02/06/2008
New Hanover County Healtty C)epartment
Revenue and Expenditure Summaries for December FY 2007 - 2005
Cumulative= 50.00%. Month 6 of '12
Revenues
Current Yaar Prior Yaar
Type of Budgeted Ravanu. Balance °/u Budgatad Ravanua Balance %
Ravanua Amount Earned Remaining Amount Earned Remaining
Federal S Slate 1.962.630 1.211.338 $ 751,292 61.72% 1.942.005 1,161,814 $ 780.191 59.83%
AC F... 642.661 313.952 $ 328,709 48.85% 611.161 315.432 5 295,729 51.61%
Medicaid 1.569,058 471,227 $ 1.097,831 30.03% 1,546,994 498.538 $ 1,048,456 32.23%
Matlicaid Max 309,128 0 $ 309.128 0.00% 310,000 0 $ 310,000 0.00%
EH Faes 310.000 112,569 $ 197,431 36.31 % 310,000 90,692 $ 219.308 29.26%
Health Fees 359,700 163,924 $ 195,776 45.57% 250.200 140.306 $ 109,894 56.08%
Health Choice 35,125 14,852 $ 20.273 42.28% 35.125 9.227 $ 25.898 2027
Other 3.762.812 1.734,823 $ 2,027,989 46.10% 2,797,261 1,321,432 1 1.475,829 47.249
Totals $ 6.951.114 $ 4,022,664 $ 4,928.430 44.94% $ 7,802,746 $ 3,537.442 $ 4,265.304 45.34%
Expenditures
G arrant Yaar Prior Yaar
yr Typa o1 Budgeted Expanded Balance % Budgeted Expanded 13.1.... V Expenditure Amount Amount Remaining Amount Amoun[ Ramatn{ng
Salary a Fringe 13,633,959 5.684,412 $ 7.040.547 41.699/. 12,163,729 5,152.405 $ 7.011.324 42.36%
Operating 2,465,133 909.638 T. 1,555,495 36.90% 2,274,248 781,291 $ 1.492.957 34.35%
Capital Outlay 40,900 5.816 $ 35,084 14.22% 88,585 32,690 $ 55,895 36.90%
Totals $ 16.139,992 $ 6,599.866 $ 9.540.126 40.89% $ 14.526,562 $ 5,966,386 5 8,560,176 41.07%
Summary
sudgat.d Actual %
FY 00-07 FY 06-07
inge 13.633.959 5,684,412
r-J."..a :
2.465.133 $ 909,638
40.900 $ 5,816
itures 16.139,992 $ 6.599,866 4089%
$ 8,951,114 $ 4,022,684 44.94%
Nat County $ 7.188,878 $ 2,577,183 35.85%
Revenue and Expenditure Summary
For Cl.. Month of December 2007
7
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 07-08 and FY 06-07
Date (BOH Grant Requested Pending Received Denied
1/2/2008 Smart Start - New Hanover County
Partnership for Children - Child Care
Nursin Program $196,500 $196,500
Maternity Care Coordination - North
Carolina Department of Health and Human
Services funds to provide Maternity Care
Coordination services to non-Medicaid eligible
clients $17,580 $17,580
12/512007 HIV/STD Prevention Outreach - North
Carolina HIV/STD Prevention and Care
Branch - total of multi-year funding thru May,
2010 $175,000 $175,000
Family Counseling Services - Cape Fear
Memorial Foundation continuation funding for
1 year (of a possible 3 years) $53,000 $53,000
11/7/2007
Living Well - Additional funds added to
original grant to complete winter edition of
newsletter - Cape Fear Memorial Foundation $650 $650
Asthma Program - North Carolina Dept. of
Health and Human Services Division of Public
Health Asthma Program $18,000 $15,000 $3,000
10/312007 Healthy Carolinians - Request for funds from
the North Carolina Division of Public Health,
Office of Healthy Carolinians, for support of
the local task force. $12,048 $12,048
ACHIEVE Grant - Centers for Disease
ControINMCA - Workplace Wellness
Services $40,000 $40,000
9/5/2007 No Activity for September 2007
8/112007 No Activity for August 2007
7/11/2007 WIC Mini-grant - Request to ratify application
for mini-grant funds for minor renovations to
the WIC registration workstations to improve
customer service. $18,000 $18,000
61612007 Landfall Foundation - Request for funds to
purchase 16 wheelchairs for the NHCHD
School Health Nursing Program. $2,700 $2,700
51212007 Living Well: Received notification from Cape
Fear Memorial Foundation of continuation
funding for the publication of the Living Well
newspaper insert. $0 $12,000
414/2007 Ministering Circle (Colposcopy funding) -
Request for $12,000 start-up funds from
Ministering Circle for purchase of Colposcopy
equipment. Also plan to request additional
funds from other grant sources such as Cape
Fear Memorial Foundation for expansion of
program to include a second colposcopy unit
and additional training, supplies and contract
services.
$12,000 $12,000
8
As of 1/22/2008
NHCHO BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS VY 07-08 and FV OS-07
Date BOH Grant R¢ nested Pendin Received Deni¢d
Cape Fear Memorial Foundation -
Colposcopy Program - VV--.n. Preventative
H ealth_ $25,000 for start up cost for physician „ylr
and interpreter contracted services,
equipment, supplies, and training. $25,000 $25,000
317/2007 Closing h¢ Gap - Request for 225,000
($75,000 par year for 3 years) from North
Carolina Office of Minority Health and Health
Disparities for a Health Educator to focus on
prevention of HIV and other sexually
transmitted disease in the Latino and Afro-
American po ulations. $225,000 $225,000
2/712007 CA -MRSA_ Funding from UN(-Chapel Hill
School of Medicine to assist with research
related to the prevalence of community
associated methicillin resistant staphylococus
aureus $'12,600 $:2.600
1/312007 mart Start - New Hanov¢r ounty
Partnership for Chlld ren - Child Care
Nursin Pro ram $178 500 $170,000 $8,000
121612006 DuK¢ Endowm¢nt Funds, NHRMC - Dental
Unit - Personal Health Services. $25,000 for
indigent tlantal care and $15,000 for sedation
e ui mant $40.000 $20,000 $20,000
11/112006 No Activi for November 2006
10/4/2006
March of Dimes - Maternity Care
Coordination -panditures for Baby Love
Program Baby Boutique and Learning Cantor $3,000 $3.000
9/612006 No Activi for Se tem bar 2006
8/2/2006 No Activi for Au ust 2---
a- y
7 /512006 ervlc¢ oor Ina
Counseling Program (Cape Faar M¢morial
Foundation) -Funding for Licensed Clinical
Social vv-"r for 3 ears $260,000 $75,000 $185,000
Eat mart ov¢ More - ommun ty rant
(NC Dept of Public Health Physical A.U-ity
and Nutrition Branch) $16,495 $12,416 $4,079
Totals $1.306,073 $307 080 $562,714 $448,279
23.51 Z. 43.08% 34.32
Rending Grants 4 20
Funded Total Re uast g 45%
Partial) Funded 5 25
Danietl Total Request 10%
Numbers of Grants A liad For 20 100%
9
As of '1 /222008
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda- Consent Meeting Date:
Agenda: Q BOH: 02/06/08
CC- 02/18/08
Dc artment Health Presenter:
Contact: Janet McCumbee, Personal Health Service Manager 798-6559
or Scott Harrelson, De ut Health Director 798-6592
Subject: Consideration of Quarterl Men's Health Fairs
Brief maxy:
Recommended Motion and Requested Actions: Mr_ Spradley moved and Dr_ Adams
seconded- Dr_ Shalcar moved for the Personal Health Services Committee to recommend
to the Executive Committee that we as a board put together a focused health fair for
men's health pertaining to these top four areas: 1) cardiovascular; 2) prostate; 3) lung
cancer; and 4) diabetes to be addressed based on our previous evaluation of health care in
these areas- Executive Committee recommends a ro l_
r Fundin Source-
Will above action result in:
ONew Position Number of Position(s)
~Position~s) Modification or change
®No Chan a in Position(S)
Attachments- N/A
1 0
r
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date:
Agenda: ? BOH: 02/06/08
CC: 02/18/08
Department: Health Presenter:
Contact: David E. Rice, Health Director 798-6590
Subject: NHCBH Operating Procedures - Revision
Brief Summary: Recommended change to NHCBH Operating Procedures, 2. Officers
and Committees, Executive Committee, Section 1:
Executive Committee:
Section 1. The officers of the Board of Health and three members appointed by the
Chair shall constitute the Executive Committee. It is the practice of the Board of Health
to include the Immediate Past-Chair as one of the three appointed members, unless he/she
is no longer an appointed member.
Recommended Motion and Requested Actions: To approve the revision to the NHCBH
Operating Procedures, 2. Officers and Committees, Executive Committee, Section 1.
Funding Source:
Will above action result in:
?New Position Number of Position(s)
?Position(s) Modification or change
®No Change in Position(s)
Explanation:
Attachments: NHCBH Operating Procedures.
11
Operating Procedures
New Hanover County Board of Health
1. Name and Office.
The name of this organization is the New Hanover County Board of Health (hereinafter
"Board"). The principal office of the Board is located at 2029 South 11" Street,
Wilmington, North Carolina.
2. Officers and Committees.
a. Chair and Vice-Chair
The Board members shall elect a Chair and Vice-Chair by plurality vote each year at the
December meeting.
b. Secretary
The health director shall serve as Secretary to the Board, but he/she is not a member of
the Board. The health director may delegate the duties of the Secretary that are set forth
in these operating procedures to an appropriate health department employee.
c. Standing committees
The Board shall have the following standing committee
Executive Committee:
Section 1. The officers of the Board o ealth and threeeembers a ointed by the
Chair shall constitute the Executive Co 'ttee. It has-been is the pra ce of the Board
of Health to include the Immediate P -Chair as one of the three pointed members,
unless he/she is no longer a member.
Section 2. The Executive Com ' e shall neral supervision of the affairs of
the Board of Health between its regular meetings. The Executive Committee shall be
subject to the orders of the Board of Health and none of its acts shall conflict with action
taken by the Board of Health. Action taken by the Executive Committee shall be
reported to the Board of Health for ratification.
Section 3. The Chair may call special meetings of the Executive Committee.
12
Environmental Health Committee= ti.r?
The Chair shall appoint an Environmental Health Committee composed of Sve members
in January. It shall be the duty of this committee to act as an advisor to- the Board of
Health with respect to environmental health matters-
Personal Health Committee:
The Chair shall appoint a Personal/ ~HmeMalth Committee composed of Sve members in
January- It shall be the duty ofthis ^Wrrjx"itttee to act as an advisor to the Board of Health
with respect to health promotion and disease prevention matters-
Animal Control Services Advisory Committee:
An Animal Control Services Advisory Committee shall be composed of members
appointed by the Board of Health as set forth under Section 3-2 of the New Hcarover
County Code- Members will include, but not be limited to, interested citizens, and
persons representing animal care, welfare or similar organizations. It shall be the duty of
this committee to act as an advisor to the Board of Health with respect to animal control
matters.
Other Committees:
Committees, standing or special, shall be appointed by the Chair to assist the Board of
Health or Executive Committee. The Chair shall be an ex officio member of all
committees except the Nominating Committee- The Chair has no obligation to
participate at committee meetings and should not be counted in determining if a quorum --r
is present.
All committees are subject to the North Carolina open meetings laws and shall comply
with the provisions ofthose 1aws-
3_ Meetiags_
a_ Regular Meetiags_
The Board shall hold a regular meeting on the first Wednesday of each month- In the
event a regular meeting day is a legal holiday, the meetinx shall be held on the next
Wednesday- The meetings shall be held at 2029 South 17 Street, Wilmington, North
Carolina, or designated location, and shall begin at 8:00 a.m.
h_ Ageada_
The Secretary to the Board shall prepare an agenda for each meeting. Any board member
who wishes to place an item of business on the agenda shall submit a request to the
Secretary at least two working days before the meeting- For regular meetings, the Board
may add items to the agenda or subtract items from the agenda by a majority vote- The
agenda for a special or emergency meeting may be altered only if permitted by and in
accordance with the North Carolina open meetings laws-
1 3
Y%, Any person may request that an item be placed on the Board's agenda by submitting a
written request to the Secretary at least ten working days before the meeting.
c. Presiding Officer.
The Chair of the Board shall preside at Board meetings if he or she is present. If the Chair
is absent, the Vice-Chair shall preside. If the Chair and Vice-Chair are both absent,
another member designated by a majority vote of members present at the meeting shall
preside.
d. Quorum:
A majority of the actual membership of the Board, excluding vacant seats, shall
constitute a quorum. A member who has withdrawn from a meeting without being
excused by a majority vote of the remaining members shall be counted as present for
purposes of determining whether or not a quorum is present.
e. Voting.
Each Board member shall be permitted to abstain from voting, by so indicating when the
vote is taken. A member must abstain from voting in cases involving conflicts of interest
as defined by North Carolina law. If a member has withdrawn from a meeting without
w being excused by a majority vote of the remaining members, the member's vote shall be
recorded as an abstention.
E Minutes.
The Secretary shall prepare minutes of each Board meeting. Copies of the minutes shall
be made available to each Board member before the next regular Board meeting. At each
regular meeting, the Board shall review the minutes of the previous regular meeting as
well as any special or emergency meetings that have occurred since the previous regular
meeting, make any necessary revisions, and approve the minutes as originally drafted or
as revised. The public may obtain copies of Board meeting minutes at 2029 South 17a'
Street, Wilmington, North Carolina.
4. Amendments to Operating Procedures.
These operating procedures may be amended at any regular meeting or at any properly
called special meeting that includes amendment of the operating procedures as one of the
stated purposes of the meeting. A quorum must be present at the meeting at which
amendments are discussed and approved, and any amendments must be approved by a
majority of the members present at the meeting.
14
5_ Other Procedural Matters_
The Board shall refer to the current edition of Robert's Rules of Order Newly Revised"'y
(RONR) to answer procedural questions not addressed in this document, so long as the
procedures prescribed in RONR do not conflict with North Carolina law_
6_ Compliance with North Carolina Law_
In conducting its business, the Board shall comply with all applicable North Carolina
laws, including but not limited to open meetings laws, public records laws, and the laws
setting forth the powers and duties of local boards of health. To assist the Board in
compliance, the local health director shall maintain a current copy of relevant North
Carolina General Statutes and make them available to Board members on request-
Approved and adopted by the New Hanover County Board of Health on January 3, 2007.
Revised on February 6, 2008_
Sandra L. Miles, DDS
Chair, New Hanover County Board of Health
-rl"
David E. Rice, MPH, MA
Secretary, New Hanover County Board of Health
-010-1
1 5
T
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date:
Agenda: ® BOH: 02/06/08
Co. Comm.: 02/18/08
Department: Health / Presenter: Jean McNeil,
Animal Control Services Animal Control Services Manager
Contact: Jean McNeil, 910-798-7505
Subject: 2008 Community Waste Reduction and Recycling Grant and Budget
Amendment to Secure Funding for Low Cost Community Animal Neutering
Brief Summary:
A voucher system will be established to offer a means for NHC citizens to secure low
cost pet spay/neutering at local veterinary hospitals. The surgical procedures may be
performed at any veterinary hospital willing to receive reimbursement for the vouchers.
Financial need will determine the chosen candidates for the vouchers. Project partners
include Social Services, Health, New Hanover Humane Society, and Adopt-An-Angel.
Grant submission deadline is February 15, 2008. Request for ratification of grant
application submission is requested.
Note: Lynn Bestul with Environmental Management is aware of this proposal, and is not
seeking funding from this same resource for 2008.
Recommended Motion and Requested Actions: Recommendation for approval to ratify
submission of grant proposal for 2008 Community Waste Reduction and Recycling
Grant, and corresponding 10% match from the Animal Control Services trust fund and
submit to the New Hanover County Commissioners for their consideration.
Funding Source: Maximum award of $25,000 from NC Department of Environment and
Natural Resources, Division of Pollution Prevention and Environmental Assistance.
County match of 10% of requested amount ($2500) provided through Animal Control
Services trust fund account. Animal Control Services Trust Fund is supported via
donations and community fundraising activities, and includes no county funding.
(Note: 10% match is required for any grant award amount).
Will above action result in:
ONew Position Number of Position(s)
?Position(s) Modification or change
®No Change in Position(s)
Ex lanation: See Grant Proposal
Attachments: Grant proposal, including project cost estimates.
16
New Hanover County
Animal Control Services
2008 Community Waste Reduction and Recycling Grant Proposal
Contact: Jean McNeil, Animal Control Services Manager
910-798-7505, fax 910-341-4349 imcneil(u)nhcgov.com
180 Division Drive, Wilmington, NC 28401
Pet overpopulation is an established nationwide problem. In New Hanover County
(NHC) alone, 2285 animals were euthanized during the last fiscal year, primarily due to
lack of owner responsibility. This constitutes 55% of the animals impounded by the
shelter during that year. Animal carcasses from these euthanasias are deposited in the
county landfill. This proposal is directed at offering solutions both for waste reduction
issues and pet overpopulation concerns.
Our plan is to offer low cost surgical alterations for pets of citizens of NHC. Vouchers
will be distributed based on community need. The primary group targeted will be those
who are unable or have difficulty paying for their pet's neutering. Eligibility
requirements will be determined through NHC Department of Social Services and NHC
Health Department (Women, Infant's, and Children) employees.
Surgery may be performed at any area veterinary hospital willing to accept payment
through the vouchers. The voucher dollar amount is set on a graduated scale for the
procedure being performed. (See itemized intended fee expenditures.) Similar programs
have been conducted by other animal groups; funding remains the primary obstacle to
ensure sustainability of each endeavor. Our grant request is for $25,000.
The state has recently implemented a method of securing additional funding for a similar
spay/neuter program. This could be a resource for future campaigns. Any reduction in
the number of incoming animals will reduce the numbers that are discarded. NHC
Animal Control Services (ACS) has an established trust fund, which is in place for
continual receipt of donations.
Community Partners include:
New Hanover Humane Society - Martha Raynor, Director
Adopt-An-Angel - Jill Jones, Director
NHC Department of Social Services - Wanda Marino, Deputy Director
NHC Health Department - Nancy Nail, Nutrition/WIC Supervisor
Each group will play a key role in public education and voucher development and
distribution. The Humane Society will also serve as one of the sites for performing
surgical procedures.
While this may seem an unusual request for revenue, it is our sincere hope that the merits
of funding this proposal far outweigh any concerns you may have for the project. We
thank you for your consideration, and we look forward to a pro-active collaborative
ri approach to both reducing waste and pet overpopulation.
17
New I-Ianov¢r County
Animal Control Services
2008 Community Waste Reduction and Recycling Grant Proposal
Contact: Jean McNeil, Animal Control S¢rvic¢s 1VIanag¢r
910-798-7505, fax 910-341-4349 imcneilna.nhcQOV_com
180 Division Drive, Wilmington, NC 28401
Itemized Intended Expenditures
(Based on grant award amount of $25,000 matched with 1 O% local fimds• of $2500,
Total project cost = $27,500)
Ex anditures Amount Revenues Amount
Female Dogs (150 vouchers at $80 per spay) $ 12,000 10% Local Cash Match $ 2,500
Male Dogs (50 vouchers at $70 per castration). $ 3,500 Grant Award from DPPEA $ 25,000
Female Cats (150 vouchers at $50 per spay) $ 7,500
Male Cats (50 vouchers at $30 per castration) $ 1,500
Advertising $ 2,500
Printing of Vouchers $ 500
Total Pro-ect Cost $ 27,500 Total R¢venu¢ $ 27,500
*The 1 O% match ($2500) will be allocated from the Animal Control Services trust fund-
1 33
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date:
Agenda: ® BOH: 2/6/08
Co. Comm.: 2/18/08
Department: Health Presenter: Kim Roane, Support Services
Manager
Contact: Kim Roane 798-6522
Subject: Request for New Position Funded via Local Bioterrorism Contract Funds
Brief Summary: Our Local Bioterrorism program has begun receiving additional funds
via a contract with three surrounding counties to provide funding for our Local
Bioterrorism planning effort, which we are sharing regionally. The three contributors are
Brunswick, Pender and Duplin counties. We are requesting approval to use these funds
to hire an administrative support technician and to contribute tooperating expenditures.
Recommended Motion and Requested Actions: To approve the use of increased
revenues from the multi-county Local Bioterrorism agreement to fund a full-time
administrative support position and to contribute to the cost of a vehicle for the
department and to submit to the New Hanover County Commissioners for their
consideration.
Funding Source: Contract funds resulting from agreement between New Hanover
County Health Department and three surrounding counties. Funds generated for the
remainder of this fiscal year will be $29,685. Funds for FY 08-09 are projected to total
$60,000, providing funding for the position salary, fringe and operating expenditures. No
matching New Hanover County funds are required. These are new revenues for the
department. Position will be sustained only as long as it is supported by revenues.
Will above action result in:
®New Position (1) Number of Position(s)
?Position(s) Modification or change
ONo Change in Position(s)
Explanation: One new Administrative Support Technician position, fully funded from
revenues earned through a multi-coup agreement.
Attachments: Contract with Brunswick, Pender and Duplin Counties for shared Local
Bioterrorism program.
19
New Hanover County Contract 408-0253
`rte MOC/ Regardi"v .Preparedness Resource Sha~liag Policy
INTROF>UCTION
The next level of preparedness planning and response becomes more complex as
counties move from capacity to capabilities. Achieving capabilities requires more
processes, more planning, and more partners in the face of shrinking funding.
Preparedness is now a core function of public health which must continue to be
refined. The natural business model is to utilize economies of scale and to leverage
funding streams. North Carolina Emergency Management is taking a regional
approach. to funding. Public-Health has had a regional approach to planning and
response since 2001 but is now offering a method that allows for and encourages
pooling of resources by Local Health E>epartments to address planning for target
capabilities and performance measurements
MULTIPLE HEALTH ~EPARTM ENTS
The intent of this policy is to allow for collaboration to occur to complete the required
capabilities of the CE>C Public Health Preparedness Cooperative Agreement and to
assure accountability at all levels.. Expectations for the deliverables of the
-Cooperative Agreement and the Preparedness Agreement Addendum 514 (AAS14)
may vary year to year as the federal program changes. Updates will be distributed
by the Office of Public Health Preparedness and Response (PHP S, R). "Preparedness
ir,.. Coordinator (PC)" refers to an individual Identified who is the person responsible for
fulfilling the planning processes and writing the plans as required by the AA514.
This MOU is between the following counties and specifically addresses these counties
within PHRST Region 2: Brunswick, E>uplin, New Hanover, and Pendar.
deliverables by the PC as-outlined by AA514 include:
Res onsibiiit
F-r e an al-l-hazards plan for Public Health which includes the identification of
ulations with special needs by May 31, 2008. This plan should -address how
viduals within these populations will be identified in a database for emergency
paredness. Appendices and contributions to county plans will serve to fulfill this
uirement.
Il p and implement mutual aid agreements, as needed, to support NIMS compliant
lic health res onse e. local re Tonal
ng the tool to be provided by PH P8tR, perform a jurisdiction public health hazard /
nerability assessment focusing on the potential impact to human health no later than
31, 2008 or a revised date from PHPS..R as outlined in email dated 9/27/07 from Oor_
e Casani attached
ntify and prioritize three (3) hazards / vulnerabilities and develop a response plan to
ress them. Submit this assessment and list of priorities to PHPSiR by May 31, 2008
a revised date from PH PSiR.
here is an airborne infection isolation room (AII) operated by the local health
partment, contact the PHRST to have the room evaluated at least annually to assess
m ventilation and other All room parameters for compliance with the4 uidelines for Preventing the Transmission of Mycobacterium in Heare Settin s 2005"_
Page 1 of 6 ® DUPLICATE
.20
New Hanover County Contract 008-0253
Res onsibilit
6. Use an incident management system for local event and response activities
WebEOC, EM 2000). Where possible this should be performed in conjunction with local
emergency management and should be able to communicate with state systems (I-e-,
WebEOC
7. develop and implement health and safety plans for public health responders to include
(at a minimum) guidelines for personal protective equipment (PPE), prophylaxis, mental
health and ersonal safe
8. ~avalop and implement a community containment policy, in accordance with the
andemic influenza lan b Ma 31 2008.
9. Maintain current and updated 24/7/365 contact information for the Local Health
Clepartment. This information should include telephone numbers, pagers, and other
Information needed to alert the LHE> to critical events and/or recommend needed
emer enc res onses.
10_ Partici ate in the North Carolina Health Alert Network NCHAN
11. Conduct a minimum of two (2) exercises by May 31, 2008. It is anticipated that local
public health will conduct or participate in numerous exercises during the grant year.
Local health departments (LHE>s) are, at a minimum, required to exercise the foilowing
components of their planning activities:
Exercise some aspect of your Quarantine and Isolation policy
Exercise some aspect of your Communications Plan
Exercise SNS lan
12. Conduct or participate significantly in a full-scale SNS exercise by May 31, 2009 (next
rant ear _
13. develop and implement a corrective action plan with 60 days after each drill or exercise
based on recommendations from our After Action pe or
14. Continue to implement the Division of Public Health's National Incident Management
jEhan, m (NIMS) Workforce Training program. Maintain an updated database of trained
iduals within your organization. Report the aggregate number of individuals
ed both nawl trained and total trained uarterl
Y5. lop and/or maintain an OSHA compliant respiratory protection program as offered
e PHRST by May 31, 2008_ Staff participating in the program should at a minimum
de environmental health staff, EPI Team staff, clinical staff, and th e county/district
ic red Hess coordinatr.
Y6. onrate 75% of full-time employees ill have completed the Public Health
force Ulevpment SysteOnline Assessment by
31 17a framework For a county and regional Intrastate Crisis ncement wo(ICCE et) by establishing and maintaining a Local Health
mation Team. 18gnate a stmember as contact for the PHPBR Coordinator to
itate ICCE Net and WebEOC activities.
Page 2 of 6
2 1
" New Hanover County Contract #U8-U253
Res onsibit cj
19. Coordinate Public Health Risk Communication educational activities for PIOs and media
facilitators. The following is a list of core agencies and organizations that should be
asked to provide a lead PIO, public affairs officer (PAO), or staff member responsible for
coordinating media/ public information and risk communication educational activit
(Others can be added as deemed appropriate by each county.)
County
Health department
Large Municipalities
Emergency Management (if different from county PI(D)
Hospital(s)
Emergency Medical Services
Red Cross
s.
20. Provide needed health risk information to the ubiic and key partner
21. develop implement, and exercise a telecommunication plan to encompass the use the
NC Medical Communications Network (N(.'::MCN) in -accordance with the PHPBFKI
Telecommunication Plan. This plan will list the different types of communications that
the counties have to communicate with the Regions and the State. It will include the
t e of communication and who will be usin it.
22. Maintain radio equipment as assigned to communicate with Local, Regional, and State
emergency communication networks. Coordinate training, maintenance, and upkeep of
Pack radios with your PHRST. Follow the guidelines in the NC Office of Emergency
Medical Service "EAal Code" (htto //facility service state nc us/EMS/technolo shtml).
LHI7s will maintain the current template of frequencies assigned to radios, (including the
Pack Radio
23. Update local/county SNS plan in accordance with most current CDC guidance and
incorporate all elements of the SNS local assessment tool. A611 L -""m MUST 11 tame an
SNS "Ilan. The most current version of the CDC SNS planning guidance is Version
10.02.
24. Provide an updated electronic copy of the SNS plan to PHP8LR. This plan must have a
"last updated date" within six (6) months to be considered up-to-date- Plans shall
include the location and contact name and phone number of the local receiving node
and points of dispensing, address all elements of the most current SNS local assessment
checklist, and any pertinent MOAs or MOUs. Each county shall also submit an electronic
co of their checklist scored and with page numbers of each item.
25_ As part of the overall exercise requirements, SNS plans must be exercised annually.
You may exercise a portion of or the entire SNS plan. To count as the yearly SNS
exercise, counties must exercise either the entire plan or a different portion of the plan
that was exercised the year prior- After Action Report (AARs) must be completed within
30 days and submitted to PHPSeR within 45 calendar days of the exercise. A full-scale
exercise must be corn feted b Ma 31 2009.
26_ Multidisciplinary training related to SNS will be conducted at least twice a year. This
may include road shows, seminars, and orientations. These may be in support of but
will not be In lace of exercisin the SNS Ian.
I7ELI\/ERABLES E Y PHRST-2:
PHRST 2 will assist the PC to assure that all the deliverables by the PC are met_
PHRST 2 Team Leader will act as the direct supervisor for the PC.
Page 3 of 6
2 2
New Hanover 4C_ i ty Contract #08-0253
DELIVERABLES BY THE HEALTH DIRECTOR OF EACH PARTICIPATING COUNTY
INCLUDE:
1. The Health Director of each participating county will continue to be
responsible to DPH and PHPS P, for the deliverables of the AA 514 even if it is
the expectation that the PC will perform the tasks necessary to complete the
deliverables.
2. Health Directors, Fiscal Officers, and designated individuals as required will be
in attendance at site visits for reporting joint activities and funding
expenditures in the Quarterly Narrative Report (QNR) and Electronic Monthly
Report (EM R).
a_ New Hanover County will report on the specific activities of the PC in
Its EMR and QNR
b. Brunswick, Duplin and Pander Counties will report when they have
transferred the funds and when they receive a completed deliverable. -
Status updates will also be of benefit in the QNR's
C. Site visits will be scheduled by PHPS~R with each participating county
individually unless the counties request a joint site visit.
3. Each participating county's Health Director will give the PC a minimum of one
hour a month in meeting time. Representatives from the PHRST team may
be present_
.4. Each participating county's health department and county government will
supply statistics and information required to complete the tasks listed in the
AA 5 14. -
5. Each participating county will provide access to the county IT system as
requested_
6. Each participating county's health director or designee will make introductions
as required to county officials and county partnarsto assist the PC in
completing the tasks outlined in the AASY4.
7. Each participating county's health director and health department employees
will assist, support, and comply with recommended training programs and
requirements
8_ Each participating county's health director or designee, who has decision
making authority, will attend the steering Committee meetings at least 9o%
of the time. -
The PC will be housed in the PHRST 2 office in the New -Hanover County Health
Department. As the -host" Health Department, New Hanover County Health
Department will supply: direct supervision, space and workstation (computer,
telephone, desk, etc), supplies as agreed to below as well as other personnel support
in order to complete the requirements of this MOU.
Page 4 of 6
'2:3
_ New Hanover County Contract #023-0253
BUUG ET
SALARY and FRINGE
Base salary $48,705
Retirement $2,41 Y
Taxes 8~ Social Security (FICA3 $3,726
Health Insurance $9,500
mental Insurance $595
Lono Term l~isa bility Insurance 4;182
Total Salary and Fringe $55,3- 19
OPERATIONS EXPENSES
Office Supplies $340
Department supplies $400
Computer software $400
Postage, $75
Telephone $1,000
Copier Charge $75
Conference travel $1,000
Training fees $750
1 al travel Cd 485/mile 53-0 000
f~,.. Total Operations Expenses $14,040
Salary and fringe $65,119
Operational Costs $14,040
Total costs $79, 1 59
Total/4 = cost per county $19,790
This term of this MOU will be from the date of signing until the end of the fiscal year,
to coincide with the AA 514_ Any amendment of the MOU must also to signed by all
parties. If one signatory wishes to withdraw from the MOU, an amendment will be
signed by all parties agreeing to any necessary changes, including but not limited to
the fiscal arrangements described.
L / ,~Q 7
Brunswicl oun y alth Director Co ate
Dona/ld~ Y sey
Witness
Page 5 of 6 2!j
• New Hanover County Contract #Ot3-0253
4
J
I7uplin County Health [Director Date
Ile Coa - -
W it~
New Hanover County Health Director Coate
[David Rice
Witness
P der County Hea Director Coate
Jaclc Griffith, Ph.Co.
Witness
IS S"UMENT HAS BEEN PRE-AUDITED
IN THE MANNER REQUIRED BY THE LOCAL
GOVE:ZNit',ENT AND FISCAL CONTROL Al.
Approved as to form/County Attorney
P.O. 6 of 6
2 5
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date:
Agenda: BOH: 02/06/08
Co. Comm.: 02/18/08
Department: Health Department Presenter: Kim Roane, Support Services
Manager
Contact: Kim Roane 798-6522
Subject: Budget Amendment - Request to Reduce Revenues and Expenditures in
Tuberculosis Program Budget - Personal Health Services - $16,415
Brief Summary: The New Hanover County Health Department's Tuberculosis program
received word from the state that anticipated revenues in the amount of $16,415 would
not be received in the current fiscal year. Request approval to reduce the revenue and
expenditure budgets by $16,415 as a result of this notification.
Recommended Motion and Requested Actions: To approve the budget amendment for a
$16,415 decrease in the revenue and expenditure budgets for the Tuberculosis program.
Funding Source: State of North Carolina Department of Health and Human Services
Division of Public Health General Communicable Disease Control Branch - Tuberculosis
Control Program funding.
Will above action result in:
FINew Position Number of Position(s)
?Position(s) Modification or change
®No Change in Position(s)
Explanation:
Attachments: Correspondence from State confirming amount of current year funding for New
Hanover County
26
t Roane, Kim
From: Neilson, Rob
Sent: Friday, January 18, 2008 4:57 PM
To: Roane, Kim
Subject: FW: TB Funding for New Hanover County 07/08 State Funding Yr.
FYI...
Robert Neilson
Business Officer
New Hanover County Health Department
(910) 798-6680 - office
(910) 341-4146 - fax
rneilson@nhcgov.com
----Original Message----
From: Maureen O'Rourke [mailto:maureen.orourke@ncmail.net]
Sent: Friday, January 18, 2008 2:16 PM
To: Neilson, Rob
Cc: Jeffrey Engel; Carol Dukes-Hamilton; Roane, Kim; Steve Cline.
Subject: TB Funding for New Hanover County 07/08 State Funding Yr.
07-08 TB Funding for New Hanover County
Mr. Neilson,
As we discussed on the phone just a few moments ago, this "draft"
letter was given to the Epi-Liaison Committee as a -draft only_ in preparation for an Epi Liaison call held in 2006 to
introduce our reallocation plans to the committee members. It was not intended for distribution because it was pending
f%w approval by the Division of Public Health. Unfortunately, the proposed redistribution of TB funds was not accepted. The
information contained in the draft letter was therefore erroneous..
Below you will find the actual dollar totals for New Hanover County for the State funding year 07/08.
-Funding Dates 06/01/07 through 05/31/08_
551 (TB Control - State Funds) Total $34,978.
554 (TB Medical Services- State Funds) Total $2,271.
552 (CDC TB Control - Federal Funds)
06/01/07 through 12/31/07 Total $24,626.
01/01/08 through 05/31/08 Total '`$17,590, * To
be loaded into WIRM
`Grand Total for New Hanover 07/08 State Funding Year $79,465."
We sincerely apologize for any inconvenience this draft letter has caused New Hanover County. Please don't hesitate to
call me if you have any other questions.
Sincerely,
Maureen O'Rourke
Senior Public Health Advisor
North Carolina TB Program
919-715-7457 phone
919-733-0490
!SIG:4790fae587591886556332!
1
27
Page 1 of 1
f
Roane, Kim
-
From: Neilson, Rob -_ago
Sent: Thursday, January 17, 2008 1:24 PM
To: 'carol-hamilton@ncmail.neL'
Ccc 'jeffrey.engel@ncmail.nef; 'stave. cline@ncmail.nef; Roane, Kim
Subject: TB Funding for New Hanover County
Attachments: TB FUNDING NHC-PUF
Dear Mr. Hamilton, -
Please find attached a memo from your office dated 7/11/2006, detailing each county's TB funding- We used this
as a basis for our current year's budget, $95,880 for New Hanover. This past July I contacted Maureen O'Rourke
to discuss our F7'V'07-08 agreement addendums. To data we have received three aUdendums totaling $61,875.
Maureen explained we would be receiving another addendum in January 2008 for $17,516, bringing us to a total
of $79,391 for FV07-08.
Would you please review this, and let me Know If there has been an error with our current year funding, as we
were expecting $95,880?
1 look forward to your response.
Thank you,
Robert Neilson
Business Officer
New Hanover County Health Department
(910) 798-6680 - office
(91 0) 341-4146 - fax
rneilson@nhcg ov-com
2 8
1/23/2008
,
North Carolina Department of Health and Human Services
Division of Public Health • Epidemiology Section
General Communicable Disease Control Branch
TB Control Program- Carol Dukes Hamilton, M.D., Medical Director
1902 Mail Service Center • Raleigh, North Carolina 27699-1902
Tel 919-733-0822; 919-880-8330 • Fax 919-733-0490
Michael F. Easley, Governor Carmen Hooker Odom, Secretar
July 11, 2006
To: County and Health District Directors, North Carolina
From: Carol Dukes Hamilton, MD, Medical Director, TB Control Program
Jeffrey Engel', M.D., State Epidemiologist, Chief, Communicable Disease Control'i: :
Steve Cline, D.D.S., MPH, Chief, Epidemiology
The North Carolina TB programs, supported by local, state and federal funds, ~ttnue rably impact the incidence of
active TB in our state. Figures 1-4 show how cases have declined and change :.ver time unties. Cases are scattered
throughout the state, but now only a few counties have to manage more 0 t oned cas Despite
improvements, North Carolina still sees between 300 and 400 eSO. ea .year, and the ever more complex
because of the poor socioeconomic status and co-morbidities of in ` f the cases, as well as Iangtlg d cultural
difficulties associated with cases in immigrants. In addition, for reported cases, numerous conta of TB
have to be identified, found and offered treatment if found to hve' ti TB infe ft~DC these activities me large
amounts of time from county staff and are very important. Fnds wet are increasi~y tied to
activities beyond management of active TB cases. State and federal fun ; ttons to North Carolina counties and health
districts are in need of updating so that the resources match current epidemand funding trends.
We have developed a formula for allocating combin`e~ ' d federal TB dolls dividual counties and districts. The
formula provides a base of $1000 to each county, with"ate It maining funds e• bhvard management of active
cases, 15% toward full evaluation of contacts to active es Ily evaluate CFE), 15% of funds toward -
completion of treatment of latent TB infection among cc As to ar v cor~taCts completing treatment", CCT),-and
10% of funds toward county activities that identify and co let atmeriC TB infection-among wri-contact, high
risk patients identified ih our Stato al. We plan to bment the new ormula in July 2007. We have based the
figures on a 5-year average (2Q 001}'=q es of active Tlkund a 3-year average of CFE, CCT and TLTBI (2002-2004).
offi=
Based on current CDC and4* TB funds;ihle new allocation 1 be as follows (Table 1 and Figures S & 6):
$1,916,578 in State TB monies~'Q-'$960,010 45. r4.i ederal TB mont:W~ 52,876,578 total
f .
j.h
$1000 tb each county as a base = $ k8 to the formula
ge active TB cases statewide = $4350/case of active TB
dive 383, tai ~ a
$2,776,578 x 60p,,.. _R47 4,,. '
$2,776,578 x.?la/o > hided >;y:~jber of contacts fully evaluated (CFE) state wide = $132/CFE
= $1,167/CCT
$2,776,5 5%= $416,4' ed by nu of contacts completing LTBI treatment (CCT) state wide
s $277,658' ti by numb' i Ft`on-contacts completing LTBI treatment (TLTBI) state wide =
$2,776_.' 10
Our intention is the allocaW,.4 again in 3years, using the same interval averages and formula. If averages are
arse
'fc##J
relatively stable we• s change to 5-mar intervals for recalculating the allocations - trying to strike a balance between
stability of funding foFq>?oty planning, and adjustments that reflect evolving disease epidemiology. Thus, the current
ed:in.July 2007, we will provide new figures in 2008 (averaging cases for 2003-2007 and CFE,
dollar figures will be awaO
CCT & TLTBI for 2004-20t3,Zlsat will be available to counties for 2009. The TB Program recognizes that the funding
provided by state and federal.'&ds represent a fraction of the money and dedication each county brings toward this core
activity of public health in oW state, and we thank you.
Cc: TB Medical Advisory Committee
TB Control Staff
Attachments: Figures 1-6, Table 1
® Location: 225 North McDowell Street • Cooper Building Raleigh, N.C. 27603 An Equal Opportunity Employe
29
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Health Department -
2
0 2029 South 17th Street _
yz Wilmington, NC 28401-4946 o~QP~
Phone 910/798-6500 FAX 910/341-4146 NEW HANOVER COUNTY HEA~SN
F'h~eusHEO
To: New Hanover County Board of Health Executive Committee
From: Kimberly Roane, Support Services Manager
Date: January 24, 2008
Subject: Budget Summary Packet Fiscal Year 08-09
Attached is a budget summary packet for fiscal year 2008-2009, including the
department's organization chart. Our total budget request for FY 2008-2009 is
$15,734,094. This is a decrease of 1.01% compared to the Adopted Budget FY
2007-2008 amount of $15,894,441. We are requesting five and one-half (5.5) new
positions for this fiscal year, to include one environmental health specialist, one
animal control officer, one maternity care coordinator (public health nurse or
social worker), two (one full time and one half time) administrative support
technicians, one half time WIC breastfeeding consultant and one half time WIC
nutritionist. Projected salary and fringe figures for these positions are included
in the information provided. However, overall salary and fringe projections do
not include any projections for salary market adjustment or merit increase.
Revenues through federal and state grants, fees, Medicaid, and other sources
show an increase of $215,173 (2.47%). The net decrease in the cost to the county
is $375,520 (5.24%).
Our budget request for FY 2008-2009 is due to the County Budget Office on
February 6, 2008, for review by the County Manager, Bruce Shell, and his budget
team. On February 27, 2008, the Health Director and I will meet with the County
Manager and his team to present our budget request and respond to questions.
In May we will receive the County Manager's Recommended Budget for FY 2008-
2009 for the Health Department. Any revisions to our original Budget Request
will be presented to you at a later date. On May 19, 2008, a public hearing is
scheduled providing you with the opportunity to appear before the County
Commissioners to discuss budget matters. The County Commissioners are
scheduled to adopt the FY 2008-2009 budget on June 2, 2008.
C: Board of Health Executive Committee
David E. Rice, Health Director
Health Department Management Team
31
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Total Salaries 8. 13,700,368
Benefits
Total Operating 2,168,173
Expenses
Total Capital Outlay 25,900
Total Expendlturas 15,8941
Less: Total (8,728,301)
Revenues
FY '07-'08 Net 7.166,140
County Cost
Less: Capital (25,900)
Outlay
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Net County Cost
FY 108-109 90/ 15,180,417
Budget Target
1 O / Cut (714,024)
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N H c s a f c 1
William A- Gastar (Oia na) _ . . . . . . . _ _ 452-1282 Homa
452 2 9 a-maJ: bcastar~n . 341-7149 Office
310 Brookshire L---
-875 Fax
Tad -is, Jr. (Jana) . . . . _ . . . . . _ . . . . . . _ 313-0755 Homa
CY... 7112 C-ka Eaga OM,a a 28409 a-mall: tdavis(l~nhcgov.com 763-6249 Office
762-5175 Fax
Robert G. Greaq Chairman (Lou) . . . . . . . . 686-1703 Homa
8735 -M.bpry Way 28411 a-mail: bgrear~nhcgov.wm 619-7879 Call
763-5961 Fax
William A. Kopp. Jr. (Barbara) . . . . . . . . . . . . . . . . . 431-7120 Call
6231 Stonabridga Rd- 28401 a-mail: bKOpp~n"cgov.wm 791-3504 Fax
Nancy H. Pritchett . . . . . . . . . . 791-2827 H.M.
5330 Magans Plaw 28409 --mail: npritchatt~nhcgov.wm 341-7149 Office
798-1706 Pa-
fH I h
Virginia W. Adam_ 313-0493 Homa
UNCW School of Nureinfl. 601 S. Collage Rd. 28403 962-7410 OTFCa
a-mail: adamav(~uncw.adu
Oonald R -k. (Cathay) 791-5230 1,1-
120 Windamara Rd- 28405 a-mail: donblaka~aol.wm 784-9191 Offiw
764-9192 Fax
Micheal E. Gain., OO (Anna) . . . . . - 392-3445 Homa
5030 Randall Parkway 26403 a-mail: 02 saadoc(~ballsouth.naT . 392-0270 Office
616-7420 Call
392-0271 Fax
Jama. R. Hickman, RPh (Pat) . . . . 686-3402 Homa
324 Mara" Oak- On— 28411 a-mail: l,-kMonj(9D-lls0u1h.nat 686-4259 Fax
Robert U. Lewis (Linda) . . - . . . . . . . - - 686-2123 Homa
6513 Old Fort Rd- 28411 a-mail rtawis5i~ac.rr_wm 395-4133 Office
264-2280 Call
--.19 Fax
Sandra L. Milaa. OOS, C"alr . . - - . . 793-5622 Homa
1 North tSt" SL 28401 am... iam.milasi~bizacmwm 815-0611 Office
815-0665 Fax
Nan-. . Pritchett . _ . . _ . - . - - - - . 791-2827 Homa
5330 Megan. Place 28409 -ail: npritchett($nhcgov-wm 341-7149 Office
512-2900 C.I.
798-1706 Fax
Robert M. Shaker. Jr., M.O. 452-9520 Homa
933 Rabbit Run 28409 --mail arshakar(S1aoL COm 442-1100 Office
619-9967 Call
C- Benjamin Spradlay . 256-3700 Home
229 BaaOh St 26405 a-mail: spradlayinse~balisouth.nat 791-6886 OfBw
392-9552 Fax
John S- Tunstall, PE (0---) . . . . . . 666-6757 Homa
902 Markat SL 28401 a-mail: jtunstall(gpnKtang-wm 343-9653 Of i_
343-9604 Fax
G- Robert Waadon, M. MPH (Semi) _ . . 793-0901 Homa
901 Tarpon Orlya 28409 a-mail: rweadon(~ballsout".net 395-6555 Office
Jan.'I. A. Rhyne. MO. Medical Gonau-- . . . . . 686-2913 Homa
2029 S. 17th St- 28401 a-mail: jrhYna(~n"c9ov.wm 798-6766 Office
Oa-d E. Rica, Haalth Oin-tor (Linda) . 791-2092 Homa
1008 East PH-- Court 28409 a-mail: ariw@nhc 0v.wm 798-6591 OMCa
341-4146 Fax
rev. 01 /08
NEW HANOVER COUNTY
HEALTH DEPARTMENT 2029 S. 17~ Street Wilmington, NC 28401 B;k
TELEPHONE (910) 798-6500 FAX (910) 341-4146
Board of Health
Sandra L. Miles, DDS; Chair David E. Rice, MPH, MA
G. Robert Weedon, DVM, MPH, Vice-Chair Health Director
Virginia W. Adams, PhD
Donald P. Blake
Michael E. Goins, OD
James R. lEckmon, RPh
Robert E. Lewis
Commissioner Nancy H. Pritchett
Robert M. Shakar, Jr., MD
C. Benjamin Spmdley
John S. Tunstall, PE
January 9, 2008
Robert Ray
Mellow Mushroom
4311 Oleander Drive
Wilmington, N.C. 28403
Dear Mr. Ray:
The New Hanover County Board of Health would like to commend you for making your
restaurant smoke-free.
Studies show that restaurants that go smoke-free don't lose money by doing so and
some might increase revenues. The US Centers for Disease Control and Prevention
(CDC) reviewed all studies on this and in July 2005, issued this statement: "Research
has consistently shown that smoking restrictions do not have a negative impact on
restaurants and bars." A 2006 Elon University Poll showed that 84 percent of North
Carolinians believe people eating in a restaurant should be free from secondhand
smoke. 79 percent said restaurant employees should be able to work in a smoke-free
environment.
The Board of Health appreciates your commitment to providing a healthy atmosphere
for dining and working. Should you decide to establish a 100 percent smoke free
environment your restaurant's name, address and phone number will be included on the
New Hanover County Smoke Free Dining Guide and Web Page. This web page
includes a list of smoke-free restaurants in the county, and your restaurant will be
included. Your establishment would also receive the New Hanover County Smoke-Free
Dining Sticker and Certificate to indicate that your restaurant is smoke-free.
Thank you for supporting clean air and for allowing citizens to breathe a little easier.
Respectfully,
Sandra L. Miles, DDS, Chair
New Hanover County Board of Health
New Hanover County
Animal Control Services
Advisory Committee
Meeting Minutes 01 / 16/08
Present: Dianne Connor, Joyce Bradley, Bob Weedon, Whitney Doremus, Martha Raynor, Patrice Kaizar
Absent: JoE Needham (ex), John Boozer (ex), Gretchen Colby, Cindy Meyers
Note: Guest = Kim Tyser did not show/call to cancel.
Old Business
1. Additional ordinance changes/updates.
a. Animal kennel restrictions (breeding issues).
b. General review of ordinance for changes.
The group discussed the kennel changes at length, and then decided to
cover these issues at a special meeting of the committee. Everyone is
asked to review the entire ordinance for possible updates/changes.
2. Brunswick County rabies clinic.
This was a success. We vaccinated over 100 animals in two hours.
3. Inner City rabies clinic.
This was a smaller turn-out than the other clinics, but still demonstrates
the need to continue.
4. Division image concerns.
The group suggested a thank you to the county commissioners for
allowing us to neuter animals on-site. We are close to 2500 surgeries, so
the idea of a presentation in April for public health month was given.
5. Advisory committee by-laws.
The group will review the latest revisions, which are patterned after the
board of health document.
New Business
1. Animal law group (CAPT).
The Community Animal Protection Team (CAPT) conducted pickets to
gain publicity for educating the public about puppy mills. Three
Saturdays in December were devoted to this.
2. ACS newsletter.
Bob, Whitney, and Patrice will work on this. Target date = April.
3. Public health forums.
We plan to continue these this year. A variety of topics will be sent for
the veterinarians to choose from, including a repeat of last year, general
law, and zoonotic diseases.
4_ April rabies clinic-
This one is held at the shelter. The UNCW students want to do one on W~
campus during the same time frame. Date to be announced later.
5. CDC - Rabies Awareness Day = September 28.
This date will remain the same yearly- Since it is on a Sunday, we will
have the rabies clinic around that time. A tentative date o£ September 20
was offered.
6_ Elementary school education.
The PUMA has set up two or three schools to do their presentation- So
far, they have Bradley Creek and JC Rowe.
7. Member rotations Sr committee make-up_
We discussed new members.
8. Low cost community neutering - possible grant-
We may be able to receive funding to do community surgeries for low
income family pets-
9_ Prison program with Pernder County.
Whitney has been working on this in Pander, since we couldn't get a
response from New Hanover representatives. Barbara Raab of Monty's
Home is heading up the Positive Partners Prison Program. They want
ACS to sponsor a booth on Sunday, February 17, from 1 1-5 at the
Schwartz Center. Cost is $100_
10_ Ponder Animal Control_
There are rumors that they may merge with Topsail Humane Society, but
no details have been worked out yet. The hope is to have Topsail to
oversee the sheltering, and animal control to handle the field.
1 1 _ Committee meeting dates.
Next meeting is February 6 at 6:30 p.m. to solely discuss the ordinance.
Respectfully submitted by Jean McNeil
\ NEW HANOVER COUNTY "i
~i HEALTH DEPARTMENT
Animal Control Services o~~"
1 180 Division Drive NEW HAN. El COUNTY HEP~t~
Wilmington, NC 28401
TELEPHONE (910) 798-7500 FAX (910) 341-4349
TO: The New Hanover County Board of Health
FROM: Dangerous Dog Determination Hearings
CONCERNING: The cases heard 2007
NUMBER OF CASES HEARD-----------------68
DECISIONS:
DANGEROUS-----------1
POTENTIALLY DANGEROUS------------59
NOT GUILTY-------------8
EUTHANASIA------------ 0
,r
AGE OF VICTIMS:
CHILDREN--------1
ADULTS----------48
ANIMALS----------19
Cases also involved dogs already declared and not obeying the rules.
REQUIRED MEDICAL ATTENTION-----All with scratched or broken skin.
Several of the animals had high medical bills.
NOT UNDER CONTROL -------------all
"Healthy People, Healthy Environment, Healthy Community"
Personal Health Services Committee Meeting
TFW Conference Room
Monday, January 14, 2008 - 5:45 p.m.
Present:
r Dr. Rob Shakar Jr., Chair
Dr. Virginia Adams
Ben Spradley
Dr. Michael Goins
Robert Lewis
Scott Harrelson
David Rice
Janet McCumbee
Kim Roane
Page Dunn
Betty Jo McCorkle
Amy Cook
Marilyn Roberts, Recording Secretary
Dr. Shakar, Chair called the initial meeting of the Personal Health Services Committee to order at
5:45 p.m.
Highlights of discussion included:
• health fairs
• Dr. Shakar - previous discussion with Personal Health Services
• last health fair held in 1998; "On Guard for Health"
• displays at mall; media,
• grant opportunities - what kind of grant monies are out there (Kate B. Reynolds, Cape Fear Memorial
Foundation; BC/BS Foundation)
• fair small and focused versus a big event
• monthly/quarterly fairs - need to be consistent for future
• quarterly more sustainable
• one big fair may not see as many people - reach more folks if smaller
• large health fairs - you have to have reliable referral sources
• small better - reachable and creative; big event marvelous but only happens every 10 - 15 years
• focus very specific and then think about outcomes we want to achieve first - then we can add on to
include partnerships
• community agencies involvement
• location - health department versus mall/churches/other locations
• target populations - uninsured
• men's health/women's health
• September is prostate awareness month
• Community Health Assessment statistics - leading high risk - heart disease; cancer; diabetes. Statistics
every 4 years
• if agreed to go ahead with health fair regardless of grant funding; due to budget restraints go ahead and
purchase a piece of equipment this budget year 07-08
• we can only put into a grant request - the things we plan to do and just that
• possibly look for a vehicle to go out to different locations (mobile unit) - may get attention for grant
• churches involved usually provide transportation
Accomplishments from Discussion:
• Health Fair - September 2008
• 1 st Year - focus on men's health only
• Small health fair - 4 topics
• Topic focus -1) cardiovascular; 2) prostate; 3) lung cancer; 4) diabetes
• Grant funding - seek out availability
• Team - identify high risk population areas
Motion= Mr. Spradley moved and fir. Adams seconded. fir. Shakar moved for the Personal
Health Services Committee to recommend to the Executive Committee that we as a board put
together a focused health fair for men's health pertaining to these top four areas: 1)
cardiovascular; 2) prostate; 3) lung cancer; and 4) diabetes to be addressed based on our
previous evaluation of health care in these areas.
Action Items=
• Mr. Shak- to work with the team to identify things that are needed for a grant proposal.
Primary Care niscussion
Mr. Rice reported that this will be personal health in the future and expressed that late last year
Commissioner Greer mentioned at a Board of County Commissioners meeting that because of
the influx of people showing up in the hospital emergency room and all the problems that are
developing there that the health department needed to get into the primary care business maybe
to the point of 24-7. Mr. Rice expressed that he wanted to inform the Board of this issue.
Access to rare is a big issue to this community and the emergency room is having challenges
and we have been asked by county staff to look into this.
Mr. Spradlay inquired in regards to Medac/walk-in clinics and the hours they are open to the
public. O~r_ Shakar explained that it was not about that, it is about the non-paying patients, and
that the hospital is being inundated by patients that are not able to pay and they need to find -
somewhara else to go.
Mr. Harrelson expressed that at a recent Health Net Meeting it was discussed that the
Community Health Center is understaffed - no pediatrician for the past two years and is not a
good payer mix; Wilmington Access for Teens (W.H_A.T.) limited; Tilaston Clinic does a good job
but limited with a very low financial eligibility; hospital's out-patient clinic is swamped and they are
actually pulling reigns on patients they will see; Good Shepherd Clinic that the health department
staff see the homeless; and Coastal Family Practice so this is the "safety net" in New Hanover
County.
There was more discussion as to county funding and the latest places that clinics were tried.
Buncombe County was one and as a result this county was inundated by everyone from
surrounding counties because once people know that there is a free clinic, they come from
everywhere. Further discussion included refugees/migrants and income eligibilities_
Being no further discussion, fir. Shakar adjourned the meeting at 6:30 p.m.
Next Meeting:
mate: To be announced (two months)
Time:
Place:
Chair: I7r. Rob Shakar, Jr.
Page 1 of 1
Rice, David E.
From: Rice, David E.
Sent: Wednesday, January 09, 2008 2:33 PM
To: Roane, Kim
Subject: RE: Recommendations from F.A.C.T. Meeting 1-09-08
Approved.
David E. Rice, MPH, MA
Health Director
New Hanover County Health Department
2029 South 17th Street
Wilmington, NC 28401
910-798-6591
drice(cu)-nhcgov.com
http://www.nhchd.org
From: Roane, Kim
Sent: Wednesday, January 09, 2008 2:11 PM
To: Rice, David E.
Subject: Recommendations from F.A.C.T. Meeting 1-09-08
Dave,
The following recommendations have been made at the F.A.C.T. meeting held January 9, 2008, and are
submitted to you for approval. None of the requests include revenues with a total of $5,000 annually, so may be
approved at the Health Director level:
• Add CPT 90669 Prevnar (private stock vaccine) at a fee of $100.00, split between a $91 vaccine fee and
a $9 administration fee, code 90471
• Add CPT 90680 Rototeq (private stock vaccine) at a fee of $90.00, split between an $81 vaccine fee and
a $9 administration fee, code 90471
• Add CPT 90680 90, administration fee for state vaccine at a fee of $20.00, to permit billing of the
administration fee for state-supplied vaccine
Respectfully submitted,
Kim
Kim Roane
Support Services Manager
New Hanover County Health Department
(910) 798-6522
fax (910) 341-4146
I%W
1/9/2008
A
1
State of the County
New Hanover County Board of Commissioners Chairman
Robert G. Greer
January 22, 2008
Good morning. As we begin a new calendar year let me first express to you my best
wishes for a happy new year. In addition to starting a new calendar year, New Hanover
County staff and the Board of Commissioners are beginning to look forward to a new
fiscal year.
I would like to take this occasion to speak to our citizens about the opportunities and
challenges we face as we begin 2008. It is my honor and privilege to serve as your
Chairman for the coming year.
Let me start by saying county government plays an important role in the lives of each and
every one of our citizens. Every person in North Carolina lives in a county, while only
about half live within the borders of a city or town. County government impacts
everyone. Counties were created to carry out the policies and services of state
government. But long ago, it wasn't easy for citizens to travel to the state capital to
conduct official business. In fact, New Hanover was the one of three original counties in
colonial days. As North Carolina grew in the years after the American Revolution,
counties became an even more important partner with state government.
~Mw While cities and towns grew to provide residents certain services, counties continued to
exist to enhance the lives of everyone. It is your county which provides human services
such as libraries, a top notch museum, and schools. It is your county which supports
senior citizens and helps care for children in need. It is your county which works to
establish and enforce local ordinances that protect citizens from harm. I believe we can
and should do a better job of educating our citizens about the positive role your county
government plays in their lives.
Here in New Hanover County, we are blessed with many natural and cultural resources.
From the southern tip of historic Fort Fisher, to the northern most edges of Castle Hayne
and Porters Neck, and from the western bank of the Cape Fear River to the beaches and
sounds, New Hanover County citizens enjoy an environment rich in beauty and full of
history. 2007 saw a year in which much work was done to build an even better county,
while dealing with tough issues that made headlines.
I can't say New Hanover County government takes all the credit for helping improve the
quality of life for all 188-thousand citizens. We worked in partnership with the
municipalities of Wilmington, Carolina Beach, Kure Beach and Wrightsville Beach to
plan for more open spaces as the voters approved in the 2006 bond referendum. We
continue to work hand in hand with the city of Wilmington and the town of Wrightsville
Beach to improve our infrastructure. And we look forward to continuing a strong
1
relationship with the newly formed Cape Fear Public Utility Authority to provide for a -
healthy environment-
The new 1 1 member authority is comprised of two elected officials from the county, two
elected officials from the city of Wilmington- The city appoints three members, the
county appoints three members- One member is appointed by both boards- Vice
chairman Bill Caster and I serve on the authority. This board of commissioners, as well
as Wilmington city council has not and will not abandon our obligations to support this
critical infrastructure.
We anticipate the new authority will begin July I-_ But even before that, New Hanover
County and the city of Wilmington will soon complete work on the Northeast Interceptor
sewer line, assuring protection of our environment, and allowing issuance of building
permits along that line to resume- Also, New Hanover County is well underway with
construction of a multi-million dollar groundwater treatment plant- While much of North
Carolina has suffered through drought conditions, New Hanover County sits on top of -
vast underground water resources- With the construction of our new treatment plant we
will be able to take advantage of this valuable resource and enhance the quality and
quantity of water to serve our needs-
New Hanover County government accomplished many noteworthy feats in the past year-
Among them, we improved our bond rating from Moody's Investors Services from Aa2
to Aal, which will result in future interest savings_ Our economic development initiatives
were signifFCant this year- Wilmington Industrial Development was very active in .,,~y?
drawing new employers to the region as well as enticing existing industry to expand-
As this board's representative to WID, we continue to work with two of our current
industries, GE-Hitachi and Invista, in an effort for them to add more than one billion
dollars worth of capital investment and nearly one thousand new jobs to this area-
With our area's continued economic growth, comes the need to maintain a high quality
workforce- This means working with our community college to train and educate future
employees- Commissioner Ted Davis has worked tirelessly on the Board of Trustees of
Cape Fear Community College to ensure its vision of building a future-oriented, world
class workforce and a community of life long learners.
Our public school system has seen tremendous growth in recent years and this year will
continue to see many improvements made possible through your generous support o£the
2005 bond referendum- This is proof that education is a priority for the citizens and the
Board of County Commissioners_ New Hanover County government is working with the
Board of Education and its staff to design and build other new schools and park facilities,
similar to that of the highly regarded Veterans Park campus south of Monkey Junction-
Gctunty::. governments also work in the areas of public health. Since tIve Jays r€if.T1•r
'rhiomas Fanning Wood, more than a century ago, New I lanover:Gounty has been in the
forefront c&public health' services. Our history includes the oldest public health system
2
in the state. We look forward to helping provide the services and amenities this
community demands to keep us among the leaders in North Carolina public health. Our
Health Department was among the first in the state to become accredited and is working
this year on its reaccreditation. Last year, we congratulated our Health Director Dave
Rice who was recognized by his peers with the North Carolina "Health Director of the
Year Award".
In 2008 and beyond, we will persist in improving the general health of our citizens and
our environment. Commissioner Nancy Pritchett serves not only on our Board of Health,
but also on the Board of Trustees for the Southeastern Center for Mental Health. Her
input into mental health reform and how we in New Hanover County deal with the ever
changing regulations has been invaluable. I commend her work in this very complex
area.
One of the major roles of county government is providing for the basic needs of the
community's less fortunate. Vice Chairman Bill Caster serves on the Board of Social
Services. The Department of Social Services fulfills its mission of assisting and
protecting our most vulnerable citizens-the poor, the aged, the disabled and the sick-
and enables those who can, to become self-sufficient by linking them with resources and
skills that help them secure a higher quality of life.
County governments are here to protect and serve the public's safety. We provide highly
qualified law enforcement, fire protection, and building safety personnel. We commend
our Fire Marshal, Matt Davis, who serves as president of the North Carolina Fire
Marshals Association. As you drive into New Hanover County on Interstate 40 you will
see our state of the art Fire Training Center, under construction in partnership with the
city of Wilmington and Cape Fear Community College. The training center will allow all
those involved in protecting life and property to obtain skills necessary to do their heroic
jobs.
County governments are partners with the state in law and order. While your state
government operates the judicial system itself, it is your county government, which is
mandated to provide for the capital needs of the court system. One of the latest mandates
from the state is that we open a Public Defender's Office in New Hanover County. We
welcome Ms. Jennifer Harjo as the first Chief Public Defender for New Hanover County.
Her office will be dedicated to providing legal representation to those who cannot afford
it on their own. We hope this mandate will help us greatly in our efforts to control our
jail population and our costs.
We also assist the state with the tough issues surrounding juvenile crime. Our
partnerships with the courts, mental health providers, educators and the business
community have given hope to families in crisis by diverting youth from gangs and other
troubles they so easily fall victim to.
SW
3
County governments also work together to benefit all citizens of the state, regardless
whethar they live `irl the county' or in a city- We thank Commissioner Bill Kopp for his
dedication and service to the North Carolina Association of County Commissioners-
This year, the association celebrates its centenrtial year of service to county governments-
Mr_ Kopp's work as an association director will reach a pinnacle when he takes over as
president of the association later this year- The association serves as the county's
advocate before the executive, legislative and judicial branches of state government-
Finally, I would like to say a few words about our workforce of about I5-hundred
employees, each of whom are here to serve your needs. New Hanover County employees
have shown their dedication to service and commitment to citizens in many ways- Our
manager, Bruce Shell's customer service initiative has focused on making sure each and
every contact a citizen has with county government is a positive experience based on
respect. New Hanover County government historically, has been fortunate to have many
highly talented and dedicated employees who are recognized across North Carolina for
iiznovations to service and commitment to excellence.
While we have very professional staff and dedicated employees, sometimes mistakes can
happen. Late last Friday, the county manager was made aware of revised estimates in the
county's tax base for the current year. Those new projections show an estimated $6.8
million budget shortfall in the county's general fund and fire district for the current year
or about 2.5 percent of the total budget- As a result oFthe new projections, county staff is
developing a plan that will result in expenditure reductions while maintaining the highest
possible level of service to citizens-
We look forward to serving you, the citizens of New Hanover County in 2008, regardless
of whether your home is in our historic downtown Wilmington, on our sandy beaches, or
in one of our rural communities- I challenge all of us to do our part in making New
Hanover County the best it can be.
4
AKenda nce -Executive Committee Meetings
EC 2003 ~an Feb JMar IApr_- IMay June July Aug Sept Oct Nov i7ec
Link
Freeman Lx _
Hunter x x I
Speck x-
EC 2004 Jan Feb Mar Apr May June Jul Aug Sept O ct Nov Dec
Speck
Blake
miles - x -
x
Freeman
x
Weaver x -
t
EC 2005 Jan Feb Mar Apr May June July Aug Sept Oc Nov I~ec
Blake _Males
Freeman x x
Weaver x x
Tunstall
EC 2006 Jan FeMar Apr May June July Aug Sept Oct Nov- Dec
Sha ar x
Weaver x
unstall x x
T II
EC 2007 Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec _
Blake x x
Miles
Shakar x
W _
eaver
I
Weedon
Note. No Executive Committ_ e_e Mtg_ jn Aug 07
EC 2008 .Jan Feb Mar Apr_ May June July Aug Sept Oct Nov Dec t _
Miles _ _ 1
Blake _
Shakar
Spradley J
Attendance-_Board of Health Meetings
BOH 2003 Jan JFeb Mar Apr May June July Aug Sept Oct Nov l7ec
- - x
Link _ -
Blake ~
Estep x
Greer x - x _ y
x
b
Miles x
Speck 1x I{ _ _ _
Tunstall
x
Weaver
Health Mirector -absent Juner 2003
BOH 2004 Jan Feb IMar- IApr- May June July _Aug Sept Oct Nov Dec
Blake ~
Freeman
G ree r x x
1
Lofg ren x
Miles
Smith x _
Tunstall x x x x
Wardrip x - - x x _
Weaver x x_ - I -
Sept ct Nov sec
BOH 2005 Jan Feb Mar Apr May June July Aug O
Blake
- -
Weaver _ x -
Freeman x x x x
HicKmon x _
Lofgren x x
Miles -__I-_ x x
Pritchett x x x
Shakar ?
unstall x x x x ~x x
T
Wardrip x x _ x x
BOH 2006 Jan Feb Mar Apr_ May_. June July Aug Sept Oct Nov Dec - - _
Weaver
Freeman I x x x x x x
Hickmon
Lofg ren
Miles x
Pritchett
ShaKar - x _
Tunstall x I _x x _ I{
Wardrip x x xx -x dResIgned 10/06
Waedon x
1 _ II}
BOH 2007 Jan {Feb Mar Apr_. May June July Aug_ Sept Oct NovI7ec
t
Adams-. x x x _
Blake - - -
Freeman x x x
Hickmon x x
Miles x
Pritchett
x - - f - _
-
Shakar
Spradley x _
Tunstall x x x
Weaver x
Weedon x x
i '
BOH 2008 Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec
Miles
Weedon
Adams x
Blake
Goins _
Hickmon
Lewis
Pritchett
Shakar
Spradley
Tunstall
Attendance - Strategic Planning Retreat
2007 Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec'
- -
Adams
Blake _
Freeman x
Hickmon
Miles
Pritchett
Shakar x
Spradley
Tunstall x
Weaver
Weedon x j
Attendance - Personal_ Health Committee
PHC 2007 Jan Feb Mar iApr- May (June July Aug Sept Oct INov Dec'
Adams
Freeman
Miles ;
Shakar
Spradley - -
i_
Personal Health Committee
PHC 2008 Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec
- -
Shakar -
Adams fi
Spradle j - ~ -
Goins ~I _ y
Lewis I _I ~ _ -
Attendance - Environmental Health Committee _ ~ _
EHS t Nov sec
2007 Jan Feb rMar__ _~AprMayJuneT.July Aug Sept Oc
E:
Environmental Health C
EHS 2008 Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec _
H ickmon i{I
Tunstall ~ ~ _
Weedon
Attendance - Animal Control Services Advisory Committee -
2007 Jan Feb Mar -.pr___ - May June_ July Aug Sept Oct Nov Dec
Bradley_--- _ x - - -
Colby
Conner x x x x
E)~oremus x x x - x _
Ka¢ar
1
Needham x x x x
McNeil x x ~ x
Miles x
Raynor x
WVisitmit on x x x x
ors
Bradley x reinstated
Burpeau x
Press
Rice x It _ _
Weaver - x