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Board of Health Meeting
December 17, 2015
• Jefferson County
Public Health
Agenda
Minutes
0
A "et
Public Healt
0 December 17, 2015
JEFFERSON COUNTY BOARD OF HEALTH
December 17, 2015
• Jefferson County Public Health
615 Sheridan St.
Port Townsend, WA
2:30—4:30 PM
DRAFT AGENDA
I. Approval of Agenda
II. Approval of Minutes of October 15, 2015 Board of Health Meeting
III. Public Comment
IV. Old Business and Informational Items
1. Rapid cat Jefferson County
2. DOH Marijuana Prevention Project
3. DBHR Substance abuse prevention events
4. Port Townsend Paper-Mill solid waste facility financial assurances
5. Olympic Accountable Communities of Health plan submittal
6. Community Health Improvement Plan update
• V. New Business
1. Public Hearing: EH 2016 Food Service Fees
2. JCPH draft policy: Physical Activity in workplace
3. JCPH policy: Breast feeding in workplace
4. JCPH draft policy: Tobacco Use
5. JCPH Director search
6. 2016 BOH calendar
VI. Activity Update
VII. Public Comment
VIII. Agenda Planning Calendar
IX. Next Scheduled Meeting: January 21, 2016
2:30—4:30 PM
Jefferson County Public Health
615 Sheridan St.
Port Townsend, WA
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• JEFFERSON COUNTY BOARD OF HEALTH
MINUTES
Thursday, October 17, 2015
Jefferson County Public Health, 615 Sheridan Street, Port Townsend WA 98368
Board Members Staff Members
Phil Johnson,County Commissioner District#1 Thomas Locke,MD,Health Officer
David Sullivan,County Commissioner,District#2 Jean Baldwin,Public Health Dir
Kathleen Kler,Vice-Chair,County Commissioner,District#3 Julia Danskin,Public Health Manager
Kris Nelson,Port Townsend City Council Jared Keefer,Env.Health Dir
Sheila Westerman,Chair,Citizen at large Veronica Shaw,Public Health Deputy Dir
Jill Buhler,Hospital Commissioner,District#2 Michael Dawson,Water Quality Dir
John Austin,Citizen at large
Chair, Sheila Westerman called the October 17, 2015 meeting of the Jefferson County Board of
Health to order at 2:38 p.m. A quorum was present.
Members Present: Sheila Westerman, Phil Johnson, David Sullivan, Kathleen Kler, Kris
Nelson, Jill Buhler, John Austin
Staff Present: Jean Baldwin, Jared Keefer, Julia Danskin, Veronica Shaw, Philip Morley,
Denise Banker, Karen Alexander, Karen Obermeyer, Mike Dawson
•
APPROVAL OF AGENDA
Chair Sheila Westerman called for approval of the October 17, 2015 Agenda.
Member Sullivan moved to approve the agenda as presented; the motion was seconded by
Member Austin. No further discussion. The motion passed unanimously.
APPROVAL OF MINUTES
Chair Westerman, Member John Austin, and Member David Sullivan discussed and requested
correction of typos and staff attendance to the September 17, 2015 Minutes, as well as requesting
pagination for all future Minutes.
Chair Westerman asked for approval of the September 17, 2015 Minutes with corrections.
Member Austin moved to approve the agenda; the motion was seconded by Member Kler.
No further discussion. The motion passed unanimously.
PUBLIC COMMENT
No public comment.
• OLD BUSINESS AND INFORMATIONAL ITEMS
1
• 1. SmileMobile Coming to Blue Heron School in Port Townsend
Julia Danskin, Community Health Educator, JCPH, announced that the Washington
Dental Service SmileMobile mobile dental health clinic will be at the Blue Heron School
for the month of November. She advised that the service was accepting appointments via
a toll-free number, and would not turn anyone away from care based on ability to pay.
2. Jefferson County Public Health Hires a New Community Health Director
Jean Baldwin, Director, JCPH, announced that Dunia Faulx was chosen as the new
Community Health Director. Ms. Faulx previously worked for JCPH as an AmeriCorps
student and kept in contact with JCPH staff over the years throughout her education and
world travels promoting public health. Ms. Faulx will begin the new position in late
December.
NEW BUSINESS
1. Food Safety Program Fees
Jared Keefer, Environmental Health Director, JCPH, explained pricing details of three
new proposed risk-based fee schedules for food permits. The new fees are based on what
is actually being done in commercial kitchens, rather than square footage. The Board
expressed an interest in moving toward a risk-based assessment of fees. Councilmember
Kler queried Mr. Keefer about administrative costs of the options.
• Chair Westerman called for a vote about rounding the permit fee denominations up
to the nearest dollar(e.g, $199 would become $200). Member Johnson seconded the
motion. The motion failed by a vote of 5-2 against. Concern was raised by the
Members about justifying the rounding to the public.
Member Kris Nelson motioned to propose a public hearing for risk-based Option 1
of the plan. Member Jill Buhler seconded the motion. The motion passed
unanimously.
Chair Westerman motioned to hold a public hearing for risk-based fee schedule
Option 1 on December 17, 2015, time TBD, at the Jefferson County Board of Health
meeting. Member Kler seconded the motion. No further discussion. The motion
passed unanimously.
2. End of Year Report: Lake Monitoring Program
Michael Dawson, Water Quality Director, JCPH, presented the End-of-Year Report for
the Lake Monitoring Program. There were no fatalities or illnesses recorded this year.
Mr. Dawson stated that due to lack of state funding (Dept. of Ecology contract with King
County's lab for testing samples), the division can't do regular monitoring unless a bloom
occurs. The division has also been unable to secure grant funding for more testing and
observation. Mr. Dawson then discussed the microorganism activity via year-over-year
graphs for each of the major County water bodies. Member Sullivan inquired of Mr.
• Dawson about what kind of budgeting would be needed to monitor more. Member John
2
1110
Austin suggested that the Board write a letter to the Department of Ecology to request
more funding before more incidents arise.
3. End of Year Report: School Based Clinic Program
Director Baldwin yielded to JCPH Staff Member and Community Health Educator Karen
Obermeyer to present the End of Year data for the School Based Clinic Program. Ms.
Obermeyer explained the purpose of the program, what services are provided and how
costs are covered, and explained how the data showed the needs of the community being
met in specific areas.
4. Community Health Improvement Plan Update
Community Health Educator Karen Obermeyer to present the Community Health
Improvement Plan (CHIP) update to the Members. Ms. Obermeyer will be working on
the program with funding from Jefferson Healthcare Hospital, and JCPH. Ms. Obermeyer
stated the four focus-groups were recruiting new members, and requested that any people
with interest in joining should be directed to either Ms. Obermeyer or Director Baldwin
so invitations can be sent. The four groups are: Immunizations, Mental Health and
Substance Abuse Care, Access to Care and Chronic Disease Prevention. Dr. Tom Locke,
Health Officer, JCPH, explained the four areas that were identified to create change
quickly (within one year) by forming focus groups, citing that data-based identification of
needs can generate funding for solutions. The issues may continue to be worked on
through the Accountable Community of Health or CHIP for years.
• ACTIVITY UPDATE
Ms. Danskin mentioned a theatre event by the Poetic Justice ensemble presenting skits about
health care challenges on October 20th and 22nd with audience participation.
Mr. Keefer stated Water Quality will continue to look for grants from the State. Environmental
Health saw septic applications increase in September and October, with 75% for new
construction, and 25% for repair.
Ms. Baldwin mentioned a spike in the clinic for immunization for a group of students preparing
for a trip to Vietnam. Many of them are previously unimmunized.
PUBLIC COMMENT
There was no public comment.
NEXT SCHEDULED MEETING
The next Board of Health meeting will be held on Thursday, December 17, 2015 from 2:30—
4:30 p.m. at Jefferson County Public Health, 615 Sheridan Street, Port Townsend, WA.
ADJOURNMENT
Chair Westerman adjourned the October 17,2015 Jefferson County Board of Health
meeting at 4:25 p.m.
•
3
c I
•
•
JEFFERS S COU TY BOARD OF HEALTH
• 0
Phil Johnso , 'o'e ser Ji Suhlelafeleri r
, , //,/
Davi• uiva , em.er Sheila Westerman, Chair
0 101\
Kris Nelso Member Kathleen Kler, Vice-Chair
0 .rke:Le,--kt '(-/</e,\_
Jo Austin, Member
Respectfully Submitted:
Karen Alexander
•
•
4
• JEFFERSON COUNTY BOARD OF HEALTH
MINUTES
Thursday, October 17,2015
Jefferson County Public Health, 615 Sheridan Street, Port Townsend WA 98368
Board Members Staff Members
Phil Johnson,County Commissioner District#1 Thomas Locke,MD,Health Officer
David Sullivan,County Commissioner,District#2 Jean Baldwin,Public Health Dir
Kathleen Kler,Vice-Chair,County Commissioner,District#3 Julia Danskin,Public Health Manager
Kris Nelson,Port Townsend City Council Jared Keefer,Env.Health Dir
Sheila Westerman,Chair,Citizen at large Veronica Shaw,Public Health Deputy Dir
Jill Buhler,Hospital Commissioner,District#2 Michael Dawson,Water Quality Dir
John Austin,Citizen at large
Chair, Sheila Westerman called the October 17, 2015 meeting of the Jefferson County Board of
Health to order at 2:38 p.m. A quorum was present.
Members Present: Sheila Westerman, Phil Johnson, David Sullivan, Kathleen Kler, Kris
Nelson, Jill Buhler, John Austin
Staff Present: Jean Baldwin, Jared Keefer, Julia Danskin, Veronica Shaw, Philip Morley,
Denise Banker, Karen Alexander, Karen Obermeyer, Mike Dawson
•
APPROVAL OF AGENDA
Chair Sheila Westerman called for approval of the October 17, 2015 Agenda.
Member Sullivan moved to approve the agenda as,presented; the motion was seconded by
Member Austin. No further discussion. The motion passed unanimously.
APPROVAL OF MINUTES
Chair Westerman,Member John Austin, and Member David Sullivan discussed and requested
correction of typos and staff attendance to the September 17, 2015 Minutes, as well as requesting
pagination for all future Minutes.
Chair Westerman asked for approval of the September 17, 2015 Minutes with corrections.
Member Austin moved to approve the agenda; the motion was seconded by Member Kler.
No further discussion. The motion passed unanimously.
PUBLIC COMMENT
No public comment.
• OLD BUSINESS AND INFORMATIONAL ITEMS
1
• 1. SmileMobile Coming to Blue Heron School in Port Townsend
Julia Danskin, Community Health Educator, JCPH, announced that the Washington
Dental Service SmileMobile mobile dental health clinic will be at the Blue Heron School
for the month of November. She advised that the service was accepting appointments via
a toll-free number, and would not turn anyone away from care based on ability to pay.
2. Jefferson County Public Health Hires a New Community Health Director
Jean Baldwin, Director, JCPH, announced that Dunia Faulx was chosen as the new
Community Health Director. Ms. Faulx previously worked for JCPH as an AmeriCorps
student and kept in contact with JCPH staff over the years throughout her education and
world travels promoting public health. Ms. Faulx will begin the new position in late
December.
NEW BUSINESS
1. Food Safety Program Fees
Jared Keefer, Environmental Health Director, JCPH, explained pricing details of three
new proposed risk-based fee schedules for food permits. The new fees are based on what
is actually being done in commercial kitchens, rather than square footage. The Board
expressed an interest in moving toward a risk
-based°assessment of fees. Councilmember
Kler queried Mr. Keefer about administrative costs of the options.
Chair Westerman called for a vote about rounding the permit fee denominations up
to the nearest dollar(e.g, $199 would.become $200). Member Johnson seconded the
motion. The motion failed by a vote of 5-2o'against. Concern was raised by the
Members about justifying the rounding to the public.
MemberKris Nelson motioned to propose a public hearing for risk-based Option 1
of the plan. Member Jill Buhler seconded,the motion. The motion passed
unanimously.
Chair Westerman motioned to hold a public hearing for risk-based fee schedule
Option 1 on December,17, 2015, time TBD, at the Jefferson County Board of Health
meeting. Member Kler seconded the motion. No further discussion. The motion
passed unanimously..
2. End of Year Report: Lake Monitoring Program
Michael Dawson, Water Quality Director, JCPH, presented the End-of-Year Report for
the Lake Monitoring Program. There were no fatalities or illnesses recorded this year.
Mr. Dawson stated that due to lack of state funding (Dept. of Ecology contract with King
County's lab for testing samples), the division can't do regular monitoring unless a bloom
occurs. The division has also been unable to secure grant funding for more testing and
observation. Mr. Dawson then discussed the microorganism activity via year-over-year
graphs for each of the major County water bodies. Member Sullivan inquired of Mr.
• Dawson about what kind of budgeting would be needed to monitor more. Member John
2
• Austin suggested that the Board write a letter to the Department of Ecology to request
more funding before more incidents arise.
3. End of Year Report: School Based Clinic Program
Director Baldwin yielded to JCPH Staff Member and Community Health Educator Karen
Obermeyer to present the End of Year data for the School Based Clinic Program. Ms.
Obermeyer explained the purpose of the program, what services are provided and how
costs are covered, and explained how the data showed the needs of the community being
met in specific areas.
4. Community Health Improvement Plan Update
Community Health Educator Karen Obermayer to present the Community Health
Improvement Plan (CHIP) update to the Members. Ms. Obermeyer will be working on
the program with funding from Jefferson Healthcare Hospital, and JCPH. Ms. Obermeyer
stated the four focus-groups were re.cruitingnew members, and requested that any people
with interest in joining should be directed to either Ms. Obermeyer or Director Baldwin
so invitations can be sent. The four groups are: Immunizations, Mental Health and
Substance Abuse Care, Access to Care and Chronic Disease Prevention. Dr. Tom Locke,
Health Officer, JCPH, explained the four areas that were identified to create change
quickly (within one year) by forming focus groups, citing that data-based identification of
needs can generate funding for solutions. The issues may continue to be worked on
through the Accountable Community ofHealth or CHIP for years.
• ACTIVITY UPDATE
Ms. Danskin mentioned a theatre event by the Poetic Justice ensemble presenting skits about
health care challenges on October 20th and 22nd with audience participation.
Mr. Keefer stated Water Quality will continue to look for grants from the State. Environmental
Health saw septic applications increase in September and October, with 75% for new
construction, and 25%for repair.
Ms. Baldwin mentioned a spike inthe clinic for immunization for a group of students preparing
for a trip to Vietnam. Many of them are previously unimmunized.
PUBLIC COMMENT
There was no public comment.
NEXT SCHEDULED MEETING
The next Board of Health meeting will be held on Thursday, December 17, 2015 from 2:30—
4:30 p.m. at Jefferson County Public Health, 615 Sheridan Street, Port Townsend, WA.
ADJOURNMENT
Chair Westerman adjourned the October 17,2015 Jefferson County Board of Health
meeting at 4:25 p.m.
411
3
• JEFFERSON COUNTY BOARD OF HEALTH
Phil Johnson, Member Jill Buhler, Member
David Sullivan, Member Sheila Westerman, Chair
Kris Nelson, Member Kathleen Kler, Vice-Chair
John Austin, Member
Respectfully Submitted:
Karen Alexander
•
•
4
� Board of Health
IV
Old Business
Item 1
Rabid Cat in Jefferson County
deffe&on.
Public Healt
• December 17, 2015
JCPH Page 1 of 1
Always working fora healthier Jefferson. ff -tin e 1 (� � f�
• Port Townsend,Washington
Home About JCPH Community Health Environmental Health/Water Quality Information News&Events
Public Health News and Events.
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Welcome»News&Events
JEFFERSON COUNTY PET CAT TESTS POSITIVE FOR RABIES VIRUS
November 5,2015
FOR IMMEDIATE RELEASE
Contact: Denis Langlois
Jefferson County Public Health
Phone: 360-385-9421
JEFFERSON COUNTY PET CAT TESTS POSITIVE FOR RABIES VIRUS
Port Townsend,WA—On November 3, 2015 Jefferson County Public Health officials learned that a euthanized cat specimen sent to
the Washington State Public Health Laboratory the preceding day had tested positive for the rabies virus. The 2 year old cat was
unvaccinated and had shown signs of aggressiveness the prior week and bit its owner. The cat was placed in a 10 day veterinary
quarantine during which time the animal became ill and was euthanized. Since learning of this positive test result,Jefferson County has
focused its efforts on identification of anyone who was exposed to the infected cat's saliva and who requires preventive treatment for
rabies. Transmission of rabies virus can occur when a person is bitten by a rabid animal or if the animal's saliva is splashed into the
eyes, nose, or mouth or comes in contact with a break in the skin. Additional testing is being performed on the rabies strain detected in
the Jefferson County cat to determine its source. It is highly likely this testing will reveal that the virus is of bat origin.
• Rabies in domestic animals is rare in Washington State. The last domestic cat with rabies in this State was in 2002 and the last rabid
dog was in 1987. In 2007 a rabid puppy imported from India passed through Washington State on its way to Alaska. In contrast,
rabies in bats is not uncommon in Washington State. In 2015 there were 15 confirmed cases of rabid bats, one from Clallam County.
In 2014 there were 12 confirmed cases, including one from Jefferson County. Less than 1%of bats in this State are thought to carry
the rabies virus.
Detection of the first rabid cat in Washington State in the past 13 years is a powerful reminder of two important public health messages:
vaccinate your pets and keep your distance from bats. Vaccination of pets is legally required in Washington State but many people
either forget to immunize their pets against rabies or let these vaccinations lapse. Typically, pets need two initial vaccinations one year
apart followed by booster doses every 3 years to be fully protected against rabies. It is especially important to vaccinate cats given
their predator nature and tendency to hunt flying creatures such as bats. Even housebound pets can be exposed if a bat enters the
house.
It is also important to recognize that virtually all rabies in Washington State is linked either directly or indirectly to bat exposures.
Residents are reminded to keep their distance from bats and never attempt to handle a sick or dying bat. If you discover a bat in your
home and may have had contact with the bat or if you have an accidental direct contact with a bat, it is strongly recommended that the
animal be trapped and tested for rabies. Call Jefferson County Public Health at 360-385-9400 for information about testing a bat. More
information about rabies can be found on the Washington State Department of Health webpage:
doh.wa.qov/YouandYourFamily/IllnessandDisease/Rabies
###
Always working for a safer and healthier community
Jefferson County Public Health
6eet3-6P0 oWA 98368
Community15Sheridan HealStrth. .385.9400rtTownsend,1 Environmental Health:360.385 9444
W
info@jeffersoncou ntypublichealih.org
JCPH Employee Resources
•
http://www.jeffersoncountypublichealth.org/index.php?jefferson county_pet_cat_tests_po... 12/9/2015
� Board of Health
IV
Old Business
Item 2
DOH Marijuana Prevention Project
.4 9eiqson
Public Healt
December 17, 2015
Jean Baldwin
From: Jean Baldwin
Tuesday, December 01, 2015 11:02 AM
Julia Danskin
Cc: Denise Banker
Subject: FW: Marijuana Prevention and Education Program
For BOH and for Chim coalition fyi packets.
From: DOH PCH OHC [mailto:OHC@doh.wa.gov]
Sent:Tuesday, December 01, 2015 10:59 AM
Cc: Hudson, David R (DOH)<david.hudson@doh.wa.gov>;Smothers,Steve W(DOH) <steve.smothers@doh.wa.gov>; Connelly, Cri:
(DOH) <Cristal.Connelly@DOH.WA.GOV>; Pyatt,Julie N (DOH)<julie.pyatt@doh.wa.gov>; Limtiaco, Frances(DOH)
<Frances.Limtiaco@DOH.WA.GOV>; Harrelson, David (DOH) <David.Harrelson@DOH.WA.GOV>; Migliore Santiago, Patti (DOH)
<Patti.MiglioreSantiago@doh.wa.gov>;Joyner, Pama (DOH)<Pama.Joyner@DOH.WA.GOV>
Subject: Marijuana Prevention and Education Program
This message is being sent to the LHJ Leadership--
The Department of Health has completed the first phase of the Marijuana Prevention and Education Program Community Contraci
General Letter of Intent (LOI) to Apply. We received 10 LOIs; two from the Greater Columbia region.
The following organizations submitted LOIs:
"legion Organization
Better Health
Together Spokane Regional Health District
Cascade Pacific CHOICE Regional Health Network
Greater Columbia Walla Walla County Department of
Community Health
Greater Columbia Educational Service District#105
King Public Health - Seattle & King County
North Central Grant County Health District
North Sound United General District
Pierce Tacoma Pierce County Health Department
SW WA Regional Educational Service District#112
Health
Olympic Olympic Educational Service District#114
All organizations submitting LOIs will move on to Phase Two, submitting a Request for Funding Application. Applications will be du
December 23rd with notice of awards to be made December 30th.
•nks!
1
Pama Joyner,Acting Office Director
Office of Healthy Communities
Washington State Department of Health
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2
I-502 DSHS/DBHR Prevention and Treatment
• Implementation Plan Overview WashDepartment of Social
Division of Behavioral Health&Recovery,Office of Behavioral Health&Prevention xeaeses
Transforminnh g llivives
Implementing I-502- DSHS (2E2SHB 2136)
Healthy Youth Survey (HYS) /Young Adult Survey(YAS)
• $500,000 per year for Survey Administrations
o HYS is conducted jointly by DSHS, DOH, LCB, and OSPI.Administered every two years.
o YAS is conducted jointly with DSHS and University of Washington. Administered every year.
State-wide Benefit Cost Evaluation
• Contract with Washington State Institute for Public Policy(WSIPP)
Up to Fifteen (15%) percent:
For development, implementation, maintenance,and evaluation of programs and practices aimed at the
prevention or reduction of maladaptive substance use,substance-use disorder,substance abuse or substance
dependence among middle school and high school age students.
• Eighty-five percent(85%)of the funds must be directed to evidence-based or research-based programs
and practices that produce objectively measurable result, and by September 1, 2020, are cost-beneficial.
• Fifteen percent(15%)of the funds may be directed to proven and tested practices, emerging best
practices or promising practices.
Treatment -Increase Youth Residential Services
• RFI released 10/1/2015 closed 10/29/2015 for SFY2016 allocation
• • Review of responses happening November 2-13
• Startup funds for agencies that are able to contract with BHO/MCO/ASO's for youth residential services.
• Must be able to begin services no later than July 1,2016.
• SFY2017 allocation will go toward funding services through the BHO/MCO/ASO's.
Prevention-1-502 CPWI Enhancement
Community-based services:
• Fund current Community Prevention&Wellness Initiative(CPWI)Communities to reach$110,000/year
to support program development, implementation& maintenance(includes 8%admin).
o Provision of direct services from list of Youth Marijuana Use Prevention Programs.
■ Includes defined list of environmental programs.
o Encouraged to partner with community-based organizations (CBOs)(not required).
o DBHR will monitor expenditure percentages to move funding quarterly.
• Contractors will submit a CPWI Enhancement Packet.
School-based services:
• 4 FTE for Prevention/Interventionist will be added to sites to support 1:1,000 student ratio benchmark.
• Life Skills Training curricula enhancement implemented at least one grade.
Prevention-1-502 CPWI Expansion(Cohort 4)
Community-based services:
• Fund five(5) new CPWI communities—[Joyce,Clallam;Mattawa,Grant;Tacoma(Foss HS area),Pierce;and Yakima
and Wapato, Yakima]
• o Funding to support program development, implementation,and maintenance (including
coalition coordination).
Working Draft I-502 Prevention Implementation Plan November 2015(DSHS/DBHR)
1
o Provision of services from list of Youth Substance Use Prevention programs.
• Encouraged to partner with CBOs (not required).
• • Expansion Communities identified using 2015 Risk Rankings.
o Distribution coverage considerations include:
• Size of Community
• Urban/Rural
• East/West
• School Districts Like Us Clusters
• CPWI Requirements as stated in the Community Coalition Guide.
• Contractors will follow customized timeline and training to accelerate strategic planning at the local
level to complete strategic plans by March 1, 2016 and begin providing services.
School-based services:
• 1 FTE for Prevention/Intervention (P/I)Specialist per new site.
• Program will ensure Life Skills Training curriculum is implemented in at least one grade as applicable.
Prevention-Grants for Community—based Services
• Statewide process to provide services using the list of Youth Marijuana Use Prevention programs for
eligible community-based organizations(CBO).
o Single-site grants for up to$20,000
o Multi-site grants for up to$100,000
• CBO proposals shall include:
o Collaboration with other efforts in defined area (CPWI, DFC,other youth serving organizations);
o Specific community service area boundaries including location of services (priority for high-need
communities);
o Specific demographics of populations that will be the target of services;
IIIo Budget narrative and justification for requested funding amount;and
o Plan for addressing health disparities.
• Implement Evidence-based/Research-based/Promising Programs within defined percentages.
• Encouraged to partner with CPWI sites (not required).
• Follow same reporting requirements as current prevention service providers.
• Contracts will be for SFY16 with option of renewal based on performance and expenditure.
Prevention-Life Skills Training Program
• Funding will support statewide facilitator training(online/in person)for staff and curricula costs for
schools. Up to 8%admin allowed.
• Capacity Building(Eastern&Western WA):
o Regional Trainings (November/December 2015)
o Training of Trainers (November/December)
o Two(2)trainings to continue to provide statewide training support after initial training and in
Year 2.
Implementation:
• Existing staff implement Life Skills curriculum in up to 31 schools. (January/Semester 2 of 2015-16
school year).
• Priority will be given to:
o Current CPWI schools interested in implement Life Skills as the prevention strategy for the
Student Assistance Program.
o Feeder middle schools (where the P/I is in the CPWI high school), if the P/I is in the middle
school,serve other middle schools in the community.
illo Other indicated highest-need communities per risk ranking.
• As funding allows funds may be available for afterschool implementation of LST in high need
Working Draft 1-502 Prevention Implementation Plan November 2015(DSHS/DBHR)
2
communities.
• Prevention-Home Visiting
Supplanting funds: Support same services that budget reduction comes from—pass through.
New funds:
• DBHR Contracts with DEL for home visiting services.
• Consideration to high-need communities(collaborate with CPWI as applicable).
• Home visiting services follow EBP/RBP/Promising requirements per statute.
Prevention and Treatment-Tribal Prevention and SUD Treatment Mini Grants
• Grants for the tribes available for either prevention or treatment services.
• Encouraged to use EBP/RBPs.
• Tribes will complete a program plan.
Pr•v• •s, n. Tr• . H • - r.ili • f. v'. • •-, . • E:P R .rh-s . • '
• :p • I
Programs
• Assess community facilitator training needs statewide via survey.
• Prevention EBP, RBP, Promising Program list roll-out and informational session November 2015.
• Training on implementation and fidelity will be provided to providers on prioritized EBP, RBP and
promising practices.
Treatment Programs and Practices for Youth Substance Use Disorder
• Note:No less than 85%of DMF funds can be used to support Evidence-Based and Research-Based
and no more than 15%of DMF funds can be used to support Programs
� from the list below.
Evidence-Based& Research-Based Programs
• Multi Systemic Therapy(MST)for substance abusing juvenile offenders
• Family Support Network(FSN)for Adolescent Cannabis Users
• Multidimensional Family Therapy(MDFT):
• Adolescent Community Reinforcement Approach (ACRA):
• Motivational Enhancement Therapy(MET)/Cognitive Behavioral Therapy(CBT) 12:
• Motivational Enhancement Therapy(MET)/Cognitive-Behavioral Therapy(CBT)5:
Notes:
• Bold=EBP
DSHS/DBHR would like to thank the following individuals and groups for their consultation,program search and review contribution efforts,and
overall generous support in developing this list.
• University of Washington's Alcohol and Drug Abuse Institute,Dennis Donavan,Ph.D.,Director and Nancy Sutherland,MLS Associate
Director;and
• Washington State Institute for Public Policy,Steve Aos,Director;Annie Pennuchi,Assistant Director;Adam Darnell,Ph.D.;Marna Miller,
Ph.D.;and Matt Lemon,Research Associate
•
Working Draft 1-502 Prevention Implementation Plan November 2015(DSHS/DBHR)
3
Prevention Programs and Practices for Youth Marijuana Misuse/Abuse
• (for DMF CPWI Enhancement Services)
Note:No less than 85%of DMF funds can be used to support Evidence-Based and Research-Based Programs
and no more than 15%of DMF funds can be used to support < ,from the list below.
Evidence-Based& Research-Based Programs
• Good Behavior Game (GBG)*
• Nurse Family Partnership(NFP)*
• Brief Strategic Family Therapy
• Case Management in Schools'* (Communities in Schools,City Connects,and Corner School
Development Program)(see note below)
• Guiding Good Choices*
• Incredible Years*
• Keepin it Real
• Life Skills Training-Middle School
• Lions Quest Skills for Adolescence*
• Mentoring for students:Community-based* (Across Ages,Big Brothers Big Sisters,The Buddy System,
Career Beginnings,Sponsor-a-Scholar,and Washington State Mentors program/Mentoring Works Washington.
Locally developed programs may be considered but require DBHR approval and consultation with WA Mentors.)
• Project Northland(Class Action may be done as booster)
• Project STAR
• SPORT Prevention Plus Wellness
• Strengthening Families Program: For Parents and Youth 10-14(Iowa Version)*
Promising Programs
• Athletes Training& Learning to Avoid Steroids
• • Communities that Care
• Coping Power
• Curriculum-Based Support Group(CBSG) Program*
• Familias Unidas
• Positive Action*
• Project Toward No Drug Abuse
• PROSPER
• Raising Healthy Children (using SSDP model)
• Strong African American Families
• Teen Intervene
Environmental Strategies (Promising)
• Policy Review and Development
• Purchase Surveys coupled with Reward and Reminder
• Restrictions at Community Events
• Social Norms Marketing
Notes:
(*)These programs are also programs with Mental Health Promotion areas of interest and outcomes as found on NREPP.
Hanley,S.,&Aos,S.(2014).Preventing youth substance use:A review of thirteen programs.(Doc.No.14-09-3201).Olympia:Washington State Institute for
Public Policy.http://www.wsipp.wa.gov/ReportFile/1562/WSipp PreventinK-Youth-Substance-Use-A-Review-of-Thirteen-Programs Report.pdf and
Lemon,M.,Pennucci,A.,Hanley,S.,&Aos,S.(2014).Preventing and treating youth marijuana use:An updated review of the evidence.(Doc.No.14-10-
3201).Olympia:Washington State Institute for Public Policy.http://www.wsipp.wa.gov/ReportFile/1571/Wsipp Preventing-and-Treating-Youth-
Mariivana-Use-An-Updated-Review-of-the-Evidence Report.pdf
1 Case management involves placing a full-time social worker or counselor in a school to help identify at-risk students'needs and connect students and
• families with relevant services in and outside of the K-12 system.Three such models have been evaluated and are included in this analysis:Communities
in Schools,City Connects,and Comer School Development Program.In practice,each of these models includes other services,but the program evaluations
focus on the impact of the case management component.
Working Draft 1-502 Prevention Implementation Plan November 2015(DSHS/DBHR)
4
I- 02 PWI Ex•ansi i n an. ommuni I a ed or. .nizati s n o ro• ams .1 o m. s• e t fr i m he
following programs in addition to the programs listed on page 4:
Additional Promising Programs
• Alcohol Literacy Challenge(ALC)
• Community Trials Intervention to Reduce High-Risk Drinking(adapted for marijuana)
• Family Matters
• Parent Management Training*
• Project Towards No Tobacco Use
• Protecting You/Protecting Me
• Start Taking Alcohol Risks Seriously(STARS)for Families
Tribes may select from the following programs in addition to the programs listed on page 3:
Tribal Specific Programs
• Family Spirit*
• Gathering of Native Americans
• Healing of the Canoe
• Positive Indian Parenting
• Project Venture
• Red Cliff Wellness School Curriculum
• State-wide Indian Drug Prevention
• Storytelling for Empowerment
• I-502 Home Visiting Program List:
Home Visiting Evidence-Based& Research-Based Programs
• Child-Parent Psychotherapy*
• Early Head Start(EHS) Home-Based
• Family Spirit*
• Nurse-Family Partnership(NFP)*
• Parent-Child Home Program (PCHP)
• Parents as Teachers(PAT) *
Promising Programs
• Partnering with Families for Early Learning
Notes:
(*)These programs are also programs with Mental Health Promotion areas of interest and outcomes as found on NREPP.
DSHS/DBHR would like to thank the following individuals and groups for their consultation,program search and review contribution efforts,and
overall generous support in developing this list.
• University of Washington's Social Development Research Group;Kevin Haggerty,Ph.D.;Rico Catalano,Ph.D.;Daniel Gangon,graduate
student;
• Washington State University;Laura Griner Hill,Ph.D.;Brittany Rhoades Cooper,Ph.D.;Angie Funaiole,graduate student;and Eleanor Dizon,
graduate student;
• Washington State Institute for Public Policy,Steve Aos,Director;Annie Pennuchi,Assistant Director;Adam Darnell,Ph.D.;Marna Miller,
Ph.D.;and Matt Lemon,Research Associate;and
• Pacific Institute for Research and Evaluation,Sean Hanley,Ph.D.;and
• • Washington State Prevention Research Subcommittee.
Working Draft 1-502 Prevention Implementation Plan November 2015(DSHS/DBHR)
5
• Board of Health
IV
Old Business
Item 3
DBHR Substance Abuse Prevention Events
0 I
Ai, 09effason
Public Healt
• December 17, 2015
The Chimacum Prevention Coalition
ilInvites You to Attend
MI%
A Parent's Navigational
Guidebook: Understanding ‘1111..�
the Physiological and '' ''
Developmental Impact of Marijuana Use
The recent legalization of marijuana for adult
retail sales and the varying perceptions on
medical use will undoubtedly have a significant
impact on youth access and consumption. COST:
Together let's explore the impact marijuana use Free
has on both the cognitive and physiological WHEN:
development of our young people, consider Monday, January 11, 2016
signs of concern and discuss effective strategies 6:00 — 8:00 pm
for increasing protective factors and reducing
those factors that put kids at risk for use. WHERE:
Chimacum High School
Presenter Bio: Library
• Jerry Blackburn, M.Ed., CDP, 91 West Valley Road
Chimacum, WA 98325
Jerry Blackburn is a faculty member in the
Chemical Dependency Counseling Education EATS:
Program at Bellevue College. In addition to his Hearty Snacks
work as a Community Educator / Consultant he
serves as the current Chair of the Influence the LEARN MORE:
Choice - Drug Prevention Alliance for Youth. Mr. Kelly Matlock
Blackburn has worked in the field of chemical 360-379-4476
dependency for over eighteen years, with roles kmatlock@co.jefferson.
ranging from an intervention / prevention wa.us
specialist to the clinical director of an adolescent
residential treatment facility. Jerry is a graduate of the University of
Washington, and has been a certified Chemical Dependency Professional
since 1999. In 2005 Jerry received the prestigious Richard Rivera
Passionate Youth Professional Award from the Division of Alcohol and
Substance Abuse (now the Division of Behavioral Health and Recovery).
• ��ij j CHIMACUM PREVENTION �" . '
,� , 0 n,s.v./rt.SNN
'4-H ` t� COALITION f7 entarSocial
�.,,,, I wafhiylen sin.ur:..rww�v tiny i IJNA'rDp kn?S tduf7uhi?g'''"''''''n"'" f' rtwx: •HHOA Setvka
Enensbn - I support of healthy youth en Cium m ' ('tr�r-.�,,• pew Cion a 8elranoral
! Public Heahtf� t and Recovery
,,, For Parents/Caregivers &
Mx
Youth Ages 10-14
4 FREE • FOOD • FAST-PACED • FUN
Ar
STRENGTHENING FAMILIES PROGRAM
Developed by Iowa State University, this •As'ilie,' -
nationally recognized, science-based,
training program equips participants v w.
with necessary life, communication,
and social skills.
Each session includes a delicious
dinner, joint & separate sessions for
youth and adults, games, and
childcare for younger children
(upon request).
Thursdays, February 4 - March 17, 2016
Seven sessions; 5:30 - 8 p.m.
Location: Irondale Church, 681 Irondale Rd, Port Hadlock
Program Information: www.strengtheningfamiliesprogram.org
Questions & Registration: Jefferson County WSU Extension
360-379-5610 x206 or 208 • tanya.barnett@wsu.edu
• Jefferson county Y ,,
w�shrnptan State �, 4. CHIMACUM PREVENTION
,�, 4-H Department of Soual ,�` COALITION
�� &Health Services , "1''1 +tin Unitin youth,families,&
Washington State University
[.• `c• 4IIJOdW%Extension � Public Heagencies h support of cuhealthy
Transforming lives ^"��� youth in Chimacum
0 Board of Health
IV
Old Business
Item 4
PT Paper Mill Solid Waste Facility Financial
Assurances
0
4, °get,
Public Healt
• December 17, 2015
Mill antes up $790,500 to ensure landfill can be closed
•By Allison Arthur, Port Townsend Leader, November 18th, 2015
t T44
5 1
The Port Townsend Paper Corp. has provided$790,500 in a trust fund to be used to close the 25-acre landfill as part of
fulfilling requirements for a Limited Purpose Landfill,which the mill agreed to last year before it was sold in February
2015.The mill has been depositing ash and lime grit at the site since it first acquired the property south of the mill
starting in 1973.The photo was taken in 2012.A more recent photo was not available. Leader file photo
IIIThe Port Townsend Paper Corp. has put$790,500 in a trust fund in Wells Fargo bank in the name of
Jefferson County Public Health to assure Jefferson County there is money to close the mill's 25-acre landfill.
It's the first time in 40 years of operating the private landfill that mill owners have complied with a Limited
Purpose Landfill (LPL) permit and have provided what is called a financial assurance instrument to guarantee
there is money to close the landfill and maintain it after it is closed.
The deal was completed Nov. 2 after the state Department of Ecology approved the mill's closure plan and a
companion post-closure plan, said Jared Keefer, environmental health and water quality director for Jefferson
County. He said Ecology approved of the mill's plans and its estimated cost analysis. Cost of closing the
landfill was estimated at$267,600, and post-closure costs were estimated at$522,900, Keefer said.
"It feels great to have this chapter done,"said Keefer. "In the last year there has been excellent cooperation to
get to this point, and it's a relief."
Keefer said he had been working with the mill's environmental manager, Kevin Scott.
Scott confirmed the deal Monday, noting that the value of the trust fund was estimated by a third-party
engineering firm, and that the cost estimate is redone every year to account for inflation and changes in the
landfill life.
Scott also noted that the mill is doing groundwater monitoring and tests seven monitoring wells. It installed a
new well in the last year and will be installing one more well in 2016, he said.
"The trust account is held by an approved trustee and funds can only be disbursed for the specified landfill
closure and post-closure tasks subject to approval by Jefferson County Public Health," Scott said.
• "It sits there until it needs to be tapped," Keefer said of the money. He said the mill cannot withdraw the
money on its own and only he and Jefferson County Public Health have access to the funds.
} f T a
"And these numbers [funds in the account]will be adjusted annually to account for inflation and any other
associated cost increases," Keefer said.
fio Although the mill had signed a five-year LPL in July 2014, the financial assurance pledge of the permit had
not been completed before new owners purchased the mill in February of this year.
Previous owners of the mill had balked at providing financial assurance and had fought the county over doing
an LPL permit, insisting that an inert permit was enough. An inert permit does not require water-quality
monitoring and the financial assurance instrument, while the LPL permit does.
The mill has been depositing ash and lime grit at the site since it first acquired the property south of the mill
starting in 1973 and mined the clay for use in its 33-acre treatment pond.
HISTORY
The mill's landfill permit has been both complicated and controversial.
It was first permitted in August 1989 by Jefferson County's health department as an inert landfill and not
required to conduct groundwater quality monitoring, according to an April 27, 2011 memo from Peter Lyon,
regional manager for the Waste 2 Resources Program for Ecology, which oversees landfills in 12 counties.
In September 1989, the state appealed that inert permit to the state Pollution Control Hearings Board, arguing
the waste "didn't meet the definition of inert."
The board ruled in August 1990 that the state was right.
After that, the county started permitting the mill's landfill as an LPL under WAC 173-304-460.
But then, Ecology drafted new rules for solid waste handling in 1999 and created a category for listed wastes
presumed to be inert, which included cured concrete, brick and things like glass and aluminum.
In June 2003, the mill proposed that its boiler ash and lime grits met the criteria for inert. The mill hired
4110 Landau Associates to help it prove that.
By 2004, the mill was no longer doing groundwater testing and it was operating again as an inert landfill.
The permit sat on the county's shelves with little attention until 2011 when the mill proposed a $55 million
cogeneration project that could have increased the amount of material going into the landfill.
Opponents of that project targeted the inert landfill permit as both an area of concern and an avenue for an
appeal.
Lyon also acknowledged in 2011 that a private landfill in Cowlitz County became a concern because the
owners were facing bankruptcy and there was a worry that county could get stuck with footing a bill to bring
the landfill back into compliance since it, like Port Townsend's landfill, wasn't being monitored.
Back in 2011, PT mill officials were adamant that the landfill be considered inert while county and state
officials disagreed.
New owner Lindsay Goldberg, which created a new holding company, Crown Paper Group, took over in
February 2015.
The new owners said they expected to invest about$40 million in the mill in the next two years. In addition to
resolving the landfill debate, the company also has invested more than $10 million to install air pollution
scrubbing equipment for the emissions from Power Boiler No. 10, and has dredged a treatment pond that was
felt to have contributed to the telltale "mill" odor coming from the mill.
•
Board of Health
IV
Old Business
Item 5
Olympic Accountable Communities of Health
•
09efferson
Public Healt
Plan Submittal
• December 17, 2015
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� Board of Health
IV
Old Business
Item 6
Community Health Improvement Plan Update
09egl5on
Public Healt
� December 17, 2015
• Board of Health
V
New Business
Item 1
Public Hearing: EH 2016 Food Service Fees
de/TA.4,90n
Public Healt
• December 17, 2015
JEFFERSON COUNTY PUBLIC HEALTH
ENVIRONMENTAL HEALTH DIVISION
• ENVIRONMENTAL HEALTH 2015IAdditional Fees and Other Information
.
f t � s ; *
Health Officer Administrative Hearing 314.00
Administrative Hearing Appeal 314.00
Technical Assistance/Plan Review-Minimum 86.00
Technical Assistance/plan Review-Per Hour 86.00
Late Fee for Invoices 50.00 For Invoices past due date
Case Scanning/Technology Fee 30.00
Filing Fee 54.00
Recording Fee 65.00 Plus the Auditors Office recording fees
Notice to Title Rescission
525.00
ti SSSS
Sewage Disposal Permits _ .. .� n . ,,, a,
New Conventional 569.00 Valid for 3 years
New Alternative 829.00 Valid for 3 years
Issued in conjunction with an existing sewage disposal
New septic tank and/or pump chamber only
340.00 system or community system
New Community or Commercial
Conventional
719.00 Base Fee-Valid for 3 years
Alternative
919.00 Base Fee-Valid for 3 years
Each Connection 90.00 Add to base permit fee
Development and Review Financial Assurance and System
Operation Agreements 86.00 Per Hour
Septic Permit with Approved SPAAD(conventional) 307.00
Septic Permit with Approved SPAAD(alternative) 569.00
Applies to existing installed sewage disposal system;the
Technical Assistance/Plan Review hourly rate will be
Repair 50%of fee
charged for repairs where the applicants require additional
Modification or Reserve Area Designation assistance
258.00
Expansion
538.00
Redesign
172.00 Applies to pending or active but not installed
Reinspection 215.00
Evaluation of Existing System/Monitoring inspection _
Septic system only 334.00
Septic system plus water sample 377.00
Retest/Reinspection 172.00
On Site Sewage-Building and Planning
OnSite-Site Plan Advanced Approval Determination(SPAAD) 397.00
Subdivision Review Base Fee 516.00
Boundary line adjustment or Lot Certification review fee 202.00
Planned rural residential development review fee 202.00
Per lot fee 90.00 For Subdivision Review, Bounrdy Line Adjustment and
Planned Rural Residential Development Review fees
Pre application meeting fee 202.00
Density exemption review fee 129.00
Field Work for Density Exemption Review
86.00 Per Hour
Building application review:
Residential-Individual OSS 129.00 Review after Building Permit issued, is same fee
Commercial-Individual OSS 258.00 Review after Building Permit issued,is same fee
wCommunity OSS 258.00 Review after Building Permit issued, is same fee
ised Site Plan Review 65.00 Review of resubmission before Building Permit is issued
Waiver/Variance Application 1 237.00 I
Waiver/Variance Hearing 387.00
Wet season evaluation 538.00
General environmental health review fee 86.00 Per Hour
•enses
Installer, Pumper,Operator(maintenance person) 538.00
Retest 215.00
Homeowner Authorization 10.00
Annual Certificate Renewal 299.00
Delinquent Renewal after January 31 538.00
:1* '"
38 00
1a .. stir'+• '; ..." 4 _ . '* x: e :rte
Annual Permit Fees(Based on menu complexity&seating-menu changes may change category)
ra } sh.J
Restaurant/Take-Out/Tavern-Limited
Restaurant/Take-Out/Tavern-Complex 249.00 No cooling or reheating
469.00 Cooling and reheating allowed
With Lounge,add 199.00 Separate lounge area
Bakery Business 199.00
B&B
Caterer 249.00 -
w/commissary or catering-only kitchen 469.00
w/restaurant,additional fee for catering 249.00
Concession/Commercial Kitchen/Church 199.00
Espresso Stand 199.00
Grocery
1-3 checkouts 249.00 May serve pre-packaged baked goods
>3 checkouts
469.00
Meat/Fish Market 249.00
Mobile Unit
Limited Menu I 299.00 No cooling or reheating
Complex Menu 499.00 Cooling&reheating allowed
stool Cafeteria
entral Kitchen
469.00
Warming Kitchen 249.00
Annual Permit Issued after September 1 50%of fee 50%of Annual Permit Fee
Temporary Permits
Single Event
Initial Application(First Event) I 107.00 Not to exceed 21 days at your location
Additional Event(Same Menu Only) ( 61.00 Not to exceed 21 days at your location
Organized Recurring Event(e.g.Farmers Market)
Limited Menu 107.00 Not to exceed 3 days a week at a single location
Complex Menu 142.00 Not to exceed 3 days a week at a single location
Additional(Paid when application is submitted less than 7
Late Fee for Temporary Permits +50%of fee
Other Food Fees days prior to the event)
New Establishment 172.00
New Owner/Change of Owner 108.00
Permit Exemption 43.00
WaiverNariance
86.00 Per Hour;for review and/or approval
Reopening Fee 86.00 Per Hour
Manager's Course 231.00
Pre-opening inspection
Food Service Plan Review 86.00 Per Hour
Reinspection
86.00 Per Hour;for review and/or approval
First Inspection I 129.00
Each inspection after first 215.00
Food Handler Card
Reissue Unexpired Food Handler Card I
' 10.00
M,.
Annual Permit Fees y u ,
Landfills requiring environmental monitoring 557.00
Biosolid/Composting Facilities 489.00
Inert Waste Landfills 353.00
Other Solid Waste Facilities 353.00
rop Boxes 163.00
isceilaneous Fees
New Facility Application 448.00
Exempt Facility Inspection 353.00
Facility Reinspection 50%of fee
Plan, Document and Waiver/Variance Review 345.00 +$86.00/hour for>4 hours
tom, 4, , :
., „(5 ;rr k `# . - _ '" r. z
Application Fee 163.00 Inspection of well construction,decommission& r
reconstruction
Determination of Adequate Water Supply base fee 129.00 Tech Assist and Document Review, billed at the hourly rate
Well Inspection&Water Sample for Loan 137.00
Well Site Inspection-Proposed public water supply 326.00
Water Recreation Facilities Operation Permit !'
Single Swim Pool(in operation for<6 months of the year) 296.00
Single Swim Pool(in operation for z 6 months of the year) 299.00
Single Spa Pool(in operation for<6 months of the year) 259.00
Single Spa Pool(in operation for>months of the year) 299.00
Single Wading Pool(in operation for<6 months of the year) 214.00
Single Wading Pool(in operation for z 6 months of the year) 377.00
Spray Pool or Pools(in operation for<6 months of the year) 107.00
Spray Pool or Pools(in operation for z 6 months of the year) 162.00
Each Additional Swim,Spa, or Wading Pool(in operation for<6 -
months of the year) 64.00
Each Additional Swim, Spa,or Wading Pool(in operation for z 6
months of the year) 85.00
einspection 86.00 Per Hour plus associated lab costs
n Review
86.00 Per Hour
Compliance Enforcement
Reinspection 86.00 Per Hour
80.00
Rebuttal Application 160.00
Note: 2015 Fees have been adjusted per Ordinance 08-0918-14,Section 3-Fees. Fixed amount fees established by this ordinance shall be adjusted annually on the first business day
of January(Adjusted Date)by the amount of the increase in the Consumer Price Index(CPIW). The CPIW is the Consumer Price Index-US City Average for All Urban Wage Earners
and Clerical Workers,published by the Bureau of Labor Statistics for the United States Department of Labor.
The annual fee adjustment shall be calculated as follows: each fee in effect immediately prior to the Adjustment Date will be increased by the percentage increase in the CPIW as
reported for the month of September preceding the Adjustment Date. Increases will be rounded to the nearest dollar. A fee shall not be reduced by reason of such calculation. However,
fee increases in accordance with this calculation shall not exceed 5 percent per year.
•
Waiver/Variance Hearing 387.00
Wet season evaluation 538.00
General environmental health review fee 86.00 Per Hour
Licenses
Installer, Pumper, Operator(maintenance person) 538.00
•
Retest 215.00
Homeowner Authorization 10.00
Annual Certificate Renewal 299.00
Delinquent Renewal after January 31 538.00
FOOD SERVICE ESTABLISHMENTS gE€S P€RMIT FEES(Annual Permit) -
Annual Permit Fees (Based on menu complexity&seating-menu changes may change category)
Restaurant/Take-Out/Tavern-Limited 249.00 No cooling or reheating
Restaurant/Take-Out/Tavem-Complex 469.00 Cooling and reheating allowed
191.09'
33940
seats 340-00
54-1-00-seats 407,8e
404-1-50-seats 46209
With Lounge,add 199.00 Separate lounge area
Bakery Business 199.00
B&B 249.00
Caterer
w/commissary or catering-only kitchen 469.00
w/restaurant,additional fee for catering 249.00
Concession/Commercial Kitchen/Church 199.00
Espresso Stand 199.00
Grocery
1-3 checkouts 249.00 May serve pre-packaged baked goods
>3 checkouts 469.00
Meat/Fish Market 249.00
Mobile Unit
Limited Menu 299.00 No cooling or reheating
Complex Menu 499.00 Cooling&reheating allowed
School Cafeteria
Central Kitchen 469.00
Warming Kitchen 249.00
Annual Permit Issued after September 1 1 50%of fee 150%of Annual Permit Fee
Temporary Permits
Single Event
Initial Application(First Event) 107.00 Not to exceed 21 days at your location
Additional Event(Same Menu Only) 61.00 Not to exceed 21 days at your location
Organized Recurring Event(e.g. Farmers Market)
Limited Menu 107.00 Not to exceed 3 days a week at a single location
Complex Menu 142.00 Not to exceed 3 days a week at a single location
Late Fee for Temporary Permits +50%of fee Additional(Paid when application is submitted less than 7
days prior to the event)
Other Food Fees
New Establishment 172.00
New Owner/Change of Owner 108.00
Permit Exemption 43.00
Waiver/Variance 86.00 Per Hour;for review and/or approval
Reopening Fee 86.00 Per Hour
Manager's Course 231.00
Plan-Review .
Pre-opening inspection 86.00 Per Hour
-Minimum 8699
Food Service Plan Review 86.00 Per Hour;for review and/or approval
JEFFERSON COUNTY PUBLIC HEALTH
ENVIRONMENTAL HEALTH DIVISION
ENVIRONMENTAL HEALTH 2015 Additional Fees and Other Information
Health Officer Administrative Hearing 314.00
Administrative Hearing Appeal 314.00
Technical Assistance/plan Review-Minimum 86.00
Technical Assistance/Plan Review-Per Hour 86.00
Late Fee for Invoices 50.00 For Invoices past due date
Case Scanning/Technology Fee 30.00
Filing Fee
54.00
Recording Fee 65.00 Plus the Auditors Office recording fees
Notice to Title Rescission 525.00
i +. ��"�41x �`t„r ��u �, ` ''
Sewage Disposal Permits
New Conventional 569.00 Valid for 3 years
New Alternative 829.00 Valid for 3 years
Issued in conjunction with an existing sewage disposal
New septic tank and/or pump chamber only
340.00 s stem or communit s stem
New Community or Commercial
Conventional 719.00 Base Fee-Valid for 3 years
Alternative 919.00 Base Fee-Valid for 3 years
Each Connection 90.00 Add to base permit fee
Development and Review Financial Assurance and System
Operation A.reements 86.00 Per Hour
Septic Permit with Approved SPAAD(conventional) 307.00
-'tic Permit with Approved SPAAD(alternative) 569.00
pplies to existing installe. sewage disposal system;t e
Technical Assistance/Plan Review hourly rate will be
Repair 50%of fee
charged for repairs where the applicants require additional
assistance
Modification or Reserve Area Designation
258.00
Expansion 538.00
Redesign 172.00 Applies to pending or active but not installed
Reinspection 215.00
Evaluation of Existing System/Monitoring Inspection
Septic system only 334.00
Septic system plus water sample 377.00
Retest/Reinspection 172.00
On Site Sewage-Building and Planning
OnSite-Site Plan Advanced Approval Determination(SPAAD) 397.00
Subdivision Review Base Fee 516.00
Boundary line adjustment or Lot Certification review fee 202.00
Planned rural residential development review fee 202.00
Per lot fee 90.00 or ubdivision Review, :ounr.y Line Adjustment and
Planned Rural Residential Development Review fees
Pre application meeting fee 202.00
Density exemption review fee 129.00
Field Work for Density Exemption Review 86.00 Per Hour
Building application review:
Residential Individual OSS 129.00 Review after Building Permit issued,is same fee
Commercial-Individual OSS 258.00 Review after Building Permit issued, is same fee
ommunity OSS 258.00 Review after Building Permit issued, is same fee
evised Site Plan Review 65.00 Review of resubmission before Building Permit is issued
Other
Waiver/Variance Application 237.00
Reinspection
First Inspection 129.00
Each inspection after first 215.00
•od Handler Card
issue Unexpired Food Handler Card 10.00
',.....-:°_!.,:11(,,°, ..* s. .. :z�.. ..ret Ana,,..,.w:..f=*v.
x.`,. ' y rory �.r rzw* a..xf :,. a kus,..
Annual Permit Fees
Landfills requiring environmental monitoring 557.00
Biosolid/Composting Facilities 489.00
Inert Waste Landfills 353.00
Other Solid Waste Facilities 353.00
Drop Boxes
163.00
Miscellaneous Fees
New Facility Application 448.00
Inspection 353.00
Exempt
Facility ReinspectionFacility 50%of fee
Plan, Document and Waiver/Variance Review 345.00 +$86 00/hour for>4 hours
. � ' �� Inspection o we I construction,decommission .
Application Fee 163.00 reconstruction
Determination of Adequate Water Supply base fee 129.00 Tech Assist and Document Review,billed at the hourly rate
Well Inspection&Water Sample for Loan 137.00
Well Site Inspection Proposed public water supply
326.00
yy
}t t • "'^. 2. . .... wx d a.. ,. `#fN _. > ,. ., .. ,n.,. n „ .,
Water Recreation Facilities Operation Permit
Single Swim Pool(in operation for<6 months of the year) 296.00
Single Swim Pool(in operation for>_6 months of the year) 299.00
Single Spa Pool(in operation for<6 months of the year) . 259.00
'' •le Spa Pool(in operation for>_months of the year) 299.00
IL ale Wading Pool(in operation for<6 months of the year) 214.00
Single Wading Pool(in operation for>_6 months of the year) 377.00
Spray Pool or Pools(in operation for<6 months of the year) 107.00
Spray Pool or Pools(in operation for>_6 months of the year) 162.00
Each Additional Swim,Spa,or Wading Pool(in operation for<6 64.00
months of the year)
Each Additional Swim,Spa,or Wading Pool(in operation for>_6 85.00
months of the year)
Reinspection 86.00 Per Hour plus associated lab costs
Plan Review86 00 Per Hour
Compliance Enforcement 86.00 Per Hour
Reinspection 80.00
Rebuttal Application 160.00
Note: 2015 Fees have been adjusted per Ordinance 08-0918-14,Section 3-Fees. Fixed amount fees established by this ordinance shall be adjusted annually on the first business day
of January(Adjusted Date)by the amount of the increase in the Consumer Price Index(CPIW). The CPIW is the Consumer Price Index-US City Average for All Urban Wage Earners
and Clerical Workers,published by the Bureau of Labor Statistics for the United States Department of Labor.
The annual fee adjustment shall be calculated as follows: each fee in effect immediately prior to the Adjustment Date will be increased by the percentage increase in the CPIW as
reported for the month of September preceding the Adjustment Date. Increases will be rounded to the nearest dollar. A fee shall not be reduced by reason of such calculation. However,
fee increases in accordance with this calculation shall not exceed 5 percent per year.
0
• Board of Health
V
New Business
Items 2, 3, & 4
Jefferson County Public Health
Draft Policies
• 44, deffeson
Public He-alth
Physical Activity in Workplace
Breast Feeding in Workplace
Tobacco Use
• December 17, 2015
•
9.4=, JEFFERSON COUNTY PUBLIC HEALTH
Public Health
Department: Division: Section of Procedure Manual:
Jefferson County Public Health Departmental/Admin Personnel
Title: DRAFT- Physical Activity in the Workplace
Subject: Statement of support to healthy behaviors at work re: Physical Activities
Originated (date): Replaces (date): Effective(date): Renw al due(date): Page: 1 of: 2
12/15
Originated by: Karen Obermeyer Approved by: Jean Baldwin
PHYSICAL ACTIVITY IN THE WORKPLACE
A. Purpose:
Workplace wellness policies are a way for employers to support healthy employees through
encouraging healthy behaviors such as physical activity at work. The goal of this policy is to support
health behaviors that improve health outcomes and reduce and prevent chronic disease among
employees in the Jefferson County Public Health workplace.
• B. Policy Statement
Jefferson County Public Health (JCPH) recognizes the role of physical activity in the maintenance of
good health and wellbeing. JCPH will foster a workplace culture where regular physical activity is
valued and encouraged.
C. Definitions
Physical Activity: Any bodily movement that expends energy, including activities such as
walking, taking stairs, using public transit and active transportation. The benefits of
physical activity include increased energy levels, weight management, stress relief,
productivity and social connectedness.
D. Implementing Procedure
1. JCPH will foster a physically active working environment by:
• Ensuring availability of covered bike racks.
• Promoting local physical activity opportunities.
• Encouraging commuting via public transit and active transportation.
• Encouraging the use of stairs.
• Post all local Health Reimbursement Arrangement (HRA) and First Choice
incentive events and gym membership flyers.
2. Managers are encouraged to:.
• • Allowing employees to flex schedules to fit physical activities into their work day
during employee breaks.
• 3. Employees are encouraged to:
o Identify walking paths and promote them with signs and route maps.
o Incorporate at least 5 minutes of physical activity into work day.
o Consider participation in walking meetings.
o Initiate/ develop social support among colleagues for walking two or three times per
week at set times for 30 minutes each.
o Spend less time sitting, change positions, stand for some tasks, walk more.
4. Physical Activity in the work place is supported providing it does not have a negative
impact upon public service and does not impede JCPH from accomplishing its mission in an
efficient and cost effective manner. This policy shall not be construed as creating a term,
condition, or privilege of employment, and JCPH retains sole discretion to modify or
revoke this policy in whole or in part at any time. JCPH is not responsible for damage to
personally owned clothing or equipment.
E. References
• CDC Vital Signs, More People Walk Better Health. National Center for Chronic Disease
Prevention and Health Promotion. http://www.cdc.gov/vitalsigns/walking
• Wattles, M.G. a Harris, C (2003) The Relationship between Fitness Levels and Employee's
Perceived Productivity, Job Satisfaction, and Absenteeism. Journal of Exercise Physiology, Vol
6 Number 1.
• Bureau of Labor Statistics, American Time Use Study.
Http://www.bls.Qov/tus/charts/
• Kitsap health District, Physical Activity in the Workplace Wellness Policy, June 2015
•
"1'j-3T; 'Wiesen County Pune Health
Pu M
• Department: Division: Section of Procedure Manual:
Jefferson County Public Health Departmental/Admin —Personnel
Title:
Breastfeeding Support in the Workplace
Subject:
Statement of support to healthy behaviors at work and allowing employees to breastfeed infants in
the workplace
Effective(date): 12/15 Replaces:04/13 Renewal due date: Page 1 of 2
12/17
Originated by:Julia Danskin, updated by Karen Obermeyer Approved by:Jean Baldwin
07,
A. Purpose:
Workplace wellness policies are a way for employers to support healthy behaviors at work with the goal
of improving health outcomes and encouraging the reduction and prevention of chronic disease among
employees.This policy is adopted for the purpose of outlining Jefferson County Public Health's
guidelines for the support of continued breastfeeding after the employee returns to work.
B. Policy Statement
Jefferson County Public Health (JCPH) recognizes the many health benefits associated with
breastfeeding and that more women today are electing to continue breastfeeding their babies upon
their return to work.JCPH is committed to being a breastfeeding—friendly workplace by creating an
environment that make it comfortable and easy for mothers to continue breastfeeding when they
return to work after delivering their baby.
C. Definitions
1. Breastfeeding:feeding an infant directly through the breast.
2. Exclusively Breastfeeding:The infants' nutritional needs are met solely from breastfeeding(at
breast or bottle)without any other forms of food (including formulas)or drink, not even water.
3. Express Milk:taking milk from the breast by hand or with the aid of a pump.
D. Implementing Procedure
1. Work Schedule Flexibility:With their managers'approval,female employees who are
exclusively breastfeeding their infants may be granted the ability to return to work with a
schedule that meets the needs of the employer and allows flexibility to continue exclusively
breastfeeding.
2. Staff can use scheduled breaks and lunch to pump and breastfeed.Any additional time other
than scheduled break time may be approved by supervisor.
• 3. Private Space:JCPH will provide a room for nursing mothers to breastfeed their infant or
express milk.This space is shielded from view and free from intrusion, provides a place to sit
and a flat surface,other than the floor,to place breast pump and a sink with running water close
by for hand washing and rinsing out breast pump parts.The rooms have a door that can be
locked.
Staff should be allowed to store breastmilk in the lunch room refrigerator/freezer in clearly
marked containers.
4. Lactation Support:A knowledgeable and experienced member of the JCPH maternal-child
health team who has specialized skills in breastfeeding management and care will available to
arrange a consult upon request of the employee.This consult by phone or set appointment time
is to address questions or concerns regarding meeting employee breastfeeding goals.
5. This policy shall not be construed as creating term,conditions,or privilege,and JCPH retains sole
discretion to modify or revoke this policy in whole or in part at any time.
E. References
• Guide for Establishing Federal Nursing Mother's Program, United Sates Office of Personnel
Management. http://www.opm.gov/policy-data-oversight/worklife/reference-
materiais/nursing-mother-euide.pdf
• • Spoke Regional Health District, Breastfeeding at Work Guidelines,July 2001,
• Kitsap health District, Breastfeeding Support in the Workplace,June 2015
•
1
Public Health Jefferson County Public Health
• Department: Division: Section of Procedure Manual:
Jefferson County Public Health Departmental/Admin Personnel
Title: DRAFT Tobacco Use
Subject:
Statement of support to healthy behaviors at work re:Tobacco
Effective (date): Replaces: Renewal due Page 1 of 2
date:
Originated by: Karen Obermeyer Approved by:Jean Baldwin
A. Purpose:
Workplace wellness policies are a way for employers to support healthy behaviors at work with the goal
of improving health outcomes and encouraging the reduction and prevention of chronic disease among
employees.The purpose of this policy is to establish a policy regarding tobacco and battery powered
vaporizer use by JCPH employees while on County property, in JCPH vehicles or at JCPH service sites.
B. Policy Statement
• Jefferson County Public Health (JCPH) endorses a smoke free,tobacco-free workplace,which supports
our Jefferson County Health priority of preventing and mitigating the impact of chronic disease.
Employers has the responsibility to provide a safe and healthful work environment for their employees
and to comply with the Smoking in Public Places(formerly Washing Clean Indoor Air Act) Chapter 70.160
RCW and the Jefferson County Board of Health Ordinance 04-0216-06, Smoking in Public Places. It is the
policy of JCPH to discourage tobacco use.
Tobacco use and battery powered vaporizer(including electronic or e-cigarettes) use will not be allowed
inside the JCPH workplace, its vehicles or at its service sites. Smoking is prohibited within 25 feet of JCPH
entrances or windows that open.This policy does not preclude the use of tobacco or battery—powered
vaporizers during rest or lunch periods in accordance with WAC 296-126.
C. Definitions
1. Tobacco:Tobacco includes all tobacco products, i.e. chewing tobacco, cigarettes, cigars,
hookahs, pipes, snuff, etc.
2. Battery-powered vaporizer: Battery powered vaporizers include e-cigarettes and vapor
pens ("vapes" and "mods")that heat liquid nicotine (aka e-liquid, e-juice, or smoke juice)to
a temperature that causes the liquid to vaporize;the vapor is than inhaled in the same
fashion as tobacco smoke.
D. Implementing Procedure
• All JCHP buildings, outside areas within 25 feet of JCPH building entrances and windows that
. open, service sites, and JCPH owned vehicles are designated tobacco-free and battery
powered vaporizer free areas.
1
Public Healfih
Jefferson County Public Health
• • "no-smoking" and other appreciate signs shall be posted prominently in client areas,
including the restrooms, in all JCPH sites.
• Employees are encouraged to take advantage of opportunities to inform clients of health
hazards of tobacco use.
• Employees will not use tobacco products or battery-powered vaporizers when representing
JCPH.
• All meetings sponsored by JCPH are smoke-free, tobacco-free and battery—powered
vaporizer free.
• JCPH may provide employees who wish to stop tobacco use various incentives and support
as approved by Jefferson County. Such support may include: participation is health
insurance tobacco cessation programs, free use of JCPH space for participation in tobacco
cessation classes or support groups, and self-help materials.
E. References
• Center for Disease Control and Prevention, Workplace Health Promotion,Tobacco-use Cessation
http://www.cdc.gov/workplacehealthpromotion/implementation/topics/tobacco-use.html
• Electronic Cigarettes and Vaping, Washington State Dept of Health
http://www.doh.wa.gov/YouandYourFamily/Tobacco/OtherTobaccoProducts/ECigarettes
• • Electronic Cigarettes: A Policy Statement From the American Heart Association
• http://circ.ahajournals.org/content/early/2014/08/22/CIR.0000000000000107.citation
• Regulating Toxic Vapor, A Policy Guide to Electronic Smoking Devices, ChangeLab Solutions
http://changelabsolutions.org/sites/defaults/files/regulation Toxic Vapor-FINAL-20140630.pdf
• Washington State Legislature, Chapter 70.160 RCW, Smoking in Public Places (formerly
Washington Clean Indoor Air Act) http://apps.leg.wa.gov/rcw/default.aspx?cite=70.160
• Kitsap health District,Tobacco Use Wellness Policy,June 2015
•
2
. Board of Health
V
New Business
Item 5
Jefferson County Public Health Director Search
0
41 deffeAson
Public Healt
0 December 17, 2015
. Board of Health
V
New Business
Item 6
2016 Board of Health Calendar
0 1
4 ow.son
Public Healt
• December 17, 2015
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Public Health
•
• Jefferson County Public Health
October/November/December 2015
NEWS ARTICLES
1. "Sewage discharged into Port Ludlow Bay due to electrical failure," Port Townsend
Leader, October 12th, 2015.
2. "Sewage release closes waters of Port Ludlow Bay to recreation until Saturday,"
Peninsula Daily News, October 13th, 2015.
3. "Port Townsend doctor receives honorary degree from American Academy of Family
Physicians," Peninsula Daily News, October 16th, 2015.
4. "Septic system open house set Oct. 26 for Chimacum, Hadlock, Ludlow residents,"
Port Townsend Leader, October 21st, 2015.
5. "Blue-green algae blooms continue in Leland, Anderson lakes," Port Townsend Leader,
October 23rd, 2015.
6. "Flu season makes a head start this year on Peninsula," Peninsula Daily News, October
25th, 2015.
7. "Lake Anderson still toxic; Lake Leland has persistent bloom," Peninsula Daily News,
October 26th, 2015.
8. "State looks to Clallam County as the 'wave of the future' in the fight against opioid
addiction," Peninsula Daily News, October 26th, 2015.
9. "Free Septic Permitting Procedures Seminar," Port Townsend Leader, October 28th,
2015.
10. "Pet cat from Chimacum area found to have rabies: discovery marks first time in state
• since 2002," Peninsula Daily News, November 6th, 2015.
11. "Port Townsend city officials eye Lords Lake level, now at 11 feet; a drop to 3 feet
would increase restrictions," Peninsula Daily News, November 6th, 2015.
12. "Mill antes up $790,500 to ensure landfill can be closed," Port Townsend Leader,
November 18th, 2015.
13. "Human, animal bacteria to be identified," Port Townsend Leader, November 18th, 2015.
14. "Coyote has not been tested for rabies, contrary to earlier report," Port Townsend
Leader, November 19th, 2015.
15. "Coyote found in Port Townsend to be tested for rabies after erroneous report,"
Peninsula Daily News, November 20th, 2015.
16. "Port Townsend Paper Corp., county reach landfill agreement; mill will be responsible
for eventual cleanup," Peninsula Daily News, November 24th, 2015.
17. "County aims to streamline food safety program, recover costs," Port Townsend
Leader, November 25th, 2015.
18. "Rabies alarm over dying coyote unfounded, says public health officer," Port
Townsend Leader, November 25th, 2015.
19. "Educator to provide Port Townsend students with link to Paris climate change
conference," Peninsula Daily News, November 29th, 2015.
20. "Results of Jefferson County water quality study to be detailed at meetings starting
Thursday on Marrowstone Island," Peninsula Daily News, December 7th, 2015.
21. "Public Health to talk clean water project Dec. 10, 16," Port Townsend Leader,
December 9th, 2015.
22. "Deputies Septic Referral," Port Townsend Leader/Sheriff's Log, December 9th, 2015.
S
Jefferson County Public Health
October/November/December 2015
NEWS ARTICLES
1. "Sewage discharged into Port Ludlow Bay due to electrical failure," Port Townsend
Leader, October 12th, 2015.
2. "Sewage release closes waters of Port Ludlow Bay to recreation until Saturday,"
Peninsula Daily News, October 13th, 2015.
3. "Port Townsend doctor receives honorary degree from American Academy of Family
Physicians," Peninsula Daily News, October 16th, 2015.
4. "Septic system open house set Oct. 26 for Chimacum, Hadlock, Ludlow residents,"
Port Townsend Leader, October 21st, 2015.
5. "Blue-green algae blooms continue in Leland, Anderson lakes," Port Townsend Leader,
October 23rd, 2015.
6. "Flu season makes a head start this year on Peninsula," Peninsula Daily News, October
25th, 2015.
7. "Lake Anderson still toxic; Lake Leland has persistent bloom," Peninsula Daily News,
October 26th, 2015.
8. "State looks to Clallam County as the 'wave of the future' in the fight against opioid
addiction," Peninsula Daily News, October 26th, 2015.
9. "Free Septic Permitting Procedures Seminar," Port Townsend Leader, October 28th
2015.
10. "Pet cat from Chimacum area found to have rabies: discovery marks first time in state
• since 2002," Peninsula Daily News, November 6th, 2015.
11. "Port Townsend city officials eye Lords Lake level, now at 11 feet; a drop to 3 feet
would increase restrictions," Peninsula Daily News, November 6th, 2015.
12. "Mill antes up $790,500 to ensure landfill can be closed," Port Townsend Leader,
November 18th, 2015.
13. "Human, animal bacteria to be identified," Port Townsend Leader, November 18th, 2015.
14. "Coyote has not been tested for rabies, contrary to earlier report," Port Townsend
Leader, November 19th, 2015.
15. "Coyote found in Port Townsend to be tested for rabies after erroneous report,"
Peninsula Daily News, November 20th, 2015.
16. "Port Townsend Paper Corp., county reach landfill agreement; mill will be responsible
for eventual cleanup," Peninsula Daily News, November 24th, 2015.
17. "County aims to streamline food safety program, recover costs," Port Townsend
Leader, November 25th, 2015.
18. "Rabies alarm over dying coyote unfounded, says public health officer," Port
Townsend Leader, November 25th, 2015.
19. "Educator to provide Port Townsend students with link to Paris climate change
conference," Peninsula Daily News, November 29th, 2015.
20. "Results of Jefferson County water quality study to be detailed at meetings starting
Thursday on Marrowstone Island," Peninsula Daily News, December 7th, 2015.
21. "Public Health to talk clean water project Dec. 10, 16," Port Townsend Leader,
December 9th, 2015.
• Sewage discharged into Port Ludlow Bay due to
electrical failure
Port Townsend Leader, Monday, October 12, 2015 2:47 pm
Olympic Water and Sewer, Inc., officials reported a release of sewage at the Port Ludlow
Wastewater Treatment Plant on Oct. 9 and 10, due to an electrical failure, according to a press
release from Jefferson County Public Health.
An estimated 25,000 gallons of inadequately treated effluent were discharged from the outfall,
and repairs were made and the problem was corrected by 10:30 a.m. on Saturday morning, Oct.
10, according to the health department.
Jefferson County Public Health has issued a "No Contact" Health Advisory for Port Ludlow Bay
and posted warning signs. The health advisory remains in effect until Saturday, Oct. 17. The
public is advised to avoid any contact with the water in Port Ludlow Bay, including swimming,
kayaking, fishing, and harvesting of shellfish and seaweed. The harvesting of shellfish is always
closed in Port Ludlow due to the proximity of the sewage treatment plant outfall and marina.
For more information on this advisory, contact Jefferson County Public Health's Water Quality
• Program at 360-385-9444 or visit jeffersoncountypublichealth.org.
Sewage release closes waters of Port Ludlow Bay to recreation until Saturday
• Peninsula Daily News. October 13, 2015
SWIMMING
PROHIBITED
BEACH CLOSED
PORT LUDLOW—A sewage spill into Port Ludlow Bay caused by equipment failure at the
wastewater treatment plant is not serious or life-threatening, but the area is now closed to
recreation until Saturday.
Jefferson County Public Health has issued a "no contact" health advisory that will remain in
effect until then.
The public is advised to avoid any contact with the water in Port Ludlow Bay, including
swimming, kayaking, fishing and harvesting of shellfish and seaweed.
Shellfish harvesting is always closed in Port Ludlow due to the proximity of the sewage
• treatment plant outfall and marina.
Michael Dawson, a water quality specialist with the Jefferson County Department of
Environmental Health, said that due to an electrical failure in the chlorinator at the Port Ludlow
Wastewater Treatment Plant on Friday, approximately 25,000 gallons of inadequately treated
effluent was discharged from the outfall before the problem was corrected at 10:30 a.m.
Saturday.
He said the effluent exits from a pipe about 400 feet from shore and "should be pretty well
dissipated" by the tides.
On Saturday, the agency measured 500 parts of fecal matter per 100 milliliters of water. Any
measurement over 100 parts is said to be elevated.
Department of Ecology spokesman Andrew Wineke said Ecology was aware of the incident but
has been unable to contact Olympic Water and Sewer officials to follow up.
For more information on this advisory, contact Jefferson County Public Health's Water Quality
Program at 360-385-9444 or go to jeffersoncountypublichealth.org.
Last modified:October 12.2015 7:24PM
110
Port Townsend doctor receives honorary degree from American Academy of Family Physicians
Peninsula Daily News,October 16,2015
0
r
Dr.Molly Hong
PORT TOWNSEND— Dr. Molly Hong, a family physician at Jefferson Healthcare Medical and Pediatric Group
Clinic, 915 Sheridan St., has received the degree of Fellow of the American Academy of Family Physicians.
The degree was conferred on more than 130 family physicians during a convocation Oct. 2 in conjunction with the
American Academy of Family Physicians' annual meeting in Denver.
The national medical association, known as the AAFP, represents nearly 120,900 family physicians, residents
and medical students.
It is the only medical specialty society devoted solely to primary care.
established in 1971, the degree recognizes family physicians who have distinguished themselves through service
to family medicine and ongoing professional development, said Kate Burke, marketing manager for Jefferson
Healthcare.
Criteria consist of a minimum of six years of membership in the organization, extensive continuing medical
education, participation in public service programs outside medical practice, conducting original research and
serving as a teacher in family medicine.
Hong received her undergrad degree and medical degree from Brown University and its medical school. She
completed her residency at Oregon Health Sciences University and her rural health fellowship at Tacoma Family
Medicine.
She is certified by the American Board of Family Medicine.
She grew up in Ontario, Canada, and New Jersey before spending eight years in school in Rhode Island. Family
medicine training brought her out to the West Coast.
She has worked as a traveling doctor in Oregon, Washington, Wisconsin and Alaska as well as a volunteer doctor
in Thailand.
She joined Jefferson Healthcare Primary Care in October of 2007.
"'he American Academy of Family Physicians, founded in 1947, represents nearly 120,900 physicians and
medical students nationwide. For more information, see www.aafp.orq.
For more about Jefferson Healthcare, see www.ieffersonhealthcare.arg.
Septic system open house set Oct. 26 for Chimacum,
Hadlock, Ludlow residents
Port Townsend Leader, October 21, 2015 3:00 am
Jefferson County Public Health's Water Quality Division conducts a public open house for
Chimacum, Hadlock and Port Ludlow residents from 5:30 to 7:30 p.m. on Monday, Oct. 26 at
the Tri-Area Community Center, 10 W. Valley Road in Chimacum.
The open house features information and presentations on low-cost loan and grant programs to
aid in septic system repairs; free advice on best management practices for handling agricultural
waste; information on how residents can become certified to do their own septic system
inspections; and the latest status on the water quality of the Chimacum and Ludlow creeks.
High levels of E. coli bacteria detected in local streams have repeatedly prompted the closure of
local tidelands to recreational shellfish harvesting and swimming, according to a press release
from Jefferson County Public Health.
Public Health's Water Quality Division and project partner Jefferson County Conservation
District are trying to address this problem and improve stream conditions throughout the county.
• This open house is part of a project, funded by the Washington State Department of Ecology,
that will include regular monitoring of streams for bacterial pollution and other parameters
affecting the health of people and the environment.
The other major components of the project are a survey of septic systems in the area and
providing information to local residents about ways to protect their property values as well as the
local water quality. Staff will be on hand to answer all your questions at the open house.
For more information call 360-385-9444.
•
0 Blue-green algae blooms continue in Leland,
Anderson lakes
Port Townsend Leader, October 23, 2015 4:12 pm
Persistent blooms of blue-green algae have formed on two Jefferson County lakes: Anderson
and Leland.
Anderson Lake was found to have both anatoxin and microcystin toxins at levels above state
recreational guidelines on Oct. 5, according to a press release from Jefferson County Public
Health (JCPH). Anatoxin is a fast-acting nerve poison and microcystin can produce a rash, or
respiratory symptoms on exposure. Due to the toxins, Anderson Lake remains closed.
A bloom on Lake Leland has patchy areas of surface scum dominated by toxin-producing algae
species, although toxin levels were still below recreational guidelines at last testing.
JCPH recommends people avoid areas of scum on Lake Leland, and has posted warning signs.
Caution signs are also up at Gibbs Lake due to the presence of toxic species, but an earlier
toxic bloom there has cleared up.
IIILake monitoring has ended for 2015, but lake users are encouraged to call Jefferson County
Public Health if algae blooms are observed to be worsening. Later stages of blooms often form
patches or clumps, which can have elevated toxin levels. Often, toxin levels increase for days or
weeks, even as algae blooms dissipate. It is difficult to predict the conditions of lakes more than
a few weeks ahead, however, cooler fall temperatures typically slow the growth of algae.
Toxic blue-green algae has been an issue in Jefferson County since May 2006 when two dogs
quickly died after drinking from Anderson Lake. JCPH has been collecting and submitting water
quality/algae samples from Lake Leland, Anderson Lake and Gibbs Lake since 2006.
To check the status of Jefferson County Lakes and learn more about toxic cyanobacteria
monitoring, visit tinvurl.com/ogt2nzn or call 360-385-9444. For fishing seasons and regulations,
visit wdfw.wa.qov/fishinq.
0
Flu season makes a head start this year on Peninsula
By James Casey, Peninsula Daily News, October 25th,2015
1110 FORKS—Like holiday displays that appear prior to Halloween, influenza is rushing the season this fall.
While flu usually appears on the North Olympic Peninsula in the wake of winter holiday vacations, Clallam County
has recorded "nine or 10 cases" as of early last week, county health officer Dr. Christopher Frank told Board of
Health members at a meeting Tuesday in Forks.
About an equal number had appeared in Jefferson and Kitsap counties, he said.
'Not unheard of'
Although flu's early appearance is unusual, "this is not unheard of," Frank said.
"Once in about every 10 years, it begins to show up now."
Forks Community Hospital, Olympic Medical Center and Jefferson Healthcare hospital all will start their contagion
protocols by Nov. 1 to prevent the spread of influenza.
Eric Lewis, OMC CEO, said 90 percent of hospital employees had been immunized as of Wednesday, with a target
of 95 percent.
People who cannot receive flu shots due to an allergy or who strongly object to being vaccinated must wear face
masks when they are on OMC property, Lewis said.
Take the A strain
This year's strain is influenza A, which the present vaccine protects against, but whether it will immunize against the
•exact type of flu remains to be seen. Last year's strain mutated after a vaccine was distributed.
However, Dr. Jeannette Stehr-Green—a Board of Health member, an epidemiologist and former interim health
officer—said Tuesday, "There's a good match between the current vaccine and what they've been seeing globally."
The vaccine is available from doctors and pharmacies throughout Washington state, according to the state
Department of Health, and anyone 6 months or older should receive it, said state Health Officer Dr. Kathy Lofy.
Historically, only about half of Washington residents get vaccinated, she said, with a lower rate for teenagers.
When fewer people are protected, according to Lofy, influenza spreads faster and further—including to infants who
should not receive the shots.
Young, old, ill
Young children, pregnant women, elders and people with chronic illnesses such as diabetes, heart disease or lung
disease are at high risk for complications from flu that can be fatal.
Influenza is highly contagious and spreads through coughs and sneezes, even by people who aren't aware yet that
they are sick.
Eventually, symptoms include fever, chills, cough, sore throat, body aches, fatigue and headache.
Washington state provides free vaccines to all children up to 18 years old, although clinics and health departments
•
may charge administration fees or bill for office visits.
The Department of Health website, www.doh.wa.gov, offers information about influenza, its prevention and its
treatment.
4 via.
Lake Anderson still toxic; Lake Leland has persistent bloom
• By Leah Leach, Peninsula Daily News, October 26th,2015
PORT TOWNSEND—Toxin levels were high in the last test of the season of Anderson Lake
water.
Anderson Lake water samples taken Oct. 5 contained anatoxin-a and microcystin toxins at
levels above state recreational guidelines, said Michael Dawson, lead environmental health
specialist for the Jefferson County Water Quality Program, in an email.
That was the final test the county will perform this year on lake water toxins, Dawson said.
Testing is expected to resume in the spring.
Anatoxin-a is a fast-acting nerve poison that can kill within four minutes of ingestion and
microcystin can produce a rash, or respiratory symptoms on exposure. Both are produced by
blue-green algae.
Anderson Lake, which is near Chimacum, has been closed to fishing and other water recreation
since May 7 because of high toxin levels. The state park around the lake remained open.
In addition to high toxin levels, the lake also has a persistent bloom of algae, Dawson said.
Lake Leland
Lake Leland, which is near Quilcene, also has a persistent bloom, with patchy areas of surface
• scum dominated by toxin-producing algae species, Dawson said.
Tests, however, show that toxin levels were below recreational guidelines.
Toxins can arise quickly, however.
"Often, toxin levels increase for days or weeks even as algae blooms dissipate," Dawson said.
"It is difficult to predict the conditions of lakes more than a few weeks ahead," he added.
"However cooler fall temperatures typically slow the growth of algae."
Jefferson County Public Health recommends that people avoid areas of scum on Lake Leland.
Warning signs have been posted.
Gibbs Lake
Caution signs are up at Gibbs Lake, a catch-and-release trout lake near Chimacum, because
the water contains algae species known to sometimes produce toxins.
An earlier toxic bloom there has cleared up, Dawson said.
The lake was closed for a few weeks beginning in August because of high levels of microcystin.
• The county park around it remained open.
t .�..
The state Department of Ecology reported last summer that lakes and rivers in the Puget Sound
• area were experiencing more intense and widespread algae blooms than in earlier years.
The department attributed the phenomenon at least partially to warmer water created by the
drought that gripped the state then.
Warmth increases the growth of blue-green algae, which is usually benign; some species can
begin to produce toxins.
Researchers do not know what triggers the toxin release.
Algae growth also is fed by nutrients such as phosphorus, which is found in large amounts in
Anderson Lake.
Lake users are encouraged to call Jefferson County Public Health at 360-385-9444 if algae
blooms are seen to be grower thicker.
For more information about Jefferson County lakes, visit http://tinyurl.cam/Ieffersonlakequality.
Toxin-producing blue-green algae has not been spotted in Clallam County.
Report algae blooms in Clallam County by phoning 360-417-2258.
For fishing seasons and regulations, see the state Department of Fish and Wildlife website at
www.wdfw.wa.gov.
•
Executive Editor Leah Leach can be reached at 360-417-3531 or at Ileach(c peninsuladailynews.com.
Last modified:October 25.2015 3:35PM
•
A a
State looks to Clallam County as the"wave of the future" in the fight against opioid addiction
By James Casey, Peninsula Daily News, October 26,2015
cvzsutv\A
AF
Members of the Hope after Heroin group in Port Angeles
picked up syringes Friday at the Conrad Dyer Memorial
Fountain, located at First and Laurel streets
—James Casey/Peninsula Daily News.
FORKS — Infamous for its high death rate from heroin overdoses, Clallam County is receiving positive
attention for how it fights opioid addiction and its fatal consequences.
When it added drug counseling to its syringe-exchange program last summer, "we were told we were crazy to
do that," said Christina Hurst, public health programs director for the county Health and Human Services
Department.
"Now it's the wave of the future," she told members of the county Board of Health who met Tuesday in Forks.
"It's not the Seattles and Tacomas of the world; it's the smaller communities that have citizen action programs
and proactive health departments.
"A lot of people are watching us."
Public hearing
To that end, the Board of Health set a public hearing Nov. 17 on Health Officer Dr. Christopher Frank's request
to require doctors, first responders and hospitals to report opiate overdoses to county health authorities.
The board also asked Clallam County commissioners for$40,000 to replace injectors of naloxone, which can
reverse an overdose long enough to seek complete medical care.
During the reporting period 2012-2014, the state's death rate from opioid overdoses was 8.4 per 100,000
people.
Jefferson County's rate was 9.7 per 100,000, while Clallam's was 14.3 in 2013, according to state Department
of Health statistics and to Dr. Jeannette Stehr-Green, a member of the Board of Health.
The board's first measure would place overdoses—survived or fatal —in the same reportable or notifiable
category as communicable diseases like measles and syphilis.
Frank's purpose for the designation is to gather information on overdoses more quickly and accurately.
The state Department of Health will aid in storing the data, he said.
•"The state would like to use Clallam County as a test case for opioids and will give space in its database," he
said.
Hurst said reporting overdoses "will have a trickle-down effect, and other agencies will adopt it across the
country."
A future part of Frank's campaign would be "a countywide opiate-management plan," he said, "to reduce the
•pipeline through judicious prescribing practices."
Many opioid addicts start taking painkillers like oxycodone with doctors' prescriptions, become addicted, and
switch to heroin because it is cheaper, Frank said.
Beyond abstinence
He also called for public treatment options besides abstinence, which he called "less efficient than medication-
supported programs."
The drug Suboxone,cqfor instance, can help opioid addicts quit their habit without wrenching withdrawal
symptoms.
Naloxone may save lives "but that's the worst-case scenario," Frank said. "All the other problems are
upstream."
Naloxone, however, remains one of health authorities' best weapons besides prevention and treatment—and
Clallam County is running short of it.
Hurst said the $40,000 additional allocation would replace the 85 Evzio auto-injector kits the county has
distributed through its Syringe Services exchange.
Nine of the kits have saved lives, according to Hurst, with Port Angels police saving five more lives with Evzio
•injectors.
Auto-injectors
Clallam County's first 100 auto-injectors were donated by their manufacturer.
Replacing them will cost $400 each, although the county may receive a price break through a federal drug
clearinghouse.
The auto-injectors come with self-contained recorded insructions and can be administered through clothing into
an overdosed person's thigh.
The injection reverses overdose symptoms for 20 to 90 minutes while medical treatment can begin.
County Administrator Jim Jones has dropped naloxone from his proposed 2016 budget.
Commissioners Bill Peach and Mike Chapman, who also serve on the Board of Health, voted for the request.
Chapman warned that he might vote differently as a commissioner than as a member of the Board of Health.
Chapman, Peach and Commission President Jim McEntire will meet with Jones on Tuesday to discuss budget
items. McEntire, also a member of the Board of Health, was excused from last week's meeting.
Via nose or needle?
•At Chapman's sugestion, the board's request also will examine less costly naloxone systems such as a nasal
spray or a standard syringe that must be filled from a vial.
The Evzio injectors were the county prosecutor's office choice when it evaluated the various methods for their
liability/
The Syringe Service exchange each year assists up to 800 opiate and methamphetamine users who bring
•used needles to the public health clinic, 111 E. Third St., Port Angeles, and exchange them for new syringes.
Burks said the program has reduced cases of hepatitis B, hepatitis C and HIV, blood-borne pathogens that can
be spread by addicts' sharing syringes.
600 more inquiries
Frank said the Washington Poison Center in Seattle also had received 600 queries about opioid overdoses in
2014 from Clallam County, most of them in addition to people who get aid from first responders or hospitals.
Private groups have joined efforts against heroin. They include the Port Angeles Citizens Action Network— PA
CAN — and the Hope After Heroin group of teenagers recovering from addiction.
About a dozen of them, some of their parents and a pair of unaffiliated volunteers policed the Laurel Street
stairs and alleys in downtown Port Angeles on Friday afternoon to pick up syringes.
Similar cleanups will start at 12:30 p.m. Thursday along Benson Road south of U.S. Highway 112; at 11 a.m.
Friday at Lincoln Park; and at 9 a.m. Nov. 14 along Peabody Creek.
'We are the leaders'
Hurst, Frank, Burks and others also look forward to a day-long program Dec. 1 at Olympic Medical Center
where they will examine Clallam County's present and future health-improvement programs.
"'Participants will include members of the University of Washington Alcohol and Drug Abuse Institute, which has
conducted summit meetings on opioid addiction.'
"We want at the end of that meeting to have a plan of things that actually can be accomplished, to make an
impact on the opioid problem," Hurst said.
The university's presence, she said, will be a measure of how Clallam County is being viewed as a pioneer in
fighting drug addiction and death.
"We are the leaders," Hurst said, "in the state of Washington."
Reporter James Casey can be reached at 360-452-2345, ext. 5074, or at jcaseyCa7peninsuladailynews.com.
Last modified:October 25.2015 6:25PM
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Pet cat from Chimacum area found to have rabies; discovery marks first time in state
since 2002
• By Charlie Bermant, Peninsula Daily News, November 6, 2015
•
RABIES VIRUS-New York State Department of Health
CHIMACUM —A pet cat from the Chimacum area has been found with rabies, the first time the disease
has been recorded in a Washington state feline since 2002.
Jefferson County Public Health received results of testing Tuesday, according to Dr. Tom Locke, county
public health officer.
The cat's owner, a veterinarian technician and a few others who came into contact with the cat are
undergoing treatment for rabies now, according to Locke, who did not know how many are being given
the shots.
The cat—a 2-year-old female from the Gibbs Lake area—had shown uncharacteristic aggression and
had bitten her owner last week, Locke said Thursday.
41/ The cat was taken to the Jefferson County Humane Society shelter for observation and then to the
Chimacum Valley Veterinary Hospital after she began to show signs of rabies, Locke said.
Once the symptoms were confirmed, the cat was euthanized and samples of brain tissue were sent to
the Washington State Public Health Lab in Shoreline.
The animal's name, breed and exact location were being withheld to preserve the privacy of the pet
owner, Locke said.
Rabies had been reported only in bats on the North Olympic Peninsula until now. A rabid bat was found
in Clallam County this year, public health officials said, and another in Jefferson County in 2014.
On Wednesday, Lisa McKenzie, the county's communicable disease program coordinator, sent an email
to area veterinarians alerting them to the rabies report.
In the email, McKenzie said the cat had an uncertain vaccination history.
"We are working on identifying all possibly exposed persons, helping them identify true exposures and
getting individuals who were exposed in for rabies prophylaxis through Jefferson Healthcare," McKenzie
wrote.
Locke said the disease was most likely acquired from a bat that the cat may have killed or eaten.
He said cat rabies is rare in Washington state, with the most recent case in 2002; there have been no
• reports of rabid dogs since the 1950s.
"It surprises me that we don't see more rabid cats," Locke said.
"Cats regard bats as their prey, and bats are the most common source of rabies."
lbLess than 1 percent of bats in the state are thought to carry the rabies virus, health officials said.
Untreated rabies is fatal to any animal contracting the disease, and it results in severe neurological
damage or death for humans who become infected.
The incubation period in people ranges from weeks to years after a bite from a rabid animal, but its
effects can be reversed with immediate treatment after suspected contact.
Locke said rabies is "100 percent preventable"through vaccination. If a vaccinated cat eats an infected
bat, it will not catch the disease.
Any animal suspected of having rabies should be quarantined for 10 days.
If signs of the disease are observed in that time, the animal will be euthanized and its brain tissue
sampled, Locke said.
If a possibly rabid animal dies, its head should be preserved and kept for analysis, Locke said.
According to the Washington state guidelines for human rabies prevention, "rabies exposures include
bites, scratches, fresh wounds or mucous membranes contaminated with a mammal's saliva or neural
tissue.
"Touching animal fur, blood, urine or feces is not a rabies exposure," the state said. "Exposures to bats
• deserve special consideration."
To report a suspected case of rabies, phone 360-385-9400 in Jefferson County or 360-417-2274 in
Clallam County.
Jefferson County Editor Charlie Bermant can be reached at 360-385-2335 or cbermantna.peninsuladailynews.com.
Last modified:November 05.2015 7:34PM
Ill
I e
Port Townsend city officials eye Lords Lake level, now at 11 feet; a drop to 3 feet would
increase restrictions
• By Charlie Bermant, Peninsula Daily News, November 6,2015
PORT TOWNSEND—The city's water supply reservoir has fallen to about 11 feet, coming closer to a
benchmark that would trigger Stage 2 water restrictions and heavily impact the Port Townsend Paper Co.
mill.
The city is currently in a Stage 1 water alert, which mandates outdoor watering on alternate days.
If Lords Lake drops to 3 feet, the second stage of water conservation measures enacted in August would
be triggered.
Stage 2 would require the mill to shut down or vastly curtail its water use.
Lords Lake was a little higher than 15 feet last week, and recent rains have not replenished the lake
enough.
More rain in the Quilcene basin is needed before the supply reaches a comfortable, safe level, according
to City Manager David Timmons.
We need to get to the point where we are putting as much into the reservoirs as we are taking out," he
said.
"After that, it's going to take a lot of steady rain to build up our reserves."
• Timmons said a comfortable level for this time of year would be 70 feet and that it would take several
hundred million gallons to reach that point.
Under non-drought conditions, the city takes all of its water out of the Big Quilcene and Little Quilcene
rivers, routing it to City Lake in Chimacum and using Quilcene's Lords Lake reservoir as backup.
During a wet winter, all the water needed for both the city and the Port Townsend Paper Co., about 12
million gallons a day, will come from the rivers, which constantly replenish reservoir levels.
Since declaring a water emergency in August, the city has used water from Lords Lake.
Ken Clow, public works director, said the Lords Lake level now is almost 11 feet.
The current reserves could last the city several years if it were not replenished, Timmons said. The
shortage results from the water usage needs of the Port Townsend Paper Co. mill, the county's largest
private employer, with 298 workers.
Currently, the city is using about 750,000 gallons daily, while the daily usage by the mill approaches 10
million gallons.
Although the city will always have enough water, closure of the mill would have a devastating effect on
the community, Timmons said.
"This is an economic issue," he said.
110 "It will hurt the city if its largest employer has to shut down."
The mill has implemented water conservation measures and plans to bring in pumps that will pull water
from the lower portion of Lords Lake in a way that does not lower its water level, Felix Vicino, mill
• spokesman, said in an email.
"The pumps are a precautionary measure," he said.
"We would only use them if the lake level got too low to flow into the intake structure."
The pumps will arrive next week and will be able to be put into service by the end of the week, Vicino
said, adding that "given the current outlook we do not anticipate their use."
Other contingency plans include the use of cooling towers, which have been in place since June,
resulting in the mill conserving over 200 million gallons of water, Vicino said.
Jefferson County Editor Charlie Bermant can be reached at 360-385-2335 or cbermant@peninsuladailynews.com.
Last modified:November 05.2015 9:08PM
1111
•
Mill antes up $790,500 to ensure landfill can be closed
• By Allison Arthur, Port Townsend Leader, November 18th, 2015
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The Port Townsend Paper Corp. has provided$790,500 in a trust fund to be used to close the 25-acre landfill as part of
fulfilling requirements for a Limited Purpose Landfill,which the mill agreed to last year before it was sold in February
2015.The mill has been depositing ash and lime grit at the site since it first acquired the property south of the mill
starting in 1973.The photo was taken in 2012.A more recent photo was not available. Leader file photo
1111 The Port Townsend Paper Corp. has put$790,500 in a trust fund in Wells Fargo bank in the name of
Jefferson County Public Health to assure Jefferson County there is money to close the mill's 25 acre landfill.
It's the first time in 40 years of operating the private landfill that mill owners have complied with a Limited
Purpose Landfill (LPL) permit and have provided what is called a financial assurance instrument to guarantee
there is money to close the landfill and maintain it after it is closed.
The deal was completed Nov. 2 after the state Department of Ecology approved the mill's closure plan and a
companion post-closure plan, said Jared Keefer, environmental health and water quality director for Jefferson
County. He said Ecology approved of the mill's plans and its estimated cost analysis. Cost of closing the
landfill was estimated at$267,600, and post-closure costs were estimated at$522,900, Keefer said.
"It feels great to have this chapter done," said Keefer. "In the last year there has been excellent cooperation to
get to this point, and it's a relief."
Keefer said he had been working with the mill's environmental manager, Kevin Scott.
Scott confirmed the deal Monday, noting that the value of the trust fund was estimated by a third-party
engineering firm, and that the cost estimate is redone every year to account for inflation and changes in the
landfill life.
Scott also noted that the mill is doing groundwater monitoring and tests seven monitoring wells. It installed a
new well in the last year and will be installing one more well in 2016, he said.
"The trust account is held by an approved trustee and funds can only be disbursed for the specified landfill
closure and post-closure tasks subject to approval by Jefferson County Public Health," Scott said.
• "It sits there until it needs to be tapped," Keefer said of the money. He said the mill cannot withdraw the
money on its own and only he and Jefferson County Public Health have access to the funds.
"And these numbers [funds in the account]will be adjusted annually to account for inflation and any other
associated cost increases," Keefer said.
• Although the mill had signed a five-year LPL in July 2014, the financial assurance pledge of the permit had
not been completed before new owners purchased the mill in February of this year.
Previous owners of the mill had balked at providing financial assurance and had fought the county over doing
an LPL permit, insisting that an inert permit was enough. An inert permit does not require water-quality
monitoring and the financial assurance instrument, while the LPL permit does.
The mill has been depositing ash and lime grit at the site since it first acquired the property south of the mill
starting in 1973 and mined the clay for use in its 33-acre treatment pond.
HISTORY
The mill's landfill permit has been both complicated and controversial.
It was first permitted in August 1989 by Jefferson County's health department as an inert landfill and not
required to conduct groundwater quality monitoring, according to an April 27, 2011 memo from Peter Lyon,
regional manager for the Waste 2 Resources Program for Ecology, which oversees landfills in 12 counties.
In September 1989, the state appealed that inert permit to the state Pollution Control Hearings Board, arguing
the waste "didn't meet the definition of inert."
The board ruled in August 1990 that the state was right.
After that, the county started permitting the mill's landfill as an LPL under WAC 173-304-460.
But then, Ecology drafted new rules for solid waste handling in 1999 and created a category for listed wastes
presumed to be inert, which included cured concrete, brick and things like glass and aluminum.
• In June 2003, the mill proposed that its boiler ash and lime grits met the criteria for inert. The mill hired
Landau Associates to help it prove that.
By 2004, the mill was no longer doing groundwater testing and it was operating again as an inert landfill.
The permit sat on the county's shelves with little attention until 2011 when the mill proposed a $55 million
cogeneration project that could have increased the amount of material going into the landfill.
Opponents of that project targeted the inert landfill permit as both an area of concern and an avenue for an
appeal.
Lyon also acknowledged in 2011 that a private landfill in Cowlitz County became a concern because the
owners were facing bankruptcy and there was a worry that county could get stuck with footing a bill to bring
the landfill back into compliance since it, like Port Townsend's landfill, wasn't being monitored.
Back in 2011, PT mill officials were adamant that the landfill be considered inert while county and state
officials disagreed.
New owner Lindsay Goldberg, which created a new holding company, Crown Paper Group, took over in
February 2015.
The new owners said they expected to invest about$40 million in the mill in the next two years. In addition to
resolving the landfill debate, the company also has invested more than $10 million to install air pollution
scrubbing equipment for the emissions from Power Boiler No. 10, and has dredged a treatment pond that was
felt to have contributed to the telltale "mill" odor coming from the mill.
•
Human, animal bacteria to be identified
Port Townsend Leader, November 18th, 2015
111
Jefferson County Public Health (JCPH) and the Jefferson County Conservation District(JCCD) is set to
monitor water quality in Chimacum and Ludlow creeks over the next three years.
An open house in October kicked off a $410,000 water-quality project funded by the state Department of
Ecology titled Hood Canal Priority Basins. The program is for homeowners with septic systems within the
Chimacum and Ludlow Creek basins.
The health department expects to conduct a neighborhood-by- neighborhood survey and contact about 400
residents, according to Jared Keefer, JCPH environmental health and water quality director.
The project target is to find a major source of non-point pollution to area streams and shorelines: fecal
coliform bacteria, which comes from failing septic systems, agricultural runoff and stormwater.
"Chimacum Basin has been the subject of several water-quality studies since the 1970s," said Anna
Bachmann with the water quality team. "Unfortunately, portions of the creek are on the state's list of impaired
streams. In 2011-12, the last year that Chimacum Creek was monitored, 25 of 28 stations failed portions of
Ecology's fecal coliform standard."
There have been no basin-wide studies of the Ludlow Creek basin; the Hood Canal Priority Basins project will
be the first to do this.
There has been debate over where the bacteria pollution is coming from, as the Chimacum Basin, for
example, contains both residential communities and livestock operations, health officials note.
In the last year of the Chimacum Creek study, DNA testing was done on the different strains of fecal bacteria
that were found in the stream in order to identify whether the sources were from humans or ruminants (i.e.,
cows, sheep, deer, etc.).
• Glenn Gately, water quality and fish habitat biologist with the the conservation district who was involved in
much of the work on Chimacum Creek, stated, "Ruminant sources were frequently found, but surprisingly, 19
out of 20 of the sampling locations tested positive for human bacteria, while only 10 of the 20 sampling
locations tested positive for ruminants."
The county started permitting septic systems in the 1970s. Given that the lifespan of a well-maintained system
is between 20 and 30 years, there are a lot of systems in these areas that may be failing and contributing to
public health and water-quality problems, public health officials say.
In Port Ludlow, much of the community around the Ludlow Bay is served by a sewer system, but there are still
more than 300 septic systems in the basin, many of them older.
OPTIONS FOR HOMEOWNERS
There are a number of resources that homeowners can pursue to protect both water quality and their property
value, health officials are quick to note.
The open house introduced landowners to representatives from the Craft3 Clean Water Loan Program and
the U.S. Department of Agriculture programs for single-family housing repair loans and grants.
Jena Ross of Craft3 discussed an affordable-loan program that covers the cost of designing, permitting,
installing and maintaining septic systems.
Laura Capo of the USDA Rural Development Program introduced both loan and grant programs available for
anything from septic system repair to home weatherization to housing repair and construction. Homeowners
can learn more about these resources on the Craft3 website, craft3.org, and on the USDA website,
rd.usda.gov/wa.
11111
. 4
IN THE STREAMS
Over the course of the Hood Canal Priority Basins project, officials will be in the streams collecting water-
• quality samples and in neighborhoods conducting sanitary surveys and providing homeowners with
information on how to maintain septic systems as well as available financial resources for septic repairs.
The ultimate goal of this project is to protect shellfish beds, salmon streams and public health by improving
water quality.
Contact JCPH at 385-9444 and the JCCD at 385-4105 for more information.
•
•
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Coyote has not been tested for rabies contrary
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•
to earlier report
• By Robin Dudley of the Port Townsend Leader //// //2
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Coyotes are routinely seen and heard within the Port Townsend city limits—and have been for years.While officials aren't worried
about them harming people,pet owners have expressed concern about the number of cats and small dogs taken by coyotes.Photo
by Steve Mullensky
Editor's note: A version of this story, based on the original Port Townsend Police Department press release,
appeared online earlier today. It was taken down after the Leader received information from the Jefferson
County Public Health Department about its accuracy.
Contrary to a press release sent from the Port Townsend Police Department Nov. 19, an injured coyote found
• last week near Fort Worden has not tested positive for rabies. Because no human exposure was identified, it
has not yet been tested. The sick coyote was euthanized.
The PTPD acknowledged in an updated press release that "there was no human exposure dealing with this
sick coyote" and that the cause of the coyote's illness has not been determined.
PTPD officers received a report Nov. 8 of a coyote lying in the road blocking P Street. The coyote was
captured with the assistance of a state Department of Fish and Wildlife officer, who transported it to Center
Valley Animal Rescue. The coyote was sick.
"There is no confirmed case of rabies in a coyote," said Dr. Tom Locke, director of Jefferson County Public
Health. "The animal has not even been tested for rabies," he said. Under state protocols, animals are not
tested for rabies unless a person has been exposed to the animal's saliva, as through a bite.
"In this case, a determination has been made that there was no human exposure," Locke said. That
determination was made by asking all the people who came near the coyote—police, WDFW officers,
veterinarians and vet technicians—whether they had been exposed to the animal's saliva.
"Rabies has a very specific transmission. Essentially, it is only transmitted through the saliva of a sick animal,"
Locke said. The questioning was a precaution, in case the animal were to later be found to have the rabies
virus.
Those questions about exposure may have led to the misunderstanding that the animal had rabies, Locke
said. "We determine whether there has been exposure before they do testing."
"It was a very sick coyote that was laying on the ground ... not at all aggressive. This was essentially a very
sick, dying coyote," Locke said.
Its condition worsened at Center Valley Animal Rescue, and it was euthanized.
• "The coyote specimen is available for testing," Locke said. Only one place in Washington can test animals for
rabies, he said: the Washington State Public Health Lab, in Shoreline.
"It's a test of the animal's brain, so you have to remove the head in a special way, preserving part of the spinal
canal," and it must be sent in a special biohazard container, he said. "The state lab has to identify three
• separate areas of the brain and test all three of them."
Animals are not usually tested unless human exposure has been confirmed, he said.
"Public health is really about human health. They focus their resources ... when there has been human
exposure."
Sometimes the state health lab tests animals where there has not been human exposure, "for surveillance
purposes," he said, "to see if[the rabies virus] is out there."
BATS TO CATS
Except for bats, no wild animals in Washington has ever tested positive for rabies, Locke said.
"Rabies virus is endemic in bats," he said—a lot of bats have rabies. "Rabies is in the bat population, so
people should avoid exposure to bats," he said. "If they are exposed, we recommend trapping the bat and
getting it tested [for rabies]."The health department also recommends rabies vaccinations for pet cats and
dogs, "especially cats," he said. "Cat-bat exposures are not that uncommon."
Earlier this month, a pet cat in Jefferson County tested positive for the rabies virus, according to Jefferson
County Public Health.
The cat, which showed signs of aggression, was placed in quarantine, where it became ill and was
euthanized. The cat's body was sent to the Washington State Public Health Laboratory Nov. 2, where it was
found to have been infected with rabies.
Locke said the cat's rabies specimen was sent to the Center for Disease Control in Atlanta, Georgia, which
can genetically sequence the virus and determine if it's a bat strain, and "this, to no great surprise, tested as a
bat-derivative strain," meaning the cat caught rabies from a bat.
• Prior to the cat this November, in Jefferson County, "the last time rabies was detected in a cat was 13 years
previously," Locke said. "The last dog case was back in the 1980s, with the exception of a rabid puppy from
India"that briefly passed through Jefferson County on its way elsewhere.
•
'4.
Coyote found in Port Townsend to be tested for rabies after erroneous report
• By Charlie Bermant, Peninsula Daily News, November 20th, 2015
PORT TOWNSEND—A dead coyote that was mistakenly characterized as rabid will undergo tests for
the disease, even though it had no reported contact with humans and the possibility of a positive result is
slim.
"It would be very significant for the animal to test positive because it would be the first reported incident
of rabies in this species" in the area, said Dr. Tom Locke, Jefferson County public health officer.
"We don't usually test for rabies if there's been no human contact," he said.
"The lab doesn't have the resources to test every dead animal."
The Port Townsend Police Department corrected a Thursday afternoon a news release sent earlier that
day that erroneously said an injured coyote found near Fort Worden State Park on Nov. 8 had tested
positive for rabies.
The initial release said a state wildlife officer transported the animal to Center Valley Animal Rescue in
Quilcene, where it tested positive for the virus, a statement that was erroneous.
The second release said: "At this time, the coyote has not been tested for rabies. The cause of the
animal's illness has not been determined."
Sara Penhallegon, who saw the coyote at the animal rescue, said: "My first guess when they brought the
• animal in is that it was a toxic reaction, which can look the same as rabies."
She euthanized the animal and sent the remains to the Chimacum Valley Animal Hospital for possible
analysis.
On Thursday, the body remained in the clinic's freezer and had not been tested.
Locke, who was not aware of the animal until after the news release, contacted the clinic, the police and
the Washington State Board of Health, which decided to conduct a test even though the likelihood of
rabies is low.
The animal's head will be sent to the Washington State Public Health lab in Shoreline for precautionary
testing today, with results available early next week, Locke said.
Locke, who met with Port Townsend Police Sgt. Troy Surber on Thursday, said the confusion probably
resulted from investigators asking police if anyone had been exposed to the animal's saliva or blood.
"They may have thought that questions about exposure meant the animal tested positive, but that's not
how we operate," Locke said.
"We will only test for rabies if there is documentation that the sick animal had contact with humans."
Locke said the officers who handled the animal "were professionals" and took precautions that prevented
dangerous exposure.
• Locke said the erroneous report came from a "communication glitch," a characterization with which
Surber agreed.
r a4
In its corrected report Thursday afternoon, the police department said: "Currently bats are the only wild
animal in the state of Washington that are shown to carry rabies. Animals and humans can contract
• rabies if exposed to an infected bat."
On Nov. 7, a domestic cat from the Chimacum area was found to have been rabid.
That animal was diagnosed as having rabies by Penhallegon at Center Valley Animal Rescue, a
diagnosis confirmed after it was euthanized and tested at the Chimacum Animal Hospital.
Penhallegon dealt with the animal because she was the only staff member with a current rabies vaccine
status. After that exposure, she received a booster shot, she said.
Rabies in humans is fatal unless it is treated immediately, Locke said.
To test for rabies, an animal is euthanized and its head sent to a lab.
Locke said the erroneous report was actually a positive thing.
"I'm glad this happened because it spread knowledge about rabies to the public and underscored that
people should avoid any direct contact with wildlife," he said.
Jefferson County Editor Charlie Bermant can be reached at 360-385-2335 or cbermant@peninsuladailynews.com.
Last modified:November 19.2015 7:13PM
•
Port Townsend Paper Corp.,county reach landfill agreement; mill will be responsible for
eventual cleanup
ill
By Charlie Bermant, Peninsula Daily News, November 24th,2015
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Charlie Bermant/Peninsula Daily News
Kevin Scott, Port Townsend Paper Corp. director of sustainability,stands on the side of a hill in the landfill used
by the company.
PORT TOWNSEND—The Port Townsend Paper Corp., can continue to operate a limited purpose
landfill but must take responsibility for its eventual closure, according to an agreement reached with
Jefferson County earlier this month.
• Under the agreement, the mill will receive a permit for the operation of the landfill but must deposit the
funds needed for its cleanup, about $800,000 into a trust account in the next three years.
"This works for us," said Kevin Scott, the mill's director of sustainability. "It's a pretty good win all around."
Added Jared Keefer, Jefferson County's water quality director: "It's very nice to have this chapter closed."
The agreement marks the end of a dispute between the county health department and the mill, which
sought to renew a landfill permit under an inert status in 2012.
The company, which had operated under a permit for inert waste since 2004, applied for renewal in
September 2012, and the Jefferson County Public Health Department denied the request, saying the
landfill should be permitted under the more stringently regulated limited purpose classification.
Mill officials appealed the decision. Mediation among representatives of the paper company, the county
and Ecology led to the present permit, effective July 3, which will expire in five years.
"Once we started talking, everything proceeded naturally," Scott said.
Scott said meetings that included himself, Keefer and representatives of the state Department of Ecology
led to the agreement in early November.
The closure plan included a financial assurance requirement, was the agreement's final step.
• Since the mill began operating the landfill, state regulations were put into effect requiring landfill
operators to pay an amount projected to cover the cleanup, which is adjusted for inflation every year.
The regulation was created to ensure proper closure and cleanup, Keefer said.
"Companies can still walk away but need to provide financial assurance so there is enough money left to
close the landfill," he said.
The money is deposited in an account controlled by the county health department which will hire a third
party for cleanup if necessary.
If mill officials decide to participate in the cleanup, they can gain access to the funds with the approval of
the health department.
The 200-acre landfill, which is located up a dirt road from the back of the mill, has another 50 years of
operational life, according to Scott.
The landfill includes lime grit—also known as slaker grit— boiler ash, inert wastes and incidental metal
residual material from the combustion of boiler fuel at the mill.
Once the capacity of a certain section is reached, it is seeded with grass and then resembles a large hill.
"It's not very exciting," Scott said of the location.
"People hearing this is a landfill expect something that looks like the county dump."
This land will never be developed, Scott said, due to a conservation easement agreement with Jefferson
Land Trust.
Even so, the land is "too far away from anything to be useful," Scott said.
illWhen the permit process began, the mill intended to construct a biomass facility, a plan it has since
abandoned.
Jefferson County Editor Charlie Bermant can be reached at 360-385-2335 or cbermant(a�peninsuladailynews.com.
Last modified: November 23.2015 9:31 PM
ID
•
County aims to streamline food safety program, recover costs
*Health officials pitch fee hike for food permits, discuss risk-based fee structure
• By Nicholas Johnson of the Port Townsend Leader, Nov 25, 2015
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Jefferson County health inspector Mina Kwansa (left)offers feedback to Blue Moose Cafe manager Terolyn Marshall after inspecting
the Port Townsend restaurant earlier this year. File photo by Nicholas Johnson
Jefferson County health officials want to raise permit fees for food establishments in order to recover more of
the cost of providing education, inspections and enforcement.
The Jefferson County Board of Health in October endorsed a plan to increase existing fees by about 10
•percent on average. Currently, fees recover 42.35 percent of costs. The proposed fees would recover 52.79
percent.
The public is invited to a hearing on the proposed fees at 2:30 p.m., Thursday, Dec. 17 at Jefferson County
Public Health, 615 Sheridan St., Port Townsend. Written comments may be mailed or sent by email to
boh@jeffersoncountypublichealth.org.
For years, the county health department has categorized food establishments by type and number of seats,
resulting in some 19 permit types. Many food establishments require several types of permits, such as a
grocery store that also has a bakery or a meat and fish market.
The actual fee increases proposed vary widely. While most permit types would see an increase of anywhere
from $7 to $160, one —the aforementioned meat and fish market permit—would see its fee drop by $90.
"Some people will see their fees go down, and others will see them go up," said Sheila Westerman, Jefferson
County Board of Health chair. "We're trying to not raise anyone's fees too suddenly. We don't want to make it
hard for people to be in business. We're trying to recover the cost of administering this program without hurting
these businesses, so it's a balancing act."
In 2009, the board directed staff to find ways to fully recover the cost of various programs within the health
department's Environmental Health and Water Quality division.
"Throughout the health department, we try to have [the cost of issuing] permits completely covered by fees,"
Westerman said. "But with food safety, we're way far away from the permit fees covering the costs we incur."
Since Jared Keefer began as director of that division in 2012, programs for drinking water, solid waste, liquid
waste, water quality and water recreation facilities have been reviewed and adjusted to better recover costs, he
• noted. The food safety program is the last to undergo such a review.
The proposed fee increases are modest, Keefer said, in that they would recover roughly
50
Rather than recover costs entirely through fees, Keefer said he wants take a hard look atcosts.cent of costs.
r
"Either fees go up or costs come down," Keefer said. "Our strategy is to do this from both ends. I feel like
there's always room for improvement. We [as a department] have opportunities for streamlining and being
more cost effective. Keeping that pressure on us helps us to facilitate that improvement."
• Ultimately, health officials want to move away from the program's seat- and type-based permitting system —
which, for example, divides restaurants into four categories based on number of seats—to a tiered, risk-based
system, reducing some 19 categories down to a handful.
"We have had a system in use for quite a few years with many categories, which makes it very difficult to be
fair on permit fees," Westerman said. "What we would prefer to do is have a risk-based system with three to
five categories, because it's not about how many seats you have; it's about what's happening in your kitchen.
Whether you have 20 seats or 40 seats is almost irrelevant to what the inspector is doing when they show up
at your restaurant."
Keefer, who said more and more counties around the state have been shifting to risk-based food permitting
regimes over the last few years, expects such a shift won't happen until late 2016, leaving time for a healthy
discussion about which types of food establishments bear the greatest risk and which are relatively benign,
regardless of seating capacity.
"More complication begets more risk," Keefer said, pointing out that a hotel's continental breakfast is likely less
risky than that of a bed-and-breakfast business, as is an espresso stand compared to a food truck.
Establishments that require more complicated food preparation would likely be inspected more often, and
those with less intense kitchen operations would be inspected less frequently. As a result, fees would likely be
greater for those requiring greater oversight.
"What we found when we parsed our activity data was that there is a lot of variability in number of seats and
some establishments required more time than others," regardless of how many seats they have, Keefer said.
"Many of the extra-large restaurants took less time [to inspect] than the medium-size restaurants."
•Adjusting fees to recover a bit more of the program's cost is simply the first step toward revamping the fee
structure entirely, Westerman said.
"It's not possible for us in this moment to raise the fees enough to cover all the costs," she said. "We are
moving in that direction with the understanding that these businesses contribute greatly to our community.
We're trying to close the gap and make it more fair, because right now, the way it's set up doesn't make
sense."
Keefer said concerned citizens and business owners should attend monthly board meetings and feel free to
visit or call the department at 385-9400 to discuss the food safety program with staff.
"Our goal is to have a program that both protects the public from food-borne illness and lives within its means,"
Keefer said, stressing the value of a smooth transition. "Doing too much too quick can cause a lot of confusion.
I think taking a step-by-step approach makes much more sense. Let's take time and determine the appropriate
level of compliance for each kind of food establishment."
Either fees go up or costs come down. Our strategy is to do this from both ends."
Jared Keefer, director, Environmental Health & Water Quality, Jefferson County Public Health
"We're trying to recover the cost of administering this program without hurting these businesses, so
it's a balancing act."
Sheila Westerman, chair, Jefferson County Board of Health
•
1
•
Facility Full Cost* Current Fee Proposed Fee
Bakery $348.69 $149 $199
Church,Commercial Kitchen,
$377,67 $149 $199
Concession
Espresso Stand $423.04 $149 $199
Lounge $275.19 $149 $199
Bed&Breakfast 5462.64 $191 $249
Caterer from Restaurant $425.43 5191 5249
School Warming Kitchen 51,147,06 5191 $249
Small Grocery 5441.37 $191 $249
Small Limited Restaurant $512,97 $191 $249
Meat&Fish Market 5508.91 5339 $249
Limited Mobile Unit $503.15 $191 $299
• Caterer from Commissary 5949.96 $339 $469
School Central Kitchen $797.02 $339 $469
Small Complex Restaurant 0-25
$829.33 5339 $469
seats)
Medium Restaurant 12650 seats) $988.49 5340 5469
Large Restaurant(51-100 seats) 5887.63 $407 $469
Extra Large Restaurant)>100 seats? 51,664.50 $462 $469
Large Grocery $593.72 5462 $469
Complex Mobile Unit $1,017.81 5339 5499
0Current andro osed Jefferson County p food safety program permit
fees by type
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Rabies alarm over dying coyote unfounded, says public health officer
• By Robin Dudley of the Port Townsend Leader, November 25th, 2015
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Coyotes are routinely seen and heard within the Port Townsend city limits-this coyote was photographed on Morgan
Hill. While officials aren't worried about coyotes harming people,small pets allowed to run loose outside may fall prey
to coyotes. Except for bats,no wild animal in Washington has ever tested positive for rabies,according to public
health officials. File photo by Allison Arthur
Contrary to a press release sent to local news agencies by the Port Townsend Police Department on Nov. 19,
an immobile coyote found near Fort Worden State Park has not tested positive for rabies. The PTPD
acknowledged in an updated press release that the cause of the coyote's illness has not been determined.
PTPD officers received a report Nov. 8 of a coyote lying in the road blocking P Street. The coyote was
captured with the assistance of a state Department of Fish and Wildlife officer, who transported it to Center
Valley Animal Rescue near Quilcene. The coyote was sick, and when its condition worsened, it was
euthanized.
• Everyone who came near the coyote- police, WDFW officers, veterinarians and vet technicians-was asked
by health officials if they had been exposed to the animal's saliva, in case it was later found to have rabies.
"In this case, a determination has been made that there was no human exposure,"said Dr. Tom Locke,
director of Jefferson County Public Health.
Rabies has a very specific transmission. Essentially, it is only transmitted through the saliva of a sick animal,"
Locke said.
The questioning was a precaution, but may have led to the misunderstanding that the animal had rabies,
Locke told the Leader. "We determine whether there has been exposure before they do testing. There is no
confirmed case of rabies in a coyote."
Under state protocols, animals are not usually tested for rabies unless a person has been exposed to the
animal's saliva, such as through a bite.
"It was a very sick coyote that was laying on the ground ... not at all aggressive. This was essentially a very
sick, dying coyote," Locke said.
Its condition worsened at Center Valley Animal Rescue, and it was euthanized. The coyote's remains are to
be sent to the the Washington State Public Health Lab, in Shoreline, which Locke said is the only place in the
state that can test animals for rabies.
"It's a test of the animal's brain, so you have to remove the head in a special way, preserving part of the spinal
canal,"and it must be sent in a special biohazard container, he said. "The state lab has to identify three
separate areas of the brain and test all three of them."
Animals are not usually tested unless human exposure has been confirmed, he said, but sometimes the tests
• are done"for surveillance purposes ... to see if[the rabies virus] is out there."
Public health is really about human health. They focus their resources ... when there has been human
exposure."
BATS TO CATS
Except for bats, no wild animal in Washington has ever tested positive for rabies, Locke said.
•
"Rabies virus is endemic in bats," he said—a lot of bats have rabies. "Rabies is in the bat population, so
people should avoid exposure to bats," he said. "If they are exposed, we recommend trapping the bat and
getting it tested [for rabies]."The health department also recommends rabies vaccinations for pet cats and
dogs, "especially cats," he said. "Cat-bat exposures are not that uncommon."
Earlier this month, a pet cat in Jefferson County tested positive for the rabies virus, according to Jefferson
County Public Health.
The cat, which showed signs of aggression, was placed in quarantine, where it became ill and was
euthanized. The cat's body was sent on Nov. 2 to the Washington State Public Health Laboratory, where it
was found to have been infected with rabies.
Locke said the cat's rabies specimen was sent to the Centers for Disease Control and Prevention in Atlanta,
Georgia, which can genetically sequence the virus and determine if it's a bat strain. "This, to no great surprise,
tested as a bat-derivative strain," meaning the cat caught rabies from a bat, Locke said.
Prior to the rabid-cat case this November, in Jefferson County, "The last time rabies was detected in a cat
was 13 years previously," Locke said. "The last dog case was back in the 1980s, with the exception of a rabid
puppy from India"that briefly passed through Jefferson County on its way elsewhere.
(Editor's note:A version of this story, based on the original Port Townsend Police Department press release,
appeared Nov. 19 on ptleader.com. It was removed after the Leader received information from the Jefferson
County Public Health Department about its accuracy.)
•
71.
Educator to provide Port Townsend students with link to Paris climate change conference
By Charlie Bermant, Peninsula Daily News, November 29,2015
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Climate change activist Laura Tucker shows some of the cards she is bringing to a conference in Paris, meant to
connect children on two continents.—Charlie Bermant/Peninsula Daily News
PORT TOWNSEND—While global leaders discuss cutting back on carbon emissions, a Port Townsend educator
will work from Paris to connect students in her hometown with other youth around the world who are interested in
climate change issues.
Laura Tucker, who was elected to the Port Townsend School Board in the Nov. 3 election, leftThursday to attend
the United Nations 21st Conference of the Parties in the French city, a meeting that begins Monday among world
leaders and which is intended to set new greenhouse gas emission standards to slow climate change.
"This problem will be solved on a grass roots level," said Tucker, a member of the Jefferson County Climate Action
Committee.
Olt will be addressed on a governmental level, an institutional level, and needs to be a cooperative effort by
everybody," she said.
Tucker, who said she has been a teacher for all of her adult life, is one of 10 teachers in the United States who was
invited to participate in the international conference, which will end Dec. 11, by Climate Generation, formally the Will
Steger Foundation.
Her prime directive is to connect students in Port Townsend with students from around the world working on climate
change action.
She has set up an online video meeting for each conference day that will connect groups of Port Townsend students
to children who are attending the conference through a video Google Hangout.
In Port Townsend, the connection will occur daily at 8:20 a.m. Dec. 7-11 and will include four classes.
They are Christina Laughbon and Chris Neuman's fifth grade, Melinda Pongrey's seventh grade science class, all at
Blue Heron Middle School and Lois Sherwood's 10th grade science class at the high school.
The live connections will originate from each classroom.
"It will be at the end of the conference day in France," said Tucker, 59.
"Port Townsend students will have a chance to talk to students around the world who are working on climate
change."
•A translator for the sessions will be present to alleviate any language barriers, she said. She expects the sessions to
be conducted in English.
"We are the only country in the world that speaks just one language," she said.
She is accompanied by her husband, Hank Walker, 60, who works at the Port Townsend Food Co-op. The two plan
to return home on Dec. 12 or Dec. 13.
• This is all about the survival of the planet,"Walker said.
"We can't stop this entirely, but we can mitigate what has already occurred."
As part of the connection, Tucker and Walker are carrying a few hundred cards made by Port Townsend students to
be distributed to children at the conference.
"We want to let the kids know that the whole world is working on this,"Tucker said.
"We want to seed hope where we can because these kids are the ones who will inherit the bigger mess."
President Barack Obama is scheduled to arrive at the conference today. He will meet with other world leaders to
craft a new U.N. pact to rein in greenhouse gas emissions, blamed for a rise in global temperature that causes rising
sea levels, acidification of the oceans, and other climate changes.
Janos Pasztor, the U.N. assistant secretary-general for climate change, has said that more than 120 world leaders
strongly support the conference and have confirmed they will attend.
Tucker and Walker have been preparing for the trip since the summer.
Walker said it was "not an option"to cancel the visit after the Nov. 13 terrorist attacks in Paris that killed 130 people.
Claiming responsibility was the Islamic State of Iraq and Syria, or ISIS, a militant jihadist group that now calls itself
the Islamic State.
"It never crossed our mind that we shouldn't go,"Walker said.
•"This is too big an event to miss, and is the conference that will determine whether we exist another year as a
species."
Tucker's day job is as the Jefferson County waste reduction education coordinator. She said she"tries to get people
to throw less stuff away, and if they do throw it away, they put it in the right place."
Tucker will assume a seat on the Port Townsend School Board in January, having been elected in an uncontested
general election race to succeed retiring school board member Pam Daly.
Tucker refers to "catastrophic climate change" rather than "global warming"which she says "sounds kind of friendly."
She said that taking action will not require lifestyle sacrifices.
"We can still have a high standard of living,"she said.
"We aren't going to have to go back to living in teepees or anything like that,"she said.
"We can move toward eating healthy food, clean air, clean water and healthy bodies while watching our carbon
emissions."
Tucker will write a blog from the conference, viewable at http://Ituckercop21.blogspot.com/.
Jefferson County Editor Charlie Bermant can be reached at 360-385-2335 or cbermantCcDpeninsuladailynews.com.
Last modified:November 28.2015 7:15PM
Results of Jefferson County water quality study to be detailed at meetings starting
Thursday on Marrowstone Island
• By Charlie Bermant, Peninsula Daily News, December Ph,2015
PORT TOWNSEND —The results of a three-year water quality study are to be presented at two public
meetings this month, with the first set for Thursday.
"We hope people will come away with an understanding of the overall water quality in the northwest
portion of the Quimper Peninsula," said Michael Dawson, Jefferson County water quality manager.
"Overall, we have a lot of areas where the water quality is quite good."
The first hourlong meeting will be in the Nordland Garden Club, 320 Garden Club Road on Marrowstone
Island, at 5:30 p.m.
The second will be Dec. 16 in the Pacific Room at the health department, 615 Sheridan St. in Port
Townsend. It also will begin at 5:30 p.m.
A limited number of water conservation kits will be given away, and light refreshments will be served.
Dawson will present the project's results and answer audience questions.
The test area included Cape George, Port Townsend, Port Hadlock, Marrowstone Island and Oak Bay,
with samples taken along 40 miles of shoreline and tested for E. coli bacteria.
• The project included sampling Port Townsend stormwater, comparing the water quality of Marrowstone
Island and Indian Island, and discovering a major source of pollution in Irondale.
Dawson said Irondale Creek was the most polluted area tested, attributable to a number of failed or
failing septic systems in its proximity.
High bacterial levels can be attributed to livestock, but Dawson said he doesn't think that is a factor in
this case.
"Some actions were taken during the process and some are ongoing because bacterial levels are still
high in some places," Dawson said.
"Many faulty systems were repaired, but sometimes it's awhile before we see any changes."
Septic repair or replacement can be expensive, so Dawson will provide information as to how to access
two programs for providing financial assistance with septic repairs.
The programs are offered by Craft 3, which offers low-interest loans, and the U.S. Department of
Agriculture Rural Development Program.
The county research project was funded in part by a grant from the state Department of Ecology.
For more information, contact Dawson at 360-385-9444 or mdawson(a7co.jefferson.wa.us.
• Jefferson County Editor Charlie Bermant can be reached at 360-385-2335 or cbermantA enins I
.p u adailynews.com.
Last modified: December 06.2015 7:20PM
Public Health to talk clean water project Dec. 10, 16
Port Townsend Leader, December 9th, 2015
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A three-year waterpollution project cucted by Jefferson County Public Health is to be summarized at two public meetings
in December.Areas examined inclconducted
Oak Bay(left), Indian and Marrowstone Islands(below)and Port Townsend Bay(upper
right).Leader 2015 file photo by Patrick J. Sullivan,flight by Wyvern Air
Jefferson County Public Health (JCPH) Water Quality staff recently finished a three-year water pollution project
involving Cape George, Port Townsend, Port Hadlock, Marrowstone Island, Oak Bay and other areas.
JCPH is to present a summary of its findings at two public meetings in December.
•The first meeting takes place 5:30-6:30 p.m. on Thursday, Dec. 10 at the Nordland Garden Club, 320 Garden
Club Road on Marrowstone Island, and the second is set 5:30-6:30 p.m. on Wednesday, Dec. 16 at the JCPH
Pacific Room, 615 Sheridan St.
Light refreshments are to be available, and a limited number of water conservation kits are given away to the
first visitors who show up at either meeting.
For the Northeast Jefferson Clean Water Project, water quality was sampled along 40 miles of shoreline and
tested for E. coli bacteria, and areas with high bacterial levels were investigated to determine potential
sources.
Since E. coli bacteria in surface water is correlated with fecal contamination from warm-blooded animals,
sources are limited to a few possibilities, according to a press release from JCPH. Typical sources of fecal
bacteria include municipal sewage leaks, improperly functioning septic systems, livestock manure, pet waste
and wildlife. To assess the contribution from septic systems, surveys were completed throughout the project
area.
The results of the survey show a wide variety of types, ages and condition of septic systems in the project
area. Information on maintenance and tips for how to get longer life out of a septic system were distributed
and, in some cases, failing septic systems were identified and repairs were required.
Two programs for providing financial assistance with septic repairs are available in Jefferson County. One is
through a nonprofit organization called Craft 3, which offers low-interest loans. Another is through the United
States Department of Agriculture's Rural Development Program. For qualifying individuals, this program has
paid for the repair of septic systems as well as homes.
•Other elements of the project included sampling Port Townsend stormwater, comparing the water quality of
Marrowstone and Indian islands, and discovering a major source of pollution in Irondale. The project was
funded in part by a grant from the Washington Department of Ecology.
STATE OF WASHINGTON
' (c\ S E')
Lr` f I JEFFERSON COUNTY BOARD OF HEALTH
•
AN ORDINANCE TO AMEND Ordinance No. 11-1217-15
FEE SCHEDULE FOR
JEFFERSON COUNTY PUBLIC HEALTH
Section 1 —Purpose
Section 2 —Effective Date
Section 3 —Fees
Section 4 —Severability
Section 5—Prior fee schedule repealed
WHEREAS, the purpose of this Ordinance is to amend the fee schedule for Jefferson County Public Health,
Environmental Health Division
WHEREAS, this Ordinance promotes the health, safety and welfare of the citizens of Jefferson County, and
WHEREAS, this Ordinance is proposed and may be enacted pursuant to the general police power granted to
Jefferson County and its Board of Health by the State Constitution,
W, THEREFORE, BE IT ORDAINED by the Jefferson County Board of Health as follows:
if W,
1 —Purpose
That the Fee Schedule for Jefferson County Public Health be amended to reflect adjustments to services
affected by the changes to Food Establishment and General Fees, Ordinance 05-0618-15.
Section 2—Effective Date
That this Ordinance (and its Attachment) shall be effective as of January 1, 2016.
Section 3 —Fees
That the schedule for Jefferson County Public Health, Division of Environmental Health, adjustments to the
Environmental Health Fee Schedule, Environmental Health hereby set by the Jefferson County Board of Health
as listed on the attached fee schedule of the proposed Ordinance; That any text listed, specifically text within
the columns entitled "General Fees, Food Service Establishments Fees, Other Food Fees," is deemed regulatory
rather than advisory and as such has the full force and effect of local law.
Section 4—Severability
A determination that any text, fee, or fees adopted as part of this Ordinance is unlawful or illegal shall not cause
any other text, fee, or fees adopted as part of this Ordinance unaffected by that determination to be repealed,
revised, or reduced.
•
Section 5—Prior Fee Schedules Repealed
'y prior fee schedule previously adopted by this Board that contains or reflects fee amounts that are less than
se adopted herein is hereby repealed and replaced by this Ordinance.
AN ORDINANCE AMENDING 2015 FEE SCHEDULE FOR
JEFFERSON COUNTY PUBLIC HEALTH,ENVIRONMENTAL HEALTH DIVISION
ADOPTED / 7` day of ' '/'7 2015.
JEFFERSON COUNTY BOARD OF HEALTH
# 116"?'/
David Sullivan, Member Sheila Westerman, Chair
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Kathleen Kler, Vice-chair Kris Nelson, Member
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Phil J• son, - .; Jill Buhler, Member