12/03/1997
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Mr. Keith Elmore, Chairman, called the regular business meeting of the New Hanover County
Board of Health (NHCBH) to order at 8:00 a.m. on Wednesday, December 3, 1997, in the Dr.
Thomas Fanning Wood Library, New Hanover County Health Department, Wilmington, North
Carolina.
Members Present:
W. Keith Elmore, RPh, Chairman
Mary King Dean, Vice-Chairman
Mary Lou Alford, RN
Thomas V. Clancy, MD
Michael E. Goins, OD
Robert G. Greer
Dennis L. Jackson, DVM
Wilson O'Kelly Jewell, DDS
Anne Braswell Rowe
William T. Steuer, PE/RLS
Members Absent:
Estelle G. Whitted, RN
Others Present:
David E. Rice, Health Director
Lynda F. Smith, Assistant Health Director
Frances F. De Vane, Recording Secretary
Invocation: Mrs. Rowe gave the invocation.
I Minutes:
Mr. Elmore called for corrections to the minutes of November 12, 1997 Board of Health
meeting. The minutes of the meeting of November 12, 1997 were approved by the New
Hanover County Board of Health.
Recognitions:
Certificates To 100% Smoke Free Establishments
Mr. Rice recognized the following 100% Smoke Free Establishment Certificate recipients:
New Directions Counseling Center - Mr. Stephen Clark, Owner
Texilease Corporation - Mr. Gary Hoffman, General Manager
Mr. Rice presented a 100% Smoke Free Establishment Certificate to Ms. Cathy Norton who
accepted the certificate on behalf of Mr. Clark and New Directions Counseling Center. A
100% Smoke Free Establishment Certificate will be mailed to Mr. Hoffman since no one was
present to receive the certificate.
Hamilton W. Stevens Award
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Mr. Rice recognized Mr. Ken Sholar, Vector Control Manager, and Mr. Jeff Brown,
Environmental Health Technician, .Vector Control Division, recipients of the Hamilton W
Stevens Award at the 32nd Annual'North Carolina Mosquito and Vector Control Meeting in
Raleigh, North Carolina. Mr. Sholar and Mr. Brown were awarded the Hamilton W Stevens
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Award for the development of an exemplary Mosquito Control Program in New Hanover
County and for the program's outstanding performance in mosquito control response following
Hurricane Fran.
Mr. Rice informed the Board Dr. Hamilton Stevens, a well-known Health Director from
Buncombe, Duplin, and Craven Counties, was influential in eradicating malaria and in 1977 was
the first President of the North Carolina Mosquito Association.
Mr. Rice commended Mr. Sholar and Mr. Brown for the development of an innovative
mosquito control program, for the d~velopment of teaching modules on mosquito biology and
control for use in elementary schools, and for the development of mosquito larviciding
workshops for Vector Control personnel. Mr. Sholar thanked the Board of Health for their
support in mosquito control in New Hanover County.
On behalf of the Board of Health, Mr. Elmore congratulated Mr. Scholar and Mr. Brown,
recipients of the Hamilton W. Stevens Award.
Department Focal: A department focal was not presented.
Committee Reports:
Executive Committee
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Mr. Elmore, Chairman, Executive Committee, reported the Executive Committee met at 6:05
p.m. on Monday, November 24, 1997. Items discussed at the meeting are listed under New I
Business on the Board of Health Agepda.
Environmental Health Committee
Dr. Jackson, Chairman, Environmental Health Committee, reported the Environmental Health
Committee met at 6:00 p.m. on Monday, September 8, 1997. The committee addressed the
feasibility of training requirements for all foodservice workers in New Hanover County. The
committee met with John Coble, Restaurant Owner and Member of State Restaurant Rules
Committee, North Carolina Restaurant Association. Dr. Jackson advised Dianne Harvell,
Environmental Health Director, was to contact Cape Fear Community College regarding
àssisting the health department in conducting food service classes.
Mrs. Harvell reported Cape Fear Community College has agreed to participate in the
foodservice classes and to be responsible for the administrative process of registering
foodservice workers. The health department Environmental Health staff will provide instructors
for the "Serving Safe Food" Certification Course classes to be taught at Cape Fear Community
College. A written agreement is to be finalized between Cape Fear Community College and
the Environmental Health Division of New Hanover County Health Department.
Mr. Steuer inquired regarding the I expenses of the foodservice educational courses. Mrs.
Harvell responded Cape Fear Community College is to charge a registration fee of $35.00
which includes the textbook. The health department's expense is staff time and materials. She
explained Environmental Health staff will teach a "Serving Safe Food" Certification Course
through the Educational Foundation to foodservice workers and managers and Cape Fear
Community College is to be responsible for the administrative process.
MOTION: Dr. Jackson moved and Dr. Goins seconded for the Board of Health to approve the
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"Serving Safe Food" Certification Course classes in coordination with Cape Fear Community
College handling the administrative process including textbooks and registration and the
NHCHD Environmental Health staff providing an instructor for the classes contingent upon the
review by Dr. Jackson and Mr. Rice of the written agreement between New Hanover County
Health Department and Cape Fear Community College. Upon vote, the MOTION
CARRIED UNANIMOUSLY.
Unfinished Business:
Report on Smoke-Free Dining Day. November 20, 1997
Mrs. Denise Houghton, Health Promotions Director, reported the second Smoke-Free Dining
Day and the Great American Smokeout were held on November 20, 1997. This event was
sponsored by the New Hanover/Brunswick Coalition of Project ASSIST (American Stop
Smoking Intervention Study) and the American Cancer Society. Sixty-four restaurants
participated in being a smoke-free environment during the Smoke-Free Dinning Day. There
was an increase of 20 participants this year. Dr. Clancy commented it is rewarding to see the
number increase over last year's participation.
New Business:
Department of Health and Human Services (DHHS) Grant Applications
Mr. Elmore stated the Executive Committee addressed both Department of Health and Human
Services and Community Health Improvement Program (CHIP) Grant Applications.
"Smoking Is Not Your Friend" - Category: Youth and Families
Mr. Elmore, Chairman, recommended from the Executive Committee for the Board of Health to
accept and approve the "Smoking Is Not Your Friend" - Category: Youth and Families DHHS
Grant Application in the amount of$14,214. No local funding is required.
Mrs. Alford inquired if the Public Health Nurse position salary is to be a temporary position.
Mrs. Creech responded the nursing position is to be temporary. The program goals of the grant
are to provide an educational endeavor to target youth and families, to prevent children from
starting smoking, to reduce or eliminate parent and sibling smoking, and to reduce or eliminate
children's exposure to secondhand smoke.
MOTION: Mr. Elmore, Chairman" moved from the Executive Committee for the Board of
Health to accept and approve the "Smoking Is Not Your Friend" - Category: Youth and
Families DHHS Grant Application in the amount of$14,214 and to submit the grant application
to the New Hanover County Commissioners for their consideration. No local funding is
required. Upon vote, the MOTION CARRIED UNANIMOUSLY.
"Breast and Cervical Cancer Control" Program Enhancements - Category: Older Adults
Mrs. Betty Jo McCorkle, Women's Health Director, explained the goal of the "Breast and
Cervical Cancer Control" Program Enhancements Grant Application through DHHS is to
reduce death and disability from breast and cervical cancer. Funds will be used to purchase two
additional exam tables, medical supplies, and other enhancements to improve the quality of
services in the BCCCP Clinics. The amount requested is $11,686.
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Mr. Elmore, Chairman, recommended from the Executive Committee for the Board of Health to
accept and approve the "Breast and Cervical Cancer Control" Program Enhancements -
Category: Older Adults Grant Application.
MOTION: Mr. Elmore, Chairman, moved from the Executive Committee for the Board of
Health to accept and approve the "Breast and Cervical Cancer Control" Program
Enhancements - Category: Older Adults DHHS Grant Application in the amount of $11,686
and to submit the grant application to the New Hanover County Commissioners for their
consideration. No local funding is required. Upon vote, the MOTION CARRIED
UNANIMOUSLY.
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"Buckle Up Kids In New Hanover County" Category: At-Risk Children
Mrs. Janet McCumbee, Child Health Director, explained the "Buckle Up Kids In New Hanover
County" Grant Application will enhance an existing state Child Safety Program established a
year ago in the health department to provide Child Passenger Safety education and training to
parents and to purchase children's car seats. She stated the additional $4,000 grant request is to
be used to purchase an additional 100 safety seats to prevent injury and deaths in New Hanover
County .
Mr. Elmore, Chairman, recommended from the Executive Committee for the Board of Health to
accept and approve the "Buckle Up Kids In New Hanover County" Category: At-Risk
Children DHHS Grant Application.
MOTION: Mr. Elmore, Chairman, moved from the Executive Committee for the Board of
Health to accept and approve the "Buckle Up Kids In New Hanover County" Category: At-Risk
Children DHSS Grant Application in the amount of $4,000 and to submit the grant application I
to the New Hanover County Commissioners for their consideration. No local funding is
required. Upon vote, the MOTION CARRIED UNANIMOUSLY.
Other Grant Applications:
Firearm Injury Prevention - Community Health Improvement Program (CHIP) Grant
(Submitted Same Application for the Cape Fear Foundation Grant)
Mrs. Denise Houghton, Health Promotions Director, advised the goal of the "Firearm Injury
Prevention" CHIP Grant Application is to provide educational and training opportunities on
Firearm Injury Prevention in New Hanover County. The health department is partnering with
the Wilmington Police Department and the New Hanover County Sheriffs Department to
provide handgun safety classes quarterly for the public. The grant in the amount of $6,700 will
provide trigger locks for the handguns, overtime pay for city policemen, instructional materials,
and educational materials to promote gun safety and to prevent injury.
Mr. Elmore, Chairman, recommended from the Executive Committee for the Board of Health to
accept and approve the "Firearm Injury Prevention" CHIP Grant Application in the amount of
$6,700.
MOTION: Mr. Elmore, Chairman, moved from the Executive Committee for the Board of
Health to accept and approve the "Firearm Injury Prevention" CHIP Grant Application in the
amount of $6,700 and to submit the grant application to the New Hanover County I
Commissioners for their consideration. No local funding is required. Upon vote, the
MOTION CARRIED.
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~Aye
----1- Nay (Mrs. Alford, Mrs. Dean, Mr. Steuer)
Firearm Injury Prevention -Cape Fear Foundation (CFF) Grant
(Submitted Same Application for the CHIP Grant)
Mrs. Denise Houghton, Health Promotions Director, advised the goal of the "Firearm Injury
Prevention" CHIP Grant Application is to provide educational and training opportunities on
Firearm Prevention in New Hanover County. She stated the Health Promotions Committee of
the Board of Health voted to conduct a "Handgun Awareness Campaign" to reduce injury from
firearms. The grant amount is $6,700.
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Mr. Elmore, Chairman, recommended from the Executive Committee for the Board of Health to
accept and approve the "Firearm Injury Prevention" CFF Grant Application in the amount of
$6,700.
MOTION: Mr. Elmore, Chairman, moved from the Executive Committee for the Board of
Health to accept and approve the "Firearm Injury Prevention" CFF Grant Application in the
amount of $6,700 and to submit the grant application to the New Hanover County
Commissioners for their consideration. No local funding is required. Upon vote, the
MOTION CARRIED.
~Aye
----1- Nay (Mrs. Alford, Mrs. Dean, Mr. Steuer)
"Project for Happier Lives" - Community Health Improvement Program Grant
Application
Mr. Elmore explained the "Project for Happier Lives" - Community Health Improvement
Program Grant Application request I is the same project that was approved at the November
Board of Health for the Cape Fear Foundation Grant ($79,200). The difference is the amount
of money. The amount of money for the CHIP Grant is $25,000.
Mr. Elmore requested The Honorable Gilbert Burnett, Retired District Court Judge, presented
a request for the Board of Health to accept the "Project for Happier Lives" CHIP Grant
Application. Judge Burnett reiterated as a judge he saw daily the economic and social impact of
teen-age pregnancy, child abuse and neglect, and criminal offenders whose mothers were too
young to accept the responsibility of properly raising a child. He advised the project does
advocate abstinence as the ideal method to prevent teenage pregnancy. It is an innovative pilot
program to reduce the teenage pregnancy rate and the problems teenage pregnancy creates.
Pregnancy prevention, not pregnancy termination, is the objective of the project.
Monetary incentives of $25.00 or an equivalent gift is available for participants attending the
monthly educational sessions. End of the year drawings consisting of $5,000 success grants
will be awarded to participants who remain pregnant-free for one year. Judge Burnett again
stressed the importance of utilization of creative strategies to entice teens to participate in the
project.
Mrs. Alford inquired regarding the letterhead of the CHIP Grant Application states that CHIP is
a component of the Community Health Improvement Program of New Hanover Regional
Medical Center. She was informed by New Hanover Regional Medical Center staff that CHIP
is funded by hospital profits which she feels constitutes tax dollars. Dr. Clancy responded CHIP
grant monies come from Medicare funds which are not county taxes.
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Judge Burnett explained the CHIP "Project For Happier Lives" and the CFF "Project For I
Happier Lives" Grant Applications request is for a term of one year.
Dr. Jewell inquired regarding the budget and term of budget. Mr. Elmore explained the request
for $25,000 will be an addition to the $79,200 budget for "Project For Happier Lives" CFF
Grant Application. No county Ít1r\ds are requested. The CHIP grant proposal is to fund one
staff position, educational materials and sites, field trips, supplies, and prize incentives.
Mr. Greer asked the number of people this grant would reach? Judge Burnett responded the
project will deal with any girl who expresses an interest in participating in the "Project For
Happier Lives." He stated the one criteria is that the girls participating do not get pregnant.
Mrs. Dean expressed her objection to paying participants not to become pregnant and to prizes
and cash. benefits. She reiterated contraceptives have not worked in the past to prevent
pregnancIes.
Mrs. McCorkle, Women's Health Director, concluded monthly meetings with participants are to
include goal setting, money management, and pregnancy prevention which would allow
students to remain in school. Judge Burnett reiterated the problem of teenage pregnancy needs
to be addressed and dollars do not need to be wasted on situations resulting from preventable
teenage pregnancies.
Mr. Elmore recommended from the Executive Committee for the Board of Health to accept and
approve the "Project for Happier Lives" - CHIP Grant Application ($25,000).
MOTION: Mr. Elmore, Chairman,' moved from the Executive Committee for the Board of
Health to accept and approve the "Project for Happier Lives" - CHIP Grant Application I
($25,000) and to submit this application to the New Hanover County Commissioners for their
consideration. Upon vote, the MOTION CARRIED.
~ Aye
~ Nay (Mrs. Alford, Mrs. Dean, and Mr. Steuer)
Resolution Support ORGANIZING/STRUCTURING OF PROGRAMS IN
ENVIRONMENTAL HEALTH AT THE NORTH CAROLINA STATE GOVERNMENT
LEVEL
Mr. Elmore, Chairman, recommended from the Executive Committee for the Board of Health to
approve a Resolution Supporting: "ORGANIZING/STRUCTURING OF PROGRAMS IN
ENVIRONMENTAL HEALTH AT THE NORTH CAROLINA STATE GOVERNMENT LEVEL."
Mrs. Dianne Harvell, Environmental Health Director, explained the position taken in the
"WHITE PAPER" is that of bringing Environmental Health Programs together with other
Public Health Programs into the Department of Health and Human Services. In July 1997 the
Environmental Health Programs were retained in the Department of Environment and Natural
Resources (DENR). She advised the delineation is made by giving local Environmental Health
Programs responsibility for evaluating and permitting small waste water systems and leaving
these under the Department of Health and Human Services. The responsibility for systems of
more than 3,000 gallons daily would be left under DENR. '
Mr. Elmore stated the resolution supports Environmental Health staff remaining under the I
Department of Health and Human Services and a part of Public Health and the Public Health
Department.
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MOTION: Mr. Elmore, Chairman~ moved from the Executive Committee for the Board of
Health to pass and support the Resolution endorsing the RECOMMENDA nONS OF THE
WHITE PAPER FOR "ORGANIZING/STRUCTURING OF PROGRAMS IN
ENVIRONMENTAL HEALTH AT THE NORTH CAROLINA STATE GOVERNMENT
LEVEL" and to submit the resolution to the New Hanover County Commissioners for their
consideration. Upon vote, the MOTION CARRIED UNANIMOUSLY. (Attachment #1, a
copy ofthe resolution, is attached and incorporated as a part of these minutes.)
Animal Control Services Advisory Committee Appointments
Mr. Elmore presented from the Executive Committee the following list of four applicants to
serve three-year terms on the New Hanover County Animal Control Services Advisory
Committee:
Name
Eddie F. Spencer
John R. Boozer, III
Timmi Evans
Cheryl A. Fiste
Category
Hunter
Hanover Kennel Club Representative
New Hanover Humane Society
Azalea Dog Training
Mr. Elmore recommended from the' Executive Committee to approve the appointment of the
above applicants to serve on the New Hanover County Animal Control Services Advisory
Committee. There were no nominations from the floor to serve on the committee.
MOTION: Mr. Elmore, Chairman, moved from the Executive Committee for the Board of
Health to approve the appointment of the above nominees to the New Hanover County Animal
Control Services Advisory Committee effective January 1, 1997, for a term of three years.
Upon vote, the MOTION CARRIED UNANIMOUSLY.
Mr. Greer inquired how many serve on ACS Advisory Committee and if their terms are
staggered. Dr. Jackson responded there are nine members on the committee and the terms are
not staggered. Mr. Greer suggested that the Board consider staggered terms for the ACS
Advisory Committee.
Recognition of Departing Board of Health Members
On behalf of the Board of Health, Mr. Rice recognized and presented plaques to the retiring
Board of Health members for their outstanding services on the Board of Health for the past six
years:
Mr. Keith Elmore, Chairman
Mrs. Mary King Dean, Vice-Chairman
Mrs. Mary Lou Alford
Mr. Rice commended the retiring members for their accomplishments, committee assignments,
and services rendered to Public Health and to the community.
Nominating Committee Report and Election of Board of Health Officers
Mrs. Alford, Chairman, Nominating Committee, submitted the following nominees for the 1998
Board of Health Chairman and Vice-Chairman:
Dr. Michael Goins, Chairman
Dr. Dennis Jackson, Vice-Chairman
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MOTION: Mrs. Dean MOVED, SECONDED by Mr. Greer to nominate the following
nominees for the Board of Health Chairman and Vice Chairman:
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Dr. Dennis Jackson, Chairman
Mr. Bill Steuer, Vice-Chairman
MOTION: Mrs. Rowe MOVED, SECONDED by Mr. Greer to hold a secret ballot vote for
the election of the 1998 Chairman and Vice-Chairman of the Board of Health. Upon vote, the
MOTION CARRIED.
Mr. Elmore called for the vote and requested Mrs. Alford tabulate the secret ballot votes for the
election of the officers. Mrs. Alford announced the selection of the 1998 Board of Officers as
follows: '
Dr. Dennis Jackson, Chairman
Mr. Bill Steuer, Vice-Chairman
Mr. Elmore thanked the members of the Nominating Committee for serving. He congratulated
Dr. Jackson and Mr. Steuer.
Recognition of Mr. Elmore. 1997 Chairman
On behalf of the Board of Health, the staff, and the community, Mr. Rice presented a plaque to
Mr. W. Keith Elmore, Past Chairman, NHCBH. He commended him for serving as a dedicated I
Chairman and Member of the New Hanover County Board of Health and for ajob well done.
Mr. Elmore thanked the Board of Health members for their dedication; for serving on the Search
Committee in the selection of Mr. Rice, Health Director; and for their Public Health services to
the community. He stated it has been a pleasure to work with the health department staff, to
serve as Chairman of the Board of Health, and to serve on the Board of Health for six years.
Mr. Elmore congratulated Dr. Jackson and Mr. Steuer on their election.
Comments:
Board Members
Dr. Clancy congratulated Dr. Jackson and Mr. Steuer upon their election as 1998 Chairman and
Vice-Chairman. He inquired regarding Department of Transportation seatbelt statistics and what
mechanism is used to arrive at the 91 % on their signs. Mr. Rice stated that Mrs. Houghton,
Health Promotions Director, will research the mechanism for the collection of the statistics.
Mrs. Dean stated she has enjoyed serving on the Board of Health.
Mrs. Alford expressed she has enjoyed her terms on the Board of Health and enjoyed working
with staff.
Dr. Jewell expressed his appreciation to Mr. Elmore, Past Chairman, of the Board of Health.
Dr. Jackson thanked the Board members for their confidence in him and stated he will do the
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best that he can as he serves as 1998 Chairman of the Board of Health.
Mr. Elmore reiterated he has enjoyed serving as Chairman and on the Board of Health. He
thanked the Board of Health members for the sincerity in selecting Mr. Rice, Health Director;
for their support; for their addressing of Public Health issues; for their listening and studying of
controversial issues; for their service to the community; and for the opportunity to get to know
each member of the Board.
Health Director
Health Department Annual Christmas Party
Mr. Rice reminded and invited the Board of Health members to the Health Department Annual
Christmas Party to be held from 12 Noon - 2:00 p.m., on Thursday, December 18, 1997, in the
Carl Thomas Durham Auditorium.
New Hanover County Blood Drive - Tuesday. November 18. 9:30 A.M. - 3:00 P.M.
Mr. Rice informed Board members they may donate the "gift of life" and participate in the New
Hanover County sponsored Blood Drive from 9:30 a.m. - 2:45 p.m. today at the American Red
Cross Center.
1996 Births - New Hanover County and North Carolina
Ms. Lynda Smith, Assistant Health Director, presented a report on 1996 North Carolina
Resident Births. Statistics for births to married females were:
Minority Births = 11,321 = 16%
White Births = 59,686 84%
Total Births = 71,007
Ms. Smith stated that 6% of white births and 3% of minority births were to married females 19
years old and under.
Statistics to unmarried females were:
Minority Births
White Births
Total Births
19,354
14,042
= 33,396
58%
42%
She stated that 36% of white births and 35% of minority births were to unmarried females 19
years old and under.
These reports were distributed to the Board.
Thank You Letter to Veterinarians Regarding Free Rabies Vaccination Clinics
Mr. Rice referred the Board to a thank you letter from Mr. Elmore on behalf of the Board of
Health to local veterinarians participating in the five free Rabies Vaccination Clinics. A total of
1, 134 cats and dogs were vaccinated in the 1997 free Rabies Clinics.
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Appointment of New Board of Health Members
Mr. Rice advised three new Board of Health members are to be appointed at the New Hanover I
County Commissioners Meeting at 6:30 p.m. on Monday, December 8, 1997.
Update on Orientation of Health Director
Mr. Rice stated that he has completed approximately one month of his orientation. Mr. Rice
reported he is completing an 11 division orientation. During the orientation, he states he is
attending other local and state agency meetings, is making site and field trips with staff, and is
orienting himself to personnel and office procedures, etc.
Mr. Rice extended his appreciation and best wishes to Mr. Elmore, Past Chairman; Mrs. Dean,
Past Vice-Chairman; and Mrs. Alford, retiring Board of Health members. He stated he looks
forward to working with the present Board of Health in the future and he hopes to be a leader
for the Health Department.
Holiday Open House
Mr. Rice extended a personal invitation to the Board of Health to a Christmas Holiday Open
House hosted by Mr. and Mrs. Rice in their home from 2:00 P.M. - 6:00 P.M. on Saturday,
December 13, 1997. '
EPI Information - November 1997
The November 1997 edition of the EPI Information Newsletter was distributed to the Board.
Other Business:
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Juvenile Services
Mr. ,Greer inquired if the health department provides services to Juvenile Services. It was the
consensus that Juvenile Services is a state function and the health department no longer provides
these services.
Adjourn:
There being no further business, th'e regular business meeting of the Board of Health
adjourned at 9:35 a. m.
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W. K¿ith Elmore, RPh, Chairman
New Hanover County Board of Health
was
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David E. Rice, M.P.H., M.A., Health Director
New Hanover County Health Department
Approved:
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A Resolution of the New Hanover County Board of Health
WHEREAS, various organizations and groups have exercised the advisability of reorganizing the
State Environmental Health Programs, to facilitate service and enforcement, and to
promote public health and safety, and
WHEREAS, the product of the above endeavors has been set forth in a "WHITE PAPER" dated
November 4, 1997; and
WHEREAS, the New Hanover County Board of Health desires to endorse, adopt, and recommend
those findings and suggestions set forth in said "WHITE PAPER".
NOW, THEREFORE, BE IT RESOLVED by the New Hanover County Board of Health that the
"WHITE PAPER FOR ORGANIZING AND STRUCTURING OF PROGRAMS IN
ENVIRONMENTAL HEALTH AT THE NORTH CAROLINA STATE GOVERNMENT
LEVEL be and is hereby endorsed and recommended to the General Assembly as a basis for
legislative action
This the 3rd day of December 1997
(SEAL)
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New Hanover County
Board of Health
ATTEST:d~t!4VJ. ~
Clerk to the Board
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~Keith Elmore, Chairman