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Home My WebLink About08/02/1995 I I I J 1 1 Dr. Spiro J. Macris, Chairman, called the regular business meeting of the New Hanover County Board of Health (NHCBH) to order at 7:00 a.m. on Wednesday, August 2, 1995, in the Carl Thomas Durham Auditorium, New Hanover County Health Department, Wilmington, North Carolina. Members Present: Spiro J. Macris, DDS, Chairman Dennis L. Jackson, DVM, Vice-Chairman Mary Lou Alford, RN John M. Coble Mary King Dean W. Keith Elmore, RPh Robert G. Greer Edward L. Paul, Jr., 00 Mark A. Veenstra, PE Estelle G. Whitted, RN Members Absent: Thomas V. Clancy, MD Others Present: Robert S. (Bob) Parker, Health Director Frances F. De Vane, Recording Secretary Invocation: Mr. John Coble gave the invocation. Minutes: Dr. Macris called for corrections to the minutes of July 5, 1995. The minutes were approved. New Business: SeptaQe Disposal Dr. Macris explained that the Board of Health convened at 7:00 a.m. to address the septage disposal and setback requirements for a proposed septage disposal site located on River Road in New Hanover County. Mr. Coble informed the Board of New Hanover County's need for a septage and grease disposal facility. He stated New Hanover County generates an estimated 3 % million gallons of grease and septage annually and that the county is dependent on neighboring counties for land application and disposal of these materials. He explained to the Board that county zoning septage disposal site setback requirements are more restrictive than the state requirements for grease and septage land application sites. , j 2 Mr. Coble introduced Mr. Chris McKeithan, Waste Management of Wilmington. Mr. McKeithan stated that the River Road septage disposal site conforms with state setback requirements, but it does not conform with county setback regulations for a septage disposal site. I Mr. Coble presented a resolution to the Board of Health requesting that the New Hanover County Planning Board adopt the North Carolina State Standards as they apply to Setback Requirements for Grease and Septage Land Application Sites. Mr. Greer stated that the proposed resolution needs to read that the county adopt state standards as they apply to setback requirements for grease and septage land application sites. He stated it is improbable that spot zoning will be considered by the County Commissioners. MOTION: Mr. Coble moved for the New Hanover County Board of Health to adopt a Resolution requesting that the New Hanover County Planning Board adopt the State Standards as they apply to Setback Requirements for Grease and Septage Land Application Sites in New Hanover County. (Attachment #1 incorporated as a part of these minutes.) Upon motion, the MOTION CARRIED. Committee Reports: Environmental Health I Mr. Coble reported that the Environmental Health Committee met at 6:00 p.m. on Monday, July 17, 1995. Educational articles on Tattooing will be distributed to the Board of Health, and this issue will be placed on the September 1995 Board Agenda. Executive Dr. Macris reported that the Executive Committee met at 6:15 p.m. on Tuesday, July 18, 1995. Participation in the Smart Start planning process and immunization services to out-of-county residents were discussed. Both issues are on the Board's agenda. Department Focal: Ms. Betty Creech, Community Health Director, gave the department focal on Sharing the Load, an Inmate Co-Payment Program, proposed for the New Hanover County Jail Health Program. She explained this program should promote more appropriate inmate sick call requests, share responsibility of medical care with inmates, recover partial cost of jail non- emergency health services, maintain professional healthcare, and optimize jail and I health department staff time. I I I J J 3 Ms. Creech presented the following proposed non-emergency fees: sick call visit $10, dentist visit $10 and prescription $3. Medical care will not be refused due to inability to pay. Other medical services provided at no charge are admission physical, mental health screening, communicable disease screening and treatment, medical emergencies, and other follow-up visits requested by medical staff. Ms. Creech stated in July 1995 the North Carolina General Assembly ratified House Bill 1018 authorizing local governments to charge inmates fees for medical care. Unfinished Business: Health Department Participation in Smart Start PlanninQ Process Dr. Marcris stated that the Executive Committee without a recommendation referred the decision to the full Board of whether the health department should participate in the Smart Start planning process. Dr. Macris referenced a letter dated July 14, 1995 to Mr. Parker, from Mr. Mark Lanier, Chair, New Hanover County Partnership for Children (NHCPC), formally requesting for Mr. Parker to represent the NHCHD on the Partnership's Board of Directors. The letter includes a list of current and/or proposed NHCPC Board Members and Officers and states that the local Partnership expects to receive estimated funding of $100,000 from the North Carolina Partnership for Children during the 1995-96 Fiscal Year to plan for the development of a local Smart Start Program. Mr. Emore reported that Ms. Marty Gresham, proposed President of New Hanover County Partnership for Children, informed him that the local NHCPC is incorporated, has not officially met, and that an Executive Director will be appointed. Mr. Elmore, Mr. Veenstra and Ms. Whitted expressed that the health department should participate in the Smart Start planning process. Dr. Macris requested that the Board respond to Mr. Lanier's letter of July 14 requesting health department participation in the NHCPC Smart Start Program. MOTION: Dr. Jackson moved for the Board of Health not to endorse health department participation in the Smart Start planning process as formally requested by the New Hanover County Partnership for Children. Upon vote, the MOTION CARRIED. Inmate Co-Payment ProQram in Jail A discussion followed on the Sharing the Load, Inmate Co-Payment Program for New Hanover County Jail, presented by Ms. Creech. J 14 MOTION: Mr. Coble moved for the Board of Health to approve and to recommend to the New Hanover County Commissioners the establishment of an Inmate Co-Payment Program to charge inmates in the New Hanover County Jail the following proposed medical fees: Sick Call Visit $10 Dentist Visit $10 Prescriptions $ 5 Dr. Jackson moved to amend the above motion to include a request for judges to add the cost of accumulated medical expenses to an inmate's sentence. Upon vote, the MOTION CARRIED. Mrs. Mary Dean requested an evaluation of the above Inmate Co-Payment Program in January 1996. Recognitions: New Emplovee Dr. Macris welcomed the following new health department employee: Deborah Lovett, Clerical Specialist - Environmental Health Years of Service Ten (10) Years Joyce A. Deshields, Licensed Practical Nurse, Communicable Disease Twentv (20) Years Susan M. O'Brien, Laboratory Director, Laboratory Poster Session 1995 Academic Linkaqe Award Dr. Macris stated that NHCHD won the third prize ($250) 1995 Academic Linkage Award, "A Collaborative Effort to Improve Pregnancy Outcomes Among Clients of a Local Health Department. Ms. Mary Piner, Women's Health Care Public Health Nurse, stated that she attended and participated in the poster session at the National Association of County and City Health Officials (NACCHO) Annual Meeting on July 20-22, 1995, in Atlanta, Georgia. The award winning poster was displayed for the Board of Health. Unfinished Business: I I I / I I I ]'15 Immunization Services to Out-Of-County Residents Dr. Macris recommended from the Executive Committee to the Board of Health for the New Hanover County Health Department to comply with the Department of Environment, Health and Natural Resources (DEHNR) Contract Addendum regarding the administration of immunizations to out-of-county residents at no cost to patients. MOTION: Dr. Macris moved from the Executive Committee for the Board of Health to approve the acceptance of out-of-county residents for immunizations in compliance with DEHNR Contract Addendum. Upon vote, the MOTION CARRIED. Grease Disposal Mr. Coble stated that New Hanover County restauranteurs need a facility for grease disposal. He understands that the new waste treatment plant will not accommodate grease. Mr. Coble volunteered to prepare a letter from the Board of Health to the New Hanover County Commissioners addressing this issue. It was the consensus of the Board of Health to approve for Mr. Coble to write a letter to the New Hanover County Commissioners expressing the necessity for a grease disposal facility located in New Hanover County. Comments: Board Members Mr. Coble presented a report on the Linking Public Health to the Community Conference and the National Association of Boards of Health Annual Meeting held in Atlanta on July 20-22, 1995. Health Director Animal Control - Northern End of WriQhtsville Beach Mr. Parker indicated that the Board of Health had requested at their April 5, 1995 meeting for Wrightsville Beach Animal Control to assume the Animal Control enforcement on the Northern End of Wrightsville Beach. He informed the Board that the New Hanover County Commissioners decided that Animal Control enforcement for this area will continue to be provided by NHCHD Animal Control Services. MecklenburQ County Health Department Mr. Parker reported that the Mecklenburg County Commissioners have proposed to turn over most county health department duties to Charlotte-Mecklenburg Hospital Authority. .116 Animal Control Reauest to County Commissioners Mr. Parker stated that the Board of Health's request for an additional Animal Control Officer position will be presented to the New Hanover County Commissioners at their meeting on Monday, August 7, 1995. Adjournment of Regular Session: Dr. Macris adjourned the regular session of the Board of Health at 8:40 a.m. Executive Session: Dr. Macris opened the Executive Session of the Board of Health at 8:50 a.m. He stated that the Executive Session was called for personnel matters. An employee appeared before the Board and made a presentation. The Board of Health considered the employee's evidence and the evidence presented by Mr. Parker, Health Director, and Ms. Lynda F. Smith, Assistant Health Director. MOTION: Dr. Jackson moved to support the Health Director's termination of the employee. Upon vote, the MOTION CARRIED. MOTION: Mr. Coble moved to adjourn the Executive Session of the Board of Health. Upon vote, the MOTION CARRIED. Chairman Macris closed the Executive Session. Dr. Macris reconvened to Regular Session at 9:30 a.m. Adjournment: There being no further business, the regular meeting of the Board of Health was adjourned at 9:35 a.m. ~~ J. M~ris~ cl~s, Chairman Hanover County Board of Health %-p~ Robert S. (Bob) Parker, Health Director New Hanover County Health Department Approved: I I I I I I NEW HANOVER COUNTY HEALTH DEPARTMENT 2029 SOUTH 17TH STREET WILMINGTON, NORTH CAROLINA 28401-4946 TELEPHONE (910) 343-6500 FAX (910) 341-4/46 ROBERT S. PARKER Health Director LYNDA F. SMITH Assistant Health Director NEW HANOVER COUNTY BOARD OF HEALTH RESOLUTION WHEREAS, New Hanover County generates an estimated 31h million gallons of waste grease and septage annually; WHEREAS, New Hanover County businesses and citizens are now totally dependent on neighboring counties for land application and disposal of these materials~ WHEREAS, the availability of means to safely' and properly dispose of these materials affeçts pot orily the public health but also the survival of local construction, food service and tooost mdustnes; WHEREAS, within five years another viable disposal option may be available as New Hanover County may have constructed a new wastewater treatment plant which may be able to accept and adequately treat these materials; NOW THEREFORE, BE IT RESOLVED, that the New Hanover County Board of Health REQUESTS that the New Hanover County Planning Board adopt the State Standards as they apply to Setback Requirements for Grease and Septage Land Application Sites. . Adopted this -1- day Au~st , 1995 ~~~ Dr. SJ!iro J. Macris, Chairman New Hanover County Board of Health Date: ~/7- /r;ç , , <yOU'l.. dlE-afth - Du'l.. fP'l..io'l..ity