05/03/2006
• New Hanover County Health Department
Revenue and Expenditure Summaries for March 2006
Cumulative: 75.00 % Month 9 of 12
Revenues
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned Remaining
Federal & State $ 1,850,288 $ 1,615,341 $ 234,947 87.30% $ 1,966,234 $ 1,330,669 $ 635,565 67.68%
AC Fees $ 666,096 $ 517,952 $ 148,144 77.76% $ 580,161 $ 497,603 $ 82,558 85.77%
Medicaid $ 1,500,300 $ 600,373 $ 899,927 40.02%',. $ 1,138,039 $ 603,194 $ 534,845 53.00%
Medicaid Max $ - $ - - 0.00% $ 154,600 $ • $ 154,600 0.00%
EH Fees $ 300,212 $ 191,368 $ 108,644 63.74% - $ 300,212 $ 204,212 $ 96,000 68.02%
Health Fees $ 128,000 $ 167,152 $ (39,152) 130.59% $ 113,545 $ 125,589 $ (12,044) 110.61%
Other $ 3,235,186 $ 2,331,207 $ 903,979 7206% 1'a $ 2,523,535 $ 1,333,229 $ 649,180 74.27%
_ `f- •e.% r);''-i
:are - I
Totals $ 7,680.082 $ 5,423,393 $ 2,256,689 70.62°k $ 6,776,326 $ 4,635,622 $ 2,140,704 68.41%
Expenditures
Current Year Prior Year
Type of Budgeted Expended Balance [28.72%. Budgeted Expended Balance %
• Expenditure Amount Amount Remaining Amount Amount Remaining
Salary & Fringe $ 11,268,283 $ 7,496,357 $ 3,771,926 $ 10,396,845 $ 6,966,653 $ 3,430,192 67.01%
Operating $ 2,063,017 $ 1,073,860 $ 989,157 $ 1,833,072 $ 1,075,423 $ 757,649 58.67%
Capital Outlay $ 734,603 $ 211,004 $ 523,599 $ 127,784 $ 17,653 $ 110,131 13.81%
,7 of Totals $ 14,065,903 $ 8,781,221 $ 5,284,682 $ 12,357,7014 $ 8,059,729 $ 4,297,972 65.22%
Summary
Budgeted Actual %
FY 05.06 FY 05-06
Expenditures:
Salaries & Fringe 11,268,283 7,496,357
Operating Expenses 2,063,017 1,073,860
Capital Outlay 734,603 211,004
Total Expenditures 14,065,903 8,781,221 62.43%
Revenue: 7,680,082 5,423,393 70.62%
Net County 6,385,821 3,357,828 66.52%
• Revenue and Expenditure Summary
For the Month of March 2006
9
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 05-06
Date (BOH) Grant - Requested Pending Received Denied
NC Pandemic Influenza Planning Funds -
• Pandemic Influenza planning. Ratification of
grant application submitted for 3/2/06 deadline
Note: Full funding expected per State
notification; currently partial funding
4/512006 confirmed with additional award to follow. $49,030 $49,030 $13,175
31112006 No Activity for March 2006 -
Child Care Nursing (Smart Start)
Continuation funding for existing grant
2/1/2006 program $186,600 $186,600 $160,000 $26,600
Health Check Coord. (Smart Start)
Continuation funding for existing grant
program $45,800 $45,800 $45,800
amllyAssessment oor mart tartContinuation funding for FAC portion of
Navigator program 'NOTE: May receive
$44,000 in 2nd phase if funds avail. $113,000 $113,000 $0 $113,000 `
NC Institute for Public Health -Accreditation
- assistance with improvement in areas
(policies/procedures & continuing ed training
log). $17,034 $17,034 $4,150 $12,884 -
Tabled by BOH Pediatric Primary Care (United
not approved Way/NHRMC) Start-up funds to support new
for submission primary care program for pediatric patients $30,000 $0
Cape Fear Memorial Foundation- Obesity
1/4/2006 Grant (3 year period) $300,000 $300,000 $225,000 $75,000
Cape Fear United Wa • Panorex Grant $38,000 $38,000
NC Office of Minority Health & Health
Disparities- Interpreter Grant $20,000 $20,000
NACCHO Grant-Addressing Disability in
Local Public Health. Collaboration with
12/7/2005 UNCW. $25,000 $25,000
Office of Research, Demonstrations and
11/2/2005 Rural Health- Pediatric Prima Care Grant $50,000 $50,000
Health Carolinians- Contract Coordinator $5,000 $5,000
10/1212005 No activity for October 2005.
9/7/2005 No activity for September 2005.
Wolfe-NC Public Health Association
Prenatal Grant for FY 05-06 and FY 06-07
8/3/2005 assistance for diabetic prenatal patients. $5,000 $5,000
allocating
North Carolina Alliance(NCAH) for 85,000 from
Secondhand Smoke- Local Control existing PA
Initiative-if approved and awarded PA funds ' allocating budget- • Grant was
to be used for educational and $e,o0o from approved by not approved
purposes existing PA NHC-CC by RWJ
media campaigns only. budget g/19105 Foundation
716/2005 No activity for July 2005.
NC Dept of Insurance- Office of State Fire
6/1/2005 Marshall- Risk Watch Continuation Grant $ 25,000 $ 25,000
HUD (partnership with City of Wilmington)
Lead Outreach and Education Program (3
• year funding) $ 275,000 $275,000
Ministering circle- Good Shepherd
Ministries Clinic supply & Equipment $ 15,000 $ 15,000 $ -
No activity for May 2005.
As of 4/20/2006 10
NOTE: Notification received since last report.
Program did not apply for grant.
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 05-06
Date (BOH) Grant- - Requested Pending Received Denied 4
Cape Fear Memorial Foundation- Living
4/6/2005 Well Program $ 20,000 $ 20,000 $ -
National Safe Kids Coalition-Mobile Van for •
3/2/2005 Car Seat Checks $ 49,500 $ 49,500 $ -
Smart Start- Child Care Nursing Program $ 239,000 $ 170,000 $ 69,000
Smart Start- Health Check Coordination
Program $ 43,800 $ 43,800
Smart Start- Navigator Program $ 155,000 $ 44,000 $111,000
2/2/2005 No activity for Februa 2005.
Champion McDowell Davis Charitable
1/5/2005 Foundation - Good Shepherd Clinic $ 56,400 $ 56,400
12/1/2004 Noactivity for December 2004.
March of Dimes-Maternity Care Coordination
Program educational supplies and incentives
11/7/2004 for pregnant women. $ 3,000 $ 3,000 $ -
10/612004 No activity to report for October 2004.
9/1/2004 No activity to report for September 2004. - -
Office of the State Fire Marshal- NC
Department of Insurance- Risk Watch
8/4/2004 continuation funding (3years $ 25,000 $ 25,000
NC Physical Activity and Nutrition Branch
Eat Smart Move More North Carolina $ 20,000 $ 20,000
NC March of Dimes Community Grant
71712004 Program- SmokinCessation- $ 50,000 $ - $ - $
Wolfe-NCPHA Prenatal Grant- Diabetic
Supplies for Prenatal Patients $ 5,000 $ 5,000
Totals $1,866,164$711,464- $962,825 $787,484
38.12% 51.59% 42.20%
Pending Grants 0 .0%
Funded Total Request 12 48%
Partial) Funded 6 24%
Denied Total Request 7 28%
Numbers of Grants A lied For 25 100%
•
As of 4/20/2006 11
NOTE: Notification received since last report.
Program did not apply for grant.
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date: May 15,
Agenda: ® 2006
Department: Health Presenter: Janet McCumbee, PHS Mgr.
Contact: Janet McCumbee/Kim Roane, Business Manager
Subject: State Grant - Personal Health Services - Health Check Coordination - ($33,873
annually)
Brief Summary: The North Carolina Department of Health and Human Services
(NCDHHS)- Division of Medical Assistance (DMA) will provide $33,873 per year for
the current Health Check Coordination (HCC) position. This position has been in
existence at the Health Department for 8 years with Smart Start funding; therefore, the
state funds will supplant part of the Smart Start grant of $45,800, reducing the amount
received from Smart Start to $11,927 for FY 06-07. The Health Check Coordinator
provides outreach and follow up for Medicaid and Health Choice eligible children in
New Hanover County. The HCC assists families with enrollment, access to medical and
dental providers, and transportation. She encourages regular well care and
immunizations, with decreased use of the emergency room, working closely with DSS
and Carolina Access.
• Recommended Motion and Requested Actions: To approve the acceptance of the
$33,873 DMA state grant for FY 06-07 and to approve any associated budget amendment
related to the receipt of the grant funds and to submit to the New Hanover County
Comissioners for their consideration.
Funding Source: NCDHHS-DMA (and previously approved Smart Start grant); No
county matching funds required. Position is sustained only as long as grant funds remain
available.
Will above action result in:
?New Position Number of Position(s)
?Position(s) Modification or change
®No Change in Position(s)
Explanation: Will supplant part of the Smart Start funds for the existing full time HCC
position (Program Assistant classification).
Attachments: Health Check Outreach Project Agreement
12
Health Check Agreement - continued +
i
The New Hanover County Health Department (agency) agrees to:
1. Provide the Medicaid Provider number for which payment is to
be made for the HCC position(s). The Medicaid Provider number
is: (agency to complete).
2. Implement and operate the State Health Check Project in accordance
with State Health Check Program Policies and Procedures.
3. Assure that each HCC and Supervisor will attend the Health Check
Introductory Training within the time frame agreed upon with DMA.
4. Serve the entire county by providing Health Check coordination
services to families of Medicaid eligible children from birth through
age 20.
5. Assure that HCC(s) devote 100% of their time to Health Check
Program activities. HCC(s) are required to dedicated 50% of their
time to direct client contact. Client related activities, including
direct client contact, must account for 75% of the coordinator time.
6. Purchase appropriate hardware (PC) and software for utilization
of data shell. The data is confidential and should be utilized for
Health Check related duties only. Hardware and software
purchases are included in the funding.
7. Submit the County Options Change Request form (COCR) to DMA
within 15 calendar days when (1) a change occurs in the name, address
or phone number of a coordinator, or (2) when an HCC is hired,
terminated or placed on extended leave which is not covered by Health
Check reimbursement. All COCR forms must be signed by the HCC
Supervisor.
8. Submit an annual budget and budget narrative for the Health Check
Project by May lst of the year proceeding the proposed budget period.
This budget must be approved by DMA. Failure to receive approval from
DMA may result in termination of the agreement or reduction in funding
State Fiscal year (July 1st through June 30th) shall be used as the
budget period.
Appendix 4-2 14
Health Check Policies and Procedures 08/7005
a
t
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
• Request for Board Action
Agenda: Consent Meeting Date: 5/15/06
Agenda:
Department: Health Presenter: Janet McCumbee, PHS Mgr.
Contact: Janet McCumbee/Kim Roane, Business Mgr.
Subject: Grant Application to Cape Fear Memorial Foundation (CFMF) - Personal
Health Services - Maternal Health Diabetic Supplies $21,000
Brief Summary: The Personal Health Division-Maternal Health Program is requesting
approval to submit an application for grant funds from CFMF for diabetic supplies for
uninsured prenatal patients. Uninsured prenatal patients with gestational diabetes need
approximately $400 for supplies to monitor and control their blood sugar during the
pregnancy. Without these supplies, they may have serious complications that could result
in interuterine fetal death. We would like to apply for $7000 per year for 3 years
($21,000) to assist these patients. The funds would be used to purchase supplies at the
discretion of the Maternal Health staff working in the maternity clinic.
Recommended Motion and Requested Actions: 1) To approve the CFMF grant
• application for $21,000 to be submitted before July 15, 2006 for Maternal Health and to
approve acceptance of the funds for FY 06-07, if awarded, to approve any budget
amendment associated with receipt of the funds and to submit to the New Hanover
Count Commissioners for their consideration.
Funding Source: Cape Fear Memorial Foundation
Will above action result in:
?New Position Number of Position(s)
?Position(s) Modification or change
®No Change in Position(s)
Explanation: Grant funds to be used for medical supplies for uninsured Maternity
patients. No count funds are required, no matching funds required.
Attachments: Grant application
•
15
APPLICATION FOR FUNDING WILL BE ACCEPTED ONLY IF A LETTER OF INQUIRY HAS BEEN SUBMITTED BY YOUR
ORGANIZATION AND APPROVED BY CFMF PRESIDENT
• CAPE FEAR MEMORIAL FOUNDATION
GRANT APPLICATION FORM
PART I: YOUR ORGANIZATION
Organization Information
Name: New Hanover County Health Department
Street Address: 2029 So. 17th Street
City, State, Zip Code: Wilmington, N.C. 28401
Mailing Address: 2029 So. 17th Street
City, State, Zip Code: Wilmington, N.C. 28W1
Telephone (910)-798-6500 Fax (910)-341-4146
E-mail Address: Web Site: www.nhcgov.com/HLTH
Fiscal Year End: June 30 Federal Tax ID#: 56-6000324
Contact Information
• Name of Key Contact Person: Janet McCumbee RN, BSN
Title of Contact: Personal Health Services Manager
Telephone (910)-798-6559 Fax (910)-341-4146
E-mail Address: jmccumbee@nhcgov.com
1. Is your organization a nonprofit, tax-exempt organization under IRS Code Section 501 (c) (3)
or a governmental unit? If not, you do not qualify for a grant. If your organization is a 501 (c)
(3), please attach a copy of your current IRS tax-exemption letter with this Application.
Local Government Organization
2. Is your organization a private, non-operating foundation? If Yes, you do not qualify for a grant.
No
3. Would a grant from Cape Fear Memorial Foundation in the amount being requested jeopardize
your tax-exempt status?
No
4. Will any of these funds be used to pay a nationally affiliated organization? If yes, please
explain.
No
• 5. Does your organization now, or does it plan in the future, to engage in any way in the
promotion or advancement of political causes? If yes, please explain.
No
CAPE FEAR MEMORIAL FOUNDATION 16
GRAM APPLICATION FORM
Last RevLW 1207@W3
6. Summarize your organization's background, goals and current programs. Also, discuss your assets in
personnel, services and programs that could be built upon by the Foundations help.
•
The New Hanover County Health Department (NHCHD) has provided health services to
the community for over 125 years. In 2004, NHCHD received accreditation which
validates the high standards of public health services provided by a first-class health
department. The NHCHD has also participated in several strategic planning processes
over the past six years, identifying he greatest needs in our community. We continue to
strive to meet the needs of the citizens of New Hanover County. Diabetic supplies for
pregnant mothers have been identified as a significant need.
Attachments:
1) List of programs and services provided by the NHCHD.
7. Describe your organization's structure and attach a list of your officers and directors. •
The NHCHD Accountant, upon authorization from the Maternal Health Supervisor,
would purchase the diabetic supplies from an account set up at local drug store.
Attachments:
1) List of Board of Health members
2) Organizational Chart for the NHCHD and Personal Health Services Division.
Maternal Health is housed under Personal Health and diabetic referrals for pregnant
mothers have been handled through the maternity care coordination program which is
located at Coastal OB/GYN clinic at New Hanover Regional Medical Center.
•
CAPE FEAR MEMORIAL FOUNDATION 17
GRANT APPLICATION FORM
LanftmW: 12971 3
PART 11: PROJECT/PROGRAM Quanti whenever possible.
1. Describe the problem/need that the program/project will address.
• These medically under-served patients are unable to obtain the necessary diabetic
supplies to check their blood sugars as ordered by the doctor. Without insurance or
Medicaid, the woman faces the need to purchase her own supplies at the average cost of
$400.00. If she does not have the resources for such a large expenditure she compounds
the risks that uncontrolled gestational diabetes can have on both her and her unborn child
both during and after the pregnancy.
Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance with
onset of first recognition during pregnancy. Approximately 4% of all pregnancies are
complicated by GDM. However, the prevalence may range from 1% to 14% of all
pregnancies, depending on the populations studied. The presence of fasting
hyperglycemia may be associated with an increase in the risk of intrauterine fetal death
during the last 4-8 weeks of gestation. Furthermore, GDM increases the risk of fetal
macrosomia and other neonatal morbidities including hypoglycemia. GDM is associated
with an increase frequency of matemal hypertensive disorders and the need for cesarean
delivery. The goal in the treatment of women with GDM is to decrease the risks to the
fetus and this is best accomplished through careful monitoring and the use of insulin if
indicated. This cannot be accomplished without the needed supplies and medications
being made available to every woman who is in need of them.
2. Describe the objective(s) of the project/program and indicate how individual lives of the
. recipients will be changed and what benefits are expected to result.
A. Identify uninsured pregnant women that are diagnosed with gestational diabetes per
doctor's referral.
B. Assess their needs for diabetic supplies such as equipment and insulin.
C. Refer to Public Health Nurse (PHN),.located at Coastal OB/GYN clinic, for diabetic
teaching and equipment instructions.
D. Monitor their blood sugar levels at each OB clinic visit using the diabetic software
loaded on the PHN's computer.
All uninsured pregnant women found to have gestational diabetes will be able to monitor
their blood sugars and if needed, inject insulin to control their disease process and ensure
a healthy pregnancy outcome.
•
CAPE FEAR MEMORIAL FOUNDATION 18
GRAM APPMCATION FORM
Last Rev6ee: 1210212007
3. Describe the strategies you will develop to accomplish the objective(s).
r
A. Each pregnant woman will have a blood sugar test at 24-28 weeks. •
B. All pregnant women with abnormal blood sugar levels will be referred to their
OB doctor. _
C. All pregnant women with abnormal blood sugar levels are referred to the PHN for
diabetic teaching. If the pregnant woman is uninsured then she will be loaned a diabetic
glucometer and given supplies each month for the duration of her pregnancy.
D. The PHN will download and print the patient's blood sugar result at each clinic visit.
E. The printed results will be given to the OB doctor who will review and treat the patient
according to the results.
4. State how, when, and who will conduct an evaluation to measure how well your •
project/program is meeting its objective(s).
A. The PHN will complete a monthly report, documenting the number of diabetic
teaching sessions.
B. A log book will be kept of equipment that was loaned.
C. Maternal Health Supervisor and Personal Health Manager will review the referrals
and funds spent.
•
CAPE FEAR MEMORIAL FOUNDATION 19
DRAM APPUCATION FORM
LWReuheC: 1L94=
3. List the names of organizations, both public and private, to which you have applied for
• support for this specific project/program. Also show the amount requested and the status
(pending, approve d or disapproved).
Orqanization Amount Status
North Carolina Medical Society $25,000.00 Funds were exhausted
Foundation,2001-2005
Dr. Ann F. Wolfe Endowment $5,000.00 Not approved
2005 Mini Grant Application
-2004
-2005
•
•
Total Amount:
20
CAPE FEAR MEMORIAL FOUNDATION
GRANT APPLICATION FORM
4. Describe how your project/program will become self-sufficient within three years.
•
The Diabetic loaner program is supported by grants funds only. NHCHD is unable to bill
for this service because the patients are uninsured.
•
5. If the funds are to be used for construction or equipment acquisition, explain the bidding
process.
There is no bidding process involved. The glucometers will be purchased through a local
pharmacy.
•
CAPE FEAR MEMORIAL FOUNDATION 21
GRAM APPLICATON^FORM
PART 111: FINANCIAL INFORMATION
1. Amount requested from Cape Fear Memorial Foundation.
(If multi-year funding is requested, also specify how you wish this to be paid per year.)
$7,000.00 per year, up to 3 years
Total amount- $21,000.00
2. Develop a complete project/program budget; including expenses and income, for the period
you are requesting funds. Also, please attach a copy of your most recent (a) 990 and
(b) audit or financial statement with this application.
Project Budget: From August 06 To July 09
Expenses B Category) Income B Sources
Per year-
Syringes- $500.00 Cape Fear Memorial Foundation- $21,000.00
Lancets- $500.00
Blood glucose test strips- $3450.00
Ketostix- $150.00
• Insulin- $400.00
Glucometers- $2,000.00
Total - $7,000.00
Total x 3 years= $21,000.00
• Total Expenses: $ 21,000.00 Total Income: $ 21,000.00
CAPE FEAR MEMORIAL FOUNDATION 22
GRAM APPLICATION FORM
I
TART IV: RErIRTING RE~U/REMENTS
1. Do you agree to furnish to Cape Fear Memorial Foundation, in a timely manner, periodic
progress reports informing the Foundation of the progress made by your project/program?
Yes
Note: If Progress Report forms are enclosed for projects previously funded for which an annual
report has not yet been made, please complete the forms and return with this Application.
SUBMITTED BY:
David E. Rice
Typed or Printed Name of Chief Executive Officer of Requesting Organization
Signature of Chief Executive Officer Date
Health Director •
Title
Donald P. Blake
Typed or Printed Name of Chairman of the Board of Directors
Signature of Chairman of the Board of Directors Date
Signature of Chief Executive Officer and Board Chairman is required for Application to be
viewed as complete.
o One original and one copy of the completed Grant Application Form must be received in the
office of Cape Fear Memorial Foundation by 5:00 p.m. on the cutoff date for each grant cycle.
The cutoff dates are January 15 and July 15 annually, or the first business day thereafter if, the
deadline falls on a holiday or weekend.
E-mail one additional copy of the completed Grant Application Form to: Shelvie(&-cfmfdn.org
when Internet access is available. •
Questions or comments can be directed to the Foundation staff at (910) 452-0611.
23
CAPE FEAR MEMORIAL FOUNDATION
r
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date: May 15,
Agenda: ® 2006
Department: Health Department Presenter: Kim Roane, Business Manager
Contact: Kim Roane/Janet McCumbee, Personal Health Services Manager
Subject: Budget Amendment - Personal Health Services - Family Planning program
expenses $10,709
Brief Summary: The New Hanover County Health Department has received notification
from the North Carolina Department of Health and Human Services, Division of Public
Health, that an additional $10,709 has been awarded to be used for any Family Planning
(Title X) approved expense. These funds have been awarded as one-time bonus funds,
based on increased caseload of family planning patients.
Recommended Motion and Requested Actions: To accept and approve the $10,709
additional State funds to be used to support the New Hanover County Health Department
• Family Planning expenditures, and to approve any associated budget amendment and to
submit to the New Hanover Count Commissioners for their consideration.
Funding Source: N.C. State Department of Health and Human Services, Division of
Public Health, Women's and Children's Health Section. No matching County funds are
required.
Will above action result in:
?New Position Number of Position(s)
?Position(s) Modification or change
®No Change in Position(s)
Explanation: Funds are to be used for Family Planning program Title X approved
expenses.
Attachments: Division of Public Health Agreement Addenda.
•
24
, vast
DIVISION OF PUBLIC HEALTH `
AGREEMENT ADDENDA
New Hanover County Health Department Women's and Children's Health
Contractor Name Section
Women's Health
Branch
151 Family Planning Tricia Parish (919) 707-5696
Activity Number and Title Program Contact Name and Telephone Number
July 1 2005 - May 31 2006 5 February7, 2006
Effective period (Beginning and Ending Date) Revision # Date
This revision increases Title X funds by the amounts in the attached Budgetary Estimate. Funds are to be used for any Family
Planning (Title X) approved expense, including purchase of contraceptives, Pap tests, and provision of sterilizations. These
funds are being awarded as one-time bonus funds, based on increased caseload of family planning patients.
,cr~~ a6
v06
County Health Director Signature and Date
25
„ r
N.C. Division of Public Health Budgetary Estimate to Local Health Departments, SFY 05-06 +
Revision 5 Activity # 151 Activity Name: Family Planning
TIl X
e01PR0 FaMlSdeaRe fun4TCf~IRC FunaIRCCRaO auadROCRRC
11 6920 PP TOW of AD
ent P
to 9130108 Payment Period - Payment Period • P t Period • Payment Period -
loa Pa
b tO bR1 6 Service PoI100 - Sarvkw Period • SanN•w PeNOd • Servlu Period
SoOreas
$1,882.00 31,882.00
ja$2
S2•T99.00 51,47a 00 31,470.00
53 LEE $4226.00 $4.225.001
$1005.00 $1.005.001
54 LENOIR _1293.00
55 LINCOLN 31~
56 MACON $3.402.00 23402.00
57 MADISON $1765.00 $1.765.001
D4 MAR-TYR-WASH $3390.00 53390.00
80 MECKLENBURG 321,005.00 $21005.00
82 MONTGOMERY $2.736.00 32738.00
63 MOORE 33111.00 $3111.00
e4 NASH $4945.00 $4946.00
65 NEW HANOVER 510708.00 510,709.00
6e NORTHAMPTON St 005.00 $1005-00
67 ONSLOW _s2464 DO $2454.00
88 ORANGE $1904.00 51904.00
69 PAMLICO S7 614.00 $1614.00
7 PENDER $4198.00
K (98.00
73 9 PERSON $7.768.00 31 76806
74 PITT $4149.00 $4149.00
76 RANDOLPH $1 005.00 31005.00
77 RICHMOND 31005.00 $1005.00
78 ROBESON $1005.00 $1005.00
79 ROCKINGHAM 31.005.00 31005.00
50 ROWAN 57005.00 31005.00
D5 R-P-M! 33 43.00 33213.00
82 SAMPSON 53035.00 $3.035.00
63 SCOTLAND _s1642 00 $1.542-001
M STANLY 31.005.00 51,005.00
85 STOKES $100500 %1:005.00
Be SURRY $1792.01) 31792.o0
87 SWAIN $1005 00 S1 005.W
Da TOE RIVER $4543.00 $4,543.00
as TRANSYLVANIA $4,683.00 $4.663.00
9o UNION 1117246.00 377.29fi.00
92 WAKE 30.00 S0.
93 WARREN $1 .00 51.202.00
96 WAYNE $3885.00 23885.00
97 WILKES $1005.00 27005.00
08 WILSON $1005.00 $1,005.00
99 YADKIN %1089.00 $1,099.00
TOTALS BY CENTER 3341 517.00 50.00 30.00 $0.00 .00 $341,517.00
CHECK GRAND TOTAL f %341517.00
31gnau and Data DPH Program Administrator p / Signature and Date- DivISIC Of Pope Health Budget Oairwr
0 OS
Signature and Daft • OPH Section umin
26
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:? Consent Meeting Date: May 15,
Agenda: ® 2006
Department: Health Department Presenter: Kim Roane, Business Manager
Contact: Kim Roane/Janet McCumbee, Personal Health Services Manager
Subject: Budget Amendment - Personal Health Services - Family Planning program
expenses $2,006
Brief Summary: The New Hanover County Health Department has received notification
from the North Carolina Department of Health and Human Services, Division of Public
Health, that an additional $2,006 has been awarded to be used for any Family Planning
program expenses. These funds have been awarded as one-time bonus funds, to those
counties providing assistance to Hurricane Katrina evacuees.
Recommended Motion and Requested Actions: To accept and approve the $2,006
additional State funds to be used to support the New Hanover County Health Department
• Family Planning expenditures, and to approve any associated budget amendment and to
submit to the New Hanover Count Commissoners for their consideration.
Funding Source: N.C. State Department of Health and Human Services, Division of
Public Health, Women's and Children's Health Section. No matching County funds are
required.
Will above action result in:
?New Position Number of Position(s)
?Position(s) Modification or change
ENO Change in Position(s)
Ex lanation: Funds are to be used for Family Planning program expenses.
Attachments: Division of Public Health Agreement Addenda.
•
27
DIVISION OF PUBLIC HEALTH
AGREEMENT ADDENDA
' $New Hanover County Health Department Women's and Children's Health Section
Contractor Name
Women's Health Branch
151- Family Planning Tricia Parish (919) 707-5696
Activity Nttmber and Title Program Contact Name and Telephone Number
July 1 2005- May 31 2006 4 2-7-06
Effective Period (Beginning and Ending Date) Revision # Date
This addenda increases FY 2005-2006 Family Planning funding for 12 counties in the state providing the greatest assistance to
Hurricane Katrina evacuees. This funding is to be used for family planning services including the purchase of contraceptives
and other supplies needed to provide family planning services.
2/06 G~~~/ 2~fe~Ot
County Health Director Signature and Date
28
N.C. Division of Public Health Budgetary Estimate to Local Health Departments, SFY 05-06
Original Activity # 151 Activity Name:Famiiy Planning
Revision# 4
ROW t
lundmCt:l = FerMIRCCIFRC FuMIRCCIFRC FendRCCTRC Fa 004FRC
1511 5920 FP Tint of All
Payment P
811105 - 8130106 Pa em Period - Payment Period - Payment Period - Payment Period -
Service Pe
COUNTY 7101N5 - 587106 Service Period - Service Period - Berries Period - Service Period -
9ourcea
51 JOHNSTON 50.00
52 JONES $0.00
63 LEE $0.00
54 LENOIR 50.00
55 LINCOLN $0.00
56 MACON $0.00
57 MADISON $0.00
205 MAR-TYR-WASH 50.00
60 MECKLENBURG $17.234.00 $17,234.00
62 MONTGOMERY 50.00
63 MOORE $0.00
84 NASH $0.00
65 NEW HANOVER 112006.00 $2006.00
86 NORTHAMPTON 50.00
67 ONSLOW $2,497.00 $2,497.00
68 ORANGE $1,516.00 $1,515.00
99 PAMLICO $0.00
71 PENDER $0.00
73 PERSON $0.00
74 PITT $0.00
76 RANDOLPM $0,00
77 RICHMOND $0.00
78 ROBESON $0.00
79 ROCKINGHAM $0.00
80 ROWAN $0.00
207 R-P-M s0.00
82 SAMPSON $0.00
83 SCOTLAND $0.00
64 STANLY $0.00
65 STOKES $0.110
86 SURRY so 00
87 S AIWN $0.00
206 TDE RIVER 60.00
88 TRANSYLVANIA $0.00
9o UNION $0.00
92 WAKE - $0.00
93 WARREN so=
96 WAYNE S0.00
97 WILKES $0.00
98 WILSON $0.00
99 YADKIN $0.00
TOTALS BY CENTER 110.00
CHECK GRANDTOTAL $49.127.00 50.00 $0.00 so.00 110.00 s49,127.o0
IM.fGM"~ 2-$49127.00
Big and D - DPH Pfr/o~~gravm A~dmin~istr~ator Signature and Data DM m 0 uauc HeeM Budget Officer
S gnatum and O- PH Sectlon CHlel
29
L
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date: May 15,
- Agenda: ® 2006
Department: Health Department Presenter: Kim Roane, Business Manager
Contact: Kim Roane/Dianne Harvell, Environmental Health Services Manager
Subject: Budget Amendment - Environmental Health Services - Restaurant Heart Health
Survey $500
Brief Summary: The New Hanover County Health Department has received notification
from the North Carolina Dept. of Health and Human Services, Division of Public Health,
that funding in the amount of $500 has been awarded to the Health Department to
support the department's participation in the 2005-06 N.C. Restaurant Heart Health
Survey. Funds will be used for supplies to support the New Hanover County Health
Department Environmental Health program.
Recommended Motion and Requested Actions: To ratify the $500 additional State funds
• and the associated budget amendment to increase revenues and expenditures in the Health
Department's Environmental Health budget for FY 05-06 and to submit to the New
Hanover Count Commissioners for their consideration.
Funding Source: N.C. State Department of Health and Human Services, Division of
Public Health, Restaurant Heart Health Survey Project.
Will above action result in:
?New Position Number of Position(s)
?Position(s) Modification or change
®No Change in Position(s)
Explanation: No Count match is required for receipt of these funds.
Attachments: Award letter and State Agreement Addenda
•
30
r•
North Carolina Department of Health and Human Services
Division of Public Health
Tobacco Prevention and Control Branch and Heart Disease Stroke Prevention Branch
1932 Mail Service Center • Raleigh, NC 27699-1932
Ph: 919-707-5400 • Fax: 919-870-4844
Michael F. Easley, Governor Carmen Hooker Odom, Secretary
Date: 03/232005
TO: Counties participating in the 2005-2006 N.C. Restaurant Heart Health Survey
(RHHS)
Froac Scott Proescholdbell and Abha Varma
RE 2005-2006 N.C. Restaurant Heart Health Survey County Report
Thank you for your participation in the 2005-2006 Restaurant Heart Health Survey, a
collaborative effort of the Heart Disease and Stroke Prevention and the Tobacco
Prevention and Control Branches of the Division of Public Health. We are grateful for all
• of the hard work and time given to the surveying process. Currently, we have processed
the survey data from your county. We have enclosed a copy of the following reports from
your county's survey: an inventory of all restaurants surveyed, a list of restaurants
interested in promoting healthy heart options and a survey data summary. We hope that
this information will be a helpful tool for planning and targeting health promotion efforts
in your community.
A statewide report will be generated for FY 2005-2006 once we have processed all
county data. Once surveys from all counties are received we will gain valuable
information on the trends of smoking policies and healthy dining practices of restaurants
in our state.
Please feel free to contact Scott.Proescholdbe]16nemail.net or Abha.Varma(@,ncmail.net
with questions and concerns regarding the survey. We look forward to working with you
again in the future.
Also, in order to receive the $500_ incentive for your participation, a signed budget
addendum is required. Budget addenda have been mailed out to all participating
counties. Please contact your budget office to facilitate this process. If you have
questions regarding the process to claim the incentive, contact Aticia.ciark(@ncmail.net
or 919-707-5370.
•
31
.S
DIVISION OF PUBLIC HEALTH
529 RESTAURANT HEART HEALTH SURVEY
AGREEMENT ADDENDA
New Hanover County Health Department Chronic Disease & Iniury/Tobacco Prevention and Control
Contractor Name Section
529 Restaurant Heart Health Survey Scott Proescholdbell 919-707-5412
Activity Number and Title Program Contact Name and Number
July 1 2005 - April 1 2006 February 24, 2006
Effective Period (Beginning and Ending Date) Revision # Date
Program Objectives and Instructions:
Thank you for agreeing to participate in the 2005-06 Heart Health Restaurant Survey. The purpose of this
Agreement Addenda is to highlight the terms of our agreement for conducting the survey.
• The Heart Disease and Stroke Prevention and Tobacco Prevention & Control branches of the Division of
Public Health will provide you with the survey forms for the 2005-06 Restaurant Heart Health Survey.
• Your obligation is to survey 80% of the designated number of restaurants assigned in your county, fully
complete the forms and return all forms, both the completed and the incomplete ones, back to:
Restaurant Heart Health Survey Data Project •
Tobacco Prevention and Control Branch
Division of Public Health
1932 Mail Service Center
Raleigh, NC 27699-1932
• Once surveys are returned to our office, they will be entered into the database for analysis. Your county
specific and Statewide reports will be mailed to you soon thereafter
• In addition to the valuable reports noted above, your county may claim $500 on the monthly expenditure report
for conducting the survey
The deadline for completing the survey in April 2006. Also, in order for the county to claim the $500, it must be
filed on or before the May 2006. expenditure-reporting period. Any type of expense is eligible against this $500.
You need to notify your budget officer that the project is complete so they can file for the expenditures.
Earlier submission of completed surveys is desirable. Once again, thank you for your participation.
New Hanover County Health Department
If you have questions regarding this agreement Addenda, please contact:
Erin Cummings at 910-343-6548 or ecummin s u~nhc¢ov.com
•
Page 1 of 7 County Health Director Signature and Date
32
1
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date: May 15,
A enda: ® 2006
Department: Health Presenter: Kim Roane, Business Manager
Contact: Kim Roane/Janet McCumbee, Personal Health Services Manager
Subject: Request to Change Health Department Fee Policy to Add Fees for Limited
Physical Examinations, Tda vaccine & other miscellaneous updates.
Brief Summary: Approval is requested to revise the New Hanover County Health
Department Fee Policy to include a fee schedule listing individual fees for limited
physical examinations, a new Tdap vaccine, an increase in contraceptive fees and
addition of a coding change for provision of patient education materials. A need has been
identified in the community for a low-cost method of completing limited physical
examinations for such needs as sports, employment, camp, college, kindergarten, day
care, foster care, scouts and Head Start programs. These physicals will be provided at a
flat rate per each type of physical examination, determined by the amount of lab tests and
special screenings required. A fee schedule is attached. Other changes include the
addition of a new vaccine for Tetanus, diphtheria and pertussis (Tdap), and other changes
as noted on the attachment.
•
Recommended Motion and Requested Actions: To approve the revision to the New
Hanover County Health Department Fee Policy to include the fee schedule and fee policy
changes as listed and to submit to the New Hanover County Commissioners for their
consideration.
Funding Source: Patient fees collected at the time of service. The associated revenues
and expenditures have been included in the FY 06-07 recommended budget.
Will above action result in:
?New Position Number of Position(s)
?Position(s) Modification or change
®No Chan a in Position(s)
Explanation:
Attachments: New Hanover Count Health Department Fee Policy Changes
•
33
• ADDITIONS TO NEW HANOVER COUNTY HEALTH DEPARTMENT
FEE POLICY
Limited Physical Examinations: Flat fee-based services with no sliding fee scale applied:
LU203 - Limited Physical: Employment $35.00
LU206 - Limited Physical: Day Care $45.00
LU207 - Limited Physical: Head Start $65.00
LU208 - Limited Physical: Sports $35.00
LU209 - Limited Physical: Foster Care $65.00
LU210 - Limited Physical: Camp $35.00
LU211 - Limited Physical: Scouts $35.00
LU212 - Limited Physical: College $65.00
LU214 - Limited Physical: Kindergarten $65.00
Addition of new Tdap (Tetanus, diphtheria, pertussis) vaccine:
State provided vaccine: CPT code 90715 52 $20.00
Private stock vaccine: CPT code 90715 $45.00
Addition of CPT code for provision of patient supplies & education:
• CPT 99071 $ 0 no charge
Change in employee fee for Alesse contraceptives to reflect increased cost of product:
Alesse: $15/cycle
•
34
a
Y~
• NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date: N/A
Agenda:
Department: Health Presenter: Janet McCumbee, PHS Mgr.
Contact: Janet McCumbee
Subject: Letter of Intent -Cape Fear Memorial Foundation (CFMF)- Child Service
Coordination- approximately $75,000 per year for 3 ears
Brief Summary: One of the greatest needs we have identified in our work with families
with young children is behavior management. We are seeing more and more children
"out of control" in homes and in preschools, with frustrated parents in need of help.
Home visiting for family counseling and behavior management by a Licensed Clinical
Social Worker (LCSW) will eliminate transportation problems and provide assistance in
the most natural environment-the home. It is imperative that we tackle behavior
problems early in a child's development, to avoid discipline issues in school and possible
juvenile delinquency. We would like to submit a Letter of Intent to CFMF to get approval
to submit a grant application in July 2006, to fund a full time LCSW (salary/fringe and
administrative support, estimate =$75,000 per year) in our Child Service Coordination
Program to provide this service.
•
Recommended Motion and Requested Actions: To approve the submission of a letter of
intent to CFMF for approximately $75,000 per year for Child Service Coordination
Program.
Funding Source: CFMF
Will above action result in:
®New Position (1) Number of Position(s)
?Position(s) Modification or change
?No Chan a in Position(s)
Explanation: If CFMF responds with approval to submit the grant, we would ask for
funds to support the position for 3 years. No county funds would be required, and some
Medicaid revenue may be recognized from the services provided b the LCSW.
Attachments: Letter of Intent to CFMF
•
35
J
~j
NEW HANOVER COUNTY
r m~
HEALTH DEPARTMENT
2029 SOUTH 17TH STREET ° F
`~OFND~PQ'\ WILMINGTON, NC 28401-4946 "'"""""°"`"`°""'""`°""~aP
TELEPHONE (910) 798-6500 FAX (910) 341-4146
April 26, 2006
Mr. Garris, President
Cape Fear Memorial Foundation
2508 Independence Blvd. Suite 200
Wilmington, N. C. 28412
Dear Mr. Garris:
We appreciate the continued support expressed by Cape Fear Memorial Foundation regarding
children's developmental programs. Our NAVIGATOR Program previously funded by CFMF
has done tremendous work with many families in New Hanover County, related to maternal
health and early child development. We would like to refocus our efforts to meet needs identified
through the NAVIGATOR Program. One of the greatest needs we have identified in our work
with families with young children is behavior management.
Many families have the need for instruction and guidance in managing their young child's
behavior. We are seeing more and more children "out of control" in homes and in preschools;
with frustrated parents in need of help. Some of the behavior is related to delayed child
• development, and some to lack of parenting skills. We have one Licensed Clinical Social Worker
(LCS W) on our staff and she has a variety of responsibilities in our clinic; however, she has also
worked with several families of young children on behavior management in their home. She has
found this very effective, since the behaviors can be observed while visiting in the home and
addressed at that time. Home visiting for family counseling and behavior management by a
LCSW will eliminate transportation problems and provide assistance in the most natural
environment-the home.
It is imperative that we tackle behavior problems early in a child's development, to avoid
discipline issues in school and possible juvenile delinquency. We would like to submit a grant
application in July 2006 to fund a full time LCSW (salary/fringe and administrative support,
estimate =$75,000 per year) in our Child Service Coordination Program to provide family
counseling and behavior management in-home, for low income families identified by our staff as
needing this service.
Sincerely,
Janet McCumbee RN BSN
Persona) lth Services Manager
avid E. Race
• Health Director
jmc
36
"Healthy People, Healthy Environment, Healthy Community"
INFLUENZA SURVEILLANCE, NC 2005-2006
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•
National Association of Local Boards of Health
United We Stand
C~
NewsBrief
Published for Members of Local Boards of Health FYrst Quarter, 2006
Whatfs
_ WOW! What a way to start off the year as the President of the National
Association of Local Boards of Health (NALBOH). My first task was to appoint
and make sure that the right person chaired all committees, have all persons
agree to their assignments and then seek members to assist the chairs. Our
committees are the heart of the Association and due care must be taken to
• ' • Directors make sure that each person fits in the right committee. I think we are starting
out on the right track with an excellent board of directors, executive director
Education and staff to keep the continuity and flow of our programs and training on
Concept track.
The second and exciting activity was to visit the Centers for Disease Control
Report • Washington and Prevention (CDC) in Atlanta and have an audience with Dr. Julie Gerberding, the Director of CDC.
Our main purpose was to build on our relationship with CDC and to assure Dr. Gerberding that the
mission and programs of CDC matched the mission and programs of NALBOH. She was very interested
_ SALBOH News in our association and programs. Dr. Gerberding shared her concerns about the health of the nation
and of the world and how we need to protect our population, especially against a pandemic. She
• Application sought our opinion on several subjects including our experience with the availability of flu vaccine and
how we were dealing with health issues in our communities.
NALBOH News
°If someone is not in charge, no one is in charge".
This speaks to our NALBOH Board of Directors and staff. The real engine of any organization is its
• Tobacco-Free membership. The membership powers the train. We have a responsibility to ensure that our members
get their money's worth by joining and encouraging others to join. If we do a good job, the word will
spread and others will want to be part of our association.
Emergency 8 Environmental Health &
Preparedness One of the most exciting events of our association is the annual conference. This year we will be
co-located with The National Association of County and City Health Officials (NACCHO) in San Antonio,
Texas. This conference will offer opportunities for collaboration and networking with members throughout
• Board • • the United States and in a variety of public health fields.
Nominiation Form
~I pledge to you that I will give my full attention to address the questions of every member or anyone
who wishes to join. We have a lot to offer in training, technical assistance and advocacy. Join us, you
10 • Recognition will be glad you did.
Awards Nomination Form i
Keep safe and stay healthy,
Calendar of Events
/~j..G....
Lee Kyle Allen
President
~r.E~ss~s National Association of Local Boards of Health
OFVBL(C E LT" 1840 East Gypsy Lane
N A L B O H Bowling Green, OH 43402
Phone: (419) 353-7714; Fax: (419) 352-6278
Email: <nalboh@nalboh.org>
Website: <www.nalboh.org>
4
Page 2 NALBOH News Brie/ First Quarter 2006
Education and Training =Ins
Concept Paper VISION: NALBOH represents the grassroots foundation of
public health in America. The organization is anchored b
serving and empowering boards of health. We active
Educational Goals - develop, implement and sustain a engage and represent the public in public health. We ar
consistent; timely and effective program of continuing education recognized and valued as a partner in the public health
and training designed to provide members of governing bodies system. As a partner, NALBOH influences public health policy,
(boards of health) with skills and knowledge needed to ensure resource allocation, and education. We are a self-sustaining,
their community's health. responsive, accountable, and pro-active organization. NALBOH
serves boards of health, and provides a national voice for our
Develop members.
1. Identify, seek and solicit appropriate sources of support
including funding, staff and other resources for all education MISSION: To prepare and strengthen boards of health,
and training activities. empowering them to promote and protect the health of their
2. Identify and develop appropriate core competencies for board communities.
of health members.
a. Develop curriculum based upon core competencies for Board of Directors
board of health members, including a (possible) President President-Elect
i. Core - (basic, governance, general, preliminary) e.g. Lee Kyle Allen (NC) John Gwinn (OH)
legal, continuous quality improvement, Secretary/Treasurer Past President
organizational and personnel management, Gladys Curley (MD) Ronald Burger (FL)
communications, ethics, information technology,
advocacy, planning, marketing and evaluation.
ii. Program/Services - e.g. ten essential services, East Great Lakes Region Mid Atlantic Region
NALBOH grants/deliverables (environmental health, Alice Davis (OH) Walter Stein (NJ)
preparedness, tobacco control, etc.), membership Midwest Region New England Region
feedback, and others consistent with NALBOH's Larry Hudkins (NE) Shepard Cohen (MA)
strategic plan. Southeast Region West Region
3. Identify education and training needs. James Gallenstein (KY) Carolyn Meline (ID)
a. Ensure that curriculum development is responsive to West Great Lakes Region
members' and other stakeholders' needs as well as based Sharon Hampson (WI) Ex-Officio
on core competencies. Ned E. Baker (OH) •
b. Establish protocols and identify mechenisms to implement State Affiliates Marie M. Fallon (OH)
training and education to NALBOH members. Donna Rozar (WI) Janice McMichael (GA)
4. Establish a timeline, action plan and specific steps needed to Ed Schneider (NE) Anthony Santarsiero (GA)
accomplish education and training activities.
5. Provide education and training products to boards of health. Staff
Implement Executive Director
1. Provide education outreach for new and previously Marie M. Fallon, MHSA
appointed Board members as to their roles and DC Director Liaison
responsibilities. Tiffany Hinton, MPH
2. Establish and maintain a continuing education certification Project Director-Environmental Health & Emergency
program (an incentive, marketing, packaging tool) that Preparedness
includes multiple levels. Jeff Neistadt, MS, RS
a. Basic (as is), Project Director-Tobacco Use Prevention & Control
b. Advanced (year-long) Lauren Dimitrov, MPH
c. Master (research, presentation, poster or other give-back) Grants Manager
3. Advocate for and support thoroles and responsibilities of boards Jennifer O'Brien, MPH, MA
of health. Membership Coordinator/ Publications Manager
a. Develop a clear understanding of services, products and Grace Serrato
costs, and their value to public health agencies and local NewsBrief Editor
elected leaders. Fleming Fallon, MD, DrPH
b. Develop and provide educational outreach to the
appointing authorities for boards of health.
Sustain The NALBOH NewsBrief is published by the
1. Develop and establish a system for internal evaluation that is National Association of Local Boards of Health
based on existing criteria, standards and goals.
a. Ensure that future modifications to Education and 1840 East Gypsy Lane Road, Bowling Green, OH 43402
Training Programs reflect NALBOH's Strategic Goals. Phone: (419) 353-7714; Fax: (419) 352-6278
b. Ensure that future modifications to Education and Email: <nalboh@nalboh.org>; Website: <www.nalboh.or*
Training Programs are complementary to NALBOH
partners and meet the educational and skill-based The production and distribution of this publication
knowledge needed by board of health members. is supported by funds from the
2. Develop a process by which products (e.g. training, publica- Centers for Disease Control and Prevention.
tions, multimedia) are self-sustaining through membership dues,
subscription or fee-for-service mechanisms. ? Reproduction or use of any contents enclosed must
be requested in writing to the NALBOH office. ?
First Quarter 2006 NALBOH NewsBrief Page 3
YET=
m Tiffany Hinton, DC Liaison
Lobbying is often thought of as something done by large corporations, but anyone can
lobby (conduct activities aimed at influencing public officials and members of a legislative
body on proposed or pending legislation). While there are rules for businesses and
organizations to follow, lobbying can be done by individual citizens and should be thought
of as a basic right. We like to call it advocacy, and we'll ask you to do it throughout the
year on the behalf of public health agencies and boards of health.
x Here's a brief New Year °advocacy" refresher. There are many ways to bring
p„ attention to an issue, including letters to the editor and issue forums. For more
information, visit our web site at <www.nalboh.org/legislative/Legislative.htm>.
F. b ~f M~ r h q
Letters
Letter-writing is one of the most common ways of contacting your legislator. When constituents take the time to write a letter, it shows
that the issue is of great importance to them. Letter writing should be personal. If you use a form letter personalize it, and include
relevant examples and stories from your experiences and community.
Phone Calls
Calling your legislators is a quick way to urge them to act. A phone call is personal and is best for a "quick ask;" urging your representative
to act.
Meeting with Your Legislator
A very effective way to convey your position or message is to meet with a legislator (or aide) personally. Whether in Washington or your
home town, a face-to-face meeting can be very powerful.
Remember that timing is important. Consider yourself an information source - with a request.
can find contact information for members of Congress at <www.house.gov> and <www.senate.gov>, or by contacting the
ted States Capitol Switchboard at 202-224-3121. You can also reach representatives in your home district.
With that said, we begin 2006 with a set back - the 2005 appropriations process delivered funding cuts to many public health programs
(and many are concerned about the expected cuts to Medicaid that will result in higher cost sharing for beneficiaries). Even so,
advocates will aggressively work to prevent further cuts to programs that improve health. NALBOH will continue to advocate for
sustained and increased public health funding, public health infrastructure and workforce development, and tobacco control, among
other things. We hope you'll join us.
Fiscal Year 2006 Health and Human Services Appropriations
The Department of HHS is funded at $63.3 billion - $1.1 billion (1.7%) below the funding level for FY 2005. An additional 1% cut will
be applied, bringing the total cut to 1.7 billion or 2.6% below 2005.
Key cuts include the following:
Health professions training grants are cut $153 million (51%).
The Healthy Communities Access Program is eliminated.
The CDC is cut $249 million (3.9%).
Increases:
NIH receives a 0.7% increase.
Community health centers receive a 3.8% increase.
Other Fiscal Year 2006 Funding
Flu Pandemic Preparedness, $3.8 billion, Defense Appropriations
Global HIV/AIDS programs, $2.8 billion, Foreign Operations Appropriations O
Are you interested in improving the performance of your health agency, board of health, and public health system? You've heard
about the National Public Health Performance Standards Governance Assessment Instrument - give it a try. NALBOH has the
resources to help you get started, help you through it, and help you after completion. You may also want to talk with your health
4V cer about working with you during the process.
If you're already engaged in performance standards, feel free to join us for user's calls (the second Tuesday of each month). Also,
contact us for assistance with performance improvement efforts. You can help create a high performing public health system by
defining and improving your role through the governance assessment and encouraging use of the local assessment. We are here to
help. For more information, call our DC office at (202) 218-4413, visit our web site at <www.nalboh.org/perfstds/nphpsp.htm>, or
e-mail <tifany@nalboh.org>. O
f F
Page 4 - NALBOH NewsBrief First Quarter 2006
SALBOH News
Georgia Public Health Association ALBOH Membership
holds 76th Annual Meeting and 0
g er your 2006 NALBOH membership. A
Honors I Fred Age l OH provides an opportunity for you and your
• Have an input into national health policy;
Receive copies of the NALBOH NewsBrief for each board
member;
• Receive discounts for NALBOH educational materials; and
Participate in NALBOH's exceptional Annual Conference at
a member rate.
;If i "ty
The 2005 annual conference was the biggest and best yet. The
x 2006 annual conference is planned for San Antonio, Texas, July
26-29, 2006. Join NALBOH and be part of this great conference
designed specifically for those serving on boards of health. It will
be co-located with the National Association of County and City
Health Officials.
Join NALBOH now by sending in the membership application
below or return the invoice that was mailed to you in November,
along with payment to: NALBOH, 1840 East Gypsy Lane Road,
The Georgia Public Health Association (GPHA) held its 76" Annual Bowling Green, OH 43402. Call the office (419) 353-7714 if you
Meeting and Conference in Savannah, GA in December 2005. The need a replacement invoice. O
meeting was originally scheduled for September, but was Application for Membership
postponed due to the public health response to Hurricane Katrina. p
The meeting theme, "GPHA: Making a World of Difference" was
carried out with three plenary sessions, 64 continuing education Date:
workshops, 50 exhibitors, the final meeting of the Institute for Membership Year: 2006 (January 1 - December 31, 2006) •I
Local Boards of Health, and an Awards Luncheon. NALBOH
President, Ron Burger presented the Opening Keynote Address.
Board of Health/Organization/Name of Individual
One of the highlights of this year's meeting was the establishment
of the Fred Agel Governance Award that will be given annually for Mailing Address
leadership in the Governance Section of GPHA. It will be given to
a local board of health member who has exhibited strong city Stara Zip code
leadership and involvement in local board activities and activity in
the GPHA organization. rx)Cne Fax mail
Fred Agel is known to many in NALBOH as a founding member. He contaaVa , and nee
is a champion of "leadership in public health," having served as the Check type of desired membership:
Chairman of the DeKalb County Board of Health (GA) for twenty ? Institutional ($120)
years. During his tenure in this leadership and policy-making Any board of health or other governing body that oversees
position, the public health system in DeKalb County was enhanced local public health services or programs or
by many bold changes. One of the most impressive changes was ($95) a local board of health whose state association is
the sucessful bond referendum which was passed by DeKalb County an affiliate member of NALBOH (GA, ID, IL, MA, NC, NE, NJ,
voters paving the way for the establishment of five health centers OH, UT, WI)
strategically located throughout the county to serve as primary ? Affiliate ($300)
care centers for public health services, mental health services and State association of local boards of health (SALBOH)
medical care. The medical component was the result of a O Associate ($60)
partnership involving the Board of Health and Grady Memorial Any individual committed to NALBOH's goals and objectives
Hospital and DeKalb Medical Center. O Retired ($12)
Any former member of a board of health, state board of
Fred was elected to the position of President Elect and will take health, local governing body, state, territorial or tribal board
office as President of GPHA in September, 2006 during the 771" of health
Annual Meeting in Augusta, GA. According to Bill Fields, current O Sponsor ($60)
GPHA President, "His commitment to sound policy, his reputation A non-profit organization, agency or corporation committ~
as an outstanding community leader and his interest and to NALBOH's goals and objectives or
enthusiasm for improving public health in Georgia gives GPHA an ($300) a for-profit organization, agency or corporation
opportunity to continue its work under an expert role model." committed to NALBOH's goals and objectives
0 Student ($20)
Congratulations Fred! O Any full time student committed to NALBOH's goals and
objectives
First Quarter 2006 NALBOH NewsBrief Page 5
Burger left the CDC on February 2, 2006, • Smallpox Eradication Program in Bangladesh
completing over 33 years of service. He
began his CDC career with the Baltimore He actually began his public health career as a
urger Day: It Doesn t City Health Department in sexually teacher in the Peace Corps in Ghana in 1970.
Come with Fries trasmitted disease prevention and control. When a severe outbreak of cholera occurred,
He later worked in Pennsylvania, New York Burger volunteered to assist the Ministry of
February 1st, was City, Connecticut, and Michigan in Health's work to control the disease.
Ronald C. Burger tuberculosis control programs before
y° Day in Rockdale moving to Atlanta to become a senior Volunteer - Red Cross and Board of Health
County, Georgia. emergency coordinator at NCEH. Burger was honored with the Red Cross Clara
Burger, a public Barton Award for Leadership and in 2001 he
health advisor with Disaster Junkie was the Red Cross Volunteer of the Year. He is
- the National Center Burger is a self-proclaimed "disaster on the East Metro Red Cross Advisory
for Environmental junkie." Over the years, he has responded Committee, participates on its disaster team,
Health (NCEH) and to many floods, hurricanes, volcanic teaches CPR/first aid, and teaches youth
the Agency for eruptions, and earthquakes, assisting the programs. He also serves his county of
Toxic Substances state and local public health agencies. He Rockdale a5 the chairman of the local board of
~l and Disease Registry has either helped lead or participated in health. He was awarded the Board of Health
(ATSDR), retired CDC's response to the who's who of Volunteer of the Year Award in 2000.
from the Centers for Disease Control and disasters and outbreaks including:
Prevention (CDC) and also from his volunteer Burger just finished serving as the President of
job as Chair of the Rockdale County Board of 0 Oklahoma City the National Association of Local Boards of
Health. The County Commissioners have Health. He was elected as the vice-president
declared February 1st Burger Day in his honor, 0 Both World Trade Center incidents of the Georgia Public Health Association and
saying "Ron has worked tirelessly assisting was recently appointed by President Bush and
various organizations and emergency service 0 Philly Fever or Legionnaire's disease Governor Purdue to serve on one of the
personnel with response to numerous back in 1976 metro-Atlanta Selective Service Boards. O
disasters and has shown his heartfelt Swine Flu Program in Pennsylvania
dedication to the welfare of others by his
involvement in relief efforts."
• FDA Food Safety and North Carolina Local the components of the system to become
"rules." During this process, some of the
Defense Council Public Health language has changed. Since these rules were
Accreditation System finalized in early January 2006, a
Over the past few months NALBOH has comprehensive "cross walk" of the two
been working with the Food and Drug documents must now be done. This may not
Administration (FDA) on the production of Many points of view were included be completed prior to the publication of this
a three hour satellite broadcast on food throughout the process of developing the article. O
defense in this country. The satellite North Carolina Local Public Health
broadcast is scheduled for March 29"', 2006 Accreditation System. Resources from
and it will be the first of three planned other states were used in developing the Duncan
broadcasts. NALBOH will also have an self-assessment instruments.
Honored
opportunity to highlight the work that NACCHO's definition of a local health
boards of health are doing in the food safety by
and defense programs. As this agency was used as a point of reference in
council moves forward and more finalizing the instrument. We believed that Barberton f4
information becomes available, it will be NACCHO's definition provides the Community
posted on the NALBOH website at framework needed to describe "the work"
of a local health department. Foundation
<www. nalboh.org>. O
The North Carolina self-assessment Barberton City Board
2005 NALBOH instrument is organized around the ten of Health Member
essential services as is NACCHO's definition.
Official Results Grace Duncan was
The standards and activities needed to honored on Novem-
achieve those standards were compared ber 10, 2005 at the
President-Elect: to the language in NACCHO's document. Barberton Communi- H
John Gwinn (OH) (Elected) There was an effort to standardize the ty Foundation's sixth annual Community
North Carolina language and NACCHO's. It Recognition Dinner where she was awarded
Secretary/Treasurer: was not possible to be identical due to
• Gladys Curley (MD) (Elected) the Foundation's Outstanding Citizen Award
uniqueness of North Carolina's Public Health for 2005. Grace has. been on the board of
System, However, the products are very Barberton health for man
First State Affiliate Director similar. y years, has served
Ed Schneider (NE) (Appointed) on the Ohio Association of Boards of Health's
Board of Directors and was President in 2001
In. the 2005 North Carolina legislative and 2002. She is also a past resident of
Southeast Regional Director session, local public health accreditation was NALBOH. Congratulations to Grace on her
James Gallenstein (KY) (Elected) made mandatory and therefore requiring award. O
Page 6 - NALBOH NewsBrief First Quarter 2006
NALBOH Welcomes Lauren Dimitrov,
Tobacco Use Prevention and Control Project Director
I am very excited to be the new Project Director for Tobacco Use Prevention and Control for such
a wonderful organization. I bring a variety of knowledge to the position and am thrilled to have this
opportunity. I received my Bachelors degree in Nutrition from Florida State University in 1999. In
2001, I earned my Master of Public Health from Florida International University. I have been
working in the field of health for nearly six years.
For the past three years, I worked on tobacco use prevention and control initiatives as a
Community Health Educator with the Maryland Department of Health and Mental Hygiene. Over
that time I gained a great deal of experience through a variety of projects. I am also looking
forward to working on chronic disease prevention as I am a trained nutritionist. I have worked in
the field of nutrition, recently completed my dietetic internship at Johns Hopkins Bayview Medical Center, and I am in the process
of becoming a Registered Dietitian.
I am eager to work with the members of NALBOH and our partner organizations. Please do not hesitate to contact me at the DC
office at (202) 218-4412 or via email at <lauren@nalboh.org>, if I can be of assistance to you and your community. ?
Tobacco Revenue and Prevention increasing gap between the tobacco prevention funding from 2002 to
funds states are spending on 2004 and increases in tobacco marketing.
Spending FY 2000-FY 2006 tobacco prevention programs Tobacco companies agreed to marketing
25 and the amounts the cut backs as part of the MSA in 1998, but
zo. 4ir tobacco companies are from 1998 to 2003 the tobacco
20 10' ky" r spending to market cigarettes companies increased their marketing
s s v 2 4 and other tobacco products. spending by 123% to an estimated $15.4
o Tabncc" Nn<nne
u a L a R••*b+s^ billion, according to the most recent
a ¦Tnb."rnPrnm+inn Only four states, Maine, report from the Federal Trade Commissio
{ Spntling Colorado, Delaware and ral'
s
Mississippi
Mississippi -currently fund Please visit <www.tobaccofreekids.org/re-
prevention programs
My yy YY Yy rl' FY Y5' ports/settlements> for the complete
2000 200+ 2002 2003 2004 zoos 2006 at minimum levels recom- report and to see where your state
v n< mended by the U.S. Centers ranks. ?
for Disease Control and
Prevention (CDC). Only 11 State Specific
Annual Report on State states are funding programs at half or more
of the recommended funding, and 35 Prevalence of Cigarette
Tobacco Control states and the District of Columbia fund Smoking and Spending in 2005 programs at less than half the CDC 9 Quitting
minimum or provide no funding at all. Among Adults in the
Campaign for Tobacco Free Kids Collectively for FY2006, the states have
allocated $551 million for tobacco United States, 2004
Since the November 1998 multi prevention in FY2006, which equals Center for Disease Control and Prevention
state tobacco settlement, The Campaign approximately one-third of the $1.6 billion
for Tobacco Free Kids <www.tobacco- minimum that the CDC suggests. The Office on Smoking and Health (OSH)
freekids.org> issues an annual report that Although FY2006 funding does represent' released two articles in the November 11
assesses whether the states are using a an increase from FY2005 funding of $538.2 issue of the CDC journal, Morbidity and
significant portion of the Master Settlement million, this is the first increase in funding in Mortality Weekly Report. The articles are
Agreement (NSA) funds to battle the four years and is still 26.5% less than the titled "Cigarette Smoking Among Adults -
public health problem posed by tobacco use highest funding level in FY2002 of $749.7 United States, 2004;" and "State-Specific
in the United States. The latest report, million. Prevalence of Cigarette Smoking and
issued on November 30, 2005, finds that Quitting Among Adults - United States,
most states are failing to keep this promise. Increasing evidence shows that the recent 2004." Data indicate that the overall adult
The Campaign for Tobacco Free Kids, decrease in tobacco prevention funding is smoking rate in the United States has
American Heart Association, American lessening efforts to reduce youth decreased from 21.6% in 2003 to 20.9%
Cancer Society, and American Lung smoking. In April 2005, the CDC released in 2004. This decrease is not enough t~
Association released the report assessing and the results of the 2004 Youth Tobacco meet the Healthy People 2010 goals and
ranking the states on their funding of Survey, which found that between 2002 lot of work continues to be needed. Pleas
tobacco prevention and cessation programs. and 2004 there was no significant decline go to <www.cdc.gov/mmwr/preview/
The report, A Broken Promise to Our in youth smoking rates, after several years mmwrhtml/mm5444a3.htm> for more
Children: The 1998 State Tobacco of major declines. The CDC attributed the information. ?
Settlement Seven Years Later, reveals an lack of progress to the 28% cut in state
First Quarter 2006 NALBOH NewsBrief Page 7
Tobacco-Fr USAConrlnuea As part of the campaign, R.J. Reynolds mails Youth advocates from around the
Landmark California an envelope to individuals on their birthday country contributed to the new and
EPA Report Confirms which reads: "Camel - It's your Birthday. improved Activity Guide, and CD ROM,
Drinks on us" Inside the envelope are six sharing activity and event ideas for
Dangers of different drink coasters, each with a recipe youth of all ages. The free KBD guide,
Secondhand Smoke for mixed drinks with high alcohol content CD ROM and additional materials at
and tag lines that promote excessive and <www.kickbuttsday.org> can serve as an
Americans for Nonsmokers' Rights irresponsible drinking such as, "Layer It On important resource not only on KBD, but
- Go 'Til Daybreak;' "Mix Three Shots also throughout the year. Youth share their
A new report from the California Together Over Ice, Then Make Sure You're stories and experiences that you can use
Environmental Protection Agency (Cal-EPA) Sittin' One recipe calls for 5 shots of rum and share with your community.
on the health effects of secondhand smoke and reads "Kiss Your Worries Goodbye."
is now available online at <www.arb.ca.gov/ KBD not only serves as' a chance to
toxics/ets/finalreport/fnalreport.htm>. The "If anyone needed further evidence that educate youth about the dangers of
report, "Proposed Identification of R.J. Reynolds has not changed, this latest tobacco, but also acts as an opportunity
Environmental Tobacco Smoke as a Toxic marketing campaign should provide proof," for youth advocates to take matters into
Air Contaminant;" confirms and expands the said Matthew Myers, President of the their owr) Bands and achieve real results in
science on the hazards of environmental Campaign for Tobacco Free Kids. "Binge the field of tobacco prevention, control and
tobacco smoke exposure in both adults and drinking is a major public health issue education. KBD encourages activism and
children. nationwide, especially on college leadership with rallies and events taking
campuses, which makes this campaign even place in every state, and several nations.
New findings in the Cal-EPA report, Part B more appalling," said J. Edward Hill,
include: a causal link between secondhand President of the American Medical On KBD thousands of advocates will
smoke exposure and pre-term delivery; Association. "Research shows the adverse organize a variety of activities to expose
asthma induction in adults; breast cancer in health impacts of smoking and alcohol are and counter the tobacco industry's
younger, primarily premenopausal women; increased when these two addictive powerful promotional strategies aimed at
and altered vascular properties. Part A of products are used together." youth. Some of the past activities include
the report contains the first ever outdoor youth-led rallies in state capitals, surveys of
monitoring of secondhand smoke exposure Attorneys General Spitzer, Lockyer and tobacco advertising in local stores and street
near designated smoking areas in California. Curran wrote to Reynolds in November, activism events. In 2005, more than 2,000
The report has gone through an demanding that the company discontinue events across all 50 states generated
xtensive, four-year scientific review the program because of the public health hundreds of television and newspaper
ocess, including public comment and an concerns. The Attorneys General's letter stories.
ndependent peer review. also referred to scientific research showing
that the combined use of cigarettes and Order your free Kick Butts Day Guide
Local and statewide smokefree workplace alcohol presents health risks over and above and register events at
laws are now in effect for approximately the risks posed by smoking alone. <www.kickbuttsday.org>. Visit the
36% of the U.S. population, but 64% "Activities" section of the website
are still unprotected from exposure. The drink coasters specifically mention for additional materials that are
Americans for NonSmokers' Rights (ANR) well-known brands of alcohols. All four only available in the KBD online activity
<www.no-smoke.org> expects the national distillers indicated that they previously were guide. O
trend toward smokefree air to continue not aware of the promotion and noted that
moving swiftly in light of the mountain of the promotion would violate the alcohol What's Happening in
scientific evidence identifying the dangers industry's advertising code. The distillers
of secondhand smoke and the success of have all written to Reynolds, stating that Your Area?
smokefree air laws that have already been Reynolds has violated their trademark rights Americans for Nonsmokers' Rights
enacted in the U.S. and internationally. O and demanding that Reynolds "cease and
desist" the promotional campaign, or face Smokefree air activity is taking place all
R.J. Reynolds Stoops to potential litigation. Reynolds has refused across the United States. Ten states, with
New Low with those requests. O Washington being the most recent, and
more than 4,800 municipalities now have
Camel Ad Campaign smokefree workplaces, restaurants, or bars
Joe Cherner, thanks to either local or statewide
SmokeFree Educational services, Inc. (gD smokefree air laws. Those numbers are
constantly increasing as people take action
A new advertising campaign for Camel to protect their community's citizens,
cigarettes, the second-most smoked Kick Butts Day employees, and visitors.
cigarette brand among teens, has raised The Association for Nonsmoker's Rights
the awareness of three state Attorneys On the 11th annual Kick Butts Day (KBD) website <www.no-smoke.or > offers
~neral. In a letter to R.J. Reynolds, New thousands of kids in every state and around information about secondhand smoke land
rk Attorney General Elliot Spitzer, the world will STAND OUT...SPEAK UP... and
Maryland Attorney General J. Joseph SEIZE CONTROL in the fight against Big smokefree air developments in your state
Curran, and California Attorney General Bill Tobacco. Kick Butts Day is the Campaign and resources to enact laws in your
Lockyer demand an immediate end to the for Tobacco Free Kids' annual celebration communities. Just select your state from
campaign. of youth leadership and activism and will be the menu to view state-specific news, links,
and other resources. O
April 5, 2006.
a
_ y 4
Page 8 - NALBOH NewsBrief First Quarter 2006
9 z 1
7gulf What is the Public Health Problem?
zz Molds can gradually
disasters have produced many environmental public health' a c a destroy the things they
the concern for mold exposure. Molds are organisms that are i o grow on. You can
found in virtually every environment and can cause or worsen certain illnesses I prevent damage to your
if the mold or mold spores are inhaled or touched. These illnesses include home and furnishings,
asthma, allergies, and other breathing conditions. Allergic responses to mold I v save money, and avoid
include sneezing, runny nose, 'red eyes, and dermatitis. Mold exposure can I ° potential hearth
also irritate the eyes, skin, nose, throat, and lungs of both mold-allergic and 4Orz' problems by controlling
non-allergic people, Individuals with immune suppression are also more moisture andelirninaling
susceptible to infections from mold exposure. In certain cases, molds Magnified mold spores. mold growth.
produce potentially toxic substances called mycotoxins that are harmful to L -Source: U.S. Environmental Protection Agency (EPA)
US.
In the past few years, much more attention has been focused on mold but, as of today, many questions remain unanswered. The
Centers for Disease Control and Prevention (CDC) is currently in the process of developing an agenda for research, service, and education
related to mold. For more information on the agenda or illnesses associated with mold growth, please visit the CDC website at
<www.bt.cdc.gov/disasters/mold/>. ?
Changes in Quarantine Rules Proposed
CDC officials are proposing several changes in federal quarantine rules, the first significant changes in 25 years. The proposals, published in
the Federal Register on November 30, 2005 will strengthen and clarify existing federal quarantine regulations. If adopted, the changes will
broaden the definition of illnesses covered under federal quarantine regulations, clarify the appeals process for individuals who are
quarantined, and give health officials clear authority to administer drugs, vaccines, and other means of prevention on a voluntary basis.
The rules will also make it easier for federal officials to access airline and passenger ship manifests. Airlines will be required to keep electronic
copies of passenger manifests for 60 days, a need that was discovered when the CDC worked with airlines to collect information after the
2003 SARS outbreak. Epidemiologists found that airline manifests and customs declarations were often incomplete or illegible. "The ti
required to track passengers was routinely longer than the incubation period [for SARS]. That was really quite shocking;" said CDC's~r
Martin Cetron. CDC officials are inviting public comment on the proposals, which can be viewed at <www.cdc.gov/ncidod/dq/>. ?
Public Health Preparedness Online Training Courses Available
The University of Minnesota Center for Public Health Preparedness, with support from the Centers for Disease Control and
Prevention (CDC) and the'Association of Schools of Public Health, has developed a series of free awareness-level online emergency
preparedness training modules. The content is applicable to a wide range of public health emergencies, including natural and
man-made disasters, emerging infectious diseases, and bioterrorism. Topics include disaster mental health, special populations, Personal
Protective Equipment (PPE), decontamination, isolation and quarantine, contact investigation, and disease surveillance.
Individual modules take approximately 20 - 40 minutes to complete and can be studied in any order. Participants should allow four hours
for the complete series, including the final quiz. Each module explains concepts, terms, and procedures that relate to basic emergency
preparedness. Multi-media modules use text screens, screens with audio, interactive screens, and learning exercises with feedback. To
begin the modules, log on to 4vyww.sph.umn.edu/umncphp/phet.html>, complete the optional participant data form, and take the 15
question, true or false and multiple choice pretest. The website also describes system requirements for taking the course and explains
how module completion contributes to the development of a subset of the Bioterrorism/Emergency Readiness Competencies created by
Columbia University and the CDC. ?
Land Use Planning for Public Health Requests for Articles and
- Meeting Announcements
NO% NO NALBOH is very pleased to offer (free to members) its
~Gl+1 latest educational guide, Land Use Planning for Public Health: NALBOH publishes articles about the successes,
The Role of Local Boards of Health in Community Design and Development. It is challenges, and accomplishments of boards of health
designed for local board of health members and others interested in ensuring that as well as upcoming conference announcem
their community's land use planning decisions do not compromise the public's health. and meeting dates. To submit an articl )J
The Atlanta Regional Health Forum (ARHF) <www.arhf.net> and the Atlanta announcement, please contact the NALBOH oi'e
Regional Commission <www.atlantaregional.com> collaborated with NALBOH on at 1840 East Gypsy Lane Road, Bowling Green, OH
the creation of this guide. This project will also introduce local boards of health to 43402, fax to (419) 352-6278, or email us at
Health Impact Assessments. Health Impact Assessments provide a practical <nalboh@nalboh.org>. A NewsBrief submission
framework for identifying health problems in a community and ways of addressing form is available online at <www.nalboh.org/news-
them. ? brief/newsbrief.htm>. ?
First Quarter 2006 NALBOH NewsBrief Page 9
g 1 Submission Deadline:
Monday, May 15, 2006
Positions for Nomination:
O President-Elect 0 New England Regional Director
Must be a current NALBOH board of health member for at Must be a current NALBOH board of health member from
least 2 years and a current member of the NALBOH Board CT, MA, ME, NH, RI or VT.
for at least 1 year O West Great Lakes Regional Director
O First State Affiliate Director Must be a current NALBOH board of health member from
O Second State Affiliate Director IA, H, MN, MO, ND, or WT
Must be a member of the Governing Board of an affiliate 0 West Regional Director
member (SALBOH) who is a past or current member of a Must be a current NALBOHtboard of health member from
local board of health. AK, AZ, CA, ID, Hl, MT, AT OR, UT, or WA
Candidate's Name:
Occupation:
Education/Degrees:
Address:
Home Phone: Work Phone:
and of Health Candidate Serves:
ars of Service: Office(s) held (board of health, state, national):
Is your board of health a member of NALBOH? Yes No
Specific Skills:
Contributions made to local public health and the community:
(Optional)
Nominator: Title:
Address: Phone:
• Please attach curriculum vitae or resume, if appropriate.
Mail or fax nomination form to:
National Association of Local Boards of Health
1840 East Gypsy Lane Road, Bowling Green, OH 43402
Fax: (419) 352-6278
d
v
Page 10 - NALBOH NewsBrief First Quarter 2006
Submission Deadline:
Tuesday, May 30, 2006 ~y
? Rev. Everett Hageman Award
This award, named for one of the founding members of NALBOH, is the most prestigious award given to a
current or past board of health member who has demonstrated outstanding leadership on a local board of
health and commitment to and enthusiasm for local public health.
? State or Local Health Officer/Commissioner/Director Award
This award is given to a current state or local health official who has: (1) contributed significantly to state or
local public health; (2) contributed to the training, support and strength of a local board of health or state
association of local boards of health.
? Legislator of the Year Award
This award is given to a national leader who: (1) is currently serving in the United States Congress; (2) has
shown outstanding leadership in promoting public health; (3) has sponsored or contributed significantly to
bills championing public health issues.
? Regional Director Award
This award is given by each Regional Director to a current or past local board of health member who has donated
significant time and energy in supporting state and/or local public health issues.
Nominee's Name:
Occupation:
Address:
Home Phone: Work Phone:
Nominator: Title:
Address: Phone:
i
Board of Health/Department:
Offices & Committee Positions:
Legislative or Department/Board of Health Services:
Outstanding Achievements:
Examples of Public Health Enthusiasm/Support:
F
Involvement in Other Community/State/National Activites:
Please attach other pertinent information as necessary (two-page limit)
Send nomination form to: National Association of Local Boards of Health
1840 East Gypsy Lane Road, Bowling Green, OH 43402
Fax: (419) 352-6278
First Quarter 2006 NALBOH NewsBrief Page II
NAIBDN-
Grass Boots
MdV April 2006
7th Annual Ned E. Baker Lecture in Public Health
Engaging the Public in Public Health
April 7, 2006
Featured Speaker: Dr. David Mathews, President of the Kettering Foundation,
Former Cabinet Secretary
Sponsored by National Association of Local Boards of Health and Bowling Green State University
For more information visit <www.nalboh.org>
David Mathews is president, chief executive officer, and trustee of the Kettering Foundation. Before
coming to the foundation in 1981, Dr. Mathews served as U.S. Secretary of Health, Education, and
Welfare in the Ford administration. From 1969 to 1980, he was president of The University of Alabama,
where he also taught history for 15 years. Dr. Mathews is a board member of the Academy for
Education Development, the National Civic League, and Miles College. He is also chairman of the
Council on Public Policy Education, a trustee of the Gerald R. Ford Foundation, and serves on the
executive committee of Public Agenda. An author of books on education and political theory, Dr. Mathews has also written
extensively on such subjects as southern history, public policy, and international problem solving. His most. recent books are Why
Public Schools? Whose Public Schools? Is There a Public for Public Schools.2, and Politics for People: Finding a Responsible Public
Voice. ?
May 2006
United States Public Health Service Professional Conference
ay 1-4, 2006
Saint Marks Hotel, Denver, Colorado
Sponsored by the Commissioned Officers of the USPHS Association
The U.S. Public Health Service Professional Conference is the pre-eminent event of its kind in the nation offering an incomparable
range of continuing education seminars on the latest trends and innovations in public health care delivery, administration and
research.
i
For more information visit <www.www.coausphsconference.org/index.htm>
33rd Annual International Conference on Global Health
Excellence, Innovation and Influence: Pathways to Results
May 30 - June 2, 2006
Omni Shoreham Hotel, Washington, DC
Sponsored by the Global Health Council
For more information visit <www.www.globalhealth.org/conference/> j
Community-Campus Partnerships for Health 9th Conference
Walk the Talk: Achieving the Promise of Authentic Partnerships
May 31 - June 3,2006
Hyatt Regency Minneapolis Hotel, Minneapolis, MN
Sponsored by Community-Campus Partnerships for Health
For more information visit <www.ccph.info/>
Future Events 2006
NALBOH's 14th Annual Conference
Public Health Touches Everybody, Everyday, Everywhere!
July 26-29,2006
Sheraton Gunter Hotel, San Antonio, Texas
Sponsored by National Association of Local Boards of Health
Co-located with the National Association of County & City Health Officials
For more information visit <www.nalboh.org>
d
Page 12 - NALBOH News Brief First Quarter 2006
Q6~ .aa
She a'ton®Gunter- Hotel!
205 drat tioustunStreef San Antonio, Texas 78205 Telephom: (210) 227.3241 Fez: (210) 227-3299
Toll Freeserys&k(989) 999.2099
k~l
is
National Association of Local Boards of Health
National Association of County & City Health Officials
"Public Health Touches Everybody, Everyday, Everywhere!"
July 26 - 29, 2006
Co-located Annual Conference
The Sheraton Gunter Hotel is a historical San Antonio riverwalk hotel near the San Antonio convention center,
riverwalk restaurants, the alamo, theater district, and downtown San Antonio attractions.
For more information on the Sheraton Gunter Hotel visit <www.gunterhotel.com/gunterhome.html>.
For more information on NALBOH's 14th Annual Conference, visit our website at <www.nalboh.org>.
11 1
National Association of Local Boards of Health NON PROFIT ORG.
1840 East Gypsy Lane Road U.S. Postage
N A L B O H Bowling Green, OH 43402 BowlingPGOeen, OH
E-mail: <nalboh @ nalboh.org> Permit No. 47
Website: <www.nalboh.org>
r`
_ ~ = = Little Mouths Create Big Challenges
Mobile Dental Unit On The Waw-u y
,NEW HANOVER COUNTY. HEAD North Carolina has one. of the worst There have been 4 elementary schools
dentists to population ratios .in the nation. identified in New Hanover, and 2 tot i'
{ ! If we doubled the number of dentists in our state Brunswick County. The dental unit will
we would still not be at the national average. arrive at Rachel C. Freeman Elementary
1 That spells trouble for Medicaid recipients-and next 'month. This program should
the uninsured. The result is dental neglect and accomplish three main goals: provide a
people eventually crowding local emergency dental home to Medicaid children, offer
rooms for dental extractions, which is expensive low cost treatment to the uninsured, and".
dental care. provide some free treatment to children in l
hardship situations. This program should
` New Hanover County is fortunate to have .have an instant impact on the lives of the
some dental providers that do accept Medicaid children in Brunswick and New Hanover
patients. However, the growing number of counties..
Medicaid, undocumented and uninsured i
_.r..._. - Artist rendering of. our - r.. -
children has created a situation where providers Mobile Dental unit
cannot meet the current demand. New Hanover and Brunswick county
officials are sensitive to this situation. There are over 18,000 children ases
birth to 18 on Medicaid between the two counties. That number. rise to
over 27,000 when the uninsured children and those on NC Health Choice are
added into the equation.
New Hanover and Brunswick County Health Departments have teamed
up to develop a mobile dental unit program that will set up at local elementary E _ ®
schools in both counties to address this growing need.. Grant funding has _ .F
been received from the Kate B. Reynolds Charitable Yrust ($311,000), the
Cape Fear Memorial Foundation ($175,000), and the Cape Fear Area United
Way ($38,000) to construct a state of the art mobile dental unit. The unit is
.53 feet long, $ feet wide,.with three chairs and a full dental staff to include
a dentist, three dental assistants and a support position. Construction began
in December 2005, with a scheduled delivery of May 2006.
Hours of Operation for Main Office: NEW HANOVER COUNTY
.I . office Hours: Monday-Friday, 8:00 a.m. 5 p.m. HEALTH DEPARTMENT
a Clinic Hours: Monday - Friday, 8:00 a.m. - 4:30 p.m. BOARD MEMBERS
" o~QPo- Extended Clinic Hours: Tuesday evening until 7 p.m. Donald P. Stake, Chairman, Public Member
NEW HANOVER-COUNTY HEAV" Se Habla Espanol Edward Weaver, Jr, OD, Vice Chairman, Optometrist
Servicio de Interprete Gratis
Marvin E. Freeman, Sr, Public Member
New Hanover County Offsite locations' James R. Hickmon, RPh, Pharmacist
Health Department Cheryl Lofgren, RN, Nurse'"
2029. South 17th Street Animal Control Environmental Sandra L. Miles, Dos, Dentist
Services Health Services Nancy H. Pritchett, County Commissioner
Wilmington, NC 28401 180 Division Drive 230 Marketplace Drive Robert M. Shakar, MD, Physician
phone 910.798.6500 Wilmington, NC 28401 Wilmington, NC 28403 John N.'n,nstalt, PE, Engineer
910-341-4197 910-798-6667 Stanley G. Wardri
fax 910.341.4146 (located in County Annex at y p, Public Member
www.nhchd.org Market Place Mall) - G. Robert Weedon, DVM, Veterinarian
Janelle Rhyne, MD, Medical Consultant
I
0
8
+ W The NOW and Then of New In celebration of the 2006 National Laboratory :Week Celebration April 24-28, we would
c
• like to introduce the Laboratory team. They represent a total of 120 years of laboratory
.XAXEVEPCOUNT, «EPO" Hanover County Health- experience. There are three board certified ASCP (American Society of Clinical Pathologists)
'.Department Laboratory phlebotomy technicians, Sheila Jamerson, Lucretia Cox, and Margaret McGrath. The
medical technologists are Mitzi Chappell, MT and Donna Little, MT (ASCP). Patricia Holt,
MT (ASCP) serves as the lab supervisor. The laboratory is fully staffed five days a week.
Patricia Holt, MT (ASCP), Medical Laboratory Supervisor
Tests are performed under the guidelines of the national Department of Health and Human
be New Hanover County Health Department (NHCHD) laboratory has come a long Services Center for Medicare and Medicaid Services. A typical day includes 30. blood
way since it began operations in the early part
counts, 18 gonorrhea cultures, 12 HIV tests, 20 syphilis tests, and 7 lead tests.
of 1970. Diane Vosnock, retired Lab Director, -
0.~•vs r remembers when she began in 1974. Then,the Why is there a need for so much lead poisoning testing? At any one time 4-5 children in
lab was located in the basement of a building this county have toxic levels of lead, despite the fact that lead is no longer added to paint
on the comer of Princess and 4th Street. She
- ~ i or gasoline. Children can absorb five times more lead than adults. The goal is to screen .
added "at that time we used glass syringes, children with toxic levels and then work to reduce their exposure. Children and adults most
washed them between patients and reused them. likely to be exposed are living in homes built before 1950 that still have lead-based paint in
We didn't have AIDS back then." In the early them. Last year approximately 2000 people were tested for lead exposure.
days, the lab also tested milk for local dairies. - -
!f It is speculated that prior to 1970, blood and How is someone tested? The laboratory will examine a small sample of blood to determine
urine tests were processed by the local hospital if there has been any lead exposure. No appointment is needed. The test is free for children
`w laboratories. In 2006, almost everything used '
ages 12 months up through age S.
is disposable and there aren't any more dairies
` in New Hanover County.
`
The NHCHD laboratory has been nationally Causes of Lead Poisoning
t
certified for over 35 years. We are rigorously Lead poisoning is a condition caused by swallowing or inhaling lead. Even small amounts
inspected and accredited by the Clinical of lead can be harmful, especially to young children. Children can be harmed by lead
'aboratory Improvement Amendments license every two years. Our commitment to regardless of where they live, their family's economic background, and their race of ethic
eperuse has won. recognition throughout the state. background. Millions of U.S. children are affected and may be exposed at home, school,
day care, or in playgrounds. Many children in New Hanover County are affected by lead
and some are poisoned. Fortunately, lead poisoning is preventable.
n ~y
,To Hellp PirevenlL Lead PoisoninIge Signs of lead poisoning are not always obvious, but a simple blood test can determine if
1L11 your child has been exposed. Even small amounts of lead can cause severe and permanent
• Wash your child's hands and face often damage. Blood testing is free and available on a walk-in basis at the New Hanover County
Health Department. It is recommended that children be tested at ages twelve and twenty-
four months, but all children under the age of six years should be tested at least once.
• Wash toys frequently. - a
• Feed children three healthy meals and two or three snacks daily.
Clean surfaces in the house often and thoroughly with soap and
water. Change rinse water often. •0 ® 0 ® & Z.
Encourage-children to play in safe, grassy areas. ® , p p
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• Don't let your child puts toys or small objects in his or her mouth s=
or chew on painted surfaces or woodwork. - as
IF'0S0bRe S®un1rees OT LLead nIMC n(Ifeo
• Lead-based paint • Plastic mtniblinds Thg specialist d%
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• Dust and soil • Fishing & Hunting supplies j the microscope `
- • Pottery Car batteries A laboratory at the forefront
• Jewelry
• Folk medicines of patient care. Wilmington _
Imported goods
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For Moire Rnfformafnon
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Call the New Hanover County Health Department's Childhood I,t Al D. Y VIA P, 45M1im. N D. F GA P ; tAH G.Nn M L A FCAP F-.CP a F gym,„ L klmv. 110. P 11
t2ibaPM IA McNvmX.MII, MU FI C P. MnF,(~O ILmm,JP, M.IT, I(:A.Y.FASCY WlminplpnminVm 1 ,
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Lead Poisoning Prevention Program at 798-6612. ' X'-~A(tlWYgcUU. HCABKASCY.
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New Hanover County Health Department
Phone 910:798.6500 .
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The New Hanover County Health Department is now offering Tuesday evening hours for clinic services. In an effort to provide
more options for our customers, our doors will remain open until 7:00 p.m. every Tuesday. We continue to offer same day
HEW HIXYVE4 [UYH YMEPVtV '
appointments. Services that are available on Tuesday evenings include: physical exams for women, men and children through our
STD, women's health and child health programs. The services are by appointment only and may include lab work and additional testing for
children (hearing screening, vision screening, developmental screening). Fees are applied based on one's ability to pay. A sliding fee scale is
based on the household income. We accept cash, check, credit and debit cards and can workout a payment plan for those who have difficulty
paying the full amount. ALL STD services arefree of charge. To make an appointment call 798-6500 and select option #2.
.
Maternity Care at a high-risV home visit by the public health nurse if ordered Empty Bowls Raises,
. by a physician. Referrals are given to the mothers for WIC a
NHCHD (Women, infants, and Children) and Medicaid. Awareness and Funds
Another branch of Maternity Care Coordination consists of BOWLS
The New Hanover Count Health B y' ~ „ o .
County two Maternal Outreach Workers, who. o out into the-cit s !
Department's Maternity Care neighborhoods to help the MCC's clients with needs and Good Shepherd Ministries and Mother Hubbard's
Coordination (MCC) Program is concerns that the client herself has identified. Learning the Cupboard shared more than $28,000 as a result of !
probably not as well-known as some transportation system, finding a job, getting a high school the hard work of many area volunteers. On March
,A of our other divisions, even though it diploma, and applying for housing are just some of the 16th and March 17th respectively, a number of New
Hanover County -Health Department employees
l+s , f,serves avery important (and vulnerable) issues on which they work. Their goal is to help alleviate the
population: mothers and [heir babies. stressors that may occur during a pregnancy which can impede participated in Fancy Bowls and Empty Bowls. Help
- Mandated by the state of North a successful delivery.' ranged from active participation on the planning
_ Carolina's "Baby Love" initiative, Others services include committee, selling and buying tickets to both events,
- the is staffedb a team of d in this program are health and
program y behavior interventions by a licensed clinical social worker picking up and delivering soup, bagging bowls and
registered nurses-and social workers - clearing tables.
.who are out-posted to New Hanover Regional Medical Center's who deals with substance abuse, domestic violence, mental
health conditions, andother social issues. Nutrition services The Health Department had an extra desire to.help
Coastal OB/GYN Clinic, Cape Fear OB/GYN, Coastal Family to raise awareness and funds to help those who are
Medicine and NHC ISepartment of.Social Services. Our staff by a registered dietician are also included in the program. N Matemity_Care Coordination Program incentives are monthly hungry. Among the programs at Good Shepherd
meets with clients at these locations at least once a month teen car seat d Ministries is a New Hanover Count Health
throughout the woman's pregnancy and up until about two drawings, "Baby Bucks" Boutique and Learning y
. months after the baby is born. - ~ Center shopping and educational classes, childbirth classes, . 'Department satellite clinic. Every day, healthcare
monthly car seat safety classes, and gift packs. providers work with clients who have experienced
Whether or not a woman -chooses to enroll in the MCC The most important goal of each MCC-client pair is a healthy life-threatening consequences of hunger and
Program is strictly voluntary. For the women. who do choose culminating l the birth C of a- l strong and healthy deprivation.
ork with a Care Coordinator, the results can be very pregnancy
A.rrding. In an atmosphere of caring, support and teaching, baby. _ Empty. Bowls and Fancy Bowls were two
community events that featured pottery bowls as
each woman's needs and goals ,are assessed. The maternity Cristy O'Herron, R.N., B.S.N. symbolic of the many people who face hunger every
coordinator and client develop a,plan which will empower the day. Empty Bowls drew more than 1200 people who
mother to begin achieving-her goals. - Some of these goals may
include emotional support,•obtaining baby items, parenting For more information on these. and other Maternal Health chose a bowl made by local potters and ate soup
programs, please view our website at www.nhchd.org. contributed by area restaurants. Each left with an
skills, baby care, etc. Each participant in the program receives - "empty bowl". Fancy Bowls featured a silent auction
monthly contact, a home visit from the public health nurse of special pottery in addition to hors d'oeuves and
after mom and baby are discharged from the hospital, and entertainment -
, V AG, ' ',..re ~ '•>.Y., x~ aj,*~ °N ~ .µM1 S ma {~tvmccH'a s, .rn, rieaffi
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with emphasis on patient comfort, al l Park",, 311) &
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using the latest technologies,, and also Liza Hay ,vard, CC C,4
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t' maintaining the highest quality of
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continued education for our staff
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New Patients Welcome!
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DENTISTRY
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- ' .Sandra L. Miles, DDS, PA 1 North 16th Street on the corner of Market & 16th Q0~ ~7f~ta8.fad3h =£t
New Hanover County Health Department
Phone 910.798.6500
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10010/0 smokefree
Wilmington' Brunswick County f
A Slice of Life Pizza and Pub D & U Diner- - Lake Shore Commons _ Archibald's Deli New China
A Southern Thyme Dairy Queen Le Catalan Beaches Burgers Oak Island Restaurant
A Taste of Italy David's Deli and. Restaurant Lovey's Natural Foods BHI Clubhouse Ocean Aire Market
Andy's Cheesesteaks Deli Downtown - Lucky Star Captain John's Seafood Ocean Isle Beach
Antonios Pizzeria Dick's Dogs and Burgers Lupita's Bakery Captain Nance's Seafood Pharmacy Restaurant
Arab Shrine Club Dog House Manhattan Bagel Captain Pete's The Pierhouse Restaurant
Arby's Dunkin Donuts Marriott Courtyard Cook's Nook Sandfiddler Restaurant
Arttsan Market and Caf6 Echo Farms Country Club Mayfaire Cinemas - Derbster's Dining Ship Chandler Restaurant
Atlanta Bread Company Everyday Gourmet McDonald's' - Double Eagle Grill Shirley's Diner
Bagel Basket Fathoms Mellow Mushroom Dry Street - Subway
Bagel Oven Cafe Fire Bowl Meritt's Burger House - Eric's Grill Sugar Shack
Barnes and Noble Cafe Flaming Amy's Minch Sushi _ Famous Subs and Pizza Szechuan Panda l
Banyan Folk's Cafe Ming Tree - The Fish House Table One II
Bear Rock Cafe French's Classic Burgers Moe's Southwest Grill Granny's Cream Tavern On the Green
Bellas Sweets and Spirits Frontier Food to Go Montego Bay _ Hardee's ' Thai Peppers Restaurant 1
Bento Box Genki Japanese Restaurant Nagila Hill's Deli Tony's Pizza I
Blimpies Subs Golden China Nikki's Fresh Gourmet mmlsw" Ice Cream By the Beach Twin Lakes Bojangles GoldenDragon Nino's Pizza and PastaOLas Palmeras Whale of a Time Bon Appetit Good Goody House NoFo Cafe T Lucky Fisherman Wilson Old Fashion
Boodles Gumb s Pizza Pizza Pan w
y' • Mama B's The Winds Coffee Shop'
Brasserie Du Soleil Han-dee Hugo Quizno's Subs McDonalds -
Brigade Boys and Girls Club Hardees. Ray's Restaurant' Meadowlands Golf Course
Brightmore Hibachi Express South College Sandwich Mr. P's -
Brooklyn Pizza Company Hollywood East Cinema Grill. Spiro's Breakfast and Lunch t
Burger King Honey Baked'Ham Company Steak Escape
Cafe at Temptations 1 Love NY Pizza . Subway Carolina Beach Wrightsville Beach
Cameron Art Museum Indochme Restaurant Taco Bell Cottage
Mercer's Restaurant
Captain Bills Invista Tailwind Deli News & Gifts Courtyard By Marriot - Verandah Cafe-Holiday Inn I
Carolina BBQ Jackson's Big Oak BBQ Tango Du Chat Frank's Pizza Vito's Pizzeria
CFCC Food Court Jellybeans Target Food Avenue Generations
Charlotte's Uptown Eatery Jersey Mikes Terrazzo Granny's Country Kitchen I
v Checkers Jeters Java The Woods at Holly Tree Hardees
Chick fil A Jeters at the Mall Tokyo Deli Kate's Pancake House - Castle Heyne
China Garden Jeters Hot Dogs, _ Two Guys Grille Mama Mia's - '
China King Joe Muggs UNCW Cafeterias _ Michaelangelos Pizza Hardees of HWY 117
China One - Jones Seafood House Verizon Wireless Cafeteria Michael's Seafood
China Star Jungle Rapids Wendy's Ocean Grill and Tiki Bar
China Wok K Cafe What's Cookin' Subway _
Chopstix Express Ken's Bagels and Deli Wilmington Ice House Top Wok '
Chuck E Cheese Kohl's Frozen Custard _ Wilmingtonian/Percy's
Cici's Pizza Krazy Pizza Wrightsville Cafe Look for this logo on the NHCHD website for the most current list of area.
City Club Cabbies KS Cafe and Catering Zero's smoke-free dining establishments. Ifyour favorite smoke-free restaurant is
not on the list, please call Project ASSIST at 910-798-6548 and let us know!
New Hanover County Health Department
Phone: 910.798.6500
• MEW W.NX~V U EN~1N
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