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HomeMy WebLinkAbout11 November COMMUNICABLE DISEAS&CONTAOL PUBLIC HEALTH NURSING VITAL STATISTICS ENVIRONMENTAL HEALTH HEALTH EDUCATION JEFFERSON COUNTY HEALTH DEPARTMENT B02 SHERIDAN PORT TOWNSEND, WASH. 9B36B (206) 3B5.0722 HEALTH BOARD Minutes of November 19, 1991 BOARD MEMBERS: STAFF MEMBERS: B. G. Brown, Chairman Larry W. Dennison, Member Richard E. Wojt, Member Larry Fay, Director of Environmental Health David Specter, Administrator Nancy Gow, Director of Nursing Services 1. Peter Geerlofs, M.D., Health Officer CITY OF PORT TOWNSEND REPRESENTATIVE: Sheila Westerman The meeting was called to order by Chairman B. G. Brown. The following Board and Staff members were present: Commissioner Larry W. Dennison; David Specter; Larry Fay; and Nancy Gow; J. Peter Geerlofs; Celia Kudishin; and Yuko Umeda. APPROVAL OF MINUTES: Commissioner Dennison moved to approve the minutes of October 15, 1991 as presented. Chairman Brown seconded the motion which carried by unanimous vote. Health Board Minutes - November 19, 1991 Page: 2 ADMINISTRATOR'S REPORT Pro2l"am and Grant Update: . David Specter reported that they had just received the final budget reductions from the State. There were budget cuts for 1992 and 1993. He isn't sure how these cuts will affect the Department. . The State Board Of Health has asked Jefferson County to participate in updating the State Health Report that comes out every two years. There will be community forums to receive input between now and February. . David Specter explained the car safety seat program. These seats are donated by the Rotary. The parents are required to sign a loan agreement, deposit $15.00, and are instructed on use and care of the seat. They are asked to return the seat in good condition in three months and can renew this agreement for up to one year. There is a "hold harmless" clause in the agreement. . In updating the dental contracts, David Specter found that the Hygienist is covered under Risk Pool Insurance, but the Dentist isn't. Chairman Brown explained that the dentist carries his own malpractice insurance. The Dental Program is entirely grant funded by the State and is a Jefferson-ClaIlam program. There isn't an interlocal agreement at this time, but the Prosecuting Attorney Mark Huth suggested that an agreement be drawn up. . Since July, the WIC program has been eligible for reimbursement from the State for blood tests. This has added another $4,000.00 in revenue this year. Facilitv Update: The design for the space at the Castle Hill Mall has been finalized. The cost estimate came in at $163,000.00. The target estimate is $141,000.00, and some items have been cut to bring the remodel cost down to $147,000.00. Dr. McCarron has instructed workers to begin remodeling although they still need to trim off about $6,000.00. Mete System: There is a Thurston County representative who will be presenting a Staff orientation on this system. They are waiting for an additional printer and terminal which was ordered a few months ago. As a result, they have been able to input data, but they can't print that data out. APEX: The State has agreed to do a special data run on the Community Health Needs Assessment for Jefferson County. They had planned to do it for all the counties in March, but agreed to do it earlier for us. Health Board Minutes - November 19, 1991 Page: 3 DIRECTOR OF NURSING REPORT Clinical Pertussis: Nancy Gow explained that there are several confirmed cases (three adults and four children) of whooping cough in the County. Several people that didn't want the DPT vaccine for their children have now requested it. It has been ordered and there will be a charge for a regular immunization visit, plus the cost of the vaccine. At this point the shots will be available for children only. Flu Clinics: In October the number of people vaccinated was over 1,100. They will have to reevaluate for next year, and possibly put a cap on the number of clients receiving vaccinations. HIV Testine: The number of people being tested for AIDS has doubled since last year. This takes about four hours per client. About 80% is funded by the State. At this time they are managing four people that are mv positive. DIRECTOR OF ENVIRONMENTAL HEALTH REPORT Tom and Barbara Hermsen Water Availabilitv Notification: Larry Fay explained that the State Growth Management Act requires that an adequate potable water supply be available for a property owner to receive a building permit. The Hermsens have property at Mats Mats Bay. They have drilled a well 300 feet deep that did not supply enough water to meet State standards. There is a community well in the area owned by Dugan and Donovan, but they don't think there is enough water to add the Hermsens. They are the first property owners in the County to apply for an altemate water supply source. The source the Hermsens have proposed is a reverse osmosis system to pump water out of Oak Bay, desalinate, and flush the waste water and solids back in. H they need 800 gallons a day as outlined in the Growth Management Act, this would mean thousands of gallons of water would have to be taken out of the bay each day. There was a discussion about the County accepting their proposal because they had tried several other alternatives. The other provision would be that the Hermsens let any future owner of the property be aware of the conditions. Everyone concurred, on the approval of Prosecuting Attorney Mark Huth. Group B Water System Proeram: The State Health Department has said that approval of group B or public water systems is low on their priority list right now and could be held off for as long as a year. The Growth Management Act mandate for an adequate potable water supply may add a demand for more of these systems and more monitoring. There was a discussion about the County taking over inspection and monitoring of these systems. Technical aspects would be handled by the PUD, the Health Department would deal with the administrative elements. Commissioner Dennison stated concern about starting a new program this year with budget cutbacks being required. He suggested that research be done on a proposal for the 1993 budget. Health Board Minutes - November 19, 1991 Page: 4 1992 Health Department Budl!et: There was a discussion regarding cuts in the budget to reflect the new budget goal. The goal in the Department is to make some strategic cuts without cutting programs. * * . * * * * The next regular meeting will be held Tuesday, December 17, 1991. MEETING ADJOURNED JEFFERSON COUNTY BOARD OF HEALTH ~) B. G. Brown, Chairman < Excused Absence Richard E. Wojt, Member