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HomeMy WebLinkAbout02 February COMMUNICABLE DISEASE CONTROL PUBLIC HEALTH NURSING VITAL STATISTICS ENVIRONMENTAL HEALTH HEALTH EDUCATION JEFFERSON COUNTY HEALTH DEPARTMENT 802 SHERIDAN PORT TOWNSEND, WASH. 98368 (206) 385-0722 HEALTH BOARD MINUTES FEBRUARY 23, 1993 BOARD MEMBERS: STAFF MEMBERS: Robert Hinton, Acting Chairman Richard Wojt, Member Glen Huntingford, Member Larry Fay, Director of Environmental Health David Specter, Administrator Jean Baldwin, Director of Nursing Services J. Peter Geerlofs, M.D., Health Officer CITY OF PORT TOWNSEND REPRESENTATIVE: Norma Owsley The meeting was called to order by Board and Staff members were present: Huntingford, Larry Fay, David Specter, Atkins. Port Townsend's representative acting Chairman Robert Hinton. The following Commissioner Richard Wojt, Couunissioner Glen Jean Baldwin, Chester Prudhomme, and Linda Norma Owsley was also present. ORGANIZATIQN: The first order of business was to elect a permanent Chairman. The Board agreed that Robert Hinton will serve a~ Chairman. APPROVAL OF MINUTES: January 21, 1993. Commissioner unanimous vote. Commissioner Wojt moved to approve the Minutes of Huntingford seconded the motion which carried by a ADMINISTRATOR'S REPORT FINANCIAL REPORT: David Specter reported that 9.44% of the budget was expended and 3.3% of budgeted revenues have been collected as of January 31, 1993. Salaries and benefit~ are in line. Some office supplies were pre-orden..'<1 and two months rent has been paid which explains why those line items are high. Revenue from grants not received until February is not reflected in this report. HEALTH BOARD MEETING MINUTES - FEBRUARY 23, 1993 Page 2 A monthly calendar was provided to the Board which lists the clinic schedule and other Health Department activities. This calendar will be expanded to include Human Services' activities as well. PROGRAM/GRANT UPDATE: The State Department of Health notified the Health Department that there is an additional $8,000 in grant funding for the Consolidated Contract. The funds will be used to purchase computer equipment to support tracking programs for various Health Department activities throughout the State. The State has funds available that must be spent by June? David Specter feels software is needed in order to integrate the systems. Jefferson and Clallam County Health Departments contract with the State Department of Health, Office of Community and Rural Health, to provide a dental program. The progrdm is geared toward primary care only. They do not provide major intervention or restoration of teeth. It is available for people who do not have Medicaid or insurance. Approximately 100 clients are served each year. The State notified the Health Department that there are supplemental funds available for the program in the amount of $3,000. The additional funds will be used to open more clinics. Currently there are 17 clinics schednled between now and June and each costs approximately $400. Commissioner Wojt asked if the Dentisis volunteer their time to provide the services" David Specter answered that the Dentists and Dental Hygienists are contracted. The Health Department is the lead agency for the Federally funded Family Resource Coordinator program. Funds were used to hire a person to coordinate resources for special needs children, birth to three years of age. In conjunction with the Interagency Coordinating Council they are providing the coordination. They recently learned there was additional funding available for this progrdm also, in the amount of $8,000. These funds will be used to fund more staffing time in the West End. 1993 GOALS/STATUS REPORT: David Specter reported on the APEX process. David Specter, Jean Baldwin, Larry Fay and Peter Geerlofs all met to begin the process of defining the health needs and priorities. They came up with a list of 40 health problem areas and their goal within the next few weeks is to narrow the list down to 10-15 health problem areas and then take it to the Advisory Committee which will be formed in the next two months, for their review. DIRECTOR OF NURSING'S REPORT WOMEN'S STD PROGRAM UPDATE: Jean Baldwin reported that the clinic is open for business and most of the clients are referrals from Family Planning. She is hesitating on sending a press release to the papers since the clinic is already very busy without that exposure. A Nurse Practitioner attended a week long training session at Harborview Medical Center in Seattle that was funded by the Center for Disease Control. The budget items will be tracked closely to see what the actual costs are. Jean Baldwin will be attending a physicians meeting tonight to discuss follow-ups and internal structures. HEALTH BOARD MEETING MINUTES - FEBRUARY 23, 1993 Page 3 Commissioner Wojt asked about patients being able to choose physicians other than their regular physician, to perform certain procedures? Jean Baldwin stated that it's a matter of health care reform for Medicare and Medicaid. If managed care becomes mandated then Medicaid recipients would be mandated to go to one physician for all services. Therefore certain services provided by the Health Department or other physicians may not be reimbursable from Medicaid. This would have serious financial impacts on the Department. ENVIRONMENTAL HEALTH DIRECTOR'S REPORT POLICIES AND PROCEDURES: Larry Pay stated he will put together information on policy areas to be developed for integration into the One-stop Permit Center for the Board's review at the meeting in March. Two areas of focus are the procedures on plat approvals and water systems. They hope to have the policies adopted in April or May and open the Permit Center in June. PORT LUDLOW WATERSHED ACTION PLAN: Larry Fay reported that the Health Department has been actively participating in the Port Ludlow Watershed Planning Process. There are six specific recommendations the plan outlines as to actions the Health Department can undertake. A staff response was drafted for each item stating if the Health Department concurs, does not concur or conditionally concurs. He then introduced Unda Atkins to explain each item. Linda Atkins reported she had attended most of the Port Ludlow Watershed Action Plan meetings and after giving a brief summary of the process up to this point she explained the recommendations of the plan and the Health Department's response. RECOMMENDATION NUMBER R-13 1. Address the mandatory time-of-sale inspection of existing septic systems. 2. Develop and maintain a Ludlow Watershed data base of on-site septic systems through various means including, when necessary, sanitary surveys, questionnaires, and field inspections. The data base will be used to prioritize high risk systems and areas of high failure rates. 3. Develop and recommend policy identifying when an on-site septic system is required to be repaired. The Health Department concurs with this recommendation. Both the Quilcene and Port Ludlow groups expressed interest in sanitary surveys and mandatory inspections for all septic systems in the County. The Health Department feels that a County-wide mandatory inspection program would not be advantageous for the Health Department or the public and only a limited amount of information could be gathered. It was agreed that a time-of-sale inspection could be required. HEALTH BOARD MEETING MINUTES - FEBRUARY 23, 1993 RECOMMENDATION NUMBER R-14 Page 4 ] . Develop policy concerning the installation of drainfield inspection ports for all new on-site septic systems. 2. Evaluate the financial assistance available from the Jefferson County Water Quality Improvement Fund for owners of existing systems to install inspection ports. The Health Department conditionally concurs with this recommendation. All the alternative systems in the County currently require monitoring port~ and it would not be difficult to develop a policy for this. They do not concur with the use of County funds to install the monitoring ports. RECOMMENDATION NUMBER R-15 1. Require installation of low-flush toilets in all new or rehabilitated on-site septic systems. The Health Department concurs with this recommendation. Installation of low-flush (1.6 gallon) toilets are currently being required on repaired s)'stems where there is limited or no reserve area available. The proposed changes to the Uniform Plumbing Code to take effect in 1994, require low-flush toilets. RECOMMENDATION NUMBER OM-8 1. Investigate the possibility of developing a regional scheduling of a septic pumper and large septage tanker truck which together will pump out and haul septage from all scheduled on-site systems in a given area, thereby providing a lower "bulk" rate to the clients to offset the high cost of pumping out and trucking away septage for individual systems. The Health Department does not concur with this recommendation. Due to the variability in when and how frequently septic tanks require pumping it is impractical for the County to schedule residences for pumping. It was their feeling that it would be easier for individuals to coordinate the pumping with their neighbors to reduce the mileage cosK HEALTH BOARD MEETING MINUTES - FEBRUARY 23, 1993 RECOMMENDATION NUMBER OM-9 Page 5 1. Continue the County-wide Water Quality Improvement Fund loan program to repair failing or subsiandard septic systems or install agricultural Best Management Practices. Reapply to the Washington State Department of Ecology's State Revolving Fund program when current funds are depleted. The Health Department conditionally concurs with this recommendation. They manage the site identification, evaluation, design and education portion of this program. There are funds available to continue this program until June of 1994. The Planning Department manages the loan portion of the program. At this point they would like to continue this arrangement. RECOMMENDATION NUMBER PE-3 Seek and provide grant or other alternative funding to: 1. Continue technical assistance and education on the operation and maintenance of on-site septic systems for home owners. 2. Encourage community on-site sewage disposal systems or community sewage treatment plants where appropriate, through public workshops and technical assistance. 3. Develop and install state-of-the-art community septic systems as models for cost-effective alternative septic treatment. The Health Department concurs with this recommendation with the exception of item 3. Items 1 and 2 will be continued as long as funding is available. Item 3 is not under the local Health Department's authority. After a brief discussion of the adoption process the Board concurred that they would look at these policies at the next meeting and make a determination at a later date. TEMPORARY FOOD SERVICE PERMIT: SAFEWAY: Chairman Hinton stated it had been brought to his attention that the Health Department closed the hot dog stand organized by the Special Olympics at Safeway this last weekend. Since it wa.~ their only opportunity to make their money for the year he asked if the situation could have been handled differently? Larry Fay stated that the hot dogs were not being kept at the proper temperature and they did not have a temporary food service license to sell the hot dogs. He added that the Health Department had an agreement with Safeway la.~t year to try and get an oversight permit to cover all the food service functions they held each weekend during the gr.md opening after the store was remodeled. What happened with the Special Olympics is Safeway did not notify the Health Department that this was going to take place. HEALTH BOARD MEETING MINUTES - FEBRUARY 23, 1993 Page 6 Nor did they renew their permit. The Food Service Inspector happened to be in Safeway and came across the food service stand that they had no knowledge of. The decision was made to close the stand until they got a temporary food service permit. Since then the issue was resolved with Safeway. They are permitted and licensed and the Special Olympics will be operating this weekend. Larry Fay stated the situation probably could have been handled differently and apologized for the Special Olympics having to take the brunt. DIRECTOR OF NURSING'S REPORT CONTINUED Jean Baldwin reported that they are changing their immunization hours to five days a week. The State is funding the staff needed for this. The Port Townsend School District has asked the Health Department to increase their health education classes by 60 hours. They are currently contracted for 100 hours. The School District will pay $25.00 per hour for hours over 100. ENVIRONMENTAL HEALTH DIRECTOR'S REPORT Larry Fay reported that Barbara Blowers has been working with the PUD to put together four grant applications for study areas in Quilcene/Dabob Bay, Dosewallips, Tri-Area, and Cape George/Beckett Point. PUD will be the lead agency for these small flow sewage system projects. Barbara Blowers and Bob Leach of the PUD have requested letters of support from the Health Department. Commissioner Wojt moved that the Chairman write a letter of support for the PUD grant. Commissioner Huntingford seconded the motion which carried by a unanimous vote. Larry Fay will draft the letter for signature. The next meeting will be held on March 23, 1993 at 1:00 p.m. MEETING ADJOURNED JEFFERSON COUNTY F HEALTH ! / , 'Richard Wojt, (UNJSfP If~>?,{)c'i) Glen Huntingford, Member 'O!"II , .' JEFFERSON COUNTY HEALTH DEPARTMENT . 615 SHERIDAN PORT TOWNSEND, WA . 98368 () FOR YOUR INFORMATION () PLEASE RESPOND () PER YOUR REQUEST Date: February 19, 1993 To: Address: Board of Health Jefferson County Court House From: Larry Fay, Environmental Health Director ~{~J' Subject: Concurrence with Port Ludlow Watershed Action Plan Message: The attached document represents the Environmental Health Staff response to action items identified as Health Department or Board of Health action items in the Port Ludlow Watershed Plan. It is presented for your review, comments, modification and action. Health Department staff have been actively participating in the Ludlow Watershed Planning process and have provided continual input in the development of the plan. The basic philosophy of the Health Department is that corrective actions for disperse non-point source pollution problems are best accomplished through education facilitation and voluntary actions. Regulatory actions tend to generate resistance and suspicion. It is our belief that most of the action items are relatively low cost to the consumer, have little impact on quality of life, are consistent with health department functions and foster a sense of partnership. The health department recognizes that budget constraints may limit the ability to implement action items and conditions it's concurrence on the availability of funding. (206) 385-9400 . ENVIRONMENTAL HEALTH (206) 385-9444 . FAX (206) 385-9401 February 17, 1993~ r " WATER QUALITY PLANNER JEFFERSON COUNTY PLANNING DEPARTMENT POBOX 1220 PORT TOWNSEND WA 98368 RE: Ludlow Watershed Action Plan Dear Water Quality Planner: The Jefferson County Health Department is writing to express Health Department conditional concurrence with the above referenced action plan. RECOMMENDATION NUMBER R - 13 The Jefferson County Board of Health and Jefferson county Health Department shall develop a program to: (1) address the mandatory time-of-sale inspection of existing septic systems. (2) develop and maintain a Ludlow watershed data base of on-site septic systems through various means inCluding when necessary, sanitary surveys, questionnaires, and field inspections. The data base will be used to prioritize high risk systems and areas of high failure rates. (3) develop and recommend policy identifying when an on-site septic system is required to be repaired. Cost: 10,OOO/year Schedule/Timeline: By December 1994 Funding Source: Existing budget and staff HEALTH DEPARTMENT RESPONSE TO R - 13 Jefferson County Health Department concurs with the following comments: The Jefferson County Health Department will develop and recommend policies to identify when an on-site septic system is required to be repaired. with these policies in hand a policy for the mandatory time of sale inspection of existing septic system can be developed and presented for adoption to the Jefferson County Board of Health. The Jefferson County Health Department is currently using a data base to record sewage disposal permits in the entire county. This data base will be expanded to enter all existing systems that we have records for and all systems that we evaluate or receive information on. This data base will be able to flag and report on alternative systems and other items of interest (i.e. sensitive areas, flood plains, shorelines, unstable slopes, etc). The development of policy and expansion of the data base will take place as funding, time and staff permit. 1 , , J RECOMMENDATION NUMBER R - 14 The Jefferson county Board of Health shall (1) develop policy concerning the installation of drainfield inspection ports for all new on-site septic systems and, (2) evaluate the financial assistance available from the Jefferson County Water Quality Improvement Fund for owners of existing systems to install inspection ports. Cost: 3,000 annually Schedule/Timeline: June 1994 Funding source: existing staff HEALTH DEPARTMENT RESPONSE TO R - 14 Jefferson County Health Department conditionally concurs with the following comments: Monitoring ports are currently required in all alternative systems and we will develop and present for adoption a policy concerning the installation of drainfieldmonitoring ports for all new on-site septic systems. We do not concur with the use of county funds to install these monitoring ports. We will provide written information on the location and installation procedure for the ports and include information concerning the monitoring ports in our education program. RECOMMENDATION NUMBER R - 15 Require installation of low-flush toilets in all new or rehabilitated on-site septic systems. Cost: none Schedule/Timeline: by 1993 Funding Source: none HEALTH DEPARTMENT RESPONSE TO R - 15 Jefferson County Health Department concurs with the following comments: This is proposed in the Uniform Plumbing Code update. We currently require the installation of low flush toilets on repairs along waterways or where limited space is available for further repair. 2 ~ , l RECOMMENDATION NUMBER OM - 8 Investigate the possibility of developing a regional scheduling of a septic pumper and large septage tanker truck which together will pump out and haul septage from all scheduled on-site systems in a given area, thereby providing a lower "bulk" rate to the clients to offset the high cost of pumping out and trucking away septage for individual systems. Cost: 5,000 annually Schedule/Timeline: December 1994 Funding Source: Existing budget and staff HEALTH DEPARTMENT RESPONSE TO OM - 8 Jefferson County Health Department does not concur with the recommendation. Due to variability in when and how frequently septic tanks require pumping it is impractical for the County to schedule residences for pumping. In addition, we have contacted local septic tank pumpers and the maximum capacity is 6,000 gallons/truck. Most carry 3,000 gallons. They are willing to give a reduction in price for individuals that schedule to have 2 or more tanks pumped. We will include information from the pumpers in our education program. RECOMMENDATION NUMBER OM - 9 Continue the Countywide Water Quality Improvement Fund loan program to repair failing or substandard septic systems or install agricultural Best Management Practices. Reapply to the Washington State Department of Ecology's State Revolving Fund program when current funds are depleted. Cost: 10,000 annually SChedule/Timeline: by 1995 Funding source: existing budget/staff time for loan program administration, plus an estimated 4 percent annual interest incurred by County for additional SRF loam from State. HEALTH DEPARTMENT RESPONSE TO OM - 9 Jefferson County Health Department conditionally concurs with this recommendation. The Health Department has managed the site identification, evaluation, design and education portion of this program. We are staffed to continue this part of the program and will continue continue as long as funding allows. The Jefferson 3 ;0 . . , County Planning Department has managed the loan portion of the program and we anticipate continuing our cooperative arrangement with them. .. RECOMMENDATION NUMBER PE - 3 Seek and provide grant or other alternative funding to: (1) continue technical assistance and education on the operation and maintenance of on-site septic systems for home ownersi (2) encourage community on-site sewage communi ty sewage treatment plants, where public workshops and technical assistance; disposal systems or appropriate, through (3) develop and install state-of-the-art community septic systems as models for cost-effective alternative septic treatment. Cost: 10,000 annually Schedule/Timeline: ongoing, depending on funding Funding source: existing budget and staff time HEALTH DEPARTMENT RESPONSE TO PE - 3 Jefferson County Health Department concurs with the following exception and comments: The recommendation under (3) is not under local health department authority. Experimental systems are permitted and reviewed by the State Department of Health. We can not concur with this section of the recommendation. Elements (1) and (2) will be continued as long as funding is available. 4 Please Publish: February 10 & 17, 1993 Bill: Jefferson County Commissioners NOTICE CHANGE IN HEALTH BOARD MEETING DATE The Jefferson County Board of Health will hold their meetinqs the Fourth, Tuesday of each month at 1:00 p.m. This months meetinq is scheduled for February 23, 1993 at 1:00 p.m. at the Jefferson County Courthouse Commissioners' Chamber~Floor, 1820 Jefferson street, Port Townsend, WA 98368. ~ \. . , -\ \: ,-~----, Hinton, Chairman JefferSon County Board of Health ,l_ NonCE CHANGE IN.HEALTI:I aOARD . ~~iNG !)ATE The JeffeflOO CountY Board 01 Health wiD hold ,\!l,eir meetings the Fourth, Tuesday of each.l1lQf1th at 1:00 p.m. This months meeting i8 scheduled for February 23, 1993 at 1 :00 p.m. at the Jefferson County Courthouse eornn1&ei.ooen'Chlimbers, First Floor, 1ll2OJeIf..-aooStreet; PortT ciwlliend, WA ge368. Roberl.Hinton; Chairman Jefferson County Board of Heatth 1072~1? _ Affidavit of publication STATE OF WASHINGTON) SS COUNTY OF JEFFERSON) FRANK W. GARRED, being sworn, says he is the publisher of the Port Townsend Jefferson County Leader. a weekly newspaper which has been established. published in the Euglish language and circulated continuously as a weekly newspaper in the town of Port Townsend in said County and State. and for general circulation in said county for more than six (6) months prior to the date of the fll'St publication aCthe Notice hereto attached, and thatthe saidPortTownsend Jeffersou County Leader was on the 21th day of June 1941 approved as a legal newspaper by the Superior Court of said Jefferson County and that annexed is a troe copy of the Notice Change in Health Board Meeting Date as it appeared in tbe regular and entire issue of said paper itself not in a supplement thereof for a period of two consecutive weeks. beginning on the lOth dayof Februarv .19~.andeudingonthe 1 7 t.h day of February , 19~. and that said newspaper was regularly distributed to its subscrib- ers during all of this period. That the full amount of $ 2 6 . 8 0 has been paid in full. at the rate of $1.30 ($6.70 for legal notices received electronic Uy. modem or disk) per column. or. each insertion. Subscribed and sworn to before me this Februarv