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HomeMy WebLinkAbout02 February COMMUNICABLE '-"OISEASE CONTROL PUBLIC HEALTH NURSING VITAL STATISTICS ENVIRONMENTAL HEALTH HEALTH EDUCATION 802 SHERIDAN PORT TOWNSEND. WASH. 98368 (206) 385.0722 HEALTH BOARD Minutes: February 12, 1991 BOARD MEMBERS: STAFF MEMBERS: B. G. Brown, Chairman Larry W. Dennison, Member Richard E. Wojt, Member Larry Fay, Director of Environmental Health Kathy Stafford, Health Administrator Nancy Gow, Acting Director of Nursing Services J. Peter Geerlofs, M. D., Health Officer CITY OF PORT TOWNSEND REPRESENTATIVE: Sheila Westerman The meeting was called to order at the appointed time by Chairman B.G. Brown. The following Board and staff members were present: Commissioner Larry Dennison; Commissioner Richard Wojt; Kathy Stafford; Larry Fay; and Nancy Gow. John Heal of Bionomics, Inc. and David Specter were also present. APPROVAL OF MINUTES: Commissioner Dennison moved to approve the Minutes of January 15, 1991 as presented and Commissioner Wojt seconded the motion which carried by unanimous vote. Health Board Minutes - February 12, 1991 Page: 2 ADMINISTRATOR'S REPORT Welcome David Suecter: Kathy Stafford introduced David Specter as the Health Department's next Administrator. Comulaints re: Well Child Immunization: The Board reviewed the problem of there not being enough space or time for immunizations. Kathy Stafford reported that the number of positions added to the Health Department don't keep up with the program needs and there isn't enough Well Child Clinic time. Two days a month are being added to the new schedule beginning in March, which will help ease the Clinic load. New clients are having difficulty getting services. Eighty to Ninety percent of those using the Well Child services keep their appointments and the wait for services is an hour to an hour and a half (in the hallway). Suace: Chairman B. G. Brown explained that space needs are being handled and that the County is in the process of leasing space. It is anticipated that leasing space for the Health Department will provide the most amount of utilization for the lowest cost, especially in terms of building improvements such as plumbing, and walls. Other viable options were considered. A.I.D.S. Rel!ion VI Annual Reuort: Kathy Stafford reported that Jefferson County is part of Region VI and the report consists of what has been accomplished regarding A.I.D.S. by County. There is a section on Jefferson County and what the County has accomplished with the A.I.D.S. funding. Flex Time: Kathy Stafford reported that satisfactory flex time arrangements have been made to accommodate the needs of the staff and department. The details were discussed and the Board concurred that these temporary changes are acceptable. Tradinl! Health Deuartment Vehicle for a Car Pool Van: Kathy Stafford reported that the van is needed now that more outlying clinics are planned. Vehicle space is necessary for the clinic equipment and staff. The Board approved a trade of the Health Department vehicle for the use of a van from the Public Works motor pool on the days it is needed. The trade would eliminate rental fees from the Public Works Department. Health Board Minutes - February 12, 1991 Page: 3 DIRECTOR OF NURSING REPORT Statistics - Monthlv Reuort: Nancy Gow commented on the statistics presented to the Board and reported the following: * In January 82 children were seen in the Well Child Clinic, including the two Brinnon outreach clinics (with the ECEAP program) in which 17 to 18 children were seen. * The two days in February allotted for the outreach clinics will be used for site evaluations and planning. The tentative sites are: Chimacum at the Community Center on the fourth Friday of every month, and Quilcene on the third Tuesday of each month. * The outreach clinics are anticipated to begin in March. There will be an advertisement or article to let the community know about the outreach clinics. * The Dental Early Childhood Evaluation and Assistance (ECEAP) program was held at the volunteered space at Camp Parsons with Doctor Chuljian and the Dental Assistant (paid for by Kiwanis). * The HIV testing continues to run at the same levels as last year; there hasn't been a decrease in testing. Nancy Gow reported that the two Public Health Nurse positions have been filled from a good pool of applicants. ENVIRONMENTAL HEALTH REPORT Statistics - Monthlv Reuort: Larry Fay noted that the sewage permits are about the same in January 1991 as they were in January 1990. Onsite Sewal!e SYStem Policies: Larry Fay reported that in November and December 1990 draft policies were developed to deal with areas considered discretionary, ambiguous or inadequate in the Washington Administrative Code for County sewage regulations. Minimum soil depths for different kinds of on-site systems, minimum horizontal distances on marine systems, and community sewage treatment systems that aren't specifically earmarked in the regulations were addressed in the three policy statements submitted to the designers and engineers that work regularly in Jefferson County. Comments from people in the real estate community, designers, and engineering firms were generally favorable, although there was a tendency to point out that the Health Board Minutes - February 12, 1991 ENVIRONMENTAL HEALTH REPORT - Continued: Page: 4 County is not being restrictive enough with the policy statements. A discussion of the various comments received and the specifics of the proposed policies was held. Larry Fay commented that he feels the policy is reasonably operable and that there isn't too much objection to it from those people planning to build. Both Kathy Stafford and Larry Fay recommended implementing the policies as developed. Commissioner Larry Dennison moved to approve the Onsite &wage System Policies and Commissioner Richard Wojt seconded the motion which carried by unanimous vote. Pool and Sua Rel!Ulations - Interl!overnmental Al!reement: Larry Fay explained that in the summer a draft ordinance to implement the Washington Administrative Code governing the licensing, permitting, and inspections of public swimming pools and spas was introduced. He reported that since that time he has gone through the Washington Administrative Code in more detail and it appears to him that a local ordinance is not really necessary. Due to the way the Washington Administrative Code (WAC) is written, they are in effect when the County has entered into an intergovernmental agreement with the State Health Department. Basically the State Department of Health will complete the construction permitting of new facilities or remodelling of existing facilities. The County Health Department will be responsible for the ongoing operations permits including annual inspections, investigation of complaints, and investigation of accidents. Mark Huth, Deputy Prosecuting Attorney, reviewed the regulations and concurred that the County only needs the agreement in place. A draft agreement was submitted which included a listing of primary and secondary responsibilities for construction permitting and operating permits. A discussion of responsibilities and available personnel was held. Commissioner Larry Dennison moved to approve the Memorandum of Agreement of Services for Water Recreation Program with the State Department of Health as presented. Commissioner Richard Wojt seconded the motion which carried by unanimous vote (attached). Tobacco Sales Rel!Ulations: Larry Fay explained that at the January 15, 1991 meeting the issue of whether or not the County should pursue a local ordinance to deal with sales of tobacco to minors was considered. This ordinance would include licensing retail tobacco sales and vending machine placement for tobacco products. He reviewed the proposed Senate Bill 5567 and House Bill 1753 which would expand on the Revised Code of Washington sections which deal with tobacco sales. He reported that the proposed legislation does three things: (1) licenses vending machines and retailers and wholesalers of tobacco products; (2) establish a fund for educational purposes; and (3) require the sale of tobacco products to be handled much the same as liquor sales. After reviewing the County ordinances and the proposed State legislation Mr. Fay came to the conclusion that they cover the same Health Board Minutes . February 12, 1991 ENVIRONMENTAL HEALTH - Continued: Page: 5 things. Local ordinances tend to be more detailed in terms of procedures. The State tends not to get involved in how the regulations will be enforced, except to say that the enforcement would be through the Alcohol Enforcement personnel. A discussion was held regarding funding for developing educational campaigns on anti-smoking, fee structures and collection of fees, grants for funding, and indicating County support of the State legislation. Larry Fay suggested that the County wait to see what develops with the State Regulations before imposing another license on top of increased fees and licensing requirements at the State level. Larry Fay will continue to look at the alternatives. He noted that the Revised Code of Washington is weak where enforcement is concerned. General Environmental Health Rel!Ulations: Larry Fay stated that one thing that comes out of the swimming pool regulations, tobacco regulations, and updating on-site sewage regulations is a priority in the Environmental Health section to put together a set of rules and regulations for civil procedures, hearings, penalties, appeals, and a process for people aggrieved by Environmental Health decisions. He would like to see an overall ordinance that stands on its own in terms of procedures and policies creating standards around which the regulations could be revised. ******* The next regular meeting will be held Tuesday, March 19, 1991 . MEETING ADJOURNED JEFFERSON COUNTY BOARD OF HEALTH ~ B. G. Brown, Chairman dlk081391 NOTICE CHANGE..lt....TH 19~1l0 . "'~ET1NGOAT~ The . Jeff~llOn County, Board. 01 Heatth will hold the monthly meetln9 'OfFe~onthe12th at 10:00 a.m, in the baselT1en1 con'eren~ roo,!, 01 the J.rson 'County Muttl-ServlCes Building. 802 Shexidaf)., Port Townsend, WA 98368. Next m"n1h the regular sc~ed~\e lor this meeting will be resumed, wh~ isthethirdTueSdayolthelT1OOlh (Mar " 19,1991). JEFFERSON COUNTY BOAI'ID OF HEALTH B.G. Brown, Chairman _ 140_2.:6. Affidavit of Publication STATE OF WASHINGTON) SS COUNTY OF JEFFERSON) FRANK W, GARRED. being sworn. sayshe is Ibe publisher of the Port Townsend Jefferson County Leader, a weekly newspaper which has been establisbed, published in Ibe English 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 fIrst publication of the Noticehereto attached, and that the saidPortTownsend Jefferson County Leader was on Ibe 271b day of June 1941 approved as a legal newspaper by the Superior Court of said Jefferson County and that annexed is a true copy of the Notice Change in Health Board meeting date as it appeared in the regular and entire issue of said paper itself not in a supplement thereof for a period of one consecutiveweeks.beginningonthe 6th dayof February .19~. and ending on Ibe 6th day of February .19~.and that said newspaper was regularly distributed to its subscrib- ers durin~ all of this period. That the full am01D1t of $13. 5 hasbeenpaidinful1.allberateof~~ per column inch for ea . nsertion. . ..tJ $ ~ . 0 0 .1fL~ 'Publisher day of . . Subscribed and sworn lo.oo!or"",,,ihi, 15 t"h. February '.w 91, ." ), tj '!., ~-- /:. ltlYb for the State of Washington, . residing at Port Hadlock.