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HomeMy WebLinkAbout2015- January Jefferson County Public Health Agenda Minutes January 15, 2015 • JEFFERSON COUNTY BOARD OF HEALTH January 15, 2015 Jefferson County Public Health 615 Sheridan Port Townsend, WA 2:30—4:30 PM DRAFT AGENDA I. Election of Chair and Vice-Chair for 2015 II. Approval of Agenda III. Approval of Minutes of December 18, 2014 Board of Health Meeting IV. Public Comment V. Old Business and Informational Items 1. Community Health Improvement Meeting and Plan . 2. Application for Olympic Accountable Community of Health Planning Grant 3. 24-Hour PH Answering Service Protocols VI. New Business 1. Solid Waste Changes in Recycling 2. Second Review of Environmental Health Fee Revisions 3. 2014-15 Influenza Season Update 4. 2015 Legislative Session Preview VII. Activity Update VIII. Public Comments IX. Agenda Planning Calendar • X. Next Scheduled Meeting: February 19, 2015 JEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, December 18, 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,Public Health Manager Sally Aerts, Citizen at large 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 Jill Buhler,Hospital Commissioner,District#2 Chair Sullivan called the December 18, 2014 meeting of the Jefferson County Board of Health to order at 2:34 p.m. A quorum was present. Members Present: David Sullivan, Jill Buhler, Sheila Westerman, Phil Johnson, John Austin, Kris Nelson, Sally Aerts Staff Present: Thomas Locke, Jean Baldwin, Jared Keefer, Julia Danskin, Veronica Shaw • APPROVAL OF AGENDA Chair Sullivan called for review and approval of the agenda for the 12/18/2014 meeting. Chair Sullivan added "Public Smoking Enforcement" as number 7 in new business. Member Austin added "State Board of Health Update" as number 8 in new business. Member Nelson moved to approve the amended agenda; the motion was seconded by Member Austin. The motion passed unanimously. APPROVAL OF MINUTES Chair Sullivan called for review and approval of the minutes of the 10/16/2014 meeting of the Board of Health. Member Nelson moved to approve the minutes; the motion was seconded by Member Austin. No further discussion. The motion passed unanimously. PUBLIC COMMENT • Kathleen Kler, County Commissioner District 3 Elect, announced she will be in attendance next month as a member of the Board. • OLD BUSINESS AND INFORMATIONAL ITEMS 1. Letter to Community Pharmacists re: Naloxone Dispensing Dr. Thomas Locke, Health Officer, Jefferson County Public Health, provided the Board with a copy of the letter that was mailed to Jefferson County pharmacists asking for their participation in dispensing Naloxone either by prescription or by standing order from Dr. Locke. Dr. Locke is gathering information about the cost of the naloxone. Dr. Locke is also looking into whether it is feasible for JCPH to dispense it to users of the syringe exchange program. Dr. Locke is willing to provide legal access and training to any public safety officers that would like to carry it naloxone for emergency treatment of opiate overdoses. 2. Girls' Night Out Thank You Note Julia Danskin, Public Health Manager, JCPH, shared the thank you letter that was sent to the Friends of the Port Townsend Main Street Program. JCPH received a donation of $3,120.50. 3. School Based Health Center Promotion Jean Baldwin, Director, JCPH, informed the Board that JCPH is currently advertising its School Based Health Center in the Port Townsend Leader, Peninsula Daily News, and through school newsletters and handouts. • 4. Commissioner Austin Farewell Party Monday, December 22 at 1:30 p.m. at the Commissioner's Chambers in the courthouse. 5. Governing Magazine Article: Census Report on Poverty Ms. Baldwin provided this report for the Board for their information. The report estimates an additional 2.9 million Americans would be counted as poor if the federal government took a comprehensive snapshot of people's income and expenses. NEW BUSINESS 1. Preliminary Briefing on Environmental Health Fee Revisions Jared Keefer, Director of Environmental Health and Water Quality, provided the Board with the On-Site Sewage Fees and Activity Review. The Board last reviewed this in 2009. At that time, 8 fees were amended. Mr. Keefer informed that Board that data from a new review will be presented over the next two meetings with recommendations for action following at the subsequent meeting. Mr. Keefer provided the Board with the following information: • Staff tracked daily time associated with individual activities on Building cases from 8/7/14 to 9/8/14. This resulted in 86 Building cases being analyzed. • Staff tracked daily time associated with individual activities on septic cases from • 8/6/14 to 9/22/14. This resulted in 255 septic cases being analyzed. • Staff randomly selected and tracked activities by septic case for the "life" of the case from receipt to final sign-off from 9/2011 to 9/2014. 38 septic systems were tracked. • A total of 496 specific work activities were analyzed. • Mean time spent per case activity was approximately 58 minutes, with a range of 5 — 1190 minutes. • Mean time spent per permit was approximately 546 minutes, with a range of 85 — 1,730 minutes. • Outlier is the repair on the Duckabush, which is still not complete, at 28.83 hours. Additionally, Mr. Keefer reported to the Board that support staff handle each septic case approximately 3 times, and handle building cases at least twice. This adds approximately 20+minutes of additional staff time. Previous analysis showed approximately 69% of Build Permit Wastewater Reviews need to be re-reviewed, which adds to workload and staff time. This disparity of time spent vs. revenue will be reflected in the recommendations brought to the Board. Mr. Keefer informed the Board of some solutions to the aforementioned issues include auto-populating forms for increased completion percentages, applying Lean practices to reduce staff touch-time on cases, and electronic recordkeeping. Recommendations for fees or subsidies will be brought to the Board in the upcoming meetings. Member Westerman strongly objects to subsidies to individuals, and recommends that • permits should pay for themselves. Member Sullivan pointed out the other bookend is enforcement and trying to find a balance. Members Nelson and Buhler recommend looking at the program as a whole to see how it can pay for itself, rather than looking at just repairs. Member Austin sees the social good of having subsidizing, and does not want to charge people the full fee right away. Member Westerman recommends policy that sets income standards. Mr. Keefer will bring to the Board in the upcoming meeting activity detail, time frames, and approximate costs, and subsequent to that will bring recommendations to the Board. 2. Findings of the State Board of Health Re: Complaint Against Jefferson County Public Health Dr. Locke provided the Board with a letter sent to him from the Washington State Board of Health that found Jefferson County Public Health appropriately enforced the rules and regulations concerning decontamination of illegal drug manufacturing or storage sites. The Board has determined that no further action is warranted on the complaint. A review of the findings can be found at http://sboh.wa.gov/Portals/7/Doc/Meetings/2014/11-12/WSBOH-11-12-14-Tab09b.pdf 3. The New Blue H: Findings of the 2014 Rural Health Workgroup Dr. Locke provided the Board with the report detailing the findings of the 2014 Rural • Health Workgroup. The report looks at the many challenges confronting the rural health system and proposes solutions. Dr. Locke also informed the Board that the federal innovation grant that the State applied for has been approved and will be funded. Dr. Locke explained that the current healthcare system is a cost-plus system, which is not sustainable, and this report advocates for doing pilot programs using global budgets. The report also highlights the issues of work force recruitment, retention, and training. 4. Community Health Improvement Plan and Olympic Community of Health Update Ms. Baldwin invited the Board to attend the upcoming policymakers' group discussion on the Health and Wellness of Jefferson County on January 8, 2015 from 9:00— 11:00 a.m. at the Maritime Center. This meeting will review this year's work on assessing Jefferson County's health needs and identifying priority problems to address.. This is the next step in developing a community health improvement plan and involves city, county, legislators, BOCC, BOH, School Boards, Substance Abuse Board, Police departments, Jail, and others in reviewing priorities and developing action plans to address them.. Earll Murman will facilitate. Dr. Locke and Tom Glenn, CEO, Jefferson Healthcare, are on the agenda. This meeting will wrap up the Community Health Improvement Plan, establish priorities, and convince stakeholders to participate in this larger, more ambitious project. Ms. Baldwin also informed the Board that she and Dr. Locke are working as grant writers on the Olympic Community Health Grant. They are submitting the design grant to the • Healthcare Authority. Additionally, Ms. Baldwin informed the Board that we were awarded the Healthy Communities Grant, which involves weight reduction, diabetes, and hypertension reduction. It is a$25,000 grant. 5. 2014-15 Influenza Season Update Dr. Locke informed the Board that the most recent flu activity measured the end of the first week in December showed that numbers were just starting to increase. Almost all of the flu is H3N2, which tends to have higher hospitalization and mortality rates because it causes more severe disease. One strain of the H3N2 flu has mutated enough that it may not be covered by the current vaccine. It is still recommended that people get a flu shot, cover their cough, wash their hands, and stay home if they are sick. People over age 65 can get a high potency vaccine to have increased effect from the vaccine. 6. Ebola Preparedness Update Dr. Locke informed the Board that the state preparedness activities are winding down as the exaggerated media concern wanes. Control efforts have been ramped up in West Africa, and target goals have been met in Liberia and Guinea. There are no additional hospital acquired cases in the U.S., and no additional healthcare workers who have come back to the U.S. and developed symptoms since the New York case. As of one week ago, 15 people in Washington State were under active monitoring following their recent return from Ebola outbreak zone. This number will continue to fluctuate are healthcare workers • return from West Africa to the United States. 7. Public Smoking Enforcement Chair Sullivan informed the Board that the issue of public smoking at a bus stop came up at a recent transit meeting. Ms. Baldwin informed the Board that the Smoking in Public Places law prohibits smoking within 25 feet of entrances, exits, windows that open, and ventilation intakes that serve enclosed areas where smoking is prohibited. She explained that this is a common issue for a county Board of Health to discuss, and is a legitimate health concern. Ms. Baldwin will provide the Board with more information for discussion at an upcoming meeting. 8. State Board of Health Update Member Austin informed the Board that a full time staff member, Sierra Rotakhina, will do a Health Impact Review on any upcoming legislation. The request must come from a legislator and be sent directly to the State Board of Health or Ms. Rotakhina. Member Austin also informed the Board that as of December 1, Keith Grellner is the new Chair of the State Board of Health. They are still deciding on a vice chair, and there are two openings: one for a County Commissioner equivalent, and one for a consumer representative residing east of the Cascades, and preferably someone who can represent a minority population. ACTIVITY UPDATE Community Health Improvement Plan Meeting January 8, 2015, 9:00— 11:00 a.m. Northwest Maritime Center, Port Townsend PUBLIC COMMENT No Public Comment. AGENDA PLANNING CALENDAR In 2015 the Board will have a new Chair, and the City and Hospital will recommend members to be appointed to the BOH by the Board of County Commissioners. NEXT SCHEDULED MEETING The next Board of Health meeting will be held on Thursday, January 15, 2015 from 2:30—4:30 p.m. at Jefferson County Public Health, 615 Sheridan Street, Port Townsend, WA ADJOURNMENT Chair Sullivan adjourned the December 18, 2014 Jefferson County Board of Health • meeting at 4:26 p.m. JEFFER/( CO NTY BOARD OF HEALTH / di1/46/elit' Phil Johnson, Member J. 1 Buhler, Member 04 Sally Ae s, Member David Sullivan, air Kris Nelson, Member John Austin, Member ki 1/(— ab) Sheila Westerman, Vice Chair • Respectfully Submitted: Natalie Crump JEFFERSON COUNTY BOARD OF HEALTH • MINUTES Thursday, December 18, 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,Public Health Manager Sally Aerts, Citizen at large 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 Jill Buhler,Hospital Commissioner,District#2 Chair Sullivan called the December 18, 2014 meeting of the Jefferson County Board of Health to order at 2:34 p.m. A quorum was present. Members Present: David Sullivan, Jill Buhler, Sheila Westerman, Phil Johnson, John Austin, Kris Nelson, Sally Aerts Staff Present: Thomas Locke, Jean Baldwin, Jared Keefer, Julia Danskin, Veronica Shaw • APPROVAL OF AGENDA Chair Sullivan called for review and approval of the agenda for the 12/18/2014 meeting. Chair Sullivan added "Public Smoking Enforcement" as number 7 in new business. Member Austin added "State Board of Health Update" as number 8 in new business. Member Nelson moved to approve the amended agenda; the motion was seconded by Member Austin. The motion passed unanimously. APPROVAL OF MINUTES Chair Sullivan called for review and approval of the minutes of the 10/16/2014 meeting of the Board of Health. Member Nelson moved to approve the minutes; the motion was seconded by Member Austin. No further discussion. The motion passed unanimously. PUBLIC COMMENT Kathleen Kler, County Commissioner District 3 Elect, announced she will be in attendance next month as a member of the Board. I • OLD BUSINESS AND INFORMATIONAL ITEMS 1. Letter to Community Pharmacists re: Naloxone Dispensing Dr. Thomas Locke, Health Officer, Jefferson County Public Health, provided the Board with a copy of the letter that was mailed to Jefferson County pharmacists asking for their participation in dispensing Naloxone either by prescription or by standing order from Dr. Locke. Dr. Locke is gathering information about the cost of the naloxone. Dr. Locke is also looking into whether it is feasible for JCPH to dispense it to users of the syringe exchange program. Dr. Locke is willing to provide legal access and training to any public safety officers that would like to carry it naloxone for emergency treatment of opiate overdoses. 2. Girls' Night Out Thank You Note Julia Danskin, Public Health Manager, JCPH, shared the thank you letter that was sent to the Friends of the Port Townsend Main Street Program. JCPH received a donation of $3,120.50. 3. School Based Health Center Promotion Jean Baldwin, Director, JCPH, informed the Board that JCPH is currently advertising its School Based Health Center in the Port Townsend Leader, Peninsula Daily News, and through school newsletters and handouts. • 4. Commissioner Austin Farewell Party Monday, December 22 at 1:30 p.m. at the Commissioner's Chambers in the courthouse. 5. Governing Magazine Article: Census Report on Poverty Ms. Baldwin provided this report for the Board for their information. The report estimates an additional 2.9 million Americans would be counted as poor if the federal government took a comprehensive snapshot of people's income and expenses. NEW BUSINESS 1. Preliminary Briefing on Environmental Health Fee Revisions Jared Keefer, Director of Environmental Health and Water Quality,provided the Board with the On-Site Sewage Fees and Activity Review. The Board last reviewed this in 2009. At that time, 8 fees were amended. Mr. Keefer informed that Board that data from a new review will be presented over the next two meetings with recommendations for action following at the subsequent meeting. Mr. Keefer provided the Board with the following information: • Staff tracked daily time associated with individual activities on Building cases from 8/7/14 to 9/8/14. This resulted in 86 Building cases being analyzed. • Staff tracked daily time associated with individual activities on septic cases from 41110 8/6/14 to 9/22/14. This resulted in 255 septic cases being analyzed. • Staff randomly selected and tracked activities by septic case for the "life"of the • case from receipt to final sign-off from 9/2011 to 9/2014. 38 septic systems were tracked. • A total of 496 specific work activities were analyzed. • Mean time spent per case activity was approximately 58 minutes, with a range of 5 — 1190 minutes. • Mean time spent per permit was approximately 546 minutes, with a range of 85 — 1,730 minutes. • Outlier is the repair on the Duckabush, which is still not complete, at 28.83 hours. Additionally, Mr. Keefer reported to the Board that support staff handle each septic case approximately 3 times, and handle building cases at least twice. This adds approximately 20+minutes of additional staff time. Previous analysis showed approximately 69% of Build Permit Wastewater Reviews need to be re-reviewed, which adds to workload and staff time. This disparity of time spent vs. revenue will be reflected in the recommendations brought to the Board. Mr. Keefer informed the Board of some solutions to the aforementioned issues include auto-populating forms for increased completion percentages, applying Lean practices to reduce staff touch-time on cases, and electronic recordkeeping. Recommendations for fees or subsidies will be brought to the Board in the upcoming meetings. Member Westerman strongly objects to subsidies to individuals, and recommends that 411 permits should pay for themselves. Member Sullivan pointed out the other bookend is enforcement and trying to find a balance. Members Nelson and Buhler recommend looking at the program as a whole to see how it can pay for itself, rather than looking at just repairs. Member Austin sees the social good of having subsidizing, and does not want to charge people the full fee right away. Member Westerman recommends policy that sets income standards. Mr. Keefer will bring to the Board in the upcoming meeting activity detail, time frames, and approximate costs, and subsequent to that will bring recommendations to the Board. 2. Findings of the State Board of Health Re: Complaint Against Jefferson County Public Health Dr. Locke provided the Board with a letter sent to him from the Washington State Board of Health that found Jefferson County Public Health appropriately enforced the rules and regulations concerning decontamination of illegal drug manufacturing or storage sites. The Board has determined that no further action is warranted on the complaint. A review of the findings can be found at http://sboh.wa.gov/Portals/7/Doc/Meetings/2014/11-12/WSBOH-11-12-14-Tab09b.pdf 11110 3. The New Blue H: Findings of the 2014 Rural Health Workgroup Dr. Locke provided the Board with the report detailing the findings of the 2014 Rural • Health Workgroup. The report looks at the many challenges confronting the rural health system and proposes solutions. Dr. Locke also informed the Board that the federal innovation grant that the State applied for has been approved and will be funded. Dr. Locke explained that the current healthcare system is a cost-plus system, which is not sustainable, and this report advocates for doing pilot programs using global budgets. The report also highlights the issues of work force recruitment, retention, and training. 4. Community Health Improvement Plan and Olympic Community of Health Update Ms. Baldwin invited the Board to attend the upcoming policymakers' group discussion on the Health and Wellness of Jefferson County on January 8, 2015 from 9:00— 11:00 a.m. at the Maritime Center. This meeting will review this year's work on assessing Jefferson County's health needs and identifying priority problems to address.. This is the next step in developing a community health improvement plan and involves city, county, legislators, BOCC, BOH, School Boards, Substance Abuse Board, Police departments, Jail, and others in reviewing priorities and developing action plans to address them.. Earll Murman will facilitate. Dr. Locke and Tom Glenn, CEO, Jefferson Healthcare, are on the agenda. This meeting will wrap up the Community Health Improvement Plan, establish priorities, and convince stakeholders to participate in this larger, more ambitious project. Ms. Baldwin also informed the Board that she and Dr. Locke are working as grant writers on the Olympic Community Health Grant. They are submitting the design grant to the • Healthcare Authority. Additionally, Ms. Baldwin informed the Board that we were awarded the Healthy Communities Grant, which involves weight reduction, diabetes, and hypertension reduction. It is a$25,000 grant. 5. 2014-15 Influenza Season Update Dr. Locke informed the Board that the most recent flu activity measured the end of the first week in December showed that numbers were just starting to increase. Almost all of the flu is H3N2, which tends to have higher hospitalization and mortality rates because it causes more severe disease. One strain of the H3N2 flu has mutated enough that it may not be covered by the current vaccine. It is still recommended that people get a flu shot, cover their cough, wash their hands, and stay home if they are sick. People over age 65 can get a high potency vaccine to have increased effect from the vaccine. 6. Ebola Preparedness Update Dr. Locke informed the Board that the state preparedness activities are winding down as the exaggerated media concern wanes. Control efforts have been ramped up in West Africa, and target goals have been met in Liberia and Guinea. There are no additional hospital acquired cases in the U.S., and no additional healthcare workers who have come back to the U.S. and developed symptoms since the New York case. As of one week ago, 15 people in Washington State were under active monitoring following their recent return I from Ebola outbreak zone. This number will continue to fluctuate are healthcare workers • return from West Africa to the United States. 7. Public Smoking Enforcement Chair Sullivan informed the Board that the issue of public smoking at a bus stop came up at a recent transit meeting. Ms. Baldwin informed the Board that the Smoking in Public Places law prohibits smoking within 25 feet of entrances, exits, windows that open, and ventilation intakes that serve enclosed areas where smoking is prohibited. She explained that this is a common issue for a county Board of Health to discuss, and is a legitimate health concern. Ms. Baldwin will provide the Board with more information for discussion at an upcoming meeting. 8. State Board of Health Update Member Austin informed the Board that a full time staff member, Sierra Rotakhina, will do a Health Impact Review on any upcoming legislation. The request must come from a legislator and be sent directly to the State Board of Health or Ms. Rotakhina. Member Austin also informed the Board that as of December 1, Keith Grellner is the new Chair of the State Board of Health. They are still deciding on a vice chair, and there are two openings: one for a County Commissioner equivalent, and one for a consumer representative residing east of the Cascades, and preferably someone who can represent a minority population. ACTIVITY UPDATE • Community Health Improvement Plan Meeting January 8, 2015, 9:00— 11:00 a.m. Northwest Maritime Center, Port Townsend PUBLIC COMMENT No Public Comment. AGENDA PLANNING CALENDAR In 2015 the Board will have a new Chair, and the City and Hospital will recommend members to be appointed to the BOH by the Board of County Commissioners. NEXT SCHEDULED MEETING The next Board of Health meeting will be held on Thursday, January 15, 2015 from 2:30—4:30 p.m. at Jefferson County Public Health, 615 Sheridan Street, Port Townsend, WA ADJOURNMENT Chair Sullivan adjourned the December 18, 2014 Jefferson County Board of Health . meeting at 4:26 p.m. JEFFERSON COUNTY BOARD OF HEALTH Phil Johnson, Member Jill Buhler, Member Sally Aerts, Member David Sullivan, Chair Kris Nelson, Member John Austin, Member Sheila Westerman, Vice Chair Respectfully Submitted: Natalie Crump Board of Health V Old Business Item 1 Community Health Improvement Meeting and Plan II January15, 2015 Jefferson County Data Review and Health Priorities Process, 2014 BACKGROUND: From February-April 2014, a group of community data users led by Jefferson Health Care and Jefferson Public Health reviewed the results of a community health assessment.The assessment included current data and trends for demographics, socioeconomics,community safety,quality of life, health care access, pregnancy and births, and behaviors, illness, injury, hospitalizations and deaths. In May, the group reviewed and compiled a list of top issues. In June, the group formalized those top issues into final priorities. These data are available at: http://www.jeffersoncountypublichealth.org. NEXT STEPS to Improve the Health of Jefferson County:Specific goals and action steps to address the priorities are under development.A cycle of systematic and ongoing monitoring of action steps, progress toward goal and assessment of health status should be established to ensure accountability to the process and to the intended outcomes. TOTAL June 13, 2014: FINAL PRIORITIES VOTES Goal:Create stable mental health treatment structure in Jefferson County Action:Work with Accountable Community of Health to integrate mental health,chemical dependency and medical services for all Medicaid recipients within Jefferson County and the region. Action:Stabilize local mental health service structure. Goal: Reduce tobacco use in pregnant women and youth • Action: Identify tobacco prevention strategies. Goal: Ensure adequate access to mental health,substance use and tobacco treatment. Action: Evaluate access to treatment and structural community prevention. Goal: Prevent chronic disease through healthy living,diet and exercise across the lifespan Goal: Increase access to needed preventative care with special focus on dental, prenatal and seniors 4. Immunizations 7 Goal: Improve immunization rates Underlying these top issues are the ongoing root causes that impact health. Root causes are education,economic and housing and must be addressed by the community as a whole. • Aug2014,rev.Nov2014:Prepared by Sid Kushner,Epidemiologist,Kitsap Public Health District v Jefferson County Data Review and Health Priorities Process, 2014 May 18,2014:TOP ISSUE SELECTION BY VOTING CROSS-WALK TO III CATEGORY ISSUE VOTES FINAL GOAL# Morbidity Mental hea_lth_inadequacy for both adult and youth 1 Chronic Disease wx�_ 2 Preventable ,, Immunization Rates 4 Behaviors s` Healthy Eating/ Exercise 2 Active Living Healthy foods available 2 Clinical Care Dental Care 3 -_ — Prenatal Care 3 Substance Abuse Drug,alcohol,tobacco abuse 1 Care Substance abuse care 1 Su abuse Education and Employment Poor academic performance root cause Who&Where Needs of older population/fall prevention 3 Social Outcomes A.C.E 1 Bullying/adolescence 1 Economic Disparity _ 2 root cause Income Poverty Lack of affordable housing 0 root cause Housing children living in poverty 0 root cause of Medicaid births 0 root cause Mortality (no subjects listed) III IP Aug2014,rev.Nov2014:Prepared by Sin Kushner,Epidemiologist,Kitsap Public Health District a A}inba yfleaH a x lc,, i x x "- +, saoinaas}uaualeaa� ; E ann.eluanaad x x x u • 11 '8 lepiuil�Alilent� �d ssaullam Qleuollowa pue!epos x x o do-mopoi. a Cpue leaaa}aa'Suivaans x x aG ;uilea Ain'eaH x x 00 iv a sluawuoainua 6r Q Nes pue anipv x cc = hN uoRuanaad asnge a3ue;sgns rs oapegol x 4ljeaq v anIpnpoadaa Is,lenxas 1 ); x slJe1s hilleaHx x 0 > 41 111v co m c E o Q c N v X x N V) E a) X *+7, C r a o d N o w a� :.,,2`. 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U w a X 7 •� wt+ m a, NI 3 (.7 l7 L77 = Oro Col .) l07 C 3 O o co Baa: d u N cCi 00 Jefferson County Data Review and Health Priorities Process, 2014 The table below shows the alignment of Clallam,Jefferson and Kitsap community health priorities. CLALLAM JEFFERSON KITSAP Access to Care; Medical Home • • • Adverse Childhood Experiences • Affordable Housing * • Chronic Disease Prevention/ Mgmt.; • • • Nutrition/Exercise; Prevent/Reduce Obesity Early Learning/Parenting Immunizations • Mental Health • • • Oral Health • Substance Abuse *Identified within core community health issues but not selected for health improvement process priorities. Priorities established: Clallam: October 2013 Jefferson: June 2014 • Kitsap: November 2011 and September 2014 • 2014 COUNTY HEALTH PRIORITIES BACKGROUND:In Spring 2014, a group of community data users led by Jefferson Health Care and Jefferson Public Health reviewed e findings from a community health assessment to develop a list of top issues and final priorities. PRIORITY: FACTS ACCESS TCARE JEFFERSON COUNTY NAS FEDERALLY DESIGNATED OVERVIEW: HEALTH PROFESSIONAL Access to care includes affordability, availability, accessibility, and acceptability. SHORTAGE AREAS FOR Preventive care includes an array of services intended to reduce the risk of dis- ease. These include dental cleanings, screening tests, counseling, immunizations PRIMARY&DENTAL CARE' or medications to prevent disease, detect health problems early, or provide infor- mation to support good health-related decision making. Preventive services also 14% OF ADULTS DO NOT GET include interventions and information to reduce the risk of injuries. NEEDED MEDICAL CARE DUE TO POTENTIAL ACTION AREA IDEAS: COST;30%FOR LOW-INCOME' The following are ideas only;community work groups will determine actions,goals and measures. 18% OF ADULTS REPORT BEING DENTAL: ADULTS REPORTING DENTAL CLEANING IN PAST YEAR Source:BRFSS ADEQUATELY INSURED;53% Jefferson County has fewer dental providers t00% —Jefferson County Washington State 909 FOR LOW-INCOME' than deemed necessary for a population of its 00%- size.Over time,fewer Jefferson adults have 70% - 689z% 60� 66 53% OF ADULTS REPORT Wen getting annual dental cleanings. 6 i 2001 2004 2008 2010 HAVING DENTAL INSURANCE; PRENATAL: 1ST TRIMESTER PRENATAL CARE 62% REPORT A DENTAL Source:Birth Certificate Database CLEANING IN THE PAST YEAR' Fewer Jefferson pregnant women start prenatal 1°'] -Jefferson County Washington State care during the first trimester compared to pre- r :.1 -� "`� vious years and the rates are much lower for o 20 .----""-- **.............. _8„' 60% OF LOW-INCOME at tenHraa.am:t,r tsrairoearea:ma,mr.Jan-se. pregnant women on Medicaid.JHC,WIC,and `° PREGNANT WOMEN START sus DSHS will assess barriers to early access. 1992-94 1995-97 1998-00 2001.03 2004-06 2007-09 2010-12 PRENATAL CARE IN THE 1ST SENIORS: JEFFERSON COUNTY ADULT AGE 6S+PREVENTIVE CARE TRIMESTER;80% OF HIGHER Source:BRFSS INCOME PREGNANT WOMEN' Community will work to establish best practice L ,t programs for chronic disease and injury preven- tion among seniors. Further assessment is need- . eed ILL 59% OF ADULTS AGE 65+ ed to understand specific needs of seniors. past year regular past year past year flu ever had GOT A FLU SNOT IN THE PAST dental check- healthcare medical check- shot pnuernonia up provider up shot YEAR;71% REPORT EVER YOUNGER ADULTS: JEFFERSON COUNTY ADULT AGE 18-64 PREVENTIVE GETTING A PNEUMONIA SNOT' CARE Source:BRFSS Health care affordability and accessibility are in transition under the Affordable Care Act; JCPH 2 4 58% OF ADULTS REPORT A r m and JHC continue to enroll uninsured; many ® PAST YEAR ROUTINE MEDICAL •ounger adults have historically low rates of —`h CHECK-UP;43%WITH HIGH past year dental regular healthcare past year medical past year flu shot preventive health,dental access,and insurance. heck-pp provider check-up SCHOOL EDUCATION OR LESS' 2014 DATA REVIEW AND PRIORITIES PROCESS FACILITATED BY JEFFERSON HEALTH CARE AND JEFFERSON COUNTY PUBLIC HEALTH Analysis and fact sheet produced by:Siri Kushner,Kitsap Public Health District Sources:1.http://hpsafind.hrsa.gov/HPSASearch.aspx.2.Behavioral Risk Factor Surveillance System.3.WA State Dept.of Social and Health Services,Characteristics of Women Who Gave Birth.4.Death Certificate Database. p • i 2014 JEFFERSON COUNTY HEALTH PRIORITIES BACKGROUND:In Spring 2014, a group of community data users led by Jefferson Health Care and Jefferson Public Health reviewed ee findings from a community health assessment to develop a list of top issues and final priorities. PRIORITY: FACTS IMIZATISMUNONOUT OF 39 WA STATE COUNTIES, JEFFERSON RANK FOR%OF OVERVIEW: KINDERGARTENERS WITH Immunizations are considered one of the 10 great public health achievements of IMMUNIZATIONS.' the 20th century. In the early 1900's infectious diseases were common causes of COMPLETE:30TH morbidity and mortality. Vaccine schedules recommend vaccinations for infants, INCOMPLETE:24TH children, adolescents, adults and travelers. To prevent disease now and in the EXEMPTION:38TH future,vaccination must continue. The more people who are vaccinated, the low- (Exemption:student excused from er the risk of exposure to vaccine-preventable diseases. Vaccines are developed one or more vaccinations due to in accordance with the highest standards of safety and continually monitored for medical, personal or religious beliefs) safety and efficacy. As with any medical procedure, vaccination has some risks as well as substantial, proven benefits. 48% OF JEFFERSON ACTION AREA IDEAS: KINDERGARTENERS START SCHOOL WITH COMPLETE The following are ideas only;community work groups will determine actions,goals and measures. IMMUNIZATIONS;86%IN •1IOVIDERS/SCHOO[S: WASHINGTON STATE' • Consistent messaging about benefits,costs,and access by MD's, RN's,midwives, Public Health nurses 12% OF JEFFERSON • Consistent messaging among schools and districts;include information about the KINDERGARTENERS START new state law as part of school orientation SCHOOL EXEMPT FROM • Ensure all vaccines are available at all local clinics • Identify access points for target populations(new babies,school-age children,ado- IMMUNIZATIONS;5%N IN lescents, pregnant women,travelers) WASHINGTON STATE' COMMUNITY: 22% OF JEFFERSON 6TH • Publicize local immunization rates GRADERS HAVE COMPLETE • Reach out to community organizations and networks to help disseminate information IMMUNIZATIONS;82% IN • Utilize the web and social media to disseminate information WASHINGTON STATE' • Research successes from other communities that could work locally 41% OF JEFFERSON ADULTS KINDERGARTEN ININILONATION RATES eV VACCINE, iFX'lI+GRADE NiAtUNIZATION mitt SY VACCINE, 201233 Source:WAStateDept.ofHealth 2012.33 Source:WAState DeOLofH@shh REPORT GETTING A FLU SHOT el Jefferson County WA State *Jefferson County WA state tt' J g I IN THE PAST YEAR;30% O. AMONG LOW-INCOME2 III II mem Pertussis PoSe MMB Hep B oTaP/'td Pertussis Polio MMB Hep B 2014 DATA REVIEW AND PRIORITIES PROCESS FACILITATED BY JEFFERSON NEALTN CARE AND JEFFERSON COUNTY PUBLIC HEALTH Analysis and fact sheet produced by:Sid Kushner,Kitsap Public Health District Sources:1.WA State Department of Health 2.Behavioral Risk Factor Surveillance System. p • A 2014 JEFFERSON COUNTY HEALTH PRIORITIES BACKGROUND;In Spring 2014,a group of community data users led by Jefferson Health Care and Jefferson Public Health reviewed •ie findings from a community health assessment to develop a list of top issues and final priorities. FACTS PRIORITY: ACCTO MENTAL H AND JEFFERSON COUNTY IS A FEDERALLY DESIGNATED SU B TANCEABUSE SHORTAGE AREA OVERVIEW: Poor mental health and substance use are critical health problems for Jefferson 1 IN 10 ADULTS REPORT County residents. Youth and adults are equally affected and our systems do not POOR MENTAL HEALTH 14+ currently provide enough care to meet the needs of our residents. Long term OF THE PAST 30 DAYS; poor mental health and substance use are linked to poor physical health and 1 IN 5 ADULTS REPORT premature death. EVER BEING DIAGNOSED ACTION AREA IDEAS: WITH DEPRESSION' The following are ideas only;community work groups will determine actions,goals and measures. 1 IN 3 10TH GRADERS MENTAL HEALTH: REPORT BEING DEPRESSED; 0 ��� 24% REPORT SERIOUSLY workgroup comprised of JHC,lefferson Mental � � sxnr��a swaceier7w�vx�rrrtu earth and JCPH has started working to address Jefferson nSomaf �healthy ly > f2 CONSIDERING SUICIDE IN appropriate access to mental health services toTHE PAST YEAR' reduce inappropriate emergency department ' r 29% use, improve outpatient care, and improve well- 1 IN S RESIDENT DEATHS being for Jefferson residents with mental illness. ` 2912 ` me ' 2 ' wog . 291 ' 2012 ARE RELATED TO ALCOHOL SUBSTANCE USE: OR DRUGS43 IN 4 DRUG At Chimacum schools,a community coalition is atxatGil€xseta6eDRINKING*MST:WEEKS RELATED DEATHS ARE working to reduce student drug and alcohol use. Source Healthy Y° """ ADULTS AGES 45 TO 645 Jefferson County -.Washington State School Based Health Clinics at Chimacum, Port ... "...,.._______,.....................- 49% 25,000 SYRINGES WERE Townsend and Quilcene schools are working - _ _,_ 2x>6 with students to address substance use and EXCHANGED AT THE COUNTY mental health issues. 2002 2 X10808 2022 SYRINGE EXCHANGE TOBACCO USE: PROGRAM IN 20136 Health Care Providers and Public Health nurses womensmoxesouitimPiestwart IN THE PAST MONTH, Some Birth Carttfitott°stabs* e 15% OF 10TH GRADERS are working to address tobacco use throughout �Jeffersontomb/ wasitinetonst pregnancy. OB care and Nurse Family Partner �,,, --.,...., ` 19% SMOKED CIGARETTES,30% ship are working together to offer more support decrease smoking during pregnancy. SMOKED MARIJUANA' 199294 1998-97 1992490 2001 2002.09 t..201.012 2014 DATA REVIEW AND PRIORITIES PROCESS FACILITATED BY JEFFERSON HEALTH CARE AND JEFFERSON COUNTY PUBLIC HEALTH Analyses and fact sheet produced by:Siri Kushner,Kitsap Public Health District Sources:1.http://hpsafind.hrsa.gov/HPSASearch.aspx.2.Behavioral Risk Factor Surveillance System.3.Healthy Youth Survey.4.WA State Dept.of Social and Health Services.5.Death Certificate Database.6.Jefferson County Public Health. DRAFT 2014 JEFFERSON COUNTY HEALTH PRIORITIES BACKGROUND:In Spring 2014,a group of community data users led by Jefferson Health Care and Jefferson Public Health reviewed eie findings from a community health assessment to develop a list of top issues and final priorities. PRIORITY.• FACTS N UTR ITION 5696 OF JEFFERSON&WA El( � ERCI E 8TH GRADERS REPORT AT AND CH LEAST 60 MINUTES OF CAL ACTIVITY DAILY YET ONLY PREVENTION 14% OF JEFFERSON&49% OF WA 8TH GRADERS REPORT OVERVIEW: DAILY PE.CLASS AT SCHOOL' Healthy eating and active living contribute to decreasing the risks of chronic diseases and overweight/obesity. Regular physical activity can improve health 83% OF ADULTS REPORT and quality of life at all ages. Many social and physical factors influence the diet ANY PHYSICAL ACTIVITY IN and exercise choices individuals make: knowledge, skills, social support, policies, THE PAST MONTH;10 N cost, access, safety, etc. AMONG ADULTS WITH HIGH ACTION AREA IDEAS: SCHOOL EDUCATION OR LESS' The following are ideas only;community work groups will determine actions,goals and measures. DEATHS FROM ACCIDENTAL litPTIMIlE SCHOOL NUTRITION: ,t .ffi SoFALLS ARE INCREASING* "tuo WA100%00%of h So ,>♦t Develop diet profile of Jefferson County students "6"'"4' q p/ —food vendors,food sources, nutritional balance. '�'"I 29/Q OF ADULTS'&1 IN 3 Survey successful programs in Washington State YOUTH'REPORT AT LEAST 5 and nationally to optimize school nutrition. Pro- SERVINGS OF FRUITS AND mote community-based programs to expand use """ PontVEGETABLES DAILY of locally grown foods,vegetables,and fruit and to restrict sugar sweetened beverages,salt,high carbohydrate meals,and low nutrition snacks. 4,400 JEFFERSON RESIDENTS EXPERIENCE COMMUNITY INITIATIVES TO PROMOTE PHYSICAL ACTIVITY: FOOD INSECURITY-NOT Inventory school-based programs and community recreational opportunities. Promote HAVING ENOUGH OR NUTRI- "exercise prescriptions"for children and adults. Promote community competitions TIONALLY ADEQUATE FOODS' (fun runs, pedometer competitions). Explore best practices regionally and nationally to increase physical activity across all age groups. FEWER THAN HALF OF ADULTS ARE AT A HEALTHY YOUTH LIFELONG HEALTH INITIATIVE: WEIGHT;3 IN 4 YOUTH' Promote best practice initiatives to give over- athGRA /SWHO7 OR Smote:Healthy Yout#Setvey weight/obese youth access to non-stigmatizing ....Jefferson County Washington5 THE TOP 4 CAUSES OF exercise and nutrition programs. Promote screen- ..+z ` ' "....."--.6..4%................00°.' ' $d% DEATHS AND TOP 3 CAUSES ing of youth at risk for obesity related illnesses •xplore evidence based initiatives and facilities. a OF HOSPITALIZATION5 ARE 2004 2C06 20011 201CHRONIC DISEASES 2014 DATA REVIEW AND PRIORITIES PROCESS FACILITATED BY JEFFERSON HEALTH CARE AND JEFFERSON COUNTY PUBLIC NEALTN Analysis and fact sheet produced by:Siri Kushner,Kitsap Public Health District Sources:1.Healthy Youth Survey. 2.Behavioral Risk Factor Surveillance System. 3.Death Certificate Database.4.Food Lifeline.5.Inpatient Hospitalizations(CHARS). Board of Health V Old Business Item 2 Application for Olympic Accountable Community of Health Planning Grant January15, 2015 Board of Health V Old Business Item 3 24-Hour Phone Answering Service Protocols January15, 2015 Liv's/ 4 7- 615 Sheridan Street r t Port Townsend, WA 98368 lsot`c www.JeffersonCountyPublicHealth.org • Public Health December 1, 2014 To: Jefferson County Emergency Preparedness and Response Partners From:Julia Danskin, Public Health Local Emergency Response Coordinator Re: Public Health Contact Information and New After-Hours Answering Service Reaching Jefferson County Public Health after-hours is now much simpler. Effective December 1, 2014 one number - (360) 385-9400 will get you connected whether you're calling during regular business hours, evenings or weekends. When you call the number above after regular business hours, you will be given an option to press 3 on the phone message. By pressing 3 you will be redirected to the Regional (Kitsap, Jefferson and Clallam) Public Health's Answering service. You will be able to speak to an answering service agent who will connect you with the appropriate Jefferson County Public Health personnel. The Answering Service is replacing the after-hours paging system we had in . the past. Please note that connection to the after-hours answering service is only through the main switchboard number listed above. Other Public Health direct phone lines, including Environmental Health and Water Quality, do not have the option to connect to the answering service. If you are not connected with a Jefferson County Public Health staff member after 15 minutes you can contact the following staff directly: Jared Keefer, Jean Baldwin, ARNP Julia Danskin, RN EH/WQ Director Director Public Health Manager Cellular (509) 883-1705 Cellular (360) 774-1203 Cellular(360) 301-4028 Office (360) 385-9411 Office (360) 385-9408 Home (360) 385-3320 Office (360) 385-9420 For urgent public health medical consultation: Dr.Tom Locke, Health Officer Cellular(360) 808-3333 Home (360) 638-9152 If you have any questions about our new after-hours response system, please call or email Julia Danskin (360) 385-9420, jdanskin@co.jefferson.wa.us. For up to date Public Health information for Health Care providers go to • www.jeffersoncountypublichealth.org and click on the "For Health Care Providers" link. Community Health Environmental Health Developmental Disabilities Water Quality 360-38.5-9400 360-385-9444 360-385-9401 (I) Always working for a safer and healthier community (f) 360-379-4487 � Board of Health VI New Business Item 1 41 Solid Waste Changes in Recycling • January15, 2015 615 Sheridan Street can Port Townsend, WA 98368 www.JeffersonCountyPublicHealth.org • Public Healt January 15, 2015 Holley Carlson, School Board President Port Townsend School District 1610 Blaine Street Port Townsend, WA 98368 Dear Ms. Carlson — The Jefferson County Board of Health wishes to commend the recent Port Townsend School District Board discussion on the creation of a sustainable recycling system for the Port Townsend schools. Your initiative supports our goals for the health of the community by reducing unnecessary waste and the corresponding toxic emissions and greenhouse gases generated by ® transportation. A policy and practice such as this also benefits the community by reducing costs to our citizens and the promoting healthy and sustainable living practices by our youth. Please accept our encouragement for the development of a recycling policy and its subsequent implementation. Let us know if we can be of assistance in the process. Sincerely, Sheila Westerman, Chair Jefferson County Board of Health Cc: Dr. David Engle • Community Health Environmental Health Developmental Disabilities Water Quality 360-385-9400 360-385-9444 360-385-9401 (f) Always working for a safer and healthier community (f) 360-379-4487 . V fliglw �eOrson 615 Sheridan Street IPort Townsend, WA 98368 www.JeffersonCountyPublicHealth.org Public Healt January 15, 2015 Holley Carlson, School Board President Port Townsend School District 1610 Blaine Street Port Townsend, WA 98368 Dear Ms. Carlson — The Jefferson County Board of Health wishes to commend the recent Port Townsend School District Board discussion on the creation of a sustainable recycling system for the Port Townsend schools. Your initiative supports our goals for community health by reducing unnecessary waste and the corresponding toxic emissions and greenhouse gases generated by transportation. A policy and • practice such as this also benefits the community by reducing costs to our citizens and the promoting healthy and sustainable living practices by our youth. Please accept our encouragement for the development of a recycling policy and its subsequent implementation. Sincerely, Xxx, Chair Jefferson County Board of Health Cc: Dr. David Engle • Community Health Environmental Health Developmental Disabilities Water Quality 360-385-9400 360-385-9444 360-385-9401 (f) Always working for a safer and healthier community (f) 360-379-4487 • Board of Health VI New Business Item 2 Second Review: Environmental Health Fee • Revisions � January15, 2015 2014 On-Site Wastewater Activity and Fee Review • Introduction During the last board meeting we discussed the review design and aggregate data points. • Activity on 86 Building cases were analyzed for Environmental Health requirements • Activity on 255 septic cases were analyzed • 38 septic systems were tracked from beginning to end • 496 specific work activities were analyzed Mean time spent per activity (directly Approx. 58 minutes (expenditure in today's attributable to a permit) n = 496 dollars of$82.17) Range of Minutes spent per activity 5—1190 (min -$7.08; max-$1685.83) Mean time spent per permit (includes all permit Approx. 546 minutes (expenditure in today's related activity, even those who do not obtain dollars of$765.85) permit) Range of Minutes spent per permit 85—1,730 min (min -$120.42; max-$2450.83) Outlier: Repair on a Duckabush river property(not yet complete) - 28.83 hours so far- $2,450.55, collected $245.00 *Expenditures are estimated at the current hourly rate-$85.00 • Today's Takeaways Today we will review the specific activity detail. Please keep in mind that these are average minutes and the $ amounts shown are expenditures estimated at the hourly rate of$85.00. Activities Tracked PRE- INTAKE INITIAL DESIGN INSTALL PERMIT SUPPORT CLIENT INTAKE INSPECT REVIEW INSPECT COMPLETION STAFF EDUCATION • Pre-intake time working with and educating clients (designers, contractors, owners, etc.) was found in Alternative Septic Systems and Repairs, contributing an additional 96 minutes on average ($136.00). • Intake time spent was consistent between all septic systems. • The most time spent on average doing initial inspections was in Conventional and Alternative Septic Systems, 126.1 minutes ($178.64) and 107.1 minutes ($151.73) respectively. • Design Reviews for Repairs were approximately 2.5 times longer than Conventional systems, 180.3 minutes ($255.43) and 71.5 minutes ($101.29) respectively. • Permit Completion time spent was consistent between all septic systems. BLD EH reviews were quicker due to quick sign off mechanism and no permit documentation to issue. • The most time spent on average conducting Client Education was for Repairs, 100 minutes • ($141.67) 2014 On-Site Wastewater Activity and Fee Review • Building Permit EH Reviews • For Building Permit EH Reviews, Client Education (contractors, owners, etc.) was the activity where the most time on average was spent, 43.3 minutes ($61.34). • Client Education consumed 33%of the total time spent for BLD Reviews. • No field inspection component • Total activity time spent per BLD Review was 130.2 minutes ($184.40). Septic Systems • For Conventional Septic Systems, the activity that consumed the most time on average was the Initial Inspection, 126.1 minutes ($178.64). • Initial Inspections consumed 32%of the total time spent for Conventional Septic Systems. • Total activity time spent per Conventional Septic System was 398.9 minutes ($565.12). • 74% of the cases were for Alternative Septic Systems • For Alternative Septic Systems, the activity that consumed the most time on average was Design Review, 114.3 minutes ($161.93). • Design Review consumed 19%of the total time spent for Alternative Septic Systems. • Total inspection time (Initial + Installation) for Alternative systems consumed 37%of the total time, 218.5 ($309.54). • Total activity time spent per Alternative Septic System was 587.68 minutes ($832.54). • 33% of total time was spent on Repairs. • For Septic System Repairs, the activity that consumed the most time on average was the Design Review, 180.3 minutes ($255.43) • Design Review consumed 27%of the total time spent for Septic System Repairs. • Total client outreach and education time (Pre-intake +Client Education)for Repairs consumed approximately 29%of the total time, 195 minutes ($276.25). • Total activity time spent per Septic System Repair was 677.32 minutes($959.54). • Septic system expansions activities did not significantly differ from the time spent per activity on Conventional or Alternative Systems. • Cases associated with complaint resolution were generally more time-consuming • 410 Board of Health VI New Business Item 3 2014-2015 Influenza Season Update r January15, 2015 • Board of Health VI New Business Item 4 2015 Legislative Session Preview • January15, 2015 • Media Report Jefferson County Public Health December 2014/January 2015 NEWS ARTICLES 1. "Brinnon resort seen as boon for economy," Port Townsend Leader, December 9th, 2014. 2. "Hospital commission endorses single-payer concept," Port Townsend Leader, December 9th, 2014. 3. "Crowds at Navy scoping meeting," Port Townsend Leader, December 9th, 2014. 4. "Hearing set on mil's air-quality permit," Port Townsend Leader, December 9th, 2014. 5. "BOCC extends comment period on animal rules," Port Townsend Leader, December 10th, 2014. 6. "Health advisory issued following flooding," Port Townsend Leader, December 11tH 2014. 7. "Survey: More than 40 percent of those who smoked pot in last year drove within two hours," Peninsula Daily News, December 12th, 2014. 8. "Overcoming addiction: Former heroin users tell tales of recovery," Peninsula Daily News, December 15th, 2014. 9. "North Olympic Peninsula needle exchange programs see increase in use," Peninsula Daily News, December 15th, 2014. 10. "Jamestown S'Klallam taking a look at pot's profitability," Peninsula Daily News, • December 15th, 2014. 11. "'Not going away': North Olympic Peninsula wrestles with increasing heroin use," Peninsula Daily News, December 15th, 2014. 12. "Hood canal watershed project sets baseline," Port Townsend Leader, December 17th, 2014. 13. "Port Townsend ice cream maker destroys product following regional recall," Peninsula Daily News, December 24th, 2014. 14. "Port Townsend ice cream maker pulls product after supplier's listeria recall," Peninsula Daily News, December 25th, 2014. 15. "Elevated expects to have fresh ice cream Saturday after Snoqualmie Ice Cream pulls its dairy products," Port Townsend Leader, December 26th, 2014. 16. "Elevated Ice Cream Co. removes products, makes fresh batches after supplier reports listeria outbreak," Port Townsend Leader, December 31St, 2014. 17. "Influenza has arrived for season on Olympic Peninsula amid concerns over vaccine's effectiveness," Peninsula Daily News, December 29th, 2014. 18. "7 flu deaths reported by state authorities but none on North Olympic Peninsula," Peninsula Daily News, January 2nd, 2015. 19. "Former luxury hotel in Port Hadlock to become low-income housing," Peninsula Daily News, January 4th, 2015. 20. "Historic Glendale Farm barn burns along with several vehicles near Chimacum," Peninsula Daily News, January 4th, 2015. • 21. "Owner of large barn, farm equipment destroyed by fire waiting for the shock to wear , off", Peninsula Daily News, January 5th, 2014. 22. "'It shouldn't be a burden . . . to use water' — Dungeness water rule opponents file lawsuit in Thurston County," Peninsula Daily News, January 5th, 2014. 23. "Barn fire hit with 40,000 gallons of water," Port Townsend Leader, January 6th, 2015. 24. "HPV vaccines available at Jefferson County Public Health," Port Townsend Leader, January 7th, 2015. 25. "Neighbors not happy about nearby pot business," Port Townsend Leader, January 7th, 2015. 26. "BOCC punts marijuana moratorium decisions," Port Townsend Leader, January 7tn 2015. 27. "Port Townsend City Council to complain about Navy process with Growlers, electronic warfare range," Peninsula Daily News, January 7th, 2015. 28. "Flu cases start mounting on Peninsula, especially at Olympic Medical Center," Peninsula Daily News, January 9th, 2015. • • rw Brinnon resort seen as boon for economy -Port Townsend & Jefferson County Leader: T... Page 1 of 5 • Brinnon resort seen as boon for economy By Nicholas Johnson of the Leader I Posted: Tuesday, December 9, 2014 10:35 pm ionsawasw l- Water usage, traffic and local jobs related to a 4 long-planned resort at Black Point are a few top IN concerns of Brinnon-area residents. But, those residents also recognize the economy of ' their south Jefferson County community is struggling. "I would love to live where I live now and have no changes, no traffic increase," said Don Skanchy of Brinnon. "But this place is dying. It truly is." Brinnon resort seen as boon for Some 45 people attended a Dec. 3 planning economy commission meeting following an informational Project Manager Craig Peck presents some open house at the Brinnon Community Center. finer points of the Brinnon resort project to 4. County planner David Wayne Johnson and project members of the planning commission and manager Craig Peck gave presentations on the draft the public Dec. 3 at the Brinnon supplemental environmental impact statement Community Center. (EIS), which was released Nov. 19, starting a public comment period that last through Jan. 5, 2015. "It's a very detailed report, so everyone should really look at it," said Kevin Coker, planning commission chair. M. Garth Mann, president of the Statesman Group of Calgary, Alberta, Canada, first applied in January 2006 to build the 231-acre resort on Black Point along Hood Canal, nearly 2 miles south of Brinnon. Mann did not attend the Dec. 3 meeting, though his director of construction, Paul Hospelhorn, did. Hospelhorn spent the meeting listening to concerns rather than speaking. WATER CONCERNS In response to questions about water usage, Peck said treated waste water would be used for fire IDprotection and irrigation of the golf course and other areas. http://www.ptleader.com/testing/brinnon-resort-seen-as-boon-for-economy/article_adf9c0... 12/16/2014 Brinnon resort seen as boon for economy - Port Townsend & Jefferson County Leader: T... Page 2 of 5 '`` "We have the right to do it but we don't think we'll have to," Peck said of whether the resort would use water drawn from a well for irrigation. "Even during a short term drought let's say it doesn't • rain all summer - the water coming down out of the Olympics into this aquifer is going to continue to come, so it's not an instantaneous change in the supply of water." One woman asked how the resort would protect neighboring wells from possible saltwater intrusion if the resort uses a lot of water from the aquifer. "Statesman does not have empirical proof that the water exists or whether they are going to effect saltwater intrusion on surrounding wells," said Brinnon resident Rob Mitchell, referring to information in the county's environmental review. "I can tell you that aquifer is a wonderful aquifer," said Scott Bender of Bender Consulting. "We have a monitoring program in place at a number of wells around the resort so we'll have advanced warning if there is any saltwater intrusion." Bender, who was hired by Statesman Group to test wells and analyze water resources on Black Point, said if a neighbor's well suffers saltwater intrusion, it would be on that landowner to show the resort's usage was the cause in order to get reimbursement. But, he doesn't think such intrusion is likely. "The water level in the aquifer, we've monitored it for many years and it doesn't fluctuate that much," he said of the aquifer, which encompasses much of the peninsula. "You essentially have one well pulling out large volumes of water. For an aquifer of this size, that is nothing. It is nothing. This is a regional aquifer that has a ton of recharge. You all have mentioned how much it rains. All that water goes into this ground. This aquifer is a very healthy aquifer and will remain so with the use that's planned." TRAFFIC, TOO Brinnon resident Richard Whitcomb said traffic along Highway 101 would double as the area's population more than doubles with resort residents. "We need to thrive and in order to do this we need to build local assets. This project is an asset. We need this kind of development that's well thought out and has global impacts in terms of infrastructure in order to have a future here." "When the bridge goes out again, which it will, everyone will be on this road," he said. A consultant said the state Department of Transportation is involved in planning for the project and dealing with traffic along the highway. Some residents raised concerns about keeping construction jobs local. Nicole Black of Brinnon said those concerns came up in 2007 and Joe Baisch of Brinnon said the North Hood Canal http://www.ptleader.com/testing/brinnon-resort-seen-as-boon-for-economy/artic le_adf9c0... 12/16/2014 Brinnon resort seen as boon for economy - Port Townsend& Jefferson County Leader: T... Page 3 of 5 Chamber of Commerce has committed to supply Statesman Group with a list of local contractors • from which to give some priority. Black agreed with Baisch, though she cautioned all parties to keep an eye on potential downsides. "I want to move forward in a very careful way," she said. "I hope the planning commission really takes the time to look at all these questions." SUPPORT Brinnon resident Victoria Marshall, retired from a career in resort marketing in Idaho, said she was impressed with the environmental review and supports the project. "Sometimes the greatest degradation to the environment is poverty," she said. "I'm concerned about the do-nothing aspect and leaving this undeveloped and then having piecemeal septics put in and more wells drilled." Brinnon resident Phil Thenstedt said it pains him to meet people who live in Brinnon and commute to Port Townsend, Shelton or further for work. "The county is struggling," he said. "We've got budget cuts and revenue shortfalls. I think it's time we all realize this development is going to bring this revenue - doubling the tax base. This is a key thing for us. I think it's time we brought a little prosperity back to our county." Brinnon resident George Sickel pointed to the impact more residents would have on the area's tax base. "It will double the tax base in Brinnon - more than that, I'm being conservative," he said. "That means more taxes for the schools and for the fire department. They're proposing a medical facility so we don't have to travel to Shelton or Port Townsend or Silver-dale. We need to increase the tax base one way or another." Skanchy said getting to the finished resort may be slow and painful at times, but Port Ludlow's resort is an example of how much better things could get once it's up and running. "I think we're just fooling ourselves," he said. "Nothing will remain the same forever. Progress - if it doesn't come today, it will come tomorrow." BACKGROUND The resort would be the largest residential and commercial development in Jefferson County since the Master Planned Resort in Port Ludlow. It would include amenities such as an 18-hole golf course, tennis courts, swimming pools, a bocce ball court and a Tree-Top Adventure Course including a Zip Line from the Maritime Village to the marina. http://www.ptleader.com/testing/brinnon-resort-seen-as-boon-for-economy/article_adf9c0... 12/16/2014 Brinnon resort seen as boon for economy - Port Townsend& Jefferson County Leader: T... Page 4 of 5 Though the total bill has historically been reported as $300 million, Mann said that figure is in flux and could be lower than originally estimated. The county's environmental review focuses on the Statesman Group's plan to construct a resort on property just south of the 285-slip Pleasant Harbor Marina and lays out three options. The preferred option consists of an 18-hole golf course, 890 residential units and 52,650 square- feet of commercial space. Compared to an earlier option, it preserves 47 acres more of natural area and requires 1.2 million cubic yards less of earthwork to create the golf course. Since 2008, the applicant has revised its plan to satisfy conditions set forth by the county commissioners. Mann said the construction would take place over 10 years and be split into four phases, each lasting some 30 months. Employment would fluctuate during construction, though environmental review estimates the project will employ as many as 1,750 people both directly and indirectly. Once the resort is constructed, it would employ some 225 people, according to the review. PROCESS • Following the current public comment period, county planners will prepare a final environmental review for release by April 2015 with the planning commission holding a public hearing thereafter. The planning commission will then send that review to the county commissioners, with or without revisions. The county commissioners could then accept it as is or hold another public hearing on the final review. The commissioners must, however, hold a public hearing on a required development agreement before signing that contract. Written comments should be sent to Associate Planner David Wayne Johnson at 621 Sheridan St. in Port Townsend or by email at dwjohnson@co.jefferson.wa.us. jefferson.wa.us. The environmental review and all related documents are available for review at bit.ly/1CCkggU. Digital CDs are available for $4 through the county's Department of Community Development and a copy of the environmental review is available for review at the Brinnon Fire Department along Schoolhouse Road. "Nothing will remain the same forever. Progress - if it doesn't come today, it will come S tomorrow." http://www.ptleader.com/testing/brinnon-resort-seen-as-boon-for-economy/article_adf9c0... 12/16/2014 1 Hospital commission endorses single-payer concept - Port Townsend & Jefferson County ... Page 1 of 3 i Hospital commission endorses single—payer concept By Allison Arthur of the Leader I Posted: Tuesday, December 9, 2014 10:35 pm PIO Jefferson Healthcare commissioners voted t ; unanimously Dec. 3 to support a single-payer g � healthcare insurance system of some kind, but declined to endorse the Washington Health Security Trust bill that Commissioner Matt Ready liv, ' wanted. "Well, that was a little bit tough," said board chair Marie Dressier after three votes were taken on the single subject. Hospital commission endorses Ready said after the meeting the vote still is single-payer concept significant because the board may be the first Jefferson County Hospital District 2 public hospital board in the state to endorse a commissioner Matt Ready (right) listens to 10 single-payer system. The Washington State public comments Dec. 3 after the board Hospital Association did not return a call seeking approved an amended motion Ready had comment on that assertion. made supporting a single-payer healthcare 4-1, 3-2 VOTES FIRST payment system. Ready's request to support the Washington Health Security Trust bill Ready's initial resolution to support the failed, but an amended version passed. Washington Health Security Trust bill and a single- payer system overall failed initially 4-1 with only Ready voting for it. Dressier then made a motion to instruct public healthcare district CEO Mike Glenn to put the issue of a single-payer system on the 2015 legislative advocacy agenda and request that state and federal leaders work to identify a single-payer system that would best serve the interests of people in the district. That motion passed 3-2 with Ready and Commissioner Tony DeLeo opposed. DeLeo said he thought elected officials were more likely open to listening to other elected officials. DeLeo then made a third motion, to accept Ready's initial resolution but striking one paragraph that specified that the board supported the trust bill in the 2015 legislative session. That motion passed unanimously. http://www.ptleader.com/testing/hospital-commission-endorses-single-payer-concept/arti... 12/16/2014 Hospital commission endorses single-payer concept - Port Townsend & Jefferson County ... Page 2 of 3 NOT KEEN ON BILL Commissioners had discussed Ready's resolution earlier and all had indicated they were in favor • of a single-payer system but were not so keen on the bill Ready wanted to support. DeLeo said he has been a supporter of a single-payer system for some time, but he questioned whether support for the Washington Health Security Trust bill would limit the options being considered. Commissioner Chuck Russell said he thought the bill was one of the "more poorly written bills I've ever seen." "I don't want to ruin our credibility with our legislators, which we've built over the years, by supporting that single bill," Russell said, adding that when he first started out as a hospital commissioner he would never have thought he would have supported a single-payer system. "We probably should have done that instead of Obamacare; expanded Medicare," Russell said. Speaking from a prepared statement, Commissioner Jill Buhler also agreed with the concept of a single-payer system. Like Russell and DeLeo, Buhler was not in favor of the bill. She said there were too many questions about how money would be allocated and whether Jefferson Healthcare could offer the same kinds of services it offers now if that bill were approved. Dressier was more critical. She • said the bill, as proposed earlier this year, didn't mention rural health care or critical access hospitals, a status many see as financially vital to the future of Jefferson Healthcare Hospital. Dressier also said Congressman Jim McDermott had been quoted as saying that people in Jefferson County only needed an "ED (emergency department) and a helicopter system." She disagreed with that conclusion. And like Buhler, Dressier voiced concerns about a new state agency deciding what services Jefferson Healthcare could and could not provide. "Who's to say these people deciding budgets, they say we can't do oncology anymore. That's what I'm concerned about," she said. Ready disagreed. He said there's no reason to think the Washington Health Security Trust proposal would harm rural heath care. Instead, he said he thought it would bring transparency to the system. DeLeo said he was concerned that the authority would want to negotiate with each hospital differently and that would put rural healthcare systems like Jefferson at a disadvantage, competing with larger systems like Virginia Mason and Swedish Medical Center. • http://www.ptleader.com/testing/hospital-commission-endorses-single-payer-concept/arti... 12/16/2014 Hospital commission endorses single-payer concept- Port Townsend & Jefferson County ... Page 3 of 3 While the board did not support the bill, a group called Health Care For All intends to lobby state 41) legislators in 2015 to start a single payer health care system in Washington. Learn more at healthcareforallwa.org. PUBLIC SUPPORT There had been public comment on the trust bill at the Nov. 19 board meeting in Port Townsend as well as a community conversation about it, but the public was not invited to speak on the resolutions the board passed Dec. 3 until after the discussion. The lack of public comment before the vote was pointed out by open-public meeting advocate Tom Thiersch. PT resident Larry Dennison applauded the board for taking action and said he understood concerns about a single bill but wanted to see the board be proactive on the state single-payer system. He suggested rather than leaving the subject to Ready that the board create a committee. Dr. Claire Roney, who said she works with elderly patients, said the bill she read supported long- term care and she was impressed with that because Obamacare had deleted that. She also was thrilled the board supports a single-payer system of some kind. Several others, including former commission candidate Savannah Hensel, also urge the board to • pursue the matter further. AFTERTHOUGHTS Ready, in his first year as commissioner and an advocate for a single-payer system, wrote on his blog about the vote (see readyforhealthcare.org). While the vote was history, he said, "I think my fellow commissioners would agree with me that it would be an empty gesture to endorse a political goal yet refuse to support any actual legislative efforts aimed at achieving that goal." Ready said there still is more work to do on the issue, "Nonetheless, this is a great first step and I look forward to working with the other commissioners to substantively support a single payer system, the only type of healthcare system that can be cost effective, high quality, sustainable and accessible to everyone." • http://www.ptleader.com/testing/hospital-commission-endorses-single-payer-concept/arti... 12/16/2014 Crowds at Navy scoping meeting - Port Townsend & Jefferson County Leader: Testing Page 1 of 2 Crowds at Navy scoping meeting By Robin Dudley of the Leader I Posted: Tuesday, December 9, 2014 10:35 pm Hundreds of people attended a public open house Dec. 4 at Fort Worden Commons, hosted by the `, Navy as part of its ongoing Environmental Impact � Statement process for expanding its fleet of EA- c` 18G Growler jets at Naval Air Station Whidbey �� ��' ' s� WEEP DIF DtE�t Island. Strong opposition to the expansion was evident by ,'*41 , , itttrr Ailic t comments of individuals and the presence of /42 groups such as Citizens of Ebeys Reserve. People Crowds at Navy scoping meeting voiced concerns about what they say is noise Paula Spina and Michael Monson of pollution, associated health risks and threats to the Citizens of Ebey's Reserve speak with a environment with the expansion proposal. Navy representative at a Dec. 4 scoping The Navy is also proposing to conduct an meeting regarding the Navy's acquisition of • Electromagnetic Radiation Warfare Training more Growler jets at Whidbey Island. Program in the western part of the Olympic Hosted by the Navy at Fort Worden Peninsula, installing 14 mobile towers in and near Commons, the meeting had more than 100 the Olympic National Forest with which the attendees. Growler jets would engage on training flights. Information stations in the crowded Commons meeting room were titled "Aircraft Noise," "Growler Operations," "National Environmental Policy Act," "EIS Alternatives" and "Proposed Action." Several Navy representatives staffed each table; more representatives, wearing green flight suits, circulated through the room. Two tables dedicated to collecting written comments from the public were busy with writers. Outside in the rainy parking lot was a large sign atop a vehicle that outlined some of the vehement opposition to expanded Growler jets on Whidbey. Someone wearing a long black robe and a Guy Fawkes mask stood nearby. Another person distributed green ribbons for people to wear who oppose the additional Growler jets. 4, Written comments may be submitted until Jan. 9, 2015, to: EA-18G EIS Project Manager,Naval Facilities Engineering Command (NAVFAC) Atlantic, Attn: Code E 1/21/SS, 6506 Hampton http://www.ptleader.com/testing/crowds-at-navy-scoping-meeting/article_l 98afefl-8f88-... 12/16/2014 Crowds at Navy scoping meeting - Port Townsend & Jefferson County Leader: Testing Page 2 of 2 Blvd.,Norfolk, VA 23508; or online at the project website, whidbeyeis.com, on the "Comments" page. • S http://www.ptleader.com/testing/crowds-at-navy-scoping-meeting/article_l 98afefl-8f88-... 12/1 6/20 1 4 2 Hearing set on mill's air-quality permit - Port Townsend & Jefferson County Leader: Test... Page 1 of 3 • Hearing set on mill's air-quality permit By Allison Arthur of the Leader I Posted: Tuesday, December 9, 2014 10:35 pm Only a handful of people have commented so far ` on the Port Townsend Paper Corp.'s proposed air ( p �P P p " pollution reduction project, aimed at bringing they` � . mill in compliance with new federal air-quality = rules. e � � The deadline for commenting on the $10-$12 � � � million project is Dec. 19. � F��n �a;?� �.' �'�,, a : �. , pit,• �` Four days before that deadline, the state Department of Ecology (DOE) will be in Port Hearing set on mill's air-quality Townsend to host a public meeting followed by a permit formal hearing. The meeting starts at 6 p.m. The Port Townsend Paper Corp. is seeking Monday, Dec. 15 at Fort Worden Commons, 200 a permit for an air pollution emissions Battery Way. reduction project on Boiler No. 10. - the Ili DOE officials say the project is good news for air small black building right of the large gray quality. Others, including PT AirWatchers metal building in the center. executive director Gretchen Brewer, applaud the mill's project, but would like to see the mill go further to reduce emissions. "The big news is that it will result in significant reduction of hazardous emissions," said Garin Shrieve, southwest regional industrial resources section manager for DOE. Improvements on Boiler No. 10 won't impact the telltale "mill smell," but it will allow for more flexibility in the kinds of fuel the mill burns and result in improved efficiency at the mill, officials say. "We are investing $10-12 millions to reduce emissions from PB10. The whole project is about meeting new, tighter limits for particulate (PM), carbon monoxide (CO), hydrogen chloride (HC1) and mercury (Hg)," said Kevin Scott, director of sustainability at PTPC. Shrieve said that while some greenhouse gases are expected to increase with the proposal, scientists are more concerned with the burning of fossil fuels than with renewable fuels like wood. IPIts greenhouse gases associated with wood burning that are expected to increase with the project. http://www.ptleader.com/testing/hearing-set-on-mill-s-air-quality-permit/article_a7c9725... 12/16/2014 11/Hearing set on mill's air-quality permit - Port Townsend& Jefferson County Leader: Test... Page 2 of 3 DOE officials have concluded the project doesn't need an environment impact statement (EIS). Anyone who agrees or disagrees with that conclusion is welcome to comment by the Dec. 19 • deadline. COMMENTS SO FAR As of last Friday, fewer than a half a dozen people had submitted comments on the project. The Leader filed an Open Public Records Act requests for comments submitted to date. They included: Stephen Boyd expressed concern that the proposed increased biomass instead of fuel oil "will be detrimental to my health and that of the surrounding community due to the 'dirtier' nature of hog fuel." David McWethy suggested the DOE report specifically what kind of fuel the mill is burning and specifically wanted information on the definition of"urban wood." "The details are important as 'urban wood' is the dirtiest and most variable of their fuels," McWethy said, noting PTPC President Roger Hagen had said earlier that oil fuel had been reduced and wood fuel had been increased. "A further increase in this fuel may invalidate computer projections of emissions for which there is no actual testing," McWethy wrote. Dr. Douwe Rienstra wrote that after "several decades of familiarity with the personnel and practices of the Port Townsend Paper Corporation, as well as careful investigation of the health effects of the mill effluent, I support the application of the paper mill to upgrade the boiler and install new pollution control equipment." PT AIRWATCHERS Long-time air-quality watcher Gretchen Brewer, founder and director of PT AirWatchers (see ptairwatchers.org) said in an email Dec. 5 that "PTPC's decision to install this particulate reduction equipment on PB 10 comes as a welcome result of a legal requirement" under the Boiler MACT (Maximum Achievable Control Technology) rule that was enacted in January 2013. "We appreciate reductions in pollutants from the mill, while it's obvious that they have a long way to go," she said. Like McWethy, Brewer questioned the changing of the fuel mixture to "woody biomass," arguing that it diminishes the gains the mill could be making and increases other emissions. "Since these pollution controls don't address malodorous toxins that we breathe, the town will continue to reek as much as ever, which continues to be bad for the local economy and bad for our health," Brewer also wrote. NEXT PERMIT The mill also will be seeking a new air permit in 2015 in addition to this permit so the project 4111 under review is a step forward to that air permit. http://www.ptleadencom/testing/hearing-set-on-mill-s-air-quality-permit/article a7c9725... 12/16/2014 Hearing set on mill's air-quality permit - Port Townsend & Jefferson County Leader: Test... Page 3 of 3 Public comments due by Dec. 19 • Comments on the Port Townsend Paper Corp. Notice of Construction (NOC) Order No. 11025 can be made in person at the public hearing at 6 p.m. Monday, Dec. 15 at Fort Worden Commons, 200 Battery Way, in Port Townsend; by mail, e-mail or fax by Dec. 19. Comments may be sent to Stephanie Ogle, Department of Ecology, Industrial Section, P.O. Box 47600, Olympia, WA 98504-7600, PTPC.comments@ecy.wa.gov. The fax number is 360-407-6102. Information on the permit can be obtained from DOE, 300 Desmond Drive S.E, Lacey, WA, 98503, by phone at 360-407-7393; Port Townsend Public Library or online at ecy.wa.gov under industrial programs. "The big news is that it will result in significant reduction of hazardous emissions." Garin Shrieve Department of Ecology • • http://www.ptleader.com/testing/hearing-set-on-mill-s-air-quality-permit/article a7c9725... 12/16/2014 BOCC extends comment period on animal rules - Port Townsend & Jefferson County Lea... Page 1 of 3 • BOCC extends comment period on animal rules By Nicholas Johnson of the Leader I Posted: Wednesday, December 10, 2014 3:30 am The public's chance to comment on proposed rules for shelters, kennels and owners of animals such as dogs and cats has been extended to Dec. 31. E Some 10 people spoke in front of the Jefferson lt County Board of Commissioners Monday morning, Dec. 8 at the Cotton Building in downtown Port "; frPr_ �� Townsend, most of whom expressed support or .. C47( raised minor concerns over definitions. County administrator Philip Morley called the Animal Code Hearing proposed ordinance "a work in progress" that Undersheriff Joe Nole speaks in front of the would replace the county's existing rules, which he Jefferson County Board of Commissioners called"unenforceable." Dec. 8 at the Cotton Building in Port The commissioners expect to collect further input Townsend during a hearing on proposed • and consider adopting the rules in early 2015. new rules for shelters, kennels and animal owners. "It looks like it brings us closer to "This ordinance will provide significant having more objective and fair ways to deal improvement in the code for protection of dogs in with animal control issues,"Nole said. the county and provide a significant amount of Photo by Nicholas Johnson recourse for individuals who find that owners of dogs do not treat them particularly well or allow them to do things they should not be doing," said Jefferson County Humane Society member Paul Becker. "This is a very difficult subject and I think it has been done very well." While many shared that sentiment, some took issue with specific language in the draft ordinance. PUBLIC HEARING Larry Crockett, executive director of the Port of Port Townsend, said while speaking as a private citizen that he and his wife keep several rescue dogs and a couple of cats at their home in Jefferson County. "Suddenly I'm illegal," he said, referring to rule that would limit to five the number of dogs or cats ipin a household, calling it "arbitrary and unenforceable. http://www.ptleader.com/news/bocc-extends-comment-period-on-animal-rules/article 16... 12/16/2014 BOCC extends comment period on animal rules - Port Townsend & Jefferson County Lea... Page 2 of 3 "We're not a kennel. We're a house. We're not commercial. We just take care of animals," Crockett said. • Andrew Johnston of Discovery Bay, who breeds livestock guard dogs, questioned rules for dog breeders and pushed for the ordinance to distinguish how much space dogs have on any given property. "It's x amount of animals, period, whether you're on an eighth of an acre in Hadlock or you're on 40 acres in the county and the animals are spread out,"he said of the limits on numbers of dogs or cats per household. Amy Rose Dubin of Chimacum also urged the commissioners to think twice about rules for livestock guard dogs. "They are there for a job and if they are barking, it's for a reason—to protect the herd," she said. "Our livestock is our livelihood." Heidi Ruegg of Port Ludlow applauded the commissioners and county staff for rethinking the rules, which she said she helped craft some 25 years ago. She also questioned the standard of a competent person, as the proposed rules allow such a person to walk their dog off-leash. "It's something that could jam the courts up if a judge has to decide whether someone's competent or not," she said. • Tom Theirsch of Jefferson County questioned the definition of"hybrid." "Right now it would include things like mules and ligers," he said. "I'm sure the intent was for mostly dogs." Theirsch also said animal owners who fail to license their pets for years should be required to pay back-license fees upon retrieving their pet from the animal shelter after it's been impounded. Pointing out that fewer than half all dogs in the county are licensed, Morley said the potentially high price tag associated with such a situation would likely discourage compliance and ultimately fail to increase the number of licensed pets. Joe D'Amico of Jefferson County said he feels the rules would lead to excessive expenses to the county. Debbie Rennick of Port Ludlow thanked the commissioners, saying she supports the new rules. "It looks like it's well written, quite understandable and probably quite enforceable," she said. BACKGROUND • http://www.ptleader.com/news/bocc-extends-comment-period-on-animal-rules/article_16... 12/16/201 4 jkBOCC extends comment period on animal rules - Port Townsend & Jefferson County Lea... Page 3 of 3 The draft ordinance updates several definitions and expands the existing chapter from 43 sections 4101 to 56, adding rules banning dogs from food establishments, declaring East Jefferson County a dog control zone for licensing purposes, requiring all dogs and cats six months or older be vaccinated against rabies, specifying standards for kennels, shelters and animal welfare facilities, and setting rules for declaring, determining and registering dangerous dogs, among other things. The draft gives kennel owners six years to fully comply with new standards, if determined to be in substantial compliance upon adoption of the updated code. It also lays out procedures for licensing of kennels. The draft updates the fee schedule and specifies that the county authority sets fees, rather than a shelter authority. It also revises rules for dogs running at-large on public property, dogs howling and barking and rules for licensing dogs. The draft is available for review in the commissioners' meeting packet, available online at bit.ly/lvLokql. Send written comments to the commissioners by email to jeffbocc@co.jefferson.wa.us or by mail to P.O. Box 1220, Port Townsend, WA 98368 by 4:30 p.m. Dec. 31, 2014. 0 Six written comments had been received before Monday's hearing. Operation of the Humane Society of Jefferson County shelter is funded by proceeds from licensing fees. Dogs must be licensed, while doing so for cats is voluntary. In January 2012, the county passed control of the shelter facility, rent free, to the Humane Society, which is located at 112 Critter Lane and is open noon-5 p.m., Tuesday through Sunday. • http://www.ptleader.com/news/bocc-extends-comment-period-on-animal-rules/article l 6... 12/16/2014 Health advisory issued following flooding - Port Townsend & Jefferson County Leader: ... Page 1 of 2 • Health advisoryissued followingflooding Posted: Thursday, December 11, 2014 3:23 pm Heavy rains have caused flooding in many parts of Jefferson County including Quilcene, Brinnon and western Jefferson County. Hazardous conditions exist and emergency personnel are assisting residents and travelers. Jefferson County Public Health asks all to please heed emergency personnel warnings and take the following precautions to protect your health and safety: Wells may become contaminated and household water may be unsafe to drink. Drink bottled water instead. Wash your hands frequently with soap and clean water if you come in contact with floodwaters. Septic systems may be flooded and adding pathogens to pollutants picked up by rising rivers and streams. Do not use your septic system when water is standing on the ground around it. The ground below will not absorb water from sinks or toilets. Adhere to emergency closures for the harvest of Hood Canal shellfish. Closed shellfish areas are • Quilcene Bay north of the marina and Hood Canal from Seal Rock to the Jefferson County line including the mouths of the Dosewallips and Duckabush Rivers. Even after floodwaters recede, caution is advised. Roads and buildings may be unstable. Falling trees, downed power lines and landslides are a possibility. If your well is flooded, assume the water in your home is contaminated. If you are on a public water supply, contact your purveyor if you have concerns about the safety of your tap water, or call Jefferson County Public Health. To treat drinking water that is potentially contaminated with viruses or bacteria, boiling or purifying with bleach are recommended: Bring water to a rolling boil for one minute, OR; Add 1/4 teaspoon chlorine bleach per gallon of clear water. Filter cloudy water before adding bleach. More information about treating drinking water for emergency use is available at: tinyurl.com/nuc36az. Flood safety information is at: • tinyurl.com/qdv5azv. http://www.ptleader.com/news/health-advisory-issued-following-flooding/article c7b74e... 12/19/2014 Health advisoryissued following flooding - Port Townsend& Jefferson County Leader: ... Page 2 of 2 The National Weather Service reports that more than 4 inches of rain fell in Quilcene on Dec. 10, in addition to several inches received before and after. Conditions may change rapidly and • information will be updated through additional press releases as needed. For more information, contact Jefferson County Public Health, Water Quality at 385-9444. After business hours, please call 385-9400 and select option 3. This will direct you to a regional answering service agent who will connect you with the appropriate Jefferson County Public Health staff. • • http://www.ptleader.com/news/health-advisory-issued-following-flooding/article_c7b74e... 12/19/2014 Peninsula Daily News Page 1 of 2 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 Dec 12, 2014 Survey: More than 40 percent of those who smoked pot in last year drove within two hours By Leah Leach Peninsula Daily News OLYMPIA—A survey of drivers in six counties in the state found that nearly seven out of 10 had used marijuana at some point in their lives and more than 40 percent of those who had used it within the past year had driven a couple of hours after marijuana use, the state Traffic Safety Commission announced this week. A total of 943 people agreed to the voluntary, anonymous survey, although not all answered all questions or agreed to all tests. Neither Clallam nor Jefferson County drivers were surveyed. The June survey was done in Kitsap, King, Spokane, Yakima, Snohomish and Whatcom counties, said Jonna VanDyk, program manager with the Washington Traffic Safety Commission. In the survey, which was conducted before July's legal start date of retail marijuana sales after the 2012 passage of Initiative 502, a total of 615 drivers out of 888, or 69.3 percent, • who answered the question said they had used marijuana at some time, even if it was just once. Of the 220 who said they had used it in the past year, 97, or 44.1 percent, said they had used marijuana within two hours prior to driving. The preliminary results announced this week are from the first of three surveys, VanDyk said. The second was completed in November, and a third is planned for next June, she said. A final report on all the results is expected four or five months after the third survey is done, she added. That report will include more than information on marijuana and driving; it will provide data on 75 classifications of drugs and drug levels. "What we want to know is, what does our impaired-driving picture look like?" VanDyk said. "How many drivers are driving with drugs in their system at levels that are impairing?" The Pacific Institute for Research and Evaluation of Calverton, Md., is under contract with • the National Highway Traffic Safety Administration to gather the data, she said, adding that the contract is about $300,000. http://www.peninsuladailynews.com/apps/pbcs.dll/article?AID=/20141212/NEWS/31212... 12/16/2014 Peninsula Daily News Page 2 of 2 The firm set up sites at five busy intersections counties each,and sheasked said.drivers to participate in a voluntary survey, for which they would be paid $60 • Those who agreed pulled off the road from the intersection into an area set aside for the interviews, Of those, 926 were interviewed, 893 answered at least some of the questions in a marijuana questionnaire, 917 provided a breath sample, 902 provided a saliva sample and 711 allowed blood to be drawn for testing. Those who said they had at some time used marijuana within two hours of driving were asked if they felt it had affected their driving ability. Sixty people, 61.9 percent, said they did not think made it difference, while nearly a quarter, 24.7 percent, thought their driving improved under the influence, the report said. "It's extremely troubling to me that so many marijuana users think that driving high is not a problem. It's a serious problem," said Darrin Grondel, state Traffic Safety Commission director. From 2009 through 2013, more than 1,000 people died in impaired-driving collisions in Washington state, the commission reported. "Impaired driving is involved in nearly half of all traffic deaths and more than 20 percent of serious injury collisions," it said. • Information on the survey and its results can be found at www.wtsc.wa.gov/pire. Information on the Washington Traffic Safety Commission can be found on the agency website, www.wtsc.wa.gov. Managing Editor/News Leah Leach can be reached at 360-417-3531 or at leah.leach@peninsuladailynews.com. All materials Copyright ©2014 Black Press Ltd./Sound Publishing Inc. S http://www.peninsuladailynews.com/apps/pbcs.d11/article?AID=/20141212/NEWS/31212... 12/16/2014 Peninsula Daily News Page 1 of 4 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 Dec 15, 2014 Overcoming addiction: Former heroin users tell tales of recovery By Diane Urbani de la Paz Peninsula Daily News Week after week, Iva Burks sees people in the grip of heroin addiction. As director of Clallam County Health & Human Services, Burks has watched the drug, once considered a scourge of the inner city, infiltrate the North Olympic Peninsula. Clallam County has the state's highest per capita death rate related to opiates, which include heroin. Both Burks and Jefferson County Health Department public health manager Julia Danskin have watched demand rise at their syringe exchange programs, where intravenous drug users can obtain clean needles. Not long ago, when Burks saw a young woman come to the Health Department, she thought this client was there for the WIC, or Women, Infants and Children nutrition • program. She was there for syringes, Burks soon found. How do you keep going, when you're a social worker with this close-up view of a deepening epidemic? If you're Burks, you stay focused on the possibility of recovery. Now and then, Burks learns of a former addict who got well. This is what sustains her. Lacy Turner of Port Angeles and Ericka Larson of Sequim are two who started new lives. A little over a year and a half ago, Turner's veins had collapsed, so she was injecting heroin into her muscles. She'd used the drug for a dozen years, ever since she was a grieving 19-year-old in Port Angeles. The drug "numbed my pain," she said. And Turner had suffered a lot. In 2001, she lost her mother, Linda Turner, to suicide. A motorcycle accident that left her with a fractured jaw contributed to her deep spiral • downward. Unable to hold a job, she racked up a string of felonies, crimes she committed for drug http://www.peninsuladailynews.com/apps/pbcs.dll/article?AID=/20141215/NEWS/31215... 12/16/2014 Peninsula Daily News Page 2 of 4 money. "I robbed stores and people I knew," she said. • "You'll pretty much do anything to not get sick" from heroin withdrawal. But Turner got a second chance in a place called Drug Court. The program, offered in both Clallam and Jefferson counties, offers offenders a chance to go into treatment instead of prison. Turner went to Genesis House in Seattle, for a six-month behavioral modification program. There, Turner learned basic life skills, like how to work and how to have relationships with family and friends. She and her fellow patients "grew up," she said, by "learning skills our parents didn't teach us." Back in Port Angeles, Turner has reconciled with the brother who had stopped speaking to her. "When I got home from treatment, I reached out to him," she said. Now, Turner helps her brother care for his four children while raising her own baby . daughter, Jordan. She has been clean for over a year and a half now and credits Clallam's Drug Court as the first push toward this new life. "They really show you the way," she said. While the Peninsula has many outpatient drug treatment centers — Klallam Counseling in Port Angeles, Safe Harbor Recovery Center in Port Townsend among them — the area had no inpatient center until this fall. In September, the Spokane-based American Behavioral Health Systems opened a 16-bed treatment and detox center at 825 E. Fifth St. in Port Angeles. "The detox center here is going to help a lot of people," Turner said. She wants to go to college but doesn't yet know what field of study she'll choose. She volunteers with Klallam Counseling Service and spends time supporting other recovering addicts in treatment there. It's a new life she's embarking on, and it feels great. "I have bad days like everybody else," Turner said. But "I'm super grateful. • http://www.peninsuladailynews.com/apps/pbcs.dll/article?AID=/20141215/NEWS/31215... 12/16/2014 rir r yr Peninsula Daily News Page 3 of 4 "It's a miracle I'm still alive." • Larson, a close friend of Turner's, is another young woman who has wrestled with addiction. She lost the love of her life, Robert Norman, one summer day in 2006, when their Ford Explorer collided head-on with a Toyota 4Runner between Port Angeles and Sequim. State Patrol troopers found the Explorer engulfed in flames. They could not save Norman. Larson, the driver, was airlifted to Harborview Medical Center with severe leg injuries. Her two little girls, pulled from the wreckage, also survived. Then, less than a year later, Larson's older daughter, Emily, was diagnosed with cancer. She died in June 2007. By this time, Larson was 28 — and dependent on the pain medication she'd been given after the wreck. "I was manipulating the doctors . . . it got harder to get," she recalled. Then "a friend introduced me to heroin." It "shut my brain off; it took my pain away," Larson said. "It was there when no one else • was.' By the time she got arrested, she was using a gram and a half a day, and had survived one overdose. Ironically, her arrest was for shoplifting. In jail, however, it was clear that she was a candidate for Drug Court. "Judge [Rick] Porter said, 'You can take this opportunity and go into treatment.' At first, wanted to opt out," Larson remembers. Which is why she's grateful now that she was kept in jail until the heroin left her system. Ultimately, Larson chose inpatient treatment and was sent to a six-month program in Yakima. She completed it July 3, then moved to Sequim, where she has found a new community. In a 12-step program and in her outpatient treatment at Klallam Counseling, Larson has connected with people who walk beside her. In recovery, she learned how to feel her feelings. She learned how to grieve, as she hadn't IIIallowed herself to do when she lost her husband and her daughter. She also had to let go of her old friends, people she grew up with in Port Angeles. Leaving http://www.peninsuladailynews.com/apps/pbcs.dll/article?AID=/20141215/NEWS/31215... 12/16/2014 1Peninsula Daily News Page 4 of 4 them behind was one of the hardest parts of getting clean. But Larson, 36, is determined to stay healthy. Her surviving daughter, now 8, lives with her grandfather, and her 17-year-old son from a previous relationship lives with his father. Reconciliation, Larson knows, could be a long time away. "I left a lot of wreckage in my past. I can't expect everyone to welcome me in just because did a six-month treatment. "I'm just now learning how to be a productive member of society . . . how to be a mom, how to be a friend." Her first anniversary of being drug-free was Nov. 7 — and it's still a struggle at times. But "I am fighting for my sobriety like I fought to stay high," she said. "And now I have people to turn to." Features Editor Diane Urbani de la Paz can be reached at 360-452-2345, ext. 5062, or at diane.urbani@peninsuladailynews.com. All materials Copyright© 2014 Black Press Ltd./Sound Publishing Inc. •• http://www.peninsuladailynews.com/apps/pbcs.dll/article?AID=/20141215/NEWS/31215... 12/16/2014 Peninsula Daily News Page 1 of 2 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 Dec 15, 2014 North Olympic Peninsula needle exchange programs see increase in use By Diane Urbani de la Paz Peninsula Daily News EDITOR'S NOTE: This is the second story in a two-part series on a rise in heroin use on the North Olympic Peninsula. For a few minutes at a time, public health workers in Port Townsend and Port Angeles have a chance to talk face to face with heroin users. This chance comes when an addict visits the Clallam or Jefferson county health department's syringe exchange service, a program that has grown busier than ever in 2014. Clallam County Health Program Manager Christina Hurst has watched heroin overtake • methamphetamine as the most common drug of choice for Clallam's syringe exchange — and she reports some telling numbers. In 2012, Clallam's Health & Human Services Department exchanged 117,322 needles and syringes. Last year, that number rose to 223,471. In the first 10 months of this year, Hurst and her staff exchanged 229,531 needles and syringes. At the Jefferson County Health Department, the numbers are lower, though they're climbing too: from 17,405 syringes two years ago to 24,596 last year. Statistics aren't yet available for 2014 as the department is understaffed, said Lisa McKenzie, Jefferson's communicable diseases program coordinator. She explained that the syringe exchange program affords her a chance to talk to clients about matters of life and death. "We can offer them free HIV testing, and vaccinations for hepatitis A and B," she said. "We do overdose prevention education. We talk about not using alone. If they've taken too much, no one is there" to call 9-1-1 or bring them to the emergency room. And, Hurst and McKenzie added, they offer addicts information about the many drug treatment programs on the Peninsula. http://www.peninsuladailynews.com/apps/pbcs.dll/article?AID=120141215/NEWS/31215... 12/16/2014 Peninsula Daily News Page 2 of 2 Providing needles and syringes directly conflicts with anti-drug paraphernalia laws, acknowledges Dr. Tom Locke, Clallam and Jefferson county public health officer. • But the spread of HIV, AIDS and hepatitis C through shared needles is a public health emergency, and as such, it "trumps the law." "Washington was one of the national pioneers in syringe exchange," Locke said, adding that today the state has one of the country's lowest rates of HIV associated with intravenous drug use. "We don't 'give' people needles," he noted. "We exchange them. People bring them in," instead of discarding the hazardous waste in public parks or playgrounds. The heroin users who come to the county health department are getting younger, Locke added. In Clallam County, Hurst compiled a report on the ages of syringe exchangers' ages in 2013. Six clients were under age 19, while the largest group — 54 people —were age 20 to 24. Another 40 clients were between age 25 and 29. At the top end of the spectrum, age 55 and older, there were 14 people. Features Editor Diane Urbani de la Paz can be reached at 360-452-2345, ext. 5062, or at diane.urbani@peninsuladailynews.com. All materials Copyright © 2014 Black Press Ltd./Sound Publishing Inc. • http://www.peninsuladailynews.com/apps/pbcs.dll/article?AID=/20141215/NEWS/31215... 12/16/2014 Peninsula Daily News Page 1 of 4 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 Dec 15, 2014 Jamestown S'Klallam taking a look at pot's profitability By James Casey Peninsula Daily News BLYN — The Jamestown S'Klallam are mulling if grass could grow green — if pot could make money — for the Clallam County tribe noted for its enterprises. "We're taking a look at it and exploring whether that is a viable consideration for us," tribal chairman Ron Allen said Friday, a day after the U.S. Department of Justice said Native American tribes can grow and sell marijuana on tribal lands. The only proviso is that they follow the same federal conditions laid out for states that have legalized the recreational use of the drug — Washington, Oregon and Colorado — although cannabis remains an illicit drug under federal law. "We're delighted that they recognized our unique authority for enterprises like that," Allen said, referring to federal recognition of tribes' sovereign-nation status. That same status allows them to operate casinos and to sell tobacco products free from • taxes, which would give tribes a leg up in Washington's nascent marijuana market. Spokesman for other North Olympic Peninsula tribes also praised the federal recognition of tribal self-determination, although none others said they are actively considering it. Leaders with the Lower Elwha and the Quinault said they are not planning to go into the marijuana business, while those with the Quileute and Makah said they would have to review the policy before making a decision. "We're not sure whether we're going to do it or not," Allen said. The Jamestown S'Klallam, based in Blyn, must ask and answer if they have available land for greenhouses to grow cannabis, how much they would grow, how they might package it, and whether they would market it as a consumer product as they sell tobacco products at their Longhouse Market & Deli on U.S. Highway 101 or as medical marijuana, Allen said. He named Doug Sellon, tribal economic development director, as the person who would examine these questions, then conduct or contract for a market analysis. "He's the one who takes a look at any business portfolio we might be entertaining," Allen said. "There might be a marketing advantage for us and what would amount to be a successful venture." http://www.peninsuladailynews.com/apps/pbcs.dll/article?AID=/20141215/NEWS/31215... 12/16/2014 Peninsula Daily News Page 2 of 4 Lower Elwha On the Lower Elwha Klallam reservation west of Port Angeles, possessing and using marijuana both will remain illegal, tribal chairwoman Frances Charles said. Moreover, marijuana possession and use still are banned in the workplace for tribal employees, she said. As for growing or selling pot, she said, "we really haven't had any thoughts about that. I think everybody is just listening and understanding it's a case-by-case [tribe-by-tribe] matter." Quileute "We will have to review the federal policy before reaching a final determination," said Chas Woodruff, chairman of the Quileute tribe in LaPush. "But," he added, "a key factor here is that no matter what direction we go, it's important that the tribe will have the ability to exercise our sovereign authority in making the final decision that best serves our people." Makah The Makah Tribal Council, likewise, was "aware of the announcement but has not had a chance to discuss the matter," said Meredith Parker, general manager, speaking from Neah Bay. 411 Quinault say no In Taholah, Fawn Sharp, president of the Quinault Indian Nation, said it had no plans to end its ban on using or possessing marijuana. She said the Department of Justice also had reaffirmed its responsibility to prosecute people who violate tribal laws inside tribal territory, and she echoed Allen's comments about the department's recognition of tribal sovereignty. Other tribes Meanwhile, reaction to the Department of Justice's approval was mixed in other areas of Indian Country. "I would really doubt tribes would be wanting to do something like that," said Don Gentry, chairman of the Klamath Tribes in Oregon, where voters this year approved a measure to legalize recreational pot. "We have an alcohol- and drug-free policy at work. It would just not be something we would be looking for into the future." i Oregon U.S. Attorney Amanda Marshall said tribes that had contacted the Department of http://www.peninsuladailynews.com/apps/pbcs.dll/article?AID=/20141215/NEWS/31215... 12/16/2014 NrPeninsulaDaily News Page 3 of 4 Justice had been wary of entering the marijuana market and had asked for federal direction. "What will the U.S. as federal partners do to assist tribes in protecting our children and families, our tribal businesses, our tribal housing?" Marshall said from Portland. "How will you help us combat marijuana abuse in Indian Country when states are no longer there to partner with us?" Ban or bonanza? Whether tribal pot could become a major bonanza rivaling tribal casinos is a big question. Marshall said only three tribes — one each in California, Washington and the Midwest— have voiced any interest. She did not identify them. Seattle attorney Anthony Broadman, whose firm represents tribal governments throughout the West, said the economic potential is vast. "If tribes can balance all the potential social issues, it could be a really huge opportunity," Broadman said. Broadman said tribes would enjoy a huge advantage selling pot, as they do with tobacco, because they would not have to charge taxes. • Others in Indian Country were unsure. The Yakama Nation in eastern Washington recently banned marijuana on the reservation and is trying to halt state-regulated pot sales and growing operations on lands off the reservation where it holds hunting and fishing rights. The Hoopa Valley Tribe in Northern California has battled illegal pot plantations on its reservation that have damaged the environment. 'It's a drug' In South Dakota, the Oglala Sioux Tribal Council this year rejected a proposal to allow marijuana on the Pine Ridge Reservation. "For me, it's a drug," said Ellen Fills the Pipe, chairwoman of the council's Law and Order Committee. "My gut feeling is we're most likely going to shoot it down." Walter Lamar, a member of the Blackfeet Nation and former FBI agent who advises tribes on drug issues, noted that unemployment is high in Indian Country. Many of the jobs that are available, such as wildland firefighting, teaching and U.S. Bureau of Indian Affairs positions, require drug testing. http:/,www.peninsuladailynews.com/apps/pbcs.dll/article?AID=/20141215/NEWS/31215... 12/16/2014 1111 Peninsula Daily News Page 4 of 4 "Once there's an easier availability for marijuana, it's going to create some issues that could have an impact on our employment pool," he said. Reporter James Casey can be reached at 360-452-2345, ext. 5074, or at jcasey@peninsuladailynews.com. The Associated Press contributed to this report. All materials Copyright© 2014 Black Press Ltd./Sound Publishing Inc. i • http://www.peninsuladailynews.com/apps/pbes.dll/article?AID=/20141215/NEWS/31215... 12/16/2014 Peninsula Daily News Page 1 of 4 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 Dec 13, 2014 'Not going away': North Olympic Peninsula wrestles with increasing heroin use By Diane Urbani de la Paz Peninsula Daily News EDITOR'S NOTE: This is the first in a two-part series on the rise of heroin use on the North Olympic Peninsula. Every day, a particular kind of patient comes in to Olympic Medical Center: a man or woman using heroin. Chief Nursing Officer Lorraine Wall reports this daily occurrence. All too often, these patients arrive following an overdose. They're the lucky ones, having survived the trip to the emergency room. Across town at the Clallam County jail, nurse Julia Keegan contends with the same crisis. • She reports that one in five of the inmates she cares for displays the sweating, nausea and general misery of heroin withdrawal. In Jefferson County, the numbers are lower: Joyce Cardinal, chief nursing officer at Jefferson Healthcare, counted 10 heroin overdose cases so far this year. "We see two to three people a month in various stages of withdrawal," added Steve Richmond, Jefferson County jail superintendent. This is an increase, he added, a problem that is "not going away anytime soon." Last year, Clallam County had 13 opiate-related deaths while Jefferson County had one, according to the state Department of Health. Opiates include heroin and prescription medication such as Oxycodone. Clallam's number is the highest per capita opiate-related death rate in the state, noted Dr. Tom Locke, public health officer for both North Olympic Peninsula counties. Daniel Doran is a Port Angeles resident who got hooked on heroin in his 20s and wound up in the ER last year. • A festering abscess in his arm, the limb into which he shot the drug, put him there. It took six days before he got out of the hospital. A 2006 graduate of Port Angeles High School, Doran was into alcohol, marijuana and pain http://www.peninsuladailynews.com/apps/pbcs.dll/article?AID=/20141213/NEWS/31213... 12/16/2014 Peninsula Daily News Page 2 of 4 ° pills first. The pills got harder to get. Like many who started out with a prescription, Doran switched to the much harder substance. After the abscess, his parents asked him to get help. And Doran, wanting badly to get out of the deep hole heroin had put him in, went to a detox center in Aberdeen, then returned home for treatment at Reflections Counseling in Port Angeles. Doran is clean now, has been since Oct. 10, 2013. He graduated from Reflections, went to Narcotics Anonymous meetings, took part in the Celebrate Recovery program at the Lighthouse Church in Port Angeles and has been working two jobs: at First Street Haven and at the new inpatient drug treatment center in Port Angeles. At 26, Doran counts himself blessed. He's a survivor of an epidemic that has spread across the United States, beyond the inner city and into quiet, rural places like the Peninsula. Locke, for his part, doesn't speculate on the Clallam-versus-Jefferson disparity in heroin use. He is instead seeking to save the lives of overdose victims. Naloxone Locke wants Naloxone, an antidote to heroin overdose, to be more readily available. Paramedics carry it now; Locke is an advocate of local pharmacies providing it confidentially. Naloxone can avert death for someone who has overdosed, Locke said, if a family member or housemate has it on hand. But there are people who don't believe the antidote should be easily procured. There are those who ask Locke: "If someone is so self-destructive as to inject heroin, why don't we let them die?" His response: Everyone deserves a second chance. Addiction "is a treatable condition. It's a horrible and dangerous detour," Locke said, "but it shouldn't be a death sentence." Sparks other crime Heroin's effects are felt across the community. The drug has a way of driving up the crime rate in homes and businesses, Port Angeles Deputy Police Chief Brian Smith said, as addicts break in to steal cash and valuables, anything they can sell. get g addict might behind the wheel of a car, then pass out while the car veers onto a • sidewalk and crashes into power pole, as in one case Smith saw. http://www.peninsuladailynews.com/apps/pbcs.dll/article?AID=/20141213/NEWS/31213... 12/16/2014 Peninsula Daily News Page 3 of 4 As for burglaries, "we can't show you cases that are not tied to drug addiction," he said. • Dr. Art Tordini, a reserve deputy with the Clallam County Sheriffs Office and the county jail's physician, has observed this, too. It used to be that when a chain saw was stolen, it was because the thief wanted a chain saw, Tordini said, but "now, it's stolen to sell for drug money." $200 a gram Heroin sells for $200 a gram, and it's not unusual for a user to inject a gram a day, noted Sgt. Jason Viada, a member of the Olympic Peninsula Narcotics Enforcement Team, or OPNET. He's also known of users shooting up 2 grams or more per day. OPNET's mission is to arrest dealers, and so far this year, the agency has investigated 25 cases involving heroin arrests, with the majority in Clallam County. One OPNET investigation resulted in the arrest of two Port Angeles residents allegedly carrying 97 grams of heroin, or about $194,000 worth. Link to prescription drugs • Both Viada and Locke see an all-too-common connection between heroin and prescription pain pills. "The ubiquitous sad story seems to be a person was injured, they were prescribed Oxycodone, they became addicted, they ran out, they switched to heroin," Viada said. "There was an explosion of prescription drugs that hit the street, [of pills] that were heavily promoted by their manufacturers. So their use skyrocketed in the last 10 to 15 years," Locke added. But then as patients built up tolerances to those drugs and doctors stopped prescribing them as readily, people turned to the illegal opiate. All across Clallam and Jefferson counties, the risk factors persist, Locke said: the availability of heroin combined with the pervasive use of prescription pain medicine. People may switch from taking pills to smoking or snorting the drug, but injecting it has the strongest effect. And as people like Doran and Turner know, heroin has the power to destroy a life. Doran wants to give his fellow recovering addicts one key message: You're not alone. "For so long, I had no hope," he said. http://www.peninsuladailynews.com/apps/pbcs.dll/article?AID=/20141213/NEWS/31213... 12/16/2014 Peninsula Daily News Page 4 of 4 But Doran found support from family, from therapists and from people at NA — which stands for Narcotics Anonymous as well as "never alone," he said. • His employers have also given him a second chance. Doran had worked at First Street Haven before going into detox and was able to get his job back afterward. Shifts there and at the treatment center have meant a 50-hour workweek, but Doran is fine with that. "I'm just happy to be clean. I'm embracing the lifestyle," he said, looking like a burden had been lifted from his broad shoulders. Features Editor Diane Urbani de la Paz can be reached at 360-452-2345, ext. 5062, or at diane.urbani@peninsuladailynews.com. ON MONDAY: Needle exchange programs see more activity in Clallam, Jefferson counties; recovering addicts tell of their journeys. All materials Copyright © 2014 Black Press Ltd./Sound Publishing Inc. S http://www.peninsuladailynews.com/apps/pbcs.dll/article?AID=/20141213/NEWS/31213... 12/16/2014 Hood Canal watershed project sets baseline - Port Townsend & Jefferson County Leader: ... Page 1 of 2 4) Hood Canal watershed project sets baseline By Viviann Kuehl, contributor I Posted: Wednesday, December 17, 2014 3:30 am Livestock, septic systems and toxic algae blooms are among the pollution sources identified in the now completed Hood Canal Watershed Clean Water Project. The four-year project monitored water quality in the five watersheds draining the western shore of Hood Canal, from the Duckabush River to Tarboo Creek. Possible sources of pollution were identified, and efforts were made to control and correct problems while educating and informing the public. Surveys of septic systems and agricultural practices were made, and valuable data was collected. In that sense, the project was a success, said presenters Glenn Gately, Jefferson County Conservation District fishery biologist/water quality specialist, and Michael Dawson, Jefferson County Public Health's environmental health water quality staff. The final public meetings detailing the project took place in Quilcene and Brinnon on Dec. 8 and 10, prior to a written report to be completed by the project's end on Dec. 31. • The project was 75 percent funded by Washington State Department of Ecology and 25 percent by Jefferson County, with JCCD and JCPH working in partnership. Water quality monitoring was done monthly over a year-long period in each of three sections (south, central and north), with sampling close to the mouth and upstream, if possible, on creeks and rivers, said Gately, who monitored about 20 sites in each section. JCPH staff did additional targeted sampling. The sampling used e. coli as a microbial indicator of potential pathogens and diseases. Because all watersheds of Hood Canal drain to its shellfish beds, they must meet the highest category of the Washington State Water Quality Standards, with an average of no more than 50 colonies/100 mL, and not more than 10 percent of the samples greater than 100 colonies/100 mL. "That's a very stringent standard to meet," said Dawson. Differences were found during the wet winter months and the drier summer months, with increases in bacterial counts during summers. Once introduced, bacteria can grow independently in the streams, noted Gately. JCPH surveyed septic systems in the area to assess use and maintenance. A goal of 400 inspections was exceeded, with 761 completed inspections. http://www.ptleader.com/news/hood-canal-watershed-proj ect-sets-baseline/article_60012... 12/19/2014 Hood Canal watershed project sets baseline - Port Townsend & Jefferson County Leader: ... Page 2 of 2 "For the most part, we found no problems," noted Dawson. JCCD looked for problem areas related to livestock, and provided assistance with manure • management in its voluntary program. Two problem areas were identified, with a third area potentially posing a risk if animals were present. The Serendipity Farm correction project was completed in September 2014 by JCCD. The project replaced a 90 percent plugged culvert with a meandered stream with buffer zones, and a bridge, allowing salmon spawning access upriver. Riparian restoration was completed on Leland Creek. Fishing season on the Big Quilcene River caused water quality concern in the past—due to human waste left behind by anglers— and was monitored by JCPH. Counts were higher near the mouth of Big Quilcene, but quality was good in the fishing zone. "Since we've had the sani-cans at Riverside Park during fishing season, we haven't had big issues with water quality," said Dawson. Recent toxic algae blooms that led to recreational shellfish harvest closures probably have more to do with weather than anything else, said Dawson, noting that the normal bloom pattern has been different on the coast and in Hood Canal this year. Overall, Dawson and Gately said the four-year project met or exceeded goals. • "It's a success in the sense that we've gained data. Some of these streams had never been surveyed before. The whole thing is a work in progress, so to make this big a step is significant progress," said Gately. "It was successful in a lot of ways," said Dawson, "but it is a big project area, so we couldn't cover all potential problems. It will take a number of years really to see if it improves water quality." Data is key, said Gately, who would like to monitor every other year. He's concerned that for the first time in 20 years, monitoring is not being done for lack of funds. • http://www.ptleader.com/news/hood-canal-watershed-project-sets-baseline/article 60012... 12/19/2014 Port Townsend ice cream maker destroys product following regional recall Peninsula Daily News and news sources, December 24th, 2014 • PORT TOWNSEND—A widespread recall of dairy products because of possible listeria contamination has caused a local ice cream manufacturer to destroy about 1,300 pounds of ice cream. Elevated Ice Cream, 631 Water St., received the recall notice Tuesday, which forced it to dispose of all of dairy based inventory from Snoqualmie Gourmet Ice Cream. The Snohomish company, which supplied Elevated with the base for its locally made ice cream products, issued on Tuesday the voluntary recall of nearly a year's worth of ice cream and related products because of possible listeria contamination. State health officials said two illnesses have been linked to the products recalled by the company. Elevated was open today selling Italian ices, a non-dairy product it also manufactures, according to co- owner David McCulloch. The store will open at its regular time of 10 a.m. Friday but will offer Italian ices instead of ice cream. The store is closed Thursday. McCulloch said the store has already secured ice cream base from another supplier, and ice cream will be available starting Saturday on a limited basis with about six standard flavors. Snoqualmie Gourmet Ice Cream will be out of commission for several days but is expected to get a clean bill of health soon, after which time Elevated will continue purchasing from the company, McCulloch said. • Anyone who has purchased ice cream from Elevated that has not been consumed should dispose of it or return it for a refund, McCulloch said. State Health Department spokesman Donn Moyer said two men in King County were hospitalized after eating products made by Snoqualmie. Both are in their 50s and have underlying medical conditions. They are recovering out of the hospital. The recall covers products made from Jan. 1 until Dec. 15. Products include all flavors and sizes of ice cream, gelato, custard and sorbet, as well as Emerald & Spruce Ice Cream and Top Pot Hand Forged Ice Cream. The company said listeria was found in samples from its production facility that were analyzed by the state Agriculture Department. The company said it is working with the state and the U.S. Food and Drug Administration to determine the cause. The products were distributed in Arizona, Idaho, California, Oregon and Washington and may have been further distributed in Alaska, Colorado, Montana, Nevada, New Mexico, North Dakota, Texas, Utah and Wyoming. Listeria can cause serious illness and even death in groups such as children, the frail and the elderly. Healthy people may suffer flu-like symptoms, such as high fever, headache, nausea and diarrhea. Last modified: December 24. 2014 4:20PM Port Townsend ice cream maker pulls product after supplier's listeria recall By Charlie Bermant, Peninsula Daily News, December 25th, 2014 • PORT TOWNSEND —A widespread recall of dairy products because of possible listeria contamination has prompted a Port Townsend business to destroy about 1,300 pounds of ice cream. Elevated Ice Cream, 631 Water St., received the recall notice Tuesday, which forced it to dispose of all of dairy-based inventory from Snoqualmie Gourmet Ice Cream. The Snohomish company, which supplied Elevated with the base for its locally made ice cream products, issued Tuesday the voluntary recall of nearly a year's worth of ice cream and related products because of possible listeria contamination. State health officials said two illnesses in King County have been linked to the products recalled by the company. Elevated was open Wednesday selling Italian ices, a non-dairy product it also manufactures, said David McCulloch, who co-owns the store with his wife, Julie McCulloch. Julie McCulloch said that listeria could be fatal for people with compromised immune systems and is dangerous for pregnant women. "We've been told that listeria is everywhere in our environment, just like salmonella and ecoli," she said. "The goal is to keep it out of the food chain, but sometimes it gets in. The store, which is closed today, will open at its regular time of 10 a.m. Friday but will offer Italian ices instead of ice cream. The store has already secured ice cream base from another supplier, and ice cream will be available starting Saturday on a limited basis with about six standard flavors, David McCulloch said. Federal regulations require ice cream manufacturers that are not dairies to purchase the base mix from a licensed dairies where strict health procedures are observed, Julie McCulloch said. Snoqualmie Gourmet Ice Cream will be out of commission for several days but is expected to get a clean bill of health soon. After that, Elevated will continue purchasing from the company, David McCulloch said. "They are a mom-and-pop operation like this and are very responsible," he said. "They have pulled their product, which is sold in several major chains." Anyone who has purchased ice cream from Elevated that has not been consumed should dispose of it or return it for a refund, McCulloch said. Both of the men who were hospitalized in King County were in their 50s and had medical conditions, state Health Department spokesman Donn Moyer said, adding that they recovering out of the hospital. The recall covers products made from Jan. 1 until Dec. 15. Products include all flavors and sizes of ice cream, gelato, custard and sorbet, as well as Emerald & Spruce Ice Cream and Top Pot Hand Forged Ice Cream. The company said listeria was found in samples from its production facility that were analyzed by the state Agriculture Department. The company said it is working with the state and the U.S. Food and Drug Administration to determine • the cause. The products were distributed in Arizona, Idaho, California, Oregon and Washington and may have been further distributed in Alaska, Colorado, Montana, Nevada, New Mexico, North Dakota, Texas, Utah and Wyoming. Listeria can cause serious illness and even death in groups such as children, the frail and the elderly. Healthy people may suffer flu-like symptoms, such as high fever, headache, nausea and diarrhea. Jefferson County Editor Charlie Bermant can be reached at 360-385-2335 or cbermant(a�peninsuladailynews.com. Last modified: December 24.2014 8:12PM i Elevated expects to have fresh ice cream Saturday after • Snoqualmie Ice Cream pulls its dairy products By Port Townsend Leader Staff , Friday, December 26, 2014 Elevated Ice Cream Co. expects to have fresh ice cream available on Saturday. The Port Townsend company threw away 1,300 pounds of ice cream earlier this week after Snoqualmie Ice Cream Inc., which supplies Elevated with ice cream mix, voluntarily recalled products after concerns of a listeria outbreak. Elevated co-owner Julie McCulloch said on Friday morning that Elevated will be using ice cream mix from Olympic Mountain Ice Cream while Snoqualmie Ice Cream gets cleared to resume its dairy operation. "We have no reason to believe there is any contamination in our supply, but we do want to make sure everyone realizes that they should not eat it," McCulloch said. She said Elevated's last batch of mix from Snoqualmie was dated Nov. 4. Snoqualmie Ice Cream, a Maltby, Washington, company, recalled all of its products made between Jan. 1 and Dec. 15, 2014. A small number of customers have already been in to the Port Townsend shop to return ice cream purchased, she said of the recall dated Dec. 23. • McCulloch noted that extra batches of Italian ices, which were not affected by the recall, have been made so that customers have an alternative product for the holiday. Elevated is not a dairy and so it purchases its ice cream mix from Snoqualmie, which is a licensed dairy, she explained. "Our mix is different than what everybody else in the area uses. It's 13 percent butterfat," McCulloch said. The lower butterfat that Elevated uses allows the flavors to come through stronger, she said. PRODUCT RECALL Snoqualmie issued a voluntary recall on Dec. 23 of all ice cream, gelato, custard and sorbet for all flavors and container sizes produced between Jan. 1 and Dec. 15, because those products have the potential for being contaminated with Listeria monocytogenes, a press release from the company states. (The press release was posted on the Leader's Facebook page on Tuesday, Dec. 23.) Two King County men were hospitalized after contracting listeria food-poisoning infections, according to the state Department of Health. Both were hospitalized and are now recovering. (See http://www.doh.wa.gov/Newsroom.) Listeria monocytogenes is an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, listeria infections can cause miscarriages and stillbirths among pregnant women. IMPACT ON ELEVATED McCulloch said that Snoqualmie does not know the source of the listeria, but she expressed confidence • in the company. "We do know the owners, and they are comprehensive in all their procedures, and it's tragic that this happened," she said, adding that Elevated expects to return to using Snoqualmie products once the source is found, and the company is up and running again. Elevated will make fresh batches of ice cream this weekend: vanilla bean, Swiss orange, chocolate chip, cardamom, ginger, peppermint candy, espresso chip and Blind Love. McCulloch expects that will be enough to last customers until Jan. 4, when Elevated closes for a week for its annual inventory and maintenance. It expects to reopen on Jan. 8. McCulloch emphasized that the closure is an annual event not related to the Snoqualmie recall. She also said that Elevated expects to supply restaurants with ice cream, but may not have the Chimacum Corner Farmstand supplied initially. "We're hoping they can survived this and move forward, and we're hoping no one else got sick," she said. McCulloch also could not put a dollar amount on the value of the 1,300 pounds of ice cream that was tossed. And she said she was glad Olympic Mountain could supply Elevated with what it needs for now. "There are a lot of families in town, and they want to come out and have a good time," she said of people celebrating the holidays with ice cream. • PRODUCT DETAILS Snoqualmie ice cream, gelato, custard and sorbet distributed in Arizona, Idaho, California, Oregon and Washington may have been further distributed and sold in various retail outlets in Alaska, Colorado, Montana, Nevada, New Mexico, North Dakota, Texas, Utah and Wyoming, according to a press release from the company. The products are labeled Snoqualmie Ice Cream, Snoqualmie Gelato, Snoqualmie Custard, Snoqualmie Sorbet, Emerald & Spruce Ice Cream or Top Pot Hand Forged Ice Cream and have a production date code located on the bottom of each container. The date codes included either end in "4," e.g., XXX4 (pints and cups) or are listed by date: Jan. 1, 2014 through Dec. 15, 2014 (trays and tubs). The voluntary recall was initiated based on the confirmed positive result of Listeria monocytogenes in the samples collected within the production facility and analyzed by the Washington State Department of Agriculture (WSDA). Snoqualmie Ice Cream is working with the FDA and WSDA to investigate the root cause. This voluntary recall is being made with the knowledge of the U.S. Food and Drug Administration and the WSDA. Customers who have purchased the affected product should dispose of it or return it to the place of purchase, where they will receive a refund. Consumers with questions or concerns may call Snoqualmie Ice Cream Inc. at 213-316-8323 during normal hours of operations, 9 a.m.-4 p.m., Monday-Friday; or visit II the company's website, snoqualmieicecream.com. Elevated Ice Cream Co. removes products, makes fresh • batches after supplier reports listeria outbreak By Allison Arthur of the Port Townsend Leader I December 31, 2014 Elevated Ice Cream Co. threw out 1,300 pounds of ice cream two days before Christmas after Snoqualmie Ice Cream Inc., which supplies Elevated with ice cream mix, voluntarily recalled products because of concerns of a listeria outbreak. Elevated co-owner Julie McCulloch said the business would be using ice cream mix from Olympic Mountain Ice Cream while Snoqualmie Ice Cream gets cleared to resume its dairy operation. "We have no reason to believe there is any contamination in our supply, but we do want to make sure everyone realizes that they should not eat it," said McCulloch. She said Elevated's last batch of mix from Snoqualmie was dated Nov. 4. Snoqualmie Ice Cream, a Maltby, Washington, company, recalled all of its products made between Jan. 1 and Dec. 15, 2014. A small number of customers have already been in to the Port Townsend shop to return ice cream purchased, she said of the recall dated Dec. 23. McCulloch noted that extra batches of Italian ices, which were not affected by the recall, have been made so that customers have an alternative product for the holiday. Elevated, which also operates a candy store, did not close. The 37-year old Port Townsend business is not a dairy and so it purchases its ice cream mix from Snoqualmie, which is a licensed dairy, she explained. 41) "Our mix is different than what everybody else in the area uses. It's 13 percent butterfat," McCulloch said. The lower butterfat that Elevated uses allows the flavors to come through stronger, she said. PRODUCT RECALL Snoqualmie issued a voluntary recall on Dec. 23 of all ice cream, gelato, custard and sorbet for all flavors and container sizes produced between Jan. 1 and Dec. 15, because those products have the potential for being contaminated with Listeria monocytogenes, a press release from the company states. Two King County men were hospitalized after contracting listeria food-poisoning infections, according to the state Department of Health. Both were hospitalized and are now recovering. (See doh.wa.gov/Newsroom.) Listeria monocytogenes is an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and those with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, listeria infections can cause miscarriages and stillbirths among pregnant women. IMPACT ON ELEVATED McCulloch said that Snoqualmie does not know the source of the listeria, but she expressed confidence in the company. • "We do know the owners, and they are comprehensive in all their procedures, and it's tragic that this happened," she said, adding that Elevated expects to return to using Snoqualmie products once the source is found, and the company is up and running again. Elevated made fresh batches of ice cream over the weekend: vanilla bean, Swiss orange, chocolate chip, cardamom, ginger, peppermint candy, espresso chip and Blind Love. McCulloch expects that will be enough to last customers until Jan. 4, when Elevated closes for a week for its annual inventory and • maintenance. It expects to reopen on Jan. 8. McCulloch emphasized that the closure is an annual event not related to the Snoqualmie product recall. She also said that Elevated expects to supply restaurants with ice cream, but may not have the Chimacum Corner Farmstand supplied initially. McCulloch also could not put a dollar amount on the value of the 1,300 pounds of ice cream that was tossed. And she said she was glad Olympic Mountain could supply Elevated with what it needs for now. "There are a lot of families in town, and they want to come out and have a good time," she said of people celebrating the holidays with ice cream. PRODUCT DETAILS Snoqualmie ice cream, gelato, custard and sorbet distributed in Arizona, Idaho, California, Oregon and Washington may have been further distributed and sold in various retail outlets in Alaska, Colorado, Montana, Nevada, New Mexico, North Dakota, Texas, Utah and Wyoming, according to a press release from the company. The products are labeled Snoqualmie Ice Cream, Snoqualmie Gelato, Snoqualmie Custard, Snoqualmie Sorbet, Emerald & Spruce Ice Cream or Top Pot Hand-Forged Ice Cream and have a production date code located on the bottom of each container. The date codes included either end in "4," e.g., XXX4 (pints and cups) or are listed by date: Jan. 1, 2014 through Dec. 15, 2014 (trays and tubs). The voluntary recall was initiated based on the confirmed positive result of Listeria monocytogenes in • the samples collected within the production facility and analyzed by the Washington State Department of Agriculture (WSDA). Snoqualmie Ice Cream is working with the FDA and WSDA to investigate the root cause. This voluntary recall is being made with the knowledge of the U.S. Food and Drug Administration and the WSDA. Customers who have purchased the affected product should dispose of it or return it to the place of purchase, where they will receive a refund. Consumers with questions or concerns may call Snoqualmie Ice Cream Inc. at 213-316-8323 during normal hours of operations, 9 a.m.-4 p.m., Monday-Friday; or visit the company's website, snoqualmieicecream.com. (The first version of this story appeared on Dec. 26 on ptleader.com.) S 19/29/2014 Peninsula Daily News 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 Dec 29, 2014 Influenza has arrived for season on Olympic Peninsula amid concerns over vaccine's effectiveness By James Casey Peninsula Daily News PORT ANGELES — The flu: It's here, it's early and it's changing faces. Yet worse awaits. Influenza A subtype H3N2 — which the current flu vaccine protects against — has "drifted" into strains for which most people have no immunity, including with the current vaccine, said the Centers for Disease Control and Prevention (CDC) in Atlanta, Ga. "There are some concerns that the vaccine may not be as effective against one of the strains of H3N2, so we may see more cases among people even if they were vaccinated," Dr. Tom Locke, health officer for Clallam and Jefferson counties, said Friday. Olympic Medical Center reports it has admitted patients with influenza, although it could not cite exact numbers. •No influenza admission figures were available from Jefferson Healthcare hospital. Since Dec. 17, however, 15 people had tested positive for influenza in Clallam County, 13 of them for the A strain and two for the B subtype, said Iva Burks, county Health and Human Services director. Burks said Friday that since the department had started tracking the flu last month, 27 people had tested positive for influenza A or B, ranging from 5 to 84 years old. "That's not a huge number," she said. "This is the time of the year that we expect it to pick up. The kids are home [from school] and the older folks are starting to get it. "People come home for the holidays and bring the flu bugs home with them." In Jefferson County, no statistics were available for later than Dec. 6, when Jefferson County Public Health had reported six positive tests, all for influenza B, during the preceding four weeks. "They've all been influenza B whereas statewide only about 15 percent of the influenza cases have been influenza B and 85 percent have been influenza A," Locke said. In Washington state, each variety has claimed one life as of last week, he said. http://www.peninsuladailynews.com/apps/pbcs.dll/article?AID=/20141229/N EW S/312299983/influenza-has-arrived-for-season-on-olympic-peninsula-amid-con... 1/3 12/29/2014 Peninsula Daily News "We're seeing activity increasing all over the state," he said. "We've seen the number of virus culture tests jump from 8 percent to 15 percent positive. "When those numbers get above 10 percent — especially when they get to 20 or above — • then we're deep into the flu season that will peak in mid-January. According to tests at Jefferson Healthcare, 12 other people were tested but proved negative for the two strains monitored by the CDC. Those people probably had what in layman's language would be called colds, said Julia Danskin, public health manager. Jefferson County's figures probably will climb, she said. "Families have traveled; there's big malls going on with super sales," Danskin said. "The good news is that school is out, so it's not being transmitted in schools at this time," Danskin said. This year, according to the federal CDC, flu already was widespread across Washington state a week ago, more so than in its neighboring states but similar to most of the nation east of the Mississippi River. "In North America, the levels of influenza activity continued to increase and have passed the seasonal thresholds," the World Health Organization announced earlier this month. • The fact that the flu virus has, in some cases, mutated is especially bad news for elderly people, the very young and those with impaired immune systems, although they can fall back on prescription antiviral drugs that can reduce the flu's effects. On the North Olympic Peninsula, "we normally peak in January to early March," Burks said, "so we would expect increasing numbers." That means a flu shot still could save you from the seasonal illness, she said. "It's not too late because we haven't peaked yet. It takes six weeks for full immunization," Burks said. The CDC recommends a shot or nasal spray of vaccine for anyone over 6 month old. "While they're going out to get their New Year's celebration stuff," said Burks, "they should get their flu shot." Danskin also urged people to get vaccinations and particularly to avoid exposing elderly people, infants, pregnant women and persons with weak immune systems to places they might catch the flu. • "The virus that's going through could be a little harder on people," she said. Vaccinations are available from 11 a.m. to 4 p.m. Wednesdays at the Health Department in http://www.peni nsuladai l ynews.com/apps/pbcs.dl I/arti cl e?AI D=/20141229/N EW S/312299983/i nfluenza-has-arri ved-for-season-on-olym pi c-peninsula-amid-con... 2/3 1229/2014 Peninsula Daily News ' the Clallam County Courthouse, 223 E. Fourth St., Port Angeles. Walk-in immunizations are available from 1 p.m. to 4 p.m. Tuesdays and Thursdays at Jefferson County Public Health, 615 Sheridan St., Port Townsend. Mir Many OMC and Jefferson Healthcare clinics and private providers also offer flu shots, as do some pharmacies. Reporter James Casey can be reached at 360-452-2345, ext. 5074, or at jcasey@peninsuladailynews.com. All materials Copyright © 2014 Black Press Ltd./Sound Publishing Inc. • • http:/lwww.peni nsuladai lynews.com/apps/pbcs.dl l/arti cl e?AI D=/20141229/N EW S/312299983/i nfluenza-has-arrived-for-season-on-olym pi c-peninsula-amid-con... 3/3 7 flu deaths reported by state authorities but none on North Olympic Peninsula The Associated Press and Peninsula Daily News, January 2nd, 2015 • OLYMPIA— Influenza has claimed at least seven lives in Washington state so far this season, the state Health Department said. None of the deaths were in Clallam or Jefferson counties but the season on the North Olympic Peninsula is shaping up to be severe, as it is in the rest of the state and much of the nation, according to Dr. Tom Locke, public heath officer for Clallam and Jefferson counties. The two deaths last week and five this week were confirmed in lab tests, Donn Moyer, state Heath Department spokesman, said Wednesday. It's likely there were more flu-related deaths for which there were no lab tests, he said. "This is the start," Moyer said. "We expect to see flu deaths going up now." The flu is widespread in the state, meaning there are flu-like illnesses in half of the counties or more. There were 79 flu deaths in Washington last flu season. One death each has been reported in Snohomish, King, Pierce and Kitsap counties. Two deaths were in Chelan County and one was in the southeast region of the state, Moyer said. The federal Centers for Disease Control and Prevention (CDC) in Atlanta, Ga., said the flu virus crossed • into being an epidemic this past week when the percent of deaths attributed to the flu hit 7 percent nationwide. The flu is widespread in 36 states, the CDC said. Nationwide 2,643 laboratory-confirmed influenza-associated hospitalizations have been reported since Oct. 1, with the highest rate for people 65 years and older, the CDC said. On the Peninsula, medical personnel are seeing increased flu activity, Locke said. Most importantly, Locke said: "It looks like the predominate strain of the flu this year is the H3N2 strain, which first started with the Hong Kong flu pandemic of 1968 and has been around ever since. "This tends to be a more severe form of influenza," he said. "So more people get hospitalized and more deaths occur." In addition, some forms of the H3N2 stain may not be fully covered by the vaccine developed for this flu season. "We don't really know that yet," Locke said. "We probably won't until the end of the flu season. But at least it's a possibility." Olympic Medical Center in Port Angeles reported last week that it had admitted patients with influenza, • although no figures were available from there or from Jefferson Healthcare hospital in Port Townsend. Since the Clallam County Health and Human Services department started tracking the flu last month, 27 people had tested positive for influenza A or B, ranging from 5 to 84 years old, said Iva Burks, director, last week. Flu test results from Jefferson County from last week show about 25 percent of tests as being positive for influenza, with a mix between the two strains, influenza A and influenza B, Locke said Wednesday. "So everything's lining up to make this look like a more severe flu season than in previous years," Locke said. "And it's very much taking off. He expects the peak of the Peninsula flu season to be in mid-to late-January. "So we're expecting to see every week for the next three to four weeks, things will get worse and worse. Medical officials urge people to get vaccinations. Vaccinations are available from 11 a.m. to 4 p.m. Wednesdays at the Clallam County Health Department, 111 E. Third St., Suite 1A, Port Angeles. Walk-in immunizations are available from 1 p.m. to 4 p.m. Tuesdays and Thursdays at Jefferson County Public Health, 615 Sheridan St., Port Townsend. Many OMC and Jefferson Healthcare clinics and private providers also offer flu shots, as do some pharmacies. • • Former luxury hotel in Port Hadlock to become low-income housing By Charlie Bermant,Peninsula Daily News,January 411,2015 • ,t ' .% '‘.° - ',Igilrly.•!,..,- :‘,1 0., '.. ,,,,I, : , '1,01.1 tr. iti'%‘.:, _ This portion of the former Inn at Port Hadlock will be used for housing and training for Jefferson County's low- income population.—Photo by Charlie Bermant/Peninsula Daily News PORT HADLOCK—A luxury hotel closed by the state in 2011 because of unpaid taxes will reopen this spring as the Bayside Hotel, offering low-income housing for East Jefferson County residents. "We will be able to offer the services that people need in order to turn their life around," said John Cantlon, chairman of the board of Bayside Housing and Services, a nonprofit organization formed specifically to iptransform the property. "We will give people the tools so they can make a change." Cantlon said he hopes the new venture will be open for business 60 to 90 days into the new year. The Inn at Port Hadlock at 310 Hadlock Bay Road is to be rechristened as the Bayside Hotel and will operate as a hotel and training center where Jefferson County residents can gain access to affordable housing as well as employment and life skills counseling, Cantlon said. The inn, owned by Suki James of Bremerton, was operated as a luxury hotel overlooking the Port Hadlock Marina and Port Townsend Bay with 47 suites and guest rooms until the state Department of Revenue revoked its business license for nonpayment of taxes. Four liens for state business and occupation taxes were filed against the inn. The face value of the liens—which did not include any payments the company might have made—was $152,208. James said in July 2011 that she had paid at least $43,500 on her bill. She wasn't sure of the exact amount. The foreclosed property was sold to Inn Properties LLC of Port Townsend on Dec. 14 for $852,000, according to the Jefferson County Assessor's Office. • The new owners are leasing one portion of the property to Bayside for an undisclosed amount. Those seeking to enter the Bayside Hotel program will be referred from Olympic Community Action Programs, Dove House Advocacy Services for survivors of domestic violence and sexual assault, Jefferson Healthcare hospital or another agency. Rents will be calculated at 30 percent of tenants' adjusted income, as it is with a standard low-income housing • projects. Tenants can check in for 28 days at a time. After that period, each tenant's status will be re-evaluated. If he or she still qualifies, he or she can check in for another 28 days, Cantlon said. Those who do not qualify for the program will be able to rent space at market rates, Cantlon said, which has not been determined. The venture has close ties to other local homeless services. Bayside board members Cantlon, Kim Hammers and Vince Verneuil also serve on the board of the Community Outreach Association Shelter Team (COAST), which operates the Port Townsend Winter Shelter. Another COAST board member, deForest Walker, has been hired to manage the new hotel. The Bayside will occupy one of the inn's two buildings. The main building—which contained the reservation desk, restaurant and bar, meeting rooms and 14 high- end hotel rooms— is not part of the new venture. Bayside is leasing the space from the owners of both buildings: Inn Properties LLC, a Port Townsend company with a post office box as its only contact and whose corporate office is listed with the state of Washington as 1239 Water St., the local U.S. Bank office. . Cantlon said he did not know what the new owners would do with the main building. The new facility will locate in the adjacent building. It has 33 rooms along with meeting rooms and a restaurant. Twenty of the rooms are regular hotel size, while the remainder are slightly larger, Cantlon said. They are all furnished and include a 1,200-square-foot penthouse. "When the former owners left, everything was in great condition, and the beds were all made," Cantlon said. Each room contains a mini-fridge and a microwave to allow for limited food preparation. Food also will be available at the restaurant, which will provide job opportunities for residents. The restaurant will be open to the public and could provide revenue for the operation, Cantlon said. Some of the rooms, including the penthouse, will be rented out at fair market value and used to subsidize the operation, Cantlon said. The new facility will provide those in need with more than an inexpensive place to live. Cantlon said residents will get job training as well as "life training," since many potential clients have never been taught how to exist in the modern world. • "They have never been taught any life skills," Cantlon said of the potential client base. "A lot of them go to the store every day because they don't know how to plan ahead and shop for a month at a time." • Cantlon said he expects to draw several program participants from lrondale, a neighborhood a few miles west of the facility that has a large share of substandard homes and poverty. Cantlon said he visited a woman whose five-room house was a mess and encouraged her to clean one room a day. "The house would be clean in a week, and she'd still have two days to kick back," he said. "But they get into situations where their whole world is spinning out of control." Cantlon said he's heard of cases where girls become pregnant as young as 13, adding that if that cycle continues, they could have grandchildren before they turn 30. Cantlon projects a $375,000 yearly budget with income coming from rents, subsidies and grants, although those sources will not be available during 2015, which will probably have a shortfall of about $150,000. The proposal to use the former luxury hotel for a more practical purpose has been in play for more than two years, with the biggest obstacle clearing the title to the property. "There have been title issues concerning this property since 1913," Cantlon said. "I have no idea how the previous owners got any financing." • The site first hosted a wood distillery plant in 1911 and was constructed to convert sawdust into alcohol and bastol, made from a mixture of sawdust and cattle feed. The effort never profited, and the plant closed just two years later. The building sat vacant until 1968, when the late John R. Hansen of Port Hadlock purchased the property and planned to operate it as a resort marina. This did not come to fruition until 2006 with the opening of the Inn at Port Hadlock, purchased by James for $3.7 million. Board member Hammers said the low-income hotel is unique. "Nothing like this has been done or thought of in this county, and it will become a template to be shared across the country," she said, calling the venture "a glorious example of compassion and humanity." "We are all here on this Earth to care for one another. It is as simple as that," she said. For more information, call 360-344-2122 or email baysidehousing@msn.com. Jefferson County Editor Charlie Bermant can be reached at 360-385-2335 or cbermant(c�peninsuladailynews.com. S Historic Glendale Farm barn burns along with several vehicles near Chimacum Peninsula Daily News,January 4th,2015 • • A firefighter from Station 91 on Indian Island hoses down a burning car at a barn fire in Chimacum on Saturday afternoon. Steve Mullensky/for Peninsula Daily News CHIMACUM—Flames destroyed an historic barn and damaged several nearby vehicles at Glendale Farm, 431 Center Road near state Highway 19, on Saturday afternoon. The cause of the blaze was unknown to authorities. • "It's going to be under investigation for some time," said Keppie Keplinger, East Jefferson Fire-Rescue spokeswoman. Glendale Farm, 180 acres, is one of the largest parcels in Jefferson County still in active agricultural use and is protected by a land trust. It is at the confluence of Beaver and Center Valleys, the two largest agriculturally zoned areas in the county. The land has been a farm since 1857, with a historyof dairy and cheese production, and is currently an organic beef operation. The farm's owner is Linda Sexton, who, according to records, has had disagreements in the past with county officials over solid waste rules, including the number of vehicles and other items stored at the farm. The barn "was totally engulfed almost immediately, completely involved, completely gone"when firefighters arrived after they were alerted to the blaze at 1:54 p.m., Keplinger said. The blaze was declared under control about an hour later. Firefighters reportedly had to bring in water tankers because there were no hydrants near the fire scene. No one was reported to have been inside the barn. No injuries were reported to firefighters or bystanders, whom firefighters kept away because of reports of propane tanks on the property and gasoline in the cars. No tanks or vehicles exploded, and no other structures were damaged. 1111 Firefighters from Port Ludlow, North Kitsap, Discovery Bay, Poulsbo, Quilcene, Brinnon and Indian Island responded to the fire. Owner of large barn,farm equipment destroyed by fire `waiting for the shock to wear off By Arwyn Rice, Peninsula Daily News, January 5th,2015 =we., 41. 3 i ,,✓gam"^^' . The large Glendale Farm barn already destroyed,firefighters from several agencies across the region fight flames from burning cars stored near the building during Saturday afternoon's blaze.—Photo by Steve Mullensky/for Peninsula Daily News CHIMACUM —Authorities continued searching for information Sunday in the investigation into a fire that destroyed an equipment storage barn and several vehicles on a historical farm. The large barn at Glendale Farm, 431 Center Road near state Highway 19, was destroyed Saturday afternoon by a fast, hot fire. 40 "I'm waiting for the shock to wear off," Linda Sexton, owner of Glendale Farm, told the Peninsula Daily News on Sunday. "A tenant was working with wood stain and returned to the house for lunch, and while he was in the house he saw the flames," Sexton said. The fire destroyed most of the farm's working equipment, including a tractor, an excavator, three all- terrain vehicles, a garden tractor, aerators and many attachments for them, a $20,000 walk-in freezer with a new compressor, and drying racks for bean seed stock, she said. She said it also destroyed a pump house, knocking out water to the farm's buildings. The barn was about 15 years old and was built by former owner Kirk Salvatore from timber logged on the Glendale property, she said. Sexton inherited the farm from Salvatore when he died five years ago. The investigation is expected to take some time, and no new information or determination as to the cause of the fire is expected to be available from authorities until next week, said Keppie Keplinger, East Jefferson Fire-Rescue spokeswoman. A large collection of vehicles and fuel tanks were destroyed in the blaze, and some of it "popped off' during the fire, Keplinger said. • "The barn was just full of stuff," she said. The barn was lost before firefighters arrived, according to reports from East Jefferson Fire-Rescue. It "was totally engulfed almost immediately, completely involved, completely gone" when firefighters arrived at 1:54 p.m., Keplinger said. • Keplinger said much of the barn was of built of old wood, but there also were newer additions included in the barn's construction. Firefighters had to bring in water tankers because there were no hydrants near the fire scene. In addition to the destroyed pump house, a window of a nearby rental home was cracked by the heat, Sexton said. Firefighters from Port Ludlow, North Kitsap, Discovery Bay, Poulsbo, Quilcene, Brinnon and Indian Island assisted in fighting the fire The 180-acre Glendale Farm is one of the largest properties in Jefferson County still in active agricultural use and has been protected by Jefferson Land Trust since 2009. According to the Jefferson Land Trust website, Glendale has "150 acres of prime soils, 23 acres of forest, more than a half-mile of Chimacum Creek, scenic vistas from two rural arterials and habitat for salmon, trumpeter swans, eagles, hawks and many other animals." Located at the confluence of Beaver and Center valleys, the two largest agriculturally zoned areas in Jefferson County, Glendale Farm has been under plow and hoof since 1857, with a history of dairy and cheese production. Salvatore operated the farm as an organic beef farm, and the cattle were sold after his death. The farm currently is in transition, including an immature orchard planted for the future, Sexton said. S There was no insurance on the farm buildings, she said. Sexton said she has dealt with the county in regards to "solid waste" issues on another property, but contrary to a published report Saturday, Glendale Farm is not part of that dispute. Reporter Arwyn Rice can be reached at 360-452-2345, ext. 5070,or at aricepeninsuladailynews.com. S 'It shouldn't be a burden . . . to use water'— Dungeness water rule opponents file lawsuit in Thurston County • By James Casey, Peninsula Daily News,January 5th, 2014 OLYMPIA— Opponents of a water management rule in the Dungeness Valley have moved to have it set aside by Thurston County Superior Court. The rule restricts water use —especially by new homes and businesses— in some places between Bagley Creek and Sequim Bay in eastern Clallam County. The suit would have the court declare what the Olympic Resource Protection Council termed "draconian" regulations that would ban outdoor watering in parts of Water Resource Inventory Area 18. The council's petition for declaratory judgment was filed Dec. 31 in Olympia, home to the lawsuit's defendant, the state Department of Ecology. No court hearing had been set as of Friday. Greg McCarry, council president, said Friday that the suit followed the group's unsuccessful request for Ecology "to sit down with us and review the rule." The council made its request about a year ago. Ecology denied it three months later, he said. The council then launched a fundraising effort among building contractors, developers and Realtors to fight the rule in court. For its part, Ecology "just got a look at it this [Friday] morning," said Dan Partridge, spokesman for the department's Water Resources Program, the management plan's author and enforcer. • "Our attorneys are reviewing it. We will have to let them get a good look at it before we have any comment on it." The main point of contention is that the management plan aims to restore optimum water flows for salmon and marine life. Those are greater than current usual flows, critics say. The council also wants Ecology to apply mitigation elements of the rule to the whole Dungeness basin, not just to new customers. McCarry said the area comprises 3,800 undeveloped parcels of land ranging from 2.5 to 20 acres. "It shouldn't be a burden on people who just come in now and want to use water," McCarry said. Building and real estate interests have fought Ecology since the department's water management efforts began two decades ago. The contested rule was implemented in January 2013. Meanwhile, moratoriums on new water use are in force in Skagit and Yakima counties. In Skagit, the Swinomish tribe won a state Supreme Court ruling that Ecology had failed to protect fish runs on which the tribe relies. That prompted state Sen. Jim Hargrove, whose 24th District includes Clallam County, to warn of • unintended consequences of fighting water management. "I certainly hope it doesn't end up with us on the North Olympic Peninsula having the same issues as up in Skagit County," Hargrove told the Peninsula Daily News on Friday. "We have a couple of bad examples where basins or parts of basins have moratoriums against building or using water." • The tribes dependent on the waters of WRIA 18 — primarily the Lower Elwha Klallam, Jamestown S'Klallam and Port Gamble S'Klallam — have not opposed the water rule "because they saw progress being made," Hargrove said. "My concern as a legislator is to try to avoid any disruption of our local economy, be it to builders or homebuyers." According to McCarry, Ecology has set an optimum flow in the Dungeness River of 180 cubic feet per second, whereas the normal flow is half that. "They created a flow of about 90 cfs that basically isn't there in nature," he said. Clallam County Commissioner Jim McEntire is the county commission's point person in the water rule controversy. On Friday, he declined to comment on legal particulars of the lawsuit because he hadn't seen the document, although he repeated his contention that the water rule "uses a sledge hammer to swat a gnat." In some parts of WRIA 18 — mostly the sparsely populated region south of heavily irrigated areas— measures aren't available to offset using water outside a home. "There's nothing available for watering your plants or watering your stock," McEntire said. 41111 "There's still a part that's not working right. There's a way to fix this, and we've just got to work and get it done. "I'm confident that if we put our minds around it, it's not an insoluble problem." But Partridge said Ecology could stand pat in the face of the petition for declaratory judgment. "We are confident in the strength of our Dungeness in-stream flow rule to survive any legal challenge," he said. Reporter James Casey can be reached at 360-452-2345, ext. 5074, or at jcasey@peninsuladailynews.com • • Barn fire hit with 40,000 gallons of water 4, By Patrick J. Sullivan and Allison Arthur of the Port Townsend Leader I Posted: Tuesday, January 6, 2015 tz x '"14041111i 0/ , IThe 20-year old wooden barn on the historic Glendale Farm property, fully engulfed, as seen looking across Beaver Valley Road (State Route 19) shortly after 2 p.m. on Jan. 3. Firefighters from eight agencies poured 40,000 gallons on water on a barn fire Saturday afternoon, Jan. 3 in Chimacum. The wooden barn, about 20 years old, was fully engulfed when firefighters arrived a few minutes after the fire was toned out at 1 :55 p.m. The structure contained farm equipment and vehicles. "It's a lifetime. It's a death," said property owner Linda Sexton of losing a barn that friend Kirk Salvatore had built about 20 years ago from wood milled from timber harvested on his historic Glendale Farm property. According to East Jefferson Fire Rescue, the cause of the fire is uncertain. "Everything was burned so severely, we were unable to discern the exact source," said Keppie Keplinger, spokesperson for East Jefferson Fire Rescue. Sexton, who lives on the property, told the Leader Jan. 5 that tenants were organizing items in the barn, and she said it is unclear what was going on at the time of the fire. There was an apartment-type living space in the barn, but it was not occupied at this time, Sexton noted. • There were no animals and no hay in the barn. Sexton said she was using the structure for farm equipment and she had been drying bean seeds. Equipment that was lost in the fire included a tractor and small implements, a bulldozer, three ATVs and a large, walk-in cooler-freezer. Sexton estimated the value of the loss to • about $100,000. She did not have insurance. Salvatore, who died in 2010, had used the facility for his collection of Mercedes automobiles. Sexton, who inherited the property from Salvatore, said at least one Mercedes parked outside the barn was destroyed by the fire. "I'm just in shell shock," Sexton, 68, and a Jefferson County resident since the late 1980s, said Monday morning. "My first reaction is to throw in the towel. I'm done with farming. All my resources and energy went into farming for the last five years." A pump house near the barn was also destroyed by the flames. "It's a lifetime," said Sexton, who as of Monday morning had not yet inspected the damage. "It represents a lot of labor, a lot of money and a lot of time." FIRE RESPONSE The barn was "fully engulfed" when firefighters arrived after the 1 :55 p.m. tone-out, Keplinger said. "It was a standing barn but it was absolutely loaded with stuff," Keplinger noted. "It went pretty fast. There was so much stuff inside, there were occasional flare-ups." The location at 431 Center Road is less than a mile from EJFR Station 11 in Chimacum. The blaze was well controlled in about two hours, and declared out at 4:39 p.m. 411 Personnel stayed on scene overnight. Water tender trucks lined up along Center Road, waiting to back down the long, one-lane driveway once an empty tender departed. The nearest fire hydrant would have required about 3,000 feet of hose, Keplinger noted. The fire drew more than 30 personnel from the combined efforts of East Jefferson Fire Rescue, Port Ludlow Fire & Rescue, Quilcene Fire Rescue, Discovery Bay Volunteer Fire Department, Brinnon Fire Department, Naval Magazine Indian Island Station 91 , North Kitsap Fire & Rescue and Poulsbo Fire Department. Washington State Patrol assisted with traffic control along Center Road, and the Jefferson County Sheriffs Office was also on scene. UNIQUE PROPERTY The barn is on the 180-acre Glendale Farm, in operation since 1857, and still one of the largest agricultural properties remaining in Jefferson County. Salvatore in 2009 made a conservation easement agreement with Jefferson County and Jefferson Land Trust to permanently protect Glendale Farm. At one time, Salvatore had raised black angus on the property. But when he fell ill, Sexton said it was hard to keep the cows. The grazing land has since been leased to at • least one other cattle rancher. Sexton also has been working on growing nuts and fruit and had started an orchard. But she said that has been a struggle. SAsked what she planned to do now, she said, "It will rise out of the ashes. I'm just kind of tired. This is not a very just reward ... There have been nights that I've been out at midnight planting. I was planting garlic by the moonlight." The property, which includes another barn and two dwellings, also has become a collection point for old recreational vehicles and other large objects. Sexton has a history dating to the late 1980s of disagreements with state and county solid waste rules and officials, including the amount of vehicles and other items gathered on her property elsewhere in Beaver Valley. Sexton has been subject to disciplinary action by Jefferson County Public Health, according to county records from as recently as 2008, but not on the property where the barn fire occurred. (The first version of this story appeared Jan. 3 on ptleader.com) • HPV vaccines available at Jefferson County Public Health Port Townsend Leader, January 7, 2015 January is Cervical Health Awareness Month, and Jefferson County Public Health (JCPH) wants you to know that there's a lot you can do to prevent cervical cancer. HPV (human papillomavirus) is the most common sexually transmitted disease. It's also a major cause of cervical cancer. About 79 million Americans currently have HPV, but many people don't know they are infected. HPV can be prevented with the HPV vaccine. The vaccine significantly reduces the risk of cervical cancer. It is recommended that both girls and boys get the HPV vaccine at age 11 or 12. JCPH offers HPV vaccines for adolescents ages 18 and younger. Call 385-9400 to schedule an appointment at the following locations: • • Jefferson County Public Health, 615 Sheridan St., Port Townsend. Immunization walk-in clinic, 1-4 p.m., Tuesdays and Thursdays, at the Family Planning Clinic. Call for appointment. • Port Townsend High School—based clinic, 1500 Van Ness St. • Chimacum High School—based clinic, 91 W. Valley Road. • Quilcene Clinic, 294843 Highway 101 . Cervical cancer can often be prevented with regular screening tests (called Pap tests) and follow-up care. Under the Affordable Care Act, nearly all health insurance plans cover cervical cancer screening tests at no cost. Low-income, uninsured or underinsured women ages 40-64 may qualify for coverage under the Breast, Cervical and Colon Health Program (BCCHP). Call 385-9400 for more information or to schedule an appointment. For more information, contact Jefferson County Public Health at 385-9400 or visit jeffersoncountypublichealth.org. Neighbors not happy about nearby pot business Ask By Nicholas Johnson of the Leader I Posted: Wednesday, January 7, 2015 3:30 am . ' ^"°' ; � '--"4°M;VA4.11741`,,- -fr Maplewood Meadows resident Angie O'Dell holds her 10-month-old daughter Alexis while addressing the Jefferson County commissioners Jan. 5. She and fellow neighbors expressed concern over a proposed marijuana growing and processing business adjacent to their neighborhood along W. Fredericks Street near Port Townsend. Photo by Nicholas Johnson Residents of Maplewood Meadows are asking the Jefferson County commissioners to stop a proposed marijuana growing and processing business located at the only • entrance to their neighborhood — West Fredericks and Louisa streets. "Why here, next to our neighborhood, instead of across [State] Route 20 with the other similar businesses?" asked Peter Davis, one of about 50 residents in the area. In the Glen Cove Business Park on the east side of State Route 20, two marijuana businesses — Jefferson Cannabis at 453 Otto St. and Outback Bud Company at 71 Eisenbeis Ave. — have been issued state licenses while another seven businesses in that general area are awaiting state approval. A countywide moratorium on marijuana businesses currently limits growing and processing activity to areas zoned for agriculture, forest or industry until county officials establish new rules for such businesses in other zones, such as rural residential. Two marijuana businesses, yet to get state licenses, intend to locate in the Glen Cove Business Park on the west side of SR 20, which zoned a mixture of light industrial and commercial (industry). Both are near the entrance to the Maplewood Meadows neighborhood. Liberty Street Farm at 75 Louisa St., which is zoned light industrial and commercial, is yet to be licensed by the state and has yet to apply for county permits. Chimacum resident Marc Hilt's Dream City LLC at 192 W. Fredericks St. has applied for a processor license and a Tier 3 producer license, which would allow up to 21 ,000 el square-feet of plant canopy. Hilt does not yet have a state license. On Oct. 30, 2014, Hilt applied for county permits to construct a roughly 44,000 square foot, multi-building facility on nearly two acres of land zoned Light Industrial. . The county's Department of Community Development (DCD) is accepting public comments through 4:30 p.m. Jan. 7. A public hearing is not expected and neither is an environmental impact statement, though comments will help county planners mitigate potential environmental issues. Some 10 area residents attended the commissioners' regular meeting Monday morning, Jan. 5, and four spoke during the public comment period. Many had already sent letters to DCD and the Washington State Liquor Control Board (WSLCB). Area resident Angie O'Dell addressed the commissioners while holding her 10-month-old daughter Alexis. "I think this can be placed somewhere else," she said. "It doesn't need to be placed directly onto our neighborhood." Davis and others pointed out that 23 children live in their neighborhood, across West Fredericks from the proposed business. That neighborhood features 17 homes and 10 undeveloped lots. "In fact, the school children in our neighborhood must walk directly through the intersection abutting the proposed site," Davis said. "In our opinion, this is a serious oversight on the part of the WSLCB." The area's residents said they are concerned about increased traffic, waste products and potential odor, as well as the business's size and 585-foot distance from their • neighborhood. "The only access into and out of our neighborhood is through the intersection that abuts the site," Davis said. "At 44,000 square feet, this will amount to site coverage of over an acre, making it one of the larger, if not the largest, grow facility in the area." Area resident Kim Gordon also spoke of the business's proposed scale. 0 BOCC punts marijuana moratorium decisions By Nicholas Johnson, Port Townsend Leader, January 7, 2015 • Irr•--• -- • Jefferson County Commissioner David Sullivan shares his thoughts Jan. 5 with Department of Community Development staff on that department's potential recommendations on how to regulate zoning and land-use of 1-502 licensed marijuana growers, processors and retailers. Photo by Nicholas Johnson Should Jefferson County's six-month moratorium on marijuana businesses end Feb. 11 or be extended four more months? Should special rules govern marijuana businesses or should they be treated like all other agriculture? The county's three commissioners could not agree on either subject Monday afternoon, Jan. 5 when Department of Community Development (DCD) staff presented those questions. Instead, they decided to let the public weigh in on whether and how to extend the moratorium during a hearing set for Jan. 26. The commissioners also decided to let the planning commission begin wrestling with how best to regulate marijuana businesses during its Jan. 14 meeting, with an eventual public hearing on that matter. BACKGROUND . In response to rural residents' concerns about large marijuana growing and processing businesses setting up on neighboring properties, the commissioners established a moratorium on such businesses, except those who locate in areas zoned for agriculture, forest or industry, that began Aug. 11, 2014. Since October 2013, the county had applied its existing land-use and zoning rules to marijuana businesses, allowing growers to set up in any area without a land-use permit and requiring a cottage industry permit for processors in most areas. Some 55 percent of producer-processor applicants in Jefferson County, of which there are 27, had chosen to set up on land zoned rural residential, according to Carl Smith, DCD director. After a public hearing Oct. 6 where comments were split nearly equally on whether to allow such businesses in rural residential areas, the commissioners met with DCD staff Oct. 27 to get guidance before drafting rules and presenting them to the planning commission Nov. 5. On Jan. 5, 2015, DCD staff gave the commissioners three options: let the moratorium end, allowing marijuana businesses to move ahead under existing rules; extend the moratorium until May 11 and instruct staff to develop rules that treat marijuana like all other agriculture; or extend the moratorium until May 11 and instruct staff to continue developing rules special to marijuana. FRESH DISCUSSION Commissioner David Sullivan, D-Cape George, preferred to allow the moratorium to end and said marijuana ought to be treated like all other agriculture. He said any new rules should address specific impacts rather than singling out marijuana as different from other agriculture. "Philosophically, I think an impact is an impact is an impact," Sullivan said. "Option 3 is asking that I treat one group unfairly so that I don't treat a larger group unfairly. That's one of those devil's bargains I don't want to make." Commissioners Kathleen Kler, D-Quilcene, and Phil Johnson, D-Port Townsend, said the rules established for these businesses in voter-approved 1-502 suggest land-use and zoning rules should not treat marijuana like all other agriculture. • "The liquor board already addresses the fact that this is a different crop," Kler said. "The difference, I don't think, is in the fact that it's good crop, bad crop. I think it's the market value that changes the security issues." Sullivan said concerns about security seem overblown to him as the state's rules suggest marijuana businesses would be more secure than typical agricultural activity due to various security requirements laid out in 1-502. "I see the impact from lighting from this being the same as lighting from something else," he said. "The size, the parking, the travel back and forth in a neighborhood —those would be the same impacts no matter what's in the car or who is in the car or where they're parking. Look at the medical marijuana grows around the community that aren't having these problems, and they have much less security." Sullivan also expressed concerns about holding up marijuana businesses for another four months. "If we extend this moratorium it's going to end up going into a whole other growing season," he said. "If we don't do the moratorium, there are a number of applications that could get processed and approved under the old code before we shift to any new code." One marijuana business applicant held up by the moratorium told the commissioners during their regular morning meeting that if they extended the moratorium four more months, she would be unable to produce a 2015 crop she estimated would be worth $1 million. "I am beginning to think you are toying with us," said Jean Ball, an applicant who lives along Larson Lake Road in Chimacum. "This is not a damned game. This is my life" Eventually, Sullivan floated a compromise: extend a modified version of the moratorium that would only apply to commercial properties and small rural residential properties of five acres or less, allowing those businesses on bigger properties to move ahead. That option, along with extending the moratorium as is or not extending it at all, is expected to go before the public during Jan. 26. In the meantime, DCD staff plan to present to the planning commission Jan. 14 the current draft, which treats marijuana differently than all other agriculture. A public hearing would eventually be held, allowing input on the proposed rules themselves. Eventually, the planning commission would send its recommended draft back to the commissioners, and if they want to make changes, another public hearing would be set. Kler said she would love to pursue rules that treat marijuana like all other agriculture, but sees a lack of time. Johnson said he was concerned that if the commissioners chose to move ahead with treating marijuana differently than all other agriculture, many people would take that negatively. In the end, the commissioners agreed to move ahead with that option, understanding it could take a whole new shape with further input from the planning commission and the public. The current draft rules are available for review in the commissioner's Jan. 5 meeting packet, which is available on the county's website. i Port Townsend City Council to complain about Navy process with Growlers, electronic warfare range By Charlie Bermant, Peninsula Daily News, January 7, 2015 PORT TOWNSEND —The City Council is weighing in on a proposal to increase the number of Navy Growlers originating from Whidbey Island, criticizing the Navy's process and connecting that proposal to electronic warfare testing on the West End. The council Monday night unanimously authorized Mayor David King and Councilwoman Michelle Sandoval to prepare a final version of the letter from a draft presented to the council. The deadline for public comment on the Growler proposal is Friday. Growler activity has prompted noise complaints from residents of Port Townsend and other areas of the North Olympic Peninsula. "On behalf of the city of Port Townsend, we ask that all impacts of the Navy's Electronic Warfare Testing and Training program be discussed in one comprehensive document," the letter says. The comments are on a proposal to add up to 36 EA-18G Growler jets to the 82 currently based at Naval Air Station Whidbey Island, which is "to support an expanded Department of Defense mission for identifying, tracking and targeting in a complex electronic warfare environment," according to the description at www.whidbeyeis.com. A draft environmental impact statement on the Growler proposal does not address the impact of the electronic warfare project. Navy officials have said the two projects are separate. The City Council disagrees, with King calling the four separate comment periods for Navy projects "confusing." In addition to the comment period, which closes Friday, on the Growler draft environmental impact statement, the three other comments periods were for: • An environmental assessment on the proposed use of Olympic National Forest roads for the electronic warfare range on the West End. Comment closed in August. • A special-use permit for use of Forest Service roads. That comment period closed Nov. 28. • A supplement to the draft environmental impact statement on the Northwest Training and Testing zone that deals with increases in use of sonar and explosives in an area that includes the Strait of Juan de Fuca, the waters off Indian Island and the Olympic Coast National Marine Sanctuary. That comment period closes Feb. 2. "The public does not view these electronic warfare testing and training activities as separate, and the Navy's separation of them into four distinct processes have caused, and continue to cause widespread confusion and frustration among the residents of the city," the letter says. "We believe that these separate evaluations fail to take into account the cumulative impacts of each of the four related proposals," it continues. • "The lack of a cumulative impact analysis not only violates NEPA [National Environmental Policy Act], it give the impression that the Navy is trying to `game' the system by doing a piecemeal analysis," the letter says. Sandoval and King were scheduled to meet by today on the 2,000-word, five-page letter, although the draft presented to council and viewable at http://tinyurl.com/PDN-Letter won't substantially change, King • said. "The process has been scattered and not easy to understand," King said Monday. "We have no idea about the real cultural, environmental and even the financial impacts of these proposals." Sandoval said that if a private company were making these requests, it would be required to go through an environmental impact statement process. "There is a tribal mentality, so if we make critical statements, they are interpreted as being anti-patriotic," Sandoval said. "I think that's a shame. This has nothing to do with love of country; it is about process and the impact on the air, land and sea." Information on the Growler plan is available at www.whidbeyeis.com. Comments can be submitted there or to the EA-18G EIS Project Manager, Naval Facilities Engineering Command (NAVFAC) Atlantic, Attn: Code EV21/SS, 6506 Hampton Blvd., Norfolk, VA 23508. The Forest Service says at http://tinyurl.com/PDN-Electrowarfare that it will accept comments at any time on the special-use permit but that those received after the deadline "may not be able to be given full consideration" in the decision expected by the middle of this year at the earliest. Comments can be submitted to Gregory Wahl, Olympic National Forest All Units, 437 Tillicum Lane, • Forks, WA 98331, or emailed to gtwahl(a�fs.fed.us. Jefferson County Editor Charlie Bermant can be reached at 360-385-2335 or cbermantC&ADeninsuladailynews.com. • w Flu cases start mounting on Peninsula, especially at Olympic Medical Center By James Casey, Peninsula Daily News, January 9th, 2015 • Flu is hitting Port Angeles hard, hospital officials say, but the east and west ends of the North Olympic Peninsula are reporting a less severe season so far. Flu sufferers comprise one fifth of new admissions to Olympic Medical Center, with three new flu patients arriving for every two who go home, Olympic Medical Center commissioners learned this week. As of Thursday, six flu patients were at OMC, which has 78 beds. Meanwhile, 25-bed Jefferson Healthcare hospital had three influenza inpatients. Forks Community Hospital reported no cases. Seattle hospitals were overflowing as of mid-week, according to Dr. Scott Kennedy, OMC's chief medical officer. Metropolitan medical centers have asked OMC to accept their patients, but Kennedy said the Port Angeles hospital would save its beds for an expected flood of flu cases. Meanwhile, OMC is diverting suspected flu sufferers at its emergency room to a temporary triage area that's ordinarily a radiology waiting room, according to Kennedy, to provide "fast-track treatment" while the influenza season grinds on for another predicted four to 10 weeks. • Jefferson Healthcare doesn't plan any such special response, said Kate Burke, hospital spokeswoman, and a Forks Community Hospital spokesman knew of no similar measures. OMC also is putting "a huge emphasis on hand hygiene" for both visitors and employees to fight the spread of flu, Kennedy said, setting up hand-sanitizing kiosks in most areas and urging people with coughs to wear masks. Moreover, hospital volunteers will urge healthy people to stay away from OMC, Kennedy said. "We're having a very different season," he told OMC commissioners Wednesday, partly because of "antigen drift" in the primary flu strain from what the current vaccine protects against. The drift was discovered about a month too late to alter the vaccine, he said. "The main virus is a hard hitter, especially for the young and old," Kennedy said. Dr. Tom Locke, health officer for Clallam and Jefferson counties, said Thursday three types of influenza are circulating —two forms of Influenza A (known as H3N2 and H1N1) and one type of Influenza B. Most of the influenza virus that is being detected is of the H3N2 variety, a virus that first crossed over from birds to humans in 1968, causing what became known as the Hong Kong Flu. IThe H3N2 virus tends to cause more severe illness than some other strains, Locke said, resulting in more hospitalizations, complications and deaths. For example, the federal Centers for Disease Control and Prevention estimates that, between 1976 snd 2007, an average of 28,909 people died from flu during H3N2 seasons, compared to 10,648 people • during non-H3N2 predominant years. As of Wednesday, 16 deaths from flu had been recorded in Washington state. Estimates of the national number of flu deaths among people older than 18 were not available for this season, the CDC said. Only pediatric flu deaths are nationally reportable. As of Dec. 27, the CDC reported 21 child deaths from the flu. The CDC said that 43 states, including Washington, are experiencing high or widespread flu activity. Both Kennedy and Locke urged people who suspect they have the flu to stay home and treat their symptoms with over-the-counter medications —except for infants, elderly people, or those with chronic respiratory disease, diabetes or other serious ailments. People at greatest risk of influenza complications are the very young, the elderly, pregnant women, and those with chronic heart, lung, or metabolic conditions, Locke said. People whose immune systems are impaired by medications, cancer, or other diseases are also at a much-increased risk of developing more severe influenza infections. These people's first step should be to contact their primary care providers at the first hint of illness and request a dose of antiviral medication, Kennedy said. • Prescription drugs, the best known being Tamiflu and Relenza, have proved effective at lessening influenza's effects. For maximum benefit, antiviral medications should be started within 48 hours after symptoms start, Locke said. If symptoms still worsen, sufferers should go to the hospital, Kennedy said. The current flu season was well under way about a month earlier than in previous years. Positive results on tests for influenza at OMC's lab rose from none in October to 17 percent in November to 29 percent in December. That figure compares to a 30.4 percent rate nationwide in the week that ended Dec. 27. Now, "we suspect it to be influenza," Kennedy said, whenever a patient's symptoms include cough, sore throat and headache. Other national statistics show deaths from flu and pneumonia— nearly 7 percent of reported cases — approaching epidemic levels in the last week of 2014, but that they have since subsided to below- epidemic proportions. Reporter James Casey can be reached at 360-452-2345, ext. 5074, or at icasey(c�peninsuladailynews.com r, How YOU can avoid the FLU A FLU SHOT REMAINS the best defense against the illness, health officials say.The vaccine takes maximum effect in one to • two weeks. Other strategies to stay well include: • Stay home if you feel sick.Although influenza can be spread before symptoms develop, people are most contagious when they have a fever and are acutely ill. Staying home from work and keeping kids out of school will help you recover faster and protect others from infection. • Cover your coughs and sneezes,which can spread the virus as far as 5 feet. Cough into your elbow or a tissue, not your bare hand, so as not to touch objects or people and spread the virus to them. • Better still, if you have a cough,wear a mask. • Wash your hands frequently with warm water and soap or with an alcohol gel, and avoid touching your eyes, nose or mouth. • Wipe down surfaces like computer keyboards and telephone receivers with alcohol or a bleach-based solution. need a doctor's care,treat symptoms v • If you get the flu and do notytoms with pain p p n retie ers and fever reducers, but do not give aspirin to children because Reyes Syndrome may ensue. • � E�°' , Ad ID: 142267 ,� `, _ RECEIVEr Pre-Bill Me trailer JUL 312015 026 Adams Street • Port Townsend, WA 98368 • 360-385-2900 Jefferson County Public Health Bill to: Sold to: Account ID: 11545 Jean Baldwin Denise Banker JeffCo Public Health JeffCo Public Health 615 Sheridan Street 615 Sheridan Street Port Townsend, WA 98368 Port Townsend, WA 98368 Please pay from this Pre-Bill. Return stub with paymenl Rep ID: DR Terms: Net 30 Description Classification of Ad: 460—County Notices Zone: A PO: Notice of Public Hearing 6/18/15 Text: JEFFERSON COUNTY DEPARTMENT OF PUBLIC HEALTH NOTICE OF ... Charges from 6/3/2015 to 6/3/2015 Date Pub Type Description Price Discount Applied Due 6/3/15 PTL Ad LEGALS: JEFFERSON COUNTY- $32.00 -$32.00 $0.00 410 $32.00 -$32.00 $0.00 Please return this portion with your payment. Remit Payment to: Pre-Bill Port Townsend Leader Amount Due $0.00 226 Adams Street Port Townsend,WA 98368 Phone: 360-385-2900 Fax: 360-385-3422 Amount Enclosed Issue Date: 6/3/2015 Jean Baldwin Pre-Bill Date: 7/28/2015 JeffCo Public Health 615 Sheridan Street Ad # 142267 Port Townsend, WA 98368 Account# 11545 4110 Affidavit of Publication STATE OF WASHINGTON) SS COUNTY OF JEFFERSON) I, Donna J. Rosmaier, an employee of the Port Townsend& Jefferson County Leader, a weekly newspaper which has been established, pub- lished in the English language and circulated continuously as a weekly newspaper in the town of Port Townsend in said County and State, and for general circulation in said county for more than six (6) months prior to the date of first publication of the Notice hereto attached and that the said Port Townsend & Jefferson County Leader was on the 27th day of June 1941 approved as a legal newspaper by the Superior Court of said Jefferson County and annexed is a true copy of the Ad# 1 1,4 aa( fl SEE ATTACHED NEWSPAPER CLIPPING As it appeared in the regular and entire issue of said paper itself not 1111 in a supplement thereof for a period of 1, week4, beginning on the 7) day of ,)L)A.Q_ , 2015, ending on the 3 day of JJ(\Q , 2015, that said newspaper was regularly distributed to their subscribers during all of this period. That the full amount of $ 3a ,0 () has been paid in full, at the rate of $8.00 per column inch for each insertion. Subscribed and sworn to before me this RS day of --)O `^� 2015. A04,4, ow ; 3_914.4.A..,\._ re nna J. Rosmaier Notary Public in and for the State of Washington. Residing at Port Townsend. • 111