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01/05/2005 . FINANCIALS NOT INCLUDED - WILL BE AVAILABLE AT BOARD OF HEALTH MEETING WEDNESDAY, JANUARY 5, 2005 . . 8 . . NHCHD BOARD OF HEAlTH APPROVED GRANT APPUCATlON STATUS FY 04-05 Date /BOHI Grant Raauastad Pendlna Recslvad Denied 12/112004 No actlvltv for November 2004. March of Dimes. Matemity Care Coordination Program educational supplies and incentivas 111712004 for Dreanant WIlmen. $ 3,000 $ 3,000 1016/2004 No actlvltv to report for October 2004. 91112004 No actlvltv to report for SentAmber 2004. OffIce or the Stata Fire Marshal. NC Department of Insurance- Risk Watch 8/412004 continuation fundina (3vearsl $ 25 000 $ 25,000 NC Physical Activity and Nutrition Branch- Eat Smart Move More North Carolina $ 20 000 $ 20 000 NC March of Dimes Community Grant 71712004 Proaram. Smokina Cessation $ 50 000 $ 50,000 Wolfe-NCPHA Prenatal Grant. Diabetic Suoolies for Prenatal Patienls $ 5,000 $ 5,000 81212004 No actlvltv to report for June 2004. Kate B. Reynolcla Foundation- 3il om IdY r.a: 5/512004 Transoortable Dental Untt Grant $375 000 $375,000 Cape Fear Memorial Foundation- Dental , ( Grant $185000 $175000 Cape Fear Memorial Foundatlon- School 41712004 Health Emeroencv Dental Services Grant $ 15,000 $ 15,000 Safe Kids Coalition- Govemofs Highway SafelY Prooram- (Coalition Vehicle ReQuestl $ 16000 $ 16 000 Safe Klda Coalition- Safe Kids Buckle Up 31312004 Prnnram- Child Sefetv Seat Grant $3,500 $3,500 - 2/412004 No actlvltv to report for Februarv 2004. Cape Fear Memorial Foundation. Funds needed to enhance health educatior.in 4 areas other than Diabetes (an enhancement 11712004 to Diabetes TOdav Grantl. '(Livina Well) $20,000 $18,500 $1,500 121312003 No actlvllY to report for December 2003. Cape Fear Memoria/Foundation. Funds needed to cover dental services for needy children as identified by School Heatth 11/512003 Nurses. $3.000 $3.000 NC Medical Foundation. Through the GOOd ShePhard, =~es for nursing services to the Innnulation uentina the shetter. $25 000 $25 000 Duke University. To provide 10 hours of nursina services for TB Outreach. $10388 $10700 -$312 NC Tobacco and Control Branch, DHHS. Continuation of T obaceo Prevention Prooram. $100,000 $64 093 $35 907 10/112003 No actlvltvto reoart for October 2003. New Hsnover County Safe Schools- Uniting for Youth 'U4Youth"(funding will be received 91312003 over a 3 vear arant ceriOdl . $49 000 $ 12 702 $36 298 Safe KlcIa Coalition- Fire Prevantion (Please note this grant was pulled- coslition not able to meet deadline for reauestl $2,500 $2 500 . AA of 12I9l2OO4 " NOlE: _liOn _ sInco last report. 9 NHCHD BOARD OF HEALTH APPROVED GRANT APPUCATlON STATUS FY 04-05 Date IBOH Grant Requested Pending Received DenIed 81B12003 NC DHHS- OPH Preparedness and Response $82,350 $31 950 $50,400 Smart Stert. Partnership for Children 71312003 Grant Increase for Part Time Nurse Position) $5,523 $5,523 Cape Fesr Memorial Foundation. Diabetes TOday (two-year request $42,740 annually) Received $25,00 year 1 and $20,000 year 2) $B5,4BO $45 000 $40,480 DUKe unlVers'!Y Nlcnolas l:icnOOI or me Envlronment-Geographic Information SYStems Grant (Env Heatth) $10,000 $10,000 Safe Klda CoalltlDn. Safe Kids Mobile Car Seat Check up Van $50,000 $50,000 Totals $1140741 $443 000 $424 445 $263 296 38.83% PendinG Grants 4 lB% Funded Total Reouest B 27% Partially Funded B 27% Denied Total Reouest 6 27% Numbers of Granls Applied For 22 100% AA of 12I9l2OO4 . NOTE: Notification _ "'nee last report. 37.21% 23.0B% . . . 10 .....". of . . . NEW HANOVER COUNTY BOARD OF COMMISSIONERS Request for Board Action AgendaIT Consent Meeting Date: tentative, Allenda: [gI 1/24/05 Denartment: Health Presenter: David Rice Contact: Janet McCumbee Subiect: Good Sheoherd Ministries Grant Brief Summary: In January 2004, the Health Department Community Health Services staff started a nursing clinic at the Good Shepherd Day Shelter for the homeless, This has been funded for 2004 with a N,C, Medical Society grant (one time grant). Due to the success of the nursing clinic, there is a need to increase the services at the Good Shepherd. The Good Shepherd Director has requested funding from the Champion McDowell Davis Charitable Foundation (Wilmington) for 2005. We have received verbal approval (letter forthcoming) for funds from this foundation to continue and increase services throullh 2005. Recommended Motion and Requested Actions: To approve acceptance of the $56,400 grant from the Champion McDowell Davis Charitable Foundation through the Good Shepherd for the nursing clinic at the homeless shelter, and to approve any associated bud et amendment u n recei t of these funds. Funding Source: Grant from Champion McDowell Davis Charitable Foundation, P.O. Box 2342, Wilminllton, N.C. Will above action result in: DNew Position Number of Position(s) [gIPosition(s) Modification or change DNo Chanl!'e in Position{s) Explanation: In recent months, we received approval from HR to hire a temporary nurse for 20 hours per week to staff the Good Shepherd Clinic, using other grant funds (until those funds are expended). This grant will allow us to keep this PT nurse through 2005. Therefore, this grant would extend a temporary, existing position (all grant funded). The position will be eliminated when grant funds end. I Altachmenls: grant summary and grant budgel 11 , .. . -, Ii , . .- . NEW HANOVER COUNTY HEALTH DEPARTMENT 2029 SOUTH 17TH STREET WILMINGTON, NC 28401-4946 TELEPHONE (910) 343-6500, FAX (910) 341-4146 --..-. GOOD SHEPHERD MINISTRIES CLINIC INPUT FOR GRANT PROPOSAL The first six months of operation of the Good Shepherd Ministries Clinic has verified the need of basic medical services for the guests, as well as the need for continued services in the future. The anticipated overnight shelter, which will be more family friendly, may increase the variety of needs of the clientele and the numbers of guests seen through the clinic. The goal we have for the clinic is to minister to as many of the primary care needs of the guests as possible within the clinic. This will require having access to laboratory testing, medications, adequate clinic hours to see the guests without interfering with work schedules, intensive education, time for follow-up, and of utmost importance, increased mental health assistance for the guests. We foresee an increase in the amount of health professional time needed to provide quality care for the guests. In our few short months of operation we have seen our time spent in the clinic increase approximately 25% and with more clientele that need will increase more. A plan is needed for tile health care of guests' in the'overnight shelter as well, at the very minimum first aid training for the attendants, which may be contracted out or provided by us. Written policies and procedures for first aid are necessities for the shelter, which should be the responsibility of Good Shepherd Ministries. The accompanying financial information demonstrates the increases projected for the current services. It should be noted that the majority of salaries is currently funded through the health department, with the grant money being used for supplies, medications, and laboratory testing. As demand for time of the personnel increases, additional personnel will have to be hired to fulfill job duties aside from the Good Shepherd. We welcome dialogue with the Good Shepherd Administration as to your dreams and goals for the clinic. It has been a pleasure to be a part of this ministry, and to provide a service that will improve the overall health of our community. . July 13, 2004 12 ~, ~ . . lI) 0 0 ~ I- .... Z S'! W N :Ii .... I l- ll) a: 0 <( 0 l1. ~ W .... C -.... .... ::I: - ~ CD m "C <( ~ W m It - c l! z e" ::) III 0 CD 0 .- ... - a: III W 'c > .- 0 :Ii z "C <( ... CD ::I: .c == Co CD W .c Z en "C 0 0 e" . ~ "'"' ... o o ~ ~ al lJ) .~ a: 0 0 0 = 0 0 0 0 = = 0 0 0 = 0 0 0 0 = = III 0 ~ 0 .:; 0 0 0 0 .:; g 0 00 = ~ 0 0 ~ = = 00 '" 0 ... 0 ..... l') "'2' = r:/S ",. N ..; ",. .... '0. .... l')- .... <<"l '" .... .... :.2 .... .... ... ~ on .... .... .... '" ~ C ] '" ... - 0 &l 'G .~ ""' - c ro:l c ~ - C l ~ " ;; a:l ~ ~ [I.l 0 ~ Il'.: ~ Q,l z 8 'E () ] 'C ". Cl 'E ti - e :;: ~ " c [I.l E= ~ ~ .. , Il'.: i:I - == - ~ ~ .. 0 a .. Q,l I!; '0 =:I ~ ~ ~ Cl " :a ~ z ro:l "'Cl '" ... ... ""' 'E = = i:<: ,S 'E ~ z cr = "" Ie ~ ~ Q,l - >> 'i 1i '" ... ~ -= - '0 0 e == ::c: ~ - Q. .. ~ e ... ~ Q,l ,~ '" 0 :E &l .. J:J ~ -= "" ~ ~ = ~ Ie:. I] S II:.l e:. ,;; 8 ~ "'Cl ~ z ~ = () '" = i:<: ] 'E 'E () = i: " " :5 ~ ""' (I) IS ... ! "0 1l i:I " Z '" ti ti ~ ~ rf " E .. ~ 'C 8 ... ~ .. ;; ;; ~ OJ 8 8 = ~ (I) Z (I) 13 , ( . NEW HANOVER COUNTY BOARD OF COMMISSIONERS Request for Board Action Agenda: Consent Meeting Date: 01/24/05 A enda:~ D artment: Health Presenter: Cind Hewett, Business M Contact: Cind Hewett, Business Mana er, ext 6680 Subject: Budget Amendment in the amount of $2,700 to be used for the Health D artment Sterilization Pro am Brief Summary: The New Hanover County Health Department has received $2,700 additional state funding from the State to be used to support the sterilization program. These funds must be sent b Ma 30, 2005. Recommended Motion and Requested Actions: To accept and approve the additional funding of $2,700 to be used to support the sterilization program and the associated budget amendment . Will above action result in: []New Position Number ofPosition(s) Dposition(s) Modification or change ~No Chan e in Position s Explanation: The New Hanover County Health Department will receive $2,700 additional funding from the State to be used specifically for sterilizations. These funds must be spent by May 30, 2005. Patients seen in the Sterilization Program must meet income and eli ibili criteria. Attachments: Fundin Authorization and Bud et Amendment. . 14 . , . .c - 'iii Q) :I: Q) ,~ - c: I- w ~ Z ~ 11. W '" "c: :IE ~ Q) 0 E Z !z 0 w w ~ :IE > C( 0 I- Z w W Cl e <( ~ C) '" 0 ~ 0 m Z '" W u. e ~ ~ . ~ Z ~ W > w Iii D:: g~ :;) III ~ ::; Cl Z -0 !zo ",- offi OIL ~ !za: UJUJ ::;IIl "'::; O=' OZ 0 t Z UJ ~ ~ ~ III c a: "' ~ Z " 0 ;!; ~W ~ . ~ <(0 u: ",0 b ZO z g 0 c 0 0 J-,W_ r-: Z......, N ::> 0 a: oH ::!Ez8 C("'" + .. , + 0 o~~ wwz Cl)C)::l ~oo ::l::!: a:1D<( ~~~ ZW'Z We>::l a:OO a:::l::!: i31D<( WUJ "'0 Za: ~'" .0 -.'._.. a:" ~ Z i2 C) W ~ CI) .... N N '" ~ .... e ~ e e N ..lZ Zo ~,.~ .... N ~ '" Z 11. 0 .oJ >= W ~ :I: '>- ~ 'It-- ~ BSS III III III 000 Ol- E WW cnCl -0 e (fj", Ol 0:'" 2 ...J C. ~ c: 0 0 "" I- ,~ '2 ..9:!Q)Q) S "' :t::;:;E 1:: ~i=i- 0 c. c. ::> "' .9 'C Q) "' ::> Q) .D .9 ~ '~ l!! Ol c: c: =s c c: "" .2 ,~ S ~ .!)l 0 "' .5 'iii ::> <( c: ~ c: '6 '6 'C c: III ::I ~ U. Q) Q) Q) .. .g Z EEE.l!l - CUmcun:J Q) 0 zzzo 'C ~ ::> 'iii'...,'iii .D lIE > >. co > 0 a: 010>2 I- 0 a.iec. u. ~ ~ g;<( Z 2!: -~<(c: 0 ..J .!)l '0 ~ <( c: 0 ";; z Q) , "' E 10,- Z 0 1:: E :5 ~ III E is c. 0 IL Q) (..l 0 15 . , . I- w Z ~ w :IE ~ 0 z ~ w UJ :IE > C( 0 I- z w W ~ C) 0 ~ 0 m z w ~ U) . z ~ W ll. >< .... w UJ 8~ '" III ~ ::; Cl z -0 !zo ",- offi OIL ~ .... ffiD: ::;lll "'::; 0'" oz 0 t z w ~ Cl < 0: III < c W "' ~ Z " 0 ;!; t;UJ ~ ~ :Ji8 "' . b zO z g c c I-~ 0 iiJ 0 Zo ~ r--. =>:r N 0;: ..... ::!Ez g CC"" + .. 0 , + O~I- WWZ .c: !QC)::l - [ijOO 1ii Gl a:ffi~ :I: Q) .~ I-I-~ - c: Zwz Gl WC)::l > a:OO l!! 11. ~::l::!: II) (..l1D<( -c: Q) E 0 L I- (..l CI) W W .., (..l 10 5 0 a: w CI) 0 W ~ ~ ~ Z 0 (..l 0 0 .... '" ~ :> t; 0 < 0 0 N 0.6 z 0 oa: ~ t::IL ZIL "'< a: IL 0 ZZ ~Q ~~ .... N ~ '" z 11. 0 .oJ .... W ~ :I: . ~ o ~ '" o ~ ~ 01- WW cnCl -0 >", ~'" ...J ~ .,.. "'- .. ~ -....; .!!CUQ) ~<<in; 00 .!!:!..9:!.!!:! t=:!::!: 1-1- E e e c. c: .Q iii .!::l '2 S "' ~ - 1:: o g; " "' .9 "C Gl "' " Gl .D .9 "C .~ ~ Ol c: .- c: 'g .2 ,,- ';jj .~ - 0 .!)l.c: II) - - " l!!<( .2 c :t:: .- "C"C "C c: ~~ ECDQ)Q)".e.. EEGl-GlOZ III - Z~~~ .,,~ .... .. il <( III >."" 1ii lIE elD~~ oa: c."CO~~O c..Q) i5. IL. <( ~ c.<( Z 2!: ~~~.~ ~ Ci! Gl . III CC Z E lD'E~Q 15 E ..J !:: c. 011.0 Gl (..l 0 16 NORTH CAROUNA DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF PUBLIC HEALTH ISSUED TO: NEW HANOVER COUNTY Public Health DepartmentlDistrlct ACTMTY: 151 NAME OF PROGRAM: Family Planning INITIAL ALLOCATION PRIOR ADJUSTMENTS YEAR TO DATE... INCREASE (DECREASE) INCREASE (DECREASE) THIS AUTHORIZATION NET ANNUAL ALLOCATION GRANT INFORMATION Tvne of Fund Service Months Pavment Montbs Federal Federal Federal Federal Federal Federal Federal June July-May June July-May July-May June-May June-May July Aug-June July Aug-June Aug-June July-June July-June " Regular Title X "" Special Title X Recel7lJl ;/If2'Oj? Local Healtb Director Local Finance Officer ~Jl.1I~ AUTHORlZEDmGNATURE DHH5-CO 7-04 FUNDING AUlHORIZA liON STATE FISCAL YEAR FROM: July 1,2004 through June 30, 2005 EFFECTIVE DATE 07101104 567,291.00 $28,945.00 $85,403.00 $181,639.00 ~ Amount 1511 6014 FP" 1511 6015 FP" 1511 6014 FP"" 1511 6015 FP*" 1511 5151 T2 1505 5735 AP 1511 6075 FP " $4,746.00 563,329.00 $861.00 $9,473.00 $17,827.00 $82,703.00 ~.7oo.oo $181,639.00 DATE: 12/02/04 AUTH# 4 Revisions 1 through 6 CFDA# 93.217 93.217 93.217 93.217 93.558 93.994 93.217 17 .. . . NEW HANOVER COUNTY BOARD OF COMMISSIONERS Request for Board Action Agenda: Consent Meeting Date: 01/24/05 A enda: 0 De artment: Health Presenter: Cind Hewett, Business M Contact: Cindy Hewett, Business Manager, ext 6680 Subject: Adjustments in the New Hanover County Health Department (NHCHD)Fee Policy (General Guidelines, Section I, Item 0) Brief Summary: Based on information recently received, the New Hanover County Health Department proposes an adjustment to the narrative section of its Fee Policy. Details follow in the Explanation section of this document. Recommended Motion and Requested Actions: To accept and approve the proposed changes to the General Guidelines Section of the New Hanover County Health Department Fee Policy. I Funding Source: NA Will above action result in: DNew Position Number of Position(s) Dposition(s) Modification or change ~o Chan e in Position s Explanation: Based on recent guidance, the New Hanover County Health Department proposes to make the following change to the General Guidelines section of its Fee Policy. Cl!ITent Fee Policy states the following: (Item "0" under Section I of the General Guidelines Section) Reimbursable visits, for patients with insurance coverage, will he billed to the insurance company. If there is a balance remaining after the insurance payment is received by NHCHD, the balance will be billed to the patient based on their established sliding fee scale rates. Proposed Change: (All remains the same, except for the last sentence, which will read) If there is a balance remaining after the insurance payment is received by NHCHD, the entire balance will be billed to the patient, unless otherwise mandated by law or through the Consolidated Agreement betweeen the State of North Carolina and the New Hanover Coun Health De artment. I Attachments: 18 . . . New Hanover County Board of Health Committee Assignments 2005 Executive Committee: Mr Donald P Blake, Chairman Dr Edward Weaver, Jr" Vice-Chairman Mr Marvin E, Freeman, Sr Dr Sandra L. Miles Mr, John S, Tunstall Environmental Health Committee: ~r John S, Tunstall, Chairman Mr Donald p, Blake Mr James R. Hickmon Dr Edward Weaver, Jr Dr G, Robert Weedon Personal Health Committee: Mr Marvin E, Freeman, Sr., Chairman Dr Robert M, Shakar, Sr Mrs, Cheryl Lofgren Dr Sandra L. Miles Mr Stanley G, Wardrip, Jr Animal Control Services Advisorv Committee: Dr G, Robert Weedon Association of NC Boards of Health Mr Donald p, Blake .It New Hanover County Health Department Revenue and Expenditure Summaries for November 2004 Cumulative: 41.67% Month 5 of 12 . Revenues Current Year Prior Year ypeof Budgeted Revenue Balance % Budgeted Revenue Balance % Revenue Amount Earned Remalnin Amount Earned Remalnln Federal & State $ 1.999,741 908,552 $ 1,091,189 $1,691,857 $ 925,234 $ 766,623 54.69% C Fees $ 580,161 248,885 $ 331,276 $ 570,161 $ 264,573 $ 305,588 46.40% Medicaid $ 1,138,039 382,560 $ 755,479 $1,046,080 $ 82,424 $ 983,656 7.88% Medicaid Max $ 151,600 $ 273,333 $ EHFees $ 300,212 $ $ 300,212 $ 83,503 216,709 Health Fees $ 113,545 $ 111,850 $ 65,128 Other $ 2,440,135 $2,336,580 $ 1,052,202 Ex enditures ypeof Ex ndlture Budgeted Amount Expended Amount Balance Remalnln % Budgeted Amount Expended Amount Balance Remalnln % . Salary & Fringe Operating CapitalOutla Summary Budgeted Actual % FY 04.()5 FY 04.()5 Expenditures: Salaries & Fringe $10,420,730 $3,531,407 Operating Expenses $1,680,360 $646,669 Capital Outlay $216,841 $17,592 Total Expenditures $12,317,931 $4,195,668 34.06% Revenue: $6,723,433 $2,441,089 36.31% Net County $$ $5,594,498 $1,754,579 31.36% . Revenue and Expenditure Summary For the Month of November 2004 New Hanover County Health Department FY 04'()5 MONTHLY REVENUE REPORT As of November 30, 2004 Summary for the New Hanover County Health Department Cumulative % 41.67% Month Reported Mon50f12 Noy-()4 Current Year Prior Year Type of Budgeted Revenue Balance % Budgeted Revenue Balance % Revenue Amount Earned Remaining Amount Earned Remaining Federal & State 1,999,741 908,552 $ 1,091,189 $ 1,691,857 925,234 $ 766,623 54.69% AC Fees 580,161 248,885 $ 331,276 $ 570,161 264,573 $ 305,588 46.40% Medicaid 1,138,039 382,560 $ 755,479 $ 1,046,080 82,424 $ 963,656 7.88% Medicaid Max 151,600 $ 273,333 EH Fees 300,212 $ 300,212 Heahh Fees 113,545 $ 111,850 Other 2,440,135 $ 2,336,580 Revenue Summary For Month of November 2004 .to . . . . . . .- New Hanover County Health Department FY 04-05 MONTHLY REVENUE REPORT As of November 30, 2004 Cumulative % 41.67% Program: 5111 Environmental Health Current Vear Type of Budgeted Revenue Balance % Revenue Amount Earned Remaining 15,973 $ 5,790 $ 10,183 300,212 $ 107,752 $ 192,460 Month Reported Mon5of12 Nov.Q4 Prior Veer Revenue Balance Earned Remaining Budgeted Amount % Program: 5112 Vector Control Type of Revenue Budgeted Amount Current Year Revenue Balance Earned Remaining % PrlorVear Revenue Balance Earned Remaining % Budgeted Amount Program: 5114 Animal Control Type of Revenue Current Year Prior Year Budgeted Revenue Balance % Budgeted Revenue Balance % Amount Earned Remaining Amount Earned Remaining 580,161 $ 248,885 331,276 570,161 264,573 305,588 46.40% Note: County Appropriation Is not figured on the Individual program report. The County appropriation In each program is the difference between the total amounts on the program expenditure report and the totals on the program revenue report. For Month of November 2004 1. New Hanover County Health Department FY 04-05 MONTHLY REVENUE REPORT As of November 30, 2004 . Cumulative % 41.67% Month Reported Mon 5 of12 Nov.Q4 Program: 5121 Laboratory Current Year Prior Year Type of Budgeted Revenue Balance % Budgeted Revenue Balance % Revenue Amount Earned Remaining Amount Earned Remaining Health Fees $ 1,000 $ $ 1,000 0.00% $ 1,500 $ 43 $ 1,457 2.87% Fed & State $ $ $ 0.00% $ 3,000 Med Max $ 4,600 $ $ 4,600 0.00% $ 4,500 Totals $ 5,600 $ $ 5,600 0.00% $ 9,000 $ 43 $ 8,957 0.48% Program: 5122 Public Health Bioterrorism Current Year Prior Year Type of Budgeted Balance % Budgeted Revenue Balance % Revenue Amount Remaining Amount Earned Remaining $ 338,402 $ 127,386 $ 242,464 5123 Care Coordination Current Year Type of Budgeted Revenue Balance % Budgeted Revenue Amount Earned RemaIning Amount Fed & State $ 66,160 $ 66,160 $ $ 106,905 TXIX $ 1,039,039 $ 352,347 $ 686,692 $ 941,762 Med Max $ $ $ $ 90,000 Totals $ 1,105,199 $ 418,507 $ 686,692 37.87% $1,138,667 $ 131,934 $ 1,006,733 11.59% Note: Comprised of Child Service Coordination (5133), Matemity Care Coordination (5159), Matemal Outreach Wor1<ers (5157) and Navigator (5154) Budgets Program: Prior Year Revenue Balance Earned Remaining $ 58,660 $ 48,245 $ 73,274 $ 868,488 % . 54.87% 7.78% Program: 5124 Women's Preventive Health Type of Revenue Fed & State Medicaid Health Fees Med Max Budgeted Amount 207,114 31,000 22,500 70,000 Current Year Revenue Balance Earned Remaining 162,563 $ 44,551 10,542 $ 20,458 17,755 $ 4,745 $ % Budgeted Amount Prior Year Revenue Balance Earned Remalnin $ 174,910 47,782 $ 2,821 28,179 $ 11,476 11,024 $ % 78.54% 9.10% 51.00% Note:County Appropriation is not figured on the individual program report. The County appropriation in each program is the difference between the total amounts on the program expenditure report and the totals on the program revenue report. . For Month of November 2004 . New Hanover County Health Department FY 04-05 MONTHLY REVENUE REPORT As of November 30, 2004 Cumulative % 41.67% Program: 5125 Community Hea~h Program: Type of Budgeted Revenue Balance % Revenue Amount Earned Remaining Fed & State $ 29,147 $ 24,797 $ 4,350 85.08% TXIX $ 8,000 $ 207 $ 7,793 2.59% Health Fees $ 3,500 $ $ 3.500 0.00% Other $ 14,408 $ 49,408 $ (35,000) 342.92% Month Reported Mon50112 Nov-04 Budgeted Revenue Balance Amount Earned Remaining $ 32,924 $ 8,628 $ 24,296 $ 10,000 $ 76 $ 9,924 $ 3,500 $ 1,084 $ 2,416 $ 57,051 $ 33,753 $ 23,298 Totals $ 55,055 $ 74,412 $ (19,357) 135.16% $ 103,475 $ 34,837 $ 68,638 Note: Comprised 01 Personal Hea~h General (5161), Neurology(5172),and Children's Special Hea~h Services (5178) Budgets Program: 5126 Health Promotions Type 01 Revenue Budgeted Amount Current Year Revenue Balance Earned Remaining Budgeted Amount Prior Year Revenue Balance Earned Remaining % . Program: 5131 Administration Type of Revenue Budgated Amount Current Year Revenue Balance Earned RemainIng Budgeted Amount Prior Year Revenue Balance Earned Remaining % 155,833 Program: 5134 Navigator~Partnership Type of Revenue Budgeted Amount Current Year Revenue Balance Earned Remaining Budgeted Amount Prior Year Revenue Balance Earned Remaining % . For Month of November 2004 % 26.21% 0.76% 30.97% 59.16% 33.67% % % % Type of Revenue Type of Revenue Type of Revenue Federal & State Medicaid Hea~h Fees Med Max Other Cumulative % Program: Budgeted Amount Program: Budgeted Amount 7,500 Program: Budgeted Amount $ 73,140 $ 35,000 $ 69,545 $ 27,000 $ 45,427 New Hanover County Health Department FY 04-05 MONTHLY REVENUE REPORT As of November 30, 2004 . 41.67% Mon5of12 Nov-D4 Month Reported 5141 Women Infants and Children (WIC) Current Year Revenue Balance Earned Remaining Prior Year Revenue Balance Earned Remaining % Budgeted Amount % 5142 Nutrition Current Year Revenue Balance Earned Remaining Prior Year Revenue Balance Earned Remaining % Budgeted Amount % 1,089 . 5151 Epidemiology Current Year Revenue Balance Earned Remaining $ 57,625 $ 15,515 $ 9,938 $ 25,062 $ 30,927 $ 38,618 $ $ 27,000 $ $ 30,250 Prior Year Revenue Balance Earned Remaining 57,821 $ 15,514 4,204 $ 32,796 41,122 $ 26,228 % Budgeted Amount $ 73,335 $ $ 37,000 $ $ 67,350 $ % 78.85% 11.36% 61.06% Note: County Appropriation is not figured on the Individual program report. The County appropriation in each program is the difference between the total amounts on the program expenditure report and the totals on the program revenue report. . For Month of November 2004 . New Hanover County Health Department FY 04-05 MONTHLY REVENUE REPORT As of November 30, 2004 Cumulative % 41.67% Program: 5152 TB Type of Budgeted Revenue Balance 0/0 Revenue Amount Remaining 79,249 $ 21,000 7,500 $ 6,871 16,000 $ 1,740 Month Reported Mon5of12 Nov.04 Budgeted Revenue Balance % Amount Earned Remaining 54,766 $ 22,452 787 $ 6,713 11,403 $ 4,597 Program: 5155 Child Care Health Consultant Current Year Revenue Balance % Earned RemainIng $ 68,481 Budgeted Amount Prior Year Revenue Balance Earned Remalnln % Type of Revenue Program: 5160 Heatth Check . Current Year Revenue Balance Earned Remaining $ 11,127 $ 30,620 % Prior Year Revenue Balance Earned Remaining $ 8,998 $ 32,037 % Program: 5162 Matemal Health Type of Revenue Budgeted Amount Current Year Revenue Balance Earned Remaining % Budgeted Amount Prior Year Revenue Balance Earned Remaining % Program: 5166 Partnership for Children Current Year Revenue Balance Earned Remaining $ 33,035 $ 139,465 % Prior Year Revenue Balance Earned Remaining $ 32,919 $ 139,058 % 19.14% $ $ . Note: County Appropriation is not figured on the individual program report. The County appropriation In each program is the difference between the total amounts on the program expenditure report and the totals on the program revenue report. For Month of November 2004 New Hanover County Health Department FY 04-05 MONTHLY REVENUE REPORT As of November 30, 2004 . Cumulative % 41.67% Month Raported Mon 50112 Nov-Q4 Program: 5167 Child Health Type of Revenue Budgeted Amount Current Year Revenue Balance Earned Remaining % Budgeted Amount Prior Year Revenue Balance Earned Remaining % Program 5169 School Health Current Year Prior Year Revenue Balance % Revenue Balance % Earned Remaining Earned Remaining $ 505,890 $1,180,410 $ 798,121 . Program 5170 NC Wisewoman Current Year Prior Year Type of Budgeted Revenue Balance % Budgeted Revenue Balance % Revenue Amount Earned Remaining Amount Earned Remaining . For Month of November 2004 . . . New Hanover County Health Department FY 04-05 MONTHLY REVENUE REPORT As of November 30, 2004 Cumulative % 41.67% Program: 5161 Project Assist Current Year Type 01 Budgeted Revenue Balance % Revenue Amount Earned Remaining Mon50112 Nov-04 Month Reported Prior Year Revenue Balance Earned Remaining % Budgeted Amount Program: 5163 Safe Communities Type 01 Revenue Budgeted Amount Current Year Revenue Balance Earned Remaining Prior Year Revenue Balance Earned Remaining % % Budgeted Amount Program: 5167 Project Stop Type 01 Revenue Current Year Budgeted Revenue Balance Amount Earned Remaining Budgeted Amount Prior Year Revenue Balance Earned Remaining % % Note: County Appropriation is not figured on the individual program report. The County appropriation in each program is the difference between the total amounts on the program expendnure report and the totals on the program revenue report. For Month of November 2004 New Hanover County Health Department FY 04-05 MONTHLY REVENUE REPORT As of November 30, 2004 . Cumulative % 41.67% Month Reported Mon50f12 Nov-04 Program: 5188 TB Outrech Type of Revenue Current Year Revenue Balance Remaining $ 5,350 % Budgeted Amount Prior Year Revenue Balance Earned Remalnln % Program: 5189 Safe Schools Type of Revenue Current Year Revenue Balance Earned Remaining 10,033 $ 41,867 % Budgeted Amount Prior Year Revenue Balance Earned Remalnln $ % . . For Month of November 2004 . . . Type of Expenditure Salary & Fringe Operatin9 Capttal Outlay New Hanover County Health Department FY 04.(15 MONTHLY EXPENDITURE REPORT As of November 30, 2004 Summary for the New Hanover County Health Department Cumulative % 41.67% Month Reported Mon 5 of 12 Current Vear Prior Year BUdgeted Expended Balance % Budgeted Expended Balance Amount Amount Remaining Amount Amount Remaining $ 10,420,730 $ $ 1,680,360 $ $ 216.841 $ 33.89% $ 38.48% $ 8.11% $ 9.938,494 t ,532,820 335,863 Nov-04 $ 3,339,286 $ 541,731 $ 68,834 $6,599,228 $ 991,089 $ 267,029 % 33.60% 35.34% 20.49% 3,531,407 $ 846,669 $ 17,592 $ 6,889,323 1,033,691 199,249 Expenditure Summary For Month of November 2004 Program: Cumulative % Type of Expenditure Budgeted Amount 1,011,926 71,340 Program: Type of Expenditure Budgeted Amount Program: Type of Expenditure Saiary & Fringe Operating Capital Outlay Budgeted Amount 766,164 189,293 1,817 New Hanover County Health Department FY 04-05 MONTHLY EXPENDITURE REPORT As of November 30, 2004 . 5111 Environmental Health 41.67% Mon5of12 Nov-D4 Month Reported Current Year Expended Balance Amount Remaining Prior Year Expended Balance Amount Remaining % % Budgeted Amount 321,331 26,912 690,595 44,428 33.77% 47.72% 5112 Vector Control Current Year Expended Balance Amount Remaining Prior Year Expended Balance Amount RemalnlnQ % Budgeted Amount % 135,746 41,085 5114 . Animal Control Current Year Expended Balance Amount Remaining $ 475,661 $ 114,096 $ 83 Prior Year Expended Balance Amount Remaining $ 273,535 $ 482,985 $ 47,767 $ 131,526 $ 555 $ 53,561 % Budgeted Amount 756,520 179,293 54,116 % Program: 5121 Laboratory Current Year Prior Year Type of Budgeted Expended Balance % Budgeted Expended Balance % Expenditure Amount Amount Remaining Amount Amount Remaining Salary & Fringe 291,165 101,036 $ 190,129 $ 190,919 Operating 74,483 27,038 $ 47,445 $ 46,720 Capttal Outlay $ $ 5,845 . For Month of November 2004 . Type of Expenditure Type of Expenditure . Type of Expenditure Type of Expenditure Salary & Fringe Operating Capital Outlay . Program: Cumulative % Budgeted Amount 318,091 122,937 Program: Budgeted Amount Program: Budgeted Amount Program: Budgeted Amount 1,049,095 46,760 New Hanover County Health Department FY 04~5 MONTHLY EXPENDITURE REPORT As of November 30, 2004 5122 Public Health Bioterrorism 41.67% Current Year Expended Balance Amount Remaining Month Reported Nov-04 Mon5of12 Prior Year Expended Belance Amount Remaining % Budgeted Amount % 111,298 23,176 206,793 99,761 5131 Administration Current Year Expended Balance Amount Remaining Prior Year Expended Balance Amount Remaining % Budgeted Amount % 246,704 147,597 5132 Board Members Current Year Expended Balance Amount Remaining Prior Year Expended Balance Amount Remaining % Budgeted Amount % 5123 Care Coordination Current Year Expended Balance Amount Remaining 329,607 $ 719,488 15,445 $ 31,315 $ Prior Year Expended Balance Amount Remalnln $ 352,593 $ 724,451 $ 14,061 $ 47,562 $ $ % Budgeted Amount $ 1,077,044 $ 61,623 $ % For Month of November 2004 Program: Cumulative % Type of Expenditure Budgeted Amount 146,820 8,500 New Hanover County Health Department FY 04-05 MONTHLY EXPENDITURE REPORT As of November 30, 2004 . 5134 Navi9ator Partnership 41.67% Month Reported Mon 5 of 12 Nov-04 Current Year Prior Year Expended Balance % Budgeted Expended Balance % Amount Remaining Amount Amount Remalnl" 37,994 108,826 162,078 59,361 102,717 3,207 5,293 17,922 1,438 16,484 Program: Type of Expenditure Capital Outlay Salary & Fringe Operating Budgeted Amount 21,979 414,426 27,460 Program: Type of Expenditure Budgeted Amount Program: 5141 Women, Infants and Children Current Year Expended Balance % Amount Remaining $ 18,921 $ 284,342 $ 18,651 Prior Year Expended Balance Amount Remalnl" Budgeted Amount % 5142 . Nutrition Current Year Expended Balance Amount Remaining Prior Year Expended Balance Amount Remalnln % Budgeted Amount % 5151 Communicable Disease (Epidemiology) Current Year Prior Year Type of Budgeted Expended Balance % Budgeted Expended Balance % Expenditure Amount Amount Remaining Amount Amount Remaining Salary & Fringe 1 ,095,921 384,626 $ 711,295 1,143,184 $ 402,947 $ 740,217 Operatin9 166,350 107,342 $ 59,008 116,063 $ 69,914 $ 46,149 Capital Outlay $ $ $ . For Month of November 2004 . Program: Cumulative % Type of Expenditure Budgeted Amount 276,667 38,886 New Hanover County Health Department FY 04-05 MONTHLY EXPENDITURE REPORT As of November 30, 2004 5152 Tuberculosis 41.67% Month Reported Mon5of12 Nov-04 Current Year Prior Year Expended Balance % Budgeted Expended Balance % Amount Remaining Amount Amount Remaining 96,870 179,797 240,817 76,995 163,822 12,952 25,934 38,886 9,420 29,466 Program: 5154 Navigator Current Year Prior Year Type of Budgeted Expended Balance % Budgeted Expended Balance % Expenditure Amount Amount Remaining Amount Amount Remaining .. Program: Type of Expenditure Budgeted Amount 593,449 199,718 Program: Type of Expenditure Salary & Fringe Operating Capital Budgeted Amount 57,378 10,714 . 5124 Women's Preventive Health Current Year Expended Balance Amount Remaining Prior Year Expended Balance Amount Remaining % Budgeted Amount % 1 98,275 66,205 395,174 133,513 581,969 164,600 206,011 68,365 375,958 96,235 5155 Child Care Hea~h Consu~ant Current Year Expended Balance Amount Remaining 26,026 $ 31,350 464 $ 10,250 $ Prior Year Expended Balance Amount Remaining 10,543 $ 48,056 277 $ 5,619 $ % Budgeted Amount 58,599 5,896 % For Month of November 2004 New Hanover County Health Department FY 04-05 MONTHLY EXPENDITURE REPORT As of November 30, 2004 . Program: 5133 Child Service Coordination Cumulative % 41.67% Month Reported MonSof12 Nov-D4 Type of Expenditure Salary & Fringe Operating Budgeted Amount Current Year Expended Balance Amount Remaining $ (7,964) $ (746) % Budgeted Amount Prtor Year Expended Balance Amount Remaining % Program: 5125 Communily Health Current Year Prior Year Type of Budgeted Expended Balance % Budgeted Expended Balance % Expenditure Amount Amount Remaining Amount Amount Remaining 534,924 170,716 364,208 446,876 182,286 264,590 40.79% 63,786 18,722 45,064 107,443 15,739 91,704 14.65% Program: 5157 Maternal Outreach Workers . Type of Expenditure Budgeted Amount Current Year Expended Balance Amount Remaining % Budgeted Amount Prior Year Expended Balance Amount Remalnln % Program: 5126 Health Promotions Type of Expenditure Salary & Fringe Operating Current Year Expended Balance Amount Remaining $ 47,615 $ 103,744 $ 1,678 $ 10,143 % Prtor Year Expended Balance Amount Remalnln $ 50,477 $ 89,208 $ 2,112 $ 9,709 % . For Month of November 2004 New Hanover County Health Department FY 04-05 MONTHLY EXPENDITURE REPORT . As of November 30, 2004 Cumulative % 41.67% Month Reported Mon5of12 Nov-04 Program: 5160 Heafth Check Current Vear Prior Year Type of Budgeted Expended Balance Budgeted Expended Balance % Expenditure Amount Amount Remalnln Amount Amount Remaining Salary & Fringe $ 36,752 $ 13,379 $ 23,373 10,329 Operating $ 4,404 $ 657 $ 3,747 Capftal $ $ $ Totals $ 41,156 $ 14,036 $ 27,120 Program: 5159 Maternity Care Coordination Current Year Prior Vear Type of Budgeted Expended Balance % Budgeted Expended Balance % Expenditure Amount Amount Remalnln Amount Amount Remaining Salary & Fringe $ $ 7,775 $ 0.00% Operating $ $ 345 $ 0.00% Capftal $ $ $ 0.00% Totals $ $ 8,120 $ 0.00% . Program 5162 Meternal Health Current Year Prior Year Type of Budgeted Expended Balance % Budgeted Expended Balance % Expenditure Amount Amount Remaining Amount Amount Remelnlng Salary & Fringe 288,506 90,902 $ 197,604 281,318 89,007 $ 192,311 31.64% Operating 28,252 13,743 $ 14,509 26,441 4,936 $ 21,505 18.67% Capftal $ $ Progrem 5163 Family Planning Type of Expenditure Salary & Fringe Operating Capital Outlay Budgeted Amount Current Year Expended Balance Amount Remaining 10,235 $ (10,235) $ $ % Budgeted Amount Prior Year Expended Belance Amount Remaining $ $ $ % 0.00% 0.00% . For Month of November 2004 New Hanover County Health Department FY 04-05 MONTHLY EXPENDITURE REPORT As of November 30, 2004 . Cumulative % 41.67% Month Reported Men 5 of 12 Nov-04 Program: 5161 Personal Heafth Current Year Prior Year Type of Budgeted Expended Balance % Budgeted Expended Balance % Expenditure Amount Amount Remaining Amount Amount Remaining Salary & Fringe $ $ 10,623 $ (10,623) Operating $ $ 157 $ (157) 0.00% Capital $ 12,800 $ 12,800 $ 100.00% Totals $ 12,800 $ 23,580 $ (10,780) 0.00% Program: 5166 Partnership for Children Current Year Type of Budgeted Expended Balance % Expenditure Amount Amount Remalnln Salary & Fringe $ 166,875 $ 56,138 $ 110,737 Operating $ 4,824 $ 878 $ 3,946 Capital $ 800 $ $ 800 Totals $ 172,499 $ 57,016 $ 114,683 Budgeted Amount Prior Year Expended Balance Amount Remaining % . Program: 5167 Child Health Type of Expenditure Budgeted Amount Current Year Expended Balance Amount Remaining % Budgeted Amount Prior Year Expended Balance Amount Remaining % $ 332,107 $ 43,252 107,002 13,685 225,105 29,567 327,069 40,588 114,223 7,134 212,846 33,454 34.92% 17.58% . For Month of November 2004 . . . New Hanover County Health Department FY 04.05 MONTHLY EXPENDITURE REPORT As of November 3D, 2004 Program: 5168 Dental Heanh Cumulative % 41.67% Month Reported Mon5of12 Nov-Q4 Current Year Prior Year Type of Budgeted Expended Balance % Budgeted Expended Balance % Expenditure Amount Amount Remaining Amount Amount Remaining Program: 5169 School Health Type of Expenditure Current Vear Expended Balance Amount Remainln % Prior Year Expended Balance Amount Remaining Budgeted Amount Budgeted Amount 1,601,861 70,582 522,774 23,291 421,612 7,450 1,113,519 49,661 Program: 5170 Wise Woman Type of Expenditure Salary & Fringe Operating Current Year Expended Balance Amount Remaining $ 10,181 $ 4,607 % Prior Year Expended Balance Amount Remaining Budgeted Amount % Budgeted Amount For Month of November 2004 New Hanover County Health Department FY 04-05 MONTHLY EXPENDITURE REPORT As of November 30, 2004 . Program: 5174 Jail Health Cumulative % 41.67% Current Year Type of Budgeted Expended Balance % Expendltulll Amount Amount Remaining Month Reported Mon5of12 Nov.()4 Budgeted Amount Prior Year Expended Balance Amount Remaining % 5,582 (5,582) Program: 5178 Children Special Health Services Type of Expenditure Budgeted Amount Current Year Expended Balance Amount Remaining % Budgeted Amount Prior Year Expended Balance Amount Remaining % (200) . Program: 5180 Risk Reduction Type of Expenditure Budgeted Amount Current Year Expended Balance Amount Remaining % Budgeted Amount Prior Year Expended Balance Amount Remaining % . For Month of November 2004 . . New Hanover County Health Department FY 04-05 MONTHLY EXPENDITURE REPORT As of November 30, 2004 Program: 5181 Project Assist Cumulative % 41.87% Current Year Type of Budgeted Expended Balance % Expenditure Amount Amount Remaining 45,609 15,299 30,310 20,877 3,804 17,073 Month Reported Mon5of12 Nov-04 Budgeted Amount Prior Year Expended Balance Amount Remaining % 32,413 19,222 Program: 5186 Smart Start for Asthma Type of Expenditure Salary & Fringe Operating Budgeted Amount Current Year Expended Balance Amount Remaining $ $ % Budgeted Amount Prior Year Expended Balance Amount Remalnln % . For Month of November 2004 New Hanover County Health Department FY 04-05 MONTHLY EXPENDITURE REPORT As of November 30, 2004 . Program: 5187 Project Stop Cumulative % 41.67% Month Reported Mon5of12 Nov-04 Current Year Prior Year Type of Budgeted Expended Balance % Budgeted Expended Balance % Expenditure Amount Amount Remaining Amount Amount Remainln 26,034 9,476 16,558 36,814 4,346 32,468 11.81% 7,195 206 6,989 11,466 355 11,111 3.10% Program: 5188 TB Outreach Type of Expenditure Budgeted Amount Current Year Expended Balance Amount Remaining % Budgeted Amount Prior Vear Expended Balance Amount Remaining % . Program: 5189 Safe Schools- Untted 4 Youth Type of Expenditure Budgeted Amount Current Year Expended Balance Amount Remaining % Budgeted Amount Prior Year Expended Balance Amount Remaining % . For Month of November 2004 New Hanover County Board of Commissionen William A. Caster (Diane) ,,452-1282 Home 310 Brookshire Lane 28409 e-mail: bcaster@nhcgov.com 341-7149 Office 452-2875 Fax ~ Ted Davis, Jr. (Jane), , , 313-0755 Home 7112 Creeks Edge Drive E 28409 e-mail: tdaviS@nhcgov.com 763-6249 Office 762-5175 Fax Robert G. Greer, Chairman (Lou) .. 763-5961 Home 1218 Country Club Road 28403 e-mail: bgreer@nhcgov.com 619-7879 Cell 763-5961 Fax William A. Kopp, Jr. 431-7120 Cell 6231 Stonebridge Rd. 28409 e-mail: bkopp@nhcgov.com 791-3504 Fax Nancy H. Pritchett , , , , ,791-2827 Home 5330 Megans Place 28409 e.mail: npritchett@nhcgov.com 341-7149 Office 798-1706 Fax New Hanover County Board or Health Donald P. Blake, Chairman (Cathey) 791-5230 Home 120 Windemere Rd. 28405 e-mail: donblake@aol.com 784-9191 Office Marvin E. Freeman, Sr, (Pat) . .. .. .. 452-0504 Home 915 Roscoe Freeman Ave. 28409 e-mail: freemanm@Wrightcorp.com 655-2263 Office Ext. 5210 James R. Hickmon, RPh (Pat) . 6g6-3402 Home 7522 Dunbar Rd. 28411 e-mail: hickmonj@bellsouth.net Cheryl Lofgren, RN (Lail) .. .... 350-1507 Home . 7111 English Landing 28409 e-mail: clofgren@Charter.net Sandra L. Miles, DDS .. 793-5622 Home 1 North 16th St. 28401 e-mail: iamsmiles@bizec.rr.com 815-0811 Office 815-0665 Fax Nancy H. PritcheU . ...... 791-2827 Home 5330 Megans Place 28409 e-mail: npritchelt@nhcgov.com 341-7149 Office 798-1706 Fax Robert M. Shakar, Jr., M.D. 452-9520 Home 933 Rabbit Run 28409 e-mail: ershakar@aol.com 442-1100 Office John S. Tunstall, PE (Dargan) 686-6757 Home 902 Market St. 28401 e-mail: jstunstall@andrewandkuske.com 343-9653 Office 343-9604 Fax Stanley G. Wardrip, Jr. (. Marla) . . . . 452-2893 Home 7201 Quail Woods Rd., 28411 e-mail: aquamedic9@aol.com Edward Weaver, Jr., 00 (Sherry) . 762-6071 Home 1535 Magnolia Place 28403 e-mail: eweaver@ec.rr.com 791-6086 Office G. Robert Weedon, DVM . .. 793-0901 Home 901 Tarpon Drive 28409 e-mail: lWeedon@bellsouth.net 395-6555 Office Janelle A. Rhyne, MD, Medical Consultant 686-2913 Home 1202 Medical Center Dr. 28401 e-mail: janrhyne@hounail.com 341-3245 Office . David E. Rice, Health Director (Linda) 791-2092 Home 1008 East Primivera Court 28409 e-mail: drice@nhcgov.com 343-6591 Office 341-4146 Fax 1/4/2005 l J ~ ~ ~ -5 ~ 5 8 ~.t;, ~] ~ t: g.g ~~ 1i ;Ej l 6 ~ .5..5'$ .5 ~ 1i --g.g :E ~;. ~ -a I ].~ ~],8 ~.~ ] ~ .~ .~ ~ ~ "8.f f9 J! ~ g ~ ] Jl J"8 i -5 8' lVl 1 ~ -5 i ~ 8. lJ E i'~ l i ~ 8 ~ ~ f ~ ] ~ f ~ ~ 5 .~ ~ J j j · .~ ~ ] ~ ~.I ~ ~ ~ 1 ~ ] ~ I ~ f I ~ J ~ i ~ llil ~ 5 ..Q J ~ ~ 0 1 ~ .~ c: 0 1i ~ ~ ~~ 8 Jl .~ Vl ~ <><~ ~] "" j ~ 1] ~ ~ j ~ .1 ~ ~ ] .~ ~ ~ 8 1 6 ~ ] ~ /l-Vl I e .r j ~ 1t t: e "l !1J S 8. ~ 1..<: ~ c3 ~ .. ~ ~ ~ l ~ ;; ~ ~ ~ ~ ~ ~ ~ ~ 13 ~ ] ~j ~ . ~ ~ ~ ~ ~ ~ ~ ~ ~] j~~ .1. ~~ I ~ ~s ~:---:'i ~ =a I I t: :1 J~ ~ j ~ ~ ] ~ -E ~ ] ~ ~ fJ II 1. i B ~ ~ 3 :(0 ~.r f i ~ ~ ~ i I . %' i ]i ~ ~ ~ l1.~ 1111 till ~~J IiI III ~ I tll!1 ~ r~l ~] g B J] l~ ~Ji ~.!a Ii ~ :!] [.~J r : ~. .] ]-. J' i ~ j ~] ~ ..i~ J .li 8 .ll . J J . .i t LJ . . <>< ~. ~ ~.g'l8 · ~g'~ ..g ~g'~ g'lf ~~!8.~ij ." ~'"O f-6'" ~ 1C \JO~ ~. 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Eli r ~ ~~g@ ~ ~iff11 g.~ ~ ~~o. ~ 11 " ~ fj it~ 8~. g '"0 !a ~a~ ~~ il Jt ~l 8 ri ~ ~ ~ hf""~. i'l !a ::r. ~ ~ " lJUi 5'~ ~a ~lll:g ~ g 6i S' H. 8.1 ~l-~ Q., ~ s ~f ~~ I '"01f ~!a @ 8. 8 8- g J.t l~ ~~ ! lQ., 8 @ I PublishedJor Members oj Local Boards oj Health Fourth Quarter. 2004 President's Message Connie Tatton NALBOH President I have had the unusual opportunity of serving as your acting president and president for almost two years. As that time draws to an end, I would like to convey a message of hope and encouragement in your own responsibilities as a local board of health member. As a director and president I have learned many things, but feel the most useful are those that I have learned by attending the annual conference and the Ned E. Baker Lecture series, which all of you have the opportunity of attending or viewing. The issues that have made the most impact on me are land use policy and transportation policy and their inadvertent affect on public health. Americans have moved from the high density of cities to the suburbs. As a result we build super highways to move us back into the city to work or shop. We build larger homes on larger lots. The average house size has increased 500 sq. ft. in the last 20 years and is up to about 2400 sq. ft. During WWII the average house size was 900 sq. ft. We have separated our residential areas from our schools, and located shopping and work areas by highways or busy collector roads. People have to drive almost everywhere they want to go. Half of all children walked to school a generation ago; fewer than 7% walk today. In the last 40 years the average per capita driving distance has doubled. In the US, we each now travel over 9,000 miles per year. We have 4 times as many cars and drive twice as many miles. Americans are stuck in traffic 7 hours per week compared to 4 hours 20 years ago. The average woman drives 64 minutes a day and half that time is being chauffeur and running family errands. Single moms drive an average of 7S minutes each day. We have to get away from building these super highways and focus more on public transportation choices. Only 6% of our travel is walking and 1% is biking compared to the Netherlands where 46% of all their travel is accomplished by walking or biking. Other European countries have similar. although slightly lower. rates. The incidental exercise of daily life that we did 40 years ago is about gone. People walked to the neighborhood grocery store or to visit friends. People hung their laundry outside on the clothes line. Folks even got up to change channels on their TV sets. In most American buildings, the stairways are now hidden and people are encouraged to take the elevator. The leading preventable cause of death in the United States is tobacco use. Obesity and physical inactivity are now catching up and are a close second. This dramatic change has occured in just over 10 years. Clearly the majority of Americans are overweight or obese. Obesity is related to high blood pressure, joint disease, and gall bladder disease. It is also one of the leading causes of preventable cancer. There is an increased death rate for all cancers and yet regular physical activity reduces the risk of breast, colon, and prostate cancer. ContinuedonPage2 National Association of Local Boards of Health 1840 East Gypsy Lane Bowling Green, OH 43402 Phone: (419) 353-7714; Fax: (419) 352-6278 Email: <nalboh@nalboh.org> Website: <www.nalboh.org> ... ...; '" . '0 8- "''' . 0 'ts :::'. ~ 0 o 0 '" = . a8. Co. CI ;;;. oS. ~ '" = a, ~ 0 .0 2.e, = 2: ..., . 0'0 o " a.g; . 0 ! ~. ~ 0 . 0 i; tn- =~ ~:g "'0 B il ~ ! ~ ",'" . 2' ri 8- ... ~ ~ 8' ~ a "'& _. . = n . . ~ 0 -10 ~~ "0' 8'; - _. ...~ . g Z~ >n ""0 "'= og ;>l- . ~ 3'" ~ 4' . . < . o ". o ;' ::rn~~~<() lll;:;: c ::r< _..., (1)::r 0 N ,..,.. 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Y' ~ o ... to> V> " ~ - " '" a " Q. n ~ ~ National Association of Local Boards of Health Local Boards of Health: Responding to Our Community's Needs August 10-13, 2005 Hilton Suites Nashville, Tennessee For more information visit <www.nalboh.org> or call the NALBOH office at (419) 353-7714. National Association of Local Boards of Health 1840 East Gypsy LaneHoad Bowling Green, OH 43402 E-mail: <flalboh@nalboh,org> Website: <www.nalboh.org> NON PROFIT ORG, U,S, Postage PAID Bowling Green, OH Permit No. 47 ~. "--""