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03/03/1999 I I I 16 Mr. William T. Steuer, Chairman, called the regular business meeting of the New Hanover County Board of Health (NHCBH) to order at 8:00 a.m., Wednesday, March 3, 1999, in the Dr. Thomas Fanning Wood Memorial Conference Room, New Hanover County Health Department, 2029 South 17th Street, Wilmington, North Carolina. Members Present: William T. Steuer, Chairman Wilson O'Kelly Jewell, DDS, Vice-Chairman Henry V. Estep, RHU Michael E. Goins, OD Robert G. Greer, Vice-Chair, County Commissioners Gela N. Hunter, RN, Nurse Practitioner W. Edwin Link, Jr., RPH Philip P. Smith, Sr., MD Melody C. Speck, DVM Estelle G. Whitted, RN Members Absent: Anne Braswell Rowe Others Present: David E. Rice, Health Director Lynda F. Smith, Assistant Health Director Frances F. De Vane, Recording Secretary Invocation: Mr. William T. Steuer gave the invocation. Minutes: Mr. Steuer asked for corrections to the minutes of the February 3, 1999 New Hanover County Board of Health Meeting. The minutes of the February 3, 1999 Board of Health meeting were corrected and approved. Recognitions: Personnel Mr. Rice introduced the following new health department employees: New Employees Elisabeth K. Constandy, Health Educator, Health Promotion/Project ASSIST Scott Compton, Animal Control Officer, Animal Control Services Service Awards Mr. Rice recognized and congratulated the following New Hanover County Service Award recipient: Five (5) Year Service Bartholomew Furlow, Vector Control Field Operator, Vector ControllEnvironmental Health Ten (10) Year Service Award Barbara E. Thrift, Pubic Health Nurse, Communicable Disease Kathy C. Nuttall, Computer Systems Administrator, Administration Fifteen (15) Year Service Award Doris M. Musselwhite, Licensed Practical Nurse, Communicable Disease 1 17 Servin¡: Safe Food Certification Mr. Rice recognized Mr. Mike Nance, ARA MARK, University of North Carolina @ Wilmington (UNCW), who accepted a Serving Safe Food Certificate for UNCW. Five ARA MARK employees were graduates of the Serving Safe Food Certification classes. Mr. Rice thanked Ms. Jean Marsh and Ms. Isobel Charlton, Cape Community Fear College, for helping NHCHD Environmental Health Division with the educational sessions. Ms. Marsh and Ms. Charlton helped in administering the Serving Safe Food Certification classes. Mr. Steuer welcomed new employees, commended the Service Award recipients, and Mr. Nance and his fellow graduates for attending the Serving Safe Food Certification classes. I Department Focal: A Department Focal was not given. Committee Reports: Executive Committee Mr. Steuer, Chairman, reported the Executive Committee met at 6:00 p.m. on February 23, 1999. Items are listed under New Business on the Board of Health Agenda. Unfinished Business: I GeneratorslHookups at Emer¡:ency Shelters Mr. Greer stated several months ago the county submitted a Grant Application to FEMA to provide generators/hookups for emergency shelters in New Hanover County. He plans to keep the Board of Health informed on the status of the grant application. New Business: Bud¡:et Amendment - Vector Control Boat Mr. Steuer reported the Boat Committee decided readdress the boat safety issue before selecting a boat for mosquito control. Also, on February 23, 1999, the Executive Committee again reviewed Boat Options for the Vector Control Program. Mr. Steuer asked Ms. Dianne Harvell, Environmental Health Director, to inform the Executive Committee of a recent boating incident of the Vector Control staff. Ms. Harvell explained two staff members encountered a wake from a large ship in the river and had difficulty keeping their boat in positive floatation. Ms. Harvell and Mr. Steuer concurred the 16-foot boat currently used in the river is inadequate. They recommended a larger boat and a crew of three for safety measures. Mr. Steuer recommended from the Executive Committee for the Board of Health to purchase an Alumaweld 19-foot boat ($19,065). This price includes a galvanized trailer, rigging, and shipping I cost. A consideration in selecting the 19- foot boat was that the Coast Guard does not require flotation of a boat 20 foot or more. 2 I I I 18 MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and approve the purchase of an Alumaweld 19-foot boat ($19,065) for the Vector Control Program in the Environmental Health Division and to submit the budget request to the New Hanover County Board of Commissioners for their consideration. Upon vote, the MOTION CARRIED UNANIMOUSLY. Mr. Greer asked if the price for the boat includes all needed equipment. Mr. Steuer advised the boat is fully equipment other than safety equipment. Mr. Estep asked ifthey could purchase the boat locally. Mr. Steuer responded he did not find the heavy deep vee aluminum boat locally. Grant Applications HIV PREVENTION Mr. Steuer recommended from the Executive Committee for the Board of Health to approve the $190,000 Grant Application - Preventing HIV Effectively (PHIVE) - A Funding Proposal for Kate B. Reynolds Charitable Trust Health Care Division. He stated Mr. Rice; Ms. Beth Jones, Communicable Disease Director; and Mr. Michael McNeill, TAP Project Administrator; visited the Kate B. Reynolds Division in Winston Salem, North Carolina, to learn more about the charitable fund and the grant application process. Mr. Steuer advised Ms. Jones and Mr. McNeill prepared the PHIVE Grant Application. The $190,000 funding proposal will enable the health department to assume leadership in coordinating HIV prevention activities focusing on reaching the five highest risk populations. MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and approve the $190,000 Grant Application - Preventing HIV Effectively (PHIVE) - A Funding Proposal for Kate B. Reynolds Charitable Trust Health Care Division and to submit the PHIVE Grant Application to the New Hanover County Commissioners for their consideration. Upon vote, the MOTION CARRIED UNANIMOUSLY. Dr. Goins explained the Board of Health adopted a grant procedure that requires the submission of a grant application to the Executive Committee for recommendation and then to the Board of Health for their consideration. If a grant deadline is relating to a budget amendment $10,000 or more (unless new personnel request), the Board members will be notified of the additional monies and polled by phone. Health Fee Policy Chan¡:e - Lymerix and Rabies Vaccines Mr. Steuer recommended from the Executive Committee for the Board of Health to approve the purchase of Lymerix vaccine (new vaccine) and the price increase of Rabies vaccine (pre exposure). The requested changes to the New Hanover County Health Department Fee Policy are as follows: Immunization Fees Cost Per Injection Lymerix Vaccine (new) $55 Rabies Vaccine (pre exposure increase from $65 to $78) $78 MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and approve the purchase of Lymerix vaccine @ $55 per injection and the price increase of Rabies vaccine (pre exposure) @ $78 per injection to be incorporated as changes to the New Hanover County Health Department Fee Policy. Upon vote, the MOTION CARRIED UNANIMOUSLY. 3 19 Dr. Speck asked if the health department is reimbursed for expired vaccines. Ms. Jones explai~ed vaccine fee charges are per injection and are based upon direct cost. The state does not refund ~xptred I vaccine cost. Ms. Lynda Smith, Assistant Health Director, asked if they plan to advertIse the availability of vaccines. Ms. Jones stated they plan to give vaccines to designated occupationally at risk employees and plan to advertise the vaccines. Ms. Whitted noted Rabies vaccine was increased $13.00 per injection. Ms. Jones stated the increase was due direct to cost of Rabies vaccine. Medicaid Rate Increases Mr. Steuer recommended from the Executive Committee for the Board of Health to approve the Medicaid rate changes submitted. Mr. Greer and Mr. Estep asked if Medicaid rates change each year. Mr. Rice explained the state notifies the health department of rate changes. Dr. Goins added Medicaid does not have cost of living increases annually. Ms. Smith, stated Medicaid rate increases will be presented to the Board of Health and then to the New Hanover County Commissioners for their consideration. She advised health department fees cannot be less than Medicaid charges. They will submit other fee changes late!. MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and approve to the Medicaid Rate Increases to be incorporated in the New Hanover County Health Department Fee Policy and to be submitted to the New Hanover County Commissioners for their consideration. Upon vote, the MOTION CARRIED UNANIMOUSLY. Grant Applications - Smart Start I INTENSIVE HOME VISITING PROGRAM (IHVP) Mr. Steuer recommended from the Executive Committee for the Board of Health to approve a Grant Application - INTENSIVE HOME VISITING PROGRAM (IHVP) - Partnership for Children 1999- 2000. The funding proposal is for $100,000. It will fund 3 positions - 1 social worker, 1 nurse, and 1 part-time clerk (50%). MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and approve to $100,000 Grant Application - INTENSIVE HOME VISITING PROGRAM (IHVP) - Partnership for Children 1999-2000 Smart Start Funding and to submit the IHVP Grant Application to the New Hanover County Commissioners for their consideration. Upon vote, the MOTION CARRIED UNANIMOUSLY. HISPANIC PRENATAL PROJECT Mr. Steuer recommended from the Executive Committee the approval of a Grant Application - HISPANIC PRENATAL PROJECT - Partnership for Children 1999-2000. The funding proposal is for $12,700 grant is for Hispanics who are illegal aliens. Ms. McCumbee explained some pregnant women are illegal immigrants; however, once the child of an illegal alien is born, the baby becomes a legal citizen of the United States and a financial responsibility of New Hanover County. She advised the proposed grant will target barriers to prenatal care and will I address transportation, prenatal vitamins, diabetic supplies, car seats, interpreter services, motherlbaby supplies, and prenatal support education sessions. Ms. McCumbee emphasized better prenatal care produces healthier babies. 4 I I I 20 Mr. Steuer expressed he has a problem with illegal aliens having children and the babies becoming legal citizens and the responsibility of the county. Ms. Whitted emphasized we need to provide public health care to these people. She stated the laws are a government problem that the Board cannot change. Mr. Steuer agreed these people need health care; however, the citizenship laws need to be addressed and changed. Mr. Greer concurred with Mr. Steuer this is a problem in our community that needs to be addressed and that the citizenship laws need to be changed. He expressed it is wrong for illegal aliens to come to the United States, have children, and then expect local taxpayers to pay expenses. Mr. Greer suggested the Board of Health prepare a letter to congressmen stating it is a problem when local government is expected pay the medical expenses for illegal aliens who have children who automatically become United States citizens. MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and approve the $12,700 Grant Application - HISPANIC PRENATAL PROJECT - Partnership for Children 1999-2000 Smart Start Funding and to submit the grant application to the New Hanover County Commissioners for their consideration. Upon vote, the MOTION CARRIED UNANIMOUSLY. MOTION: Mr. Greer MOVED, SECONDED by Ms. Whitted for the Board of Health to send a letter (individually signed) to our congressmen explaining the problems of children born to illegal aliens in our community, of these children becoming United States citizens at birth, and of local government being expected to pay their expenses. Upon vote, the MOTION CARRIED UNANIMOUSLY. Bud¡:et Amendment - Medicaid Maximization Mr. Steuer recommended from the Executive Committee for the Board of Health to approve the Budget Amendment for receipt of$151,703 Medicaid Maximization Funds from the N. C. Department of Health and Human Services. Ms. Smith briefly discussed the proposed use of the Medicaid Maximization Funds. Mr. Estep asked if we will receive Medicaid Maximization Funds every year. Ms. Smith stated the health department received the Medicaid Maximization Funds for the first time last year and again this year. She is not certain of the frequency of the funding. MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and approve the $151,703 Medicaid Maximization funds and to submit the budget amendment to the New Hanover County Commissioners for their consideration. Upon vote, the MOTION CARRIED UNANIMOUSLY. Resolution in Support of Environmental Health Mr. Steuer recommended from the Executive Committee for the Board of Health to approve a Resolution in Support of Environmental Health Remaining in the North Carolina Department of Health and Human Services (DHHS). Mr. Steuer explained in 1997 the Board of Health approved the "WHITE PAPER, a Resolution in Support of Bringing Environmental Health Programs in the Department of Health and Human Services (DHHS). He referred the Board to a DHHS Organizational Chart with the Division of Environmental Health under the State Health Director and the DHHS. The Board of Health reviewed the proposed resolution in support of Environmental Health remaining under DHHS. 5 21 MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and approve a Resolution in Support of Environmental Health Remaining in the North Carolina Department of Health and Human Services and to submit the resolution to the New Hanover County I Commissioners for their consideration. Upon vote, the MOTION CARRIED UNANIMOUSLY. (Attachment #1 - Resolution in Support of Environmental Health Remaining in the N. C. DHHS is incorporated as a part of these minutes.) Comments: Board of Health Communicable Disease Trainin¡: Requirement for Licensed Professionals Dr. Goins reported he attended a professional continuing education session on AIDS and Hepatitis in Florida. As a licenced operator, they require that he have one hour of training in AIDS education. He stated these are public health problems and that he endorses a training requirement for licensed operators. Dr. Goins suggested researching a requirement of this type for licensed professional people in the health department. Mr. Rice suggested he work with Ms. Beth Jones on this Communicable Disease issue. He stated they could research the continuing education program in Florida and address the issue of a training requirement for professionals. Mr. Steuer requested Mr. Rice and Ms. Jones study a training requirement for licensed operators on the broader spectrum of communicable diseases. The Board of Health concurred with Mr. Steuer's request for Mr. Rice and Ms. Jones to address this educational issue for licensed people. Health Director I Trauma Symposium - Injury Prevention and Control Mr. Rice reported he presented the welcome at the Trauma Symposium on Injury Prevention and Control held at UNCW on February 13, 1999. Dr. Thomas C. Clancy, former Board of Health member, invited Mr. Rice to participate in the symposium. Approximately, 400 people attended the injury prevention symposium. New Hanover County Board of Commissioners Presentation Mr. Rice advised he gave a presentation on the New Hanover County Health Department Annual Report and the North Carolina Public Health "Everywhere, Everyday, Everybody" video at the County Commissioners meeting Monday, February 15, 1999. At Mr. Greer's suggestion, the County Commissioners requested Mr. Rice arrange to show the video on local and on public television. Mr. Rice plans to develop a list of public health issues and activities. Mr. Rice stated Mark Boyer, Public Information Officer, is working with him to obtain media coverage including local and public television. Child Passenger Safety - "Click It or Ticket" Mr. Rice stated a Child Passenger Safety - Click It or Ticket was held Wednesday, February 17, 1999, I at the Temple Baptist Church Activity Center to promote correct usage of child safety seats. Local law enforcement, Smart Start and the Governor's Highway Safety Program, and the Health Department participated in the checkpoint for child safety seats. Approximately 25 seats were checked, and they found 17 seats were incorrectly installed. 6 I I I 22 Criminal Justice Discussion Group Mr. Rice stated he participated in a Criminal Justice Discussion Group on February 26, 1999. District Court Judge Rebecca W. Blackmore gave a presentation on Drug Court. Mid-Atlantic Mosquito Control Association Annual Meetin¡: Mr. Rice announced today he is presenting the Welcome at the Mid-Atlantic Mosquito Control Association Annual Meeting. The annual meeting will be held March 3-5, 1999, at the Blockade Runner, Wrightsville Beach, North Carolina. UNCW Adult Scholars Leadership Program Mr. Rice stated the Board the Adult Scholars invited him to speak at a UNCW Adult Scholars Leadership Program on March 11, 1999. 1999 Sprin¡: Blood Drive - March 16. 1999 Mr. Rice invited Board members to participate in the County 1999 Spring Blood Drive on March 16, 1999, at the health department. Ms. Smith reminded the Board members they may give blood before and after the Blood Drive at the Red Cross Center on 17th Street. April 7. 1999 New Hanover County Board of Health Meeting at Animal Control Services Mr. Rice announced the Board of Health will meet at the Animal Control Services building at 8:00 a.m. on April 7, 1999. Notices of change of location meetings will be placed on the April Board of Health agenda and packets. Other Business: Euthanization Video Mr. Steuer announced he will show a video on Euthanization made by the Guilford County Sheriff at the April 7 Board of Health meeting. He suggested the Board may want to arrange to show the video on local and public television. Board of Health Meeting Convened from Regular Session to Closed Session: Mr. Steuer advised the Board they need a motion to close the public meeting to consider a personnel matter as required by North Carolina General Statute Section G.S. 143-318.11, Subsection a., Subsection 6. MOTION: Mr. Greer MOVED, SECONDED by Dr. Smith to close the public meeting of the New Hanover County Board of Health to consider a personnel matter as required by North Carolina General Statute Section G.S. 143-318.11, Subsection a., Subsection 6. . Upon vote, the MOTION CARRIED UNANIMOUSLY. The public meeting of the Board of Health closed at 9:10 a.m. 7 23 Meeting Reconvened from Closed Session to Regular Session: Mr. Steuer reconvened the regular public meeting of the New Hanover County Board of Health to Open Session at 10:30 a.m. Adjourn: MOTION: Dr. Goins MOVED, SECONDED by Ms. Whitted to adjourn the regular public meeting of the New Hanover County Board of Health. Upon vote, the MOTION CARRIED UNANIMOUSLY. There being no other business, Mr. Steuer adjourned the regular meeting of the New Hanover County Board of Health at 10:35 a.m. .J~ WIIIam T. Steuer, P /RLS, Chairman New Hanover County Board of Health David E. Rice, M.P.H., M.A., Health Director New Hanover County Health Department Approved: April 7, 1999 8 I I I AFFIDAVIT OF PUBLICATION SI'ATE OF NORTH CAROLINA, COUNTY OF NEW HANOVER Before the undersIgned, a Notary Pubhc of said County and State, ,",ULIE '"'ONES who, being duly sworn or affirmed, accordmg to the law, says that he/she is CLASSIFIED ADVERTISING MANAGER of THE WILMINGTON STAR-NEWS, INC., a corporaùon organized and domg busmess under the Laws of the State of North Carolina, and publishing a newspaper known as WILMINGTON MORNING STAR & SUNDAY STAR-NEWS in the City ofWilrnmgton PUBLIC NOTICE I The New Hanover County Board of Health will hold a public heannQ. at ItS regular meebng on Wednesday, July 7 1999 at 8 00 a m In the Dr Thom- as Fanning Wood Conference Roo,m, New Hanover County Health Depart- ment The purpose 01 the public hear- Ing IS to discuss the proposed Rules GovernIng Body PIercing Establish- ments and Practitioners In New Han- over County The Board of Health wIll consider the possible adoptIon of these rules at ItS regular meellng on August 4, 1999 Copies of the pro- posed rules may be obtained from the New Hanover County Health Depart- ment at 2029 South 17th Street and the OffIce of the Clerk to the Board of CommIssIoners at Room 305, 320 Chestnut Street This meeting IS open to the public PUBLIC NOTICETHE NEW HANOVER C OUNTY BOARD OF HEALTH WILL HO LD A PUBLIC HEARING AT ITS RE BODY PIERCING E was mserted m the aforesaid newspaper in space, and on dates as follows: 6/19,8,20,26,27 1999 and at the time of such publication Wilmington Star-News was a newspaper meeting all the requirements and qualifications prescnbed by See No. 1-597 G.S. of N.C. Sworn or affirmed to, and subscnbed r~ Q f}~ CLASSIFIED ADVER. MGR TItle 28TH before me, this day o{ltJI\IF ,A D, 192£L In Testimony Whereof, I have hereunto set my hand and affixed my official seal, the day and year aforesaid. ßn~ G mtL tr~ Notary Public My comrmsslon expues 1 st day of AUG ~9_ 2003 Upon reading the aforegomg affidavit with the advertisement thereto annexed It IS adjudged by the Court that the saId publication was duly and properly made, and that the summons has been duly and legally served on the defendant(s) This day of ,19_ Clerk of Supenor Court MAIL TO: I I I Attachment 11 NEW HANOVER COUNTY BOARD OF HEALTH RESOLUTION IN SUPPORT OF PLACING ALL PROGRAMS TRADITIONALLY IN THE DIVISION OF ENVIRONMENTAL HEALTH UNDER THE ORGANIZATION OF DEPARTMENT OF HEALTH AND HUMAN SERVICES WHEREAS, delivery of Environmental Health services to the Citizens of North Carolina is carried out at the county level by local health department employees; and WHEREAS, delivery of Environmental Health services at the local level is funded by local dollars (97% local and 3% state); and WHEREAS, Environmental Health services at the local level include on-site wastewater (i.e. septic systems) food, lodging and institutional sanitation (restaurants, nursing homes, food borne disease investigation) child care sanitation, child lead program, swimming pools, rabies control, safe drinking water; and WHEREAS, the State relies on local employees who are authorized as agents of the State Division of Environmental Health to carry out mandated State environmental health programs; and WHEREAS, having two different proposed State environmental health authorities for local health departments is inefficient and will cause regulatory confusion for the public and severely impact centralized training, authorization, regulatory direction and uniformity; and WHEREAS, the N.C. Association of County Commissioners, the N. C. Association of Local Health Director's, the Association of North Carolina Boards of Health, the N. C. Environmental Health Supervisor's Association, and the N. C. Public Health Association, have endorsed the position to keep environmental health programs together under the State Health Director; THEREFORE BE IT RESOLVED, the New Hanover County Board of Health strongly supports the need to ensure all aspects of Environmental Health be under the organizational structure of the Department of Health and Human Services in order to continue to provide the most effective regulatory program for the citizens of North Carolina for the protection of the public health and preservation of the environment. Adopted this 3rd day of March 1999. (SEAL ) ~L- William T. Steuer, Chairman New Hanover County Board of Health A~ Secretary to the Board of Health