Loading...
HomeMy WebLinkAbout05 May JEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, May 17, 2001 Board Members: Dan Tittemess, Member - Coun(y Commissioner Distnd # 1 Glen Huntingford, Member ~ Coun!y CommiJJioner Di.rtrict #2 Richard Wqjt, Member· Coun(y Commissioner Distri'1 #3 Geqtf~y MaJà, Member - Pori TownJend City Counàl Jill Buhler, Chairman· Hospital Commissioner DiJtrict #2 S heila1f/esterman, r/iæ Chairman - Citizen at urge (CiM Roberta Frissell - Citizen at urge (County) StafMembers: Jean Baldwin. Nursin<-f'. Services Director urry Fqy, EntJÌronmental Health Director ThomaJ Locke, MD, Health O./tìcer Chairman Buhler called the meeting to order at 2:30 p.m. All Board and Staff members were present, with the exception of Jean Baldwin. Member Frissell asked for an update on the Linda Sexton case. Larry Fay responded that there is no update on the Linda Sexton matter. Municipal Research Services continues to investigate the feasibility of a uniform compliance procedure that applies to all rules and regulations adopted in the County. Member Masci moved to approve the agenda. Vice Chairman Westerman seconded the motion, which carried by a unanimous vote. APPROVAL OF MINUTES Member Masci moved to approve the minutes of the March 13, 2001 meeting. Member Frissell seconded the motion, which carried by a unanimous vote. Member Masci moved to approve the minutes of the April 19, 2001 meeting. Member Frissell seconded the motion, which carried by a unanimous vote. PUBLIC COMMENTS - None OLD BUSINESS On-site Sewae:e: As directed by the Board at the last meeting, Larry Fay reported that Staff amended Section 8.15.140(12), changing "may" to "shall." Even though the meeting about the expedited rule process was published in the newspaper, no public comments were received. HEALTH BOARD MINUTES - May 17,2001 Page: 2 Member Masci moved to approve new sections 8.15.140(12) and 8.15.150(6)c with an effective date of May 26, 2001. Commissioner W ojt seconded the motion. During discussion of the motion, Chairman Buhler asked if Operation and Maintenance (O&M) is defined earlier in the Code and noted a typographical error in Section 8.15.150(6)c - the word "specialists" should be "specialist." The motion carried by a unanimous vote. (ORDINANCE NO. 02A·OS17-0l Amending Ordinance No. 08-0921-00 Jefferson County Health and Human Services Department Rules and Regulations On-Site Sewage Disposal Systems) Crawford Correspondence: Larry Fay reviewed the material included in the agenda packet regarding a Jefferson County resident's concerns about their neighbor's slow compliance to a septic system complaint. When asked whether there is a penalty for installing a system without a permit, Larry Fay said the systems often predate the permitting process. He noted that there are some confirmed violations that need to be corrected by this particular property owner and that a re-inspection for these should soon surface in the Department's tickler file. NEW BUSINESS Public Health Threats and Emere:encies Act of 2000: Dr. Tom Locke briefed the Board on Federal legislation initially driven by America's lack of preparedness for even a minor bio-terrorist incident. The Frist-Kennedy Bill, which began as the Public Health Threats and Emergencies Act of 2000, ended up being called The Public Health Improvement Act of 2000. The bill would define and provide substantial federal funding to build a set of "reasonable capacities" in public health systems throughout the country. The bill acknowledges study findings that there are major deficiencies at the local level and that a Federal commitment to fund local systems to respond to significant public health threats is needed. He believes that planning and implementation will occur fairly rapidly. Chairman Buhler asked whether the Hospital Commission would collaborate on developing a local strategy and how the oversight of this legislation would occur? Dr. Locke responded that because the local responsibility will fall to agencies with the most capacity, oversight will vary among communities. Local jurisdictions may decide how best to spend available funds and he believes a minimum set of response capabilities will be defined. Also under development are airlift-ready container laboratories with which to distribute needed drugs and equipment. Member Frissell suggested that this topic be discussed at the Statewide Local Board of Health workshop. Commissioner Wojt said he believes this issue relates to access to care; a disease or outbreak could occur and not be immediately recognized if spread among citizens who are not regularly seen by doctors. Dr. Locke agreed this could be a bioterrorist strategy. He referred to bioterrorist scenarios played out in several cities to measure their response times. Vice Chairman Westerman asked for a better understanding of the distribution of funding. HEALTH BOARD MINUTES - May 17, 2001 Page: 3 Dr. Locke responded that he is uncertain of the rationale behind the distribution, however, the majority of the first appropriation went to the Centers for Disease Control (CDC) to modernize the LevelS containment facility. He said part of the support this legislation enjoys is not only for the rare occurrence of a catastrophic bio-terrorist event, but also for its use against the far more frequent risk of imported infectious disease. The U.S. is not prepared for a natural infectious disease disaster such as an influenza pandemic. He referred to information from a CDC study provided in the agenda packet describing a hypothetical influenza pandemic in Jefferson County. This information from the State bio-terrorism exercise was fed into a national database for comparison with other counties. One of the preparations for an influenza pandemic is to stockpile pharmaceuticals that block penetration of influenza into cells. The local health department would have responsibility for distributing an anti-influenza vaccination to those most at risk. Community On-site Sewae:e System Financial Assurance Ae:reement Addendum: Linda Atkins eXplained the Jefferson County policy which requires that all community systems have a financial insurance plan to cover major repairs. The problem with the Olympic Greens Community Drain Field's agreement was that the property was purchased and the capital account had not been maintained. She explained that the amended agreement allows them to pay money into an account over a five-year period instead of requiring that all the funds be paid into the account prior to the property changing ownership. Staff is asking for the Board's concurrence with the amended agreement since the Department was not successful in achieving compliance with the original agreement. Vice Chairman Westerman asked what the tracking and triggering mechanism is for ensuring that funds are available? She believes these situations need to be handled better administratively. Linda Atkins responded that this particular situation came to her attention because of a building permit application. The Department recorded the financial assurance agreement, but she is uncertain what information is provided to the new property owner about the agreement. Commissioner Titterness suggested that Staff check with the Deputy Prosecutor about the scope of the problem and what might be missing in the legislation. Larry Fay suggested in order to ensure the account is being built, it may be possible for the County to add a reporting and feedback mechanism to the agreement. This report - or lack thereof - would also provide an early warning that action is needed. Commissioner Huntingford suggested it may be fine for there to be a schedule that ensures certain amounts are deposited over a period, but there should also be a lien on the property, so that the total amount is satisfied in the event of a transfer of ownership. Commissioner Wojt said that funds for septic repairs would then be funneled through a bank with the bank recording the lien. Member Frissell said while this may satisfy the situation when the property is sold, what is the mechanism when payments have not been made establishing a fund for system repairs? HEALTH BOARD MINUTES - May 17, 2001 Page: 4 County Administrator Charles Saddler commcnted that depending on how the lien is structured, a lien could also be triggered at the time of a system failure. Vice Chairman Westerman suggested that it might be important to receive payment in full up front. Linda Atkins reviewed the funding situation used at Kala Point, whereby account funds in the homeowners association can be shifted as needed. The County is still awaiting for Kala Point to present a proposal to amend the agreement to reflect this proposed funding structure. Larry Fay said he believes there is less concern with the agreement than with the enforcement mechanisms such as a lien on the property. Vice Chairman Westerman recommended that while this owner may bc allowed to pay on a yearly basis, it should be made clear that there is going to be a lien on the property. The Board may then need to consider whether a change in the process is needed. Larry Fay suggested that with the creation of a county-wide waste water management plan, it may also be a good time for a discussion on the management of community drain fields. County Administrator Charles Saddler clarified that this type of work is not currently in the scope of services between the County and the PUD. Commissioner Wojt questioned whether there is a link betwcen the periodic O&M inspection and the Financial Assurance Agreemcnt? Larry Fay replied that the likelihood of a failure would be reduced by the O&M inspection. Linda Atkins said the community drain field systems are being monitored, but there is no mechanism within that O&M that requires anyone to set asidc funds to repair it. Commissioner Huntingford suggested the language in the agreement indicate that a community system with a singlc owner bears the responsibility if there is not enough money in the fund at the time repairs are needed. Hc believes there should be a way to hold the owner responsible, but allow for incremental payments to build the fund. He questions the revamping of a policy to deal with isolated cases. Larry Fay said it appears that the implementation of the agreement is the major concern. Staff will discuss options with Deputy Prosecutor Alvarez and provide an update at the July meeting. He said that, as the majority of the community systems are managed by the PUD, only a few are single owner and Staff does not feel this situation presents an urgent problem. Vice Chairman Westerman asked how, if there are only a few, can we ensure they are not overlooked and this situation repeated in the future? Commissioner Wojt suggested that a June agenda item be to determine how much of the department's operations the Board of Health thinks should be covered by fees versus the general fund. HEALTH BOARD MINUTES - May 17,2001 Page: 5 Le!!islative Update: Dr. Locke reported that the legislature is currently in special session. The status of Public Health funding looks favorable in the House and Senate budgets, but is always at risk until the final budget is passed. Although there are significant cuts in human services, the hold-up and battles will be over the transportation and education areas of the budget. Legislation passed that will appropriate $10.6 million to continuc the universal vaccine distribution system for another two years. A statewide registry program, developed by Snohomish and King County, was rejected for the fourth time. Lisa McKenzie added that the current registry is over 40% complete. Dr. Locke reported that a tattooing and electrolysis bill also passed. Local health jurisdictions will be responsible for enforcing this state rule. He noted that evidence of actual hepatitis in licensed tattoo parlors is virtually non-existent and this legislation serves to regulate an area that is not the source of the problem. Another bill will allow currently licensed massage therapists to pursue a certification for animal massage. Commissioner Wojt mentioned that he has heard of a group formed in Seattle for the prevention of tattooing. Their program is focused on educating young womcn about tattooing alternatives. Larry Fay said that a part of the Governor's Omnibus Water bill would expand the watershed planning process and fund up to $100,000 for each optional planning element. Funds have not yet been appropriated. .Jefferson Health Access Summit 2001: Chairman Buhler asked if the Board felt comfortable having her co-host the 2001 Health Access Summit with Chuck Russell of the hospital? Vice Chairman Westerman said her only concern about the summit is that it not turn into a hospital- driven event. There was no objection by the Board to Chairman Buhler acting on behalf of/representing the Board at the summit. Dr. Locke circulated and reviewed the final agenda and a list of ideas for his presentation on the public health perspective. His discussion will cover the changing demographics of East Jefferson County, Jefferson Health and Human Services as a Medical Provider, and a Public Health Role in Assuring Access. He asked for suggestions on other issues. Commissioner Wojt asked whether the transition in out-patient mental health services should be a topic of discussion? Charles Saddler explained that Jefferson Mental Health has made a business decision not to seek continued funding under the State contract to provide crisis out-patient services after July 1. There is an ongoing effort to contract with a different service provider. He suggested that an issue for discussion might be, are the current services provided by Community Mental Health adequate to address the population of the community? HEALTH BOARD MINUTES - May 17, 2001 Page: 6 Dr. Locke said that following the panel's overview of the issues and a 40-minute discussion period, Member Masci will present the Joint Board and Workgroup Process. He noted that in order not to limit the discussion to onc single option, the section that proposes a specific healthcare authority model was not included. Member Masci said that in his summary of the workgroup process, he will list the spectrum of ideas and options. Vice Chairman Westerman suggested that some printed materials about those options be available. Her concern is that there will not be substantive discussions without a list of proposed alternatives. Dr. Locke agreed to provide information for distribution. He then reviewed the meeting structure for the afternoon. Vice Chairman Westerman said her biggest concern is that if the doctors contribute a whole day to the process and nothing concrete comes out of it, it will be difficult getting them back in the fall. Member Masci said doctors represented on the workgroup recognized the importance of their participation in this process. He believes the summit will serve as a multi-level exercise: involving community leaders and providers, and getting some information out to the general public. Larry Fay announced that Dave and Gloria Christensen delivered their baby daughter earlier today. AGENDA CALENDAR / ADJOURN Commissioner Wojt suggested that an agenda item for June be a Discussion of Fees Versus the General Fund to support the Department's Operations. 2001 AGENDA ITEMS 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) - HEALTH BOARD MINUTES - May 17,2001 Page: 7 Meeting adjourned at 4:35 p.m. The next meeting will be held on Thursday, Junc 21, 2001 at 2:30 p.m. at the Jefferson County Health and Human Services Conference Room. JEFFERSON COUNTY BOARD OF HEALTH (J.í~~- Jiþler, Chairman , ' , I, ~ I / i~ \1L- \.~Jlt-)'tL{ ~~,--(y~ Sheila Westerman, V' ce-Ch' n ~ngfOrd' ;1 ., II ! ___ . Iflc L- Dan Titterness, Member .".'" ""0. Ojt, M -) " . /~-t.1A~j#ud-,t Roberta Frissell, Member Erin Lundgren BOCC Office PO Box 1220 Port Townsend W A 98368 ----.-." Jefferson County Board of Health I···· "\ I':;' ((:, , ;~:: i ,-;\ D' \. ,;:J I. ".-. I I' ) 1,.- 0!) t=,. -; I I¡: ,n !_.'_....../../ u li, ~ . MAY 1 1 Z 01 JH~lHSÜ~,JJi. \\\ Dr'''RD "F "')~~'~IÇ ·'r,o"·IF DJ.~., U, L.\ :\d!1t¡i\) ~ I;.~;'\~L, '-.,) Agenda & Minutes May 17, 2001 JEFFERSON COUNTY BOARD OF HEALTH Thursday, May 17, 2001 2:30 - 4:30 PM Main Conference Room Jefferson Health and Human Services AGENDA I. Approval of Agenda II. Approval of Minutes of Meetings of March 15,2001 and April 19, 2001 III. Public Comments IV. Old Business and Informational Items 1. Onsite Sewage System 0 & M Specialists - Expedited Rule Adoption 2. Crawford Correspondence V. New Business Larry (15 min) (20 min) (10 min) 1. Public Health Threats and Emergencies Act of 2000 Tom 2. Community Onsite Sewage System Financial Linda Assurance Agreement Addendum 3. Legislative Update 4. Jefferson Health Access Summit 2001: Moving Towards Solutions - Final Agenda and BOH Roles VI. Agenda Planning 1. Future Agenda Topics VII. Adjourn Next Meetine:: June 21, 2001 - 2:30 - 4:30 PM Main Conference Room Jefferson Health and Human Services Tom Tom (10 min) (45 min) ~, "'- JEFFERSON COUNTY~ BOARD OF HEALTH MINUTES DRAFT Thursday, April 19, 2001 Botl7"",i "\¡~'TI!I1~n: Dùl' T:tt07h'c,'. ,ìlel'i,)('1" " C()/fli!' COJJiIl¡¡Hioller D:J-rr:,': :::; I Cm;' HIIIII:tzg;or;;. Jlml!J['" - COi!llt CliJ?1JJJ:;JIOm"" DU,'l7t,' ;;;.: 1\Ù/Jar:: ih)i>, JJ¿mær - LCill:f~ C'oJJltJ1ÚJ¿Oller DÚf!',';: =-3 Cer.fr~~ .\Lu¿,. JleJJ1¡Jer - P(JI~' Tr»)!/Iuend C:'(.1 COt(l:':'/ 1i// DUnler. Ci7aZl7l1il1! .. Ho.iDlta! COl7!miHioller DÚrri,: =-:! . . .JÙeÙ'u IFÚ:aman. r tee C·'¡¡mmilll - GÚ:;f/! ;If Lr;ge ;C:{J;' ROUe/I,'"! Fmm; . Cir':::'~11 at LlI:g:' fCotfll!j/ Jic;.':'", ì I,'mlltl':: l::/d/: B{.],~,;;¡'Ù.'. _'\-l!l~rÙ~:~ S~·J7!j~·=, D!Jl)C!o" L,,~ Fer.. :::'JI1!r1mmmla I-1m','I. D,r:(¡'lir TÒ01IU:" !-otR:e. .\lD. Heal:; 0.riirer DRAFT Chairman Buhler called the meeting to order at :2:00 p.m. All Board and Staff members were present with the exception of Commissioner Huntingford and Wojt. Noting the lack of a quorum. the decision was made to proceed with repons and postpone approval of the March 15, :001 minutes. PUBLIC COlVIMENTS . None OLD BUSINESS Follow-Up Report - Letter from Senator Han!rove re: Rural Health Care Access: Dr. Tom Locke referred to Senator Hargrove's letter responding to the Board' s conc~rns about rural health care access and local public health funding. Although Representative Kessler also expr~ssed her support of the topics during the town hall meeting, neither Representative Kessler nor Buck have formally r:::sponded. Follow-Up Report - Board of Health Authoritv re: Long-Term Care Facilities: At the request of Commissioner Tinerness, Dr. Locke reviewed his written report summarizing his research into the regulatory structure of long-term care facilities. The local Board of Health has authority on issues as identified by the State such as communicable disease control or environmental health code enforcement. The local Board may also decide to exert authority due to a particular public health threat or issue. With the exœption of gathering information assessing local access to these facilities, or dealing with disease outbreaks. he has not been able to find instances where the Board of Health has taken a role in long-term care facilities. Commissioner Titterness responded that his initial interest and concern related to his perception of an inadequate caregiver-ro-patient ratio. 'Vice Chair Westerman mentioned The New England Journal ofMedicillc article included in the agenda packet regarding regularory standarJs for the ratio of caregivers to Òildrc;n in daycare facilities. Similar '- , ... HEALTH BOARD MINUTES - April 19.2001 Page: :2 requirements do not exist for the coverage of patients in hospitals and long-term care facilities. She proposed that the Board address this concern as a quality of care issue. Memher Masci pointed out that. as a business. the long-term healthcare facility has met the cha11enge of maximizing profits on declining reimbursements by eliminating costly overhead in the form of labor and ski11ed labor. Hospitals face similar quality of care concerns related to their staffing decisions. Member Frisse11 added that a lack of competition is also a factor. Chairman Buhler commented that although there are certain provisions in the State WAC the various types of nurses in a hospital are different than those in a long-term healthcare facility. Jean Baldwin offered to seek more information from groups involved with senior care work such as the Continuum of Care Committee as part of the Community Action Coalition. Dr. Locke agreed that Staff would look into opportunities for the Board of Health to pursue concerns about quality of care in long-term care facilities. He noted that issues of access, quality of care and financing overlap and need to be considered simultaneously. PTTV: Public Outreach and Education: Member Masci reported that Dr. Locke was a recent guest on PTTV discussing Board of Health topics. Member Masci recommended becoming a member of the PTTV Board and increasing its use of this resource. Informational Item -- Washim~ton Shellfish Growim! Areas Threatened bv Pollution: Larry Fay distributed a news release from the Washington State Department of Health on Shellfish growing areas threatened by pollution in Washington State. Informational Item -- Drou ¡!ht Survey Finds Drinkim! Water Systems Concerned but Generallv Prepared: Larry Fay distributed a news release from the Washington State Department of Health, noting that Port Townsend is listed as "Highly Vulnerable," but is prepared. Member Masci said the City has adopted a water conservation plan in which the MiJ1 will be the first to be impacted by a drought. There is also a plan in place for outreach efforts to residents. Commissioner Titterness said the topic of a water storage facility would be discussed at the next PUD meeting. .Jefferson Critical Access Proiect: Jean Baldwin explained that the information in the agenda packet related to the Critical Access Project was intended to be a reference for the Board. -' HEALTH BOARD MINUTES - ApriJ 19,2001 Page; :3 NE\'" BUSINESS Legislative Update: Dr. Locke reported that among the remaining active legislation is a needle and syringe bill and an opiate substitution program. Already adopted legislation include a breast-feeding bilJ and an electrolysis and tattooing bill. Neither HIV/Aids legislation nor legislation to prevent smoking in public places appear to have survived. Indications are that the public health portion of the Senate budget will remain consistent with last year. It is uncertain whether the House wil] pass a budget by the end of its regular session. Larry Fay announced that the Governor's omnibus water bilI passed. Jean Baldwin mentioned that it is unknown how the Department of Social and Health Service budgets will affect the Department of Health. Also, the status of Community Networks is still unknown. 2000 Public Health Improvement Plan: Dr. Locke briefed the Board on the development of the plan. He commented that the plan is focused on and is consistent with the County's topics of concern. He served on the Steering and Standards Committees along with Jean Baldwin and Larry Fay. Jean Baldwin provided an overview ofjocal health assessment and information technology activities as they relate to sections in the plan. Tomorrow, Dr. Chris Hale will hold a steering committee meeting of data users to identify the assessment indicators needed for a community-wide strategic plan. Activities beginning in May include the BRFSS phone calls, the PRAMS (a written survey to moms who deliver in Jefferson County), and a review of death records. Meetings on law and justice, jail use, and substance abuse issues also continue. The Health Department is reviewing alternatives to its current information and billing technologies. The stability of the current system, which holds the majority of charts and immunization records, is uncertain. The Department will be training staff to enter data into the web- based Child Health Profile System for later access. Future support of the Child Profile System will largely be determined by this legislative session. Chairman Buhler asked if the OB Vision team at the hospital could work with lean Baldwin on some additional PRAM questions. Member Frissell asked whether staff investigated how the Health Department in Stanwood dealt with their measles outbreak and whether it had any impact on their local immunization activities. Dr. Locke responded that Staff did not contact Stanwood, but there is typically renewed interest in immunizations once there is an outbreak. Jean Baldwin said the idea behind the section titled "Assuring a Ready and Capable Workforce" is to create a regional public health training center. She has also been heavily involved in the committee working on "Developing Sufficient and Stable Financing." Others included are legislators, County Commissioners, State and local public health people, and City representatives. Under discussion are not only what the Department of Health contributes per program, but how formulas are developed and how much money State, County and City jurisdictions are giving to public health. ... HEALTH BOARD MINUTES - April 19. 2001 Page: 4 Dr. Locke reviewed the Menu of Public Health Services under "Identifying Gaps in Access." He commented that changes can still be made to the list. The "Proposed Standards for Public Health"" in the appendix describe standards related to critical health services. He said he uses these standards as a guideline to distinguish between public health and persona! medical care issues. Larry Fay said the intent of these standards is to address public health principles. The challenge over the next several years will be to develop strategies in areas where we are not meeting basic standards. Member Frissell complimented the document and believes it should be revisited regularly to ensure we are going in the right direction. Emergencv Rule Adoption - Provisional Certification Onsite Sewage O&M Specialists: At the Board's direction, Larry Fay investigated and is now questioning whether an emergency rule is the best mechanism for adopting an amendment to the Jefferson County Onsite Sewage Code. He instead referred to RCW 34.05.230, Expedited Adoption of Rules, as included in the agenda packet and recommended that the Board agree to resubmit this action item on the May agenda with appropriate public notice. During discussion of new Sections 8.15.140(12) Provisional Monitoring Certificate and 8.15.150(6)c, there was a suggestion to change references to "may" in the first paragraphs of each section to "shall." Another suggestion was to reduce the 180-day period outlined in paragraph two of Section 8.15.140(12), which refers to the maximum time allowed for a provisional certificate holder to take and pass the written examination. Following discussion about using the expedited rule procedure as opposed to an emergency rule, there was general agreement that the Provisional Certification does not constitute as an emergency as defined in the RCW. In the absence of a quorum, the decision was made by consensus to change the first sentence of Section 8.15.140(12) to read: A...the Department shall issue Provisional Monitoring Certificates. Larry Fay agreed that the Board would not aggravate a public health problem by running the process through the expedited rule as opposed to an emergency rule. A real estate transaction may be delayed when a problem with a system is identified. He agreed to properly notice the next meeting for a decision on the Expedited Rule. .' .., .., .j. 4. 5. 6. 7. 8. 9. 10. 11. 12. HEALTH BOARD MINUTES - April 19. 2001 Page: 5 AGENDA CALENDAR / ADJOURN Member Frissell expressed concern about the lack of a quorum due to the Commissioners absence. 2001 AGENDA ITEMS 1. CONTINUED STABLE FUNDING TO REPLACE MVET ACCESS HEALTH CARE PROGRAM MEASURES (Genetic Research and Public Health Implications) METHA.MPHETAMINE SUMMIT PERFORMANCE STANDARDS & COMMUNITY ASSESSMENT TOBACCO PREVENTION AND COALITION FLUORIDE TR<\NSIT AND PUBLIC HOUSING BIOTERRORISM READINESS & PL<\N AGING POPULATION WATER MA TER.1\¡AL CHILD PREVENTION GOALS (0-3) Meeting adjourned at 3:30 p.m. The next meeting will be held on Thursday, May 17,2001 at 2:30 p.m. at the Jefferson County Health and Human Senices Conference Room. JEFFERSON COUNTY BOARD OF HEALTH Jill Buhler, Chairman Geoffrey Masci, Member Sheila Westerman, Vice·Chairman (Excused Absence) Richard Wojt Member (Excused Absence) Glen Huntingford, Member Roberta Frissell, Member Dan Titterness. Member Board of Health Old Business Agenda Item # IV., 1 Onsite Sewage System O&M Specialists Expedited Rule Adoption May 17,2001 tt '. .~) sfJ? ¡Oi Ordinance No. 02A-0517-01 AMENDING ORDINANCE NO. 08~0921-00 JEFFERSON COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT RULES AND REGULA nONS ON-SITE SEWAGE DISPOSAL SYSTEMS Jefferson County Ordinance No. 08-0921-00, relating to the County Health and Human Services Department and sewage disposal systems, is hereby amended as follows: Add: 8.15.140(12) Provisional Monitoring Certificate Until such time as the Department has developed a valid Operations and Monitoring Examination, or equivalent examination options are available, the Department shall issue Provisional Monitoring Certificates. Individuals receiving Provisional Monitoring Certificates must meet all the requirements established for a Monitoring Specialist Certificate except that they need not have taken and passed a written examination. Holders of a Provisional Certificate are subject to all authorities and limitations of a Monitoring Specialist Certificate, including payment of fees, scope of practice, reporting, continuing education, bonding and insurance. A Provisional Certificate holder must take and pass the approved operations and monitoring written examination within 180 days of the exam becoming available. Provisional Certificate holders receiving a passing score on the examination will receive a Monitoring Specialist Certificate. Provisional Certificate holders not receiving a passing score on the examination will have their certificates revoked and no longer be authorized to conduct operations and monitoring inspections. Add: 8.15.150(6) c. Owners of existing conventional onsite sewage systems may obtain operations and monitoring inspections from a Certified Monitoring Specialists in lieu of the Health Division, Licensed Designer or licensed professional engineer for the following inspection: (i) Routine O&M (ii) The sale or transfer of a property (iii) The application for a building pennit that is not classified as an expansion. (note: subsections c and d of the current rule become d and e) APPROVED May 17, 2001 to take effect May 26,2001. Jß4D Dan Titterness, Member ~c, Memb" - , .~ ~<././;..I/£- Roberta Frissell, Member ............- ,- l 'Î .... ~ . ClA,.- e~.a~ey. Clerk of the Board ,\ . . I.) iI" " DRAFT New Section 8.15 .140( 12) Provisional Monitoring Certificate Until such time as the Department has developed a valid Operations and Monitoring Examination, or equivalent examination options are available, the Department shaH issue Provisional Monitoring Certificates. Individuals receiving Provisional Monitoring Certificates must meet all the requirements established for a Monitoring Specialist Certificate except that they need not have taken and passed a written examination. Holders of a Provisional Certificate are subject to all authorities and limitations of a Monitoring Specialist Certificate, including payment of fees, scope of practice, reporting, continuing education, bonding and insurance. A Provisional Certificate holder must take and pass the approved operations and monitoring written examination within 180 days of the exam becoming available. Provisional Certificate holders receiving a passing score on the examination will receive a Monitoring Specialist Certificate. Provisional Certificate holders not receiving a passing score on the examination will have their certificates revoked and no longer be authorized to conduct operations and monitoring inspections. New Section 8.15.150(6)c Owners of existing conventional onsite sewage systems may obtain operations and monitoring inspections from a Certified Monitoring Specialists in lieu of the Health Division, Licensed Designer or licensed professional engineer for the following inspection: (i) Routine O&M (ii) The sale or transfer of a property (iii) The application for a building permit that is not classified as an expansion. (note: subsections c and d of the current rule become d and e) Board of Health Old Business Agenda Item # IV., 2 Crawford Correspondence May 17, 2001 -< ~~--~ Jefferson County Health ¿,. Human Services ~~ CASTLEHILLCENTER. 615SHERIDAN · PORT TOWNSEND. WA 98368 ..... Tim and Pat Crawford 2326 N. 155th St. Shoreline, WA. 98133 March 30, 2001 Re: Zimmerman complaints Dear Mr. And Mrs. Crawford, Thank you for your letter of March 26. 2001, Both of the sites that you have expressed concerns about have been investigated and are under violation and correction orders. The first case, #11 Fullerton Road, has progressed to the point that Mr. Zimmerman has applied for and received a pennit to repair the failing septic system. The repair permit requires that the work be completed within 90 days of issuance (March 21,2001). The second site located near G&L shake road was investigated on February 8, 2001. Although there was no sign of surfacing effluent, one of the septic tanks poses a safety hazard due to an improper lid. The property owner, again Mr. Zimmer was sent a notice of violation on March 20,2001 with an order to repair the system. He contacted this office on March 26, 2001 indicating that he would contact an onsite sewage system designer to begin designing a repair to the system. I have every expectation that he will follow through at this stage, however, we will continue to track his compliance with both cases until they have been resolved and both properties are in compliance. Please feel free to contact this office if we can be of further assistance. r ly, ~ fJ D~'l a ence D. Fay Jr. ./ Environmental Health Director cc. BOH HEALTH DEPARTMENT ENVIRONMENTAL HEALTH DEVELOPMENTAL DISABILITIES ALCOHOUDRUG ABUSE CENTER FAX .........._ ''''r''''t~ r\. ,""r "'~f'\/,)Ct::. nAn-t " Date: March 30, 2001 To: Board of Health From: Subject: Linda Atkins, Environmental Health Mr. Crawford complaint/action requests regarding Mr. Zimmennan Message: The following is a review of actions taken regarding the above referenced complaints. Complaint #1 June 27, 2000 - initial complaint/action request received on #11 Fullerton Rd. (two existing cabins) July 13, 2000 - Contacted Jefferson County Sheriff He said he would go to site and report his observations July 21, 2000 - Spoke to Sheriff Deputy, Dave T.. He was unable to see a discharge pipe as reported but did speak to a neighbor who confirmed that there was a pipe discharging to the surface. There are no records of penn its on file. July 25, 2000 - Notice of Violation sent to owner, Mr. Zimmennan July 31, 2000 - Letter to Mr. Zimmennan acknowledging Mr. Zimmennans response to the Notice of Violation on July 31. Repair process reviewed. August 2, 2000 - Staff from the Health Department was at the west end and completed a site visit to confinn the report and did observe sewage on the surface of the ground at both #11 and #17 Fullerton Rd. October 27, 2000 - Staff met onsite with designer and Mr. Zimmennan to check soils and review possible repair options. Received several calls from Mr. Crawford during this time. March 21, 2000 - Received repair pennit application from NTI Inc. that meets the requirements of the site. They are proposing an expansion and need to meet current code. The pennit will be issued for a 90 day period per Jefferson County Code. Complaint #2 November 6, 2000 - complaint received. February 8, 2001 - staff completed site visit near G&L Shake Rd., found several cabins and travel trailers with pipes into the ground. One cabin appeared to have an open septic tank: with a piece of plywood over it. No evidence of sewage on the surface ofthe ground but a safety hazard does exist. No record of septic system approved on the parcel. March 20,2001- Notice of Violation sent to owner, Mr. Zimmennan. March 26,2001 - TC with Mr. Zimmennan, he said he would contact NT! to work on design of system for the site. Tim & Pat Crawford 2326 N. 155th St. Shoreline, Washington 98133 vf Jefferson County Health & Human Services 615 Sheridan Road Port Townsend, WA. 98368 RECE~VED . MAR 2 v -. j Eff _ c....._I\...." ¡ HEALTH DEPT. March 26, 2001 Dear Board of Health, We are writing once again of our concerns. Our water quality and health are still being threatened by the lack of timely enforcement of controls to protect us. It is coming up on a year since we filed the first complaint to Linda Adkins with the Jefferson County Environmental Health. We filed a second complaint in October 2000 about this same landowner with other properties in the same condition. Has this complaint been investigated yet? Please take action to stop this pollution and please keep us informed. Sincerely, Tim & Pat Crawford cc: Larry Fay, Environmental Health Jill Silvers, Hoh Basin Fisheries Dept. of Ecology Board of Health New Business Agenda Item # V., 1 Public Health Threats and Emergencies Act of 2000 May 17, 2001 ,A.CCHO - Public Health Threats and Emergencies Act of2000 (Summary) hap:/ /www.naccho.org/advocacydoc25 7. c fm "iA'ffO,...AL A.~SOGI.4.ri!)N ':)¡" llaCcll() MEMBERSHIP BOOKSTORE PUBLIC HEALTH ADVOCACY þ> RESOLUTIONS >- .\ ("¡~. !~ (~c\ :_. 'f \'1' ,I"J "t, Public Health Threats and Emergencies Act of 2000 (Summary) S.2731 (Frist-Kennedy)/ HR. 4964 (Burr-Stupak) Þ'LEGISLATlVE ",CTlON CENTER Passed as Title I of H.R.2494, The Public Health Improvement Act of 2000 106th Congress, Second session (2000) Summary I. Public Health Capacity A. Definition of capacities HHS Secretary, in collaboration with State and local health officials, establishes "reasonable capacities" for national, State and local public health systems and the personnel or work forces of such systems. The capacities shall improve, enhance of expand the capacity of national, state and local public health agencies to detect and respond effectively to significant public health threats, and may include epidemiologic capacity, lab capacity, preventive and therapeutic capacity, capacity to communicate information rapidly, or capacity to develop and implement policies to prevent the spread of infectious disease or antimicrobial resistance. To be completed one year after enactment and revised at least every 10 years Authorization: $4 million FY 2001, such sums as may be necessary FY 2002-2006. Funds to supplement and not supplant other federal, state and local public funds provided for such activities (maintenance of effort) . B. Assessment of capacities HHS Secretary awards grants to States, consortia or two or more States or political subdivisions of States, to perform, in collaboration with local public health agencies, an evaluation to determine whether capacities can be achieved. Outside contractors may be used and methods used (to be developed by Secretary in consultation with State and local public health officials) should facilitate the comparison of evaluations among States. States (or consortia) submit report to Secretary. Authorization: $45 million for FY 2001 and such sums as may be necessary for 2002-2003. C. Grants to Improve State and Local Public Health Agencies Secretary awards grants to States, political subdivisions of a State, or a consortium or two or more States or political subdivisions, to address core public health capacity needs, with a particular focus on building capacity to identify, detect, monitor, and respond to threats to the public health. . of3 04/12/01 IS: 12: 10 '-'h.CCHO - Public Hcalth Threats and Emergencics Act 01'2000 (Summary) Imp:/ /www.naccho.orgladvocacydoc257.c I'm Funds may be used to train public health personnel, develop, enhance, coordinate, or improve participation in an electronic network for public health information-sharing, public health emergency planning, laboratory capacity and facilities. Authorization: $50 million FY 2001 and such sums as may be necessary for 2002~2006. Includes maintenance of effort clause. II. Revitalizing CDC Authorizes funds for COC to construct or renovate facilities to better conduct federal public health capacities defined in earlier section and for supporting related public health activities. Authorization: $180 million for FY 2001 and such sums as may be necessary for FY 2002-2010. III. Antimicrobial Resistance A. Authorizes federal Antimicrobial Resistance Task Force (already exists) to advise HHS Secretary. Secretary develops, improves, coordinates, or enhances participation in surveillance and integrated information systems to assimilate, exchange and analyze antimicrobial resistance data B Authorizes NIH, COC and others to conduct and support research on new therapeutics against resistance pathogens, the epidemiology, mechanisms and pathogenesis of antimicrobial resistance and other relevant research areas. C, Secretary develops and implements education programs to increase public awareness of antimicrobial resistance, to educate health care professionals in the prudent use of antibiotics, and to train lab personnel. O. Secretary awards competitive grants to State or local public health agencies to increase the capacity to detect, monitor, and combat antimicrobial resistance. Funds may be used for training, information systems, development and implementation of policies to control the spread of antimicrobial resistance. E. Secretary awards competitive grants to hospitals, clinics, long-term care facilities, medical societies, or other public or private nonprofit entities to establish demonstration programs to control the spread of antimicrobial-resistant pathogens. Authorization: $40 million FY 2001, such sums as may be necessary for FY2002-2006. Includes maintenance of effort clause. IV. Bioterrorism A. Establishes federal interdepartmental working groups on bioterrorism preparedness B. HHS Secretary awards competitive grants or cooperative agreements to States, political subdivisions of States, consortia of two or more States or political subdivisions, or hospitals, clinics, primary care facilities to enhance their capacities to detect, diagnose and respond to acts of bioterrorism. Funds may be used for training, rapid diagnosis, coordination of medical care, facilitating rapid communication of data Grants are to be coordinated with Metropolitan Medical Response Systems. C. Secretary develops and implements education programs to instruct public health officials, labs and others in the recognition and care of victims of a bioterrorist attack. D. Secretary develops research and demonstration priorities related to the use of bioweapons. 2 of 3 04/12/0115:12:10 NA.CCHO - Public Health Threats and Emergencies Act of2000 (Summary) http://www . naccho.orgl ad vocacydoc25 7 _ c fm E. Secretary awards grants for demonstration programs to no more than three states, political subdivisions of States, or private, non-profit entities to improve the detection of pathogens likely to be used in a bioterrorist attack, develop response plans, and train personnel. Preference given to grantees proximate to major research universities, laboratories, and academic medical centers and to those that demonstrate support and participation of State and local governments and research institutions. Authorization: $215 million for FY2001 and such sums as may be necessary for FY2002-2006, plus $6 million for demonstration programs in FY2001 and such sums as may be necessary for FY2002-2006. Full text of the Bill (PDF document) ¡ of3 04/12/01 15:12:10 J¿ Jf~~ ')- " j, FluAid 2.0 Preparing for the Next Influenza Pandemic FluAid 2.0 software from CDC projects the impact of an influenza pandemic on the health care resources of a state. The program is run using estimates from CDC and from the participating state. CDC provides estimates of attack rates for deaths, hospitalizations, and outpatient visits. The state provides estimates for available hospital beds, available health care providers, morgue capacity, and several other factors. These estimates should be made as accurate as possible. These early analyses were done quickly and with very crude approximations. The attached tables made the following assumptions which are open for discussion or change: influenza activity would last 8 weeks average hospital stay would be one week for influenza available hospital beds for influenza as 10% of state or county total licensed beds available care providers as listed by Medical Society: family or general practice, primary care, pediatrics, internal medicine, urgent care, emergency care, physician assistant, infectious disease assume care providers would see 10 extra (influenza) patients per week available morgue capacity: 12.5 spaces each for 185 licensed funeral directors for counties averaged by hospital beds public health agencies would provide 10% of influenza immunization visits including papelWork would take 15 minutes per patient Influenza table forOther . I (' (. ..' ,.I . ~ ~ ) ;>...-., Report Date 4/16/01 9:23:31 AM Population:Numbers and distribution 0-18 yrs 19-64 yrs 65+ yrs Total % total Non-high risk 4,830 15,932 1,374 22,136 85% High risk 308 2,593 916 3,817 15% to tals 5,138 18,525 2,290 25,953 100% DEATHS Gross attack rates Distribution by age group:Most likely 15% 25% 35% % High risk % Total 0-18 yrs most .li~ely 0 0 0 0-18 yrs 0% 0% 0 0 0 19-64 yrs 49% 60% ITlll11mum 65+ yrs 30% 40% maxlffium 1 2 2 19-64 yrs most likely 6 9 13 TOTALS 79% 100% 111ll1lIllum 1 1 2 maximum 11 18 25 65+ yrs most likely 4 6 9 minimum 4 6 8 maximum 5 8 11 TOT AL:Most likely 10 15 22 total minimums 5 7 10 total maximums 17 28 38 HOSPlT ALIZA nONS Gross attack rates Distribution by age group:Most likely 15% 25% 35% % High risk % Total 0-18 yrs most likely 1 2 3 0-18 yrs 1% 2% rmmmum 1 1 2 19-64 yrs 11% 76% maximum 6 10 14 65+ yrs 14% 22% 19-64 yrs most likely 34 57 80 TOTALS 26% 100% rrurumum 6 10 15 maximum 37 62 87 65+ yrs most likely 10 17 23 rrurumum 7 12 17 maximum 13 21 30 TOTAL:Most likely 45 76 106 total minimums 14 23 34 total maxlffiums 56 93 131 Influenza table forOther Report Date 4/16/01 9:23:31 AM OUTPATIENT Gross attack rates Distribution by age group:Most likely 15% 25% 35% % Hi2h risk % Total 0-18 yrs most likely 454 757 1,060 0-18 yrs 2% 22% minimum 380 633 886 19-64 yrs 9% 69% maximwn 529 882 1,235 65+ yrs 4% 9% 19-64 yrs most .li~ely 1,430 2,383 3,336 TOTAL 15% 100% ITllIllffiwn 1,023 1,706 2,388 maximwn 2,176 3,626 5,077 65+ yrs most l.iI~ely 178 296 415 ITllIllffiwn 168 280 391 maximwn 276 460 644 TOTAL:Most likely 2,062 3,436 4,811 total minimums 1,571 2,619 3,665 total maximums 2,981 4,968 6,956 Impact on resources Gross attack rates 15% 25% 15% Hospital Beds capacity( most likely) 141% 238% 331% % capacity( maximum) 175% 291% 409% Outpatient visits % capacity( most likely 17% 28% 39% % capacity( maxim um ) 24% 40% 56% Morgue capacity % capacity( most likely 18% 27% 39% % capacity( maximum) 30% 50% 68% Total number of doses needed 1 st dose 2nd dose High risk Non high risk Subtotals I TOTAL DOSES 3,817 22,136 25,953 3,817 20,899 24,716 50,669 5,067 Total doses by public health Total public health provider time needed: HOURS 1,267 hours Board of Health New Business Agenda Item # V., 2 Community Onsite Sewage System Financial Assurance Mreement Addendum May 17, 2001 May 10,2001 Olympic Greens Community Drainfields - Financial Assurance Agreement and Amendment Feb. 24, 1997 - Permits were issued for four community drainfields to serve 21 total lots in the Olympic Greens project area. Based on Jefferson County Policy and State guidelines a permit condition included the requirement to provide a Security for the repair of major system components of the Onsite Sewage Systems. This agreement to provide security was to be recorded to the property prior to final approval ofthe onsite sewage permits. Among other items it was agreed that: . The Owner would be afforded time to make the contributions to the capital account over time; 5 years with a monthly payment of $l1/monthlresidence to be connected to the systems in the future. The amount was based on an estimate of the cost of installation of only the drainfield portions of the system that would need to be replaced if failure occurred. The estimate was provided by the system owner/installer. . If ownership of Olympic Greens changes hands prior to completion of the fund as described, all undeposited funds up to the full amount was to be paid into the account prior to the sale. August 1997 - The permits were final ed/completed based on the recorded Financial Assurance Agreement and compliance with other permit conditions. May, 1999 - It came to our attention that the property had changed hands and there were no deposits to a Security account at any time since final approval of the permits. We sent a letter to the new owners regarding the requirements for financial assurance and stated that no further permits would be approved until the issue was resolved. Early 2001 - An amendment to the agreement was developed by legal representatives of the new owners that basically requires the fund be made current and then they can make contributions on a quarterly basis per the previous agreement. In this way the fund will be complete within the 5 year period. This is a satisfactory agreement and meets the intent of the Jefferson County Policy to have funds in an interest bearing account so that when the drainfield ceases to function properly it can be repaired in a timely manner to eliminate the problems associated with organizing multiple parties to fund repairs when sewage may be surfacing on the ground or backing up into a residence causing risk to the public. S AL..\... WL\ ITR RI'If.·II<.!)!) TLR'ŒR ROBERT ßAI<.O...SK \" DO....~LO L ..'...DERSO.... JAMES II Ifl;sH.·\GE... RO{lERT G CASEY IIAI<.K J ROSE"'BLL'\ TERRE...CE J DO"AIfI;E GREGORY J 11l'RPlfY Gl;Y J STER"Al 10fm R Rllfl CARL R PETERSO... BRADltoY D fRESIA P CR,IIG {lEETHAII ANGElIA 0 HARLOW 0,.1 \10 B PETRICII RO"A!.D J TROMPETER AMY CLEWIS JASON 11 WHALEN LA W OFFICES OF ,.10,111 L SHERR 11ICIIA£L S DELEO CLE\IENClA ,,\STRO·WOOLER" STVART C 11OItG~'" JE¡';\IFEIt A II"IV; TRACEY A THmIPSO... LAI>CE P (It.'IIK GLEN E TE\lPlHO' EISENHOWER & CARLSON, PLLC 1200 Wells Fargo Plaza 120 I Pacific Avenue Tacoma. Washington 98402 (253) 572-4500 FAX (253) 272-5732 OF COL"SEL JAllES F HENRIOT H El:GF.'E OLl" RONALD A ROI)F.1t TS JAMES J I1ASO' May 1,2001 Jefferson County Attn: Linda Atkins 615 Sheridan Port Townsend, W A 98368 Jefferson County Public Utility District No. 1 Attn: Jim Parker 615 Sheridan Port Townsend. WA 98368 Re: Financial Assurance Plan for Major Repairs dated August 6, 1997 ("Plan") - Parcel Numbers 901-024-001; 90 1-024-083 Dear Linda As a follow-up to your letter from last month, set forth below is our understanding of certain modifications that the parties have agreed to with respect to the Plan (capitalized terms shall be as defined in the Plan unless otherwise defined herein): I. Jeffer'\on County hereby agrees that the Security ($660 per lot) shall not be due in full as set forth in Section 17(d) of the Plan and shall be payable as set forth in paragraph 2 below. 2. Olympic Greens, L.L.c. ("Olympic") shall pay into an interest bearing escrow account in the name of the Jefferson County Public Utility District No. 1 and Olympic. the Security due under the Plan as follows: (a) On or before May 15.200 I. Olympic shall pay to such account the sum of $9.240.00; and SEATTLE OfFICE: 2830 Two Union Square. 60 I Union Street. Seattlc. Washington 98101. (206) 382-1830. FAX (206) 382-1920 May 1.2001 Page 2 (b) Olympic shall pay the following additional payments into such account: (i) June IS. 2001 (ii) December IS, 2001 (iii) June 15, 2002 (iv) December 15,2002 Total $1.386.00 1.386.00 1,386.00 462.00 $4.620.00 3. The parties hereto recognize and agree that the total sum to be paid as Security shall be $13.860.00. 4. Except as specifically modified above. Olympic agrees to abide by the terms of the Plan. incJuding any and all maintenance and reporting terms. 5. The parties hereto agree to sign any documents, amendments to the plan or other agreements (in recordable form) to effect the intent of this letter agreement. Please provide your acceptance of these terms by (i) signing below, and (ii) returning the same to my attention for execution by Olympic Greens. L.L.C. J:; yo=, Carl R. Peterson Consented and Agreed to by: Olympic Greens, LLC By: Its: Jefferson County. a municipal corporation By: Its: (XJI 96288 DOC May 1. 2001 Page 3 STATE OF ) )ss. ) County of I certify that I know or have satisfactory evidence that is the person who appeared before me, and said person acknowledged that he signed this instrument, on oath stated that he was authorized to execute the instrument and acknowledge it as the of Olympic Green, L.L.C. to be the free and voluntary act of such party for the uses and purposes mentioned in the instrument. DA TED this day of . 2001. Name: Notary Public in and for the State of , residing at: My Appointment Expires: STATE OF WASHINGTON ) )55. County of Jefferson ) I certify that I know or have satisfactory evidence that is the person who appeared before me, and said person acknowledged that he signed this instrument on oath stated that he was authorized to execute the instrument and acknowledge it as the of Jefferson County, Washington to be the free and voluntary act of such party for the uses and purposes mentioned in the instrument. DATED this day of , 2001. Name: Notary Public in and for the State of , residing at: My Appointment Expires: 00 196288 DO(" Board of Health Media Report May 17, 2001 Jefferson County Health and Human Services APRIL ~ MAY 2001 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. "Septic code comment sought" - P.T. LEADER. 4/11/01 2. "Beyond the blues: Depression is topic" - P.T. LEADER, 4/18/01 3. "Pied Piper visits schools in Jefferson" - Peninsula Daily News. 4/22/01 4. "Women's imaging center open for tours Saturday" - P.T. LEADER, 5/2/01 5. "Substance abuse survey under way"- P.T. LEADER. 5/9/01 Septic code comment sought At the April 4 public hearing for a proposed amendment to the unified development code (UDC) regarding the installation of onsite septic systems, the oral comment period was closed but the written comment period was extended, Written testimony on the amendment may be submitted to the Jefferson County Department of Community Development un~ til 2 p.m. April 12, the commis~ sion decided unanimously. This YrlEAPGf2- Lf'~tI- () ( will allow the public to comment on information which planning staff will compile and make available by April 10. This will include examples of the method proposed for septic review, called a site plan approval advance de- termination (SPAAD), and some cost estimates. The planning commission is scheduled to make its recom- mendation on the amendment at its next meeting, 7 p.m. April 18 at the WSU Learning Center in Port Hadlock. Also on the agenda is discussion and recommendation on the redesignation of Camp Parsons in Brinnon. The stated goal of the Board of County Commissioners in ini- tiating this UDC amendment is to "allow property owners to de- velop incrementally if they wish to do so while preserving the county's ability to undertake comprehensive site review prior to development." ) Beyond the blues: Depression is topic Feeling blue? Adolescent de- pression is the theme chosen for an upcoming teen retreat spon- sored by Jefferson County Health and Human Services and the Peer-In peer education program. Open to all high school students in Jefferson County, "Beyond the Blues" is set for Friday, April 27 at WSU Cooperative Extension in Port Hadlock. This· is ·a-school dayi' and par- ticipants will need to make up any school work. The retreat be- gins at 9 a.m. and continues un- til 2 p.m. Lunch will be provided, but participants should bring their own snacks and beverages. Beyond the Blues will exam- ine the issues of depression and --.----- 'fr-r. LCADS(~ Lf-/g-ð! emotional health, with an empha- sis on healthy coping strategies and resources. Teens will explore these themes with interactive exercises, creativity and critical thinking. Guest presenters include Karen Peny, RN, a public health nurse with 14 years of experience in working with adolescents in mental and behavioral health. Pa.rticip;;1tion in the retreat is free. Parental permission is re- quired for participants under age 18. Registration forms are available at local high schools. the Boiler Room and the health department. For further information con- tact Hilary Metzger, RN, at the health department, 385-9400. ff'Q E? þ5 :1. "'0 ~ :IJ. .~~' ~ 8. ~ I' ".... ,,' ;;¡ _ ,,-;::;1 c> 8· i!' g. e.,,::o:, ,~_____,___, g 0 b_blL':: ~.~. ('5 ----=- ~_"..~_lTl·,..e._;L~...::J, ~_~ "~.ro. _ ... -..',...... (/) - ...... 0 c 0>00 Q..c ( ) .- u â3 c.cn:c: -cCl)Q) (1)~~ .- en c..- C >.- ... I~~ ~3i: :!3 0.. ~ -ª ..3"E . 111¡!!\1 ",~§-e=---"'8 :.a i= 2 ß .3 .:: ~ " ~ z ~ iIIë $:0 0-2 ~ "CÍ';: c= ~ III C - "'- ~ ='00 ~ ~c 0- ; o-$: t:~ - .f.! ~ =c 0: _III _ill O.Q 0", ::10 ~:: ...>- IIIj !~ I/):E ~~ 111 C ~~ 1å.E! ",'" "'0 Co ~I"I :; c "'eo "':: 0'" "'11I 111 .. yO ï: E 0'00 Ec .. 0 I1IE :: 10 . "'iII"g ill .. ill ::10", Y",= := ~ "'iII.,5! =1 t: 81;;.f =11I'1:1 = '1:1 C 01010 ~ U III .,; C t:..1II iII:a~ -...,.- ~::5 011'00 .:0: = . yoE 10"= :E::y "'10 >-.,:. E '1:1",- C":: o(=u "Û~~ J ~ = 8 ~ == T. I ~ ~ '11 '.1J...:. >1 ~.3 = ~ ~ a:) '.n 3 5. ~ .-= '§ 3 ~ ..ê ~_~ ~ ~_,"ª ~ Ë.§ ~ ~ _ fI::~ -' ~ .~ ~ ...c:: ';j ,.J ~tsi~~~~ i~ ~1 ~ 3. :_~ ~ ,_; .;. 5..~ ~ q t AT. ~ :)....... ~ ~ of; ~ ~ :S õ.. î; ~~ ~ ~ ~32~ '~~~~~~ ~~¡:_~-,~~ii.::: -~'"'="'" ~_. ,,"=~~9~;~~_.3 3__~ ~.~~.. ~ a~· ~ ::::t~~--g~~:J .s==:~:I:) ==:5~5";a~;:E a]~~ ,- ':t:..- "r.,;: ª _~.~ '.fj - ==..s¿ ~ ~ :: ..j - ;.n := 5 ,n ~ B oW ~ :::: ~~. :.. ~ ? ~ ~ 'Sj¡ W ~ :;j ~+ :1: ~ '-5: ð' ;g ; ~:: ~..ð.=..a e § ~ ~ ~ ð-'= '"5::1 b..~-a.o~]~-;¿ ...."'S!r...:. ~ ~~~;;;::~"*-'-~êf_~'""Öæ--;.3 ~ ;:: -5 .§ .= ~ ,5 ~ 2 --; -g § ~ :IJ >, 1 2..-0 ~ 3 tt ~":; '5 r-on ; T.j -:= ¡)-'= " ,::: ===.::: == -ç ;¡ 2 E ê 1" i; ~~5;:§ 1 ~ ~ 1 ~ ~ ~ ¿ æ ~-B ~.:: ~ 1 7..) ...... :,¡ ....... ..........,2 2............, ;>-, ~ ~ c: ¡: ~ ~ -5 ~ -S ~.~ 0. ~ ~;a -5 -5 5. '~=;. ~~~~-=::I~'';;=~ :"J:"j0"~'l) 3 -5 .3 ~ 8 ~ 'I: ~ .3 31 .S -5 ¡"... .~ ~ .3 i ~ ~?' ~- ~ ~~,~,~] "" - ~ - ~ ] ~ 1~, ~ ~g,_' ] .3-52: ::~'fJC)~~~~ D.:J3235>~ê"'" ~ ~~:; ; .~= ~ = ~ ~ ,,-g - .-: -~_: ~·1~ ~_~ ~~, ~~ HHÜh~]~<;1~ ~ ~.3.S"'S!";:= ~ ~..; ~ 1 ~-a ....... ~ ~~~~~¿:~~~ ]~J~]1 ,....:t: -0 .' ~ ~~ § [,~ ~t'~ ~-! =.::¿.:; .:=:::.... :..........:;:: ::J ~~:~g 5 ~ ~l ~~ ~-g~:..;5'2 :~.§~~'§ .;!~-'= E .¡j E ~P~~c1:a :-'::t""""2.= 1I-C ~ 2 l ~ .ª ~ .Ef:;"'8 c ~ ~J1.J::-5 I.- :Õ-:1-3~-~ 1 o.E :;5.æ~- .:;;;;¡ ....... >, ::I ...J: J:. -= ..c.=~ .... ~:; æ ,,-'= ~ ..c::.Ë~~ßæ .r:. ~~:~:â3 .~~-5gj'§3 E :E ~ ~.5 '0.= Æ §5a~ = _=... ~ ';': E ~.~ t"t '6 ~~ 2 .:. ,3 ~ ~ ~~::0 ¡: Õ ~~ .3 ~ =:'è ;; ~ I=- ~ - -~_·,~~·500 .;~¿~~~~ ----8~§ê~~o~i·;~ 1:1 =~~Ê~¿;o..E~~ ""!:j~ '..!...... --ð5°B~M~o ...]a~;: Q.E (1) ~::¡':J :: ~ . .............. 2.:.:J::/J 3: ~ ~.:: =::;; ~ I.. ~ " .=:;"""=' 0 ~ .." ~ E I: ~j'; ~ .- ... r-<....... IJ ~ ~ 5...=:: 2 C/ ~ ~ :::..2 ~ ..... ~ _~ .:.~& j ~~~ ~ ,~~ ~, ,'1_:r. ~~~ ~ :::. _ _ ,g i . -._~ ;,,'r,'". :.~,,~ :;;_~_~ ~_::o",~ ::::~.~ ~_I'.<::! ~:J jj ~.;; --:; 1: ~ ; 5 ::, § ~.g¡.:: ~ ~ !7J ~ ~ ª.~.: tñ .. ,.., ~ '"' .' J' _ .... ~ 3'~ ~ ~ -- ..:;;;. 5.;¿ S.-s.S -= 5 S ~ ø.. E~ ~ -= 2 §:C.~ :.a: _ ~ ~ ~ C ~ :- -ª -a == 'J". 0....-'= r ~ S ß ::s ~c"'5 ~ ~. : ~ ß î 5.-a ~.~ ~~ ; c :2 ~ ~ ë 2 -ª ~ ::s ~ ~ 2::.,g g.2 ~ e c. b a ~.S ~ ~ ~= ra 5.. ~ g :J -...... ~ :IJ :"':J c.::.. :..; 'r. ..., ~ ...J: :J.... ~~ ~ .... ã. -.Q .~ ·d..., ~ ., u :: 3 ~...c: ~~. ~ ~.E ~ T.Í', :.a ~ -d 2 c: Co) .-;; E .: ~ 'd WI \M ...... _....n 'WI '2 C""';:j ~ ~ ~ ~ =: ~ -= -~ i ~.5 ¿ t: .3 ã 0 ~ ~;... ~ -ª s... ð.. ~..... ...c: "'C > "Õ ~..g o ~ J..;:) :...~~~.s¿-:=!:.n-W,.:~Q..2t'?j..i=l'~ ~ä.3c..~--g~;~~~~ E '='"'8} '5 .3 2 - '".~ :> "x.;:: ;; .....;¡j '" -i:1 ~:-' '-''''; 0: ~ .;2;.z § ¡g .. _ ~.,.. ¡¡;-'= æ ,... == ;:,e oJ¡ '¡:] ~ oJ¡ ::: ,r, '-' '" ::: ~ ;;. ,-<.-" '-< oJ¡ () 0: ~ ~ oJ¡' .æ '-' :t: :¡:: b S OJ ~ -8 e g 1: ~t2.::: = ~:E"'b ¿ ~ ~ ß 3 § ~ ~ ~ ~ ~ .5 '-- I~~ N N -' ... :.; ,.... ~ S S ~ ~ ~ E E >-, I- "" JJ ~ l:: c::...c: 'f) Q.) 'f) c:: ..s:! Of) c ,- c: 'f) ::J 'c 'f) OJ..cJd ,..._~~.~t~ ~,~ ~e~~~ ê]~~,!~6~~ ia~~3~ 3~~ - .= ~ ~ g ~ 1 ~~ ~ =51 2 þ: ; & ~ ~ i 5 ~ ~'§ ~ E Jj = a ~ ~ I i ~ ~ ~ '"] áJ = 2 ~"2 '5 ~ :3 i).... ~~~ ..â 1::.§ ~ E §";;.E:: 1 ~ Æ ; Q~-~, ~ ~~ ~ ,~~ a~ ~E~~~E ~~~'~~ o;~ z -~- ~~ ~~~~~.." ~c-~~~o.~~ ~~ ~o~~ ,._~ -~ ~ -"""" ~ !!l,;' ~ 0 U.n ~ .... c..J:: __ ~ ry'J t........ .... "'t:I ~.J:: .,,¡.o . :;.. -....... c ~... ..:: ¡::'= ~,:.. ~' ~.~....., ¿ c =' ~ ~ r......c: ~ ~ e ~ aj :t "f) §,...; :: ~ ~ v ~ 'fl ~ 0 t: :>, ~ J... 3:'''' E ~ t1J W ~ ~ "'C u ~ I z- ~>'-< E'" ",~¿j~~~,-= MO:;.z!~~ ~8. ~~3g~~~ ~~Êoûj -7j-;~~B~~o-w s..--§~..c~"'5 ¡:;: J,.¡I p".µ ~ ~ r ~ ë ~ ~ § ~ r.t:: ~ co v ~ ~ c.~ ~:g ~ ..~:t -= q,) g ~ ~ I =- .. ::: '"' ;q c..Q ~ c;¡ . ;:¡¡ '- 0 19 .-.. - '" - -'= a¡ ., '" O ....g - ~ '2óÕ '-< .z¡ 00 s ~ ê ,.,1J "-5 .§ S ~ ~ .<:: ~ ,., ~ ;; ;¡ ci 0 .!!1 i5. O~ 23 _º.2 0 1ij :; ~ /1) ~ -=::.:3 ~ ~ "C :;"i B .;J ~ _.Uj qj "'0 -...J ; ~...::: ~ :3..c:..£:: B Il.. '" ¡: S 0 (!I'<:: S'<:: '" c .- ''-'.;j -0 ~ § ...." :r ~ Ei ""....... 8 a¡ = tA .- ';' '";:: [;¡ Ê O;!",] [;¡ 1;; § -0 ;; "".... 3J 0 O 1:: '" g 0 Ei âj !!1..<::':: :.:: § I Q. Ei ~.<:: OJ :r: -z t: ~..:: S § 3 ¡¡;.Ë 8. S .,8 ..@ -5 .;. d:: 3 ~ j! ~.g ;¡ S cJ1 '" ~ :t:. i" :< ~~ J~ :>.,- ;n == '" 0..2; >- ~ CQ"" , "j-- -2 q {+- ) Wednesday, May 2,2001 . A 3 Women's imaging center: open for tours Saturday':' Advance Medical Imaging-is the facility where the health ~ié~ partment sends BCHP partict~ . .... . pants to receive mammogram~ ultrasounds and other testing; These procedures are paid fo.r by a grant from the Susan G~ Komen Foundation, Seattfe; King County Health Depart~ mem, and Center for Disease Control in Atlanta. Jefferson County is one of five counties in Washington state that qualify for the Breasi and Cervic:ù Health Program. For more information call Julià Danskin, outreach coordinator; at the health department, 385~ 9420. The Breast and Cervical Health Program and Advance Medical Imaging conduct an open house on Saturday, May 5 at the imaging facility, 1780 Myhre Road NW, Suite 1220, SilverdaIe. From 10 a.m. to 1 p.m. the f.acilityis open for women's tours; from 1 to 4 p.m. the general public is welcome. Jefferson County Health Department's Breast and Cer- vical Health 'Program (BCHP) provides women's health care for women ages 40-64 in lower income and ethnic groups. It is designed to bridge the healthcare gap created by Medi- care. PTltADE~ S b ' "'b " :: U / 'stance",!, Us'e survey under way Last year the Olympic Edu- . cationaJ Service District (OESD) : 114, on behalf of the local 'schools in Jefferson County, re- ceived a Department of Alcohol and Substance Abuse State In. ,'centive Grant. The grant applica- : tion was a collaborative effort :;among the Jefferson COUnty :'Health Department, OESD, :;Community Network and the ::Port Townsend, Chimacum, ::Quilcene and Brinnon public : school districts. The grant provides school- : based substance abuse preven- :tion services with the goal of : reducing risk and increasing pro- 'tective factors for problem be- haviors. Staff members funded , by the grant provide parent edu- , cation, family and individual counseling. and youth support groups in six schools. Participating schools must , complete tbe Washington State Adolescent Health Behavior . Survey in order to provide the ,local communities with , baseline data and ongoing as- seS$ment of needs and services · to youths bn the topics of alco- , hOI, drug 'and tobacco use. and ' other problem behaviors. This survey was administered to county students in grades 8. 10 and 12 in early fall 2000. The survey data provide a YT. LEAD E-~ 5-cr -c; ! county profile based on the risk and protective factors. Risk fac- tors are certain characteristics of fanúly, school or community en- vironme/:ns that are associated with increases in alcohol. tobacco and other drug use. Protective factors include psy- chological, behavioral, family' and social characteristics that can insulate children and youths from harmful effects in their environment. Reviewing adolescent health behaviors is part of a larger, lo- cal two-year activity titled Jefferson's Health Indicators Project. This consonium is work- ing wi th the coUnty board of health, City of Port Townsend and commwùty leaders to guide the work of Dr. Chris Hale of the UIÙversity of Washington and the Health and Humans Services Depanment as they begin re- viewing the health behaviors of all county residents. April 2001 is the kickoff of the behavioral risk assessment that will involve 600 cOunty households in a I5-minute phone interview concerning health and access to medical care, among other topics. Surveys and census data will help policymakers for- mulate informed decisions and plan for a changing Jefferson County.