07/02/2003
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New Hanover County Health Department
Revenue and Expenditure Summaries for May 2003
Cumulative: 91.67% Month 11 of 12
Revenues
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned Remaining
Federal & Slale $ 1,705,097 $ 349,864 $1,582,435 $ 945,400 $ 637,035 59.74%
AC Fees $ 66,938 $ 533,044 $ 541,686 $ (8,642) 101.62%
Medicaid $ 247,888 $1,012,934 $ 878.299 $ 134,635 86.71%
Medicaid Max $ 208,175 $ 208,177 - 100.00%
EH Fee. 259,109 $ 312,900 $ 269,141 $ 86.02%
Heallh Fee. $ 125,850 $ 152,344 $ 121.05%
Other $1,518,336 $ 1,379,298 $ 90.84%
Expenditures
Type of
Ex . ndlture
Current Year
Expended
Amount
%
Prior Year
Expended Balance
Amount Remalnln
Budgeted
Amount
Balance
Remalnln
%
Budgeted
Amount
Summary
Budgeted Actual %
FY02-03 FY 02-03
Expenditures:
Salaries & Fringe $9,113,165 $7,797,800
Operating Expenses $2,133,362 $1,595,273
Capital Outlay $243,460 $106,056
Total Expenditures $11,489,987 $9,499,129 82.67%
Revenue: $5,566,500 $4,698,067 84.40%
Net County $$ $5,923,487 $4,801,062 81.05%
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Revenue and Expenditure Summary
For tbe Montb of May 1003
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NEW HANOVER COUNTY HEALTH DEPARTMENT
BOARD OF HEALTH (BOH) APPROVED
GRANT APPLICATION STATUS FY 02-03
Date' (BOH) Grant Reauested Pendlna Received Denied
Safe Kids Coalition- Risk Watch Champion " It
6/412003 Team $10,000 $10,000
...
" Smart Start- Partnership for Children: Child
5f712003 ' Care Nursing Program (Preliminary Approval) $203,500 $203,500
Smart Start- Partnership for Children: Health
Check (Preliminary Approval) $41,747 $41,747
, UNC-CH: Child Care Health Consullanl $62,849 $62,849
Cape Fear Memorial Foundation (through
, Partnershlo for Chlldren\: Naviaatar Proaram $179,643 $179,643
4/312003 No aellvlty to report lor April 2003.
3/512003 No activity to report for Merch2003.
2/512003 No activity to report for February 2003.
1/812003 NC DHH5- OPH Preparedness and Resoonse $115,950 $33,600 $82,350
12/412002 No activity to report lor D8cembar 2002. .
NC Health and Wellness Trust Fund-Teen
Tobacco Use Prevention & Cessation Program
11/612002 ($100,000 per year far 3 vears) $100,000 $100,000
Safe Kids Buckle Up Program-North Carolina
101212002 Safe Kids $5,000 $5.000
Developing Geographic Information Systems
(GIS) Capacity In Local Health Department In
Eastem North Carolina-Duke University
Nicholas School of the Environment and Earth
Sciences (NSEES) , $18,000 $18,000
. INOectlvllYtoreportfOr5eDtembe~' c ',,', ,c. .
INo actlvllY to report lOr Augu812002. ~ .'n
No actlvllY to report lor July 2002. ,'. ,
PROJECT STOP-Pranetal Health Education
and Informatlon/Relarral Sarvlcas- March of
Dimes Community Grant Program (1lIlI- U an
InlentIO appIyfol'S48,975-thI ectuaJ8PJlIIcdonfortil grant went $48,280 $1,720
61512002 thfCll.9lln OctOber 2(1)2. 1M amDlI'lt changed 10 $50,(00) $50,000
. I No actlvlty,lO report or May 2002.
! INo aellV ,10 report orADr .,,', ~.
," INoactlv '10 report or March ~ . ',' .,.,' ., "
,NoactlV to report or February. ~' '. , ,
.NO acUv to report or Jenuary '" .
Diabetes Education, Management and
12/5/2001 Prevention - CFMF $60,000 $30,000 $30,000
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Youth Tobacco Preventlan ProJect- Robert
l1n12oo1 Woods Johnson Youth Cantel $11,600 $11,600
Teens Against Tobacco Uee (TATU)-Heahh
Action Council of NC $350 $350
Healthv Carolinians- NC DHHS $10,000 $10,000
Family Assessment Coordination- March
9/512001 of Dimes $16,500 $16.500
Folic Acid Proiect- March of Dimes $16,618 $3,000 $13.31'8
Safe Kids Coalition- State Farm'Good
Neiahbor' $500 $500
As ol6l23l2OO3
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NEW HANOVER COUNTY HEALTH DEPARTMENT
BOARD OF HEALTH (BOH) APPROVED
GRANT APPLICATION "T TUS "" o~.o~
TB Elimination and Prevention. CDC, ,
8/1/2001 \
NCDHHD, DPH, TB Control Prooram $10,000 $9,200 $600
Teen Aids Prevention (TAP\- CFMF $45,500 $25,000 $20,500
Diabetes. Today. Diabetes Prevention & Control
7/1112001 Unit,4IICDHHS $10,000 $10,000
" Lose Weight Wilmington. Cape Fear Memorial
I" Foundation $75,000 $7S,ooo
Totals $1,042,957 $487,739 $214,730 $340,188
46.77%
20,59"10
Pending Grants 4 19%
Funded Total Request 8 38%
Partially FlInded 6 29%
Denied Total Request 3 14%
Number of Grants Applied For 21 100%
As of 6/2312003
. ............. ..'____61__ _.._I........ ....___ I....... __..
32.62%
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:U Consent Meeting Date: 8/4/03
Al!:enda: [gJ
Department: Hea]th Presenter: David E. Rice
Contact:David E. Rice - 343-659]
Subject: Diabetes Today - Continued Funding Request - $85480 (Two Years)
Brief Summary' This is a two-year request for $85,480 to be paid in two annual
payments of $42, 740. North Carolina is facing an epidemic in Type 2 diabetes and its
related risk factor,' obesity Funds from this grant will be used to provide diabetes s~f-
management classes for uninsured and under-insured persons, a monthly support group,
and vision, foot, and blood pressure screenings. Outreach will include monthly programs
for Mall Walkers, a quarterly newspaper insert, and distribution of awareness materials to
fast food businesses. The 10,000 Steps walking program will be sponsored two times per
year and will incorporate weight management classes and ongoing support from lifestyle
coaches.
Recommended Motion and Requested Actions: The Board of Health to accept and
approve the Diabetes Today Grant Application for $85,480 funded by the Cape Fear
Memoria Foundation, and to submit the associated budget amendment to the New
Hanover County Commissioners for their consideration.
I Funding Source: Cape Fear Memorial Foundation
Will above action result in:
DNew Position Number of Position(s)
[gJPosition(s) Modification or change
DNo Chan e in Position(s)
Ex lanation: Contracted Personnel Services
I Attachments: Grant Application to Cape Fear Memorial Foundation
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MEMO
Date:
June 17, 2003
.r. David Rice, Health Director ("",L .no I
'ljrf
Trish Snyder, DiabetesToday coordinat4
Grant Request to Cape Fear Memorial Foundation
To:
From:
~e:
Attached is a grant request to Cape Fear Memorial Foundation from the New Hanover Diabetes
Today ColUition, operating under the auspices of the New Hanover County Health Department.
This is a two year request for $85,480 to be paid in two annual payments of $42,740. I
North Carolina is facing an epidemic in Type 2 diabetes and its related risk factor, obesity
Between 1995 and 1999, the prevalence of diabetes increased by 42% in the state. The eastern
coastal plain of the state, of which New Hanover county is a part, is newly defined as the
"diabetes belt" because if the high prevalence of the disease. (Source: North Carolina Medical
Journal, March 2003).
Funds will be used to provide diabetes self-mahagement classes for uninsured or under-insured
persons, a monthly support group, and vision, foot and blood pressure screenings. Outreach will
include monthly programs for Mall Walkers, a quarterly newspaper insert and distribution of
awareness materials with fast food businesses. To promote physical activity and weight
management for people with diabetes and at risk for diabetes, the 10,000 Steps walking program
will be sponsored two times per year and will incorporate weight management classes and
ongoing support from lifestyle coaches.
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Boord of Directors:
Agnes R. Beane
William H. Cameron
J. Richard Corbett M.D.
W. Carter Mebane, III
R,T. Sinclair. Jr.. M. D.
Robert F WOlWlck, CPA
Richard l. WoodbLIY
Garry A. Gorrls
President
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Cape Fear Memorial Foundation
2508 Independence Boulevard. Suite 200
W1lmlngtoA. North Caronna 28412
(910) 452.0611
FAX: (910) 452-5879
April 16, 2003
Mr David E. Rice, MPH, MA
Health Director
New Hanover County Health Department
2029 South 17th Street
Wilmington, NC 28401-6699
RE: Request ID: 563
Continued Funding - Diabetes Today Program (Diabetes Education,
Management and Prevention)
Dear Mr. Rice:
Thank you for your interest in Cape Fear Memorial Foundation. We have
received your letter of inquiry in which you shared information about your
organization and services. We are interested in learning more about your project
so that we may decide if a grant from Cape Fear Memorial Foundation would
further the objective of the Foundation and help you better serve our community.
Therefore, we are asking that you complete the enclosed Grant Application Form
and return to us the original and two copies, on or before July 15, 2003 if you
wish to be considered in the next grant cycle. If you wish to receive the
application bye-mail, please let us know and we will be glad to forward it to you.
Additionally, we ask that you e-mail the completed grant application to
sharonlalcfinfdn.org if you have access to the internet. However, the grant
application is not officially accepted until the signed original and two copies are
received in our office.
We make grant awards twice yearly and the cutoff dates for accepting
applications are January 15 and July 15. We look forward to hearing from you.
Enclosure
Dedicated to Advancing God's Desire for our Healing and Health
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APPUCATION FOR FUNDING WILL BE ACCEFTED O/!Jl.:t IF A LETTER OF INQUIRY HAS SEEN SUBMmEDBY YOUR
ORGANIZATION ANDAPPROVED BY a=MF PRESIDENT
CAPE FE~R MEMORIAL FOUNDATION
, GRANT APPLlCA TION FORM
I PART I:
YOUR ORGANIZATION
ORlanizalion Information
Name: New HaDover CODDty Health DepartmeDt
Street Address: 2029 South 17'" Street
.
City, State, Zip COde: WdmiDgtoD, NC 284G1
,
-Mailing Address: 2029 South 17'" S~
City, State, Zip Code: wiJmiDgtoD, NC 284G1
Telephone #: (910) 343-6500 FlI1 #: (910) 341-4146
E-maD Address: Dhcgov.eom Web Site: www.Dhcgov.eom
F1seaI Year End: Jue30 Federal TlI1 ID#: 56-6000314
Contact Information
Name of Key Contact Person:
David Rice
Tide of Contact:
HeaJlh Direetor
Telephone # :
E-maD Address:
(910) 343-6500
FlI1 #: (910) 341-4146
dricelalDhCl!ov.eom
1. Is your organization a IlOnprofit, tax-exempt Ol"g"nm.tion under IRS Code Section 581 (e) (3) or il
governmental unit? YES. Hoot, yon do not qualify tor a grant. Hyour Orgl'nm.tlnQ. a 581 (e)
(3), please attach a copy of your current IRS tax-exemption letter with this Application.
2. Is your organization a private, nOlHlperating foundation? NO
3. Would a grant from Cape Fear Memorial Foundation in the amount being nqnested jeopardize
your tax-eumpt status? NO
4. Will any of these funds be used to pay 8 nationally affiliated organization? NO.
So Does your organization now, or does it plan in the futnre, to engage in any way in the promotion
or advancement ofpolitieal causes? NO
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CAPEFEIR_FWa1lON
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6. Snmmarize your organization's background, goals and current programs. Also, discuss
your asseta in personnel, services and programs that could be built upon by the
Foundations help.
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New Hanover County Health Department boasts being the first health dep.ub.llent in the nation. The
North Carolina State Board of Health was established in 1877 with Dr. Thomas Fanning Wood of
WJlmington as its first secretary. The New Hanover County Board first met on June 14,.1879,
which is the'oldest recorded Board of Health meeting.
,.,
The New Hanover County Health Department is a public health fucility and part of the local county
government. It provides public health and clinical services to the people of New Hanover County.
Funding comes from national, state, local government and grant sources.
The Mission: To protect public he8lth and environment, to promote healthy living, and optimize the
quality oflife through preventive, restorative, environmental and educational services. 'fheses
services include animal control services, child hell1'th. communicable disease, community health
(including ,the jail and the county schools), dental health, environmental health, laboratory,
nutrition, women's health and health promotion.
Especially during this time of dwi,.,lling federal, state and county financial resources, Health
Department staff seek every opportunity to apply for grants to help provide new programs, expand
existing programs or to continue much needed programs. This is particularly true for our clients
who suffer with diabetes or are at risk for ~es. FIlMing from the Cape Fear Memorial
Foundation bas helped us to fulfill our mission.
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7. Deseribe your organization's structure and attach a list of your officers and directors.
The New Hanover County Health Department operates under the direction of the Health director
who reports to the Board ofHea1th. A recent reorgani7'Ation streamlined the agency's $'UCtUI'e to
maximize efficiency. All nursing programs - clinical services, comnnmity services, schools,
laboratory services and jail health - function under the Public Health Division Manager for Personal
Health Services. All financial services function under the direction of the Health Department
Business Manager. The Division Manager for Human Resources and Education is responsible for
human resources, fuciIities, health promotion, nutrition and quality 'assurance.
The directors of Anima1 Control, Denta1 Heahh, Environmental Health and PHRST -2 (first
responder for region 2 for homeland security) report directly to the Health Director as do the Public
Health Division managers.
List of officers and directors is attached.
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CN'EFEOR_FONM1ION
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1. Describe the problem/need that the p~projeet wiD address.
,
North Carolina is fucing an epidemic in Type 2 diabetes and its related risk fuctor, obesity.
Terriffing is the descriptor used,by Janet Reaves and Dr. Debra Porterfield of the Diabetes Control
Branch of the NC Department ofHeahh and Human Services. Between 1995 and 1999, the
prevalence of diabetes in North Carolina increased 42%. Among the Medicare population, the
prevalence of diabetes averaged 16% overall and 24.6% among African Americans. It is the 511>
leading cause of death in the state, responsible for 13% of all hospita1izations and the 711> leading
reason for office visits. The problem will only worsen as the population ages and obesity rates
increase. (Source: North Carolina Medical Joun1al, March 2003).
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The problem is more acute in the eastern coastal plain of North Carolina. This part of the state hss
been newly defined as the "diabetes beh" of the state because of the high prevalence of the disease.
More than 1 0"10 of all aduhs in this region have the disease.
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There are three groups of people ~ed by the disease: 1) those already diagnosed 2) those that
have not yet been diagnosed and 3) those at high risk. For those already diagnosed, management of
this chronic i1Iness requires continuing medical care and education to prevent acute and longer-term
complications. For the 33% of those who have diabetes but have not yet been diagnosed, public
awareness and education is needed. For those at high risk fur the disease, ex~ and weight loss
programs are needed to lower their diabetes risk.
2. Describe the objective ofthe project/program and indicate how individual lives ofthe
recipients will be changed and what benefits are expected to result.
The Diabetes Education, Management and Prevention program will provide a conmTllnity-based
support structure fur those with diabetes and those at risk fur diabetes. It will operate under the
auspices of the New Hanover Heahh Department as the Diabetes Today Coalition to continue the
activities established with first year fimding from Cape Fear Memorial Foundation in 2002 to:
1) Increase knowledge of how to mAnage diabetes and prevent the complications of uncontrolled
diabetes, e.g. blinitn""Q; amputations; heart disea"" and stroke; nerve and kidney disease.
2) Augment the percentage of diabetics who receive the recommended 100t and eye exams.
3) Expand the awareness of who is at risk fur diabetes, and what can be done to reduce the risk.
4) Provide multiple venues in which people with diabetes and those at risk can take control of their
heahh with support, education, and heahhfullifestyle programs.
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5) Make available physical activity and weight management instruction as tools to both mAnAge
and prevent diabetes. (Structured exercise and moderate weight loss can decrease risk by 58%).
Recipients' lives will be changed as a resuh of new infurmation, skills and support that will enable
them to change lifestyle habits that contribute to uncontrolled diabetes and the life threat....ing and
~ complicatiollS.
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3. Describe the strategies you will develop to accomplish the objective.
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1) To increase self-care skills and knowledge, diabetes educatiou classes will be offered at little or e
no cost to those who do not have insurance to pay fur diabetes management classes. Certified
diabetes educators, DlUseS and nutritionists at the New Hanover Community Heahh Center and at
Cape Fear ConmTltnity College will teach classes. One of the classes at the Community Heahh
Center will be offered with Spanish traDSlation. Participant Goal: 25 per quarter
..
2) Outreach'activities and screenings will be conducted to include:
-Visiou sereeuiug with the Lions Club in October of each year in the parking lot of the Community
Health Center because diabetes is the leading cause of new cases of blindness in people ages 20-74
-Foot checks at the Senior Center in November of each year with volunteer podiatrists because
diabetes is the most frequent cause of non-traumatic lower limb amputations
-Blood pressure cheeks at the Mall once each quarter with nurses and student nurses from Cape
Fear Community College because people with diabetes are 2 to 4 times more likely to haye heart
disease and 2 to 4 times more likely to suffer a stroke.
Participant Goal: 50 per quarter
3) To expand the awareness of who is at risk fur diabetes and how to reduce the risk, a quarterly
newspaper tabloid will be published. 100,000 copies will be inserted ill the Star News Sunday
edition. Two articles in the quarterly tabloid will be written in English and Spanish. To coincide
with national Diabetes Alert Day in March, 15,000 aW81enc;ss messages will be distributed in fBst
fuod restamants as tray liners, takeout hag snn:rers. and pizza box flyers.
4) To support people in taking control of their health, a mouthly support group will be offered e
with peer infurmation sharing, speakers and activities to cover nutrition, physical activity, stress
management, medications, understanding your numbers (HbAlc, cholesterol, glucose, blood
pressure), 100t care, and health maintenance guidelines. Additionally, mouthly programs fur the
mall walkers at Westfield Independence Mall will include activities fur healthy living. Goal: 2
programs per month with 20 participants per program = 40 monthly participauts
,
5) To promote physical activity and weight management fur people with diabetes and at risk fur
diabetes, the "10,000 Steps" walking program will be sponsored two times per year. Participants
will be issued low cost pedometers de~ to measure their total steps. Personal trainers will
serve as "lifestyle coaches" with frequent contact with participants and supervised physical activity
sessions. This program will be an enhancement of the 10,000 Steps program launched in March
2003 by the Diabetes Today Coalition and will offer more structure and supervision. It will uti1ize
guidelines from the Duke University Diabetes Prevention Program. (In that program 700- 800
calories per week of exercise coupled with moderate dietary changes was proven to reduce diabetes
risk by 58%), Groups will be recruited from worksites and neighborhoods and participants will
have to qualifY as having diabetes or at risk fur diabetes based on ADA standards. A 4-week weight
management program will be offered fur a mitrimaI fee to all participants in the 10,000 Steps
program. Goal: 100 participants per session.
4. State how, when, aud who wiD couduct an evaluation to measure how weD your
project/program is meeting its objective. ..
All class participants will complete an evaluation designed by the NC Diabetes Prevention and .
Control program. The Diabetes Today Coordinator will gather data and make reports to the
Diabetes Today Coalition, which will annually review data and participant evaluatio~ to measure
program effectiveness. '
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PART ill: FINANCIAL INFORMATION
I. Amount requested from Cape Fear Memorial Foundation: $85,480 to be paid in two equal
iristallmentS of$42,740 per year
2. Develop a complete program budget including expenses and income for the period you are
requesting funds. Also, please attach a copy of your most recent 990 and audit or financial
statement \\lith this application.
"
Project Budget: From October 1. 2003 to Seotember 30. 2005
, E i (By Category) Amount Income (By Sources)
Contracted Personnel Services $ 65, 280 $1800 Medtronic Mini-med
_ Diabetes,Educators @ $50/hour x 30 hours per quarter (volunteer diabetes educator)
x 8 quarters for 2 years =; $12,000
_ Clinical, nursing, tranSlation and other professional .
services $35/hour x 12 hours per quarter x 8 quarters for $63,480 Cape Fear Memorial
2 years = $3360 Foundation
_ PI"I!'adl Coordinator x $27/hour x 40 hrsImOllth x:14
months = $25,920
_ Personal trainersllitestyle coach $25/hours x 40
hrsImonth x 24 months = $24,000
Curriculum and Education supplies $ 8000 NC Diabetes Prevention and
Control Unit. Becton Dickinson
Bayer, Takeda (donated
materials), class fees
Pedometers and Exercise Materials $10,000 Cape Fear Memorial
FOl1nrlation
Space, telephone and copying $ 5,000 New Hanover County Health
Deot. in-kind
Diabetes t erly: $20,800 Star News . . in-kind
Promotion, printing and advertising $ 6,000 Cape Fear Memorial,
Foundation
Training, Travel and Food $ 6,000 Cape Fear Memorial
Fo,nvtarion
TOTAL $121,080
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3. List the IIIUIIllS of organizations, both public aDd private, to wbid1 you have applied for support
for tIJis specific project/progiam. Also show the amount requested aDd the status (pHuI1qg,
a roved or rov \
Oraanization Amount Status
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NC Diabetes Prevention and Control Unit for curriculum
and handouts
Cape Fear Memorial Foundation
20,800 Ongoing publication approved
(2600 per
quarter)
5000 Ongoing support approved
(in kind)
85,480 Pending
StalNewsNEl\"J'SpapE!l'S
,
Total Amount:
112280
4. Describe how your project/program will become selkuflicient within tIine yean.
As diabetes spirals and obesity burgeons, the cost of diabetes will continue to increase. When
institutions such as hospitals, health departments and public/private insurers realize that it is less
expensive to prevent these conditions than to pay for the consequences, it seems likely that low
cost diabetes education programs will be re-instated in our community. (e.g. Since the closing of Ai
New Hanover Health Network's Coastal Diabetes Center, two health care orgllni'7Jrt'ions (Liberty .
Home Care and Wihnington Health Associates) have begun to ofler accredited diabetes education
classes. The reach of these programs is limited, however, and out ofreach for the group that is
most affected because they are not available to those with no insurance to cover the costs. It is
probable that the Access I and II program will begin to address this problem as its funrl;"g and
care management program for the low-income comnnmity develops. A system wide solution will
be needed to provide these services for the groups that are most affi:cted but can least afford to
pay. The problems of diabetes and obesity are getting too big to ignore.
With the increasing attention on the international and national level to the problems of obesity and
diabetes, new fiJnrl;"g opportunities to find solutions to this problem will likely become available.
Australia, for example, has imposed a tax on high fiIt foods to make people aware of what they are
eating. (60% of the people in that country are obese or overweight.) These fimds could be used to
help deftay health care costs. The Diabetes Today Coalition and the New Hanover County Health
Department will pUrsue all funding opportunities - state, federal and foundation - to continue
services for our community and will maintAin ongoing relationships with state level orgllni7At;ons
addressing these issues.
As long as student nurses, podiatrists, retired physicians and eye doctors continue to volunteer
their services when asked, outreach programs can continue.
Finding an institution to take responsibility for promoting, coordinAt;"g and orgllni7.ing these -
activities will continue to be a challenge in these difficult economic times. ..
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5. If the funds are to be used for collltrnction or equipment aeqmition, explain the bidding process.
N/A
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PART IV: REPORTING REQUIREMENTS
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1. Do yon agree to furnish to Cape Fear ~riaI Foundation, in a timely manner, periodic
pr~ reports infi;Irming tbe Foundation oftbe PJ'08les8 made by yonr project/program?
YES
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NtJIe: If Progress Report forms lITe ellclosed fOT projects pM1im1sJy fatukd fOT which /Ill alllUlal report
lias lIot yet Hell 1IltIde, please complete the forms IIIUI TetlITIlwlth thb App/JcatWIL
PROGRESS REPORT HAS BEEN SUBMITTED.
SUBMITIED BY:
Typed or Printed Name of Chief Executive Officer of Requesting Organization
Date
Slgnatnre of ClJiefExecutive Oftieer
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Title
Typed or Printed Name of Chairman of the Board of Directors
Date
Slgnatnre ofCbairman oftbe Board of Directors
+ S/glltltllre ofCh/efEucutlt1e OJJkeT IIIUI BoanI Chalmultl Is reqtdredfoT App/JcatW1I to be viewed as
complete.
+ One origillallllUl two copiG of the completed GlYlm Applkotloll Fo",,!!H1S be received ill the oJJke
of Cape Fear Memorial FOlllldatloll by 5:00 pom. 011 the cutoff date fOT each gram cycle. The cutoff
tIJItn lITe Jallllary 15 alld Jllly 15 /IIlllllally, OT theJirst 611$;"_ day there4fter I/the tkadlillefalb 011
a luJliIItJy OT wukauL
+ E-maIl Olle tultIitWnal copy of the completed GIYIIlJ Applkotloll Fo"" to: sharonfiiJcfmfdnOT1lwhen _
IIlIemet IICeGf Is IIl1IIiWJle. ,.,
+ Questions or commen1l ean be direeted to the Foundation etafI' at (910) 4S2-G611.
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I'AX 'NU. ~lU~41414ti
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
TecI DlIYls, Jr., Chairman (Janll) . .. . .. . . . . . . .. . . . .. . . . . . . .. . . ... . 313-0755 HOlne
7111 Creeks Edge Ori"e E 28409 ...maU: ldaviS@nhcgov.com 7ll3-6248'Otlice
7&2-6176 FA::
\
Robert G. Gre.r, V1ce.ch.lrmllP (~u) . . .. . . . . . .. . . . .. . . . . . . .. , . .. .713-51161 HOlM
1218 Counlly Club Road 2ll403 e.mall: bgreer@nhcgov.com 6111-78711 MoI)He
, 183-61161 FA::
June Boseman. ... . . . ~ . . . .. . . . . . . . I . . . . . . . . . . . . .. . . . . . . .. . . . .. 68~ HOIne
6605 PrCll/idence Road 2841 1 e-mail: jb0&8man@nhcgov.com 25111115 Off,ce
25111178 FA:(
William A. Cuter, (Dlsne) . . , . . . .... .................... _ . . . .. . . 452-1282 HOlne
310 Brookshire Lane 28409 a-mall: bcaster@nhc&ov.com 452-2875 FAl(
Nancy Pritchett. . . . . , . .. ............................ . . . . . . . . 1111-2827 Hotne
037 Robert E. Lee Drive 28412 ...mail: nprilchelt@nhcgov.com111.1106 FAl(
NEW HANOVER COUNTY BOARD OF HEALTH
,
,
/W. Edwin Link, Jr., RPh, Chairman (Laurie). . . . . . . . . . . . . . . . . . . . . . . .. 343.1244 HOlna
306 COlonial Drive 28403 e-mail: Iinkrx@aol.com 783~8~li Oft' ce
76211116 FAl(
Melodv C. Speck, DVM, Vlce-Chslrm.n ( MaID. . . . . . . . . . . . . . . . . . . . .. 711.1436 HOI ne ,
4605 Wrlgh1svllle Avenue 28403 h1c.>~'ed..QJ.b/~ec. r". c~ 7\l1l-S617 Off ce
7\l1l-8S45 FA:(
Donald P. Blake (Cathey) . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7111~30 HOine
120 Wlndemere Road 28405 e-mail:donblakl@aal.com 784-81 III Wo,k
Henry V. (Hank) IE8tep, AHU (Llss) .'............................. .111z..9584HOt,1e
3213 Snawbeiry Callrt 28409 e-mail: hankeltep@i-........ec.mc.om 232-8272 Off oe
7112-0188 FA:(
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Marvin Eo Fr..man, Sr. (Pat) . . . . . . . . . . . . . . w . . . . . . . . . . . . . . . 0 . . .. . 482.0&04 HOlM
915 Rascoe Freeman Ave 28409 e-mall:freamanm@wrillhtcorp.cam 665.2263 Wcrk
EIlt.5210
Robert G. Greer (Lou).. . . . . . . . . . . . . . . . . . . . o. . . .. ...... I. . . . .. . .783-6861 HOLM
1218 COllntry Club Road 28403 ...mail: bgreer@nhagov.com 61\1-11711 Moolla
Oe" N. Hunl8r, AN, FNP (Jim).............. . .. . , . .. . . . .. . .. . . . .. 7911-0723 HO:n8
126 Quail Ridge Road 28409 e-mail: gelajlm@holmall.com 763-2072 O1Iloe
783-1&86 FA:<
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Sandra L. MU,.. DDS 0 0 . . 0 0 .. . 0 . 0 . . . . . . . . . . . . . o. . . . . . . . .. . . . . . . 783-5122 HO.lle
1 North 11th Slreel 28401 e-mail: lamsmll.S@bi~ec.rr.com 81&-0811 OfIlos
8H1-ot16li FA<
Philip P. Smith, Sr., PtIlD (Nancy).............. .. . . . . . . .. . . . .. . . . . .762.2230 Ho".
1 81 0 Azalea Dri". 28403 .'I'II8iI:ppsmilhsr@aal.com
John 8. Tun_II, PEdDsrgan) ................. .............. . li8l1-6167 Ho"e
902 Markllt StrHl28401 ..mall: jstunslall@andr_ndkuska.com 343-1l6S3 OfIloe
343-\1604 FA<
Edward Weave" .Jr., OD {Sherry)..... ... ......................... 782.11011 Ho"e
1 535 Magnolia Place 28403 e-mall:eweavllr@ec.rr.oam 7111.eoe6 W( rk
Janelle A. Rhvne, MD, MedIcal Consultant ......... ................ 686-2913 Ho 'lte
1202 Medical Center Drive 28401 .-mail: janmyno@hatmail.com 34103246 We rk
Dal/ld E. Rice, Hnlth Director (L.lnda). . . . . .. ...................... 1\l1.z0\l2 HOl\'le
1008 East Prlmivera Cour128409 8-mail: drioe@nhcgav.ccm 343-65111 at.loe
S41-4148 PAl(
812.1684 Ceil
01108103
88l1-5200\l2811 Pager
P. U2
28
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North Carolina Cooperative Extension Service
NC STATE UNIVEf,Sll Y
CoII..e 01 Agrieallure end Life Seie....
Now_CountyC......
Nor1h Caroline Coopaali>e _ Servi<:c
College of A8ficuhure.... Lifi> Sciax:cs
6206 01""'* Drive
Wilmington, NC 28403
91ll-4S2-6393 Fox: 91ll-4S2-6398'
June 8, 2003
Diabetes Today Coalition
C/O New Hanover County Health Department
2029 South 17'" Street
Wilmington, NC 28402
Dear Ms. Snyder:
On behalf ofNew Hanover County Cooperative Extension, I am pleased to offer this letter of support
for the New Hanover Diabetes Today Coalition's request for funding from the Cape Fear Memorial
Foundation. Diabetes education management and prevention programming in New Hanover County
must continue. It is prevalent that diabetes continues to rise in our area Due to this circumstance, it
is very crucial that affordable and accessible services are available to help control this disease and its
complications.
New Hanover County Cooperative Extension has collaborated with the Diabetes Today Coalition by
conducting Diabetes Classes that includes diabetes education and food selection and preparation. We
look forward to continued collaboration as we work together to improve health and healthcare in our
community.
Sincerely,
AJ~ 'PaJiwMtL
Dimme Gatewood
Extension Agent
Family and Consumer Sciences
29
Employmentandprogram opportunities are offered to all people regardless ofrace. color. national origin. sex. age. or disability.
North Carolina State UnNersity. North Carolina A& T State UnNersity. U.S. Department of Agriculture. and local 9lMlmments cooperating.
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June 5, 2003
Diabetes Today Coalition
C/O New Hanover Health Department
2029 South 17th Street
Wilmington, NC 28402
To Whom It May Concern:
On behalf ofWellness Services of New Hanover Health Network, we are pleased to offer
this letter of support for the New Hanover Diabetes Today Coalition's request for funding
from Cape Fear Memorial Foundation. New Hanover County is in desperate need of
Diabetes education, management and prevention prograI13ming. The ever-growing
prevalence of diabetes in our region continues to rise and it is crucial that affordable and
accessible services are available to help control this disease and it's complications.
New Hanover Health Network has collaborated with the Diabetes Today Coalition by
offering classroom education on appropriate exercise, benefits of regular exercise, body,
composition measurements and the 10,000 Step Walking PrograIl3, We look forward to
continued collaboration as we work together to improve the health and healthcare in our
community, '
Sincerely,
er,Ed.
Of Education / Director OfWellness Services
JRImsf
New Hanover Regional Medical Center
P.O. Box 9DDD I 2131 S. 17th Street I Wilminglon, NC 28402-9000
910-343-7000
30
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NEW HANOVER COUNTY
DEPARlMENT OF SOCIAL SERVICES
1650 GREENFIELD STREET
POST OFfICE DRAWER 1559
WILMINGTON, NORlH CAROLINA 28402-1559
TELEPHONE (910) 341-4700
FAX (910) 341-4022
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,
l.<JV.",h" N.....ith. LMSW
Diredi>r
June 10, 2003
Trish Snyder
Diabetes Today Coalition
C/o New Hanover County Health Department
2029 South 17th Street
Wilmington, NC 28401
Dear Ms. Snyder:
e
The New Hanover County Department of Social Services supports the Diabetes Today
Coalition's proposal to the Cape Fear Memorial Foundation. Ifawarded, this funding
would allow the Coalition to continue its commumty education efforts.
DSS knows that the ability to be self-sufficient and provide a secure environment for
children depends in large part to the family members' physical health and well-being.
Diabetes and obesity is a growing concern in southeasteJ;ll North Carolina. Through the
development of support groups, health screenings, diabetes education classes for the
umnsured, and marketing efforts, the Coalition is making the commumty more aware of
the health risks associated with the onset of diabetes.
Staff ofDSS has worked collaboratively with the Coalition by offering information,
referrals and teclmical assistance. We look forward to continuing our relationship with
the Coalition as, together, we attempt to enhance and maintain the quality oflife (and
health) of our commumty.
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JUN-03-2003 rUE 07:27 PM HEALTH DEPT ADMIN.
FAX NO. 9103414146
P. 02
. <1.......~.;';';, ,
.:,. ~$::..
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NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUlH 11'" STREET
WILMINGtoN, Ne 21401-4946
TELEPHONE (910) 343-6500, FAX (910) 34J-4146
DAVID I.IUa, M.P.H., M..\.
Hal'" DITet10t
LYNDA r. SMJTH. M.P.A.
Aublall HcaIIII Di_
,.,
June 3, 2003
Diabete$ Today Coalilion
clo New Hanover Health Department
2029 S. 17th'Street
Wilmington, NC 28402
De.. Mr. Gmis,
] am writing this letter of support on behalf of New Hanover Counl) Health DeplUtJlJcnt fo~ lhe New Hanover
Diabetes Today Coalition's request for funding from Cape Pe.. Memorial Foundation. Diab- lies Is one Irea wbm
we muST be diligent in offering intervention Stralegi... to educate the youth lIIId general population. Di~, III
with other, chroni<: but preventable diseases, can be gnoatly reduced by lifestyle choices and chanps, but 111'0 must
get the word out loudly and consistently.
Diabetes education, management and prevention programming in New Hsnover Count)' mu, I continue. As the
prevalence of diabetes continues to rise in our area, it is cNcial that affordable and _sibil services are
available to help control this disease and its complications.
New Hanover Count)' Health Department has collaborated with the Diabe1z:s Today Coalitlo~ by offering
administrstlve support, staff support, meeting space. e-mail servloe.mailbox service IIld par icipation lIS Coalition
members. With so many unmet needs related to Diabetes, this grant will enable the Coalltior to offer a "ray of
hope" to those facing this (orth. risks of this) debilitating desdly disease which Cllll rob us ofboth quality ami
length of Ufe.
We look forwvd to continued collaboration as we work together to improve health and heal! hcare in our
colllmunity .
Sincerely,
~~~
Lynda F. Smilb
CoaUtlOll Member and
Assistant Health Director
New Hanover CountY
.. ~ ~rtl( - eL.~'"
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:D Consent Meeting Date: 8/4/03
Al!enda: [8J
Department: Health Presenter: Janet McCumbee
Contact: Janet McCumbee
Subiect: Addition of School Health Nurse Position
Brief Summary: Request from NHC Schools to transfer Hoggard School Nurse position
and funding for such to Health Department. Also, request permission to add additional 10
month school nurses for 03-04, as funded by Schools (potentially 4 more at $49,571 per
nurse)
Recommended Motion and Requested Actions: To approve the Health Department
adding new school health nurse position(s) as funded by NHC Schools for 03-04 school
vear, and associated budl!et amendments when final school contract is received.
I Funding Source: NHC Schools
Will above action result in:
[8JNew Position 1, possibly 5 Number of Position(s)
Dposition(s) Modification or change
DNo Chanl!e in Position{s)
Explanation: Hoggard school nurse is definite, with probably 4 additional nurse to assure
that most schools have a FT nurse.
I Attachments: letter or justification
33
e.
NEW HANOVER COUNTY
'HEAL'fIl DEPARTMENT
,2029 SOUTH 17TH STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-4146
)
.
Everywbcre.Everyday.Everybocty.
To:
BOllI"d of Health
Janet McCumbee RN 0/"'
Personal Health Services MaJager
From:
Subj:
New School Nurse Position(s)
Date:
6/18/03
e
This is a request to accept additional funds from the New Hanover County Schools to
hire the replacement nurse at Hoggard High. This is the final school to be transferred to
us for funding and hiring of the nurse. It is occurring this year because their nurse is
retiring and we need to take over and teplace her. Attached is an email from AI Lerch
with the school system, confirming the transfer. Below is the budget information related
to the new position. The funds will be provided to us in the 03- 04 school health contract
and, if approved, we will process a Budget Amendment to increase the revenues and
expenditures for School Health.
We have also been informed that we may receive additional funds for more new nurses
and would like approval to process any additional positions funded when the contract is
finalized for the 03-04 school year. The school system is continuing to work toward a
nurse in every school. Thank you.
SalarylFringe for school health nurse
$48,776
Supplies
$375
Mileage
$300
Training and travel
$300
Total: $49,751
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"?jour .JJeaftk - Our prwrilg "
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"ALFRED H LERCH"
<alerch@nhcs.k12.nc.
us>
OS/2212003 02:30 PM
To: <EHarrison@nhcgov.com>
cc: (bee: archive) .
Subject: Re: School nurse positions
She has s~bmitted her retirement letter effective August 1. So that
position would rollover to being under the contract with you. Please
ask for that position. We are waiting on the county budget to be able
to give you the official contract.
<EHarr1son@nhcgov.com> OS/22/03 01:29PM >>>
When will we know.if the budget remains intact for the next school
year?
Have you heard anything from the nurse at Hoggard? We will need to
request
that position through the Board of Health since that will be a new
position
for us before we can recruit for that position. Thanks, Ellen
Harrison
NOTICE: E-mail correspondence to and from this address may be subject
to
the North Carolina Public Records Law and may be disclosed to third
parties
by an authorized county official.
35
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: 0 Consent Meeting Date: 8/4/03
Al!enda: ~
Deoartment: Health Presenter: Janet McCumbee
Contact: Janet McCumbee
Sub' ect: Smart Start Grant Increase
Brief Summary: The Child Care Nursing Program has received notification of an
increase in grant funding from the local Partnership For Children (Smart Start); the grant
increase from $171,977 to $177,500. When the final contract is received, Smart Start has
re uested that an additional art time, tern orar nurse be hired with these funds.
Recommended Motion and Requested Actions: To approve the Health Department
adding a part time temporary nurse position funded by Smart Start for FY 03-04 year, and
the associated buMet amendment when final contract is received.
I Funding Source: Parthership For Children
Will above action result in:
~New Position 1 part time temporary Number of Position(s)
Dposition(s) Modification or change
No Chan e in Position s
Explanation: Additional nurse will provide child care nurse duties to assist Smart Start
with meeting state mandates for quality child care and preparing children for school in
NHC.
I Attachments: letter of justification
36
NEW HANOVER COUNTY
HEALTH, DEPARTMENT
2029 SOUTH 17TI1 STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-4146
E_E...,.,.,..E...,...,..
To: Board of Health
I ~
From: JanefMcCumbee RN
Personal Health Services ager
Subj: Grant Funding Increase
Date: 6/18/03
e
Our county budget for the Child Care Nursing Program, funded by Smart Start, needs to
be increased based on the attached email from the contracts manager at the Partnership
For Children (pFC). The county recommended budget for this program is $171,977 and
the Smart Start allocation has been approved at $177, 500. We will process a budget
amendment for the additional revenue. Our local PFC has requested that we use this
additional money in salary, to hire a part time temporary childcare nurse to provide
additional services in that program. We are requesting permission to add a part time
temporary nurse position to work in the Child Care Nursing Program in 03-04, until the
additional funds are used ($5523). The salary would be starting salary for a PHN - $20.48
per hour. Thank you.
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"?jour .JIeaftk - Our priorit~ "
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"Jaimee Blackman"
<jaimee.blackman@ne
whanoverkids.org>
06/181200303:24 PM
Please respond to
'J.aimee Blackman'
To: 'Janet McCumbee' <jmcc~mbee@nhcgov.com>
cc: (bee: archive)
Subject: FY04 Budgets
Janet,
The board of directors of the partnership approved continued funding for the Child Care Nursing Program
and Health Check Coordination for fiscal year 2004. Child Care Nursing has been allocated $177.500 and
Health Check Coordination has been allocated $41.747
Smart Start funding is contingent upon fund availability from the State of North Carolina. as approved by
the N.C. General Assembly
Jaimee Blackman
Program Manager/Evaluator
New Hanover County Partnership for Children
3001-B Wrightsville Avenue. Wilmington. NC 48403
(910) 815-3731 x, 106
www.newhanoverkids.oro
38
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:D Consent Meeting Date: 8/4/03
Agenda: ~
Department: Health Presenter: Dianne Harvell
Contact:Dianne Harvell, 343-6665
Subject: Budget Amendment - Duke University - Geographic Information Systems
($10,000)
Brief Summary: The amendment is for a subcontract of $10,000 from Duke University
and is part of a grant from CDC. Its purpose is to develop geographic informatjon I
systems capacity in local health departments in Eastern North Carolina. New Hanover
County Health Department has agreed to establish a GIS within Environmental Health
with guidance and technical support from the Nicholas School of the Environment, the
North Carolina Center for Geographic Information and Analysis, and the Occupation and
Environmental Epidemiology Branch of the North Carolina Department of Health and
Human Services.
Recommended Motion and Requested Actions: For the Board of Health to accept and
approve an $10,000 grant proposal to develop a Geographic Information System (GIS)
and training for the Environmental Health Division staff funded by the Duke University
Nicholas School of Environmental and Earth Sciences (NSEES) and to submit the
associated budget amendment to the New Hanover County Commissioners for their
consideration.
Funding Source: the Duke University Nicholas School of Environmental and Earth
Sciences
Will above action result in:
DNew Position Number of Position(s)
Dposition(s) Modification or change
~No Change in Position(s)
I Explanation:
I Attachments: Application
39
,
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.......................... ................ Dianne Harvell
". .
.(<?). 06118/2003 03:16 PM
To: David E RicelNHC@NHC
cc: Cin\ly HewettlNHC@NHC, Marilyn RobertslNHC@NHC, (bee: archive)
S~bject: GIS Project .
Dave.
We have received an offer of an additional $10,000 through the Duke UnlversltylNCDHHS endeavor to
build GIS capacity, and have developed a proposal for purchasing equipment and software that meats
the criteria for expanding these grent funds (see attachment). Thus far the project has facilitated
equipment purchasas, phenomenal training opportunitias and temporary staff support through the
program facilitator and student interns. We have several projects completed. and more underway using
these new resources to address environmentaVpublic health issuas. Please process through the
NHCBOH and NHC Commissioners so that our citizens may continue benefit from this worthy effort.
DH
1M
Duke $10,000 Invoice.do
l>LlI~ M. I-t~rvell
.4 ~N."", r NNr4NN 4 1__fYPtINNNN
DIInne M. HanIeII dharvellllllnhcaov.com
EnYIl1lIImenlllI Health D1redDr
NeW.-- Counly Health Dept.
2029 Soulh 17lh Street
W1111l1ngllln. NC 28401
Phone 910.343-6665 Rlx 910.772-'810
NNNNNNNNNNNNNNNNNNN~NNNNHNNNNNNNNNNHNNNNNN
VIsIt our WIllsIle: ht:tD:/ /www.nhcoov.cam/HLlH/HLlHmain.asD
N__,.._NNftlIWNN,..NNNN_NNNNNNNNN_NNN_NN_N
40
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z.n.4 r'" rn J;'r I'Vv I
NEW HANOVER COUNTY
\ .
'HEALTH DEPARTMENT
2029 SOUTH 1']'TH STREET
WlLMlNGTON,'NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-4146
-.- -..,....,...,.
'1',:\
DAVID Eo RICE. M.P.H.. M.A.
Hea1thDirector
LYNDA F. sMITH. M.F.A.
Assistant Health Director
February 25; 2002
. I '
Dr. MarieL~ Miranda
Nicholas SchoOl of the Environm~ and Earth Sciences
Duke university
Box 90328
Dl1rns.m, NC 27708
Dear Dr. Miranda.
~jJ.'i/lJ, A",a.J.~~J
~ \ ~,~.oO~~
.,.
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I write to confirm the willingness of the New Hanover County Health Department to uhdertake a
subcontract of $25,000 from Duke University's Nicholas School of the Envirompent and Earth
Sciences (NSEES). This subcontract is part of a grant from the CDC titled ~loping
Geographic Information Systems (GIS) Capacity in Local Health Departments in Eastern North
Carolina" awarded to the Occupational and Environmeptal Epidemiology Branch (9EEB) of the
Nort,h Carolina Department of Health and Human Services. The New Hanover County Heahh
Department agrees to establish a GIS within the Environmental Health unit with the 8'1i~An<I(l
and technical^suppox:toftbe Nicholas ScbQQl of the Environment; the North Carolina Center fur
Geographic Info,:mation and Analysis (NCCGIA), and OEEB.
The contact person for this grant is DiaDneIIarvell, who can be reached at (910) 343-6.665.
The New Hanover County Health Department agrees to undertake the fullowing activities as part
of the subcontract: participate in training and discussions with other County Hea1th De~hl""oU,
NCCGIA, NSEES, and OEEB; use GIS to analyze at least o~ county or regional issue and
integrate GIS into daily activities to the extent possible; cooperate with NCCGIA and NSEES in
developing GIS applications and establishing a data mAnAgement structure compatible with GIS;
proVide support for a Duke university S';mmel' intern, including available staff time and office
space; ,write a project summary including an assesSment of bene tits from participation in the
project and recommendations for improvements; and procure equipment required to establish a
GIS. '
The $25,000 will be used to purchase software, hardware, and specialized training related to this
project. We look forward to working with you on this project.
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David E. Rice, Heahh Director
41
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Date
INVOICE
Contractor: New Hanover Countv Hf'J11th Department
Total Budget: $ I 10.000
,
ITEM DESCRIPI10N
ITEM CONTRACTOR BUDGET
NO. AMOUNT
$4,015 00
Desktop Computer, with CDR/W drive Win2000 OS 3
Arc View 8.3 Software wlliceose 2
. 2000 Office Professional and Lotus Notes Software 3
Adobe Design Collection Software 1
HP Photosmart 7550 Printer 1
Training
2,700 00
350 00
350 00
,
Signature Contract
Authorized Agency Official
42
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:
Consent Meeting Date: 8/4/03
enda: [gI
Presenter. Geoffiey Zuckerman, Health
Educator
Department: Health
Contact:Geoffie Zuckerman, 343-6636
Sub.ect: SAFE KIDS Mobile Car Seat Check U Van
Brief Summary. The success of the SAFE KIDS Mobile Care Seat Check Up Van
program has show that "traveling" checkups are a successful way to take injury
prevnetion messages and tools to families that may not have access to standard
information outlets.
Everything needed to host a typical child safety seat checkup event will be housed in a
van. This will enable the New Hanover County SAFE KIDS Coalition to increase child
passenger safety outreach.
The value of the grant is up to $50,000.00. An intent to submit the proposal is due July 8,
2003 The actual ant ro saI is due Au st 1, 2003
Recommended Motion and Requested Actions: For the Board of Health to approve a
$50,000 grant proposal for a SAFE KIDS Mobile Car Seat Check Up Van and to submit
the associated budget amendment to the New Hanover .county Commissioners for their
consideration.
I Funding Source: National SAFE KIDS Campaign
Will above action result in:
DNew Position Number ofPosition(s)
Dposition(s) Modification or change
l:8JNo Change in Position(s)
I Explanation:
I Attachments: Grant Application
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Geoffrey Zuckerman
061231200303:46 PM
To: David E RlcelNHC@NHC
00: Elisabeth K ConstandyINHC@NHC, (bee: archive)
Subject: SAFE KIDS Van grant
Dave,
National SAFE KIDS has announced an opportunity for coalitions to apply for a SAFE KIDS Mobile Car
Seat Check Up Van. These vans are beneficial In taking Injury prevention messages to 'he street" to
most effectively access targeted populations. The value of the grant Is up to $50,000.00. ~n Intent to
submit the proposal Is due July 8, 2003. The actual grant proposal Is due August 1, 2003.
This would be a tremendous opportunity for the New Hanover County SAFE KIDS Coalition and our
community and I am seeking your support to apply for this grant. For the application, the lead agency of
the coalitlon( the Health Department and its Health Director) should agree to the tenns that are IIstad In
the contract of the grant.
I will be making copies of all the matertal related to this grant and putting it In your door. I am available to
expand on any aspect of the application.
Look forward to talking with you soon,
Geoff
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Hiehliehts
. Jeff Gordon Chevrolet will donate a maintenance plan that covers 45,000 miles
. National SAFE KIDS will cover insurance for first year and then it will be insured
through the NHCSD after that
Partnerships
I US Cellular, Jeff Gordon Chevrolet, 2 Wheeler Dealer (Retail)
NHHN, NHC Fire Services, NHC Sheriff's Dept, Wilmington Fire, Wilmington PD,
Wrightsville PD, UNCW PD, Parents As Teachers, Coastal Horiwns, NC SHP, City of
Wilmington Transportation
Area of service
2. Wilmington area. Bike rodeo at UNCW, free child safety seats checks which all but
one have been in the city limits. Ogden Elementary has Risk Watch in the 4 third grade
classes
Targeted Communities
3 Definitely the Latino population, want to help out in Pender and Brunswick also.
Healthy Carolinians has set up a CPS Task Force and has asked for our coalitions
assistance. Brunswick EMS has asked for assistance with their CPS program also
4. New Hanover County Safe Communities/SAFE KIDS Activities from November
2002- present (position was vacant for 6 months prior)
Non-SAFE KIDS Buckle Up-granted
Checkups-9
Trainings-7
Workshops-3
Legislative Efforts-O
Press Events-O
Other Major Events-O
Current Child Passenger Safety Resources
1 No access SAFE KIDS van the past year
2. Trailer which contains:
2 -Quick-E Vehicle Topper Shelter
4 -V-board signs (Enter, Exit, 2 Free Child Safety Seat Check)
16- traffic cones
32 -251b sand bags
Noodles
2 high back boosters
2 Combo boosters
1 convertible
Belt shortening clips
2 tables
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3.Human Resources
CPS Technicians-Instructors-l
CPS Technicians-12(32 hour) 25 (2 day)
Senior Checkers- 2
Ways to access more technicians
4.Holding a 5-day CPS class on August 18-22. Planning on holding at least 4 more 2-day
classes.
Coalition Capacity
Annual events the Safe Communities/SAFE KIDS coalition will be involved in
I.Risk Watch Kickoff starting this year
Wal-Mart Baby Safe Week
Buckle in Baby Safely Week
Risk Watch Safety Day (4 schools starting this year)
NHHN/ WECT Channel 6 Car Seat Check
Latino Festival
Maternity Expo
Children's Festival
SAFE KIDS Week
National CPS Week
International Paper Health Fair
Wrightsville Beach Health Fair
Carolina Beach Health Fair
Recruitment of Local PartnershiDs
Head Start ( Alan Swart) WIC (Health Department) providing free car seat checks and
education, mainly targeting the Latino population
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EXECUTIVE COMMIITEE MEETING
NEW HANOVER COUNTY BOARD OF HEALTII
Tuesday, July 24, 2001
Dr. Wilson O-Kelly Jewell, DDS, Vice-Chairman, New Hanover County Board of Health called the
Executive Committee meeting to order at 6:00 p.m. on Tuesday, July 24, 2001.
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Members Present:
Wilson O-Kelly Jewell, DDS, Chairman
Henry V Estep, RHU
W. Edwin Link, Jr., RPH
William T:'Steuer~ PE/RLS
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Members Absent:
Gela N. Hunter, RN, FNP, Vice-Chairman
Others Present:
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David E. Rice, Health Director
Ms. Cindy Hewett, Business Officer
Ms. Betty Creech, Community Health Director
Ms. Beth Jones, Communicable Disease Director
Ms. Dianne Harvell, Environmental Health Director
Frances De Vane, Recording Secretary
Minutes:
The Executive Committee approved the minutes of the June 28, 2001 meeting of the New Hanover
County Board of Health Executive Committee.
Monthly Financial Report - June 2001 (Includin2 Grant Status Report)
Ms. Cindy Hewett, Business Officer, referred the Board to the Health Department Revenue and
Expenditure Summary Report. The financial summary for June is as follows:
Budgeted Actual %
FYOO-Ol FYOO-Ol
Expenditures:
Salaries & Fringe $ 8,245,328 $7,787,417
Operating Expenses $ 1,984,198 $1,667,183
Capital Outlay $ 534,236 $ 394,391
Total Expenditures $10,763,762 $9,848,991 91.50%
- Revenue: $ 4,700,506 $4,481,366 95.34%
Net County $$ $ 6,063,256 $5,367,625 88.53 %
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Ms. Hewett explained the June Health, Department Financial Monthly Revenue and Expenditure Report
reflects an earned revenue balance of $4,481,366 (95.34%) with a remaining revenue balanc:e of
$219,140, an expended amount of $9,848,991 (91.50%) with a remaining expenditure balance of
$914.771 and a cu~ulative percent of 100%.
Ms. Hewett stated revenue earned is $4,481,366 compared to $4,053,499 for the prior year. Medicaid
revenue received reflects $822,422 (87.32%) with a remaining balance of $119,478. Animal Control
Services fees increased to $535,888 compared to $439,969 for the prior year. Environmental Health fees
equal $293,906 compared to $304,821 for the prior year Ms. Hewett advised a final 2000-01 Fiscal
Year Financial Report would be presented to the Board of Health.
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Grant Status Update
Ms. Hewett gave the Grant Status Update from July 1999 through July 17, 2001 reflecting grants
requested total $1,316,973. Grants received equal $383,900 (29.150%), pending grants equal $330,331
(25.083%), and denied grants equal $602,742 (45.767%). 'The Diabetes Today ($10,000) and Lose
Weight Wilmington ($75,000) Grant Applications were added to the grant status report.
Bud2et Amendment - School Health Nurse Positions
Ms. Betty Creech, Community Health Director, presented a request for two new full-time School Health
Nurse positions to provide nursing services at the three new schools opening this fall. The New Hanover
County Schools funding for $82,370 is for two (2) nine-month nursing positions with salary/fringe,
mileage, and training/travel. One full-time nurse will provide nursing services for the new high school
and one full-time nurse will cover elementary and middle schools. The additional School Health nurses
will assist students with medical conditions and assist in meeting school health needs.
Motion: Motion passed to recommend to the Board of Health the acceptance and approval of the
$82,370 budget amendment from the New Hanover County School System to fund two new Public
Health Nurse positions and submission of the associated budget amendment to the County
Commissioners for their consideration.
Grant Application. Teen AIDS Prevention (TAP) . Cape Fear Memorial Foundation
Ms. Beth Jones, Communicable Disease Director, presented a request to reapply for the Teen AIDS
Prevention (TAP) Grant for $45,500 funded by the Cape Fear Memorial Foundation. She explained
following the initial NC Department of Health and Human Services TAP funding in January 1999, TAP
was funded for two years through September 30, 2001 by the Cape Fear Memorial Foundation. The
present TAP grant request is for October 1, 2001 through September 30, 2002.
Ms. Jones reported TAP is unique and focuses on HIV/SID prevention by providing peer-led
presentations to high-risk teens and has been quite successful. Mr. Steuer inquired whether the grant
request would financially obligate the county Ms. Jones advised no county funding is required other
than in-kind support through existing staff and supplies budgeted in the Communicable Disease budget.
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Motion: Motion passed to recommend to the Board of Health the acceptance and approval of the Teen
AIDS Prevention (TAP) Cape Fear Memorial Foundation Grant Application for $45,500 and submission
of the grant application and associated budget request to the County Commissioners for their
consideration. '
Grant Application' . CDC TB Elimination
Ms. Jones presented a Communicable Disease Control (CDq Tuberculosis (TB) Elimination and
Prevention Grant Application for $10,000 from the N.C. Department of Health and Human Services,
Division of Public Health, Tuberculosis Control Program. The purpose of the grant is to improve
Tuberculosis services focusing on the growing Hispanic population, to provide preventive therapy, and to
assist with outreach educational activities. Funds will purchase a 19" color television for TB nurses to
directly observe TB therapy using a video phone, to contract with ATl Interpreter Services ($8,750) to , ,
pay for a Spanish,lnterpreter, and to provide educational materials for the TB Control Program. ,
Motion: Motion passed to recommend to the Board of Health the acceptance and approval of the CDC
TB Elimination Grant Application for $10,000 from the N.C. Department of Health and Human Services,
Division of Public Health, Tuberculosis Control Program and submission of the associated budget
request to the County Commissioners for their consideration.
Consideration of a Tribute to Dr. Frank R. Reynolds
Mr. Rice reported that he met with the Division Directors, Ms. Lynda F. Smith, Assistant Health Director,
and Ms. Frances De Vane, Administrative Support Manager, to discuss a proposed tribute to Dr. Frank B.
Reynolds for his outstanding medical and public health services, leadership in the medical community
and state, and clinical services in the New Hanover County Health Department.
Mr. Rice reiterated Dr. Reynolds' achievements and medical contributions are numerous. Dr. Reynolds
has served as Past President of the New HanoverlPender County Medical Society, Chief of Staff for. New
Hanover County Memorial Hospital, Medical Consultant for the Health Department, Chair of the New
Hanover County Board of Health (1977) and on the Board of Health from 1969-1977, and sin~ 1950 has
served as a leading pediatrician in our community and state. Dr. Reynolds is the recipient of many
prestigious public health and medical awards. He has supported public health and cared for the medically
under served population for years. His contributions to public health and to the Health Department
clinics are remarkable.
Mr. Rice advised a group met to discuss a tribute to honor Dr. Reynolds and suggested naming the
Health Department clinic area the Dr. Frank R. Reynolds Clinic in recognition of Dr. Reynolds's medical
contributions and dedication to public health clinical services. He stated a dedication celebration would
be planned to honor Dr. Reynolds and to officially name the clinic area.
Motion: Motion passed to recommend to the Board of Health the acceptance and approval of a request
for a tribute honoring and recognizing Dr. Frank R. Reynolds, Pediatrician, for his outstanding medical
contributions to our county and state and for his public health services to the New Hanover County
Health Department, and to name and dedicate the clinic area of the Health Department in honor of Dr.
Frank R. Reynolds.
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BudRet Amendment. Vector Control. Corps of EnRineers
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Ms. Dianne Harvell explained that the Mr. Howard Varnam, Contract Officer, U.S. Army Corps of
Engineers, requested the Vector Control Program of the Health Department assess a situation at Snows
Cut involving their Mosquito Control Program along with gambusia minnow in place at Snow's Cut.
Residents of the area adjacent to Snow's Cut Spoil Island expressed concerns to the Corps of Engineers
regarding mosquito problems, IPM management strategy of gambusia minnows, and want the standing
water to be removed.
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Ms. Harvell reported after review of the site, a work plan was developed for Snow's Cut Island West
End and the proposed abatement strategies were presented to Mr. Varnam. The Health Department Work
Plan for Vector Control is to move soil from the high sandy end to fill water area at the low end and
remove the standing water with available fill material. The four-week project will require rental of two
bulldozers ($9,800) due to work site stability and may require additional county equipment through intra.
departmental resources. Ms. Harvell clarified the project completion is dependent upon the stability of
the material during back-filling operations. '
Ms. Harvell advised the budget for the project is $19,066. The Health Department will begin the Snow's
Cut Spoil Island Pest (Mosquito) Management Project upon funding approval by the U.S. Army Corps of
Engineers. The budget amendment ($19,066) for the project was presented to the Executive Cpmmittee
for their consideration.
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Motion: Motion passed to recommend to the Board of Health the acceptance and approval of the
$19,066 budget amendment from the Corps of Engineers for the Snow's Cut Spoil Island Pest (Mosquito)
Management Project and submission of the associated budget amendment to the County Commissioners
for their consideration.
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Mr. Steuer commended the Vector Control staff for their mosquito control innovative efforts and for a
job well done.
Environmental Health Committee Report. YMCA Pool
Mr. Link, Environmental Health Committee Chairman, reported the Environmental Health Committee
met on July 23, 2001. Ms. Perry Maxwell, YWCA Executive Director, addressed the committee to offer
recommendations to the staff to assist pool owners. Her suggestions were for Environmental Health staff
to mail a notice to all pool owners of any rule change to pool regulations, to plan a meeting for pool
owners to explain rule changes, and for the staff to permit indoor pools in February instead of April
which would allow ample time to correct pool problems prior to the summer season. Mr. Link advised he
thanked Ms. Maxwell's for her recommendations to benefit pool owners.
Jail Pro.iect Construction Site
Mr. Link explained representatives from the N.C. Department of Environmental and Natural Resources
(NCDENR) attended the Environmental Health Committee meeting to address issues regarding the Jail
Project Construction Site. He reported the Castle Hayne Steering Committee had appealed to the New
Hanover County Health Department to address the potential risks to groundwater quality posed by Jail
Project Construction at the Blue Clay Road Landfill Site. Mr. Rice distributed copies of a letter he
received addressing this issue from Mr. William S. Funderburg, Director, Castle Hayne Steering
Committee.
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The Executive Committee reviewed the letter. After discussion of the items addressed in the letter, the
committee decided the following sever~l factors~ may make the Jail Project Construction Site a potential
public health concern:: . '
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. Location of a c1~sed solid waste landfill on a tract of land adjacent to the proposed jail site (12 acres
permitted by DENR, 35 acres used);
. Prevalence of site/soil conditions indicative of a shallow depth to the static water table;
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Sampling/testing conducted does not conclusively establish that groundwater quality has not already
been impacted by the closed solid waste landfill '(while a recent set of sample analyses conducted by
NCDENR fro", abandoned test wells is reported within accepted limits, older data suggests the
necessity of a more comprehensive study); ,
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Reports provided by Law Engineering And Environmental Services, Inc. do not ascertain directional
(lateral and vertical) movement of the groundwater on this ,site; and
Structural requirements of the jail will require the placement of numerous pilings to depths that may
penetrate the clay and limestone strata, thereby, possibly creating portals to the aquifer.
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Mr. Steuer expressed the letter from Mr. Funderburg, Director, Castle Hayne Steering Committee,
contains valid points that should be addressed regarding the old landfill site and Jail Construction Site and
the safety of the area's drinking water aquifer. He emphasized that Law Engineering and Environmental
Services, Inc. and NCDENR did question the monitoring for methane and recommended methane
concentrations be measured prior to construction activities and permanently within the completed
structure due to migratory properties of the gas. Other concerns are that NCDENR advised two
additional landfill sites exist in New Hanover County (one near Carolina Beach and one adjacent to
Landfall Subdivision) and that similar issues may surface when these properties are developed.
Mr. Steuer clarified the determination of the flow of the ground water was not reported as it should have
been. Mrs. Harvell estimated the cost for a study to determine the flow of the groundwater would be
approximately $40,000 to $50,000. Mr. Steuer concluded as close as the pilings are at the proposed
construction site, the pilings could create a potential for contaminated surface waters and the Castle
Hayne acquifer.
Motion: Motion passed to approve for the Executive Committee of the New Hanover County Board of
Health to send a letter to Mr. Wyatt Blanchard, New Hanover County Engineer, expressing the Board of
Health's concern regarding potential groundwater contamination at the New Hanover County Jail Project
Construction Site on Blue Clay Road in Castle Hayne, N.C.
Stratewc PlanninR
Mr. Rice distributed copies of a Strategic Planning Priorities July 24, 2001 Update for the Executive
Committee's review.
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Other Business:
Budget Amendment and Grant Process
It was the consensus of the Executive Committee to continue the current budget amendment and grant
application policy and procedures by submitting them first to the Executive Committee and then to the
Board of Health prior to submitting them to the New Hanover County Commissioners. This shall
include budget amendments of $10,000 or more, budget amendments requesting new personnel, and
grant applications, new or recurring.
N~wspaper Coverage
Mr. Rice announced he plans to meet with Mr. Kenneth A Svanum, Publisher, Wilmington Morning Star
News, to discuss obtaining better media coverage of Board of Health meetings and Health Department
activities. ' .'
Alljournment:
Dr. Jewell adjourned the Executive Committee meeting of the Board of Health at 7:45 p.m.
David E. Rice, Health Director
New Hanover County Health Department
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Approved:
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Mr. William T Steuer, Chairman, called the regular business meeting of the New Hanover County Board
of Health to order at 8:00 a.m. on Wednesday, January 5, 1999
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Memben Present:
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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
Melody C. Speck, DVM
Estelle G Whitted, RN
Memben Absent:
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Philip P. Smith, Sr., MD
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Mr Steuer announced Mr Rice is absent due to a death in his family
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Othen Present:
Lynda F. Smith, Assistant Health Director
Frances De Vane, Recording Secretary
. Invocation:
Mr William T. Steuer gave the invocation.
Minutes:
Mr. Steuer asked for corrections to the minutes of the December I, 1999 New Hanover County Board of
Health meeting. The minutes of the December 1, 1999 Board of Health meeting were corrected and
approved by the Board of Health.
Oath of Office:
The Oath of Office was administered by Ms. Frances De Vane, Notary Public, to the following
reappointed Board of Health Members:
William T Steuer, Professional Engineer
Wilson O'Kelly Jewell, Dentist
Anne Braswell Rowe, Public Citizen
Recognitions:
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Penonnel
Ms. Lynda F Smith, Assistant Health Director, introduced the following health department employees:
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New Emnloyees
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Wayne Foster, Animal Contorl Officer, Animal Control Services
Ricky W Gibbs, Environmental Health Specialist, Environmental Health
Charlotte Norris, Public Health Nurse I, CommunityHealth
Felicia Myott, Public Health Nurse I, Child Health
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Leslie ,Williford. UNCW Student Intern. Environmental Health
Ms. Leslie Willifrod, UNCW Student Intern, was recognized.
Environmental Health Division.
She is working with the
Gwen Murphy. Pharmacy Student
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Mr Link introduced Ms. Gwen Murphy, Pharmacy Student from UNC @ Chapel lIjll who is
serving an intership at the Medicine Shop
Project ASSIST A ward
Ms. Lynda Smith displayed a plaque presented to the New HanoverlBrunswick ASSIST Coalition
in recognition of and in appreciation for outstanding resourcefulness and leadership in
implementing the American Stop Smoking Intervention Study for Cancer Prevention (ASSIST)
from 1991-1999 in North Carolina.
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Ms. Smith announced Ms. Elizabeth Constandy accepted the Health Educator II position in
Women's Health Care. Ms. Constandy thanked the Board of Health for their support of Project
ASSIST
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Mr Steuer welcomed new employees, guests, and congratulated the staff on the receipt of the Project
ASSIST award.
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Department Focal:
FY 1998-99 Annual Renort
Ms. Lynda Smith, Assistant Health Director, presented the department focal on the New Hanover County
FY 1998-99 Annual Report. Pictures of Board of Health members are featured on the first page of the
report. Ms. Smith summarized the fiscal year highlights including Commit to Quit, the revision of the
Dangerous DogIPotentially Dangerous Dog Ordinance, the change of Food Establishment Grade Cards to
Score Cards, the Southeastern North Carolina Dental Sealant Campaign, the 25th Anniversary of Women,
Infants, and Children (WIC) Services, the Ramp Ribbon Cutting, the Shigella Outbreak in Child Care
Facilities, the Public Health Month Azalea Float, the Organizational Capacity Team, the Health
Department's role in Hurricane Bonnie, the funding of the Teen AIDS Prevention Grant, and the 120
Years of Public Health in New Hanover County Celebration held on June 14,1999
Ms. Smith referred the Board to the division reports and to a financial management report included in the
annual report. The total budget for FYI998/99 was $8,643,629
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Mr Steuer thanked Ms. Smith for her presentation.
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Monthlv Financial Reoort - November 1999
Ms. Lynda Smith, Assistant Health Director, referred the Board to a chart and a summary of the
December Revenue and Expenditure Reports. She explained the increased revenue in the Tuberculosis
Program is due to a Medicaid fee increase of $11 ($14%) and to an increase of visits (55%) compared to
the same period last year The Personal Health Program reflects an over expenditure of $224,000 in
Salary and Fringe Benefits line item due to lapse salary being taken out at the beginning of the year. Ms.
Smith advised that actually this is not an over expenditure. She stated Capital Outlay will be expended
during the year
The revenue report reflects a 41.65% cumulative percent. County monies are not included in the reports.
Tl;1e budgeted amount is $9,397,435 with a $6, 168,717 remaining balance in the expenditure line item.
The Board reviewed earned revenues and fees for the prior and current year
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Committee Reports:
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Executive Committee
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Mr Steuer, Chairman, Executive Committee, reported the Executive Committee met at 6:00 p.m. on
Tuesday, December 21,1999 Items are listed under New Business on this agenda.
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Unfinished Business:
GeneratorslHookuns at Emernencv Shelters
Mr Steuer reported Mr Wyatt Blanchard, New Hanover County Engineer, and Mr Dan Summers,
County Emergency Management Director, gave a status report on the emergency shelter plans for
securing manual generator switches for (:iesignated existing and future emergency shelters at the
December 21 Executive Committee meeting. According to the project timeline by June 1999, electrical
transfer switches will be installed in the schools used for disaster shelters. "
Mr Steuer asked Mr Greer if Emergency Management is responsible for the purchase of the generator
equipment. Mr. Greer reported he understands Emergency Management will follow-up with the lease
arrangement or purchase of generators, He explained if the generators are not used, it is expensive.
New Business:
New Hanover CountY Budl!et Calendar for FY2000-01
Mrs. Lynda Smith, Assistant Health Director, presented the New Hanover County Budget Office Calendar for Fiscal
Year 2000-2001 She explained the budget schedule began with a Performance Measurement Workshop in
December 1999 and lists deadlines through June 5, 2000 the proposed adoption date of the New Hanover County
Budget.
Ms. Smith gave the following Budget Schedule for the Board of Health:
January 3-21
January 14-28
January 13-19
Division Director meets with Board of Health Budget Committee Member
Review Budgets with Division Director
Budget Workbook Distributed to Board of Health Executive Committee
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Ms. Smith advised the staff is beginning the budget process. After the appointment of the Board of Health Budget
Committee, Board members will receive their program assignment. Budget Workbooks will be delivered to the
Executive Committee by January 19
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Status of Grant ProDosalS
Mr. Steuer referred the Board to a Grant Application Status Report (January 1999 - December 14, 1999).
It includes health department grant applications approved by the New Hanover County Board of Health.
Ms. Smith summarized the Grant Status Report includes the date of Board of Health approval, nam'e of
the grant and grantor, and the grant's status, The report indicates the pending grant applications are
Operation-Reach Women - Susan G. Komen Breast Cancer Foundation and the Child Health Consultant
proposals. Nineteen (19) grants were requested totaling $715,629, grants pending .were $68,032, and
grants received were $201,111 Notification of receipt of the Opera/ion-Reach Women - Susan G.
Komen, Breast Cancer Foundation Grant ($19,822) has now been received,
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Mr. Link inquired how the grant report compares to previous years. Ms. Smith responded the health ,
department has applied for more grants, more grants seem to be available, and the health department has
received more grants. Dr. Speck expressed the grant process takes a lot of work and time. Ms. Beth
Jones, Communicable Director, expressed a grant writer wou,ld benefit the health department and would
pay in a long-range plan. .
Grant Process
Mr. Steuer recommended from the Executive Committee for the Board of Health to follow and approve
the current New Hanover County Grant Flow Chart and Procedure as approved by the Board of Health on
October I, 1997 and not to change the present grant process. The Board of Health reviewed this chart and
the grant procedure. The present policy is all grants are approved by both the Board of Health and must
be approved by the County Commissioners.
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Dr Speck reiterated grant proposals are lengthy Dr Speck and Ms. Hunter concurred a one-page
synopsis of grant applications for clarity and explanation would be helpful to the Board of Health
members. Dr. Goins advised the Board of Health started receiving a full copy of grant proposals due to
prior grant incentives. Mr. Steuer emphasized the Board of Health needs the details of the whole grant in
addition to the proposed one-page synopsis. He suggested the Executive Committee review the full grant
proposal. Ms. Smith advised a summary page is prepared for the County Commissioners Agenda, and a
similar summary page could be prepared for the Board. It was the consensus of the Board of Health that
the proposed grant summary page should be prepared. The summary page for the Board of Health should
include the name of the grant, the grant's purpose, the grantor or sponsor, and the amount of the grant.
MOTION: Mr Steuer moved from the Executive Committee for the Board of Health to continue to
follow the current New Hanover County Grant Flow Chart and Procedure as approved by the Board of
Health on October 1,1997 and not to change this grant process. Upon vote, the MOTION CARRIED
UNAMIOUSLY. ' ,
Stratel!ic Planninl! Process
Mr Steuer recommended from the Executive Committee for the Board of Health to approve and to pursue
a Strategic Planning Process for the Health Department and to place the expense of the plan the FY
Budget 2000-2001. The plan will include a retreat with a professional facilitator to work with staff on
goals and objectives, to go through the process, to prepare a written plan, and then to introduce strategic
planning in the budget. It will be done in conjunction with the Community Needs Assessment.
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MOTION: Mr Steuer moved from the Executive CO!llmittee for the Board of Health to approve and to
pursue a Strategic Planning Process for the He~th Department and to place the expense of the plan and
facilitator in the FY Budgc;t 2000-2001 Upon vote, the MOTION CARRIED UNAMIOUSLY. ,
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Mr. Steuer advised the Board the strategic planning process would take place later this year.
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Revision of Fee Policv. Personal Health. Meninl!Ococcal Vaccine
Mr Steuer recommended from the Executive Committee for the Board of Health to approve the
administration of Meningoccal vaccine to college students and to add the fee of $65.00 per injection to the
New Hanover County Health Department Fee Polic~
Ms. Beth Jones, ICommunicable Disease Director, explained the CDC and Advisory Committee on
Immunization PJ'actices (ACIP) recently issued a new recommendation that college freshman be
immunized against Meningococcal meningitis. She advised this is a new recommendation but is not a
new vaccine, and the fee is based upon cost. The health department standing order will not be restricted
to freshman only, since the circumstance that puts them at risk exists for all dorm students.
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MOTION: Mr Steuer moved from the Executive Committee for the Board of Health to approve the
administration of Meningoccal vaccine to college students, to add the vaccine and fee of $65.00 per
injection to the New Hanover County Health Department Fee Policy, and to submit the Fee Policy
addition to the New Hanover County Commissioners for their consideration, Upon vote, the MOTION
CARRIED UNAMIOUSLY.
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Board of Health Committees
Mr Steuer advised he plans to finalize the appointments for the Year 2000 Board of Health Committees
soon. He will notify Mr Rice of the committee appointments.
Comments:
Board of Health
Dr Jewell inquired about the Budget Committee assignments. Mr. Steuer announced Ms. Rowe is Chair
of the Budget Committee.
Mr. Greer asked if a department focal could be planned on TemporarylMobile Food Stands, He received
a call from a restaurant operator inquiring about regulations governing a mobile/temporary vendor located
near his establishment that sells food but doesn't seem to have to meet the same restaurant requirements.
Mr. Greer would like a better understanding of these requirements. Ms. Smith will ask Mr, Rice to plan
for a department focal on requirements for TemporarylMobile Food Stand vendors.
~s. Rowe expressed concern about a reCent article she read had stated County Commissioners had
\ ~~quested for four or five health departments to discontinue the distribution of condoms, She advised the
Board of Health should be aware of this move in North Carolina. Dr. Speck and Dr. Goins endorsed the
. distribution of condoms and birth control methods in our county, Dr, Goins emphasized condoms slow I
down communicable disease and save lives. ~
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Health Director
Coastal AHEC Board of Directors
Ms. Smith announced Mr. Rice was selected to serve on the Board of Directors of the Coastal Area,
Health Education Center
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NCALHD Planninl! & Policv CLeeislative Committee)
Ms. Smith advised Mr Rice was appointed to serve on the Policy and Planning Committee of the N C.
Association of Local Health Directors.
ANCBH 14th,Annual Meetinl! - January 20-21.2000
The Annual Association of North Carolina Boards of Health (ANCBH) meeting will be held on JanUllry 20-21,
2000, in Raleigh, North Carolina. The topics are Dental Health Access in North Carolina: "Where is the Tooth
Fairy?" and County Dental Health Access Experiences" A reception will be held on Friday, January 20 at the
Sheraton Capitol Center Hotel.
The Annual N. Co State Health Director's Conference - January 20-21. 2000
The Annual N. C. State Health Director's Conference will be held in conjunction with the ANCBH meeting. The
topic is "Emergency Preparedness - How Well Are We, Prepared?" It will be held at The McKinnon Center in
Raleigh, North Carolina.
Board of Health members were invited to register and attend the ANCBH 14th Annual Meeting and the Annual
N.C. State Health Director's Conference.
Blood Drive
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Ms. Smith reported the Winter County Blood Drive was held yesterday, Tuesday, January 4
members may donate blood at the Red Cross Center through January 21
Board of Health
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Danl!erous Doe Determination Hearines Renort
Ms. Smith referred the Board to the Animal Control Services Dangerous Dog Determination Hearings Report in
their Board packets.
Time CaDsule
Board members were invited to a Millennium Time Capsule Ceremony to be held at 8:15 a,m. on January 6, 2000,
at the Health Department. A Millennium Memories Time Capsule containing items from each division will be
buried at the Administration front entrance to mark the Health Department's entrance into the new millennium.
Museum Pro!!ram In/2000 on Dr. Thomas Fannin!! Wood 11 a.m.
Ms. Smith announced Mr. Donald Koonce, scholar and Wilmington native, will present a program on his research
on Dr. Thomas Fanning Wood, known as the Father of Public Health in North Carolina, at II a.m. on January 7,
2000 at the Cape Fear Museum. Dr. Wood was the founder and organizer of the first North Carolina State Board of
Health located in Wilmington.
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National Association of Local Boards of Health Newsletter
Ms. Sm ith referred the Board to' their copy of the National Association of Local Boards of Health
NewsBrief Dr Goins announced Ms. Vaughn 'Upshaw, EdD, DrPH from North Carolina, was elected
President-Elect ofthe NALBH. ' '
Other Business:
'1".\
There was no other business.
Adjournment:
Mr Steuer adjoumyd the regular meeting of the New Hanover Cou\lty Board of Health at 9:20 a.m.
Approved:
William T Steuer, PElRLS, Chainnan
New Hanover County Board of Health
David E. Rice, M.P.H.,M.A., Health Director
New Hanover County Health Department
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Mr. Elmore thanked the Board of Health and the Search Committee for their sincerity and
d~dication in the selection process of the l:lealth Director. He commended Mrs. Smith, Acting
Health Director, for ajob well done. '
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Unfinished BusiQess:
'I'~'.
Partnership For Children Grant Awarded
Mrs. Janet McCumbee, Child Health Director, announced the Partnership For Children Smart
Start Grant ($76,569) was awarded to the health department. She explained during the FY98
budget process the Board of Health approved two positions which were removed from the
budget request pending notification of the grant approval. These positions were a Licenced
Practicall)lurse fI (pay Grade 113, $21,757) and a Medical Office Assistant (pay Grade 111, , ,
$19,698). , ' '
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Mr. Elmore recommended from the Executive Committee for the Board of Health to accept
and approve the Partnership For Children Smart Start Grant ($76,569) to fund the LPN II and \
MOA positions. No local funding"is required. ,
MOTION: Mr. Elmore, Chairman, moved from the Executive Committee for the Board of
Health to accept the Partnership For Children Smart Start Grant ($76,569), to fund the LPN II
(pay Grade 113, $21,757) and MOA (pay Grade 111, $19,698) positions, and to submit this
request to the New Hanover County Commissioners for their consideration. Upon vote, the
MOTION CARRIED UNANIMOUSLY. '
Mrs. Dean inquired about the number of health department Well Baby Clinics for non-Medicaid
clients. Mrs. McCumbee informed Mrs. Dean that health department health check clinics are
held for non-Medicaid babies.
New Business:
Grant Procedure Flow Chart
Mr. Elmore presented a revised Grants Procedure Flow Chart approved by the Executive
Committee. He explained the revisions to the flow chart are to add a box indicating action if
the Board of Health Executive Committee denies a grant application and to add a foot note
stating: "If the deadline for a grant application is approaching, the Board of Health Executive
Committee may move a grant application forward by approving the grant for application and
reporting the action to the Board of Health." He stated Ms. Smith had produced the flow chart.
Dr. Goins stated according to the Grant Procedure Flow Chart the grant application will go the
Board for their approval, if the deadline is close the Executive Committee can move the grant
forward and report the action to the Board of Health.
Dr. Clancy suggested that an application could be returned for revisions after Board of Health
review and suggested a dotted line showing a break in the circuit to allow this step and to show
the revisions to be made and approved by Health Director and signed off by the Board of Health
Chairman.
-1tMr. Greer stated the Board of Health needs to approve all grants. Mrs. Dean stated that the
rational is to keep the Board of Health informed of grant applications.
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Mr. Elmore explained under the grant process the, Board of Health will eventually approve all
grants before they become effective. The flo)V chart was designed to move the grant application
forward if there are time c;onstraints.1
MOTION: Mr. Elmore moved from the Executive Committee for the Board ,of Health to
approve the Grant Procedure Flow Chart as presented and to make the following revisions to
reflect that revisions may be made by the Health Director and signed by Board of Health
Chairman. Upon vote, the MOTION CARRIED UNANIMOUSLY.
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Reclassification: Child Health Service Coordination Public Health Nurse II to PHN III
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Mr. Elmore presented a request for the reclassification of a Public Health Nurse (PHN) II
position to a Publ\c Health Nurse III position in Child Servic~ Coordination. He explained the 'I
Child Health Division under the direction of Mrs. Janet McCumbee is the only Nursing Division,
without either a nursing or a clerical supervisory position. The reclassification to a PHN III is to
assume some supervisory responsibilities to assist the Child Health Director.
Mr. Elmore recommended from the Executive Committee for the Board to approve the
reclassification of the PHN II to a PHN III position in Child Services Coordination.
MOTION: Mr. Elmore moved from the Executive Committee for the Board of Health to
approve the reclassification of a Child Health Service Coordination Public Health Nurse II
position to a PHN III position. Upon vote, the MOTION CARRIED UNANIMOUSLY.
Child Fatality Prevention Team AnnuallJ,eport
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Mrs. Janet McCumbee, Child Health Director, summarized the Child Fatality Prevention Team
Annual Report. She stated the New Hanover County Child Fatality Prevention Team is a group
comprised of community representatives from diverse agencies and disciplines, who meet every
two months to address the causes of childhood death, identify deficiencies in service delivery of
public agencies to children and families, and to make recommendations to prevent child death.
Mrs. McCumbee reported the team reviewed 13 death certificates in 1995-96. Causes of death
include perinatal conditions, accidents, illness, and birth defects. She stated no
recommendations were made concerning perinatal conditions and birth defects as the team
found there are adequate resources for prenatal care. General prevention of child deaths
included car safety seat training through the health department, DSS workers, law enforcement
agencies; improved parenting educational materials on toxic substances; and the provision of
car seats and smoke detectors.
Mrs. Dean requested more daycare guidelines for children who have asthma.
Comments:
Board Members
Dr. Goins reported this morning he heard a telephone interview with Mr. Rice; Mr. Rice was
most complimentary of staff and stated that he is looking forward to coming to Wilmington.
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New Hanover County Health Department
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Grant Approval Process
As of December.1,1999
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Grant Award
SoH SCC
Infonn X
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County
Brunswick
Buncombe
Catawba
Durham
Forsyth
Guilford
New Hanover
Robeson
Grant Application
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*County BudgetlFinan~ Committee and BCC
"County Process
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Dr. Dennis 1. Jackson, Chairman, called the regular business meeting of the New Hanover
County Board of Health (NHCBH) to order at 8:00 a.m. on Wednesday, February 4, 1998, in
the Dr. Thomas Fanning Wood Library, New Hanover County Health Department, Wilmington,
North Carolina.
Members Pf.esent:
,.,
Dennis 1. Jackson, DVM, Chairman
William T Steuer, PE/RLS, Vice-Chairman
Thomas V. Clancy, MD
Henry V. Estep
Michael E. Goins, aD
Robert G. Greer, County Commissioner
Gela N. Hunter, Nurse Practitioner
Wilson O'Kelly Jewell, DDS
W. Edwin Link, Jr., RPH
Anne Braswell Rowe
Estelle G. Whitted, RN
Members Absent:
Others Present:
David E. Rice, Health Director
Lynda F. Smith, Assistant Health Director
Frances F. De Vane, Recording Secretary
Invocation: Mrs. Anne Rowe gave the invocation.
Minutes:
Dr. Jackson called for corrections to the minutes of the January 7, 1998 Board of Health
Meeting. The minutes of the meeting of January 7,1998 were approved by the New Hanover
County Board of Health.
Recognitions:
Mr. Rice introduced and welcomed new health department employees and recognized recipients
of Service Awards given by the New Hanover County Commissioners.
New Employees
Virginia 1. Clegg, Public Health Nurse - Communicable Disease
Sheila M. Faery, Licensed Practical Nurse n - Child Health
Rhonda S. Howell, Animal Control Officer - Animal Control Services
Monica E. Roberson, Health Educator I - Project ASSIST
Service Awards
Five (5) Years
Daisy S. Brown, Administrative Assistant I - Administration
HazelL. Hewitt, Clerical Assistant - Administration
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Fifteen (15) Years
Susan T. Barfield, Public Health Nurse II - Community Health
Margaret R. Horton, Public Health Nurse II - Child Health
Twenty (20) Years
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Cyntliia S. Johnson, Public Health Nurse II - Communicable Disease
On behalf of the Board of Health, Dr. Jackson welcomed the new employees and expressed his
appreciation to the New Hanover County Service Award recipients.
Department Focal:
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SEAL THE STArE IN '98
Dr. David McDaniel, Dental Health Director, gave the departmental focal on "SEAL THE
STATE IN '98," a coalition of public and private community volunteers working to provide
98,000 dental sealants for children in every county in, North Carolina. He introduced Dr.
William K. Atkinson, President, CEO, and Ms. Sharon Benoit, Marketing Strategist, New
Hanover Regional Medical Center. Local "SEAL THE STATE IN '98" sponsors are the Cape
Fear Community College Dental Assisting Program, New Hanover Regional Medical Center,
Wilmington Tri-County Dental Society, and the New Hanover County Health Department.
Dr McDaniel advised the purpose of "SEAL' THE STATE IN '98" is to prevent dental decay
through the increased use of dental sealants and to educate the public regarding the benefits of
dental sealants both locally and statewide. The target date for applying the sealants is the week
of February 2-6. The goal of the local dental sealant promotion initiative is to provide 1,000
free dental sealants to New Hanover County children. Eighty-one local dentists volunteered to
provide 810 dental sealants. Also, the Cape Fear Community College Dental Assisting Program
is to provide free dental sealants to school children.
Dr. Jackson thanked Dr. McDaniel for his presentation on "SEAL THE STATE IN '98." Dr.
Jewell reiterated dental sealants are beneficial and dental sealants decrease dental decay by 80%.
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Committee Reports:
Executive Committee
Dr. Jackson, Chairman, Executive Committee, reported the Executive Committee met at 6:00
p.m. on Thursday, January 22, and at 6:00 p.m. on Monday, February 2,1998.
Budget Amendment Process.
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Dr. Jackson recommended from the Executive Committee for the Board of Health to approve
the budget amendment process.
Mr. Rice explained this is a request for a guideline regarding advising the Board of Health of
budget amendments for additional monies of more than $10,000 from the state that the grants
have been approved. He explained in his past experience as Health Director in Reno, Nevada, a
budget amendment more than $10,000 was submitted to the Board of Health for approval.
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Dr. Jackson gave an example in which Ms. Betty Jo McCorkle, Women's Health Director,
received an additional $28,374 grant allocation from the state for Temporary Assistance to
Needy Families to reduce the number of out of wedlock births through education, pregIllQlcy
tests, etc. The allocation is from the Women's Preventive Health Branch of the North Carolina
Department of Health and Human Services and is to provide temporary salary, advertising, and
supplies for TANF.'
Mr Rice reiterated he feels uncomfortable with the Board of Health not being aware of receipt
of additional or new monies from federal, state, and private sectors; even though, the grants'
have been approved.
MOTION: Dr. Jackson moved from the Executive Committee for the Board of Health to set a
guideline for any additional budget amendment for additional monies in the amount of $10,000
or more (without personnel positions) shall be presented to, the Executive Committee for a
recommendation 'for submission to the Board of Health for their consideration. If tltere is a ,
grant deadline related to the budget amendment, the Executive Committee may be notified by
phone of the additional monies. Upon vote, the MOTION DID NOT CARRY.
-2... Voting Aye
--2.... Voting Nay
Dr. Clancy proposed for the full Board of Health to approve budget amendments for additional
monies in the amount of $10,000 or more and for the Board to participate in this decision
making process. Mr. Steuer, Mr. Link, and Mr. Greer concurred the entire Board of Health
should be aware of and should approve the additional monies for more than $10,000. Dr.
Jackson stated if there are time constraints relating to a budget amendment, the full Board could
be poled by telephone. Mr. Greer stated any budget amendment with personnel positions is
submitted to the County Commissioners.
SUBSTITUTE MOTION: Ms. Rowe MOVED, SECONDED by Mr. Steuer for the Board of
Health to approve any budget amendment of additional monies in the amount of $10,000 or
more (unless new personnel requested) shall be presented to the Executive Committee for
recommendation and for submission to the Board of Health for their consideration. If there is a _A~
grant deadline relating to the budget amendment, the Board of Health members shall be ft.A;h.l5 p~ I(
by phone of the additional monies. Upon vote, the MOTION CARRIED UNANIMOUSLY~
Mr. Estep inquired about the acceptance of the $28,374 grant allocation from the state for the
Temporary Assistance to Needy Families (f ANF).
Ms. McCorkle explained the $28,374 TANF grant allocation was appropriated by the North
Carolina General Assembly to decrease the number of births out of wedlock. The Women's
Health staff plans to work with the Department of Social Services in this project.
MOTION: Dr.' Jackson moved from the Executive Committee for the Board of Health to
accept and approve the Temporary Assistance to Needy Families Grant allocation ($28,374)
from the Women's Preventive Health Branch of the North Carolina Department of Health and
Human Services to reduce the number of out of wedlock births. Upon vote, the MOTION
CARRIED UNANIMOUSLY.
Strategic Planning - Organizational Can8city Assessment
Dr. Jackson informed the Board Mr. Rice presented an Organizational Capacity Assessment
Plan to the Executive Committee on February 2, 1998. The Executive Committee approved this
strategic planning process and the Committee recommends to the Board the acceptance and
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approval of the implementation of this project.
Mr. Rice reported on Tuesday, the Management Team endorsed the implementation of the
strategic plan. He gave a presentation to the Board of Health on the Organizational Capacity
Assessment Plan (Assessment Protocol for Excellence in Public Health - APEXlPH). He
reviewed the steps, of the following of the three parts:
I.'" Organizational Capacity Assessment - 8 Steps
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I. Preparation
2. Score Indicators for Importance and Current Status
3 Identify Strengths and Opportunities to Improve
4 Analyze and Report Strengths
5. Analyze Opportunities to Improve
6. Rank Problems in Order of Priority ,
7. Develop and Implement Action Plan
8. Institutionalize the Assessment Process
Areas ofIndicators - 9 Areas
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I Indicators for Authority to Operate
2. Indicators for Community Relations
3. Indicators for Community Assessment
4. Indicators for Public Policy Development
5. Indicators for Assurance of Public Health Services
6 Indicators for Financial Management
7. Indicators for Personnel Management
8. Indicators for Program Management
9. Indicators for Policy Board Procedures
II. The Community Process
I. 1998 Community Diagnosis
III. Completing the Cycle
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1. Assess
2. Plan
3. Implement
4. Evaluate
Mr. Rice advised this is a team effort which requires time and commitment. It includes
participation of the Management Team and Staff, Board of Health, and County Commissioners.
He expressed the process is to establish a base line to move forward, to improve the way we do
business at the Health Department, and to improve communication between staff, other
agencies, and the public. The process should be evaluated and repeated every two years.
The Board concurred a strategic plan is needed for the health department which includes
assessment and the evaluation of services.
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MOTION: Dr. Jackson moved from the Executive Committee for the Board of Health to
accept and to approve the implementation of the Organizational Capacity Assessment Plan as
presented by Mr. Rice. Upon vote, the MOTION CARRIED UNANIMOUSLY.
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Health Promotions Committee
Dr. Goins, Chairman,' Health Promotions Committee, reported the Health Promotions
Committee met at 5:30 p.m. on Wednesday, January 28,1998. He advised on January 13, 1998,
Mr. Rice and Mr. Andy Atkinson, Deputy County Manager, met with Mr. Alfred Thomas, Chief
Executive Officer, at the New Hanover Community Health Center (NHCHC) to address
concerns relating to indigent patient access to primary health care at the facility. After .the
meeting in a'memo to Mr. Rice, Mr. Thomas outlined the indigent patient access to health
services at the NHCHC. This document from Mr. Thomas stated NHCHC is not a free clinic,
but it does see patients regardless of their ability pay. Dr. Goins stated the 1998 Community
Diagnosis addresses concerns regarding availability of medical services to the indigent
population. He advised the Health Promotions. Committee and Mrs. Betty Creech, Community
Health Director, are to continue to monitor the availability of primary health services to
indigent patients! '
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Dr. Goins announced the Fourth Annual Commit to Quit Contest sponsored by Project ASSIST
begins February 1 - March 16, 1998. Participants must be 18 years of age and remain smoke-
free for this'six-week period. A celebration party for smoke-free participants is to be held at the
on March 16 at the Coast Line Convention Center. '
Dr. Goins announced the Health Promotions Committee is to judge the Rabies - Protect Your
Pet, Protect Yourself Animal Control Services Poster Contest opened to Grades 4, 5, and 6.
Local winning posters are to be displayed at the Public Health Month Health Fair to be on
April 18, 1998, at Independence Mall and then entered in the Enviromnental Health Section of
North Carolina Public Health Association Contest.
Budget Committee
Ms. Anne Rowe, Chairman, Budget Corprnittee, reported Board members have reviewed each
program budget.
Ms. Smith, Assistant Health Director, reported the total 1998-99 Budget Request is $7,844,874
which is an increase of $396, 545 from the FY 1997-98 Amended Budget. Revenues have
increased by $236,500. The projected net increased cost to the county is $160,045. The budget
request does not include a salary market adjustment or merit.
Ms. Smith presented overheads which showed summary pages 1-9 of the Budget Workbooks.
She explained budget requests for 6 new positions, capital requests, revenues earned by the
health department, and the county appropriations.
A discussion of the budget requests for new positions, operating expenses, and projected
revenues followed., Mr. Steuer reiterated a larger 20 ft. boat is needed by Vector Control. Ms.
Dianne Harvell, Enviromnental Health Director, investigated the capacity and safety of the boat
in the budget request and she reported the capital outlay request needs to be increased by $6,000
for the boat larger boat.
Ms. Rowe advised the Executive Committee approved the 1998-99 Budget Request with the
exception of waiting for Ms. Harvell's investigation regarding the need and cost of a larger,
safer boat for the Vector Control Program of the Enviromnental Health Division.
Ms. Rowe thanked the Budget Committee and Ms. Smith for their assistance with the
preparation of the budget request.
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MOTION: Dr. Jackson moved from the Executive Committee for the Board of Health to
approve the FY 1998-99 New Hanover County Health Department Budget Request as presented
including a $6,000 increase in the capital outlay request to purchase a larger, safer boat for the
Mosquito Control Program in Vector Control. Upon vote, the MOTION CARRIED
UNANIMOUSLY.
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Unfmished,Business:
New Business:
New Hanover County Board of Health Bylaws'
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Dr. Jackson recommended from the Executive Committee the acceptance of the New,Hanover ,
County Board of Health Bylaws.
Dr. Goins requested the Board to review the section of the Board of Health Bylaws relating to
the election of officers. He explained the proposed bylaws state in November the floor is
opened for nominations for the Board of Health officers. He reiterated the importance of
nominees agreeing to serve as a candidate for an officer of the Board of Health prior to their
nomination. Dr. Jackson concurred nominees must give their pennission prior to their
nomination.
MOTION: Dr. Jackson moved from the Executive Committee for the Board of Health to
approve the New Hanover County Board of Health Bylaws. Upon vote, the MOTION
CARRIED UNANIMOUSLY.
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A copy of the New Hanover County Board of Health Bylaws <Attachment #1) is hereby
incorporated as a part of the minutes.
Rabies Control and Animal Licensinr
Dr. Jackson postponed the Rabies Control and Animal Licensing agenda item to a later date. He
explained the Rabies Control and Anima1 Licensing process is being addressed.
Animal Control Services (ACS) Advisory Committee Terms of Office
Dr. Jackson recommended from the Executive Committee for the Board of Health to approve
appointments of Animal Control Services Advisory Committee members to begin serving
staggering tenns of office in January 1999 and to place a limitation on the members' terms of
office to two consecutive tenns with the exception if a category cannot find a replacement
member to serve on the ACS Advisory Committee.
Mr. Rice explained ACS Advisory Committee members are appointed by the Board of Health to
serve three-year tenns beginning in January and ending in December 31. Staggering terms
wolild prevent the situation of several of the Committee members rotating off at the same time.
Also, currently there is no limit on the number of tenns a member may serve on the Advisory
Committee.
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MOTION: Dr. Jackson moved from the Executive Committee for the Board of Health to
approve appointments of Animal Control Services Advisory Committee members to ~in
serving staggering terms of office in January 1999 and to place a limitation on the membel'S'
terms of office to two consecutive terms with the exception if a category cannot find a
replacement member to serve on the ACS Advisory Committee. Upon vote, the MOTION
CARRIED UNANIMOUSLY.
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Comments:
Board Members
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Dr. Jackson expressed his appreciation to the Board of Health Committee Chairmen,for their
committee reports presented to the Board.
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Health Director
1998 Annual Meetinr of State and Local Health Directors
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Mr. Rice reported Ms. Lynda Smith, TrCsh Jones, Student Intern, and he attended the Annual
State and Local Health Directors' Meeting held on January 15-16, 1998, in Raleigh. The
keynote address was "Public Health Partnerships in the New Millennium." A workshop
followed on "Strategic Communication: How to Make the Most of Crises/Opportunities With
the Media." Updates were presented on other public health issues, and Dr. Ronald H. Levine,
Deputy Secretary, North Carolina Department of Health and Human Services, gave the closing
remarks.
Employee Appreciation Luncheon
.
Mr. Rice stated the Board of Health is hosting an Employee Appreciation Luncheon between
the hours of 12:00 p.m. - 1:30 p.m. on Thursday, April 9, 1998. Dr. Goins stated Board
members are to prepare the hamburgers and six to eight cooks are needed. The cooks sholild
arrive at the Health Department by 11 :30 a.m.
Health Director's Monthly Report. December
Mr. Rice announced the December 1997 Health Director's Monthly Report has been mailed to
the Board.
Pictorial Display
Ms. Smith reminded Board members to have their pictures taken immediately following the
Board meeting for the pictorial display to be placed at the health department entrance. Mr. Joe
Johnson, Coastal Area Health Education Center (AHEe), is available at AHEC to take the
pictures of the Board and the Management Team.
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Other Business:
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Association of North Carolina Boards of Health
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Mr. Rice reported he is arranging with Mr. Carmine Rocco, Executive Director, Association of
North Carolina Boards of Health, for a local training session for Boards of Health members.
Adjourn:
There being no further business, the regular business meeting of the Board of Health was
adjourned at 9:25 a. m.
Dennis 1. Jackson, DVM, 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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SANITATION TIPS FOR FOOD WORKERS
SUMMER 2003
Also in this issue...
Is MSG really a health hazard?
Page 2
How to tell when canned foods
have spoiled Page 2
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Summertime and the mold has it
easy Page 3
Test your cooking/cooling/thawing
know-how Page 4
@\~ ~
- Jl-~~--
"Do you think these peaches
might be spoiled?"
Copyright 2003
Pike & Fischer, Inc.
1-800-255-8131
Can SARS Be Transmitted by Food?
We don't yet know for sure if Severe Acute Respiratory Syndrome (SARS) can be
transitted by load. But health departments in affected areas are asking loodservice
operations to take extra precautions.
There are currently many more questions than answers about the virus and how
it moves around. It is known tliat the SARS virus can be transmitted by a sneeze or
cough. But it is not known for certain how long the virus can survive on an object.
Research from China suggests the virus can survive up to 24 hours on an object. And
it appears to be able to survive up to four days in feces.
Some experts believe that the risk from food is low because SARS is a respiratory
infection and the virus would have to be inhaled rather than eaten. Others believe
that the virus could find its way into the lungs from the mouth.
Even though the risk may be very low, it is still worth taking extra precautions
when handling food.
Here's what the Canadian Food Inspection Agency had to say in a recent notice to
food processors, distributors and importers:
"Given that we do not know the role, if any, respecting the transmission of SARS
through food, industry should review their food safety control programs to prevent
contamination of food with any potential pathogen:'
In advice issued April 25, the Centers for Disease Control and Prevention said that
"careful and frequent hand hygiene" is one of the best preventive measures. "Clean-
ing your hands often using either soap and water or waterless alcohol-based hand
sanitizers removes potentially infectious materials from your skin and helps prevent
disease transmission," CDC said.
CDC did not call for the routine use of personal protective equipment such as
respirators, gloves, or surgical masks for protection against SARS exposure, except in
the case of healthcare workers.
In an April 24 briefing, CDC Director Dr. Julie Gerberding said:
"We continue to have an open mind about all possible modes of transmission.
The epidemiologic evidence still suggests that face-to-face contact or droplet trans-
mission is accounting for by far the largest proportion of cases. Airborne transmis-
sion is certainly a concern in certain of the outbreaks that have been evaluated:'
Cruise Lines Take Precautions
Major shipping associations and the International Council of Cruise Lines are pro-
viding SARS information from the Centers for Disease Control and Prevention to
people traveling on cruise ships at u.s. ports. Inspectors also are boarding ships if a
passenger or crew member has been reported with symptoms matching the known
symptoms of SARS.
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FOOD TALK
SUMMER 2003
Test Yourself on Cooking/Cooling/Thawing Temperatures
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1 Which is the preferred method for thawing
potentially hazardous foods?
4 According to the FDA Food Code, foods
that are cooked and then cooled must be
cooled in which of the following ways:
a, In the oven,
b, At room temperature,
c. In the refrigerator,
d, Under 700F running water,
a, From 1400F to 410F in 12 hours,
b, From 1400F to 410F in eight hours
c. From 1400F to 700F in two hours,
and from 700F to 410F in an
additional four hours,
d, From 1400F to 700F in four hours,
and from 700F to 410F in an
additional two hours,
2, Poultry and stuffed meats should be
cooked to an internal temperature of _
for 15 seconds to be considered safe,
a, 1400F
b, 1450F
c, 1550F
d, 1650F
5, Hot foods should be held at or
above and cold foods should be held at
or below,
3, Regardless of the type of food, all
potentially hazardous foods that have been
cooked and cooled need to be reheated to
an internal temperature of _ within two
hours to be considered safe,
a, 1650F,410F
b. 1650F, 320F
c. 140oF; 410F
d, 140oF, 320F
a, 1400F
b, 1450F
c. 1550F
d, 1650C
6, Ground beef meats should be cooked to
an internal temperature of _ for 15
seconds to be considered safe,
~
a, 1400F
b, 1450F
c. 1550F
d. 1650F
Source: "Essentials of Food Safety and Sanitation,"
Prentice Hall,
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