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HomeMy WebLinkAbout01 January JEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, January 18, 2001 Board Members: Dan Titterness, Member - County Commissioner District # 1 Glen Huntingford, Member - CounfY CommÙsioner DÙtritt #2 Richard Wq¡i', Member - County CommÙÚoner District #3 Geoffrey Masct~ Member - Port Townsend City Council Jill Buhler, Vice-Chairman - Hosptia! Commissioner District #2 Sheila W'esterman, Citizen at LalJte (City) Roberta Prisse!1, Chairman, Citizen at LalJte (County) Staff Members: Jean Baldwin, Nursing SenJices Director Larry FÐ" Environmental Heal1h Diredor Thomas Locke, MD, Health qlficer Chairman Frissell called the meeting to order at 2:30 p.m. All Board and Staff members were present with the exception of Vice Chairman Buhler and Commissioner Wojt. ELECTION OF 2001 CHAIR AND VICE CHAIR Member Westerman moved to elect Member Buhler as Chairman. Member Masci seconded the motion, which carried by a unanimous vote. Member Masci moved to elect Member Westerman as Vice Chairman. Member Frissell seconded the motion, which carried by a unanimous vote. APPROVAL OF MINUTES Member Frissell noted that at the top of page two, second sentence, "increasing income tax" should be changed to "establishing an income tax." Member Masci moved to approve the minutes as corrected. Member Westerman seconded the motion, which carried by a unanimous vote. OLD BUSINESS Internal Assessment Report: Dr. Tom Locke distributed copies of the Health and Human Services Internal Assessment Report, which the County Commissioners received yesterday. He commented that useful information was generated from the assessment and the raw data can be used as a baseline for future assessments. He thanked Chairman Frissell for her assistance with the survey. NEW BUSINESS 2000-2001 Influenza Season Update: Jean Baldwin introduced Public Health Nurse Jane Kurata, who is in charge of immunizations. Ms. Kurata reported that due to production problems the target age for HEALTH BOARD MINUTES - January 18,2001 Page: 2 the vaccine was increased to 55. Although there were delays in receiving the vaccination and clinics were rescheduled, the Health Department eventually received 1,300 doses, of which about 40 remain. Member Masci asked what number of the population was being targeted as "at-risk?" Jean Baldwin said she would try to provide these figures by the January 25 Workshop. Child Health Profile Implementation in Jefferson County: Communicable Disease and Immunization Program Coordinator Lisa McKenzie explained that the two main components of Child Health Profile are the health promotion materials and the immunization registry. This information is derived from the database of birth certificate information. She reported that King, Pierce and Snohomish Counties have been using the registry for five years, but the Peninsula has yet to participate. The expense of this service is often a deterrent for rural health departments and local physicians. A two-year trial period is being offered in which subscribing providers get access to a statewide immunization registry at no cost. State and local jurisdictions are interested in the registry to ensure children are not over-immunized due to lost records, to quickly identify those not immunized during a disease outbreak, to target under-immunized areas, and measure immunization rates. Jean Baldwin said the Health Department has signed up for the free two-year trial period. Information taken from Medicaid records show that, 31.5% of children under age six are already in Jefferson County's database. The Health Department has budgeted for a clerical support person to assist local physicians by entering four or five years of data into the system. The governor's budget includes an additional $2 million for Child Health Profile. Staff will continue to move forward with this project as a priority. Substance Abuse Treatment in Jails - Public Health Issues: Dr. Locke said this item was suggested by Commissioner Titterness to better understand the long-range public health implications of incarcerating people without intervention or treatment. Dr. Locke said this has been a big public health issue for some time. He pointed to the two drugs that have the most widespread adverse effect - tobacco and alcohol. The combination of those two account for 500,000 preventable deaths per year compared with 20,000 for all illegal drugs combined. The issue of treatment for drug addiction in County jails is one that overlaps jurisdictional boundaries (i.e., Sheriff's Department, County Commissioners, and Health Departments). The report from the Department of Justice provided in the agenda packet is reflective of the situation in Washington State, where 70% of inmates are either addicted to one or more substances or are incarcerated because of a drug-related offense, or both. Drug addiction is not their only health problem, but is a contributing factor in their incarceration. Despite this fact, very few get treated for their addiction while incarcerated (roughly 10%) and a very high percentage of addicts will return to their primary addiction once released. The report also indicates that drug use while incarcerated is not a rare phenomenon. Member Masci pointed out that the report did not mention the number of staff arrested for providing drugs to inmates. Vice Chairman Westerman mentioned California's recent initiative guaranteeing treatment for first and, in some cases, second-time offenders. With law and justice using an increasing amount of the state and HEALTH BOARD MINUTES - January 18, 2001 Page: 3 local budgets, she asked if it is time for Health Boards to take action toward treatment? One of the reasons she supported expanding the Board of Health was to provide a forum to address issues that may be too controversial for elected officials to take on alone. Jean Baldwin said the Health Department does not want to compete with Mental Health for funding in finding a solution to these problems. She suggested the Health Board assist the Substance Abuse Board by setting a vision and standards. That Board, by statute, is required to be configured with a high percentage of people in recovery and is also charged with helping the Commissioners layout a vision for disbursing funds. Member Masci asked if it would be helpful to appoint a Substance Abuse Board liaison with the Board of Health? County Administrator Charles Saddler talked about the County's development of a Health and Human Services Advisory Committee to look at the human condition and perhaps create subcommittees to take on certain tasks or responsibilities such as Substance Abuse. A task force comprised of the Health and Human Services Committee and the Law and Justice Council could address methamphetamine, a problem which is consuming more and more resources outside of health, law and justice. Member Masci suggested that this committee include a representative from the City. Vice Chairman Westerman said she supports the objective of broadening people's vision. She is concerned that current Boards would be disbanded. As a long-time Developmental Disabilities Board Member, she hopes Board members continue to have a place to provide their input and expertise. When asked if the Board of Health has a recommendation to begin addressing the issues in the jails, Dr. Locke responded that the role of Public Health is in keeping track of the statistics and pointing out that addiction is a disease for which there are effective treatments if they are, in fact, utilized. He added that, under state law, the human service component is the responsibility of the Board of County Commissioners, not the Board of Health. Member Masci asked whether there could be mandatory drug testing of inmates entering the jail system, so that there could be a focused effort on drug addiction? Charles Saddler suggested that the Board of Health, as a neutral party, could be the arbitrator of effective treatment methods. While the Sheriff would like to see an in-jail drug treatment program, there is a great deal of resistance from others in law enforcement. Jean Baldwin agreed to ask Dick Gunderson, Substance Abuse Coordinator of DASA whether anybody is doing treatment in jails. Charles Saddler said the County has a stable jail population with recurring offenders. Opportunities for intervention, even late in the game, may prevent re-entering or the next generation from entering the criminal justice system at all. While it may not be prevention in the truest sense of the word, it has the potential to have a significant preventive element. HEALTH BOARD MINUTES - January 18,2001 Page: 4 While the Board did not regard this topic as an action item, there was interest in further discussion about possible additional requirements or mandatory testing. Dr. Locke said that a fairly complex body of law already exists that specifies what testing is permissible (such as for TB) and what is sometimes permissible (such as HIV). Lee:islative Update - Meetine With 24th Le~islative District Representatives: As requested by the Board at the last meeting, Dr. Locke said he and Member Buhler inquired about the possibility of a meeting with legislators in February. Jefferson General, the Clallam Board of Health, and several other agencies also expressed interest. However, the legislators are each offering different alternatives to a meeting. Representatives Buck and Hargrove are going to be attending a State Hospital Association meeting. Representative Buck offered to do a telelink with the Olympic Medical Center. Representative Lynn Kessler has agreed to come to Port Angeles and participate in a town hall meeting, Saturday, February 10 or 17, part of which could be devoted to health issues. It is hoped that if a town hall meeting is scheduled that Senators Buck and Hargrove will also attend. Dr. Locke asked that the Commissioners provide encouragement for these meetings. He sees a benefit to having a health-related meeting where not only Boards of Health and Hospital Commissioners, but medical providers and healthcare workers can tell their stories. He is convinced that the healthcare crisis has finally hit Jefferson and Clallam Counties. Member Masci said he believes that a clearly-articulated position needs to first be outlined. Legislators know that each group is going to ask for more money. The Board agreed that a letter be written to legislators listing Jefferson County's priority issues and presenting ideas for what legislators can do to maintain or improve access. Jean Baldwin mentioned that her priorities for the Rural Health Summit would be MVET replacement and additional child health tracking. She will let the Board know whether Representative Kagi was going to ask for the Olds project to be replicated in more Counties or at least continue the funding for the four Counties that are currently participating. Dr. Locke suggested focusing on three key areas: (1) no additional cuts to Medicaid funding, (2) alternatives for health care, and (3) public health funding, which he believes includes the areas Jean Baldwin mentioned. He agreed to work on drafting a letter with assistance from Member Buhler and will circulate an initial draft to the Board. Commissioner Huntingford said he received an email about further cuts in mental health, which will be discussed at the Steering Committee meeting tomorrow. He will try to find out more information and provide an update to Jean Baldwin. Policy on Design Standards For Site-constructed Elevated Fixed Media Filter Vessels: Larry Fay pointed out that the draft policy statement included in the agenda packet has not been modified since the last meeting. Although no written material is available for today's discussion, HEALTH BOARD MINUTES - January 18,2001 Page; 5 industry representatives for pressure treated lumber have confirmed there are specifications for different kinds of exposures. The engineer would be able to specify what kind of materials they are using to construct the vessels. The draft policy was reviewed by an engineering firm, designers, and a statewide committee and indicated that the language is clear. It appears that as a result of the case in Jefferson County, Glendon Technology is working to change their business practices, moving to a modular kit with standardized materials, with which their distributors are required to work. Member Masci moved to approve the Fixed Media Filter Vessel Policy as submitted. Commissioner Huntingford seconded the motion, which carried by unanimous vote. Policy on Review of Buildine Permit Applications - Second Draft: Larry Fay noted that the policy statement provided in the agenda packet incorporated changes resulting from the last meeting. He then distributed another version of the policy, which is basically the same, however it reflects staff's recommended changes. The new ordinance has two provisions in different sections that deal with inspections of on-site systems for when a building permit application is submitted. Under Applicability, if the system is currently in the inspection program and up-to-date with inspections, a building permit application inspection would not be needed. A second tier of inspection applies to building permit applications that are either for new construction that involve plumbing or an expansion of use. This policy is written so that it applies to any new construction, remodel or addition. What he is proposing is that this policy apply to any site that has an on-site sewage system in the ground, whether it be a new construction or additions/remodels that are expansions. In an expansion that significantly changes the house so that it affects sewage flows and the potential performance and reliability of that system, it is proposed that the permit be tied to the building code. When the work of remodeling the house is equivalent to some percentage of the assessed value of the property, the whole building will need to be brought up to code. In other words, when the building official requires a complete upgrade of a house the septic system would be included. Member Masci invited Larry Fay to the next City's Smart Code committee meeting January. The City has received a state grant to explore Smart Coding and he believes the County may be able to use the method by showing on a matrix the combination of things that trigger septic compliance. Commissioner Huntingford would like to know more about the threshold in the building code. He asked at what point does that building permit trigger new compliance standards? He is concerned that property owners with septic systems approved by the County under the code of that period, will now be required to upgrade their systems. Some lots may no longer be buildable under the current code. Vice Chairman Westerman said when you buy property, there is a risk that you may be able to build on the property and you may not. You cannot always allow citizens to operate their systems under 20 and 3D-year old regulations. Member Frissell said the Board has to be concerned about the health issues associated with these systems. Commissioner Huntingford said he questions the prosecutor's interpretation of what the state law HEALTH BOARD MINUTES - January 18,2001 Page: 6 requires. While he does not want to see property owners having problems with their well, for instance, there may be other options available to them such as moving their well. He is not aware of health issues with systems approved in the early 1980s. Larry Fay provided a recent example of a property owner that installed two septic systems and had two mobile homes on the property. At some point, they removed one home and then recently applied to add another mobile home using the old system. Because of the density on that particular site, there may not have been an immediate environmental or health problem, but the system is not functioning up to current code since it is discharging septic effluent into that shallow water table. There will be situations where currently unused fields would not perform in accordance with modern standards. The policy stipulates that when the County determines there is the adequate 3 feet of vertical separation, etc., the owner is required to establish a reserve area to proceed with a building permit application. If there is between three feet and one foot of vertical separation, the system can still be used, but instead of being on a 3- or 6-year monitoring schedule, the system is placed on a I-year monitoring schedule. The concern being that with the reduced vertical separation, failure is of a higher consequence. An upgrade would be requested when a system is 12 inches or less from a water table. Even then, the owner can still use the drain field, but a treatment standard will be added in front of the drain field so effluent is treated before leaving the system. Commissioner Huntingford asked about elimination of wording on pg. 3, item 4, "owner may install curtain drain or make other site improvement and keep monitoring. " Larry Fay agreed to follow up on this item. If there is a site that is logical for a curtain drain and there is a place to discharge that does not interfere with anything, it ought to be an option to improve the system's performance. He said it is allowed in the on-site sewage code. Larry Fay said if a septic system was installed sometime after 1987 and the owner submitted the building permit applications consistent with the terms and conditions of that permit, enough information is available and the standards have not changed, that it is likely the permit would be approved. However, between 1983 and 1987, the Board of Health indicated to the public that if a septic system was in the ground you would be able to build. While a reserve area will need to be designated, it will not be a big problem until the lot in question is small enough where there cannot be both a reserve area and a place to build a house. Commissioner Tittemess said in that situation, there has to be a contingency for them to agree to an alternative system of some kind, should their system fail. Larry Fay said situations where there is no reserve area would be candidates for pretreatment to provide high-quality effluent in the drain field and make such failure improbable. In the case of a sand filter or a package treatment plan, it would provide a repairable component if failure did occur. Vice Chairman Westerman commented that this seems to be a reasonable response. Member Masci said because there are always going to be gray areas he would like to see a regulatory HEALTH BOARD MINUTES - January 18, 2001 Page: 7 structure that included a customer service component. He suggested that a grid of priority mitigation responses be developed. Larry Fay said the biggest challenge is preserving water quality and balancing real and perceived expectations. Differentiating between a real health problem and a problem with design standards is often a judgment call. Applications submitted before this policy is in place will be dealt with on a case-by~case basis. If someone had a septic permit and the system was installed and permitted for a 3-bedroom sometime between 1983 forward, it is fairly predictable that they are going to use that system and build a house. However, if there is no reserve area, an alternative system needs to be considered. Commissioner Huntingford suggested the O&M program offers safeguards. Larry Fay said while the O&M program will pick up the kind of failures where there is effluent running across the surface of the ground, it will not uncover the treatment failures in the soil. The concern is where there is not vertical separation and untreated effluent is moving through the shallow water table and showing up 100 or 200 feet away from the drain field in an untested area and feeding into some of the other tributaries. A system may drain for 10 years, but what is happening in the soil is also a concern. Member Masci asked if it is possible to create the policy and then educate the real estate community that septic tank inspection is a contingency of the sale. Charles Saddler said this is occurring, but the County needs to come up with a more comprehensive, more formalized process because of the entire Unified Development Code (UDC). Larry Fay summarized that while he believes the Department can deal with the 1983 permits and small lots and vertical separation, he does not yet have clear direction on a 3-bedroom septic system irrespective of when those applications are made. Commissioner Huntingford asked staff to find out how many old permits are still on the books. Larry Fay responded that is difficult unless someone reviewed the files to see if there was a building permit issued or go through the Assessor's records and see if there is a building on the property. Commissioner Titterness said while he guesses there are not many systems from that period, there needs to be consistency. At the time the owner requests a permit, it is our responsibility to let them know of potential problems for which they will be responsible. He asked if something that accomplishes a perimeter check on those few systems could be added to the annual inspection? Larry Fay said site-specific ground water sampling is challenging at best and would not provide water quality information that could be counted on to determine a failure. The question is what do we do if there is 12 inches or less of vertical separation? Commissioner Titterness said he believes a permit would still be issued. In the annual inspection, if there are signs of failing, you make it clear to the owners that an advanced system was recommended. HEALTH BOARD MINUTES - January 18,2001 Page; 8 AGENDA CALENDAR/ADJOURN FUTURE PLANNING TOPICS: Update on Building Permit Applications and the Internal Assessment Report and Recommendations. 1. CONTINUED STABLE FUNDING TO REPLACE MVET 2. ACCESS HEALTH CARE 3. PROGRAM MEASURES (Genetic Research and Public Health Implications) 4. METHAMPHETAMINE SUMMIT 5. PERFORMANCE STANDARDS & COMMUNITY ASSESSMENT 6. TOBACCO PREVENTION AND COALITION 7. FLUORIDE 8. TRANSIT AND PUBLIC HOUSING 9. BIOTERRORISM READINESS & PLAN 10. AGING POPULATION 11. WATER 12. MATERNAL CHILD PREVENTION GOALS (0-3) Meeting adjourned at 4:30 p.m. Due to a lack of a quorum the next meeting will be held on MONDAY, FEBRUARY 12, 2001 AT 2:00-4:00 P.M. JEFFERSON COUNTY BOARD OF HEALTH (Excused Absence) Jill Buhler, Chairman Sw lÆv ~ ~~ VVfr-~~ d Sheila Wester içe~ d&ntingford e:her ~ -i1J1~ Dan Titte~er (Excused Absence) Richard Wojt, Memb~r ~~.J:~ Roberta Frissell, Member JEFFERSON COUNTY BOARD OF HEALTH Thursday, January 18, 2001 2:30 - 4:30 PM Main Conference Room Jefferson Health and Human Service Dept. AGENDA I. Election of Board of Health Chair and Vice Chair for 2001 II. Approval of Minutes of Meeting of December 21, 2000 III. Public Comments IV. Old Business V. New Business 1. 2000-2001 Influenza Season Update 2. CHILD Health Profile Implementation in Jefferson County 3. Substance Abuse Treatment in Jails - Public Health Issues 4. Legislative Update - Meeting with 24th Legislative District Representatives 5. Policy on Design Standards for Site Constructed Elevated Fixed Media Filter Vessels Action Item 6. Policy on Review of Building Permit Applications Second Draft, Possible Action Item VI. Agenda Planning 1. Future Agenda Topics VII. Adjourn Next Meetine: February 15,2001 Jeanffom(10 min) Jean (15 min) Tom (20 min) Tom (15 min) Larry (10 min) Larry (20 min) :~- -' ',"" I '"I I i I I ~- , ~ ~ JEFFERSON COUNTY BOARD OF HEALTH ·MINUTES Thursday, December 21, 2000 DRAFT , I Board Members: Dan Harpole, Member - Coun!y Commissioner District #1 Glen Huntingford, Member - Coun!y Commissioner District #2 Richard W 0/1, Member - Coun!y Commissioner District #3 Geoffrry Masci, Member - Port Townsend City Counó71 Jill Buhier, Vice-Chairman - Hospitai Commissioner District #2 S heiia Westerman, Citizen at Large (Ci!YJ Roberta Primil, Chairman, Citizen at Large (Coun!YJ StatfMembers: Jean Baldwin, Nursing Services Director L117Y Fqy, Environmental Health Director Thoma.; LJJcke, MD, Health Officer Chainnan Frissell called the meeting to order at 2:30 p.m. All Board and Staff members were present with the exception of Commissioner Harpole. She welcomed Dan Tittemess to the meeting and announced that, as our new County Commissioner, he will be a member of the Board beginning in January. APPROVAL OF MINUTES Commissioner Wojt moved to approve the minutes of the November 22,2000 meeting. Member Masci seconded the motion, which carried by unanimous vote. OLD BUSINESS - None NEW BUSINESS WASHINGTON'S HEALTH CARE BUDGET CRUNCH: UNIVERSITY OF WASHINGTON HEALTH POLICY ANALYSIS PROGRAM REPORT: Dr. Tom Locke said the report from the annual Washington State Legislative Policy Conference provides concise des~riptions of the complex budgetary situation the state legislature will face this year, 'The unfavorable budget sifuå.tion jeopardizes public. health issues such as tobacco control efforts, restoration and maintenance of public health funding, and preservation of the universal immunization distribution system. He mentioned that the section titled Trimming State Health Programs is pertinent to future discussions of health care acCess between the Board and the Hospital Commission. There was some discussion about the proposed budget cuts in Health Programs, Chairman Frissell has read that Olympic Memorial Hospital requested a February meeting with legislators. Consistent with the Board's previous discussions about its desire to meet with legislators, she proposed the Board investigate a joint meeting with Olympic Memorial. There was Board support for trying to schedule a meeting. Dr. Tom Locke agreed to follow up. \ \ ., '( HEALTH BOARD MINUTES - December 21, 2000 Page: 2 Concern was expressed about lobbying to take funding from other service areas. There were discussions .. about Initiative 601 spending limits and about increasing income tax or seeking alternative funding for l public health. .. PROPOSED STANDARDS FOR PUBLIC HEALTH IN WASHINGTON STATE: EVALUATION REPORT: Dr. Locke reviewed the development of the perfonnance-based, minimum standards for critical health services. The process was meant to not only develop standards, but achieve a baseline study on state and local health programs. In addition to the report provided in the agenda packet~ he distributed a copy of charts plotting Jefferson County's assessment. He said the full report will be included in the Public Health Improvement Plan 2000 (PIDP). The Board will continue to hear more about this report over the next year. Jean Baldwin said one of the benefits of the assessment is that counties will have access to the evaluation data via the Internet. Local health jurisdictions are being asked to continue looking at areas for improvement. She noted that many of the listed reconunendations are already on the Board ~ s agenda. County Administrator Charles Saddler asked whether the state will be eligible for funds through the Kennedy Bill? Dr. Locke responded that while many are hopeful Washington will be in line for federal funding~ funding will be focused in areas such as emergency response~ bio-terrorism preparedness, and public health infrastructure. Member Masci asked what measures are necessary to get the County into compliance on tracking environmental health illnesses and what types of illnesses are tracked? Larry Fay responded that the County does not currently do a lot of environmental monitoring. An area that might need to be addressed is passive and active surveillance. DESIGN STANDARDS FOR SITE-CONSTRUCTED ELEVATED FIXED MEDIA FILTER VESSELS: Larry Fay reviewed the policy developed as a result of problems with Glendon Biolfiltors. He provided examples of problems that occur because there are no standards for constTuction of the sand filter vessel. State guidelines only stipulate that the construction framework of the site-built vessels be made of pressure-treated lumber. The intent of the policy is to require on-site system , designers or engineers doing the work, to come up with a material that not only meets the perfonnance standard, but has a reasonable life expectancy. After first speaking with design engineers about the policy statement~ Staffwill draft a policy for the Board to review. There was some discussion about the 20-year life expectancy in the policy statement. Also discussed was septic systems vulnerability to power outages. METHAMPHETAMINE WORKSHOP: Linda Atkins reported that the workshop was a big success and registration had to be stopped at 80 individuals. Attendees commented that the workshop was appreciated and informative. \ \ ' \~ HEAL TH BOARD MINUTES - December 21, 2000 Page: 2 Concern was expressed about lobbying to take funding from other service areas. There were discussions .. about Initiative 601 spending limits and about increasing income tax or seeking alternative funding for l public health. .þ PROPOSED STANDARDS FOR PUBLIC HEALTH IN WASHINGTON ST ATE: EVALUATION REPORT: Dr. Locke reviewed the development of the perfonnance-based, minimum standards for critical health services. The process was meant to not only develop standards, but aclúeve a baseline study on state and local health programs. In addition to the report provided in the agenda packet, he distributed a copy of charts plotting Jefferson County's assessment. He said the full report will be included in the Public Health Improvement Plan 2000 (PHlP). The Board will continue to hear more about this report over the next year. Jean Baldwin said one of the benefits of the assessment is that counties will have access to the evaluation data via the Internet. Local health jurisdictions are being asked to continue looking at areas for improvement. She noted that many of the listed recommendations are already on the Board's agenda. County Administrator Charles Saddler asked whether the state will be eligible for funds through the KeIU1edy Bill? Dr. Locke responded that wlúle many are hopeful Waslúngton will be in line for federal funding, funding will be focused in areas such as emergency response, bio-terrorism preparedness, and public health infrastructure. Member Masci asked what measures are necessary to get the County into compliance on tracking envirorunental health illnesses and what types of illnesses are tracked? Larry Fay responded that the County does not currently do a lot of environmental monitoring. An area that might need to be addressed is passive and active surveillance. DESIGN STANDARDS FOR SITE-CONSTRUCTED ELEVATED FIXED MEDIA FILTER VESSELS: Larry Fay reviewed the policy developed as a result of problems with Glendon Biolfiltors. He provided examples of problems that occur because there are no standards for construction of the sand filter vessel. State guidelines only stipulate that the construction framework of the site-built vessels be made of pressure-treated lumber. The intent of the policy is to require on-site system designers or engineers doing the work, to come up with a material that not only meets the performance standard, but has a reasonable life expectancy. After first speaking with design engineers about the policy statement, Staffwill draft a policy for the Board to review. There was some discussion about the 20-year life expectancy in the policy statement. Also discussed was septic systems vulnerability to power outages. METHAMPHET AMINE WORKSHOP: Linda Atkins reported that the workshop was a big success and registration had to be stopped at 80 individuals. Attendees commented that the workshop was appreciated and infonnative. ~. .~'.J i " ':'1," 6' " , JEFFERSON COUNTY BOARD OF HEALTH ·MINUTES Thursday, December 21,2000 DRAFT . I i I~ I ~ ~ Board Members: Dan Hatpole, Member - County Commissioner District #1 Glen Huntingford, Member - County Commissioner District #2 Richard Wo/I, Member - County Commissioner District #3 Geoffrry Masci, Member - Port Townsend Ci!Y Council Jill Buhler, Vice·Chairman - Hospital Commissioner District #2 Sheila Westerman, Citizen at Ll1;ge (City) Roberta Primll, Chairman, Citizen at Lar;ge (County) StaffMembm: Jean Baldwin, Nursing Services Dimtor Larry Fqy, Environmental Health Director Thomas Locke, MD, Health Officer Chairman Frissell called the meeting to order at 2:30 p,m. All Board and Staff members were present with the exception of Commissioner Harpole. She welcomed Dan Tittemess to the meeting and announced that, as our new County Commissioner, he will be a member of the Board beginning in January. APPROVAL OF MINUTES Commissioner Wojt moved to approve the minutes of the November 22,2000 meeting, Member Masci seconded the motion, which carried by unanimous vote. OLD BUSINESS - None NEW BUSINESS WASHINGTON'S HEALTH CARE BUDGET CRUNCH: UNIVERSITY OF' WASHINGTON HEALTH POLICY ANALYSIS PROGRAM REPORT: Dr. Tom Locke said the report from the annual Washington State Legislative Policy Conferencè provides concise deS~riptioô.s of the complex budgetary situation the state legislature will face this year, 'The unfavorable budget sitúà:tion jeopardizes publkhealth issues such as tobacco control efforts, restoration and maintenance of public health funding, and preservation of the universal immunization distribution system. He mentione~ that the section titled Trimming State Health Programs is pertinent to future discussions ofhealthcaréaccess between the Board and the Hospital Commission. ".' There was some discussion about the proposed budget cuts in Health Programs. Chairman Frissell has read that Olympic Memorial Hospital requested a February meeting with legislators. Consistent with the Board's previous discussions about its desire to meet with legislators, she proposed the Board' investigate a joint meeting with Olympic Memorial. There was Board support for trying to schedule a meeting. Dr. Tom Locke agreed to follow up. l' ,~'. .~, ~ f ) ! I / , , HEAL TH BOARD MINUTES - December 21, 2000 Page: 3 HEALTH ASSESSMENT INDICATOR WORKSHOP: Jean Baldwin reminded the Board that the workshop is Thursday, January 25 from 1 :00 unti15:00 p.m. at WSU Cooperative Extension Office. ~ .~ f· ¡ ! i The Board went into Executive Session at 3:35 p.m. to discuss legal issues and reconvened at 4:00 p.m. REVIEW OF BUILDING PERMIT APPLICATIONS: Linda Atkins distributed flow charts of pennit application scenarios. Larry Fay reviewed the charts and discussed the conditions for permit approval depending on the year of installation. There was then a discussion of the Draft On-Site Sewage Disposal Policy Statement. It was noted that on page 3, paragraph IV, the word "unpermitted" needs to be inserted before systems. In response to a question about who does the drawings refen-ed to in Item I under Applicability, Lany Fay said that the universal plot plan of the County provides site drawing and property dimensions, etc. For older systems, applicants are responsible to provide system information to be incorporated into the drawing. There were also suggestions to make Item III (A) more readable and to list the requirements in the first paragraph ofItem (B) as bullet points. Member Masci asked whether the applicability could be softened? Larry Fay responded that problems occur when there are building modifications that impact the septic system and the real question is establishing a threshold for that impact. These are the principles with which the department struggles. He agreed to investigate whether the percentage of assessed value is being used in the Building Code. Staff agreed to explore other options and try to produce some recommendations. An additional suggestion was to reword the first paragraph under Applicability to remove the words "remodels, additions" after plwnbing. INFORMATION ITEMS: VINES VS. JEFFERSON COUNTY. LUPA LAWSUIT: Larry Fay reported that the County has paid Mr. Vines attorney's fees in the amount of $660. With the adoption of the Unifonn Development Code, septic systems will be allowed to cross zoning boundaries and will become a policy. INFORMATION ITEMS: OUILCENE BOAT BASIN: Larry Fay reported that the State Department of Health, based on a request from an adjacent property owner to certifY his growing area for harvesting shellfish, has imposed a shellfish closure zone near the Quilcene marina. The Department established an appropriate closure zone based on usage and the possibility of a spill occurring, rather than water quality violations. The Port of Port Townsend has expressed concern about the closure and felt they had taken measures to minimize the risk of contaminants in this area. TOBACCO PREVENTION AND CONTROL PROGRAM: Jean Baldwin distributed con-espondence regarding news reports on the I 5-year study that tobacco prevention programs do not prevent tobacco use. She stressed that the new tobacco money was not a part of this project. HEAL TH BOARD MINUTES - December 21, 2000 """--~"- ~\ " I' ...... ."'-11I \" ' \ , ,"'j Page:" 4 \ ""'- ~' AGENDA CALENDAR/ADJOURN JI FUTURE PLANNING TOPICS: For the next meeting, Chairman Frissell noted the folloWing agenda items: Solid Waste Enforcement Policies, Report on the Internal Assessment, Review Policy on Design Standards for Media Filter Vessels, and Minimum Land Area policy recommendations. There was also support for addressing "Continued Stable Funding to Replace MVET' if a meeting with the legislators can be arranged. Dr. Locke said he believes the Public Health Improvement Program 2000 report will also be available by the next meeting. Related to the Bio-terrorism topic, he indicated that the readiness assessment data is complete and is organized under the ten essential functions of public health. 1. 2. 3. 4. S. 6. 7. 8. 9. 10. 11. 12. CONTINUED STABLE FUNDING TO REPLACE MVET ACCESS HEALTH CARE PROGRAM MEASURES (Genetic Research and Public Health Implications) METHAMPHETAMINE SUMMIT PERFORMANCE STANDARDS & COMMUNITY ASSESSMENT TOBACCO PREVENTION AND COALITION FLUORIDE TRANSIT AND PUBLIC HOUSING BIOTERRORlSM READINESS & PLAN AGING POPULATION WATER MATERNAL CHILD PREVENTION GOALS (0-3) ¡·';,t , ' Meeting adjourned at 4:30 p.m. The next meeting will be held on Thursday, January 18,2001 at 2:30 p.m. JEFFERSON COUNTY BOARD OF HEALTH " T' Roberta Frissell, Chairman Geoffrey Masci, Member ; ~ J Jill Buhler, Vice-Chairman Richard W ojt, Member Glen Huntingford, Member , , Sheila Westerman, Member (Excused Absence) Dan Harpole, Member ..'.'-'-'.". >-\. - . - . \. . \ \ . HEAL TH BOARD MINUTES - December 21, 2000 Page:'· '4 ... l JI AGENDA CALENDAR I ADJOURN FUTURE PLANNING TOPICS: For the next meeting, Chairman Frissell noted the following agenda items: Solid Waste Enforcement Policies, Report on the Internal Assessment, Review Policy on Design Standards for Media Filter Vessels, and Minimum Land Area policy recommendations. There was also support for addressing "Continued Stable Funding to Replace MVET" if a meeting with the legislators can be arranged. Dr. Locke said he believes the Public Health Improvement Program 2000 report will also be available by the next meeting. Related to the Bio~terrorism topic, he indicated that the readiness assessment data is complete and is organized under the ten essential functions of public health. I. CONTINUED STABLE FUNDING TO REPLACE MVET 2. ACCESS HEALTH CARE 3. PROGRAM MEASURES (Genetic Research and Public Health Implications) 4. METHAMPHETAMINE SUMMIT 5. PERFORMANCE STANDARDS & COMMUNITY ASSESSMENT 6. TOBACCO PREVENTION AND COALITION 7. FLUORIDE 8. TRANSIT AND PUBLIC HOUSING 9. BIOTERRORlSM READINESS & PLAN 10. AGING POPULATION 11. WATER 12. MATERNAL CHILD PREVENTION GOALS (0-3) Meeting adjourned at 4:30 p.m. The next meeting will be held on Thursday, January 18,2001 at 2:30 p.m. JEFFERSON COUNTY BOARD OF HEALTH :¡:\. .-. Roberta Frissell, Chairman Geoffrey Masci, Member Jill Buhler, Vice-Chairman Richard Wojt, Member Glen Huntingford, Member Sheila Westerman, Member (Excused Absence) Dan Harpole, Member ,,-- ::-' :1':'< .; I J . í ¡ I ! HEAL TH BOARD MINUTES - December 21, 2000 Page: 3 ì J . .~ I~ J HEALTH ASSESSMENT INDICATOR WORKSHOP: Jean Baldwin reminded the Board that the workshop is Thursday, January 25 from I :00 until 5:00 p.m. at WSU Cooperative Extension Office. The Board went into Executive Session at 3:35 p.m. to discuss legal issues and reconvened at 4:00 p.m. REVIEW OF BUILDING PERMIT APPLICATIONS: Linda Atkins distributed flow charts of permit application scenarios. Larry Fay reviewed the charts and discussed the conditions for permit approval depending on the year of installation. There was then a discussion of the Draft On-Site Sewage Disposal Policy Statement. It was noted that on page 3, paragraph IV, the word "unpermitted" needs to be inserted before systems. In response to a question about who does the drawings referred to in Item I under Applicability, Larry Fay said that the universal plot plan of the County provides site drawing and property dimensions, etc. For older systems, applicants are responsible to provide system information to be incorporated into the drawing. There were also suggestions to make Item III (A) more readable and to list the requirements in the first paragraph of Item (B) as bullet points. Member Masci asked whether the applicability could be softened? Larry Fay responded that problems occur when there are building modifications that impact the septic system and the real question is establishing a threshold for that impact. These are the principles with which the department struggles. He agreed to investigate whether the percentage of assessed value is being used in the Building Code. Staff agreed to explore other options and try to produce some recommendations. An additional suggestion was to reword the first paragraph under Applicability to remove the words "remodels, additions" after plumbing. INFORMA TION ITEMS: VINES VS. JEFFERSON COUNTY. LUP ALA WSUIT: Larry Fay reported that the County has paid Mr. Vines attorney's fees in the amount of$660. With the adoption of the Uniform Development Code, septic systems will be allowed to cross zoning boundaries and will become a policy. INFORMATION ITEMS: OUILCENE BOAT BASIN: Larry Fay reported that the State Department of Health, based on a request from an adjacent property owner to certify his growing area for harvesting shellfish, has imposed a shellfish closure zone near the Quilcene marina. The Department established an appropriate closure zone based on usage and the possibility of a spill occuning, rather than water quality violations. The Port of Port Townsend has expressed concern about the closure and felt they had taken measures to minimize the risk of contaminants in this area. TOBACCO PREVENTION AND CONTROL PROGRAM: Jean Baldwin distributed correspondence regarding news reports on the 15-year study that tobacco prevention programs do not prevent tobacco use. She stressed that the new tobacco money was not a part of this project. it, Deus w N T E R 2 () 0 0 ~~~~(þJJaI Protecting OUf Children Through Immunization Registries c)n Immunization Registries .. .................... .........................................................................................................................................................................................................................................................--......... -r mmunization registries provide benefits for providers, 1 health plans, parents, k, ids, communities and schools. This issue of Focus includes stories from around the country about how these confidential, computerized information sys- tems increase immunization rates; save providers, health plans and schools both time and money; and improve vaccine safety. All Kids Count believes that this is just the beginning of the benefits that registries can provide. As more health care providers participate and more kids are included in registries, benefits multiply. We encourage all children's health care providers to find out how they can participate in a state, regional, county or city registry. Low immunization rates are common among low-income children who may not see a health care provider regular- ly. However, these children often do attend child care and school regularly. In Phoenix, Ariz., the immunization rate for 700 low-income children at five related child care centers and two charter schools hovered around 45%. But in early 1999, when Margaret McChesney, RN, the organizations' nurse, acquired a laptop computer and connected to the Arizona State- wide Immunization Information System (ASIIS) database, that rate quickly doubled to 90%. By identifying the under-immunized children and administering the miss- ing shots, cases of measles, pertussis and varicella at those institutions were reduced to zero, despite county- wide outbreaks of those diseases dur- ing the same timeframe. In addition, says McChesney, children's school attendance increased and parents' lost time èlt work decreased. Similar data showing increases in immunization rates have emerged from Minnesota, where the immu- nization registry of Health Partners, an HMO with ovcr 800,000 patients and 17 staff and affiliate clinics locat- ed throughout Minnesota, reduced by two-thirds the number of children whose immunizations were not up to date by age 2. James Nordin, medical director of Health Partners Department of Pediatrics, says that the registry not only has improved patient care, "but it also has improved our efficiency, resulting in long-term cost savings for the company." The biggest savings of the registry resulted for its adult population, which is also included in the registry to provide information about influen- za and pneumoccocal immunizations. Influenza coverage rates for adults aged 65+ increased from 64% to 82%, and pneumococcal coverage rates increased from 65% to 85%. Nordin estimates that the health plan saved $4 in direct medical COStS for every $1 spent on increasing influenza coverage rates. A similar savings is expected for pneumococcal disease. All Kids Count is a national network of ~!:' demonstration projects working to deve/~~,~":';' -' · Registries Bring Disease Rates ...., Down, Coverage Rates Up k~ ~ ~ ~ ~. ~ ~ · Registries Save Timc and Money . Registries Increase Vaccine Safety, Reduce Immunization Costs · Parent Survey · Health Organizations Support Registries · Who Will Pay for Registries? .1,- ~",'II."/..>::"",~ ,...I.!',......:..1t.;.~.Ji/.'J,·¡,..l:·Ã.~·~·hiL4~-......I~~....:...'a.··~:,·_,., .:. .~. :~·~.ìt~_·~::.·_~ ":<)::"' Y"t.~.... . . Registries Save Timè and Money In recent years. both providers and medical office staff have seen the old adage "Time is money" demonstrated daily. Registries can save a health care provider money by drastically reducing the rime it takes to pull a child's medical record, review his immunizations enter , the new shots, and re-file the record. Studies show that it costs from $6 to almost $19 to manually pull a patient chart for review, Pulling up an electronic record, in contrast, costs very little because it takes only seconds. An in- depth study of COStS and benefits associ- ated with three· California registries .- showed a 30% to 50% increase in staff productivity when an immunization registry was instituted in a health care provider's practice. The study by John FOßtanesi, PhD, School of Medicine , University of California," San Diego, _ showed a return on investment as high as 8 to 1 for registries that are managed correctly and streamlined for work flow efficiency. Darcy Hall, RN, of MEDSchool Associates-North in Reno, Nev. can't imagine working in an environment that does.n't have an immunization registry. !"Iavmg w.0rked in a clinic with a reg- IStry prevlOusly, she helped convince MEDSchool's physicians to implement a registry linked to Washoe County's Department of Health to provide com- plete up-to-date information on records for 320 children. Hall says the registry "saves money because nurses have more time to provide patient care. It also increases patient satisfaction." The immunization registry of the Marshfield Clinic in Marshfield, Wis., a large multi-site network of providers, has eliminated the paperwork associared with· administering immunizations. Staff found that during mass flu clinics, 20 minutes were previously required for a multi-step manual process, from manual -registration and chart pull to administer- ing the shot, re-filing the record and entering the data into the financial sys- tem. Now, with the registry available in providers' offices, the same processes done electronically take just One minute. Health plans, too, are realizing the time savings that a registry can provide. In Arizona, the Arizona Health Care Cost Containment System (AHCCCS), the state Medicaid provider, last year reached an agreement with the state immunization registry to allow batch inquiries of the registry's central data- base. AHCCCS has spent over $100,000 per year on pulling charts in providers' offices in order to audit the immuniza- tion rares of Medicaid-entolled children. A test of the system showed that immu- nization records for one-third of the children could be accessed by connecting to the registry - a $33,000 annual sav- ings. Savings wiIl grow as more children are added to the state registry database. Providers in Arizona are mandated to report immunizations to the registry. More Providers, More Data, More Value As the number of health care providers who participate in a registry increases, the number of children with shot records in the registry also increases, making the registry more valuable to its users. This chart shows a relative increase of 42% in the number of pub- lic and private health care providers who participate in the 16 All Kids Count registry projects from July 1998 to July 1999. Private Provider Enrollment in All Kids Count II Immunization Registries July 1998 to July 1999 50% . 45% 40% 35% 30% 25% 20% '5% . '0%: 5% 0% \< ('~l~ [j~~,-~~) 1 i1(;-e~lS~ \¡:¡~C(i]le >: ref'". ¡C:r-ÌU(l' ;1 ));L I] ìZ~H ()11 ~.()'ir:) [mmuniz;.uion registries provide accurate int.rmation on each vaccine a child re<ièives, including the vaccine manufac- turef', date of manufacture, and lot num- ber, as well as up-tn-date demographic information about the child. When a lot of Tripedia" vaccine was recalled by its manufacturer because of the vaccine's low potency, the Southern California Kaiser Permanente immunization registry was able tn determine that only four children among its thousands of enrollees had received an immunization from the recalled vaccine lot. By identi- fying those children who had received the vaccine, the registry saved the bal- ance of the children and their parents time and pain by preventing unnecessary immunization. In addition, the health plan realized substantial savings by not having to re-immunize the children. By providing up-to-date information on past immunizations, no matter where they Were delivered, registries can reduce the number of duplicate immunizations a child receives. In San Bernardino Co., Calif., a 1997 study of the immunization histories of more than 75,000 children in the registry database showed that almost 2,000 (2.5%) of the children had received at least one unneeded dose of vaccine. At the time the immunizations were given, the children's providers did not have access to accurate information about the children's past immunizations. Registry staff estimated that $15,000- $36,000 in vaccine costs could have been saved if accurate information about the children's immunizations had been available to their providers. More than half of San Bernardino COUnty's providers now participate in the county registry, with access to immunization records of over 116,000 children. Survev: Parents Would Pa rtic'i p~1 re in Registries [f Doctor Recommends It A new survey of 432 parents with children under age 6 has confirmed what earlier focus groups indicated: When parents understand the benefits of a registry, they are likely to enter their child into a registry, if their doctor recommends it. The random telephone survey was conducted by a national research firm on behalf of All Kids Count. Seventy-nine percent of parents said "yes" they would enroll their child in a registry, while 15 % said they would not and 5 % were undecided. Those that said they would not want their child enrolled in a registry expressed concerns about the security or privacy of the registry (37%), felt they did not need it (33%), or felt that they could keep their own records (33%). Older and more educated parents tended to be more skeptical of the benefits of registries. Women were more likely than men to believe that registries are benefi- cial for their children. African-Americans were more likely than Caucasian respon- dents to enroll their child in a registry if their doctor recommended it. For a complete summary of the survey, e-mail info@allkidscount.org. The survey is available on the All Kids Count web site, www.allkidscount.org. '-. ... Walter Orenstein, MO '" Nationallmmunization Program . ,:;;:.~. Centers for Disease ContTol & Preventio¡':;,:.~;.:_ AUanta, SA, Jiif;1~\~;;:: Michael T. Osterholm, PhO, MPH ICAN Minneapolis, MN r ~ ~.~',. 'i.. "..-! '~, ' ·0 Robert K. Ross. MO San Diego Dept of Health SefYices San Diego, CA Thomas Tonniges, MO American Academy of Pediatrics Elkgrove Village, IL Deborah Klein Walker, PhD Massachusetts Bureau of Family & Community Health Boston, MA , ¡.,. ',. -, ~ ...;.,. ,'.. .. i. _ . ,~. ,. .',"-._ .... '..... .".. ' ." : .. J ., ". ,. \ ~. :'- ". '~. '\,- ~ . ): .. --.. ..' . ,ß~ ISJ.æ.GJllJf Protecting Our Ch~dran Through InvnunlzaUon Registries Non-Profit Organization U.S. Postage PAID Permit No. 4170 Atlanta, Ga. ., :i ~' The Task Force For Child Survival And Development 750 Commerce Drive, Suite 400 Decatur, Georgia 30030-9919 Address Service Requested RêCê/fI Af4R' ED , 81 Z ,J~¡:~ ' . '000 #ilJ. . Co·' . ~ANŠ~AI..11t , . ~/C£~4 , v Annual Immunization Registry Conference March 27-29, 2000 Newport, Rhode Island For information: Visit www. cdc.gov/ni pi registry A*····*AUTO**3-0IGIT 983 THOMAS LOCKE JEFFERSON COUNTY HEALTH/HUMAN SVCS 615 SHERIDAN ST PORT TOWNSEND WA 98368-2439 ". r ..1..' ..." .."..,.., ...,., ,'"1 I'" .,., ..1/.".'.' ..., I" ,.~''',-'T::'--·"· ~ -.'" .- ~,~ ...... _. _, ~ _ ....:.__~..r'.._ ',. ..' . Who Will Pay for Registries? An informative policy brief from All Kids Count urges policymakers to take action to find a stable source of funding for immunization registries if children, parents, providers and communities are to realize the full complement of health and safety benefits and the time and cost savings that registries can generate. Sustaining Financial Support far Immunization Registries reviews the role that registries play in maintaining high immunization rates in this country. It traces the development of registries, reports their current status, and lists the benefits to parents, providers, plans and purchasers, communities, and public health officials. It also explains how immunization registries can enhance vaccine safety and how they address issues of privacy, confidentiality, and security. Significantly, it notes that a nationwide system of fully operational registries would save almost $30 million a year. A patchwork of unpredictable funding sources, including federal and state agencies, private foundations and managed care, now pays for registries, leaving them vulnerable to changes in the economy, politics and the health care business environment. Registries are one of the best tools available to sustain high immunization rates, decrease disease among all children, and ensure vaccine safety. Financial support of registries is a.:timely issue that demands attention. . Copies of the 16·page Policy Brief or a four-page Executive Summary are avail- able by emailing info@allkidscount.org. Please include your name and mailing address. A PDF version is available on the All Kids Count web site at www.aIlkidscount.arg. You may also call 404-687·5615. '" ,,- CHILD PROFILE FACT SHEET What is CHILD Profile? CHILD Profile is a computerized population-based system that includes an immunization tracking system and a universal health promotion program CHILD Profile's overall goal is to improve the health of children by maximizing immunization rates CHILD Profile was initiated January 1, 1993 in King and Snohomish counties and is managed by a Joint Executive Management Team from the department I district of the two counties CHILD Profile was initially developed with major funding from the Robert Wood Johnson Foundation CHILD Profile's tracking system is marketed by Health Information Institute to accomplish statewide implementation. CHILD Web, connected to the database via the Internet, is available from HII What is statewide immunization on-line re!listrv? It is a population based electronic system that: · Stores demographics and immunization activity for children when providers enter it via computers · Increases the probability that all children will receive their recommended immunizations on schedule · Decreases the probability that immunizations will be unnecessarily duplicated due to lack of a current immunization history · Reduces both provider's staff time and health care costs, as well as improve the quality of health care · Provides parents with a complete record of their children's immunization status · Generates reports for health plans, providers, and others needing immunization data How does universal health promotion work? Health promotion mailings are sent to parents of all children born in Washington State as of July 1, 1998. Materials have been sent to families of newborns residing in King and Snohomish counties since 1993. Age appropriate material regarding immunizations, well child check-ups, nonnal growth & development and safety information is mailed 30 days prior to recommended check-ups. There are eight mailings in the first two years and two each year up through age five. Materials have been developed with broad community input by both parents and health professionals. Uodate on Strategic Planninf In late 1999, CHILD Profile initiated a strategic planning process that brought together 27 individuals from 12 organizations, including WSALPHO, American Academy of Pediatrics, DSHS Medical Assistance Administration, Department of Health and others. The impetus for this effort was the need to address the slow progress in recruiting private provider participation, the resulting low number of immunization histories in the system, and issues in long-term funding of the registry. The planning process was completed on May 31, 2000, and resulted in a 24-month action plan. One of the major changes includes discontinuation of the subscription fees for providers (public and private) who participate in the registry, retroactive to April 1, 2000. , Data in Child Profile by local Health Jurisdiction and County 10/1/00 lHJ/County #of children In county <6 yrs 1'1 (A) Demographic records (under age 6) In CHILD Profile # (B) % (BIA) Records wllmmunlzatlon Data (under age 6) In CHilD Profile # (C) % (CIA) Children Who Ever Received Health Promotion Mailings 141 # ·Proportlon exceeds 100% because: denominator may undercount migrant families; numerator may Include families who have moved out of county but whose address has not been updated In registry. ¡ I i ¡ t ~ ~ ~ . .' ... j. d) - .D m .- -= d) > ~ Q.c ~ o rn d) rn =' m U . CI) . ~ -5 ~ 11) Q e .a cd.. e 11) a.... tJ.. - m ::s .- C,) ..( 'Q>' , ....Ioot. '" ' .~ ".C. ~.,~ 5 ~_. ,In (,J~ :¡:...=. ,~.·:.aJ. 'ò"'=:· .... 'CO:' ......···c.r, ~,.WN '._. .: =. 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Bureau of Justice Statistics Special Report May 2000, NCJ 179999 Drug Use, Testing, and Treatment in Jails By Doris James Wilson BJS Statistician In 1998 an estimated 417,000 jail inmates (70% of all inmates in local facilities) had committed a drug offense or used drugs regularly, compared to 261,000 (67%) in 1989. About 138,000 convicted jail inmates were under the influence of drugs at the time of the offense. About 72,000 convicted jail inmates had used marijuana or hashish and 59,000 had used cocaine or crack cocaine. Offenders in local jails reported a history of prior drug use similar to that of State prison inmates. Over half of jail (55%) and State inmates (57%) said they had used drugs in the month before the offense. About a fifth of these jail inmates and a third of State inmates had participated in substance abuse programs or treatment since admission. Compared to offenders on probation (32%), jail inmates were more likely to report using drugs in the month before the offense. A higher percentage of probationers than jail inmates had participated in treatment since beginning their sentence (42%). This report, the third in the series on prior drug use and treatment of offend- ers, focuses on local jail inmates and jail jurisdictions. Past BJS reports include Substance Abuse and Treat- ment, State and Federal Prisoners, 1997, and Substance Abuse and Treat· ment of Adults on Probation, 1995. Highlights In 1998 an estimated 7 in 10 local jail inmates had used drugs regularly or had committed a drug offense Percent of Inmates' All inmates Drug offense/regular use 70.3% Any drug offense 25.6 Convicted Inmates Under the influence at time of offense 35.6% Use in month before 55.0 Drugs used at time of offense Marijuana or hashish 18.5% Cocaine/crack 15.2 Heroin 5.6 Active drug involvementb 65.5% "Based on personal interviews, 1996. bSee page 3 for definition. Estimated 1998 417,000 152,000 138,000 213,000 72,000 59,000 22,000 253,000 · An estimated 61,000 (16%) convicted jail inmates committed their offense to get money for drugs. · Two-thirds of convicted jail inmates were actively involved with drugs prior to their admission to jail. · Overall, 71 % of local jail jurisdictions reported that they had a policy to test inmates or staff for drug use in 1998. In June, a fourth of the jails tested samples from inmates. About 10% of drug tests conducted on jail inmates in June 1998 showed drug use Samples for drug tests collected from inmates during June 1998* Percent ~ 10.5% 7.6 13.6 12.7 9.6 Total Random only Indication of use only Random/indicatlon of use Combined methods .!'!u.rr1.be!: 36,215 3,776 2,904 9,190 20,344 *Multiple samples may have been collected from one Inmate. · Local jail jurisdictions with 1,000 or more inmates collected 48% of the samples for drug testing in June 1998. Seven percent of the samples from these larger jurisdictions were positìve. · Among jurisdictions that tested for drugs, 70% reported loss of privileges as the usual response to a positive test. Over half said that they take away good time. · Nearly 5 in 10 jurisdictions that test staff reported dismissal from employ- ment as the only action taken when staff test positive for drug use. · On June 30, 1998, about 92,600 jail inmates had participated in drug and alcohol programs or substance abuse treatment, including inmates who may have been enrolled in more than one program. Jails are correctional facilities operated by cities, counties, or other local authorities. Jail inmates are persons u¡.ually sentenced to a short term (QEmerally under a year) but may inQlude any detention status, such as sentenced to more than a year to be served in jail, held for State prisons due to overcrowding, awaiting trial or sentencing, or not yet arraigned. Data on drug testing and treatment in local jail jurisdictions are from the 1998 Annual Survey of Jails. A special addendum on drug testing, sanctions, and interventions was included with the standard survey questions on super- vised population and inmate counts and movements. A representative sample of 820 jail jurisdictions out of 2,890 provided information on policies for conducting drug tests on inmates and staff, criteria for selection for testing, number of positive tests for inmates, sanctions for positive test results, and substance abuse programs or treatment. (See Methodol- ogyfor sample description.) Other findings in this report are based on data from the Survey of Inmates in Local Jails, 1996. Over 6,100 inmates from 431 jails in personal interviews answered a series of questions on their current and past offense history, drug and alcohol use and treatment, family background, and conditions of confine- ment. (Data on these topics with comparison to surveys conducted in 1989 and 1983 are available in Profile of Jail Inmates, 1996, NCJ 164620). BJS surveys and special collections provide a national perspective on the prevalence of drug use and drug crimes among local jail inmates. (See adjacent box.) In 1996,82% of all jail inmates said they had used drugs at least once in their life. Among convicted jail inmates, 55% said they had used illegal drugs in the month before the offense. A quarter of jail inmates had a current drug offense, and over a quarter had a prior convic- tion for drug law violations. 2 Drug Use, Testing, and Treatment in Jails 55% of convicted jail inmates were using drugs In the month before the offense; 36% at the time of the offense · A quarter of jail inmates had a current charge or conviction for drug law violations. About 15% had a charge or conviction for drug possession and 9% for trafficking. · 30% of convicted jail inmates had been previously sentenced or incarcerated for drug possession, trafficking, or other drug offenses, compared to 21 % of unconvicted jail inmates. · About 82% of all inmates said they had ever used drugs at least once and 64% said they had used drugs regularly (that is, at least once a week for at least a month). · 18% of convicted jail inmates said they had used intravenous drugs in the past, compared to 15% of unconvicted inmates. · Nearly 1 in 6 of convicted jail inmates committed their offense to get money for drugs. Drug involvement of jail Inmates, 1996 Current drug offenses' Possession Trafficking Prior sentence for drug offensesb Percent of lail inmates All Convicted Unconvicted 25.6% 28.4% 22.1% 14.6 16.6 11.9 9.3 9.7 9.0 26.6% 29.6% 21.4% Prior drug use Ever used drugs 82.4% 84.5% 79.0% Ever used regularly" 64.2 67.2 59.8 Intravenous drug use 17.0 18.3 14.5 Used in the month before the offense '55.0' Used at time of the offense I 35.6 , Committed offense to get money for drugs 15.8% , Note: Based on the Survey of Inmates in Local Jails, 1996. Of the estimated 507,026 jail inmates in 1996,62.7% were convicted on their current offense or serving a sentence for a prior offense; 33.4% were unconvicted, awaiting trial, on trial, or not yet arraigned; and 3.9% had an unknown conviction status. 'Not reported. 'Excludes inmates for whom the offense was unknown. bExcludes inmates for whom the offense of a prior probation or incarceration was unknown. <Used drugs at least once a week for at least a month. In recent years drug testing and treat- ment have increasingly become the focus of efforts to detect and control w-ug use in jails. In assessing who ¡Should be tested and treated for drug uce, jurisdictions may consider past drug involvement or active drug involvement prior to the current admission. Jail inmates reported high levels of drug involvement On specific measures of reported past drug involvement, 64% of jail inmates had used drugs regularly, 42% had received treatment, 17% had used intravenous drugs, and 27% had a prior sentence for drug law violations. In combination, 74% of all jail inmates reported some past involvement with drugs. In the 1996 inmate survey only con- victed jail inmates were asked about the level of drug use immediately prior to the current offense. An estimated 66% of convicted jail inmates reported active involvement with drugs. For this report, active drug involvement is defined as those who had used drugs in the month before the offense (55%) or at the time of the offense (36%), committed the offense for money for drugs (16%), had received treatment since admission (13%), or had a current drug charge (26%). Nearly a third of convicted jail inmates who had been involved with drugs in the past were not using drugs in the month before the offense. Among convicted inmates about 37% said they were using marijuana or hashish a month before their offense, and 24% said they were using cocaine or crack cocaine. Actively drug-involved jail inmates younger and more likely to be black than other inmates The proportions of actively drug- involved jail inmates varied across gender, racial or ethnic groups, and age categories. Males made up the Assessing the need for testing and treatment in jails Drug use of jail Inmates, 1996 Percent of inmates 73.7% Past drug Involvement of all Inmates Includes persons who - ~ regularly used drugs in the past - received drug treatment in the past ~ may not currently use drugs regularly ~ used intravenous drugs - were sentenced for past drug offenses Active drug Involvement prior to current admission of convicted inmates Includes persons who - ~ used drugs in month before the offense ~ used drugs at the time of the offense - committed the offense for money for drugs - were sentenced for a current drug offense - had received treatment since admission 65.5% Type of drugs used by convicted jail inmates, 1996 Any Used drugs - In month At time of before offense the offense 55.0% 35.6% Marijuana or hashish 36.8% 18.5% Cocaine or crack 24.1 15.2 Heroin or opiates 8.8 5.6 Depressants" 5.9 2.4 Stimulantsb 10.4 6.1 Hallucinogens" 4.6 1.6 Inhalants 1.0 0.3 Note: Details may add to more than total because Inmates may have used more than one drug. "Depressants include barbiturates, tranquilizers, and Quaalude. ·Stimulants include amphetamine and methamphetamine. "Hallucinogens Include LSD and PCP. Selected characteristics of convicted jail inmates, 1996 Percent of convicted jail inmates Active drug involvement Other Gender Male 89.0% 91.3% Female 11.0 8.7 Race/Hispanic origin White non-Hispanic 38.2% 42.3% Black non-Hispanic 41.2 34.5 Hispanic 17.9 19.2 Other* 2.7 4.0 Age 17 or younger 1.3% 1.4% 18-24 29.0 25.9 25-29 20.3 18.2 30-34 20.2 17.4 35-44 24.6 24.4 45-54 4.2 9.2 55 or older 0.4 3.4 *Other includes Asians, Native Hawaiian or other Pacific Islanders. American Indians, and Alaska Natives. Drug Use, Testing, and Treatment in Jails 3 majority of both actively drugMinvolved and other inmates. However, women were a larger percentage of actively "'rug-involved inmates (11 %) than of ~ther inmates (9%). ,þ Black or African American inmates were 41 % of actively drug-involved inmates, compared to 35% of other inmates. Nearly equal percentages of actively drug-involved (18%) and other inmates (19%) were Hispanic. About 65% of actively drug-involved inmates were between ages 25 and 44, compared to 60% of other inmates. Inmates between 18 and 24 were 29% of actively drug-involved inmates and 26% of other inmates. Jails emphasized testing to control drug use In response to the inmates' high levels of drug involvement, many jail jurisdic~ tions have established drug testing policies to help control drug use in their facilities. In 1998 about 7 in 10 jail juris- dictions reported that they had a policy to conduct urinalysis or other tests, such as blood, hair, and saliva analysis, to determine drug use by inmates or staff (table 1). (For details on drug testing methods and proce- dures, see Integrating Drug Testing into a Pretrial Service System: 1999 Update, Bureau of Justice Assistance, NCJ 176340.) Small jurisdictions (with fewer than 50 inmates) were less likely than jurisdic- tions with 1,000 inmates or more to have a policy to conduct tests for drugs. Six in ten small jurisdictions said they tested inmates or staff for drugs, compared to 8 in 10 large juris- dictions. The size of jail jurisdiction is based on the average daily population for the 12 months ending June 30, 1998, and reported in the Annual Survey of Jails. Over a fifth of the jurisdictions said they tested inmates only, while nearly a quarter tested staff only. A quarter said they tested both inmates and staff. 4 Drug Use, Testing, and Treatment in Jails Table 1. Jail jurisdictions reporting drug testing policies, by size of ju!isdiction, 1998 Size of jurisdiction" Total Number of jurisdictions 2,890 Percent of jurisdictions with testinq policies Inmates or staff Inmates 71.1% 46.9% Staff 49.2% Fewer than 50 inmates 1,462 61.1% 37.5% 38.3% 50-99 519 80,4 57.7 51,4 100-249 473 79.0 50.3 61.0 250-499 188 86.1 65.9 67.5 500-999 125 87.0 62.6 73.2 1,000 or more 123 82.0 56.6 70.5 "Based on the average daily population between July 1,1997, and June 30,1998. See Methodology for definition of average daily population. Table 2. Criteria for selecting jail inmates for drug tests, by size of jurisdiction, 1998 Size of jurisdiction" Total Percent of iurisdictions with testinQ policies Indication All at Random of use admissions Other 48.9% 68.8% 4.7% 30.1 % Fewer than 50 inmates 40.0% 74.0% 1.8% 50-99 43.3 57.3 6.0 100-249 59.7 66.4 4.6 250-499 66.1 69,4 8.1 500-999 62.3 81.8 11.7 1,000 or more 59,4 71.0 10.1 Note: Jurisdictions may use multiple methods to test for drugs. "Based on the average daily population between July 1,1997, and June 30,1998. 19.0% 39.7 35.7 33.9 37.7 42.0 Half of all inmates were in jails that tested for drug use Relative to the average daily population, nearly 54% of all inmates (an estimated 318,100 jail inmates) were in jails that tested for illegal drug use. Four percent of the inmates subject to drug testing policies were in small jurisdictions, although these juris- dictions represented 40% of those with a policy to test inmates for drugs. All jail inmates 593,808 Jail inmates in jurisdictions that test for druas Number Percent 318,110 53.6% Size of iurisdiction" Total Fewer than 50 inmates 31,088 12,907 41.5% 50-99 35,289 19,862 56.3 100-249 73,421 37,419 50.1 250-499 64,063 42,511 66.4 500-999 87,731 55,208 62.9 1,000 or more 302,216 150,204 49.7 "Based on the average daily population between July 1,1997, and June 30,1998. In contrast, the largest jurisdictions (with 1,000 inmates or more) repre- sented 5% of jurisdictions that tested inmates and held 47% of inmates subject to drug testing. 69% of jurisdictions test inmates mainly on indication of use Jurisdictions use a variety of methods to select inmates for drug testing. All inmates in some facilities may be tested upon entry for the first time; inmates in other facilities may be selected at random after a set length of stay or at unpredictable times or may be tested upon indication of use of an illegal drug. Some jurisdictions also test all inmates upon reentry into a facility after an absence for activities such as a work release, furlough, or court visit. Table 3. Number of samples collected in jails from June 1 to June 30, 1998, and the percent positive for one or more drugs " Jail jurisdictions testinç¡ for druç¡s Samples collected ~' Percent with at least Percent Size of jurisdiction' Number one positive test Number positive Total 712 68.8% 36,215 10.5% Fewer than 50 inmates 229 62.5% 1,328 28.1% 50-99 141 65.3 2,149 20.9 100-249 146 65.5 4,855 12.3 250-499 85 77.7 4,680 8.8 500-999 59 84.8 5,983 11.4 1,000 or more 53 81.1 17,218 7.4 Note: Excludes jurisdictions that did not collect samples during June 1998. Multiple samples may have been collected from one inmate. 'Based on the average daily population between July 1, 1997, and June 3D, 1998. In 1998 over two-thirds of the jurisdic- tions selected inmates for testing on indication of use; about half selected inmates at random; and 5% had a policy to test all inmates at admission (table 2). Jurisdictions that specified other crite- ria for selecting inmates for testing (30%) generally reported that they systematically tested all offenders who returned to the facility from a temporary absence from custody. They also tested inmates when requested or required by another agency, such as the courts, probation or parole depart- ments, or medical services. Nearly 60% of jurisdictions with 100 or more inmates said they tested inmates randomly, compared to 40% of jurisdic- tions with fewer than 100 inmates. Seven in ten of both small jurisdictions and those with 1,000 or more inmates reported that they tested on indication of use. About 2% of the jurisdictions with fewer than 50 inmates, compared to 10% of those with 1,000 or more inmates, reported testing all inmates at admission. Over two-thirds of the jails that tested inmates had at least one positive test Of the jail jurisdictions that had a policy to conduct urinalysis or other tests on inmates for drug use, 712 jurisdictions collected over 36,200 samples from inmates between June 1 and June 30, 1998 (table 3). Multiple samples may have been taken from one inmate. Jurisdictions with fewer than 50 inmates collected 4% of the samples; however, they comprised about a third of the jurisdictions that tested samples for drugs. About half of the samples were collected in jurisdictions with 1,000 inmates or more. 10% oftests conducted in June 1998 were positive for one or more drugs Ten percent of the samples overall (3,800) were positive for one or more drugs. Over two-thirds of jurisdictions that tested inmates had at least one positive test, while the rate of positive tests in jurisdictions with 1,000 inmates or more (7%) was lower than that for jurisdictions with fewer than 50 inmates (28%). The percentage of tests found positive for drug use varied by testing policy. Samples that were selected on indica- tion of use only had the highest rate of positive results (14%), followed by both random or indication of use (13%). Within jurisdictions that tested only randomly, 8% of samples were positive for drugs. Criteria for testing Random only Indication of use only Random/indication of use Other combined methods Samples collected Percent Number positive 3,776 7.6% 2,904 13.6 9,190 12.7 20,344 9.6 Most jurisdictions take away inmate privileges for a positive test result Among the legal and administrative sanctions that may be imposed when inmates test positive for drugs, 70% of the jurisdictions reported that they usually take away inmates privileges, while about half said they take away good time or reclassify the offender to a higher security level (table 4). Twenty percent of the jurisdictions reported that they add time to the inmate sentence for a positive test result, compared to 39% that charge the offender with a new offense. Around a quarter of all jurisdictions said they increase drug testing after a positive test. Table 4. Sanctions imposed by jurIsdictions after Inmates test positive for drugs, 1998 Percent of jurisdictions Type of sanctions Legal sanctions Charge with offense Add time to sentence 39.3% 20.3 Administrative sanctions Loss of good time 52.2% Loss of privileges 69.9 Reclassify security level 48.9 Separation 30.0 Increased testing 25.4 Mandatory treatment 8.0 Other sanctions 19.9% Drug Use, Testing, and Treatment in Jails 5 Jail inmates were more likely to be reclassified to a higher security level in large jail jurisdictions after a positive tEiet for drugs. About 7 in 1 0 jurisdic~ tjpns with 1,000 or more inmates reclassified offenders, compared to almost 2 in 6 jurisdictions with fewer than 50 inmates. Tvpe of sanctions Reclassify Size of security jurisdiction' level Fewer than 50 inmates 34.9% 18.5% 6.9% 50-99 45.7 25.3 6.3 100-249 67.6 42.9 10.1 250-499 59.7 43.5 4.0 500-999 66.7 48.1 9.1 1,000 or more 71.0 52.2 21.7 'Based on the average daily population between July 1, 1997, and June 30, 1998. Mandatory Separation treatment with 500 to 999 inmates. Seven percent of jurisdictions with fewer than 50 inmates mãndated treatment. About 19% of small jurisdictions reported that they separate inmates from the general population after a positive test, compared to 52% of large jurisdictions. 70% of jail jurisdictions tested all staff; 20%, new employees only Drug testing policies to detect and control drug use in jails also include jail employees. About 49% of jurisdictions said they tested staff, and 47% test inmates. Among the 1,418 jail jurisdic- tions that had a policy to test staff, 70% said that all staff were subject to testing Percent of jurisdictions with testin¡¡ policies Across all jurisdictions, only a small Size of jurisdiction inmates Staff percentage said that they imposed Total 46.9% 49.2% mandatory treatment for a positive test. About 22% of larger jurisdictions Fewer than imposed mandatory treatment for 50 inmates 37.5% 38.3% 50-99 57.7 51.4 inmates who tested positive for drugs, 100-249 50.3 61.0 followed by 10% of jurisdictions with 250-499 65.9 67.5 100 to 249 inmates, and 9% of those 500-999 62.6 73.2 1 ,000 or more 56.6 70.5 Table 5. Criteria for testing jail staff for drugs, by size of jurisdiction, 1998 Percent of jurisdictions that test staff Indication All at least Siz9.of iurisdiction' Random of use once a year Other Total 63.1% 39.9% 9.0% 24.0% Fewer than 50 inmates 72.5% 36.6% 9.5% 16.3% 50-99 50.4 31.8 12.7 31.1 100-249 64.2 40.6 9.4 24.0 250-499 59.8 48.0 7.9 25.8 500-999 50.0 51.1 1.1 34.4 1,000 or more 55.8 60.5 3.5 39.5 Note: Excludes jurisdictions that did not test staff. Jurisdictions may use one or more criteria. 'Based on the average daily population between July 1, 1997, and June 30, 1998. for illegal drug use, including supervi- sors, administrative staff, corrections officers, and program or treatment personnel. A fifth of the jurisdictions tested only prospective employees as a condition of employment, and 1 % tested corrections officers only. Around 7 in 10 large jurisdictions had a policy to test staff, compared to 4 in 10 small jurisdictions. Jail jurisdictions were similar to other employers with regard to testing staff for iJlegaJ drug use. In general, employ- ers nationwide have implemented workplace drug testing programs to comply with Federal regulations or insurance requirements, to protect the organization from safety problems and costs associated with illegal drug use on the jab, or for a variety of other reasons. In the 1997 National Household Survey on Drug Abuse, 49% of employees who were working 35 hours or more a week at the time of the interview said their workplace had a drug testing program.* The survey also included prevalence estimates of drug testing in the workplace by the number of employees at an establishment. About 74% of employees at large establish- ments (500 or more employees) said their workplace had at least one type of workplace drug testing program, compared to slightly more than 28% for small establishments (24 or fewer employees). 'See, SAMHSA, The National Household Survey on Drug Abuse, Workplace Drug Testing Programs, 1997, http://www.samhsalgov/oas/ NHSDAlA-11IWrkplcPlcy2-06.htm Table 6. Sanctions Imposed on Jail staff after a positive test for drug use, by size of Jurisdiction, 1998 Percent of jurisdictions that test staff, by size of jurisdiction' Fewer than 1,000 Sanctions Totai 50 inmates 50-99 100-249 250-499 500-999 or more Dismissal 70.7% 72.2% 65.2% 72.2% 66.9% 71.1% 77.9% Temporary suspension 19.9 22.3 6.7 21.5 23.4 27.8 26.7 Continued employment with - Referral to intemal affairs or police 28.8% 19.6% 24.3% 35.8% 37.5% 37.8% 57.0% Referral to treatment 29.1 28.4 18.7 30.9 34.6 38.9 40.7 Increased urinalysis surveillance 10.9 11.8 0.4 11.1 15.0 16.9 24.4 Restrictions on Inmate contact 3.8 3.4 2.6 3.5 5.5 6.7 5.8 Other actions 8.4 5.2 11.2 7.3 17.2 7.8 11.6 Note: Excludes jurisdictions that did not test staff. Jurisdictions may im pose multiple sanctions on staff. 'Based on average dally population between July 1, 1997, and June 30, 1998. 6 Drug Use, Testing, and Treatment in Jails Most jail employees are tested at random ~out 63% of jail jurisdictions reported tlat they tested staff at random, fotlowed by 40% that tested on indica- tion of use (table 5). Nearly three- quarters of jurisdictions holding fewer than 50 inmates said that staff were selected at random for drug testing, compared to over half of jurisdictions with 1,000 or more inmates. Small jurisdictions were less likely to select staff on indication of use (37%) than large jurisdictions (61 %). Around 45% of jurisdictions said that they used a combination of criteria to select staff for testing. About 41 % selected staff at random only, and 15% selected on indication of use only. In 7 in 10 jail jurisdictions a positive test was grounds for dismissal Jurisdictions usually fired staff or did not hire prospective employees after a positive result on a test for drugs. About 71 % percent overall reported that dismissal was the usual action taken after a positive test result. Nearly half (49%) of the jurisdictions used dismissàl as the only disciplinary action for an employee who tested positive for drugs. In establishing policies to test staff or inmates for drugs, jurisdictions have adopted rules and procedures to ensure that disciplinary actions are not imposed for false positive test results or for legitimate reasons such as over- the-counter or prescription medica- tions that can cause a positive test. Drug testing procedures generally include chain of custody documenta- tion, a confirmation test after the initial positive test, drug cut-off levels for positive or negative results, and a medical review to certify that testing procedures were followed. During the review and confirmation process, sanctions may be imposed while an employee continues working. Among the sanctions that permitted jail staff to continue working after a positive test for drugs, about 4% of jurisdictions said they allowed staff to continue to work with restrictions on contact with inmates. An equal percentage (29%) said they referred staff either to internal affairs or the police or to substance abuse treatment (table 6). About 11 % increased drug testing of staff after a positive test. Over half of the jurisdictions with 1,000 or more inmates said they referred employees to internal affairs or police after a positive test for drugs, com- pared to nearly a fifth of small jurisdic- tions. About 3 in 8 jurisdictions in each category between 100 and 999 inmates said they referred staff for legal actions after a positive drug test. Across all jurisdictions, a larger percentage said they referred staff to treatment after a positive test than required mandatory treatment for inmates. About 41 % of large jurisdic- tions and 28% of small jurisdictions referred staff to treatment. Except juris- dictions with 1,000 inmates or more, around 10% or less in each size category mandated treatment for inmates. Table 7. Substance abuse treatment or programs in local jails, by size of jurisdiction, 1998 Percent of jurisdictions with treatment or programs by size of jurisdiction * Fewer than 1,000 or Type of treatment Total 50 inmates 50-99 100-249 250-499 500-999 more Any treatment or program 72.8% 63.2% 75.0% 83.9% 91.0% 91.9% 90.2% Substance abuse treatment" 42.8% 33.5% 38.7% 53.3% 62.2% 70.2% 73.8% Detoxification 32.1 26.0 26.2 39.7 48.1 51.2 56.6 Other programs· 67.5% 57.3% 70.1% 77.0% 87.8% 88.0% 89.4% Education or awareness 29.6 20.2 30.0 32.0 46.8 61.8 72.1 Self-help programs 63.7 52.1 67.8 73.5 86.2 87.8 88.5 Note: Jurisdictions may have more than one program. *Based on the average daily population between July 1,1997, and June 30,1998. 'Includes residential facilities, detoxification units, professional group or Individual counseling, rehabilitation, and maintenance drug programs. "Includes drug or alcohol education or awareness programs, self-help groups, such as Alcoholics Anonymous and Narcotics Anonymous, and other peer counseling groups. Drug Use, Testing, and Treatment in Jails 7 Self-help programs like Alcoholics Anonymous or Narcotics Anonymous common in jails .. Although jurisdictions were unlikely to mëWIdate treatment for inmates after a positive drug test, almost three- quarters provided substance abuse treatment or other programs for their inmates (table 7). Substance abuse treatment includes detoxification, professional counseling, a residential stay, or maintenance drug programs. Other programs include Alcoholics Anonymous (AA), Narcotics Anony- mous (NA), and other self-help groups, and drug or alcohol education or awareness. About 43% of jurisdictions provided substance abuse treatment, while 68% provided other programs. Within the specific types of substance abuse programs provided in jails, self~help groups (such as AA, NA, and other peer group counseling) were the most common (64%). About 30% had education or awareness programs. Overall, 12% of jail jurisdictions provided all types of programs and treatment, and about 22% had only AA, NA, or other self-help programs. Smaller jurisdictions were less likely to have substance abuse treatment or programs than larger jurisdictions. About 63% of jurisdictions with fewer than 50 inmates had some type of treatment or program. About 26% of jurisdictions with fewer than 50 inmates and of those with 50 to 99 inmates had a detoxification unit. These jurisdic- tions primarily had self~help groups, 52% and 68%, respectively. About 90% of jurisdictions that held 250 or more inmates provided some type of treatment or program. Over half of large jurisdictions had a detoxifi- cation unit. Seven in ten jurisdictions with 1,000 or more inmates provided education or awareness, and 8 in 10 provided self-help groups. 8 Drug Use, Testing, and Treatment in Jails Table 8. Substance abuse treatment history of jail inmates, by reported ptior drug use, 1996 All jail inmates Convicted iail inmates used- In month At time Ever used before of Type of treatment Ever used r~ularly" offense offense Any treatment or program" 51.4% 55.7% 58.3% 61.4% Participated while under 43.7% 46.6% correctional supervision 35.1% 38.7% In prison/jail 25.2 28.4 31.7 34.3 On probation/parole 23.4 26.2 30.3 32.8 Participated since admission 12.5% 14.0% 16.9% 19.0% Any treatment" 3.9 4.7 5.5 6.9 Detoxification 0.9 1.0 1.0 1.4 Special facility 1.9 2.3 3.0 3.9 Counseling 1.4 1.7 2.2 2.5 Other programs· 10.8% 12.0% 14.6% 16.0% Self-help 9.3 10.4 12.5 13.7 Education or awareness 3.8 4.5 5.5 6.5 Note: Details add to more than total because inmates may have participated in more than one type of program. "Regularly is defined as once a week for at least a month. "Includes alcohol or drug treatment or programs. <Includes detoxification units, professional group or Individual counseling, rehabilitation, and maintenance drug programs. ·Includes drug or alcohol education or awareness programs, self-help programs, such as Alcoholics Anonymous and Narcotics Anonymous. and other peer counseling groups. Large jails had three-quarters of the total capacity for substance abuse treatment In the Annual Survey of Jails, jurisdic- tions were asked to report the capacity for substance abuse treatment, includ- ing detoxification, professional counsel- ing, rehabilitation, and maintenance drug programs. About 10% or 282 jurisdictions reported that they had the capacity to provide substance abuse treatment. Nearly three-quarters of the reported capacity was in jurisdictions with 500 or more inmates. 92,600 inmates participated in dr ug or alcohol programs or treatment As of June 30, 1998, an estimated 92,600 inmates had participated in substance abuse treatment or programs. This included 42,100 in AA, NA. or other self-help groups, 27,000 in drug or alcohol education or awareness, 2,100 in detoxification, and 21,400 in other substance abuse treat- ment. Inmates may have been in more than one program. 61 % of inmates who had used drugs at the time of the offense had received treatment in the past Based on self-reported information in the jail inmates survey, over half of jail inmates who said they had ever used drugs and those who used regularly had participated in substance abuse treatment or programs in the past (table 8). Among convicted inmates 58% of those who had used drugs in the month before the offense and 61 % of those who had used drugs at the time of the offense had participated in substance abuse treatment or programs. Overall, an estimated 10% of jail inmates said they had participated in substance abuse treatment or wograms since their admission to jail. úf jail inmates who had ever used df( gs or had ever used them regularly, 13% and 14%, respectively, had participated in substance abuse treat- ment or programs since admission. About 17% of inmates who had used in the month before the offense had participated since admission. Around 19% of jail inmates who had used drugs at the time of the offense had participated in substance abuse treat- ment or programs. Self-help programs were the most common activity since admission (around 13%) for each category of convicted jail inmates. Among all jail inmates who had ever used drugs or used regularly, 10% or fewer had participated in self-help programs. A small percentage of jail inmates who had ever used drugs or used regularly (4%) had received substance abuse treatment since admission. Around 7% of convicted jail inmates who were using drugs at the time of the offense and 6% who had used drugs in the month before the offense had partici- pated in substance abuse treatment. Among convicted jail inmates who were actively involved with drugs prior to their admission to jail, 20% had participated in substance abuse treat- ment or programs since admission, Criminal history profile of actively drug-involved jail inmates 72% of co';victed jail inmates who had an active involvement in drugs were on criminal justice status at arrest Percent of convicted iail inmates Active drug involvement" Other Status at arrest None Status On parole" On probation Pretrial Bail/bond Escape 27.8% 41.2% 71.8 58.1 19.3 10.9 44.1 39.6 4.7 5.1 15.1 11.6 1.4 0.6 -About 20% of actively drug. involved offenders were on parole; 44% were on probation prior to their current admission to jail. - 8 in 10 actively drug-involved offenders had a prior offense or sentence to incarceration, compared to 7 in 10 other offenders. - Over a third of actively drug- involved jail inmates had been convicted of a violent crime in the past, while about 13% had only prior drug sentences. · Over half of drug-involved jail inmates had served three or more sentences to probation or incarceration. - 21 % of actively drug-involved offenders were sentenced to served time in prison, compared to 15% of other offenders. · Actively drug-involved offenders who were sentenced to jail had a median sentence of 11 months, compared to 6 months for other offenders. Criminal history None 19.5% Priors 80.5 iolent recidivists 35.2 Drug recidivists only 12.7 27.9% 72.1 35.5 0.0 Number of prior sentences to probation or Incarceration o 13.3% 1 19.9 2 12.4 3-5 23.1 6-10 18.9 11 or more 12.4 18.3% 23.9 14.7 20.9 16.0 6.2 Location to serve current sentence Prison Jail 20.9% 57.6 15.1% 69.1 Median maximum sentence Prison Jail 60mos. 11 60mos. 6 Note: Based on self-reported data in the Survey of Inmates in Local Jails, 1996. Data on convicted jail inmates only. "Includes Jail inmates who used drugs in the month before the offense, had a current drug offense, committed the offense for money for drugs, or had received treatment since admission to jail. "Includes mandatory supervised release. Drug Use, Testing, and Treatment in Jails 9 Methodology Survey of Inmates in Local Jails . The 1996 Survey of Inmates in Local Jails was conducted from October 1995 through March 1996 in personal interviews with 6,133 inmates. Similar surveys of jail inmates were conducted in 1972, 1978, 1983, and 1989. The sample for the 1996 survey design was a stratified two-stage selection from a universe of 3,328 jails. In the first stage, six separate strata were formed based on the size of the male and female populations. In two strata all jails were selected - those jails housing only females and those with more than 1,000 males or more than 50 females or both. In the remaining four strata, each jail within a stratum had an equal probabil- ity of selection in the sample. Overall, 462 jails were selected. Interviews were conducted in 431 jails; 19 refused, 8 were closed, and 4 were on the universe list in error. In the second sampling stage, inter- viewers visited each selected facility and systematièally selected a sample of male and female inmates using predetermined procedures. Approxi- mately 1 in every 100 males were selected in 4 strata, and 1 in 83 in the male stratum. Depending on the stratum, 1 in 50, 25, 24, or 21 females were selected. Estimates from the 1996 Survey of Inmates in Local Jails are affected by sampling and measurement errors. Sampling error may occur by chance because a sample rather than a complete enumeration of the popula- tion was conducted. Measurement error can be attributed to nonresponse, differences in the interpretation of questions among inmates, recall diffi- culties, and processing errors. In any survey the full extent of the measure- ment error is never known. Estimates of the standard errors for jail inmates identified as drug-involved have been calculated for the 1996 survey of jail inmates (see appendix Appendix table 1. Standard error estimation for measures of drug involvement of Jail inmates, 1996 Standard errors for estimated percentaQes All jail inmates Convicted Unconvicted Current drug offense Possession 0.54% 0.72% 0.86% Trafficking 0.45 0.55 0.81 Prior drug offense 0.71% 0.89% 1.13% Prior drug use Ever used drugs 0.59% 0.71% 1.06% Ever used regularly 0.74 0.90 1.32 Intravenous drug use 0.60 0.77 0.95 Used in the month before 0.95 Used at the time of the offense 0.89 Committed offense to get money for drugs 0.70% ...Not applicable. 10 Drug Use, Testing, and Treatment in Jails tables 1 and 2). These standard errors may be used to construct confidence intervals around percentages. For example. the 95% confidence interval around the percentage of convicted jail inmates who had active involvement with drugs is approximately 65.5% plus or minus 1.96 times 0.90% (or 63.7% to 67.3%). Percent of jail inmates Drug-involved in past 73.7 Actively drug-involved· 65.5 ·Convicted inmates only. Standard error 0.68% 0.90 Appendix table 2. Standard errors for selected characteristics of drug- involved Jail inmates, 1996 Standard errors for estimated percentages Selected Active drug characteristics involvement Other Male/female 0.47% 0.50% Race/Hispanic origin White non-Hispanic 1.56% 2.02% Black non-Hispanic 1.52 1.96 Hispanic 1.01 1.39 Other 0.42 0.79 Age 17 or younger 0.30% 0.41% 18-24 1.05 1.43 25-29 0.88 1.21 30·34 0.93 1.17 35-44 1.00 1.36 45-54 0.45 0.94 55 or older 0.13 0.58 Status at arrest None 1.07% 1.57% On parole 0.96 0.99 On probation 1.23 1.60 Pretrial 0.47 0.74 Baillbond 0.84 0.99 Escape 0.26 0.24 Criminal history None 0.94% 1.41% Priors 1.16 1.55 lolent recidivists 1.19 1.69 Drug recidivists only 0.45 Number of prIor sentences to probation or Incarceration 0 0.79% 1.21% 1 0.94 1.38 2 0.73 1.18 3-5 1.00 1.21 6-10 0.94 1.21 11 or more 0.74 0.77 ...Not applicable. These standard errors may also be used to test the statistical significance of the difference between two sample -i.tatistics by pooling the standard .errors of the two sample estimates. Ftlr example, the standard error of the difference between actively drug- involved inmates on criminal justice status and other inmates would be 1.90% (or the square root of the sum of the squared standard errors for each group). The difference would be 1.96 times 1.90 (or 3.72%). Since the observed difference of 13.7% (71.8 minus 58.1%) isgreater than 3.72%, the difference would be considered statistically significant. Annual Survey of Jails (ASJ) Since 1982 the Annual Survey of Jails has provided baseline data to estimate characteristics of the Nation's jails and jail inmates. The reference date for the 1998 survey was June 30. A represen- tative sample of jails was based on information from the 1993 Census of jails. The sample included jails in 795 jail jurisdictioñs and 25 multi- jurisdiction jails. Ajurisdiction is a county (parish in Louisiana) or municipal government that administers one or more local jails. A multi-jurisdiction jail is one in which two or more jurisdictions have a formal agreement to operate the facility. All of the multi-jurisdiction jails were included in the survey. The remaining jurisdictions were stratified into two groups: jurisdictions with jails author- ized to hold juveniles and jurisdictions with jails holding adults only. All jails in 204 jurisdictions were included in the survey if in 1993 the jurisdiction held juveniles and had an average daily population of 250 or more inmates, or if it held only adults and had an average daily population of 500 or more. The other jurisdictions (591) were selected based on stratified probability sampling. The average daily popula- tion is the sum of the number of inmates in jail each day for a year, divided by the number of days in the year. Data were obtained by mailed questionnaires. After followup telephone calls to non respondents, the response rate for the survey was 100%. Estimates based on data from the Annual Survey of Jails have associated sampling errors. The estimated relative sampling error for the number of jurisdictions that had a policy to test inmates on June 30,1998. was 2.23% and for staff 2.22% (see appendix table 3). Appendix table 3. Standard error estimation for measures of drug testing and treatment in jail jurisdictions, 1998 Standard errors for estimated percenta!1es Percent of jurisdictions testin!1 Method of testin!1 inmates Method of testin!1 staff On indication All at On indication All at least Size of iurisdictlon Inmates Staff Random of use admission Random of use once a year Total 2.23% 2.22% 1.73% 2.07% 0.44% 2.85% 2.88% 1.90% Fewer than 50 Inmates 3.69% 3.70% 2.73% 3.41% 0.61% 5.44% 5.86% 3.52% 50-99 5.46 5.45 4.64 5.28 1.67 7.80 7.24 5.62 100-249 3.83 3.68 3.48 3.51 0.51 4.60 4.79 3.33 250499 2.33 2.63 2.66 2.53 0.53 2.79 2.82 1.35 500-999 1.19 1.56 1.41 1.36 0.45 1.23 1.20 0.03 1,000 or more 4.20 5.23 2.49 2.99 0.43 0.20 0.18 0.02 Drug Use, Testing, and Treatment in Jails 11 The Bureau of Justice Statistics is the statistical agency of the U.S. Department of Justice. JSn M. Chaiken, Ph.D., is director. ¡ B13 Special Reports address a specific topic in depth from one or more datasets that cover many topics. This Special Report presents the findings from 1998 Annual Survey of Jails with a special addendum on drug testing and treatment. Doris James Wilson wrote this report under the supervision of Allen J. Beck. Paula M. Ditton provided statistical review. Tom Hester edited the report. Jayne Robinsop administered final production. Data collection and processing for the Annual Survey of Jails were carried out by Lisa McNelis, with assistance from Henrietta Herrin, Martha Greene, and Duane Cavenaugh, under the supervision of Stephanie Brown, Governments Division, U.S. Census Bureau. May 2000. NCJ 179999 U.S. Department of Justice Office of Justice Programs Bureau of Justice Statistics Washington, DC 20531 Official Business Penalty for Private Use $300 12 Drug Use, Testing, and Treatment in Jails The primary sources of data for tables presented in this report are the Annual Survey of Jails, 1998, and the Survey of Inmates in Local Jails, 1996. Data can be obtained from the archive through 1-800-999-0960 or http://www.icpsr.umich.edu/ NACJD/home.html The archive may also be accessed through the BJS website, where the report, data, and supporting docu- mentation are available: http://www.ojp.usdoj.gov/bjs/ PRESORTED STANDARD MAIL POSTAGE & FEES PAID DOJ/BJS Permit No. G-91 JEFFERSON COUNTY HEALTH AND HUMAN SERVICES ENVIRONMENTAL HEALTH DIVISION POLICY STATEMENT NUMBER 01~01 PROGRAM: Wastewater SUBJECT: Design Standards for Site Constructed Elevated Fixed Media Filter Vessels PURPOSE: Elevated containment vessels are subject to significant internal loads and stresses. Internal loading must be considered in the system design in order to assure the structural integrity of the vessel and to minimize the risk of vessel failure with consequent treatment system malfunction. APPLICABILITY: This policy applies to any fixed media filter containment vessel intended to be installed above natural grade that is site designed and constructed, including but not limited to elevated sand filters and Glendon Biolfiltors. POLICY STATEMENT: Site designed and onsite constructed containment vessels for elevated fixed media filters shall be designed and constructed so that the vessel will remain within original design tolerances and vessel failure will not be a limiting factor in the useful life of the onsite sewage system. Designs for elevated containment vessels shall be prepared by a professional engineer licensed to practice in Washington State and shall bear the stamp of the design engineer. In the absence of any other longer standard, the useful life of the system shall mean a minimum of twenty (20) years in use. This policy shall become effective on the date of adoption by the Jefferson County Board of Health and shall remain in effect unless modified or repealed by the Board. ~ -ß-Q -~ Health Officer ~t'$J (el Date ~ti::;~ Chairperson, Board 0 Health ,/ - It'.. ò / Date \\Healthserver\home\env _health\larry\My Documents\BOH Agenda\ Wastewater - Design standards for Site Construction.doc 12/13/00 I I .... '- ~ " l .. MEMORANDUM TO: Jefferson County Board of Health FROM: Larry Fay Environmental Health Director DATE: January 11,2001 RE: Draft Policy Statement - Fixed Media Filter Vessels The enclosed draft has been submitted with no changes fìom the first draft. The essential question raised by the Board in December had to do with the use of pressure treated lumber to fìame a vessel and whether 20 years is a reasonable life expectancy for treated wood in the soil environment. Staffhas had an opportunity to discuss this issue with representatives of the wood products industry. In short, the representative was able to confirm that the industry has a rating system for treated wood products and that there are products rated for soil contact that will perform for more than 20 years. · """"" ... JEFFERSON COUNTY HEALTH AND HUMAN SERVICES ENVIRONMENTAL HEALTH DIVISION. " l ,. POLICY STATEMENT NUMBER PROGRAM: Wastewater SUBJECT: Design Standards for Site Constructed Elevated Fixed Media Filter Vessels PURPOSE: Elevated containment vessels are subject to significant internal loads and stresses. Internal loading must be considered in the system design in order to assure the structural integrity of the vessel and to minimize the risk of vessel failure with consequent treatment system malfunction. APPLICABILITY: This policy applies to any fixed media filter containment vessel intended to be installed above natural grade that is site designed and constructed, including but not limited to elevated sand filters and Glendon Biolfiltors. POLICY STATEMENT: Site designed and onsite constructed containment vessels for elevated fixed media filters shall be designed and constructed so that the vessel will remain within original design tolerances and vessel failure will not be a limiting factor in the useful life ofthe onsite sewage system. Designs for elevated containment vessels shall be prepared by a professional engineer licensed to practice in Washington State and shall bear the stamp of the design engineer. In the absence of any other longer standard, the useful life of the system shall mean a minimum of twenty (20) years in use. This policy shall become effective on the date of adoption by the Jefferson County Board of Health and shall remain in effect unless modified or repealed by the Board. Health Officer Date Chairperson, Board of Health Date \\Healthserver\home\env _health\larry\My Documents\sewage\Wastewater - Design standards for Site Construction.doc 12/13/00 · .~,,". ,~_:_,.,..:...~ ~,~ Larry Fay From: Sent: To: .. Subject: l J John Scott Fleming. P.E. Usfeng@olypen.com] Wednesday, January 10,.. 2001 6:38 PM Larry Fay Re: Draft Vessel Standards policy ~ J$F Revisions to Wastewater - ... This is very simpler easy to understand, concise, easy to follow and design to, for all cases that I can think of. The engineer determines the loads, then designs a structure to resist them and retain shape for 20 years under normal operating conditions. I suggested changing a Will to a Shall in the attachment. You do not hold the engineer to conform to any rigid standards or codes, allowing flexibility. Some relevant design elements: Static dead loads, dry and wet. Live loads. Dynamic loads, earthquake analysis, liquefaction. Specify material type. Specify compaction of earth fill. Set sampling spacing for compaction testing. If concrete, specify site preparation, reinforcement, concrete mixture, compressive strength, whether test cylinders will be used. Good job. JSF ----- Original Message ----- From: "Larry Fay" <lfay@co.jefferson.wa.us> To: <jsfeng@olypen.com> Sent: Wednesday, January 10, 2001 11:39 AM Subject: Draft Vessel Standards policy > > Hello John, > > Attached is a copy of the draft vessel construction standards policy that I > have in front of the BOH next week. If you have a minute, can you take a > look at it? I would like to know if it is clear enough for you as an > engineer to know what we want. I am trying to set a performance standard > rather than a proscriptive approach. Under this policy you could construct > an bottomless sand filter with a tqmped earth berm provided you as the > designer will certify that at will stand up. > > Larry > > «Wastewater - Design standards for Site Construction. doc» > 1 " ¡ .. JEFFERSON COUNTY HEALTH AND HUMAN SERVICES ENVIRONMENTAL HEALTH DIVISION POLICY STATEMENT PROGRAM - On~site Sewage Disposal SUBJECT - Review of Building Permit Applications Effective this date the following procedure shall be adopted concerning review of building permit applications on properties where there is an existing onsite sewage system. PURPOSE Applications for building permits for properties selVed by on-site sewage systems shall be approved only when the on-site sewage system has adequate hydraulic and treatment capacity to accommodate the proposed construction and an adequate repair area is available. APPLICABILITY This policy applies to building permit applications for new structures that contain plumbing; ramadal£: :ldditians, alterations or remodels to existing structures that contain plumbing; and structures not containing plumbing when the placement of that structure may interfere with the performance of an existing onsite system or the ability to replace the existing system. I. Building permit applications shall include an accurate, to scale, record of the site. The record shall show locations of existing and proposed buildings, driveways, wells, water lines, surface water, significant land features (steep slopes, drainage swales, rock outcrops) as well as the location of septic system components and reserve/repair area. When the onsite sewage system has not been installed, the locations of components shall be shown as portrayed on the approved design. II. Where there is sufficient information contained within the onsite sewage system permit file to verify all of the fallawinq: A. Tthat the system has adequate hydraulic capacity, and B. The site has a designated reselVe, and C. Aadequate vertical separation, then the building permit may be issued. Generally, this means any system that was permitted after July 1, 1983, and received approval from Environmental Health to cover or received a final inspection, will be considered to be valid, except, that Draft Policy Review of Building Pennit Applications page 1 of ¥ ... ¡ .. those sites that do not have a dedicated reserve area established will be required to identify a reserve area that complies with the onsite code in effect at the time of the building permit application before a building permit will be issued. III. Where there is a record of a permit having been issued and the system received final approval or was given approval to cover by Environmental Health, but there is insufficient information in the file to verify vertical separation or horizontal setbacks, an assessment of the onsite sewage system shall be required. System assessment may be performed by the Environmental Health Division, a licensed Designer or Professional Engineer licensed in Washington. A. All system assessments shall be submitted by the proponent to Environmental Health, shall include the following information on a plot plan to scale, be submitted on forms approved by Environmental Health and submit fees for review. 1. Location of the septic tank and pump chamber (if present). 2. Location of the distribution box or beginning of the drainfield/distribution system. 3. Length, width and depth of drainfield/distribution system. 4. Depth of usable soil to restrictive horizon (compaction or water table). 5. Soils information to assess a reserve/repair area. A minimum of two (2) soil logs shall be provided in the designated area. 6. Location and source of drinking water supply. 7. Location of structures, driveways, surface waters and drainage ditches. The plot plan shall include at least two (2) property lines as reference for the onsite sewaqe system. B. Where the site inspection verifies the followinçr 1. Tthat there is adequate hydraulic capacity, and 2. Horizontal setbacks conform to those established in Table I, WAC 246~ 272 and _3. There is sufficient area and soil for a conforming reserve area and 4. A minimum of three feet of vertical separation then aR4 vortic:) Cop3r3tion is less th3n throG feet, but gre3ter th3n one foot, -the building permit may be issued. C. Where the site inspection verifies 81, 2, and 3. And vertical separation is less than three feet but qreater than one foot the buildinq permit may be issued conditioned upon an annual monitoring inspection schedule. The applicant/owner shall be required to enter into a monitorinq contract and acknowledqement of the conditions of buildinq permit approval which may include upqradinq the onsite sewaqe system as noted in # 4 below. The annual monitoring inspection shall include a winter water table determination Draft Policy Review of Building Permit Applications page 2 of 44 (during J::JnU3I)' or February) in addition to the standard monitoring schedule. Winter water table monitoring sñall be conducted in the following manner: ~ ; .. 1. Install two (2) monitoring ports on the contour and in the vicinity of the drainfield system to a depth of three (3) feet below the bottom of the drainfield. 2. The owner shall enter into a monitoring contract with an approved monitoring entity to monitor the vertical separation of ground water to the bottom of the system. 3. The system shall be monitored annually during the month of January or February (the wet season) 4. A minimum of 12" of vertical separation shall be required. If a system does not have 12" of vertical separation repair /upgrade to the system shall be required within 2 years unless surfacing sewage is present in which case repair is required within 90 days. (owner m3}' instaf.! curtaIn dmjn or mako othor sito improvemonts ::md koop monitoring) D. Where the site inspection verifies that B. 1. 2 or 3 are inadequate and/or vertical separation is less than 12" then... a permit to repair/upqrade the system shall be required prior to issuance of the buildinq permit. IV. Non-residential structures that contain no plumbing shall be reviewed as follows: A. Lots of five acres or less -An accurate record shall be established of the site and the existing onsite sewage system components, and a reserve/repair area that complies with the code in effect at the time of the building permit application will be evaluated. Record of the site and existing system shall meet the standards of III.A. 1 - 7. B. Lots greater than 5 acres where there is a permit on record and no critical areas or surface waters exist within 200' of the onsite sewage system area shall receive an administrative/office review of the plot plan submitted. If the plan indicates no interference with the system and a reserve area can be designated on the plot plan the building permit may be approved. A field inspection may be required if it is determined to be necessary, based on best professional judgement, to protect public health. C. Lots greater than 5 acres where there is no permit record on file, or there is a permit record on file, and critical areas or surface waters exist within 200' of the onsite sewage system area, shall provide an accurate record of the following: 1. Location of the septic tank 2. Location and source of drinking water 3. Identify a reserve/repair area as described in III.A. 5. Draft Policy Review of Building Permit Applications page 3 of ~ ~ I ,. IV. These procedures shall not be"used to assess unpermitted systems that were installed since 1970 when an onsite sewage permit was required. These systems were installed in violation of state and local codes and shall meet all onsite sewage code requirements at the time of building permit application. V. Approval will not be granted for a building permit where a failure of the onsite sewage system is identified until an appropriate repair is permitted for the site. V. This policy shall become effective on the date of adoption and remain in effect until amended or repealed by action of the Jefferson County Board of Health. Health Officer Date Chairman of the Board of Health Date H:\env_health\linda\gd\onsiteord\building permit application review3 Draft Policy Review of Building Permit Applications page 4 of ~4 "'. , . .. Jefferson County Health and Human Services DECEMBER 2000 NEWS ARTICLES These issues and more are brought to you every month as a collection of news stories regarding Jefferson County Health and Human Services and its program for the public: 1. "The domestic Peace Corps" - P.T. LEADER, December 20,2000 2. "Plenty of vaccine as flu season arrives here" ~ Peninsula Daily News, December 29,2000 3. "Flu vaccine still available" - P.T. LEADER, January 3,2001 " ;L..\'.'., ' r¡f'.:"·~ :·:rff~<q::, ..,'. ....\.\,,~ \\d,,,II\·: I' J I.l·,llJt'l.l\/I ,"" ~ . - ----,----- - - .,.._,---,- Alt:o. C¡¡ cnO.u' H h" Obl(U.ilfll':o. H ~,y 'II: ,'"'I.HH'L.. H lu·11 .-,----.,-.-.-....---..- - \ 1:-'llur \'~b~1h.': ~)ì)' I'pl~·,I\-nlli:O'U'iI.\.'Um The domestic Peace Corps Two local graduates join Americorps in Jefferson County Am<:ri( 'orps. hy ils very lilk. suggests thaI Iho$<;' who serve in Ihe k(kral wurk program travel f~r from home. And although AmenCorps is Pn,'sldem Bill Chnton's domeslK version of the intenwlional Peace Corps. thai assessment doe. nOI hold Irue in Jefferson Coullly. The IWO members currently serving here are duing so in their own communities. ROlh KalrinJ Eggen and Megan Tilus grew up in this counly and decided to stay after their recent gradual ions from high school. They are twO of the 40,000 Americans who volunteer each year in intenslvt', results-dnven service through AmeriCorps. Nationwide proJecls Include teaching children tu read, building affordable homes, and responding to natural disasters. In Jefferson County, Ihese Iwo AmeriCorps membt'rs join in communily health and conservalion efforts, and twu mort' are recruited each spring by the Port Tu\.\nsend MJnne Science Center. Both Eggen Jnd Titus receive living stipends and medical benefits and are expected 10 work 40 hours per week. One year of AmeriCorps service qualifies each for an education award of $4,725, to help tinance college or to pay back student loans. Through tl'M!! Arn~¡CQrp\ program, Katrln.a Eggert. 19, brings he.h"h education ~es to students in NIt' nattve Pan Town..n<t_ Here $he Oln!j f3e,h Q;jIubnèr (Ien). on!!! Ollhe Mar Vista !iiUJðents in i!II weekly "c:ornmunity buHding" clilU, In a dil~cl,J$$IOn 01 ~uÞ$t.< nçe ijbt,.Jse with.lil Jetlerson County Heal~h ;¡Ina Hum.an Service!. health èdl)Ç,IUor, PhQrO$ /;Iy Shelly Te$tet"miln Eggert: Community health mentorship 8y S.ht=lIy Testerman Lt~dt'f ~t.att Writ@1" -- Kalnna. Eggen IS, a 1999 graduate of Port Townsend HIgh Sçhool ood plo" 10 oppty 10 Ih< Emity Corr 011 ,çhool In Vancouver, B,C.. for (he fall quane-I" of 2001. She say!. (he timing of her II-month AmeriCorp$ commi1menl work~d oul pertee-Ily, and ¡he schol:HShip provided will assist hc;r fu!urt: s.rtJdi~s. "( JUSI applied and crossed my fingers," said Eggcn. ··It \Alas spur of (h<: momenl, but II was really whu I was lookIng for," Th~ I~.y~ar.old ¡5 ¡he scçond .~mc=riCorps volun- (~cr hlr~d by Jeffcrson Counly Hcailh .1nd Human Se-rvlc~s to serve as a h~allh t:ducallon program assls- lant. Lh[ year's volunltl:r ""'as N;Hhan Hamm, a POri TOI,I,'n..t:nJ High S¡:;hQo! .:t!umnus \!Io'ho :-ie-tlicd afl("r gradu;\(IJlI!. (tom Whitman Collcg~. Eg~~¡1 repone=d to work al the- h¡:¡¡.ilh depanml!;nl Oct. and \L'lOn rt..iliz(;d sh~ l,I,'ol.dd b¡: (.:ormJeted one of Ih~ slaff H~r rI\~nIOf, h~Jllh CdU!';illor K~III~ Ka.gan, Ins sl~ Egg~rI rl;;ï~r 10 Ih:r .t:-i UJ çoJlI!:\g.Ut" rather Ih;¡n "[he b05>s . Th!;': ¡WI) hild ~t 11:111 ~.o I(lllng local bUSln.:=~~t":o. on Hi.I\(o....."~-n In ~()..(um.:=, uf lOUr"!'" - I\~( t!(lniitI\Hl.... ¡i [he S H A K E p(\I~r'lf1\ Thl... 1'-, on!,: of b.~¡;;cr!·~ prllT';!ry µto t=l'I:o. .Iod \.rnbi>dl~:-' ]lI~( (lfl!." of [lit: ""loll... ill ,H:t~lnym:"o" ~11\' ha.,; ¡JL"'(,.\J~.:r..:d wtHk ...or ,,:lll~ 111 !!.iIVl.:flll1ll·!\! SH -\/J: t-: (S,.lrl Hf.'lrln~ ,\dl)k"l'l'nt ~ ¡{(',Il h .-..11. h nlhn, is a (~en pf1::gnancy prevention p..ogram aC Blue ti~ro 'l Middle School (or which Eggcn is ~c:ruÎung 6th-gradcn. She plan5 the fun activities -like completing a ro~s course or learn· ing African drum"ung - ¡hat hdp you'hs d".lop h..hhy deci!ion~makin8 and social skilll_ Eggen is thrill~d to ~ panicipating in ~hi$ risk. manage-ment research program funded by thl; Univer5ily of Washinglon. Her sccond projecl involve!. tobacco awareness, edu- cating aboul the dangers of secondhand s.mok.e, 'ï'm working very hard," $ays Eggen. "H¡t.rdt:t Ihan I ever have before." She considet"s her AmcriCorps experi- ence to b~ an inlcnsc mentorshíp - one for which she IS paid, "so it's o «oily good d.ol." 'ït's very new for me becau:!:\! I·....e ncver had Ihe' 9-10-5 Job:' "y' Egg<rI. ·'It's. a lot of preparing mc=:nlall~. too:' More: oflc:=n Ihan not. s.he fm<.J:s ht:r~t:H thinking abolll her social wOtk t:'Y'~n afler the work day has ended, For a young person wi¡h a background In se.r....lce work and u:ambuilding bUI nol muçh in Iht: way of ~tH:¡¡¡1 senl'\ces, Iht job ha~ bet:n t:nlighlening In more W¡¡y:li Ihan one. A(te( years of puhl1¡; s¡;hooliog. Eggt:rI hi.l~ dlsco,,(:r('d Ihal ~he- I~ J~flnlldy II h~nd.'i·on I~arnc=:(. '·Rouk. :';ludYII1~, I rt:a.lly Juo·t gC-i mu¡;h \H. I or II h JU:->I gO(;~ 10 one: CM ;\l1t! OUI Ih(' olh~r." ~h~ ""I y:'i , Am~rlC()rp~ hils pruvlJeJ her wlih ¡J'~ ~IVenll(' fur ~u,:llon, ·'11\ "It.:~ \t) b~ ;:¡ble: Hlloo '¡' ,II !I Id.¡.\.· II \¡ .L Ic:lfnll\~ oppOI'lUlllly ItJ I1llllJ \111." Eg.~ctl '.~y..; "I'm working very hard. Harder than I ever have before:' Katrina Eg9ert AmeriCorps volunte-el' eH~r'Son County Health and Human Set-v1(e1 ~64 D e:lZ- 1"2--' 20 - C() Mlt"Qan T1tu$, '8, wades Into Chlmac:um Ct~k In her wQf"k wllh th@' ~ff~rson County Con$l!!r'Vatlon District ~ AmeriCOl"p$ vOlynleer says growing up on a Qullceoe liinn eft4lble5 her to CQnnect with rile fanners tsrge1i11'O for im~l¡ng local wale' quality. Titus: Conservation field By Shelly T~nerman l~d~ Stan wri(ø Megan lilus grew up On a. farm I.n Quilccme and ~membcrs wh/=I\ ~M- finc came into contact with the Jeffe.rson County Conservation Disa-tC;I, '!hey Cil.m~ oul and fenced off our !ìrream so the canle couldn'l gel in," sh~ r~calls. y¡:;u-::¡ h:'I.IC=(. , Aside from [híU. the 18.ycar-old had no prC:VIOus e.(,~nc:ncc In ¡he field of conservalion before açc~pl ng an AmeriCorps pO~llIon wllh the (.:1Jf1:'ie-rvarion dislricl OCI. 16, Titus saw the posilion advertised In ¡he newspaper and dC'l.ïdt:'d II fll Yo'uh hcr long. term goals. 'Î1IIS was pan of my plan to d~cldt:' wh~lhcr I w3.ot 10 go mto i"t'Sloratlon."" s.ays (h~ recenl Ch¡macllm High Scnt,)Ol ~r;)dual(; "This gave' me' iJ. yeal' Q figure il oul " Like: E.ggen, Tirus I:" ooly Ih~ sl:Cl)nd Ame:nCorps voluol~("r 10 wOl'k 1oI,'I(h (~ I.:Onservallon dl$(nl.:1 The first was Bnan raylor. a POr1. 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'" '" ~ "' ~ f:; ;z >; .~ ""¡o ø. .. ::¡ - - ;:¡ :!: "' ~~ >- ~ a< 0... ) '""- , . 4 Port Townsend & Jefferson County Leader /--3 -2ðol Flu vaccine still available No special clinics, simply visit health department , Those people who waited to get a flu shot tJ:ùs flu season so that high-risk patients could obtain the vaccine need wait no longer. Jefferson County Health and Human Ser- vices still has flu vaccine available. , "We wish to thank those who were at lo,w risk for complications of influenza for ..v,aiting to get their flu vaccines this year," said public health nurse Jane KUrata. "This allowed us to try to protect people in higher risk groups with the first supplies of the vaccine." . No more specified flu clinics are sched- uled, but members of the general public who wish to reduce their chance of catching in- fllJenza may come to the health department's régular walk-in immunization clinics from I to 3 p.m. Tuesdays, Wednesdays and Thurs- days through January. The immunization is $8. No insurance other than Medicare will be billed. Those on Medicare should bring their cards with them. Influenza vaccine is indicated for: . persons age 65 and older. · residents of nursing homes. . adults and children, including preg- nant women, who have chronic heart, lung or kidney disease, diabetes or other seri- ous chronic health problems, including asthma. · persons who are less able to fight infec- tion because of HIV infection, other immune system disorders, long-term treatment with steroids or cancer treatment. . children and teenagers on long-term treatment with aspirin, who if they catch in- fluenza, could develop Reye's syndrome. . women who will be in the second or third trimester of pregnancy during the flu season (beyond three and one-half months pregnant). · health care providers and close friends and family of persons at high-risk for flu, to reduce the possibility of spreading the flu to these persons. ' · anyone wanting to decrease his or her chance of catching influenza. The Jefferson County Health and Hu- man Services Department is located in the Castle Hill Center, 615 Sheridan St., Port Townsend. 2 49 5 ~o~Jf~wn~~d?WRø3/jjj d . (206)385-7155 Good Man Sanitation Portable Toilet Rentals To: Larry Fay, Director of Environmental From: Good Man Sanitation Subj: New Septic System Rules Health J4~,1 } i~' .'j; ~ ,'. I On September 16, 2000 the Jefferson County Board of Health Made revisions to the local onsite sewage code. Included in the revisions are new requirements for inspection at the time of sale as well as other provisions including on-going 0 & M requirements, something which is long overdue. Inspections can be done only by licensed d~signers, licensed engineers, or the Environmental Health Divisinn. We take exception to this for the following reasons: 1. There is not enough staff in these disciplines who want t 0 dot h e \'10 r k . 2. It is an added cost to the ho~eowner. 3. Hampers timely real estate transactions. 4. Potential conflicts of interest. Designers inspecting other designers, themselves, etc. 5. We have trained personnel who were already performing similar inspections for real estate and lending institutions. Enclosed is a copy of the form Good Man uses for the inspection. Over the years we have performed this service for countless customers. We have more contact with the homeowners once the system is up and running. Our enployees are experienced with the inspection process and we carry liabil ity insurance. We have found no jurisdiction which has a test for the inspector. According to Dave Snyder of the Kitsap Co. Health Dept., their county has developed an 0 & M test which he feels would be overkill for an inspector. There, any 0 & r1 certified person can perform inspections. Enclosed is an overview of the Kitsap Co. o & M program. We· feel there should be criteria developed soon for a test which, when passed, would allow anyone demonstrating the desire and ability to perform these inspections to do so. This would: 1. Speed up the processes. 2. Facilitate real estate transactions. 3. Lower costs to Jefferson Co. homeowners. Respectfully, &j)i)~ cc: Linda Atkins, Jefferson Co. Health Dept. Jefferson Co. Commissioners Jefferson Co. Board of Health Jefferson Co. Board of Realtors 2 '{ .. J< .. ." GCX)D MAN SANITATlOO 2495 Cape GeOrge Road Port Townsend, WA. 98368 ( 360) 385-7155 Name of Evaluator: Property Address: Date: Property Age: System Age: Occupied : Yes No N\lI1'\bE!r of Bedrocms: Last Pump Da.te: Length of Time vacant: Access Provided to House: Yes No Recent weather conditions: NC1l'ICE: 00 NOT PUMP THE SYsrEM IF THE WASTE LEVEL IN THE TANK IS AOOVE æ BELa\' THE NORMAL LEVEL, OR IF THERE IS SATURATION IN THE ABSORPTlOO ARElI.. . Standing water in the drainfield indicates poor soil porosity or a possible failed line. A high waste level indicates a problem that nay be difficult to determine once the system has been~. A low waste level suggests recent tank pumping or jX>ssible tank leakage. Pump- ing the tank at this ti1æ may mask a problem. PROCEDURES (CHECK APPROPRIATE BOXES) LoCated, uncovered, and accessed tank. Determined sludge depth and llquid level (If liquid level above or below normal, 00 NO!' PUMP!) Probed and checked absorption area to determine location and checked for excessive m:>isture, effluent, and/or odor. Introduced water into system (100 - 200 gallons) Source of water: ccnnode faucet tub other Checked liquid level reaction (If it remained above the normal level, 00 NC1l' PUMP!) Pumped out tank. CAUrrOO: OOLY PUMP our THE TANK IF THE LIQUID LEVEL IS OORMAL AND THERE IS 00 FIELD SA'IURATICN . Checked condition of tank and baffles/tees for cracks, deterioration or danage. If applicable, checked cesspool walls for settlement and/or partial cave in. PrOferly closed tank cover. Returned the rem:>ved sod or re-seeded (returned earth to as close to it's original condition as p:>ssible Liquid level in tank is: Maintenance appears: above normal goad normal fair below normal Sludge depth poor Depth of lid TYPE OF SYSTEM septic tank (# of tanks~) TYPE OF TANK steel TYPE OF ABSORPTICN AREA leaching field cesspool concrete raised IIDuod aeration system fiberglass seepage pit # of pits other Tank size: gals other SYSTEM ~ CŒDITIOO <.X.MIDfi'S Tank or Cesspool _Acceptable ~ Unacceptable Holding tank (if present) _Acceptable ~Unacceptable N/A Pump _Acceptable ~ Unacceptable _N/A Absorption System _Acceptable _Unacceptable , :. 1 ., .. o:MPlINY DISClAIMER Based on what we were able to observe and our experience with OI1-site wastewater technology, we sutndt this Sewage Treabnent Inspection Report based on the present condition of the on-site sewage treabnent system. Good Man Sanitation has not been retained to warrant, guarantee, or certify the proper functioning of the system for any period of tiræ in the future. Because of the nl.1!ærous factors (usage, soil characteristics, previous failures, etc.) which nay affect the proper operation of a septic system, as well as the inability of our ccrnpany to supervise or 100m tor the use or naintenance of the system, this repJrt shall not be construed as a warranty by our canpany that the system will function properly for any particular buyer. Good M:In sanitation discla:i1æ any warranty, eitherexpœssed or iDplied, arising fran the inspection of the septic system or this report. We are also not ascertaining the impact the system is having on the groundwater. INSt'Ð:::',l'J:r«; cx:K>ANY GCXJD MAN SANITATION 2495 CAPE GEDRGE RD. PORI' 'la'1NSEND, WA. 98368 PHONE AND FAX (360) 385-7155 I acknowledge that I have studied. the information contained herein and that my assessment is honest, thorough, and, to the best of my ability, correct. NAME TITLE BE:[Øf, EXPLAIN NæESSARY REPAIRS wrm ær:IMA'l'ID CU3T 'ID a:ERI'CI', AUH; wrm SKE'lUI œ SYS'J.'Ð( LCCATICN. K I +s-ap Co. fEE ~ :-'!E:Vl0# DA TE o & 1\1 ANNUAL REPORT FORi\t1 EDIT Nam<: ofOwn<:r Assessors ACCOWH ::- Nam<: of Business UIApplicablej " Describe Typ<: '( ex. Resr:mranl Hair Salon, etc.) " Site Address City PRE-TREA TvIENT DEVICEi :V!A~UFACTl"RER (<:.g. Sandtilter. Aerobic ere.): CHECK :\LL THAT APPLY: Residential (R-1J: ,= High Risk CJ Low Risk Disinfection: C T.S.l r'"1 T.S.2 Commercial (C): :::::; High (C~/) ::::2 Medium (C-l) ,:::3 Low (C-3) SA.tvIPLING SCHEDULE pH DISSOLVED OXY:~~~. e".. (D~O~5:,:~::. .. RESULT "DATE " RESULT, ... , ., ,.. CHLORINE .... ... )~.EsII>.UAL' OTHER~: ,'/t';; .(IfrequÍred) ..' _>,.,. ".;-' DATE RESULT .TYPE·DATE~. RESULT ". ". ~_. __-' ;:"''''T .,,!' I '~~.' ~.... .. ~':. ~~~." _ .~, ..~,,~~- .:' ,- t-~: ." ... ' , ." . ",:; :";",, ........: ~,.,....:.. :"··'I:~ERÄ·TURË ~ ...:. ,''': ' '.._ ,_, or DATE 'DATE""_ RESULT ", . .!.~ 'J -- , , , " ...~ 'c ¡-~.;=-i'''::''. .- " -' '1'- -- -. .. .;:..: "',. '. .. "".-~.: .. .~ ..._:_.;~:~-¿~,:~~~~ .. --. ", RECORD OF MEASUREl\1ENTS , .. HOTJRc:::;--c, ÑttTEIt:: , ." '. ":¡. . .. ". ; .. D~;;,~.::;~:> .c.. . "i~9,~~I~~~:~La:;.;~~~~~·V~l~é~.~.¿. ,,:~~~~;:~~~~.~,:_;:::,::-=- " " . ,"--~IN FEE,1:};:':,...·, ._... ._··U5'4ßE;.;·.'~·' ,,",." ". ,': '--~.~ ···~~·':""-···"~·';~'::',:""·~··<'2~,; :;&¡(Ã;~:~Gi,~G~~;; ..D1\,'EE-:;'... "",:'.: :~CO:tJllf11BJl_ . -': '~;:, .SErtIN:G::\· I.. M . '. ' , . ,- " "j .. p" . ;:i~~ I.·.·. -- .. .. u.p.. .-. INSPECTION ACTIVITY: Check all applicable boxes located on the back of this page. Note: All activities listed which are applicable to the on-site sewage disposal (OSS) system serving this site, must be inspected and checked off. incomplete reports will be returned to the Maintenance Specialist with a resubmittal fee. COlVIl\1ENTS: Briefly descri~e any of the following activities that have occurred during the contract period: Additional inspections not listed above; Clarifications from the Inspection Activity checklist on the_ back of this page. and/or; Indications of high waste strength, toxic discharges. repairs or malfunctions. List daters) when they occurr,Ç!d or were observed ... ass SYSTEM STATUS: WORKIN'G SATISFACTORILY _WORKING/CORRECTIONS NEEDED* (* Explain under "COMMENTS" section above.) _FAILURE * Compâny Näi-ne L~~. ."1" ,n '~"'." '. - Contract' date; from . -....-"..\ ._".. . .. .. -; ,~. '.",''';:, SIGN~TlJ1tE:OFMAlrm:NANCESPEclÁLIS'rX ..".' ..' Dat~':':_ .!!. ,This n'pOrt indic,.œs tbe ~ondirionorrhe above on·.ile sewage symn .t ¡he rime ofinspecti<>n' d.!/ÙL' If 00'" nO! patin'" thai il will con/;nuo 10 function oaIirf&e:lotily. I I. :~. _.,1",... I;,.".... ............., { .1.....,0(, I {/flt! SEPTIC TANK nspection: (. ate (dale) Depth or Boating mat in 1st companment ~ inches ~ inches Depth of sludge in I st compartment ~ inches - inches Depth of floating mat in 2nd compartment ~ inches - inches Depth of sludge in 2nd compartment ~ inches - inches Emuent baffle screen accessible, in place rJ YES :NO. [YES ~NO. - Emuent baffle screen cleaned: eYES :NO. : YES DNO. Watertight (no visual leaks), including risers: eYES :nw. :. YES [j NO. Risers & lids in good condition, lids securely fastened: CYES DNO. JYES UNO. Settling, erosion or ponding problems: :; YES. DNO ~YES. eND Septic Tank Pumping Recommended: ;: YES. .. 0 NO :J YES. eNO TANK Vault screen, cleaned: I] YES ,--NO. eYES eND. Floats functioning properly: eYES eNO. o YES o NO. Pump Draw Down: - Inches/min. - Inches/min. Risers and lids good condition, lids securely fastened: CYES eNO. :::YES eNO. Watertigþt (no visual leaks), including risers: JYES CNO. eYES oNO. Settling, erosion and/or ponding problems: DYES. ::;NO : YES. :JNO Pump Tank Pumping Recommended: DYES. CNO :J YES. ONO Unusual amount of sludge, scum: CYES. DNO :¡ YES. =' NO BUTION (D) BOX - if accessible Equal distribution of effluent to each lateral: DYES eNO. :J YES eNO. SIONVALVE Wastewater being diverted to COITect drain field: DYES DNO. CYES DNO. OLPANEL Timer settings ~ ON _OFF - ON - OFF Alarm working satisfactorily: DYES ONO o YES DNO FIELD (dt) PROTECTION Graded properly for surface water run off: DYES DNO. DYES ONO. Downspou,ts diverted away from drainfield: DYES DNO. DYES DNO. Evidence of vehicular or livestock traffic over df: DYES. DNO DYES. DNO Encroachment on df, i.e. buildings, driveways, etc.: DYES. DNO SYES. DNO Y DRAINFIELD Settling, erosion or ponding problems in dfarea: DYES. ONO· DYES. DNO RE DRAINFIELD Settling, erosion or ponding present in df area: DYES. DNO [1 YES. DNO Laterals flushed: DYES DNO. DYES DNO. All laterals have equal flow and residua! pressure (measured at the distal end of each lateral): DYES DNO. eYES DNO. S (including Glendon BioFilters) Seepage around toe of mounds observed: OYES. \JNO Lj YES. :JNO Structural integrity and ground cover ok: DYES ONO. DYES DNO. Equal dosing to multiple modular units·GJendo:¡ only: eYES IJNO. :J YES DNO. IL TER An laterals have equal flow and residual pressure DYES DNO. DYES DNa. (measured at the distal end of each lateral): Laterals flushed (individuany): DYES eNO. DYES oNO. , Grade and cover meets requirements: DYES C MO. DYES ONO. Pump basin installed in sandfilter (see "PUMP TANK" section above). IC TREA TMENT UNIT Air supply working satisfactory: o YES o NO. DYES DNO. Alann working satisfactory: DYES DNO. DYES ONO. Settleble Solids, Sludge level measured: DYES DNO. DYES DNO. Unit needs to be pumped: DYES. :JNO o YES. eNO ECTION UNIT Unit working as expected: DYES GNO. o YES DNO. Chlorine tablets in place: DYES DNO. DYES DNO. UV Bulb replaced: (date) (date) ECTION UNIT Unit working as expected: DYES DNO. DYES DNO. Chlorine tablets in place: DYES o NO. o YES o NO. UV Bulb replaced: (date) (date) L'lSPECTION ACTMTY (check boxes as applicable) I d ) PUMP DlSTRI DIVER CONTR DRAIN GRA VIT PRESSU MOUND SAND F AEROB DlSINF DlSINF MINIlVIUM CONSTRUCTION & COMPONENT REQUIREMENTS FOR OPERA TION & MAINTENANCE ACCESSIBILITY 1.. Control panê1 with programmable timer and counter, and alarm. 2. Riser on pump tank (sealed and watertight) with finnly secured lid, Le., hex bolts or locking devise (a 1000gal.liquid capacity pump tank is required for surges of use). 3. Screw caps at ends of laterals. ~ 4. Clean outs brought up to finished grade or enclosed within riser. Maximum angle permitted is 90 degrees (should be 2-45degree fittings). 5. Orifice holes must be faced at 12 o'clock position (may have t¡J1d hole facing down for drainage). 6. Orifice shields required or cover with length oflarger diameter pipe cut lengthwise. 7. Ball or gate valves on laterals near manifold if instaJled On a slope. 8. When a pressure drainfield is installed on a slope downslope from the septic tank: A. Install dosing tank (pump tank) below drainfield and have the pump line enter the manifold from the bottom. If this pump location would not allow for inspection and/or service of the tank, the pump tank will be placed upslope of the drain field next to the septic tank. B. Construct! install anti-siphon devise in pump tank to avoid siphoning downslope to drainfield area, and install ; C. Pressure/valved manifold (located at top of draìnfield) used with a separate line to each lateral or; D. Hydroteck valve (mechanical ratchet) or; E. Some other device that assures equal distribution of all laterals and keeps the bottom latera[ from being overloaded. 9. Check valves on manifold between laterals if installed on a slope, to prevent effluent from running to bottom lateral and overloading the bottom lateral. [0. Valves must be Schedule 40 or greater.. II. Valves acccessible within riser. 12. All piping must be a minimum of Class 200 ( laterals, manifold and transport pipe). 13. Septic tank filter required, unless followed by a dosing (pump) tank where a screened vault filtet surrounding the pump will be required (note: maximum pump capacity when using a sceened vault is 30 gal.!min.). It will be recommended to have both filters. 14. Minimum number of doses/day will be set for six (set on control panel). IS. Riser on septic tank (sealed and water tight) with firmly secured lid, Le. hex bolts or locking devise and a riser above septic tank filter (if used) will be required. 16. Observation ports installed Pressure Svstems (wl1en /JIlmn tank is installed below draintield): 1,2,3,4,5,6, 7, SA, 9,10,11. 12, 13, 14, 15, 16 Pre-utlre Systems (when Dtlmn tank is installed above drain/ie/d): 1,2,3,4, 5, 6, 7, SA, 8(8, C, D, or E), 9, 10, I\, 12, 13, 14, 15,16. Sand Filter: 1,2,3,4,5,6,10, II, 12, 13,15, 16 IS. Minimum number of doses/day wiII be set for twelve (12). 16. Observation ports: a) Installed in sand filter at gravel and sand interface. b) Installed in drainfield within ten (10) ft of beginning of eacn line and one within ten (10) feet of the end of each line. Pressure /vIOlmdr (when DtlmD Mnk is installed below mound): 1,2,3,4,5,6,7, 8A, 10, I 1,12, 13, 14, IS, 16. Observation ports: Installed in middle of mound at a.) the depth of the mound and original ground interface and, b) at gravel and sand interface. Pre.utlre /vlollnds- on a .rlnDe ( when pumn tank is installed above mound on slone): 1,2,3,4,5,6,7,88, 8(C,D, or E), 10, II, 12, 13, 14, IS. 16. 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OWNER NAlv1E: ( CHECK ALL THAT APPLY) Hardwired ......................... 0 YES 0 NO Squirt height oflaterals: Feet: Control panel type: Redundant off working. .. 0 YES 0 NO Timer cycling correctly. ..0 YES 0 NO Inches High water alann working ............0 YES 0 NO On/Off float working ................. 0 YES 0 NO Counter reading: Hour meter reading: On time: Off time: Doses/day: hrs. mm. hrs. min. Gallons/day: sec. sec. Tank: Drawdown: gal/inch inchlmin Drawdown: Drawdown: gal/min gal/dose All components accessible ..0 YES 0 NO Override link removed 0 YES 0 NO 0 N/A PU~1P TO GRAVITY AEROBIC SYSTEM Hardwired ...................... ..0 YES 0 NO High water alaffi1 working .. 0 YES 0 NO On/Otfworlång ............. ..0 YES 0 NO Redundant Off working ...0 YES 0 NO Aerobic device type and model: Disinfection unit type: Alarm functioning .......:...............0 YES 0 NO Hardwired...:............................... 0 YES 0 NO Sample port ................................ 0 YES 0 NO GLENDON M-31 UNITS All units have been field checked for equal flow/distribution.................................................. 0 YES 0 NO COMMENTS: - PRINT NAME - DA TE OF SETUP SIGNA TURE NDH 2-17-99.setup.doc · Return Address: lS<o \\D \~ f\l \~\f\\JK. 1-,0 VVì7\êl\"1\! \ 1'A.cK~1¿ 'I ,. "NOTICE TO TITLE" fiLED FOR THE RECORD AT THE REQUEST OF BREMERTON-KITSAP COUNTY HEALTH DISTRICT NOTICE FOR MAINTENANCE AND MONITORING REQUIREMENT BKCHD ORDINANCE 1995-14 AND WAC 246-272-15501 (2) DATE TAX ASSESSOR'S ACCOUNT # LEGAL DESCRIPTION: Additional Legal Description Can Be Found On Page _Of Document ON-SITE SEWAGE SYSTEM: OPERATION, MAINTENANCE & MONITORING REQUIREMENT OF THE BREMERTON-KlTSAP COUNTY HEALmDISTRICT. The reside.nce or facility on this property utilizes an alternative method of sewage disposal which requires regularly scheduled maintenance and monitoring. Maintenance and monitoring is required to be performed by a penon certified by the Health District as specified in Bremerton-Kitsap County Board of Health Ordinance 199s..14 and WAC 246-272-15501 (2). Signature of property owner/grantor Print name Signature of property owner/grantor Print name Signature of penon recording notice to title/grantor Print Dame or company name Additional Signatures Can Be Found On Page_Of This Document offstght4. wtnwordform.noØce..doc REV. 12112/96 <-. JEFFERSON COUNTY HEALTH AND HUMAN SERVICES ENVIRONMENTAL HEALTH DIVISION POLICY STATEMENT PROGRAM - On-site Sewage Disposal SUBJECT - Review of Building Permit Applications Effective this date the following procedure shall be adopted concerning review of building permit applications on properties where there is an existing onsite sewage system. PURPOSE Applications for building permits for properties served by on-site sewage systems shall be approved only when the on-site sewage system has adequate hydraulic and treatment capacity to accommodate the proposed construction and an adequate repair area is available. APPLICABILITY This policy applies to building permit applications for new structures that contain plumbîng; romodels additions, alterations or remodels to existing structures that contain plumbing; and structures not containing plumbing when the placement of that structure may interfere with the performance of an existing onsite system or the ability to replace the existing system. .... I. Building permit applications shall include an accurate, to scale, record of the site. The record shall show locations of existing and proposed buildings, driveways, wells, water lines, surface water, significant land features (steep slopes, drainage swales, rock outcrops) as well as the location of septic system components and reserve/repair area. When the onsite sewage system has not been installed, the locations of components shall be shown as portrayed on the approved design. 11.,....-. The buildinq permit application may receive Environmental Health approval when 'Nhoro there is sufficient information contained within the onsite sewage system permit file to verify all of the following: A. Tthat the system has adequate hydraulic capacity; and B. The site has a designated reserve area, and C. Aadequate vertical separation:., thÐn tho building permit may ÐO issued. nrllft Pnlir:v RP.VÎp.w nfRlliltfim' PP.m1it Annlir:lltinno¡ nl'll7p. 1 nf 4 .... Generally, this means any system that was permitted after July 1, 1983, and received approval from Environmental Health to cover or received a final inspection, will be considered to be valid, except, that those sites that do not have a dedicated reserve area established will be required to identify a reserve area that complies with the onsite code in effect at the time of the building permit application before a building permit will be issued. III. An assessment of the onsite sewaQe svstem shall be required when Where there is a record of a permit having been issued and the system received final approvat-ef was given approval to cover by En'/ironmcntal Hcalth or there was no call for final inspection, but there is insufficient information in the file to verify vertical separation or horizontal setbacks~, ~n assessment of tho oncito cowage eyctorn ch~1I be required. The purpose of the assessment will be to establish that there IS adequate hvdraulic capacity, that basic horizontal setbacks are beina met and to identify vertical separation between the bottom of the dramfield trench and the shallowest restrictive ¡aver. System assessment may be performed by the Environmental Health Division, a licensed Designer or Professional Engineer licensed in Washington. A All system assessments shall be submitted by the proponent to Environmental Health, shall include the following information on a Dlot plan to ~cale If The plot plan shall include at least two (2) propertv lines as reference for the onsite sewaqe system) be submitted on forms approved by Environmental Health and submit fees for review. 1. Location of the septic tank and pump chamber (if present). 2. Location of the distribution box or beginning of the drainfield/distribution system. ..... 3. Length, width and depth of drainfield/distribution system. 4. Depth of usable soil to restrictive horizon (compaction or water table). 5. Soils information to assess a reserve/repair area. A minimum of two (2) soil logs shall be provided in the designated area. 6. Location and source of drinking water supply. 7. Location of structures, drivewavs. surface waters and drainage ditches. Tbe slot plan shall include tit least two (2) proportv linoG as r~foFence for tho Qnsito ~owaQC Gvctom. B. The buildinQ permit application mav receive Environmental Health approvel when Whom the site inspection verifies the followina: 1. Tthat there is adequate hydraulic capacity, and 2. Horizontal setbacks conform to those established in Table I, WAC 246- 272 and _3. There is sufficient area and soil for a conforming reserve area and nr$lft Pnlicw RfMp.w nfR1Iiltfin17 P~nnit Annlir.atinno¡, n$lOp. 1. nf 4 Generally, this means any system that was permitted after July 1, 1983, and received approval from Environmental Health to cover or received a final inspection, will be considered to be valid, except, that those sites that do not have a dedicated reserve area established will be required to identify a reserve area that complies with the onsite code in effect at the time of the building permit application before a building permit will be issued. III. i~n assessment of the ensite sewaqe system shall be required when Where there is a record of a permit having been issued and the system received final approvalc--eF was given approval to cover by Environment:!1 Health er there was no call for final inspection, but there is insufficient information in the file to verify vertical separation or horizontal setbacksc, :m assossment of the onsite G0W3g0 systom shall bo requirod. The purpose of the assessment will be to establish that there IS adequate hydraulic capacity, that basic hOrizontal setbacks are beinq met and to identify vertical seoaration between the bottom of the dramfield trencn and the shallowest restrictive ¡ayer. System assessment may be performed by the Environmental Health Division, a licensed Designer or Professional Engineer licensed in Washington. A. All system assessments shall be submitted bv the proponent to Environmental Health, shall include the following information on a plot plan to scale ,i The plot plan shall include at least two (2) property lines as reference for the onsite sewaqe system) be submitted on forms approved by Environmental Health and submit fees for review. 1. Location of the septic tank and pump chamber (if present). 2. Location of the distribution box or beginning of the drainfield/distribution system. 3. Length, width and depth of drainfieldìdistribution system. 4. Depth of usable soil to restrictive horizon (compaction or water table). 5. Soils information to assess a reserve/repair area. A minimum of two (2) soil logs shall be provided in the designated area. 6. Location and source of drinking water supply. 7. Location of structures, driveways. surface waters and drainage ditches. The plet plan shall include at Icast M'a (2) oroperty linos ac reforence far the encito sewaao Gvstom. B. Tile buildinq permit application may receive Environmental Health approve! when V\-.there the site inspection verifies the following: 1. Tthat there is adequate hydraulic capacity. and 2. Horizontal setbacks conform to those established in Table I, WAC 246- 272 and _3. There is sufficient area and soil for a conforming reserve area and Orllft Pnlirv RP.Vi,.,w nfRl1i1tiino P,.,rmit Annlirlltinno¡ nllo,.,?' nf 4 ,. JEFFERSON COUNTY HEALTH AND HUMAN SERVICES ENVIRONMENTAL HEALTH DIVISION POLICY STATEMENT PROGRAM - On-site Sewage Disposal SUBJECT - Review of Building Permit Applications Effective this date the following procedure shall be adopted concerning review of building permit applications on properties where there is an existing onsite sewage system. PURPOSE Applications for building permits for properties served by on-site sewage systems shall be approved only when the on-site sewage system has adequate hydraulic and treatment capacity to accommodate the proposed construction and an adequate repair area is available. APPLICABILITY This policy applies to building permit applications for new structures that contain plumbing; remodols additionB, alterations or remodels to existing structures that contain plumbing; and structures not containing plumbing when the placement of that structure may interfere with the performance of an existing onsite system or the ability to replace the existing system. .... I. Building permit applications shall include an accurate, to scale, record of the site. The record shall show locations of existing and proposed buildings, driveways, wells, water lines, surface water, significant land features (steep slopes, drainage swales, rock outcrops) as well as the location of septic system components and reservelrepair area. When the onsite sewage system has not been installed, the locations of components shall be shown as portrayed on the approved design. 11-;-.. The buildinq permit application may receive Environmental Health approval when Whoro there is sufficient information contained within the onsite sewage system permit file to verify all of the following: A. Tthat the system has adequate hydraulic capacity; and B. The site has a designated reserve area, and ~adequate vertical separation,-, ~ tAe building pOFmit may be iBsuoå. Or:dt Pnlir.v RI'IVip.w nfßnilñinp PP.n'I'Iit Annlir.Atinn nAP" 1 nf 4 .,,- 4. A minimum of three feet of vertical separation._ !llim..::md vertical sopar::1tion is lOGS than threo foot, but groater th::m ono foot, the building permit may be issued. C. -The building permit application may receive Environmental Health approval when VVhore tho site in~Dection vorifies 81. 2. :md ~. And the vertical separation is less than three feet but areater than one foot the buildina permit may be issued provided that all other site conditions are met. oonditioned upon an When there is less than 3 feet but more than 1 foot of vertical separation the onsite sewaqe system shall be monitored annually. annual monitoring inspeotion schodule. The applicanVowner shall be required to enter into a monitoring contract and acknowledgement of the conditions of building permit approval which may include upgrading the onsite sewage system as noted in # 4 below. The annual monitoring inspection shall include a winter water table determination (during January or February) in addition to the standard monitoring schedule. Winter water table monitoring shall be conducted in the following manner: 1. Install two (2) monitoring ports on the contour and in the vicinity of the drainfield system to a depth of three (3) feet below the bottom of the drainfield. 2. The owner shall enter into a monitoring contract with an approved monitoring entity to monitor the vertical separation of ground water to the bottom of the system. 3. The system shall be monitored annually during the month of January or February (the wet season) LA minimum of 12" of vertical separation shall be required. If a system does not have 12" of vertical separation repair lupgrade to the system shall be required within 2 years unless surfacing sewage is present in which case repair is required within 90 days. (ownor fRay install ourtain d.~¡n Ðr mak-e othor silo improvements and keop monitoring) 0, The building permit application may not be approved by Environmental Health when there is inadequate hydraulic capacity. horizontal setbacks are not beínq met. a conforminq reserve area cannot be established. or there is less than 1 foot of vertical separation unless \\'here tho site insDoction voFifies th~t 8. 1. 2 or 3 are inadequate and/or vertical secoration is løcu¡; th:m 12" thon... a permit to repair/uparade the svstem has been issued. shall be reauired ~rior to issuance of the buildina Dormit. IV. Non·residential structures that contain no plumbing shall be reviewed as follows: A. Lots of five acres or less -An accurate record shall be established of the site and the existing onsite sewage system components, and a reserve/repair area that complies with the code in effect at the time of the nr ft Pnlir.v Rmr1p'w nfRlliltlinp" Pp.nnit Annlir. tinn'l. nRP"p. 1 nf 4 .. ',"_-.1. building permit application will be evaluated. Record of the site and existing system shall meet the standards of "I.A. 1 - 7. B. Lots greater than 5 acres where there is a permit on record and no critical areas or surface waters exist within 200' of the on site sewage system area shall receive an administrative/office review of the plot plan submitted. If the plan indicates no interference with the system and a reserve area can be designated on the plot plan the building permit may be approved. A field inspection may be required if it is detennined to be necessary, based on best professional judgement, to protect public health. C. Lots greater than 5 acres where there is no permit record on file, or there is a permit record on file, and critical areas or surface waters exist within 200' of the onsite sewage system area, shall provide an accurate record of the following: 1. Location of the septic tank 2. Location and source of drinking water 3. Identify a reserve/repair area as described in \l1.A. 5. IV. These procedures shall not be used to assess unpermitted systems that were installed since 1970 when an onsite sewage permit was required. These systems shall be considered wera installed in violation of state and local codes and shall meet all onsite sewage code requirements at the time of building permit application. V. Approval will not be granted for a building permit where a failure of the onsite sewage system is identified until an appropriate repair is permitted for the site. '- V. This policy shall become effective on the date of adoption and remain in effect until amended or repealed by action of the Jefferson County Board of Health. Health Officer Date Chairman of the Board of Health Date H:\env_health\Jinda\gd\onsiteord\building permit application review3 Or,d1- Pnlir.v RP.Vif'!W nfRlliltfina pf'!rmit AnnlirJttinn"l nRap. 4 nf.4 \\ '.~",," building permit application will be evaluated. Record of the site and existing system shall meet the standards of IIJ.A. 1 - 7. B. Lots greater than 5 acres where there is a permit on record and no critical areas or surface waters exist within 200' of the onsite sewage system area shall receive an administrative/office review of the plot plan submitted. If the plan indicates no interference with the system and a reserve area can be designated on the plot plan the building permit may be approved. A field inspection may be required if it is determined to be necessary, based on best professional judgement, to protect public health. C. Lots greater than 5 acres where there is no permit record on file, or there is a permit record on file, and critical areas or surface waters exist within 200' of the onsite sewage system area, shall provide an accurate record of the following: 1. Location of the septic tank 2. Location and source of drinking water 3. Identify a reservelrepair area as described in IIJ.A. 5. IV. These procedures shall not be used to assess unpermitted systems that were installed since 1970 when an onsite sewage permit was required. These systems shall be considered wore inGtallod in violation of state and local codes and shall meet all on site sewage code requirements at the time of building permit application. V. Approval will not be granted for a building permit where a failure of the onsite sewage system is identified until an appropriate repair is permitted for the site. .... V. This policy shall become effective on the date of adoption and remain in effect until amended or repealed by action of the Jefferson County Board of Health. Health Officer Date Chairman of the Board of Health Date H:\env_health\Jinda\gd\onsiteord\building permit application review3 OrJlft Pnlir.v RPVil'!w nfRllilriinu Pl'!nnit Annlit"Jltinn!1¡ nJluP 4 nf 4 \. \ I" ....' .10" 4. A minimum of three feet of vertical separation,- !/:J.Q.[Land vortical separation is lOGS than three foot, b~t groator than one foot, the building permit may be issued. C. -The buildinq permit application may receive Environmental Health approval when Where tho site inspoction verifios B 1. 2. ~:md 3. ^.na the vertical separation is less than three feet but Qreater than one foot the buildina permit may be issued provided that all other site conditions are met. conditioROS upon un When there is less than 3 feet but more than 1 foot of vertical separation the onsite sewaqe system shall be monitored annually. annual monitoring inspection Gohoåulo. The applicanUowner shall be required to enter into a monitorina contract and acknowledaement of the conditions of buildina permit approval which may include uporadina the onsite sewaae system as noted in # 4 below. The annual monitoring inspection shall include a winter water table determination (during January or February) in addition to the standard monitoring schedule. Winter water table monitoring shall be conducted in the following manner: 1. Install two (2) monitoring ports on the contour and in the vicinity of the drainfield system to a depth of three (3) feet below the bottom of the drainfield. 2. The owner shall enter into a monitoring contract with an approved monitoring entity to monitor the vertical separation of ground water to the bottom of the system. 3. The system shall be monitored annually during the month of January or February (the wet season) LA minimum of 12" of vertical separation shall be required. If a system does not have 12" of vertical separation repair /upgrade to the system shall be required within 2 years unless surfacing sewage is present in " which case repair is required within 90 days. (ownor may install ourkJiR dFDin Sf make othor site improvomonts and keep monirorínfJ} D, The buildina permit application may not be approved by Environmental Health when there is inadequate hydraulic capacity. horizontal setbacks are not beinq met. a conforminq reserve area cannot be established. or there is less than 1 foot of vertical separation unless Where tho site inse90tion verifios that 8. 1. 2 or 3 are inadeaumo DRd/or vertical &ODÐfation it ¡øee th:m 12" then... a permit to reoair/uccrade the system has been issued. shall ÐB reauiros erior to iS8w:moo of tho buildiAeI permit. IV. Non-residential structures that contain no plumbing shall be reviewed as follows: A Lots of five acres or less -An accurate record shall be established of the site and the existing onsite sewage system components, and a reserve/repair area that complies with the code in effect at the time of the O""A- Pnlir.v RP.VÏf'!W nfRlliltiinl7 Pp,"nit Aonlir.1ttinnQ ""I7P, ~ nf 4