complex,generally consisting of well-drained soils.A well log from Well#2,however,shows brown sandy clay from 49 ft.to 79 ft..brown cemented sand and gravel to 105 ft.,brown sandy clay to 121ft.,brown clay to 137 ft.,brown and blue clay to 205 ft.,then gray gravelly hard pan to 212 ft. The property was developed by its previous owner,Pope and Talbot Development Incorporated,in 1968.Pope and Talbot used the site to house a corporate office and garage/shop for property development and utilities.Their original office structure is no longer there.They installed three underground storage tanks for gasoline to service their utility trucks and maintenance vehicles.A 1000-gallon UST was under the shop,a 2000-gallon UST was just outside the west wall of the shop. and a 2000-gallon UST was approximately 40 ft.to the south of the shop. • In 1985,the property was sold to Pope Resources.LLC,who removed all three USTs in 1990. Soil sampling from the floors of the excavations under the two USTs under/alongside the shop showed soil contamination with TPH levels above Model Toxics Control Act(MICA)clean-up levels of 100 mg/kg.(TPH 3000 mg/kg and 963 mg/kg).Soil samples from the third excavation site to the south showed no contamination.Contaminated soil was then removed from the area of the two shop USTs except where it might compromise the shop structure.The area under the 1000-gal UST was only excavated to 10 ft.below ground surface(bgs).Re-testing of the area below the shop floor after excavation indicated remaining soil at the bottom of the excavation with TPH of 1237 mg/kg, approximately twelve times MTCA clean-up levels. Well#2 is one of five active wells owned by OWSI.Water from well#2 is combined with water from two other wells(3 and 4N)to serve 592 houses in one region of Port Ludlow. Well#2 is approximately 100'from the shop and its former USTs.It has been tested periodically for volatile organics and none have been detected to date. Well#2 is losing production. In 2009 OWSI proposed to drill a replacement well at the site(well#17),approximately 100 ft.to the south of the shop and approximately 50 ft.from the southernmost former UST site.On April 20,2009 the contracted well-drillers.Hallocene Drilling,encountered water at approximately 50 ft.and halted for the day.The next day they returned to the site and smelled gasoline at the well site.No further drilling was done and both a water and soil sample were obtained from the well.A water sample was also obtained from Well#2. The water sample results from Well#17 revealed gasoline at 5530 ug/L.and benzene at 948 ug/L, levels well above their respective MTCA Method A clean-up levels of 800 ug/L and 5 ug/L.Toluene. ethylbenzene,and xylenes were found as well,though below MTCA.The soil sample showed benzene at 0.27 mg/kg,just below MICA Clean-up level of 0.3 mg/kg,and Toluene at 0.011.None of the other components of BTEX were detected in the soil. Well#2 was tested for volatile organic compounds(VOCs)and none were detected. Analyte Found Well#17 MTCA A Well#17 MTCA A 4/21/09 Water Sample ULU* Soil Sample ULU* Sampling Result (ug/L) Result (mg/kg) (ug/L) (mg/kg) Benzene 948 5 0.27 03 Ethylbeozene 62 700 <.05 6 Toluene 208 1,000 .011 7 Xylenes 153 1,000 <0.15 9 Gasoline range 5530 800 <10 30 organics with benzene CA A ULU ref ors to the Model Taxies control.Act Table 740-1 Method A Soil Cleanup Levels for Unrestricted Land Use OWSI hired SLR International in the spring of 2010 to conduct a Site Characterization.Four soil borings were drilled on April 12.2010:three at the shop site of the two former USTs,and one to the north of the storage trailer.Four water-monitoring wells were then installed in June 2010: • M W#1 —Along western edge of shop,adjacent to the excavation site of the 2 former USTs • M W#2—Western side of pad(approx. 120' south of well#2,just north of the storage trailer) • MW#3—Along southern fence-line(43'south of well#17) 2 r • • MW#4_Northern edge of property in middle of driveway. Groundwater sampling from the monitoring wells was conducted on June 14 as well as October 20, 2010.Water from monitoring wells 1 and 2 consistently exceeded Model Toxics Control Act(MTCA) Method-A clean-up levels for benzene and gasoline range organics(GRO).MW2 had particularly high levels of benzene(2,100 and 1300 ppb-MTCA clean-up level is 5 ppb),and GRO(8.400 and 3,900 ppb-MTCA clean-up levels are 800 ppb).MW 1 and MW2 tested positive for toluene and ethylbenzene on both dates,and MW2 was above MTCA levels for ethylbenzene on June 14. i Analytical Results(agL) Well Date Benzene Toluene Ethylbenzene Total Naphthalene Gasoline Number Collected Xylenes Range _ Organics MICA Method A Cleanup 5 1,000 700 1,000 160 800 Levels MW-1 6-14-2010 110 45 1.10 106 <1 990 10-20-2010 520 140 110 221 15 1,900 MW-2 6-14-2010 2,100 620 960 650 100 8,400 10-20-2010 1,100 290 430 530 35 3,900 MW-3 6-14-2010 0.36 <I <I <3 <1 <100 10-20-2010 <0.35 <1 <I <3 <1 <100 MW-1 6-14-2010 <0.35 <I <1 <3 <I <100 10-20-2010 <0.35 <I <1 <3 <I <100 Soil testing was conducted from samples obtained while drilling monitoring wells in the spring of 2010.The initial boring for M W 1(1 B)and soil borings from wells 2 and 3 all showed soil contamination above MTCA Method-A cleanup levels for benzene,and MWI-B was also above MTCA for GRO. Analytical Results(mg/kg) • Souorilins Approximate DateBenzene Toluene Eth}'Ihehzene TtotalGRO Sample Collected Total Xylenes - Number Depth(feet) _'MICA MethodACleanupLevels 0.03 7 6 9;` 30 MW-113 24.5-25 4-14-2010 0.49 5.7 1.2 6.7 140 MW-I 40-40.3 6-8-2010 <0.03 <0.05 <0.05 <0.15 <2 55-55.5 6-8-2010 <0,03 <0.05 _<.O.OS <0.15 <2 MW-2 40-40'3 6-9-2010 0.21 0.062 0.11 0.066 2.90 55.5-55.8 6-9-2010 0.21 <0,05 00.05 <0.15 _<2 MW-3 30.5-30 9 6-9-2010 <0.03 <0.05 <0,05 <0.15 <2 45.5-45.9 6-10-2010 0.036 <0.05 <0.05 -49J5 <2 MW-4 305-31 6-1U-2010 <0.03 <0.05 <0.05 <0.15 02 55-55.3 6-11-2010 <0.03 <0.05 <0.05 <0,15 <2 SPECIAL CONSIDERATIONS(include limitations in site file data or data which cannot be accommodated in the model,hut which are important in evaluating the risk associated with the site,or any other factor(s)over-riding a decision of no further action for the site): Well#2 is a Class A public water well,the water of which is combined with that of two other wells to serve 592 residences in Port Ludlow. 3 • The site characterization by SLR international did not include soil,sediment,or water sampling from • the gully on the western portion of the property,which is down gradient from the wells and former USTs.This gully is classified by the Department of Natural Resources as fish habitat and it empties into Port Ludlow Bay,a commercial shellfish area. Due to the contamination documented on-site being primarily subsurface,the air route is not applicable for WARM scoring for this site. Thus,only the groundwater and surface water routes will be scored. ROUTE SCORES: Surface Water/Human Health: NS Surface Water/Environmental:NS Air/Human Health:NS Air/Environmental:NS Groundwater/Human Health:55.79 OVERALL RANK: 2 • 4 • • WORKSHEET 2 Route Documentation 1. SURFACE WATER ROUTE- Not Scored 2. AIR ROUTE-Not Scored 3. GROUNDWATER ROUTE a. List those substances to be considered for scoring: Source: 3 Gasoline Range Organics,Benzene,Ethylbenzene,lead b. Explain basis for choice of substance(s)to be used in scoring: These substances were detected in on-site subsurface soil and groundwater samples associated with the site in concentrations exceeding their respective MICA cleanup levels. Testing for lead was not performed but can be assumed to be present given the age of the gasoline tanks. c. List those management units to be considered for scoring: Source:3 Subsurface soils and groundwater. d. Explain basis for choice of unit to be used in scoring: Gasoline Range Organics,Benzene and Ethylbenzene were detected in on-site subsurface soil and/or groundwater samples in concentrations exceeding their respective MICA cleanup • levels.Given the likelihood of leaded gasoline,lead may be presumed to be present as well. WORKSHEET 4 Surface Water Route (Not Scored) WORKSHEET 5 Air Route (Not Scored) 5 • • WORKSHEET 6 Groundwater Route 1.0 SUBSTANCE CHARACTERISTICS 1.1 Human Toxicity Drinking Acute Chronic Careinogentclty Water Substance Standard Value Toxicity Value Toxicity Value Value 0+8/1) (mg/kg-bw) (mg/kg/day) WOE PF* TPH-G(benzene) 5 8 3306 3 ND - A I - 2 Ethylbenzene 700 4 3500 3 0.1 1 - - 5 3 Lead 15 6 - ND 0.001 10 B2 - ND *Potency Factor Source: 1,2,3 Highest Value:8 (Ma.=10) Plus 2 Bonus Points?2 Final Toxicity Value: 10 (Max=12) 1.2 Mobility(use numbers to refer to above listed substances) Cations/Anions(Coefficient of Aqueous Migration(K)) OR Solubility(mg(L) I= 1.= 1.8E+03=3 2= 2= 1.5E+2=2 3 K is 0.1 to 1.0=2, present in liquid form=3 3= . 4= 4= 5= 5= 6= 6= Source: 1.2 Value:3 L (Max=3) 1.3 Substance Quantity: Explain basis: Area estimated by SLR to be contaminated with hydrocarbons above MICA Method A for groundwater is 225'x125'=28,125 feet.X 3feet assumed depth(per WARM manual) 84,375 cubic feet-3,125 cubic yards Source:2,3 Value:4 (Max-10) 6 S . 2.0 MIGRATION POTENTIAL Source Value 2 Containment(explain basis): leaking USTs(former),no containment, 2 i 9 10 documented soil and water contamination (Max=101 2.2 Net precipitation: I8.92"-6.1"= 12.82" 2,10 2 (Max=51 2 3 Subsurface hydraulic conductivity:SLR report:"dense glacial advance 3 4 outwash(sand,gravel and silt units)"to approximately 60' (Ma.=4) 2.4 Vertical depth to groundwater: Confirmed groundwater contamination 2.3,9 8 (Max=8) 1.0 TARGETS Source Value Groundwater usage:Public supply with alt.sources available for portion, 5 3.1 others are private with no alt.sources available. 2'T 9 (Max=-u,) 3.2 Distance to nearest drinking water well:<600 feet 2.3,9 S (Max=5) 3.3 Population served within 2 miles: V.Pop.=-42910=54 7,11,12, 54 (2319(pl wells)+591=2910) 13 (Max=+—( ) Area irrigated by(groundwater)wells within 2 miles: 3'4 0.75 *d 105=8 13 8 ( } (Max=50) 2.0 RELEASE 1111 Source Value Explain basis for scoring a release to groundwater: Confirmed release to l groundwater 3,9 (Max_5) 7 • SOURCES USED IN SCORING 1. Washington State Department of Ecology,Toxicology Database for Use in Washington Ranking Method Scoring,January 1992 2. Washington State Department of Ecology,Washington Ranking Method(WARM)Scoring Manual, April 1992. 3. Site Characterization Report,Olympic Water and Sewer,Inc.Property,781 Walker Way, Port Ludlow,WA.,December 17,2010,SLR International Corp. 4. Climate Summary for Chimacum,WA.,Western Regional Climate Center, http://www.wrec.dri.edu/cgi-bin/cliMAIN.pl?wal414 downloaded 3-7-11 5. lsopluvials of 2-Yr.24 Hr.Precipitation in Tenths of an Inch,NOAA Atlas 2,Volume IX,U.S. Department of Agriculture,Soil Conservation Service,Engineering Division, http://www.wrcc.dri.edu/pcpnfreq/wa2y24h.gif,downloaded 3-7-11 6. U.S.G.S.topographical map for area 7. Correspondence between Larry Smith,OWSI and Marjorie Boyd,JCPH,March 3,2011 8. Map of Commercial and Recreational Shellfish Growing Areas,Puget Sound,January 2009, Washington State Department of Health,www.doh.wa.gov/ehp/s1/Puhs/ai-map.pdf 9. Initial Investigation Report,Washington State Department of Ecology,April 30,2009 • 10. Washington Climate Booklet,U.S.Department of Agriculture. Washington State Extension Service, Pullman,WA.,December 1972 11. Jefferson County On-Line GIS system for Jefferson County Environmental Health Information (Arcview 10) 12. Sentry Internet Database of Water Wells,Washington State Department of Health 13, Water Right Tracking System,Washington State Department of Ecology. Infos://fortress.wa.gov/ecy/wrxfwrtssot/wrtsmain.aspx?xpa,,e intro&xnavigat e=clea r 8 • • Facility/Site: PORT LUDLOW GOLF COURSE 91762839 Also known as: PORT LUDLOW GOLF COURSE Address Decimal Coordinates 181 CAMERON DR Latitude:47.90489 PORT LUDLOW WA 98365 Longitude:-122.68659 Geographic Information Ecology Region:SWRO Legislative District:24 WRIA:17 County:Jefferson Congressional District:6 Tribal Land:No Ecology Interactions 44 aa vd State Cleanup Site TOXICS (360)407-7224 6/13/2006 LUST Facility TOXICS (360)407-7224 7583 4/27/1998 6/9/2006 Underground Storage TOXICS (360)407-7224 7583 1/1/1975 8/6/1996 Tank • Industrial Codes(External Links Below) No NAICS information is available for this facility No SIC information is available for this facility site. site. Report generated on 03-13-2013 • Facility/Site:Print Map Page 1 of I 4110 POR f LUDLOW GOLF COURSE fi $s es t_ vr t fin 4: ,„ 1 4 ,45 ' � # tr # 6viBa 'e$ } , AfR � rt^. J { R 'if.14'—:'1'-'%;--`," I- x �#1^F qt't°``fes zf v d e�opret, _ L_ � �,� YF"b y�=``p�.;, ,£4 5,.,s,„ kms+( fi "ie ,E. . , „.ae�C', N. t 1" oN" >r,i'g , ;:,,,, ` r .* ,� s a t,s°,s a<J fibdMa^`S ,. • https://fortress.wa.gov/ecy/facilitysite/ReportfPrintl3ingMap.aspx 3/13/2013 II • "A:,'.'fl t 4. ° , � '' :ate � x ' a '- 'A ', t ' � § r , ,,, 7-� as I . ` z r ,r., 4' JEFFERSON COUNTY STE C: I PORT LUDLOW GOLF COURSE CleanupSite I0: 6854 FS ID: 91762839 Alternate timers is PORT LUDLOW GOLF COURSE LC:ATION....-.... View Vicinity Man 1 I Address: 181 CAMERON DR Latlong: 47.90489 -122.68659 Legislative District. 24 i PORT LUDLOW 98365 TownehiU.URenge/Section: 28N 16 21 Congressional District. 8 I STA—US View Site Web Pane Ecology Status Awaiting Cleanup Responsince Got Southwest is Brownfield? UST Ste 0: 7583 WARM 881* 3 Site!.tanager: Southwest Region Environmental Covenant? WRIA C: 17 Statute IS PSI Sea, i i !if A Ra Cai+eo? NFA Date: NFA Reason: ASSOCWTEO CLEANUP UNGfsi cell) Cleanup Unit Name Unit Type Process Type Unit Status Size(Acres) ERTS ID 5346 PORT LUDLOW GOLF COURSE Upland Nn Process Reported Cleaned UD I SITE AC_IVMES: Applies to: Related ID Activity Display Name Status Start Date End Date Legal Mechanism Performed By Project Manager (Unit-LUST- CieanudSde See DissovertdReteasa Resort Received 6213.2006 Johnston Carol CleanunSte Ede Hazard Assessment/federal Sae ;t v Canrokled 6,62907 12'2812807 Ecology County Heath-SW innaection v II CleanuaSne Hazardous Saes ListnciNPL 12126,•2007 Southwest Region Lust 4952 LUST-Noliticaaon 4!2711958 42711938 Lust 4352 LUST-Resort Received 8,10/1955 8/20)2001 Lust 4552 LUST-Resort Received 3131:1998 4!27!1098 rPFEC TcC ti-EC:. S CON?Atle:AItTS: I Media: Ground Surface Son Sediment Air Bedrock Contaminant Water Water Nan-Halogenated Solvents S Petroleum-Omer C C Rey: B B.Below Catnip Leel R-Remedeled I C-Confirmed Above Cleanup Level RA-Romedieted-ADo•:e 1 I S-Suspected R2-Remediated-Below ,'It{s' ,'-:;:-,'::::,T,;::1-;''k 'r• .' `_ .e x gr- 0 Y1(0,�°-raerT ,ift js, w2. r+ a`^� . +4' a�t .1. 5".. :41 '.f n:ts:J; _ .:. . _ .e#*t*,e'' 'iddMve.*:: w,* • Today's Peninsula Daily News 01/18/13 "Johnson said the county will ask Statesman to pay a bond to ensure that phases of the_project that are started are completed." BRINNON —A Seattle consulting firm is set to begin an environmental study on a long-planned 252-acre resort on Hood Canal that the builder hopes to begin developing by the end of this year. The Jefferson County Department of Community Development is finalizing a contract with EA Blumen of Seattle to draft a $92,950 supplemental environmental impact statement on the proposed Pleasant Harbor Marina and Golf Resort located 3 miles south of Brinnon, Associate Planner David Wayne Johnson said. "We are in the process of getting the contract signed," Johnson said, adding that the study will be completed by Sept. 11. The project applicant is the Statesman Group of Companies, a Calgary-based resort-building corporation that first proposed the $300 million project in 2006. Statesman will pay for the environmental study. Statesman Group President Garth Mann said Wednesday he received the i contract this week but had not yet reviewed it. Johnson said Mann's attorney assured him the company would sign the agreement. "We're right at the doorstep of getting the whole process going, and development agreements and zoning regulations," Johnson said. "The zones will define what is allowed in those areas as far as heights, dimensions, standards, setbacks, that kind of thing." The marina-golf resort would be developed on property on the Black Point peninsula. The land is zoned for a "master-planned" resort and already includes the 300-slip Pleasant Harbor Marina, which is owned by Statesman. "We're close to nearing a half-century of being in the business," Mann said this week. • "We've examined the property and done a ton of work and consulted a lot of different people,"he said. "We are of the opinion that there is validity in moving forward. "It would be nice if we could get the SEIS[supplemental draft environmental impact statement]completed and out of the way,and could start construction in late 2013 or early 2014,"Mann said. The North Hood Canal Chamber of Commerce has endorsed the project. The Brinnon Group,which opposed the project in its earlier versions, is monitoring its progress, organizer Barbara Moore-Lewis said this week. "The Brinnon Group is concerned about the health of Hood Canal,"she said. "We are pinpointing weaknesses in the proposal and will bring them up in due time. "This will be the real crux of the SEIS: How do you mitigate any impacts on the canal and whether there actually exists technology to do that." The resort would include 890 residential units and an 18-hole golf course,a wastewater reclamation plant and 12,000 square feet of commercial space at a marina village off U.S. Highway 101. "There is likely to be opposition,"Johnson said. "Some people think it's too big,"he added. "I am confident we are going to finish the SEIS and the development agreement 1111 and zoning regulations, so he[Mann]can proceed." Statesman already shows the resort as a concern on its website, www.statesmancornoration.com,complete with an artist's rendering of$690,000 sea-view residences,and parking for cars and boats. Johnson predicted the draft EIS would be ready for public review this fall,with its first stop being the Jefferson County Planning Commission. A hearing examiner also will hold a public hearing on marina,golf course and other usage zones included in the undertaking,which will be developed on property zoned overall for a master planned resort. "As a model,look at Port Ludlow zoning and regulations,"Johnson said,referring to the marina-golf resort 20 miles south of Port Townsend. "[Statesman]tweaked it to their circumstances. "It's essentially the same kind of thing." Mann said he will not seek financing for the project until it's approved. Plans call for the resort to be built in phases,with the wastewater treatment plant coming first. Johnson said the county will ask Statesman to pay a bond;to_ensure that phases of the project that are started are completed. "They are proposing to clear and put in an 18-hole golf course that will require a huge amount of excavation on the site,"he said. "You are talking about millions of cubic tons of material. "If they start that and don't finish it,that's not good. "That will all be worked out in the development agreement." Public comment will be taken on the draft SETS and the final EIS. A public hearing also will be held when the Planning Commission considers the final EIS, Finally,the county board of commissioners will vote on whether to approve or deny the study's preferred alternative. Information and numerous documents on the proposal are available at http://t i nyurl.com17yr6x3s. Senior Staff Writer Paul Gottlieb can be reached at 360-452-2345,ext.5060,or at paul.00ttlieh peninsuladailynews.com. Last modified:January 17.2013 5:52PM