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HomeMy WebLinkAbout12 December 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: December 16, 1986 BOARD MEMBERS: STAFF MEMBERS: B.G. Brown, Chairman Larry W. Dennison, Member George C. Brown, Member Randall M. Durant, R.S. Mary Catlin, P.H.N. J. Peter Geerlofs, M,D. David Goldsmith, Adminis- trator CITY OF PORT TOWNSEND REPRESENTATIVE: Glenn Ison *********************************************************************** ********************************************************************* The meeting was called to order by Commissioner Larry W. Dennison in the absence of Chairman B. G. Brown. Commissioner George Brown was present. All of the staff members except the City Representative, Glen Ison were in attendance. APPROVAL OF MINUTES: were approved as read by motion by Commissioner Dennison. The November 18, 1986 meeting minutes of Commissioner George Brown, seconded COMMUNICATIONS: Randy Durant reported that has sent a letter to Mr. Walter Braun, Olympic Canal Tracts, (See Health Board Minutes of November 18, 1986 - Appeal and Waiver Request - Lot Size Requirement) advising him that his sewage disposal permit cannot be approved due to the flooding conditions on the lot. NURSING DIRECTOR REPORT: Mary Catlin, Director of Nursing, reported that the reductions in staffing levels has effected the Well Child and WIC clinics in the City of Port Health Board Minutes: December 16, 1986 Page: 2 Townsend which are handling about half of the number of clients, normally served. Communicable Disease Section: * Hepatitis A and B are continuing at epidemic rates in other areas of Washington State. There have been no cases in Jefferson County, however. * Flu Vaccine: A number of calls have been received from people complaining of flu like symptoms. The major concern is finding out what strains of flu are in this area. * Measles: The eradication and control of measles is the number one priority of the State. There have been no cases reported in this area. Several private schools were reminded that they have to submit "Certificates of Immunization" for the children in their schools. The "hard" Measles are lethal, Dr. Geerlofs reported, and they can cause neurologic damage. Since it is a viral illness there are no antibiotics to treat it; it must be prevented through immunization. Chanqe in State Welfare Requlations: There is a proposal to change the State welfare regulations to require women who have infants six months of age and older to put them into day care while the members seek a job or job training. Infants six month of age are too young to immunize against measles, mumps and rubella and the availability of day care is scarce for children this age. The Board agreed that a letter noting the Health Department's concerns should be sent to our State Senators and Representatives as well as the Director of the Department of Social and Health Services. Request for Funds from WIC: The WIC office has granted the Department's request for funds to buy a scale, and sent $500.00 for that purpose. ENVIRONMENTAL HEALTH DIRECTOR'S REPORT: Randy Durant began his report by noting that the income generated by the Environmental Health Section should be over $62,000.00 by the end of the year, which is more than budgeted. Other activities during the month were: * Bill Glasser has been doing the field work while Randy is trying to wrap things up since he is leaving. A mound system was approved on Marrowstone Island which brings the total number to 13. The new mound guidelines have been received. * * This being his last Health Board meeting, Randy Durant, said goodbye and stated that he hopes that public health remains the number one Health Board Minutes: December 16, 1986 Page: 3 priority of the new Environmental Health program. Commissioner Dennison thanked Randy, on behalf of the Board, for the job that he has done over his sixteen years of employment with the Health Department, and wished him well at his new job. ADMINISTRATOR'S REPORT: Administrator David Goldsmith presented the action program for the reorganization of the Health Department as discussed at the Health Board Retreat. The following changes were then discussed: * The duties of the Administrator will be turned over to the Director of Nursing. These include: Administrative, vital records and nursing services, and program coordination with environmental health. This should be effective January 1, 1987. * Bill Glasser will be promoted to the position of Acting Director of Environmental Health. Site evaluations will be suspended. Both of these items will be effective Wednesday December 17. * Effective January 1, 1987 the Environmental Health Section will be moved to the Courthouse. An immediate priority will be to adopt an interim Designer Program and contract with Clallam County to certify Jefferson County designers. An advertisement will be run for another Environmental Health Specialist. The food service inspection work will have to be done on a contract basis. * Providing for the services of a Health Officer will have to be researched. There is a possibility of contracting with the Health Office from Kitsap County. The biggest issue regarding these changes is the suspension of doing site evaluations. David Goldsmith suggested that a letter be sent to the County Realtors explaining this action and why it is necessary. The discussion continued on the best way to make sure that the real estate sales community understands this action and the alternatives that are available for them in place of the site evaluation. Commissioner George Brown moved, and Commissioner Dennison seconded the motion to approve the following changes in the organization of the Health Department: 1) Adopt the new Health Department administrative structure as outlined by David Goldsmith's Action Plan dated 12/16/86, as amended. (Addition of Health Officer beneath Board of Health). 2) Promote Bill Glasser to Acting Director of Environmental Health effective December 18, 1986. Health Board Minutes: December 16, 1986 Page: 4 3) Suspend the Site Evaluation process, effective December 31, 1986, and issue a press release that will be developed by Bill Glasser for the December 31, 1986 newspaper to explain this action. 4) Move the Environmental Health Section to the Courthouse effective January 1, 1987. The discussion of the Health Officer situation ensued with Commissioner Dennison outlining possible solutions: 1) Retain Dr. Geerlofs as Health Officer for another year, as he has offered, and find a temporary replacement for technical advise during the three month period of time he will be out of the area, or 2) Contract with a Health Officer from another County. David Goldsmith added that another Doctor in the community has expressed interest in this position. Commissioner Dennison stated that from a functional and program continuity standpoint, retaining Dr. Geerlofs will work. Since the Health Department staff will be able to call him long distance or request technical assistance from his business partners in his absence, there should be no problems during his three month absence. Commissioners George Brown moved to retain Dr. Peter Geerlofs as the Health Officer on a month to month basis, during 1987. Commissioner Dennison seconded the motion. HEALTH OFFICER REPORT: None Waiver Request; Water System Approval; Shine; Bob Reed: Mr. Reed was present when Randy Durant outlined his request for a waiver of the regulations regarding water system approval for his property in Shine. Mr. Reed applied for a sewage disposal permit in November for a second residence (for a relative) on his property in Shine. As part of that application the source of water was listed as an existing well that serves his residence. Two users on one well makes that well a "public water supply" which must be approved by the State Department of Social and Health Services. Until this approval is received, the sewage disposal permit and the building permit cannot be issued, Randy further stated that there is an acceptable site on the property for a septic system with the required reserve area. The issues that must be resolved before DSHS will approve the water system are: 1) The well is 31 feet from the property line adjacent to land owned by Pope and Talbot and thus does not meet the requirement that the 100 foot well protective radius be owned or controlled by the well owner, and 2) The mobile home is on the property and is situated within the 100 foot well protective radius. A waiver has to be sought from DSHS to allow plumbing from the mobile home to be located within the 100 foot protective radius. Mr. Reed has the option of providing a second well for the mobile home which would mean that the well that serves his house would not be a public water supply. The Health Health Board Minutes: December 16, 1986 Page: 5 Department provided Mr. Reed the information regarding how to have the well approved as a public water supply. Mr. Reed stated that in talking with Tim Blake, DSHS, he was advised that a waiver would be granted for the mobile home being located in the 100 foot protective radius. The approval of a water system by the State is a long involved process, and will take about a year to complete. Mr. Reed added that he doesn't think that these regulations apply to his situation because the mobile home is occupied by his relative. Randy Durant reiterated that the water system approval is required by the Washington State Board of Health Regulations, not County regulations. The State regulations do allow the Health Officer to waive all requirements for Class IV water systems (which Mr. Reed's well is) with two connections, where the Health Officer has assumed primary responsibilities. Jefferson County has delegated this authority, by contract, to DSHS, because the County does not have the staff to provide these services. Commissioner Dennison asked if there is anything that the County can do to help facilitate Mr. Reed's request to the State? Randy reported that he will call Tim Blake and remind him of the County's contract regarding approval of water systems, Mr. Reed was advised to submit the necessary plans and written waiver requests to Tim Blake at DSHS, to start the approval process in motion. Commissioner Dennison reiterated that the County is willing to help facilitate Mr. Reed's request in any way possible if he is willing to do what is necessary on his part. David Goldsmith noted that the issue is that the County can not give Mr. Reed the waivers necessary for approval of his water system, and suggested that Mr. Reed connect this mobile to the well until the community water system is approved or an additional well is put on the property for it. An application must be submitted, Randy added, that indicates that a second well is planned and then the sewage disposal permit can be approved. Mr. Reed advised that he would make the application, as suggested, and proceed with the necessary State paperwork to obtain approval of the well as a public water supply and if that cannot be done, then he will drill the second well. Waiver Request from Jefferson County Ordinance #2-77; PrODertv located South of OlvmDic Canal Tracts, Brinnon; Stan Johnston: Randy Durant explained that Mr. Johnston applied for a short plat with the Planning Department for three parcels of non-contiguous property. Two of the parcels have existing septic tanks. A septic system was installed on proposed Lot 2 in 1985 and has the initial and reserve area for the drainfield which is now required. The proposed Lot 1 had a septic system installed in 1981 and does not have the reserve area. The third lot has never been evaluated for a septic system. i _J Health Board Minutes: December 16, 1986 Page: 6 When property is checked by the Health Department for a short plat approval, Randy further explained, soil logs are checked and the initial and reserve drainfield area must be available. The following is needed before the Health Department can sign off on this short plat: Lot 1: Reserve area must be found and approved. Lot 2: Nothing - it meets all the requirements. Lot 3: Initial and reserve area must be found and approved. David Goldsmith further explained that these three non-contiguous lots were originally created as part of a property division process called "five acre density". Lot 3 was established as a greenbelt in which the other two lots have a common, undivided interest, making the two smaller lots large enough to be considered as five acre parcels. The legal description of the two smaller parcels includes the undivided interest from the larger parcel. Mr. Johnston is now applying to separate the two smaller lots from the larger "greenbelt" lot and divide the owners interest in this lot. The waiver request Mr. Johnston is making is to allow the large lot to stand as it is (not undergo Health Department review) and to allow the small lot to be approved without the reserve area. Stan Johnston explained that the two smaller lots are on the waterfront. This plat was set up as a five acre density, but the owners didn't really want the undivided interest in the larger upland parcel. They have had to wait five years to have this changed. The discussion continued regarding the soils on the three parcels, the regulations on short plats, the intent of the property owners regarding these lots, and possible options for finding a reserve area for Lot 1. David Goldsmith reiterated that this division of property has to go through the Short Plat process which means that the Health Department has to review and approve it. After further discussion of the options. Commissioner Dennison stated that he would rather not grant a waiver regarding the reserve area for lot 1 until all options for providing for it are explored. David Goldsmith added that if Mr. Johnston will apply for a site evaluation on the property available, and it is found that it is not suitable for on-site sewage, then the Board would have the grounds to issue a waiver of the reserve area requirement. Mr. Johnston agreed that he would make an application for a site evaluation of this site. Health Board Minutes: December 16, 1986 Page: 7 CONTRACT re: School Health Services; Quilcene School District #48: Commissioner George Brown moved to approve the contract for the provision of health services to Quilcene School District #48 for the 1986/1987 school year. Commissioner Dennison seconded the motion. MEETING ADJOURNED JEFFERSON COUNTY BOARD OF HEALTH B.G. Brown, Chairman .7') '- // /, .'. , , (<< .: . ,4 -'7-L ( ..1-(''F- , /<!_ -1L--r.._--c..I-,.~. ~ ___- - ... CONTRACT FOR PROFESSIONAL SERVICES AGREEMENT BETWEEN JEFFERSON COUNTY HEALTH DEPARTMENT AND THE CITY OF PORT TOWNSEND " This agreement is made and entered into between the Jefferson County Health Department (Department) and the City of Port Townsend (City). This agreement became effective January l,l~8J and will terminate December 31,1987. WITNESSETH WHEREAS, the City is required to provide public health services to its citizens and, WHEREAS, at the present time, the City is unable to provide public health services from regular members of its staff and, WHEREAS, the Department is willing to assume the responsibility as set forth in this agreement: IT IS AGREED BETWEEN BOTH PARTIES AS NAMED HEREIN AS FOLLOWS: I. The Department shall perform the following specific duties: A. Enforce the public health statutes of the state rules and regulations of the State Board of Health and local health rules, regulations and ordinances within the City; B. Take such action as is necessary to maintain health and sanitation supervision within the City including: 1. Crippled Children's Services 2. Maternal Child Health 3. Control of communicable and infectious diseases 4. Inform the public as to the causes, nature, and prevention of disease and disability and the prevention, promotion and improve- ment of health within the city. 5. Prevent, control or abate nuisances which are detrimental to pu bUc health. ' 6. Inspect food establishments and require observance of standards necessary to protect the public health. ~_.-.__._._"--... " .. ~ Contract for Professional Services Agreement-City Page 2 7. Enforce laws and regulations regarding disposal of liquid and solid waste and the protection of water supplies. 8. Collect such fees as are established by the State Board of Health or the Local Board of Health for the issuance or renewal of licenses or permits or such other fees as may be authorized by law or by the rules and regulations of the State Board of Health. 9. To maintain all records including vital statistics according to the laws of the State of Washington. 10. To provide monthly reports to the appointed representative of the City concerning the activities of the Department including fiscal reports. C. For said services under this agreement the City shall pay the Depart- ment thirty one thousand, four hundred fifty three dollars ($31,453.00) for the period January I, 19E7 to December 31, 1987. Four equal quarterly payments of seven thousand, eight hundred sixty three dollars . and twenty five cents ($7,863.25) shall be made during the months of March, June, September and December. The final payment shall.be made prior to December 3l, 198~ in order that it may be included in the Department's 1987 revenue. D. It is understood that the Department is responsible for payroll deductions for Income Tax, Social Security, Washington State Retire- ment, and other employee benefits and that the City has no liability for payment of such taxes as may apply. E. The Department will pay the premium for all insurance necessary for the operation of the Department including professional liability insurance for the health Officer, nurses and environmental health specialists. F. The Department shall not discriminate against any person presenting himself/herself for service because of race, religion, color, sex, age or national origin. The Department shall take affirmative action to ensure the above. G. This agreement may be amended by written consent of both parties ___"___4 - . Contract for Professional Services Agreement-City Page 3 and all agreements shall be attached to this agreement and made a part thereof. , Contract between the Jefferson County Health Department and the City of Port Townsend. 1987 ~ .... . Signed:' r~~~ ~;:;&uN~' , Cha1rman tQ, Jefferson County Board of Health Signedb~.ll Brent S. Shirley, Mayor City of Port Townsend Approved as to form: ~~, Attorney City of Port Townsend .... ' , CONTRACT FOR PROFESSIONAL SERVICES Agreement Between JEFFERSON COUNTY DEPARTMENT OF HEALTH AND ' CLALLAM JEFFERSON COUNTIES FAMILY PLANNING SERVICES This agreement is made and entered into between the Jefferson County Depart- ment of health (DEPARTMENT) and ClaIlam-Jefferson County Family Planning Services (CONTRACTOR). This agreement will be effective January 1,1~8J and will terminate December 31, 19_87. \.JITNESSETH WHEREAS, the Department is in need of Family Planning Services in Jefferson County and, WHEREAS, at the present time, the Department is unable to provide these services from a full-time member of its staff, and, WHEREAS, the Contractor is prepared and willing to assume the responsibility as set forth in this agreement: IT IS AGREED BETWEEN BOTH PARTIES AS NAMED HEREIN AS FOLLOWS: I. The Contractor shall provide the following services: A. Family planning information B. Contraceptive education C. Pregnancy testing D. Counselling and referrals E. Provision of contraceptive supplies II. A. For said services rendered under this agreement, the Department shall pay to the Contractor $1,000.00 annually in four installments of $250.00. Dates of payments will be February 20. April 20, July 20, Bnd October 20. B. The Department will assist the Contractor by providing for dispensing of appropriate supplies at the Health Department. These supplies will ~ ~ CONTRACT FOR PROFESSIONAL SERVICES CLALLAM-JEFFERSON COUNTIES FAMILY PLANNING SERVICES Page 2 be provided by the Contractor. and September 25. III. The Contractor will bill the Department by January 25, 'March 25, June 25, ADOPTED this ~ day of /, 4hn/UU , Fl Ft, . JEFFERSON COUNTY BOARD OF JEFFERSON COUNTY HEALTH DEPARTMENT I /~ . By .~d(~/d",,;ffM David Goldsmith, Administrator CLALLAM-JEFFERSON COUNTIES FAMILY PLANNING SERVICES ~M ,{ ./ .... / //". 'J" i - .' By . / 10t!c;, X~ /tt.(/z.--.i -i!:6' I..{j h i'''( ell t',> c'tor