02/05/2003
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New Hanover County Health Department
Revenue and Expenditure Summary
December 2002
Cumulative: 50.00% Month 6 of 12
Revenues
Type 01
Revenue
Budgeted
Amount
Current Year
Revenue Balance
Earned Remalnin
%
Prior Vear
Budgeted Revenue Balance
Amount Eamed Remalnln
%
Federal & State
C Fees
Medicaid
Medicaid Ma.
EH Fees
Health Fees
Other
505,207 $ 1,200,001
270,797 $ 317,147
264,576 $ nO,610
$ 989,511
$ 267,233
$ 747,126
26.53%
49.87%
26.24%
100.00%
34.14%
73.52%
44.33%
Expenditures
e Current Yea, Prior Vear
ypeol Budgeted Expended Balance % Budgeted Expended Balance %
Ex endltur. Amount Amount Remalnln Amount Amount Remalnl
Summary
Budgeted Actual %
FY 01..02 FY 01..02
Expenditures:
Salaries & Fringe $9,183,608 $3,932,621
Operating Expenses $1,918,286 $794,483
Capital Outlay $183,746 $35,827
Total Expenditures $11,285,640 $4,762,931 42.20%
Revenue: $5,412,153 $2,065,340 38.16%
Net County$$ $5,873,487 $2,697,591 45.92%
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Revenue and Expenditure Summary
Fiscal Year 03
As of December 31, 2002
8
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plRAFT EJigihility Requiremenb for Securi~Car Seats
_ - Every recipient mustmeetAU of these criUri41
1. To qualify for $10 co-pay: the parent BDd..child must be on at least
one type of public assistance (Medicaid, WIC, Health Choice, Work
First, Food Stamps, etc.).
2. To qualify for receiving the seat at cost ($40): the child must be at
on at least one type of public assistance (Medicaid, WIC, Health Choice,
Work First, Food Stamps, etc.) and the parent mustJW1 be on any type of
assistance.
3. Foster parents are not eligible for car seats.
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4. Parent/Care Giver RespollSloilities:
. Sign a waiver of liability.
. Show documentation of assistance.
. Participat,e in a Car seat instruction class prior to receiving a car seat
(monthly classes on 3M Monday, 2 p.m., New Hanover County Health
Department (NHCHD) auditorium). Pre_registration required.
. Respond to any'recall notices and comply with recommendations.
. Follow all instructions from car seat manufacturer and vehicle manual.
. Attest that they have no other resources with which to obtain a car seat.
. Pay the co-pay ($10) or cost of seat ($40) in cash.
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5. A family mily receive more than one car seat if, and only if, they:
(These seats will be offered at cost - $40)
. Have several children who need to ride at the same time,
not for a second car or additional family member or day care.
. Attest that they have no other resources to obtain a seat.
. Sign a waiv~r of liability.
. Participate in a car seat instruction class prior to receiving a car seat
(monthly classC$ on 3M Monday, 2 p.m., NHCHD auditorium.) Pre-
registration required.
. Respond to any recall notices and comply with recommendations.
. Follow all instructions from car seat manufacturer and vehicle manual.
12
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6. Staff responsibilities when distn'buting car seats: e
. Complete Car Seat Application Form. .
. Check the Master List to make sure the family has not already
received seats from other agencies
. Update the Master List with clients' information (family name,
child's name, Medicaid numbers, type of seat, where car seat
received, if they paid a co-payor cost and , if so, the receipt
number).' "
. Collect the payment in cash, write a receipt and give the person
receiving the seat a copy of the receipt..
. Give the cash and receipt to Health PromotionJ\dmini!ltrative Support
Tecbni~an or designee.
.Funds will be deposited to the Risk Reduction/lnjury Prevention budget #5180 and
will be used to purchase car seats.
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13
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CAR SEAT APPLICATION FORM
Child's Name: (please print)
Age: VTS
mo Weight:
Height:
Parent's Name.: (please print)
Address:
Telephone:
Who were you referred by:
Check all that apply:
Medicaid
W1C _ Health Choice _ Food StampS _ Work First_
Payment (~h only) $
Circle choice:
Type of Seat: 1) Infant
( co-pay lcost) please circle one
Receipt #
2)Convertible 3)Hi-back booster wI harness 4)Baclc1ess booster
Make of Seat(elli: Cosco, Evenflo):
alname and/or #:
Date Manufactured:
You must reside In New Hanover County, meet tbe eligibility requirements and receive proper car seat education to receive
a cblld safety seat (CSS), You are beina provided a CSS by New Hanover Safe Communities/SAFE KIDS Coalltlon(w1th New
Hanover Public Health Dept. as lead agency), NC SAFE KIDS, and the N.C. Govemor's Highway Safety Program. You are
provided with instruction for use of the CSS by person(s) with Child Passenger Safety training.
By signing below, you agree to release and waive New Hanover County, N,C. SAFE KIDS, and the N,C, Governor's Highway Safety
program from any and all liability related to damages or injury resulting from or related to use of this CSS provided to you.
You also agree:
. all information you have provided is accurate and complete
. you have received the infoT/lllltion listed beIow
. you will follow all guidelines for proper installation and use of the CSS you've received according to the CSS manufacturer's
instructions and the vehicle instructions.for child restraint
. you have no family or other monetary resources with which to purchase a CSS,
Documentation of Education b.v In..c;trudor:
_the safest position in car
_dangers of air bags
----possible recalls (registration card)
_laws vs, safest practice for child transport (1illBOlb & 4' 9")
_Changes needed to'CSS to accommodate child's growth ill future
_How to put child in seat properly
__how to install seat in car securely and in correct position
~ use of clip if needed
(lDstruct01: :lDit1al ~y each topic)
--
Instructor: (print)
(sivn)
Date:
Parent/Guardian/Caretaker: (sim\
1103
Date:
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New Hanover County
Health Department
..
Requested Budget FY 04
Summary
January 28, 2003
e
bP:!!!!r:.!!!l_' 10P!!I'!!JJ.!!B 80.. e!!p.Q!lLQOdll~lr8m fY 08...
:.:tIlt 98,200 77'%
Ai1IrntdContn:ll (3) 0'Il0
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..."
.'1'"
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...,.
..'"
..."
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- ----- ---.----- -.-.---.....'0%
--31%
'"'
.11%
-'--3%
''''''
'"'
'"'
'"'
'"'
..."
'"'
.,"'"
,"'"
PtM;:HeaIlhBIaIenOrlIm
..............
....
""",_too<
p-
.....
(7.316)
10,870;
we
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T_
_.....\IId
C4nlC<n""
MOW
TAIF
MIll.mty ear. coer
HeaIlt1Chick
p--
---
~!.~..~~--
BCCCP
PBrtnerahl bChlkhii
ChIIdHellth
0....-
sdliifHiiiih
NC?WIHWoman
(10.036)
(500)
(1,319)
(7;048)
(1,294)
(30,000)
(2,911)
w
(833)
. (1,821)
$ 53,404
1.03%
S27,104
---
............
...... .....,
...-
JoI
CSH8
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--
---
............ -
p SlOP
(23.100)
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Caphal QUllal: IT Requests lor FY 04. . .
Hubs
Software
Cables
$ 2,000
$ 3,000
$ 5,000
$ 775
$ 10,000
$ 19,000
Monitors, Printers, Hard Drives
HIPAA Requirements
TOTAL IT Requests:
$39,775
.O...c=Ji.c..L....:.i
, '. I
'1 .J
,... '--:c'i
~~
~~;
-
e
-Caplllil Oildav: Excluding IT Reqnelll
............
Qly """-
T""'eo..
Vector Control 1 Oper6tions Building
$96,200
Total Combined Capital Requests:
$39,775 + $96,200 = $135,975
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'" E__ 140.873}'
-""""
5114 -"""" "',OlD)
5121
51:>2 Ptdc HB8Ilh BT 000)
5131 ...- (1)1
51'" ChIIdSeNcesCoor 15,600;
5134 NlNgBIor Partnnhlp ----t- 14,670i
5141 WIC
5142 ...-
5151 E~ fY04
5152 T_ 4,500, IIIlIDUe
5154 lntensMI Heme Visit
5156 CHid Qn eor.lAlant 5.068, CbaD...
5151 MOW
5158 TANI' (27,332) frOm fY 01
5158 MCC ,000
5l0J _aooo. 84'
5161 ...-- 978
5182 -- (18,520)
5'" F ~
51.. BCCCP
51" . """"""" 15,271
5167 ""~- 1&
51" ..... - 121,714
5"" NC WIse Warren '''1)4
5172 (2.000)
5174 ...-
5178 OSHS $ -4,974
510J AFVP
5181 . ,.....
5182 _ E"'- (5,000)
51" Asthma-SITlIftStlrt "
5167 p~ STOP 22.447,
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Summarv of Projected Revenue
State Money
Fees
Medicaid
Other
$ -12,067
$ 9,688
$ -10,840
$ 27,621
Total Decrease in Revenue:
$ - 4,974
-.09%
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Total Cost to Countv for n 04
Salary & Benefits
Operating Expenses
Capital Outlay
Total Expenditures
Differenoe:
Total State & Federal
Revenue:
Differenoe:
Total Increase to County:
FY02-OJ
FYOJ-04
$ 9,183,608
$ 1,693,105
$ 35.126
$ 10,911,839
$9,183,608
$1,645,660
$ 135.975
$10,965,243
$ 53,404
$ 5,464,426
$5,459,452
$ 4,974
$ 58,378
1.07%
24
Health Department: New Hanover \;OUJIty, N\;
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Home I Citizen I Business 1 Government I Health & Safety I Tourism & leisure I Education I r.\edia
r
PIlgo molnlllblod.., DOVkI-.
Loot rnocIIIIOd on 01/1_ .
.,
Health Department
New Hanover County
Board of Health
Committees
Committee Assignments
200J
Executive Committee:
Mr. W. Edwin Link, Jr., Chairman
Dr, Melody C. Speck, Vice-Chairman
Mrs. Gela N.. Hunter
Mr. Marvin E. Freeman, Sr,
Dr, Edward Weaver, Jr,
Environmental Health Committee:
Dr. Edward Weaver, Jr., Chairman
Mr. Henry V. Estep
Dr. Philip Palmer Smith, Sr.
Mr. John S. Tunstall
Personal Health Committee:
Mr. Marvin E. Freeman, Sr., Chairman
Mrs. GeIa N, Hunter
Mr. Donald P. Blake
Dr. Sandra L. Miles
Animal Cont.mL$ervlce. Ad~
Comm~
Dr. Melody C. Speck
Association of.NC Boards of J:IuIUl;.
Mr, W. Edwin Link, Jr,
http://www.nhcgOV.comlhltblNHcBH-Committees.asp
112112003
25
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Association of North Carolina
Boards of Health
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NCIPH, Campus Box 8165, Chapel Hill NC 27599-8165
Phone: (919) 966-4917 Fax: (919) 966-5692
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January 13, 2003
Mr David E. Rice
Health Director, New Hanover County
2029 South 17th Street
Wilmington, NC 28401
Dear David:
The ANCBH Nominating Committee has selected the New Hanover County Board of Health as
the winner of the "Outstanding Board of Health Award." We were very impressed with the involvement
and commitment of this Board of Health and its members.
A presentation of an award plaque will be on January 30, Thursday evening, during the ANCBH
Awards reception in Raleigh, NC. The reception is part of the State Health Director's Conference.
Although this is not a monetary award, we would invite the Board Chair or designee to attend the entire
conference compliments of ANCBH. All the Board is welcome at the reception and the business meeting
that follows at 6.30PM.
David, please relay our congratulations to the entire Board, but keep it private until the award is
presented.
Please let Teme Levbarg, 919-966-4917, know who will be attending the conference.
Again, we applaud the New Hanover Board and look forward to a good representation at the
reception. Any questions, please let me know
With regards,
1?~
Rachel H. Stevens
President, ANCBH
RHS:gh
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Recreational Water Quality Program
In June of 1997, the North Carolina SheUfish Sanitation Section, part of the Division of Environmental Health under
the Department of Environment and NaturaI Resoun:es (DENR), was given the responsibility of initiating a
recreational water quality program in the coastaI waters of the state. The coastaI waters monitored include the ocean
beaches, sounds, bays, and estuarine rivers.
The prirwuy JlIIIPOSe of the program is to protect public health by monitoring the quality of North Carolina's coastaI
recreational waters and notifying the public when bacteriological standards for safe bodily contact are exceeded.
A geometric mean (log average) of five (5) weekly samples cannot exceed an enterococci count of 35 per 100 mI to
be in compliance with the swimming standard. If the swimming standard is exceeded, the local health director and
other local officials are notified, a press release is issued to inform the public, and a warning sign is posted at the
swimming site to advise swimmers. When the site no longer exceeds the standard, the sign is removed and the
officials and the public are notified again
New for 2003 is a single sample maximum standard, which is required by the US Environmental Protection Agency
(EPA). When a sample exceeds a count of 104 enterococci, an advisory is immediately issued. The advisory is
lifted when the enterococci count is below 104 again. Some less frequently used waters have single sample
maximums of 276 and 500 enterococci per 100 mI, depeuding on the actuaI usage of the water.
Recreational waters that may be affected by point source pollntion (such as wastewater treatment plant discharges)
are posted with permanent advisory signs. Discharges of stormwater and floodwater into swimming areas may also
prompt a temporary swimming advisory until 24 hours afler the discharge has euded.
The ocean beaches and other high-use areas (Tier I areas) are sampled once per week between April and November.
Less-used beaches (Tier IT and ill areas) are sampled twice per month during this time period. All stations are
sampled once per month between December and March.
New Hanover currently has sixteen (16) sampling stations: eight (8) classified as Tier I areas, and eight (8) classified
as Tier IT areas. The map below shows the sampling locations currently in use:
Il8adI Ialnltorlng SIBS
inNI!UIH_Counly,NC
1112 ~ e: ~
o Be8ch
MariIollng Site
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Frequently Asked Questions
WillI get sick if I swim in waters that are under swimming advisory? Not necessarily hnt you are at an increased
risk. It is advisable to stay ont of the waters in the imm<:di~tp. area of the sign as long as the sign is posted
What kinds of illness can I contract from swimming in polluted _s? The most common are diarrheal diseases
that can be caused by bacteria. viruses, and parasitic protozoans. Ear, nose, throat, skin, and respiratory infections
are also commonly associated with swimming in contautinated water.
Where are the diseose-ctUlsing organisms comingfrom and how are they getting into the water? Pathogens come
from both human and animaI soun:es. Inadequately treated wastewater from treatment plants, malfunctioning septic
systems, and boat discharges are all soun:es of sewage contamination. Stormwater runofffrom agricultural and
wban areas delivers pathogens from humans, livestock, wildlife, and pets into recreational waters. Germs rinsed off
other swimmers directly into the bathing area are also common soun:es of contamination.
Can I get sick from swimming in fresh _1lIkes and rivers? Yes. Fresh water is affected by runoff and point
source discharges just like coastaI waters. Unfortunately the state does not have a monitoring program for inland
recreational waters. The public should avnid fresh water swimming afler heavy rains, especially near storm drains.
How many stations do you monitor and how often? There are 225 sampling stations throughout the coastaI area
that are monitored at different frequencies, depending on use.
Are North Carolina's beaches SfJfefor swimming? To date, North Carolina's ocean beaches have never exceeded
the swimming standard. Using the previously mandated standard, which tested for a different type ofhacteria, in the
summer of 2000, only five sound side stations exceeded the swimming standard.
How long does swimming advisory silly posted? At least two weeks. The geometric mean has to be under 35
enterococci per 100 mI, with all single samples falling below the maximnm nf 104 enterococci per 100 mi. Two
consecutive samples must be collected on a weekly schedule that also read under 35 enterococci per 100 mi.
Where can I callfor more infol'1tllllion or assistance regarding this program? For more information, contact:
Recreational Water Quality Program
Shellfish Sanitation Section
PO Box 768
Morehead City NC 28557
252-726-6827
i.d.Dotts\alncmaiJ.net
ATTENTION
SWIMMING IN THIS AREA IS NOT
RECOMMENDED BACTERIA
TESTING INDICATES LEVELS OF
CONTAMINATION THAT MAY BE
HAZARDOUS TO YOUR HEALTH.
THIS ADVISORY AFFECfS WATERS
WITIllN 200' OF THIS SIGN.
OFFICE OF THE STATE HEALTH
DIRI!CfOR
MIKE MciNTYRE
228 CANNON HOUSE OFFICE BUILOlNG
WASHINGTON, DC 20515-3307
(202)225-2731
FAX: (202) 225-5773
7TH DISTRICT, NORTH CAROLINA
COMMITTEE ON AGRICULTURE
A..MITTEE ON ARMED SERVICES
.SPECIAL OVERSIGHT PANEL
ON TERRORISM
CO_CHAIRMAN
RURAL HEALTH CARE COALITION
(!ongrr~~ of tbr WnitdJ ~tatr~
~oufie of l\eprefientattbefi
.aSlJington, 1.B~ 20515-3307
D1STRICTOFFICE$:
301 GREEN STREET, ROOM 218
FAYETTEVILLE, NC 28301-5088
(910) 323-0260
701 NORTH ELM STREET
LUMBERTON, NC 28358-4895
(910) 671-6223
Mr. David E. Rice
Health Director
New Hanover County Health Department
2029 South 17th Street
Wilmington, NC 28401
;i
,~
152 NORTH FRONT STREET, ROOM 208
WILMINGTON, NC 28401-3957
(910) 815-4959
WEB PAGE:
www.house.gov/mclntyre
January 9, 2003
0)
Dear Mr. Rice:
e
As many of you are aware, during the 107th Congress, I supported and the
President signed into law the Homeland Security Act of 2002, which created the
Department of Homeland Security. This Department was established to prevent terrorist
attacks within the United States, to reduce America's vulnerability to future attacks, to
minimize the damage as a result of attacks that do occur, and to increase the ability of the
United States to recover from such attacks. The creation of the Department of Homeland
Security also resulted in the reorganization of several governmental agencies into four
divisions: Border and Transportation Security; Emergency Preparedness and Response;
Chemical, Biological, Radiological, and Nuclear Countermeasures; and Information
Analysis and Infrastructure Protection.
In an effort to maximize communication between the federal government and local
agencies, I am establishing a Homeland Security Advisory Team that will be under the
direction of Katherine Thompson and Kathy Price of my office. The purpose of this
Team is to inform local first responders and emergency management personnel of
opportunities for funding, to provide current information regarding Homeland Security,
and to receive feedback from local personnel regarding their concerns, needs, and
suggestions. With this Team, I hope to enable consistent and informative communication
between agencies in the federal government and first responders & emergency
management personnel.
e
I would like to invite you to participate on this Homeland Security Advisory
Team. As a participant, you will be asked to attend meetings, to provide my staff with
feedback relative to homeland security, to be an intermediary between your community
and our office, and to relay pertinent information to other first responders in your
respective communities.
PflINTED ON RECYCLED PAPER
If you or a designated staff member would like to participate on my Homeland
Security Advisory Team, please contact Katherine Thompson in my office at (910) 815-
4959. Thank you for everything that you do each day to ensure that our citizens and our
communities are safe. I look forward to hearing from you, and may God bless you for
your service and leadership.
4'
Sincerely,
~ Yu..~
Mike McIntyre
Member of Congress
if: JOf
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Amy Akin
01/2812003 04:37 PM
To: David StevensonINHC@NHC, David E RicelNHC@NHC, Kemp
BurpeauINHC@NHC, Andy AtkinsonINHC@NHC, Pal
MelvinINHC@NHC, Janel McCumbeelNHC@NHC, Debbie
MillerINHC@NHC, Teresa HewettlNHC@NHC,
bgreene@cartergoble.com
cc: (bee: archive)
Subject: Final Draft for RFP for Health Services
Attached is the final draft of the RFP for Health Services. The changes and revisions from the last
meeting have been incorporated. I am planning to advertise Friday and send this out no laler than
Friday (by fax probably). If you have any comments or concems, please discuss with Major Stevenson
by Thursday; then he will contact me with with any agreed changes. I discussed this with Major
Stevenson and we think it will be the most efficient wey to handle this findl review.
Please note that pages 52 through 61 will consist of forms that are not part of this document and are not
available except in hardcopy. They will be part of the final package but could not be part of this email
distribution.
~
03-0024 RFP for Health Services for Jail (Rev 1.
The schedule for the process is as follows:
Advertisement Friday, January 31,2003
Pre-bid Conference Thursdoy, February 6, 2003 at 3:00 p.m.
New Hanover County Administration Building
Conference Room 501
320 Chestnut Street
Wihnington, North Carolina 28401
Deadline for County's receipt of Thursdoy, February 13, 2003 at 5:00 p.m.
Questions from proponents FAX # for questions (910) 341-4025
Deadline for Receipt of Proposals Thursdoy, February 27, 2003 at 3:00 p.m.
New Hanover County Finance Office
320 Chestnut Street. Room 602
Wilmington, North Carolina 28401
(proposals shall be registered but not opened in public.)
J>resprmorions (If Required by Tuesday, March 4 through Thursday, March 6, 2003
County)
Recommendation Decision Tuesday, March 11, 2003
Completed by Staff
Agenda Deadline for Board of Wednesday, March 12, 2003
Connnissioners Meeting
M!# "f CuttflVler
#htf/4tj I IIqtrlt J~ ;#3
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Purchase of MarketDlace Mall soaee and its affect on Health DeDartment Staff: Dianne
Harvell and Lynda Smith attended a Special County Commissioners meeting last Thursday
evening where the Commissioners were presented with a proposal from county administration to
purchase more office space for county workers at Marketplace Mall (employees from the old
county annex building are already located there). The Commissioners voted to purchase the
additional space at the Marketplace Mall and accepted a two year option on purchasing more of
the space. The Health Department's Environmental Health staff will be moving to that location to
assist the county in providing a one stop shopping for citizens needing various permits. In the
next few months, Max Maxwell, Project Manager for County Engineering, will be working with
staff to upfit the space at Marketplace Mall for the move. While this move will result in some big
changes and some additional efforts in maintaining commuications between Environmental
Health staff and the other Health Department Programs, at the same time, it will help alleviate
some space and parking issues at the Main Health Department Building at 2029 South 17th
Street.
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January 2003 New Hanover County Health Department Betsy Summey, FNP, 343-6531
THINK TBI lymphatics and blood. The Influenza Update
Extra-pulmonaryTB hilar and mediastinal
lymphadenopathy that is T he number of influenza
TUberculosiS of the Iym- noted on chest X-rays virus isolates identified
phatic system is the can be an early indication by the State Laboratory of
most commonly seen form of of primary or early TB, Public Health continues to be
extra-pulmonary TB, ac- particularly in children. few. The specimens tested
counting for 34 percent of Involvement of the cervical are submitted to the state by
the cases of extra-pulmonary nodes is also common in chi!- 41 sentinel sites, including
TB in North Carolina in dren. In the United States, private practices, I 0 local
200 I. The recent press re- however, non-tuberculosis health departments, and II
lease from the state TB Con- mycobacteria (e.g. avium) are university student health cen-
trol Program regarding an in- more often the cause of cer- ters.
e crease in childhood tubercu- vicallymphadenitis.
losis reminds us that this Rapid Recognition
form of TB is one not to be Symptoms/Diagnosis University student health
overlooked. Diagnosis is based on history centers enable the
and laboratory confirmation. state to monitor
Population Affected The lymph node enlarges influenza activity
Also know as "scrofula" or slowly over weeks or months in a diverse popu-
"the king's evil" in the Middle and is usually painless. Sys- lation that in-
Ages, the term "scrofula" temic symptoms c1udes students
comes from the Latin for GJ ,,,h u "'"'. from other states and coun-
glandular swelling. Lym- ~ I weight loss and fa- tries. In addition, this effort
phatic TB is seen most . ,. tigue are fre- can provide rapid recognition
often in women, African quently present of new influenza strains with
Americans, those who although not in pandemic potential and de-
are HIV-positive, and every case. A tissue sped- termine whether antiviral
persons from countries men should be submitted for drugs might be useful in pre-
where TB is endemic. AFB smear, culture, and sen- venting or treating influenza-
sitivities. Excision of the like illness.
Lymphatic TB is a local man i- node for culture should
festation of a systemic dis- not be confused with, or Isolates Identified
ease. Tuberculosis almost considered adequate for, The sites report number of
always enters the body cure. A full course of visits for influenza-like illness
e through the lungs, is picked treatment of TB is indi- as compared to the total
up by the lymph system, and cated.
spread through the body by continued
number of patient visits. For be found at the following which will develop and execute
the week ending 01104/03, Website: http://www.cdc. plans as well as train health e
only five isolates have been Kov/nip/recs/adult- care providers regarding issues
identified: A1H 1-2, A1H3-I, schedule.htm. of bioterrorism.
and B-2. As universities re-
convene after the holiday The Healthy People 20 I 0 This region's team serves
break, it will be interesting to immunization goal is to seven counties and is hosted at
note these numbers in what immunize 90 percent of New Hanover County Health
has, in the past few years been those over the age of 64 to Department.
the heaviest part of the flu sea- prevent influenza and Counties Served
son-January and February. pneumococcal disease.
Last year (200 I), only two- New Hanover Duplin
Adult Immunization thirds of white Americans and Brunswick Onslow
Schedule only about one-half of African- Carteret Pender
Americans and Hispanics in Columbus
T he Centers for Disease that age bracket received influ-
Control and Prevention enza shots. A smaller propor-
(CDq has created a 2002-03 tion of Americans received Team members are:
schedule for adult immuniza- pneumococcal vaccination last . Thomas Morris, MD,
tions (age 18+) year. Physician Epidemiolo-
which has been 0 gist (343-6766)
endorsed by the ) Public Health . Judith Agner, RN,
American Col- Regional Surveillance Nurse Epidemiologist
lege of Obstetri- Team (343-6759) e
cians and Gyne- . Allison Stockweather,
cologists and the American T he Public Health Regional Industrial Hygienist
Academy of Family Physicians. Surveillance Team is now (343-6761 )
The schedule with all its fully staffed. This team is one . Alene Mabry, Adminis-
attendant indications can of seven throughout the state trative Support Techni-
cian (343-6760)
Communicable Disease Statistics
New Hanover County
July 1, 2002 - Decembe'r 31, 2002
, ,
AIDS ......................................15
Campylobacter ....................... 9
Chlamydia ........................... 276
Gonorrhea............................. 86
Hepatitis A.............................. 2
Hepatitis B (acute).................. 6
Hepatitis B (carrier) ................ 0
Hepatitis C (acute).................. 0
HIV Infection ......................... 25
Leglonellosls .......................... 1
Listeriosis ............................... 0
Lyme Disease ......................... 2
Meningitis Pneumococcal...... 1
Meningococcal Disease ......... 1
Pertussis.................................... 1
Rky. Mt. Spotted Fever.............. 3
Salmonellosis .......................... 69
Shiga-Toxin Producing Infection
(formerly E. coli 0157:H7) ......2
Shigellosis ................................. 3
Strep, Group A Invasive............ 1
Syphilis ...................................... 3
Toxic Shock Syndrome............. 1
Tuberculosis.............................. 2
Typhoid (acute).......................... 0
Vancomycin Resistant
Enterococcus......................... 2
e
_ COMPILED BY ERIN JAMES
_DVANCE Shines the Spotlight on. . .Susan O'Brien
~ .. -
i ',I wi' ~'
Congratulations to Susan O'Brien, MT(ASCP},
who, aft" 39 years of,tTVice in lab m<t!kine,
tkcided it 'was time to hang up h" lab coat. StiU
staying actjve on committus. its no wonder ~hat
. O'Brien; ambition and success inspired a lifetime
.;.~fr.7~,: award 7 be named after;her.""
When did yout career take Bight?
'r" I begin my lab Career at the BaptiSt Hospi~ in
_.__ Jacksonville, FL, where I WOtked fot two years
before coming home to my hometown of Wtlmingcon, NC. I wnrked
for [WO and half yeatS as the mictobiology supervisor at James Walket
Memonal Hospiral and when James Walket dosed, I transferred to New
Hanover Regional Medical Center. I worked there for eight years as the
microbiology supervisot until 1975, when I became the laboratory direc-
ror at the New Hanover County Health Depattment. I held this position
for 27 and half years until my retirement on Aug. 30, 2002.
H6w has the lab changed since you first started?
I worked lOr 39 and half years in lab medicine. I have had the oppor-
[Unity to see lab medicine grovv from manual testing to automation. and
lab training has changed to give srudems the skills to be leaders. Labs are
much more automated .today than when I entered the field in. 1963. But
even with this automation, technologists are still required to have the
A:kground to be ahle to provide the infurmation needed to run the auto-
.ted instruments: rep.~;,~.:d even do manual testing when all else fails.
How are you an advocate for local health department labs?
When I came to work in the public health field in North Casolina,
there were not many trained lab professionals working in our scare's
local health depastments. My county was one of the exceptions. I had
[WO othet degteed technologists wotking with me and othet in-lab
trained personnel to help with the lah testing. I have spent a lifetime
working to have qualified personnel perfutm lab testing in local health
deparrmems in the state. I certainly cannot claim to have been a driv-
ing force in this process, but I certainly have wed every opportunity CO
make the point for this process..1 have been very active in state and
regional public healch associations. serving as president of the Eastern
District North Casolina Public Health Association, the North Carolina
Public Health Association and the Southern Health Association. In
these associations. I have always WOtked to upgrade the role of public
health laborarorians, to make everyone aware of ~e importance of
qualified lab personnel and to make the laboratorian personnel aware
of their imporrance and responsibility to public health.
Now in the pOSt 9/11-era, lab persnnnel have taken on a much greater
role in protecting the public's health. I.aboratorians like myself have been.
working to be recognized as an impOrtant parr of the public health fum-
dy, and I feel tha< we have certairuy come a long way in 27 years.
How was the lifetime achievement award named after you?
The O'Brien Lifetime Achievement Award was created by the
_oratory Section of the North Carolina PublicHealth Association in
tember to honor me. This '\Ward will be given'to public health lab-
rarory personnel who retire witl)IO or r!\ji.te years ;'f~~ri'lCein pu?lic
health lab medicine in North ~Ii(i.a. This VIaS such a great Iionorfor
'_'_"'~' .1
~..;
'.:."'. ~_, ::" ,. w;,
50 ADVANCE for Medical laboratory Professionals" www.ADVANCEforMLP.com' December 30. 2002 ,;
t..
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me, not oruy to get the inaugutal award, but to have it named afTer me
and to know that we and North Carolina Public Health will be hon-
oring laboracorians in the future for their 9,edicated service to citizens.
,: It is important to me that we recognize lab personnel and their impor.
tance to public health in Notth Carolina.
What are your plans now that you're retired?
I hope to catch up on all those personal projectS that I have not had
time to do. I may have retired from my public health jnb, but 1 cer-
wruy have not retired from pu~lic health. I am serving as the newslet-
ter editot for the Eastern District North Carolina Public Health
Association, the Chairperson of the Local Arrangements Commirree
fot Eastern's Annual Educational Conference, the Chairperson of the
Laboratory Section of the North Carolina Public Health Association,
and ( setve on the Governing Council of the Southern Health
Association, I will nevet retire from being an advocate for a strong lab
ptesence in public health. .
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Advertiser and Product # ,Page #
o Merion Publications-Job Fair #008 .20-21
o Pall Corporation - The New Pall 80S #009 .52
SNEAK PEEK PRODUCTS
For more infonnation. write the matching product number on the lines below'
and return it by FAX. or you may also call our Product Hotline at 800-355-6504.
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Name TIIie
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SANITATION TIPS FOR FOOD WORKERS
WINTER 2002
Also in this issue ...
Cruise ships and Norwalk-like
Viruses-what can we leam from
them? Page 2
c
New temperature sensors-they
do lots more Page 2
Which thermometer's right for the
job? Page 3
Test your temperature know-how
Page 4
..0~
-iW
II~
@DI/~
I taf
1m
iUi~
(i)
~/,
, .
"Guess it's time to calibrate
that oven thermometer again."
Copyright 2002
Pike & Fischer, Inc.
800-255-8131
Thermometers: Cool Tools!
We all know that correct temperatures are a key to food safety. But how
often do we check our thermometers for accuracy?
More and more companies these days are using accurate digital thermo-
couple thermometers (see description on page three). But less expensive
pocket digital and bimetallic!hermometers are widely used and they need to be
checked regularly for accuracy.
The bimetallic thermometers tend to need frequent calibration, although all
kinds--even infrared thermometers-may need calibration at some stage.
Some of the newer pocket digital units cannot be calibrated, but they tend to
hold their accuracy very well.
How to Calibrate
There are two standard ways to check or "calibrate" a thermometer-using
slushy ice or boiling water. The common bimetallic thermometer needs to be
checked prior to first use, and then needs to be recalibrated regularly, especially
after being dropped or exposed to extreme temperatures. Look for an adjustable
nut under the dial face.
For the ice method, place the temperature probe at least two inches into a
glass of finely crushed ice. Add cold tap water to remove air pockets. Wait at least
30 seconds. The gauge should read 320 F If not, adjust it. For a digital thermom-
eter, just press the reset button to automatically calibrate the thermometer.
In the boiling water method, put the probe in boiling water. For bimetallics,
wait until the needle stops moving, then adjust the calibration nut to 2120 F If
you are high above sea level, the boiling point will be lower, so check with your
local health department for the boiling point of water in your location. To cali-
brate a digital thermometer, just press the reset button.
A !hermister or thermocouple thermometer might need a new battery or might
have to be repaired by the manufacturer if it goes out of calibration.
How to Clean and Sanitize
It's very important for thermometers to be sanitized between uses, especially
when the same probes are used on both raw and ready-to-eat foods. You can
clean and sanitize a thermometer by first wiping off any food particles, then
placing the probe in a sanitizing solution for at least five seconds and, finally,
by air drying. If probes are used just on raw or just on cooked foods, the stem
of the thermometer can be wiped with an antiseptic towelette or alcohol swab
between uses. Here are some tips for getting the most from your thermometer'
o Check that it's properly calibrated.
o Clean and sanitize it before use.
o Use the proper thermometer for the type of food (see page three).
o Make sure that the entire sensing area is placed in the food product.
o Take the temperature in the proper part of the food.
o Stir the food prior to taking temperature.
o Allow the thermometer to level off before reading the temperature.
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FOOD TALK
WINTER 2002
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Test Your Temperature Know-How!
1) The main cause of foodborne illness in food establishments is:
a. Improper cooling of foods.
b. Cross contamination.
c. Poor personal hygiene.
d. Inadequate cooking of foods.
a. Be calibrated.
b. Measure temperatures between 410 degrees and 140 degrees F (50 and 600 C.)
c. Measure temperatures between 00 and 2200 F (-180 and 1040 C).
d. Be approved for use in foods.
2) Which statement is false? Food thermometers should:
3) After proper cooking, all foods that are to be held cold must be:
a. Cooled quickly and held at 41 of (50C) or below.
b. Cooled quickly and held at 700F (210C) or above.
c. Stored at room temperature until served.
d. Cooled slowly and held at 500F (1 OOC) or below.
4) After proper cooking, all foods that are to be held hot must be held at:
a. 1650F (740C) or above.
b. 1400F (600C) or above.
c. Room temperature until served.
d. 1200F (490C) or above.
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Source: Essentials of Food Safety and Sanitation (Second Ediition). Prentice Hall
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