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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 BOAR.D MEMBER.S: STAFF rv1EMBERS: B. G. Brown, Chairman Cynthia Howarth, Director Environmerltal Health Kathy Stafford, Administrator Helen Mackley, Director of Nursing J. Peter Geerlofs, M.D. Health Officer Larry W. Dennison, Member George G. Brown, Member City or Pert Townsend Representative: Karen Chang MINUTES: FEBRUARY 22, 1989 Cynthia Howarth, Environmental Heal th Director; Helen fviackley, Director of Nursing Service; Kathy Stafford, Administrator; and Linda Atkin::;, Solid Waste Enforcement, were present when Chairman B. G. Brown called the meeting to order. Commissioner George Brown and Commissioner Larry Dennison were also present as well as City Representative Karen Chang. Dr. Geerlofs, Health Officer was not in attendance. APPROVAL OF MINUTES: Commissioner George BrO"'JIl mO"v"ed to approve the minutes of the Januarv 18. 1989 meeting as reaa. Chairman B. G. Brown seconded the motion which carried bv a unanimous vote. ADMINISTRATORS REPORT: State P.E.QPo~al: GountY/~i_!:L., Ta)( PE.EE..~"sal: Kathy Stafford reported that .i f the County/City tax proposal before the legislature passes the money DalC to the County by the City for Health Departmerlt services will be cut out of the Health Department budget. Chairman B.G. Brown stated that he feels that this proposal may not a~~ through tile legislature. Dental Contract: Hygienist for the Stafford reported. The Heal th Department will be sub-contracting '(,..,i th a Dental Clallam Jefferson Community Ac:tion Council grant, Kathy The Health Department will bill CAG for the hours that Health Board Minutes of February 22: 1989 Page: " the Dental Hygienist works. There is only 5% in the contract f~~ administra- tive services. The contract was then passed on to the Clerk so that it can be approved at the next Board of Commissioners meeting. ENVIRONMENTAL HEALTH DIRECTOR'S Environmental Health Director reported on the REPORT: following: Cynthia Howarth, Reauest for Variance from Section IV of Ordinance 2-77; Beaver Valley Store: De~nne Kamp, o"..,ner of the Beaver Valley Store was present when Environmental Health Director, Cynthia Howarth explained that the Kamp's have requested a variance to be allo\"I1ed to have one bathroom instead of the two that are required by Ordinance 2-77 ror rood service establishments. Deli food services are being added to the store. The one restroom would be used by the Kamps and their employees. There are two Sani-Cans on the site for public use. Ms. Howarth explained. The del i patrons would be able to use the restroom inside. Commissioner George Commissioner Dennison Brown moved to approve the variance as requested. seconded the motion which carried by a unanimous vote. Septic Proqram: * Failures Reported: Cynthia Howarth submitted a new report to the Board listing the number of septic system failures reported. A memo was sent to the State Department of Social and Health Services with this information because they needed the number of failing systems that are located on the shoreline. She then reviewed a reported septic system failure located on Seal Rock Road. Since there is no place for a replacement system on this site due to the location of the tt./elJ.: Cynthia Howarth recommended that a holding tank be approved for use in this case. She stated that if this property were served by a public water system: the soils were suitable: a new septic system could be a installed. She asked that policy be developed for this type af situatioIl in the future. She stated that she will review the options available including alternative septic systems: and tlle cost options of the alternatives available, with the property o~..,ner. Policy Agreement with the Planning and Building Department: Cynthia Howarth reported that she and David Goldsmith, Planning and Building Department Director, have drafted a policy for the issuance of occupancy permits which covers new structures. This policy also deals with the need for an evaluation of sentic svstems when reoairs, additions and remodels are requested. Cynthia HDw~rth asked the~Board for permission to allow the Health Department to revie~'J all building permits for additions, repairs and remodels. Chairman B.G. Bro~'Jn stated that this type of change will have to be made '" part of the building department procedures so that building contrac- Health Board Minutes of February 22~ 1989 Pace: 3 tors can be made aware of it. now. They are not required to do this right Cynthia Howarth then explained the reasons that she feels that this policy is needed. She stated that the Health Departments motive is to help people make sure that their systems are adequate and to have a chance to explain the problems that can occur with septic systems. The discussion cant.inued about vihat the County can do wi th regard to failing septic systems. Chairman B.G. Brown stated that the key that triggers the need for a septic system review is a change ..LoU the number of bedrooms. Problems occur when a property owner adds a room that is not clearly identified as a bedroom. The liability that the County faces when a septic system is not adequate, Cynthia Howarth reported also enters into this issue. Sub- standard septic system repairs (those made to a failing system to make it useable, but tha.t do not meet all of the regulations) may also be an area of liability for the County. Cynthia suggested that possibly a notice be placed an the property title if a sub-standard repair is made. Commissioner George Brown added that if a homeowner borrows money from a lending institution for their residerlce; a septic system inspection is required by that institution. All we are talking about with this issue is providing information to people; Commissioner Dennison stated. The issue of defining what a bedroom is was then discussed. Chairman B.G. Brown asked if a person applies for an addition to their home, and they define a room as a sewing room, or living room, etc. then the Health Department would not be contacted, is that correct? Cyntllia Howarth stated that a copy of all the building permit requests, no matter what they are for ~ '{llould be far't'larded to the Heal th Department and reviewed. Then the Health Department would either send a Memo to the permittee that explains about sent ic systems, or they would revie~'I1 it further if necessary. Policy on Issuance or Net.; Construction Certificate of Occupancy: Commissioner Oennison moved to approve the pol icy proposed by the Heal th and Planning and Building Departmerlts for the issuance of certificates of occupancy for new cOflstruction. This policy requires that final approval of the on-si te sewage disposal before the certi f icate of occupancy is issued. Commissioner George Brown seconded the motion~ which carried by a unanimous vote. Maintenance Agreements: Quilcene/Dabob: Others - There will be more information on these maintenance agreements at next months meeting. Copy of Memo to Dave Lenning, State Department of Social and Health Services: Cynthia Howarth presented a copy of a memo sent to Dave Lenning of the State Department of Social and Health Serv5ces regarding failing septic systems in Jefferson County. Health Board Minutes of February 22, 1989 Page: 4 ~ Cape George Sewers versus Repairs: Inere are properties ~&& the Cape George area that have septic systems in need of repair, but the homeowners are not willing to do anything until the final determination made regarding the fate of the Cape George Sewer System. Cynthia Howarth asked ~'>1hat should be done about these systems in the interim? She recommended that in the some cases she get together wi th the property owner and his neighbors to discuss their problems, and that the property owner be told, after it is known if there will be a sewer system or not, that he has 30 days to fix his failing system. Commissioner Dennison stated that there is no guaranteE ttlat there will ever be a sewer system in the Cape George area. Cynthia Howarth asked that the Board set a policy that septic system repairs must be done within 30 days unless a variance is requested from the Board of Heal th. The problem is that: many people do not see the problems wi th their septic systems because they don 1 t see anyone getting sick from the failing system. Commissioner Dennison moved that a policy be approved that gives property owners 30 days to repair a failing septic system to the Health Departments approval, or that a variance be requested from the Board. Chairmarl B.G. Brown stated that he has a problem with only allowing 30 days for a property to repair their system. This may cause a rea~ hardship on the property OWIler because the time frame isn't reasonable. Commissioner Dennison amended his motion to say 90 days. Commissioner George Brown seconded the motion. Chairmarl B~G. Brown stated that he has confidence in the staff that they are trying to find solutions to help these people. The motion carried by a unanimous vote. * Continuing Education - Cynthia Howarth reported that it is necessary for des.igners and installers be given more education on a regular basis. She requested that a policy be set that continuing education be required at least once per year. Misdemeanor Don Belfield of Clallam County illegally installed a septic system In the Gardiner area because he is not a licensed installer in Jefferson County: Cynthia Howarth reported. The Prosecut- ing Attorney is filing the misdemeanor charge against Mr. Belfield. ,'later Quali ty: Indian Island ~-Jater/soiljshellfish quality Cynthia presented a summary of hazardous waste remedial action plan for Keyportjlndian Island. There are t.....10 landfills on Indian Island, one of which is right on the beach. She will be meeting with the Navy next month to propose additional monitoring of the water seepage: SOl~S, tidal sediment and shellfish. The analysis of these samples will cost from $750 to $850 apiece. She \-'-1i II ask the Navy to ao more sampling so that the data needed to determine if there is a significant problem with shellfish contamination fram chemicals. Health Board Minutes of February 22, 1989 Page: Environmental Health, General: ~ Data Base introduction New system for tracking oronerties developed and is working well. has ,'. Over 446 phone inquires were made of the Department in January, Cynthia Howarth reported. NURSES REPORT: Monthly Statistics: Nursing Director: Helen Macklev submitted the monthly statistics for the Board to review. AIDS - Helen Mackley stated that AIDS has become a dominarlt issue in the Health Department and explained parts of the new AIDS Omnibus bill. The mandatory regulations (Wa. State Senate Bill No. 6221) were then reviewed. The Health Department is the only agency in the County doing pre and post AIDS test counselling for persons. Funding has been provided for 80 tests in 1988 and 1989. 45 tests have already been performed for persons requesting HIV tests for themselves. Nothing has been done to date with regard to setting procedures for the implementation of mandatory and substantial exposure HIV testing in Jefferson County. The forms and procedures developed by other counties can be adapted tor use here. Prenatal care because of the programs and seniors programs that must be programs have had developed to deal to be put on hold with the AIDS laws. MEETING ADJOURNED JEFFERSON COUNTY BOARD OF HEALTH B~ G. Brown, Chairman Larry W. Dennison, Member George C. Brown, Member 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 The Board of Health of Jefferson County supports the request application as submitted by our Health Officer, Dr. Geerlofs. Staff qualified to undertake this project include: 1) Peter Geerlofs, M.D. 2) Kathleen Stafford, Administrator 3) Hilary Metzger, R.N. 4) Irene Senior-Pomeroy, R.N., M.A., M.ED y ~~ ~L\'- )}L~1\l~~0 Sincerely, ~ B.G. Brown Date ~~7~ arr~ ennison Date 4~~~(~ George own. . Date October 27, 1988 TO: Board of Health FROM: Kathy Stafford RE: Chronic Disease Planning Grant One of the concerns of the nursing staff that has been brought to my attention recently is the lack of outreach to the adult population in personal nursing services. We haye no adult health programs other than foot care at this time. At the Women's Day on Sept. 22 which the health dept. co-sponsored, the attendees were predominantly women 35 and older. At the flu clinic in Brinnon the seniors were inquiring about screening programs for seniors at the health department. We haye drop-in requests for pamphlets and information on heart disease, diabetes-, cholesterol, osteoporosis, etc. Other than resources on file to hand out if requested, we have no active health education for adults addressing chronic disease in Jefferson County or plan for implementing interventions that might be effectiye. The enclosed information concerning a chronic disease planning grant presents a possibility for expanding in this direction. There is no match required by departments that receive the grant and support from other agencies is encouraged. Hilary Metzger is at this time securing letters of commitment to participate from other local agencies should we receiyethis grant. I realize this is rather last minute as the application needs to be in by Noyember 7. We did not receive it until October 11 and Hilary has been checking into whether or not other agencies are intereste~ as that is a requirement of the grant. I would appreciate a letter of support from the Board of Health to accompany the grant application. If selected as one of the departments to receive funding, we could provide a seryice now lacking in the county without any additional expenditures on the part of the county. The letter would need to be to the health department by Friday, Noyember 4. Thanks. c{8t~ --- SUGARMAN relary ED STATE OF WASHINGTON RECEIVED OCT 1 1 '88 8 DEPARTMENT OF SOCIAL AND HEALTH SERVICES ~"t V PT. Olympia. Washington 985U4-WY5 ~EFF. COUNTY HEALTH C.EP" September 19, 1988 TO: Local Health Officers FROM: John A. Beare, M.D., M.P.H., Chief JI Office of Disease Prevention and ContrHj LP-17 SUBJECT: CHRONIC DISEASE PLANNING GRANTS The Division of Health, Office of Disease Prevention and Control, is pleased to announce the availability of federal funds and the assistance of state staff to plan and implement chronic disease prevention activities. The goal of this project is to assist communities in establishing a planning process to identify and prioritize chronic disease problems and develop appropriate interventions. Plannin9 would occur during year one, for years two and three, selective intervention strate9ies would be applied, and year four would be devoted to evaluation. The state Chronic Disease Program is soliciting the interest and application from local health depart~ents/districts to become the lead agencies in a four year effort. It is anticipated that this will be an ongoing activity available to many, if not all, counties. A funding award will be made for a first year and a second year recipient based upon applications submitted. The "second year recipient" would observe the process during year one of this new project. They ~lOuld then undertake the "Planning Phase" with funding the following year. Attached is a "Request for Application" which further describes the process and the criteria for selection. I would strongly suggest you review these materials and determine if your area is ready to undertake a public health approach to chronic disease prevention and control. Due date for the application is November 7, 1988. Fred Abrahamson, Section Head for the Chronic Disease Control Program, and his staff are available to answer questions and to provide advice. He may be reached at (206) 753-3494 or SCAN 234-3494. JAB:FAA:ba Attachment 88-19-U8 .DEPARTMENT OF SOCIAL AND HEALTH SERVICES DIVISION OF HEALTH OLYMPIA, WASHINGTON REQUEST FOR APPLICATION RECEIVED OCT 11 '88 :JEFF. (:Ol'~" Y HEAt'''! DePT. Project Title: Community Chronic Disease Planning Application Recei~t Date~. November 7, 1988. Applications should be mailed to: Department 0 Soclal and Health Services, Division of Health, Chronic Disease Control Section, Mail Stop LK-13, Attention: Fred Abrahamson. Funds Available: Up to $75,000 to each of two geographic regions or coun- tles over a four-year period. (See II. Funding) Expected Time Period for Contract; Applications will be accepted for a four-year period beginnlng approximately Dece~er I, 1988. Funding for year two through year four, dependent on funding availability. Eli9ibilitb:. The state of Washington, Department of Social and Health Services, ivision of Health, invites applications for this project in chronic disease planning from: county health departments/health districts, either in regional combinations with a designated lead health department or separately. I. General Purpose The principal goal of this project is for the Division of Health to assist communities in identifying and solving high priority chronic disease problems. Specifically, the objectives of the project are to: A. Assist communities in establishing planning processes to identify and prioritize chronic disease problems and develop appropriate interventions; and B. Assist communities to implement selected intervention strategies. II. Funding GRANT RECIPIENT A , 1988 Up to $15,000 I (PHASE I-PLANNING) , GRANT RECIPIENT B , 1989 I Up to $25,000 I Up to $15,000 /(PHASE II-IMPLEMENTATION) I (PHASE I-PLANNING) I J 1990, Up to $25;000 I Up to $25,000 , I (PHASE II - Continued) I(PHASE II-IMPLEMENTATION), I J I 1991 I Up to $10,000 I Up to $25,000 , I (PHASE III-EVALUATION) I (PHASE II - Continued) I I I 1992 TOTAL = Up to $75,000, Up to $10,000 , I (PHASE III-EVALUATION) , TOTAL = Up to $75,000 -2- III. Criteria for Selection - Chronic Disease Project A. Local Commitment 1. Health -Department/Distri ct . .-~~': a. Statement of interest by health officer. b. Letter of support from local Board of Health. c. Designated qualified lead staff. 2. Community -- ten to 15 key community person/agencies willing to commit to the planning process. a. Letter of commitment to part i ci pate. b. Description of nature/scope of persons/agency involvement. 1) meetings/representation 2) other (e.g., funds, staff) c. Persons/agencies should include: 1) phys i ci ans 2) voluntary organizations (e.g., American Cancer Society, American Lung Association, American Heart Association) 3) local hospitals 4) schools 5) minority groups 3. Line item budget and justification for use of funds in Phase I. B. Available Health Data State personnel will review health data to determine overall chronic disease mortality by county. Applicants shoulq not supply any information for this purpose. :r:. BUDGET - PHASE I 1. Personnel Coordinator PHN Clerical support .2 FTE .75 FTE .1 FTE $5000.00 1750.00 1650.00 250.00 100.00 100.00 2. Training and travel 3.: Postage 4. Office supplies and copying 5. Indirect costs 1350.00 TOTAL $10200.00 JUSTIFICATION 1. This would cover a project director one day a week plus a PHN assistant 10 hours per month. Clerical support would be provided one half day per meft-'l;h.U/u,t 2. Travel to other agencies plus travel to PLU conference Registration fee for PLU conference (info attached) for director and PHN. 3. Mailing costs 4. Paper, envelopes, folders, cost of copying 5. Rent, telephone, employee benefits -.". ..." . ..,.. ..,...,.. ,....,,-,,-~-,.._~._..,.-,........,.. ......,. .,.._".............."....". ,.-..___._.. __.ou. '.. ..-.......-.,..--.... ......-.---..... 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 February 25, 1989 TO: Jefferson County Board of Health Jefferson County Courthouse Port Townsend, WA 98368 Cynthia Howarth, Ph.D. C/~ Director of Environmental Health 802 Sheridan Port Townsend, WA 98368 FROM: SUBJECT: Substandard Repairs of Failing Septic Systems When the Jefferson County Department of Environmental Health identifies a failing septic system which cannot be repaired to current standards, it will be deemed a substandard repair and so noted on a notice of property title. APPROVED JEFFERSON COUNTY BOARD OF HEALTH ~~ B. G. Brown, Chairman COMMUNICABLE DISEASE CONTROL PUBLIC HEALTH NURSING VITAL ST A TlSTICS ENVIRONMENTAL HEALTH HEALTH EDUCATION JEFFERSON COUNTY HEALTH DEPARTMENT 802 SHERIDAN PORT TOWNSEND, WASH. 98368 (206) 385.0722 February 24, 1989 TO: Jefferson County Board of Health Jefferson County Courthouse Port Townsend, WA 98368 Cynthia Howarth, Ph.D. C~ Director of Environmental Health 802 Sheridan Port Townsend,WA 98368 FROM: SUBJECT: Failing Septic Systems According to 70 RCW 118.020 (3), a septic system failure means "(a) Effluent has been discharged on the surface of the ground prior to approved treatment; or (b) effluent has percolated to the surface of the ground; or (c) effluent has contaminated or threatens to contaminate a ground water supply. Any system which fails in Jefferson County must be repaired within ninety (90) days to the Department of Environmental Health's satisfaction, unless the owner of the system obtains a variance from the Board of Health. APPROVED JEFFERSON COUNTY BOARD OF HEALTH ~ B. G. Brown, Chairman