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Home My WebLink About111804 JEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, November 18, 2004 Board A1embers: Dan Titterness, Chairman - County Commissioner District # 1 Glen HuntingfOrd - County Commissioner District #2 Patrick Ai. Rodgers - County Commissioner Distnd #3 GerifJrey Masci - Port Townsend City Council Jill Buhler - Hospital Commissioner District #2 Sheila Westerman - Citizen at Large (City) Roberta Fnsseil, Vice Chairman - Citizen at Large (County) S ta(f Members: Jean Baldwin, Health & Human Services Director Dan Bruce, Environmental Health Director Julia Danskin, Nursing Services Director Thomas Locke, MD, Health Officer Ex-oficio David Sullivan, PUD #1 Chairman Tittemess called the meeting to order at 2:40 p,m, in the Health Department Conference Room, All Board and Staff members were present with the exception of Commissioner Huntingford, There was a quorum, OLD BUSINESS AND INFORMATIONAL ITEMS Follow-un to Department of Health and Human Services mSHS) Fundinl! ReQuest: Jean Baldwin indicated that the packet contained a response from Dennis Braddock, the Secretary ofthe DSHS to the request for funding of the Nurse Family Partnership, The $25,000 in assistance would enable the County to supplement and extend expiring City and County services through June 2005, The packet also contained a memorandum summarizing budget modifications resulting from meetings with the County Administrator and Central Services Director. Toward the goal of keeping the Department's base budget similar to 2004, the 2005 contribution from the General Fund will be $469,304, However, the Department will be responsible for covering $52,145 in general liability insurance coverage, which would hopefully be offset by projected decreases in health benefit costs of about $63,832, It is not known how union negotiations on the wage benefit package might impact these savings, Public View of Public Health - Washin~ton State Pollin~ Data: Dr. Tom Locke reviewed highlights from a poll by the Washington State Public Health Association conducted last summer. Roughly 40% said they feel public health has enough or too much money, whereas 49% thought there was inadequate funding, a number that is down from previous polls, Support for raising taxes has shrunk to 25% and of those who feel more money should be put into the public health system, the majority felt it should come from other government programs, APPROVAL OF AGENDA Member Masci moved to approve the Agenda as written. Member Buhler seconded the motion, which carried by a unanimous vote. HEALTH BOARD MINUTES - November 18, 2004 Page: 2 APPROVAL OF MINUTES Member Masci moved to approve the minutes of October 21, 2004 as written. Member Buhler seconded the motion, which carried by a unanimous vote. PUBLIC COMMENT - None NEW BUSINESS Washinl!ton State Food Code (wAC) 246-215 - Chanf;!es Effective Mav 2005: Dr. Locke provided a brief history ofthe contentious food code, disliked mostly by the restaurant association, which is trying to limit the authority oflocal boards of health, To prevent further legislative action, the State Board of Health adopted proposed revisions to the Food Service Code, which will become effective on May 2,2005, The revisions adopt the 2001 Food and Drug Administration's (FDA) Food Code, with some modifications to retain the local boards of health authority to adopt more stringent standards, This move provides the State with rules more consistent with not only the national food safety standards but with 42 other states whose food service rules are also based on the federal Food Code, Food Safety Program Specialist Dana Fickeisen summarized the major differences and changes to the code as provided in the agenda packet. Member Masci expressed interest in hand-washing requirements for vendors such as at the Farmers Market and about inspections of donated food through the food bank. Ms, Fickeisen responded that currently, there is a requirement for temporary hand-washing setups with hot water. It was mentioned that there are roughly 230 food establishments in the County, a high number for a community of our size, In addition, there are also approximately 80 temporary food service permits, The Department does not issue permits for food banks, but she does work with them on food handling practices, Ms, Fickeisen then reviewed improvements to the Code, There is a colder temperature requirement, an emphasis on ill food workers - personal hygiene, prevention of transmission of illness through hand washing, no bare hand contact, and staying home when sick. There is a requirement that there be a person in charge who knows about food safety and there are also clearer rules for mobile and temporary events, Among the local concerns were that the increased level of detail in the Code might pose a challenge for food workers and managers to absorb, Further discussion might be necessary regarding the impact to staffing of the new requirement to inspect twice rather than once a year, In May, Staff would start the annual inspections and begin to assess whether fees need to be adjusted, Food workers are challenged by the prohibition of bare hand contact. There might also be concerns about the changes to bed and breakfast rules, which restrict the use oftheir kitchen to breakfast preparation, A Food Safety Advisory Committee has begun to meet and a workgroup would consider updates to the Jefferson County Food Safety Code, There would also be community and food industry presentations, a new food worker curriculum and a new inspection form, The Food Safety Advisory Committee provides guidance on public education of this new code, HEALTH BOARD MINUTES - November 18, 2004 Page: 3 Influenza Vaccine Shortal!e - Rel!ional Uodate and Vaccine Policy: Dr, Locke reported that this month's media packet was full of influenza articles, coverage that will continue should there be a lot of flu activity this year. This awareness provides an opportunity to expand public education about prevention of respiratory infections, Effective ways of preventing transmission of communicable disease include respiratory etiquette, hand washing, and staying home when sick (voluntary isolation), Noting that the packet included an article from the Institute of Medicine on vaccine production, he said production difficulties, economic disincentives, and the number of manufacturers pulling out of the market might also shape future policy, The shortages most severely impacted childhood vaccines, About 9,000 people meet the at-risk criteria for the 12-13,000 doses received in Jefferson County, so the surplus vaccines were shared with Clallam and Kitsap Counties, Jefferson Healthcare was also able to supply Olympic Medical Center with doses to vaccinate front-line healthcare workers and others at locations such as the dialysis center. Some pediatric vaccine was also shared with Clallam County, The County's eligible candidates are likely to have already been vaccinated, which is not the case in most of the other areas ofthe state, The remaining 120,000 doses promised to the State would go to the critical shortage areas, In order to immunize a population, about 80% of the people need to be vaccinated to prevent the spread, Influenza activity in Washington has been sporadic and at a low level. If it tracks like a normal flu outbreak, it will spread after the holidays, peaking in January or February, Most ofthe cases have been Influenza A, which is a strain included in the vaccine, Once vaccinations and infection control activities are underway, surveillance would continue and emphasis would shift to using medication to control outbreaks, shortening the duration and decreasing the amount of virus shed, Dr. Locke said Staff is using this current situation as an opportunity to improve its response capacity in the event of something much worse such as an avian flu pandemic, Jean Baldwin then reported on two upcoming bio-terrorism events in which the Board of Health might get involved - a February isolation and quarantine workshop and in March, a Jefferson- Clallam-Kitsap three-day infectious disease practice event. Washinl!ton State On-Site Sewaee Code Revisions Kev Issues; Environmental Health Specialist Linda Atkins provided an update on the status of the on-site sewage code revision, the effective date of which is spring 2005, She reviewed the list of key issues that have risen to the legislative level and identified those whose impact would be felt in Jefferson County, An operations and maintenance management plan would need to be completed within two years for all marine counties; many items have already been addressed in the County, An exemption for those 75 feet from marine waters remains in the code, In 1991, the County adopted a policy that did not allow a reduction without a formal waiver and mitigation, so the County has never utilized this exemption, Changes to the soil types to be more consistent with the EP A manual would result in larger drain fields, The number of treatment levels would also be increased from two to six to allow more flexibility for matching a given soil type with site condition, Where it has been identified as an area of concern in the management plan, design requirements must address nitrogen through lot size and/or treatment. It also requires the design to include elements to facilitate operation, monitoring and maintenance, which are already part of the local code, The draft would remove the allowance for homeowners on marine shorelines to install their own systems and the Health Department would be required to conduct annual inspections of systems except those that are conventional gravity-fed, The County would need to figure out how it might address this, such as by asking homeowners to do a portion of the inspections and then requiring a third-party inspection every third year, The rule HEALTH BOARD MINUTES - November 18, 2004 Page: 4 allows for, but does not require, the use of operational permits, Some discussion ensued about the potential impact to the County of changes in the minimum land area requirements, Linda Atkins noted that because the County's policy on minimum land area is not currently required by State code, the County would have to consider how the State code revision would meld with the corresponding local policy, She agreed to put together a paper outlining minimum land area requirements and some possible options, The Rule Development Committee met yesterday to summarize their comments and there would next be a series of public workshops, She invited any Board member to join her for the one in Olympia, Following the State Board of Health's hearing on the code in March, she would return to the Board for another briefing, Dan Bruce thanked Linda Atkins and Dana Fickeisen for their presentations, Member Buhler also spoke highly of Linda Atkins' helpfulness to people throughout the community, HosDital and Health Department PartnershiD: Member Buhler reviewed discussions exploring opportunities for hospital/health department collaboration on programs, Given the Health Department budget shortfall it was suggested that a partnership might allow the Department to take advantage of the hospital's cost-based reimbursement for Medicare, Although there have just been preliminary conversations, programs that look promising are the breast and cervical cancer prevention, MASH line clinic, and possibly a Case Coordinator to help someone get into available programs, Reminding that critical access and rural health designations can change, she said it would not be wise to cut any funding, adding that a partnership should be viewed as an opportunity to fill service gaps and consider how best to fulfill community needs by improving access, Commissioner Rogers expressed his appreciation for this innovative idea, Member Buhler noted that with new legislation, Jefferson Healthcare might be able to increase its number of beds, ACTIVITY UPDATE/OTHER ANNOUNCEMENTS - None AGENDA PLANNING/ ADJOURN The meeting was adjourned at 4:00 p,m, The next meeting will be on December 16, 2004 at 2:30 p,m, in the Conference Room ofthe Jefferson County Health Department. JEFFERSON COUNTY BOARD OF HEALTH Dan Titterness, Chairman /J " f~tU^iH4:t-L.#-€.f.e.' k~berta Frissell, 'vice Chairman q~~ [ ", ) \,-" ' L! '-' \ .....---.'. Sheila Westerman, Member (Excused Absence) Glen Huntingford, Member f~~~ JEFFERSON COUNTY PUBLIC HEALTH (~-~ Always Working for a Safer and Healthier Jefferson \~/ ~'!!.~~~7 - TO: Jefferson County Board of Health FROM: Jean Baldwin, Health 8: Human Services Director DATE: November 12, 2004 SUBJ: HHS BUDGET 2005: ACCEPTANCE OF BUDGET MODIFICATIONS This is a follow-up response to the last Board of Health meeting (10-21-04), HHS prepared the 2005 Budget using the County Commissioner's adopted budget ordinance, which would have provided $459,000 in funding from the General Fund. $417,000 was offered and discussion about the base occurred. In order to keep the base similar to 2004, the County Administrator and Central Services Director suggested increasing this funding by $52,145 with the understanding that HHS will be responsible to cover general liability insurance in the amount of $52,145. The contribution from the General Fund will be $469,304 in 2005. In the interest of moving ahead into 2005 the department has agreed to the offer from the County Administrator and Central Services Director, However, we can expect that increased demands and shrinking resources will continue to plague this department. The most recently recommended budget for 2005 projects health benefit costs to decrease by $63,832, but the bargaining unit is currently negotiating a new contract that could reverse the projected savings. HHS will seek help from the General Fund if negotiations with the bargaining unit affect the projected savings. Building rent was also discussed at the last Board of Health meeting. Building rent was decreased on all county owned buildings from 2004 to 2005; however, the reduced amount for building rent was in the originally submitted budget so the variance between the submitted and recommended budget for building rent is $0, HHS would like to thank the Board of Health for their support to public health services during these challenging times, cc: John Fischbach Allen Sarti n COMMUNITY HEALTH (360) 385.9400 ENVIRONMENTAL HEALTH (360) 385.9444 DEVELOPMENTAL DISABIUTlES (360) 385.9400 NATURAL RESOURCES (360) 385-9444 615 Sheridan street, Port Townsend, Washington 98368 fax: (360) 385-9401 web: www,jeffersoncountypublicheallh,org Jefferson Coun Health and Human Services OCTOBER,..., NOVEMBER 2004 NEWS ARTICLES 1, "PT residents line up for shots", Peninsula Daily News, October 1 0, 2004 2. "Calm urged in Ou shot shortage", Peninsula Daily News, October 10, 2004 3, "Flu shots only for high-risk people", PT Leader, October 13, 2004 4, "Jefferson to reaffirm animal control motion", Peninsula Daily News, October 17, 2004 5, "Substance abuse report asks county for more help", PT Leader, October 20, 2004 6, "Donation" (to Jefferson County Breast & Cervical Health Program), Peninsula Daily News, October 21,2004 7, '''High-risk' wiD get Ou vaccine", Peninsula Daily News, October 22, 2004 8, "Plenty ofOu vaccine for babies", PT Leader, November 3, 2004 9, "Nasal spray is a flu shot option", PT Leader, November 10, 2004 , A4 SUNDAY, OCTOBER 10, 2004 PeninsulaN orthwest Port Townsend resident Mimi U Call, 84, fills out a questionnaire whil~ several hundred patients wait in line outside Port Townsend Family Physicians clinic to receive flu vaccinations on Saturday. PT residents line up for shots .PENINSULA DAlLY NEWS vaccine shots. Vaccinated on Saturday were babies ages 6 months to 23 months, adults 65 and older, and others with "high risk" health conditions, The action was scheduled as part of the nati,m' s sudden vac- cine shortage caused by the shutdown of the major flu-shot vaccine supplier in Britain, Family Physicians is plan- ning two more clinics on Oct, 23 and Nov, 6, but manager Joeen N utsford said she is unsure the facility has enough stock for two more rounds, Clinic personnel on Satur- day reported several visitors from Seattle, who ca!Jle to Port Townsend because their doc- tors are out of vaccinations in the Puget Sound area, Clinics are also scheduled Oct. 16 and 30 at Olympic Pri- mary Care, 1010 Sheridan St. PORT TOWNSEND - In just three hours Saturday, 520 residents, mostly senior citi- zens, received flu shots in health care authorities' response to an unexpected national shortage of flu c Calm urged in flu shot shortage " Health chief says its early In season By EMELINE COKELET PENINSULA DAILY NEWS People shouldn't panic as they face current shortages of the influenza vaccine, the head of Clallam County's health department says, ~Thi8 is certainly a problem that needs to be addressed, but it's not somethil}g that people should feel they need to urgently deal with in this next week, because..we're not see.. ing any influenza outbreak," Health Officer Dr, Tom Locke said. Locke is health officer for both Clallam and Jefferson counties. Though the shortage announced last week means nearly haIf of the United States' estimated flu shotsu)>- ply might not be available this year, Locke said it's still "very early" in the immunization season. It's possible to be vacci~ nated too early and have the vaccine's benefits wear off before flu outbreaks actually occur, Locke said. The best time for a flu shot is probably in November. Locke's comments came three days after U.S, health officials were told the British government h{ld suspended the licensed of Chiron Corp, after bacterial contamination was found in Borne of the com~ pany's flu vaccine. Chiron was poised to supply about half of the United States' flu vaccine this year. Food and Drug Administra- tion officials and Chiron offi- ci~B were ... condllcting an in. ;daJ\lih' ~OP'"Q",u.e'lOom:, "pany's 'PverpQol;' England; vaccine production facility Saturday and today, On Friday, the FDA's acting commissioner, Dr. Lester M. Crawford, said the agency is unlikely to find Chiron's flu vaccine safe for Americans to Health Officef Dr, Tom Locke said both Clallam and Jefferson counties will get more shipments of vaccine as the season progresses. use this flu season, One other company, Aven- tis Pasteur, is supplying 55.4 million doses of flu vaccine for AmeriC8llB this year. In Clallam County, the vac- cine supply is hit-or-miss among the pharmacies, stores and organizations that had planned public flu shot clinics, Some locations bave can- celed their clinics because they did not receive their planned supply, while others are draw- ing long lines of people want- ing to make sure they were immunized. 600 shots st Elks Lodge The Sequim Elks Lodge gave out 600 flu shots on Tuesday and Wednesday, and the company offering the shots there planned to offer more this week if they obtained the amount of vac- cine they expected, past Exalted Ruler Richard Doty said, Locke said both Clallam and Jefferson counties will get more shipments of vaccine as the season progresses. "What people have now is not a good predictor of how much they will have over the course of the season," he said. There is no anticipated shortage of the lower-dose vac' cine used for young children ages 6 months to 35 months, Locke said, Health officials throughout the nation are urging pharma- cies and locations with the vaccine to prioritize their sup- pJ,y,f9!<'.~E'\j.,!"QS1; II!,@!< ,of gewng'the flu; " ,,, ",.,", Lockej meanwhile, recom- mends people stay informed about the country's flu vaccine situation as the story unfolds. TM Associated Press con- tributed to this report, " to-to-of Flu shots only for high-risk people National shortage of vaccine means some local flu shot clinics are canceled peopJeW'el'Cconc:emedabouttbe County', public health oftiocr. . ".. '''''''''''~''''_dw!he Lut_,87millioalu"....... "In the worst- Flu sho"it tliIlicschedule nanon's "*'CIAe aupply far this were eventually VKcinaIed., _ _ _ _ _ __" year's flu ICUOQ wu ad rough- ""The lqc:r questioa is why case scenario, A.Coording to .JdfeI'Son County Dc::paIttnent ofHealdt and Iy in half, from vound 100 mil-_ problems with the 'tKcine keep -cH~_Resources. hcre"s la1-~ list,ofSCbeduled_8u_~._ lion ..... .. 54 million, A "'PJ>cnin&'. - alter _; the remaining 54 cWUci: ~} :.'.' . J", British rquIaaory qeacy $US- l..ockr; said. "Why is it u ---.. Jc::tKbon,MedicaJ. dioop,834Shcri.dan~POrtThwUsend p<ad<d !he - of . b1e..........u.bIe. ~g?r.. million doses ares.rurna,,; Oct. 16.00 30, 9 ......""""" ~ ...."'~ livclpool'llu wocinc company hopcfuIlhis)'Clll'willlhcdlbOl'C .}~ - -yoor~Cards'.AllotbcG-$15.No~_ to< .... _ The aa;oa _..!he........ ond barely enough to'" '" .,." .' " .', ..,.,.. ,,',..,' <tfcctivdy_..~<OIeUc ' poYCh pOOtial, _ .., fix~~'OI~~,Nrtt~ from lbc IllajO<NppIicr lha1 who! from. pubtic booIIh --. cover the high~., . lH"'*'@,9,......_,.<'\.~.st;,y, ' planncdloobip~Io~..aJ;oa .poiatg._--" rl's'k'p opula"on .';~;"",,,,,,",,",pIe.i,e'\>Ong,,,,,,M~~Al1och- shoes&oIheUoikd~ H ':<eo$Js.NO,~.OiJ1i=d,j:__<_'{:'~~~-f';-~';J'" "\':, ~l'm "'" ~ obout Kaod...dlslributloa I'n the United "M~;l'ai.try:~~:siioi...,;Pon thc'JiQ.latioa bc>caui;e. ,in: rhe PormRaicI)',': '.' - Ictfcnon ;t~n,gen((:Satuidays>O::t: z:f and, ~~6.,~9 .'a..in.:'noon. ~'-~ lbco;moln- "'~.'.'''''''of'''S,I'<<eivedOOO' ft. ~.:",; States,""""C'~~".!"~~~;AIlOlh= lngS4 million doIa'n bUdy' ........ :;$15.)~(r~Jlincd",;"",,_;:,!;~,,:;,;'~,,,_ _"''''''''' ~'hijI>riok .....ooppiy, ftow-,Pbilllp ,...'\QFC~, J890~'~'1'ort Hadlock, populatioll Uribe UaiICd SWc:S..... Malt. 'pIwmacisc ~fur: QF'C in Dr. Tom Lodce ''t~:~'~'OD~,'~lY~ Thursday said-Pro 1bm'~~ rortlb41oc:t"where);200a4uIU publichellthoffker aiw:!,~v. 'Oq. ,11-;l2,_8, '~-I2:30 pm. .!J1d:~:30-6p.m. -Were,'invnuniicd -lUt 'year, ~andHumanRe5ource ~:MedicahraDdTricirearebillcic1'~1:iirifyciur ::i~~":~~1d get JeffmonCOlJt1ty ~,~~~~J1n~~ftu~'~,.~_~ cc~-=~ ~':~COuntY:MoiticaJaini~294843 Higltway 101. hcudingto Lisa -McKenzie. ~~n~~:c ~::; ::~~ ~~7~::~_~~a.m~~ public heaId1 mllxin cJwge of thai many spouses who were otbers$rS;'NO in$uranciH>il1ed. can 765-31 i 1 hrappciintmenl "the oommunicabIc ~ pro.. youRlcr or healthier tban -Assured Hospice of ClaIiam and J~ Counties. Port "pm 81 kffenon CountyHca1dt their high-risk partnel'$ yolun. Thwnsmd Seni.QrCeii.ter. 620 1}1er St. Port Townsend, ~ H....~L~, ~._ ~~_ wily opted not to take the Wcdnesday.Oct.20,9a.m.~-p.m.AssurO::lbillsMedJcan:for -I '-'RlWI -. ...---'6 shot when Ihey re.li~ lhey those: eligible; all otbers $20; . any flu clinics here or elscwhcR: didn'l qualify. ~ all ita vacciDc CUDCI A ~ encountered a from tbc IUIpCftdcd Britiab com- bicfHisk couple over . 65 paR)'. (See the sidcbIr on scbed- from SeattIc:. for some reason, .... RuclWa.) ....,. oouJdn', ... ,hou from "The distributioa. is r.ooom. their dockn $0 they travdc:d to dcpendingcn~)"OQonIeRd Pan Ludlow, stayed ovcmighl il f'rom." explained I...ock "Ow wilh. friends and came in with chaUc:n&eistoimpovelhedis- theirfriendsforshols. cn"butioo to P' it 10 the people 1bey wen: ltigh risk $0 we who DCcd it." .ave Ihem the shots," said .AlI Jeffc::non County clinic Nutsfont.~wercthc~_ ofticials agreed 10 foUow the ity. Only IWQ out of S 19 wcte new Ccnlen for DiteUC from Seattle. We are acrccnin& Control and Prevention r=n. out the ones who weren't high mcndations for' rationins lbc risk. .. vaccine this scuon to hip-rlsk McKenzie said Ibe doesn't clients such as pregnanI moth- believe Jefferson County offi. en, )'OWl&: t:hiIdia1 and seNor ciaIs bavc an ability to say no to citizens over 65. out-of-<:ounty residents' wbo "'We are encouragina all n:a- qualify u bigb-risk patients. dents. of Jd'fenon CounE)' 10 ~ may be I. call for adhere to. the: CDC piddines," ft:distribution of vac<:ine said McKau:ie. ':'We trust people because some counliel .cross will honor them." the counlry have an adequate supply and some don't,"'said McKenzie. '"The Wasbinglon Ocpanmcnt of Hea1lh is asking how much vaccine each county has 10 the officials have idea of which ~ have good coverage and which don't." If people don'l qualify for shots, there is another altema. A 2 . Wed~, October 13, 2001 ly)anetHudr; l.-der~Writef When the Pon Townsend Family Physicians staff mrived ~ moming, an hour carly .o~for.thetlushof;c1inic:, a tiae. Of mostly senior citiu:na Ju4 ,1Iready fonned. At its b=&fit,.liic:'line mabd out the doori04.down 10th s..... aut, ..~~thCrarolCbeclinic. ...lil:'dRe' houri, three muses p;e'.'sf9-ibota:, one riglu after -, ;"We ~.I higher ooum lbaiI :-previOIll yean,- but . we wera.'i~ over 500 pco. ple,~"'II.idJoi::eti'NutStoni. pmc. lioC~ . '~g.b_:'DOI ~ns~e, Good coverage ~ fact, ~ did honor them a. the PT Physicians' flu c !D(3--ey Port Town~d &. J~E'f'lon CQunty lea~ Are you hIgh nsk'! 1l1e Cenlcni fDr Disease Control and Prevention reconunends rationing the vaccine lhis season. All Jefferson COWlfY flu ShOI din. ics ~ and plan 10 I'CSefVC the limited vaccine for the following bigb-riskcalegorics; . All childml ages 6-23 months. . Adults 8ge 6S years and okicr. . Persons age 2--64 years with underlying chronic medical condi- tions. . All women who will be PRgnanl during the influcnz.a season. . Residents of musing bomes and long-tcmI care facilities. . awdren ages 6 months lO 18 yean on chronic aspirifllhernpy . Heal~ workers involved in ~ patient care. . Out--of-homc caregivers and household conlaClS of children who are Icss lhan 6 monlhs old. tive for healthy people from j to 49 ~ of age. About one mil. lion to two million doses of the inhaled flu vaccine. F1uMist, will be available in lbc Unitc(l SUles. According 10 the coc. the nasal spRy flu vaccine has proven 10 reduce respiralory llacl illnesses, 4ays of illness, losl work days, heallhcan provider visits and use of antibj- OtiCl. QFC in Port Hadlock may receive a limited supply of this vaccine, said McKenzie Locke added there ilIe med- icatioos lhal interfere with the replication of the viruSc.'i. Tht). can be llSed in group senings such as nuning homes where a 101-of high-ri~k people reside Then: arc also oJd.fashioned ways to prevenl thc spread of flu. said Locke. People can cover their mouths when they cough. stay home when they are sick wilh Ihe flu, and wash Iheir l\andsoften. ;". ~ z ~ '" a ~ 0.. c o .- .... o E - o ... .... c o (.) -+-l C/)_ ~ CO .fi E l--< ._ o C Z co ca - ;: E .5 .- et: l. ~ ... '3 I <5 o '" ~- - o .... c o tn ... ~ Q.) ..., ~ w " ~ o ~- ~ f/J ~ . , OQl"a 'Ql ell ~ tl.....~ Ql c.. .'., Ql '-;:;:I' J:: 'W g..!l ,""..... ctl () ~ ~.....:;:: <<l > 0 Ei ~ S...c: e iJ o..';l ~ ~ ctl if: 8.];; ~ E ~ ~ 13 ~ -t3 ci.E=: 'S E-< ~.8 ~::a ~E -~1'I)~8 ,..0 s::"9 >>r:: 'O''''O;:j ~'"t::l ~~~~=8~,~~t~JEjS g]~~'8~~~ E~~]~ ~ ~JJ8.O ~-;f-4 E~ ~ . ~ ~ ~~: ~ ~ ci. ..t:r:! 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':.0 f.: ..... 0._ '"' 's S 1l ;:j..o ll;I ,:!:I .... 23: ~ ~$'~'~'"t::l~ ~ ~~~~ ~1 mi S ~ ~ ~.5'~ ~ ~'g. ~ ~; ;.ll~] ~,~~.., h.s1!"2 ~:!j~ ~1l~ ~~: ~ ..!!" S ~~':;g;-S ~~ ig; ~'ai'ilg;1s~ ~;;!5'~-s If. .~ a b:r: -S ,5.0 ~ ~ ~:8 ~ Q;I cd '0 c.. a 8 ~ A 8 . Wednesday, October 20, 2004 Making a pledga to help address drug Issues .,. (from left) Ford Kessler, Davtd Sullivan, Dick Gunderaon, Commissioners Glen Huntlngford and Dan Tlllemess, Andy Mackie, Sherry Kimbrough and Commissioner Pat ROdgers. Photo by Barney Burke Substance abuse report asks county for more help By Jacob Block leader Staff Writer The Jefferson County Substance Abuse Advisory Board sent its "White Paper" to the Board of County Commissioners for review at Monday's meeting, The paper begins with a study of substance abuse in Jefferson County, and closes with four recommendations for how the county can best address the issue. The proposal seemed well- received by the Board of Commissioners, and District 3 Commissioner Pat Rodgers of Brinnon was particularly vocal in his support of introducing a substance-abuse prevention The cost of substance abuse . Annual dollars currently spent on substance abuse prevention per capita: $2,70 . Estimated annual cost of effects of drug abuse per capita: $248 . Average annual number of substance abuse-related admi~. sions to local hospital 2000-2003: 94 . Percentage of people 60 and over who report alcohol use: 65 percent . Dollars spent annually by Port Townsend Police Department on alcohol or drug-related calls: $500,000 1?~~ program in Jefferson County. "When I hear some knuckle- head suggest we cut funding for drug and alcohol programs to help balance the budget, I just can't believe it," said Rodgers, who also serves on the Substance Abuse Advisory Board, Recommendations I) The BOCC, public and private agencies, and county citizens commit to changing . community norms regarding the use of addictive substances. 2) Commit to funding pre- vention and intervention activi- ties in Jefferson County, 3) Commit to ensuring that alcohol and drug detoxification services and juvenile Drug Court are available in Jefferson County by 2006, 4) Commit to promoting and requiring vigorous collabo- ration between and among all community parmers in order to reduce alcohol and other drug abuse, BusinessEconomy PENINSliL.\. DAII.Y NEWS DONATION Julia Danskin, ~co/t~ ' from l~ft, and mt,u,ly; White, center,receP,!e q check for $1,521 on behalf of Jefferson County Health and Human Services" " Presenting the c are Port Townseri Main Street Program members Mari Friend, left, Sue Arthur, second from right, and Judy Cavett, right, at the ' health department in ' Port Townsend on Tuesday, Raised {rom,' donations at "Girls Night Out," the money ensures the county's Breast and Cervical Health Program stays, ..' open through the end of ' the year, Danskin sciid. IO-~I-O 'f ?:b1'1 - .." w_ '!:U~h-!.i~k'willget flu vaccine J effersb'n health officials report 6,000 doses left BY JEFF CHEW I'EN!NsuLA DAIlX NEWS PORT TOWNSEND - The mejority of Jefferson County's residents considered in the "high-risk" health category will receive influenza vaccinations, county health officials said Thursday, The county has about 6,000 doses that,have been delivered, Jefferson County Health Offi. cer Dr, Tom Locke told the Jef- ferson County Board of Health on Thursday. "For Jefferson County, one- third of your people fall into the high-risk category," said Locke, That amounts to nearly "9,000 people;' he ;"';d, The flu.Vaccine shortage is a result of the US, supply being cut in half when British regula- tors earlier this month lIl>ut down a ~or flu shot supplier, ,citing manufacturing J>i'obleuu! at the Chircn Corp, plant' ul England, ' About 46 'million doses were destined for the United States, 54 million flu shots Only about 54 million flu shots will be avallable' in the US. this year from Aventis Pas- teur, The high-risk, category, ~ defined by the state Depart- ment of Healt:h and US, Cen- ters for Disease Control and Prevention, includechilmren ages 23 months to 6,adults 65 and older, those between age 2 , and 64 with chronic lWJg or heart disorders, and those' ages PeninsulaNorthwest '2 to '64 With ; clirotrlc metabOlic' d,iEe'8eli such as diabetes, kid. neydiseases or blood disorders such as sick:1e cell Al1AlT'I1A PersollS 'with weakened immune systems also fit the category Pregnant women, nursing home residents, children ages 6 months to 1$ years on chronic aspirin therapy, health-care workers in direct oontact' with patients and, out-of-home care- givers are also high.risk. Those who do not fit the high-risk category should pro. tectthell18<llves 'and others from exposure to the flu virus bY covermg their mouths dur- ing coughs, routinely washing their hands and staying home when ill, ' "Thls is going to be an even 'more' important year to do this," Locke said, and could make for a less-serious flu sea- son, "As you know, the public is very upset about this" Locke said of the local and national flu va<:cine situation, adding that many adults were going else- where in the state and to Canada to get their flu shots, Locke predicted that steps woul\! be taken in the US, Con- gress to prevent such a vaccine shortage in the future, "I think this is going to be a crisis that's going to push us into a new system for produc- tion of vaccine, particalarly influenza vaccine, J' ~d Locke who is also the ClaIlam CountY health officer, . TuRN TO SHOTS/All FRIDAY; OcroBER 22, 2004 A11 Shots: ]efferson'preparing for flu CoNTINUED FROM A5 "This has already made waves politically," IJocke called the flu vac- cine shortage "a symptom of a bigger problem that we have seen over the past five years. n "It is symptomatic of a breakdown in the vaccine production in the US." Julie Danskin"county nursing director, lauded the oounty Health Department and Jefferson Healthcare for acting' in a timely fashion to deliver va<:cines to those qualifying as high-risk recip- ients, Danskin told the board that oounty and hospital nurses were preparing for ~ornu"pandenUcflu"ou~ breaks, Countywide, that would require nursing staffs to gear up to handle great numbers of people sick with the flu, Jean Baldwin, county Health and Human Services director, said, "We may be entering an era when people wear masks around and on the streets, " Flu vaccine clinics Jefferson County has scheduled the following flu . vaccine clinics: . QFC Pharmacy, 1890 Irondale Road, Port Had- lock, from 8 a,m, to 12:30 ' p,m., and 1:30 to 6 p,m" today, Medicare, Medicaid and Tricare will be billed, Bring your coupon or car,!. All others will be charged $20 for flu shot, $30 for pneumonia shot. "We may be entering an era when people wear masks around and on the streets," JEAN 8AlDwHl director,}eJferson County Health and Human Services . South County Medical Clinic, 294843 Highway 101, Quilcene, 8:30 a,m, to 9:30 a,m, and 5 p,m, to 6 p,m" Mondays through Thurs- days, Medicare patients bring Medicare cards. All others: $15, No insurance billed, Call 360-765-3111 for an appointment, . Port Townsend Family Physicians, 934 Sheridan St" Port Townsend" 9 a.m, to noon, Saturday and Nov, 6, Medicaid patients bring Medicare cards, All others: $15, No insurance billed, . Jefferson Medical Group, 834 Sheridan St" Port Townsend, 9 a.m, to noon, Saturday, Oct, 30, Call 360-385-5658 for an appoin~ ment, Medicare patients should bring Medicare cards, All others: $15, No insur- ance billed, . Olympic Primary Care, 1010 Sheridan St" Port Townsend, 9 a,m, to noon, Saturday, Oct, 30, Medicare patients must bring Medicare cards, All others: $15, No insurance billed, . Monroe Street Medical Clinic, 242 Monroe St" Port Townsend, by sppointment for $25, Call 360-385-5658, No insurance is billed, , Wednesday, November 3, 2004 . B 5 Plenty of flu vaccine for babies Only public flu shot clinic for adults is Nov. 6 People at high risk for compli- cations of the flu have been lining up nationwide to get a dose of this year's scarce influenza vaccine, But one high-risk group should have no trouble, getting vaccinated locally - babies between 6 months and 2 years old, The Centers for Disease Control (COC) recommends a schedule of vaccines for children that includes a yearly flu shot as a routine immunization for all babies and toddlers 6 to 23 months old, According to the COC, children in this age group ?T~ 1(, 3 -Of are at substantially increased risk for influenza-related hospitaliza- tions, In fact, a child under age I who catches the flu is just as likely to need hospitalization as someone over age 65. Infants from birth to 6 months of age have an extremely high rate of complications from the flu, but these children are too young to get flu vaccine. To protect these infants, anyone living with or car- ing for babies less than 6 months old should receive a flu shot. The Washington Stale Department of Health provides flu vaccine for children less than 19 years of age who are in the high-risk groups, Influenza vac- cine made for children under age 3 is preservative-free, Although the vaccine is provided to the patient at no COSt, providers usu- ally charge an office visit or administration fee. Influenza vaccinations for young children are available from area physi- cians' clinics who provide rou- tine childhood immunizations, and from Jefferson County Health and Human Services, The only current! y scheduled public flu vaccine clinic for adults is at Port Townsend Family Physicians, 934 Sheridan, Port Townsend, on Saturday, Nov, 6 from 9 a,m,- noon, Medicare patients please bring your Medicare cards, All others $15, No insurance will be billed, Limited doses available, Flu vaccines for high-risk children are available through the following clinics: . Jefferson Medical Group, 834 Sheridan St" Port Townsend, 385-4848, For estab- lished patients only; call for appointment. . Olympic Primary Care, 1010 Sheridan St., Port Townsend, 379-8031. For estab- lished patients only; call for appointment. . Port Townsend Family Physicians, 934 Sheridan, Port Townsend, 385-3500, For estab- lished patients only; call for appointment. . Jefferson County Health & Human Services, 615 Sheridan, Port Townsend, Walk-in clin- ics every Tuesday & Thursday, l-4p,m, Nasal spray is a flu shot option Many people who usually get a flu shot do not qualify for this year's restricted supply of flu vaccine, But for healthy adults, there is another option, reports Jefferson County Health and Hwnan Services. In addition to the traditional / tr:L.ui2vr 11~lb-o 'f flu shot, FluMist, a nasal spray influenza vaccine, is available for the second year, It is to be given only to healthy people between the ages of 5 through 49 years, Anyone with a med- ical condition, pregnancy or one of the other high-risk fac- tors should not get this type of vaccine, Healthy people older than 49 may receive FluMist with a prescription. from their doctor, FluMist is available at Port Hadlock QFC Pharmacy, 1890 Irondale Road, on a walk-in basis, Clients ages 13 to 18 or over age 50 require a doctor's prescription, Cost is $26,99, cash only, Although the public clinics are finished, flu shots are still available locally for those in the c highest risk groups for compli- cations from influenza. Resources for influenza vac- cine include: . Dr, Richard Lynn, 1136 Water St" Port Townsend, Established patients only; call 385-5330 for an appointment, . South County Medical Clinic, 294843 Highway 101, Quilcene, Mondays through Thursdays, 8:30-9:30 a,m, and 5-6 p,m, Medicare patients bring your Medicare cards; all others $15, No insurance will be billed; call 765-3111 for an appoint- ment. Your doctor's office may still have vaccine for high-risk patients, Call your doctor for an appointment if you have one of the conditions listed above, Flu vaccines - for high-risk ; ~I children under 19 years old are available through the following clinics: . Jefferson Medical Group, 834 Sheridan St., Port Townsend, 385-4&48, For estab- lished patients only; call for an appointment. . Olympic Primary Care, 1010 Sheridan St., Port Townsend, 379-8031. For estab- lished patients only; call for an appointment: . Port Townsend Family Physicians, 934 Sheridan, Port Townsend, 385-3500, For estab- lished patients only; call for an appointment. . Jefferson County Health & Human Services, 615 Sheridan, Port Townsend, Walk-in clinics every Thesday and Thursday, .1-4 p,m, ,