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HomeMy WebLinkAboutM041819JEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, April 18, 2019 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 Member Greg Brotherton, County Commissioner, District #3 Pamela Adams, Port Townsend City Council Sheila Westerman, Vice Chair, Citizen at large Kees Kolff, Chair, Public Hospital District #2 Commissioner Denis Stearns, Citizen at large Staff Members Thomas Locke, Health Officer Vicki Kirkpatrick, Public Health Director Stuart Whitford, Env. Public Health Director Veronica Shaw, Public Health Deputy Director Michael Dawson, Water Quality Manager Pinky Mingo, Env. Public Health Manager Apple Martine, Community Health Dir Jenny Matter, Clerk of the Board Chair Kees Kolff called the April 18, 2019 meeting of the Jefferson County Board of Health to order at 2:30 p.m. A quorum was present. Members Present: David Sullivan, Kate Dean, Greg Brotherton, Kees Kolff, Denis Stearns, Pamela Adams, Sheila Westerman Staff Present: Thomas Locke, Vicki Kirkpatrick, Michael Dawson, Pinky Mingo, Jenny Matter APPROVAL OF AGENDA Chair Kees Kolff requested to move New Business, Item 1: Jefferson Healthcare Population Health Program Review prior to Approval of Minutes of Board of Health Meeting of March 21, 2019. Member Pamela Adams motioned to approve the agenda as amended. The motion was seconded by Member Denis Stearns. No further discussion. The motion passed unanimously. APPROVAL OF MINUTES Chair Kees Kloff asked for approval of the minutes of the March 21, 2019 meeting of the Jefferson County Board of Health. Member Greg Brotherton motioned to approve the minutes. The motion was seconded by Member Pamela Adams. No further discussion. The motion passed. Page 1 of 4 PUBLIC COMMENTS Chair Kees Kolff opened the public comment period. Doug Milholland, resident of Jefferson County, expressed his concern about nuclear weapons and provided information on how hospitals can boycott companies that make nuclear weapons and medical equipment. He asked the Board to consider a resolution in support of the Nuclear Ban Treaty. Chair Kees Kolff closed the public comment period. OLD BUSINESS AND INFORMATIONAL ITEMS 1. Jefferson Healthcare (JHC) Update Chair Kees Kolff reported that the dental health clinic will be open for services in June. 2. 2018-19 Influenza Season Update Dr. Locke said that, based on the current projections, flu occurrences will be back to a baseline level in one to two weeks. NEW BUSINESS 1. Jefferson Healthcare Population Health Program Review Dunia Faulx, Jefferson Healthcare Director of Population Health and Care Transformation, presented information on the Population Health program at JHC. She explained how JHC is transitioning from a fee-for-service model focused on individual health to value -based care model focused on a group of individuals (population). She discussed social determinants of health and the strategies to address them. She also provided updates on the various programs at JCH that address social and economic factors (e.g. low-income housing, vegetable prescriptions, civic engagement classes). The Board has questions and comments about the cost of low-income housing and the vegetable prescription program. Karen Obermeyer, Community Health Educator at Jefferson County Public Health (JCPH), gave examples of some of the outreach activities related to food and exercise conducted by JCPH. 2. 2019 Public Health Heroes Awards Chair Kees Kolff and Member Vicki Kirkpatrick announced the 2019 Public Health Heroes Awards. The winners and categories included Teresa Shiraishi (Violence Prevention), Susan O'Brien (Rural Health), Bob Bindschadler (Global Health), The Recyclery (Healthy Communities), Jill Iszley (Technology and Public Health), and Owen Fairbank (Climate Change). Each recipient was named and applauded for their service to the community. Page 2 of 4 3. Tobacco 21, Health Impacts of E -Cigarettes and Vaping, and Jefferson County Health Policy Implications Karen Obermeyer presented an overview of the health impacts from using electronic nicotine delivery systems. She explained how vaping works as a nicotine delivery system and current vaping technology. She said nicotine use during adolescence can impede brain development and prime the brain for addiction later in life. Ms. Obermeyer discussed the health care costs of tobacco use, research results from the National Academies of Science, Engineering and Medicine, and trends in cigarette and vaping use in Jefferson County documented by the recent Healthy Youth Survey. She said tobacco use is the number one preventable cause of death and disease in Washington and the U.S. and informed the Board about policy options to reduce tobacco use (e.g. smoking bans, tobacco taxes, youth access laws). Ms. Obermeyer asked the Board to consider amending the current Clean Indoor Air ordinance so it will also prohibit vaping and e -cigarette use. The Board had questions about the vaping process, differences in tobacco use between rural and urban areas, the status of the lawsuit in Pierce County regarding vaping restrictions, and evidence of secondary health impacts of vaping. 4. Legislative Update — Foundational Public Health Services Dr. Locke said legislation raising the legal age to buy tobacco products to 21 years of age passed along with legislation that removed the mumps, measles, rubella vaccine from the list of vaccines required for school entry that can receive an exemption for personal/philosophical reasons. Dr. Locke provided information related to the recently passed legislation for foundational public health services (FPHS). He said the law is an update of the 1995 Public Health Improvement Plan and codifies public health by defining core public health services and priorities. Vicki Kirkpatrick, Public Health Director, gave examples of FPHS and explained "additional important services" as services provided to meet the specific needs of a local health jurisdiction. She also provided information on funding and status of the budget. 5. Healthy Youth Survey Follow-up Dr. Locke said that the survey showed concerning findings in the youth mental health category. Next month, team members from the Substance Abuse Prevention Program at JCPH will provide a more in- depth look at the data from the Healthy Youth Survey. There was no activity update. ACTIVITY UPDATE PUBLIC COMMENT Chair Kees Kolff opened the public comment period. Chair Kees Kolff introduced Dr. David Engel, the former superintendent of Port Townsend School District and current co-founder of the PT Cycle School. Dr. Engle thanked the Board for awarding the Recyclery as a Public Health Hero. Page 3 of 4 Chair Kees Kolff presented the Board with a draft resolution for Jefferson County to support Calling for the United States to Sign the 2017 Treaty on the Prohibition of Nuclear Weapons. The Board recommended that the review of the resolution be added to the agenda for the next meeting. Chair Kees Kolff closed the public comment period. AGENDA PLANNING CALENDAR The following were mentioned as topics to be discussed or added to the agenda for the next meeting: 1) amending the Clean Indoor Air Ordinance to include vaping, 2) review of the resolution to support Calling for the United States to Sign the 2017 Treaty on the Prohibition of Nuclear Weapons, 3) scientific research on indoor air quality, 4) symbolic gestures as hate speech, 5) including results relating to the mental health for LGBT youth from the Healthy Youth Survey, and 6) amending the Jefferson County Solid Waste Code 8.10 ordinance. NEXT SCHEDULED MEETING The next Board of Health meeting will be held on Thursday, May 16, 2019 from 2:30 — 4:30p.m. at Jefferson County Public Health, 615 Sheridan Street, Port Townsend, WA. ADJOURNMENT Chair Kees Kolff adjourned the April 18, 2019 Jefferson County Board of Health meeting at 4:30 p.m. JEFFERSON COUNTY BOARD OF HEALTH K'o ck_�V� I V, ----,j Kees Kolff, Chair ate Dean, ember 7 Lt� 5, t_/L +eY' Sheila kermann Vice -chair avi Sul ivan, Member Denis Stearns, Member Mireg0roffierton, Member Pamela Adams, tuber Respectfully submitted J. Matter Page 4 of 4