10/04/2000
lit' '
NEW HANOVER COUNTY BOARD OF HEALTH
Dr. Thomas Fanning Wood Memorial Conference Room
New Hanover County Health Department
AGENDA
Date:
October 4, 2000
Time:
8:00 A,M,
Place:
Dr. Thomas Fanning Wood Conference Room
New Hanover County Health Department
Mr. William T Steuer, Chairman
p~e5Presiding:
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Invocation:
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Dr Philip P Smith, Sr,
Minutes:
September 6, 2000
Recognitions:
- Mr. William T Steuer
Chairman
Years of Service
10 Years
Monique Simon, Medical Lab Assistant II, Laboratory
25 Years
Eleanor W Jones, Public Health Nursing Director, Communicable Disease
Personnel
New EmDlovees
Michelle Locklear, Clerical Specialist I, Communicable Disease
Nicole Sweder-Gambrill, Shelter Attendant, Animal Control Services
Stephanie Lynn Visintainer, Licensed Practical Nurse II, Community Health
Marsha Watts, Clerical Specialist I, Environmental Health
Other Recognitions:
New Hanover County Class Act Award - Penny Raynor, Physician Extender, Community
Health
Margaret B. Dolan Merit Award, NCPHA Nursing Section - Betty Creech, Community Health
Director, Community Health .k
Child Health Team Award, NC A~en's and Child.Hea~ ~.ePunity Health
Team, Community Health ., 'lJf'uJ 01
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NHC Board of Health Agenda
October 4, 2000 - Page 2
Department Focal:
- Mr. William T Steuer
Animal Control Services Update
- Dr. Jean McNeil
Animal Control Services Director
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Monthly Financial Report: August 2000
(Including Grant Status Update)
Ms. Cindy Hewett
Business Officer
Committee Reports:
Executive Committee (listed under New Business~ ~ ~ - Mr. William T Steuer
Personal Health Committee I 0 ~ 0 0 _~!J - Mr. Henry V Estep
Personal Health Committee Chairman
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2.
3.
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New B~SS: - Mr. William T Steuer I
a - t{ J Grant Application - Healthy Carolinians ($1 0,000) ~{> ~
e ",....;2 h Grant Application - March ofDimes ($1 0,000) ~f (g ~
'). r - d~ I WIC casel;:;,:t~t Increase _' J '. fI,,6.
~PPOintment of Nominating Com~tte~.. ~Of"~ 1 ~ ~.
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ments: _ t. I t.4 . - Mr. William T Steuer
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_ f)fP'BJP.!? /}()G, Jh!JI12/1lJ1t S - Mr. David E. Rice
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NCPHA Follow-up ... 1lI.tL. P.JD It lIf1/Js 81'" )
NCDHHS Hurricane Preparedness Meeting, September 8, 2000
NHC~H/N~~ Strat~gic Planning Retreat, October 6-7 n..' .J..11._ ~_J.. M
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Other Business: - Mr. William T Steuer
Board of Health Members
Health Director
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Adjourn:
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- Mr. William T Steuer
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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, October 4,2000, in the Carl T. Durham Memorial
Auditorium of the 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, 00
Robert G. Greer, Vice-Chair, County Commissioners
Gela N. Hunter, RN, Nurse Practitioner
W. Edwin Link, Jr., RPH
Anne Braswell Rowe
Philip P. Smith, Sr., MD
Melody C. Speck, DVM
Estelle G. Whitted, RN
Members Absent:
None
Others Present:
David E. Rice, Health Director
Lynda F. Smith, Assistant Health Director
Frances De Vane, Recording Secretary
Invocation:
Dr. Philip P. Smith, Sr., gave the invocation.
Minutes:
Mr. Steuer asked for corrections to the minutes of the September 6, 2000 New Hanover County Board of
Health meeting. The minutes of the September 6 Board of Health meeting were approved as submitted.
Recognitions:
Mr. Rice recognized the recipients of the New Hanover County Service Awards:
Years of Service
10 Years
Monica Simon, Medical Lab Assistant II, Laboratory
25 Years
Eleanor W. Jones, Public Health Nursing Director, Communicable Disease
Mr. Rice introduced the following new health department employees and guests:
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Personnel
New Emplovees
Michelle Locklear, Clerical Specialist I, Communicable Disease
Nicole Sweder-Gambrill, Shelter Attendant, Animal Control Services
Stephanie Lynn Visintainer, Licensed Practical Nurse II, Community Health
Marsha Watts, Clerical Specialist I, Environmental Health
Guests
Candy Garrett, student, UNCW School of Nursing
Sheila Goolsby, student, UNCW School of Nursing
Kathy Johnson, student, UNCW School of Nursing
Jermie Mercer, student, UNCW School of Nursing
Other Recognitions:
Awards
New Hanover County Class Act Award
Mr. Rice congratulated Ms. Penny Raynor, Physician Extender, Jail Health Program, Community Health,
recipient of the New Hanover County Class Act Award. The County Commissioners presented the award
to Ms. Raynor for the exceptional service and job performance in the New Hanover County Jail.
North Carolina Public Health Association (NCPHA) Awards
Mr. Rice announced the New Hanover County Health Department received awards recognizing staff for
their outstanding achievements and accomplishments during the North Carolina Public Health Association
(NCPHA) Annual Meeting on September 20-22, 2000, in Wilmington, North Carolina. The awards are as
follows:
Margaret B. Dolan Merit Award, NCPHA Nursing Section - Betty Creech, Division Director,
Community Health
Child Health Team Award, NCPHA Women's and Child Health Section - Community Health
Team, Community Health
Mr. Rice congratulated Ms. Creech who received the Margaret B. Dolan Merit Award, the most
prestigious NCPHA Public Health Nursing Section Award in the state. Mr. Rice asked the School
Health Team to stand for recognition as recipients of the Child Health Team Award.
NCPHA Southeastern District Environmental Health Section
Mr. Rice recognized and commended Ms. Susan Wright, Environmental Health Specialist, winner of the
Jesse S. Canady Sanitarian of the Year Award given by the NCPHA Southeastern District
Environmental Section.
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Department Focal:
Dr. Jean McNeil, Animal Control Services Director, presented an Animal Control Services (ACS) Update
as the department focal. She gave a progress report and an update on the ACS Licensing Program,
Chameleon Software, Rabies Cases, Adoptions, and ACS Special Events.
Dr. McNeil reported 23 local veterinarians are participating in the ACS Licensing Program. Appeal
hearings are held at the ACS shelter with 18-24 cases per hearing. The ACS Division went on line in
October 1999 to process ACS citations, to assist with the appeals process, and agency collection
procedures. A Chameleon user manual was developed and training of staff is on going. The total number
of Rabies since March 26, 1996 is 57. ACS staff is promoting educational efforts on pet handling and
care and the danger of Rabies.
Dr. McNeil advised a new Adoption Program started in October 1999. Adopted pets were transported to
the veterinary hospital for spay/neuter process prior to placement in the new owner's home with 100%
compliance and veterinary support. Future plans include the possibility of an on-site spay/neuter facility
to ease the adoption process. Annual ACS special events include an Open House, a Pet Adopt-a-thon,
Paws to Recycle, an Inner City Rabies Clinic, and Eat for Pete.
Mr. Steuer thanked Dr. McNeil for her presentation.
Monthlv Financial Report - Au!!ust 2000 Includin!! Grant Status Report:
Ms. Cindy Hewett, Business Officer, presented the August Health Department Financial Summary
Monthly Revenue and Expenditure Report that reflects an earned revenue balance of $456,411 (10.70%)
and a remaining balance of $3,811,074, an expenditure amount of $1,298,353 (13.31 %) with a remaining
balance of $8,456,764, and a cumulative percent of 16.66%.
Ms. Hewett reported an increase in Animal Control Services earned revenue to $76,075 (14.54%) from
$53,071 (10.28%) for the prior year. Environmental Health revenue is $50,774 (16.23%) compared to
$46,243 ((14.78%) for last year. She advised the monthly report does not include Medicaid
reimbursement due to the conversion to lCD-CPT coding for clinical services billing. Ms. Hewett
explained New Hanover County is a batch county on QS vendor software that interfaces with the HSIS
and EDS systems to process Medicaid claims.
Ms. Hewett advised Vector Control expenditure is $103,808 compared to $90,725 for the prior year due
to seasonal mosquito control expenses for rental of equipment and supplies. Salary and Fringe
expenditure is higher at $1,037,054 (13.41 %) compared to last year at $756,664 (10.53%). The 3.5%
market adjustment is budgeted in Salary and Fringe in the Health Department Fiscal Year 2000-2001
Budget. The increase in Capital Outlay is due to the medical records renovation.
Ms. Hewett presented a Grant Status Report from July 1999 through August 2000. The Health
Department grants requested for this period are $766,902. Grants received are $187,373, pending grants
equal $266,500, and denied grants equal $313,029. Summarizing the status of grants, Ms. Hewett
advised the Smart Start Grant ($52,000) for two Maternity Outreach Workers, the Cape Fear Memorial
Foundation Grant ($35,000 funding for one-year), the Diabetes Today Grant ($10,000), and the March
Toward TB Elimination Grant ($7,200) are included in the Board's grant update.
Committee Reports:
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Executive Committee
Mr. Steuer reported the Executive Committee met at 6:00 p.m. on September 26, 2000. Items are listed
under New Business on the Board of Health Agenda.
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Personal Health Committee
Mr. Estep, Personal Health Committee Chairman, reported the Personal Health Committee at 6:00 p.m.
on September 13,2000, to finalize plans for the Strategic Planning Retreat to be held from 8:30 a.m. to
5:00 p.m. on October 6 - 7 at the Marriott Courtyard in Wilmington, North Carolina. He thanked Mr.
Rice, health department participants, and Board of Health members for their review of the Strategic
Planning Retreat packet and manual. Mr. Estep advised Mr. Rice will present the retreat agenda to the
Board.
Mr. Estep informed the Personal Health Committee discussed the proposed regulation to prohibit the Use
of Mobile Telephones While Operating a Motor Vehicle. He gave an update to the Board on what the
Committee is doing to promote an educational public awareness campaign. Mr. David Howard, Health
Educator, is developing a public awareness campaign to cover in-vehicle technology and the legal
aspects of the issue on the risks of using a mobile phone while driving a motor vehicle and on other
driving distractions, rules, and skills. Mr. Estep stated that more statistical data is being collected on
driver distractions.
Mr. Estep clarified under the existing law it is not well defined whether the Board of Health has the
authority to enact this regulation or what local or state entity would be involved or responsible for the
enforcement of the regulation. Thirty states have introduced hand-held cell phone legislation but none
have passed, and a municipality in Pennsylvania did pass a mobile telephone regulation that was declared I
illegal.
Unfinished Business:
New Business:
Grant Application - Healthy Carolinians ($10.000)
Mr. Steuer recommended from the Executive Committee for the Board of Health to accept and approve
the Healthy Carolinians Grant Application for $10,000.
Ms. Gela Hunter requested additional information on the activities of the Healthy Carolinians Task Force.
Ms. Elizabeth Constandy, Health Educator, explained the grant proposal is to reestablish and maintain the
activities of the New Hanover County Healthy Carolinians Task Force under the new name of Cape
Fear Healthy Carolinians Task Force. It is joint effort of New Hanover and Brunswick Counties to
reorganize task forces of certified counties, to develop a re-certification plan, and to plan community
health promotion activities. Activities include expanding membership and building collaborations with
health and human service agencies, training and skill development, and marketing efforts to educate the
community about health issues and the initiatives of the Cape Fear Healthy Carolinians Task Force. Mr.
Rice reported the New Hanover County Task Force was established in 1990 and was instrumental in
establishing Wilmington Health Access For Teens (WHAT) through community collaboration.
Mr. Greer inquired about the grant being placed on the County Commissioners Agenda prior to the
approval ofthe Board of Health. Mr. Rice stated this was due to the time constraints of the grant request.
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Motion: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and approve
the Healthy Carolinians Grant Application for $10,000 from the North Carolina Department of Health and
Human Services and to submit the associated budget amendment to the New Hanover County
Commissioners for their consideration. Upon vote, the MOTION CARRIED UNANIMOUSLY.
Grant Application - March of Dimes ($10.000)
Mr. Steuer recommended from the Executive Committee for the Board of Health to accept and approve a
Grant Application for a Folic Acid Awareness Campaign in the amount of $10,000 from the March of
Dimes Birth Defects Foundation.
The purpose of the grant is to provide multivitamins with folic acid along with educational information
explaining the protective effects of folic acid for the prevention of neural tube birth defects. The project
will target agencies within our community that provide pregnancy testing services, the Register of Deeds
office that issues marriage licenses, and the under served population.
Dr. Speck stated it is important for all women of childbearing age to take multivitamins with folic acid,
and that the grant provides an innovative way to reach the target population. Ms. McCorkle reiterated
North Carolina is recognized as having the highest rate of neural tube birth defects. She emphasized the
consumption of 400 micrograms of folic acid taken before pregnancy is a very economical way to
eliminate this serious birth defect.
Motion: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and approve
the March of Dimes Grant Application for $10,000 and to submit the budget amendment to the New
Hanover County Commissioners for their consideration. Upon vote, the MOTION CARRIED
UNANIMOUSLY.
New Hanover County Board of Health Amendments to Rules Governinf! the Fencinf! and
Operation of Private Swimmine Pools in New Hanover County. North Carolina
Mr. Rice explained at the advice of Mr. Burpeau, Assistant County Attorney, the Board of Health needs
to consider the adoption of the New Hanover County Board of Health Amendments to Rules Governing
the Fencing and Operation of Private Swimming Pools in New Hanover County, North Carolina, as
advertised in the September 6, 2000 Board of Health Public Hearing notice. The Board of Health held
a Public Hearing to discuss the proposed amendments to the Rules Governing the Fencing and Operation
of Swimming Pools with no one requesting to speak at the hearing.
Mr. Steuer asked for discussion of the proposed regulation recommended by the Executive Committee
prior to the Board of Health Public Hearing on September 6, 2000. There was no additional discussion.
Motion: Mr. Link moved and Dr. Goins seconded for the Board of Health to accept and approve the
revised Rules Governing the Fencing and Operation of Private Swimming Pools in New Hanover County,
North Carolina. Upon vote, the MOTION CARRIED UNANIMOUSLY.
WIC Caseload and Budf!et Increase
Mr. Rice explained that due to outreach efforts provided through grant funding, the WIC caseload and
budget have increased. The increased caseload is 2,777 and the budget increase is $9,778. He stated
prior to the grant initiative, the WIC case load and budget had decreased.
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Appointment of Nominatinf! Committee
Mr. Steuer appointed the following Board of Health members to the Nominating Committee for the
selection of nominees for the 2001 Chairman and Vice Chairman of the New Hanover County Board of
Health:
Mr. Estep, Chair
Mr. Greer
Dr. Speck
Mr. Steuer thanked the Board members for agreeing to serve on the Nominating Committee and requested
a Nominating Committee report at the November 1 Board of Health meeting.
Comments:
Board of Health Members
Mr. Steuer asked for additional comments from the Board of Health.
comments.
There were no additional
Health Director
NHCBH/NHCHD Stratef!ic Plannine Process
Mr. Rice reported he spoke with Mr. William T. Hertzog, retreat facilitator, to finalize the Strategic
Planning Agenda. Mr. Rice presented the agenda to the Board of Health. He requested the Board
review their pre-packet workbook and identify areas or issues to present at the Strategic Planing Retreat
to be held from 8:30 a.m. - 5:00 p.m. on Friday, October 6 and Saturday, October 7, 2000, at the Marriott
Courtyard.
North Carolina Public Health Association (NCPHA) Follow-up
Mr. Rice reported the NCPHA Annual Conference was held in Wilmington September 20-22,2000. He
commended health department employees for local arrangements, their exhibits, and participation in the
annual meeting. He expressed his appreciation to staff for hosting the reception and tour for NCPHA
members attending the Wilmington Historical Tour presented by Mr. Dan Shingleton.
NCDHHS Hurricane Preparedness Meetinf!. September 8. 2000
Mr. Rice advised on September 8, 2000, health department staff attended a DHHS Hurricane
Preparedness meeting to learn more about the state hurricane policies and procedures.
Animal Control Services Inner City Rabies Clinic
Mr. Rice announced the Animal Control Services Advisory Board is sponsoring an Inner City Rabies
Clinic from 1 :00 p.m. - 3 :00 p.m. on November 4, 2000
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Board of Health Information
Mr. Rice referred the Board to additional items in their Board folder including:
1. NHCBH Amendments to Rules Governing the Fencing and Operation of Private Swimming
Pools in New Hanover County, North Carolina (adopted and effective October 4,2000)
2. Strategic Planning Agenda
3. Mobile Telephone articles
4. Comprehensive Child Health Plan
5. September 12,2000 Animal Control Services Advisory Committee Minutes
6. Report of Dangerous Dog Panel Hearings
7. EPI Information Newsletter
8. National Association of Local Boards of Health Newsbrief.
Other Business:
Flu Vaccine
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Dr. Smith inquired about flu vaccine availability. The CDC has advised a delay in mass immunization
campaigns until later in November. The reason for the delay is a lack of FDA approval of vaccines
already produced, resulting in additional production. Mr. Rice stated Ms. Beth Jones, Communicable
Disease Director, has ordered additional flu vaccine from a private vendor. The Health Department
normally purchases their vaccine through state contract. Mr. Link advised as long as the flu inoculation is
received by mid-December, an individual is protected against the influenza virus.
Adjourn:
Mr. Steuer adjourned the regular meeting of the Board of Health at 9: 20 a.m.
~c/~
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
I Approved: November I, 2000
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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, September 6, 2000, in the Carl T
Durham Memorial Auditorium of the 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
Anne Braswell Rowe
Philip P Smith, Sr., MD
Melody C Speck, DVM
Estelle G. Whitted, RN
Members Absent:
None
Others Present:
David E. Rice, Health Director
Lynda F Smith, Assistant Health Director
Kimberly Roane, Recording Secretary
Invocation:
David E. Rice gave the invocation.
Public Hearing:
A Public Hearing was held to discuss the New Hanover County Board of Health Amendments to
Rules Governing the Fencing and Operation of Private Swimming Pools in New Hanover County,
North Carolina. With no requests made to speak before the New Hanover County Board of Health,
the Public Hearing was closed by Mr Steuer at 8:08 a.m.
Minutes:
Mr Steuer asked for corrections to the minutes of the August 2, 2000 New Hanover County Board of
Health meeting. The minutes of the August 2, 2000 Board of Health meeting were approved as
submitted.
Recognitions:
Mr Rice recognized the recipients of the New Hanover County Service Awards:
Years of Service
5 Years
Leigh J. Jackson, Environmental Health Specialist, Environmental Health
John M. Minneci, Environmental Health Specialist, Environmental Health
10 Years
Sarah Harrell, Clerical Specialist I, Environmental Health
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Personnel
Mr Rice introduced and welcomed the new employees and guests.
New Emplovees
Regina Abate, Clerical Assistant, Administration
Lorna Blackler, Licensed Practical Nurse, Child Health
Lee Ann Cook, Licensed Practical Nurse II, Communicable Disease
Dina Sarro, Nutritionist I, NutritionlWlC
Courtney Wilson, Physician Extender, Women's Health Care
Guests
Rachael Page, student, UNCW School of Nursing
Brandi Lewis, student, UNCW School of Nursing
Amy Gunn, student, UNCW School of Nursing
Other Recognitions:
Mr Rice introduced Ms. Isabelle Charleton, representative of Cape Fear Community College. Mr
Steuer presented plaques to participants of the Serving Safe Food classes sponsored by the Cape
Fear Community College and the Health Department. Plaques were accepted by Bryan Gibson,
General Manager, and Vincent Drayton, Executive Chef, on behalf of Elijah's Restaurant, and
presented to Jason Branch, General Manager, and Kathy Seagraves, Executive Chef, on behalf of the
Pilot House Restaurant.
July 2000 Monthly Financial Report:
Ms. Lynda Smith, Assistant Health Director, presented the Monthly Financial Report for July 2000.
Ms. Smith noted that, due to a change in State and Federal requirements, monthly revenues are now
billed monthly instead of quarterly, and July revenues have been billed but not yet received.
Dr Goins asked when a final financial report for the past fiscal year would be received. Ms. Smith
stated that a final report would be available in October
Summarizing the status of grants, Ms. Smith advised the Board that the March Toward TB Elimination
Grant was awarded in the amount of $7,200. Mr Rice advised that notification was just received of
approval of the Diabetes Today grant funding in the amount of $10,000.
Committee Reports:
Executive Committee
Mr Steuer reported the Executive Committee met at 6:00 p.m. on August 29, 2000. Items are listed
under New Business on the Board of Health Agenda.
Environmental Health Committee
Mr Link, Chairman, Environmental Health Committee, reported the Environmental Health Committee
met at 6:00 p.m. on August 9, 2000. The committee reviewed the proposed New Hanover County
Board of Health Amendments to Rules Governing the Fencing and Operation of Private Swimming
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Pools in New Hanover County, North Carolina. Mr Link recognized Susan Wright, Environmental
Health Specialist, for her significant research efforts to gather important information for the rule
amendment proposal.
Unfinished Business:
New Business:
Grant Application - Elton John Foundation - Enhanced Counselina Proaram 1$48.0001
Mr Steuer recommended from the Executive Committee for the Board of Health to accept and
approve the Elton John Foundation Enhanced Counseling Program Grant Application for $48,000 and
to submit the grant application to the New Hanover County Commissioners for their consideration.
Mr Rice stated this is the same grant that was submitted last month to the Z. Smith Reynolds
Foundation. Dr Speck questioned if it would be possible to extend the program a second year if
approval is obtained from both funding sources. Mr Rice explained that we would use the funding in
the current fiscal year to expand the program.
Motion: Mr Steuer moved from the Executive Committee for the Board of Health to accept and
approve the Elton John Foundation Enhanced Counseling Program Grant Application for $48,000 and
to submit the grant application to the New Hanover County Commissioners for their consideration.
Upon vote, the MOTION CARRIED UNANIMOUSLY.
Proposed Reaulation of the Use of Mobile Telephones While Operatina a Motor Vehicle
Mr Steuer reported from the Executive Committee a recommendation to refer the matter of mobile
telephone regulation to the Personal Health Committee.
Ms. Rowe stated she would like for the Board of Health to be instrumental in starting an effort in this
region to regulate the use of mobile telephones. She considers this analogous to a resolution passed
by the New Hanover County Board of Health on 6/23/90 to regulate smoking in public places.
Ms. Rowe believes there may be community support, as evidenced by the recent AAA Carolinas
statement in support of mobile telephone legislation. She asked Mr Estep, Chair of the Personal
Health Committee, to consider recommendation of regulation.
Ms. Whitted expressed support of regulation and would like the Board of Health to move forward. She
related personal experience in witnessing distracted drivers talking on mobile telephones. Dr Smith
agreed and added that the distraction is the main issue. He referred to the National Highway Traffic
Safety Administration website, stating it would be desirable to have the information contained on that
website reproduced and distributed. Dr Smith stated that taking a stand on regulation is the correct
thing to do.
Mr Steuer reported receiving letters both pro and con and stressed that this is not a simple issue,
perhaps not to be handled alone. He welcomes the AAA Carolinas' effort to take this issue to the
legislature. Mr Steuer explained that thirty states attempted to legislate this without success. He
stressed the need to gather adequate information before moving forward.
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Ms. Rowe suggested that the actions taken by other states should not affect proposals of this Board
of Health and cited the many supportive comments received. Dr Smith referred to a recent
newspaper article listing New Hanover County as the county with the greatest likelihood of having a
traffic accident and of sustaining injury in a traffic accident, and believes this sufficient reason for the
Health Department to take the lead in regulation. Mr Estep suggested this is a complicated matter
that involves mental distraction with mobile telephones only one source of distraction. He expressed
concern over the difficulty in attempting to control mental functions of drivers. Ms. Rowe suggested
combining public education with regulation.
Mr Link raised the possibility of hands-free mobile communication, and his concern over the negative
impact regulation of mobile phones would have on tourism for this county He suggested working with
state legislature to bring change, believing this to be a more difficult area to regulate than was
smoking.
Motion: Dr Goins moved and Ms. Rowe seconded to refer the issue of mobile telephone regulation
to the Personal Health Committee for research and recommendation. Upon vote, the MOTION
CARRIED UNANIMOUSLY.
Revision of Health Director Evaluation Form
Mr Steuer recommended from the Executive Committee for the Board of Health to accept and
approve revision of the Health Director Evaluation Form as submitted.
Dr Link expressed concern that the new form would not provide a good quantitative evaluation
without assignment of a rating number for each performance area. Dr Smith stated he thought the
old format was better, allowing more effective evaluation of all criteria. Ms. Whitted added that,
without individual evaluation ratings, it will not be clear which areas require improvement.
Ms. Hunter suggested a format with columns on the side and ratings clearly stated at the top of each
column, allowing for checks in a specific rating column, from "poor" to "exceptional" for clarity Dr
Goins agreed with this suggestion for form layout.
Motion: Mr Steuer moved from the Executive Committee for the Board of Health to accept and
approve revision of the Health Director Evaluation Form as submitted. Upon vote, the MOTION DID
NOT CARRY.
Mr Steuer stated he was satisfied with the old form and sees no need to change. Dr Speck stated
the old form caused confusion with ratings, and she prefers to change the format providing columns
to check for numeric ratings. Dr Jewell agreed.
Motion: Dr Goins moved and Ms. Hunter seconded to approve the revision of the Health Director
Evaluation Form in landscape format with the addition of rating columns to the side of the form. Upon
vote, the MOTION CARRIED UNANIMOUSLY.
Strategic Planning Process
Mr Steuer stated the Strategic Planning Retreat is being held October 6-7, 2000 at the Marriott
Courtyard Hotel. Mr Rice has received most of the responses. The majority of the surveys have
been entered into the computer, and Mr Estep will meet with Mr Rice on 9/13/00 to organize the
information. Packets will be distributed two weeks prior to the retreat. Mr Estep thanked the Board of
Health members and staff for efforts extended throughout the interview phase of the Strategic
Planning Process.
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Comments:
Board of Health Members
Board of Health Recoanition to Mr. Steuer
Dr Goins presented a plaque to William T Steuer, Chairman, New Hanover County Board of Health,
in recognition of extraordinary dedication and commitment to securing generators/hookups at the New
Hanover County emergency shelters.
MOSQuito Problem
Mr Greer raised the issue of the mosquito problem. Mr Steuer stated spraying has been extensive
and commended the Vector Control staff for doing a good job. Mr Steuer reported occasionally
horses are lost due to Eastern Equine Encephalitis. Dr Speck agreed mosquitoes are a problem, but
agreed New Hanover County has an excellent Mosquito Control Program. Ms. Whitted inquired about
donut-shaped repellant seen on television. Dianne Harvell, Environmental Health Director, explained
the B.T.1. donuts are used in standing water Mr Rice suggested use of Permethrin (10%), a
chemical spray found at home and garden supply stores. Dr Smith stated the importance that
residents take personal responsibility for controlling their living areas and suggested education to
increase public awareness. Ms. Rowe cited a recent television interview with Ken Sholar, of New
Hanover County Vector Control, who did an excellent job of public education. Mr Greer suggested
staff give information to Mark Boyer, Public Information Officer, for media distribution.
Availability of Public Restroom
Ms. Whitted reported receiving a call from a citizen, reporting a lack of public restrooms at a business
on Kerr Avenue. A child was sent outside the building to the facility next door Ms. Whitted
considered this a public health matter and inquired as to regulations for public restrooms. Ms. Harvell
stated this is governed by the State, and she believes public restrooms are not required in small retail
establishments. Mr Steuer referred the matter to the Environmental Health Committee for further
research.
Flu Vaccine
Dr Smith inquired about flu vaccine availability Ms. Beth Jones, Communicable Disease Director,
explained we have not yet received vaccine that was ordered last Spring. The CDC has advised a
delay in mass immunization campaigns until later in November The reason for the delay is a lack of
FDA approval of vaccines already produced, resulting in additional production efforts. Ms. Jones
reported that this may result in a shift in priority of vaccine administration, but we are waiting before
reacting and have not yet changed plans. Mr Steuer asked if pneumonia vaccine was also affected,
but Ms. Jones stated it was not.
_ Health Director
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Eastern EQuine Encephalitis
Mr Rice discussed the statewide status of Eastern Equine Encephalitis. Dr Smith asked for a
comparison to past years. Ms. Jones reported no significant increase, stating there are always a few
positive results found during testing of sentinel chicken flocks.
AEIOU Strenaths Analvsis
Mr Rice reviewed the strengths analysis effort of the AEIOU (Assessing, Evaluating, Improving, Our
Opportunities are Unlimited) team, reporting 75 strengths met as' compared to 60 highly met strengths
in 1998.
Media Relations Symposium
Having attended the Media Relations Symposium on August 29, 2000, Mr Rice reported the need to
be more vigilant in getting information to the public. He stated this issue will be examined during the
Strategic Planning process. Mr Rice commended Ms. Betty Fennell, reporter for the Wilmington Star
News, on her fair and accurate reporting of Health Department information.
NHCHD Volunteer Orientation
Mr Rice reported a group Volunteer Orientation was held August 30, 2000. Nineteen volunteers
attended the session which was led by Ms. Julia Bibbs, NHCHD Volunteer Coordinator Mr Rice
commended Ms. Bibbs, Ms. Jones, and Ms. Roane for efforts implementing the Health Department's
Volunteer Program. Dr Smith suggested submission of information in the Volunteer Connection
section of the Wilmington Star News. Ms. Roane stated we have already announced volunteer job
opportunities in that section and have received responses as a result.
North Carolina Public Health Association (NCPHA) Annual Conference
Mr Rice reported the NCPHA Annual Conference will be held in Wilmington September 20-22, 2000.
Board of Health members may attend free of charge. As the host county, NHCHD will offer a tour of
the Health Department facility on Wednesday, September 20. Mr Steuer will welcome the attendees.
Dr Goins inquired about the registration process. Mr Rice stated forms could be returned to him, or
taken to the Hilton Hotel at the time of registration.
Other Business:
Proposed Mobile Telephone Reaulation
Mr Steuer revisited the mobile telephone regulation issue, commending David Howard, Health
Educator, for an excellent job researching mobile phone usage and regulation across the country Mr
Steuer reiterated that the Board of Health considers this a very serious and complex issue, carefully
considering the appropriate direction in which to move.
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Department Focal:
Information Fair
Ms. Beth Jones, Communicable Disease Director, invited Board members to accompany her outside
the auditorium to participate in the department focal. Ms. Jones and staff presented a Health
Information Fair with displays depicting the many programs of the Communicable Disease Division.
Adjourn:
Mr Steuer adjourned the regular meeting of the Board of Health at 9:25 a.m.
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:
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New Hanover County Health Department
FY 00 - 01
MONTHLY REVENUE REPORT
As of August 31, 2000
Summary for the New Hanover County Health Department
Cumulative % 16.66% Month Reported Mon 2 of12 Aug-oO
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned Remaining
Federal & State 1.349.768 208,120 1.141.648 15.42% $ 1.363,135 185.829 1,177.306 13.63%
AC Fees 523.044 76.075 446.969 14.54% $ 516,453 53,071 463.382 10.28%
Medicaid 916.900 66.378 850.522 7.24% $ 852.884 73.918 778.966 8.67%
Medicaid Max 0.00% $ 192,301 192.301 0.00%
EH Fees 16.23% $ 312.900 266.657 14.78%
Hea~h Fees 17.30% $ 109.515 96.533 11.85%
Other 3.39% $ 725.915 664.893 8.41%
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 00 - 01 is ($9.755,117 - $4.267,485) = $5,487.632.
The expended amount for County Appropriation for this FY (year-ta-date) is ($1,298,353 - $456,411) = $841,942.
Revenue Summary
For Month of AUGUST 2000
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Type of
expenditure
New Hanover County Health Department
FYOO-01
MONTHLY EXPENDITURE REPORT
As of AUGUST 31, 2000
Summary for the New Hanover County Health Department
Cumulative %
16.66% Month Reported Man 2 0112: Aug-oO
Current Year Prior Year
Expended Balance % Budgeted Expended Balance %
Amount Remaining Amount Amount Remaining
Budgeted
Amount
Salary & Fringe
Operating
Capijal Outlay
Expenditure Summary
For Month of AUGUST 2000
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/laf U IX< 17~ -'~
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NEW HANOVER COUNTY HEALTH DEPARTMENT
BOARD OF HEALTH (BOH) APPROVED
GRANT APPLICATION STATUS
Date IBOH\ Grant Requested Pendlna Received Denied
Smart Start applying for Cape Fear ~
8/2/00 Memorial Foundation Grant (MOW) $52,000 $52,000
Enhanced Counseling program- Z. Smith
Revnolds Foundation $48,000 $48,000
Teen Aids Prevention- Z. Smith Reynolds
Foundation $59,000 $59,000
March Toward TB Ellmlnatlon- NC Dept of ~O
7/12/00 Health and Human Services IDHHS) $10,000 $7,200
Cape Fear Memorial Foundation (TAP ~oo
Proaram\2 vear reouest $55,000 per year $55,000 $35,000
Diabetes Today - DHHS Division of Public ......
Health $10,000 $10,000
Servlclos Para Ninos-Rahab Therapy
6/7/00 Foundation $50,000 $50,000
Family Planning Outreach Inltlatlve-NC
Division of Public Health- WPH Unit (Year
One' $21,538 and Year Two: $22,615) $21,538 $21,538
Healthy Homes Inltlatlve-NC Childhood Vl552
Lead Poisonino Prevention Prooram $20,000 $12,448
"-
Project Assist-American Legacy Foundation
5/3/00 Grant ($57,500 for each of 3 years) $57,500 $57,500
MOW Services (Infant Mortallty)-NC
Healthy Start Grant Application (2yr Grant:
4/5/00 $85,000 vr 1 and $43,845 vr 2) $128,845 $128,845
Skin Cancer Screening- NC Advisory
Committee on Cancer Coordination and
Control $1,500 $1,500
WIC Outreach- NC Dept of Health and
3/1/00 Human Services $5,590 $5,590
No actlvltu to reDOrt for Jan and Feb 2000
Child Health Consultant Grant- UNC Dept
of Maternal and Child Health- Contract with
NC Dept of Health and Human Services, ~,935
12/1/99 Division of Women and Children's Health $48,210 $29,275
"
Healthy Carolinians Task Force- NC Office
11/3/99 of Healthv Carolinians (FROZEN) $10,000 $10,000
Operation Reach Women- Susan G.
Komen, Breast Cancer Foundation $19,822 $19,822
North Carolina Chilhood Asthma Initiative
NC Dept of Health and Human Services,
Women and Children's Health Section
FROZEN} $7,500 $7,500
No actlvltu to I'8DOrt for Oct 1999.
As of 9/28/00
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NEW HANOVER COUNTY HEALTH DEPARTMENT
BOARD OF HEALTH (BOH) APPROVED
GRANT APPLICATION STATUS
Date (BOH) Grant Reauested Pendlno Received Denied
School Heahh Lice Grant- Carolina Power
and Light Company Corporate Contributions
9/1/99 Fund $4,900 $4,900
Growing Up Buckled Up- National Highway
Traffic Safety Administration Cooperative
Aoreement $54,730 $54,730
Model Community Assessment Grant-
North Carolia Community Health Initiative-
Healthy Carolinians- Center for Disease
911/99 Control and Prevention $17,375 $17,375
Diabetes Today Community Planning
Initlatlve-NC Dept of Health and Human
Services - Diabetes Prevention and Control
Unit $10,000 $10,000
No actlvHvIO .._lor Au. 1999.
Healthy Women Flrst- Community Health
717/99 Imorovement Prooram $24,692 $24,692
Teen Aids Preventlon-Gape Fear $~OO
Foundation Grant $50,700 $35,000
Totals $766,902 $266,500 $187,373 $313,08
As of 9/28/00
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~EALTH
NEW HANOVER COUNTY BOARD OF lMMI~SleNLI(S
REQUEST FOR BOARD ACTION
Meeting Date: 10/Sf/CO
Department: Health Presenter: Elisabeth Constandy, Health Educator
Contact: Elisabeth Constandy 343.6558
SUBJECT:
GRANT ACCEPTANCE-HEALTHY CAROLINIANS GRANT ($10,000)
for support of Healthy Carolinians activities
BRIEF SUMMARY:
We are requesting approval to accept a $10,000 grant from the Office of Healthy Carolinians. The
Office of Healthy Carolinians, Division of Public Health, North Carolina Department of Health and
Human Services, has funding appropriated through the North Carolina General Assembly to
support Healthy Carolinians Activities.
The purpose of this grant is to reestablish and maintain the activities of the New Hanover County
Healthy Carolinians Task Force. We have joined with Brunswick County during this reorganization
process under a new name, CAPE FEAR HEALTHY CAROLINIANS TASK FORCE. We will be
certified as a two.county Healthy Carolinians task force. State funding will give us resources to
more quickly reorganize our task for~e without a loss of necessary momentum, develop our
re.certification plan, and plan community health promotion activities. See attached grant
contract addendum specifyi ng terms of agreement.
This is a non.recurring grant for $10,000 which requires a 50% match in in. kind contributions
which will come from existing staff from various organizations spending time to accomplish the
Healthy Carolinians objectives.
RECOMMENDED MOTION AND REOUESTED ACTIONS:
Accept grant of $10,000 and associated budget amendment.
FUNDING SOURCE:
Office of Healthy Carolinians, Division of Public Health, North Carolina Department of Health and
Human Services
ATTACHMENTS:
Yes, 4 pages.Application/contract addendum
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APPLICATION/CONTRACT ADDENDUM
Year 2000 Certified Healthy Carolinians Task Forces
~@~~
County:
New Hanover
Contract #
Name of Healthy Carolinians Task Force' CAPF FFAR HFAI THY CAROliNIANS
Amount offunding requested (not to exceed $10,000): $10,000
Describe how local Task Force proposes to use state funding to further local Healthy Carolinians
activitieslinitiallves and contribute to the Task Force's overall mission and goals. (See the 10 options listed in the
Guidance Infonnation) (Additional pages can be attached if needed.)
The New Hanover County Healthy Carolinians Task Force was granted a one-year extension in
May of this year to reorganize before applying for re-certification in 2001 We have joined with
Brunswick County during this reorganization process under the new name, Cape Fear Healthy
Carolinians Task Force. We will be certified as a two-county Healthy Carolinians task force.
State funding will give us resources to more quickly reorganize our task force without a loss of
necessary momentum, develop our re-certification plan, and plan community health promotion
activities.
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Expandina Membership and Building Collaborations:
The Cape Fear Healthy Carolinians Task Force is focusing on expanding our membership and
building collaborations during our reorganization process. The frequent sharing of information in
a timely fashion is critical to keep ourselves on track and maintain enthusiasm. We currently
have monthly meetings for the Task Force and for the Steering Committee, with additional
subcommittee meetings for various issues and projects. Maintaining and increasing our
information pipeline through copies of meeting minutes, meeting agendas, and other
informational materials necessary for us to make informed decisions are just some of the ways
funding will benefit communication between current and potential members. Postage for mailing
materials to members without Email will enhance communication with community members
since a number of people do not have Email access at home. In addition, we will host
informational sessions in a variety of settings about Cape Fear Healthy Carolinians in order to
build relationships with other collaborative initiatives in our community and recruit new
members. State funding will be used for mailing, meeting, and special events expenses to
support these activities.
Training and Skill Development:
Many Cape Fear Healthy Carolinians Task Force members are not able to attend Healthy
Carolinians events, such as the Annual Healthy Carolinians meeting, because of the associated
costs. State funding will allow the Task Force to fund or partially fund volunteer Task Force
representatives, in addition to the Chair, to participate in these events and report back to the
Task Force. This participation will strengthen the dedication of members and build necessary
future leaders for our Task Force. It will also give our Task Force members exposure to other
Healthy Carolinians counties.
Marketina:
State funding will provide support to educate the community about health issues and build a
e community awareness of the Cape Fear Healthy Carolinians Task Force. Planned strategies to
achieve this include creating a presence at health fairs, speaking at community, school, church
and business gatherings, and sponsoring special health-related events. The purchase of a
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Budget Request:
_ Give a detailed description of how these funds will be used (personnel, contracts, operation, travel, training, etc.)
_ Please have the Health Director, Healthy Carolinians coordinator and two representatives from your Task Force
Executive (Steering) Committee sign and date this page. Original signatures are required. (Additional pages can
be attached if needed.)
As described above, these funds will be used for expanding membership and building
collaborations, training and skills development of Task Force members, and marketing.
Pw:pose ofExDenditure Requested State Funds Matching Funds Total
(travel, personnel, operation, etc.)
Travel $1,500 $1,500
(For registration, lodging, mileage, van rental to State Healthy Carolinians mtgs.)
Meeting expenses $ 250
(For refreshments and meeting space as needed)
$2,400
$2,650
Postage $ 500
(To send meeting notices, meeting materials, and special event notices)
$ 500
Printing/Copying $1,000
(To print flyers, brochures, educational materials as needed)
$1,000
Program Expenses $3,750 $3,750
e (For special events,/programs,/campaigns and related expenses and incentives)
Marketing Expenses $2,000 $2,000
(For display board and educational materials)
Technology $1,000
(For website construction)
Personnel $6,000
(For non-State salaried Steering Committee members:
5 members x $20 hr. x 2 hr. x 12 months = $2,400 and for
coordinator services: 15 hrs. month x $20 hr. x 12 months = $3,600)
$1,000
$6,000
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Describe the dollar match or in-kind contribution. (Additional pages can be attached if needed.)
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(a)
(b)
(c)
(d)
(e)
(t)
Source
New Hanover Health Network in kind contribution
Meeting space at $20 hr x 10 hrs x 12 months
Wilmington Health Access for Teens in kind contr.
Of staff time at $20 hr x 17 hrs. x 12 months
Cape Fear Community College in kind staff time
at $20 hr x 2 hrs. x 12 months
Ron Wedekind, Faith Community Representative,
in kind personal time at $20 hr x 2 hrs x 12 months
New Hanover Health Network in kind contribution
staff time at $20 hr x 2 hrs x 12 months
Catholic Social Ministries in kind contribution
staff time at $20 hr x hrs x 12 months
Amount
$2,400
$4,080
$ 480
$ 480
$ 480
$ 480
Application/Contract Addendum approved by the following signatures:
Health Director Date Telephone number
e """",c.rou_eoono_ ~_bIe) ~ Date Telephone number
Executive Committee Member - CommWlity Rep~ve Date Telephone number
Executive Committee Member - Agency Representative Date Telephone number
OHCJHE 8/2000
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I-+EAL" 14
NEW HANOVER COUNTY BOARD OF CUMMISSI.aI.J[RS
REQUEST FOR BOARD ACTION
Meeting Date: 101B2100
O'i
Department: Health Presenter: Betty Jo McCorkle, Director Women's Health
Contact: Betty Jo McCorkle 343-6660
SUBJECT:
GRANT APPLICATION-MARCH OF DIMES BIRTH DEFECTS FOUNDATION
($10,000) for Folic Acid Awareness Campaign.
BRIEF SUMMARY:
We are applying for a grant from THE MARCH OF DIMES BIRTH DEFECTS FOUNDATION,
EASTERN CAROLINA CHAPTER for $10,000 for a 'Folic Acid Awareness Campaign'. The 'Folic
Acid Awareness Campaign' will provide multivitamins with folic acid along with education
information explaining the protective effects of folic acid for the prevention of neural tube birth
defects.
The project will target agencies within our community that provide pregnancy testing services ant
the Register of Deeds office which serves young women who apply for marriage licenses.
The provision of multivitamins with folic acid along with education about the importance of
education is not offered within our community. The proposed program will reach the
underserved population through the health department and community health agencies who
serve the indigent and Latino populations.
This program will be provided through existing health department and community agency staff.
See attached grant application including budget page for more specifics.
RECOMMENDED MOTION AND REOUESTED ACTIONS:
Approve submission of the MARCH OF DIMES BIRTH DEFECTS FOUNDATION GRANT
APPLlCA nON for $10,000 and associated bUdget amendment if grant awarded.
FUNDING SOURCE:
MARCH OF DIMES BIRTH DEFECTS FOUNDATION-EASTERN CAROLINA CHAPTER
ATTACHMENTS:
Yes-10 page grant application including last 3 pages of letters of support from community
agencies.
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March of Dimes Birth Defects Foundation
Eastern Carolina Chapter Grant Proposal Application
Section I: Aoolicant Information
Applicant Organization: New Hanover County Health Deoartment
Agency Director: David E. Rice
Project Title: Folic Acid Awareness Camoail!ll
Project Director: Betty Jo McCorkle
Position: Director: Women's Health Care Division
Address: 2029 S. 1 JI' Street
City: Wilminlrton
State: North Carolina
Zip: 28401
County. New Hanover
Date: Seotember 15. 2000
Phone: 910-343-6500
Fax: 910-341-4146 Email: bmccorkle@co.new-hanover.nc.us
Type of Organization: -X- Government _ Non-profit Other
Total Amount Requested from March of Dimes: $ $10.000
Section II: Proiect Overview
Which of the March of Dimes program's priorities does your project address?
. Increasing the number of women who take a multivitamin with folic acid daily
Please provide a brief (2 to 3 sentences) summary of the project you are proposing: What will
you do and what difference will it make?
The health department will provide multivitamin.. with folic acid and educational information to
young women of childbearing age at the New Hanover County Health Department (NHCHD)
and throughout the community. The educational material will focus on the decrease in neural
tube birth defects for young women who take folic acid daily prior to conception. The women
will be targeted through agencies who provide pregnancy testing and/or contraceptive services.
We will also target young women who apply for a marriage license through our county Register
of Deeds office.
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Page 2
March of Dimes Grant Proposal
New Hanover County Health Department
Section ill: ServiceslProl!Tll11ls/ Activities
What services/programs will your project and March of Dimes funds provide that currently are
not available in your community or how will it make existing services reach the under served
population?
The "Folic Acid Awareness Campaign" will provide multivitamin.. with folic acid along with
educational information explaining the protective effects of folic acid for the prevention of neural
tube birth defects. The project will target agencies within our community that provide pregnancy
testing services and the Register of Deeds office which serves young women who apply for
marriage licenses. The provision of multivitamin.. with folic acid along with education about
the importance of education is not offered within our community. The proposed program will
reach the under served population as we will include health department and community health
agencies who serve the indigent and Latina populations.
Please list the names of other organizations/groups you will collaborate with on this project.
Oblalll leners of support form them and anach to this apphcatJon.
New Hanover County Register of Deeds
Wilmington Health Access for Teens (W.HAT.)
University of North Carolina @ Wilmington - Student Health
Coastal Horizons - Crisis Line/Open House
Who will provide the services/carry out the activities of this project?
New Hanover County Health Department staff
· Women's Health Care Division staff
· Health Education staff
. Community agency staff (as listed above)
Will project staff have to be hired? Yes_ No...x.. If yes, what is your time frame?
Section IV: TllI'Ilet Pooulation
Who will be served by this project?
Young women of childbearing age, to include all races and cultures. The New Hanover County
Health Department serves a growing population of Latina women. We have interpreters on staff
and are seen as a user-friendly agency by this population. This project will also target women
who participate with other agencies in the community seeking pregnancy testing, contraceptive
services and marriage licenses.
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Page 3
March of Dimes Grant application
New Hanover County Health Department
How will participants by identified and recruited?
Participants will be identified when they present to the listed agencies requesting pregnancy
testing, contraceptive services or a marriage license.
How many participants do you expect to serve?
Number per month ~
Number for the total project 3.000
Section V: Obiectives
Applicants must detail a program plan with measurable objectives geared toward attainment of
the stated goals and must specify the activities to be undertaken to reach program objectives.
The plan must also include a timeline for the activities. The program plan should include a short
descriptive narrative followed by a summary as indicated below: (Attach additional pages if
needed.)
It is expected that the grant's goals and objectives will be met within the year and any changes in
goals and objectives must have prior written approval of the Statewide Grants Review
Committee or the Program Services Committee.
Goals and Obiectives should be brief using measurable terminology. Be specific as to:
A. Composition and size of target group
B. Plan to reach target group
C. Outcomes expected
Objectives Aetivities to Aehieve Objeetives Person/Ageney
Responsible
Startl
End
Dates
Objective 1
Provide vitamin with folic
acid and education to
Activity 1.1
Provide vitamins and education @ NHCHD
health department walk-in
pregnancy testing sites
and health education sessions
9/2001
- 9/02
young women in health
department clinics
Objective 2 Activity 2.1
Provide vitamin with folic
acid and education to
young women @
9/2001
- 9/02
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March of Dimes Grant Application
New Hanover County Health Department
Objectives Activities to Achieve Objectives Person/Agency Start!
Responsible End
Date
Objective 2
agency sites through- Provide "packets" of vitamins NHCHD, 912001
out the community with education to listed agencies Listed agencies - 9/02
Objective 3
Provide vitamin.. with Provide ''packets'' of vitamins NHCHD, 912001
folic acid to young with education to county Register Register of Deeds - 9/02
women who apply of Deeds office Office
for marriage licenses
Objective 4
Provide educauonal Provide expen guesl speaker NHCHD 8/200J
e lunch-n-Ieam for and box lunch for participating
participating agencies agencies
as kick -off for
project and explanation
of procedures
Section VI: Evaluatine: Proiect's Imoact
What process evaluation of your project do you plan to include? (i.e. the number of classes held,
the number of women who attend, etc.)?
Education classes will be held at the health department during walk-in clinics which are held 3
times weekly and serve approximately 15 clients at each clinic. Women served through
pregnancy testing in the health department total approximately 600 per year. Agency personnel
will be educated during the lunch-n-leam event - approximately 30 professionals and agency
personnel. Women who receive services at the listed agencies will receive the "packets" -
approximately 3,000 women.
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What outcomes do you expect for your target population and how will you measure it (control
group, pre and post test, before and after comparison, etc.)?
We expect that women who receive the education and vitamins will understand the importance of
taking them and will begin the habit of taking a multivitamin with folic acid daily. We also
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Page 5
March Of Dimes Grant Application
New Hanover County Health Department
expect to educate community agencies who serve young women about the importance of taking
folic acid daily.
The project will be evaluated through a pre-and post-survey which will be conducted through the
health department's services. A random survey will be completed for those women receiving the
"packets" through outside agencies. This will be carried out through a tear-off tab which will be
tom offby agency staff at the time the "packets" are provided. The tab will include the women's
name and phone number and will include permission for us to contact them at a later date to
determine if they are continuing to take the multivitamin with folic acid and to determine if they
understand the benefits of taking them.
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March of Dimes Birth Defects Foundation
Grant Budget Form
Project Title: Folic Acid Awareness
Project Director: Betty Jo McCorkle
Responsible Agency: New Hanover County Health Department
.
BUDGET
B. Materials and Supplies
- Folic Acid Vitamin Supplements (400mcg)
- Educational Material
- Carrying BagslPackets
C. Travel and Meetings
- Guest speaker for educational kickoff
D Other ExpensesIFees
- Luncheon
- Printing
TOTAL AMOUNT REQUESTED
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March of Dimes Birth Defects Foundation
Grant Budget JUSTIFICATION
Project Title: Folic Acid Awareness
Project Director: Betty Jo McCorkle
Responsible Agency: New Hanover County Health Department
BUDGET JUSTIFICATION
B. Materials and Supplies
Mu1tiVitamin~ with folic acid
... 3.000@$2.3geach(bottlesoflOO) = $7170
Educational materials
... MOD Pamphlet: "Think Ahead for a Healthy Baby"
- 3.000 @ $IO.OO/pkg of SO = $600
... MOD Flyer: "Take Folic Acid"
- 3.000 @ $S.OO/pkg of SO = $300
... MOD Flyer-Spaliish: "Take Folic Acid"
- 3.000 @ $5 OO/pkg of 50 = $300
* MOD Posler "FoJjc Acid Posler"
- 10 @ $5.00 each = $50
C. Travel and Meetings
Lunch-N-Learn ActiVity for Agency Representatives
... to proVide the most current data related to neural tube defects and the positive
effects of folic acid
... to explain the procedures of the folic acid awareness campaign and each agency's
participation
Honorarium for guest speaker
Lodging
Mileage
$SO
$75
$155
D. Other ExpensesIFees
Box Lunches for Lunch-N-Leam $200
... 30 agency participants @ $6.50 each
Table Decorations, etc. $100
Printing
... tear-off health department logo/data for follow-up
... plastic bags for assembling "packets"
Total
$1,000
TOTAL AMOUNT REQUESTED
$10.000
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Rtgl5W of ocds of New H/IIIDVtr CD/l1lly
316 PrIJtass strut
Wdllfn8tDII, N.C. 2&fOl
Mll. MIIJ SlIt ooll
REGIS'IRAR
Betty )0 McCorkle, Director
Women's Health Care Division
New Hanover County Health Department
2029 South 17th Street
WilmingtOn, North Carolina 28401
Dear Ms. McCorkle,
I am writin. this letter in support of the Health Department's ,rant fundin.
pro,ram from the March of Dimes. After receivin. the information from you, I
wanted yot! to know that this department (Register of Deeds) supports the
Ktaith D;E::par....~n..,iene $ h1~\:tadvts to h~C[.Ea$€ thE ra,HTIb-er' cf V/Cdtlen \vhc. t2:ke ~,
multivitamin with folic acid daily. There will not be a problem for us to
distribute these packa'e5, to the youn. women of childbearin. a.e, who apply
for a marria.e license in this office. After checkin. our records, we found that
we can reach approximately two hundred (200) women per month.
Please let me know if I can be of further assistance In any way possible to
help you .et the funds needed for such a worthwhile project.
Sincerely,
4I.tWj~ tJ~
Mary Sue Oots,
ReJister of Deeds
MSO/sr
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WILMINGTON
HEALTH ACCESS
FOR TEENS
September14,2000
Sarah Verbiest, Director of Program Services
March of Dimes (Eastern Carolina Chapter)
4112.Pleasant Valley Road, Suite 208
Raleigh, NC 27612
Dear Ms. Verbiest:
_
Wilmington Health Access for Teens (WHAT) is pleased to support the
I~ew Hanover County Health Department'~ ,ecuest for funoing from the March of
Dimes to improve women's health by increasing the number of women who take
a multivitamin with folic acid daily
WHAT's primary care teen clinic and satellite school-linked health center,
Lakeside Wellness Center, welcome the opportunity to serve as sites for
distribution of folic acid supplements and educational material about the
protective effects of folic acid during the childbearing years and the decrease in
birth defects.
WHAT looks forward to working with the New Hanover County He~lth
Department on this new women's health venture.
Sincerely,
1b~~
Barbara Shell, M.Ed.
Development Director
-4005 Oleander Drive
Wilmington, NC 28403
910.790.9949
910.790.9455 Fax
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ONCW STUDENT HEALTH
910 9624130
UYll:l 'W 'I~:UO nv."'" V"/lJ.::
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Ul\CW
THE UNIVER5I1Y OF NORm CAROlINA AT WlLMINGTON
September 15.2000
Sarah Verbiesl, Director ofPlogram Services
Mareh ofDimos (f.utem OlroJiJla Cbap\el)
4112 P1CU1111tVII1ey Road, SlI: 2(J8
Ra1oip, NC 27612
UNC- Wilmington Student HeaI1h CeDler en1bueill8lkllly supports 1be New HaItcMlr CoImty Ibllb
DepanmcDl'S Mud1 of Dimes gJaIIt pnlPOf8I. The db1I to ~ die hea1Ilt of WOIllllll aaclllebles
would occur lIIron&h dIslribudoa of a packet of edueatlonalllllllellaJ wiIIch IadulIcs multivitamins with
folic ec/d. The popol8Iion of y<RIIIg women who seek servIees tbrou8vh our prognun is a IIrget pOpIIbdion
for Ibis ClIdeavor. Our staff would panicipa1e by ref<<riDg to the informalIoD 8IIlI vitamlll'" ~ t1......-
young wOltlClt wbo ptCSCIIt for pregwu:y testiDg and/or birth COIltIOl services. We lecogMzc die bomefits
of enCQuraging young wo_n of childbearing age 10 t8lre folic acid PRIOR to concoptiOD in orela: to utiIi%e
the prolcctl vo effects off olio aoid in lbe prevention of neural lUbe birth defects.
The Student Health Center ha.. provided students wilh 220 pregnanc)' lcsts and 500 gyn annual visits_
We applaud the bca11b department', e~ to nU" a_ of the importance of !bis simple, yet
lrCmendouslyeffective practice for the "",..mtioa ofblrtb drix:ts and die promotion of optimal hcaIJb
among young women who arc contemplatiD8 a pregIWlC)' at _ poim in their lives.
SlnecRly.
}, ~.~~
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S. AIbcrt AIxons, M. D.
Medical Dbec:tor
UNC.Wilmillgt01l
Studcat Health Center
STUOENT HEA~TH CENnR
DJVISION OF S'fUDtiI'OT APMlkS
E01 So\ITI1 OJI.l.liGE ROAD . WIUofINGTON. NoImf ~A 284G3-3297. 910-962~ . PAX 910-962001130
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North Carolina
Department of Health and Human Services
Division of Public Health Nutrition Services Branch
1914 Mail Service Center Raleigh, North Carolina 27699-1914
1330 Saint Mary's Street Courier 54-42-01
August 28, 2000
TO:
Local Health Director
ATTENTION: WIC Direotor
FROM:
Alice Lenihan, Head
Nutrition Services Branch
~
SUBJECT:
WIC Case load and Budget for SCY 2000-200 I
Congratulations! Your local WIC Program has achieved the goal ofinoreasing the WIC aotive participation. As you recall, the
SCY'OO-'OJ Budgel Guidance for your agency's WIC Program was at a reduced level due to the cascload performanoe through
February 2000. The reoent growth in your agency's WIC caseload was sufficient to reallocate your agency to the caseload and full
budget illustrated on the anached document.
The amount for case load increase is what is to be budgeted. Please remember when revising your budget you must have the minimum
of 20% of the total in the Nutrition Education ActiviIy Budget. The amount is on the anached dooument.
PI.ase submil a budget revision 10 Cory Menees by September 15. 2000. Contacl your Regional Nutrition Consultant if you have any
questions.
Participation for all local agencies will be reviewed on a quarterly basis. Agencies who are serving less than 97% of the SCY'OO-'Ol
_ase caseload will receive a reduction in the base case load and aocompanying budget in the ourrent fiscal year It is critical that we
.01 only mainlain Ihe current WIC participation but also provide services to additional individuals in the eligible population. Your
Regional Nutrition Consultanl can be of ass is lance if program outreach and targeting activities.
Anachmenl
cc. Regional Nutrilion Consullanls
Cory Menees
Pal Spann
Thurman Turner
S:m:tritionlalicel800caseJoadfin
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.1 E\'en'Where. EveryDay EveryBody
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An Equal Opportunity I Affirmative Acrion Employer ~
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Agency New Base Budget Increase Original Budget Full Budget 20% Nutrition Education
Pill 4070 15947 457801 473748 94750
Craven 3270 14899 365729 380628 76126
Pamlico 326 2677 35269 37946 7589
Johnston 2510 16645 275519 292164 58433
Wilson 2414 9778 271212 280990 56198
-,~.. '~':;"'!..~-\~~~J;~~,".<..,:,:~r\:....':..;,J"'1~!ffi.,~'i:<.;. ",....<~ <::ij_r>'~,~'f~<,::,"".~:,,;:';-;:~,7;.?:'.\ ~ -'i',,&~.~:' ""I,l;.,,~ .-.,";:/:;, ~~<.l< _:(.1 >\_
Carteret 1133 1979 129902 131881 26376
Pender 1346 13851 142823 156674 31335
Onslow 7384 52613 806885 859498 171900
Eastern Carolina HS 2459 28635 257,593 286228 57246
Sampson 1672 22582 172,039 194621 38924
Brunswick 1677 23280 171,923 195203 39041
Columbus 2341 17576 254916 272492 54498
Forsyth 6593 25841 741584 767425 153485
Alamance 2253 13386 248863 262249 52450
Guilford 7940 20021 904195 924216 184843
e Stokes 915 7217 99289 106506 21301
Davidson 3442 42952 357697 400649 80130
Yadkin 853 6984 92305 99289 19858
Union 2253 13386 248863 262249 52450
Richmond 2096 6984 236990 243974 48795
Montgomery 1003 1746 115003 116749 23350
Macon 764 1397 87533 88930 17786
Jackson 710 3143 79501 82644 16529
Swain 388 4190 40973 45163 9033
Clay 197 1513 21418 22931 4586
Cherokee 738 9195 76708 85903 17181
Cleveland 2083 3259 239202 242461 48492
Burke 1921 8031 215573 223604 44721
ADHD 3632 24910 397855 422765 84553
Toe River 1652 10476 181817 192293 38459
Saluda 3188 2444 368639 371083 74217
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New Hanover County
Animal Control Services Update
Dr. Jean McNeil
October 4, 2000
Animal Control Services Update
1aILicensing Program
1aIChameleon Software
1aICurrent Rabies Cases
,., Adoptions
1aISpecial Events
Licensing Program
1aIThe Licensing Process
,., Appeals Hearings
"'Collection Agency Procedures
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The Licensing Process
R~IMoRo=~~1
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ACS staff at work
There are currently 23
veterinarians located
in New Hanover
County. Rabies
certificates from each
hospital must be
entered into our
database monthly to
do proper licensing.
II
Appeals Hearings
,.. Scheduled as needed based on letters of appeal
received by the Hearing Officer.
,.. First hearing on May 31, 2000. (Four additional
hearings since the first.)
,.. Held on-site at ACS shelter.
,.. Generally 18.24 cases per hearing.
,.. Primarily computer.generated. but also hear cases
for hand-written citations.
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Collection Agency Procedures
"'Back-Iog of hand-written citations sent as a
test run first.
wTo incorporate computer-generated citations
into process after time allowed for all to go
through appeals process.
"'Finances mailed to ACS on a monthly basis
as received by the Reilly-Gregory Agency
Proper record keeping - a must
Multiple files are kept
on-site to ensure
proper data collection.
Massive amounts of
rabies certificates and
citations are on hand
for reference.
Chameleon Software
"'On-Iine October 1999
"'Continued development
"'Cham Cam
"'Kiosk system
"'Training sessions
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Continued Developments
wChameleon user manual
wOn. going training and learning new
techniques. (e.g. virtual kennel)
wFree conferences.
le1Continuous upgrades.
Cham Cam & Kiosk Systems
"'New technology from HLP, Inc.
,.,WiII give ACS web-site capabilities.
wBetter client services.
"'In process of making these operational.
wTremendous growth potential.
Current Rabies Cases
,., A single case for FY99/00. Total number of
positives ~ 57, since March 26,1996.)
wGreater public awareness.
"'Educational plans -- training and teaching
presentations in the school system to
prepare future generations for proper pet
handling and care.
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Animals Processed
4000 -
'SOlI
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3000 - , -.
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2500
2000 ~.- Adopted II
Euthanill'd
1500
1000
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FY96 FY97 FY98 FY99 FYOO
Adoptions
"'New program started October 1999
laICurrentJy have 100% compliance
le'Veterinary community "buy-in."
"'On-site spay/neuter facility
New Program Yields 100%
Compliance wi Surgery
In October of 1999.
ACS began ACO
transport of adopted
pets to the veterinary
hospital prior to
placement in the new
owner's home. This
process has worked
well, but there are
some complications.
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Veterinary Community "Buy-in"
~Complications of animal transport.
~Surgical procedure done only on animals
owned by New Hanover County
"'No scheduling conflicts.
"Client misunderstandings.
"'Proper pet follow-up care.
On-Site Spay/Neuter Facility
"'Frees ACO's for early patrols aod calls.
-Vet assistant/shelter attendant.
- Pet can be sent home with adoptive parent.
"'Surgical complications avoided.
-Greater ease in adoption process for staff.
"'Rapid pet turn-around to adopt to public.
Special Events
,., January 2000 Open House
"'Rabies 2000 in April
"'May Pet Adopt-a-thon
"'Paws to Recycle
"'lnner City Rabies Clinic
....Eat for Pete"
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"Your Pet, Our Priority"
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NEW HANOVER COUNTY
BOARD OF HEALTH
RULES GOVERNING THE FENCING
AND
OPERATION OF PRlVATE SWIMMING POOLS
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NEW HANOVER COUNTY
NORTH CAROLINA
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Section 8000 Put:pose
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The Board of Health of New Hanover County, pursuant to North Carolina General Statutes
G.S. 130A-39, which authorizes a local board of health to adopt rules necessary to protect
and promote the public health, does hereby ordain that the "Rules Governing the Fencing
of Private Swimming Pools in New Hanover County" is hereby amended to be captioned as
"Rules Governing the Fencing and Operation of Private Swimming Pools in New Hanover
County"as follows:
Section 8001 Definitions.
"Private Swimming Pool" is any swimming pool operated in conjunction with a single
family residential unit, the use of which is limited to occupants of that residence and their
guests. This definition shall include in-ground and above ground swimming pools and
wading pools that are caJlable of holding 24 inches of water and desi&ned for mechanical
filtration. Exemptions from these rules include water gardens. water fountains and ilPas with
safety lids or covers.
Section 8002 Site Layout
All outdoor private swimming pools shall be enclosed by fence or other permanent barrier
which discourages climbing and is designed so as to minimize the possibility of
unauthorized or unwary persons entering the pool area.
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(a) All fences must be a minimum of 4 ft in height (from the outside lij)J)roach)'
(b) All fences must be constructed so as not to provide hand holds or foot holds for children
to climb. Openings in between vertical slats and the bottom of the fence shall not exceed
4 inches to prevent children from squeezing through. Horizontally slats must be at least 30
inches apart to prevent children from using the fence as a ladder. If chain link fences are
used. the mesh size shall not exceed 2 1/4 inches. The top railing of the fence shall be
capable of supporting at least 150 Ibs in order to prevent the possibility of the fence
collaJ'sing.
( c) Larger above ground pools that have an exterior wall hei gilt of 4 ft. do not need a fence.
bowever. a 4 ft. high enclosure with a self -closing / positive self -latching gate must be...
constructed around the ladder/egress area of the pool with the exception of QJIick disconnect
or flip-up. lockable ladders.
(d) All gates and doors shall be equipped with self-closing and positive self.latching
mechanisms and shall be equipped with locking devices.
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~e) The gate latches shall be located 54 inches above the horizontal bottom rail of the access
~ate or the gate latch may be instaJIed on the pool side ofthe fence. 3 inches below the tOJl
of the gate. If the gate latch is installed on the pool side ofthe gate. an anti-access shield
;~all be ~st~ed to p~event children from reaching through the gate oJlenings to open the
te latc. . .e anti- ccess shield shaJI cover at least 18 inches of area around the latch.
Eer~:hall ~ot b~~n;' oJlenings greater than Y, inch within the anti-access shield. Solid
e ci and ates ~ ex~mpt from installation requirements of an anti-access shield.
(0 If the house is used as one side of the pool fence. all doors and windows from the home
:uft:=ai~. secu~e t~~revent chil.dren from entering t?e pool area. It is recommended that
I be mstal ed doors to sl&nal when the door IS opened unexpectedly and that self-
closing and self-latching mechanisms be instaJIed.
(g~ AJI ~:vate ~wimm~g pool enclosures shaJI be completely instaJIed within thirty (30)
da s of 01 co pletio . A completed pool is aQ)' pool capable of holding 24 inches of
water.
e Section 8003 Operation. Maintenance and Utilization
~~~ :r~vate ~w1mming pools must be maintained in a clean and sanitaIY condition (suitable
, ~w'mmi..g so as ~ot to create a nuisance or a hR7Rrd to others and to prevent a breeding
~~: i~~ u~;~~ed ~~f~ such as m?squitos. If the po~l ca~not be maintain~d in this
c__d.Ln. _e. It S!L__~ covered WIth a safety cover whIch WIll support the weIght of an
adult. Standing water on pool covers shall be kept drained.
~~~eA~er :ff:o~:iat:~ eq.u\pping an? s~curing a. r~gulated s~imming pool. it sh~ll be the
d ty e Qp o~~r to mamtam and utlhze the fencmg. closure mechanIsms. and
entrance barriers.
It is recommended that aJI private swimrning pools have a walk or deck area out the entire
perimeter of the pool of a minimum width of three (3) feet of unobstructed clear distance.
Section 8004 Non-conforming Private Swimming Pools
Private swimming pools constructed prior to the effective date of this regulation must be
brought into cornpliance at the earliest possible date, but in no case longer than one (1) year
from the effective date.
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Section 8005 Right OfEntl)'
Pursuant to authority granted by North Carolina General Statute BOA Section 17. the
Department shall have the right to enter upon the premises of any pro.perty for the put:pose
of conducting an inspection and determining compliance with these Rules.
Section 8006 Remedies
If a person violates aQy part of these Rules. then he/she shan be guilty of a misdemeanor and
shall be subject to sanctions provided in Chapter lOA Section 2S of the North Carolina
General Statutes.
Section 8007 Severability
If aQ)' provision of these Rules or the application thereof to any person or circumstance is
declared invalid. then the remainder of these Rules or the application of such provision to
other persons or circumstances shall not be thereby be affected.
Section 8008 Effective Date
Adopted October 4. 2000 by the New Hanover County Board of Health, these Rules shall
be effective on and after October 4. 2000.
Signed
Chairman
New Hanover County Board of Health
Signed
Director
New Hanover County Health Department
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Section 8005 Right Of Entry
Pursuant to authority granted by North Carolina General Statute 130A Section 17, the
Department shall have the right to enter upon the premises of any property for the purpose
of conducting an inspection and determining compliance with these Rules.
Section 8006 Remedies
If a person violates any part of these Rules, then he/she shall be guilty of a misdemeanor and
shall be subject to sanctions provided in Chapter 130A Section 25 of the North Carolina
General Statutes.
Section 8007 Severability
If any provision of these Rules or the application thereof to any person or circumstance is
declared invalid, then the remainder of these Rules or the application of such provision to
other persons or circumstances shall not be thereby be affected.
Section 8008 Effective Date
Adopted October 4, 2000 by the New Hanover County Board of Health, these Rules shall be
effective on and after October 4,2000.
Signed//~ cJ~
Chairman
N.ew Hanover ~~ ~d of Health
SIgned ~/h!(
Director
New Hanover County Health Department
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A REGULATION OF THE
NEW HANOVER COUNTY BOARD OF HEALTH
The Board of Health of New Hanover County, pursuant to North
Carolina General Statutes G.S. 130A-39, which authorizes a local
board of health to adopt rules necessary to protect and promote
the public health, does hereby ordain that the "Rules Governinq
Construction and Operation of Public Swimminq Pools in New
Hanover County" is hereby amended as follows:
Title. Change the title to "RULES GOVERNING THE FENCING OF
PRIVATE SWIMMING POOLS IN NEW HANOVER COUNTY".
Section 1.1 DeUni tions. "pri vate Swimming Pool" is any
swimming pool operated in conjunction with a single family
residential unit, the use of.which is limited to occupants
of that residence and their invitees. Above ground private
swimming pools which are not accessible by a deck or other
similar permanent stru~ture are exempt from these rules.
Section 1.2 Site Layout. All outdoor private swimming
pools shall be enclosed by a fence or other permanent
barrier which discourages climbing and is designed so as to
minimize the .possibility of unauthorized or unwary persons
entering the pool area. Entrances through the barrier shall
be provided with self-closing gates having simple positive
self-latching closure mechanisms with hardware provided for
padlocking. The barrier shall not be less than forty-eight
(48) inches in height above the adjacent ground surface
outside the barrier. Fencing will be required around all
four (41 Rinps of the swimming pool. All private swimming
pool enclosures shall be completely installed within thirty
(30) days of the pool completion.
It is recommended that all private swimming pools have a
walk or deck around the entire perimeter of the pool of a
minimum width of three (3) feet of unobstructed clear
distance.
Section 1.3 Non-conforminq Private Swimminq Pools.
Private swimming pools constructed prior to the effective
date of this regulation must be brought into compliance at
the earliest possible date, but in no case longer than two
(2) years from the effective date. This regulation shall be
effective October 1, 1989.
These rules shall become effect~ve June 1 1992
~Llj ~,~( Tj1
Chaltman, Boa of ~e~U
ATTEST:
~~ _L- * Q N~~
Secretary -
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Sllmm::lry of Residential Swimming Pool Fencing Rules
Research
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A Internet search for residential pool rules from various states
B. Local industry surveys
C. List serve request from N.C. Heahh Departments and CDC list serve
D. New Hanover Regional statistics for pool accidents
E. Guidelines from professional organizations
F. Liability
G. Existing Rules aad Preposed RDles
A. Internet search for residential pool rnles from various states.
Residential m~g pool rules for the fonowing locations were reviewed.
Village of Lisle, IL - Building Code
New Castle County, DE - Land Use Department
Cottage -Grove, '1 - Building Code
Jamestown, PA - Zoning Department
CanandlQgua, NY - Building Code
Woodbury, MN - Town Ordinance regulated by Building Officials
Wmdham, NH - Town Ordinance regulated by Building Officials
S~aC1ara-CA-~~gDepartment
Westminster, CO. Building Code
Ogden, NY - Town Code
St. Joseph, MO - P~g and Zoning Department
Riverside, CA - Building and Safety Department
Bloomfield, NJ - Zoning Department
Pekin, IL - Zoning Department
Chestertown, MA - Zoning Department
Fort Wayne, Indiana - Building/City Code
California Health and Safety Code
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There were several other locations listed on the Internet with residential fencing rules but as
you can we were starting to develop a pattern. It seems that the Building, Zoning and P1amrlng
Departments regulate residential m~g pool fencing. Unfortunately, our local Building.
Zoning an.d Planning Departments do not regulate residential pool fencing. Our hx:al Zoning and
Planning Department refers customers with questions regarding residential pool fencing to our
department. The Building Inspections Department does not require pennits for above ground
pools and does not regulate and any fencing unless the cost of the fence exceeds $5,000.00.
We could only find 1 state with a Heahh and Safety Code for residential rnrimming pools and that
was for California. Pool was defined to hold 18" of water. Req~ed a 60. fence and special latch
requirements. Spas and hot tubs with Safety covers exempt.
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B. Local industry surveys
Surveys were mailed or delivered to the 22 local swimming pools stores and service companies.
Ten surveys were returned with the following results attached.
c. List serve(E-mail) request though the Internet.
We received 8 responses out of 1 00 N. c.counties.
. 6 counties responded that they did not have residential pool rules.
. Mecklenburg and Wake counties do have residential pool rules.
Mecklenburg - pools are defined as a stIUcture used for swimming, diving
recreational or therapeutic bathing. Units must be designed
to filter water whether filter is install or not. Fencing
required must be 3'6" in height.
Exempt - spas with hard covers and seasonal pools that may
dil:m.ntled at the end of the swimming season.
These rules are by the Mecklenburl!: County Board of
Commissioner~while exercising the powers of the Board of
Health).
Wake -
pools are defined as a stIUcture used for swimming, diving
recreational or therapeutic bathing. Units must be designed
to filter water whether filter is install or not. Fencing,
required must be 4' in height. Wake County Deoartment of
Environmental Services incorporated these rules into their
own public pool rules.
We received 4 responses from the CDC list serve
New York-
Georgia -
Nebraska -
Florida -
Regulated fencing through zo~g and building inspections.
BOH regulation recently changed due to court ruling.
Residential pools are regulated with public pool codes.
Residential Swimming Pool Safety Act goes into effect Oct.
1, 2000 but the Bill does not indicate who 'is to govern this.
D. New Hanover Regional statistics for pool accidents.
Weare still waiting on this information.
E. Guidelines from professional organizations.
1.
2.
American Red Cross -Enclose pool with fence. No openings> 4"
CDC - 1997 second leading cause of death, age 1-14/ most drown in swimming pools!
fence in pool areal self-latching and closing gates.
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National Center for Injury Prevention and Control- For children, age 0 - 4, drowning is the
second leading cause of death/fence in pool areal self-latching and closing gates
U.S. Consumer Product Safety Commission - 1981 fourth leading cause of death, age 0 - 5.
*Dade county study - 97 % of cI1ildren 12 years of age and under that drowned were in
(1984) pools that were fenced or screened.
64 % of victims drowned in their own pool
36 % drowned in neighbors or relatives pools
70% offences and screens where unlocked or malfunctioning
23 % of cases studied, children penetrated the fencing
4.
U.S. Consumer Product Safety Commission defines a pool as any structure that will hold
24" of water that is used for swimming or recreational bathing. This includes in ground, on
ground and aboveground pools, hot tubs and spas. Enclose pool with fence. No openings>
4" and install a self-latching and closing gates. Spas and hot tubs with safety lids are
exeJDDt. Above !!:round Dools have eXeJl!Ptions if the Dool wall is used as a barrier and the
ladder to pool is caDable ofbeinl!: locked. secured or removed or the entrance to 1)001 is
fenced.
5. Infant Swimming Research, Inc.- fence in pool area( 4' - 6')/ self-latching and closing gates.
6. National Pool and Spa Institute - fence in pool areal self-latching and closing gates.
F. Liability - See attached - ''It's Legal"
G. Existing Rules and Proposed Rules - See attached
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1/';) I. !..."mo'
New Hanover County Health Department
Residential Pool Fencim! Survey
1
Does your company sell/install 7,,7. in-ground poolsl 7"?" above ground pools ,
'07. spas I t()? service company
2 Do you feel that above ground, on ground pools, wading pools and spas that are capable
of holding 24 inches of water should be protected by a fence, at least 4' in height?
3070 Yes 7.,?~No
If your answer is no, please check each item listed below that you feel should be exemot
from fencing.
lJVI. spas with covers
807, plastic and/or inflatable wading pools that are capable
of holding 24 inches of water
~D 1. an above ground pool or on ground pool that has 4'
walls and a locking flip-up ladder
80'? an above ground pool or on ground pool that has 4'
walls and a removable ladder
o "7. all above ground pools
3 Should pool owners be required to keep their pool water quality in a clear condition?
",,"p Yes 3D? No
4 If a residential pool cannot be kept in a clean and clear condition should they be required
drain and cover the pool?,
yo,," Yes to'? No
General Comments regarding residential fencing:
Please return by Aug, 8, 2000 to' New Hanover County Health Dept
Environmental Health
2029 S. 17m st.
Wihnington, N.C. 28401
~
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I WILMINGTON MORNING STAR/TUESDAY AUGUST 8 2000
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5- YEAR-OLD TWINS
Fence delayed
before drownings
YOUNGSVILLE - Recent heavY
rains delayed construction of a fence
around a pool where 5-year-old twins
drowned.
A fence was supposed to be ,
erected around Steve and Karen '
Stowe's new 4-foot, above-ground'
pool in southern Franklin County.;
But the rains softened the earth to ;
the point where wooden poles would .
not stand in the ground. .
Friday, the children, whom neigh-
bors described as 5-year-old twins,
ventured to the pool, fen in and
drowned, authorities said_ They had
been left in the care of their 21-year-
old sister while their parents were '
out of town. .
The Franklin County Sheriffs
Depanment refused to provide fur-
ther information.
"You just don't know what to say,
what to think," said Benjamin Snell-
ing, a neighbor "Vou just wonder
what went wrong. How could it go
wrong?"
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Injuries on your property - Parsons LegalInf.
Page 1 of1
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Personal Injury
Injuries on Your Property
When am I liable for injuries that occur in my home or on my property?
Whether you are liable for injuries that occur to someone in your home or on your property
depends on why that person was on your land. If the person was a customer (a "business
invitee"), you may be liable if you did not act reasonably to protect him or her, even if you
did not know about the danger
If instead the person were a social guest or a door-to-door salesperson (a "licensee"), you
would probably be liable only if you did not protect that person from a danger that you knew
existed. And, if the person was on your property without your pennission (a "trespasser"),
you would probably not be held responsible because you generally do not owe a duty of care
to a trespasser
Do backyard swimming pools present any special liability issues?
Backyard swimming pools present special liability issues. Many states have adopted the
"attractive nuisance" doctrine. Under this doctrine, a landowner who maintains a potentially
dangerous man-made object (such as a swimming pool) must take reasonable steps to protect
children who may come into contact with the object.
Anyone who owns a backyard swimming pool should make sure that an adult is always
present when children are swimming and should also warn the children to never swim
without an adult. There may also be state or city laws that apply to backyard swimming
pools. For example, a state law may require a certain height fence around the pool.
(Return to the "Personal Injurv" page.)
[ Return to Legal Infonnation Network tonics. ]
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CopyrightO ]999 PItSOllS Technology, Inc. All Rights Resawd
http://www.legalinfonnatiQn.netlinfonetlinjury/pi-property .htrnl
10
4/27/00
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BRIEFS
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. Labor woes .n The
labor shortage has
reached a new facet of
Ihe industry: lifeguards.
The shortage has made
headlines nationwide. As
reported In The New York
Times, officials in Ocean
City, N.J., have enlisted
former lifeguards who
have since graduated
from college and estab-
lished themselves in their
careers, On some week-
ends, swimmers may find
full-lima stockbrokers
perched on lifeguard tow-
ers, Meanwhile, Business
Week reported thet
Century Pool
Menegement Inc, In
Rockvllle, Md., hired 100
youngsters from Prague,
Czech Republic, to work
at its 300 pools this sum-
mer. Some Los Angeles
public pools have had to
reduce their hours and
even close some days,
according to the Los
Angeles Times.
.,
. Expansion ... Kafko
Mfg. ltd., with headquar-
ters in Mlssissauga,
Ontarln, Canada, has
opened a new Canadian
distribution center. Tha
manufacturer's pool prod-
ucts can now be obtained
at 1263 Volta St.,
Bouchervllle, Quebec,
Canada.
IS
Barrier Law Creates Confusi<<i
B y A I anN a d i t z that they may not be able to enforce it."
Business Editor U1timatcly, NSPl hopes to merge clemen:
of SB 86 with the Florida Building Code. Th
code already contains residential pool pro\'
sions and "would be the best opponunity lr
uniform interpretation and application [of S
86] throughout Florida," Fentriss said.
That won't happen until July 1, 2001, sui
Rick Dixon, executive director of the Flori.
Building Commission in Tallahassee, Fla.
Meanwhile, at the region's request, an
builders have begun sending questions an
concerns to the Manasola O1apter office i
Sarasota, Fla. Specificity issues so far incluJ\'
. What exacdy must be done and by who.
by the bill's Ca. 1 effective dale.
. How the bill applies to projects staned b
fore Oct. 1 and completed after that date.
. Who decides whether a newly placed It.
rier is too dose or 100 far from a pool.
. Provisions needed in case the Flori,
Health Department does not complete, I
Oct. 1, an educational safety pamphl
builders must give to new custom!!
whether this pamphlet requirement a .
projects slaned before Ca. 1 but comp el,
after that dale.
^ new Florida pool and spa barrier law that
Ilgoes into effect Oct, 1 has left builders
with more questions than answers.
Senate Bill 86, beller known as The
Residential Swimming Pool Safety Act was
passed by lawmakers in the final session hour.;
and signed by Florida Gov, Jeb Bush in late
May. It requires owners to install one of four
safety devices on swimming pools or spas built
after Sept. 30. The choi~..sre -s. "'.foot-high
pool/spa barrier, pool or spa cover, aoor latch
or exit a1anns on home windows and doors
with pool or spa access.
But the legislation migbt also be known as
"The Big Headache" for the Florida pool in-
dusuy.
The bill's biggest problem, indusuy mem-
ber.; say, is Jack of specificity: it "says nothing
about what government agency is responsible
for enforcing or interpreting this law," noted
National Spa & Pool Institute-Florida
Legislative &presenlative Cam Fentriss, in
the region's Florida Pool Pro newslener. "...
Building officials find the language so vague
NESPA Retools HOT Institute
By Rebecca Robledo
Design/Construction Editor
The Northeast Spa & Pool Institute
has renamed - and expanded - its
Hands-On Training Institute, incorporat-
ing the Builders Institute and leadership-
development courses,
The new 24-coutse Professional
Training Institute curriculum begins
August 23 with "Wmterizing Pools and
Spas" and runs through March 29, 2001.
The new program offers four mnre cours-
es than last year's Hot Institute, Tech 1
and II classes and the Builder's Institute
combined. It includes 17 courses geared
toward service technicians and other
business owners and seven for builders.
& pan of the Professional Training
Institute, NESPA has taken on administra-
'~"" .~. _......~, ~....~''''.. ."'..:.."'....a.._...,....~~......._:...-.......
tion of the National Spa & Pool Institute's
Tech I and Tech II courses, originally con-
ducted on the chapter.level. To standard,
ize the courses regionwide, the association
will hire a learn of instructors to devise and
present four Tech I courses and one Tech
II course chapter to chapter, said Paulette
Pitrak, NSPI Region llNESPA deputy ex-
ecutive director.
Two open-discussion sessions, called
"Let's Talk," will be held, one on trou-
bleshooting and the other about running
a service business.
Three builder courses will debut.
"Design Elements of Upscale Pools,'
looks at the total backyard, while a counc
geared toward foremen addresseAi
layout and project management. ,..
long class on computer-aided design will
also take place. i
11
POOl. & SPA NEWS AUGUST 2.2'
"
NEW HANOVER COUNTY
HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
2029 SOUlB 17TH STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6667, FAX (910) 772-7810
e
E_~.E_,
DA VlD E. RICE, M.P.H., M.A.
Health Director
LYNDA F.SMITH, M.P.A.
Assistant Health Director
PUBLIC NOTICE
The New Hanover County Board of Health will hold a public hearing at its regular meeting on
Wednesday, September 6, 2000 at 8'00 a.m. in the Dr. Thomas Fanning Wood Conference Room,
New Hanover County Health Department. The purpose of the public hearing is to discuss the
proposed amended rules to now be captioned as Rules Governing The Fencing And Operation Of
e Private Swimming Pools in New Hanover County. The Board of Health will consider the adoption
of these rules at its regular meeting on October 4, 2000. Copies of the proposed rules may be
.
obtained from the New Hanover County Health Department at 2029 South 17111 Street and the Office
of the Clerk to the Board ofConurussioners at Room 305, 320 Chestnut Street. TIris meeting is open
to the public.
.
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NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 171H STREET
WILMINGTON, NC 28401-4946
nTELEPHONE (910) 343-6500, FAX (910) 341-4146
"
Everywhere. Everyday. Everybody.
DAVID E. RICE, M.P.H., M.A.
Health Director
Strateaic Plannina Retreat Aaenda
LYNDA F SMITH, M.P.A.
Assistant Health Director
Fridav. October 6.2000
. 8:30 - 9:15am Introductory Session
Q Opening Comments, Background, Commitment to action
Q Review Goals for Working Session
Q Self-Introductions and Expectations
Q Logistics: Schedule, Facilities, Breaks, Phones
Q Ground Rules for Discussion
. 9:15am _ 2:00pm Building Common Understanding of Community Data
e
Session Goals:
Q Achieve a common understanding of the existing situation and future
trends for public health in New Hanover County.
Q Build awareness of the different perspectives and priorities about public
health issues within the community and among the members of the
planning group,
. 9:15-10:00am Community and Environmental Health Status and Trends
(Presentation and General Group Discussion)
. 10:00-10:15am Break
. 10:15 - 11 :30am Summary of Opinions of Key Community Leaders and
Stakeholders
(Table Group Discussion, Brief Reports, and Response)
. 11:30am -12:15am Departmental Survey Reports
(General Group Discussion and Summary Comments)
. (12:15 -1:15pm LunCh)
e
. 1:15 - 2:00pm Service Provision and Utilization Trends
(Presentation, General Group Discussion and Summary Comments)
. 2:00 - 2:30pm Organizational Capacity Trends
(Presentation, General Group Discussion and Summary Comments)
1
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. 2:30 - 5:00pm Identification and Discussion of Key Public Health Issues
in New Hanover County
Session Goal:
Q Identify the major public health issues facing the county and select key
issues where action is most required and likely to be effective.
. 2:30 - 3:45pm Initial Identification of Issues (Break included)
(Approach: Table Group Discussions - Groups divided by special areas of
interest, participants mixed by background and interest except that one
representative per group should have some in depth knowledge of the
particular area.)
Breakdown of groups:
Jl Personal and Population Based Health Trends
Jl Environmental Issues and Trends
Jl Impact of Community Changes and Technology on Direct Services
Jl Organizational Structure, Systems and Procedures, Facilities and
Equipment
. 3:45 - 5:00pm Group Reports, Compilation of Initial Issues List, and Point
by Point Discussion
(Compile initial list, categorize as possible, eliminate any .outriders" by
group consensus, and go through remaining issues one by one to:
Jl test for clarity and importance to community;
Jl outline possible consequences of not addressing it in someway;
Jl discuss ideas on .success potential.")
Saturday. October 7. 2000
. 8:30 -10:00am Prioritization Session (General session)
Session Goal:
Q Select the top priority issues for further action and strategy planning during
the remainder of the session.
(Continue review of individual issues as necessary, ask individual
participants to select what they view as the five most important issues,
2
l
e
e
e
and attempt to build group consensus on those which require the most
urgent attention.)
. 10:00 - 10:15am Break
. 10:15 -12:00noon Organizing for Action (Task Group Discussions)
Session Goal:
r::> Identify alternative actions, strategies and required resources to address
each key issue.
(Divide top issues among task groups consisting of the participants, who
are most closely involved or interested, develop initial ideas on strategies,
responsible units, goals, timetables, goals, and resource requirements.)
. 12:00noon -1:00pm Lunch (Possible continuation of task group discussions
depending upon their morning progress.)
. 1 :00 - 4:00pm (Break included) Agreement on Key Strategies for the
Future
Session Goal:
r::> Build a common awareness and basic consensus on the strategies,
responsible parties, timetable, and evaluation measures to be undertaken
in addressing each major issue.
(Sequential reports on key issues and strategies suggested by Task
Groups. Each group will report on their top priority first with reports
rotating among groups then moving down the list until all or most major
issues and related strategies have been discussed. This approach has
two intents:
1. To maintain a balance on time allowed to each category of issues;
2. To keep the focus of discussion on issues and strategies rather than
open ended report on group discussions.)
Jl Issue as defined by group
Jl Priority given and why
~ Alternative strategies considered
Jl Suggested implementation responsibility
Jl Goals and timetables
Jl Rough estimate of resource requirements
Jl How will you know when you have been successful?
. 4:00 - 5:00pm Closing Remarks and Discussion of Next Steps
3
~i TlJKWAJ:.L STRJ<:J!:'f JOUUNAL TUF,sDAY, SEPTEMBER 26, 2000
TECHNOLOGY
Palm
AsR
-----------
.~ Jrizon Backs Law Restricting Cell-Phone Use
lly NIClIl.K IlAB~IS ing researcb suggests cell.pbone use by Great Lakes A.rea. lestifylng belore lhe
AIId JK~1>K)JY H.\IJ. dl'lvL'I'1l causes accidents. A Rllldv nub- Tramc t:ontrol and Safety CommlUee of
.<lnJJ JI.".r'.... .! 1'1'0 W.'LL s....... J'MKN^'. "slled In lbc New Rnt!\and Jollmal of MOOl- the Chicago City Council, IIllld Verlzon
. NEW YORK-VCI'izlln Wireless, OIC na. .clne In 1D91 found tbat a driver talkini' on WOUld support the repeal of the 1II11101s
lion's Iargesl wireless provider, broke a ceO phone is about foUl' times as UkelY to beadsellawand support JI8S!lDge of a &tale-
ranks With the Wireless ludusll'y by back- 2'ctlllto n crash as a driver who Isn't. Wide ban OIl using rellphones hI cal'S willI
ing leglslalion that wouJ" banlhe IJse or Persuaded by such sludles, an Increas- anything but a hauds-free device.
hand-held cell r>bOIlCS wbllc dlivlng. Ing nuniber of states and cities h_ve tried The use of headsets would be phased In
The move by VcI'l1.on on such a ho/-bul. to order di1vers to pul down their hand. over a period or three years, aecordlng to
ion issue essen\lally Sllllf8 Ule Industry sets. But most of those efforts bnve been a. Verlzon official. Sborlly after bearing
!nto two ~ps. Unlil now, most carliel'S defell1ed WlIh the help of lobbyists from Ms. Jacobs's testimony, the commIttee
hal'C been touting the ~educatlon ~t legis- the L'l!ll-phone industry, which depends on postponed lIB vote on lite proposal,
latioo' appl'Olli'lllh,ut lItleks to tenr.b driv. driVel'll for a big chunk o~ Its profits. Oul- If ~~ ~ ~ a:; ~'::n::-
rrs hew to use thtir ceO phones Sllfely side the U.S., efforts to restrict ceO-pbone cago e _-.. I>-
lYI1l1e driving. um~"r lbat scen~o, l~e US"; On tile road have beetl more success- =~i ~ use ~~~~~
~hone companlllll h,lYe heen. II~ lheil ruJ, several foreign countries. bnve 1m- a fine 01 lor a ~ ofteDse and as much
.ustomers to llJll' hand..free deVIces surb posed "!Ie8, most of them bamng drivers .as sioo if use or a ceU lIho11e W8lI fOlI1IG to
as earpbones While. wiving, but have been from USJDg hand-held phones. . )lave contributed to aD a.cddPnt.
<lJlIlO8ed to leglslatKlD of s!lY kind. . Veri7.Oll's surprise move came about as 'rIlla goes well beyond wbere the rest
The fedlJ1'lll l!IIv~lilI1Ient. AS Won lIS ,part of a COIIvoIuted problem in Dllnnis. A of the Industry Is: a VarIzon spoIlesman
;tate and IorA' """'1'Il"'tnts ""MSlI Ibo co~Uee of Chicago aldennen Is eonsld- said' Verlzon a joint venture of verIIaIi
:ountrY. arc stepplll~ 'up.lheir t!fnrts tn eling a proposal to require. drjven to Use eominunrratb.s Inc., New YorIJ. &IIl1 BrIt-
liseoW'lllre cell-nhiwe IIse on the road. 'file Iumt\-beld ceO phones only with headsets. aln'. Ved8fnae GnRip; serves more than
~alional JIlJ:llway Traffic Safety Admlnls- The P'lOI!lem Is that ihere I. a1ready an 20 mllUon wireless customers.
rallon Wllmlld tht wireless IndustrY. I n a lUinols law dial banS the w~ng Of any SliII, several studlea have CODCIuded
ncetilll! In Julv that it would be21n adol.. type or el1l]lhones while drlvlIIg', Drivers thatllllnds-fne pbonas are just as cIaDger-
n~ oonsume.. nollo 'ISO !h,'''' r.el1I,hnn.. In Chicago would actually be left nol being OUB because. although IIl8y 1<!t a .Iftvat'
L' pnb!nliaUy di......rling W'~fP'" able to llIl! eell phones In theIr <'.an at aU. keep both hands 011 the wheel, they, too,
m Ir;.\lbp >Vb..... The reaSi>n: Grow- Annette Jacobs, president of Verlwn's divert the drlver's atten\lon from the road.
'7
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Automotive · Travel · Financial. Insurance
AAA Carolinas
po, Box 29600 (28229)
6600 AAA Drive
Charlotte. NC 28212
800-477-4222
Fax (704) 532-5827
August 12, 2000
Dr. Jos. W. Hooper Jr
2216 Gillette Drive
Wilmington, NC 28403
Dear Dr. Hooper:
Thank you for the articles and information about your proposal to the New
Hanover County Board of Health concerning using hand-held cellular phones
while driving.
If the board were to schedule a public hearing, AAA Carolinas would very
much like to testify. Recently, we noted that New Hanover County in 1999
was the North Carolina county with the greatest chance, per mile driven,
to have a traffic accident and to be injured in a traffic accident.
Maybe cellular phone use is a contributing factor to the county and
Wilmington attaining this dubious distinction.
Please let me know how this proceeds and good luck with your efforts.
Sincerely,
:l~ (u~
c,{~ Crosby /
Vice-president
Communications
AAA Carolinas
__.__1:.__- ___
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number of finns apparently think nothing
of scheduling conference calls during their
people's commutes. It's not unheard of for
folks behind the wheel to tap into their
pagers and Palms as they navigate their
stop-aDd-gos. Java-sipping salesmen have
been known to juggle calls on their cells
even as they scan the GPS dashboard
maps in their rental cars while hurrying to
get to their next sales call. Logistically
challenged deliverymen in high-tech trucks chat on their phones,
respond to pages, and evaluate the job bids displayed on their
dashboard monitors as merrily they roll along.
So what happens when there's an accident? What happens
when the cell-phone records reveal that the computer-support
person who rear-ended a school bus was on a conference call?
What happens when an accident analysis finds the truck driver
was trying to simultaneously read her business e-mail and the
GPS dashboard map hefore speeding into that busy intersection?
To the extent that those misbehaviors are job-
related, the organization may be just as liable as the in-
dividual. Consequently, every organization with a
f1eel-or with employees on wheels-
will be coming up with digital-
dashboard driving policies
sooner rather than later.
Much as Domino's Piz-
za was barred for safety
reasons from guarantee-
ing delivery within 30
minutes, the courts will
not look kindly upon
blends of business behav-
ior and mobile media that
unambiguously promote auto-
mobile accidents.
How long will it be before you
have to sign a manufacturer's re-
lease when you buy your next
cellular phone, promising that
you won't use it while driv-
ing? What will insurance
companies do when they
find increasing correlations
between accident rates and
digital gizmos in the car?
Don't be shocked if rental-car companies start to remove some
of the high-tech gimcrackery they've put into their high-end
cars and make business people swear they won't talk on their
phones with only one hand on the wheel. The gutsy rental-car
firms will put in active electronic filters to make it impossible
to talk on cell phones from the driver's seat of moving cars.
What we have is a classic tension between public policy and
private behavior. People want to be able to make phone calls
and check e-mail as they drive. but they also don't want to be
hit by somebody doing the same thing. Organizations want
their people to be more productive, but they also don't want
their productivity initiatives to kill anyone. This will be one of
those rare battles where breakthrough innovations in technol-
ogy will lose to the public's priorities and paranoia about safety.
We're just an accident away.
st let M. Send -
IS E-ma Before
e Light '. hanges
(l,o,~
.2./0
AS A NEW GENEIVJION OF HANDS-FREE PI-I<>>lES. WIRELESS
modems, palmtops, dashboard GPS maps with voice-activated
displays, and OnStar-type services transforms the automobile
from its traditional role as personal transport medium to its ulti-
mate destiny as mobile computing plaltonn, one question about
the drivers and designers of this ultrafast Jane begs to be asked:
Have these people lost their minds?
One of these days some harried reaJ estate broker trying to
close a deal on her cell phone will crash her SUV into a sub-
urban school bus filled with elementary
school kids, and the public outcry
over the tragedy will prompt a dra-
conian rethinking of technology's
place on the road. You've heard
of MADD? Mothers Against
Drunk Driving? Within six
months there'll he MACe:
Mothers Against Cellular
Conununications. The right
accident simply hasn't hap-
pened yet. Wait.
The faster, better, and
cheaper that mobile com-
munications becomes, the
more easily it will intox-
icate drivers with its
distractions. Infonnation
inebriation in the pass-
ing lane is every bit as
dangerous as a six-pack
on an empty stomach.
So whether they're built
in or brought to the car,
dashboard computing and
communications are fast be-
coming the drunk driving of the
new millennium. Though it took decades for legislatures and
the courts to put teeth into drunk-driving laws, laws that limit
driving while under the influence of digital stimulation will
surely come faster. More than two dozen states and 200 mu-
nicipalities are already weighing such rules.
It's just a mailer of time before the auto giants. cellular firms.
and mobile computing companies stop running ads celebrating
automobiles as "freedom machines" and start running public-
service spots urging their customers to "drive responsibly." Much
like the alcohol and tobacco companies, wireless computing and
communications firms will either self~regulate or be legally com-
pelled to warn of the perils of inappropriate automotive use.
This future DUI.iflCation of mobile media poses particularly
MICHAEL SCHRAGE;s co-cl;recloroflhe MIT Media Lab:r f!-markets inilionllf! and
autllor of Serious Play. Reach him 01 micllac'-schmge@fonunvnoi/.com.
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Executive Summary
COMPREHENSIVE CHILD HEALTH PLAN:
2000-2005
Task Force Report
to the
North Carolina Department of Health and Human Services
North Carolina Institute of Medicine
May 23, 2000
,
,
,
e
e
e
Health Education
for Children end
Families
Access to
Comprehensive
System of Cere
1. he Stete Board of
ilucatlon should
expand the mandatory
school health
curriculum, ensure the
curriculum Is being
teught and that
children understend
and adopt healthful
living behaviors (as
part of the coordinated
school health
program). (Expand)
DHHS should
Initiate a broad-based
public awareness
campaign to Increase
understendlng of the
benefits of healthful
living. (Initiate)
3 HC General
sembly should
expand the "Intensive
home visiting"
program stetewlde.
n
4 C General
ssembly should
assure access to
health Insurance for all
children by:
a) expanding outreach
efforts;
b) eliminating the 2-
month waiting
period for HC Health
Choice for children
with special needs;
and
c) expanding He
Health Choice tp
cover unInsured
children with family
Incomes up ~ 300%
FPG with sliding
scale premiums and
allowing children
with higher family
Incomes to buy-In at
full cost.
(Expand)
NC General Assembly
should establish a
funding source to pay
for health care for
Immigrant children.
(Initiate)
...~
20
.. . : T1ie State Board of
Education should ensure
that by the end of five
years, every NC school
systam has a
coordinated school
health program.
(Expand)
NC General Assembly
and county
commissioners should
appropriate funds to
assure a continuum of
mental health and
substance abuse
services. (Expand))
I
e
Access to 5. NC General DHHS should provide DMA should determine
Comprehensive sembly should technical assistance whether Medicaid
System of Care appropriate funds to to local communities provider payments are
assure one school to develop school- sufficient to provide
nurse for every 750 based/linked health adequate compensation
students In NC centers. NC Ganeral to providers offering
schools, hiring 150 Assembly should comprahenslve care for
school nurses per year appropriate funds for children with special
until this goells additional centars (as needs. (Develop)
reached (as part of the part of tha
coordlneted school coordlnatad school
health program). health program).
pand) (Expand)
I
6. HHS should NC General Assembly NC General Assembly
velop a plan, In should appropriate should expand child care
partnership with other funds for additional health consultation
agencies and school-based support program statewide.
organizations, to workers, Including (Expand)
assure every child has social workers, mental
access to a regular health and substance
source of health care. abuse profasslonals.
(Develop) and guidance
counselors (as part of e
the coordinated
school health
program). (Expand)
DHHS should develop
HHS should NC General Assembly methods to promote
e and early should expand Child access to services
Identification, referral Service Coordination through shared or
and treatment of to cover children uniform portals of entry.
children ages birth-to- under age 18 with (Develop)
five. with a focus on special health needs.
those needing mental (Expand)
health servlcea or who
have parents with
subatance abuse
oblems. (Expand)
8. MA should work NC Genaral Assembly
DMHDDS"S and should require privata
I Insurers to covar
other agencies to.
develop and mental health and
Implement Medicaid substance abuse
policies almed.at sarvlces In parity with
expanding the " other ~ical
availability of mental servlceif.'(lnltlate)
health and substance
abuse services for
children. (Develop)
e
21
.
.
e
e
e
~
Dimension of Child Immediate Action Implement within Implement within
Health three years five years
In
Comprehensive establish msndatory a group of experts to
System of Care case load limits for develop a
child protective comprehensive child
services, foster care nutrition plan for the
and adoption state. (Develop)
workers. (InItiate)
NC General Assembly
should expand
Medicaid to cover
uninsured parents of
children ages birth-to-
18 with Incomes below
200% FPG. (Expand)
NC General Assembly
should Increase
paymants to dentists
serving Medicaid
recipients up to 80%
VCR for all dental
procedures. (Expand)
DHHS should work with
othar appropriate
groups to expand
cultural senslllvlty
training for haalth care
profasslonals and staff.
(Expend)
DHHS should work with
other approprlata
groups to develop a
universal health
Inventory to screen for
risk factors for women
of child bearing ages.
1- lDevelooll
Comprehensive ~HHS should NC General Assembly
Child Health Data ate a statewide should provide funding
System task force to .d,llv,elop for system
a comprehenslvl/ development,
child health data Implementation and
system. (Develop) continuing maintenance
" of a statawide child
" ImmuQlJ:!ltion registry.
(Expaifdf
NC General Assembly
should expand the
scope of the Child
Fatality Task Force to
~~ml~~ non-f~~1
In uries ExDand
22
.
,~
I
"
.
~
Dimension of Child Immediate Action ' Implement within Implement within
Health three years five years
e
Comprehensive
Child Health Data
System
DHHS should
convene a group of
experts and
stakeholders to
develop a consensus
operational definlUon
of "children with
special health needs"
and systems to
measure outcomes
and quality. (Develop)
I Annie E. Casey Foundation, Kids Count Data Book, 1999: State Profiles of Child Well-Being. Baltimore,
1999.
e
<\Il~......
e
23
I
I
e
e
e
ACS Advisorv Committee
Meeting of September 12, 2000
Present:
Donna Booth-Neal, Dr Melody Speck, John Boozer, Joyce Bradley, Jewell Ann Diehn,
Sylvia Hall, Timmi Evans, Jeannie Leonard
Absent:
Eddie Spencer, Cheryl Fiste (called wi prior commitment)
Three minutes allowedfor public to speak regarding any agenda items. (None present.)
Old Business
1) Service Animal Update - Azalea has member on board; will get update later.
2) Sheher Volunteers - Jean will bring volunteer manuals to next meeting. Discussed ideas to get
some volunteers @ shelter.
3) ER Management - IC3 volunteers needed. Stationed in AHEC building during emergency.
4) Project Impact - June 3 @ Trask; increase in number of people from last year who attended;
ours was the only group to have animal reps.; to be used as a model for others.
5) Rabies Update - only one positive in 2000. Still working on oral bait drop @ Carolina Beach.
6) Shelter Repair - ? (nothing to report, perhaps Property Mngrnt. spruce-up work?)
7) State ER Protocol- covered ACS response sheet; to be updated into lID manual.
New Business
1) Inner City Rabies Clinic - have enough donations to hold it again this year. Donna will call to
set up date @ Five Points Center, either Nov 4 or 18, from 1-3pm.
2) Cold Weather Flier - Donna developing this for ACS use.
3) Homeless wi Pets in Cold Weather - no progress on shelter location for these.
4) Leash Ordinance (JPM from stefl) - proposed to include leash law to cover all of county.
Board wants stats on issue; to discuss @ November meeting.
5) "Eat for Pete" Campaign (JPM from stafl) - in honor of National Animal Shelter Appreciation
Month, from November 5-11, 2000. Joyce, John, & Timmi will help.
6) Licensing (JPM) - discussion on process from reminder cards through hearing appeals to
collection agency.
Comments
1) November - will elect new officers for next year's committee.
2) Domestic Violence - have developed a pet underground for small animals and horses.
09/21/00jpm
e
e
e
FROM lJ0toN'l BOOTH NB't.. 2
PHOi'E t-IJ. 910 458 0233
5ep. 26 2000 09:58 Pi
NEW HANOVER COUNTY
ANIMAL CONTROL DIVISION
220 DIVISION DRIVE
WILMINGTON, NORTII CAROLINA 28401
TEl,EPHONE (9/0) U/.4/97
FAX (910) 341-4349
1)^YIIl B. RICI~
1I0.1I11111...<lor
Jt:AN I', McNlill,
"nhmd ('nnfnllllll'Ntor
TO: The New Hanover County Board of Health
FROM: Dangerous Dog Determination Hearin8s
CONCERNING: Tho cases heard__July, August, September_
NUMBER OF CASKS HEARD 17
ll1';CISIONS:
DANGEROUS 0
POTENTIALLY DANGEROUS 10
NOT DANGEROUS 6
(OWNER BITES under new rules_)
PJC_no lon8ernsed__
PJC REVISED 1
PJC REVOKED 0
AGE OF VICTIMS 1 child 12 adults 3 anlmul~___
REQUIRED MEDICAL ATTENTION 5
NOT UNDER CONTROL all
NOTES:
Several caSes involved More than one dog.
In one case the victim was hit by a car while trying to get
away Crom the dog 1n question.
Rabies is still a serious threat,
1JOUll df~Jt~ - <Du't g'.)'tLo'tity
.
g~
. ~
__._Im'NI"~""'~
EPllnformation
September 2000 NevI Hanover County Health Department Betsy Summey, F N P Editor
notifying aU child care refrigerator and freezer -
centers in the county of ensuring constant
the problem, stepping up temperature of vaccines
inspection and during power oumgesand
S;,igella has again observation in the prevention of loss of
become a problem facilities with special thousands of dollars of
primarily in child care attention paid to vaccines, Health care
centers. An outbreak handwashing techniques, providers who administer
tomling 35 cases, the first and exclusion of children smte supplied vaccines and
positive culture returning diagnosed with Shigella need safe storage for
in early August, has from child care until two vaccines during hurricanes
involved three child care negative stool cultures or other potentially long
centers. Disappointingly, have been obmined. term power oumges may
e four of the cases have been contact the Health
in workers in the centers Prevention Department to check the
and all but one have been Thorough handwashing is availability of storage
directly related to the the single most effective space. Please call Nikki
centers, either through a preventive method. Todd at 343-6677 or
child there, a worker, or Vigilance on the part of Anne Lawrence at 343-
their contacts, parents, physicians, child 6523 for information.
care givers and the Health
Control Measures Department is required to
Nearly 300 stool cultures prevent outbreaks that
have been processed significantly impact the
during the attempt to health of our community's
identify cases, remove children.
them from the centers, and
thereby control the spread.
Several other measures
have been implemented to publicity would have it
control spread including that health care
workers, emergency
CONTENTS responders, and milimry
The Health Department personnel have higher rates
e Stats......... 2 recently installed a of Hepatitis C Virus
generator for the vaccine continued
2
but no studies have shown
an increased risk.
.
(HCV) infections than the
general public. Researchers
have found this to be
untrue - citing studies that
show equal or lower
prevalence rates in these
groups.
Prevalence Rate
Miriam Alter, MD, chief of
surveillance for the
Centers for Disease
Control and Prevention's
Hepatitis Branch,
presented dam at the lOth
International Symposium
on Hepatitis that showed a
one percent prevalence
rate for hepatitis C in
health care workers
including surgeons, lower
than the adult population
at large and about 10
times lower than the
infection rate for
hepatitis B in health care
workers. The need for
routine screening in this
group is not substan-
tiated by these statistics.
Firefighters in Philadelphia
were found to have a 4.3
percent rate of He V
infectivity, leading some to
assume that all firefighters
have a higher prevalence
of HCV. However, when
looked at more closely, the
rate for all adult men in
Philadelphia was 4 percent
as well - much higher than
the national average.
No Increased Risk
The risks associated with
mttooing, body piercing,
and acupuncture have
received media attention
Sexual Risk
Still the most controversial
issue surrounding HCV
transmission is sexual
intercourse. Many studies
have shown little or no
risk associated with
sexual contact; however
the CDC estimates 2
percent of U.S. cases are
attributed to sex with an
infected partner.
Although HCV is not
efficiently transmitted
through sexual intercourse,
individuals may be more
highly infectious at
varying times making
transmission more likely.
e
Communicable Disease Statistics
New Hanover County
July 1. 2000 - August 31. 2000
. AIDS" '.'i~y~..."i;.Iir;.;,' '5' .' '.f1.\iI~fiijti~ii.;:!~~!S' If
.Campylol'Jactei;i.i..........2 '~YRleOi~ea~i:f;;;;;;1.
.Chlllmydi~ ~ ..................}.... 70 ....Pert~~!i~;;;;;j;;);\Oi
~()~:~~~e~5~:.H1 :::: : 7~:~~:ji~'~~~~j0t~~ii~
Hepa1:itisA. .,.. . ...., OShi9iiiI19~i~;;~.t;~+;?!!
HePlltiti~~JiiiC;l,Ite}... .0 Stt~p;~~9i.iP~lriy:llSiV~~
Heplltitisl3(cllRier), ..4 Syphilis.;),.."... i 7
. Hepatitis C (acute). " " 0 TubetcUli:jsi~, ."'" 1
e
National Association of Local Boards of Health
r
~
Published for Members of Local Boards of Health
President's
Message
By Vaughn Upshaw, EdD, DrPH
August 2000
Building Your
Board's Public
Health Toolkit
People attending NALBOH's Eighth Annual Conference in
Raleigh, NC enjoyed southern hospitality, a quality pro-
gram, and an opportunity to interact with local board of
health members and health officials from 24 states. A lot of
energy went into making this event a success. Special
,,'hanks to Harvey Wallace, NALBOH's President-Elect and
"- .lembers of the program planning committee for their hard
work; to the Association of North Carolina Boards of
Health for hosting the meeting; and to the terrific NALBOH
employees who made everything possible. We're looking
forward to a great meeting again next year in Cleveland,
Ohio, July 25-28, 2001. We hope to see you there!
At NALBOH, our mission is to assist local boards of health
to assure health in their communities and to represent their
interests at the national level. Boards of health are respon-
sible for decision-making, for ensuring that public health
services are available, and providing strategi~ direction to
the local public health system. One of NALBOH's primary
goals is to assure local board members have information
and services that help them perform these important re-
sponsibilities.
To make informed decisions, local policy makers need to
have access to good information. The Health Resources
and Services Administration and the Public Health Foun-
dation have recently released a public health status report
for every county in the U.S. The Community Health Status
Indicators (CHSI) report provides county level data on key
r-
(Continued on page 2)
'-
Boards of Health-The Untapped
Resource of Public Health
Abbreviated Plenary Presentation By
Maurice Mullet, MD
Chair, Board of Directors, Public Health Foundation
Health Commissioner, Holmes County Health District, OH
You as local board of health members have a challenging and
awesome responsibility You are the level of government
most responsible for the health of the people within your
jurisdiction. You must balance representing the community
and leading the community where the people may not
always be ready to go.
Much of what happens in public health today is referenced to
in the Insitute of Medicine's report, The Future of Public
Health that was issued more than a decade ago. The report
provides the best statement of the mission of public health
"fulfilling society's interest in assuring conditions in which
people can be healthy" That is what each of you are
responsible for in your respective communities.
The report then describes the core functions of the
governmental responsibility for a community's health as
II Assessment, Policy Development, and Assurance." These
core functions can not be delegated! This description has
enabled us to better understand what we do, even if those
words mean little to the people we serve.
The report found that the public health system was in
"disarray" With due respect to an illustrious committee, I
have always challenged that description of the public health
system. The committee came to that conclusion after looking
at a few health deparbnents in six states.
As far as I can determine, no member of the committee was
also a member of a local board of health. I doubt that board
of health members would have considered the public health
systems they were responsible for to be in "disarray"
Underfunded? Yes! Lacking support from federal, state and
some local elected officials? Yes! Lacking understanding by
the public? Yes! But disarray? NO!
(Continued on page 2)
August 2000
NALBOH NewsBrief
Presidents Message... (Continued from page 1)
health indicators. It provides local decision-makers with
comparative data that they can use to benchmark their
community health status against peer counties, their state,
the nation, and national health objectives. Some counties
may have access to more current data than what is in the
CHSI, but for many communities this information pro-
vides a critical first look at how their community compares
to others. To view your county's health status report, go to
<www.phf.org/CHSlproj.htrn>.
A number of new tools to help communities improve their
health status will soon be available. The National Associa-
tion of County and City Health Officials (NACCHO), in
conjunction with a number of other groups including
NALBOH, will soon release Mobilizing Action through
Planning and Partnerships (MAPP). This tool provides
local health systems with a roadmap for visioning, assess-
ing, planning, implementing and evaluating a community
health improvement process. NACCHO has also recently
developed PACE EH. This Protocol for Assessing Com-
munity Excellence in Environmental Health - a guide for
local environmental health assessment, decision-making,
action and evaluation.
An environmental health primer for local boards of health
will soon be available through a partnership between
NALBOH, CDC, and the National Environmental Health
Science and Protection Accreditation Council (EHAC).
This customizable primer gives local decision-makers with
an overview of common environmental health issues, and
services, and provides suggestions for appropriate policy
and oversight.
Overseeing public health at the local level has never been
more complicated. The changing health care environment
and the growing number of public health issues make the
work of local policy makers increasingly complex. To ma-
neuver in this new world, you can count on NALBOH to
provide you with current information and resources that
help you improve public health in your community
Boards of Health... (Continued from page 1)
Would a system in disarray have been able to achieve what n
has occurred since 1900? W
The health and life expectancy of people in the United Stales
have improved dramatically The average life span has
lengthened by more than 30 years; 25 years of this gain are
attributed to advances in public health.
The Centers of Disease Control and Prevention has identified
the following ten great public health achievements in the
United States during the current millennium:
. Vaccinations
. Motor-vehicle safety
. Safer workplaces
. Control of infectious diseases
. Decline in deaths from coronary heart disease and
stroke
. Safer and healthier foods
. Healthier mothers and babies
. Family planning
. Fluoridation of drinking water
. Recognition of tobacco as a health hazard
With that in mind, I want to comment on some of the issues
currently on our public health agenda. Throughout I want
to emphasize the important, indeed essential, role you play
in each of these issues. It is critical that you be at the table as ~
these issues are considered and hopefully, resolved. If not ~
invited, I urge you to force yourself to the table.
USE OF TOBACCO PRODUCTS:
The use of tobacco products is the major risk factor in most
of the leading causes of illness and death in this country to-
day
A number of boards of health around the country have
adopted regulations governing smoking in public places.
Many of them have been overturned by the courts as boards
of health legislating rather than rule making. I hope some of
the boards of health sometime will have the courage to adopt
a regulation that prohibits smoking in all places of
(Continued on page 3)
The NALBOH NewsBrief
is published by the
National Association of Local
Boards of Health
1840 East Gypsy Lane Road
Bowling Green, OH 43402
Phone: (419) 353-m4
Fax: (419) 352-6278
E-mail: nalboh@na!boh.org
Website: www.na1boh.org
NALBOH Officers
President
President-Elect
Secretaryrrreasurer
Past President
NALBOH Trustees
Marie M. Fallon, BS
Edwin "Ted"Pratt, Jr.,
MPA
Rebecca Edwards, MPH
Sarah Chard, MA
Sylvia Beck, MPA
North Atlantic
Mid Atlantic
Southeast
East Great Lakes
West Great Lakes
Midwest
West
State Affiliate
State Affiliate
Richard Kanoff, 10 (MA)
John C. Saccenti, MA (NJ)
J. Frederick Agel (GA)
Jim Recchio (OH)
Ken Hartke (IL)
Diane Wartgow (CO)
Connie Tatton (lIT)
Phil Lyons (lIT)
Ned E. Baker, MPH (OH)
Vaughn Upshaw, EdD, DrPH (NC)
Harvey Wallace, PhD (MI)
Stephen Papenberg (NJ)
Grace Duncan, RN, BSN (OH)
NALBOH Staff
Executive Director
Director of Liaison and
Governmental Relations
Project Director-Tobacco
Project Director.Training
Director ofMernbemlip
Services
Administntive Assistant
1be production and distribubon of lhIs publkabon all?
supportrd by funds from tI'N' Centers for Disease Control
and Prevention.
\
..J.
Grace Senato
Page 2
NALBOH NewsBrief
August 2000
Boards of Health... (Continued from page 2)
employment within their jurisdiction. The evidence is over-
C... whelming that secondary tobacco smoke is a carcinogen. No
person who needs to work to make a living and support a
_, 'family should be required to be exposed to environmental
tobacco smoke in the work environment
CREDENTIALlNG OF PUBLIC HEALTH WORKERS:
A major complaint about governmental public health agencies is
that the current public health workforce is inadequately trained
and not properly credentialed. The problem results from an
inadequate pool of people with proper academic credentials and
a lack of financial resources to hire the most appropriate staff.
The former reason is probably more important than the latter.
We also need to be sure that we don't equate the lack of
academic credentials with a lack of competency Competency
can also be developed on the job.
Boards of health are the only entities in a position to change the
current status. Boards of health, and other entities functioning
as a board of health. are the ones who hire the public health
workforce. It is crucial that you find creative ways to assure a
competent workforce through recruibnent and selection as well
as on the job training. I would like to see all boards of health
have a line item appropriation in their annual budget to support
their staff's development through advanced academic training.
NATIONAL PUBLIC HEALTH PERFORMANCE
STANDARDS:
Standards, performance measures, high quality and continuous
o quality improvement are extremely important.
In my opinion, no national or state system of standards or
performance measures should be put in place until federal and/
or state governments provide significantly more financial and
technical assistance resources for boards of health to adequately
assess the health of their communities, to identify and prioritize
the health needs of those communities and to implement their
plans for improving the health status of their people and the
health of their communities.
NALBOH and all local boards of health must stay involved.
You must emphasize continuous quality improvement in your
jurisdiction in a manner that is best for your circumstances.
Together we must try to assure that a well intentioned national
effort does not result in unintended consequences.
PERSONAL HEALTH CARE FOR ALL:
At a Public Health Foundations Steering Committee meeting
some time ago, the Surgeon General suggested that perhaps it is
time for the public health community to put a health care reform
plan on the table. It is unlikely that there will be a Surgeon
General's report laying out a health care reform plan from a
public health perspective.
What better group than you, grass root citizens committed to
improving the health of all the people in your respective
jurisdictions, to undertake this important task. It would be
.r neither easy nor cheap to accomplish, but I suspect it would
"'__ 'have a chance for success during the next four years.
Health care reform should put local governmental health
authorities in a position to manage the system rather than
creating yet other quasi-governmental bodies as has
happened in the past in health planning.
I challenge you
important issue.
ready to assist.
to consider taking the lead on this
Your partner organizations should be
The primary functions of a health board include:
A. Hiring the chief executive
These are probably the most important decisions you
will make. This is not the place to try to economize.
Give clear direction-let the CEO manage-hold him/her
accountable
B. Establish policy
Be careful that the best or perfect does not become the
enemy of the good. Progress is often measured in
small steps.
C. Evaluate your chief executive and your policy
decisions on a regular basis.
D. Inform and persuade the community
This is the area where you, the members of boards of health
across the country, are really the untapped resource for
public health. You are the untapped resource for the health
of the people in your communities.
Each of you must accept greater responsibility for
informing and persuading the people in your communities
to support improving the health of people and
communities.
You can be the most effective persuaders of local, state and
federal elected and appointed officials. Use the power that
is in your hands.
Let your dream be that all Americans, regardless of
whatever shade of color we might be or what status we
have in society, will find greater understanding among
each other and greater respect for each other so that our
vision of healthy people living together in healthy
communities may some day,.in the not too distant future,
be realized.
Together we must say, "If it is to be, it must start with me."
Disclaimer- Dr Mullet's comments are his personally and do not
represent the views of Holmes County Board of Health or the
Public Health Foundation.
For a complete copy of Dr. Mullet's speech, please contact
the NALBOH office at:
1840 East Gypsy Lane Road, Bowling Green OH 43402
Phone: (419) 353-7714; Fax: (419) 352-6278
E.mail: nalboh@nalboh.org
Page 3
August 2000
NALBOH NewsBtief
NALBOH Activities
NALBOH and Distance Learning
L Fleming Fallon, Jr., MD, DrPH
NALBOH was represented at the Conference on Public
Health Informatics and Distance Learning: Blending
People and Technology to Improve Practice, in New
Orleans from August 7 to 10. Presenters at this confer-
ence discussed methods of delivering information to
non-traditional learners and students. There was much
emphasis on using the Internet as a primary delivery
method.
The methods discussed at this conference are of impor-
tance to local board of health members. Many of the
methods for delivering training involve the Internet.
Government agencies that support this training include
HRSA and the COC. The Public Health Foundation has
developed a website <www.trainingfinder.org> that lists
available training. Several schools and programs of pub-
lic health provide leadership training.
Look for additional opportunities to obtain training for
local board of health members. NALBOH is supporting
these efforts as well as identifying needs for training.
Please contact Sarah Chard, Project Director-Training at
the NALBOH office (<sarah@nalboh.org> or (419) 353-
7714), with your requests and suggestions. NALBOH
values your suggestions, feedback and comments. They
will be helpful when developing future training materi-
als.
NALBOH Announces New Training Video
As part of a five-year training development grant from
HRSA, NALBOH has produced a new training video-
tape, " Assessment, Policy Development, and Assurance:
the Role of the Local Board of Health." This 2S-minute
videotape examines the responsibilities of boards of
health in implementing the core public health functions
of assessment, policy development, and assurance. This
videotape is designed to promote discussion among cur-
rent board members; it may also be used as an orienta-
tion for new members.
Copies of the videotape will be distributed to the coun-
try's 3,200 boards of health at the end of August. En-
closed with the videotape is a brief evaluation postcard.
NALBOH asks that boards return their postcard once
they have reviewed the videotape. If you do not receive
your videotape, please contact Sarah Chard in the
NALBOH office at <sarah@nalboh.org> or at
(419) 3S3-7714.
Page 4
NALBOH Unveils New Tobacco Control Document at
the World Conference
John Saceenti, Trustee, Chair NALBOH Tobacco Committee ~
Thousands of tobacco control advocates, medical "0
practitioners, and public health policy workers from
around the world convened in Chicago August 6-11 to
attend the 11th World Conference on Tobacco or Health.
The conference was a wonderful opportunity to share
successes as well as frustrations and to learn from each
other how best to fight the international tobacco
epidemic.
Dozens of workshops combined with plenary and poster
sessions were available to conference participants. Of
particular interest to NALBOH Tobacco Project Director,
Rebecca Edwards, was the four-day skill building
workshops on Public Policy and Governmental Rela-
tions. Techniques and skills identified in these sessions
will be incorporated into future NALBOH training for
local boards of health members.
NALBOH took this opportunity to use the conference as
a setting for the formal public release of our new
document "Legal Authority for Tobacco Control in the
United States." The document indicates that, in most
states, local public health policy makers such as boards
of health have significant legal authority to control to-o
bacco in our communities.
We have been pleased with the enthusiastic reception
this publication has been given by tobacco control
advocates and governmental bodies. A CD version will
soon be sent to all NALBOH members. If you have any
questions, comments or need help on tobacco control
issues, feel free to call Rebecca Edwards at (419) 353-7714
or myself at (732) 821-6997
NALBOH in Leesburg, Virginia
Rebecca Edwards, MPH Tobacco Project Diredor
NALBOH's Project Director-Tobacco attended a one-
day workshop for National Partners of the Centers for
Disease Control and Prevention. The purpose of the
meeting was to provide up-to-date information about
the Office on Smoking and Health (OSH) and engage in
a discussion with its national partners on how OSH can
best meet the needs in the implementation of
comprehensive tobacco control programs. The topics
addressed included: International and Federal Issues,
Taking a Closer Look at the Difference Between Diver-
sity and Disparities, and the Evolution of Tobacco_~
Control Funding. )
(NALBOH Activities continued on page 7) --'
NALBOH NewsBrief
August 2000
\c~
Report from Washington
By Edwin 'Ted" Pratt, /r., MPA
Director afUaisoR and Governmental Relations
It is a typical presidential election year. August, here in the
nation's capital, is an eye in the political hurricane, with its de-
ceptive calm while Congress is out on recess and caught up in
the party nomination conventions. In a week or so the stonn
will return, the volume on Capital Hill will be up to the max,
and rational political decision-making will probably go out the
proverbial window Yes, I may be crazy, but I really do believe
there is such a thing as rational political decision-making, and I
think a lot of us have experienced it as local board of health
members. Much of what I do here involves pointing out that
public health policy is only rational if it works at the local level
where it has to be implemented, and that it has the resources
necessary to support it.
o
Resources!! NALBOH, your national representative is very
active in reminding Congress and federal agencies that un-
funded mandates can often be unintended consequences of
well meaning policies adopted at the federal or state levels.
Yet we must recognize that the world of public health is chang-
ing and that local boards of health will have to work with the
professionals in their health departments and with other local
and state officials to develop strategies to address these
changes. While the unique characteristics of each locality will
always require locally-crafted policies and programs, there is a
growing awareness of the need for outcome based assessments
that produce information that can be compared to state and
national norms and goals. The old adage that Itif you1ve seen
one health department, you1ve seen one health department!" no
longer is acceptable. We must adapt to a new paradigm where
our efforts are increasingly j':ldged on measured outcomes
compared to national or state databases. NALBOH is working
hard to ensure that those who are in the forefront of building
this new paradigm, whether in federal agencies or in other as-
sociations, also address the need to provide the resources nec-
essary for local governments and public health agencies to re-
spond. We are working closely with our sister organization,
National Association of County and City Health Officers
(NACCHO), on this effort.
I, other NALBOH staff, and NALBOH executive board mem-
bers sit on a number of advisory committees, working groups
and task forces. Among the more important are those involved
with public health workforce training and public health infra-
structure development. There are currently two main areas of
effort. The first involves public health workforce training,
competencies and certification, and public health agency ac-
creditation. The second involves the collection, management
and utilization of health and environmental data. Here are
some of the most important programs on which we are work-
ing:
rl:
,.~
PUBLIC HEALTH WORKFORCE TRAINING
. Health Resources and Services Administration (HRSA),
has established a number of Public Health Training Cen-
ters. You can get information on this new initiative at
<www.bhpr.hrsa.govjGrants2OO1jphtc.html> If your
community is within the service area of any of these cen-
ters, you may wish to make contact to ensure that the per-
spectives of local boards of health are heard and under-
stood. NALBOH is working with HRSA to make sure that
this is occurring at the national level.
. Public Health Foundation (PHF), our friendly landlord
here in Washington, D.C., has established a web-based
service to help public health officials find distance learning
training resources at <www.trainingfinder.org>
PUBLIC HEALTH WORKFORCE COMPETENCIES
. NALBOH is participating as a member of the Council on
Linkages in the development of definitions for competen-
cies for public health workers <www.phf.org>
. Affiliate Trustee, Ned Baker, has been working with other
NALBOH members and staff, along with a number of our
partner agencies and associations, on the non-technical
environmental health competencies. A summary of this
project can be found on American Public Health Associa-
tion (APHA), website at <www.apha.org>
PUBLIC HEALTH WORKFORCE CERTIFICATION
. I have been attending meetings hosted by APHA and
the Association of Schools of Public Health (ASPH) on de-
veloping certification and credentialing for public health
workers. This is a particularly difficult issue for local pub-
lic health agencies as the existing workforce is largely
qualified through experience and special training, and not
by some recognized credentialing agency Many positions
are now quite successfully filled with non-degreed and
undergraduate-degreed personnel. We have been empha-
sizing, along with NACCHO, the need to proceed care-
fully and to recognize the very real issues of cost and im-
pact on current public health workers. The goal of provid-
ing a more credentialed public health workforce in the fu-
ture is certainly one we can all support. However, the
method by which such a goal is achieved is fraught with
difficulty and needs open discussion with a great deal of
local input. Indeed, Health Commissioner Mo Mullet
(Holmes Co. Ohio), a former president of NACCHO, made
this very point in his Plenary Address at the NALBOH
Annual Meeting (see page 1).
PUBLIC HEALTH AGENCY ACCEDITATION
. We have been made aware of a number of state efforts in
this area. Illinois, Michigan, and New Jersey to name a
few, are actively developing programs. If you are in-
volved in these or other efforts, please let us know about
them and what your concerns might be.
PUBLIC & ENVIRONMENTAL HEALTH DATA
COLLECTION AND MANAGEMENT
. There is, of course, NALBOHts ongoing involvement in
the National Public Health Performance Standards Project
(Colltinued on page 6)
Page 5
August 2000
NALBOH NewsBrief
Report from Washington... (Continued from page 5)
<www.apha.org/ppp/phipmain>, which I have reported
on before. This month, NALBOH representatives were in
Minnesota, working with local boards of health on the
Governance Instrument pilot test in that state.
. Of great interest to local boards of health will be the CHSI
project <www.communityhealth.hrsa.gov>, which NAL-
BOH has been involved with as a member of the advisory
committee.
. Recently, we have been in discussions with the Pew
Foundation's Environmental Health Commission
<pewenvirohealth.jhsph.edu>, and in particular, Health
Track <www.health-track.org> This is a commission to
try and develop a coherent national policy towards public
and environmental health statistics.
. In each of these programs, we have been emphasizing the
need to ensure resources and training for local govern-
ments in the areas of information management and geo-
graphic information systems. Data isn't much good if you
can't put it to work!
. We are also concerned that the data is collected and organ-
ized in such a way that it ensures local public health agen-
cies can identify and track the health status of each popu-
lation within its jurisdiction. In many cases, significant
problems in small populations are buried in the larger
data sets for a county or state. These populations may be
defined either geographically for environmental issues, or
by human characteristics such as ethnicity or socioeco-
nomic status. Data isn't much good if it doesn't identify
your real problems!
I hope you will take some time, push your children away from
the computer, and check out some of these websites. These
activities will eventually result in new programs and policies
that can have far-reaching impacts on how your board fulfills
its mission of protecting and enhancing the health of the com-
munity it serves. We at NALBOH work hard to bring the in-
terests, needs and concerns of local boards of health to every
project, advisory committee, panel, or simple conversation in
which we get involved. We need your input to ensure we are
doing our job in representing you. The better acquainted you
can become with these programs, the better guidance and ad-
vice you can give to those of us working on your behalf.
As always, please feel free to contact me directly:
Telephone: (202) 898-5600 ex!. 3013
Fax: (202)898-5609
Email: <nalbohdc@olg.com>
Address: 1220 L Street, N.W Washington, DC 20005
If you are in the Washington area, please call or stop by the
office. If there is anything that I can do to make your visit to
the capital more enjoyable, just let me know
NALBOH Welcomes
New Director of Membership Services
o
" A fundamental concept of NALBOH has been
membership support tailored to meet the special needs
of boards of health," notes Sylvia Beck, Director of
Membership Services for NALBOH. "Members are the
heart of NALBOH."
Sylvia's deep commitment to our Association started at
its inception, as she was one of the original Founders.
She has served as NALBOH's Western Regional Trustee
as well as on various committees, including Program
and Membership. Sylvia is a recipient of the Regional
Trustee Award and Honorary Lifetime Membership for
her years of dedication to NALBOH and public health.
Also, a long-time APHA member, Sylvia was tapped to
work closely with successive APHA Presidents to
create and promote National Public Health Week. She
has served as the Washington State Public HealthO
Association President and Executive Director of the
State Board of Health. She holds a master's degree in
public administration with a specialty in health policy
planning and analysis.
"Working with the Membership Committee and its
Chair, Ned Baker, is an exciting and challenging
opportunity to increase membership support. The
Committee's sustained energy and enthusiasm is
evident in the record of NALBOH's explosive growth."
Upcoming plans include an enhanced presence on the
NALBOH website, streamlining NALBOH's
membership database with state-of-the-art technology,
and spreading the good word about NALBOH's unique
benefits and services among potential members.
Sylvia enjoys speaking with individuals who caU for
assistance. New members are encouraged to call.
"Participating on the Membership Committee is a
good introduction to NALBOH and an opportunity for
networking, as well as a way to make a lasting differ-
ence, " says Beck. "The Committee listens to sugges-
tions. It's rewarding to see ideas successfully imple-
mented." Contact Sylvia today with any questions you
may have and to help shape the future of NALBOH: )
<sylvia@nalboh.org> or (419) 353-7714. '-='
Page 6
NALBOH NewsBrief
August 2000
NALBOH ACTIvmES...(Conhnued from page 4)
NALBOH WORKING IN MISSOURI
()
~
NALBOH Trustees Ken Hartke and John Saccenti spoke
to local board of health members in Northeast Missouri
in June. The major areas of interest for the board of
health members were tobacco and environment-related
issues. The soon-to-be-published Environmental Health
Primer for Board of Health Members, developed by
NALBOH and the National Environmental Health Sci-
ence and Protection Accreditation Council, was pre-
viewed and greatly anticipated by those present. The
next day, NALBOH trustees met with health officials
from the Missouri State Department of Health, notably
the Division of Health Promotion and Chronic Disease
Prevention and the Center for Local Public Health
Services.
NALBOH looks forward to continuing to work with
board of health members, their staffs and the dedicated
professionals of the Missouri Department of Health to
help them fulfill their responsibilities to the people of
their state.
NATIONAL ENVIRONMENTAL HEALTH
ASSOCIATION ANNUAL MEETING
Denver, CO
Harvey Wallace, President-Elect
(
Dr Gary Silverman, Colin Thacker & I presented the
background for the development of the "Environmental
Health Primer" for members of local boards of health.
There were approximately 40-50 present. I also met our
HRSA Project Officer, Barry Stern, after the talk. During
the talk, I included information regarding Healthy Peo-
ple 2010 objectives for Environmental Health and Infra-
structure, Public Health Essential Services, Performance
Standards and NALBOH.
NALBOH's PARTICIPATION ON THE COUNCIL
ON LINKAGES BETWEEN ACADEMIA AND
PUBLIC HEALTH PRACfICE
Los Angeles, CA
J. Fred Agel, Southeast Trustee
The meeting updated membership on the following
ongoing projects:
1 - Research Agenda
2 - Public Health Practice Research Forum
3 - SACHO (Ohio) Health Development Survey's
4 - Competencies
5 - ASfHO Management Committee
6 - Community Campus Partnerships
Many of these projects dealt with credentialing and
competencies of workforce and it is most important that
NALBOH have this avenue of input. Below is an
opportunity for you to give your input.
WHAT SHOULD DEFINE
A COMPETENT PUBLIC HEALTH WORKFORCE?
YOUR INPUT IS NEEDED
The Council on Linkages has developed a draft list of
core competencies for public health professionals. The
list is based on 10 years of work in this area, the litera-
ture, and input from public health practitioners and
academicians. We are looking for YOUR INPUT When
completed, this list will help guide the development
and content of public health training programs.
To comment, visit this web site:
<www.trainingfinder.org/ competencies>
or call Dianna Conrad, Project Director
Public Health Foundation
(202) 898-5600 ext. 3004
NATIONAL PUBLIC HEALTH PERFORMANCE
STANDARDS-PILOT TESTING IN MINNESOTA
Harvey Wallace, NALBOH's President-Elect
participated in a satellite conference kick off in St. Paul
in August. This tool has been developed to improve
the practice of public health by providing leadership in
research, development, and implementation of science-
based performance standards.
For more information contact Rebecca Edwards at the
NALBOH office, (419) 353-7714 or e-mail
<rebecca@nalboh.org>
Page 7
August 2000
NALBOH NewsBrief
Take a Glance at
Appreciation Award presented to the Association of North Carolina
Boards of Health to Lee K. Allen, President &
Dr. Paul Williams. Past President, by Vaughn Upshaw. NALBOH
President
Leadership Award presented to Vaughn Upshaw, NALBOH President
by Grace Duncan, NALBOH Past President
Local Health Officer Award presented to Sidney B. Johnson, Jr.,
Monmouth County (NJ) by
Vaughn Upshaw, NALBOH President
Meritorious Service Award presented to Paul Hurl Loflin, DDS,
Beckley-Raleigh County Board of Health (WV) by
Vaughn Upshaw, NALBOH President
Legislator of the Year Award presented to
Senator Beverly Eaves Perdue (D, 3rd District, NC) by Vaughn Upshaw,
NALBOH President
,.
Rev Everett I. Hageman Award presented to Ronald C. Burger,
Chairperson, Rockdale County Board of Health (GA)
by Vaughn Upshaw, NALBOH President
Page 8
0.1
:1
0,
)
NALBOH NewsBrief
August 2000
NALBOH's 8th Annual Conference
o
Retiring Board Member Award presented to L.arry Hudkins, (NE)
by Vaughn Upshaw, NALBOH President
Mid Atlantic Regional Trustee Award presented to Walter Stein,
New Jersey Local Boards of Health Association
by John Saccenti, NALBOH Trustee
o
r
Special Recognition A ward presented to
Ron Bialek, President Public Health Foundation
by Vaughn Upshaw, NALBOH President
West Regional Trustee Award accepted by Phil Lyons for Glen Curtis,
Bear River Board of Health (UT), presented by
Connie Tatton, NALBOH Trustee
c
Lifetime Membership Certificate presented to Maurice Mullet, MD,
Board Chairman, Public Health Foundation
by Vaughn Upshaw, NALBOH President
East Great Lakes Regional Trustee Award presented to Joy Godin,
Dutchess County Board afHealth (NY)
by Jim Recchia, NALBOH Trustee
Continued on page 10
Page 9
1-
August 2000
NALBOH NewsBrlef
Awardees in North Carolina
'k'
Southeast Regional Trustee Award presented to Dr. Paul Williams,
ANCBH and Onslow County Community Health Improvement
Process (NC) by J. Frederick Agel. NALBOH Trustee
North Atlantic Regional Trustee Award (posthumous) accepted by
Shepard Cohen for Randall W Swartz, PhD. Winchester Board of
Health (MA)
Midwest Regional Trustee Award presented to Cathy Corcoran,
Jefferson County Department of Health and Environment (CO)
by Larry Hudkins, NALBOH Emeritus Committee Chair
DoJ/CDC
Public Health Performance Assessment for
Emergency Preparedness
C]
The Public Health Performance Assessment for '
Emergency Preparedness will assist States and/or Local
Public Health Systems to determine their ability to
respond rapidly and effectively to biological and
chemical agents, as well as other acute public health
emergencies. The tool was developed collaboratively among the
Centers for Disease Control and Prevention (CDq and public
health constituency partners at the national, state, and local lev -
els, including the National Association of County and City
Health Officials (NACCHO), Association of State and Territorial
Health Officials (ASTHO), and the Council of State and Territo-
rial Epidemiologists (CSTE). The tool is being used as part of a
U.S. Department of Justice (DoJ) national project to develop an
integrated statewide assessment of emergency response activi-
ties.
The Public Health Assessment, as well as the entire DoJ toolkit,
can be viewed on-line at: <www.ojp.usdoj.gov/osldps/
assessments.hlm> It will be available for interactive data entry
on August 18, 2000.
The survey should be completed for each public health jurisdic-
tion (county, for most states) by the authorized representative of
the jurisdiction, as determined by the State Health Official. The
survey addresses the abilities of the public health system, not just
of public health agencies, to detect and respond to emergencies. OD
In most cases, the head of the local public health agency will be I,/)
responsible for submitting the survey, although representatives -
of other organizations conducting public health activities should
be fully involved in its completion. After
completion, the survey will be reviewed and approved by the
State Administrative Agency Director prior to fmal submission
to DoJ.
Completion of the Public Health Assessment, in conjunction
with the other DoJ surveys (Threat Assessment, Needs and Ca-
pabilities Assessment), is required for States to be eligible for
funding by DoJ under the State Domestic Preparedness Equip-
ment Program. The Public Health assessment will be used to
assist jurisdictions within each state to determine their ability to
respond to public health emergencies. Data from the survey will
be summarized and reported back to each jurisdiction. It will
assist in accessing its abilities for early detection of public health
emergencies and rapid conunurtications and response.
For more information about the Assessment for Emergency
Preparedness, contact CDC at (800) 747-7649 or on the Web at:
<www.phppo.cdc.gov/dphs/nphpsp>
J
Page 10
NALBOH NewsBrief
August 2000 I
c
NALBOH Needs You!
NALBOH is in the process of searching for new committee members for the 2001 membership
year. Below is a list of all NALBOH committees and a summary of the objectives for the
corning year. Please indicate which committee(s) you have an interest in serving on by checking
the box and fill the information at the bottom of the page. Fax (419) 352-6278 or mail to NALBOH
1840 East Gypsy Lane Road, Bowling Green, OH 43402. Please return your response no later
than December 1, 2000. Thank you for your support.
D Awards Committee
Directs the search for award nominations through the
News Brief and the Regional Trustees. Reviews
nominations and selects recipients for Executive Board
approval. Coordinates awards and presentations at
annual conference.
D Board of HealthTraining
Institute (BOHTI) ..
Works to assist state and local boards of health to
understand the importance of state associations and
helps in the development of establishing a state
association. Coordinates and reviews all educational ef-
forts.
o D Budget Committee
Oversees the development and implementation of
financial policies and procedures. Explores additional
income opportunities. Reviews and approves quarterly
and annual financial statements.
D By-Laws Committee
Annually reviews NALBOH By-Laws and submitted
draft and proposed amendments. Presents revisions to
the Executive Board and the association
membership, for vote at the annual conference.
D Communication Committee
Directs, promotes and develops modes of commurtica-
tion for training and education in support of NALBOH's
mission, goals and objectives.
D Legislative Committee
Develops procedures for proposing legislation and programs
to keep national legislators informed on public health issues.
Encourages legislative efforts at the state level to promote
local public health advocacy efforts.
D Membership Committee
Plans and organizes the annual membership drive and all fol-
low up activities. Establishes targeted membership drives
and explores joint membership ventures.
o Nominating Committee
Provides a slate of candidates for open Executive Board posi-
tions and presents ballots for voting.
D Program Committee
Plans, organizes, and initiates the annual conference; reviews
past evaluations; presents draft conference schedules to the
Executive Board for approval.
D Tobacco Committee
Guides the development of NALBOH's tobacco control poli-
cies and advocacy efforts on a national level. Promotes anti
tobacco efforts, oversees grants, works with NALBOH To-
bacco Fellows and other national public health and anti-
tobacco organizations.
NAME
BOARD Of HEALTH
c
ADDRESS
E-MAIL
FAX
I
II
II
I
I',
I
PHONE
Page 11 I
August 2000
1~CCQ.FREE-u~1
The Tobacco Companies Are Still
Targeting Kids
By Mlltthew L. Meyers, President
Campaign for Tobacco-Free Kids
In the aftermath of the recent $145 billion verdict against
the major tobacco companies, Phillip Morris - the nation's
largest tobacco company - has begun yet another advertis-
ing campaign claiming that it has changed for the better
since the 1998 legal settlement between the states and the
tobacco companies.
The jurors in the Florida Engle trial rejected the cigarette
companies' self-serving claims that they have changed, and
the rest of us should do the same.
Each day, more than 3,000 kids become regular smokers.
One-third of them will eventually die of a
tobacco-related disease. We will not reduce these numbers
until we stop tobacco advertising aimed at kids.
Phillip Morris' new television ads list provisions of the
settlement as evidence that the tobacco industry has
changed and no longer targets kids. The truth is that the
settlement restricted only a small percentage of tobacco
advertising and marketing. Phillip Morris and the other
tobacco companies continue to aggressively market their
deadly products in ways that negatively impact kids. These
new ads are nothing more than a public relations effort
aimed at policymakers and future jurors to avoid
meaningful change.
The settlement included some constructive provisions,
including bans on tobacco billboard advertising and the use
of cartoon images. But it did nothing to restrict retail store,
magazine, or Internet advertising of tobacco products, and
it only narrowly restricted tobacco industry sponsorship of
auto races and other sports and entertainment events. Each
of these venues reaches millions of kids.
Solid evidence released in the past few months show that
the tobacco companies have effectively skirted the
settlement and increased their advertising over the last 20
months in ways that are most effective at reaching kids.
Take two recent studies:
. In May, the Massachusetts Department of Public Health
released a study showing that tobacco advertising in
magazines with high youth readership increased by 33
percent after the settlement.
.
NALBOH N9wsBrief
In July, the University of Illinois at Chicago
released a study showing that since the
settlement-mandated ban on tobacco billboard
advertising took effect on April 24, 1999, the ("\\,
tobacco companies have simply shifted their '--..!)
advertising to retail stores. Eighty percent of the
stores surveyed had tobacco advertising,
guaranteeing that kids will continue to be
bombarded with messages encouraging them to
smoke.
All this demonstrates that the tobacco industry is
actually thumbing its nose at the settlement, rather
than truly embracing the changes that would reduce
youth tobacco use. Running public relations
advertising that lists a few of the requirements of the
settlement does not mean much has changed. It
conveniently ignores the loopholes that Phillip Morris
and the other tobacco companies have exploited to
achieve maximum exposure of their products to
young people.
As the marketing studies above show, Phillip Morris
has actually ignored the most important provision of
the settlement that it cites in its ads - the prohibition
on marketing to kids. The settlement states that the
tobacco companies may not take" any action, directly
or indirectly, to target youth."
The state settlement was a step in the right direction. Q)
But for there to be a real change, much more needs to
be done. Congress must support the federal lawsuit
against the tobacco companies and grant the Food
and Drug Administration full authority over tobacco
manufacturing and marketing. And every state must
use its tobacco settlement dollars to establish
comprehensive prevention programs to reduce
tobacco use.
@
WEB SITES TO VISIT:
American Legacy Foundation
httpl/www.americanlegacy.org
American Nonsmoker's Rights
Foundation
http;l/nl>-smoke.org
MODEL
ORDINANCES
Model Tobacco Con-
trol Ordinances are
available for inter-
ested board of health
members by contact-
ing NALBOH at (419)
353-m4 or email
rebecca@nalboh.org.
Campaign for Tobacco-Free Kids
littp:/lwww.tobaccofreekids.org
CDC's Tobacco Resources
httpl/www.cdc.gov/tobacco
Massachusetts Department of ")
Public Health ~/I
http;l/getoutraged.com
I Page 12
L NALBOH NewsBrief
I Tobacco-Free USA continued I
NALBOH Members Win Fellowships
c'
Through the support of the Centers for Disease Control and
Prevention- Office on Smoking and Health, NALBOH is
pleased to have awarded 5 new tobacco fellowships to local
board of health members at our 8th Annual Conference in
Raleigh, NC. These tobacco fellows will engage their local
boards and communities in policy initiatives at the local
level. We applaud each of you and look forward to seeing
your policies enacted. The year 2000 fellows are:
Shirley Greene
Lowell Haugen
Jan Lounsbury
Eric Perry
Paul Roman
North Central BOH ID
Sauk County BOH WI
Madison County BOH NC
Wyoming County BOH NY
Borough of Shrewsbury BOH NJ
~ ~
Join Other Local Boards of Health Members
for Tobacco Control Conference Calls
o
Monday, September 11, 2000
Monday, November 20, 2000
Monday, March 12, 2001
Monday, May 14, 2001
Toll-Free Bridge # 1-800-713-1971
Conference Code # 963574
NALBOH will moderate discussions on various tobacco
control issues relevant to local boards of health.
NALBOH PUBLICATIONS
Legal Authority for Tobacco Coutrol iu the U.S.
We are pleased to announce the publication of the first-ever
compilation of the legal authority for tobacco control in the United
States. This document contains state-specific reports that identify
who legally has the authority to enact tobacco control ordinances
on issues ranging from clean air to youth access, licensing tobacco
product retailers and more. A CD version will be mailed to all
NALBOH members in the near future as part of your membership
benefits.
Policy Statement on Tobacco Use Prevention & Control
(:'
Through this joint policy statement, the combined memberships of
ASTHO, NACCHO, and NALBOH clearly state their intention to
eliminate - to the extent possible - the devastation wrought on
Americans by a product that, when used as intended, causes dis-
ease, disability and death. This policy states that there can be no
hesitation or delay in implementing measures necessary to protect
the public from substances that kill nearly half a million Americans
each year. Within this framework, the sponsoring organizations
jointly support the following actions to create a tobacco-free soci-
ety.
Page I3
August 2000
1) Reduce or eliminate access to tobacco by minors.
2) Support efforts at the local, state, and federal level to
increase the regulation of tobacco products.
3) Support effective K-12 school-based programs for
tobacco use prevention to reduce initiation and
encourage cessation of tobacco use among young
people.
4) Enhance access and availability of cessation services,
remove structural barriers to tobacco use cessation,
and increase cessation research, especially for youth.
5) Increase tobacco product prices to prevent initiation of
tobacco use by children and reduce consumption.
6) Support actions that limit advertising and promotion
of tobacco products.
7) Advocate for effective, hard-hitting media campaigus
that educate the public about the health effects of
tobacco use, tobacco policy, and cessation resources,
and inform the public about tobacco industry
marketing tactics.
8) Eliminate exposure to secondhand tobacco smoke,
particularly in places where children would be
exposed, in workplaces, indoor public areas, and in all
government facilities and vehicles.
9) Assess and report the health and economic impact of
tobacco use.
10) Assure community-wide involvement in tobacco
use prevention and control efforts.
11) Support partnerships with the legal cornmunity to
explore strategies, including the use of litigation, to
support public health and tobacco use prevention and
control.
12) Advocate for local government legislative and
regulatory autonomy to control tobacco.
13) Advocate for siguificant, sustained funding for
comprehensive tobacco prevention and control
programs at the federal, state and local levels.
14) Assess and report on money spent and actions taken
by the tobacco industry in promoting tobacco and
opposing tobacco regulation at the cornmunity, state,
and federal levels.
These policy goals are interdependent; none could stand
alone as a solution to this country's single greatest
preventable cause of death. However, they are also
flexible and will be revised and redirected as
circumstances require.
Each board of health was sent a copy of the entire document
in August 2000. Watch for your copies of the joint policy
statement and the legal authority for tobacco control in the
u.s.
For more information on tobacco control contact Rebecca
Edwards 01 <rebecca@nalboh.org> or call (419) 353-7714
August 2000
A Look at the Membership
NALBOH NewsBrief
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I
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I
: Date
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A Hospital Closure Avoided
L. Fleming Fallon, Jr., MO, DrPH
In the February NewsBrief a member asked for
assistance. The following is a synopsis of the outcome,
a story of citizen volunteers taking on a large
corporation. This is told largely in the words of Mr
Justin McCarthy of St. Davids, Pennsylvania, a
volunteer member of a local board of health.
In 1986, three community hospitals decided to form an
alliance to improve efficiency and reduce costs. The
initial step was to pool laundry services, followed by
food services several years later In 1992, a major
medical complex in Philadelphia bought the three
hospitals and merged the administrative functions with
an eye on cost containment. All three hospitals and the
major hospital complex owner were showing a profit
each year
The major medical complex granted privileges to all
doctors in all three hospitals as a first step In 1996, a
plan for consolidation was announced. The three full
service hospitals would no longer be full service, but
would become specialty hospitals.
The board of health in the community surrounding one
of the hospitals objected to the closing of a cardiac
surgery unit (600 open-heart procedures per year). The
local board of health passed a resolution decrying this
proposed plan. The board asked their township
commissioners to join in the resolution. The
commissioners put the proposal on their agenda and
asked the board of health and the
administration to meet to discuss the plan.
hospital 0
The meeting was very well attended and each side was
heard. Township meetings were televised so the whole
community was alerted. Both sides presented their
cases and refuted the opposition. The commissioners
passed a resolution of their own opposing the changes.
The board of health, armed with its resolution and that
of the commissioners, went to the boards of health and
commissioners in neighboring townships. Some joined
the battle. Finally, the board of health presented its
case to the interfaith council, a group of 21 pastors of
various denominations, who then wrote a strong letter
of protest. Among the signers was the Chair of the
Hospital Chaplains Committee.
In short order, the hospital administration held a press
conference. It declared that, after careful study and
barring any significant changes in the local situation, no
changes would be made in the foreseeable future.
The day had been won because an alert local board of
health recognized negative outcomes and formed a
strong coalition. A logical sequence was plotted and 0'
followed. The media was kept informed every step of
the way Arguments were well prepared and
effectively presented. The public heard enough from its
own board of health to speak up to the hospital
administration with letters to the chairman or trustees
and to the editors of local papers. In the end, David
slew Goliath.
Membership Year. 2000
ApPLICATION FOR MEMBERSHIP
Board of Health/OrganizationIName
Address
City
Telephone
Contact Person
Type of Membership
Fax
State
Zip Code
E-mail
Title
Institutional (Dues $100, or $75 if you belong to a State Association of Local Boards of Health that is an Affiliate Member of
NALBOH) local board of health or other governing body that oversees local public health services or programs
Affiliate (Dues $250) State association of local boards of health
Associate (Dues $50) Individual
Retired Board of Health Member (Dues $ I 0)
Sponsor (Nonprofit $50; For-Profit $250) Organization, agency or corporation
Mail this form, with payment of dues to:
NALBOH, 1840 East Gypsy Lane Road, Bowling Green, OH 43402
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I NALBOH NewsBrief
August 2000
I
I
I Calendar of Events
C Ohio Association of Boards of Health's Meetings & Annual Conference
September 6, 2000 in Findlay, OH
September 7, 2000 in Barberton, OH
September 30, 2000 in Fairborn, OH
October 28, 2000 Annual Conference in Columbus, OH
For more information cal (614) 459-4456
Montana Public Health Association
September 11-13, 2000
Holiday Inn
Great Falls, Montana
For more information, call (406) 495-0515
c'
2nd Symposium on Medical and Public Health
Response to Bioterrorism
November 28-29, 2000
Washington, DC
For more information, call Andrea Lapp at (800) 431-5638
or visit <www.hopkins-biodefense.org>
The 15th National Conference on Chronic Disease Prevention and Control
Living Healthier, Living Longer: The Will and the Way
November 29-December 1,2000
Washington Hilton and Towers
Washington, DC
For more information, call Estella Lazenby at (301) 588-6000 or visit
<www.cdc.gov/nccdphp> or <www.astcdpd.org>
NALBOH's 9th Annual Conference
July 25-28, 2001
Cleveland, OH
For more information, contact NALBOH at (419) 353-7714 or visit <www.nalboh.org>
.:'
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NOTICE
Please send your upcoming meeting, conferences and accomplishment notices to NALBOH.
Public health organizations, whether local, state, or national, are invited to announce activities
and events in the NALBOH NewsBrief Send information to:
1840 East Gypsy Lane Road, Bowling Green, OH 43402
or email <nalboh@nalboh.org>
I
Pag;151
NALBOH's 9th Annual Conference
.'J
Join Usll
NALBOH's 9th Annual Conference
July 25-28,2001
Cleveland, Ohio
North Coast Harbor
Comments from the 2000 Annual Conference:
"Congratulations on a most successful, engaging and instructive annual conference! I learned a lot; I will be
a better participant in public health matters in the future." .5t. Davids, P A
"NALBOH did a great job of organizing the conference (well planned, on-time, good content), the speakers
and the food selections were also good." .Park City, UT
"Thank you for your guidance and advice on my recent attendance to your conference. I was impressed ::)
with the planning and conduct of the meeting." .Beckley, West Virginia
For more information contact the NALBOH office at:
Phone: (419) 353-7714, Fax: (419) 352-6278
E-mail: <nalboh@nalbohorg>; Web: <www.nalboh.org>
National Association of Local Boards of Health
~ -J 1840 East Gypsy Lane Road
~~N A L B "g";;J Bowling Green, OH 43402
5A:;--v~
NONPROFIT ORG.
u.s. Postage
PAID
Bowling Green, OR
Permit No. 47
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