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Home My WebLink About11/04/1992 BOH Minutes I I I 195 Dr. Goins called the regular business meeting of the New Hanover County Board of Health (NHCBH) to order at 8: 00 A.M. on Wednesday, November 4, in the Dr. Thomas Fanning Wood Library, New Hanover County Health Department (NHCHD), Wilmington, North Carolina. Members Present: Michael E. Goins, OD, Chairman John M. Coble, Vice Chairman Mary Lou Alford, RN Mary King Dean W. Keith Elmore, RPh Robert G. Greer John L. Leonard, DVM Spiro J. Macris, DDS Sheram Robinson Alan E. Thomas, MD Mark A. Veenstra,PE Members Absent: others Present: Robert S. (Bob) Parker, Health Director Frances F. De Vane, Recording Secretary Dr. Leonard presented the invocation. Dr. Goins called for corrections to the minutes of the meeting on October 7, 1992. The minutes were corrected and approved. Department Focal: Ms. Pat Neuwirth, Traffic Injury Prevention Program Manager, New Hanover Regional Medical Center, and Ms. Denise Teachey, Health Promotions Director, NHCHD, presented the department focal by performing "Warm It Up Kris", a school bus safety rap, created for New Hanover County elementary school students. Committee Reports: Executive Committee Mr. Coble, Chairman, reported that the Executive Committee met at 7:00 P.M. on Monday, October 26, 1992 to consider the recommendation of four additional Maternity Care Coordination (MCC) staff positions. Ms. Betty Jo McCorkle explained that the Division of Maternal and Child Health has announced the availability of seed grants to increase service to eligible Medicaid recipients. She justified the need for the additional positions to be funded by Medicaid reimbursement. Dr. Goins moved from Executive Committee that the Board approve the recommendation for four new positions including (2) Social Worker II's, (1) Public Health Nurse I and (1) Clerical Specialist in the MCC Program. Upon vote, the MOTION CARRIED. 196 Environmental Health Committee Mr. Coble, Chairman, Environmental Health Committee, reported that the Environmental Health Committee met at 1:00 P.M. on Friday, October 31, 1992 in the Health Department Library. He stated that a larvacide machine was demonstrated on Eagle Island in August by Mr. Ken Sholar, Insect and Rodent Control Director, and Mr. Peter Connelly, President, Northeast Vector Management. Mr. Coble presented a recommendation from the committee to the Board of Health to sell rat bait for $3.00/pound and mouse bait for $1.00/2 packages. This increase was due to increased costs and change of types of bait. Mr. Coble moved from the Environmental Health Committee to increase the price of rat bait to $3.00/pound and mouse bait to $1.00/2 packages. Upon vote, the MOTION CARRIED. Unfinished Business: Youth Access To Tobacco In North Carolina Resolution Dr. Leonard, Chairman, Health Promotions Committee, indicated that the Resolution Entitled "Youth Access to Tobacco" has received additional endorsements. He thanked Mr. Parker for his support of the resolution removing the word "knowingly" from the present North Carolina General Statute concerning the sale of cigarettes to minors. Mr. Parker presented a list of organizations which have adopted this resolution. New Business: Dangerous Dog Appellant Board Alternate Ms. Donna Neal, Chairman, Animal Control Advisory Committee, announced that the free Inner City Rabies Clinic will be held from 12 Noon until 4:00 P.M. on Saturday, November 14, 1992 at Five Points Community Center in Wilmington. She presented a request from the Animal Control Advisory Committee for an alternate representative on the Dangerous Dog Appellant Board. She indicated that this could be a permanent appointee by the Board of Health. Mr. Greer said that the Board should consider this issue of public concern. The Board decided to address this this matter later. I I I I II> I 1\ , I 197 Nominating Committee Appointed Dr. Goins appointed the following Board members to the Nominating Committee: Dr. Goins, Chairman Dr. Leonard Mr. Robinson Dr. Thomas The Nominating Committee will nominate the 1993 Chairman and Vice-Chairman of the Board of Health at the December meeting. New Hanover Community Health Center's Contract with the New Hanover County Health Department Mr. Parker explained that the one million dollar grant for the New Hanover Community Health Center started funding effective October 1, 1992. Allocated revenues will need to be expended. The purpose of this center is to provide primary health care services to area residents regardless of their ability pay. Services are to begin at Rankin Terrace Clinic. A contract will be drawn between the Community Health Center and the New Hanover County Health Department. A Transition Team, chaired by Mr. Parker, has been formed to merge these clinics and eventually plan for the construction of the new Community Health Center. The expenses of this merger will be paid by the Community Health Center. The Community Health Center received a $466,250 nine-month grant (first year) to expand the Rankin Terrace Clinic and fund a comprehensive community health clinic. Addi tional staff will be secured and a site for the permanent center will be selected. Dr. Goins moved that the Board of Health endorse the preparation of a contract between the New Hanover County Health Department and the New Hanover County Community Health Center for the implementation of personnel, services and facilities for the Rankin Terrace/New Hanover Community Health Center. Upon vote, the MOTION CARRIED. New Positions for Community Health Center Dr. Goins stated that four additional positions will be needed to serve the increased number of patients at the Rankin Terrace/New Hanover Community Health Center. Ms. Creech explained these new employees will be hired as health department staff then phased in as Community Health Center staff. Their salaries will be funded by the center. Ms. Creech presented a request to the Board for the approval of (1) Registered Nurse, (2) Clerical Specialist I and (1) Half-time Physician Extender positions. 198 Dr. Goins moved that the above four recommended new positions for I the Rankin/Terrace New Hanover Community Health Center be approved. These positions are to be funded by the Community Health Center grant. Upon vote, the MOTION CARRIED. New Norplant Fee Schedule (Effective 10-1-92) Mr. Parker presented the new Norplant Fee Schedule to the Board for their consideration. These rates are retroactive to October 1, 1992. Mr. Greer moved that the Norplant Fee Schedule effective October 1, 1992 be approved. Upon vote, the MOTION CARRIED. New Business: Comments: Board Members Dr. Goins announced that Dr. Reynolds, Medical Consultant and Pediatrician, was honored by his alma mater, the University of North Carolina at Chapel Hill for 42 years of caring for children. Dr. Goins recognized Dr. Macris for agreeing to attend the National Association of Boards of Health organizational meeting in Washington, D.C. on November 7, 1992. I Health Director Teenage Pregnancy Mr. Parker commented upon the positive trend reflected by the reduction of teenage pregnancies reported from 1988-1991. Rabies in HC Workshops Dr. Lee Hunter will conduct Rabies in North Carolina Workshops on Tuesday, 11-17-92 at 6: 30 P.M. - 9: 00 P.M. and on Wednesday, 11-18-92 at 9:30 A.M. - 12 Noon. Condom's and Their Effectiveness Mr. Parker referred the Board of Health to an October letter to him from Pamela Langdon Lee, RN., C., Supervisor, Department of Environment, Health and Resources on condoms and their effectiveness. 19, 1992 HIV CTS Natural I I I I Statement from Ms. Dean 199 Ms. Dean asked that the following statement be documented in the minutes of the Board of Health: "After reading the material month, I would like to go on concerned and opposed to the of the use of condoms as contraction of HIV." New Employees included in our packet this record as being still gravely Health Department's promotion a preventative against the Mr. Parker introduced the following new health department employees: Martha McQuillan, Social Worker, MCC Cynthia Meredith, Health Educator, MCC There being no further at 9:22 A.M. business, Dr. Goins adjourned the MLOD Dr. Michael E. Goins Chairman, Board of Health meeting Robert S. (Bob) Parker Secretary to the Board Approved: