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HomeMy WebLinkAboutM061616JEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, June 16, 2016 Jefferson County Public Health, 615 Sheridan Street, Port Townsend WA 98368 Board Members Phil Johnson, County Commissioner District #1 David Sullivan, Chair, County Commissioner, District #2 Kathleen Kler, County Commissioner, District #3 Catharine Robinson, Vice -Chair, Port Townsend City Council Sheila Westerman, Citizen at large Jill Buhler, Hospital Commissioner, District #2 John Austin, Citizen at large Staff Members Thomas Locke, Health Officer Vicki Kirkpatrick, Public Health Dir Julia Danskin, Public Health Manager Jared Keefer, Env. Health Dir Veronica Shaw, Public Health Deputy Dir Michael Dawson, WQ Manager Denise Banker, Clerk of the Board Chair David Sullivan called the May, 2016 meeting of the Jefferson County Board of Health to order at 2:30 p.m. A quorum was present. Members Present: John Austin, Phil Johnson, Catharine Robinson, David Sullivan, Jill Buhler, Kathleen Kler Members Excused: Sheila Westerman Staff Present: Denise Banker, Julia Danskin, Michael Dawson, Jared Keefer, Vicki Kirkpatrick, Tom Locke, Kelly Matlock APPROVAL OF AGENDA Chair Sullivan asked for approval of the Agenda of the June 16, 2016. Jared Keefer, Environmental Health Director, suggested items four and five in New Business be reversed to afford more time to discuss the Cascadia Rising experience. Member John Austin motioned to approve the agenda as amended. The motion was seconded by Member Kathleen Kler. No further discussion. The motion passed unanimously. APPROVAL OF MINUTES Chair Sullivan asked for approval of the minutes of the May 19, 2016 meeting of the Jefferson County Board of Health. Mr. Keefer requested the minutes be amended. He asked that a sentence on page three, item two "This fee would in turn eliminate an initial inspection fee" be changed to read: "This fee would in turn eliminate the filing fee for O & M inspections." Mr. Keefer asked, also, that a sentence on page three, item three "There will be three categories under which all food establishments..." be changed to read: "There will be three categories under which all annually permitted food establishments ... depending upon the risk factors present in the establishment." Further, Mr. Keefer requested the sentence "Mobile establishments would be required to permit their mobile unit as well as their kitchen" be changed to read "... [r]equired to operate in a permitted mobile unit as well as a permitted kitchen." Michael Dawson, Water Quality Manager, asked that the heading on page two, item two be changed to read: "Hood Canal Shellfish Growing Area 3 Downgrade Threat" and that the word "trim" in the sixth sentence be changed to "trend." Chair Sullivan asked for approval of the minutes of the May 19th, 2016 meeting of the Jefferson County Board of Health as amended. Member Jill Buhler motioned to approve the minutes as amended; the motion was seconded by Member Phil Johnson. No further discussion. The motion to approve the minutes as amended passed unanimously. PUBLIC COMMENT There was no public comment. OLD BUSINESS AND INFORMATIONAL ITEMS 1. Lead Testing in Schools Dr. Thomas Locke, Health Officer, discussed ongoing public concerns regarding testing for lead in local school districts' drinking water. While there is an existing State Board of Health mandate to test school drinking water for lead and other contaminates, testing is currently voluntary, due to failure to appropriate money for testing. In response to elevated lead levels in some Tacoma schools, Gov. Insleee ordered the Department of Health to estimate costs related to testing water in schools. Dr. Locke told the Board that elevated levels of lead in drinking water is related to the water's "corrosivity", a measure of how aggressively water corrodes plumbing fixtures. Often the problem is not high lead levels in the source of the drinking water; the problem is that water with high corrosivity can dissolve lead in pipes and fixtures resulting in increased levels in drinking water. This is, Dr. Locke said, what happened in Flint, Michigan. Highly corrosive water undermined the city's lead -pipe infrastructure. The water in this area is fairly corrosive and to mitigate its potential impact to infrastructure, cities and counties treat the source water with buffering agents to control corrosivity. Dr. Locke reported that there is increased attention to lead in drinking water as a result of the well-publicized contamination of Flint's drinking water and that reports of low level contamination of public school water supplies will become more common as monitoring intensifies. Mr. Keefer told the Board Environmental Health is in communication with the schools about the proper procedures for lead testing. He reported the Quilcene School District, which has its own water system, treats its water to control corrosivity. Member Austin asked if there has been any testing of a pump in the Quilcene Park that provides water for many off -the -grid residents of that area. The Board and Mr. Keefer agreed that the Public Utility District is responsible for that water. 2 NEW BUSINESS 1. 2015 Performance Measures — Community Health: Population and Prevention Programs Julia Danskin, Public Health Manager, invited Kelly Matlock, Public Health Educator, to brief the Board on Prevention Program highlights. Ms. Matlock highlighted the achievements of the Chimacum Prevention Coalition, which was formed in September of 2013. In its first year the Coalition held one public awareness presentation and training. This year the Coalition sponsored seven. Matlock emphasized two particularly helpful presentations: Monica Olsson's "Secondhand Hangover" and the LGBTQ Cultural Competency Training with Teresa Shiraishi, Emelia DeSouza, and Marti Anthon; as well, she explained the Coalitions direct services. One of the benefits of the Coalition's efforts is empowering students and families to reach out to resources and to form healthy thought processes they can utilize throughout life. Member Phil Johnson mentioned his objection to funding the Port Townsend sports field's scoreboard by accepting Pepsi Corp. sponsorship. This move would require the sign to herald the Pepsi logo, and he wondered what Matlock thought of that. Ms. Matlock responded she fully agrees with Johnson's objections citing the problem of giving the wrong message and went on to mention the problem of giving beer t -shirts to race participants. Ms. Matlock further updated the Board on Human Growth and Development and HIV/AID classes in the Jefferson County Public Schools. Member Kler asked Matlock if she integrates information about Hep. C. Matlock answered affirmatively, citing its co -morbidity with HIV/AIDS. Ms. Danskin commended Marti Haley's steady achievements in the school nursing program and commended the work Karen Obermeyer has done with Healthy Communities chronic disease prevention and the CHIP process. Ms. Obermeyer will be at Saturday's Framers Market (June 181h) as part of Jefferson Healthcare's Health Expo. 2. Quilcene — Dabob Water Quality Project Mr. Dawson presented a PowerPoint presentation overviewing Water Quality's new clean water project focused on Quilcene Bay, Dabob Bay, and Tarboo Bay, which comprises roughly 50 miles of shoreline. High levels of bacteria have threatened the closure of our tidelands to shellfish harvesting. Jefferson County Public Health is trying to address this problem and improve water quality conditions by identifying and correcting pollution sources. Streams and marine water will be monitored for bacterial pollution and nutrients that affect the health of people and the environment. Other major components of the project are a survey of septic systems in the area and dissemination of information to local residents about ways to protect their property values as well as water quality. There will be an Open House hosted by Jefferson County Public Health, Water Quality Friday, June 17th at the Quilcene Community Center. 3. State and Regional Opiate Abuse and Overdose Response Plan Update Dr. Locke updated the Board on the continued evolution of Washington State's Interagency Opioid Working Plan, which is moving into its regional planning in conjunction with the Behavioral Health Organization meeting. The goals of the plan are in line with the state plan to focus on prevention. The strategies to achieve the goals are to prevent opioid misuse and abuse by improving prescribing policies; treat opioid dependence by expanding access to treatment; prevent deaths from overdose by distributing naloxone to people who use heroin; and use data to monitor and evaluate by optimizing and expanding data sources. Some hurtles in the way of achieving these goals are changing the mindsets of providers who have been taught that opioids are a safe and effective way to treat chronic pain; addressing poverty, improving access to services, and improving preventive and harm reduction education among users. 4. Smile Mobile Ms. Danskin told the Board the SmileMobile will be in our area providing dental services to children and youth, infant to age eighteen. Karen Obermeyer's efforts to get the SmileMobile to Brinnon residents was successful. June 7-10 the SmileMobile was in Brinnon and will be in Quilcene, June 20 — 24; Port Townsend, June 27 — July 8; and in Chimacum, July 25 — August 5. 5. Cascadia Rising Emergency Preparedness Exercise Ms. Danskin and Mr. Keefer briefed the Board on their experiences as participants in the Cascadia Rising simulated field response operation event that took place in Port Townsend June 7 - 10. Both were activated as Public Health ESF 8s, and were involved with operations as the group responsible for coordinating individual, neighborhood, and community emergency relief and recovery operations. The ESF 8 meets the public health and medical needs of victims of health and medical emergencies in major disasters and provides assistance to other agencies and jurisdictions in identifying those needs. Danskin's takeaway was the importance of going through the correct channels, e.g. ordering supplies. Keefer's takeaway was the importance of strategizing by looking at the whole picture rather than being distracted by continuous developments, e.g. immediately estimating and ordering supplies in large amounts. Results of the exercise will inform plans and policies directed at the coordination of effective response operations. PUBLIC COMMENT There was no public comment. AGENDA PLANNING CALENDAR There was no agenda planning. NEXT SCHEDULED MEETING The next Board of Health meeting will be held on Thursday, July 21, 2016 from 2:30 — 4:30 p.m. at Jefferson County Public Health, 615 Sheridan Street, Port Townsend, WA. ADJOURNMENT Chair Sullivan adjourned the June 165, 2016 Jefferson County Board of Health meeting at 4:30 p.m. 4 JEFFERSON COUNTY BOARD OF HEALTH CAbseyj+ -7la—► f l Le Phil Jo n, Member Davi. u livan, Chair nson, Vice -Chair VITT, Bu er, ember Excused Sheila Westerman, Member 2athleenKler, Respectfully submitted Denise Banker