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HomeMy WebLinkAboutM061815JEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, June 18, 2015 Jefferson County Public Health, 615 Sheridan Street, Port Townsend WA 98368 Board Members Phil Johnson, County Commissioner District #1 David Sullivan, County Commissioner, District #2 Kathleen Kier, Vice -Chair, County Commissioner, District #3 Kris Nelson, Port Townsend City Council Sheila Westerman, Chair, Citizen at large Jill Buhler, Hospital Commissioner, District #2 Staff Members Thomas Locke, MD, Health Officer Jean Baldwin, Public Health Dir Julia Danskin, Public Health Manager Jared Keefer, Env. Health Dir Veronica Shaw, Public Health Deputy Dir Michael Dawson, Water Quality Dir Chair Westerman called the June 18, 2015 meeting of the Jefferson County Board of Health to order at 2:30 p.m. A quorum was present. Members Present: David Sullivan, Kathleen Kler, Phil Johnson, Kris Nelson, Sheila Westerman, Jill Buhler Staff Present: Tom Locke, Jean Baldwin, Jared Keefer, Julia Danskin, Michael Dawson, Philip Morley APPROVAL OF AGENDA Chair Westerman added item 8, Report from Jill Buhler on Reproductive Task Force, to New Items. Chair Westerman asked for approval of the June 18, 2015 Agenda. Member Nelson moved to approve the agenda; the motion was seconded by Member Kler. No further discussion. The motion passed unanimously. APPROVAL OF MINUTES Member Kler asked that a period be added to the end of the list of restaurants in item 1, Public Health Outstanding Food Safety Awards, under Old Business and Informational Items. Chair Westerman called for approval of the minutes of the May 21, 2015 meeting of the Board of Health. Member Nelson moved to approve the minutes as presented; the motion was seconded by Member Sullivan. No further discussion. The motion passed unanimously. No public comment. PUBLIC COMMENT OLD BUSINESS AND INFORMATIONAL ITEMS 1. Pertussis Update Dr. Tom Locke, Health Officer, JCPH, reviewed the WA State Dept. of Health Weekly pertussis update with the Board and reported that 23 cases have been confirmed in Jefferson County, which is the highest rate in the state. The increase of cases in Washington is due to low rates of vaccination in adults and adolescents and the decline in immunity in children immunized with the current acellular vaccine. Dr. Locke explained to the Board that Pertussis typically causes mild illness in adolescents and adults and that the public health strategy is to focus on the protection of infants and pregnant women by encouraging vaccination of their families, caretakers, and health care providers. He explained to the Board that it is not feasible to completely eradicate Pertussis from the population until a better vaccine is available. 2. Jefferson County Family Planning Client Data Jean Baldwin, Director, JCPH, provided the Board with WA State Family Planning and Jefferson County Client Data sheets for 2014. Julia Danskin, Public Health Manager, JCPH, pointed out that a high number of our clients are aged 17 and under, which is probably due to the School Based Clinics. It was pointed out that clinic visits have decreased while birth control use has increased, which can be explained by women getting long-acting birth control and then choosing not to get screened every year. Ms. Baldwin explained to the Board that the clinic has a comment box and receives a high number of positive comments each month and invited the Board to review them. 3. Michael Dawson, WQ Director Jared Keefer, Environmental Health Director, JCPH introduced Michael Dawson to the Board. Mr. Dawson is now the Water Quality Director for JCPH. Mr. Dawson started working at JCPH in 2009, and was an Environmental Health Specialist II (Lead) prior to this position. 4. Middle East Respiratory Syndrome Coronavirus (MERS-CoV) Dr. Locke provided the Board with a provider bulletin about MERS-COV, which was distributed by the WA State Dept. of Health. Dr. Locke explained what MERS-CoV is and informed the Board that there currently is no significant threat of an outbreak in the US. The bulletin went out to providers who might have contact with someone who has traveled to the Arabian Peninsula or South Korea where the outbreaks have occurred. NEW BUSINESS 1. Certificate of Appreciation — Ruth Merryman Chair Westerman, on behalf of the Jefferson County Board of Health, presented Ruth Merryman with a certificate of appreciation and commended her for her "hard work and dedication as an advocate for women's rights, particularly in the areas of reproductive health and economic advancement." 2. Public Hearing: Environmental Health Fee Update Mr. Keefer presented the Board with a revised fee schedule, modified to reflect adjustments to services affected by the hourly rate adjustment (Ordinance 03-0319-15). The public hearing was opened for comment and no one was in attendance who wished to testify. The public hearing was then closed. Member Buhler moved that the changes to the Environmental Health Fee Schedule be adopted; Member Johnson seconded the motion. No further discussion. The motion passed unanimously. 3. 2014 Performance Measures: Maternal Child Health, Targeted Clinical Health Services, and Solid Waste Ms. Danskin presented the Board with the Community Health Department Budget, the 2014 Family Health Services Program Performance Measures, and the Targeted Clinical Health Services Program Performance Measures. Ms. Danskin pointed out the following indicators from the Family Health Services Program: Goal 1 is to improve pregnancy and birth outcomes, which includes completing Adverse Childhood Experiences (ACES) assessments; 544 Family Health encounters occurred and children with special health care needs increased from 60 to 147; WIC numbers staying about the same, and supporting breastfeeding numbers are high. Ms. Danskin reviewed the Targeted Clinical Health Services Performance Measures and informed the Board that numbers are slightly down (statewide) due most likely to more people getting on full -scope (Medicaid) healthcare. Ms. Danskin also pointed out that the breast and cervical health program will and potentially go away in a couple years as more women qualify for Apple Health and the need lessens. Mr. Keefer presented the Board with the 2014 Solid and Hazardous Waste Program Performance measures as they relate to Small Business Technical Assistance Program, Waste Reduction and Recycling Outreach, Solid Waste Permitting and Enforcement, and Hazardous Waste Investigations. Mr. Keefer will keep the Board informed on what will happen with solid waste complaints and junk vehicles after a state budget is passed, and anticipates coming to the Board with a prioritized list of what programs to cut. 4. Policy Discussion: Re -adoption of a Jefferson County Public Health Civil Enforcement Code Dr. Locke informed the Board that the Civil Infraction code appears to have been accidentally repealed when the latest version of the Solid Waste Code was adopted. The County attorney, David Alvarez, has recommended that it be reenacted and has drawn up a draft resolution to accomplish this. Member Nelson motioned to hold a public hearing at the July 16, 2015 Jefferson County Board of Health meeting concerning adoption of the proposed civil infraction code resolution. Member Buhler seconded the motion. No further discussion. The motion passed unanimously. 5. Update on Access to Naloxone as a Heroin Overdose Dr. Locke provided the Board with a copy of ESHB 1671, a recently enacted law that clarifies and expands "Good Samaritan" uses of the heroin overdose antidote naloxone. He also reviewed two Peninsula Daily News articles on this subject, and spoke about the availability of Naloxone in Jefferson and Clallam Counties. Dr. Locke informed the Board that Naloxone is currently available through EMS, at the ER, and at the Safeway in Port Angeles. The QFC in Port Hadlock is interested in carrying it in their pharmacy. JCPH has pre-printed prescriptions for the medication and is prepared to provide them as authorized by the new law. Dr. Locke will keep the Board informed of progress made in making drug overdose antidotes more widely available in the community. Ms. Danskin provided the Board with a handout on the safe disposal of hypodermic needles at a board members request. 6. Legislative Session Update Dr. Locke informed the Board that state agencies are planning for a shutdown, and are faced with a large number of programs being closed or layoffs. The Environmental Health side will look at the general fund to fill gaps. 7. Application for SSAB Ms. Danskin provided the Board with an application from David Stanko, Jefferson County Sheriff, to become a member of the Substance Abuse Advisory Board (SAAB). Member Sullivan motioned to approve Mr. Stanko to the Substance Abuse Advisory Board. Member Nelson seconded the motion. No further discussion. The motion passed unanimously. 8. Report from Jill on Reproductive Task Force Member Buhler informed the Board on the history of abortion services at Jefferson Healthcare (JHC), and the request from the ACLU, received in February, asking them to look into providing on-site, on -demand abortions. Member Buhler reported the Reproductive Task Force is composed of. three family practitioners, two ARNPs (one from JCPH), three RNs, one Health Care Administrator, one Birth Center representative, one Patient Advocate, two Community Reps and the director of JCPH. The Reproductive Task Force recommended JHC develop protocols for miscarriage management and after training, it is recommended JHC develop an elective medication abortion program. Additional program development, and provider resources are needed to develop first medical abortions and then elective surgical abortion services. JHC will look into implementing these recommendations. They are in the process of looking for a gynecologist willing to perform elective surgical abortions. The JHC Board will vote on adoption of these recommendations at its July 15, 2015 Board meeting. Member Buhler told the Board the public is welcome to attend this meeting and provide comments. ACTIVITY UPDATE There was no activity update. PUBLIC COMMENT There was no public comment. AGENDA PLANNING CALENDAR The Jefferson County Board of Health has called for a public hearing on adoption of an ordinance authorizing Environmental Health Civil Enforcement at the upcoming Board meeting on July 16, 2015. NEXT SCHEDULED MEETING The next Board of Health meeting will be held on Thursday, July 16, 2015 from 2:30 — 4:30 p.m. at Jefferson County Public Health, 615 Sheridan Street, Port Townsend, WA. ADJOURNMENT Chair Westerman adjourned the June 18, 2015 Jefferson County Board of Health meeting at 4:34 p.m. JE TY BOARD OF HEALTH c. Phil oI i At Darn r Sheila Westerman, Chair 4�c:X�Yt,�iVl.- s Nelson, Member Kathleen Kler, Vice -Chair Respectfully Submitted: Natalie Crump