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11/05/2003 e New Hanover County Health Deparbnent Revenue and Expenditure Summaries for September 2003 Cumulative: 25.00% Month 3 of 12 Revenues Current Year Prior Year Type of Budgeted Revenue Balance Budgeted Revenue Balance % Revenue Amount Earned Remalnln Amount Earned Remalnln \ Federal & State $ 1,662,620 619,793 $ 1,042,827 143,953 $1,561,255 8.44% Imel C,ontrol $ 570,161 152,376 $ 417,785 138,743 $ 449,201 23.60% Medicaid $ 1,044,080 82,425 $ 951,655 179,572 $ 855,814 17.34% Medicaid Max $ 273,333 0.00% EH Fees $ 300,212 $ $ 21.93% Heafth Fees $ 113,850 40.67% Other $ 2,282,095 21.97% Expenditures e ypeol Ex ndlture Budgeted Amount Expended Amount Balance Remalnl % Budgeted Amount Expended Amount Balance Remalnln % $1,878,760 $ 405,523 $ Summary - Budgeted Actual % FY03-04 FY 03-04 Expenditures: Salaries & Fringe $ 9,917,317 $ 1,910,845 Operating Expenses $ 1,465,775 $ 306,067 Capital Outlay $ 340,363 $ 17,326 Total Expenditures $ 11,723,455 $ 2,234,238 19.06% Revenue: $ 6,246,351 $ 1,359,600 21 77% Net County $$ $ 5,477,104 $ 874,638 16.00% e Revenue and Expenditure Summary For the Month of September 2003 11 Date (BOH) Grant R9Quested Pending Recelvecl Denied 10/112003 No activity to report for October 2003. New Hanover County Safe Schools- Uniting for Youth "U4Youth"(funding will be received over a 9/3l2oo3 3 year 9rant period) $49,000 $4g,ooo Safe Kids Coalltlon- Fire Prevention (Please note this grant was pulled- coslltion not eble to meet deadline for request) $2,500 $2,500 " ,\ 8/612003 NC DHHS- OPH Preparedness and Response $82,350 $31,950 $50,400 Smart Start- Partnership for Children (Grant 7/312003 Increase for Part Time Nurse Position) $5,523 $5,523 Cape Fear Memorial Foundation - Diabetes Today (two-year request; $42,740 annually) (Received $25,00 year 1 and $20,000 yeer 2) $85,480 $45,000 $40,480 Duke University Nicholas School of the Envlronment-Geographic Information Systems Grant (Env Health) $10,000 $10,000 Safe Kids Coalition- Safe KIds Mobile Car Seat Check up Van $50,000 $50,000 Safe Kids Coalltlon- Risk Watch Champion 6/412003 Team $10,000 $12,500 Smart Start- Partnership for Children: Child 51712003 Care Nursing Program (Preliminary Approval) $171,977 $172,500 Smart Start- Partnership for Children: Heallh Check (Preliminary Approval) $41,035 $41,747 UNC-CH: Child Care Health Consultant $82,849 $84,495 Cape Fear Memorial Foundation (through PartnershlD for Chlldrenl: Navigator Proaram $176,707 $180,000 41312003 No activity to report for April 2003. 3/512003 No activity to report for March 2003. 2/512003 No activity to report for February 2003. 11612003 NC DHHS- OPH Preparedness and Response $115,950 $33,600 $82,350 12/412002 No activity to report for December 2002. NC Health and Wellness Trust Fund-Teen Tobacco Use Prevention & Cessation Program 111612002 ($100,000 per year for 3 years) $100,000 $100,000 Safe Klda Buckle Up Program-North Carolina 101212002 Safe KIds $5,000 $5,000 Developing Geographic Information Systams (GIS) Capacity In Local Health Department In Eastern North Carollna-Ouke University Nicholes School of the Environment and Earth Sciences (NSEES) $18,000 $18,000 NO acuv,ty 10 repo" lor lSeplembe.-l002. NO acuv,ty to report or August zuuz. NO 8CUVtIY 10 report lor .JulY ZUUZ. Totals $988,371 $99,000 $614,792 $281,253 NHCHD BOARD OF HEALTH APPROVED GRANT APPUCATiON STATUS FY 03-114 e e e 10.02% As 011012212003 . NOTE: Notification raceived since lest report. 62.20% 28.48% 12 NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 03-04 Pendlno Grants 2 13% Funded Tolel Reauest 8 50% Partisllv Funded 3 19% Denied Totel Request 3 19% Numbers of Grants Applied For 16 100% e e e 13 As of 1012212003 . NOTE: Notification received since last report. " t i e e e NEW HANOVER COUNTY BOARD OF COMMISSIONERS Request for Board Action : Agenda:D Consent Meeting Date: 11/17/03 Agenda: ~ Department: Health Presenter: David Rice Contact: Janet McCumbee " " " Subject: Request for Approval of funds from Cape Fear Memorial Foundation Brief Summary' Health Department has requested $ 3,000 from Cape Fear Memorial Foundation for dental care for low income children with no Medicaid or dental insurance. A mini grant has been requested to pay local dentists for restorative dental care for children on free or reduced lunch, when school nurses identify an immediate need for dental care. This has been previously funded by the C.H.I.P. Program, which no longer exists. The Health Dept. plans to apply for additional CFMF funding in their next regular funding cycle. This grant would meet immediate needs,. to fill the present gap. RecomIriended Motion and Requested Actions: NHCHD to accept $3,000 from Cape Fear Memorial Foundation to pay for dental services for needy children. These funds will be used to serve children, referred by school nurses, without any source of payment for dental services; also to approve the related budget amendment if a contract is received. I Funding Source: Cape Fear Memorial Foundation Will above action result in: []New Position 0 Number ofPosition(s) DPosition(s) Modification or change ~o Change in Position(s) I Explanation: I Attachments: Memo 14 " NEW HANOVER COUNTY HEALm DEPARTMENT 2029 SOUTH 17m STREET WILMINGTON, NC 28401.4946 TELEPHONE (910) 343-6500 FAX (910) 341-4146 October 15, 2003 Mr Garry Garris, President Cape Fear Memorial Foundation 2508 Independence Blvd. Ste.200 Wilmington, NC 28412 Dear Mr. Garris: There is a significant need in this community for provision of pediatric dental services for children with no dental insurance or Medicaid benefits. These children are experiencing acute dental problems requiring immediate attention, but no funding is currently available to satisfy their needs. e The New Hanover County Health Department intends to submit a grant funding request to the Foundation to provide these services through dentists in the community with whom we currently have active contractual agreements. To qualify for these services, children must have no Medicaid or third party dental insurance and must meet eligibility requirements for free or reduced price lunches. Unfortunately, while we are awaiting the next funding cycle, there remains a tremendous need for gap funding to provide dental care for a growing number of children. Please consider our request for interim funding in the amount of $3,000, which we believe would satisfy the majority of services needed until our grant submission is reviewed and decided. Thank you. ~4 David M. Rice Health Director k::: I??~ ~ IW Janet McCumbee Director, Personal Health Services e 15 "Healthy People, Healthy Environment, Healthy Community" I - e e NEW HANOVER COUNTY BOARD OF COMMISSIONERS Request for Board Action Agenda:D Consent Meeting Date: 11/17/03 Agenda: ~ Department: Health Presenter: David Rice Contact: Janet McCumbee 'I 1'1 Subject: Request for Approval of funds from the Medical Society through Good Shepard Ministries Brief Summary' Health Department will receive $25,000 for one year to provide preventive nursing services at the Good Shepard clinical site for 10 hours per week. In addition, the Community Services' Physician Extender will provide limited services and oversight of nurse screenings and education to the homeless population as needed. Staff from the Health Department will work cooperatively with Good Shepard and other community agencies to assess client needs and make appropriate referrals; funds will provide some testing and medications, and assist this population with health needs on a limited basis. Recommended Motion and Requested Actions: NHCHD to accept $25,000 from Good Shepard Ministries (which they will receive from Medical Society), to provide nursing services to the population frequenting the shelter. These funds will be added to the budget to be used for temporary salaries and operating expenses incurred by the Community Health staff; to approve the related budget amendment when the contract is received. I Funding Source: Good Shepard MinistrieslMedical Society Will above action result in: ~ew Position 1 temporary- no benefits Number ofPosition(s) DPosition(s) Modification or change DNo Change in Position(s) Explanation: The funds are to be used to provide 10 hours per week of nursing services to assist Community staff with services at the Good Shepard clinical site. I Attachments: BOH memo 16 , . . jj e e e NEW HANOVER COUNTY HEALTH DEPARTMENT Good Shepherd Ministries of Wilmington, Inc. & Medical Society Grant Budget Proposal Goal: To provide professional health screening for early identification of disease and illness, health education and anticipatory guidance, basic medical first aid, limited episodic acute care and referral for follow-up to the indigent, underserved and uninsured population at the Good Shepherd Ministries of Wilmington in New Hanover County. Objective: Identification of health problems and behaviors common to high-risk populations in particular the homeless and medically underserved clients in order to promote positive health and social outcomes. Strategy: Staff medical clinic at the Good Shepherd Ministries for a miniri1um of ten (10) hours per week with a public health nurse. Physician Extender will provide clinic oversight under Medical Consultant protocols. PROPOSED LINE BUDGET I. Salaries Public Health Nurse 14,700 Temporary - no benefits $25.00 Ihr x 10 hrsIwk x 52 weeks plus FICA Medical Consultant 2,079 3 hrs/mo x $57 75 Ihr x 12 mo Salaries Total - 16,779 II. Operating Contract Services 3,900 Laboratory, medical referrals and radiology services Departmental Supplies 4,021 Medications, phannacy supplies, and outreach/testing supplies, refrigerator for medslvaccines/tests Employee Reimbursements 300 70 miles/mo x 12 mo x 0.36/mile Operating Total 8,221 Total Budget 25,000 17 , e e e . NEW HANOVER COUNTY BOARD OF COMMISSIONERS Request for Board Action Agenda: Meeting Date: 11/17/03 De artment: Health Contact: Janet McCumbee David Rice Sub'ect: Re uest for A roval of Tuberculosis TB Funds from Duke Universi BriefSurnmary: Health Department will receive $10, 388 for 03-04 FY to continue participating in a Duke University TB Treatment Research Project. NHC Health Dept. has been assisting Duke with a research project for a new TB treatment protocol since fall of2001. Duke would like to provide funds as an incentive for allowing staff to work with the Duke project and the TB patients enrolled; The funds will be used in the TB program for su lies and tem or staffm to assist with outreach. Recommended Motion and Requested Actions: NHCHD to accept $10,388 from Duke University to be added to the TB budget for temporary salaries and operating expenses incurred by the TB staff; to approve the related budget amendment when the contract is received. I Funding Source: Duke University Will above action result in: ~ew Position 1 temporary- no benefits Number ofPosition(s) DPosition(s) Modification or change o C e in Position s Explanation: The funds are to be used to provide 10 hours per week of nursing services to assist TB staff with outreach for TB patients receiving therapy from the health department. This has been done in the past with other temporary monies and was helpful to the ro I Attachments: BOH memo 18 ~ NEW HANOVER COUNTY HEALTH DEPARTMENT 2029 SOUTH 17111 STREET WILMINGTON, NC 28401-4946 TELEPHONE (910) 343-6500 FAX (910) 341-4146 To: Board of Health From: Janet McCumbee. RN ~ Personal Health Services Director Date: 10/20/03 Subj: Request to Accept Funds For Duke TB Study - FY 03-04 e The Community Health Services Team requests consideration of acceptance of the following: Duke University Research Project TB Control Program Funds Effective 7-1-03 $2597 per quarter through 6/30/04 = $10,388 History: We have participated in the Duke University TB research project since the fall of 2001. For the first time. we will receive funds to assist with time staff is spending with the project. Duke has paid for continuing education for TB staff; however, this year, they have some additional funds to provide us. We have enrolled approximately 40 patients since the beginning, presently following about 8. These patients are being treated with a new medication for TB. Our staff does the directly observed therapy and monthly assessments. Duke would like for the NHCHD to bill them each quarter for $2597, to offset any cost we incur as part of the TB research Project. We will continue to participate over the 03-04 FY and would like to budget the funds for use in the TB program. Proposed Budget for 03-04 Duke TB Funds Temporary Salary RN temp position/no benefits To assist with TB outreach $25.00 /hr X 10 hrslwk x 26 pay periods = $6.500 + $?OO (FICA) = $7.000 4210 - Departmental Supplies Pharmacy supplies, nutrition and medication supplements. outreach activities. office supplies $2.807 5100 - Employee Reimbursements 780 miles x 0.36/mile= $281 e 5200 - Training & Travel Total TB program updates and related training= $300 $10,388 19 "Healthy People, Healthy Environment, Healthy Community" . e e e Betsy Summey 07/31/200304.37 PM To: Page Dunn/NHC@NHC, Janet McCumbee/NHC@NHC cc: (bcc: archive) Subject: Duke University Offer As you know, the TB Control Program has been participating in studies conducted by Duke University for about two years. Last year they included us in a grant proposal to the CDC with the idea of obtaining funds to increase Lee Ann Cook's salary from 75% to 100% time. That proposal was turned down. Thankfully, Lee Ann's position has been increased to 100% by our own county budget. , Now at the year end, Duke has found it has money left in their budget which they want to give, to us to ensure that the studies can be continued here. They have been able to gather participants from this area in numbers that are very important to the validity of their study The money is not grant dependent. Basically, these are the components of a formal agreement which is forthcoming: 1) That we participate in tuberculosis research studies by assisting with screening and following patients according to the study protocols. 2) That we report to the study team and document adverse experiences and side effects in study patients according to theprotocols' definitions. 3) That we conduct studies according to Good Clinical Practices and in compliance with existing federal policies concerning use of investigational agents and protection of human subjects. 4) That we invoice Duke University $2597 on a quarterly basis with July 1,2003 the start date of the first quarter That sum represents what would have been 25% of LeeAnn's salary plus benefits. I am making sure of some of the expected duties and the amount of Lee Ann's time...especially in view of our limited staff I hope the extra money will be considered for someone on a very limited basis who may be able to do outreach work,i.e. DOPT's, DOT's. At any rate, look this over, and let me know any questions, concerns you may have before I get the final document from Duke which we will sent to the BOH for approval. Thanks, Betsy 20 -= c:l 0 \C = 11 .t- .,. Il .. a IIJ ~ M.... ..... ~~ .-- ~ IIJ ';~ ,;. ~ .. rIl "= a i .lD c::l ~'f =' ... Ji ~- .... = .lICaI rLJ.... :I ~ -= ~ , ~= jIoooII \ -I-u-J!. -;. tl~1 J Q6~.!D-gJ-U ~..~i.Et;;;;6 'all ~ fia !jl~e~.!!J It ~ dill .g lua -8-2 c:Idi1 e - Q,,€i~cn ~~ g-8Q~o.E-u fa .b II 'i:a-egZ€oJ <1. 1) ~~ .0. -- se ,!!!. ~ r! 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Ii ~~i~J iit 1 ~i~ , i !'i ~~ .!.~="B ! 1 ! ,- 11 l ~ [ o @ I Q. 1I~,f~ &CDt>)!iita:: gi~gn~ l!~ it 0 i !:l~S o O=~iG .. . lii il.- .. :t:r ~i l!Bilf[ IT if -< -+ CID 3 ~= "0 !ilifOi 0-8 ~ ..- CD <~= il. 0 :> 3 0 .. CD 0 .. :> 22 G '~-"", ',- ~~y <Y~, ,> ".' 4fi1 .{ <i1~l~. :-/f! <., :.f.~'-:'" ~/ "t ~~:.. ,~f' . ',.~ ,. f . " . e e e NEW HANOVER COUNTY BOARD OF COMMISSIONERS Request for Board Aetion : . Agenda:D Consent Meeting Date: 11/17/03 Agenda: ~ Department: Health; Health Promotion Presenter: Carrie Snell, Tobacco Prevention Health Educator " Contact: Carrie Snell 343-6548; Elisabeth Constandy 343-6658 (Sr. Health Educator) " \, Sub.ect: Vision 2010 Tobacco Prevention and Control Grant Brief Snmmary: The NC Tobacco Prevention and Control Branch has received funding from the Centers for Disease Control and Prevention to continue the tobacco prevention movement across the state. NHCHD has received this funding for 10 years, to fund the Project ASSIST Coalition of New Hanover and Brunswick Counties. Current funding will end 6/30/04. The monies are now competetive, and the local coalition has expanded to include Pender County on the application for continuation funding. Focus areas for the grant remain the same, and include: Preventing Youth Initiation, Promoting Cessation, Reducin Ex osure to Secondhand Smoke, and Eliminatin Dis arities. Recommended Motion and Requested Actions: Approve Vision 2010 Tobacco Prevention and Control Grant application for $100,000 and associated budget amendment if funding is received. I FundingSource: North Carolina Tobacco Prevention and Control Branch ofDHHS Will above action result in: ONew Position Number ofPosition(s) DPosition(s) Modification or change ~o Chan e in Position s Explanation: Funding will allow continuation of Tobacco Prevention Health Educator sition and related ro . Currentl 100% ant funded throu 6/30/04. I Attachments: Brief RF A Description, Budget Explanation 23 .. e e e Vision 2010: Local Leadership Coalitions in Tobacco Prevention and Control Request for Applications Purpose: This Request for Applications (RF A) issued by the North Carolina Department of Health and Human Services (NCDHHS) through the Tobacco Prevention and Control Branch (TPCB) seeks proposals from local health departments (and their coalition partners) to carry out evidence-based tobacco prevention and control policies and interventions in collaboration with the Tobacco Prevention and Control Branch with funding from the Centers for Disease Control and Prevention. (CDC). The proposed funding period for the local RF A covers four years, but requires annual approval from TPCB. The proposals must demonstrate local plans to carry out the TPCB's plan approved by the CDC for development and implementation of strategic, evidence-based tobacco prevention and control programs in one or more North Carolina counties. Research and recent experience have shown that well-funded, staffed, community-based programs are critical to evidence-based tobacco prevention programs; they educate the public, build credibility, influence local decision makers, and impact attitudes, policies and systems change. These programs must focus limited resources on evidence-based policy and programs in order to achieve the maximum impact. Background: North Carolina is at a crossroads. Centuries old social, economic, and political traditions in the nation's leading tobacco producing state are giving way to the knowledge gained in recent decades about the health effects of tobacco use and widening state and local support for the policies and interventions known to be effective. While barriers remain, the tobacco prevention and control movement in North Carolina has made strides in the last twelve years that indicate a change in norms, and position North Carolina's tobacco control program as a leader among tobacco producing states. Accomplishments and indicators of change include: the historic allocation of $18.6 million over three years by the NC Health and Wellness Trust Fund Commission (HWTFC), which provided the first ever NC state funds dedicated for tobacco prevention and control; a smoking ban on the floor of the NC House of Representatives; a rapid acceleration in school districts adopting 100% tobacco free school policies; the percentage of workers in NC protected by nonsmoking policies exceeding the national average; the development of a statewide plan to eliminate tobacco-related health disparities; and the serious consideration of a considerable increase in cigarette excise tax. TPCB has a broad, comprehensive mission to reduce deaths and health problems in all ages and populations due to tobacco use and secondhand smoke. TPCB programs build capacity of diverse organizations and communities to carry out effective, culturally appropriate strategies towards CDC's four goals: 1) prevent initiation of tobacco use among young people; 2) promote cessation for adults and youth; 3) eliminate exposure to secondhand smoke; and 4) identify and eliminate tobacco-related health disparities in specific populations. 24 .' . e e e Vision 2010: Local Leadership Coalitions in Tobacco Prevention and Control Budget Form 2004-05 Health Department Applicant: New Hanover County Name of Contact Person for Budget: Cynthia Hewett, Business Manager Phone: 910-343-6500 Fax: 910-341-4146 E-mail: chewett@nhcgov.com 2004-05 Amount offunding requested: $100,000 Projected Grant Expenses Total CDC Grant In-Kind Line Items Funds Contributions Prooosed Salary or Wages 1.0 FTEHealth Educator $37,265 $ Fringe Benefits $14,282 $ Travel $ 7,000 $ Supplies $12,053 $ Contracts $10,000 $ Other $ 2,900 $ Furniture and Eauioment ($3000 Limit) $0 $ Indirect Chare:es $ 9,000 .$ Media $ 7,500 $ Total $ 100.000 $ 25 ~ . e e e Vision 2010: Local Leadership Coalitions in Tobacco Prevention and Control Budget Explanation: Salary and Wages: Projected for existing employee, including %5 MeritlMarket adjustment, for FY 04/05. Travel: $2,000 $1500 $1500 $1500 $500 $7,000.00 Local employee reimbursement, to include travel within NBC, Brunswick, and Pender Counties. Mandatory In-State meetings (2 statewide, 4 regional per year) In-State travel for training National Conference (one per year) Coalition volunteer mileage reimbursement Total Supplies: Incentives for program initiatives, marketing, health fairs in 3 county area; educational materials including props, brochures, posters, and videos; office supplies for coordinator. Contracts: The Coalition will disseminate 4 mini-grants of$2,500 to non-profit agencies in the 3 county area to expand or enhance tobacco awareness, cessation, and prevention campaigns. Other: Postage $400, Printing $2500 (locally generated brochures) Indirect Charges: 9% of total grant request, to cover management support and/or supervision for the Health Educator position. Media: $3000 $2000 $2500 $7,500.00 Radio spots (6 at $500 per spot) Billboard at Sharks Baseball Park, including game sponsorship Roadside billboards to promote campaigns (2 at $1250 each) Total 26 ~ ~ e e e NEW HANOVER COUNTY BOARD OF COMMISSIONERS Request for Board Action Agenda: Consent Meeting Date: 11/17/2003 A enda:i:8J De artment: Public Health Presenter: Cind Hewett, Business Mgr Contact: Cind Hewett, Business Mana er, ext 6680 Subject: $29,485.48 reimbursements received for purchase of Jail Health Pharmaceuticals BriefSurnmary: As of July 1,2003 the NHC Jail Health Program was contracted to Prison Health Services. As a result of this, several pharmaceutical items were returned to Cardinal Health for reimbursement ($2,570.17), others were purchased by a local pharmacy (Tom's Drug Company: $10,809.03); while others were purchased for use in the Jail by Prison Health Services ($16,106.28). The Health Department is requesting to budget these funds to cover the cost of Temporary Staff working on the Jail Medical Records Project. Additionally, any funds remaining from this would be used to support needed expenditures for the Health Department Clinic area as a result of the Department's reoreanization and mieration towards aoen Access Clinic. Recommended Motion and Requested Actions: To approve the $29,485.48 receipts from Jail Health Pharmaceuticals and any associated budget amendment. These funds will be used to cover the cost of Temporary Contracted Staff working on the Jail Medical Records Project, as well as using any remaining funds to support needed exoenditures for the Health Deoartment Clinics I Funding Source: Cardinal Health, Tom's Drug Company and Prison Health Services Will above action result in: DNew Position Number ofPosition(s) DPosition(s) Modification or change i:8JNo Chan e in Position s Ex lanation: Tem or Contracted Staff will be aid from Contracted Services. I Attachments: Budget amendment. 27 ." _. I- Z w :E c z w :E c( I- W C) C :) In - W > w 0:: -- ~ ~ Q W ~ '" ~ ~ ~ ;;: .. Q Z Q Q = w m ~ :I: OJ ~ C 0 ;:: u> ~ Z Ol w a. t Z w ~ 0 ~ '" 0 Z :> 0 u. ~ ~ ~ t;:; 8~ :> III ~ ::! Cl Z -0 !zo :>- offi UQ. ~ !za: Ww ::!1Il :>::! U:> oz 0 >- U Z W Cl < III a: Z 0 tw <0 ",0 zU ~ .... It) ex) I-W_ ..... Z-l'" ai :)o~ N O~ :2z0 c( ,=-0 + .. 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Access III of the Lower Cape Fear, Inc. 201 North Front Street, Suite M-108, Wilmington, NC 28401 .Phone: (910) 763 0200 Fax: 9107630222 Ai. - ACCESS III "I d,,, L.nVIiIl CAfJE I:E....~ (J Non-profit partnership with primary care physicians, hospitals, health departments, and departments of social services (J Contracted with the State to provide case management services to Carolina Access patients (J Serves Carolina Access patients in southeastern N.C (Bladen, Brunswick, Columbus, New Hanover, and Pender counties) (J Provides disease and case management services to impact cost and quality of health care (J Provider driven partnership with doctors identifying problem diseases and adopting best practices (J Extensive State database system to assist with identifying patients with special needs related to our 5 initiatives: .... Asthma disease management in accordance with National Institute of Health (NIH) guidelines ....Diabetes disease management in accordance with American Diabetes Association (ADA) guidelines ....High cost/high risk disease case management ~Reducing unnecessary use of Emergency Department ....Better utilization of prescribed medications by using PAL (Prescription Advantage list) (J Case management services can help you: ....Identify patients with special needs ....Educate patients on disease management and self care ....link patients to support services ....Provide feedback on patient progress (J Your practice can work with us to: ....Identify patients that will benefit from these services ....Make referrals to Access III of the lower Cape Fear ....Have charts available for case managers to gather information ....Discuss specific patient needs with case managers 4 - e Ie ASTHMA DISEASE MANAGEMENT PROGRAM WHY IS MANAGING ASTHMA IMPORT ANT? . Approximately 15 percent of the Medicaid population has a diagnosis of asthma. . Asthma is the primary and secondary reason for hospital admissions and emergency room visits for patients under age 21. . Proper asthma management: ---> prevents missed school and work days ---> allows patients to lead normal, active lives ---> reduces hospitilizations and ED visits ---> reduces unnecessary health complications CORE ELEMENTS OF THE ASTHMA DISEASE MANAGEMENT PROGRAM . Adopting National Institute of Health (NIH) guidelines http://www.nih.gov . Staging asthmatic patients (Stage I, II, III, IV) . Using asthma action plan in medical record, at home, and in school . Implementing a process assuring that a system for asthma care takes place such as recording changes on asthma action plan and providing education on use of peak flow meters and spacers . Educating medical personnel regarding proper use of anti-inflammatory medications . Using case managers to coordinate care, educate families, and assess home environments . Reporting outcomes and process measures to providers and staff regularly . Gathering data to assess performance and encourage improvement PERFORMANCE AND PROCESS MEASURES . Proportion of asthma patients staged (Stage I, II, III, IV) . Proportion of asthma patients staged II, III, IV on corticosteroids . Proportion of asthma patients with Asthma Management! Action Plan . Percent of asthma patients receiving Annual Influenza Vaccine EXPECTED OUTCOMES . Improved knowledge of asthma . Improved self-care . Decreased hospitalizations . Decreased emergency department visits ACCESS III OF THE LOWER CAPE FEAR ~ DIABETES DISEASE MANAGEMENT PROGRAM WHY IS MANAGING DIABETES IMPORTA.c"lT? e . Diabetes is the 7th leading cause of death in NC and in the nation . North Carolinians with diabetes have an 80 percent greater rate of death from stroke, more than twice the rate of death from coronary heart disease and three times the rate of death from hypertensive heart disease than those without diabetes . The prevalence of diabetes in North Carolina is higher than the national average . A high percentage of diabetics have inpatient admissions and emergency department visits . Proper management of diabetes can prevent unnecessary complications, including blindness and amputations DIABETES DISEASE MANAGEMENT Providers and case managers use diabetes disease management guidelines developed by I the American Diabetes Association (ADA). http://www.diabetes.org ~ / PERFORMANCE AND PROCESS MEASURES FOR AUDITS FOR PERIODIC CHART o,Jr / REVIEWS \. , " / . Diabetic Flow Sheet in the Medical Record . Continued care visits at least twice a year . Blood pressure at every continuing care visit . Referral for dilated eye exam every year with report of exam on file · Foot exam every year. Comprehensive foot exam with monofilament annually . Glycosylated Hemoglobin (HbAlc) twice a year . Annual lipid panel . Annual flu vaccine . Pneumococcal vaccine given once (repeat IF first dose was given at <65 yrs. old AND pt. is now :::65 AND first dose was given> 5 yrs ago) e HEALTH CARE PROVIDERS CAN HELP BY FOLLOWING THESE GUIDELINES FOR CHILDREN: . . . . . . . . . . Ie Diabetic Flow Sheet in the Medical Record Continued care visits twice year Blood pressure at every continuing care visit Annual dilated eye exam for pts. :::10 years old within 3-5 yrs after diagnosis Glycosylated Hemoglobin (HbAlc) twice a year Annual lipid profile after 2 years old (*if values are low risk and no family history- repeat every 5 years) Annual screen for microalbuminuria beginning 5 years after initial diabetes diagnosis or at onset of puberty, which ever comes first. Annual Flu vaccine after age 6 months Pneumococcal vaccine Foot exam twice a year beginning 5 years after initial diabetes diagnosis or at onset of puberty whichever comes first ACCESS III OF THE LOWER CAPE FEAR ,'Ii ~ \~.IV J '\f/ / '4 ~ e e PHARMACY INITIATIVE WHY IS MANAGING PHARMACY IMPORTANT? . Pharmacy costs show the greatest increase in expenditures for Medicaid and for Access networks. . There are a high number of Medicaid enrollees on 8 or more prescribed drugs. . The pharmacy initiative provides an opportunity to improve quality and reduce cost. ABOUT THE PRESCRIPTION ADVANTAGE LIST (PAL) . Developed by Access II and III Clinical Directors and other physicians with the aim being cost control. . VOLUNTARYway for providers to reduce Medicaid drug expenditures. . Ranks drugs within different therapeutic categories according to cost, with Tier 3 being the least expensive and Tier 3 being the most expensive. . When therapeutic benefit is equal, providers are encouraged to prescribe Tier 1 medications. . North Carolina Physicians Advisory Group has updated the current list with tentative release date being November 2003. . PAL list will continue to be updated quarterly . Pocket guides and office charts will be available. . Visit http://www.epocrates.com to view or download the PAL onto palm device for free. ACCESS III OF THE LOWER CAPE FEAR , - e e EMERGENCY DEPARTMENT UTILIZATION INITIATIVE WHY IS MAL"iAGING EMERGENCY DEPARTMENTUTILIZATION IMPORTANT? . ED utilization has been increasing on an average of30% or more for the past couple of years. . Pharmaceutical and ED costs are increasing the most per year in the Medicaid system. . Many of the ED visits in the Medicaid system are for non-emergent care and could be prevented. . There is a tremendous opportunity for cost-savings if non-urgent care can be redirected to the primary care provider's office. CASE MANAGERS: . Utilize patient database, and real time ED data, to identify patients making unnecessary visits to the ED . Contact the enrollee by phone and mail to remind them of the PCP's location, telephone number, and hours of operation. . Provide recipients with education related to handling non-urgent problems at home. . Follow up with a home visit, as needed, to provide more intensive education and community resource planning. HEAL THCARE PROVIDERS CAN HELP BY: . Providing access to medical advice and care for enrolled recipients 24 hours a day, 7 days per week. . Providing various methods of communicating hours of operation and, medical advice to enrollees such as: -. educating them during check in/check out -. having written hours of operations on all patient materials -. displaying hours and office number (poster size) in patient waiting areas -. offering an after-hours message that gives clear instructions on how to access medical advice . Notifying Case Manager of inappropriate use of ED and report repeat offenders. . Providing educational information to the recipient on handling non-urgent problems at home. ACCESS III OF THE LOWER CAPE FEAR FROM : - Eand.. c.......... ....Dr._~ Oolr a,.. /Iooplry \'ko ClIlr u~ "-- WIIIs_ ~ hrdM.-iuA ...."... ........ ..... IIIIcIIolI eo.- _ cn...u -1>- VIIJIoia" .-- ..10"- !t..a N_ n ....~.- llr.___ ... ... ---- PHONE NO. : 910 397 2868 Nov. B4 2003 02: 26PM P2 Good Shepherd Ministries of Wilmington, Inc. 811 M.rtiD Street WilmiDgton, NC 28401 Phone: 910..763-4424 Fas: 910.763.7394 November 3, 2003 Dr. David E. Rice, Hea11h Dim:tor New Hanover~ Health Dept. 2029 South 1 i" Street Wilmington, NC 28401 Dear Dr. Rice. Good Shepherd Ministries is in receipt oCtile Budset Propuooal for the agreemem between Good Shephad Mlnbtriea IIIId tile New Hanover CouInf Hea11h Depa. buout, to sIa:lf a medica1 olinic lit 811 Martin S1roet for a minimum of 10 hoursIweek plus dq-hu..;t;,J supplies. This total budget of $25,000 will be paid for wi1h JDOQjes rcce!ved fi:om. a gI'lIIlt fiom. the Norlh CaroIiDa Medical FoUDdatiOll. A total aWlU'd of$46,ooo was receiwd &om 1hc grant; a ponion orthe DIODe)' behJa lII1Dd for oonstructIon of the clinic and the rmrWndAr for operat/Dg the cIiDic:. We woukllib to start 1hls program In JlIIlIIlI1Y, 2004, the last siJl moD1hs of our fiscal year, 8IId -.voulc1 anticipate renewing this proposal for the IIell.t fiscal year; July 2004 - .Tllnc, 2005. The BoeM of Directors is aware of the plans for this f3d1ity. however, I would need their endorsemeot before we wou1d be able to sian the proposal. They will adchss 1his 1".....-1 at 1he Deltt board meetIns on November 20, 2003. Good Shepherd is eagerly awaltllli the openiDg of 1his much needed olinic 8IId is thaukfid for the SllypOtt oftbc New HaDova- Couuty Health Depanment. ~~ ExeCutive Dlrector ne plII'JI'" oIGeoll SIlepllonl MIDIsIries or 'IVIIIbI...-, IDe. ..... lie ....... .....1op.1Id ........ aD _-~llUId soclII ......" .. _tile .... or tile ......,. ",'11 .......,jGIIIID.. __ I -_Ity e "A ........ ..-_IIDM 1985" , ",~~~;;..;,~ t ~~~~ '. ~~ 0:-=~~*," '~'-~~'$ ,]1 Ln.1 " -- ~ NEW HANOVER COUNTY HEALTH DEPARTMENT Animal Control Services 180 Division Drive Wilmington, NC 28401 TELEPHONE (910) 341-4197 FAX (910) 341-4349 Right Of Refusal New Hanover County Animal Control Services (NHCACS) reserves the right to refuse adoption of an animal for good cause. Reasons for refusal may include, but are not limited to, the following: prior citations being issued to potential adoptee by NHCACS, history of animal abuse or neglect, prior seizure of an animal from adoptee's possession, history of involvement in dog fighting, or any other offense which would negatively reflect on the potential adoptee's ability to care for the animal, in the opinion ofNHCACS staff. . , , '. - -- e Ii"':~~.~, - f~ ~ " . ~~ ~_../f) .-..;~~. North Carolina Department ofHeahh and Human Services Division of public Health -Section of Epidemiology State LaboratotyofPublic Health Tel 919-733-7544 -Fax 919-715-7700 -MSC 1918 PO Box 28047 Raleigh, NC 27611-8047 Michael F Ea_ley, Governor October 28, 2003 Memornndum To: North Carolina Arboviral Surveillance Network Carmen Hooker Odorn, Secretary From: 1. Todd McPherson, Manager, Virology/Serology Unit Subject: NC 2003 Arboviral Surveillance Data thru CDC Week Number 43 ending 10/25/03 The NC State Laboratory of Public Health in Raleigh has continued to monitor for West Nile virus and other arboviral activity within the state throughout calendar year 2003. This year the surveillance indicators and tests employed for arboviral activity testing at the SLPH include: 1) sentinel chickens (IFA serology); 2) dead bird testing, i.e, corvids, raptors, and cardinals (WNV real- time RT-PCR); 3) mosquito pools (WNV and/or EEE real-time RT-PCR and culture, if needed); 4) equine necropsy material (testing by Vero cell culture and/or WNVIEEE real-time RT-PCR); and 5) testing of human clinical specimens (IFA, HI, and/or EIA-IgM serology, Vero cell culture, and real time RT-PCR, as appropriate). The following numerator data identifies specimens that have been determined to yield either presumptive evidence of recent infection or are laboratory confirmed cases of arboviral infection. In some cases. the county designation has been changed to reflect more accurate follow-uo data. Also, due to the rapidly changing number of arboviral cases, in equines particularly, there may be some differences between the day-to-day reporting by NCDA, etc. and the weekly reporting via this update. Cases in bold print represent cases not previously reported. I NUMERATOR DATA: (reoresents SLPH data olus data from other additional sources) Human Arboviral Surveillance Positive for LAC bv County: (Totals: 23 LaCrosse Positives) tJ~ County: DescriDtion bv Lab #: test tyoe: & virus: Week of Onset: /IY\. Bertie SLPH#04008.3167 & 2618: male child. seroconversion to LAC on S1. S2 41 tJ t!c- Buncombe SLPH#13011-1465. 1466. & 2505: male child. seroconversion to LAC on SI & S2 32 " SLPH#08011-1083.1084. & 2257: male child seroconversion to LAC on S1.S2.CSF 30 " SLPH#04011-2619: female child: JgG & JgM seropositive to LAC on SI 38 .. ?? SLPH#0401l-2951. 2952: female child: JgG & JgM seropositive to LAC on SI 40 .. ?? SLPH#03011-2953. 2954. male child: JgG & JgM seropositive to LAC on SI 40 .. SLPH#11 011-2678.2679. 2687: male child: Jg:G & JgM seropositive to LAC on S 1. S2 38 " ?? SLPH#10011.3127 & 3126: female child. IgG & IgM seroDositive to LAC on SI. CSF 41 Caldwell SLPH#14014-2261. male child. serooositive to LAC on SI 36 Columbus SLPH #05024-0868 & 869. male child seropositive to LAC in CSF & SI 28 Durham SLPH #18032-2157. teenage male. seropositive to LAC on SI 36 Graham SLPH#1l01l-1390. 1391. & 2471. male child: seroconversion to LAC on SI & S2 32 Havwood SLPH#45044-1176. 1177. & 1402. adult female seropositive to LAC 31 .. SLPH#14045.1674. 1675.2151. male child. seroconversion to LAC on SI.S2. & CSF 34 Descriotion by Lab #: test tvoe: & virus: SLPH#13011-1467. 1468. female child. IgG & IgM seropositive to LAC on SI SLPH#11050-1231 & ]655. female child seroconversion to LAC on S]&S2 SLPH# ] 4050-] 944.1 945. & 2642: male child seropositive to LAC on S I & S2 SLPH#08060-]501 & ]898. female child. seroconversion to LAC SLPH#09060-2]81 & 2182. male child. seropositive to LAC SLPH#04088.2618 & 3167. male child. seroconversion to LAC on SI & S2 SLPH#13011-2616. 2617. male child: IgG & IgM seropositive to LAC on SI SLPH#080] 1-2795. 2796: female child: IgG & IgM seropositive to LAC on S 1 SLPH#08011-lnl & 1922. male child. II!G seroDositive to LAC on SI & CSF (continued) Week of Onset: 32 32 36 33 35 38 38 39 34 Human Arboviral Surveillance Positive for LAC by countv: \ ,1' Human Arboviral Surveillance Positive for WNV by County: (Totals: 24 WNV positives) ft/'qy.f ti/-v County: Descriotion by Lab #: test tvoe: & virus: Week of Onset: tJ/fC. Beaufort SLPH#13007-2109 & 2] ]0. female child. seroconfirmation to WNV on SI & CSF 36 Carteret SLPH#760l6-2107 & 2108. adult male. serooositive to WNV on S1. S2 & CSF 36 Clay SLPH#55022-1806. adult female serooositive to WNV on S] 31 Columbus SLPH#27024-2358. 2359. & 29]9 adult male seroconfirmed to WNV on S1.S2. & CSF 36 Craven SLPH#33025-2590 & 2818: adult male IgG/IgM seropositive on SI & S2 to WNV 37 Cumberland SLPH #65026-]820 & 1821. adult male confirmed WNV IgG & IgM on SI & CSF 34 " SLPH#67026- 26498 & 2650: adult male seropositive for WNV on SI 37 .. SLPH#47026-2880: adult female seropositive forWNV IgG & IgM on SI 35 Dare V A Lab. male child. PanBio IgM and CSF PCR reactive for WNV 35 Davie SLPH# 63030-1157.1158. & 1213. adult male. IgG & 12M to WNV on S1. S2. & CSF 30 Durham SLPH#26032.3174: adult female. II!G & II!M seropositive to WNV on SI 43 Franklin SLPH #55035-2536.2252.2596 & 2597. adult female seroconfirmation on S1.S2 & CSF 37 Harnett SLPH#18043-2002. adult female seropositive for WNV on S I 34 Iredell SLPH#33049-1746 & 2007. adult male seroconfirmation to WNV on SI& S2 33 " SLPH#23049-2790 & 2791 seroconfirmation to WNV on S] & S2 37 Jackson SLPH#74050.3093 & 3094: adult male: II!G & II!M seropositive to WNV on SI 41 Lenoir SLPH#56054-1917. ]956. & 2002 adult male confirmed positive WNV IgG & IgM on CSF 35 Mecklenburl! SLPH#37060-]744. adult female seropositive to WNV on SI 30 " SLPH#48060-2136.2137.2]83.2]84. adult male seroconfirmed to WNV on S1.2 & CSFs 35 SLPH#76060-2578 & 3066: adult female seroconfirmation to WNV on S] & S2 38 SLPH#53092-1596 & ]943. adult male IgG & 12M seropositive to WNV on SI&S2 34 SLPH#31092.1 187 & 1703. adult female. confirmed seroconversion to WNV (Co) 31 SLPH#30092-2425.2426&3040. adult male. seroconfirmation to WNVon SI. 2 & CSF (CO) 38 Eastern Nc SLPH#45048-1] 84. 13] 2. & 1599. adult male. IgG & IgM seropositive to WNV on S I 30 County: Jackson " " Mecklenburl! " Transylvania .. " Georrlia Wake " .. - Listinl!s in italics revresent human cases acauired out side NC. other state noted bv ( ~ - -- Human Arboviral Surveillance Positive for EEE by County: County: Descriotion by Lab #: test tvoe: & virus: Scotland SLPH # 08083-1493 & 1652,female child. IgG & IgM seroconversion to EEE , (Totals: 1 EEE positive) rJ~:;;--, Week of Onset: rJ 1\'-/ 33 ****************************************************************************************** Page # 2 e " . fI - e (NC Totals: 119 WNV positives) ~~ Week Collected: j/lt'- JJil 41 lJ'fV 40 30 30 38 28 34 36 38 38 29 41 41 36 38 33 33 40 38 38 27 38 35 33 33 35 34 34 34 35 35 36 36 35 37 37 38 40 3] 36 35 35 36 39 39 30 40 35 34 37 42 34 39 32 Equine Surveillance Positive for WNV bv Countv: County: Descriotion bv Eouine #: lab number: & test tvoe: Alexander Al!r #114 & Rollins # 43377 Tested at NVSL Beaufort Agr #107 & Rollins # 42722Tested at NVSL Bladen Rollins # 32774 EIA-IgM at NVSL .. Rollins # 33383 EIA-IgM at NVSL " Rollins # 40813 EIA IgM at NVSL Brunswick NVSL #264176 EIA-IgM (vet direct submittal) " Rollins # 36346 EIA IgM at NVSL " Rollins # 38587 EIA IgM at NVSL " Rollins #41330 EIA IgM at NVSL Buncombe NVSL # 274847 EIA IgM (vet direct submittal) Clibarrus VR-2568 & Griffin Lab # 3130] NAAT Caldwell Al!r # 112 & Rollins # 43379 Tested at NVSL " Al!r # 115 & Rollins # 43829 Tested at NVSL Caswell Rollins # 39104 EIA IgM at NVSL " Rollins # 40957 EIA IgM at NVSL Catawba Univ ofFL#106939 via serology (vet direct submittal) " Univ of FL # 107106 via serology (vet direct submittal) Chatham Agr # 109 & Rollins #42575 Tested at NVSL Clav Rollins #420]4 EIA IgM at NVSL Cleveland NVSL #275428 via serology (vet direct submittal) Columbus Rollins # 30294 EIA IgM at NVSL " Rollins # 4] 669 EIA IgM at NVSL Craven NVSL #272585 via serology (vet direct submittal) Cumberland Rollins #35244 EIA IgM at NVSL .. Rollins #35245 EIA IgM at NVSL .. VR-3223 & Rollins #36625 NAA T & NVSL EIA IgM .. Rollins # 35659 EIA IgM at NVSL .. Rollins # 35660 EIA IgM at NVSL .. Rollins # 36521 EIA IgM at NVSL " VR-3221 & Rollins # 36573 NAAT & EIA IgM at NVSL " Rollins 37405 EIA IgM at NVSL " Rollins # 38296 EIA IgM at NVSL .. Rollins # 38523 EIA IgM at NVSL .. Rollins # 38883 EIA IgM at NVSL " Rollins # 39443 EIA IgM at NVSL .. NVSL # 274528 EIA IgM (vet direct submittal) " Rollins #41166 EIA IgM at NVSL " Agr # ] ] 0 & Rollins # 43124 Tested at NVSL Currituck V ADA&CS # 18] 18 EIA-IgM at Ivor Lab in V A " Rollins # 39446 EIA IgM at NVSL Davidson VR-3282 & Rollins # 36976 NAAT " VR-3313 & Rollins # 37223 NAA T " Rollins # 38086 EIA IgM at NVSL " Texas A&M # C032660200 (vet direct submittal) .. Texas A&M # C032670283 (vet direct submittal) Davie VR-2602 & Rollins #31498 culture .. Agr#]04Tested at NVSL Duplin Rollins # 38746 EIA IgM at NVSL Forsvth VR-3222 & Rollins # 35578 NAA T positive & NVSL #270645 EIA IgM+ (vet sent direct) " NVSL # 274250 EIA IgM (vet direct submittal) " Al!r # 117 & NVSL # 279050 (vet direct submittal) Tested at NVSL Franklin Rollins #36341 EIA IgM at NVSL " Rollins #41709 EIA IgM at NVSL Gaston Rollins #35655 EIA IgM at NVSL Page # 3 , , \ Equine Surveillance Positive for WNV bv Countv: (Continued) , Countv: Descriotion bv Eouine #: lab number: & test tvoe: Week Collected: , Gates V ADA&CS # 17835 EIA-IgM at Ivor Lab in VA 31 - " V ADA&CS #18723 EIA IgM at Ivor Lab in V A 33 " Rollins # 37201 EIA IgM at NVSL 35 .. Rollins # 37406 EIA IgM at NVSL 35 Granville SLPH #VO-829 HI serology from NCSU 28 Greene Rollins # 41943 EIA IgM at NVSL 39 .. Agr. #103 & Rollins #42345 Tested at NVSL 40 Guilford Rollins #40218 EIA IgM at NVSL (also EEE pos) 38 " Univ Missouri # 20731-03 EIA 111M 40 Halifax Rollins #41768 EIA IgM at NVSL 39 .. Agr. #105 Tested at Ivor Lab in V A 38 Harnett Rollins # 36742 EIA-IgM at NVSL 35 ". Rollins # 39586 EIA IgM at NVSL 37 Henderson NVSL #276675 EIA IgM at NVSL (vet direct submittal) 39 Hoke Rollins # 38084 EIA IgM at NVSL 36 .. Rollins # 38087 EIA IgM at NVSL 36 " Rollins # 38295 EIA IgM at NVSL 36 Iredell NVSL #268266 EIA IgM (vet direct submittal) 30 " Rollins #34565 EIA IgM at NVSL 32 " Rollins # 36132 EIA IgM at NVSL 34 " NVSL # 271 ]96 EIA IgM (vet direct submittal) 35 .Johnston VR-3531 & Rollins #39232 NAAT 37 " VR-3546 & Rollins # 39703 NAAT 37 .Jones NVSL #270704 EIA IgM (vet direct submittal) 34 Lenoir Rollins # 34091 EIA Ig:M at NVSL 32 Lincoln Univ ofFL #106941 via serology (vet direct submittal) 34 -- " Rollins # 37832 EIA IgM at NVSL 35 Martin Rollins # 31556 EIA IgM at NVSL 29 Mitchell Agr # 102: tested at Kord Animal Disease Lab in TN 40 Moore NVSL # 274230 EIA IgM (vet direct submittal) 37 " Al!r # 118 & Rollins # 44266 Tested at NVSL 42 Onslow Al!r # 113 & NVSL # 278572 (sent from NCSU.CVM) Tested at NVSL 41 Pasquotank Rollins # 33659 EIA IgM at NVSL 31 Perouimans VADA&CS #18727 EIA IgM at IvorLab in VA 33 Person Al!r # 116 & NVSL # 278880 (sent from NCSU-CVM) Tested at NVSL 41 Randolph Rollins # 37896 EIA IgM at NVSL 35 " Rollins # 38300 EIA IgM at NVSL 35 " Rollins # 39445 EIA IgM at NVSL 37 Rollins # 40219 EIA IgM at NVSL 37 Rollins #41668 EIA IgM at NVSL 38 " Al!r # 119 & NVSL # 279171 (vet direct submittal) Tested at NVSL 42 Robeson VR-3489 & Rollins # 38782 NAA T positive & EIA IgM+ at NVSL 37 " Rollins # 39583 EIA IgM at NVSL 37 " Rollins #40996 EIA IgM at NVSL 38 Rollins # 41392 EIA IgM at NVSL 39 .. Agr # 108 & Rollins #42871 Tested at NVSL 40 Rockinl!ham Rollins # 39028 EIA IgM at NVSL 36 " Rollins # 39804 EIA IgM at NVSL 37 e Page # 4 Eauine Surveillance Positive for WNV bv Countv: (Continued) 1 County: DescriDtion bv Equine #: lab number: & test tvDe: Week Collected: Sampson Rollins # 35661 EIA leM at NVSL 33 fI " Rollins # 36792 EIA-IeM at NVSL for WNV and EEE 35 " NVSL EIA leM via NCSU CVM # ] 06774 34 " Rollins # 38310 EIA leM at NVSL 35 " Rollins # 40005 EIA IeM at NVSL 38 " Rollins # 418] 1 EIA IgM at NVSL 37 " Agr # 111 & Rollins # 42576 Tested at NVSL 40 Stokes NVSL # 273840 EIA 12M (vet direct submittal) 37 " Rollins # 39587 EIA leM at NVSL 37 Tvrell NVSL # 271402 EIA leM (vet direct submittal) 33 Union VR-3052 & Griffin #35226 culture neeative & NAAT positive 33 Vance Rollins #4] 578 EIA leM at NVSL 38 Wake Rollins # 35474 EIA leM at NVSL 33 Warren Rollins # 33876 EIA leM at NVSL 32 Wilkes Aer# 106: VR-3813 & Rollins # 4263] NAAT positive 40 Wilson Rollins # 37598 EIA IeM at NVSL 35 54 NC counties - e (Totals: 2 WNV & 1 EEE ) Week Collected: 33 35 41 Eauines Positive for WNV or EEE with Non-North Carolina Residence: State: Description bv Eauine #: lab number: & test tvpe: Virl!inia VR-3050 & NCSU #OOlOlculture negative and NAA T positive for WNV Vin!inia VR-3394 & Rollins #37768 NAA T positive for EEE Virl!inia Rollins # 43869 Tested at NVSL- Positive for WNV Eauine Surveillance Positive for EEE bv Countv: County: Anson Beaufort (Totals: 112 Positive EEE) t l;t Week Collecte:~ 'J-~ 36 P. 3 v.r 28 lIte- 29 rv 31 30 34 24 29 31 26 27 30 29 28 24 26 27 29 30 35 " DescriDtion bv Equine #: lab number: & test tvDe: VR-3163 & Rollins #36116 culture Rollins # 34289 EIA I M at NVSL Rollins # 38] 70 EIA I M at NVSL VR-3103 & Rollins #35621 culture negative and NAAT positive Rollins #29821 EIA IgM at NVSL Rollins # 32354 EIA IgM at NVSL Rollins # 33384 EIA IgM at NVSL Rollins # 33383 EIA-IgM at NVSL Rollins # 36798 EIA IgM at NVSL SLPH #827 HI serologv via NCSU NVSL # 266137 EIA IeM Rollins # 33476 EIA IgM at NVSL Rollins # 28316 EIA-IeM at NVSL EIA-IgM at Texas A&M Diae Lab (vet direct submittal) Rollins # 33855 EIA IgM at NVSL Rollins #30296 EIA-IeM at NVSL NVSL # 265273 positive via EIA-IgM (vet direct submittal) VR-1846 & Rollins # 26336 culture & NAA T VR-2103 & Rollins #27997 culture VR-2265 & Rollins #29163 culture VR-2526 & Rollins #310]0 culture Rollins # 32201 EIA IgM at NVSL VR-3300 & Rollins # 37]67 NAAT & Rollins # 37005 EIA IgM at NVSL Bertie Bladen " " " " Brunswick " Camden Columbus " " Craven " Cumberland " " " " " Page # 5 Equine Surveillance Positive for EEE bv Countv: County: Descriotion by Equine #: lab number: & test tvoe: Currituck Rollins # 35669 EIA-Il!M at NVSL Dare VR-2673 & Rollins # 32193 culture neg:ative and NAAT Dositive Davidson VR-2948 & Rollins # 34693 culture " VR-3030 via LHD culture " VR-3049 & Rollins #35696 culture negative and NAA T Dositive " VR-3074 & Rollins #35697 culture negative and NAA T Dositive " NVSL #272973 EIA IgM at NVSL (Vet direct submittal) DUDlin Rollins # 31319 EIA IgM at NVSL " VR-2874 & Rollins #33652 culture " VR-3334 & Rose Hill # 4789 & Rollins # 375403 NAA T Edl!ecombe VR-3243 & Rollins 36638 NAAT Franklin VR-2525 & Rollins #30941 culture " VR-3063 & Rollins #35293 culture " VR-3547 & Rollins # 39704 NAA T " VR-3504 & Rollins # 38918 NAA T Gaston VR-2441 & Griffin Lab #30272 culture Gates RT-PCR at Ivor Animal Lab in V A " VR-2684 & Rollins # 32320 culture " Rollins # 34282 EIA IgM at NVSL Granville VR-2420 & NCSU CVM #00038 culture " VR-3204 & Rollins # 36510 NAAT Green Rollins # 35475 EIA Igm at NVSL Guilford Rollins # 40218 EIA Il!M at NVSL (also WNV DOS) Harnett VR-2498 & Rollins # 30839 culture " VR-2614 & Rollins # 31683 culture " Rollins # 34132 EIA IgM at NVSL " VR-3075 & Rollins #35410 culture " VR-3244 & Rollins # 36739 NAAT " VR-3342 & Rollins # 37570 NAAT " Rollins # 39585 EIA IgM at NVSL " Rollins # 40694 EIA IgM at NVSL Henderson VR-2731 & Western Diag Lab # 32454 culture Hertford Rollins # 32588 EIA-IgM at NVSL Hoke VR 2502 & Rollins #30920 culture " Rollins # 30643 EIA IgM at NVSL Johnston VR-2842 & Rollins # 33300 culture " VR-2934 & Rollins #34237 culture " Rollins # 33853 EIA IgM at NVSL " VR-3561 & Rollins # 39850 NAAT Jones VR-2458 & Rollins #30384 culture " Rollins # 31549 EIA IgM at NVSL " NVSL # 269278 EIA IgM (vet direct submittal) Lee VR-2998 & Rollins # 34778 culture " Rollins # 36800 EIA-IgM at NVSL Lenoir Rollins # 34869 EIA IgM at NVSL " Rollins # 35677 EIA-IgM at NVSL Nash Rollins # 36525 EIA-IgM at NVSL New Hanover VR-2023 & Rose Hill #27637 culture NortbamDton Rollins # 33159 EIA IgM at NVSL Onslow VR-1924 & Rollins # 26687 culture & NAA T " VR-1987 & Rollins # 27283 culture & NAA T " NVSL # 267892 EIA-IgM (vet direct submittal) Page # 6 (Continued) Week Collected: 33 30 33 33 33 33 36 29 32 35 35 29 33 37 38 29 28 30 32 29 35 33 38 29 30 32 34 35 35 38 37 30 30 29 29 31 32 32 38 29 30 32 33 34 33 33 34 26 32 25 25 31 ~ - - e - - e Eauine Surveillance Positive for EEE bv County: Countv: Descriotion bv Equine #: lab number: & test tvoe: Oranl!e Rollins # 35909 EIA-IgM at NVSL Pender VR-1936 & NCSU #1320 culture & NAAT " VR-2409 & Rose Hill # 30092 culture " VR-2627 & RoseHill # 4038/Rollins # 31909 culture Randolph Rollins # 34214 EIA IgM at NVSL Richmond NVSL #269182 EIA IgM (vet direct submittal) " NVSL#276858 EIA IgM at NVSL (vet direct submittal) Robeson VR-2195 & Rollins #2843] culture Rollins #27906 EIA-Ig:M at NVSL Rollins # 30536 EIA-IgM at NVSL Rollins # 30537 EIA-IgM at NVSL VR-2527 & NCSU #00056 culture neg:ative and NAAT positive VR-2672 & Rollins # 32]5] culture & NVSL EIA IgM Rollins # 31552 EIA IgM at NVSL Rollins # 30789 EIA-IgM at NVSL Rollins # 33045 EIA-IgM at NVSL VR-2782 & Rollins # 331]5 culture negative and NAAT positive Rollins # 37901 EIA IgM at NVSL NVSL #266175 EIA-IgM (vet direct submittal) Rollins # 31813 EIA- IgM at NVSL Rollins # 318]4 EIA-IgM at NVSL VR-2746 & Rollins #32708 culture VR-3013 & Rose Hill #4446 culture Rollins # 36792 EIA-IgM at NVSL for WNV and EEE Rollins # 31878 EIA-IgM at NVSL Rollins # 370] 9 EIA IgM at NVSL VR-3463 & Rollins # 38475 NAA T VR-2875 & Rollins # 33635 culture VR-2877 & Rollins # 33662 culture negative and NAAT positive Texas A&M Laboratory (vet direct submittal) VR-3193 & Rollins #36500 culture VR-2876 & Rollins # 33642 culture negative (decomoosed) but NAAT positive VR-3440 & Rollins # 38418 NAAT VR-2325 & NCSU # 00025 culture VR-3252 & Rollins (Rose Hill) # 36979 NAA T VR-33]4 & Rollins # 37289 NAAT Rollins # 38085 EIA IgM at NVSL VR-2291 & Rollins # 29167 culture (Continued) Week Collected: 34 25 28 30 32 32 39 27 26 28 29 29 30 30 29 31 31 35 28 30 30 31 33 35 29 35 37 32 32 32 34 32 36 28 35 35 36 28 " " " " " " " " " Sampson " " " " " Scotland " Stanlev Union " " " Wake " Wavne " " " Yadkin 44 counties , . \ ****************************************************************************************** .~ ( Dead Bird Surveillance Positive for WNV bv Countv: (Totals: 135 positive for WNV) ~~ Coun : Descri tion & PHPM ID Number: Week First Positive Alamance 1 crow (#206) 29- Alexander I-crow (#336) 33 < ~ Allel!hanv I-crow (#335) 33 VV' Anson I-crow (#409) 37.. ) Ashe 1 crow (#105) 26\1" \ Bladen 2-blue iavs (#194 & 252) & 2-crows (#201 & 235) & I-cardinal (#210) ~g 'b Brunswick I-crow (#191) Buncomhe 2 crows (# 138&170) 27 Page # 7 Dead Bird Surveillance Positive for WNV bv Countv: (Continued) County: Description & PHPM ID Number: Week First Positive: Burke I crow (#151) 28 Cabarrus 2-crows (#323 & 325) 33 .... Caldwell I-blue iav (#212) 30 .~ Camden I-crow (# 200) 29 Carteret I crow (#125) 28 Catawha I-blue iav (#213) & I-crow (#257) 29 Cherokee I-crow (#316) 32 Chowan I-crow (#242) 31 Cleveland 3-crows (SLPH# 361. 362. & 372) 33 Columbus I-crow (#345) 34 Craven 6-blue iavs (#198. #241. #266. #238. #265. & #311) & I cardinal (#240\ & I-crow (#263) 29 Cumberland I-crow (#205) & 3-blue iavs (#204. #293. & #294) 29 Currituck I-crow (#148) 28 Dare I-blue iav (#214) & I-crow (#268) 30 Davidson I-crow (# 363) 34 Davie I-cardinal (#347) 34 Duolin I-crow (#338) 33 Durham I-crow (#115) 26 Forsvth 3-crow (#231 & 233 & 230) & I-blue iav (#232) 29 Gaston I-crow (#039) 24 Gates l-crow (#159) 28 Guilford I-blue iav (#028) 23 Harnett 2-blue iavs (#357 & 358) and I-crow (#354) 34 Henderson 2 crow (#208 & 264) 29 Hertford I-crow (#379) 35 Hoke I-blue iav (#403) 37 ~ Iredell I-blueiav (#274) & 2-crows (#273 &#308) & I-cardinal (#317) & I-hawk (#275) 31 ~ Jones 2-crows (#331 & 374) 33 Lincoln I-crow (#270) 31 Macon I-crow (#015) 22 Madison I-hawk (#306) and I-crow (#334) 32 McDowell 2-crows (#366 & 390\ 35 Mecklenburl! 10-crows & 8-blue iavs tested at USGS Lab 26 Moore 2- crows (334 & #359) & 1 Great Homed Owl via NVSL 33 Nash 2-crows (#410 & #446) 38 New Hanover I-blue iav (#245) 31 Northamoton I-blue iav (#302) 32 Onslow I-blue iav (#182) 29 Oranl!e I-crow (#405) 36 Pamlico I-blue iav (#352) 34 Pasauotank I-crow (#237) & I-blue iav (#224) 30 Pender 2-crow (#329 & #333) 33 Perauimans I-crow (#269) 31 Person I-crow (#380) 35 Polk I-crow (#099) 26 Randoloh I-CooDer's Hawk seroDositive at NVSL 33 Richmond I-crow (#227) 31 Robeson I-blue iav (#243) 30 Rockinl!ham I-blue iav (#188) & I-crow (#267) 29 , Rowan I-crow (# 400) 37 Rutherford 2-crow (#260 & 223) 31 Samoson 2-crows (#158 & #211) 28 Stanlev I-crow (#431) 38 Stokes I-crow (#328) 33 Page # 8 -- It e DescriDtion & PHPM ID Number: 2-crows (# 425 &423) Dlus I-blue iav (#424) I-crow (# 429) I-crow (# 397) & I-blue iav (# 396) I-crow (#435): I-blue iay (#434): & I-cardinal (#433) 3-crows (#220. #297. & # 341) Dlus I-blue iay (# 310) I-crow (#404) I-crow (#377) I-crow (#303) 2-crows (#373 & # 408) I-blue iay (# 391) (Continued) Week First Positive: 34 38 36 38 30 37 35 33 35 35 Dead Bird Surveillance Positive for WNV bv Countv: Countv: Surrv Swain Transvlvania Union Wake Warren Washinl!ton Wataul!a Wilkes Wilson 72. counties , I \ ****************************************************************************************** Mosquito Surveillance of NAA T Positive SDecies bv Countv: (Totals: I.WNV and 9.EEE positives) Week Collected: 30 33 30 ?? 27 27 26 28 28 28 31 wt1 . ~ Countv: Columbus Henderson .Jones Mecklenburl! New Hanover " " Pender Robeson .. .. .. Pool Number: SDecies: & Virus DescriDtion: #118 Cs. melanura EEE #0005 Cx. restuans WNV # 34 Cx. erraticus EEE NC070 Culex DiDiens comDlex WNV (tested at SC State Lab) # 9 Cx salinarius EEE #17 Cs melanura EEE #20 Cs melanura EEE #16 Ae yexans EEE # 20 Cs melanura EEE # 21 Cs melanura EEE # 59 Cs melanura EEE 7 counties ****************************************************************************************** Other Veterinarv Surveillance Positive for EEE by County: Countv: DescriDtion bv SDecimen #: lab number: & test tvDe: Craven Emu: VC #3106-3111 & Rollins #32475 culture Craven Llama: VR-3298 & Rollins # 37177 NAA T .Jones Emu: VC #3381-3382 yia Rollins # 35196 culture 2 counties (Totals: 3 positive for EEE) Week Collected: 31 35 33 ****************************************************************************************** Countv: Beaufort Sentinel Chicken Seroconversion Surveillance by County: (Totals: 2-WNV. 34.EEE. & 15-H.J positives) " " " Chicken Number & Virus DescriDtion: # 796 EEE # 798 EEE # 799 EEE # 800 EEE (Cross Reactions-12 EEE & H.n Week Collected: 41 41 41 41 Page # 9 Sentinel Chicken Seroconversion Surveillance by County: County: Chicken Number & Virus Descril1tion: Bladen # 766 EEE .. # 767 EEE # 768 EEE & HJ # 769 EEE # 770 EEE # 772 EEE #774 HJ #775 EEE Brunswick # 957 WNV Carteret # 826 HJ # 827 EEE & HJ # 828 EEE #829 HJ &EEE #830 HJ # 698 EEE #841 n WNV # 762 EEE #811 HJ # 812 HJ # 813 EEE # 814 EEE #815 EEE&HJ #816 EEE&HJ #817 HJ & EEE #818 HJ #819 HJ #820 HJ #821 EEE #825 EEE & HJ # 792 EEE # 793 EEE # 794 EEE # 791 HJ # 795 EEE # 879 EEE #717 EEE&HJ #723 EEE #861 EEE New Hanover #751 HJ #752 HJ & EEE #754 HJ #755 HJ # 696 HJ #697 EEE&HJ # 806 EEE & HJ # 807 EEE # 808 EEE # 809 EEE & H.T # 810 EEE # 858 EEE # 860 HJ #721 EEE #722 EEE (Continued) Week Collected: 27 27 .Ail 29 ~ 29 29 31 37 39 01 37 29 33 31 37 33 43 29 36 30 28 28 40 28 30 30 34 ~ 34 ., 30 34 27 29 27 31 31 35 28 34 '.IjL 36 VI . 36 . ~ .~tPi- 36~ 36 ;V- ;~ rJ ItV 37 31 27 29 41 29 28 _ 30 .. 34 34 " .. .. " " " " " " " .. " Columbus Craven " .. .. .. .. .. .. " .. .. " Currituck " .. " .. " .Jones " " .. .. Pamlico .. " " " " Pender " " Page # 10 -, - e Sentinel Chicken Seroconversion Surveillance bv Countv: Countv: Chicken Number & Virus Descrivtion: PerQuimans # 783 EEE " #781 EEE " #782 EEE " #784 EEE " # 785 EEE Wavne # 833 HJ 12 counties (Continued) Week Collected: 31 33 33 33 41 33 11 DENOMINATOR DATA (testinl! at the SLPH onlv): Human Surveillance: Serology: Specimens = 1981 + 66 = 2047 Culture: Specimens = 133 CSF's on 133 patients Veterinary Surveillance: Serology: Specimens = 4 on 4 individuals Culture and/or NAA T Specimens, Total: 467 on 161 individuals . Equine = 422 on 146 individuals . Bovine = 3 on 1 individual . Sheep = 4 on 2 individuals . Goat = 6 on 2 individuals . Llama = 12 on 4 individuals . Alpaca = 2 on 1 individual . Emu = 10 on 2 individuals . Dog = 2 on 1 individual . Deer = 3 on 1 individual . Bear = 3 on 1 individual Dead Bird Surveillance: Number of birds tested = 389 . Birds are tested for WNV via real-time RT-PCR (discontinued testing 9/30/03) Sentinel Chicken Surveillance specimens tested: = 731 . 20 flocks of 5 birds per flock and each is tested for a minimum of 4 arboviruses every two weeks via IF A Mosquito Pools Tested: 1286 tested . Most of these mosquito pools were tested for both EEE and WNV using real-time RT -PCR Filename: Ne Arboviral Report thru Week 43 Page # 11 ;; II SANITATION TIPS FOR FOOD WORKERS FAU 2003 Also in this issue... What to do with leftovers Page 2 Safe food to go Page 2 Training and certification r Page 3 ServSafe manager training now online Page 3 Test yourself on food safety Page 4 During the blackout "I just hope the chef could see the expiration dates:' Copyright 2003 Pike & Fischer, Ine. 1-800-255-8131 - Power Blackout Unked to Foodborne Illness Although the food industry reported only minor losses from the power blackout that hit the mid-west and north-east of the United States and parts of Canada in August, some areas reported an increase in food borne illness after the outage. The New York City Health Department issued an advisory Augustl? saying that its surveillance system had detectlO!d a higher-than-usual number of visits for diarrheal illness at emergency rooms in the city. The city's Health Commissioner Thomas Frieden said the spike in illness was possibly caused by spoiled food. What You Can Do The New York City Health Department issued the folllowing advice to restaurants and other food establishments during the blackout: o Perishable, refrigerated foods that have been without refrigeration and at more than 40 degrees Fahrenheit for more than two hours should be discarded. Refriger- ated foods that should be discarded include meat (red meat, chicken, seafood), hot dogs, bacon, pizza, open canned meats, soft cheeses, milk, yogurt. eggs or egg dishes, fresh cut fruits, open mayonaisse, Worcestershire sauce, creamy salad dressings, opened tomato sauces, biscuits, rolls, cookie dough, cooked pasta, pasta salads, cheesecake, cream-filled pastries, cooked vegetables, baked potatoes, and potato salad. o Any perishable food that has thawed for more than two hours, and is above 40 degrees F, whether from the refrigerator or the freezer, should be discarded. o Food items that can be kept for a limited time without refrigeration include - hard, processed cheese (such as cheddar, Swiss, parmesan, provolone, Romano), - butter, margarine; - opened fruit juices, opened canned fruits, peanut butter, jellies and mus- tards, opened vinegar-based dressings; - breads, rolls, cakes, muffins, breads, waffles, pancakes, bagels, pies, fruit, herbs, spices and raw vegetables. o Any food item discarded should be disposed of in double-bagged plastic gar- bage bags and should be well tied, and/or in sealed plastic containers or sealed (for example, zipper-locked) plastic bags (The advice about double-bagging seemed an extreme measure to some food safety experts.-Ed.). o After the power returned, it was okay to refreeze frozen foods that still con- tained ice crystals and felt cold. 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Q - ~ '" c: '" ~ II> - '" "" S' 00 - :r !E, ~ ... o <> 0.. ... c CD '" - '" :r:J ;;; c. '" c. 8"~ - S' 000 c: ~ ~ '" c.i!l. ~ '" .11> c: OJ .. :J :J _ C. c. '" 00 ~ '" '" II> ,., II> '" 7' ." '" n "" '" c. t3 o fB C.in (i) ~ :r0 '" c: '" '" g, ~ 00 g: g.c. '" '" m~ ;:r S' 000 c: _ '" :r iil '" - 3 o :; ~ ;::+. o:r S' ... o o "" ~ ;: 1= ~ C> C> ... ) ) ;: 1= ~ C> C> ... ... o o "" >= ... ... FOOD TALK FAU 2003 Test Yourself on Food Safety \,J 1. The number one factor leading to foodborne illness 5. Which of the following is not considered a potentially in food establishments is: hazardous food group? a. improper cooling of foods a. Red meats b. cross contamination b. Fish and shellfish c. poor personal hygiene c. Poultry and eggs d. inadequate cooking of foods d. Dried grains and spices 2. Food handler exposure to which of the following illnesses must be reported to the manager? a. Hepatitis A b. E. coli 0157:H7 c. Shigella d. all of the above 3. Bacteria grow within a temperature range called the danger zone, which is between: a. 00 and 2200F b. 00 and 1400F c. 410 and 1400F d. 410 and 2200F 4. Which of the following bacteria produce a toxin that is most likely to cause death if consumed? a. Campylobader jejuni b. Clostridium botulinum c. E. coli 0157:H7 d. Listeria monocytogenes Source: "Essentials of Food Safety & Sanitation," Prentice Hall 6. Foodborne illness can be caused by' a. poor personal hygiene b. cross contamination c. temperature abuse d. all orthe aoove 7. The most effective way to control the growth of bacteria in a food establishment is by controlling: a. time and temperature b. pH and oxygen conditions c. temperature and water activity d. time and food availability 8. Bacteria are the most common cause of foodborm .-/ disease in a food establishment because: a. under ideal conditions they grow very rapidly b. bacteria are found naturally in many foods c. bacteria can be easily transferred from one source to another d. all of the above P 'Il :e 'L :p "9 :p "s :q '17 :J "~ :p "l:e L :SJilMSU\f jU;JWjlp.d;JO qllP.;JH 10P;Jl!O qllP.;JH ;J;)!~P!^P'O .~;vlooo~ IOt8Z IN 'NOI9NIWlIM ums HlL I HInOS 6Z0Z NOISIAIO HI1"3H 1"IN3WNOHIAN3 IN3WIHltd30 HImH AlNnOl UAON"H M3N National Association of Local Boards of Health I , (~ '-- United "We St/lni .,.f' . . . . ' . .-,'. . '" .. ,'\,' " . .','.','. PublishedJor Members oj Local Boards oJHealth August 2003 President's Message Connie Tatton, President I want to thank all those who took the time and effort to attend, present or display at our annual conference in Baltimore in July I wish all of you could have been there. It was an outstanding conference. We began with a harbor dinner cruise which was relaxing and provided a great opportunity to enjoy each others' company Our opening keynote speaker was Hugh Tilson, MD, DrPH currently of the UNC School of Public Health. An excellent speaker, he gave a dynamic presentation of the new Institute of Medicine Report, The Future of Public Health in the 21" Century which should be currently available. When he gave his presentation it wasn't off the press yet so we were privileged to receive a great preview. Peter Beilenson, MD, MPH, Commissioner of Health for Baltimore City Health Department, gave a report of the challenges facing his department. Aside from his regular demanding duties, he has been a player with other area stakeholders in formulating a health insurance plan for the under- insured and he describe what role his department has played in this endeavor. We were also extremely happy to have Ed Thompson, MD, MPH, Deputy Director for Public Health Services, CDC give a presentation on Infectious Diseases, past and present, how we dealt with diseases a hundred years ago, what we have learned and how we deal with new diseases today Rounding out our plenary keynote speakers was Jerome Hauer, MPH, Acting Assistant Secretary for the Office of Public Health Emergency Preparedness, Department of Health and Human Services Continued on Page 2 Wasatch County (UT) Health Department Sponsors Wasatch High School Traffic Safety Program Submitted by Jonelle Fitzgerald, 85, CHES, Wasatch County Health Department If you were walking down the hallway at Wasatch High School (850 students) this past April, you would have seen students dressed in black with faces painted representing the 23% of all fatal crashes that are related to alcohol in Utah. You would have heard sirens and a medical helicopter flying into the High School football field supposing there had been a major disaster Upon arriving on the scene, you could find a "Mock DUI Crash." Crashed cars were placed on the football field. High School students were released from classes to go out to the field. The Wasatch County Sheriff's Department provided a dispatcher who dispatched a crash and law enforcement, EMS, and fire department responded and worked as if the crash were real. We were fortunate to have the Air Med helicopter from the University of Utah Hospital come to pick up one of the crash victims. Heber City Police completed sobriety tests on the drunk driver, then handcuffed him and hauled him to jail. 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Wiii..... n = ~ III 0 CL i ~=:? :< ;0 III ':;, ., < .it III III v = = n~ III 0 = .'-'. ..J ~ co o :I: ~ ~ '" ~ ~ ;., > ~ ~ '" o o '" r National Association of Local Boards of Health 12th Annual Conference Boards of Health: Prevention, Preparedness & Power July 28-31, 2004 Omni lnterlocken Resort Denver, Colorado Continue to visist <www.nalboh.org> for conference updates or to view hotel information visit <www.omnihotefs.com/hotels/defauft.asp ?h_id=48> For more information visit<www.nalboh.org> or calt the NALBOH office at (419) 353-7714. Pbotos courtesy of Denver Metro Convention and VisItors Bureau National Association of Local Boards of Health 1 B40 East Gypsy Lane Road Bowling Green, OH 43402 E-mail: <nalboh@nalboh.org> Website: <www.nalboh.org> NON PROFIT ORG. U.S. Postage PAID Bowling Green, OH Permit No. 47 I I I ':J