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HomeMy WebLinkAbout2014- March Jefferson County Board of Health March 20, 2014 • Jefferson County Public Health 615 Sheridan St. Port Townsend, WA 2:30–4:30 Draft I. Approval of Agenda II. Approval of Minutes of February 20, 2014 board of Health Meeting III. Public Comment IV. Old Business and Informational Items 1. Jefferson County board of Health Membership Recruitment 2. Expanded Veterans Administration Clinic Opens in Port Angeles for Olympic Peninsula Veterans V. New Business • 1. Presentation of Public Health Hero Awards for 2014 2. 2013 Performance Measures: Family and Maternal-Child Health, Communicable Disease, Family Planning, and Community Prevention Programs 3. 2014 Legislative Session Wrap-up 4. Nurse Family Partnership Advisory Committee Recruitment 5. Jefferson Healthcare—Jefferson County Public Health Community Health Needs Assessment Project Update VI. Activity Update VII. Public Comment VIII. Agenda Planning Calendar 1. November 18, 2014 Board of Health Meeting Date Schedule Conflict IX. Next Scheduled Meeting: April 17, 2014 2:30–4:30 PM Jefferson County Public Health • 615 Sheridan St. Port Townsend WA 98368 DRAFT • JEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, February 20, 2014 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, Chair, County Commissioner,District#2 Jean Baldwin,Public Health Services Dir John Austin, County Commissioner,District#3 Julia Danskin,Nursing Services Dir Roberta Frissell,citizen at large(County) Jared Keefer,Env. Health Services Dir Kris Nelson,Port Townsend City Council Veronica Shaw,Public Health Deputy Dir Sheila Westerman, Vice Chair, Citizen at large(City) Jill Buhler,Hospital Commissioner,District#2 Vice Chair Westerman called the February 20, 2014 meeting of the Jefferson County Board of Health to order at 2:30 PM. A quorum was present. Members Present: Jill Buhler, Sheila Westerman, Roberta Frissell, Phil Johnson, John Austin Staff Present: Thomas Locke, Jean Baldwin, Jared Keefer, Veronica Shaw • Members excused: David Sullivan Members Absent: Kris Nelson APPROVAL OF AGENDA Vice Chair Westerman called for review and approval of agenda for 2/20/2014 meeting. Member Austin suggested adding a review of medication take-back, suggested adding under needle exchange program review, under Item 3, new business. Member Austin moved to approve the agenda as amended; the motion was seconded by member Buhler. No further discussion. The motion passed unanimously. APPROVAL OF MINUTES Vice Chair Westerman called for review and approval of the minutes of the 1/16/2014 meeting of the Board of Health. Vice Chair Westerman notes the following corrections to be made: (1) On page 5, correct spelling of"Olympic Area Agency on Aging," and (2) correction on page 5 to amend language 411 to state"Flu season is be peaking...". Member Buhler moved to approve the minutes as amended; the motion was seconded by member Johnson. No further discussion. The motion passed unanimously. • PUBLIC COMMENT No public comment OLD BUSINESS AND INFORMATIONAL ITEMS Jefferson Healthcare—Jefferson County Public Health Community Health Partnership meeting update The first meeting of this joint work group is tomorrow, February 21, 2014 from 2:00-4:00 PM. Members of the work group include Hospital District Commissioners Jill Buhler and Matt Reading as well as local doctors, mental health practitioners, and Jefferson County Health staff. Jean Baldwin will be presenting a 20 minute overview of 2014 health of Jefferson County demographics to a joint City and County planning commission in March. Washington State Board of Health (SBOH) Recommended Strategies to Improve the Oral Health of Washington Residents A Washington SBOH letter signed by John Austin, SBOH chair, is included in the Boards packet, along with strategies to improve the oral health of Washington Residents. It was proposed that the SBOH approach the insurance commissioner to urge the inclusion of dental • care in insurance plans. Member Austin agrees. Over 700,000 Washington residents now have Medicaid dental insurance but most private practice dentists due not accept this insurance due to the low rate of reimbursement. Family Planning: A Public Success Story A Washington State Department of Health brochure, "Family Planning: A Public Success Story," is included in the Board's packet. For every dollar invested in family planning, $5.68 is saved. Jefferson County is serving as many clients in family planning as Kitsap, and double the numbers of Mason and Island counties. This program continues to be a well utilized in Jefferson County, and one of the results can be seen in the low adolescent pregnancy rates. It is important to note that one of the State family planning initiatives, Take Charge, a federal waiver program, won't be continued in Washington State after 2016. Public Health and Leadership Imperative An article from Governing Magazine is included in the Board's packet, drawing attention to some of the worsening resource constraints in the public health systems. Public health as we know it is changing, but it is unclear what the changed system will look like. Member Austin commented on the importance of educating about the importance of public health initiatives and public health departments, particularly emphasizing vaccinations, and other public health issues. 2014 Jefferson County Board of Health Meeting Dates A 2014 calendar of Board of Health meeting dates is included in the Board's packet for review— • there are possible overlaps with WASAC meetings in November. Staff will follow up regarding any conflicts, and updates to the calendar will be made if necessary. Press Release–Hood Canal Oil Spill Jared Keefer reviewed information about an oil spill at the Bangor Naval Base. An estimated 2,000 gallons of fuel oil was accidentally released Monday from Bangor Naval Base. In response, the Washington Department of Health (DOH) issued a shellfish advisory for Hood Canal from Brown Point on the Toandos Peninsula to the Hood Canal Bridge. Recreational harvest of shellfish in this area is temporarily closed due to the possibility of contamination by pollutants. Jefferson County Public Health posted Emergency Closure signs at the public boat ramp at Hicks County Park, the only public access point on the western shore. The closure includes Case Shoal, DNR-57B and DNR-59 shellfish beaches that are accessible only by boat. NEW BUSINESS 2013 Performance Measures Plan Staff discussed the upcoming process for reviewing 2013 performance measures. There are many programs and projects in the public health and environmental health divisions which will begin reviewing and compiling information for performance measures plans. Jefferson County Public Health uses a quality improvement process based on the Plan, Do, Study,Act cycle. Internal protocols will also be reviewed. 111 Public Health Hero Awards for 2013 National Public Health week is April 7-13, 2014. In past years, Jefferson County Board of Health has identified "Public Health Heroes"to honor during this week. This year, with the Affordable Care Act(ACA) implementation in full swing, it was recommended that the 2013 honorees should include the local 03A volunteers, employees from JCPH and Jefferson Healthcare who have added to their normal work to be available to help the citizens of Jefferson County enroll in the ACA health insurance plans. These "In Person Assisters" have enrolled a significant number of people. The Board endorsed the proposal and encouraged staff to proceed with the awards process. Jefferson County Syringe Exchange Program (SEP) Report & Drug Takeback Efforts Staff reviewed highlights from the 2013 Syringe Exchange Program (SEP) report included in the Board's packet. The SEP is an opportunity to engage in harm reduction education with clients. Dr. Locke shared information about the growing problem of heroin use. The University of Washington,which has been tracking opiate use and its tolls over the past decade, has prepared a detailed analysis of trends. The data sources are from criminal justice system, hospital utilization, and death certificates. Over much of the past decade, the growing use of prescription opiates has been the main driver of narcotic related mortality. At its peak, opiate related deaths outnumbered motor vehicle fatalities. Washington State has made a major effort to reduce prescription of these medications and to prevent diversion of the drugs for illicit use. As • prescription narcotics became less available, it was predicted that heroin use would increase. Regrettably, this prediction has come true. Potential interventions were discussed. One proven intervention is the drug naloxone, an antidote for heroin overdose that can be administered as a • nasal spray. It's a prescription drug but can legally be possessed and used by anyone to provide emergency treatment for an opiate overdose. John Austin reported that in 2013, the drug take back program took back 595 pounds of pills returned to Jefferson County Sherriff's office and the Port Townsend Police Department. This is 97 pounds more than the amount taken back in 2012. Legislative updates Legislative updates are included in the board's packet and were reviewed by staff. EHB 1538, regarding public health nurses dispensing medications has passed the House. HB 2572 regarding health reform, supported by the Governor, requiring the Health Care Authority to create a process designating regional "accountable collaborative for health" is in compromise proposal. This bill made it out of the House, but may see strong resistance in the Senate. There's some concern about the level of control of local public health issues. Water Quality: Update on Chimacum Creek Microbial Source Tracking Study Michael Dawson updated the Board on the results of a Microbial Source Tracking (MST) study of the Chimacum Creek basin. Samples collected during the Clean Water District Activities grant in 2012 were submitted by the Conservation District to EPA's Manchester Lab for analysis. 43% of Chimacum Creek sites failed the state standard for fecal coliform. 20 sites throughout the watershed were tested for the presence or absence of human and ruminant genetic indicators. Results showed the widespread presence of human indicators (19 out of 20), with half of the sites . showing the presence of ruminant indicators. It was stressed that the MST results were not quantitative and that the length of bars indicated on the graph included in the Board's packet showed the frequency of occurrence, not the magnitude of the indicator. Jefferson County Public Health plans to prioritize further sanitary surveys of septic systems in the area to try to locate sources of fecal pollution, and pursue stable funding to achieve that goal. Agricultural sources were also identified as a significant source and there was discussion about the possible undercounting of ruminants since organic dairy cows are not identified as ruminants by the testing methodology. Nomination to Jefferson County Substance Abuse Advisory Board A letter is included in the Board's packet from a Port Townsend citizen, Artis, indicating interest in appointment to the Substance Abuse Advisory Board. Vice-chair Westerman noted that the letter is compelling, and very well written. Member Buhler moved to approve the appointment of Artis to the Substance Abuse Advisory Board for a term of 3 years. Member Frissell seconded the motion. No further discussion. The motion passed unanimously. ACTIVITY UPDATE • • Member Johnson reported that Oil Safety Transportation bill made it through the House to the • Senate. PUBLIC COMMENT No public comment. AGENDA PLANNING CALENDAR No agenda planning. NEXT SCHEDULED MEETING Next Board of Health meeting will be held on Thursday, March 20th, 2014 from 2:30 -4:30 p.m. at Jefferson County Public Health, 615 Sheridan Street, Port Townsend WA. ADJOURNMENT Vice Chair Westerman adjourned the February 20, 2014 Jefferson County Board of Health meeting at 4:30 PM. JEFFERSON COUNTY BOARD OF HEALTH S Phil Johnson, Member Jill Buhler, Member Roberta Frissell, Member David Sullivan, Chair Kris Nelson, Member John Austin, Member Sheila Westerman, Vice Chair Respectfully Submitted: • Cara Leckenby • JEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, February 20, 2014 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, Chair, County Commissioner,District#2 Jean Baldwin,Public Health Services Dir John Austin, County Commissioner,District#3 Julia Danskin,Nursing Services Dir Roberta Frissell, citizen at large(County) Jared Keefer,Env. Health Services Dir Kris Nelson,Port Townsend City Council Veronica Shaw,Public Health Deputy Dir Sheila Westerman, Vice Chair, Citizen at large(City) Jill Buhler,Hospital Commissioner,District#2 Vice Chair Westerman called the February 20, 2014 meeting of the Jefferson County Board of Health to order at 2:30 PM. A quorum was present. Members Present: Jill Buhler, Sheila Westerman, Roberta Frissell, David Sullivan, Phil Johnson, John Austin Staff Present: Thomas Locke, Jean Baldwin, Jared Keefer, Veronica Shaw • Members Absent: Kris Nelson APPROVAL OF AGENDA Vice Chair Westerman called for review and approval of agenda for 2/20/2014 meeting. Member Austin suggested adding a review of medication take-back, suggested adding under needle exchange program review, under Item 3, new business. Member Austin moved to approve the agenda as amended; the motion was seconded by member Buhler. No further discussion. The motion passed unanimously. APPROVAL OF MINUTES Vice Chair Westerman called for review and approval of the minutes of the 1/16/2014 meeting of the Board of Health. Vice Chair Westerman notes the following corrections to be made: (1) On page 5, correct spelling of"Olympic Area Agency on Aging," and (2) correction on page 5 to remove "Flu season is be peaking..." • Member Buhler moved to approve the minutes as amended; the motion was seconded by member Johnson. No further discussion. The motion passed unanimously. • PUBLIC COMMENT No public comment OLD BUSINESS AND INFORMATIONAL ITEMS Jefferson Healthcare—Jefferson County Public Health Community Health Partnership meeting update First meeting of this joint work group is tomorrow, February 21, 2014 from 3-4. Members of the work group include Jill Buhler or Matt Reading from the hospital district. Participants will include local doctors, mental health practitioners, and Jefferson County Health staff. Jean Baldwin will be presenting a 20 minute overview of 2014 health of Jefferson County demographics to a joint City and County planning commission in March. Washington State Board of Health Recommended Strategies to Improve the Oral Health of Washington Residents A Washington State Board of Health letter signed by John Austin, State BOH chair, is included in the Boards packet, along with presentations regarding strategies to improve the oral health of Washington Residents. These presentations were before the State Department of Health, and sent to state oral health partners. JC BOH questioned whether the State Board would be willing to approach the insurance commissioner to urge the inclusion of dental in insurance plans. • Member Austin agrees. Over 700,000 Washington residents now have Medicaid dental insurance. There are, however, very few dentists (of the 5,000 dentists in WA state, 250 accept it). Medicaid pays less than cost of services. Family Planning: A Public Success Story A Washington State Department of Health brochure, "Family Planning: A Public Success Story," is included in the Board's packet. For every dollar invested in family planning, $5.68 is saved. JC is serving as many clients in family planning as Kitsap, and double the numbers of Mason and Island counties. This program continues to be a well utilized program in Jefferson County, and the result can be seen in low pregnancy rates of youth in Jefferson County. It is important to note that one of the state family planning inititiatives, Take Charge, a federal waiver program, won't be continued in Washington State after 2016. Public Health and Leadership Imperative An article from Governing Magazine is included in the Board's packet, drawing attention to some of the constraints in the public health systems. Public health as we know it is changing, but its destination isn't clear. Member Austin commented on the importance of educating about the importance of public health initiatives and public health departments, particularly emphasizing vaccinations, and other public health issues. • • 2014 Jefferson County Board of Health Meeting Dates A 2014 calendar of Board of Health meeting dates is included in the Board's packet for review-- there are possible overlaps with WASAC meetings in November. Staff will follow up regarding any conflicts, and updates to the calendar will be made if necessary. Press Release–Hood Canal Oil Spill Jared Keefer reviewed information about an oil spill at the Bangor Naval Base. Oil, estimated at 2,000 gallons, was accidentally released Monday from Bangor Naval Base. In response, the Washington Department of Health (DOH) issued a shellfish advisory for Hood Canal from Brown Point on the Toandos Peninsula to the Hood Canal Bridge. Recreational harvest of shellfish in this area is temporarily closed due to the possibility of contamination by pollutants. Jefferson County Public Health posted Emergency Closure signs at the public boat ramp at Hicks County Park, the only public access point on the western shore. The closure includes Case Shoal, DNR-57B and DNR-59 shellfish beaches that are accessible only by boat. NEW BUSINESS 2013 Performance Measures Plan Staff reviewed the upcoming process for reviewing 2013 performance measures. There are many programs and projects in the public health and environmental health divisions which will begin reviewing and compiling information for performance measures plans. Jefferson County Public Health uses a quality improvement process from Lean processes—the Plan, Do, Study, • Act cycle. Internal protocol reviewed. Public Health Hero Awards for 2013 National Public Health week is April 7-13, 2014. Traditionally Jefferson County Board of Health identifies "Public Health Heroes"to honor during this week. This year, with the Affordable Care Act(ACA), it was recommended that the 2014 honorees should include the local 03A volunteers, employees from JCPH and Jefferson Healthcare who have added to their normal work to be available to help the citizens of JC enroll in the ACA options. These "In Person Assisters"have enrolled a significant number of people. The Board encouraged staff to proceed with the process. Jefferson County Syringe Exchange Program (SEP) Report& Drug Takeback Staff reviewed highlights from the 2013 Syringe Exchange Program (SEP) report included in the Board's packet. The SEP is an opportunity to engage in prevention education with clients. Dr. Locke shared information about heroine use—charts from the University of Washington, which has been tracking over the last decade the epidemic of opiate use and its tolls. The data sources are from criminal justice and death certificates. Police have been making efforts in last 4-5 years to decrease the misuse of prescribed narcotics. It was predicted that heroine use would increase. Many people became addicted to prescription narcotics. Opiate involved deaths outnumber deaths in motor vehicles. Treatment, referrals and abstinence are the goals, in addition to harm reduction strategies: Naloxone is an injectable or nasal spray antidote for heroin 110 users. It's a prescription drug; however, the legislature is working to make it legal for people • closer to users—parents partners, police, EMTs. John Austin reported that in 2013, the drug take back program took back 595 pounds of pills returned to Jefferson County Sherriff's office and the Port Townsend Police Department. This is 97 pounds more than the amount taken back in 2012. Legislative updates Legislative updates are included in the board's packet, and were reviewed by staff EHB 1538, regarding public health nurses dispensing medications doesn't appear to be stalled. HB 2572 regarding health reform, supported by the Governor, requiring the Health Care Authority to create a process designating "accountable collaborative for health" is in compromise discussions. This bill made it out of the House, but may see strong resistance in the Senate. There's some concern about the level of control of local public health issues. Water Quality: Update on Chimacum Creek Fecal Contamination Study Michael Dawson updated the Board on water quality testing results. Clean Water grants allowed the Conservation District to take water samples monthly, and an extra test for microbial source tracking. There are 28 testing stations throughout the valley. Of those, 20 had microbial positive results. The testing was DNA specific to identify presence or absence of warm blooded mammalian fecal matter, human, ruminant fecal matter or"other". Results of testing are indicated in the reports included in the Board's packet. • Follow up work is required. Sanitary surveys will be undertaken again, which will further illuminate issues. Agricultural best management practice uses are encouraged, and could be increased. Nomination to Jefferson County Substance Abuse Advisory Board A letter is included in the Board's packet from a Port Townsend citizen, Artis, indicating interest in appointment to the Substance Abuse Advisory Board. Vice-chair Westerman noted that the letter is compelling, and very well written. Member Buhler moved to approve the appointment of Artis to the Substance Abuse Advisory Board for a term of 3 years. Member Frissell seconded the motion. No further discussion. The motion passed unanimously. ACTIVITY UPDATE Member Johnson reported that Oil Safety Transportation bill made it through the House to the Senate. PUBLIC COMMENT No public comment. 411 • AGENDA PLANNING CALENDAR No agenda planning. NEXT SCHEDULED MEETING Next Board of Health meeting will be held on Thursday, March 20th, 2014 from 2:30 - 4:30 p.m. at Jefferson County Public Health, 615 Sheridan Street, Port Townsend WA. ADJOURNMENT Vice Chair Westerman adjourned the February 20, 2014 Jefferson County Board of Health meeting at 4:30 PM. JEFFERSON COUNTY BOARD OF HEALTH Phil Johnson, Member 11 Buhler, Member • Rerte4 -e:11-eit Roberta Frissell, Member Da i �u 1 air Kris Nelson, Member Jo Austin, Member Sheila Westerman, Vice Chair Respectfully Submitted: Cara Leckenby • • Board of 3-feaCth Old-Business & Informational Items .agenda Item #.TV., 1 • Jefferson County Board of 3{ealth _Membership Recruitment March 20, 2014 Jean Baldwin From: Cathy Avery 110: Friday, February 21, 2014 9:29 AM 'Leader Classifieds' Cc: Leslie Locke; Jean Baldwin Subject: Classified Ad - BOH membership Classified Ad Please publish two (2) times: February 26 and March 5, 2014 Bill: Jefferson County Public Health Attn: Financial Dept. 615 Sheridan Avenue Port Townsend, WA 98368 The Jefferson County Board of Commissioners is seeking individuals to serve as community representatives on the Jefferson County Board of Health. Individuals applying for membership on this Board must reside in either the City of Port Townsend or the unincorporated area of Jefferson County. Letters of interest should be sent to the Jefferson County Commissioners Office, 1820 Jefferson Street/P.O. Box 1220, Port Townsend, WA 98368. This is a non-paid position. Applications will be accepted through Monday, March 10, 2014. Cathy .Avery Public Health Assistant Jefferson County Public Health 615 Sheridan St. Port Townsend,WA 98368 (360)385-9438 CONFIDENTIALITY NOTICE: This e-mail message,including any attachments,is for the sole use of the intended recipient(s)and may contain confidential and privileged information. Any unauthorized review,use,disclosure,or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act,a state law found at RCW 42.56.Under the Public Records law the County must release this e-mail and its contents to any person who asks to obtain a copy(or for inspection)of this e-mail unless it is also exempt from disclosure under state law,including RCW 42.56. • 1 • Board of Health Old Business & Informational Items Agenda Item # I17., 2 • xpanded'Veterans .administration Clinic Oyens in Port Angeles for Olympic Peninsula 'Veterans 314arch 20, 20i4 reninsuia uaily flews 1 agc 1 Vl This is a printer friendly version of an article from www.peninsuladailynews.com To print this article open the file menu and choose Print. • Article published Feb 20, 2014 U.S. Sen. Murray dedicates new Port Angeles clinic for veterans By Rob 011ikainen Peninsula Daily News PORT ANGELES — U.S. Sen. Patty Murray drew a pair of oversized scissors and proudly cut a ceremonial ribbon to dedicate a new veterans clinic in Port Angeles on Wednesday. "This is really a great day," Murray said before high-fiving World War II veteran Tom McKeown of Port Angeles. Murray was instrumental in securing funds to expand the North Olympic Peninsula Clinic, Veterans Affairs officials said during a half-hour ceremony in a crowded lobby of the new facility at 1114 Georgiana St. The new VA clinic will triple the primary care and mental health services available to the Peninsula's 14,000 veterans, officials said. "This clinic is going to serve as a reminder to everyone here that veterans on the Peninsula • are not forgotten," Murray said. Murray, the fourth-ranking Senate Democrat, also attended private meetings with officials from Peninsula College and Olympic Medical Center while she was in town. The fourth-term senator from Whidbey Island told a crowd of about 80 at the VA clinic that caring for veterans is "a commitment that lasts a lifetime." "As many of you know, I'm the daughter of a World War II veteran, and I know firsthand what kind of challenges servicemen and -women face when they come home," Murray said. "And I remember how difficult it was sometimes for m dad and how that impacted pacted my entire family. Wounds of war are just as often mental as they are physical." The 7,800-square-foot new clinic replaces the 1,400-square-foot space that the VA had rented from OMC for $1 per year since it opened in August 2007. OMC Commissioner Jim Leskinovitch, who introduced Murray, recalled a nonpartisan grass-roots campaign in 2005 to open a clinic for an underserved population. "I remember it like it was yesterday, Jim," Murray said. • "People, one after another, stood up and told me how difficult it was for veterans here on the Peninsula, men and women who sometimes felt like they had been forgotten out here http://www.peninsuladailynews.com/apps/pbcs.dll/article?AID=/20140220/NEWS/302209... 3/13/2014 Yemnsula Daily News rage L vi L to get the care that they needed." Murray continued: "The fact of the matter was that facilities just like this one did not exist • here, and it wasn't easy for veterans to travel to Seattle or to Bremerton to get the care they needed, and we shouldn't be asking them to do that." The community coalesced and "made a lot of noise" to open the smaller facility at 1005 Georgiana St., Murray said. "And, of course, here we are today, able to cut the ribbon on the finest facility that our veterans deserve," she added. "Look around you. This is the kind of commitment that we make to veterans when we tell you we'll be there when you come home." VA spokesman Chad Hutson has said the new clinic will house 20 staff members, including two doctors, two nurse practitioners, three nurses, three health technicians and a mental health provider. The VA is renting the two-story space for about $157,000 per year. The old clinic, which closed Friday, had one doctor and 13 on staff. Hutson said the expansion will enable the VA to serve about 2,500 veterans from Clallam and Jefferson counties, up from about 1,600 now. • Murray, 63, was first elected to the Senate in 1992 by campaigning as a "mom in tennis shoes." She is a former chairwoman of the Senate veterans affairs committee and now serves as conference secretary and budget committee chairwoman. She recently announced plans to seek a fifth six-year term in 2016. Murray thanked the VA officials, local community leaders, tribal leaders, veterans advocates, OMC and others who made the expansion possible. She also recognized former U.S. Rep. Norm Dicks for "fighting for folks out here on the Peninsula, and veterans in particular." "As a community, we are not going to forget the men and women who served this country and made our freedom possible," Murray said. Reporter Rob 011ikainen can be reached at 360-452-2345, ext. 5072, or at rollikainen@peninsuladailynews.com. All materials Copyright© 2014 Black Press Ltd./Sound Publishing Inc. • http://www.peninsuladailynews.com/apps/pbcs.dll/article?AID=/20140220/NEW S/3 02209... 3/13/2014 , Yei,tnsula Daily hews rage ui This is a printer friendly version of an article from www.peninsuladailynews.com To print this article open the file menu and choose Print. Article published Feb 16, 2014 Peninsula's VA clinic services will triple with new Port Angeles location By Leah Leach Peninsula Daily News PORT ANGELES — The doors of an expanded outpatient clinic for North Olympic Peninsula veterans will open Tuesday. The new North Olympic Peninsula Clinic at 1114 Georgiana St. replaces the former Veteran Affairs clinic one block away at 1005 Georgiana St. It will triple the primary care and mental health service offerings to Peninsula veterans, according to the VA Puget Sound Health Care System and U.S. Sen. Patty Murray's office. "It's adding significantly to current offerings" with an additional doctor, a full-time mental health provider and a host of new services, said Chad Hutson, public affairs officer with the health care system. • Murray, D-Whidbey Island, will cut the ribbon at the clinic Wednesday to formally open it with a ceremony at 1:30 p.m. "We'll have a full day on Tuesday, an event with Sen. Murray on Wednesday, and then it's back to work," Hutson said. Murray has paved the way to ensure funding was available to expand the clinic and its medical and mental health treatment services, Hutson said. The former site of the clinic, which opened in August 2007, closed Friday for the move. It offered basic primary care services, limited mental health services and limited lab services, Hutson said. Thirteen current staff members are moving to the new site. They will be joined by seven additional staff, including another physician — doubling the number of doctors on staff. At the new clinic will be 20 staff members, including two doctors, two nurse practitioners, three nurses, three health technicians and a mental health provider, Hutson said. "Part of the reason we were unable to do this before was because of space issues," he said. The new site is more than five times the size of the former site, so the clinic's space grows from 1,400 square feet to more than 7,800. http://www.peninsuladailynews.com/apps/pbcs.dll/article?AID=/20140216/NEWS/302169... 3/13/2014 Vl .J 4 Peninsula Daily lv ews rCLgGG The clinic serves about 1,600 veterans now and has the potential to grow to 2,500 from Clallam and Jefferson counties, Hutson said. • An estimated 14,000 veterans live on the Peninsula. The former clinic was rented from Olympic Medical Center for $1 annually. The landlord of the new site is located in Oregon and will charge the VA about $157,000 annually, Hutson said. "We feel it's worth it, considering the expanded services we will be offering the veterans," Hutson said. "In our eyes, that [lease] cost is more than justified if we can offer improved services to veterans now." A major component of the expanded services is the mental health provider, Hutson said. "Veterans have told us they are in great need of mental health services," he said, adding that the expansion will mean veterans don't have to leave the area for treatment as often as they do now. Services offered The expanded clinical offerings include: ■ Primary care services, which already are offered but will be expanded by having a second doctor on site. • Home-based primary care services. • Limited physical therapy services. • Telemedicine, which is the use of medical information exchanged from one site to another via electronic communications. • Home telehealth services, which use telecommunications technologies to support long- distance clinical health care. ■ Mental health services. ■ Phlebotomy, a new service for the clinic. ■ Dietitian services, also new for this clinic. • Social work, a "much more robust" offering, Hutson said. • Tele-retinal imaging, a new service. • http://www.peninsuladailynews.com/apps/pbcs.dll/article?AID=/20140216/NEW S/3 02169... 3/13/2014 Peninsula Daily News rage 01 ■ Pharmacist, a new service. "We are excited at the VA to offer expanded services for our veterans on the Peninsula and not make them travel to Seattle or Tacoma for some of their medical needs," said Dr. Connie Morantes, director of general medicine at the VA Puget Sound Health Care System. The clinic's hours are from 8 a.m. to 4:30 p.m. Mondays through Fridays. For more information and to make appointments, phone 360-565-7420. Managing Editor/News Leah Leach can be reached at 360-417-3531 or at Ieah.leach@peninsuladailynews.com. All materials Copyright © 2014 Black Press Ltd./Sound Publishing Inc. _ R S • http://www.peninsuladailynews.com/apps/pbcs.dll/article?AID=/20140216/NEWS/3 02169... 3/13/2014 • Board of Health New Business .Agenda Item #17., 1 • Presentation of Public Health Hero Awards for 201 Nlarch 20, 2014 Jean Baldwin Subject: FW: PULBIC HEALTH HERDS • From: Jean Baldwin Sent: Wednesday, March 12, 2014 3:41 PM Subject: PULBIC HEALTH HERDS Every Year Nationally Public Health week is celebrated and Heroes are celebrated, who improve the health of their community by their actions. Jefferson County Board of Health is honored to present the Public Health Hero award to you for your work assisting citizen's enrollment in the Affordable Care Act(ACA). You recognized a large community need and sorted out the poorly designed web pages and directions. Day in and day out you met with neighbors, clients and citizens enrolling them into Health insurance Plans. The comprehensive net of enrollment services created by volunteers and staff at the Area Agency on Aging,Jefferson Health Care and Jefferson Public Health will improve quality of life for JC citizens into the future. • The U.S. spends far more on health care than any other country, with such costs rising tenfold from 1980 to 2010 and expected to rise faster than national income during the foreseeable future. You stepped in to try to improve use of the Healthcare system. • Widening access to care by investing in expanded Medicaid eligibility, which is encouraged and funded via the Affordable Care Act, results in better health outcomes and reductions in mortality, especially among communities already struggling with health problems. People are already using healthcare they did not have three months ago. People are being seen, bills are being paid, There are numerous ways the Affordable Care Act will benefit specific populations such as children and parents, childless adults, the elderly, women, low-income individuals and families, racial and ethnic minorities and others. The ACA will also benefit small businesses, health care providers, and states. You were instrumental in expanding the number of JC residents who will be served under the ACA. We would like to present your award to you at the Jefferson County Board of Health meeting on March 20 at 2:30. The meeting is at Jefferson County Public Health; 615 Sheridan, Port Townsend, WA 98368. We sincerely hope you will be able to attend. please call 385-9400 with regrets only. 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J m k \ � \ / =co k / � CO t � k u ou § ) ) Q = £ 22 o _ \ _ 0 k .) { $ \ � % ia ; \ % 2u) 9 a 0 $ $ \ - 0 UJ § � ƒ 2U t 2 \ a ° al Ca 3 25 § / 0 7 0_ 0 c o 0_I '5 u _ c >, 0 & 15 15 e C co 0 / o b ® b % L oc0 sa a s o / / / \ CL / / / C.) ƒ 2 b E $ / / ® I = C .0 C f -0 0 \ ° 0 2 0 _ 0 @ � _ / — / �� / c, � ± / ƒ 2k7 £ � / k $ cw 6 E ± c £ _ c a3 « e g W c c o = _ ? •feo $ 2EE0 2 \ \ /E / E2 / § / as � 2 \ kit \ f \ / § E / kik %k \ '- a � § 2 — 54Q2 = a — 0 ' < c = > 0c — c »—) f2 o 0@ = = 2W = 5xz o � � 2 �= Qo � & � > � \ _ 0 = e o e m ,, � C = � � � a no $ oƒ / � � � £ /f / �f £ a@ = @ CD m R % .c E c I wog) ,... c - 0c - 0 = .g 2 G e / f 7 § g e •=$ E ¢ ? E c 0 \ 2 E \ $ % \ O co .s 6 $ 2 4 0 . 10 - 0 o tt & 2 o E I o co I o@ o = 0 > _ mom / § ® 2t ga9 % d $ 228 > cncz •0) t ® c = 2 ƒ $ 0 o c@ ® m E _ £ 0 0 o c = m m S % % QEE § 5 & / 2 / ° # = /U % � eeECU) U o7 �g % 2d � � yf § § Eb � ~ mob $ k ® f ) / B § ƒ � C u) 0) woE � t@ = \ � I � m & � f \ E /� o 'a f 2 R $ o k cl § § .2 .k 2 \ o E O L E e o@ _2(0 o@ « ƒ o2Jlo = c : ( QQo = . m0. o « = $ � I o � el & � � SUMMARY OF KEY FUNDING/SERVICE ISSUES: (From plan written 8/29/12) Communicable Disease/Immunizations ANICPH CD programs address locally identified and defined public health problems. Communicable disease evention is primarily a locally funded program, county milage was returned from the state to counties for TB control. Immunization funds from the state are primarily in the form of vaccine, this vaccine is provided to primary care clinics that care for children. County funding provides a professional staff that prevent, identify and respond to disease outbreaks and immunization staff that work with the hospital, health care providers, the schools and local groups sponsoring trips abroad for students. Immunization staff provide routine immunization clinics and international travelers clinics. Substantial staff time is spent responding to public requests for information about communicable diseases and screening for reportable illnesses in the process. The CD team continues to work on strengthening the notifiable conditions reporting system through outreach to the Jefferson Healthcare lab, ER, Infection Control Committee and local health care providers. Increased funding was received for 2008-2009, from the Washington State Department of Health(DOH), specifically for improving Communicable Disease surveillance and immunization uptake in children. This funding was reduced by $21,000 for 2010-2011 and by another$22,000 for 2012 - 2013. The Jefferson County rates for Cryptosporidiosis and Giardiasis, both waterborne diseases, are frequently above the State average. We have been monitoring trends, and added these to our PM indicator table in 2012. The number of doses of publicly funded vaccine administered to children in Jefferson County has been fairly stable over the past 3 years after increasing from 2005-2009. The number of infants seen in the JCPH immunization clinic has been decreasing over the past several years as more infants are seen for immunizations by their primary care providers in their medical homes. The Immunization team will continue to monitor Waccine usage across the County. The ability to run the new County View reports in Child Profile will provide ore information on county wide immunization rates. The 2011 Washington State law requiring that parents have a vaccine risk/benefit discussion with their health care provider before getting a exemption from school requirements may have an effect on our vaccine dose numbers. This law is especially designed to reduce "convenience exemptions". The immunization team participates in the annual school secretary orientation discussing updates in school immunization requirements. This year JCPH nurses will train elementary and middle school secretaries in using Child Profile to get immunization records for those students who do not have a complete Certificate of Immunization Status on file. JCPH Immunization Program nurses provide technical assistance to the clinics, immunization updates, vaccine refrigeration incident follow-up, training of new vaccine coordinators in the clinics, and clinic immunization program quality assessment. The visit numbers do not reflect the daily work with the clinics. Many contacts are by phone and information is faxed or mailed to clinics. All clinics receiving State supplied vaccines participate in the Washington Immunization Information System (WIIS) registry. New WIIS functions will allow direct electronic vaccine ordering, receiving, inventory tracking and monthly doses administered reporting. These functions will more accurately and efficiently track vaccine supply, administration and client records. STD The Family Planning and STD clinics follow the Center for Disease Control's STD testing recommendations for Othe high risk age groups. The Family Planning and CD program staff will continue to monitor screening rates nd explore ways to assure appropriate testing and documentation. 5 HIV Prevention HIV services are funded by the state and federal government. HIV/AIDS case management services are provided by Clallam County Health Department. The new CDC guidelines focus on funding HIV Prevention Programs for high risk populations based on HIV prevalence in the local area. Jefferson County is classified asl a low prevalence county. The 2012 HIV prevention funding did not include any funding for HIV testing in low risk counties,this was unchanged for 2013. The State Public Health Lab will continue to do a limited number of free tests for high risk clients but there is no funding for staff time for counseling and testing services. JCPH staff will continue to provide free HIV testing services 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. 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. Discussion of the 2013 data will follow. Public Health Emergency Preparedness and Response(PHEPR) Federal funding originally for developing bioterrorism response capacity now includes all hazards emergency response. Response capacity is developed in coordination with Region 2 PHEPR partners Kitsap and Clallam Counties, local emergency response agencies, Jefferson Healthcare and other health care providers. Public Health staff have been trained in and use National Incident Management System protocols during communicable disease outbreaks. The roles,responsibilities and training have been invaluable for managing communicable disease outbreaks. JCPH participates in the Regional Duty Officer 24/7 contact system for Public Health with Kitsap and Clallam Counties' staff,responding to after-hours calls and triaging them to the appropriate Public Health professional if necessary. This allows JCPH to share call time and standardizes regional response to Public Health issues. 111 PHEPR funds were reduced by 15% for the 2011-2012 Federal funding cycle and remained at that level for 2013. Decreased funding for any program would result in scaling back on services. The Board of Health would be involved in deciding which services would be impacted. 2013 STUDY/ANALYSIS OF RESULTS: Communicable Disease The Communicable Disease team shares health alerts and important updates with Jefferson Healthcare and the medical providers by fax and email. The fax system for requesting and collecting notifiable conditions reporting information from providers continues to assist in timely reporting from the providers in 2013. State funding for the JCPH Communicable Disease and Immunization programs was reduced by $21,000 for 2010-2011 and by another$22,000 for 2012 - 2013. This funding supports staff positions in these programs. The CD/Immunization program decreased staffing hours in 2012 and again in 2013. Immunizations The number of doses of publicly funded vaccine administered to children in Jefferson County was fairly stable over the previous 3 years. The number decreased slightly in 2013 to 5,067 doses. The number of infants seen in the JCPH immunization clinic had been decreasing over several years as more infants were being seen for immunizations by their primary care providers in their medical homes. This has now been stable over the past three years with 90% of childhood immunization doses administered in the primary care clinics and 10% administered at JCPH. The value of vaccines supplied by the State to Jefferson County in 2013 was $241,147. 6 By the end of 2013 all clinics using State supplied vaccines were ordering and receiving vaccines through WIIS, as requested by DOH. Four out of five clinics were tracking inventory on WIIS. The Immunization Program Coordinator provided the clinics with training and technical assistance throughout the year on these WIIS * odules and the monthly doses administered reporting. The busy schedules and tight staffing in the primary are clinics made finding time to learn new modules challenging. These modules will save time and increase efficiency once they become routine for the clinics. One clinic discontinued offering State supplied vaccines in 2013 due to a decrease in staffing that made it unable to meet the vaccine quality assurance requirements. There are now 4 outside clinics participating in this vaccine program, in addition to JCPH. One additional clinic has started the process for certification to carry State supplied vaccines. The 1/25/13 MMWR(CDC publication) reported a 2011 national rate of 84% for children having 2 or more doses of vaccine recorded in a State Immunization Information System registry. The Jefferson County rate was 89% for 2011, 87% for 2012, and 88% for 2013. The County View Reports, now available in WIIS, allow staff to assess the rate of immunization series completion for specific age groups and years. A DOH press release dated 9/12/2013 reported 65% of children under age 3 in Washington State completed the recommended series, compared to a national rate of 68%. This rate for Jefferson County children in 2012 was 54% and 53% in 2013. This is up from 29% in 2011. Two possible causes for the improvement seen since 2011 are: improved completeness of immunization records in WIIS; or JCPH staff evaluation and feedback of individual clinic immunization rates resulting in increased efforts in the clinics to remind parents when children are due for immunizations, and to administer all recommended vaccines at every visit. The children's records available to JCPH for this assessment are those who are residents of Jefferson County and who received immunizations from providers in Jefferson County. At is time, children who receive immunizations from out-of-county providers are not included in the assessment .vailable in WIIS for Local Health Department staff. We will continue to explore options for assessing immunization rates for different populations in Jefferson County. The 2011 school immunization exemption law may have had an effect on exemption rates. The exemption rate for Jefferson County students entering kindergarten decreased from 15.9% in 2010-2011to 9.5% in 2011- 2012 and was 12.4% in 2012-2013. The Washington State rate decreased from 6%to 4.5% and 4.6% over the same period. It is not known how much of the decrease was due to reduced "convenience exemptions" and how much was due to parents making different choices after having a risk/benefit discussion about immunizations with a health care provider. JCPH staff continued to provide information to schools about the updated DOH website for reporting school immunization data. Staff continued to remind schools about the reporting deadline and encourage all schools to report. More schools reported in the fall of 2012 than had in previous years, 11 out of 14 schools. This increased to 13 out of 14 schools in the fall of 2013. DOH will publish the 2013-2014 school year report in the summer of 2014. This will be more complete data for Jefferson County than in any previous year. JCPH participates in several patient assistance programs to make vaccines available to uninsured low income adults. The free "GIFT" tetanus, diphtheria, pertussis (Tdap) vaccine is from Sanofi/AmeriCares for low income uninsured clients who have contact with infants less than 1 year of age, to protect infants from pertussis exposure. JCPH administered 21 doses in 2013. Provider clinics refer family members of pregnant women to JCPH for this program and clients have been identified through our WIC program. JCPH has also had free DOH ioupplied Tdap vaccine for uninsured adults since 2012. Seven doses of this vaccine were administered in 2013. Human Papillomavirus Vaccine (HPV) is available to all adolescents age 11-18 through the State supplied vaccine program. This vaccine is also recommended for women through age 26. JCHP provides free HPV vaccine through Merck's Patient Assistance Program. Six doses were administered in 2013. Outreach continues to women seen in Family Planning clinic. Merck also provided JCPH with 4 doses of free varicella vaccine fore uninsured low income adults. JCPH sent information about patient assistance programs to the Jefferson Healthcare pharmacy and Medical Short Stay Clinic. We suggested exploring these programs for assistance with the high priced vaccines such as shingles and rabies. DOH and CDC have supplied a limited number of doses of free Hepatitis A/B vaccine, Twinrix, for high risk clients since mid 2008. Twenty doses of this vaccine were administered in 2013. For the first time this year, DOH has supplied a limited number of doses of Hepatitis B vaccine for uninsured adults needing Hepatitis B vaccine only. JCPH administered 6 doses of this vaccine in 2013. STD The Family Planning and STD clinics follow the CDC STD screening recommendations for the high risk age groups. The percent of female Family Planning clients screened for chlamydia increased from 49.9%in 2010 to 60.4% in 2013. The Family Planning and CD program staff will continue to monitor screening rates and explore ways to assure appropriate testing and test documentation. HIV Prevention 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. The number of client visits to the Syringe Exchange Program increased to 185, up from 150 in 2012. The number of syringes exchanged increased to 24,596,up from 17,405 in 2012. Twenty eight new clients visited the SEP in • 2013. New clients are coming to SEP rather than relying on other exchangers to supply them with clean syringes through secondary exchange. This allows SEP staff to offer disease prevention services and referrals to more individual SEP clients. The number of visits in which clients reported exchanging for other people as well as themselves remained stable from 2012 to 2013. Continued education in safer practices during each SEP visit is important for continuing the disease prevention mission of this program. Public Health Emergency Preparation and Response The April 2013 emergency response drill allowed JCPH to test the Region 2 Public Health Emergency Preparedness and Response Plan with local and regional partners,the State Department of Health and the State Department of Emergency Management. An updated Plan was published on August 2012. 3/14/2014 S 8 • Board of Health Netiv Business .Agenda Item #17., 3 • legislative Updates NlarcGi. 20, 2014 • N ASHINGTON STATE BOARD OF HEALTH Working for a safer and healthier Washington since 1889 2014 State Board of Health bill tracking A selection of bills we followed this legislative session 2153 - Eosinophilic GI disorders Description: Health benefit plans, including the plans offered to public employees and their covered dependents, that are issued or renewed after December 31, 2015, must offer benefits o/cove,ageformedicaUynecessarye|ementa|formu|a' rega/d |eoofdo|iverymethod vvhena licensed health care provider with prescriptive authority(1) diagnoses a patient with ['° ^|D�� and (2)orders and supervises the use of the elemental formula. Board staff action: Monitored the bill. Staff participated in the sunrise review panel whose recommendations informed this bill. 2544 - Newborn screening Description: Hospitals and health care providers attending out-of-hospital births must collect and submit sample blood specimens to the Department for all newborns within 48 hours of birth. The sample must be received by the Department within 72 hours of the collection of the sample, excepting any days that the Washington State Public Health Laboratory is closed. Board staff action: Staff signed in and offered testimony in support of this billStaff worked with the sponsor and representatives from DOH,the hospital and midvviteryaooc'�otionsto craft amendments. 2569 - Diesel emissions pollution Description: Ecology is authorized to issue loans to state and local governments that own diesel equipment or vehicles for equipment or vehicles that spend at least half of their operating time in Washington. Ecology must prioritize loan allocations based on the anticipated return on investment from projects,with additional consideration given to projects'environmental human health, and greenhouse gas benefits, ' Board staff action:Staff signed in support of this bill. 5964 - Public records and meetings Description: Every member of Lhe governing body of a public agency must complete training in the OPMA requirements within 90 days of assuming their duties, and complete training at least once every four years. Officials in statewide or local elective office must complete training in the PRArequiremeotsnndmcnn]srp/entonpotoco|swithin90daysofassumioOtheirdutiesand Complete refeshertraining atleast once every four yeanaslong asthey remain inoffice, 'The trainings may be completed remotely, 6065 - Tanning devices/UV radiation Description: Prohibits minors from using ultraviolet tanning devices without a prescription from a physician. Board staff action:Staff signed in support of this bill, i - ~ 6380 -Wholesale pass-through food distributors IIIDeycript�»: A'dipect retai|e/' is defined as on entnyz�tmce�espepackmgedfnodhomo ho«dpr»cessorwnch ise�he/Ucensed orinspe�ed, o/buth, byn statcorfederal regulatoryagencY«'d«Pa�mentondthotdel�eothefooUdinect ' toconsumerswhoon� p\aoedand paidforanorderonthoe»t\tY'swcbshe�A|icenseJdir ct /eta\ ermustprotecthuodfnom contamination, and in the event of a food recall or foodborne illnessootbreak` use t heir customer h tservtonotifycustomers. A|i ensed direct retailer is exempt from the perm )tting requirements offood sewiceru�e�adoptedbythe5ta�eBoardof Health and local health jurisdictions. actions:Board staff Bonnd �aR��ned \nwithconce/nsonthe original version nfthe bUand ema\kedthecumm�teeaho«tth»sec»nceno7 testimony\nthe bU[ was by Environmental Health Committee Chair Keith *reUner� Board staff provided technical feedback � side of staff.\o \e��dot�eBna/d ���fd@nut�gniohu/theheahng\oth«oppos e� �s debased onseveral smkeho|deragency reque . due�ochan�es \n�hebiU,hntwepnma Bills that died 1538 Public health nurse dispensing Description: Allowsregistered nurses who are employed by local health departments to dispense a drug or device of preventing or treating communicable disease or family plan ni»K. Board staff action: Signed in support of this bill. 2410 - Student nutrition/grants Description: the Apple i Day program, an eq uipmentassistancegraru program, is established to enhance studnt nutrition in public schools. Equipment is defined as articles of nonexpendable, tangible personal property with ausc/"/ lifen{ot |eastl3yearsandaper-unhcosiof$1'000 i nt or and may indodethe purchase ofnovvequ\pmen� renovation ofex� m existing ' installationrep|acementequipmert. K4ioo/capha| impnovenneotsrcqui/cdtuaccommooate the of equipment may also be eligible for state assistance. 2610 - Homeless youth population i �i ��hehome\eo�you�h Deanption: VvS!PPmust conduct ananalysis toidentify character� c�o population ages birth to ten years. 2643 - Healthiest next generation healthiest next�eoera�}on package. Lmk\nAe�o�swith private Description:Governordo» The bill � help no6uceVVashinXtnn'shea�hiestnext Qenem . andpub|\cpar\»eoh)psto ep � �heHephhiestNext6ene,atiunto \dentifYPnUcYacti«»» creote«�heGover»o/��ou»c«�«r �i \ ent\ve�tohe|p based ondata, measure work currendyunderway and consider innova innovative inc children be more active and healthy. Board staff action:Staff signed in support of this bill. . 2086 Smoking in Motor Vehicles Caing Minors Description: Establishes a traffic infraction for a person who smokes (pipe, cigar, or cigarette) in a vehicle carrying a minor. Board staff action: findings,Staff sent aletter tothe House Committee re: Maine study signed insuppo�of the bill. 6047 - Cottage food operations Description: Increases the gross income limit for cottage food operations from $I5000 To $25'000. ' Board staff action: Staff signed in support of this bill in its original form. 6060 - Public water systems Description: Modifies the public participation requirements of the Growth Management Act by establishing new notification provisions related to Group A public water systems. Board staff action:Staff requested a technical amendment to this billwhich originally RCW and not the WAC. 6297 - Childhood immunization info Description: Directs the Department of Health to make resources available to expecting parents regarding recommended childhood immunizations,and allowing flexible approaches to 1111 vaccines. Board staff action:Staff signed in opposed to the bill as amended in the houseStaff also emailed committee members and staff expressing Opposition, • Board of Hearth New Business .Agenda Item #'V., 4 • Curse yamify Partnership Advisory Committee Recruitment 314 arch. 20, 2014 • 'tirsc-Family Partnersp • Helping First-lime Parents Succeed Date Dear The exciting collaboration of two counties and a tribe has implemented the evidence-based community health program, Nurse-Family Partnership (NFP). In 2012,Jefferson County Public Health (JCPH), Kitsap Public Health District (KPHD) and the Port Gamble S'Klallam Tribe (PGST)collaborated to form the Bridge Partnership. The Bridge Partnership is in the process of forming a Community Advisory Board—an advisory group that helps us grow. It is a chance to advocate for NFP and the health and well being of children and families regionally and in each of their respective communities. Because of your strong interest and work with families and children, we would like to invite you to participate on this Advisory Board. The Advisory Board's primary functions include advocating for NFP in political and funding arenas, advocating for the broader needs of low-income children and families, and supporting program operations by building program knowledge and support within each community. The Advisory Board will meet for a two hour meeting at least two times a year when you will receive program status, updates and plans. It will be a time to discuss program/client outcomes, client recruitment, community involvement and support. Please find included some national and local fact sheets on Nurse-Family Partnership. Additional information can be found at www.nursefamilypartnership.org. Thank you for your consideration in participating on the board; we look forward to meeting and talking to you soon about this opportunity. Best regards, Jean Baldwin Suzanne Plemmons Beth Kelton )0( "C p KITSAP PUBLIC ®�� The Port Gamble S'KLALLAM :'RIBE • HEALTH DISTRICT (`\ JEFFERSON COUNTY PUBLIC HEALTH ,_! 615 Sheridan Street 0 Port Townsend 0 Washington 0 98368 • Monday, March 24, 2014 OeScalite rocs Winner of Nine Pulitzer PrizesGuest: How visits to families with young children helps law enforcement Renewing federal funding for home visits for families with young children helps law enforcement, writes guest columnist John Urquhart. By John Urquhart Special to The Times , . • King County Sherrif John Urquhart Will visiting nurses be allowed to help struggling parents with family planning? (March 21, 2014, by AccountabilityAdvocate) MORE Yeah, sure. Let's get more government representatives in everybody's homes while CPS... (March 21, 2014, by AkonZ) MORE No price is too great to prevent even one child from being abused and/or neglected... (March 21, 2014, by rainpoet) MORE • • AS the King County sheriff with nearly four decades of experience in law enforcement, I can tell you that virtually nothing is more troubling than being called to a residence and seeing children who are abused or neglected. Too many of these children never recover from these early traumas, and many go on to become involved in crime in later years. Fortunately, our lawmakers in Washington, D.C., have an opportunity to sustain an intervention that greatly reduces child abuse and neglect, enhances public safety and saves taxpayer dollars. It's known as the Maternal, Infant and Early Childhood Home Visiting program. It enables states, territories and tribes to offer voluntary home visits for young, inexperienced parents. With help from caring, registered nurses or other specially trained mentors, the parents learn how to better understand their children's health needs, make their homes safe for kids, and manage the many stressful situations that arise with very young children. The program requires states that receive funding to support home-visiting models that have been shown by research to be effective. One such model used extensively in Washington is the Nurse Family Partnership, which was developed to serve first-time mothers. Through home visits from nurses, expectant mothers receive support needed for a healthy pregnancy and learn how to responsibly care for their children. • King County is one of 14 counties in Washington that uses the partnership with vulnerable, young families. Over half of these counties, including King County, rely on the federal funding to maintain the program. Research shows voluntary home visits lead to several tangible impacts for communities and families. A long-term study of the Nurse Family Partnership found that children of mothers who participated were half as likely to be abused or neglected, and that participation reduced childhood injuries, emergency room visits and infant deaths. It also found that children of mothers who didn't participate had twice as many arrests by the age of 15 as children of those who did participate. By age 19, the children who did not participate had more than twice as many convictions. These results should be important to everyone who cares about reducing child abuse and neglect, which almost 700,000 kids experienced in 2012, including more than 6,400 in Washington. Research shows children who are abused or neglected are 30 percent more likely to be arrested for a violent crime as they grow older. They are also more likely to abuse their children, resulting in intergenerational cycles of abuse. That's bad news for taxpayers across the nation, given the $25 billion in annual costs for foster- • care placements for victims of child abuse and neglect, and for those in Washington, who foot • the bill for $842 million in corrections costs for more than 17,000 people locked up in our prisons and jails. A far more appealing number is the $17,000 in savings to taxpayers for every family served by the Nurse Family Partnership, based on lower costs for crime, incarceration, welfare and other costs. Despite these tangible impacts, the Maternal, Infant and Early Childhood Home Visiting program is in jeopardy. Created in 2010 and sustained by significant bipartisan support, the program is set to expire on Sept. 30. Congress originally invested $1.5 billion over five years. By October, Washington state will have received $30 million from the program, which nonprofit Thrive by Five Washington used to raise an additional $6 million from private sources. King County has received $1.8 million of federal money. Congress can take a vital step for protecting the program as it considers legislation that deals with physician-payment rules under Medicare during the next few weeks. More than 1,600 members of the law-enforcement community signed a 2012 letter to Congress urging members to build on investments in home-visiting programs. • This support comes from our hearts as we grapple with the tragedies of child abuse and neglect we see every day, and from our minds as we champion programs that have a proven impact on the security of our communities. John Urquhart is sheriff of King County. eilEnjoy 8 weeks of unlimited access to seattletimes.com for$1. Subscribe today! Y • • Board of Health Netiv Business .Agenda Item #`V., 5 . Tefferson ifealthcare—Jefferson • County Public Health Community HeaCth Needs assessment Project Update _march 20, 2014 • p The Health of Jefferson County 2014 Community Health Assessment • Jefferson Healthcare and Jefferson County Public Health Prepared by:Siri Kushner, MPH CPH Presented: March 14, 2014 Part IV. Pregnancy and Births y 1 Pregnancy Rate 2 Pregnancy Rates by Age Group 3 Proportion of Pregnancies by Age 4 Abortion as a Proportion of Pregnancies 5 Abortion Rate 6 Abortion Rates by Age 7 Birth Rates 7a Birth Rates by Zip Code 8 Birth Facility 9 Teen Birth Rates 10 Medicaid-paid Birth 11 Smoking during Pregnancy 12 Smoking during Pregnancy by Medicaid Status 13 Smoking during Pregnancy by Age 14 Mother Unmarried • 15 Education Level of Women Giving Birth 16 Prenatal Care by Trimester 17 Prenatal Care by Trimester by Zip Code Area 18 Prenatal Care by Trimester by Medicaid Status 19 Low-birth Weight 20 Low Birth Weight by Medicaid Status 21 Premature 22 Delivery Method 23 Gestational Diabetes and Gestational Hypertension 24 Breastfeeding 25 WIC Participation 1 The Health of Jefferson County March 2014 The Health of Jefferson County 2014 Community Health Assessment • MPH CPH Prepared Sir; Kushner, by: Presented: March 14,2014 Part III. Health Care Access 1 Population with health insurance 2 Health Benefit Exchange Enrollments 3 Adults Adequately Insured 4 Population with Medicare or Medicaid coverage 5 Adults with dental insurance coverage 6 Jefferson Healthcare charity care Sectr® ��.�. al 1 Physician rate per 1,000 population 2 Physicians by type per 10,000 population 3 Health professional shortage areas 4 Adults with a regular health care provider 5 Adults not getting needed medical care due to cost 6 Adults with a routine medical check up in past year 7 Youth with a routine medical check up inpast year h 8 School Based Health Clinic visits by • 9 DSHS Medical Assistance Utilization 10 DSHS Medical Assistance Utilization among Children (ages 0-17) 11 Adults with a dental visit in past year 12 Adults with a dental cleaning in past year 13 Youth with a routine dental visit in past year 14 Medicaid Dental Utilization 1 Adults getting a flu shot in past year 2 Adults age 65+ever getting a pneumonia vaccine 3 Immunization status of children at school entry 4 Women age 50+ reporting having a mammogram in past 2 years 5 Women age 18+ reporting having a pap smear test in past 3 years 6 Adults age 50+reporting a sigmoidoscopy or colonoscopy in past 5 years • 1 The Health of Jefferson County March 2014 The Health of Jefferson County • 2014 Community Health Assessment Jefferson Healthcare and Jefferson County Public Health Prepared by:Siri Kushner, MPH CPH Presented:March 14, 2014 Part II. Quality of Life Section A: 1 Years of Healthy Life Expected at Age 20 2 Adult General Health Status 3 Adult Activity Limitations due to Poor Physical or Mental Health 4 Disability Status 5 Adverse Childhood Experiences • • 1 The Health of Jefferson County March 2014 The Health of Jefferson County . 2014 Community Health Assessment Prepared by: Siri Kushner MPH, CPH Presented: February 21, 2014 '1: Dernograptiics 'Soc�oecono�m>Ics;xCo �~ "' „'`"`a U' IatfO� , -f5 pia -.."' "a €T' .d ' -;'k aff't .' € .,.., .�m":x Section A p ��r... 1.Total Population and Growth Rate 2.Total Population by Census Tract 3. Components of Population Growth & Birth and Death Rates 4. Population by Gender and Age Group 5. Population Change by Age Group 6. Median Age 7. Race and Ethnicity 8. Race and Ethnicity of Students Enrolled in Public School Section B: Education 1. Highest Adult Education Attained 2. Births to Women with More than High School Education . 3. High School Graduation Rates 4. High School Graduation Rates by School District 5. High School Drop Out Rates 6. High School Drop Out Rates by School District 7.Tenth Grade High School Proficiency Exam Scores 8. Risk of Academic Failure and Low Commitment to School 9. Public School Enrollment by School District 10. Private School Enrollment by School District Section C: Employment 1. Unemployment 2. Employment Status 3. Popluation by Age and Gender NOT in the Labor Force 4. Employment by Industry Type • 1 The Health of Jefferson County • 2014 Community Health Assessment Prepared by: Siri Kushner MPH, CPH Presented: February 21, 2014 Sect 64, oV rt. eeome a ® Rove §s. 1. Per Capita Personal Income 2. Median Household Income 3. Median Household Income by Census Tract 4. Average Earnings per Job (not updated) 5. Poverty of all Residents 6. Poverty by School District 7. Child Poverty Over Time 8. Child Poverty by School District 9. Poverty by Age Group Over Time 10. Poverty by Age Group 11. Poverty by Gender and Single Person Household 12.Working Poor • 13. Free and Reduced Lunch Program Eligibility 14. Free and Reduced Lunch Program Eligibility by School 15. Free and Reduced Lunch Program Participation by School District 16.Supplemental Nutrition Assistance Program Participation 17. Child Recipients of Temporary Assistance to Needy Families Program 18. Births Paid by Medicaid Section E: Household Composition and Marital Status 1. Household Composition 2. Same-Sex Partner Households 3. Marital Status 4. Divorce Rate 5. Births to Unmarried Women S 2 / . The Health of Jefferson County 2014 Community Health Assessment Prepared by: Siri Kushner MPH, CPH • Presented: February 21, 2014 Section F: Housing 1. Median House Prices 2. Housing Affordability Gap 3. Housing Affordability 4. Foreclosures 5. Housing Tenure: Owners and Renters 6. Housing Occupancy Rate 7. Housing Costs 8. Homelessness Community Safety , 1. Bullying and Feel Unsafe at School 2. Child Abuse and Neglect Accepted Referral Rate 3. Domestic Violence Offences 4. Property Crime Arrest Rate • 5.Violent Crime Arrest Rate 6.Total Crime Rate 111 3 • Board of Cealth Media Report • March 20, 2014 • February/March 2014 NEWS ARTICLES 1. "Envirostars - Certified Dentists," Port Townsend Leader, February 12th, 2014. 2. "Need Boat Work? Choose an Envirostars Certified Business," Port Townsend Leader, February 12th, 2014. 3. "Navy at Bangor spills oily waste into Hood Canal; shellfish harvesting closure results," Port Townsend Leader, February 12, 2014. 4. "Hood Canal shellfish warning issued after Bangor Naval Base oil spill," Peninsula Daily News, February 12th, 2014. 5. "Beaches appear clean after Bangor naval base spill of oil, water mixture; shellfish harvest stills suspended," Peninsula Daily News, February 13th, 2014. 6. "Oral Health," Peninsula Daily News, February 16th, 2014. 7. "Peninsula's VA clinic services will triple with new Port Angeles location," Peninsula Daily News, February 16th, 2014. 8. "Crews mopping up oily water spill at Bangor," Peninsula Daily News, February 16th 2014. 9. "Flu season's peak has passed on Peninsula, but virus is expected to persist for several weeks," Peninsula Daily News, February 17th, 2014. • 10. "2014 Building Codes - Chapter 10 - Onsite Septic Systems," Port Townsend Leader 2014 Home and garden Supplement, February 19th, 2014. 11. "Here's a peek inside the Peninsula's newly expanded VA health clinic," Peninsula Daily News, February 23`d, 2014. 12. "Sewage spill closes Port Townsend's North Beach," Port Townsend Leader, February 24th, 2015. 13. "Small sewage leak closes Port Townsend's North Beach," Peninsula Daily News, February 24th, 2014. 14. "Envirostars - Certified - Dentists," Port Townsend Leader, February 26th, 2014. 15. "UPDATE: Old Port Townsend outfall pipe, under pressure, leaks off North Beach," Port Townsend Leader, February 26th, 2014. 16. "Port Townsend Paper mill seeks permit for new refiners," Port Townsend Leader, February 26th, 2014. 17. "Safety is Port Townsend Paper's top concern: Hagan," Port Townsend Leader, February 26th, 2014. 18. "Pipe repair expected later this week to stop treated sewage leak at Port Townsend's North Beach," Peninsula Daily News, February 26th, 2014. 19. "Fluoride critic," Peninsula Daily News, February 27th, 2014. 20. "UPDATE: One leak repaired, another fix in progress off North Beach," Port Townsend Leader, February 26th, 2014. 21. "Environmental groups lose appeal on Port Townsend Paper biomass project," Port Townsend Leader, February 27th, 2014. 22. "State Supreme Court upholds permit for Port Townsend biomass expansion," Peninsula Daily News, February 28th, 2014. 23. "Port of Port Townsend agrees to settlement before environmental group files suit • over stormwater management," Peninsula Daily News, February 28th, 2014. • 24. "North Beach wastewater pipe fixed in Port Townsend," Peninsula Daily News, March 2nd 2014. 25. Letters - "Fluoride, vaccines," and "Fluoride data," Peninsula Daily News, March 4th, 2014. 26. "Environmental groups lose appeal on mill biomass," Port Townsend Leader, March 5th 2014. 27. "Outfall pipe leaks fixed," Port Townsend Leader, March 5th, 2014. 28. • • • ENVIR® T sw CERTIFIED DE TIFISTS Uptown Dental Clinic 385-4700 Tyler Fordham,DDS 385-7000 Dentistry Northwest 385-1000 Envirostars Certification is free and can help you attract new customers. PUBLIC HEALTH ALWAYS WORKING FOR A SAFER AND HEALTHIER COMMUNITY To get certified call 379-4489 • • / c c1 ,,z//47/2/ NEED BOAT WORK? ` TAM; MARINE CHOOSE AN Wooden Boat Rescor:itjon Jai Repair fi �' ' ownsenc1 ENVIRO TARS CERTIFIED 10: 1 ► G• BUSINESS GOLD STAR THEY REDUCE, RECYCLE AND M A R I N E PROPERLY MANAGE HAZARDOUS WASTE. IJ A Y BJ.O A T C O. Jefferson County Pubic Health 140A 1. 1.a. pitir .W 615 Sheridan St, Port Townsend,WA 98368 www.jeffersoncountypublichealth.org • • • Navy at Bangor spills oily waste into Hood Canal; shellfish harvesting closure results Posted: Wednesday, February 12, 2014 12:19 pm, Port Townsend Lea-der- Shellfish eerShellfish harvesting in Hood Canal has been suspended while the U.S. Navy attends to an estimated 2,000 gallons of oily waste spilled Monday, Feb. 11 during operations at Navy Base Kitsap — Bangor. An estimated 2,000 gallons of oily waste spilled into the Hood Canal at Bangor from a pier-side oily waste transfer system that malfunctioned Monday afternoon, according to the Navy. As of Tuesday, Feb. 11, the spill had stretched 10 miles north of Bangor and was visible at the Hood Canal bridge as a sheen on the water. The Navy and the Washington Department of Ecology are coordinating containment, monitoring and clean-up of the affected area. Winds and currents may spread the slick. The Washington Department of Health issued a shellfish advisory for Hood Canal from Brown Point on the Toandos Peninsula to the Hood Canal Bridge. Recreational harvest of shellfish in this area is unsafe due to the possibility of contamination by pollutants. Jefferson County Public Health posted Emergency Closure signs at the public boat ramp at Hicks County Park, the only public access point on the western shore. The closure includes Case Shoal, DNR-57B and DNR-59 shellfish beaches that are accessible only by boat. Jefferson County Public Health will observe nearby areas and post additional signs if needed. Naval Base Kitsap, the Department of Ecology and the U.S. Coast Guard are working together to contain and clean up the spill. As of Feb. 17, the closure notice on the county Public Health website had not changed. • Hood Canal shellfish warning issued after Bangor Naval Base oil spill Peninsula Daily News, February 12, 2014 y x �:b The sheen from Monday's oil spill is visible at the Hood Canal Bridge during a flyover by the Washington PORT TOWNSEND —An oil spill at Bangor Naval Base has prompted a warning for Hood Canal shellfish harvesters. After Monday's spill, estimated at 2,000 gallons, the state Department of Health issued a shellfish advisory for Hood Canal from Brown Point on the Toandos Peninsula to the Hood Canal Bridge. State health officials are advising people not to harvest or eat shellfish from that area until further notice because of the possibility of contamination by pollutants. Jefferson County Public Health officials posted emergency closure signs at the public boat ramp at Hicks •untY Park, the only public access point on the western shore. The closure includes Case Shoal, DNR-57B and DNR-59 shellfish beaches that are accessible only by boat. Navy spokesman Tom Danaher said the spill occurred while transferring oily water off a submarine. A failure in a transfer system on the pier caused a tank to overflow, spilling the mixture into Hood Canal. An absorbent boom was placed around the spill at Delta Pier, but some escaped into the canal. The Navy, state Department of Ecology and Coast Guard have been working to clean up the spill since, Danaher said. "We're booming and recovering everything we can at the source," he said. "We have been working every daylight hour." The spill had stretched at least 10 miles north of Bangor by Tuesday, when it was visible at the Hood Canal Bridge as a sheen on the water. However, those involved in the cleanup say it is shrinking, Danaher said. "We think that this stretch of surface oily waste will be smaller by tomorrow and smaller yet the next day," he said. ,e think it is dissipating." A primary concern is the shoreline and the health of shellfish, he said, adding that he has had no word that contamination was found. "We have been in touch with all the tribal members that have rights in this area," he said. Jefferson County Public Health will observe nearby areas and post additional signs if needed. • Recreational shellfish harvesters can get current information about closures anywhere in VVashington state at the DOH website at http://tinyurl.com/pdn-shellfish or by phoning the state hotline at 800-562-5632. Questions about the status of local Jefferson County beaches can also be answered by Jefferson County Public Health at 360-385- 9444. Last modified: February 12. 2014 7:37PM . Beaches appear clean after Bangor naval base spill of oil,water mixture; shellfish harvest still suspended B Charlie Bermant, Peninsula Daily News, February 14,2014 „ 'GOR— Officials with the Navy, the state Department of Ecology, the Coast Guard and Jefferson County Public Health continued Thursday to monitor the possible effects on wildlife of a 2,000-gallon spill earlier this week of an oil and water mixture at Bangor naval base. "We haven't yet seen any oil attached to birds or beaches," said Lisa Copeland, Ecology spills manager. "But we are watching the situation very carefully and are most concerned with the spill's effect on wildlife and the environment." After the spill, the state Department of Health issued a shellfish advisory for Hood Canal from Brown Point on the Toandos Peninsula to the Hood Canal Bridge. State and county health officials warn people not to harvest or eat shellfish from that area until further notice because of the possibility of contamination by pollutants. It will be weeks before the damage is assessed and the ban on shellfish harvesting possibly lifted, officials said. Monday's spill was during a transfer of oily water from a submarine. An electrical short stalled a pump, and before the pump was shut down, the water overflowed onto the pier and into Hood Canal, Naval Base Kitsap Commanding Officer Capt. Tom Zwolfer said Wednesday. We oil was light and already mixed with water, which makes it almost impossible to contain and remove, peland said, adding that a command center has been set up at Bangor. Mike Dawson, the county's environmental health specialist, visited several sites Wednesday and found no visual evidence of contamination. Jefferson County Public Health officials posted emergency closure signs at the public boat ramp at Hicks County Park, the only public access point on the western shore. The closure includes Case Shoal, DNR-57B and DNR-59 shellfish beaches that are accessible only by boat. "We will keep monitoring this from shore and will go down there every day or as needed," Dawson said. Mendy Harlowe, the executive director of the Hood Canal Enhancement Group in Belfair, said her office was paying attention to the situation. "We are concerned about what this will do to the Hood Canal ecosystem and are ready to help with any restoration, cleanup or research related to the spill," she said. Copeland said anyone observing oil spillage on beaches or wildlife should phone Ecology's hotline at 800-222- 4737. Jefferson County Editor Charlie Bermant can be reached at 360-385-2335 or cbermantpeninsuladailynews.com. • • However,when it comes Access to Baby and Child to setting health care Dentistry,or ABCD, priorities,it is not always program. treated that way. As a result,48 young The latest medical children saw a dentist for research shows that the first time,and four disease in the mouth is private dentists were linked to other health trained in ABCD skills. conditions such as diabetes, Next year,even more heart disease,poor children will get care from nutrition and stroke. more involved dentists. Untreated oral disease Preventing cavities and does more than cause a dental problems in young , loss of teeth;it affects our children is the first line of whole body and overall defense,but adults have health. dental needs too: It is not enough to pay In Port Angeles,the I lip service to the SeaMar Community prevention of dental Health Center will soon be disease anymore. opening a dental clinic to Recognizing the serve low-income adults importance of oral health, and children the state BoardYof Health.P, f`'`These new`mit atives recently adopted seven oral are fantastic—but health strategies that prevention of dental encourage us all to support disease starts at home with efforts that improve oral arents health in our communities. p grandparents, The board's seven aunts,uncles,teachers and recommendations include a neighbors practicing good • strong emphasis on oral health habits. prevention in a variety of When you drink forms: ' fluoridated water from Oral health Cavities and gum` your tap and eat mouth- disease are not inevitable. healthy snacks such as As health officen.for They can be detected and nuts,whole fruit and Clallam and Jeffersontreated before they become yogurt,your teeth will be counties,it is my duty to a painful problem and, healthier. inform county residents even better,prevented from When you floss,brush about how to prevent happening in the first with fluoride-containing disease and improve health. place. toothpaste and see a dental That includes a healthy In Clallam County,a provider for your regular diet,regular exercise, joint community health check-up,let people know preventive medical care, improvement process They will follow your lead. staying current on sponsored by the Health We can all be cavity-free vaccinations and taking Department and hospital if we use the right tools care of your teeth. district identified oral and work together as a Some people may health as one of its six top community.We all have a wonder:Why would a priorities for action.' right to be healthy—and toothache be a public In Clallamand that includes having a health concern? Jefferson counties last year, healthy mouth. We all know that the Volunteers in Medicine of Thomas J.Locke,M.D., mouth is part of the body. the Olympics launched the Port Angeles III f,/,)AA %2//61/y. Peninsula's VA clinic services will triple with new Port Angeles location By Leah Leach , Peninsula Daily News, February le, 2014 a i I ,-...,,,, ,,,,,:42,f*,:,:,,,, The new North Olympic Peninsula VA Clinic at 1114 Georgiana St. replaces a smaller clinic a block away that opened in 2007. —Photo by Keith Thorpe/Peninsula Daily News PORT ANGELES —The doors of an expanded outpatient clinic for North Olympic Peninsula veterans will open Tuesday. The new North Olympic Peninsula Clinic at 1114 Georgiana St. replaces the former Veteran Affairs clinic one block away at 1005 Georgiana St. lipwill triple the primary care and mental health service offerings to Peninsula veterans, according to the VA Puget ound Health Care System and U.S. Sen. Patty Murray's office. "It's adding significantly to current offerings"with an additional doctor, a full-time mental health provider and a host of new services, said Chad Hutson, public affairs officer with the health care system. Murray, D-Whidbey Island, will cut the ribbon at the clinic Wednesday to formally open it with a ceremony at 1:30 p.m. "We'll have a full day on Tuesday, an event with Sen. Murray on Wednesday, and then it's back to work," Hutson said. Murray has paved the way to ensure funding was available to expand the clinic and its medical and mental health treatment services, Hutson said. The former site of the clinic, which opened in August 2007, closed Friday for the move. It offered basic primary care services, limited mental health services and limited lab services, Hutson said. Thirteen current staff members are moving to the new site. They will be joined by seven additional staff, including another physician —doubling the number of doctors on staff. At the new clinic will be 20 staff members, including two doctors, two nurse practitioners, three nurses, three health technicians and a mental health provider, Hutson said. Sart of the reason we were unable to do this before was because of space issues," he said. The new site is more than five times the size of the former site, so the clinic's space grows from 1,400 square feet to more than 7,800. The clinic serves about 1,600 veterans now and has the potential to grow to 2,500 from Clallam and Jefferson counties, Hutson said. An estimated 14,000 veterans live on the Peninsula. • The former clinic was rented from Olympic Medical Center for$1 annually. The landlord of the new site is located in Oregon and will charge the VA about$157,000 annually, Hutson said. "We feel it's worth it, considering the expanded services we will be offering the veterans," Hutson said. "In our eyes, that[lease] cost is more than justified if we can offer improved services to veterans now." A major component of the expanded services is the mental health provider, Hutson said. "Veterans have told us they are in great need of mental health services," he said, adding that the expansion will mean veterans don't have to leave the area for treatment as often as they do now. Services offered The expanded clinical offerings include: • Primary care services, which already are offered but will be expanded by having a second doctor on site. • Home-based primary care services. • Limited physical therapy services. • Telemedicine, which is the use of medical information exchanged from one site to another via electronic • communications. • Home telehealth services, which use telecommunications technologies to support long-distance clinical health care. is Mental health services. • Phlebotomy, a new service for the clinic. • Dietitian services, also new for this clinic. • Social work, a "much more robust" offering, Hutson said. • Tele-retinal imaging, a new service. • Pharmacist, a new service. "We are excited at the VA to offer expanded services for our veterans on the Peninsula and not make them travel to Seattle or Tacoma for some of their medical needs," said Dr. Connie Morantes, director of general medicine at the VA Puget Sound Health Care System. The clinic's hours are from 8 a.m. to 4:30 p.m. Mondays through Fridays. For more information and to make appointments, phone 360-565-7420. • Managing Editor/News Leah Leach can be reached at 360-417-3531 or at leah.leach(a)peninsuladailynews.com. 4k1 U.S. Sen. Murray dedicates new Port Angeles clinic for veterans By Rob 011ikainen , Peninsula Daily News, February 20`h, 2014 PTANGELES—U.S. Sen. Patty Murray drew a pair of oversized scissors and proudly cut a ceremonial ribbon to dedicate a new ns clinic in Port Angeles on Wednesday. "This is really a great day," Murray said before high-fiving World War II veteran Tom McKeown of Port Angeles. Murray was instrumental in securing funds to expand the North Olympic Peninsula Clinic,Veterans Affairs officials said during a half-hour ceremony in a crowded lobby of the new facility at 1114 Georgiana St. The new VA clinic will triple the primary care and mental health services available to the Peninsula's 14,000 veterans, officials said. "This clinic is going to serve as a reminder to everyone here that veterans on the Peninsula are not forgotten," Murray said. Murray,the fourth-ranking Senate Democrat, also attended private meetings with officials from Peninsula College and Olympic Medical Center while she was in town. The fourth-term senator from Whidbey Island told a crowd of about 80 at the VA clinic that caring for veterans is"a commitment that lasts a lifetime." "As many of you know, I'm the daughter of a World War II veteran, and I know firsthand what kind of challenges servicemen and-women face when they come home," Murray said. "And I remember how difficult it was sometimes for my dad and how that impacted my entire family.Wounds of war are just as often mental as they are physical." The 7,800-square-foot new clinic replaces the 1,400-square-foot space that the VA had rented from OMC for$1 per year since it opened in August 2007. OMC Commissioner Jim Leskinovitch,who introduced Murray, recalled a nonpartisan grass-roots campaign in 2005 to open a clinic for an underserved population. " ember it like it was yesterday, Jim," Murray said. "People, one after another, stood up and told me how difficult it was for veterans here on the Peninsula, men and women who sometimes felt like they had been forgotten out here to get the care that they needed." Murray continued: "The fact of the matter was that facilities just like this one did not exist here, and it wasn't easy for veterans to travel to Seattle or to Bremerton to get the care they needed, and we shouldn't be asking them to do that." The community coalesced and"made a lot of noise"to open the smaller facility at 1005 Georgiana St., Murray said. "And, of course, here we are today, able to cut the ribbon on the finest facility that our veterans deserve," she added. "Look around you.This is the kind of commitment that we make to veterans when we tell you we'll be there when you come home." VA spokesman Chad Hutson has said the new clinic will house 20 staff members, including two doctors, two nurse practitioners,three nurses, three health technicians and a mental health provider. The VA is renting the two-story space for about$157,000 per year. The old clinic,which closed Friday, had one doctor and 13 on staff. Hutson said the expansion will enable the VA to serve about 2,500 veterans from Clallam and Jefferson counties, up from about 1,600 now. Murray,63,was first elected to the Senate in 1992 by campaigning as a"mom in tennis shoes." She is a former chairwoman of the Senate veterans affairs committee and now serves as conference secretary and budget committee chairwoman. She recently announced plans to seek a fifth six-year term in 2016. ray thanked the VA officials, local community leaders,tribal leaders, veterans advocates, OMC and others who made the expansion ible. She also recognized former U.S. Rep. Norm Dicks for"fighting for folks out here on the Peninsula, and veterans in particular." "As a community,we are not going to forget the men and women who served this country and made our freedom possible,"Murray said. • Crews mopping up oily water spill at Bangor Peninsula Daily News, February 16, 2014 BANGOR — Crews with the Navy, Coast Guard and state Department of Ecology are working this weekend to mop up the remnants of a spill of oily water at Naval Base Kitsap that prompted a warning about shellfish harvest in Jefferson County. "Over the weekend, we will have monitors in the area of the pier" at Bangor, said Tom Danaher, public affairs officer at Naval Base Kitsap. Some 2,000 gallons of oily waste spilled into the Hood Canal at Bangor from a pier-side waste transfer system that malfunctioned Monday afternoon. By Tuesday, the spill had stretched at least 10 miles north of Bangor and was visible at the Hood Canal Bridge as a sheen on the water. No trace near bridge Danaher said no trace of oil could be seen near the bridge by Friday. Last week, the state Department of Health issued a shellfish advisory for Hood Canal from Brown Point on the Toandos Peninsula to the Hood Canal Bridge. • The advisory warned against harvesting or eating shellfish from that area until further notice because of the possibility of contamination by pollutants from the spill. Jefferson County Public Health officials posted emergency closure signs at the public boat ramp at Hicks County Park, the only public access point on the western shore. The closure includes Case Shoal, DNR-57B and DNR-59 shellfish beaches that are accessible only by boat. No shore contamination has been seen, according to Ecology. Cleanup efforts now are focusing on the area around the pier, which has been double-boomed. Absorbent material will be placed in the water. Banking on tides "We hope that as the tide moves back and forth through there, we will get the last bits of spill that we can," Danaher said. Ecology inspectors are expected today or Monday to see whether the cleanup has been successful, he added. "We're looking for clear water," Danaher said. "A thimble of fuel is too much for us." • Flu season's peak has passed on Peninsula, but virus is expected to persist for several weeks .Rob 011ikainen, Peninsula Daily News, February 17`h,2014 PORT ANGELES —The worst of the flu season is over, but state and local health officials say the virus will probably linger for a few more weeks. The state Department of Health said fewer and fewer lab samples are testing positive for influenza, from 23.5 percent on Jan. 18 to 9.4 percent Feb. 8. "Flu season is definitely over the peak," Dr. Tom Locke, public health officer for Clallam and Jefferson counties, said Friday. "We're seeing declining levels of the different markers, but it's by no means over with. "It will probably be circulating in the community for another three to four weeks, into mid-March." Nearly all of the positive flu samples have been the H1N1 swine flu virus, which became a pandemic in the winter of 2009-2010. Although the symptoms can be severe, H1N1 is associated with a lower mortality rate than other flu strains, Locke said. The state Health Department said there were 48 laboratory-confirmed flu-associated deaths statewide between last July 21 and Feb. 5. tone of those deaths occurred in Clallam or Jefferson counties. Health officials say the real death toll is probably much higher— models suggest that about 700 people in the state die from the flu annually— because most influenza cases go unreported, Locke said. Clallam County had 53 known flu cases this winter through Feb. 8, according to the latest statistics. All but two of those cases were H1N1. An influenza case count for Jefferson County was not available Friday. "Usually at this time in the flu season, people are doing less testing," Locke said. "They know it's around." Health officials recommend that people get a flu shot every year. A yearly vaccination boosts immunity, Locke said. With the peak of the flu season in the rearview mirror, Locke said 2013-2014 was "sort of an average flu season" that could have been worse were it not for H1N1 being the predominate strain. Reporter Rob 011ikainen can be reached at 360-452-2345, ext. 5072, or at rollikainen(cr�peninsuladailynews.com. 110 • CHAPTER 10: Onsite Septic Systems Y Why Septic Is Needed • Because soil varies, the ability of each soil to absorb sewage effluent also varies. Serious health problems can arise from an overloaded or poorly designed septic system. While most of us are acquainted with the 260 feet from the nearest sewer main,in which case the septic system may be repaired to serve topsoil on our property,systems must rely on the lower soils.Glaciers left deposits of till and the property, provided it can be upgraded to silt over much of the area.These and clay soils Jefferson County Health Department require- can create hardpan soils which restrict water ments. absorption. Impermeable soils keep sewage near or at the surface, or may cause back-up Septic Inspections into the house. Two inspection approvals are required for septic systems.One comes at the time of ap- When Is a Permit Required? plication and includes a visit to the site.The sec- Any place where people live,work,or con- and comes at the time of installation. gregate that is not served by a.sanitary sewer A Septic System Primer needs to have a permitted on-site sewage sys- tem.New construction to replace or remodel Waste water and sewage (effluent) must be an existing structure requires a new permit. treated to prevent disease. Effluent flows from Temporary uses (more than 30 days) such as the house to a septic tank,from where it flows camps or recreational vehicles also require a into drain lines that carry it to absorbing soils.As permit. it filters down through the soil,it is purified by Applications must include plans designed by soil bacteria.Two to four feet of good soil must a licensed engineer or licensed septic designer. exist below the drain field pipes to treat the ef- Plans are drawn to scale and show the required fluent.The amount varies due to soil types. distances between a well,septic tank,surface wa- Soil types range from gravel to sand, sandy ter,and buildings. loam,loam,to clays.If the effluent flows or per- Prior to approval,the Jefferson County colates(percs)too quickly,it may reach ground Environmental Health Department water without adequate purification, polluting evaluates the soil on the site from a minimum neighboring wells or springs. S of four test holes.Often,soil evaluation must be If it percs too slowly,the effluent backs up into conducted during the wet season.Both primary the house or resurfaces.Sandy soil requires less and reserve drain fields are required and soil area than finer,loamy soils.Conventional septic must be approved for each.The system should systems cannot be used in clay or other impervi- be designed for greater than typical capacity. ous soils.Approved alternative systems can over- If approved,permits are issued for the spe- come some site limitations. cific site,not the family or business.Permits are On-Site-Septic systems (OSS)are effective if valid for three years.Applications are made at the following conditions exist: the Jefferson County Department of I.Properly designed and installed system. Community Development or Environmental 2.Adequate soil conditions. Health Department. 3.System is not overloaded,neglected or im- New on-site septic systems are only allowed peded by excessive wastes from the house or in the City of Port Townsend for new business. single family residential development which 4.Solid wastes are kept at a minimum.Septic is greater than 260 feet from the nearest city systems can handle only human excrement,toi- sewer main and which is not subject to any of let paper and wash water.Garbage disposals may the following:a) Subdivision,short subdivision be too much.. and planned unit development (PUD) approv- 5.Clear liquid is visible through annual visual als subject to the Subdivision Ordinance PTMC inspections. Title 18 (as stated in PTMC 13.22.010) b) Re- 6.Pumped out every three to five years. view and threshold determination under the 7.The drain field is protected from vehicles. State Environmental Policy Act Implementing Ordinance(Chapter 19.04 PTMC)or c)Permit requirements of the Environmentally Sensitive Areas Ordinance (Chapter 19.05 PTMC).On- site septic systems must be approved by the Jef- ferson County Health Department.• If an on-site septic system within the City. of Port Townsend fails (at any time),con- nection to the City's system is required unless • the nearest portion of the parcel is greater than /)7:97 '&-t &2CP/ A(4-4X--e-- /,9,6.._, .)4471°/—e'l--)--.—C.'...)(7-Z' e-GeibE.e,e GC,c, /2, ,2G1 Here's a peek inside the Peninsula's newly expanded VA health clinic By Arwyn Rice, Peninsula Daily News, February 23,2014 i , /Kittikl in II Keith Thorpe/Peninsula Daily News The VA's North Olympic Peninsula Clinic, serving the medical needs of veterans at 1114 E.Georgiana St.in Port Angeles, replaces a much smaller clinic a block away. PORT ANGELES —The new Veterans Affairs new North Olympic Peninsula medical clinic is open and ready to serve far more military veterans than has been offered in the past. The clinic's new home in Port Angeles has a large waiting room and several exam rooms— including a women's treatment room for the increasing number of women veterans. The VA projected the new building will allow the clinic to triple the services that can be offered, said Dr. Connie Morantes, director of general medicine at the VA Puget Sound Health Care System. "We currently serve less than 10 percent of the veterans on the North Olympic Peninsula," she said. •e'd like to get that up to 20 percent." On Tuesday, VA employees transferred their medical services to the new offices at 1114 Georgiana St., formerly the home of Therapeutic Associates Physical Therapy, and on Wednesday opened the doors for a tour of the facility to U.S. Sen. Patty Murray, D-Seattle, and several guests. The newly opened 7,800-square-foot facility replaces the VA clinic's former 1,400-square-foot office located one block away at 1005 Georgiana St. "It's beautiful. I think about the many veterans we can help here," Murray said. Currently, many veterans make the five-hour round trip to Seattle to be seen at the VA hospital only to be told that their appointment has been postponed, she said. An estimated 14,000 military veterans live in Clallam and Jefferson counties, which, until 2007, had no veterans medical services. Outgrew space The VA opened the initial clinic in 2007 and quickly outgrew the space. "We added 200 new veterans every year," Morantes said. The clinic now serves about 1,600 and has the space to expand medical services to 2,500 veterans from Ilam and Jefferson counties. The building is at least large enough to house the VA clinic for at least five years, Morantes said. The clinic is serving an aging Vietnam veteran population in addition to a growing number of young veterans returning home from the Iraq and Afghanistan wars. As of Thursday, 17 staff members had moved into the building, with an additional three who will soon join them. • The three new medical staff members who will arrive in the coming months are Dr. David Berndt, an internal medicine physician who will become the second medical doctor at the building, a pharmacist and a nutritionist. Currently, Dr. Therese Stokan, a family practice doctor, and Steven Walls, a nurse practitioner, provide primary care for the clinic. All patient and medical offices are on the first floor. The original clinic offered primary care and social work, and mental health services, which will be expanded in the new clinic. Mental health services will be located just down the hallway from medical clinic exam rooms, which will help veterans get treatment for issues such as post-traumatic stress disorder, for which they might otherwise not seek treatment, Morantes said. tors s The offices are equipped with telemedicine five-hour tron ip, and homevices, ech allows VA telehealth servcces, which pusealists in Seattle to see and treat patten telecommunications technologies to support long-distance clinical health care. New facilities and services include a phlebotomy room for drawing blood samples, dietitian services and installed equipment for teleretinal imaging, which screens diabetics for diabetic retinopathy. The clinic also will offer limited physical therapy services. • Administrative offices are located on the second floor, away from patient-care areas. It has enough space to bring employees who worked out of their homes into the building, Morantes said. "We were able to move the home care staff to their own offices," she said. Home care staff provide treatment in veterans' homes and do not use the traditional medical offices downstairs. The clinic's hours are from 8 a.m. to 4:30 p.m. Mondays through Fridays. For more information and to make appointments, phone 360-565-7420. Reporter Arwyn Rice can be reached at 360-452-2345, ext. 5070, or at arwyn.rice(a)peninsuladailynews.com. Last modified.February 22.2014 5:34PM • • Sewage spill closes Port Townsend's North Beach Posted: Monday, February 24, 2014, Port Townsend Leader City of Port Townsend officials have reported an intermittent leak of treated sewage at North Beach County Park beach. As a result of these spills, Jefferson County Public Health has issued a "No Contact" health advisory for all of North Beach and posted warning signs. The public is advised to avoid any contact with the water at North Beach, including surfing, swimming, boating, fishing, and harvesting of shellfish and seaweed. North Beach is located adjacent to Fort Worden State Park's western border, and just down the street from the city's wastewater treatment facility. Surfers sometimes launch from North Beach, and it also is a popular off-leash dog walk area. Shellfishing is always closed at North Beach, due to the proximity of the sewage treatment plant outfall. The treated sewage contains low numbers of bacteria, but there remains a risk to human health from water contact, according to a public health notice. City officials report that heavy rains are a possible factor in raising the volume of wastewater from the wastewater treatment plant. The leak appears to be from the outfall pipe that is buried under the beach, according to a Feb. 24 press release. Repairs are to take place when low tides provide access, but the health risk remains until the repairs are completed. For more information on this advisory, contact Jefferson County Public Health's Water • Quality Program at 385-9444 or visit jeffersoncountypublichealth.org. Beachgoers can view current beach advisories at the Department of Ecology's BEACH program website: ecy.wa.gov/programs/eap/beach. Recreational shellfish harvesters can get current information about closures anywhere in Washington state at the state Department of Health (DOH) website at doh.wa.gov/CommunityandEnvironment/Shellfish/BeachClosures.aspx or by calling the DOH biotoxin hotline at 800-562-5632. Shellfish harvesters should also consult Washington Fish and Wildlife rules, regulations and seasons at wdfw.wa.gov. • Sewage spill closes Port Townsend's North Beach • Posted: Monday, February 24, 2014 5:11 pm City of Port Townsend officials have reported an intermittent leak of treated sewage at North Beach County Park beach. As a result of these spills, Jefferson County Public Health has issued a "No Contact" health advisory for all of North Beach and posted warning signs. The public is advised to avoid any contact with the water at North Beach, including surfing, swimming, boating, fishing, and harvesting of shellfish and seaweed. North Beach is located adjacent to Fort Worden State Park's western border, and just down the street from the city's wastewater treatment facility. Surfers sometimes launch from North Beach, and it also is a popular off-leash dog walk area. Shellfishing is always closed at North Beach, due to the proximity of the sewage treatment plant outfall. The treated sewage contains low numbers of bacteria, but there remains a risk to human health from water contact, according to a public health notice. City officials report that heavy rains are a possible factor in raising the volume of wastewater from the wastewater treatment plant. The leak appears to be from the outfall pipe that is buried under the beach, according to a Feb. 24 press release. Repairs are to take place when low tides provide access, but the health risk remains until the repairs are completed. • For more information on this advisory, contact Jefferson County Public Health's Water Quality Program at 385-9444 or visit jeffersoncountypublichealth.org. Beachgoers can view current beach advisories at the Department of Ecology's BEACH program website: ecy.wa.gov/programs/eap/beach. Recreational shellfish harvesters can get current information about closures anywhere in Washington state at the state Department of Health (DOH) website at doh.wa.gov/CommunityandEnvironment/Shellfish/BeachClosures.aspx or by calling the DOH biotoxin hotline at 800-562-5632. Shellfish harvesters should also consult Washington Fish and Wildlife rules, regulations and seasons at wdfw.wa.gov. i • ENVIRO ' CERTIFIED DENTISTS Uptown Dental Clinic 385-4700 Tyler Fordham,DDS 385-7000 Dentistry Northwest 385-1000 Lnvirostars Certification is free and can help you attract new customers. PUBLIC HEALTH ALWAYS WORKING FOR A SAFER AND HEALTHIER COMMUNITY To yet certified call 379-4489 • • HH 2 -4 UPDATE: Old Port Townsend outfall pipe, under pressure, leaks off North Beach • contact' with water advised until city wastewater pipe repaired UPDATED 3:30 p.m. Feb.25, original story Feb. 24, By Megan Claflin of the Port Townsend Leader It may be a month before the City of Port Townsend can repair a leak in a wastewater discharge pipe about 50 feet offshore at North Beach County Park. Jefferson County Public Health has issued a "no contact" health advisory at North Beach in Port Townsend due to an intermittent leak in the city's treated wastewater pipe, reported Feb. 24. A combination of high tides and heavy rainfall have caused pressure to build within the 900-foot outfall pipe, said John Merchant, wastewater treatment plant operations manager. The city does not know how many gallons may have escaped. Effluent is fully treated at the city's award-winning sewer plant on Kuhn Street and then flows by gravity to the outfall, which empties it into the Strait of Juan De Fuca about 900 feet from shore. Installed in the 1940s, the pipe is comprised of 4-foot sections with a coupling joint connecting each one. As pressure builds, leaks can occur at the joint, he said. Leaks also were reported in December 006 (about 20 feet offshore) and in 2010. "The ocean is trying to push in and we're trying to push out," Merchant said. "Over the years the mortar breaks down and leaks occur." Because the leak is about 50 feet offshore, Merchant is awaiting approval from the Department of Fish and Wildlife and the city to conduct the repair, which includes unearthing the leaking section of pipe and applying an adhesive to harden around the pipe and stop the leak. "It's like an Ace wrap [bandage] that will harden like a cast; puts a Band-aid over it," Merchant said. Crews will need to wait for a negative tide in order to access the leaking section. "It could be up to a month before I can get out there," he said. AVOID CONTACT Although the wastewater has been treated, the public is advised to avoid any contact with the water at North Beach, including surfing, swimming, boating, fishing, and harvesting of shellfish and •aweed. Pet owners are also advised to keep animals out of the water. "We have taken water samples and are waiting to see where the bacterial count is," said Michael Dawson, an environmental health specialist with Jefferson County Public Health. "We'll update the public as new information becomes available." • North Beach is located adjacent to Fort Worden State Park's western border. Shellfishing is always closed at North Beach, due to the proximity ofthe ma sewages atreatment to hplant outfall. The treated sewage contains low numbers of bacteria, but the health from water contact, according to a public health notice. For more information on this advisory, contact Jefferson County Public Health's Water Quality Program at 385-9444 or visit jeffersoncountypublichealth.orq. Beach-goers can view current beach advisories at the Department thof Ecology'ssters yBEACH program website: ecy.w ,gov/ agramsleaplbeach. Recreational shellfish ent information about closures anywhere in Washington state at the state Department oof Health ( tOhe website at doh.wa.gc v/CommunityandBnvironment/Shelifish/BeachClo e DOH biotoxin hotline at 800-562-5632. Shellfish harvesters should also consult Washington Fish and Wildlife rules, regulations and seasons at wdfw.wa.gov. • . Port Townsend Paper mill seeks permit for new refiners Posted: Wednesday, February 26, 2014, Port Townsend Leader 0Allison Arthur of the Leader e Port Townsend Paper Corporation is looking to operate its machines faster and increase its production levels by up to 2 percent. To do that, the mill has requested a permit from the state Department of Ecology (DOE) to add two new refiners to Paper Machine No. 2, a change in operations that could slightly increase air emissions. State officials have concluded that while odor-causing pollutants such as sulfur may increase slightly — and the word 'slightly' is DOE's — "the facility will not be allowed to emit more TRS (total reduced sulfur) than is currently allowed by its current Air Operating Permit." State officials have determined an environmental impact statement is not needed for this project. Mill official Kevin Scott indicated in an email that a new spokesperson for the mill would be on board this week to answer questions about the new refiners' need. Scott told the Port Townsend Rotary Club on Feb. 18 that the refiner project would cost about $5 million. Public comment on Notice of Construction Order No. 10453 starts with DOE Feb. 26 and continues through March 28. A legal notice on page B 9 of this issue details how to be olved. SEE LINK AT BOTTOM OF THIS PAGE DOR ISSUES One question the DOE asks and then answers is whether there will be an increase in emissions as a result of the project, if approved. "Yes and no," the fact sheet says. The DOE acknowledges the potential increase in odor-causing compounds by 1 percent over 2012 rates. "Odor is not a pollutant that is directly measured, but odor-causing pollutants such as total reduced sulfur (TRS) may increase slightly as a result of the proposed project," officials said in that Q&A. "Since the mill's production varies day to day by more than 1 percent, it is unlikely that this project will have a perceptible impact on odors," wrote Linda Kent, communications manager for the Southwest and Olympic Region, when asked to comment on that statement. Kent noted that an odor study the state required in 2013 when the mill obtained a new wastewater permit applies to all odor-causing compounds sent to the aerated stabilization basin — better known simply as "the pond," that treats 12 million gallons of water a day. So any compounds that may be emitted by the new refiners also would be treated there. ocology's hope is that this work will ultimately lead to a noticeable improvement in odor issues," Kent wrote. Early last month, Scott said he had hoped to wrap up details of the odor study that was started last summer even before it was officially required. Teffort mill hado ff beenopumtheping tale 6,000 pounds of pure liquid oxygen a day into the ASB pond in an smell of sulfur. • The odor minimization study deadline is Oct. 1 , 2014. GREENHOUSE GAS A chart that shows the expected emission increases indicates that there would be increases to both biogentic greenhouse gases and non biogentic greenhousefeed the asses (GHGs) as a result er process at a slightly of the "incremental increase in fiber production needed to paper faster rate." Kent said PT Paper is required to report greenhouse gemissions and that information is available on the Environmental Protection Agency website. Kent said DOE officials evaluated the emissions associated with the mill's latest proposal and determined the significant rate for greenhouse gases is 75,000 tons a year. The total greenhouse gas emissions increase for the project is estimated at 8,500 tons per year, which is about 11 percent of the significant emissions rate, she said. So, the mill's proposal to add two new refiners is not doescn'tdto "exceed need a P evenptpo'n cabof le Significant thresholds for increases in emissions," and therefore Deterioration permit, officials concluded. Kent also noted that rules and regulations regarding greenhouse gases are evolving. "We will evaluate the requirements for the facility at the time that we are renewing the facility's • Air Operating Permit," Kent said. That happens in 2015. In the meantime, Kent noted that the Obamapollutantst ation Clean ed Air tthe federal agency to regulate greenhouse gas emissionsas Act. BIOMASS LINK? The proposed project also does not relate to PT Paper's proposed $55 million cogeneration project. That project's future is unclear, but would involve Power Boiler No. 10. n In December of 2012, the DOE gave the mill an 18-monthextension and lex and the wamake ste--buress m ng the cogen project that would add a new steam turbine generatorp capacity to generate 25 MW of energy. The mill would then sell that energy as green energy. Since it was first proposed, the market for green energy has dwindled. i • Safety is Port Townsend Paper's top concern: Hagan Posted: Wednesday, February 26, 2014, Port Townsend Leader By Scott Wilson of the Leader Safety, environmental controls and improved production top the list of what Port Townsend Paper Corp. President Roger Hagan is focused on for 2014, the mill's chief told a Port Townsend audience last week. His first priority, Hagan said, is safety for the 300 PT Paper employees. Various programs have been launched to reduce accidents, which Hagan said remain above the national average. Hagan discussed other plans on Feb. 18 with the Port Townsend Rotary Club. In the near future, PT Paper plans to cut its use of water by 20 percent, from today's 10 million gallons per day to eight million gallons per day. The mill is investing in itself, putting $5 million into a refiner project and another $5.4 million into other upgrades, he said. The mill's owner, Goldentree Asset Management, is • reinvesting everything it makes at PT Paper back into the plant, he said. Regarding other mill initiatives, Hagan said that the permit for the ash landfill is in a mediation process that he expects to be resolved this year; and that an oxygen injection process to reduce odor from treatment ponds is reported by residents to have made a difference, with next steps being planned. Hagan noted that PT Paper has a huge economic impact on Jefferson County, with average salaries of $70,000, a total payroll of $20 million per year, total local spending of $30 million and a total economic impact of $145 million. He said the mill is the Olympic Peninsula's largest recycler, using 30 percent of the state's used cardboard, recycling virtually all of its chemicals and water for reuse, and relying mostly on biomass components to generate 90 percent of its energy. S Pipe repair expected later this week to stop treated sewage leak at Port Townsend's North Beach By Charlie Bermant , Peninsula Daily News, February 26th, 2014 fORT TOWNSEND — City officials expect to repair a broken pipe at North Beach that is leaking treated sewage into the Strait of Juan de Fuca later this week. "The water is being let out at the water line when it should go out around 900 feet," said John Merchant, Port Townsend's operations manager for storm water and sewer. "It's pretty clean water," he added. "It's already been processed." Despite the lack of a direct health hazard, Jefferson County Public Health issued a "no contact" health advisory for the area, which requests that the public avoid any direct contact with the water at North Beach, including surfing, swimming, boating fishing and the harvesting of shellfish and seaweed. The area is not quarantined. As of Tuesday, one sign had been posted on the beach's message board. Merchant said more signs would be posted. He estimated that as much as 50 gallons a minute could be spilling into the Strait, depending on tidal conditions. The tide is a factor in the repair's timing, as the city can excavate and repair the pipe, which Merchant said is probably broken in two places, only during very low tides. Oide from the low tides, the city must acquire permits from the state Fish and Wildlife Department and from its own building office, both of which Merchant feels he will be able to secure before the optimum tide conditions occur later this week. Merchant did not know how long the pipe had been broken, but said that he has been regularly checking conditions at the beach and had not detect any leaks. This breach was detected Monday by a private citizen who reported it to the city. Merchant said that it resembles other leaks that took place in 2006 and 2010. No additional equipment is needed to fix the leak. Once the permits are acquired and the tide is right, the repair will be conducted using a city-owned backhoe. Jefferson County Public Health has taken water samples that were sent to a private lab for analysis. Results could be available as soon as today, said Michael Dawson, the county's water quality lead. The treated sewage contains a low level of bacteria, but some health risk remains until the repairs are empleted, according to a county press release. Jefferson County Editor Charlie Bermant can be reached at 360-385-2335 or cbermant@peninsuladailynews.com. • Fluoride critic benefit from water fluori- visits increased,reaching Dr.Tom Locke,health dation. 27,212 in 2009,but dental officer for Clakeand The Centers for Disease visits increased at an even llamJefferson counties,and the Control rates evidence of faster rate,numbering the efficacy of fluoridated 1,001 dental visits in 2008 Centers for Disease Con- drinking water as"less and 1,120 in 2009.In trol still mistakenly pro- than Grade A"and admits Forks,despite 60 years of claim that water fluorida- there has never been a fluoridation,its local hospi- tion confers great dental double-blind test that con- tal reports about 3.5 per- benefits.(Feb. 16 Peninsula firms efficacy.The proof of cent of emergency visits Voices,"Oral health"). the pudding can be found are for dental problems. Hundreds of early stud- right here in Olympic Med- There is no longer ani- ies reported fewer cavities ical Center statistics. justification for putting in fluoridated communities. Citizens and Port Ange- this to:dc chemical(which The fluoridated areas, les City Council members is used in rat poison)in however,were economically were told in 2003 thatpublic drinking water. advantaged,providing chil water fluoridation was See wwwyes4clean. • dren better nutrition and needed to remedy a hospi- waterorg for more informa- dental care. tal crisis:the emergency tion. Children in nonfluori- room was overburdened Eloise Railin,M.D., dated,less advantaged with dental patients. Sequim communities showed more In 2002,the emergency tooth decay.Fluoridation room handled 22,515 visits, Kadin is corresponding got the credit. of which 861 (3.8 percent) secretary for Protect the Subsequent studies were for dental diseases. Peninsula's Future,a North correcting for economic Fluoridation started in Olympic Peninsula environ- bias show no significant May 2006.Emergency room mental protection group. • 41110 •/ (2/2?/r1/ UPDATE: One leak repaired, another fix in progress off North Beach ' o contact' with water advised until city wastewater pipe repaired ; { r v a Old Port Townsend outfall pipe leaking off North Beach Wastewater Treatment Plant operations manager John Merchant(center)examines one of two leaks in a wastewater discharge pipe on the beach at North Beach County Park,Taking advantage of low tide Thursday afternoona maintenance crew used a backhoe to unearth a section of pipe about 30 feet from the high tide mark and applied a quick set adhesive to stop the leak Photo by Megan Glaflin UPDATED 5 p.m. FEB.26, Port Townsend Leader Working quickly to take advantage of the low tide Thursday afternoon, a maintenance crew from the City of Port Townsend repaired one of two leaks in a wastewater discharge pipe on the beach at North Beach County Park. Since the leaks were discovered on Feb. 24, at least 100,000 gallons of treated wastewater has been released, said John Merchant, wastewater treatment plant operations manager. It may have been leaking a week, he noted. Crews used a backhoe to unearth a section of pipe about 30 feet from the high tide mark. A large boulder had come to rest on that section and has been "slamming down" on the pipe as the tide has come and gone, Merchant said. Using a quick set adhesive, crews were able to stop the leak and plan to address the second leak, about 50 feet from the high tide mark, as soon as possible, he said. Installed in the 1940s, the pipe is comprised of 4-foot sections with a coupling joint connecting each one. As a combination of high tides and heavy rainfall cause pressure to build within, leaks can occur at the joint, he said. Leaks also were reported in December 2006 (about 20 feet offshore) and in 2010. Jefferson County Public Health has issued a "no contact" health advisory at North Beach in Port Townsend due to an intermittent leak in the city's treated wastewater pipe. (This story first appeared Feb. 24 on p','ctr fr rrr�rrr). Environmental groups lose appeal on Port Townsend Paper biomass project Port Townsend Leader, Thursday, February 27, 2014 9:57 am The state Department of Ecology's decision to give the Power Townsend Paper Corp. a permit for its $55 million biomass project has been upheld by the state Supreme Court. The high court issued a ruling at 8 a.m. Feb. 27, 2014 that the state DOE and the state Pollution Control Hearings Board were correct in concluding that "greenhouse gas emissions from the project would not have significant environmental impacts." "We further hold that Ecology and the Board correctly concluded that the project would not result in adverse impacts to forest resources," the decision states. Five environmental groups appealed the mill's project and questioned why a full environmental impact statement wasn't required. The DOE put the project on a • fast track for permitting in 2010, then realized it had failed to post the proposal on a State Environmental Protection Act (SEPA) register. Even after that, the DOE stuck by its original conclusion that the mill's proposal didn't need an EIS. The Pollution Control Hearings Board agreed. The groups that appealed were PT AirWatchers, No Biomass Burn, World Temperate Rainforest Network, Olympic Environmental Council and Olympic Forest Coalition. The future of the biomass project is uncertain. In December of 2012, the mill requested an 18-month extension on making progress on the biomass project, saying the appeals had delayed it and the market for the green energy that it was supposed to produce was no longer there. That 18-month extension from the DOE ends in June. • State Supreme Court upholds permit for Port Townsend biomass expansion By Charlie Bermant, Peninsula Daily News, February 28, 2014 0RT TOWNSEND —The state Supreme Court denied an appeal by environmental group PT AirWatchers other groups Thursday, upholding a lower court's ruling that granted a permit for the expansion of the Port ownsend Paper Corp. biomass cogeneration plant. "We hold that [the state Department of] Ecology and the [Pollutions Control Hearings] Board correctly concluded that greenhouse gas emissions from the project would not have significant environmental impacts," the unanimous ruling reads. "We further hold that Ecology and the Board correctly concluded that the project would not result in adverse impacts to forest resources," it continued. PT AirWatchers Director Gretchen Brewer said she was "sorely disappointed" by the ruling but was gratified the appeal brought the case to public attention. "Overall, the journey has had success," she said. "A process that would have significantly harmed our community was brought out into the light rather than being railroaded through out of the public eye." Kevin Scott, Port Townsend Paper Corp. director of sustainability, said company officials are pleased with the ruling because it allows them to move forward with the proposed facility, even as its future is uncertain. "The courts have again upheld the fact that [Ecology] acted appropriately during the permitting process," he said. "We still have a valid permit to continue, although the falling price of natural gas has made the development of 4is kind of renewable energy resource less attractive," he added. e are watching the market to see what happens. "In the meantime, the project is on hold." Port Townsend Paper's expanded biomass cogeneration plant would generate 24 megawatts in the $55 million project. Officials earlier said it was on hold until later this year or 2015. The construction of the Port Townsend facility is now idle after the completion of its first phase, the installation of a truck tipper that unloads trucks that transport hog fuel, the woody detritus used in biomass-fired plants, that took place between December 2010 and June 2011. Scott has previously said the appeal process had prompted the company to get an 18-month extension of its construction permit, which is due for renewal in June. The appeal, which was filed by PT AirWatchers and four other environmental groups, urged the requirement of an environmental impact statement prior to construction of the expanded facility that burns wood waste to create electricity. In June 2012, Thurston County Superior Court Judge James Dixon rejected an appeal of the Olympic Region Clean Air Agency's permit for the plant, granting a motion for summary judgment that stopped the appeal. The environmental groups took the case to the Court of Appeals Division 2, which ruled Dec. 10 that the appeal had merit and cleared the way for a hearing by the Supreme Court. ewer said the decision does not slow down the effort. "It only strengthens our imperative to keep working toward clean and healthy air for us to breathe here in Port Townsend," she said. "It's not clear whether they are proceeding with the biomass project, but we won't believe that it's off the table until they pull their application." Other groups that filed the suit are No Biomass Burn, World Temperate Rainforest Network, the Olympic Environmental Council and the Olympic Forest Coalition. Both the Port Townsend facility and the Nippon biomass expansion, which was dedicated in November, have been opposed by environmental groups who say the facilities will increase pollution, especially of ultrafine particles that can lodge in lungs. Jefferson County Editor Charlie Bermant can be reached at 360-385-2335 or cbermant(c�peninsuladailynews.com. • Port of Port Townsend agrees to settlement before environmental group files suit over stormwater management By Charlie Bermant, Peninsula Daily News, February 28,2014 SRT TOWNSEND —The Port of Port Townsend has settled with an environmental group that threatened to file a lawsuit if certain environmental standards for stormwater management were not met. On Sept. 17, the Waste Action Project issued a notice of intent to sue for alleged violations of the Clean Water Act, requesting compliance along with $20,000 to support an environmental initiative selected by the group, as well as lawyer's fees. "We sent the port a letter because we saw some problems with their stormwater management," said Greg Wingard, the action project's executive director. "They indicated they were already aware of a lot of these problems and were working to fix them, and showed us they intend to be environmentally responsible and work toward their resolution." The settlement, approved by port commissioners Wednesday night says the port has done nothing wrong but agrees to 12 measures, several of which the port is already performing, Deputy Port Director Jim Pivarnik said. In it, the port also agrees to support a Waste Action Project initiative with a $2,000 subsidy along with $14,000 in lawyer's fees. Pivarnik said port personnel invited members of the group to port facilities to "show them what we are doing. "We showed them our process, and they agreed to the smaller settlement. his shows that the port is doing the right thing when it comes to stormwater treatment." Wingard said his group follows the operations of ports and private entities statewide, contacting those it determines are out of compliance with the Clean Water Act. The Port of Port Townsend already is instituting actions that exceed the boundaries of the Clean Water Act, he said. Among the measures the port has agreed to take or continue performing are developing a plan for the removal of a topsoil layer containing metals, installing downspout filters on as many buildings as possible and negotiating agreements to provide roof coating on new leases. The port also agreed to hire a half-time staff person to work on stormwater management to assist the full-time compliance officer. Wingard said the expenses needed to implement these measures are deducted from the proposed penalty, which is how $20,000 became $2,000. Pivarnik said the port decided to settle the matter rather than contest it "because it would have cost us $30,000 in lawyers' fees to recoup the $14,000." Wingard said his group always prefers an out-of-court settlement "because if it goes to a judge, it's out of either side's control." • • North Beach wastewater pipe fixed in Port Townsend By Charlie Bermant,Peninsula Daily News,March 2,2014 PORT TOWNSEND —A broken pipe at North Beach that was leaking treated sewage into the Strait of Juan de Fuca has been repaired. "There were no problems," said Public Works Director Ken Clow on Friday. "We just dug it up, plugged the leak and fixed it." The pipe, built to carry treated sewage out about 900 feet into the Strait had broken in two places close to the water line at the beach west of Fort Worden State Park, allowing the sewage to flow out close to shore. One break was fixed Wednesday night and the other Thursday, Clow said. North Beach —a popular site for hiking, exploring and water sports such as parasailing and, on some occasions, swimming — is considered safe now, said Michael Dawson, water quality lead with Jefferson County Public Health. Signs posted after the leak was discovered Tuesday that told of a county "no contact" health advisory for the area might not be removed until Monday, Dawson said Friday. Repairs to the pipe had to be made at low tide. City staff also needed to acquire permits from the state Fish and Wildlife Department and from its own building office. ei John Merchant, Port Townsend's operations manager for stormwater and sewer, said the leak resembled other leaks that took place in 2006 and 2010. Clow said the pipe will need to be replaced in the next few years and that the city has a long- range plan to do so. Merchant had estimated that as much as 50 gallons a minute could have spilled into the Strait, depending on tidal conditions. Treated sewage contains a low level of bacteria, but some health risk was posed by the spill until the repair was made, the county public health department said. Jefferson County Editor Charlie Bermant can be reached at 360-385-2335 or cbermantppeninsulada,lynews corn ' x� -i7.-",--,---.. .5---sul) • ( ,,, ::%-g.,p,:,',;z.,,,:.;-,;::-4=-:-•-,Ow READERS' LETTERS. FAXES AND EMAIL Fluoride, vaccines cine ethics:http:I/tinyurl. teeth was observed. I could say was-good corn/blaylocknn. Fluoride available dur- Allgriafter Dr. («hich is not to say the ing the mother's third tri- ['i'homas J.]readingLocs letter science of inoculation mester and the child's first ("Ural Health:'Peninsula hasn't been a good idea.) 7 years of life allow the flu- Voices Feb. 16]. Then,deluge Dr.Locke oride to become a perma- ClalCounty's public and the local media with nent part of the chemical health doctor promotes the your response. structure of the enamel wholesale unquestioning Dr.Locke can be (outer layer)of all of the acceptance of vaccinations reached at tlocke@ baby and permanent teeth, and fluoridated water. co.clallam.wa.us except wisdom teeth. Has Dr.Locke,unlike• Make your request to This provides better the waking world,been fast the city of Port Angeles to resistance to decay and is asleep as the reports come observe and document our enhanced by the topical • city's water fluoridation application of fluoride in in? process bycontactingtoothpaste and drinking Please consider this information for the sake of cityclerk@cityofpa.us and,if water: little ones: you are not.satisfied,fol- Our children(especially yourlowing up with a public those in the lower social- Google"Fluoride Action economic levels)deserve o Network YouTube,"or disclosure request. g Virginia Leinart, this preventive help. here for a shocking expose Port Angeles To attempt to make any of this toxic,industrial real sense of the letter- waste byproduct:http:I l writer's use of percentages tinyurl.comI fluorideview. Fluoride data of hospital emergency den- [It says] the fluoride Regarding"Fluoride tal visits in Port Angeles added to our water Critic"[Peninsula Voices, and Forks,we need to 110 destroys our thyroids,brit- Feb.271: know how many of the ties our bones,lowers the From about 19094945, involved patients were IQ of children by 20 points observations of populations born and grew up drinking on average,promotes drinking naturally fluori- the fluoridated city water Alzheimer's,and causes dated water indicated fluo- versus how many did not fluorosis or staining of the ride and resistance to den- —think of our population teeth. tal decay might be related. who live rurally and on Nations—and that In 1945,a 15-year wells. would be most,including research project began in Without this informa- the Third World—that do Grand Rapids,Mich.,with tion,the writer's"statistics" not fluoridate their water 1.0 parts per million fluo- are worthless and mislead- supply have teeth as ride added to the city water ing. healthy or healthier than supply. For comprehensive, those municipalities adding The entire population of unbiased,basic information fluoride to the water sup- almost 30,000 school- on fluoridation go to ply. children was studied. http:/Itinyurl.com/ Read this interview Obviously,children of all wikiwater and http:/I with neurosurgeon Dr.Rus- socioeconomic levels were tinyurl.com I fluorideoral. sell Blaylock on mandatory included. Larry Wisman,D.D.S. vaccine trials,fraudulent After 11 years,a 60 per- (retired) vaccine science,and vac- cent reduction in decayed Sequim • Environmental groups lose • appeal on mill biomass • By Allison Arthur of the Leader MEI p#eoader.com: The state Department "Pb • o read the Supreme Court of Ecology's decision to The cogeneration decision,see the link in the give the Port Townsend project is online version of this story. Paper Corp. a permit for its $55 million biomass still under significant environmental project without.requiring consideration but impacts." an environmental impact • • statement has been upheld It 1S dependent "We further hold that unanimously by the state Ecology and the Board cor- Supreme Court. upon having a rectly concluded that the While the DOE put the market value." project would not result project on a fast-track for in adverse impacts to for- approval in 2010, the mill Kevin Scott est resources," the decision states. has not made much prog- spokesperson ress on the project in part Port Townsend Paper Corp, Fivesalgienvironmental hmill's because the market for groups appealed the mill's green energy has declined. project and questioned why "The cogeneration project a full environmental impact statement wasn't.reuire is still under consideration proud of the way attorney The DOE put the project o but it is dependent upon hav- David Mann had repre- a fast track for permitting ing a market value," mill sented the environmental in 2010, then realized it had spokesperson Kevin Scott groups. failed to post the proposal said a few hours after the "By doing this process, on a State Environmental decision was released Feb. we learned a lot and we were Protection Act (SEPA) reg- 27. He also said he was riot able to educate the commu- ister. • surprised by the court's.decinity," she said. "We feel like Even after that, the DOE • sion. the whole community now stuck by its original conclu- At this point, the market understands more of what sion that the mill's propos- for green electricity is "not we're being inundated with. al didn't need an EIS. The viable,"S.cott said. We have a more educated Pollution Control Hearings The mill does intend to and aware community." Board agreed. install an electrostatic pre- What surprised Brewer The groups that appealed cipitator, a pollution-control was that the court "bought were PT AirWatchers, No device that will cost between into the political argument Biomass Burn, World $10 million and$12 million. that CO2 is different depend- Temperate Rainforest But otherwise, the bio- ing on its source, whether it Network, mass project is on hold. comes from so-called biogen- Environmental Council and "We take our role in pro- ic or fossil fuel. tecting air qualityand the Olympic Forest Coalition. "Regardless of the source In December 2012, the environment very seriously," of CO2; the effects of pump- mill requested an 18-month said .DOE spokeswoman ing out massive amounts extension on making prog- Linda Kent of the deci- into the atmosphere will be ress on the biomass proj- sion. "The Pollution Control the same: as the shellfish ect, saying the appeals had. Hearings Board, Thurston farmers can tell you, the delayed it and that the mar- County Superior Court and shellfish don't care where ket for the green energy that now the State Supreme Court the CO2 comes from; more it was supposed to produce have reviewed our actions in of it just makes it less pos- was no longer there. this case and found them to sible for them to grow their That 18-month extension be sound." shells,"she said. from the DOE ends in June. ENVIRONMENTALIST VIEW THE DECISION Scott said he did not know ether the mill would seek Gretchen Brewer, presi-- The high court ruled Feb. another extension to make dent of PT AirWatchers and 27 that the state DOE and progress on the project. one of the appellants in the the state Pollution Control case, said Feb. 28 she was Hearings Board were correct • disappointed and surprised in concluding that "green- (A version of this story by the decision. house gas emissions from appeared Feb. 27 on ptlead- Brewer also said she was the project would not have er.com) OUtfäWeàkj1jdxe ONTorth Beach waters safe once aaln By Megan Claflin of the Leader _______________ U ;tea The waters at North A Beach County Park re- T' ,4 opened to the Public a �' �A '�K �£� on March 3 after City of s Q "� Port Townsend crews had �` repaired hove leaks on 1 :-",,,,,,,,..•;$,,:-: ::: ,''','!`:,3 '!` gg � a treated wastewater outfall a ` "' °vis# PiP Jefferson County Public ,,,,,`,4- 1��� � •` ,�� �•"`.���, ��1 .,7_,:::%2:;,,,,,;;„,,...,.;„;:s,:,:,:.,..,-,,,_, � Health issued a "no contact" � `� health advisory on Feb. 24 t , ` x i "4 � due to an intermittent leak • k ` in a treated wastewater pipe. '"�,,. '� � ; ' r ,l .y " : that runs from the City of ' ` Port Townsend. Wastewater " 3-.:' • i' •:` ,.= f,r� E :' a�, .: 7� j Tk �" Treatment Plant into the ��� � '+�_ �' •� � �* �, ,�-.,,,,,,,,,,,,,„-.11/44:„,,,,,,,:t,-,,704,,,,�' ;� � '� . Strait of Juan de Fuca. x v� ,(�,� :, Repairs were made last �� week and Public .Health's �m . „'��,^"�'� ��"� �, ��, .'y`' )'"�' -�'� s°�`'''� •; subsequent testing proved f � ��, ' fine, � � "` ��" `e 'er �� '�, q "Our most recent baste John Merchant, wastewater treatment plant operations manager, examines one of two leaks in a ria tests showed a very low wastewater discharge pipe that runs underneath North Beach Copip unty Park.Taking advantage of low amount(5 parts per 100 mil- tide on Feb.27,a maintenance crew unearthed sections of the i e about 30 feet and 50 feet from liliters) of fecal coliform, so the high tide mark.Photo by Megan Claflin ' /ahave no more concerns," id Michael Dawson, fishing due to the Proxim an environmental health sp ity of the sewage treatment _ ' � f.;z cialist with Jefferson County plant outfall." -44, r� f ,4 Public Health."However,the Working quickly to take <' area remains closed to shell advantage of the low tide on #'4 ' 4`` ° t Feb. 27, a City maintenance � � 7 7:;• crew repaired both leaks in � '� liMti,,„.;,:,N-j,..,N;.,„,,,. a wastewater discharge pipe ..1,t14.i � ¢ that runs underneath NortRiS h Beach. Repairs" cost about ��.l Y , ',` fa $4,000. Since the leaks dis �~� �� �; t � ;, a covered, at least were di 0 " "�',� '�`4tk '{ gallons of treated wash 00 -�if ,,,jai��/ ilill' �� '� ter have been released, said ,��� " _ � ��S,E .'�`� �` F John Merchant, wastewater ;.',"2::,. .,„•3 . y *144 treatment plan operations .,^, in, �- manager. It may.have been -- �� � h � -° Crews used a backhoe on Feb 27 to remove a large boulder which leaking a week, he noted. had been"slamming down"on the outfall pipe with the tide.More Crews used a backhoe 11* 'ZI'l?'''''t:4k%''''''')4 to unearth sections of pipe than 100,000 gallons of treated wastewater had leaked from the pipe in the week before the problems were discovered the same about 30 feet and 50 feet wastewater always emptied into the Strait of Juan de Fuca,just �a��` ��s4 from the high tide mark. A '4 large boulder had come to closer to shore than is desired.Photo by Megan Claflin rest on that section and had been "slamming down" on connecting each one. As a the pipe as the tide has come combination of high tides.,,,_ and gone,Merchant said, and heavy rainfall cause North Beach Bodywork Usinga quick set adhe- pressure to build within, improvements • Healing Massage sive, crews were able to stop leaks can occur at the joint, Aleta both leaks. Merchant said. Leaks also ions Erickson LMP Installed in the 1940s,the were reported in December off Debts 360-460 0751 pipe is comprised of 3-foot 2006(about 20 feet offshore) Repair Accessible in NT sections with a coupling joint and in 2010. ?TXg V/0/71 . Support Washington Families: Call Your Representatives - Thrive By Five WA Page 1 of 2 Contact Employment Grantee Portal 2014 Leadership Luncheon 'fit • HOME ABOUT WHY EARLY LEARNING? OUR WORK FOR PARENTS NEWS&EVENTS r le «Go Back Support Washington Families: Call Your Holly Wyrwich, Thrive Representatives Communications Manager March 17th,2014 by Holly Wyrwich I am happy to be working in the early learning field and getting the �- $+1 Share opportunity to spread the word about the • Washington state is a national leader in its innovative public-private partnership to provide importance of each high-quality home visiting services to families.Part of that"public"element is the federal and e newspaperpa years.sI tookrted my and the injournalism funding our state receives from the Maternal,Infant and Early Childhood Home Visiting and ng op jobs The me around country, program,referred to often as MIECHV. including stops at Seattle Times,the St.Louis Right now in the other Washington,members of Congress are considering continued funding Post Dispatch and the Orlando Sentinel.I switched for MIECHV gears to work in the online advertising business (pronounced mick-VEE)that is set to expire in September.And it hasn't been an before coming to Thrive in January 2012. easy conversation. We need your help. I am fascinated by all aspects of early learning,but spend most of my time thinking and writing about Please take a moment in the next day or two to call Sens.Murray and Cantwell,and your "Love.doing that,I ml catching g up ond home vreadin When one of of B Congressperson,especially if you're in the districts of Rep.McMorris Rodgers,Rep.Reichert my book clubs or volunteering in the Seattle area. or Rep.McDermott.Tell them to help strengthen Washington families by continuing funding of the Maternal,Infant and Early Childhood Home Visiting program as You can reach me at part of the Medicare Sustainable Growth Rate bill.You should also tell them to be proud that Washington state knows how to make this money go further by leveraging federal funds with state and private money to help serve even more families. Sen.Maria Cantwell Sen.Patty Murray Home Email I Phone Email and phone Birth to Thrive Online Rep.Jim McDermott Rep.Cathy McMorris Rodgers Rep.Dave Reichert District map District map District map Email aid phone Email I Phone Email and phone Why does your call matter? If MIECHV funding isn't continued,our state won't be able to provide high-quality and proven home visiting programs to hundreds of Washington families with young children who are living in some of the most challenging situations.In short,many families won't get the support they need for a great start. • When it comes down to it,we know that the earliest years are the best time to invest in families,and home visiting not only improves child outcomes but also has the power to http://thrivebyfivewa.org/2014/03/17/support-washington-families-call-representatives/ 3/17/2014 Support Washington Families: Call Your Representatives - Thrive By Five WA Page 2 of 2 . change the trajectory for an entire family. 0 1• 8+1 Share • Posted in Birth to Thrive Blo ,Posts bHoll ■ No Comments y--� lwlch Leave a Reply Name E-Mail(will not be published) Website Comment Submit Comment Brill eingIoeether Early Learning and Early Health N • ®Thrive by Five Washington.All rights reserved. Contact Privacy Policy Subscribe to Our Newsletter Thrive by Five is a trademark of financial literacy programs for preschoolers supported by Credit Union National Association Inc.(CUNA)and those A,pp, programs are not affiliated with Thrive by Five Washington.Click here to learn more.Site by Creation-1 III http://thrivebyfivewa.org/2014/03/17/support-washington-families-call-representatives/ 3/17/2014 • My name is Barry Ellis. I am here today to address a situation which was not dealt with appropriately by Jefferson County Health Dept. My former girlfriend and myself took occupancy of a residence owned by Bent and Joanne Meyer located at 1507 31st Street in Port Townsend in late April of 2011. During my fourteen months at this residence, I experienced internal bleeding,two emergency surgeries, numerous medical procedures, an attempted suicide by my former girlfriend and my fiancée required medical attention right after moving in with me. In April 2012, neighbors of ours, Denise Early and Paula Martin(Guardian ad Litem Jefferson County), told us that the owners had cleaned up remnants of a meth lab two weeks before I moved into this home. I then contacted Bent Meyer, the owner of the residence and he refused to address the situation but did tell me to move out immediately. When I asked for permission to have the premises tested for meth residue, I was locked out of the residence without a court order. I had contacted Marjorie Boyd at the Jefferson County Health Dept. and to my surprise, she stated there was nothing she could do except if the Port Townsend Police Dept. notified her or the owner. I had also contacted Sgt. Green at the Port Townsend Police Dept., and in essence was told,this was a civil matter. Before I was locked out of this residence, I removed items from the house and had them • tested for methresidue and forwarded the results to Marjorie Boyd at the Jefferson County Health Dept., which were between two and twenty six times the legal limit(See exhibit A/B/C), and was again told there was nothing she could do. I then contacted Sgt. Kaare at the Port Townsend Police Dept. and he initiated a hazmat investigation report#2013-00000872 (See exhibit D/E). In doing so, Sgt. Kaare spoke with the Jefferson County Health Dept., and was told not to open a case on this matter and in response Sgt. Kaare told them "I'm covering our ass on this one", and opened a case number on it. Through a public disclosure request, I asked who Sgt. Kaare spoke with at Jefferson County Health Dept., but he could not recall (see exhibit F). I also spoke with Ms. Armstrong at the Dept. of Ecology, and she also forwarded the lab results to Jefferson County Health Dept. I received letters from Mr. Jarrod Keefer, Marjorie Boyd and Christy Fiedler which I want to discuss now. In short,the letter from Ms. Fiedler reads: We do not have the authority to respond to this type of complaint except when it is referred to us from a law enforcement agency or the property owner. If we are requested by either law enforcement or a property owner to investigate a property for potential or known contamination, then we would carry out duties as outlined in RCW 64.44 and WAC 246-205 (See exhibit G). In short,the letter from Mr.Keefer reads: Jefferson County Public Health Dept. received the above referenced report from the City • of Port Townsend Police Dept. on February 6, 2013. As we stated in our letter on • November 2nd, upon referral or request by law enforcement and/or the propertyowner, we will post and inspect the site. We have yet to receive, from law enforcement or the property owner, a notification of potential contamination at that address due to the manufacture of illegal drugs ( See exhibit H). Exhibits D&E were the notificatons of potential and verified contamination given to Jefferson County Health Dept. in February 2013 by the Port Townsend Police Dept. and by the Washington State Dept.of Ecology. In a letter drafted by Mr. Keefer that was received through a public disclosure request (See exhibit I), Mr. Keefer refers to me as Mr.Dundee which is corrected in an email from David Alvarez (See exhibit J). The letter goes on to state that "the police report does not confirm that the site is an illegal drug manufacturing lab". Our jurisdiction is limited to the illegal manfacture of drugs. I am now going to read the RCW, WAC and Jefferson County ordinance. Nowhere in these laws will you read or hear the term "illegal drug manufacturing lab". R.C.W. 64.44.010 states: Contamination means polluted by hazardous chemicals so that the property is unfit for human habitation. (See exhibit K) 64.44.020 states: Whenever a law enforcement agency becomes aware that property • has been contaminated by hazardous chemicals, that agency shall report the contamination to the local health officer. The local health officer shall cause a posting of a written warning on the premises within one working day. (See exhibit L) W.A.C. 246.205.520 states: Within one working day of notification from a law enforcement agency of potential contamination, the local health officer shall post a written warning on the premises. (See exhibit M) 246-205-010 states: Illegal drug manufacturing or storage site means any property where a person illegally manufactures or stores a controlled substance or a law enforcement agency or the property owner believes a person illegally manufactured or stored a controlled substance. Notice the past tense. No meth lab required. (See exhibit N) 246-205-010 goes on to state that a property owner is a leasee. (See exhibit 0) Jefferson County Ordinance Section 2 Applicability: This regulation shall apply to any site defined as an illegal drug manufacturing or storage site as per W.A.C. 246-205-010. This regulation also applies to any property that is contaminated. (See exhibit P) Section 3G states: Owner is any occupant of property. (See exhibit Q) • • The items that need to be addressed are that the R.C.W., W.A.C. and the Jefferson County Ordinance all state that"storage site/any property that is contaminated or potential contamination" requires Jefferson County Heath Department to take action. The site does not have to be a drug manufacturing lab as indicated in Mr. Keefer's letters, as seen in exhibit N, but he and Ms. Feidler do indicate that potential contamination is recognized as requiring a response from the Jefferson County Health Dept., but has not been enforced. The other matter being that in the W.A.C. and the Jefferson County Ordinance, an owner is described as a leasee or occupant. As a leasee and occupant, I was refused assistance by the Jefferson County Health Dept. To date, Jefferson County Health Dept. has failed to post this site or report it to the State Board of Health, both of which are requirements. In a recent public disclosure request (See exhibit R), I asked to review all materials pertaining to meth lab busts performed by the Jefferson County Sheriff's Office between 2000-present. I received a response from David Alvarez stating "This office asked the City of Port Townsend to retrieve any reports relating to the following identifiers. 1411 12th Street/ 1507 31st Street/Debra Tvrdik. Obviously the City of Port Townsend indicates 1507 31st Street as an identifier to meth lab bust. I am now asking the Jefferson County Health Dept. to post a warning on this house in accordance with the law and force the owner to clean up this residence before he hurts anyone else. You have been notified by the Port Townsend Police Dept., the Dept. of • Ecology and myself of these lab results. Another family has gotten sick because of your inactions and renegade interpretation of the RCW, WAC and Jefferson County Ordinances. Under RCW 70.05, I am requesting the Washington State Board of Health to investigate this matter. Thank you for your time on this matter. Barry Ellis • 61,11 !i / 1 40t IL4 • ( t Case Report Summary 911 91i :_. Print Date/Time: 03/04/2013 15:40 Port Townsend Police Dept Login ID: kpownall ORI Number: WA0160100 Case Number: 2013-00000872 13-0872 Environmental Studies A Best Environmental LLC ,ttc„bcrr 4789 Pre-Test Sampling Report 1507 31st St Port Townsend 98368 Sample Sample Area Sample Area Sampled Resultsµg/ Number Points cm2 100 cm2 PTA-1 Fan and Grate 4 100 2.570 PTA-2 Trim 4 100 0.191 PTA-3 Blank 4 100 ND Note: "ND"indicates that the results value is less than the reporting level of the analytical lab,referred to as"Non-Detect". Cleanup Standard is 0.10 ug/100cm2. Identification of analytical lab . Analytical Chemistry,Inc. Phone: (206)622-8353 Mia Sazon Fax: (206)622-4623 4611 S 134th P1#200 Tukwila WA 98168 Date Tested 10/4/2012 Sampler Larry Stone Page:3 of 20 u�iirB losmtiaQ ..,,oRT J°G Case Report e Summary cssr,Y 117 911 Print Date/Time: 03/04/2013 15:40 Port Townsend Police Dept Login ID: kpownall ORI Number: WA0160100 Case Number: 2013-00000872 13-0872 Environmental Studies PITO 13-Og?Z A Best Const A Best Environmental, LLC Record Number 16630 S.E.Lillian Way 4789 Portland,OR 97236 (503) 492-2885 Fax(503)492-9615 From Larry Stone Attention Barry Ellis Date 10/24/2012 Time 8:39:14 PM Case Number Property Address 1507 31st St City State Zip Port Townsend 98368 Mail to address: Barry,here are the test results for the samples we took off of the material you brought to us. Sample 1 was a four-point composite sample off of the vent and grate. The results were about 26 times the State of Washington Cleanup Levels of 0.1. Sample 2 was a four-point composite sample that tested the trim and floor board. That sample was about twice the State of Washington Cleanup Level. Let me know if you have any questions. Thanks, Larry Stone • s' Page:2 of 20 &H/4tr 0 °4oA-, 'y Case Report 'O�pA7Tp�, 4 Summary (101�' Ott Print Date/Time: 03/04/2013 15:40 Port Townsend Police Dept Login ID: kpownall ORI Number: WA0160100 Case Number: 2013-00000872 13-0872 Environmental Studies zUANALYTICAL CHEMISTRY INC. ,,, I 1 ,,.,,n mss...x• __. _. -n .d,n.-.,,o Lab Reference: 1216E-03 _Date Received: October 3,2012 Date Completed: October 11.2012 October 12.2012 LARRY STONE A BEST CONSTRUCTION 16630 SE LILLIAN WAY PORTLAND OR 97236 CLIENT REF: 4789, 1507 31st St.Port Townsend 98368 SAMPLES: wipes/3 • ANALYSIS: Methamphetamine by Gas Chromatography-Mass Spectrometry RESULTS: in micrograms per 100 square centimeters(ugi100cm2) Sample Label Sample Area I Methamphetaminex Surrogate— --_y.square centimeters total micrograms s _ u 0ecm_' _reecwery i PTA-1 100 i 2.57 2.6 102 PTA-2 100 0.191 0.19 w; • PTA.3 100 <0.030 <0 030 •14 OA.VC Me:nW Stank <0004 ---} OC 0 r00 ug tar,,,, 0100 OAt 020 ng Men..Sew i aolc < less than nit detected.above OA 0020..g Marna Spare Oupeeore 0023 _ i the RL Mehod()electron G.n.•tf.MCL) 0004 _.RaMrtrog Lan,(AL'... 0 030 Amelia Sazon Laboratory Manager III Page:4 of 20