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Home My WebLink About11/03/1993 BOH Minutes I I I '" 273 ( Mr. Coble called the regular business meeting of the New Hanover County Board of Heal th (NHCBH) Wednesday, November 3, 1993, in Library, New Hanover County Wilmington, North Carolina. to order at 8:00 A.M. on the Dr. Thomas Fanning Wood Health Department (NHCHD), Members Present: John M. Coble, Chairman Spiro J. Macris, DDS, Vice-Chairman Thomas V. Clancy, MD Mary King Dean W. Keith Elmore, RPh. Dennis L. Jackson, DVM Laura Pitts Maness Edward L. Paul, Jr., aD Mark A. Veenstra,PE Members Absent: Mary Lou Alford, RN Robert G. Greer Others Present: Robert S. (Bob) Parker, Health Director Frances F. De Vane, Recording Secretary Wanda Copley, County Attorney Mr. Parker presented the invocation. Mr. Coble called for corrections to the minutes of the meeting on October 6, 1993. The minutes were approved. Recognition: 100% smokefree Establishments On behalf of the Board of Health, Mr. Coble recognized one New Hanover County Smokefree Establishment. Departmental Focal: "Winning Shots...Immunize" Inmunization Tournament Ms. Beth Day, Epidemiology Director presented the department focal on the "Winning Shots... Immunize", a health department project to improve immunization compliance among children 0-2 years of age. Mr. Parker explained that Ms. Janet McCumbee, Public Health Nurse, and Ms. Day were recipients of the North Carolina Public Health Association Katz Award for their contributions in the field of childhood immunizations. Mr. Coble thanked Ms. Day for her presentation. 274 Committee Reports: Executive I Mr. Coble reported that the Executive Committee met at 6:15 P.M. on October 18, 1993. Depo-Provera Contraceptive Mr. Coble recommended from the Executive Committee that the Board of Health approve the adoption of the Depo-Provera contraceptive method for usage in the Family Planning Clinic of the health department. Ms. Betty Jo McCorkle, MCC Director, explained that Depo-Provera has been used for years and was approved this year by the Food and Drug Administration as a contraceptive. It is administered by injection every three months, reversible and 99% effective. The birth control drug is used in 75% of North Carolina Health Departments and has been used by more than 30 million women since 1960. She stated that a $4,500 state grant is available to the NHCHD Family Planning Program for administering Depo-Provera. Medicaid will reimburse the health department $26 for each injection. A discussion on Depo-Provera followed. Dr. Jerry Pence, Dr. Brent Wright and Ray Dixon, Upjohn Representative, were present to answer medical inquires regarding this birth control method. I Ms. Maness and Ms. Dean expressed concerns about the side effects listed in the Depo-Provera information. whether state recommendations for the Depo-Provera will be used as a guideline. that the health department plan is to guidelines. Ms. Dean inquired implementation of Ms. McCorkle stated follow the state Ms. Dean stated that she is voting against the Depo-Provera Program because: 1. "In my opinion the risks attributed to Depo-Provera outweigh the benefits." 2. "I believe we will, as with Norplant, see a rise in STD rates." 3. "I do not believe that minor children can give proper consent for the reception of this drug." Dr. Brent wright, Gynecologist, stated that the side effects of this drug are minimal considering that pregnancy is the alternative. He stated medical care is available to take care I of problems if necessary. k I I I 275 , After discussion Mr. Coble moved from the Executive Committee that the NHCBH approve Depo-Provera for usage as a contraceptive method in the NHCHD Family Planning Program. Upon vote, the MarION CARRIED. Voting Nay: Ms. Dean Ms. Maness Mr. Veenstra Fee Policy Mr. Coble recommended from the Executive Committee that the new Kindergarten Health Assessment Fee Policy Rate of Pay for children excluding Medicaid recipients be adopted as follows: 20% Column 40% Column 60% Column 80% Column Full Pay $ 6.00 $11.00 $17.00 $22.00 $28.00 Mr. Coble moved from the Executive Committee that the above Kindergarten Health Assessment Fee Policy Rate of Pay be adopted effective December 1, 1993. Upon vote, the MarION CARRIED. New Business: Rabies Education Dr. Clancy reported that the Rabies Committee has prepared a Rabies Education Program proposal. The purpose is to make the public more aware of the rapid spread of Rabies in North Carolina and South Carolina. He announced that the Second Annual Inner City Rabies Clinic will be held on Saturday, November 6, 1993, from 12 Noon - 4:00 P.M., at the Five Points Community Center, Wilmington, N.C. Mr. Currie, Animal Control Director, stated that a component of the Rabies Education Program could include educational materials for New Hanover County youth. He showed a video, "Take The Bite Out of Rabies", on a New Jersey School System Rabies Education Program. Mr. Currie explained that this video could be adapted for usage in New Hanover County Schools, civic clubs, etc. Mr. Currie stated he plans to approach the Board of Education and local veterinarians regarding their participation in this project. Ms. Donna Neal, Chairman, Animal Control Advisory Committee, summarized the above educational proposal. She stated that the proposed Rabies packet will include booklets, pamphlets and videos on Rabies for the school system and other citizens. The estimated cost for this proposal is $7,000. It was the consensus of the Board of Health to refer the Rabies Education Program proposal to the Health Promotions Committee of the Board of Health for further study. 276 / Unfinished Business: Comments: Board of Health Members Ms. Maness requested that the Breast and Cervical Cancer Screening Grant, if available, be reconsidered and placed on the Board of Health Agenda as soon as possible. She stated that if these funds are available, she felt the Board would be remiss if it is not reconsidered. She again expressed concern regarding the medical risks of Depo-Provera or any other oral contraceptive especially among teenagers who do not understand the risks. Ms. Maness, also, requested feedback on the smokeless tobacco issue. Health Director Mr. Parker reminded Board members to attend a Public Health Forum on Assuring An Appropriate Role for Public Health Under Health Care Reform, from 2:30 P.M. until 8:30 P.M., on November 8, 1993, in Wilmington, N.C. Mr. Parker welcomed Karon Broadway, Member, Junior League of Wilmington, N.C., Inc. Mr. Parker introduced the following new NHCHD employees: Janice Fowler, Medical Laboratory Assistant, Laboratory Kim Sykes, Medical Office Assistant, Epidemiology Mr. Parker informed the Board that the New Hanover Department of Human Resources is implementing a Class Act Program as a result of a recommendation from the Board of for a county employee recognition program. County Awards Health Mr. Parker announced that the Health Department staff collected $3,188.83 for the NHCHD United Way Campaign. Mr. Parker invited Board members to the Health Department Annual Christmas Party, from 12 P.M. - 2 P.M. on Friday, December 17, 1993. It will be a Pig Picking featuring local talent. There being no further business Mr. Coble adjourned the meeting at 9:45 A.M. ~L~ æ&- M~John M. Coble Chairman, Board of Health ~4-¡J~ Robert S. (Bob) Parker Secretary to the Board Approved: I I I