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Home My WebLink About09 September JEFFERSON COUNTY BOARD OF HEALTH MINUTES SEPTEMBER 18, 1997 BOARD MEMBERS Glen HflllUndord, chai""M - COflllty commissioller District 2 Richard wojt, M<mber - COl1tlty Commissioller District 3 Dan HaryoIe, M<mbcr - COUIlty commissioller District I Ted shofllberg, M<mber - pori TOlVI1SCIld City COflllCil JiU Buhler, M<mber - Jcffcrsoll OJUIlty HOspital District #2 Commissioller sheik Westermall, Member - Cittztll at La';qe (City) RobertJ! FrisseU, Member - cittzC/1 at Large (COUIlty) STAFF MEMBERS David specter, Health Deyariment Director Jeall Baldwill, Director of Nflrsillg services Lany Fay, Director of EIlvirOflmtlltal Health chester mdhomme, Director of substance Abuse Thomas Locke, M.D., Health officer Mary Mandel, Admillistmtive SUJ'}'ori The meeting was called to order by Chairman Glen Huntingford. All Board and staff members were present with the exception of Member Roberta Frissell, and Commissioner Richard Wojt. APPROVAL OF MINUTES Member Shoulberg moved to approve the minutes of August 26, 1997 as presented. Member Buhler seconded the motion which carried by a unanimous vote. PUBLIC COMMENT PERIOD No public comments. BOARD OF HEALTH ORIENTATION David Specter handed out and reviewed each section of the "Jefferson County Board of Health Reference Manual". This manual will help the new members get acquainted with the operations of the Health and Human Services Department. A handout regarding the "Essential Responsibilities of Public Health" was given to each member. Dr. Locke discussed the first two core functions concerning assessment. The other core functions will be discussed at the next meeting. HEALTH BOARD MINUTES - September 18, 1997 Page 2 1. Monitoring health status to identify and solve health problems. Health status is defined as an objective way of measuring health in the community. This is done either by the rate of a disease or something that indicates good health such as people who exercise regularly. The data is then reviewed to identify and solve problems. The most important element in assessment is processing the information once it is collected. Dr. Locke stated that the ultimate goal is to get the information back to the community. 2. Diagnose and investigate health problems and health hazards in the community. This would include investigation of communicable diseases such as tuberculosis, sexually transmitted diseases (STD), influenza, and hepatitis. Anything that is contagious and has a serious human health impact would be reported to the State and listed, along with 65 other disease conditions, as a reportable disease. Member Shoulberg asked about the mandatory reporting ofHIV? Dr. Locke stated that starting in January of next year the State Board of Health will address the issue of reporting HIV. It is his assumption that eventually it will be mandatory. The reporting of diseases is defined by the State Board of Health. The local Board of Health within the jurisdiction has the power to make anything reportable. Member Buhler asked if there is an issue of confidentiality if a physician reported something that is not required by the State to be reported? Dr. Locke replied that if something is reportable, then it is not a breech of confidentiality. If it is not reportable and a physician feels a "duty to warn" to prevent harm, the Courts usually side with the physician. Member Shoulberg asked if there is a time line for approval ofthe County's best management practices (BMPs)? Larry Fay stated that the BMPs have gone before the County Commissioners on several occasions and have not yet been approved, due to some conflicts in the language between the Ordinance and the BMPs and other various issues. Commissioner Harpole replied that the BMPs are scheduled to be discussed during the Board of Commissioner' meeting on October 6, 1997. COMMUNITY ASSESSMENT PROGRAM UPDATE: Public Health Nurse, Lisa McKenzie, informed the Health Board on the following: c:> Communicable diseases are required to be reported by physicians and labs. The Health Department then contacts the physician and the individual to find out where it was contracted and the potential transmission to other family members or other members of the community. Some standard questions that are asked of the individual are, do you work in food preparation, day care facility or health care facility? Those areas have a higher rate of transmission. c:> Immunization Program. The Health Department has been assessing the immunization records of all two year olds in Jefferson County. Tracking has been fairly easy due to the fact that the Health Department was the only facility handling immunizations. The percentage of two year olds evaluated are lower now that local physicians are providing those services. The two agencies are trying to work together to find a way to track everyone. Member Shoulberg asked what the incentive is for physicians to do immunizations? Jean Baldwin answered that vaccines are very expensive, but physicians receive them free on the condition that the Health Department does quality assurance for them. In the past the Health Department profited from vaccines, now they just break even. Regardless the main focus is to get everyone immunized. David Specter asked what has happened to immunization rates among two year olds in the last two years? Lisa McKenzie replied that appears that the numbers are down, however she feels it is misleading due to the fact that the Health Department's records are incomplete. Until there is a tracking system in place that includes all the private clinics, there will not be an accurate assessment. HEALTH BOARD MINUTES - September 18,1997 Page 3 Assessment Coordinator, Lesa Barnes explained that her job is to collect, organize, and analyze data and information. She uses this to inform, educate and empower people about health issues. The information collected also helps evaluate the effectiveness, accessability and quality of programs provided to the public. Lesa also is part of a team working with community members and leaders trying to identifY and prioritize health related issues and concerns. Environmental Health Specialist, Dave Christensen stated that he assisted Lesa Barnes with parts of the Health Assessment Report and became more involved primarily with environmental health and drinking water supplies. Currently, he is working with Geographic Information Systems (GIS) to map areas known to have ground water contamination and to help locate water resources for public drinking water needs. After the data is collected they can start looking for specific geographic trends. David Specter asked about the recreational shellfish and water monitoring program? Dave Christensen replied that they are in the process of expanding the recreational shellfish program to not only do bio-toxic monitoring, but to partner with schools and state parks to provide more information to the public at a faster rate. Chairman Huntingford asked Dave Christensen if he advises the public of the potential dangers of collecting and eating shellfish during a red tide? He responded that he provides information on how to reduce the potential risk or danger to health, such as cooking shellfish and not eating oysters during certain times. There is no enforcement required, it is just an advisory posting of potential health risks. Member Shoulberg asked Dr. Locke if non-point source pollution is a health problem? Dr. Locke said that it is a health problem to the extent that the pollution gets back to humans by way of drinking water, eating shellfish and various other ways. UPDATE ON MILTON FOSS. ECOTEC: Larry Fay reported that Milton Foss has closed his business. Mr. Foss did provide the Health Department with dumping records from 1996 which Larry Fay found to be incomplete. The records show that he pumped 60,000 gallons of septage and the Health Department feels that most of it was dumped on Mr. Foss' property. Larry Fay stated that Health Department staff are working with the Sheriff's Office to make sure all procedures are followed correctly in making a case against Mr. Foss. Member Westerman asked what will be the deciding factor for whether or not to prosecute this case? Larry Fay replied that he is working with the Prosecuting Attorney's Office on that issue. Larry Fay believes Mr. Foss was using a process similar to the one used by the City of Port Townsend, and then disposing the liquid portion onto the property. He feels the possibility of detecting any significant contaminate from dumping are low. Member Buhler asked what type of resolution is the Board looking for? Larry Fay stated that first and foremost was to stop him from dumping illegally. Secondly is to deal with the criminal violation. The type of evidence determines the degree of the penalties. UPDATE ON LINDA SEXTON: Larry Fay stated that this matter has been referred to the Prosecuting Attorney. Dr. Locke and Environmental Health Specialist Randy Marx had a follow up meeting with Ms. Sexton. Since that meeting the Health Department has received three (3) letters from Ms. Sexton stating she feels she has been mistreated and is not operating a solid waste facility. She also sent back, after the deadline, the draft compliance order with the changes she made to it. She has since fIred her attorney and is representing herself. Larry Fay will be updating the Health Board on both these issues over the next couple of months. NEW BUSINESS HEALTH BOARD MINUTES - September 18, 1997 Page 4 SOLID WASTE ENFORCEMENT GRANT: Larry Fay presented and discussed a grant application for coordinated prevention for solid waste enforcement. The Health Department questions the priority of the solid waste issue in determining how much funding to apply for and how much to do in the way of enforcement? The application is based entirely on Jefferson County's ability to match State Department of Ecology dollars. The Health Department staff determined what type of programs to handle with the grant money. Larry Fay stated that the Health Department is going to take over the ground water monitoring network from Public Works. The Public Works Department will pay for the match of this program and the upgrading of the pumps in the monitoring wells. This grant will require staffing of a .3 FTE for solid waste enforcement. Larry Fay explained that since the adoption of the QuilcenelDabob Watershed Plan, the Health Department has seen more septic repair and loan administration activity. This program includes public outreach, meeting with community groups and homeowners associations, and working with Cooperative Extension to educate the public. A lot of work is being done to help design upgrades for individual homeowners, who have either failing or substandard systems, particularly in shoreline areas. The Health Department staff charges a $50.00 permit fee. Member Westerman was surprised that the County subsidizes this service to shoreline property owners. She feels the Health Department should guide them in designing an appropriate system, but the property owner should be paying for the system and staff time. Chairman Huntingford stated that he supports this program because it is better for overall water quality, even though there is an expense to the County. It gets people into the program who would otherwise not be able to afford it. Member Shoulberg was asked by the City to discuss the possibility of building a regional water facility for testing water samples. Larry Fay stated that issue will be discussed, with the City, under the Coordinating Water System Plan. Member Westerman moved to accept the grant application for waste management as presented. Member Shoulberg seconded the motion which carried by a unanimous vote. Meeting adjourned. The next meeting will be held on Thursday, October 16, 1997 at 3:30 p.m. ~;~~l~~~b:/~' c;l~ ~ uJ u-,{u ~ Sheila Westerman, Member (Excused Absence) RichflId E;. 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W(L'1..-d~~ ~:6 da.-&.- . tha,r-::Jtfl "byd'~-YL<::"'---- l'IA'tt'-tt-u."~11~ddht, n ~J.a:/L1c<-thl<J-' A7I..;L.G._. -<:ifL-<2L&(.. J;:;;t;:':w~vd'JiJ 1;,;' x;,..:;<~ tt,:r:::;~~ CII./-MIlC/!-n-t ~uu~; 7<-" ' ~ I --I" fI..".I-'1 ~ tY-a:tc, ftlH:' Au.-( ;rt to /4,. ~/~- --d!~~t- f '(v~'l.J-) h"Ul:"!f W<k- tL ;1td J-/-~':1Le-, 1- w1-k"j .x--704/. J,,~ '/YU~ )/f/.u>>t~ ~)~ ft/lL U-~'lt<~ ~ r" -/L~, -If r <i!K,A~ ;t ~--~. -t6 enytt -!Tuc!t; n1 :tUA.-A~1 JA-vd/~ !J :;r-A'Y hwd/L ""r'~v, ~~~~ ( ~,~ ., Human Services MEMORANDUM OF TJNDERST ANDING This Memorandum of Understanding is entered into between Jefferson County Health and Human Services (hereafter "Health Department"), Jefferson County Board of Health (hereafter "Board of Health"), Jefferson County Prosecutor's Office (hereafter "Prosecutor's Office"), Linda Sexton (hereafter "Ms Sexton"), and the attorney for Ms Sexton (hereafter called "Attorney"). Recitals A. On March 11, 1996, Ms Sexton was notified by the Jefferson County Building Department to contact Randal Marx ofthe Health Department regarding "garbage and refuse" B. On November 5, 1996, a letter was sent to Ms Sexton from the Health Department informing her that the property remains in violation ofW AC 173-304, Solid Waste Handling Regulations, and that the matter has been referred to the Prosecutor's Office. C. On January 22, 1997, a letter was sent to Ms Sexton from Randal Marx of the Health Department,stating that she is in violation ofW AC 173-304-100. Ms Sexton was notified that because she collects"discarded ~ommodities throughout the county and stores them in piles, she is subject to WAC 173-304. Ms Sexton was notified that since she has not recycled at least fifty percent of her inventory in the last three years, her business is not considered a recycling facility (WAC 173-304-300,3,c,i). ;..-1 ; 'I'; ~ .~ r E'. f. Ji.. D. On February 11, 1997, a letter was sent to Ms Sexton from Randal Marx of the Health Department giving her 30 days to either begin the solid waste facility permitting process or submit a closure plan for Hea~th Department rev~~~~ or .,' ,.... M-;. ~,.,('f-,...... ,:A,.\:) >oJ't :..Av,1- ., "\01 "+"'I',1li.~~')-\"{d'< \., ( 4- -\- ,;j"\ February 28, 1997, written appeal to the Health Department's decision was received from Ms Sexton. The appeal was placed on the Board of Health agenda for, May 28, 1997, at the request ofMs Sexton. '..... '#li '''--~ ~1'-_, \ ."'....- , r-, ~.l At the May 28, 1997, Board of Health meeting a hearing was held on whether Ms Sexton (1) would be required to make application for a solid waste facility permit or , (2)l.initiate a plan for cleanup of her properties that are in violation of solid waste regulations. The-appeal of Ms lillJK8R "'as denied. The Board of Health directed the Health Officer to work with Ms Sexton and her Attorney on a compliance schedule and required that Ms Sexton stop collecting new materials until an agreement could be reached. H EAbF,tlord\seXlon3 ,doc DEPARfMii/).JPag, 1 oD 360/385-9400 ENVIRONMENTAL HEALTH 360/385-9444 DEVELOPMENTAL DISABILITIES 360/385-9400 ALCOHOL/DRUG ABUSE CENTER 360/385-9435 FAX 360/385-9401 ...",..., e' ; , Action Plan Based on the above understanding of the parties, the parties agree to the following: t~:J/~~ -tv Pursuant to the directive of the Board of Health on May 28, 1997, Ms Sexton ~t>>tlUeet the following conditions in the time frame presented.il)'l;\JtI~(Pcomply~ith coul:l~'~a~~ '~o,Ii4 ''\ll~JaclBty pennitting requirements. This compliance schedule applies to materials stored at any properties owned or leased by Ms Sexton and used for handling solid waste or commodities. For the purposes of this agreement, solid waste has been defined in RCW 70.95 and Chapter 173- 304 WAC to include, but not limited to, garbage, rubbish, ashes, demolition and construction wastes, abandoned vehicles or parts thereof, and discarded commodities) (o""".C~;t;, \ ~+f:J.^~1, ""\1 "~" '-'>'....\<>'\ "ll'\'\ ,~(/\ 1. Immediately stop taking in !!!!y new material defined as solid waste~' .,. ~: ~ I.,,J,,' ..." ,~ " ) "..i'1,: r I 1" i. , ~ ;!) l-'11.t'J~" 2. Immediately begin recycling, selling, or disposing of current solid waste. >,.,^' / "., '{ ,'.-r:, \ VA':'" ^ r J,,,,";1'il.""'\~;~ ,,} .dO,;",,-) ,,1.1. '"0IIJJZ:"dlv,}-", ..~) 3. Have all remaining solid waste,that is not enclosed within a building disposed of aJ a permitted solid w,a"ste facility by ~ugJJst 31, 1991. 1\ ,"', ,,;j.l)!:', + 'J ::.A, . Ad",,;[jj ~ecl.tfi flti! l1r#-thHP.J-1 /JlJLU~, 0l.J- "'~<'1<.<4;,q9 ',,- iff;; nk"'( /rl-t,c- ~,Jft/,-- J(ji.:>,Cl'.(., ~j uJc1<.;-1 ~~ "--"-'>'--"~l\"~-+ I tG:t'?1..-IU-tcJ....l4tL~('a~Lltilbt / (17 4. As of S,eptember I, 1997, no 0 or ptles or outdoor s rage 0 solid waste, 1, v ~j bf,:!': "_.d _.._.._lIili:1 shall be allowed to exist. Solid waste stored outside after ~'pei~ beT.)$, 1997 shall b'e removed by the county at the expense and risk of the violator, said expense to operate as a lien against her property. '" 5. Further activities involving storage of solid waste or llIIlUld ~shall be limited to , enclosed buildings. lMf,l\azardous or liquid materials shall be collected or stored ~~ (l"J J,.1t,1" " , sites owned or leased by Ms Sexton. of1\~, J.,' ht...... ''<f!J~'''' 6, 7. EH\word\se:-'10n3.doc 7/17/97 Page 2 of3