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HomeMy WebLinkAboutM072116JEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, July 21, 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 Kier, 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 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 July 21, 2016 meeting of the Jefferson County Board of Health to order at 2:30 p.m. A quorum was present. Members Present: John Austin, Catharine Robinson, David Sullivan, Jill Buhler, Sheila Westerman, Kathleen Kler Members Excused: Phil Johnson Staff Present: Denise Banker, Julia Danskin, Michael Dawson, Jared Keefer, Vicki Kirkpatrick, Tom Locke APPROVAL OF AGENDA Chair Sullivan asked for approval of the Agenda of the July 21, 2016. Member Kathleen Kler motioned to approve the agenda. The motion was seconded by Member Sheila Westerman. No further discussion. The motion passed unanimously. APPROVAL OF MINUTES Chair Sullivan asked for approval of the minutes of the June 16, 2016 meeting of the Jefferson County Board of Health. Member Catharine Robinson asked that a transposition on page 3 be corrected, changing the word "Framers" to "Farmers." Member John Austin asked that the homophones "hurtle and hurdle" on page 4 be corrected to "hurdle." Chair Sullivan asked for approval of the minutes of the June 16, 2016 meeting of the Jefferson County Board of Health as amended. Member John Austin motioned to approve the minutes as amended; the motion was seconded by Member Kathleen Kler. No further discussion. The motion passed unanimously. PUBLIC COMMENT There was no public comment. OLD BUSINESS AND INFORMATIONAL ITEMS 1. World Breastfeeding Tea Julia Danskin, Public Health Nurse Il, Jefferson County Public Health shared with Board members the`upcoming picnic to be held at Chetzamoka Park on Wednesday, August 3rd from 11:00 — 12:30 in celebration of World Breastfeeding Week. Danskin said the picnic is part of JCPH's successful, weekly breastfeeding tea. This is a celebration of sustainable nutrition and provides support and encouragement to breastfeeding mothers. Danskin also mentioned breastfeeding policy JCPH has adopted and has encouraged the County as a whole to adopt. As well, she told the Board under the Affordable Care Act insurance companies have to pay for breast pumps for nursing mothers. This is information JCPH WIC and nutrition staff share with clients. The CHIP groups are working, in association with their health lifestyles priority, to encourage business to support mothers and their nursing babies in the workplace and community. NEW BUSINESS 1. Food Fee Schedule Revision Jared Keefer, Environmental Health Director, Jefferson County Public Health summarized for the Board proposed changes to the Food Fee Schedule structure. This proposal, as its development continues, has been before the Board for its ongoing consideration. For the Board's convenience, Mr. Keefer presented the proposed policy edits and presented the proposed fee schedule alongside the line -in / line-out edits made to the existing fee schedule. Essentially, the changes will reclassify food establishment fees based on risk factors. There will be three permit categories, multiple permits in restaurants will be replaced with permit endorsements, inspection frequency will be more narrowly focused, based on risk category. Letters were sent to food establishments informing them of proposed changes and post -letters will be sent explaining the new fee schedule, should it be adopted. In April an informational meeting was held to assist and solicit suggestion from food establishment proprietors concerning the proposed changes. Keefer asked that a public hearing be held at the August 181h, 2016 Board of Health meeting Member Catharine Robinson motioned to propose a call to public hearing for Food Fee Schedule Revision and Policy adoption. Member John Austin seconded the motion. The motion passed unanimously. Chair Sullivan motioned to hold a public hearing for Food Fee Schedule and Policy 2 adoption at the August 181h, 2016 Jefferson County Board of Health meeting. Member Austin seconded the motion. No further discussion. The motion passed unanimously. 2. On-site Sewage System Inspection Reminder Notices Mr. Keefer reviewed the ongoing update of the On-site Sewage Code (OSS), which began in 2011, was adopted in 2012, and has now been implemented. The new code allows for homeowner inspections, provides training and certifications, and created an on-line system for recording inspection results. Keefer explained next steps to the Board: letters were sent to residents with septic systems on July 16 explaining the inspection frequency requirements, whether or not the county has record of monitoring inspections having been performed, informing residents inspection is required within 60 days. Mr. Keefer provided the Board with a timeline for monitoring inspection reminders. Keefer reminded the Board, as we go forward in implementing the OSS Code, that the annual flat fee for septic systems would be collected via property taxes. In order to accommodate this, the Board needs to approve proposed changes to the On-site Sewage Management Fee Schedule before December, 2016, 3. Opiate Epidemic Response — Federal and Regional Actions Dr. Tom Locke, Health Officer, Jefferson County Public Health, updated the Board on the ongoing, rapidly evolving response to the national epidemic of opiate use. Congress recently enacted the Comprehensive Addiction and Recovery Act (CARA). No Federal funding was attached to the passage of this Act but have been promised when Congress reconvenes after their summer recess. Locke stressed to the Board one of the major steps forward of the Act is that it redefines opiate addiction to be primarily a public health problem rather than a criminal justice problem. Understanding Opiate Use Disorder as a physical disease process helps to reduce stigma related to this particular addiction. Actions are being taken locally to expand the availability of overdose antidotes. The move to encourage proponents of abstinence only addiction rehabilitation programs to understand how the recidivism rates reflect the need for more effective treatment programs takes time. Prescribing and monitoring naltrexone, methadone, and buprenorphine use, as well as engaging behavioral counseling, are scientifically, medically sound approaches to opiate addiction. There is Medicaid funding for MAT (Medication -Assisted Treatment) programs, which are more effective than abstinence -only programs. Locke said there is an urgent need for more MAT providers, and suggested Jefferson County certify more providers in opioid treatment programs. 4. Community Health Improvement Plan Update Vicki Kirkpatrick, Director, Jefferson County Public Health, updated the Board on ongoing Community Health Improvement Plan (CHIP) milestones. The sub -committees have established goals, activities, and strategies. The next steps in the process are to finalize the Plan, meet with key stakeholders, present the Plan to the community, and delegate CHIP implementation. One of the goals the Community Health Improvement Plan hopes to achieve is communitywide ownership of the Plan; the Plan needs to become part of the community fabric. Jill Buhler, Hospital Commissioner, urged Kirkpatrick to set a date for a joint meeting of the Stakeholders. This meeting will likely take place in September or October. ACTIVITY UPDATE Chair Sullivan reported to the Board a vacancy on the OlyCap Board of Directors. Rich Ciccarone is stepping down as chair. Sullivan urged Board members to help recruit a new member. Michael Dawson, Water Quality Manager, Jefferson County Public Health, told Board members there were two press releases issued over the past week. A sewage spill occurred in Port Ludlow and Port Townsend Bay was closed due to marine biotoxins. Jared Keefer said Environmental Health is planning its upcoming budget and expects to add additional staff. Keefer also mentioned permit applications have increased, and cautioned that there is much client anxiety surrounding the septic inspection letters that were mailed July 10h. Member Kler commended Vicki Kirkpatrick on her excellent presentation at the Community Conversation on Youth Mental Health and Substance Abuse, which was hosted by United Good Neighbors on July 14th at the Port Townsend Carnegie Library. PUBLIC COMMENT There was no public comment. AGENDA PLANNING CALENDAR John Austin will not attend the August 18th, 2016 meeting of the Jefferson County Board of Health but asked if there might be a presentation on the Olympic Community of Health's progress. Dr. Locke said Elya Moore, Director, Olympic Community of Health, would be the ideal person to brief the Board on regional health system reform efforts. It was decided Public Health would invite Ms. Moore to update the Jefferson County Board of Health. NEXT SCHEDULED MEETING The next Board of Health meeting will be held on Thursday, August 18th, 2016 from 2:30 — 4:30 p.m. at Jefferson County Public Health, 615 Sheridan Street, Port Townsend, WA. ADJOURNMENT Chair Sullivan adjourned the July 211t, 2016 Jefferson County Board of Health meeting at 4:10 p.m. L . t JEFFERSON COUNTY BOARD OF HEALTH Excused PhilJo n, Member �� 4 David Sul ivan, air Catharine Robinson, Vice -Chair John Austin, Member h(�, T �er Sheila Westerman, Member Kathleen Kler, Member Respectfully submitted Denise Banker