03/05/2008
~r New Hanover County Health Department
Revenue and Expenditure Summaries for January FY 2007 - 2008
Cumulative: 58.33% Month 7 of 12
R¢v ¢n u¢s
Currant Yaar Prior Yaar
Ty Pe of Bud9a[ed Ravenna Balanoe X BuJ77 Ravanua Balance X
Ravanua Amount Earned Remafnin9 $ 2.002.630 $ 1 .334.622 $ 668.008 66.64% $ 1 5 $ 1.377,473 $ 564.532 70.93%
Fees $ 640.161 $ 388.433 $ 251.728 60.68$ t $ 379,448 $ 231,713 62.09%
Medicaid $ 1.569.056 $ 571.779 $ 997.279 36.4494 $ 602,088 $ 944.906 38.92%
Mid Max $ 309,126 $ - $ 309.128 0-0000 $ $ 310.000 0-00%
F5 310,000 $ 128.373 $ 181,627 41.41$ 00 108.305 $ 201,695 34-94%
Feaa 359.700 $ 295,413 64.287 62.13$ 00 158,478 $ 91,722 63.34%
Health CI,.A- $ 35.125 $ '1712$ 1,000 48.75% 25 $ 10294 $ 24.631 29.31%
$ 3,765.12 $ 2.159 $ 1.7254.29% $ 61 $ 602010 $ 1,129.251 58-65%
6.991.114 $ 4,779.905 $ 4.211,209 53.16% $ 46 $ 4,238,096 $ 3,498.650 54.78%
Exp¢nd itu r¢s
Currorlt Year Prior Yaar
Type oT Budgatad Expantlatl Balance X B.,agetad Expanded Ba/ante X
Expand HUre Amoun[ AmourK Ramalning Amount Amoun[ Ramalning
Salary 8. Fringes $ 13.239,315 $ 6,683,930 $ 6.555,385 50.49% $ 12,097.029 IS 6,023.323 $ 6.073.706 49-79%
Operating $ 2.470.551 $ 1.058,029 $ '1.4[2.522 42-83% $ 2.267.048 $ 888,767 $ 1,378,281 39-20%
Capital Outlay $ 50.400 $ 11.505 IS 38,895 22.83% $ 96.485 $ 32.690 $ 63,795 33-88%
Totals $ 15.760.266 $ 7.753,464 $ 6,006.802 49-20% $ 14,460.562 $ 6.944.780 $ 7.5'15,762 48-03%
Summary
Budgeted Actual %
FY 07-08 FY 07-06
Expandituros_
Sa lariea a Fringe $ 13.239,315 $ 6,683,930
Operating 6 2.470.551 $ 1.058.029
Capital Outlay $ 50.400 $ 11.505
Total Expendauraa $ 15.760.266 $ 7.753.464 49-20%
Ravanua= $ 8.991,114 $ 4,779,905 53.16%
Nat County $ 6.769.152 $ 2.973.559 43.93%
Revenue and Expenditure Summary
For the Month of January 2008
I L.2
NHCHO BOARD OF HEALTH APPROVED GRANT APPLICATION STATl.15 FY 07-08 and FY DS-07
Data 130" Grant Ra uastad Pandin Rec. lvad Oeniad
2/6/2008 Community Wastes Reduction 8( Racyr.ling
tosecure low cost Community Animal
Neuterin $26000 S225.000
1/212008 mart tar -New anovar ounty
Pa rnarehip for Children - Child Care
Nu-in Pro ram $196000 $196 SOO
Maternity Cara Coordination - North
Carolina Department of Health and Human _
Services funds to provide Maternity Cara
Coordination services to non-Medicaid eligible
clients *17,1500 S174560
1215/2007 HIV/STD Preventlon Outreach - North
Carolina HIV/STi7 Prevention and Cara - -
Branch - total of multi-year funding thrv M.Y. 2010 5175 000 $175 000
Family Counsal{na n.-I... -Capes Fear
Memorial Foundation continuation funding for
1 ear (of a ossible 3 ears SS3 000 563 000
11 /7/2007 Living Wall -Additional funds added to
original grant to complete winter edition of
newsletter - Ca Fear emorial Foundation 5650 5660 _
Asthma a -d' ogram -NortM h Ca i7rolina 1:3-pt. o
Health uman Services ivision of Public
Health Asthma Pro ram $18,000 515,000 $3,000
10/3/2007 Healthy Carol Hies ns - Raquast or unds rom
the North Carolina Eivi sion of Public Health,
Office of Haalihy Carolinians, for support of
the local tasK force. 512 048 512 048
ACHIEVE Gnan[ - Centers for Olsaase
COntr01/YMCA - Woricplaos Wellness
Services 540,000 540 000
9/5/2007 No lity for Se tambar 2007
8/1/2007 No Activi for Au ust 2007
7/11;1'r n -grant Request to ratify application
-grant funds for minor s to
C registration worKStations to improve
er S16 000 618 000
6/6/st for funds to
rathe NHCHO
Nursim. S2 700 E2 700
6/2/2007 all: Received ape Fear Morial Foundatin of continuaunding for the publication of the Living Wall
0
r insert- SO 512 000
news P.
1 3
AB O! Z1 B/2p0B
NHGHD BOARD OF HEALTH APPROVED GRANT APPLICATION 3TATU3 FY 07-06 aril FY V -07
Oate BOH Grant R¢ uesf¢d Pendin Received l7anled
4/4/2007 Mlnisfering Circl¢ (COlposcopy fun ling) -
Raquast for $12,000 start-up funds from
Ministaring Circle for purchase of Colposcopy
equipmant. Also plan to request additional
funds from other grant sources such as Cape
Faar Memorial Founoation for axpansion of
program to include a second colposcopy unit
and additional training, supplias and contract
services-
512 000 $12.000
Cape Fear M¢morlal Foundation -
Colposcopy Program - Warn- Preventative
Health- $25,000/~/for start up cost for physician
and interpratar -tractad services,
equipmant, supplias, and training. $25,000 $26.000
31712007 Closing The Gap - aquest for $225,000
($75,000 par year for 3 years) from North
Carolina Office of Minority Health and Health
Misparities for a Health Educator to focus on
prevention of HIV and other saxually
transmitted disease in the Latino and Afro- -
American o ulations_ $220000 V.225.000
W712007 CA -M RSA: Funding from U C-Chapel Hill
School of Medicine to assist with rasaarch
related to the prevalanc¢ of community
_ associatad mathicillin resistant staphylococus
auraus $12 600 - 512 600
11312007 mart Sfa rt - aw Hanover ounty
Pa rtnars hip Tor Child ran - Child Care -Woo
Nursin Pr ram $1764500 $170 000 $0500
121612006 Duke Endowment Funds, NHRMC - anteI
Unit - Pam-al Health Services. $25,000 for
indigent dental care and $15,000 for satiation
e ui ment $40 000 520 000 $20000
11/1/2006 No Activf for NOVerrlber 2006
10/4/2006
March of Ulmea - Matamity Care
Coordination expenditures for Baby Love
Program Baby outique and Leamin Center $3 000 $3000
9/6/2006 M. Aotlvi forB Sa tember 2006
8/2/2006 No ActiVi for Au uet 2006
7/5/2006 I erv ce oor na on am y -
Counaelin9 Program (Cape Fear Memorial
Foundatlon) - Funding for Licensed Clinical
Social Worker for 3 ears $260 000 $75,000 S-186000
at mar[ ova ore - ommun tY rant
(NC Uept of Public Health Physical AcUvity
and Nutrition Branch $16 495 S-22.4-10 S,4079
Totals S1 331 073 5292,080 $062,7 14 5488 279
21.94% 42.28% 36.66%
P-lin Grants 4 19% -
9 43%
Funded Total Re at
Partial) Funded 5 24%
0eniad Total Re uest 3 14%
Numbers of Grants A lied For 21 100%
1 4
As of 216/2000
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date:
-Agenda- ® BOH: 03/05/08
Department: Health Department Presenter: Kim Roane, Support Services
Manager
Contact: Kim Roane, Support Services Manager 798-6522
Subject: Budget Amendment - Family Planning Program Expenses - Personal Health
Services - $60,000
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 $60,000 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 erformance as demonstrated b increased caseload of family planning patients.
Recommended Motion and Requested Actions: To accept and approve the .$60,000
additional State funds to be used to support the New Hanover County Health Department
Family Planning program expenditures, and to approve the associated budget amendment
for FY08.
Funding Source: N.C. State Department of Health and Human Services, Division of
Public Health, Women's and Children's Health Section (Federal Title X funds). No
matching Coun funds are required.
Will above action result in:
ONew Position Number of Position(s)
?Position(s) Modification or change
MNo Change in Position s
Explanation: Funds are to be used for Family Planning program Title X approved
ex es.
Attachments: Division of Public Health Fund Distribution and Explanation
15
NEW FAMILY PLANNING BONUS FUNDS - MUST BE SPENT PRIOR TO JUNE 30, 2008
YEAR
Federal Title X (Family Planning) has approved for North Carolina, one-time "Bonus" funding for
all local health departments (total = $1,165,815). The WCHS Liaision Committee has approved
the method of distribution, which includes a base amount for all counties and an additional
amount determined by performance. Each county will receive at least $4,735. Additionally, forty-
eight counties will receive performance-based "Bonus" funds calculated on an increase in their
patient caseload. The maximum amount any county will receive is $60,000. These funds may be
used for any Title X approved expenditure, including sterilizations.
To help counties best utilize this funding, we have budgeted 4/5ths to be spent no later than May
31st. The remaining 1/5th is "June money"
for services provided by June 30th that are reimbursed in July in the new fiscal year. These
funds have been entered into the web-based budget system (WIRM) and should be available
within a week. A spreadsheet with your county's bonus amount is attached.
The Contracts' Office has advised us that no additional agreement addenda are needed, so you
will not receive one in the mail! The budget information on the WIRM and this email will be your
only reminders of these "Bonus" funds.
16
nISTRIBUTION of FAMILY PLANNING SPRING 2008 "BONUS" FUNnS
TOTAL AMOUNT and SUBTOTAL AMOUNTS (February through May, 2008 and June, 2006 )
TOTAL 4/5 amount 115 amount
Febm June
lamance $37,290 $29,832 $7,458
Kilaghany oun /Provider -
lexander _ $4,735 $3,788 $947
$4,735 $3,788 $947
Anson $20,460 $'16,368 $4 092
Ashe $4,735 $3,788 $947
Avery $4,735 $3,788 $947
Beaufort - $4,735 $3,788 $947
Bartie $6,435 $5,148 $'1,287
Bladen $7,030 $5,624 $1,406
Brunswick - $19,355 $15,484 $3,871
Buncombe $38,225 $30,580 $7,645
Burke $11.450 $9,160 $2,290
Cabarrus $18,250 1.14,600 11,3,650
Caldwell $9,665 $7,732 $1,933
Camden $4,735 $3,788 $947
Carteret - $26,580 $21,264 $5,316
Caswell : $7,370 $5,896 !01.4714
Catawba = $60,000 $48,000 $12,000
Chatham - $4,735 $3,788 $947 _
herokee $4,735 $3,788 $947
howan $4,735 $3,788 $947
Clay $10,260 $S 208 $2,052
Cleveland $4,735 $3,788 $947
Columbus $4,735 $3,788 $947
Craven $10,090 $8,072 !S2.0181
Cumberland - $60,000 $48,000 $12,000
Currituck $9,325 $7,460 - $1,865
Dare - $10,260 $8,208 $2,052
r)avidson $4,735 $3,788 $947
Davie $4,735 $3,788 $947
Muplin $9,070 $7,256 $1,814
E3urham $4,735 $3,788 $947
Edgecombe $4,735 $3,788 $947
Forsyth $24,880 $19,904 $4.976
Franklin $4,735 $3,788 $947
Gaston $11.960 $9,568 $2,392
Gates $4,735 $3,788 $947
Graham $8,645 $6,916 $1,7291
Granville $4,735 $3,788 $947
Greene $4,735 $3,788 $947
Guilford - - - $4,735 $3,788 $947
Halifax $5,670 $4,536 $1,134
Harnett $5,500 $4,400 $1,100
Haywood $18,080 $14,464 $3 616
Henderson $7,115 $5,692 $1,423
Hertford _ $4,735 $3,788 $947
Hoke $23,010 418,408 $4,602
Hyde $4,735 $3,788 $947
C:\Oocumants and Settings\mrobe rts\LOCaI Settings\Temporary Internet Files\OLI<46E\FP Bonus FYOS-2-8-08-
17 spring 1
TOTAL 4/5 amount 1/5 amount
Feb-Ma Jun6
Count /Provider
Iredell $25,900 $20,720 $5,180
Jackson $17,995 $14,396 $3,599
Johnston $4,735 $3,788 $947
Jones $5,585 $4,468 $1,117
Lee $4,735 $3,785 $947
Lenoir $4,735 $3,785 947
Lincoln $8,390 $6,712 $1,$678
Macon - $6,690 $5,352 $1,338
Madison $8,050 $6,440 $1.6-101
Martin - $4,735 $3,785 $947
Mc~owell $4,735 $3,788 $947
Mecklenburg $60,000 $48,000 $12,000
Mitchell - $4,735 $3,788 $947
Montgomery $4,735 $3,788 $947
Moore $27,430 - $21,944 $5,486
Nash $4,735 $3,788 $947
New Hanover $60,000 $48,000 $12,000
Northampton - $4,735 $3,788 $947
..slow $4,735 $3,788 $947
Orange $12,215 $9,772 $2,443
Pamlico _ $5,500 $4,400 $1 100
PasquotanK $4,735 $3,785 $947
Pander $4,735 $3,788 $947
Parquimans $6,180 $4,944 $1,236
Person $14,255 $11,404 $2,851
Pitt - $4,735 $3,788 $947 t„
Po1K $4,735 $3,788 $947
Randolph - $4,735 $3,788 $947
Richmond $4,735 $3 788 $947
Robeson $4,735 $3,788 $947
Rockingham $4,735 $3,788 $947
Rowan _ $15,105 $12,084 $3,021
Rutherford $4.735 $3,788 $947
Sampson - $11,960 $9,568 $2,392
Scotland $4,735 $3,788 $947
Stanly $4,820 $3,856 $964
Stokes - $4,735 $3,788 $947
Surry $4,735 $3 788 $947
Swain $4,735 $3.788 $947
Transylvania $15,785 $12,628 $3,157
Tyrrell _ $4,735 $3.7 88 $947
Union - $49,615 $39,692 $9.923
Vance $5,500 $4,400 $1.100
Wake $60,000 $48,000 $-1 00
Warren - $4,735 $3,788 $947
Washington $5,160 $4,128 $1.032
Watauga $4,735 $31788 $947
Wayne $10,345 $8,276 $2,069
Wilkes $4,735 $3,788 $947
Wilson $4,735 $3,788 $947
Yadkin $10,260 $8,208 $2,052 r..rlr
Yance $6,350 $5,080 $1,270
C:\~ocuments and Settings\m roberts\LOCaI Settings\Temporary Internet Fiies\OLK46E\FP 8onus FYOS-2-8-08-
spring 2
3-8
TOTAL 4/5 amount 9/5 amount -
A%b-May June,
~ounty/Provider _
State Total $1,165,815 $932,652 T52-33,1631
Notes:
~ar•
C:\~ocuments and Settings\mroberm\Loc l Settings\Temporary Internet Files\OLK46E\FP Bonus FY08-2-8-08-
spring 3
1 9
" NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Actioa
Agenda• Consent Meeting Date:
A ends: BOH: 03/05/08
Departmento Health Department Presenter: Kim Roane, Support Services
Mara er
Contact: Kira Roane, 798-6522
kfU"diX-jjX ect: Budget Amendment - Request to Increase Revenues and Expenditures for the
s Readiness Initiative fundin - $20,000
Surnrnary: New Hanover County Health Department has been notified of
from the North Carolina Department of Health and Human Services', Q~
emiology Section - Public Health Preparedness and Response office (PHPBcR) in the unt of $20,000 for the Cities Readiness Initiative- We are requesting approval to
ase our expenditure and revenue budgets.
Recommended Motion and Requested Actions: To approve the budget amendment for a7771
$20,000 increase in the revenue and ex ease bud ets for the Health De artment_
Funding Source: North Carolina Department of Health and Human Services,
Epidemiology Section - Public Health Preparedness and Response oMlce• No matching
Coup funds re uired_
Will above action result in:
Q1Vew Position Number of Position(s)
QPosition(s) Modification or change
o Chan a in Position s
Ex lanation-
Attachments: Agreement Addendum from the State PHP&rR- office confirming this award and
bud et for funds-
ADMOOI NHCBOH Aequcst for Board Action
1 1 /07
20
DIVISION OF PiJBLIC HEALTH
' OFFICE OF PUBLIC HEALTH PREPAREDNESS AND RESPONSE
• AGREEMENT ADDENDUM
This Agreem Brat Addendum r¢places any and all previous Agreem eaii Addenda
issued or distsibut¢d to Local H¢alth Departments/Counti¢s for SFY 07-08_
New Hanover Coun Health Dc ailment Epidemiology
Section
Contractor Name
PHPBcR
Activity # S35 Citi s R adi ss I itintive (PHRST 21 Amanda Fuller 919-715-0093
Activity Nurtaber and TYtle Program Contact Name and Telephone Number -
71/1/07- 5/31/08 - Orip,'aal -
Effective Period (Beginning and Ending Date) Date
S of Work-
Since 1999, the Fcdaral government has expended significant effort and resources to enhance the safety of Americans
through the development of the Strategic National Stockpile (STIS)_ As part of this effort, the Centers for Disease
Control and Prevention (C17(=) has worked directly with state and local ofTacials to develop receipt, diet-butioa and
dispertsiag pleas and capabilities for providing stockpile items to citizens down to the local level- The next step is to
increase and enhance readiness of selected cities, in collaboration with State, federa3, and private sector partners, to
make full and effective use o{ SNS assets in the event of a public health catastrophe or act of terrorism for which the
SNS can provide applicable -Imrrneasaaras. A worst case scenario would be a bioterr attack over a large
aatr-biotics t r-eac11 h the identified population
geographic area with an agent t s such as Bacillus anthraces. In this case, mus
within 24 - 48 hours to have the 8reatest life-saving effect. W}ai]e great strides have been made is rectal years, few
lvcalities are fully prepared to distribute and dispense SNS assets in this timeframe.
"The CRT initiative began in (FY3 2004 to provide special funding targeted to 36 selected metropolitan statistical areas
(MBAs). Each state now has at least ono CRI jurisdiction- The C''AI funding does not require the establishment of a
MSA plan- Instead, jurisdictions within the MSA arc expected to continue with their existirag mass prophylaxis
plans-nag structure and coordinate across the MSA.
The purpose of this Agreement Addendum is to facilitate the handing o£North Carolina CRI participants. Each
1_I-rD's Agreement Addcnduat will be accompanied by as attach-at documenting approved I -T-ED activities under
this agreetraettt.
In addition to approved activities for each 1_HD, the following requirements govern the expenditure of these furtds_ -
• Inventory tracking software, vehic3es, medications and medical supplies for use on the general population
Wray not be purchased with these funds.
• Prophylaxis for health department first responders sad their families is acceptable with the approval of the
Division of State and Local Response - Project Officer is collaboration with the Division of Strategic
National Stockpile - Subject Matter Expert-
s Equipment purchased under this priority is iateroperable with equipment purchased with farads fiorrt DHS
State Homeland Security Grant Program (SHSGP") for fast resPoaders-
CRI planA~s~ should be seat to the State SNS Coordinator. Local plans will remain oa file is Pl-IPScR-
• CRI pla_Y_ing must include joint phrasing with other counties in the MSA, hospitals, schools, and other
county agencies including, but not limited to Emergency Management, Emergency Medical Systems, Fire,
and Military Instillations if applicable.
i~,Exercises tray be conducted while plans arc in development
1-1-IDs will contiraaae to train staff in preparedness activiti.s, - cl g Iacideat,,C//o~~a~~a//mead Systcrra_
Page 1 of3 ~72
Local caltla Director Signature and Date
2 1
. DIVISION OF PUBLIC HEALTH
' OFFICE OF PUBLIC HEALTH PREP.4RF'DNESS AND RESPONSE
• AGREEMENT ADDENDUM
Cities Readiness Initiative funds from CDC are not guaranteed to be recurring Funds- Plans for use o£ this
funding For long term staffing support are discouraged.
• Additional information is in Attachment 1.
M tb od of A tability-
• Local (County Health Department will submit monthly Expenditure Monitoring Reports (EMRs~_
Quarterly Narrative Reporting (web based) by project staff to-tlte Office of Public Health Preparedness BL
• Response- (7R3 activities should be noted in the text boxes of the QNR for any quarter with activities-
Assist PHPBcR in completing the Mid-Year Progress Report for the CDC Cooperative Agreement- PHPBcR will
submit the questions from the progress report to CRI cities and request the appropriate infotirtatioa_
Page 2 of 3 ~r1~~~~Gi~~ T/'~ OIL OT
Local Health Director Signature and Date
22
• ~ DIVISION OF PUBLIC HEALTH
~i OFFICE OF PUBLIAGIZEEMENT ADD NDUM S AND RESPONSE
• Att8c71lrleIIt ] c Agreement Addenda #815 -Cities Readiness Initiative
Public Health Regional Surveillance Team (PH32S'r) 2 - Nev" Hanover County Health Departtrtetat
Ro Carolina -
h orth a
Although the only desi l/. MSCA. Rl.11 co-ties arc 1- d to the CR3 B Mourn standards. ]BO-- oftl is N
to devote a portion o{ the CRI funding to support all North Carolina counties.
1as the de.icided &.d ton ads
The ptarpose of this attachment is to define the deliverables for PHRSTs related to receipt of CRI funding-
Deliverables
- Conduct training on th Homeland Security Exercise and Evaluation Program (H SEEP) with the Local
Health Departments wi ahm the assigned region for the team in order to provide a frarttework for a regional
mass disprnsing exercise.
y Conduct at ]cast oIIC exercise of any type that gains and exercises a regional plan for rapid mass dispensing.
This exercise may be a seminar. I.W. top or full scale exercise or any type consistent with HSEBP
fr AftRork.
3 - Aer Action Report (A-0R3 and Corrective Action P7aII (CAP) will be completed m 30 days and must lac
submitted to all participants and all Local Health Department in the region, and to PI-IP~.R within 45 days.
page 3 of 3 '
Local Health Director Signature and Date 23
0
Jill
g
~ g g g g~ g $ a g~ ~ g Ll, g$ g g g g g g g g g
s
M 'a
New Hanover Gounty Health department
Cities Readiness
FY07-08 Budget
MUNtS Account # Item FY07-08 Budget
61 1 1 0-7 00000-G0208 Contracted Services $ 2000
,011 1 0-7 00520-G0208 Supplies $ 96,000 _
81110-700905-4C30208 Travel and Training $ 2.000 -
Total Expense S 20,000 -
61 11 3-301 51 0-G0208 States Funding $ 20,000
Total R0211m S 20,000
25
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
y?~.r Request for Board Actioa
Agenda- - Consent Meeting Date:
Agenda: ® BOH: 03/05/08
Department: Health Department Presenter: Kim Roane, Support Services
Manes er
Contact: Kim Roane, 798-6522-
13 Subject: dget endment -Request to Increase Revenues and Expenditures in NC
Pandemic Influenza Bud et - $50,500.
Brie£ Summary: The New Hanover County Health Department's Pandemic Influenza
program received notification of funding from the North Carolina Department of Health
Section -Public ealth Preparedness and Response
and Human Services', Epidemiology H
once (PHPBcR) in the amount of $50,500 for Emergency Preparedness - Pandemic
Influenza. We are requesting approval to increase our expenditure and revenue budgets
to include the funds-
Recommended Motion and Requested Actions: To approve the budget amendment -fora increase in the revenue and expense budgets for the Pandemic Influenza
promrvmrx-
IFXAnCling Source: North Carolina Depa -LIT+ent o£Health and Human Services,
Epidemiology Section -Public Health Preparedness and Response office. No matching
Coup funds re uired.
Will above action result in:
=Naw Position Number of Position(s)
r--JPositiort(s) Modification or change -
No Chan a in Position s
Ex lanatic n-
Attachments: Agreement Addendum from the State PIAP&AA office confll - ing this award and
bud et.
V ADMOOI NHCBOH Request for Board Action
1 1 /O'7
26
V). ~\MYn
North Carolina Department of Health and Human Services ;
Division of Public Health • Epidemiology Section
Office of Public Health Preparedness and Response , TLI
1902 Mail Service Center • Raleigh, Nort h Carolina 27699-1902
• Tel 919-715-0919 • Fax 919-715-2246 Leah Devlin, DDS, MPH
Michael F. Easley, Governor State Health Director
Cattnen Hooker Odom, Secretary
November 19, 2007
MEMORANDUM
To: All Host PHRST Team Local Health Directors
Subject: 814 Agreement Addendums 2007-2008
Please be aware on the 814 Agreement Addendums the Budgetary Estimates and figures in the W1RM
include $30,000.00 specified for each PHRST Team on Pan Flu activities. Should you have any
questions, please let me know.
Thank yo
Thomas Rhyne
Program Administrator
• North car"m Pubk H"kh
fvr ~ he~e+Mdafe. rlertFCJraim
ere. [reryd4• Every~Y• .
Location: 225 N. McDowell Street •Raleigh, AC. 27603 27
i
DIVISION OF PUBLIC HEALTH
OFFICE OF PUBLIC HEAL PREPAREDNESS AND RESPONSE
AGREEMENT ADDENDUM
This Agreement Addendum replaces any and all previous Agreement Addenda
issued or distributed to Local Health Departments/Counties for SFY 07-08.
New Hanover Coun Health Department Epidemiology
Section
Contractor Name
PHP&R
Branch
Activity #1814 PH Emergency Preparedness: Thomas Rhyne
919 715 1411
Pandemic Influenza Program Contact Name(s) and Telephone Number
Activity Number and Title
October ] 2007 - Ma 31 2008 Original October 23, 2007
Date
Effective Period (Beginning and Ending Date)
1. Scope of Work:
The North Carolina Division of Public Health (NCDPH) announces plans to provide continued Pandemic
Influenza funding to North Carolina's 85 local health departments (LHDs). During Pandemic Influenza
"Phase I and Ir' periods, LHDs completed pandemic influenza preparedness self assessments, performed
gap analyses based on these self-assessments and submitted requests for funding based on gap analyses,
and developed plans for preventing excess morbidity, mortality and societal disruption. LHDs submitted
their plans for review and approval using a two-step process. Review criteria included sufficient planning
to address the "Essential Elements" of pandemic influenza plans developed in collaboration with the uNC
Center for Public Health Preparedness, consistency with State pandemic planning, and for evidence of
collaborative planning with schools within each LHD's jurisdiction.
North Carolina's Public Health Emergency Preparedness application for 2007-2008• includes finding for
NC LHDs to further accomplish and extend ongoing efforts that focus on Priorities and Critical Tasks
identified by CDC. CDC and North Carolina preparedness priorities for the current funding include: 1)
Pandemic preparedness planning, 2) Mass prophylaxis, 3) Community Containment (formerly Isolation and
Detection
Quarantine), and 4) Communication. CDC Goals related to these priorities include Prevention,
and Reporting, Investigation, Control and Improvement. Activities supported by this funding are:
A) Revision of Pandemic Influenza plans using recommendations provided through Phase 11 planning
technical assistance and review, including incorporation of content in reviews by the UNC Center for
Public Health Preparedness and the Division of Public Health into LHD pandemic plans. Funding may be
used to support activities to address recommendations, e.g. convening meetings with or continuing to
cultivate relationships with partners in LHD jurisdictions that may not have been as active in earlier
planning processes.
B) Development and/or enhancement of planning content specifically related to school and childcare
dismissal to meet a new "Essential Elements" guide for this specific focus area.
C) PHPR requires LHDs to carry out the next steps of exercising pandemic flu plans or components of
plans By SFY 2008-09, all exercises will be conducted using the Homeland Security Exercise and
Evaluation Program (HSEEP) framework. Evaluation of the components of the pandemic flu plans such as
community containment, communications, can be used to fulfill the nual exercise requirements.
• L /a]Health Director Signature and Date
page] of 4
28
DIVISION OF PUBLIC HEALTH
OFFICE OF PUBLIAGREEMENT ADDENDUM S AND RESPONSE
- Those counties (Buncombe, Cumb<rtand, Guilford, Mecklenburg, New Hanover, Pitt, Wak<) who are host
to the Public Health Regional Surveillance Teams (PHRS-17 will rcceivd funding specifically for the
following activitics. Fund and activiry reporting shall occur according to the process defined in Agreement
Addendum 51:3.
a. Expected outputs from PHRSTs:
b_ Participate in regional pandemic flu planning activities, such as community outreach, exercises and
planning activitics_
c. Provide resources to Local Health Departments within the region to assist in local planning and
exercises-
d_ Serve as liaison between the state offices of PHP.V-, R. GCDC, etc and the Local H<a t <partments o
relay information.
The purpose of this Agreement Addendum is to document d<liv<tabl<s required for receipt of ftmding in
SFY 07-08_
II_ PerForrrtanc¢ Indicators and Be"chmarks
1 _ pandemic lnflu.- funds may not b< used to purchase antiviral drugs, seasonal influenza or
pneurriococcal vaccine, vehicles of any description or incentive items- fined to hire
2_ Local health departments who receive pandemic preparedness funding are perm
temporary staff in order to allow planning activitics to proceed.
3. Public information projects must utilize approved pandemic influenza messages from NCDPH or
C17C- Projects which deviate from existing NCDPH or CDC messages must receive prior
approval from the NC p1Tic< of Public Health Preparedness and Response (PHPBcR) to assure
consistency with DPH Public Affairs Office materials. Requests for approval should be submitted
- to pandemicflu_plan@ncmail_riet_ Addition of county-specific information to public information
messages (such as location of mass dispensing clinics, hours of operation., ete_) is acceptable
without Prior approval.
4. Purchase of Personal Prot<etive EgnipmPE) is an approved activity- PPE must be purchased
for and distributed only to defined priority populations - s control measnrc during a pandemic-
PPE must meet appropriate 141OS7-1 certification and be plaruty l for - in ways consistent with
latest OSHA and-CDC Healthcare Infection Control practices Advisory Committee guidelines and
rccommcndations available from: - Y h d -fit 1 and
w do / 'dod ~dh o/h'coa html n r>n '1 t for review
5. Revised LHD Pandemic influenza Plans shale be -t influenza response plans will be trade
and maintenane<. Assistance in developing p
available- Local plans will remain on T.I. in PHPBcR_
6 qs part of the community containment components of the LHD Pandemic influenza plans. joint
Planning with schools and childcare will address the potential for an eight to twelve week
dismissal- Planning gosls include continuity of services for children who receive specialized care
while anending school or childcare critical to they well-being, e_g. subsidized meals; Physical,
occupational. or other therapies- Local Health ]department Pans do not have to address continuity
of the educational mission of schools, but should datail the following:
o Communication Plans between public health and school leadership;
o Communication plans between public health and child care providers;
o Communication plans for media during extended period of school and child care
dismissal.
It is anticipated that local plans (from Public Health and/or other agencies) will provide for the
continuity of critical services (education, social services and reduced/fi-ee meals) children receive
in these settings that may be interrupted if children are dismissed from schools and child care_
-7_ Pandemic preparedness exercises arc strongly encouraged during this interval to identify plan
• strengths and gaps. LHD. are encouraged to plan exercises in collaboration with existing partners
including other government ag<neies such emergency management, neighboring jurisdictions.
private sector businesses and non-governmental organizations such as Parent-Teacher-Student- ~..y/
Associations as well as media and to utilize: the Homeland Security Exercise and Evaluation
Page 2 f4
2 9
• DIVISION OF PUBLIC HEALTH
OFFICE OF PUBLIC HEALTH PREPAREDNESS AND RESPONSE
AGREEMENT ADDENDUM
Program to the extent possible-- Regional or multi jurisdiction exercises are strongly encouraged
to assess and build consistency of preparedness planning and response across larger geographic
areas- Assistance with exercise planning will be made available through PHPBcR including
PHRST teams.
8_ LHDs will continue to provide educational awareness activities to increase the rate of annual flu
vaccination of its community health care worker.
9- LHDs will continue to train stafT in preparedness activities, including Incident Command System_
1 O. Pandemic Influenza funds from CDC are non-recurring fonds- Plans for use ofthis funding for
long term staffing support are discouraged.
it- pandemic Influenza funds may not be used to supplant any current local or state expenditures-
Me Public Health Service Act, Title 1, Section 319c (e) (42 USC 247d-3(e3) specifically states
''SUPPLEMENT NOT SUPPLANT - funds appropriated under this section shall be used to
supplement and not supplant other federal, state and local public funds provided for activities -
under this xction".
ML Reportimig Requirements
Accountability will be documented as evidenced by receipt of
1. A revised Pandemic Influenza preparedness Plan or Pandemic Influenza Preparedness Annex to an
existing all-hazards plan sent to -and. crri "1 t no later than Max. 2008. Plans must
include documentation o£planning related to item 6 above
a. Exception= If. plan was approved during Phase 11 witbout any recommendations from UNC
CPHP or DPH for revision or improvement, an LHD may submit only content related to item
6 above
2. Exercise Documentation:
a_ Exercises can be used to Rilfill one of tfie two cx ere ises required under the Aid to County
Grant for Public Health Preparedness (reference activity under Agreement Addendum 514).
b- ARer action report(s) (AAR) and Corrective Action Plans (CAP) shall be generated from
efforts to exercise the Pandemic Influer- Preparedness Plan,_ These will be completed using
the template supplied by PHp~R_ -
c_ AA12s must be sent to .and i fl nl m -1 t, phill"p ~+p nncmai l_net, and
tarrirny*n-schneiderQncmail_net within 30 days ofthe exercise along with a Corrective Action
plan that addresses AAR findings-
3_ Documentation of the total number of seasonal influenza vaccinations provided through the LHD
during the 2007-2008 flu season sent top nd in nl rte email.net.
4_ Local (County) Health Department will submit monthly Expenditure Monitoring Reports (EMRs)p to
r.--y Schneider, Sub-recipient Grant Monitor at t cl "d (a.ncmaiLnet using the form
provided by PHPBcR_
5. Quarterly Narrative Reporting (web based) by project staff are to be submined to the Office jr oPublic
Health Preparedness 8c Response. Pandemic Plu activities should be noted in the text boxes of the
QNR for any quarter with activities_
S. ia/ Notev Prior to purchasing equipment exceeding a 52,500 invoice total, the Health
Department must request approval in writing from the Office of Public Health Preparedness and
Response (PHPBcR)_ The request must be on Health Department Letterhead, signed by the Health
Director. Any approval request sent to PHPBcR will be reviewed within 5 business days. Should
any questions arise, a clarification will be requested from the Health Director- Once the request
has beers reviewed and approved, the Health Director will receive a written approval from the
p]-1P8cR Oice for the request (Consolidated Agreement, Section B, 14.1_ - Funding Stipulations
Page 3 f4
3 O
- DIVISION OF PUBLIC HEALTH
OFFICE OF PUBLIC HEALTH PREPAREDNESS AND RESPONSE
- AGREEMENT ADDENDUM
IV_ Consequences of inadequate performance (require corrective action plans,
withhold payment, reduce or eliminate funding/payment)
All reasonable efforts will be recognized - anempts to complete the scope of work and to achieve
the perform.... measures out]inad above- However, inadequate parfortrtance on the part of a
Local Health Department directly impacts the capacity of North Carolina's ability in overall
preparedness- In the event that performance is inadequate, the Division reserves the right to
identify the county as "at risk" with the implied special auntierx and resources applied to that
designation.
While not necessarily an indicator of inadequate performance. any Local Health Department's -
inability to spend allocated funds within the specified effective period will resuh in a loss of those
unspent funds.
• V
• J
page 4 -1 74
:3:1L
http://atc.dhhs.state.nc.us/Budget(hid,aspx?Id=960
DPH Aid To CoantY
.00
M $15,000.00 $0.00
VANCE $17,500.00 $0.00
PHARNETT N $20,000.00 $0
E $15,000.00 $0.00
ORD $23,000.00 $30,000.00
AX $17,500.00 $0.00
$20,000.00 $0.00
HAYW000 $17,500.00 $0.00
HENDERSON $17,500.00 $0
F
HERTFORD $15,000.00 $0.00
HOKE $15,000.00 $0.00
HYDE $15,000.00 $0.00
IREDELL $20,000.00 $0.00
JACKSON $15,000.00 $0.00
JOHNSTON $20,000.00 $0.00
JONES $15,000.00 $0.00
$17,500.00 $0.00
LEE
LENOIR $17,500.00 $0.00
500.00 $0.00
LINCOLN $17,
MACON $15,000.00 $0•~
MADISON $15,000.00 $0'00 .
MARTYR-WASH $15,000.00 $0•00
MECKLENBURG $23,000.00 $30,000.00
MONTGOMERY $15,000.00 $0.00
MOORE $17,500.00 $0.00
NASH $17,500.00 $0.00
NEW HANOVER $20,500.00 $30,000.00
NORTHAMPTON $15,000.00 $0.00
ONSLOW $20,000.00 $0.00
ORANGE $20,000.00 $0.00
PAMLICO $15,000.00 $0.00
PENDER $15,000.00 $0.00
PERSON #15,000.00 $0.00
PITT $20,500.00 $30,000.00
R-P-M $20,000.00 $0.00
RANDOLPH $20,000.00 $0.00
RICHMOND $15,000.00 $0.00
ROBESON $20,000.00 $0.00
ROCKINGHAM $17,500.00 $0.00
ROWAN $20,000.00 $0.00
3 2 11/20/2007 5:19 PM.
2 of 3
New Hanover County Health Coepartment
Pandemic Influenza
FY07-08 Budget
MUNIS Account Yf Itrm.. F)r07-08 Budget
6 1 64 0-7 0 00 00-G0144 cted Services $ 4,000 -
6 1 64 0-7 0 0520-G0144 Supplies $ 44,500
616-40-700005-C3',0144 Travel and Trainino $ 2,000
Total Ex penes S 50,500 -
61 643-301 51 0-G0144 State Funtling $ 50,500
Tote/ Revenue S 50,500
V
3 3
r
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date:
Agenda: ® BOH: 03/05/08
Department: Health Presenter: Janet McCumbee, Personal
tCo-nt`at-:J-aneett Health Services Mana er
McCumbee 798-6559
Subject: Grant Application Letter of Intent to Cape Fear Memorial Foundation - Men's
Preventive Health- Personal Health Services- $232,000_C5 ears
Brief Summary: The Health Department would like to seek funds from the Cape Fear
Memorial Foundation (CFMF) to begin a men's preventive health initiative. This was
recommended by the Board of Health to address the leading causes of morbidity and
mortality in New Hanover County-heart disease, stroke, and cancer. The men's health
initiative would require additional supplies/equipment, contracted services, and staff to
screen this target population. If the letter of intent submitted to CFMF is looked upon
favorably, we could be asked to submit a full ant application in the Jul 2008 cycle.
Recommended Motion and Requested Actions: To approve the letter of intent to CFMF
w for permission to apply for a three year grant of approximately $232,000 to provide
men's reventive health services.
Funding Source: Cape Fear Memorial Foundation. No County matching funds
required.
Will above action result in:
X New Position Number of Position(s) 2 part-time
?Position(s) Modification or change
ONo Change in Position(s)
Explanation: The grant request would include a part-time (20 hours/week) nurse and
part-time (10 hours/week) of administrative support. These may be temporary, no
benefits or added to current art-time staff hours.
Attachments: Letter of Intent to CFMF; Projected budget draft
~kw
ADM001 NHCBOH Request for Board Action
11/07
34
r
New Hanover County
Health Department
p 2029 South 17th Street
Wilmington, NC 28401-4946 NEW HANOVER COUNTY NEAPS,
Phone (910)798-6500 FAX (910) 341-4146
March 5, 2008
Mr. Garry A. Garris, President
Cape Fear Memorial Foundation
2508 Independence Blvd., Ste. 200
Wilmington, NC 28412
Dear Mr. Garris:
We would like to request approval to submit a grant in the July cycle for a new initiative from the New
Hanover County Board of Health. At their last meeting, they approved that we go forward with a project to
provide additional preventive health services to men in our community over the next three years, in hopes
that we can affect the morbidity and mortality of that population. As a result of funding streams and state
mandates, many of our traditional services are focused on women's health and children's health. Upon
review of our community assessment data for the years 2001-2005, we see that the leading causes of
death continue to be diseases of the heart, cerebrovascular disease, and cancer. Our department has not
had the resources to provide preventive health care for these conditions, and the Board would like for us
to seek grant opportunities to focus on male health in these areas over the coming years.
If we can receive funds to focus on male health, the board has recommended that we hold quarterly
health fairs that provide screenings and education to uninsured/underinsured males or those not having
regular access to health care. We would focus the screenings on cardiovascular health, prostate cancer
screening, prevention of lung cancer, and detection of diabetes. We would work with community
agencies or organizations such as churches to take the staff and equipment out to the target population.
Men screened at these quarterly health fairs/screenings would be followed by a nurse and health
education staff to ensure they receive care. We would attempt to track these men over three years to
determine whether our screenings, education, and continued follow up have reduced their risk of heart
attacks, stroke, diabetes, and cancer.
To accomplish this new initiative and provide the services free of charge to the target population, we
would need additional supplies, equipment, contract services, and staff time. Our grant proposal would
include a request for approximately $232,000 over three years to cover the expenses of this project, with
a goal of serving at least 200 men per year. We hope future data will show improvement of morbidity and
mortality of men in our community over the three years, as well as the feasibility of integrating some of the
screenings into our routine clinical services over time.
Thank you for consideration of this letter of intent to apply for funding in the July, 2008 cycle. If you have
any questions, please call Janet McCumbee RN at 798-6559.
Sincerely,
David E. Rice, M.P.H., M.A. Dr. Sandra L. Miles, Chair
Health Director New Hanover County Board of Health
"Healthy People, Healthy Environment, Healthy Community"
35
Man's Health - CFMF Latter of Intent
Year 1 Year 2 Year 3 Total
Salaries $ 34,500 $ 36,250 $ 38,250 S 109,000
R.N.
Administrative Support Tech. $ 11,500 $ 12,250 $ 12,750 $ 36,500
Operating 3,500 $ 3,750 $ 4,000 $ 11,250
Contracted Services - Labs $
Contracted Services - Interpreter $ 13.000 $ 13,000 $ 14,300 S 40,300
Advertising 1,500 $ 1,000 $ 1,000 $ 3,500
Printing $ 500 $ 200 $ 200 S 900
Postage $ 250 $ 250 $ 250 S 750
Lab Supplies $ 6,000 $ 6,500 $ 7,250 S 19,750
Of ice Supplies $ 600 $ 600 $ 600 S 1,800
Cholesterol Testing Equipment $ 1,400 $ - $ $ 1,400
Mileage Reimbursement $ 1,250 $ 1,400 $ 1,600 S 4,250
Training and Travel $ 1,000 $ 800 $ 800 S - 2,600
Total Expanse $ 75,000 $ 76,000 S 81,000 S 232,000 -
3 6
From: Joy F. Reed Imailto-iov reed CDncmail.netl
Sent: Monday, February 04, 2008 1 9:20 AM
To: The phleaders mailing list
Cc: Gracelyn Lee
Subject: [phlaadars] RMTS Funds
I have just learned that, because there is no additional scope of work associated with sending the
RMTS funds to local health departments as additional General Aid-to-County funds, a Budgetary
Estimate is not mailed to each LHO - the funds simply show up in the WIRM system.
Therefore, this is to let all of you know that those funds have been added to your 1 10 FY08
allocations in WIRM. 1 have attached a copy of the Budgetary Estimate so that you oan sae
exactly how much was added for this fiscal year (this represents the first two quartans of the
FY08's RMTS claims, which is the funding we will have "in hand" during this fiscal year.)
3 8
` N.C. Division of Public Health Budgetary Estimate to Local Health Departments, SFY 07-08
Original X_, Activity # 110 Activity Name: General Aid-to-Counties
REV 11
CIFRC FundIRCClFRC TOtal Ot All
ROW 1 Fund/RCGFRC Fund[RCGFRC FundIRCGFRC Fund/RC
21174530-04
Payment Period
Pa ment Period - Pa ment Period - Pa ment Period - Pa merit Peri -
01/08-06108
Service Period Service Period -
12107-05108 Service Period - Service Period - Service-Period - Sources
COUNTY
$21,75a.oo
01 ALAMANCE $21,754.00 $22 347.00
D1 ALBEMARLE REG $22347.00 $1,837.00
02 ALEXANDER $1,637.00 $4 272.00
$22 720.00
04 ANSON $4272.00
$18 328.00
D2 APPALACHIAN $22720.00
07 BEAUFORT $16 328.00 E1 517.00
815 421.00
09 BLADEN $1517.00
10 BRUNSWICK $15421.00 $88733.00
$5 991.00
11 BUNCOMBE $68733.00
$7 781.00
12 BURKE $5991.00
823 898.00
13 CABARRUS $7781 00
14 CALDWELL $23 896.00 $1 258,00
00
16 CARTERET $1256.00 $12,078.
17 CASWELL $12078.00 $12.715.001
18 CATAWBA $12715.00 $20163.00
19 CHATHAM $20163.00 $3,714.001
20 CHEROKEE $3714.00 $7.305.001
22 CLAY $7305.00 $30.176.001
23 CLEVELAND $30176.00 $13.851.001
24 COLUMBUS $13 851m $15.181.001
25 CRAVEN $15181.00 $10,734.001
26 CUMBERLAND $10734.00 $8.604.001
28 DARE $8604.00 $20367.00
$10 602.00
29 DAVIDSON $20367.00
$11 035.00
30 DAVIE $10602.00
$19 241.00
31 DUPLIN $11035.00
$15 659.00
32 DURHAM $19241.00
33 EDGECOMBE $15 859.00 $35 939.00
34 FORSYT14 $35 939.00 $3 807.00
35 FRANKLIN $3 607.00 $41 855.00
36 GASTON $41655.00 $3 598.00
38 GRAHAM $3,596.00 $14 058.00
D3 GRAN-VANCE $14,058.00 $3.810.001
40 GREENE $3 810.00 $56,625.00
41 GUILFORD $56625.00 $9 138.00
42 HALIFAX $9138.00 $10 997.00
43 HARNETT $10997.00 .997.001
5953.001
44 HAYWOOD $25 953.00 $21 993.00
45 HENDERSON $21 993.00 $7082.00
$3 474.00
46 HERTFORD $7082.00
47 HOKE $3474.00 $4420.00
$16,831.00
48 HYDE $4420.00
49 IREDELL $16,631.00 $4,149.00
50 JACKSON $4,149A0 $23,393.00
51 JOHNSTON $23,393.00
39
N_C_ Division of Public Health Budgetary Estimate to Local Health Departments, SFY 07-08
Original Activity 0 110 Activity Nam¢a General Aid-to-Counties
REV 11
ROyM -i and/RCG/FRC FunWRGC/FRC FunNRGC/FRG Funtl/RCCJFRC ur~,l/RGC/FRC
Total oT All
2117-1530-04
Paymsn[ P+rlod
01/08-0B/OS Pa mant Period - Pa mans Period - Pa mans Parlod - Pa marls Parlod -
Ssrvica Parlod
12/07-06/06 Sarvics Period - Sarvica Parlod - Service Period - Sarvlca Period -
3ourcN
COUNTY
52 JONES 51.872.00 51,672.00
53 LEE S4 266.00 54 266.00
54 LENOIR 516 046.00 515 046.00
55 816.0^0^
55 LINCOLN 55 816.00 s3 727 w
56 MACON 53 727.00
304.o0
$7
57 MADISON 57 304.00 SB 363.00
O4 MAR-TYR-WASH 5H 363.00
60 ME CKLENBURG S54 702.0^0^ s54 902.00
62 MONTGOMERY 58 757-W se 757.00
63 MOORS s7 767_00 s7 767.00
1 H 261.00
64 NASH 516 281.00
65 NEW HANOVER 513 395.00 513 395.00
66 NORTHAMPTON SB 514.00 SB 514.00
E6 698.00
67 ONSLOW 56 696.00 510 OHO.00
66 ORANGE s1 O OHO.Oo
SS 460.00
69 PAMLICO S5 460.00 511 SB4.00
71 PEN OER 511 564-00 S9 567.00
73 PERSON 59 657.00
E53 163.00
74 PITT 553 163.00 52 596.00
76 RANOOLPH 52 596.00 _
57 509.00
77 RICHMOND 57 509.00 ,,y~
76 ROBESON SB 830.00 56 630 00 V
526 691 _00
79 ROCKINGH - 525 891.00
BO ROWAN 511 855.00 Stt 665.00
S28.005-001
OS $26 965.00
B2 S-M P.ON 2 7 s270s.oo
06.00 59 736.001.o0
63 SCOTLAND S9 738.00
se ao
64 STANLY SB 801.00
ss 2sz.oo
BS STOKES 252.00 s10 446.00
BB SORRY 5t1o 0 448.00
56 144.00
.67 SWAIN 56 144.00 SB 336.00
O6 TOE RNER 56 336.00
s6 277-00
BB TRANSYLVANIA B 277.00
535 436.00
90 UNION $35.3 _ Do
5116 045.00
92 WAKE 5116 045.00
E7 609.00
93 WARREN 57 509.00 522 744 00
96 WAYNE - S22 744.00 _
59 247.00
97 WILKES Sa 247.00
510 139.00
96 WILSON E10 139.00 s5 901.00
99 YAOKIN 15 901.00
TOTALS BY CENTER $1 316 381.00 50.OU S0.U0 SU.00 s0.00 S1 316 361.00
51 316 361.00
GHECK GRAND TOTAL
Signature and Oats - OPH Progrem Administrator 519^aturs and Oats- OWislon oT Pub11c Hsa1Hf BYtl9N OTBUr
Signature antl Data - OPH S+cHOn ChiN V
4 0
A
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
r Request for Board Action
Agenda: Consent Meeting Date:
Agenda: ? BO H: 03/05/08
Department: Health Presenter: David E. Rice, Health Director
Contact: David E. Rice 798-6591
Subject: Public Health Foundation of New Hanover County, Inc. - Appointment of
Member
Brief Summary: According to Article III Directors, Section 1: Composition of the Board,
members of the Board of Directors of the Public Health Foundation of New Hanover
County, Inc. (PHFNHC) shall be appointed by the New Hanover County Board of
Health. At the February 7, 2008 PHFNHC Board of Directors meeting nominees were
prioritized. Following this meeting, Kathy Gresham, Director of Physician Relations at
New Hanover Regional Medical Center, agreed to serve as a member of PHFNHC.
Recommended Motion and Requested Actions: Appoint Kathy Gresham as a member of
the Board of Directors of the PHFNHC.
Fundin Source:
Will above action result in:
?New Position ' Number of Position(s)
?Position(s) Modification or change
®No Change in Position(s)
Explanation:
Attachments: PHFNHC Application for Kathy Gresham
41
NE URO LNAG LAB NNRM 02:23:43 p-m- 02-13-2008 1 /2
9708155403
Pi7BLIC HEALTH FOUNDATION OF NEW HAIVOVER COUNTY
~1rr APPLICATION
2029 Sovth 17® Strad
Wilmington, NC 28409
(910 798-6591
Name: ~ / ~jx~
BomeAddress: ~ ~ ~ ~ O~ ~ v'
- - 71 C ~Z8 '`moo S
Mailirv~ Addrea+ H dlffereat~ -
--"Z ~2 - X77 a-
Busfness:
Employer ?~Q~ ~ iiC~ ~"a
Professional
62
L-
Q~z v~ ~a Q 00-1
Volunteer Acaivitlesa
57,
4 2
02:23_S[ p-m- 02-13-2008 212
9'108155403 NE URC, ~IAG LAB NHRM
Wby do You wish [o s¢rv¢ on [L[a / `•~Y
ioundaNoaT iGc l/./~ '
WLat areas of coac¢ra would yon lice [o see addr¢.ased~7by alas
fou[.datioaT
QuaS[gca [ions for servln>e: - y/~_
List ti- local p¢raoaal ref¢r daces and pLOae numbers:
2
,53~ -389
3
naie: 02 - /3 - O ~
s igl n t[tre- --.ONO
4:3
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
r Request for Board Action
Agenda: Consent Meeting Date:
Agenda: ® BOH: 03/05/08
Department: Health Presenter: Jean P. McNeil, Animal
Control Services Manager
Contact: Jean P. McNeil 798-7505
Subject: Animal Control Services Advisory Committee - Appointment of Members
Brief Summary: This is a request to fill the vacant cat interest position of the Animal
Control Services Advisory Committee with Ms. Patricia Roseman and the Hanover
Kennel Club position with Mr. John Boozer. Both have served on the Animal Control
Services Advisory Committee in the past. Mr. Boozer has been a past Chair of the
Committee, and he has also served for many years as a member of the Dangerous Dog
Appellate Board for the division.
Both bring with them many years of knowledgeable animal expertise in a variety of
areas. They will be welcome additions to the Committee.
Recommended Motion and Requested Actions: To request appointment of Ms. Patricia
Roseman to fill the vacant cat interest position and Mr. John Boozer to fill the Hanover
Kennel Club position on the Animal Control Services Advisory Committee.
Funding Source: N/A
Will above action result in:
ONew Position Number of Position(s)
MPosition(s) Modification or change
®No Change in Position s)
Explanation: See above.
Attachments: 2 applications for Appointments to NHC ACS Advisory Committee
44
1 71 Y .
NEW HANOVER COUNTY
z` ' I
HEALTH DEPARTMENT _
.i
Animal Control Services
~
i 184 Division Drive MEW Nf110VEP COUNTY HE
Wilmington, NC 28401
TELEPHONE (910) 798-7500 FAX (910) 341-4349
Application for Appointment
New Hanover County Animal Control Services
Advisory Committee
(Please print legibly)
Category Interest: Is on3 A 4n 1te-( C
Name: J ~tn iJ v o 2 ,e,r, (I 1,
Address: SP ~S 4t)r~ 5 U1 Il f- ~ -
city: _ ~J: (A; I n k NC zip: ; e y o f
Phone (Home) 7 4 31 S O -(B us.) S y' D 73 q (Cell) 2 3.:~ - 6 61 a
Why do you wish to serve on the Animal Control Services Advisory Committee?
r _
hPtnW hv+~- Ma._u y, evj 4t o,,4,-*yJ
9 j d" Cj of
What areas of concern would you like to see the Committee address?
iSL4Jj01^- Col/lCe?yt; hti am i ?hM S
/ n I
Date: a y( y Signature: t~- •
45
7•d 9669-19Z 01.6 suoi;nlos ;sBOO }sea dOZ:lO 80 t, l qe=l
02/20/2005 0a: 25 19106866631 Z_A. {2O5£MAN DDS. PA PACE 01/02
. 40V TY.~o'
. . ~ 's. NEW HANOVER COUNTY
7gEAI~TH DEPART~'iEN'T
s - Aaim.al Control Services .....e,.. W~~ r
- z 180 Division 1),rive
~M~Wilmington, NG ,Z.$401
. - TELEX O~TE (910) -798-7500 lF--*W (910) 341-4349
ApPlICBtlon for Aooointmar~t
New Hanover County Animal Control SBrvioes
Advisory CommitEae
(Please print legibly)
lnteres:l:
Category
Ca• -
Name Patricia
Roseman
Address: 24 Backfin Point
City Wilmington Zip:
_2841 1
Phone -0: (Roma) 686-6630 (Bus.) (Cell) 262-
6630
Why do you wish to serve on the Animal Control Services Advisory Committee?
1 am committed to the welfare~ Vpof all animals and believe strongly that spay/ neuter is the
answer to control. i want to pe our county move fon+vard quickly in this direction for the
welfare and safety of these animals. Cats era my passion ar.d l am InvoNed on a small
scale but have the timo to do more- -
What areas of concern would you like to see the Committee address?
1 am happy to see Animal ContrcWa involvement with SfN vouchers and am always
concerned about issues like pet stores, hoarders, large breeders. etc.
°`Healthy Peoples Healthy Environment, Healthy Commnnity^
4 6
02/20/2008 09-25 19105865631 A. R~~ M~`~ DD~• PA P 02/02 -
Sato: February 18. 2008 Signature: _ ti.,ri'
Patricia M. F2oserna
~aesusty reopte, H[~1my Enviavnmcn><, ~tiimy Commsnf:y~" 4'~
Page
intentionally
left blank
Naw_Hanov¢r County Board of Commiasionare
William A. Caster (pia na) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _Home 452-1282 Office 798-9149
6048 Cedar Ridges Or. 28405 Fax 452-2695
a-mail: bcaatar~nM1Cgov_com
14 Tad Davis, Jr_ (Jana) Hom¢ 313-0955 OfFCe 763-6249
_ar° 71 l2 CraaKS Edges Nr., E 28409 Fax 762-5175
a-mail: [davis~nbcgov_com
Robert G. Gfeeq Chairman (Lou) . . . . . . . . . . . . . . . .Home BHB-1703 Office 796-7149
6735 Ramsbury Way 28411 Cell 619-7679 Fax 763-5961
a-mall: bgraar~nM1Cgov_com
William A. Kopf. Jr. (Barbara) . . . . . . . . . . . . . . Cell 431-7120 Offca 798-7149
6231 S[On¢bfitlg¢ Rd 28409 Fax 791-3504
a-mall: bKOpp~nM1Cgov_com
Nancy H. P-hett 791-2827 OfFta 7964149
5330 Magana Plaa;a 26409 Call 512-2900 Fax 791-2-27
a-mall: nprHCM1att~nM1Cgov.com
v r Co n ar t
Virginia W. Adams, P... . . . . . . . . . . . . . . . . . . . Home 313-0493 OMCe 9fi2-7410
UNCW School of Nursing. 601 S. Collage Rtl. 26403 Cell 367-9920 Fax 962-3723
a-mesa: adamay~Pngw.adP
Oonaltl P. BIaKa (CatM1ey) . . Homes 791-5230 Office 784-9191
120 Windamara Rtl. 26405 CBII 540-3332 Faz 764-9192
a-mall: donbla Ka(~aol.com
Micheal E Goina, OD (Anne) _ _ _ _ _ _ _ _ 392-3445 Offices 392-0270
5030 RantlalI la-- 28403 Call 616-7420 Fax 392-0271
o-mail: 02aoadoc~ballaoutM1. na[
James R. HicKmon, RPh (Pat) Homes BBB-3402
324 Marsh OaKS Or. 26411 Cell 200<338 Fax BBB-4259
e-mall: M1lcKmonj~ballsoutM1.nat
` Robert E- Lawia (Linda) _ _ _ _ - Homes 6H6-2123 Offices 395-4133
6513 Old Fort Rd. 28411 Call 264-2280 Fax 395-4919
a-mail- rlawiaH~ec_rr_com
Sandra L. Milos, DDS, Chair Call 233-7898 Office 815-0811
2ax 815-0665
1 North 1 6thSt -Zr
a-mail: iamsmilas~bizac.rr.com
Nancy H_ PrltcheH . . . . . . . . . . . . . . . . . . .Homes 791-2627 Off ca 798-7149
5330 Magana Place 26409 Call 512-2900 Fax 798-1706
a-mail: npritc M1att~nM1Cgov.com
Robert -1 Sha Kar, Jr.- M.O. . . Homes 452-9520 OTfce 442-1100
933 Rabbt Run 28409 Cell 619-9987 Fax 442-1199
¢-mall: ¢ri M1HKer~aol_com
C. Benjamin Spradlay . . . . . . . . . . . Home 256-3700 Ofrica 791-6886
229 Beech St 28405 Fax 392-9552
a-mall: spradlaylna~ballaoutM1.n¢<
John S. Tunstall. PE (~arean) . . . . . . . . . . . . . . . . Homes 763-6261 Office 343-9653
902 MafKat St, 28401 Fax 343-9604
a-mall: 1[u oafs I Ian Kta ng.com
G. RobaR Weed- MPH, Vice-Chair Call 297-2771 Office 395-6555
901 Tarpon Or. 2-409 Fax 392-3126
a-mall: rwaadon~ballaoutM1.net
Janalle A. Rhyne. MO, Medical Consultant Homes 686-2913 OTf ce 798-6766
2029 S- 17th St 28401
a-mail: )rbynaQDnbcg--m
.-d E Rica, Health Director (Linda) Home 791-2092 Ofrica 79H-6591
10.... st Primivara Ci. 28409 Cell 367-2414 Fax 341-4146
a-mall: drlca~nhcgov_com
Marilyn Roberts, BOH Racordmg Secretary Office 798-6590
a-mall: mroberts~nM1Cgov_com
~v.o2-
22 February 08
Mr. Rice,
My name is Laurie Dunn and I am the school nurse at New Hanover High School. I have
written you before to commend some of my co-workers; and I felt like I had to take the
time to do this again. I would first like to say that I have recently been working with the
staff of the Mobile Dental Unit in regards to getting dental care for a couple of my
students. Everyone that I spoke with was very professional, courteous, and extremely
helpful. Jane Walker went above and beyond, not only babysitting me through the whole
process, but taking the time to help secure full funding for one of my student's that had
severe dental needs. For this act of generosity I must also thank you. Jane advised me
that she would present the case, but the decision to actually fund this work came from
you. I cannot begin to tell you the difference that I feel this will make in my student's
life, both academically and personally. I would also like to thank another member of the
Health Department for assisting me and the MDU in providing care for another student.
This student had not been to the dentist since he was nine years old and his resources are
very limited. I had seen him several times regarding a rotting tooth that needed to be
extracted, but little did I know that the MDU would find that it had abscessed. I spoke
with Jane who explained that the student would need to take a regimen of antibiotics
before the tooth could be worked on, this regimen would only cost $4.00 and could be
picked up at the Wal-Mart. This sounds very simple unless you don't have
transportation, money, or support systems. I contacted Carla Turner, my supervisor, and
explained the situation. At this point Carla told me not to worry, and the next thing I
knew she was at my school with the antibiotic to send home with him. The student had
his tooth extracted yesterday and was feeling, (and looking), great when I saw him this
morning. Living with unnecessary pain is something that most of us do not have to deal
with, but for some of my students this is an everyday reality. When I look at these two
students I feel proud that I had a small part in making their lives a little better. I feel even
prouder to know that I have a health director, supervisors, and co-workers that stand
beside me in this effort. I have said it before and I will say it again; thank you for giving
me the opportunity to work in such a wonderful, caring environment.
Sincerely,
Laurie Dunn, RN
~r,r'
ugjv a va v
a
Rice, David E.
From: Rice, David E.
Sent: Wednesday, February 13, 2008 2:44 PM
To: Roane, Kim
Subject: RE: Recommendations for Fee Changes from 2/13/08 F.A.C.T. Meeting
Approved.
David E. Rice, MPH, MA
Health Director
New Hanover County Health Department
2029 South 17th Street
Wilmington, NC 28401
910-798-6591
drice@nhcgov.com
http://www.nhchd.org
From: Roane, Kim
Sent: Wednesday, February 13, 2008 2:43 PM
To: Rice, David E.
Subject: RE: Recommendations for Fee Changes from 2/13/08 F.A.C.T. Meeting
No, each change is projected to be less than $5,000 annually. Our best guess on the dental fee increase would
be $2,500 annually.
Kim Roane
Support Services Manager
New Hanover County Health Department
(910) 798-6522
fax (910) 341-4146
From: Rice, David E.
Sent: Wednesday, February 13, 2008 2:41 PM
To: Roane, Kim
Subject: RE: Recommendations for Fee Changes from 2/13/08 F.A.C.T. Meeting
Will the dental fees increase be more than $5000?
David E. Rice, MPH, MA
Health Director
New Hanover County Health Department
2029 South 17th Street
Wilmington, NC 28401
910-798-6591
drice@nhcgov.com
http://www.nhchd.org
From: Roane, Kim
Sent: Wednesday, February 13, 2008 2:00 PM
To: Rice, David E.
Subject: Recommendations for Fee Changes from 2/13108 F.A.C.T. Meeting
Dave,
The F.A.C.T. meeting has resulted in the following recommendations for your approval (each change is projected
2/13/2008
S
to result in less than a $5,000 increase in annual revenues):
• Change fees for Prevnar to a total of $1 10.00 ($92.50 for the vaccine -code 90669- and $17.50 for the
• administration fee - code 90471). This will cover the estimated cost of providing the service ($86.58), and
will maximize reimbursements from 3'd party insurers, who separate the total fee into two rates, one for the
vaccine and one for tha administration fee.
Change feas for Rototeq to $98.00 ($80.00 for the vaccine - coda 90680 - and $17.50 for the
administration fee - code 904713. This will cover the astimatad cost of providing the service ($75.08), and
will maxirniza reimbursements from 3b party insurers as explained in the first bullet above-
Change in dental fees to increase ability to cover cost of providing services, and to maximize
reimbursement from Medicaid and 3"a party insurers- Individual fae changes are shaded in gray on the
attached, spreadsheet.
Please consider these racommendations for approval-
Thank you,
Ki m
Kim Roane
Support Services Manager
Naw Hanover County IiaaNh 0oapartmant
(91 O) 798-6522
fax (91 O) 341-4146
• 1.00
- -..00
2/ 13 /2008
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