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01/05/2000 . . . NEW HANOVER COUNTY BOARD OF HEALTH Dr. Thomas Fanning Wood Memorial Conference Room New Hanover County Health Department AGENDA Date: January 5, 2000 Time: 8:00 A.M. Place: Dr. Thomas Fanning Wood Conference Room New Hanover County Health Department Presiding: Mr William T Steuer, Chairman Invocation: Mr. William T Steuer Minutes: December I, 1999 Oath of Office: - Ms. Frances De Vane Notary Public Reaooointed Board of Health Members William T Steuer, Professional Engineer Wilson O'Kelly Jewell, Dentist Anne Braswell Rowe, Public Citizen Recognitions: - Mr William T Steuer Chairman Personnel New Emolovees Wayne Foster, Animal Control Officer, Animal Control Services Ricky W Gibbs, Environmental Health Specialist, Environmental Health Yolanda (Kaye) Hitko, Physician Extender, Community Health/Jail Charlotte Norris, Public Health Nurse I, Community Health Felicia Myott, Public Health Nurse I, Child Health Other Project ASSIST 1991-1999 Departmental Focal: FY 1998-99 Annual Report Mr. David E. Rice Health Director . . . NHCBH Agenda January 5, 2000 - Page 2 Monthly Financial Report: November 1999 Committee Reports: Executive (Business Listed Under New Business) Ms. Cindy Hewett Business Officer - Mr. William T Steuer Unfinished Business: Generators/Hookups at Emergency Shelters - Mr. William T Steuer New Business: Budget Calendar for FY 2000-01 Status of Grant Proposals Grant Process Strategic Planning Process Revision of Fee Policy - Personal Health - Meningococcal Vaccine Board of Health Committee Appointments Comments: Board of Health Members Health Director I Coastal AHEC Board of Directors 2. NCALHD Policy & Planning Committee 3. ANCBH 14th Annual Meeting - January 21,2000 4 Annual N C. State Health Director's Conference - January 20-21,2000 Other Business: - Mr. William Steuer - Mr David E. Rice I I I 99 Mr. William T. Steuer, Chairman, called the regular business meeting of the New Hanover County Board of Health to order at 8:00 a.m. on Wednesday, January 5, 2000. Members Present: William T. Steuer, Chairman Wilson O'Kelly Jewell, DDS, Vice-Chairman Michael E. Goins, OD Robert G. Greer, Vice-Chair, County Commissioners Gela N. Hunter, RN, Nurse Practitioner W. Edwin Link, Jr., RPH Anne Braswell Rowe Melody C. Speck, DVM Estelle G. Whitted, RN Members Absent: Henry V. Estep, RHU Philip P. Smith, Sr., MD Mr. Steuer announced Mr. Rice is absent due to a death in his family. Others Present: Lynda F. Smith, Assistant Health Director Frances De Vane, Recording Secretary Invocation: Mr. William T. Steuer gave the invocation. Minutes: Mr. Steuer asked for corrections to the minutes of the December 1, 1999 New Hanover County Board of Health meeting. The minutes of the December 1, 1999 Board of Health meeting were corrected and approved by the Board of Health. Oath of Office: The Oath of Office was administered by Ms. Frances De Vane, Notary Public, to the following reappointed Board of Health Members: William T. Steuer, Professional Engineer Wilson O'Kelly Jewell, Dentist Anne Braswell Rowe, Public Citizen Recognitions: 1 100 Personnel New Emplovees I Ms. Lynda F. Smith, Assistant Health Director, introduced the following health department employees: Wayne Foster, Animal Contorl Officer, Animal Control Services Ricky W. Gibbs, Environmental Health Specialist, Environmental Health Charlotte Norris, Public Health Nurse I, CommunityHealth Felicia Myott, Public Health Nurse I, Child Health Leslie Williford. UNCW Student Intern. Environmental Health Ms. Leslie Willifrod, UNCW Student Intern, was recognized. She IS working with the Environmental Health Division. Gwen Murphv. Pharmacy Student Mr. Link introduced Ms. Gwen Murphy, Pharmacy Student from UNC @ Chapel Hill who is serving an intership at the Medicine Shop Proiect ASSIST Award Ms. Lynda Smith displayed a plaque presented to the New Hanover/Brunswick ASSIST Coalition I in recognition of and in appreciation for outstanding resourcefulness and leadership in implementing the American Stop Smoking Intervention Study for Cancer Prevention (ASSIST) from 1991-1999 in North Carolina. Ms. Smith announced Ms. Elizabeth Constandy accepted the Health Educator II position in Women's Health Care. Ms. Constandy thanked the Board of Health for their support of Project ASSIST. Mr. Steuer welcomed new employees, guests, and congratulated the staff on the receipt of the Project ASSIST award. Department Focal: FY 1998-99 Annual Report Ms. Lynda Smith, Assistant Health Director, presented the department focal on the New Hanover County FY 1998-99 Annual Report. Pictures of Board of Health members are featured on the first page of the report. Ms. Smith summarized the fiscal year highlights including Commit to Quit, the revision of the Dangerous Dog/Potentially Dangerous Dog Ordinance, the change of Food Establishment Grade Cards to Score Cards, the Southeastern North Carolina Dental Sealant Campaign, the 25th Anniversary of Women, Infants, and Children (WIC) Services, the Ramp Ribbon Cutting, the Shigella Outbreak in Child Care I Facilities, the Public Health Month Azalea Float, the Organizational Capacity Team, the Health Department's role in Hurricane Bonnie, the funding of the Teen AIDS Prevention Grant, and the 120 Years of Public Health in New Hanover County Celebration held on June 14, 1999. 2 I I I 101 Ms. Smith referred the Board to the division reports and to a financial management report included in the annual report. The total budget for FYI 998/99 was $8,643,629. Mr. Steuer thanked Ms. Smith for her presentation. Monthlv Financial Report - November 1999 Ms. Lynda Smith, Assistant Health Director, referred the Board to a chart and a summary of the December Revenue and Expenditure Reports. She explained the increased revenue in the Tuberculosis Program is due to a Medicaid fee increase of $11 {.14%) for the Tuberculosis Control visit reimbursement and to an increase of visits (55%) compared to the same period last year. The Personal Health Program reflects an over expenditure of $224,000 in Salary and Fringe Benefits line item due to lapse salary 'being taken out at the beginning of the year. Ms. Smith advised that actually this is not an over expenditure. She stated Capital Outlay will be expended during the year. The revenue report reflects a 41.65% cumulative percent. County monies are not included in the reports. The budgeted amount is $9,397,435 with a $6, 168,717 remaining balance in the expenditure line item. The Board reviewed earned revenues and fees for the prior and current year. Committee Reports: Executive Committee Mr. Steuer, Chairman, Executive Committee, reported the Executive Committee met at 6:00 p.m. on Tuesday, December 21,1999. Items are listed under New Business on this agenda. Unfinished Business: Generators/Hookups at Emerf!encv Shelters Mr. Steuer reported Mr. Wyatt Blanchard, New Hanover County Engineer, and Mr. Dan Summers, County Emergency Management Director, gave a status report on the emergency shelter plans for securing manual generator switches for designated existing and future emergency shelters at the December 21 Executive Committee meeting. According to the project timeline by June 1999, electrical transfer switches will be installed in the schools used for disaster shelters. Mr. Steuer asked Mr. Greer if Emergency Management is responsible for the purchase of the generator equipment. Mr. Greer reported he understands Emergency Management will follow-up with the lease arrangement or purchase of generators. He explained if the generators are not used, it is expensive. New Business: New Hanover County Budget Calendar for FY2000-01 Mrs Lynda Smith, Assistant Health Director, presented the New Hanover County Budget Office Calendar for Fiscal Year 2000-2001. She explained the budget schedule began with a Performance Measurement Workshop In December 1999 and lists deadlines through June 5, 2000 the proposed adoption date of the New Hanover County Budget. 3 102 Ms. Smith gave the following Budget Schedule for the Board of Health: January 3-21 January 14-28 January 13-19 Division Director meets with Board of Health Budget Committee Member Review Budgets with Division Director Budget Workbook Distributed to Board of Health Executive Committee ,I Ms. Smith advised the staff is beginning the budget process. After the appointment of the Board of Health Budget Committee, Board members will receive their program assignment. Budget Workbooks will be delivered to the Executive Committee by January 19. Status of Grant Proposals Mr. Steuer referred the Board to a Grant Application Status Report (January 1999 - December 14, 1999). It includes health department grant applications approved by the New Hanover County Board of Health. Ms. Smith summarized the Grant Status Report includes the date of Board of Health approval, name of the grant and grantor, and the grant's status. The report indicates the pending grant applications are Operation-Reach Women - Susan G. Komen Breast Cancer Foundation and the Child Health Consultant proposals. Nineteen (19) grants were requested totaling $715,629, grants pending were $68,032, and grants received were $201,111. Notification of receipt of the Operation-Reach Women - Susan G. Komen, Breast Cancer Foundation Grant ($19,822) has now been received. Mr. Link inquired how the grant report compares to previous years. Ms. Smith responded the health department has applied for more grants, more grants seem to be available, and the health department has received more grants. Dr. Speck expressed the grant process takes a lot of work and time. Ms. Beth Jones, Communicable Director, expressed a grant writer would benefit the health department and would I pay in a long-range plan. Grant Process Mr. Steuer recommended from the Executive Committee for the Board of Health to follow and approve the current New Hanover County Grant Flow Chart and Procedure as approved by the Board of Health on October 1, 1997 and not to change the present grant process. The Board of Health reviewed this chart and the grant procedure. The present policy is all grants are approved by both the Board of Health and must be approved by the County Commissioners. Dr. Speck reiterated grant proposals are lengthy. Dr. Speck and Ms. Hunter concurred a one-page synopsis of grant applications for clarity and explanation would be helpful to the Board of Health members. Dr. Goins advised the Board of Health started receiving a full copy of grant proposals due to prior grant incentives. Mr. Steuer emphasized the Board of Health needs the details of the whole grant in addition to the proposed one-page synopsis. He suggested the Executive Committee review the full grant proposal. Ms. Smith advised a summary page is prepared for the County Commissioners Agenda, and a similar summary page could be prepared for the Board. It was the consensus of the Board of Health that the proposed grant summary page should be prepared. The summary page for the Board of Health should include the name of the grant, the grant's purpose, the grantor or sponsor, and the amount of the grant. MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to continue to follow the current New Hanover County Grant Flow Chart and Procedure as approved by the Board of I Health on October 1, 1997 and not to change this grant process. Upon vote, the MOTION CARRIED UNAMIOUSL Y. 4 I I I 103 Stratel!ic Planninl! Process Mr. Steuer recommended from the Executive Committee for the Board of Health to approve and to pursue a Strategic Planning Process for the Health Department and to place the expense of the plan the FY Budget 2000-2001. The plan will include a retreat with a professional facilitator to work with staff on goals and objectives, to go through the process, to prepare a written plan, and then to introduce strategic planning in the budget. It will be done in conjunction with the Community Needs Assessment. MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to approve and to pursue a Strategic Planning Process for the Health Department and to place the expense of the plan and facilitator in the FY Budget 2000-2001. Upon vote, the MOTION CARRIED UNAMIOUSLY. Mr. Steuer advised the Board the strategic planning process would take place later this year. Revision of Fee Policv. Personal Health. Meninl!ococcal Vaccine Mr. Steuer recommended from the Executive Committee for the Board of Health to approve the administration of Meningoccal vaccine to college students and to add the fee of$65.00 per injection to the New Hanover County Health Department Fee Policy. Ms. Beth Jones, Communicable Disease Director, explained the CDC and Advisory Committee on Immunization Practices (ACIP) recently issued a new recommendation that college freshman be immunized against Meningococcal meningitis. She advised this is a new recommendation but is not a new vaccine, and the fee is based upon cost. The health department standing order will not-be restricted to freshman only, since the circumstance that puts them at risk exists for all dorm students. MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to approve the administration of Meningoccal vaccine to college students, to add the vaccine and fee of $65.00 per injection to the New Hanover County Health Department Fee Policy, and to submit the Fee Policy addition to the New Hanover County Commissioners for their consideration. Upon vote, the MOTION CARRIED UNAMIOUSL Y. Board of Health Committees Mr. Steuer advised he plans to finalize the appointments for the Year 2000 Board of Health Committees soon. He will notify Mr. Rice of the committee appointments. Comments: Board of Health Dr. Jewell inquired about the Budget Committee assignments. Mr. Steuer announced Ms. Rowe is Chair of the Budget Committee. Mr. Greer asked if a department focal could be planned on Temporary/Mobile Food Stands. He received a call from a restaurant operator inquiring about regulations governing a mobile/temporary vendor located near his establishment that sells food but doesn't seem to have to meet the same restaurant requirements. 5 104 Mr. Greer would like a better understanding of these requirements. Ms. Smith will ask Mr. Rice to plan for a department focal on requirements for Temporary/Mobile Food Stand vendors. Ms. Rowe expressed concern about a recent article she read had stated County Commissioners had requested for four or five health departments to discontinue the distribution of condoms. She advised the Board of Health should be aware of this move in North Carolina. Dr. Speck and Dr. Goins endorsed the distribution of condoms and birth control methods in our county. Dr. Goins emphasized condoms slow down communicable disease and save lives. Health Director Coastal AHEC Board of Directors Ms. Smith announced Mr. Rice was selected to serve on the Board of Directors of the Coastal Area Health Education Center. NCALHD Planninl! & Policv (Lel!islative Committee) Ms. Smith advised Mr. Rice was appointed to serve on the Policy and Planning Committee of the N. C. Association of Local Health Directors. ANCBH 14th Annual Meetinl! - January 20-21. 2000 The Annual Association of North Carolina Boards of Health (ANCBH) meeting will be held on January 20-21, 2000, in Raleigh, North Carolina. The topics are Dental Health Access in North Carolina: "Where IS the Tooth Fairy?" and County Dental Health Access Expenences". A reception will be held on Fnday, January 20 at the Sheraton Capitol Center Hotel. The Annual N. Co State Health Director's Conference - Januarv 20-21. 2000 The Annual N. C. State Health Director's Conference will be held In conjunction with the ANCBH meeting The topic is "Emergency Preparedness - How Well Are We Prepared?" It will be held at The McKinnon Center in Raleigh, North Carolina Board of Health members were invited to register and attend the ANCBH 14th Annual Meeting and the Annual N.C. State Health Director's Conference. Blood Drive Ms. Smith reported the Winter County Blood Dnve was held yesterday, Tuesday, January 4. Board of Health members may donate blood at the Red Cross Center through January 21. Dane:erous Doe: Determination Hearine:s Report Ms. Smith referred the Board to the Animal Control Services Dangerous Dog Determination Hearings Report in their Board packets. I I I 6 I I I 105 Time Capsule Board members were invited to a Millennium Time Capsule Ceremony to be held at 8:15 a.m. on January 6, 2000, at the Health Department. A Millennium Memories Time Capsule containing items from each divisIOn will be buried at the Administration front entrance to mark the Health Department's entrance into the new millennium. Museum Proe:ram 1/7/2000 on Dr. Thomas Fannine: Wood 11 a.m. Ms. Smith announced Mr. Donald Koonce, scholar and Wilmington native, will present a program on his research on Dr. Thomas Fanning Wood, known as the Father of Public Health in North Carolina, at II a.m on January 7, 2000 at the Cape Fear Museum Dr. Wood was the founder and organizer of the first North Carolina State Board of Health located in Wilmington. National Association of Local Boards of Health Newsletter Ms. Smith referred the Board to their copy of the National Association of Local Boards of Health NewsBrief Dr. Goins announced Ms. Vaughn Upshaw, EdD, DrPH from North Carolina, was elected President-Elect ofthe NALBH. Other Business: There was no other business. Adjournment: Mr. Steuer adjourned the regular meeting of the New Hanover County Board of Health at 9:20 a.m. ~/J~ William T. Steuer, PE/RLS, Chairman New Hanover County Board of Health ~ David E. Rice, M.P.H.,M.A., Health Director New Hanover County Health Department Approved: February 2,2000 7 New Hanover County Health Department Expenditure Surmnary November 1999 . $3,500,000 $500,000 w'.' ,>>, tll.'III"II"1111111I\11 1111111I.llll~11~!!tlll!1ItlllllI1111Ir,llllllllflll(111111tlllllllil l"III""I\tli\"lc~I'JIII"II'fll II(fllltll'l{llllllll(f~IIIIIIIII'IIII'fllll 'WHk"1lli~'III';'lllli'II"I'ILlt Illlllf'U9&IJI1~%11111 III Projected FY 99 - 00 III Expended FY 99-00 [J Expended FY 98 -99 $3,000,000 $2,500,000 $2,000,000 $1,500,000 $1,000,000 $0 Salary & Fringe Operating Capital Outlay New Hanover County Heatth Department Revenue Summary November 1999 . $600,000 ~:~III~'jiiJllflll'll .':"~'::i'.:::;:.i;:..';-<..;-::::i:?:?m:;::::-:::;:::..'<<...:<::::% j1i~t$t<,~mt~~$tij!!Mik~ $500,000 $400,000 $300,000 III Projected FY 99-00 III Earned FY 99-00 C Earned FY 98-99 $200,000 $100,000 $- Federal & State AC Fees Medicaid EH Fees Health Fees Other . Note; The Revenue Summary Chart does not include County -\ppropriation and Medicaid ~Iaximization funds. Note: The projected figures in both charts are the respective budgeted amounts multiplied by the cumulative pacentage (November = 41.65'!o). This serves as a basis for where earnings and expenditures for the Health Department should be at this point in time if all earnings and expenditures occurred equally each month. 9 . . . 'Y ,. New Hanover County Health Department I FY99-00 MONTHLY EXPENDITURE REPORT As of November 30,1999 Summary for the New Hanover County Health Department Cum ulatlve % 41.65% Month Reported Month 5 of 12: Nov.99 Type of Expenditure Current Year Expended Balance Amount Remaining % Prior Year Expended Balance Amount Rernalnlng Budgeted Amount % Budgeted Amount Salary & Fringe Operating Capital Outlay For Month of November 1999 10 . . . New Hanover County Health Department FY99-00 MONTHLY REVENUE REPORT As of November 30, 1999 Summary for the New Hanover County Health Department Cumulative % 41.65% Month Reported Month 5 of 12 Nov 99 Current Year Prior Vear Type of Budgeted Revenue Balance % Budgeted Revenue Balance % Revenue Amount Earned Remaining Amount Earned Remaining Federal & State 1,331,280 521,848 809,432 39.20% 1,333,798 510,668 823,130 38.29% AC Fees 516,453 149,478 366,975 28.94% 493,100 139,663 353,437 28.32% Medicaid 852,884 245,504 607,380 28.79% 824,754 237,448 587,306 28.79% Medicaid Max 192,301 192,301 100.00% 250,066 250,066 100.00% EH Fees 312,900 97,269 31.09% 236,000 92,547 39.21% Health Fees 109,515 53,547 48.89% 98,065 47,966 48.91% Other 775,172 351,370 45.33% 566,457 256,574 45.29% Note: County Appropriation is not calculated above. The County appropriation is the difference between the total amounts on the program expenditure report and the totals on the program revenue report. The budgeted amount for County Appropriation for FY 99 - 00 is ($9,377,435 - $ 4,090,505) = $ 5,286,930. The expended amount for County Appropriation for this FY (year-to-date) is ($3,208,718 - $ 1,611,317) = $ 1,597,401. Revenue Summary For Month of November 1999 11 Nu.v 1-\j:\l0m.)E.~ ~ ~ 'B~&C{E4 O\-H'~f., -"/Cf9' l. '--t-\\ . \ . BUDGET CALENDAR FOR FISCAL YEAR 2000-2001 \\I~ Deptl' , 1)2: ~UM-'-' ~ December 3 December 10 December 15 "Dee ;;J / ) ql1 December 29 2illUl. January 11\I.>ul>r'1 -)January 119 10)0000 Performance Measurement Workshop Lotus Notes training on budget for administrative staff Capital Improvement and Capital Project (CIP) requests to BUDGET Budget request information to departments and outside agencies with instructions Performance measures and goals and objectives to,BUDGET Initial meeting with Department Heads and Budget Support Staff on FY 00-01 Budget Expenditure and revenue printouts (through 12/31/99) to departments. (This information is available on LGFS.) ~;,. February 1 Outside agency funding requests to BUDGET 1Al\l.d\e~ II, ~ New position, temporary salary, and overtime/on-call salary requests to ~ 000 BUDGET. JAf\llAe"( February 15 \3 ~D J Sf'l'T\ March 8 March 8-24 Organization charts to BUDGET (Current and Proposed) Departmental line item budgets to BUDGET (ALL REQUESTS IN EXCEPT SCHOOLS) Departmental revenue projections to BUDGET Distribute revised budget requests and printouts to departments and Board of Commissioners Departmental budget meetings with County Manager & Budget Team (COMMISSIONERS INVITED TO ALL BUDGET MEETINGS) April 28 Budget to Board of Commissioners (informally) ,,()" ~ ,..., 0 J ~ . m ..Q.-+ C 8o"f{ 13 ulJ",-d e(J'rN{\\. Mfll\.bEf J~~ .3-;;),\ ..l)IUISrO\- ,!...J11U.C.\OI-...> .Q, v o. o<r', ' . 3~ll- -( 1Li-~ _ R.w~ 6uJl~ w:tL l)/LJISlbN JJLUJ-"", T~L<-~ 13-,''1 - P/Ul.~~ ~Ot-l 13u.,9~ ~bc6k. C ~ Ja.M..L<-aJA) {q~- 6S-\- ~~~ Lo~o6k:. ~ .B6~ Exc. ~ - ~ 12 . BUDGET CALENDAR FOR FISCAL YEAR 2000-2001 (Continued) . May 1 County Manager presents Recommended Budget at Board of Commissioners' Meeting May 1-15 A~..2~) ~May 15 :;)OOD Board of Commissioners to establish budget work session(s) Accomplishments and narratives to BUDGET Public Hearing on budget (night meeting) June 5 Adopt budget H2m: Departments will be discussing their computer and phone needs with IT staff. IT will review and provide requests to BUDGET. Departments should not Include comDuter reauests with budget requests. . .'~. . 1) . NEW HANOVER COUNTY HEALTH DEPARTMENT BOARD OF HEALTH (DOH) APPROVED GRANT APPLICATION STATUS JANUARY, 1999 THROUGH DECEMBER, 1999 As of December 14, 1999 DATE DOH APPROVED NAME OF GRANT & GRANTOR STATUS March 3, 1999 HIV PREVENTION-Preventing H1V Effectively Denied (PHIVE)-Kate B. Reynolds Charitable Trust Health Care Division ($190,000) INTENSIVE HOME VISITING PROGRAM Denied (lHVP)-Smart Start ( $100,000) HISPANIC PRENATAL PROJECT-Smart Start Denied ($ 12,700) April 7,1999 COMMUNITY DENTAL HEALTH-Community Received Health Improvement Program ($ 20,000) $ 20,000 May 12, 1999 SAFE COMMUNITIES GRANT PROPOSAL- Received . Governor's Highway Safety Program ($ 10,000) $ 10,000 INTENSIVE HOME VISITING PROGRAM- Received Office of Juvenile Justice ($100,000) $100,000 RECOGNITION, REWARD, AND RENEWAL Denied GRANT PROGRAM-North Carolina Center For Nursing ($ 5,000) June 2, 1999 HEALTHY HOMES STATE GRANT-North Received Carolina Department of Health and Human Services $16,111 Childhood Lead Poisoning Prevention Program ($ 20,000) SKIN CANCER HEALTH EDUCATION Received PROJECT-North Carolina Department of Health $ 10,000 and Human Services, Division of Community Health-Cancer Control Program ($ 10,000) July 7, 1999 HEAL THY WOMEN FIRST-Community Health Denied Improvement Program ($ 24,692) TEEN AIDS PREVENTION-Cape Fear Received Foundation Grant ($ 50,700) $ 35,000 September I, 1999 SCHOOL HEALTH LICE GRANT Denied . Carolina Power and Light Company Corporate Contributions Fund ($ 4,900) 14 Post-it" Fax Note 7671 To Co./Dept. Phone # Co. . Phone # Fax . . . . GROWING UP BUCKLED UP-National Highway Traffic Safety Administration Cooperative Agreement ($ 54,730) MODEL COMMUNITY ASSESSMENT GRANT- North Carolina Community Health Initiative-Healthy Carolinians-Center For Disease Control and Prevention ($ 17,375) DIABETES TODAY COMMUNITY PLANNING INITIATIVE-North Carolina Department of Health and Human Services-Diabetes Prevention and Control Unit ( $ 10,000) November 3,1999 HEALTHY CAROLINIANS TASK FORCE-North Carolina Office of Healthy Carolinians ($ 10,000) . "OPERATION-REACH WOMEN"- Susan G. Komen, Breast Cancer FOWldation Grant ($ 19,822) NORTH CAROLINA CHILDHOOD ASTHMA INITIATIVE-North Carolina Department of Health and Human Services, Women and Children's Health Section ($ 7,500) Decembet I, 1999 CHILDHEAL TH CONSULTANT GRANT PROPOSAL-University of North Carolina Chapel Hill Department of Maternal and Childhealth, Contract with North Carolina Department of Health and Human Services, Division of Public Health Women and Children's Health Section ($ 48,210) TOTALS REQUESTED PENDING $715,629 $ 68,032 Denied Denied Received $ 10,000 Frozen ~ ReBvaJ Frozen Pending RECEIVED $201,111 'HANDGUN SAFETY GRANT-Community Health Improvement Program was awarded to the Sheriff's Deportment for $2,500. The grant is administered through the Health Deportment's bndget. . 12/14/99LFS 0-1-5 , e . -'F \\ I ~..-fln;r'~~. I J \99'1 \\\~'. ~~s. 0 ~ ~<!..\S(~ 0Yl. QAa.....i-s cj-. Gl\.eo.....J:- ~\~ e IJ\.a.d Mr. Elmore thanked the Board of Health and the Search Committee for their sincerity and dedication in the selection process of the Health Director. He commended Mrs. Smith, Acting Health Director, for ajob well done. Unfinished Business: Partnership For Children Grant Awarded Mrs. Janet McCumbee, Child Health Director, announced the Partnership For Children Smart Start Grant ($76,569) was awarded to the health department. She explained during the FY98 budget process the Board of Health approved two positions which were removed from the budget request pending notification of the grant approval. These positions were a Licenced Practical Nurse II (Pay Grade 113, $21,757) and a Medical Office Assistant (pay Grade 111, $19,698). Mr. Elmore recommended from the Executive Committee for the Board of Health to accept and approve the Partnership For Children Smart Start Grant ($76,569) to fund the LPN II and MOA positions. No local funding is required. MOTION: Mr. Elmore, Chairman, moved from the Executive Committee for the Board of Health to accept the Partnership For Children Smart Start Grant ($76,569), to fund the LPN II (Pay Grade 113, $21,757) and MOA (pay Grade Ill, $19,698) positions, and to submit this request to the New Hanover County Commissioners for their consideration. Upon vote, the MOTION CARRIED UNANIMOUSLY. Mrs. Dean inquired about the number of health department Well Baby Clinics for non-Medicaid clients. Mrs. McCumbee informed Mrs. Dean that health department health check clinics are held for non-Medicaid babies. *- New Business: Grant Procedure Flow Chart Mr. Elmore presented a revised Grants Procedure Flow Chart approved by the Executive Committee. He explained the revisions to the flow chart are to add a box indicating action if the Board of Health Executive Committee denies a grant application and to add a foot note stating: "If the deadline for a grant application is approaching, the Board of Health Executive Committee may move a grant application forward by approving the grant for application and reporting the action to the Board of Health." He stated Ms. Smith had produced the flow chart. Dr Goins stated according to the Grant Procedure Flow Chart the grant application will go the Board for their approval, if the deadline is close the Executive Committee can move the grant forward and report the action to the Board of Health. Dr. Clancy suggested that an application could be returned for revisions after Board of Health review and suggested a dotted line showing a break in the circuit to allow this step and to show the revisions to be made and approved by Health Director and signed off by the Board of Health Chairman. ~Mr. Greer stated the Board of Health needs to approve all grants. Mrs. Dean stated that the rational is to keep the Board of Health informed of grant applications. *c~~'t- ~ 16 e Mr. Elmore explained under the grant process the Board of Health will eventually approve all grants before they become effective. The flow chart was designed to move the grant application forward if there are time constraints. MOTION: Mr. Elmore moved from the Executive Committee for the Board of Health to approve the Grant Procedure Flow Chart as presented and to make the following revisions to reflect that revisions may be made by the Health Director and signed by Board of Health Chairman. Upon vote, the MOTION CARRIED UNANIMOUSLY. Reclassification: Child Health Service Coordination Public Health Nurse II to PHN III Mr. Elmore presented a request for the reclassification of a Public Health Nurse (PHN) II position to a Public Health Nurse III position in Child Service Coordination. He explained the Child Health Division under the direction of Mrs. Janet McCumbee is the only Nursing Division without either a nursing or a clerical supervisory position. The reclassification to a PHN III is to assume some supervisory responsibilities to assist the Child Health Director. Mr. Elmore recommended from the Executive Committee for the Board to approve the reclassification of the PHN II to a PHN III position in Child Services Coordination. MOTION: Mr. Elmore moved from the Executive Committee for the Board of Health to approve the reclassification of a Child Health Service Coordination Public Health Nurse II position to a PHN III position. Upon vote, the MOTION CARRIED UNANIMOUSLY. e Child Fatality Prevention Team Annual Report Mrs. Janet McCumbee, Child Health Director, summarized the Child Fatality Prevention Team Annual Report. She stated the New Hanover County Child Fatality Prevention Team is a group comprised of commuoity representatives from diverse agencies and disciplines, who meet every two months to address the causes of childhood death, identifY deficiencies in service delivery of public agencies to children and families, and to make recommendations to prevent child death. Mrs. McCumbee reported the team reviewed I3 death certificates in 1995-96. Causes of death include perinatal conditions, accidents, illness, and birth defects. She stated no recommendations were made concerning perinatal conditions and birth defects as the team found there are adequate resources for prenatal care. General prevention of child deaths included car safety seat training through the health department, DSS workers, law enforcement agencies; improved parenting educational materials on toxic substances; and the provision of car seats and smoke detectors. Mrs. Dean requested more daycare guidelines for children who have asthma. Comments: . Board Members Dr. Goins reported this morning he heard a telephone interview with Mr. Rice; Mr. Rice was most complimentary of staff and stated that he is looking forward to coming to Wilmington. 17 II ttll 'tl.c. lI>*t.... +lid .... Boll e , . d,e"~e..s. Hlh Dlr.- oep Hd GRANTS FLOW CHART New Hanover County Health Depar1ment o.,..b....d Head __ & IUIlmiIs IpIlIleaIkln to HIIh Dlr ..- for . "'- HIIh Dlr.- Head - oep & BOH req eenl to />qfJrq ...,.. . F_NHC~ procecln -- noIIIy BOH"'" lIppOIIell or_ HIIh Dlr.- oepHd&BOH -,.. HIIh Oir.- oepHd&BOH ~..-.nIOMt - .~11a1~ .....1.... tiiiIiJ lk.J:h t:lJ>a&~ Den ~~~~.cJ>- Gl.~O~~~_1 'Bo~ €-x.e",~ue C~,~ee (1,,"- \'Y'~ ~~ ~~,... ~..e~ ~ ...-.,,4-'/)1 ~c,-k q <<.c.--+-'''''''. , 20 D 18 . I. Immunization Fees Per Iniection Administration Fee" 5.00 Non-Immunization Injections 500 Flu 12,00 Hepatitis A"" 2500 Hepatitis B"" 4000 Lymerix"" 5500 MMR"" 3500 Pneumonia 2000 Rabies"" (pre exposure) 78.00 . Varicella"" 5000 Meningococcal Vaccine"" 6500 " Administration Fee applies to off-site injections ( may be waived for special targeted activities). "" Hepatitis A, Hepatitis B, Lymerix, MMR, Meningococcal vaccine, Varicella and Rabies are exempt from the Indigency Statement and patients are expected to pay for the service prior to receiving injection when state-supplied vaccine (if applicable) criteria are not met. II. Tuberculosis Program Fees Repeat Tuberculin Skin Test (not TB related) 500 X-Ray per film (not TB related by TB Program guidelines) 3000 e Completion of TB Screening Form (3405) 500 19 The McKimmon Center, Raleigh, NC January 20 - 21, 2000 "Emergency Preparedness-How Well Are We Prepared?" NC Department of Health and Human Services. Annual State Health Director's Conference The McKimmon Center, Raleigh, NC January 20 - 21, 2000 ConferenceRe~rrationForm .r-- '0 Complete and return this form by January 7, 2000 Name: Title: Agency' Address: CitY' Office Phone: Special Accommodation/Dietary Needs: State: Office Fax: Zip Code: Registration Fee: Registration fee includes program materials, lunch on Thursday, continental breakfast on Friday, and breaks. Check one: D $75.00 if postmarked by on or before January 7, 2000 D $85.00 if postmarked after January 7,2000 Please make checks payable to NC Association of Local Health Directors (NCALDH). Federal tax ID number 566- 020-249. To register immediately, fax your registration form to 919-733-4688. ~ Mail your check and completed registration form to: Doranna Anderson -' NC Dental Health Section 2728 Capital Boulevard 1910 Mail Service Center Raleigh, NC 27699-1910 For additional information contact Doranna Anderson at 919-715-6484 or doranna.anderson(iiJncmail.net. Accommodations: Suggested hotels located near the McKimmon Center. Holiday Inn State Capital, 919- 832-0501. (Double rooms recently remodeled) Ask for state rate for a room for one or two persons without breakfast, $53.00; rooms for one person with breakfast $55.00 or rooms for two persons with breakfast $65.00. Deadline for reserving rooms at the Holiday Inn is December 30,1999. Velvet Cloak, 919-828-0333, ask for the McKimmon Center rate for single or double, $69.00. Sheraton Capital Center Hotel, 919-834-9900, ask for the Association of North Carolina Boards of Health rate of $75.00 for single or double. Deadline for reservations at this rate is January 6,2000. Special Event: Association of North Carolina Boards of Health will be conducting their Fourteenth Annual Meeting in conjunction with the Annual NC State Health Director's Conference. There is a separate registration fee to attend their meeting. For registration materials and information, please contact Catherine Moon at 919-677-4137 or cmoon(o)ancbh.or2. Abbreviated Agenda: Thursday, Jan. 20, 2000 5:30 PM Reception-Sheraton Capital Center, 421 S. Salisbury St. Friday, Jan. 21,2000 10:30 AM Business Meetings-The McKimmon Center 12: 15 PM Awards Luncheon 1.20 PM Keynote Address "Dental Health Access in North Carolina: Where is the Tooth Fairy?" Presenter' Rick Mumford, DMD, MPH Chief, Dental Health Section, Div. of Public Health 2:00 PM "County Dental Health Access Experiences" Presenters: Panel TBA ~ Nc Department of Health and Human Services Annual State Health Director's Conference The McKimmon Center, Raleigh, Nc January 20 - 21, 2000 This conference is designed to look at the broad issues of emergency preparedness by using Hurricane Floyd as a case study. Attendees will learn about Floyd's impact 1!om a public health science perspective, evaluate how public health responds to disasters and review the lessons learned from Floyd in order to prepare for other emergencies. Thursday. January 20. 2000 8:00AM Registration/Continental Breakfast/ Exhibits 9:00 AM General Session Welcome and Opening Remarks H. DaVid Bruton, MD Secretary, North Carolina Department of Health and Human Services (NC DHHS) 9:10 AM General Session "The State of Public Health in North Carolina" r- ) A. Denms McBrzde, MD, MPH Assistant Secretary for Health and State Health Director NC DHHS 9:30 AM General Session Ecological Changes Associated with Climate Change The recent flooding in NC is only one manifestation of what is a global pattern of changing climate. There are others that are likely to impact both the ecology of many natural systems and man. The talk will emphasize the basic ecological patterns, how they are changing and why, and the impact on both ecological systems and man. Keynote Speaker: Dr Frederic K J>faender Professor of Environmental Sciences School of Public Health University of North Carolina at Chapel Hill 0:30 AM Break/Exhibits 11:00 AM General Session Assessing Preparedness of Local Public Health Systems: National Public Health Performance Standards Speaker: Paul Halverson, DrPH, FACHE Director, National Public Health Standards Program Center for Disease Control and Prevention 12:30 PM Lunch/Exhibits 2:00 PM Concurrent Sessions The Role of EMS as Part of the State Emergency Response Team (SERT) This session will provide participants with an overview of the role of the Office of Emergency Medical Services during disaster response as part of the SERT The focus will be on the process used to request and allocate statewide assets to meet the needs of overextended local EMS system. Additionally, the role EMS plays in accounting for and providing services to special needs patients will be discussed. The session will also explore how EMS personnel can be used as a resource available to local public health systems during disaster situations. Presenters:1JrexdallTatt Certificate - EMS Administration Chief, Office of Emergency Medical Services Division of Facility Services, NC DHHS Greg Mears, MD, Medical Advisor Office of Emergency Medical Services Division of Facility Services, NC DHHS Ed Seagroves, B.S. Business Administration Disaster Coordinator Office of Emergency Medical Services Division of Facility Services, NC DHHS Environmental Health Implications from Hurricane Floyd This session will cover experiences of local health departments and state regulators in dealing with water supply issues for restaurants, problems and control of pests, and the results and implications of water quality testing and concerns. Presenters: Bart Campbell Section Field Supervisor Environmental Health Services Section Division of Environmental Health NC Department of Environment and Natural Resources (NC DENR) Nolan Newton, Chiif Pest Management Section Division of Environmental Health NC DENR Speaker TBA Water Quality Specialist Division of Water Quality NC DENR Dealing with the Emotional Aftermath of a Disaster and Other Severe Trauma Mental health professionals can play an integral role in providing crisis intervention to victims of disaster. In order to be prepared to intervene they need a knowledge base of the impact and repercussions of disasters; the chaotic nature of disaster calling for flexibility and innovative approaches; the need for coordination with local and familiar community resources; the stages of grief; and the mastery process. They should work closely with established organizations in preparing community disaster plans with specific attention to the mental health needs of both the helpers and the victims. Speaker: Thomas M Haizlip, MD Director, Division of Child and Adolescent Psychiatry University of North Carolina at Chapel Hill Using Volunteers to Meet Public Health Needs Volunteers can be either a program boom or a burst. this session will focus on the pros (' and cons of volunteerism in public health,v with special emphasis on lessons learned during Hurricane Floyd. Moderator: Phyllis Gray, MPH Project Consultant, Office of Minority Health Division of Public Health NC DHHS Panel TBA Occupational and Environmental Epidemiology Branch Response to Eastern NC Flooding The OEEB was responsible for ~ characterizing and communicating 0 numerous environmental health risk issues immediately following the eastern NC flooding caused by Hurricane Floyd. This session will address issues like biological contamination of flooded buildings, re- occupancy issues, contact with flood water, livestock contact and disposal, and soil and sediment contact and sampling strategies. A central theme for all of these issues will be risk communication during a disaster; the methods used and lessons learned. Presenter: WIlliam Service, MSPH Industrial Hygienist, Occupational and Environmental Epidemiology Branch Division of Public Health NC DHHS Mobilizing Nursing and Pharmacy Resources: Lessons Learned This session will discuss the challenges associated with mobilizing and deploying nursing resources and coordinating distribution of medical equipment and pharmaceuticals following Hurricane Floyd. Successes, barriers, failures, lessons learned .- and recommendations for change - both in preparing for and responding to the next event - will be identified. 7 Presenters: Joy FReed, EdD, RN Head, Public Health Nursing and Professional Development Division of Public Health NC DHHS Charles Reed Pharmacist, Health Promotion and Disease Prevention Section Division of Public Health NC DHHS 3:15 PM Break/Exhibits 3:45 PM Repeat of Concurrent Sessions Friday. Januaru 21. 2000 7:00 AM Continental Breakfast (', 8:00 AM General Session Public Health Disasters: Are We Prepared? Research Dimension This session will provide participants with information on the public health consequences associated with Hurricane Floyd, and the effective management of information to advance health knowledge to assist policy-relevant program development. The session will explore the impact on public health, water quality, ecological changes, and air quality associated with the natural disaster, and what have we learned from it. Speakers: Public Health Concerns Associated with Hurricane Floyd Dr J Glen MorriS Professor of Medicine University of Maryland - Baltimore Impact on Ecology and Water Quality and Their Consequences on Public Health Dr WIlliam H. Schlesinger Professor, Department of Botany Duke University - Durham, NC Air Quality Changes Dr Viney P Am!ia Research Professor, Department of Marine, Earth, and Atmospheric Sciences North Carolina State University - Raleigh, NC 9:30 AM General Session This session will highlight the impact a disaster has on a community Both speakers have seen their communities' struggle through a flood. Each speaker will share how the flooding impacted their community Presenters: Delia Perkzns, Mayor {invited} Princeville, NC Patrzcia A. Owens, Mayor {invited} Grand Forks, ND 10:30 AM Break 10:45 AM General Session This session will discuss cross cutting issues with implications for all of public health. Presenters: J. Steven Gine, DDS, MPH Chief, Communicable Disease and Epidemiology Section Division of Public Health NC DHHS Joe Brennan {invited} US Public Health Service 11.45 AM Closing Remarks A. Denms McBride, MD, MPH Assistant Secretary for Health and State Health Director NC DHHS 12:00 PM Adjourn Directions to The McKimmon Center: 2000 Planning Committee Division of Public Health Doranna Anderson, Chair Charles Reed Ronald Higginbotham Division of Facility Services. OEMS Susan Harmuth Division of Mental Health Susan Robinson Public Affairs Office. Granhic Arts Unit Jane Gauntz Division of Environmental Health. DENR Jessica Miles Scotland County Health Department Curtis Holloman Association of North Carolina Boards of Health Catherine Moon , ""'..........-3?~ r"'-" :r:~ . '.. ~':: .~:~ '~J~ -' ..1 _,-?~. I ) . Printed by t~f'.... "'iy;' NO Assoc.iMinn of Local. HUltlr. Diredors ,,-...... t?F--- ,-,_, ..~;:-'t:v, -<iI.~ ~15~pies Of.lhiS pubITCdocumentwe're pnnted ~ II -'costof$]6s.ooor'$.51~12/99 ~ ..V _(l;./f' From 1-40 traveling east from the airport. Take Gorman Street Exit #295. Turn left onto Gorman Street. Go approximately one mile. McKimmon Center is on the right past Avent Ferry Road, before Western Blvd. From 1-40 traveling west. Take Gorman Street Exit #295. Turn right onto Gorman Street. Go approximately one mile. McKimmon Center is on the right past Avent Ferry Road, before Western Blvd. ':.." '",'"'''' ~ .. RALEIGH N NorlhC.,li.. tn' ROUl1ltem3bOO3I ,.,.- J.~.iIl [Eml m l~J . ., J " ... RAlEIGH NiIIIDf1hC.roliu ~ m .- - ............... .-- 1.e-, "''-,iIIo Ai ( -,,';. "".Go;:-" , 0~ ~ '7' ~'-"'" I :;;l/ .<:::.:, <.-~~' ,,: 1\ I . \6.~ BEn&~ o:':,? .. ft:..c-", ..... i! """',-" ';N~,...I-{)' ,.". J"'.''''' NC Dental Health Section 2728 Capital Boulevard 1910 Mail Service Center Raleigh, NC 27699-1910 Mr David E Rice New Hanover County Health Dept 2029 South 17th St Wilmington, NC 04-17-37 t RECENEO OEt 2 0, \999 II. II. co. 1\tAI.1Il DB'1'. ff''l) tf"}, ~ " 'c':," '" ".." ~', 'i 1\' r'..:i:" nVi ",:'''''~.' ., b ..1 I. ~:, :~, ~.., 'r g:~' .',1 -. "11 I," .. I" ',R<::.! ..,~y ; "... " "., "I,' "II ,', (" ~:1 \.:~., ' \~:~, ~~';"" I' ~ " ;;;,;..... , . , . (' '-.-) -- . . 0_ 4i.fl.l~;~ The Association of North Carolina Boards of Health - - - 14th .Jlnnua{ :M.eetinn ~j Dental Health / A' 7_- ccess In Vw;l ", North Carolina: ~ ~ ~ "tx>ijere is tije tootij 5ai-rp?tt / /f ./ (r/ ( RECEPTION January 20, 2000 Sheraton Capital Center Hotel Raleigh, N.C. MEETING January 21, 2000 N.C. State University McKimmon Conference q Training Center Raleigh, N.C. (j~ ., ..,...................... Narthc...-..PuWic~ ~~.-..-.. - .- - ~~.--- - ~ception - (in Fionor of .Jt:N"C'B:J{ XmeritiJ 71i.urstfay, January 20, 2000 5:30 y.m. to 7=00 y.m. Oak. jorest 'BafEroom J1l Sfieraton CayitaC Center :J{oteC 421 South SaCis6ury Street, 'RakieFi, xc. '- Note: pfease piei up your free parii7I{J pass for tfie paritne earQ[Je upon feavi7I{J tfie reception. /' /' ~~lt~J '...'.""'..~~~! " .>.. .,,;:'41// ./ . .""Ci~ - :M.eeti'n{Js - jriday, January 21, 2000 Xc. State 'University :McXimmon Conference & '1'rainine Center (See directions on tfie fast pane.) AGENDA 8:00 a.m. 10:30 a.m. 11:15 a.m. 11:45 a.m. 12:15 p.m. 12:45 p.m. 1:10 p.m. 1:20 p.m. 2:00 p.m. 2:10 p.m. 2:15 p.m. '- 2:30 p.m. ANCBH Registration Annual NC State Health Director's Conference General Sessions: "Public Health Disasters: Are We Prepared? (Board of Health Members welcome.) ----------ANCBH Fourteenth Annual Meeting Begins---------- (ANCBH Members asked to attend) Busines,s Meeting: Lee K. Allen, President, Presiding . Election of Directors . Treasurer's Report . Other Business Board of Directors Meeting: Lee K. Allen, President, Presiding . Election of Position of Secretary . Other Business BREAK & Additional Registration A wards Luncheon Awards Presentation: Susan Adams, Past President . "Outstanding Board of Health Award" . "Carl Durham Award" . "The Robert Ed Strother Partnership A ward" . "The President's Award" President's Address: Lee K. Allen Topic: Dental Health Access in North Carolina: "Where is the Tooth Fairy?" Key Note Speaker: Rick Mumford, DMD, MPH, Chief of Dental Health Section, Division of Public Health, NC Department of Health & Human Services Topic: "County Dental Health Access Experiences" by Panel Speakers: TBA NALBOH Annual Conference Announcement Closing Remarks & Drawing for Door Prizes Adjourn J ) .~ ( :Fourteenth -7lnnuaC !M.eetinn Nominations ) C'The ANCBH Nominating Committee presented the following slate of nominees for Directors and members of the Nominating Committee. The Board of Directors approved the following nominations for the elections at the Fourteenth Annual Meeting: DIRECTORS: John Lassiter, DDS, Lincoln County Janice "Jan" Lounsbury, RN, Madison County Billy Yow, Well Contractor, Guilford County NOMINATING COMMITTEE: Barbara Ann Hughes, Wake County Charles Phillips, Cabarrus County Reminder: Nominations for the Board of Directors may also be made from the floor! Syecia{ Xvent: The Annual State Health Director's Conference: "Emergency Preparedness - How Well Are We Prepared?" will be held in conjunction with the ANCBH Fourteenth Annual Meeting on January, 20- 21, 2000 at the NC State University McKimmon Conference & Training Center, Raleigh, N.C. There is a separate registration fee to attend this event. For registration materials and information, please contact Doranna Anderson at (919) 715-6484 or Doranna.Anderson@ncmail.net. ._------------~-----------------~-----------------~------------------~-------------------~--------------------~---------------- ANCBH Fourteenth Annual Meeting Preregistration Form January 20 & 21, 2000 County: Address: Circle Proper Fee: Members $45 Non-Members $50 Health Directors $25 ANCBH Emeriti None (Includes materials, lunch, & program) NOTE: An additional $10 will be added to the fees above for registration at the door. Thanks! Name: Phone: Check yes or no to indicate your attendance at the Reception. Please record the name of the guest who will be accompanying you: _Yes, I will be attending the ANCBH Reception on Thursday, January 20, 2000. _ No, I will not be attending the ANCBH Reception on Thursday, January 20, 2000. ( Complete this form and return with your registration payment by January 7, 2000. Make checks payable to: ANCBH Return to: ANCBH, P.O. Box 4449, Cary, N.C. 27519-4449. For immediate registration, fax registration form to (919) 677-4200 or call (919).677-4132. Thank you! / .:Accommoaations Call: Sheraton Capital Center Hotel, 421 South Salisbury St., Raleigh, N.C., (919) 834-9900 Sheraton Worldwide Reservations: 1-800-325-3535 Call by January 6, 2000 to make your reservations. State your attendance at the Association of North Carolina Boards of Health 14th Annual Meeting Reception in order to secure the following room rate. Room Rate: $75.00 + 12% tax for single or double occupancy There will be an extra charge of $10.00 per person, per night for more than two people per room. This special room rate can be extended two days before and two days after Thursday, January 20, 2000, based upon availability Check In time is 3:00 p,m. and Check Out time is 12:00 noon. Please let the hotel know if you need to extend your Check Out time. The hotel has multiple in- room amenities, Indoor Pool, Fitness Facility, Restaurant, Bar, and the downtown location is close to shopping and dining areas. Parking: The Sheraton Capital Center has access to the parking deck across the street from the hotel and will provide complimentary parking to Hotel guests and ANCBH Reception attendees. Note: If you would like to know about other hotels in the area, please caU:5=atherine Moon at (919) 677-4137 1:ntertainment The Greater Raleigh Convention & Visitors Bureau will have visitor guides with maps and restaurant information available at the Reception for your entertainment needs. The Raleigh Entertainment Trolley is available to flag down anywhere on route downtown on Thursday, Friday, and Saturday evenings, running every 15 minutes from 6:40 p.m. to 1:40 a.m. Web Site: www.raleighcvb.org , ~ Association of North Carolina Boards of Health P.O. Box 4449 Cary, N.C. 27519-4449 'Directions To Reception/Hotel: From 1-40 take Exit 298-B (South Saunders Street). Follow South Saunders Street into Downtown Raleigh. Turn right on Davie Street, "J., then take a right onto Salisbury Street. The Hotel is on the left and the parking garage is on the right. From Hotel to McKimmon Center: Upon exiting the parking garage, take a left onto Gale Street. Then take a left on Cabarrus Street and a right on South Salisbury Street. From South Salisbury Street, take a right onto Martin Luther King Boulevard (which will turn into Western Boulevard). Then from Western Boulevard, take a left on Gorman Street. The McKimmon Center is on the corner To McKimmon Center: From 1-40 traveling east past ROU Airport, take Exit 295 (Gorman Street). Turn left onto Gorman Street and go approximately one mile. The McKimmon Center is on the right past A vent Ferry Road before Western Boulevard. From 1-40 traveling west, take Exit 295 (Gorman Street). Turn right onto Gorman Street and go approximately one mile. The McKimmon Center is on the right past Avent Ferry Road before Western Boulevard. ,Web Site: www,mckimmon,ncsu.edu Non Profit Org. U.S, Postage Paid Raleigh, NC 27611 Permit # 01084 ..AUTOA.......A.AA.AAA.A..MIXED AADC 270 S8 P1 MR. DAVID RICE NEW HANOYER COUNTY HEALTH DEPT 2029 5 17TH 5T WILMINGTON NC 28401-6699 1II"IIIII.'III""III'I""II"""'I'I"II"I'I"'"llo.. , REcci. DEe , 0 19'i9 N. H. co , .";c ./j 'I ~ L NEW HANOVER COUNTY INTER-OFFICE --MEMO . . December 30,1999 To: Dave Rice Health Director y' -" From: Maryann Adkins 0(\ CSW Re: Millennium Memories Time Capsule Please inform the Board of Health that the Time Capsule Ceremony on January 6, 2000 will be held outside at the right of the Administration entrance (tree area) and will begin at 8:15 a.m. and last about 15-20 minutes. There will be opening remarks, placement of items into the capsule by each department, and a song at the end. In case it rains, we will use the auditorium and bury the items later Mr Rice, would you have time to prepare some brief opening remarks and then I'll call out the names of each division, or you can do that too if you wish. A stepping stone will be the marker. Please let me know - my extension is 6575 Also, I'm going to put it out for a vote by everyone after the January meeting as to a 25 year opening versus 5 year. ~ Meningococcal Disease among College iStuGents - I U/l.Uf'j'j -.~ . . Additional Information . Meninaococcal Di~ease - General Information . Meninaococcal Disease - Technical Information . Meninaococcal Disease - Additional BealIlng . Laboratorv Methods for the Diaanosis of Meninaitis - Manual . e Division of Bacterial and Mycotic Dlna_ Meningococcal Disease among College Students PRESS RELEASE: October 20, 1999 Contact: (404) 639-3286 ACIP Modifies Recommendations for Meningitis Vaccination The Advisory Committee on Immunization Practices (ACIP) has modified its guidelines for use of the polysaccharide meningococcal vaccine to prevent bacterial meningitis, particularly for college freshmen who live in dormitories, a group found to be at a modestly increased risk of meningococcal disease relative to other persons their age. At its October 20 meeting, the ACIP, citing results of two CDC studies done in 1998 which identified the slightly higher risk among freshman dormitory residents, recommended that those who provide medical care to this group give information to students and their parents about meningococcal disease and the benefits of vaccination. Vaccination should be provided or made easily available to those freshmen who wish to reduce their risk of disease. Other undergraduate students wishing to reduce their risk of meningococcal disease can also choose to be vaccinated. The currently available vaccine protects against some types (serogroups) of the bacterium Neisseria meningitidis (also called meningococcus), an important cause of bacterial meningitis and sepsis in children and young adults in the United States. A single dose of the vaccine is recommended, and vaccination will decrease the risk of disease caused by N. meningitidis serogroups A, C, Y, and W-135. However, vaccination will not totally eliminate risk of the disease because the vaccine does not protect against serogroup B and because, although it is highly effective against serogroups C and Y, it still does not confer 100% protection against these serogroups. In 1998-1999, serogroups C and Y caused about 70% of eases among college students. Approximately 3,000 eases of meningococcal disease occur each year in the United States, and 1 0%-13% of patients die despite receiving antibiotics early in the illness. Of those who survive, an additional 10% have severe aftereffects of the disease, including mental retardation, hearing loss and loss of limbs. On September 30,1997, the American College Health Association (ACHA), which represents about one-half of colleges with student health services in the United States, released a statement recommending that "college health services [take] a more proactive role in alerting students and their parents about the dangers of meningococcal disease" and that "college students consider vaccination against potentially fatal meningococcal disease." In early 1998, cnc, in collaboration with the Council of State and Territorial http://www.cdc.gov/ncidodldbmdldiseaseinfo/meningococcal_college.htm rtq:;Il;;; 1 VI.. 01/0412000 ;, . Meningococcal Disease among College Students - 10/20/99 \ . . . - Epidemiologists (CSTE) and ACHA's Vaccine Preventable Disease Task Force, initiated two studies to better define the risk of meningococcal disease associated with college campuses. Both studies indicated that freshmen college students, particularly those who live in dormitories, constitute a group at a modestly increased risk for meningococcal disease. More information on meningococcal disease, its symptoms, and the vaccine is available on the CDC website, http://www.cdc.~ov/ncidodldbmdldiseaseinfo and the American College Health Association. http://www.acha.or~/special- pri/menlfaQ.htm CDC Home I Search I Health Topics A-Z This page last reviewed October 21, 1999 Cp-nters for Disease Control and Prevention National Center for Infectious Diseases Division of Bacterial and Mvcotic Diseases http://www.cdc.gov/ncidodldbmdldiseaseinfo/meningococcal_college.htm Page 2 of2 01/0412000 FROM OONNA BOOTH NEAL 2 PHONE NO. 910 458 0233 Jan. 03 2000 15:28 P2 . . NEW HANOVER COUNTY IIi\VIIJ t:, KIt:I( I/,"hh 1I1"'<llIr ANIMAL CONTROL DMSION 220 DIVISION DRIVE WILMINGTON, NORTH CAROLINA 28401 TELEPHONJ<: (910) 341-1197 FAX (910) 341...fU9 . .II':AN I'. MrNt:U. Animlll ('un1mlllh",dOl' TO: The New Hanover County Board of Health FROM: Dangerous Dog Determination Hearings CONCERNING: The cases heard_October 1999 through December 1999 NUMBER OF CASES HEARD____29 DECISIONS: DANGEROUS 1 POTENTIALLY DANGEROUS 23 NOT DANGEROUS 5 (OWNER BITES new procedures_) PJC no longer used_ PJC REVISED no longer used_ PJC REVOKED--- 1 . AGE OF VICTIMS 7 children 12 adults 11 animals_ REQUIRED MEDICAL ATTENTION all bit,,;- NOT UNDER CONTROL ell NOTES: 1. Rabies is still a problem. 2. One case involved two children. . You.'t dfu,lt~ - OU't rP'tlo'tfJ:!j