HomeMy WebLinkAbout11 November
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:
November 20, 1985
BOARD MEMBERS
STAFF MEMBERS:
B.G. Brown, Chairman
John L. Pitts, Member
Larry W. Dennison, Member
Randall M. Durant, R.S.
Gretchen Gephart, D.O.N.
Joseph Fischnaller, M.D.
Gael Stuart, Administrator
CITY OF PORT TOWNSEND REPRESENTATIVE:
Glenn Ison
Commissioner John L. Pitts called the meeting to order
in the absence of Chairman B.G. Brown. Commissioner Larry W. Dennison
was present as well as all of the staff members, and the City of Port
Townsend representative.
APPEDVAL OF THE MINUTES: The Minutes of October 16, 1985
were approved by motion ot Commissioner Dennison, seconded by Commissioner
Pitts. Commissioner Pitts asked about the short course on On-Site
Wastewater Treatment that Randy Durant attended in Seattle, regarding
what is in the offing in the way of new alternative systems and what
was discussed in regard to financing options.
Randy Durant reported that the financing discussed was low interest loans
for repair of systems and as far as new systems in the future there will
be increased use of mound systems and sand filters.
DIRECTOR OF NURSING REPORT: The Flu Clinics were concluded
during the month of October, with 16 City employees receiving shots which
was more than last year.
;, Smokeless tobacco information was distributed to area Dentists, atu:LHigh
School teachers.
* Smoking and Pregnancy information was given to all the physicians in
the community with several of them asking for more material.
.k The "Buckle Up" program continued in the Chimacum Creek Pre School and
Wanda Cotton's Pre School.
* Kah Tai, City of Port Townsend and Community Action Council employees
will receive information on the Great American Smoke Out in their pay
envelopes. Posters are also up in various places around the community
on this project.
Health Board Minutes, November 20, 1985
Page 2:
* Staff attended the WIC (Women, Infants and Children) Conference in
Portland. Major changes will be made in the program in terms of
measu:reable objectives to document what the program is actually doing
for poverty level families.
* A consultant has been assigned to Jefferson County for the Maternal
Child Health Program. A State audit of the MCH program is scheduled
for January. During the time that Gretchen Gephart has been with
the Health Department there has been over a 100% increase in the
volume of people who have been seen, with MCH being the largest service
area. The State may go to a "Unit of Service" payment for this program,
which Gretchen stated may benefit the County to a greater degree than
the current method of payment.
* A second pilot study is being considered by the State with regard
to Crippled Children Services, being handled at the local level with
funds provided by the State.
* There were 38 cases of Pediculosis and only 2 cases of Scabies.
A large number of hemucults are still being done.
* Screening for vision, hearing and scoliosis was done at the Schools.
* A total number of 793 flu shots were given this flu season.
* A newsletter at Grant Street School has been incorporating health and
safety information provided by the Health Department.
* Two "Buckle Up" signs were installed over the past month, one on the
highway into town and one on the highway leaving town. The Leader
has been asked to print a picture of these signs, but there has been
no response to the request yet.
Commissioner Pitts reported that the State Insurance Trust is looking
into a differential rate on health insurance for smokers and non-smokers.
The eastern State County commissioners asked for more information on
Jefferson County's experiences with smokeless tobacco. Commissioner
Pitts asked if the Health Department would put together their experiences
with smokless tobacco so they could be sent to these County Health
Departments.
The New England Journal of Medicine has an article on smokeless tobacco
that could also be copied and sent to these counties Gretchen Gephart
reported.
Commissioner Pitts also asked if the Health Department would contact
the Schools about showing a film on pregnancy and smoking. Gretchen
Gephart advised that any information that goes into the schools must
be cleared by the School Superintendent. Gael Stuart will talk with
Margaret Berry about the possibility of showing such a film in the Port
Townsend Schools.
HEALTH OFFICER'S REPORT: To update on the TB case in the
West End of the County, Dr. Fischnaller reported that the State Welfare
may pay for all of his hospital and medical expenses. A second person
has shown symptoms and the Health Department is currently waiting for
the results of the chest X-ray.
Commissioner Pitts reported that he has been contacted by a group who
is goingctocpropose new legislation on the use of illegal aliens for
tree planting in the forests of Washington State. Dr. Fischnaller advised
Health Board Minutes, November 20, 1985
Page 3:
that any inquiries about these cases should be directed to the Clallam
County Nursing Director.
ENVIRONMENTAL HEALTH DIRECTOR'S REPORT: October was a busy
month with John Eliasson serving his last day on October 11. There have
not been too many delays since this reduction in the Environmental Health
staff, because of the extra hours worked by Randy Durant.
*
There were 15 telephone complaints on items such as: On-site sewage
problems, well protection, animals, garbage, food quality.
Some of the "other" activities during the month included work on the
Port Townsend Paper Company Sludge site, contacts with the Soil Con-
servation Service regarding Quilcene Bay, preparing for interviews
for the Environmental Health Specialists position, follow up on the
Olympic Testing Labs in Quilcene and work on the City of Winslow sludge
application site.
Follow ups were done during the month on the following: two new mounds
systems that were recently installed, and a couple of old abandoned
dumps.
Six final inspections of on-site sewage disposal systems were completed
during the month.
There were no short plat reviewed during the month and the septic
tank permits and site evaluations were both less than for the same
period last year.
Randy Durant and Dr. Fischnaller toured Indian Island at the Navy's
invitation. The Navy has contracted to have a Hazardous Waste Assess-
ment done at the Bangor base and at Indian Island. The three areas
on Indian Island that will be assessed are: 1) An old garbage dump
on the northwest end of the island which is along the shoreline, 2)
near a pier on the east side of the island where excess explosives
were burnt at one time and 3) near a bunker where it is reported that
a contractor buried some paint barrels.
*
*
*
*
*
*
After the assessment report, which should be done by January 1986, a
determination on proceeding with sampling will be made and a correction
phase will follow.
Randy Durant inspected the Port Townsend Paper Company sludge application
site three times during the month. The application period ended October
15, 1985.
ADMINISTRATOR'S REPORT: A new phone system from AT & T for
the Health Department has been researched and will cost $509.00 for in-
stallation as well as an hourly fee for the actual installation time. The
monthly cost for this new push button "Merlin" system is only slightly
greater than the current monthly cost. The Health Department budget will
cover this if it is installed as soon as possible.
Commissioner Pitts advised that the phone services for every County
department will be analyzed in 1986. The Board concurred that the Health
Department proceed with the installation of this system.
Health Board Minutes, November 20, 1985
Page 4:
Gael Stuart finished his reported by noting that the revenues are more
and the expenditures are less than anticipated and this trend is expected
to continue for the balance of the year.
INTRODUCTION OF NEW STAFF: Randy Durant then introduced
Jeanne Chao the new ~nv~ronmental Health Specialist who began work on
Monday.
Appeal: Lowell Larson re: Water System: Commissioner Pitts
reported that Mr. Larson had contacted him and cancelled his appointment
with the Health Board. Mr. Larson advised that he had been in contact
with the State regarding his water system and asked if he could meet with
the Board at a later date to relate his experiences with the State and
the County.
Letter of Resignation from Director of Nursing, Gretchen
Gephart: Gael Stuart read the letter ot resignation submitted by Gretchen
Gephart, Director of Nursing. Commissioner Pitts reported that the
Board of County Commissioners have accepted Ms. Gephart's resignation.
He then thanked Gretchen Gephart for all of the hard work and program develop-
ment that she has done and added that all of the community input regarding
her work has been very positive.
Experimental On-site Devices for sewage disposal: Gael Stuart
then read a letter trom Bill White and Dave Lenning ot the Department of
Social and Health Services regarding experimental on-site devices, which
advised that the State does support the application of experimental con-
cepts or devices and that the authority and responsibility to permit and
monitor these alternative systems lies with the local Health Department.
Commissioner Pitts added that the Board has expressed the desire to pro-
vide alternatives for the people within the community, but they also recog-
nize staff limitations.
Family Planning Grant Agreement: The Board concurred that
the Chairman could sign the Agreement between the Health Department and
the Clallam Jefferson Counties Family Planning Services as approved on
October 16, 1985.
Waiver Request; Norma Cronin, Lot 25 Squamish Harbor: Mrs.
Cronin reported that she and Bob Reed were on this lot on November 13 and
found that there were discrepancies in the rreasurEITIents m ere Heal th Depart-
ment~ report as follows:
* The structure is 135 feet (not 125 feet) at the northeast
corner, from the high water level, and 140 feet from the south-
east corner to the high water level.
* It is 103 feet from the high water level to the first perc hole.
* It is 67 feet (not 60 feet) from the well on Lot 24 (owned by a
Mr. Hill).
* There has never been any flooding on this property as was referred
to by the Planning Department.
* The soil description was not marked off on this report. There
was 24 inches of soil before hardpan was found.
Health Board Minutes, November 20, 1985
Page 5:
* The place where the septic tank would be installed is toward
the southeast portion of the property which has a natural slope
to the northeast.
* Mr. Hill (Lot 24) has given Mrs Cronin written permission to
install her drainfield ninety feet from his well.
Commissioner Pitts advised Mrs. Cronin that even though the neighboring
property owner has no objection to this, the County has to abide by local
and State regulations. The Planning Department will have to be consulted
regarding the questions on the flooding.
Mrs. Cronin responded that this property has been in her family for a
number of years and she is retired now and intends to put a permanent
home on the site if at all possible.
Randy Durant then explained the differences in the distances as noted
by Mrs. Cronin. The measurements for the distance of the drainfield from
the well are approximate because the Hill's were not home to show Randy
where the actual well head was located. The critical difference is the
setback from the beach. Ordinary high water is defined in the statewide
Health Regulations as, where a noted change occurs in the actual type of
foliage growth. In discussion of any other options for placement of the
home on this lot, Randy noted that the drainfield placement on this lot
has to run North/South; add that to the setback requirements from the
adjacent properties wells and there is not sufficient area from the beach
to place the drainfield. There may be an area 40 feet wide by the width
of the lot, contiguous to the property line on South Point Road where a
drainfield could be placed, and is a possible area to explore.
Commissioner Pitts noted that there may be other possibilities to explore
if Mrs. Cronin is willing to change the position of the house and the
septic system that may accommodate all of the setback requirements for
the wells and the shoreline. Mrs. Cronin stated that if the house was
setback to far it would not be in line with the view. The required drainfieW
setbacks are as follows: 100 feet from the shoreline, 10 feet from the
foundation and 100 feet from any well.
Mr. Bob Reed who made the measurements, was then introduced by Mrs. Cronin.
Randy Durant reiterated his suggestion that measurements be made from
the well to the south to see what area would be available to the west
toward South Point Road. A map drawn to scale, with stakes on the site
where the measurements are taken from would allow Randy to review these
measurements. Well logs for the two adjacent wells would also help if they
are available.
In response to Mrs. Cronin's question regarding a description of the soil,
Randy noted that he had observed four soil logs and once hard pan was
discovered in the hole the soils were not described any further.
Once all of the information is received from the Planning Department on
the flooding matter and the Health Department on the setback requirements,
Commissioner Pitts advised that the Board could then make a determination
on the variance request. There would be a re-evaluation fee on this permit.
Health Board Minutes, November 20, 1985
Page 6:
Quilcene Bay 205j Grant Proposal: Gael Stuart reported that
the final budget has been submitted on this proposal and it has been
approved.
Environmental Health Position: The deadline for applications
for the vacant Environmental Health position is Novmeber 27, 1985. In-
terviews will be scheduled during the second week of December.
The meeting was adjourned after the Board met in Executive
Session to discuss matters regarding the Nursing Director's resignation.
JEFFERSON COUNTY
BOARD OF HEALTH
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John L. Pitts, Commissioner
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JEFFERSON COUNTY HEALTH DEPARTMENT
CONTRACT FOR PROFESSIONAL SERVICES
AGREEMENT BETWEEN
JEFFERSON COUNTY and PETER GEERLOFS, M.D.
This agreement is made and entered into between the Jefferson County
and Peter Geerlofs, M.D.
This agreement will become effective on January 1, 1986.
WHEREAS, the Jefferson County Health Department is in need of a
Department Health officer, and
WHEREAS, at the present time, the Jefferson County Health Departmen~
hereafter referred to as the Department is unable to employ a full
time Health Officer, and
WHEREAS, Peter Geerlofs, M.D., hereafter referred to as the Contractor
is a licensed physician and is prepared and willing to assume the
responsibilities set forth within this agreement.
IT IS AGREED BETWEEN BOTH PARTIES AS NAMED HEREIN AS FOLLOWS:
1. The Contractor shall act as Public Health Officer and perform the
following duties required by that office.
A. Enforce the public health statutes of the State, rules and
regulations of the State Board of Health and the State
Director of Health, and local health rules, regulations
and ordinances within his jurisdiction;
B. Take such action as is necessary to maintain health and
sanitation supervision over the territory within his
jurisdiction;
C. Control and prevent the spread of any dangerous contagious
or infectious diseases that may occur within his jurisdiction.
D. Inform the public as to the causes, nature, and prevention
of disease and disability and the preservation, promotion
and improvement of health within his jurisdiction;
E. Prevent, control or abate nuisances which are detrimental
to the public health;
F. Attend all conferences called by the State Director of
Health or his authorized represen~ative;
G. 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.
H. Take such measures as he deems necessary in order to
promote the public health, to participate in the es-
tablishment of health educational or training activities,
and to authorize the attendance of employees of the
\ocal Health Department or individuals engaged in
community health programs related to or part of the
programs of the local Health Department.
2. For said services rendered under this agreement, the Department shall
pay the Contractor the sum of $500.00 per month, and mileage at the
rate established for employees of Jefferson County.
~
Contract between Jefferson County and
Peter Geerlofs, M.D.
Page 2:
3. Payment shall be made on or before the twentieth (20th) day of the
month following one full month of service, and it shall be understood
that the Contractor shall be responsible for reporting the mileage
travelled on Department business on the proper forms.
4. As an independent Contractor, it is understood that the Department
is not responsible for payroll deductions such as Income Tax,
Social Security, etc., and the Contractor must make arrangements,
according to Internal Revenue Service directives, for payment of
such tax as may apply.
5. The Contractor 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 that persons receive service without regard to race,
religion, color, sex, age or national origin.
6. This agreement shall continue and be binding upon both parties herein
unless terminated by giving sixty (60) days written notice by either
party.
7. This agreement may be amended by written consent of both parties and
all amendments shall be attached to this agreement and made a part
thereof.
This agreement
is entered into thi s t:? _day of December, 1985
CONTRACTOR:
JEFFERSON COUNTY
BOARD OF COMMISSIONERS
.
Peter Geerlofs, M.D.
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John L. Pitts, Chairman
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B.G. Brown, Member
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rrx W Dennison, Member
APPROVED AS TO FORM:
ATTEST:
John Raymond,
Jefferson County Prosecuting
Attorney
Jerdine C. Bragg,
Clerk of the Board
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CONTRACT FOR PROFESSIONAL SERVICES
Agreement Between
JEFFERSON COUNIT 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 (DEPARTHENT) and C1a11am-Jefferson County Family Planning
Services (CONTRACTOR). This agreement will be effective January 1, 1986
and will terminate December 31, 1986
mTNESSETH
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
$250.00. Dates of payments will be February 20. 1986 April 20 1986
July 20, 1986 and October 20, 1986.
B. The Department will assist the Contractor by providing for dispensing
of appropriate supplit-$ ,a[ the Health Department. These supplies will
CONTRACT FOR PROFESSIONAL SERVICES
CLALLAM-JEFFERSON COUNTIES FAMILY PLANNING SERVICES
Page 2
be provided by the Contractor.
III. The Contractor will bill the Department by January 25, 1986 ; March 25,
1986; June 25,1986; and
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ADOPTED this 0( () -
day of
September 25, 1986.
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JEFFERSON COUNTY BOARD OF HEALTH
By
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-B. G. roWn, Chaitinatf
JEFFERSON COUNTY HEALTH DEPARTMENT
B~P c? dL~~
ael R. Stuart, Administrator
CLALLAM-JEFFERSON COUNTIES FAMILY PLANNING
SERVICES
By
(a/J1/?~ (O~ dJlAu17L
Do"una Davis, Director /
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JEffERSON COUNTY COURTHOUSE
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Jefferson County
BOARD OF COUNTY COMMISSIONERS
Port Townsend, Washington 98368
.. PhOOifl (206) 385-2016
LARRY W. DENNISON, DISTAiL'T 1
B.G. BROWN, DISTRICT 2
JOliN L. PITTS, DISTRICT 3
December 9, 1985
Mr. Gael R. Stuart
1626 Garficld
port Townsend, Wa. 98368
Dear GaeL,
I
,
I
I
!
Please consider this letter notification of the termination of your
contract as Administrator of the Health Department. We are in the
process of reorganizing and consolidating some of the non-elective
departments of County government. To do this we intend to appoint
David Goldsmith, Director of Planning and Building, as Administrator
of the Health Department along with other responsibilities.
We believe that this will help us avoid duplication of operations,
improve efficiency and result in better service to the community at
a lower cost. We know you will work with David during the transi-
tion period and we will rely on your support.
We wish to personally thank you for your contribution and service
in the formation and continued development of the Jefferson COlUlty
Health District. Your personal interest and committment has helped
to advance health care service for all in this community. We look
with pleasure to a continued relationship and hope to c~ll on you
in the future for guidance and consultation.
We hope that all future turkeys you must deal with are actually
"pheasants in turkey's clothi.ng."
l1Home i~; the Sailor, home from t11e se.a.
}lome is the hunter, home from the. hill."
R.L. St::.evenson
Good hunting, friend!
JEFFERSON COUNTY BOARD OF COHMISSIONERS
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John L. Pitts.
Chairman
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Member
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'Larry~W. ])ennison
Member
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CONTRACT FOR PROFESSIONAL SERVICES
Agreement Between
JEFFERSON COUNTY DEPARTI1ENT OF HEALTH
AND '
CLALLAM JEFFERSON COUNTIES FAMILY PLANNING SERVICES
This agreement is made and entered into beoween the Jefferson County Depart-
ment of health (DEPARTI1ENT) and C1allam-Jefferson County Family Planning
Services (CONTRACTOR). This agreement will be effective January 1, 1986
and will terminate December 31, 1986
~!ITNESSETH
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:
Family planning information
Contraceptive education
Pregnancy testing
Counselling and referrals
Provision of contraceptive supplies
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. 1986 April 20 1986
July 20, 1986 and October 20, 1986.
A.
B.
C.
D.
E.
II. A.
B. TIle Department will assist the Contractor by providing for dispensing
of appropriate suppli~s at ttlC Health Department. These supplies will
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CONTRACT FOR PROFESSIONAL SERVICES
CLALLAM-JEFFERSON COUNTIES FAHlLY PLANKING SERVICES
Page 2
be provided by the Contractor.
III. The Contractor will bill the Department by January 25,1986 Harch 25,
1986; June 25,1986; and September 25, 1986.
ADOPTED this day of
JEFFERSON COUNTY BOARD OF HEALTH
By
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B. G. Brown, Chairman '
JEFFERSON COUNTY HEALTH DEPARTMENT
By)kw rzJ/~jl
"Gael Re Stuart, Administrator
CLALLAM-JEFFERSON COUNTIES FAMILY PLANNING
S ERVI CES
By
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Donna Davis, Director ~