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Home My WebLink AboutM071918 BOHJEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, July 19, 2018 Jefferson County Public Health, 615 Sheridan Street, Port Townsend WA 98368 Board Members Kate Dean, County Commissioner District #1 David Sullivan, County Commissioner, District #2 Kathleen Kier, County Commissioner, District #3 Ariel Speser, Vice -Chair, Port Townsend City Council Sheila Westerman, Citizen at large Kees Kolff, Hospital Commissioner, District #2 John Austin, Chair, Citizen at large Staff Members Thomas Locke, Health Officer Vicki Kirkpatrick, Public Health Dir Stuart Whitford, Env. Health Dir Veronica Shaw, Public Health Deputy Dir Michael Dawson, WQ Manager Jenny Matter, Clerk of the Board Chair John Austin called the July 19, 2018 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, Ariel Speser, Sheila Westerman, John Austin, Kate Dean Members Excused: Kees Kolff Staff Present: Thomas Locke, Vicki Kirkpatrick, Jenny Matter APPROVAL OF AGENDA Chair Austin asked for approval of the Agenda of the July 19, 2018. Member David Sullivan motioned to approve the agenda. The motion was seconded by Member Kate Dean. No further discussion. The motion passed unanimously. APPROVAL OF MINUTES Chair Austin asked for approval of the minutes of the June 21, 2018 meeting of the Jefferson County Board of Health. Member David Sullivan motioned to approve the minutes. The motion was seconded by Member Kathleen Kler. No further discussion. The motion passed unanimously. Page 1 of 5 PUBLIC COMMENTS Chair Austin opened the public comment period. John Tevis of Port Hadlock reported that he has been unable to identify any county department that has not been negatively impacted by code enforcement. He gave examples how the lack of code enforcement has impacted the auditor's office, assessor's office, public health, fire and rescue, sheriff's office, prosecutors office, public works, department of parks and recreation, and county commissioners. He also compared code enforcement in Clallam County to Jefferson County and encouraged the Board to fund a code enforcement officer. Chair Austin closed the public comment period. The Board commented on the severity and complexity of code enforcement, especially for those with mental health issues. OLD BUSINESS AND INFORMATIONAL ITEMS 1. Jefferson Healthcare (JHC) Update Jill Buhler reported that: 1) a taskforce has been formed to address protection from workplace violence, 2) a licensed clinical medical social worker has been hired, 3) the emergency department was awarded the Bronze award by the American Heart Association for the treatment of ST -Elevation Myocardial Infarction (STEMI), and 4) the number of inpatient days for anti- microbial therapy has decreased while the number of hospital acquired cases of Clostridium difficile (C. diff) has increased. In response to a Board member question, Dr. Thomas Locke, Health Officer, explained the characteristics of C. diff infection and transmission. 2. CDC Prescription Opioid Awareness Campaign Dr. Locke reviewed the resources available on the CDC website (cdc.gov/RxAwareness), which was created to raise awareness about the risks of prescription opioid misuse. He informed the Board about the current status of the opioid crisis, including leveling out rates of opioid prescriptions, rates of death caused by opioid overdose, and rates of addiction. The Board had comments and questions about addiction awareness training for health care providers, the shift in perception or stigma of individuals with opioid use disorder, and the status of the national class action lawsuit against opioid manufacturers. 3. Firearm -Related Injury and Death as a Public Health Problem: The Role of the Physicians and Nurses - Statement from Public Health - Seattle & King County and Washington State Physician and Nursing Leadership Dr. Locke provided information about what healthcare providers can do to support a public health approach to address gun violence as a public health epidemic. In addition to providing risk reduction counseling to patients, a public health approach includes advocating for more research, Page 2 of 5 developing interventions and promoting successful prevention strategies. Dr. Locke noted that firearm suicides are the leading cause of fatal firearm injury. The Board discussed the massive number of guns in the U.S., local access to guns and gun accessories (i.e., silencers, expanded magazines, bump stocks), and the destruction and excessive littering caused by gun fire at Department of Natural Resources (DNR) land near Lord Lakes Loop. NEW BUSINESS 1. Opioid Overdose Prevention: Naloxone Training Demonstration Lisa McKenzie demonstrated the naloxone training she provides to syringe exchange clients. She gave information about the length of time to overdose, signs of overdose, when overdose is most likely to occur, actions to take if overdose is suspected, and what to do after an overdose. Ms. McKenzie presented two different naloxone kits. One is for absorption through nasal membranes and the other is injected into the leg muscle with a syringe. She said insurance will cover naloxone kits for those who have a prescription for opioids. The Board had comments and questions about needle size, effectiveness of nasal versus syringe kits, price difference, expiration, and the effects of administering naloxone to someone who does not have opioids in their system. 2. Jefferson County Bylaws Discussion: Designation of Alternate Members 1:15 The Board reviewed and discussed changes to the Jefferson County Code 8.00 Board of Health and the Bylaws of the Jefferson County Board of Health. Changes agreed to include allowing alternates from the City of PT and JHC, allowing members to vote over the phone, removing the residential requirements for at -large community representatives, removing the requirement to state one's name at a public hearing, removing reference to the substance abuse advisory board, and updating text to reflect current terms, practice and policies and so there is consistency between both the county code and bylaws. The Board discussed the possibility of removing the requirement for two county commissioners to constitute a quorum, but decided to leave it unchanged. 3. Comparison of WA Secure Drug Take -Back Act ESHB 1047 to Local Secure Medicine Return Ordinances Dr. Locke said that the drug take -back act passed by the legislature is very comprehensive but won't take full effect until 2020. Once it takes effect it will supersede any local codes that have been adopted. Until then, local medicine return initiatives already established will continue. Page 3 of 5 4. Olympic Community of Health (OCH) Update Dr. Locke informed the Board that the OCH received a local impact network (LIN) grant from the Arcora Foundation to coordinate oral health access services. The Board discussed limited local access to oral health services for those with Medicaid. ACTIVITY UPDATE Vicki Kirkpatrick, Public Health Director, informed the Board that World Breastfeeding Week is August 1st — 7 1 and invited the Board to attend the annual picnic. Ms. Kirkpatrick also said she has been chosen as the Public Health Representative to serve on the Board of the OCH, since Dr. Frank is retiring. PUBLIC COMMENT There was no public comment. AGENDA PLANNING CALENDAR Member Sheila Westerman motioned to cancel the August BOH meeting. The motion was seconded by Member Kate Dean. No further discussion. The motion passed unanimously. NEXT SCHEDULED MEETING The next Board of Health meeting will be held on Thursday, September 20, 2018 from 2:30 — 4:30p.m. at Jefferson County Public Health, 615 Sheridan Street, Port Townsend, WA. ADJOURNMENT Chair Austin adjourned the July 19, 2018 Jefferson County Board of Health meeting at 4:30 p.m. JEFFERSON C IB'0ARD OF HEALTH V " John ustin, Ch it Ariel Speser, Vice -Chair Page 4 of 5 Excused Kees Kolff, M tuber (Kathleen Kle , Member W,j �&_ U) ti, 4e4 SI heila Westerman, Member ----()V-- Kate ea Member Davi a i �i; ember Respectfully submitted J. Matter Page 5 of 5