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HomeMy WebLinkAbout042006 JEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, April 20, 2006 Board lvlembers: David Sullivan, Chaiman - Coun(y Commissioner Distnd #2 Patri,;k AI. Rodgers, Vice Chairman - County Commissioner District #3 Phil Johnson- County CommiSJioner District #1 Jill Buhler - Hospital Commissioner DtJ'Irict #2 GeoffAlaj'd - Port lownJend City Coundl Sheila Westerman - Citizen at La'le (City) Roberta Frimll-- Citizen at La'le (County) StafMembers: Jean Baldwin, Public Health Seroices Director Julia Danskin, ..L,,\Tursing Services Director Thomas Locke, MD, Health Officer Mike lvld'Jickle, Environmental Health & Natural Resources Diredor Meeting was called to order at 2:32 pm on April 20, 2006 by Vice Chair Pat Rodgers in the conference room of Jefferson County Public. All Board members were present with the exception of Commissioner Sullivan. All staff members were present. There was a quorum. APPROVAL OF AGENDA Motion was made to approve with one addition to old business, The motion was carried by a unanimous vote. APPROVAL OF MINUTES Board Member Masci made a motion to approve the Minutes as written. Board Member Frissell seconded the motion, which carried by a unanimous vote. PUBLIC COMMENTS Chair Rodgers called on the public for comments. There were no public comments. OLD BUSINESS Letter to Law Enforcement Officials re: Jefferson County Board of Health Clean Indoor Air Ordinance Jean Baldwin shared the updates from the State Attorney General that will be shared with other jurisdictions. Community education around Initiative 901, which prohibits smoking in public indoor places and workplaces, is continuing. Tuberculosis Editorial-Kitsap Sun There was a discussion regarding tuberculosis and its treatments. Bie Brothers Bie Sisters of Jefferson County 2004-05 Project Summarv Kellie Ragan, Drug Free Communities Program Coordinator explained that the primary source of funding for Big Brothers Big Sisters is the Drug Free Communities Support Program (SAMHSA). This funding is scheduled to expire September 30, 2007. Big Brothers Big Sisters is a federally recognized best practice and one-to-one mentoring was identified by stakeholders as a service gap in 2000. Under the management and supervision of Big Brothers Big Sisters of King, Pierce, and Jefferson Counties, community-based and school-based matches have increased dramatically over the past two years. In 2005, 74 mentors dedicated an estimated 5,244 hours to local children in one-to-one mentoring. The goal for 2006 is to create and support 100 matches in Jefferson County. ADDED AGENDA ITEM Ordinance to Amend the Board of Health Board Member Westerman made a motion to draft a letter requesting an amendment to Ordinance Number 03-0505-97. The current ordinance requires two County Commissioners be present for a quorum or a vote to take place by the Board of Health. The proposed change would allow all Board of Health members equal voting authority by eliminating the County Commissioners requirement. Board Member Masci moved to approve the motion for the BOCC to review the request. Board Member Buhler seconded the motion, which carried by a majority vote. Three in favor, two against and one abstention. NEW BUSINESS 2004 Jefferson County Healthv Youth Survey Ragan presented the recently released report to BOH members and noted that the Fact Sheet template was developed by Thurston County Public Health epidemiology staff. Ragan walked members through the format of the report-each fact sheet contains the actual question asked of students, data highlights, response rates by grade level, data notes that include source of question-Form A, Form B, and/or Form C, technical notes specific to questions and contact information. Appendices A-H provide detail about the report and respondents. Ragan noted that the statewide administration of the Healthy Youth survey is funding heavily through tobacco settlement dollars; analysis of local data was also heavily funding through local tobacco settlement dollars. Ragan discussed internal controls within the survey to control honesty-the following types of surveys are culled from the survey respondent pool: respondents who answered that they were not honest in filling out the survey, respondents who provide inconsistent answers (I have never used marijuana/the first time I used marijuana was when I was 11), Christmas-tree (or similar) pattern on scan form; respondents who report using a 'fake drug' (e.g. wagon wheels, derbisol). Ragan discussed the generalizability of the finding as set forth by the Joint Survey Planning Committee-with a 70% response rate results are likely to be representative of the population; 40%-69% % response rate results are likely to be somewhat representative of the population; less than 40% of a response rate-use these results with caution. The Jefferson County Public School participation rates by grade are as follows: Grade 6--75%; Grade 8-72%; Grade 10-61%; Grade 12-56%. Ragan also mentioned caveats about the survey-this survey provides a snapshot in time and is gross measure of what is happening among the population; the survey does not track grade cohorts over time (e.g. HYS does not control for migration or attendance therefore, the 6th grade respondents in 2002 should not be considered the 8th grade respondents in 2004). Ragan reported that Chimacum, Port Townsend, and Quilcene School Boards, the Community Network and the Substance Abuse Advisory Board will be receiving presentations during the coming weeks. The entire report is available on the Public Health website at: www.ieffersoncountvpublichealth.org Nurse Family Partnership-Jefferson County Impacts Quen Zorrah presented a video to illustrate the effects of neglect and abuse on children. In dealing with child neglect cases, the two main issues that have surfaced are depression and methamphetamine use. All clients who receive services are given depression assessments because statistics have shown that 20% of women in childbearing years will face some type of depression. Poverty is one of the biggest contributing factors to depression. The other issue in child neglect cases is the significant growth of methamphetamine use in the last five years. Quen discussed that past Boards of Health had requested services to all families in Jefferson County, not just the low income or high-risk families. Jean Baldwin mentioned this is currently paid for by the liquor excise tax the county receives and pays towards prevention. Currently those funds cover the increase of services but that is based on state and federal funding remaining stable. Board Member Masci made a motion to review the Family Support Partner protocol. Board Member Buhler seconded the motion, which carried by a unanimous vote. WIC Proeram 2005 Report Julia Danskin briefly discussed the WIC 2005 Annual Report. Jefferson County is unique because we have all of our programs in one location. In 2005, WIC clients spent $310,953.00 in local grocery stores and $2,222.00 at the Farmers Market. The President's budget proposes to fund the WIC program in 2006 at $5.5 billion (2005 funding was $5.235 billion). For 2007, the president has proposed capping WIC funding substantially below the program's growing needs and in 2008 requiring states to pick up 20 percent of the cost. Board Member Westerman made a motion to draft a letter supporting the WIC program and requesting no cuts in future funding. Commissioner Johnson seconded the motion, which carried by a unanimous vote. Environmental Health Updates-Onsite Proeram Permittine and Hood Canal Septic System Repair Loans Mike McNickle gave an update of the work in progress. Environmental Health, Natural Resources and Community Development continue to work on streamlining processes and procedures. The critical element in issuing permits in a timely manner is complete applications when first submitted. The new Environmental Health Technician position will review all septic applications. The goal is to have applications submitted with 100% accuracy. Jefferson County Public Health has been awarded a $330,000.00 grant to help residents living along the Hood Canal repair and replace septic systems. Residents who have a septic system that is in need of repair will be able to apply for a 1.3% interest loan to cover the expenses of the design and installation of a new septic system. Mike is the contact person for approving qualified residents' applications. The State Legislature has set aside $1.5 million in grant money for onsite installations and designs. The money will be divided among all counties in a three-tier program. Mike requested a committee be formed to assist in the design of this program. Vice Chairman Rodgers and Board Member Westerman volunteered. Health Officer Updates Dr. Locke explained that the 2006 flu season was very late. Flu vaccines given early fall 2005 in some people could be waning in months of March or April. This is a major concern for the elderly. We are preparing to begin dead bird surveillance Vvith crows for West Nile and mosquito trapping. Vice Chair Rodgers adjourned the meeting at 4:30 p.m. Next Board of Health meeting is May 18, 2006. JEFFERSON COUNTY BOARD OF HEALTH Excused ~~:;mi' "If [" ,~--r;;. <1,;1 ( U(' ('( issell, Member /J~ ?~~Ju______ sli:~~rin, Member -PhiTJoZ"n, Member / ~~S.O~_N"(b ~,,::. .~.~ :;:.. _\~, ,.....-'-< ~>~:--~ '1siiit:o""o JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street. Port Townsend' Washington' 98368 www.jeffersoncountypublichealth.org March 6, 2006 JaJu.. W()..~. City ~rr1~ c.hie.p Col1.nor fu,/e.:J Sheriff Mike Brasfield Jefferson County Sheriffs Office 79 Elkins Rd. Port Hadlock, W A 98339 Dear Sheriff Brasfield, I am enclosing a copy of the Jefferson County Board of Health Ordinance for enforcement ofthe Initiative 901 Clean Indoor Air Act (RCW 70.160). Jefferson County Public Health is following up on all complaints related to indoor air. A copy of the flow sheet we utilize to deal with complaints is also enclosed for your reference. Per RWC 70.160, Jefferson County Public Health will be limiting education and compliance efforts to establishments. The intent of the 25-foot rule is to prevent smoke from entering a building. Smoking is prohibited in outside areas that are less than twenty-five (25) feet away from building entrances, exits, ventilation intakes or windows that open. When these areas are owned by or within the control of a business, such as a deck, the person in charge is responsible for ensuring compliance with the law. People on the sidewalk or outdoors in public space are beyond the scope of the jurisdiction of Public Health. Sincerely, Jean Baldwin, Director Jefferson County Public Health JB:dm Enclosures COMMUNITY HEALTH DEVELOPMENTAL DISABILITIES MAIN: 360-385-9400 FAX: 360-385-9401 PUBLIC HEALTH ALWAYS WORKING FOR.A SAFER AND HEALTHIER COMMUNITY ENVIRONMENTAL HEALTH NATURAL RESOURCES MAl N: 360-385-9444 FAX: 360-385-9401 QCougress of tbe Wuiteb .i>tates ~oul.iC of l\cprtl.icntatiuC1) ~al.ibington. :119(( 20515 March 10, 2006 Improve Birth Outcomes and Child Health and Serve More People With the Same Federal Investment Dear Colleague: Please join us in sending the attached letter to Chairman Bonilla and Ranking Member DeLauro of the Appropriations Subcommittee on Agriculture, Rural Development, Food and Drug Administration and Related Agencies to urge them to once again reject the Administration's proposal to cap grants for nutrition services at 25 percent of total grants to states under the Special Supplemental Nutrition Program for Women, Infants and Children, known as WIC. Since its inception, WIC has demonstrated consistent success in improving birth outcomes and child health. The nutrition assessments, counseling and education, breastfeeding support and promotion, and prenatal and pediatric health care referrals provided with NSA grants are critical to achieving these results. NSA grants also provide for efforts to ensure program integrity, properly manage WIC food vendors, and contain food costs. State WIC agencies have been effective at significantly reducing WIC food costs, primarily through competitively bid contracts for infant formula under which formula manufacturers provide substantial rebates. These rebates saved the federal government about $1.65 billion in 2005. As a result of such cost-saving measures, the federal cost of providing WIC food over the last sixteen years has grown at only half the rate of inflation for food purchased in grocery stores. The proposed NSA cap would make it extremely difficult for states to continue to provide the current level of critical, direct client services and to pay for costs related to eligibility determinations, voucher issuance and redemptions, vendor management, and cost containment, while creating a disincentive to contain program costs. The attached letter also states our opposition to the Administration's proposals to limit Medicaid adjunctive eligibility and to require a 20% state match for nutrition services funding in fiscal year 2008. These proposals would cause irreparable harm to WIC and the mothers and children WIC serves. And, the letter states our support for essential management information systems and health outcomes research. The letter requests $188 million to redress the savings suggested in the President's request from capping NSA and Medicaid adjunctive eligibility, as well as to provide for essential management information systems and for health outcomes research. If you would like to sign the attached letter or have any questions, please contact Ron Anderson (Representative Walsh; ron.anderson@mai1.house.gov, 225-3701) or Lloyd Horwich (Representative Woolsey; lloyd.horwich@mai1.house.gov,226-4152). Sincerely, ,(14H1..-CLL-\~ D~_il JibId Lynn WOOISey~' <J- ~ames Walsh Senior Democrat PRINTEDONRECVct.EOPAF'tOR Member of Congress Subcommittee on Education Reform JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street. Port Townsend' Washington' 98368 www.jeffersoncountypublichealth.org Date The Honorable Henry Bonilla, Chair House C.ommittee on Appropriations Subcommittee on Agriculture, Rnral Developmen\, Food and Drog Administration, and Related Agencies 2362 Rayburn House Office Building Washington, DC 20515 The Honorable Rosa DeLauro, Ranking Member House Committee on Appropriations Subcommitree on Agriculture, Rural Developmen\, Food and Drug Administration, and Related Agencies 1016 Longwortb House Office Building Washington,DC 20515 Dear Chairman Bonilla and Ranking Member DeLauro: Your Subcommittee wisely rejetted the Administration's proposal to cap grants for nutrition services at 25 percent of total grants to states under tbe Special Supplemental Nutrition Program for Women, Infants and ChiWren, known os WIC last year. We mge you to do the same litis: year. That funding approach was ablllldoned in 1989 because it proved to be a disincentive for stllleS to reduce food costs. We believe that WIC funding policy shonld support effurts to reduce food costs and to encourage states to serve morepeopie wilhinprngramfundingiimitatinm: .Undt. ow.e..t law, NutritionServit:esand AdlUiui.b.tioniNSf<jgrants are determined on a per-partieipant basis; tbe per-participant amount was set in 1989 based on ""pen<litures in 1987. Sin<e then, it has been adjusted only Cor inflation. Since its inception, WIC has demonstrated consistent success in improving birth outcomes and cbild health. The nutrition assessments, counseling and education, breastfeeding SlJppOrt and promotion, and prenatal and pediatric health care refi:rra1. provided with NSA grants are critical to achieving these results. NSA grants also provide for efforts to ensure program integrity, properly manage WIC fund vendors, and OOll.tain food costs. State Me agencies have been effective at .ignifroantly reducing MC fuod costs. primarily through competitively bid contracts for infant fonnula ander which fonnula manufacturers provide substantial rebate.. 'The.e rebates saved the fedend gnvernment about $1.65 billion in 2005. As. result of such cost-saving measures, the fudernl cost of providing \VIC food over the la.t .ixteen years bas grown at only half the rate of inflati.oo for food purchased in grocery stores. The Administratioo's proposal to- restore the NSA cap not only would create a disincentive for states to reduce WIC food costs and a barrier to serving more participants for the same cost, but also 'would reduce access to important nutrition and. healLb services. such as immunization referrals, nutritkm counseling, and brcastfeeding support. A 2001 GAO report on NSA funding fuund that: Since the late 1980's, a number of requirements have been placed on lhe {WlC] program aimed at, among odler things, containing the cost .a/food benefits, promoting hreastfeeding. encouraging immunizations. and controfling program abuse. While these requlteJnents have placed additional Jerviee delivery {lfId administrative demands on WIC staff,. they have not been accompanied by more funding per parlicipalll . . . The proposed NSA cap would make it extremely difficult for states to continue to provide the current level of critical, direct client services and to pay for ~osts related to eligJbiJity determinations, voucher issuance and redemptions, vendor management, and cost containment, while creating a disincentive-to contain program costs. We are also writing to signal our opposition to the Administration ~s proposal to limit Medicaid adjunctive eligibility and require 8 200... state match for nutrition services funding in fISCal year 2008. WIC has been a national priority .ince it. inception 32 y..... agn. States are experiencing difficultie. meeting their health and social services budgets and would bo unlikely to he able to provide the 20% match resulting in irreparable harm to WIC and the mothers and children \VIC serves. We urge you to not support this proposal that the Administration has offered for flSCal year 2008. In conclusion} we urge yoll not to include an NSA cap in the- Subcommittee's appropriations bill and to add S188 million to the President's budget request 10 redress the suggested savings in that roque$! from capping NSA and Medicaid adjunctive eligibiHly. as well as to provide fur essential management information systems and ibrbealth outcomes research. Sincerely, COMMUNITY HEALTH DEVELOPMENTAL DISABILITIES MAl N: 360-385-9400 FAX: 360-385-9401 PUBLIC HEALTH ALWAYS WORKING FOR A SAFER AND HEALTHIER COMMUNITY ENVIRONMENTAL HEALTH NATURAL RESOURCES MAIN: 360-385-9444 FAX: 360-385-940 1