08/02/1995
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Dr. Spiro J. Macris, Chairman, called the regular business meeting of the New Hanover
County Board of Health (NHCBH) to order at 7:00 a.m. on Wednesday, August 2, 1995,
in the Carl Thomas Durham Auditorium, New Hanover County Health Department,
Wilmington, North Carolina.
Members Present:
Spiro J. Macris, DDS, Chairman
Dennis L. Jackson, DVM, Vice-Chairman
Mary Lou Alford, RN
John M. Coble
Mary King Dean
W. Keith Elmore, RPh
Robert G. Greer
Edward L. Paul, Jr., 00
Mark A. Veenstra, PE
Estelle G. Whitted, RN
Members Absent:
Thomas V. Clancy, MD
Others Present:
Robert S. (Bob) Parker, Health Director
Frances F. De Vane, Recording Secretary
Invocation:
Mr. John Coble gave the invocation.
Minutes:
Dr. Macris called for corrections to the minutes of July 5, 1995. The minutes were
approved.
New Business:
SeptaQe Disposal
Dr. Macris explained that the Board of Health convened at 7:00 a.m. to address the
septage disposal and setback requirements for a proposed septage disposal site located
on River Road in New Hanover County.
Mr. Coble informed the Board of New Hanover County's need for a septage and grease
disposal facility. He stated New Hanover County generates an estimated 3 % million
gallons of grease and septage annually and that the county is dependent on neighboring
counties for land application and disposal of these materials. He explained to the Board
that county zoning septage disposal site setback requirements are more restrictive than
the state requirements for grease and septage land application sites.
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Mr. Coble introduced Mr. Chris McKeithan, Waste Management of Wilmington. Mr.
McKeithan stated that the River Road septage disposal site conforms with state setback
requirements, but it does not conform with county setback regulations for a septage
disposal site.
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Mr. Coble presented a resolution to the Board of Health requesting that the New Hanover
County Planning Board adopt the North Carolina State Standards as they apply to
Setback Requirements for Grease and Septage Land Application Sites.
Mr. Greer stated that the proposed resolution needs to read that the county adopt state
standards as they apply to setback requirements for grease and septage land application
sites. He stated it is improbable that spot zoning will be considered by the County
Commissioners.
MOTION: Mr. Coble moved for the New Hanover County Board of Health to adopt a
Resolution requesting that the New Hanover County Planning Board adopt the State
Standards as they apply to Setback Requirements for Grease and Septage Land
Application Sites in New Hanover County. (Attachment #1 incorporated as a part of these
minutes.) Upon motion, the MOTION CARRIED.
Committee Reports:
Environmental Health
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Mr. Coble reported that the Environmental Health Committee met at 6:00 p.m. on Monday,
July 17, 1995. Educational articles on Tattooing will be distributed to the Board of Health,
and this issue will be placed on the September 1995 Board Agenda.
Executive
Dr. Macris reported that the Executive Committee met at 6:15 p.m. on Tuesday, July 18,
1995. Participation in the Smart Start planning process and immunization services to
out-of-county residents were discussed. Both issues are on the Board's agenda.
Department Focal:
Ms. Betty Creech, Community Health Director, gave the department focal on Sharing the
Load, an Inmate Co-Payment Program, proposed for the New Hanover County Jail Health
Program. She explained this program should promote more appropriate inmate sick call
requests, share responsibility of medical care with inmates, recover partial cost of jail non-
emergency health services, maintain professional healthcare, and optimize jail and I
health department staff time.
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Ms. Creech presented the following proposed non-emergency fees: sick call visit $10,
dentist visit $10 and prescription $3. Medical care will not be refused due to inability to
pay. Other medical services provided at no charge are admission physical, mental health
screening, communicable disease screening and treatment, medical emergencies, and
other follow-up visits requested by medical staff.
Ms. Creech stated in July 1995 the North Carolina General Assembly ratified House Bill
1018 authorizing local governments to charge inmates fees for medical care.
Unfinished Business:
Health Department Participation in Smart Start PlanninQ Process
Dr. Marcris stated that the Executive Committee without a recommendation referred the
decision to the full Board of whether the health department should participate in the Smart
Start planning process. Dr. Macris referenced a letter dated July 14, 1995 to Mr. Parker,
from Mr. Mark Lanier, Chair, New Hanover County Partnership for Children (NHCPC),
formally requesting for Mr. Parker to represent the NHCHD on the Partnership's Board of
Directors. The letter includes a list of current and/or proposed NHCPC Board Members
and Officers and states that the local Partnership expects to receive estimated funding of
$100,000 from the North Carolina Partnership for Children during the 1995-96 Fiscal Year
to plan for the development of a local Smart Start Program.
Mr. Emore reported that Ms. Marty Gresham, proposed President of New Hanover County
Partnership for Children, informed him that the local NHCPC is incorporated, has not
officially met, and that an Executive Director will be appointed. Mr. Elmore, Mr. Veenstra
and Ms. Whitted expressed that the health department should participate in the Smart
Start planning process.
Dr. Macris requested that the Board respond to Mr. Lanier's letter of July 14 requesting
health department participation in the NHCPC Smart Start Program.
MOTION: Dr. Jackson moved for the Board of Health not to endorse health department
participation in the Smart Start planning process as formally requested by the New
Hanover County Partnership for Children. Upon vote, the MOTION CARRIED.
Inmate Co-Payment ProQram in Jail
A discussion followed on the Sharing the Load, Inmate Co-Payment Program for New
Hanover County Jail, presented by Ms. Creech.
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MOTION: Mr. Coble moved for the Board of Health to approve and to recommend to the
New Hanover County Commissioners the establishment of an Inmate Co-Payment
Program to charge inmates in the New Hanover County Jail the following proposed
medical fees:
Sick Call Visit $10
Dentist Visit $10
Prescriptions $ 5
Dr. Jackson moved to amend the above motion to include a request for judges to add the
cost of accumulated medical expenses to an inmate's sentence. Upon vote, the MOTION
CARRIED.
Mrs. Mary Dean requested an evaluation of the above Inmate Co-Payment Program in
January 1996.
Recognitions:
New Emplovee
Dr. Macris welcomed the following new health department employee:
Deborah Lovett, Clerical Specialist - Environmental Health
Years of Service
Ten (10) Years
Joyce A. Deshields, Licensed Practical Nurse, Communicable Disease
Twentv (20) Years
Susan M. O'Brien, Laboratory Director, Laboratory
Poster Session
1995 Academic Linkaqe Award
Dr. Macris stated that NHCHD won the third prize ($250) 1995 Academic Linkage Award,
"A Collaborative Effort to Improve Pregnancy Outcomes Among Clients of a Local Health
Department. Ms. Mary Piner, Women's Health Care Public Health Nurse, stated that she
attended and participated in the poster session at the National Association of County and
City Health Officials (NACCHO) Annual Meeting on July 20-22, 1995, in Atlanta, Georgia.
The award winning poster was displayed for the Board of Health.
Unfinished Business:
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Immunization Services to Out-Of-County Residents
Dr. Macris recommended from the Executive Committee to the Board of Health for the
New Hanover County Health Department to comply with the Department of Environment,
Health and Natural Resources (DEHNR) Contract Addendum regarding the administration
of immunizations to out-of-county residents at no cost to patients.
MOTION: Dr. Macris moved from the Executive Committee for the Board of Health to
approve the acceptance of out-of-county residents for immunizations in compliance with
DEHNR Contract Addendum. Upon vote, the MOTION CARRIED.
Grease Disposal
Mr. Coble stated that New Hanover County restauranteurs need a facility for grease
disposal. He understands that the new waste treatment plant will not accommodate
grease. Mr. Coble volunteered to prepare a letter from the Board of Health to the New
Hanover County Commissioners addressing this issue.
It was the consensus of the Board of Health to approve for Mr. Coble to write a letter to the
New Hanover County Commissioners expressing the necessity for a grease disposal
facility located in New Hanover County.
Comments:
Board Members
Mr. Coble presented a report on the Linking Public Health to the Community Conference
and the National Association of Boards of Health Annual Meeting held in Atlanta on
July 20-22, 1995.
Health Director
Animal Control - Northern End of WriQhtsville Beach
Mr. Parker indicated that the Board of Health had requested at their April 5, 1995 meeting
for Wrightsville Beach Animal Control to assume the Animal Control enforcement on the
Northern End of Wrightsville Beach. He informed the Board that the New Hanover County
Commissioners decided that Animal Control enforcement for this area will continue to be
provided by NHCHD Animal Control Services.
MecklenburQ County Health Department
Mr. Parker reported that the Mecklenburg County Commissioners have proposed to turn
over most county health department duties to Charlotte-Mecklenburg Hospital Authority.
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Animal Control Reauest to County Commissioners
Mr. Parker stated that the Board of Health's request for an additional Animal Control
Officer position will be presented to the New Hanover County Commissioners at their
meeting on Monday, August 7, 1995.
Adjournment of Regular Session:
Dr. Macris adjourned the regular session of the Board of Health at 8:40 a.m.
Executive Session:
Dr. Macris opened the Executive Session of the Board of Health at 8:50 a.m. He stated
that the Executive Session was called for personnel matters.
An employee appeared before the Board and made a presentation. The Board of Health
considered the employee's evidence and the evidence presented by Mr. Parker, Health
Director, and Ms. Lynda F. Smith, Assistant Health Director.
MOTION: Dr. Jackson moved to support the Health Director's termination of the
employee. Upon vote, the MOTION CARRIED.
MOTION: Mr. Coble moved to adjourn the Executive Session of the Board of Health.
Upon vote, the MOTION CARRIED.
Chairman Macris closed the Executive Session.
Dr. Macris reconvened to Regular Session at 9:30 a.m.
Adjournment:
There being no further business, the regular meeting of the Board of Health was adjourned
at 9:35 a.m. ~~
J. M~ris~ cl~s, Chairman
Hanover County Board of Health
%-p~
Robert S. (Bob) Parker, Health Director
New Hanover County Health Department
Approved:
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NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 17TH STREET
WILMINGTON, NORTH CAROLINA 28401-4946
TELEPHONE (910) 343-6500 FAX (910) 341-4/46
ROBERT S. PARKER
Health Director
LYNDA F. SMITH
Assistant Health Director
NEW HANOVER COUNTY BOARD OF HEALTH
RESOLUTION
WHEREAS, New Hanover County generates an estimated 31h million gallons of waste
grease and septage annually;
WHEREAS, New Hanover County businesses and citizens are now totally dependent on
neighboring counties for land application and disposal of these materials~
WHEREAS, the availability of means to safely' and properly dispose of these materials
affeçts pot orily the public health but also the survival of local construction, food service and
tooost mdustnes;
WHEREAS, within five years another viable disposal option may be available as New
Hanover County may have constructed a new wastewater treatment plant which may be
able to accept and adequately treat these materials;
NOW THEREFORE, BE IT RESOLVED, that the New Hanover County Board of
Health
REQUESTS that the New Hanover County Planning Board adopt the State Standards as
they apply to Setback Requirements for Grease and Septage Land Application Sites. .
Adopted this -1- day Au~st , 1995
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Dr. SJ!iro J. Macris, Chairman
New Hanover County Board of Health
Date:
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