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HomeMy WebLinkAboutM090480 L b I, rimmosIMM, MOMIMINIMMOMNAI t CQMMUNICAE LE PUBLIC HEALTH ME VITAL ENVIRONMENTAL HEALTH DISEASECLaNTHOt NURSING S1NO STATlSTrCS HEALTH EOLCAnOti , ¢ \ .?„ 4" , sue °* l=L` � '-, sr ,A JEFFERSON COUNTY HEALTH DEPARTMENTII ' , , r .,- `6 y. 4.� s f. e_ 802 SHEM OAN PORT TOWNSEND,WASH.SS368 INEV 385-0/22 .e. "; $`1 N.- BOARD OF HEALTH MEETING `R .. HEALTH DEPARTMENT CONFERENCE ROOM BOARD MEMBERS: STAFF MEMBERS: B. G. Brown, Member Randall M. Durant, R.S. A. M. O'Meara, Chairman. Phyllis Bee, P.H.N. Carroll M. Mercer, Member Joseph Fischnaller, M.D. Gael Stuart, Administrator MINUTES September 4, 1980 9:30 a.m. Meeting called to order by Chairman A. M. O'Meara with all members present. , MINUTES: The minutes of August 6, 1980 were approved by motion of Commissioner Mercer seconded by Commissioner Brown. Unanimous. CORRESPONDENCE: i ' None. i OLD BUSINESS: 1. Office space concerns. Gael Stuart proposed a possible temporary solution to the lack of space on the 3rd floor. He proposes converting the basement lounge into a conference room and making the present conference room into 2 offices with portable partitions. Mr. Stuart requests Chairman O'Meara make the necessary arrangements to obtain the basement lounge in order to begin the change. Chairman O'Meara will speak with the hospital. t 2. Discussion on materials submitted on Class IV Water Systems. Durant submitted information on the Class IV Water System, 9 or less taps, (attach- ment #1) . With the Class IV System it would be reviewed and approved by the local health department and not the State as presently required. Durant will discuss with the Prosecuting Attorney to see if an agreement, an ordinance, or anything will be necessary for implementing local approval of the Class IV Water System. Commissioner Brown moved to refer the problem to Bill Howard, Commissioner Mercer seconded the motion. Unanimous. i 3. Discussion of Health Department funding proposals at the State level (attachment #2). The Region 6 Public Health Study Group recommendations were discussed along with the pros & cons of State funding. 4. Update on the sewage disposal permit appeal by Raymond L. Grove for parcel B, lot 9, LudIow Beach Tracts. After on site inspections with Eningeers from D.S.H.S. and Kerry Perkins it was concluded that the property was found adequate to place a mound design septic system but this is Mr. Grove's only option. NEW BUSINESS: 1. Professional salary schedule. Stuart explained to the Board that Jefferson County is low on the salaries of the Environmental Health Specialists and Nurses as compared with Clallam County. This will be reviewed at the budget hearings. REPORTS: 1. Public Health Nurse; Phyllis Bee a) Report of nursing activities (attachment 3) _. ., ealth Board Meeting September 4, 1980 Page 2 j REPORTS: con't 2. Environmental Health; Randy Durant a) Activities report (attachment #4) b) The Cape George Survey is nearly completed. 3. Public Health Officer; Dr. Fischnaller a) American Campgrounds is still closed but have requested permission to open. If they are complete with the repairs, Dr. Fischnaller feels that they should be opened at least for a trial basis. b) The Trails Inn Tavern may be closed until they make the necessary changes in the water supply. This will be turned over to the Prosecuting Attorney. c) Unlawful opening of a consession at the South Point ferry landing. After the Health Department closed the consessions the owners opened it again. Discussion was made on turning this over to the Prosecuting Attorney. Next meeting will be October 7, 1980 at 9:30 a.m. Meeting adjourned. 4 §t .,.e,..:ate... »,. a • = n A . 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T-� 3 a tt A -G w a OG . . ] A 3 ••5 n . 3 n n a -. 5 . `S 3-:, a n S ^,n -. 3 . 3 =m -3 • z7n �n n = A ^ < € , '` . ., i ,.. nT- . nn3 :, = x a n can J. d 3 G- '^w .. ? n.-c _ As ,'-n n _ - .G'7 _c .r 3 n c 3 av< O i G1.^! n r 3 9 3 *Z.n •. r +a n6 i a 7 s n a-_i ., a October 9, 19796g • Page 1 of 4 WATER SYSTS4 PLAN OF OPERATION NJMIRUSTERED UNDER WAC 248-54-570 Pursuant to Chapter 43.20 RCW and Chapter WAC 248-54-570, this Plan of Opera- tion is made between the Washington State Department of Social and Health Services, Health Services Division and the Jefferson County Health DeparIgrent for the purpose of delineating responsibilities for the supervision of public water systems. For the purpose of this plan principal' shall mean the agency which assumes responsibility for conducting the several program activities referred to herein on a day to day basis dealing with water purveyors. 'Sirptire' shall mean a role of consultation and assistance to the 'prin- cipal` {except that nothing herein shall preclude the supportive agency from -acting as 'principal' by mutual agreement at such times and in such contexts wiwre necessary as determined by the health officer and the department for protection or enhancement of the public health). 'State refers to Washington State Department of Social and Health Services and 'local' refers to the Jefferson County Health Department • k / 45 Page 2 of 4 - f ClassI Class 2 Class 3 17 E !1 (>:25 people - Class 4 - (}, 100 (10-99 60 days out (< 10 Comm- I, Community Community of the year nity Services) Services) Services) Non-Community) (S 25 People) State Local State Local State Local State Local DEVELOPMENT f 1 Develop and adopt Standards 1 and Regulations (WAC 248-54) P 1 S P I S APPROVAL 1 1Iater System Plan (WAC 248-54-580) P S El 1 a. Within C.V.S.S.A. b. Outside C.Y.S.S.A. P 1 S P 1 � S © rat NA2. Engineering Report 1 i 1 (WAC 248-54-590) PIS P ! S p 1 S11111 3. Review and approve Plans and Specifications (WAC 248-54-600) 4. Approval of existing sy- stems (WAC 248-54-620) P ' S` p S 5. Well site approval and 1 —1 OM control (WAC 248-54-660) S l P S 1 P SURVEILLANCE I 1 17. R dI element a 1 S PIS PIS S sampl i n P (WAC 248-54-740) (1) (1) 1 (1) 1 (1) P P 2. Bacteriological Analyses 1 (WAC 248-54-740) P 1 S P 1 SIMPIS 3. Chemical Analyses P l (WAC 248-54-740) SMIMI P + S 4. Data Compilation and 1 Summary-Report (WAC - P 1 S 248-54-760) 111111.11111. 5. Cross Connection Control MIMI Program (WAC 248-54-820) S l p 6. Sanitary Surveys MOM EMI (WAC 248-54-810 P 1 S f > more than < less than Page 3 of 4 lass 25 people - Class 4 _ _ Class . Class 2 ( days out (< 16�o - (> 100 _ 0 0-99 pity Services} pity of the year (< 25 Services) ITEM Costntity - Services, Non-Crnit Services tate oca States Lou State LOCO. State Loca 10111111101111111111131111311111011 m 7. R14Ponse to complaints MNM PIS P ' S 8. W.F.I. (WAC 248-54-750) 9. Provide Technical Assis- tans TRAINING 1.11111111111111.11 h operator Training IOC 248-54-610) WO ° 2. Water SY stem Design - Training ENFORCEMENT . rc Notification (WAC 248-54-750) IIIIIimillijirIIIIII 2. Special 'bail water" linill notices (issuance of) A 3. Initiate and assist in legal (WAC 248-54-780) (1) Local will call on all P = Principal 0 initial non-conforming S Supp sample; state will N - None follow-up on confirms- NA = Non-Applicable tion samples for CWSSA = Critical Water Supply Service Area Class 1 and 2. WFI = Water Facilities Inventory 4 S - 6. r 1-4 Page 4 of 4 It has been recognized that supervision of public water systems in the State of Washington has been a �andrative effort local government.een the Thereforetth spplaneshall Social and Health Services only be implemented to the extent of the appropriate resources within each agency. Termination or change may be initiated by either party within 30 days written notice. s i t DATE this day of 147___ atnaan/Board of Hea th John Beare, M.D., Division Director Health Services Division 4 GMT: jr 1 i • S 2 • S 6 • • • JEFFERSON COUNTY ORDINANCE I AN ORDINANCE establishing rules and regulations,related to Class 4 Water Systems. SECTION 1. AUTHORITf[, PURPOSE, SCOPE. This ordinance is promulgated pursuant to RCW470.05.06D and Chapter 248-54-570 WAC and is adopted to insure the pro- tection of public health through the provision of minimum requirements and standards for design, construction, operation and maintenance of Class 4 Water Systems. SECTION 2. ADMINISTRATION. This ordinance is administered according to the Water System Plan of Operation between the Washington State Department of Social and Health Services and the Jefferson County Health Department signed and approved or hereafter amended. DATE SECTION 3. DEFINITIONS. The definitions of the words and terms set out below, except where noted by an asterick, are set out in WAC 248-54-560 and are hereby adopted by reference. (1) "Class 1 System" 4' (2) "Class 2 System" ' (3) "Class 3 System" (4) "Class 4 System" 41 • (5) "Community Water System" • (6) *"Compliance Program" - A schedule in writing, documenting the public water systems deficiencies, recommend improvements, and a schedule for completion, (7) "Contaminant" (8) "Critical Water Supply Service Area" (9) "Department" (10) `Disinfection" (11) "Distribution System" (12) "Exemption" (13) *"Existing, Expanding Systems" - A public water system now in existence that does intend to expand or make changes in the system during the calendar year. This can be an existing private system that will be ex- panding to become a public water system. . (14) *"Existing, Non-Expanding System" - A public water system vow in existence r that does not intend to expand or make changes in the system during the calendar year.. (15) "Health Officer" (16) "Maxim Contaminant Level" (17) *"New System" - A water system that is newly developed to serve water to the public. This-includes-existing wells.- (18) "Ron-Community Water System" 0 -2- • (19) "Public Water System" (20) "Purveyor" (21) "Service" (22) *"5urrveillance"-to be defined by LHD under plan of operation (23) "Variance" (24) "Waiver" (25) *"Water System Plan of Operation" - The agreement between the department and the local health department/district delineating the respective responsibilities for each agency of the provisions of the "Rules and Regulations of the State Board of Health Regarding Public Water Systems". } SECTION 4. PLAN REVIEW - FEE. (1) A fee for administration of these rules, plan review and well site inspection - is required. (2) The fee for a Class 4 Public Water System plan review and inspection shall be ' . as follows: (a) Well site inspection: $20.00 (b) Plan review Class 4 Systems (5 or more connections): $65.00 (c) Plan review Class 4 Systems (Less than 5 connections): $35.00 (3) Engineers design of all water systems is required unless wavied by the Health Officer. The design engineer shall be licensed with the State of Washington and have experience in water system design. SECTION 5. EXISTING, NON-EXPANDING SYSTEMS - APPROVAL. (1) Any existing Class 4 Water System not having approval of the health officer shall complete..the information requested in the Class 4 design requirements for existing water systems within the intent and purpose of the applicable provisions of the following sections of the Rules and Regulations Regarding - Public Water Systems: WAC 248-54-600 (2) (e) (i), 248-54-620 (1) (a) (b) (d), 248-54-640 (under the terms of the Water System Plan of Operation provided for in WAC 248-54-570), 248-54-660, 248-54-680, 248-54-700, 248-54-710, 248-54-740, 4 4 248-54-780 and 248-54-790. (2) Failure to comply with the provisions of this ordinance shall be grounds for denying a building permit or sewage disposal permit. If the water system is not approved, the purveyor shall develop a compliance program acceptable to the -Health Officer and Department of Social and Health Services to bring the system . up to standards. SECTION 6. NEW OR EXISTING, EXPANDING SYSTEMS - REQUIREMENTS. (1) 'Every-purveyor before obtaining approval to install, for the purpose of operating any new or any portion of a Class 4 Water System, or additions, extensions or alterations of an existing Class 4 Water System shall complete the information requested In the Class 4 design-requirements for new or expanding systems within the intent and purposes of the applicable provisions of the following sections of the Rules and Regulations Regarding Public Water Systems: WAC 248-54-600, 248-54-640-(under-the terms of the Water Systems Plan of Operation provided in WAC 248-54-570), 248-54-660, 248-54-680, 248-54-700, 248-54-710, 248-54-740, 248-54-780, and 248-54-790. ..•,4 ^ kw:a.,o-,M+».m.'man't,: 'r..r; .F,,,yx.«q:.g..:ror,vc*,rKsee�:aa.mm:+e..er..cmr`e.,o-.».-vs:;.».�frr,w..vn '*vr*».+*.an.«,w __— -3- SECTION 7. ENFORCEMENT. If after investigation the health officer finds that any public water system fails to comply with the state statute, the Washington Administra- tive Code and/or this ordinance, the health officer may send a compliance letter to the purveyor of the public water system, which letter shall include the following: specification of the areas where the public water system fails to meet the requirements of the law or of this ordinance; and specifications of time deadlines for submission of any steps designed to bring the public water system into compliance with the law or this ordinance by the deadlier set out in the compliance letter, the department may take legal actions as it deems necessary under RCW 43.20.170 and RCW 70.05.120 in order to assure compliance of the lic water system with the law and this ordinance. SECTION 8. These Rules and Regulations shall take effect on 0 19 Passed this day of , 19 COUNTY COMMISSIONERS (Board of Health) COMM. masarmaram . 4 • Chairman • Member Member Secretary -10 • 11// /#07 JEfF• Hs4 . REGION 6 PUBLIC HEALTH STUDY GROUP • Final Recommendations on: Basic local health department functions . 6 Basis for state participation in funding • • of local public health services 1 Level of state support for local public ▪ health in 1981-83 biennium • 4 • August 18, 1980 • .w.=�`iartry.+z'?+Si ...C.^.d'.'a...: _.. ,..xa . ., e,::. b`.i.+-!m i .1i..*z ..-.,, ±,W. Gu ,;:'-•.„ .,...„,,,.;.:: .. .. . ..u..«h _ 2-, REIIION"6 PUBLIC HEALTH STUDY GROUP RECOMMENDATIONS Before considering the specific task of the Study Group it was felt some defi- nition of public health was essential to further discussions on services provided. The following statement was agreed upon: Public Health Services are those health services essential to the community which if not provided would result in serious societal consequences. The focus of public health services should be directed toward and available to the total citizenery rather than emphasizing provision of medical care for indigents. Public health and safety of the community is of prime concern and the role of health promotion/disease prevention is important. WHAT LOCAL PUBLIC HEALTH SERVICES SHOULD BE UNIFORMLY AVAILABLE STATE-WIDE? RECOMMENDATION: Basic functions of local health departments should be determined regard- less of present varying local circumstances. In stating that certain programs are local responsibilities, it is understood the local health department should be the catalyst in determining the public health needs of a community and assuring that such'needs are met through direct 1, provision of service or by other providers. • RECOMMENDATION: Basic Local Public Health Services Accident and Violence Prevention A toss to Laboratory Services • Administration Chronic Disease Control (screening and control, not treatment) Communicable Disease Prevention and Control Dental Health Screening and Education Drug Addiction and Alcoholism Environmental Control Epidemiology • Health Education Health Planning (includes disaster planning) Health Promotion Industrial Medicine-Occupational Health Maternal and Child Health Special Impact Populations Vital Records « « . F. • 2 Optional-Local Health or County Government Responsibility Early intervention, Developmentally Disabled Emergency Medical Services Home Health Care Jail Health School Health Services Not Local Government Responsibility Ambulatory Care (General Clinics) Laboratory Facilities PO Testing (should be expanded to cover all newborn) z RECOMMENDATION: Essential program elements within the basic categories of Environmental Control and Maternal and Child Health were discussed at length. The x ' following breakdown of these two categories is offered for consideration. Environmental Control , Prioritized Programs: Prioritized Functions: 1. Water 1. Disease Outbreak investigation 2. Food Protection Public3. and Referral 4. Solid Waste k....Technical Assistance 5. General Sanitation 5. Education/Information 5 6. Enforcement ' 7. Research in carrying out environmental control activities within these priorities, the following presently mandated regulations should continue to be enforced: -- Public Water Supplies -- On-site Sewage Disposal -- Food Service Sanitation -- Food and Beverage Service Workers -- Primary and Secondary Schools -- Migrant Labor Camps -- ,General Sanitation (should be broadened to include camps, mass gatherings, public facilities) Guidelines for SEPA Plats, Subdivisions, Dedications -- Swimming and Wading Pools, Bathing Beaches -- Pesticides . a e Maternal and Child Health Essential Services: Desirable Services: I. Well Child Clinics 1. SIDS 2. Family Planning 2. Poison Control 3. Nutritional Supplements and 3. Genetic Counseling " Education 4. Prenatal/Postnatal t S. Crippled Childrens Services '` 6. High Risk Newborn a 1,1 7. Parenting/Child Abuse a 8. Adolescent Pregnancy t ° It is especially important to note that outreach and early identifi- cation are vital and essential to all MCH programs. The definition t of personal care services should include the functions of epidemiology, health promotion, case management, health education and wellness promotion. 0 ltt SHOULD MINIMUM STANDARDS APPLY TO UNIFORMLY AVAILABLE LOCAL PUBLIC HEALTH SERVICES? RECOMMENDATION: Program standards-are necessary and DSHS should take the lead in coordinating their development. The actual task of developing the standards should be assigned to the Directors of Environmental Health and the Nursing Directors. 4 ON WHAT BASIS SHOULD THE STATE PARTICIPATE IN FUNDING LOCAL PUBLIC HEALTH SERVICES? RECOMMENDATION: Each local health agency should be awarded a base amount with an tp additional per capita allotment for provision of basic public. health services. The basic allotment would vary from jurisdiction • to jurisdiction and should be determined by a comprehensive audit and examination by DSHS. In setting the base levels the DSHS team should estimate the cost of providing the basic services taking into t account prevailing salary structures, demonstrated needs, demographic characteristics and geography of the service area. RECOMMENDATION: The ultimate goal of any funding provisions is 100% state funding of mandated services. On this basis maintenance of effort provisions are inappropriate and are not recommended. 1 . 1 I ,. - 4 OR THE 1981-83 BIENNIUM, WHAT IS AN APPROPRIATE LEVEL OF STATE SUPPORT FOR LOCAL PUBLIC HEALTH? RECOMMENDATION: For the first year of the 1981-83 biennium it is recommended that 10% f of the estimated cost (using past expenditures as a guide}, of defined basic services be funded by the state. Funding level should be increased to 20% of the estimated cost in the second year of the biennium. • During the 1981-83 biennium, program standards should be developed and base cost estimates for each local health department should be completed. Funding appropriated during 1983-89 biennium should be determined upon these findings. OTHER RECOMMENDATIONS: • it is recommended that a DSHS mechanism or policy statement be . developed which assures full and continued consideration of Region 6 Public.Health StudyGrouprecommendations duringthe review process. 4' It is further strongly recommended that provision be made for continued input of Study Group members through all phases of"the local health funding project. • A member of the Study Group who represents health care consumers and who is also on the Region 6 Citizens Advisory Committee additionally recommends that: The people who will be reviewing our report and those of our counterpart groups in the five other regions should also acquaint themselves with the recommendations which have been made in all current health planning documents, with the view of making known to what extent the recommendations are compatible or at cross purposes to ours. • v _ • a REPORT OF NURSING SERVICE MTH SEPTEMBER, 1980 Sept, 1980 Sept.1979 HOME VISITS 145 OFFICE VISITS 170 NEWBORN 70 A UNDER 1 - YEAR 6 1 - 5 5 - 19 ;S 20 -- 60 60 + 166 • M.C.H. b4 C.C.S. 30 t WELL CHILD CLINIC 44 • I R ACUTE COMMUNICABLE DISEASE z O CONTROL - IMMUNIZATIONS 248 R V.D. 9 A M T.B. 24 SCHOOL HEALTH W.I.C. 30 _ FOOT CARE 52 HOME HEALTH (AIDE) 61 , HOME HEALTH (P.H.N-) 53 .1,. ....., :._m . . 4 I E , q ....ewe. . _ / Fs� TI76Ctti?i �y AC COMMUNICABLE PUBLIC HEALTH HOME VITAL ENVIRONMENTAL HEALTH DISEASE CONTRA NURSING NURSING STATISTICS HEALTH EDUCATION 4to ... .4:39:t24,,. • k wwr„ 4g` ' . , * JEFFERSON COUNTY HEALTH DEPARTMENT M « s f. 802 SHERIDAN. PORT TOWNSEND. WASH.98368 12061 385-0722 N.. To: Jefferson County Board of Health From: Randall M. Durant, R.S. Director of Environmental Health Date: September 3, 1980 Subject: Activities - Environmental Health Section, August, 1980. Other Field Work: Food Complaints Water Other Finals Follow-up Total 15 4 14 16 19 69 (*23) 137 *Cape George Survey to date. To Date: Cape George Colony Cape George Village Surveyed--119 Surveyed--101 Failures-- 2 Failures-- 8 Possible Failures--2 Possible Failures--10 Contacts: Office, telephone calls, plan review Sanitarians: 612 i Secretaries: 138 telephone . 46 office 184 total for secretaries .[ 796 total for secretaries and sanitarians Total contacts year to date: 5,892 (does not include field contacts or food handler tests) !, Food Handler permits: August--37 433 year to date ' Sewage disposal system repairs to date, 1980 -- 23 1, _ _ • • C32 Otrt 7r-e.._i}:-C-14. 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WASH.98368 I206/ 385-0722 BOARD OF HEALTH MEETING AGENDA September 4, 1980 — 9:30 Health Department Conference Room s Approval of minutes of previous meeting...,/yd- Correspondence ytr►reel // Old Business A. Space Concerns: Our space problems could be solved temporarily by converting the basement lounge room to a conference room and making two 2t"e'I offices of the present conference ro a, Portable partitions would be ° adequate.jf...4.0.4.2T` *.1� Qese� led7. 'vau*�Lc .u ?tsrr..z< '7S _iffi B. Discussion of materials on Class IV water systems. ..t clfioJ.. iY''TNVav! '"C. Discussion of Health Department funding proposals at the State level., .o4 ip D. Sewage disposal permit appeal. Raymond L. Grovn parcel B, Lot 9, Ludlow" ' Beach T rae is fwL. tcse: �'3 .Fwly w.lcas�+++ T�u:.�°> ua���.:rs'f" ''d�u g." E. Other old business. sorer- New Business A. Our professional salary schedule should be reviewed. The beginning salary✓)b of an environmental health specialist in Clallam County is $1,407.34 per ,u month with a raise to $1,521.45 per month after the six month probationary„, period. Our present environmental health specialists will receive $1,241.90 on January 1, 198¢ after almost two years experience. B. Other new business. 7illw/ Reports f 5 A. Public Health Nurse✓ A T B. Environmental Health' C. Public Health Officer- D. Administrator rif The next regular meeting will be October 1980. - �tr/ i Notice is herebygiven that the Jefferson County Health. Board Meeting will be October 7, 1980 at 9:30 a.m. in the Conference Room of the Health Department. Jefferson County Board of Commissioners 110. Please publish October 1, 1980. Thank you. 4