03/07/2007
• New Hanover County Health Department
Revenue and Expenditure Summaries for January FY 2006 - 2007
Cumulative: 58.33% Month 7 of 12
Revenues
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned Remaining
Federal & State $ 1,987,805 $ 1,405,482 $ 582,323 70.71% $ 1,869,938 $ 1,187,956 $ 681,982 63.53%
AC Fees $ 611,161 $ 379,448 $ 231,713 62.09% $ 659,496 $ 371,108 $ 288,388 56.27%
Medicaid $ 1,546,994 $ 602,088 $ 944,906 38.92% $ 1,500,300 $ 516,120 $ 984,180 34.40%
Medicaid Max $ 310,000 $ - $ 310,000 0.00% $ - $ - $
EH Fees $ 310,000 $ 108,305 $ 201,695 34.94% $ 300,212 $ 112,006 $ 188,206 37.31%
Health Fees $ 250,200 $ 158,478 $ 91,722 63.34% $ 128,000 $ 134,888 $ (6,888) 105.38%
Health Choice $ 35,125 $ 10,294 $ 24,831 29.31% $ - $ - $
Other $ 2,681461 $ 1,574,001 is 1,111,460 58.61% $ 3,191,386 $ 1,832,389 $ 1,358,997 57.42%
mom = Totals $ 7,736,746 $ 4,238,096 $ 3,498,650 54.78% $ 7,649,332 $ 4,154,466 $ 3,494,866 54.31%
Expenditures
Current Year Prior Year
• Type of Budgeted Expended Balance % Budgeted Expended Balance %
Expenditure Amount Amount Remaining Amount Amount Remaining
Salary &Fringe $ 12,097,029 $ 6,023,323 $ 6,073,706 49.79% $ 11,283,983 $ 5,769,447 $ 5,514,536 51.13%
Operating $ 2,267,048 $ 888,767 $ 1,378,281 39.20% $ 2,033,945 $ 813,762 $ 1,220,183 40.01%
Capital Outlay $ 96,485 $ 32,690 $ 63,795 33.88% $ 717,225 $ 203,750 $ 513,475 28.41%
Totals $ 14,460,562 $ 6,944,780 $ 7,515,782 48.03% $ 14,035,153 $ 6,786,960 $ 7,248,193 48.36%
Summary
Budgeted Actual %
FY 06-07 FY 06-07
Expenditures:
Salaries & Fringe $ 12,097,029 $ 6,023,323
Operating $ 2,267,048 $ 888,767
Capital Outlay $ 96,485 $ 32,690
Total Expenditures $ 14,460,562 $ 6,944,780 48.03%
Revenue: $ 7,736,746 $ 4,238,096 54.78%
Net County $ 6,723,816 $ 2,706,684 40.26%
Revenue and Expenditure Summary
For the Month of January 2007
9
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 06-07
Date (BOH) Grant Requested Pending Received Denied'
21712007 CA -MRSA: Funding from UNC-Chapel Hill
School of Medicine to assist with research
related to the prevalence of community
associated methicillin resistant staphylococus
aureus $12,600 $12,600
1/3/2007 Smart Start - New Hanover County
Partnership for Children - Child Care
Nursing Program $178,500 $178,500
12/6/2006 Duke Endowment Funds, NHRMC - Dental
Unit - Personal Health Services. $25,000 for -
indigent dental care and $15,000 for sedation
equipment $40,000 $40,000
1111/2006 No Activity for November 2006
1014/2006
March of Dimes - Maternity Care
Coordination expenditures for Baby Love
Program Baby Boutique and Learning Center $3,000 $3,000
91612006 No Activity for September 2006 - -
81212006 No.Activ for Au us12006" - -
7/512006 i eM oor matron aml y
Counseling Program (Cape Fear Memorial
Foundation) - Funding for Licensed Clinical
Social Worker for3 ears $260,000 $75,000 $185,000
Eat Smart Move More - Community Grant
(NC Dept of Public Health Physical Activi
and Nutrition Branch $16,495 $12,416 $4,079
Totals $510,595 $218,500 $103,016 $189,079
42.79% 20.18% 37.03%
Pending Grants 2 33%
Funded Total Request 2 33%
Partial) Funded 2 33%
Denied Total Request 0 0%
Numbers of Grants Applied For 6 100%
•
30
As of 2!712007 _
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date:
Agenda: ® BOH: 03/07/07
CC Mt S. 04/02/07
Department: Health Presenter: Elisabeth Constandy, Health
Education Supervisor
Contact: Elisabeth Constandy 798-6658
Subject: Grant Application - "Closing the Gap " (NC Office of Minority Health -
Eliminating Disparities) - Health Programs Administration - $225,000 ($75,000 per year
for 3 years)
Brief Summary: The NC Office of Minority Health and Health Disparities is funding a 3
year initiative to reduce health disparities at the local level. The New Hanover County
Health Department (NHCHD) is seeking funding for a Health Educator to focus on
prevention of HIV and other sexually transmitted infections, and to promote screening
toward improved healthly outcomes. Education and service promotion will be provided
throughout the county, with a primary focus on reaching the African American and
Latino communities at the community level.
. Recommended Motion and Requested Actions: To approve and accept grant application
for $225,000 ($75,000 p/y x 3 years) and any associated budget amendment for fiscal
year 2007-08 if funding is received, and submit to the New Hanover County
Commissioners for their consideration for ratification of grant application and approval
of any associated budget amendment for fiscal year 2007-08.
Funding Source: NC Division of Public Health, Office of Minority Health and Health
Disparities. No matching County funds are required.
Will above action result in:
®New Position 1.0 FTE Health Educator Number of Position(s)
[]Position(s) Modification or change
?No Change in Position(s
Explanation: Funding for one new Health Educator position to focus on prevention of
HIV and sexually transmitted infections. Funding will also cover the cost of contracted
interpreter services for provision of services to the Latino population. The new Health
Educator position would share existing office space in the Health Promotion office.
Position will be eliminated-upon expiration of rant funding.
Attachments: Cover sheet from RFA; project description and needs; proposed budget.
31
•
•
s •
Healthy C'ommnuaifies, Everyone Alarteew.
ne depaumanl of health and human mr4lue
"CLOSING THE GAP"
Request for Applications - #A-136
For
The North Carolina
Office of Minority Health and Health Disparities'
Community-Focused Eliminating Health Disparities Initiative
(CFEHDI)
Funding Period
July 1, 2007 - June 30, 2010
Issue Date - February 15, 2007
Due Date - March 30, 2007
Direct Inquires to:
Lisa C. Hodges, Interim Project Director
NC Office of Minority Health and Health Disparities
1110 Navaho Drive
Suite 510
Raleigh, North Carolina 27609
E-mail: lisa.hodges(c,ncmail.net
32
"Closing the Gap" 3
Request for Applications from the NC Office of Minority Health and Health Disparities:
Eliminating Health Disparities Initiative
Grant background:
The NC Office of Minority Health and Health Disparities has received funding to
develop 3-year prevention based initiatives to reduce health disparities and improve
health outcomes. A maximum of $75,000 per year is available ($225,000 total) to local
health departments, community based organizations, and faith based organizations to
address one the following areas: injury prevention, infant mortality, HIV/AIDS/STDs, 1
chronic diseases, homicides, and motor vehicle deaths. {
Based on trend data related to sexually transmitted disease rates in New Hanover County,
NHCHD will be submitting an application that focuses on reducing new infections,
increasing testing, and raising overall awareness of prevention and testing resources. Thee
primary target population for this project will be African American women in New
Hanover County, ages 30-50. The grant funding will allow the addition of a full-time
Health Educator dedicated to HIV and STD prevention and testing. The health
department currently does not have a dedicated Health Educator to address sexually
transmitted diseases.
Demonstration of Need:
North Carolina ranks l lm in the nation as the most populous state and the Eistest
growing. According to the latest US census figures, North Carolina has the 71h largest •
non-white population in the nation, with an overall ethic make up of about 22% black or,
African American (non-Hispanic) and ranking 15`h in the nation for having the largest
Hispanic/ Latino population. New Hanover County has seen an increase in overall
population of about 15,000-20,000 new residents since 2000, and also has a diverse I
population, with Black or African American residents representing 16% of the total
population, and 3% overall Hispanic / Latino. (North Carolina Epidemiologic Profile for
HIV/STD Prevention and Care Planning, August 2006. American Community Survey,
2005). j
New Hanover County has seen a substantial increase in sexually transmitted disease rates
over the past three years (calendar years 2004-2006), and is ranked l Vh in the state for
overall HIV infection cases and 14'h in the state for overall AIDS cases. The North
Carolina HIV disease infection rate for the period of CY 2003-2005 was 21.1 cases per
100,000 persons, and average number of AIDS cases was 12.7 per 100,000 persons. New
Hanover County's data for that same time period is well above state average, at
32.8/100,000 and 17.5/100,000 respectively. As of 12/31/05, there have been 760 total
cases of HIV reported and 402 total cases of AIDS ever diagnosed in New Hanover
County. (North Carolina 2005 HIV/STD Surveillance Report. Epidemiology and
Special Studies Unit). Also on the rise are chlamydia, gonorrhea, and overall syphilis
rates.
(see graphs below) .
33
i
New Hanover County:
Chlamydia / Gonorrhea Trend Data -
900
8
800
700
600 568
500 _ -~-Chlamydia
400 0 Gonorrhea
300 05
200
100
..'t4<d At. ~i~ -Frx
2004 2005 2006
New Hanover County: _
HIV / AIDS / Syphilis Trend Data
70
*pl
• 0 57.
50 '0 -Syphilis
47 I Total
40 -41--HIV
30 ,33
27 AIDS
20
10
0
2004 2005 2006
While the overall population of New Hanover County and the state is approximately 16-
20% African American, new cases of sexually transmitted diseases are highly over-
represented in this demographic. There has been an increase in the numbers of African
American females between the ages of 30-50 years of age contracting HIV. Many of
these women have male partners who are bisexual, and are unaware that these men are
also having sex with other men. With the increase in divorce many women are out on the
dating scene and are unaware of potential risks. In North Carolina in 2006 there were
542 new cases of HIV in women, and of those new cases 422 were African American.
There are similar findings with men, with a total of 1480 HIV cases, of which 919 are
black males. The state statistics are indicating that the population at highest risk is
• African American females, specifically African American females with MSM (men
having sex with men) partners. Men having sex with men (MSM) and MSM/IDU
34
i
(intravenous drug use) account for 50% of reported HIV cases. (CDC HIV/AIDS '
HIV/AIDS and African Americans). (see graph below)
2006 Reports by Ethnicity:
New Hanover County
m
o 80%
CL 60% " ® White
40% R ¦ Black - L 7, 1 "T__ d 20% ` ? Other
0%
d
a
~a~a `raa r`e aaya
~a~° c° 9aQ O`y
or v°
Proposed Goals:
The goal of this proposal is to fund a dedicated 1.0 FTE Health Educator to function as
part of our Health Promotion and Clinic Teams. This position would be responsible for
coordinating outreach in the community and target the aforementioned high-risk
populations.
Specific Goals:
• To educate or reeducate the individuals who are in the high risk categories as
identified by state and local data (African American women, particularly those
who may be in relationships with MSM population and unaware) •
• To provide information on HIV disease and the disease process, on risk factors
for HIV/AIDS and the different transmission for males and females
• To provide information on the risk of other sexually transmitted diseases, such Is
chlamydia, gonorrhea, and syphilis.
• To promote the availability of HIV testing with HIV pre-test counseling and
post-test counseling (the Health Educator will complete training for pre/post test
counseling)
• To reduce the barriers that keep people from being treated. The most common
barriers include poverty, STD's and stigma (negative attitudes, beliefs, and
actions directed at people who do things that might put them at risk for HIV).
Long Term Goals:
• Increase knowledge of at-risk populations about the risks of sexually transmitted
diseases (STD's), including HIV.
• Increase knowledge about specific risks associated with different behaviors
related to STD's, including HIV.
• Increase community knowledge of testing availability at NHCHD.
• Increase numbers of community members seeking testing.
• Increase early detection of STD's, and increase early treatment or referral for
treatment, as to improve long-term health outcomes.
35
I
APPENDIX A-4
LINE ITEM BUDGET
(NOTE: Complete a budget for each of the three years plus a cumulative budget. Provide specific details for each category
in the Budget Narrative)
Include only the line items relevant to your proposed project.
CUMULATIVE PROJECT PERIOD: 07/1/07 - 06/30/10
Three Year
Applicant Proposed Projected Projected Cumulative
07-08 08-09 09-10 Total
Description
PERSONNEL SERVICES
Sala /Wages 35,880 37,674 39,558 113,112
Social Security 2,745 2,882 3,026 8,653
Medical /Health Insurance 10,699 11,379 12,208 34,286
Retirement 1,776 1,865 .1,958 5,599
Total Personnel Services 51,100 53,800 56,750 161,650
OPERATING EXPENSES
Food Service Agreement
Speakers Fee
Interpreter Services 17,900 20,625 17,900 56,425
Rental/Leased Space
Ground Transportation (Travel) 600 400 200 1,200
Lodging
Meals
Internet Services Provider Charges
Telephone Service
Cellular Phone Service
Postage, Freight, Delivery
Printing, Binding, and Duplication
General Office Supplies 5,400 175 150 5,725
Educational Supplies
Total Operating Expenses 23,900 21,200 18,250 63,350
N.C. Division of Public Health Page 5 of 17
RFA #A-136 36
February 15, 2007
I
I
I
CONTRACTED SERVICES
Describe: Interpreter Services listed above
Total Contracted Services
Total Budgeted Expenditures 75,000 75,000 75,000 225,000',
New Hanover County Health Depariment
Name of Organization
I
w '
t
I
APPENDIX A-5
Budget Narrative Worksheet
N.C. Division of Public Health Page 6 of 17I
RFA #A-136
February 15, 2007 37
"Heather K Gates" To <NChealthdirectors@ncapha.org>
<hkgates@ncapha.org>
btl: cc "Wall, Aimee'" <wall@sog.unc.edu>,'marcus plescia'
Sent
Sent idirectors-bounces@n <marcusplescia@bellsouth.net>, 'Pam Seamans'
cepha.org <pamseamans@nc.rr.com>,'Sally Malek'
bcc
• 03/06/2007 10:37 PM Subject [NChealthdirectors] HB 24 passed 2nd reading
Please respond to
hkgates@nca ha.org
Greetings All -
After two hours of debating the new rules of the House, HB 24 did eventually come up
on the House floor today. In addition to being presented as a committee substitute that
would ban smoking in state buildings and provide local governments the option of
designating their buildings and transportation systems smoke free, a friendly technical
amendment was presented on the floor to make sure that some of the current authority
that is in place... will stay that way when HB 24 passes (for example - regulating smoking
within 50ft of buildings housing LHDs and DSSs). The amendment was approved 116
yes, 0 no. (Yeah!)
After some debate, questioning, and a couple of testimonials from legislators personally
touched by second-hand/smoking related deaths of family members, the entire bill was
voted 113 yes, 4 no - and will be up for a e reading tomorrow. Thanks to all of you
that called your legislators in support of this bill. Hopefully the final vote tomorrow will
be just as favorable!
Sincere Regards,
"Heather
Heather K Gates
. Executive Director & Lobbyist
7424 Chapel Hill Rd., Suite 201
Raleigh, NC 27607
(919) 233-7332 Fax: (919) 233-7336
Cell: (919) 440-1793
hkRates@ncapha.org
proudly serving the public health Associations of North Carolina -
NC Alliance of Public Health Agencies
NC Association of Local Health Directors
NC Public Health Association
Nchealthdirectors mailing list
Nchealthdirectors@ncapha.org
http://two.pairlist.net/mailman/listinfo/nchealthdirectors
r'
/brown. CONFIDENTIAL
CONFIDENT
• tracey r. downs
ph. 919.719.0854
tracey@brownlawlip.com
February 27, 2007
Ms. Anne Brown - Risk Manager Mr. David Rice - Health Director
New Hanover County New Hanover County Health Department
Post Office Box 607 2029 South 17th Street
Wilmington, North Carolina 28402 Wilmington, North Carolina 28401
Ms. Susan Barfield Ms. Penny Raynor
206 Forest Brook Place 9080 Old River Road
Lenoir, North Carolina 28645 Bur aw, North Carolina 28425
Ms. Janet McCumbee Ms. Gaysheron Bell
234 Island Creek Drive 2125 Shirley Road
Wilmington, North Carolina 28411 Wilmington, North Carolina 28401
Daniel Lebson
ACE-USA - Medical Risk Department
140 Broadway Suite 4000
New York, New York 10005
re: updated status rep
case name: Kummer a New Hanover County Health Dept. et al.
• claim JY04J0004103
our file 102.002
Dear Clients,
I hope you are doing well. I write with several exciting updates regarding this case. These updates
include the success of our recent summary judgment motion to dismiss the remaining claims against David
Rice, Janet McCumbee and Penny Raynor; our recent depositions of Mr. Rummer's mother, sister and
brother; and our strategy for the remainder of discovery.
a. SUCCESS! motion for summary judgment for all claims against David Rice. Janet
McCumbee and Penny Raynor.
Our recent summary judgment motion moving the court to dismiss the remaining state law claims
against Mr. Rice, Ms. McCumbee and Ms. Raynor has proven successful!! Plaintiff's counsel, upon reading
our summary judgment motion, admitted the mentless nature of his claims and has taken a voluntary
dismissal with prejudice for the remaining claims against Mr. Rice, Ms. McCumbee and Ms. Raynor (please
see attached voluntary dismissal). This means that David, Janet and Penny are no longer defendants in this
action!
b deposition of Gary Rummer's family members
Secondly, we recently deposed Gary Rummer's mother, sister and brother near the small town of
Marietta, Ohio where Gary grew up and his family still resides.
•
WWW.BRDWNL WLLP.COM
3110 EDWARDS MILL ROAD, SUITE 320 PH: 919.719.0854
RALEIGH, NORTH CAROLINA 27612 FX: 919.719.085B
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9
"ER NEW HANOVER COUN'T'Y ~
HEALTH DEPARTMENT
• E
Animal Control Services aE°
IV 180 Division Drive " `°°"T" ""O°
Wilmington, NC 28401
TELEPHONE (910) 798-7500 FAX (910) 341-4349
TO: The New Hanover County Board of Health
FROM: Dangerous Dog Determination Hearings
CONCERNING: The cases heard 2006
NUMBER OF CASES HEARD-----------------95
DECISIONS:
DANGEROUS-----------0
POTENTIALLY DANGEROUS------------78
NOT GUILTY-------------12
• EUTHANASIA------------5
AGE OF VICTIMS:
CHILDREN--------6
ADULTS----------69
ANIMALS----------20
Cases also involved dogs already declared and not obeying the rules.
REQUIRED MEDICAL ATTENTION-----All with scratched or broken skin.
Several of the animals had high medical bills.
NOT UNDER CONTROL -------------all
"Healthy People, Healthy Environment, Healthy Community"
David E Rice/NHC To Kim Roane/NHC
02/16/200710:50 AM cc
bcc
Subject Re: F.A.C.T. Team Recommendations Confidential
• Approved.
Kim Roane/NHC
Kim Roane/NHC
02/1412007 03:01 PM To David E Rice/NHC@NHC
cc
Subject F.A.C.T. Team Recommendations Confidential
Dave,
The following recommendations have been made by the F.A.C.T. committee, and we
request your approval to implement:
• Increase employee fee for Hepatitis B adult from $25 to $301dose (due to cost
increase of vaccine) (No need to increase private pay fees)
• Increase employee fee for Hepatitis A/B adult from $38 to $40 (due to cost increase
of vaccine) (No need to increase private pay fees)
• Increase employee fee for MMR adult from $40 to $45 due to cost increase
• Increase private pay fee for MMR adult to $45 to $55 due to cost increase (less than
100 dose/year)
• • Increase pneumonia employee fee from $25 to $30 due to cost increase (no need to
increase private pay fees)
• Establish employee fee for Zostavax at $160/dose (private pay fee was already
established at $175/dose)
• Establish employee fee for Gardisil at $125/dose (private pay fee was already
established at $140/dose)
• Recommend your approval to waive the fee for the remaining 922 doses of flu
vaccine (privately purchased by NHCHD - not State provided) to provide free flu
shots to the public instead of having to destroy unused doses as in past years.
Received verbal approval from Elaine Thomas to proceed she was adamant that
the state has no control over our ability at the local level to waive fees for vaccines
and insisted that is a local health director call. Elaine stated it is a wonderful plan
that will protect the public and she encourages us to proceed if we can. After talking
with you, I have asked for a written email confirmation from her but she is on the
road and am not sure when she may be able to provide that. I also have a call in to
Beth Rowe-West, who is currently unavailable.
Thanks,
Kim
Kim Roane
Business Manager
New Hanover County Health Department
(910) 798-6522
fax (910) 341-4146
•
• ?
I
w o %41~
Q
o~QP March 2007
NEW HANOVER COUNTY HEA00
Hours of Operation for Main Office: ' Axe.You-a W'inner?
Office Hours: Monday-Friday, 8:00 a.m. - 5 p.m.
Clinic Hours: Monday'- Friday, 8:00 a.m. - 4:30 p.m.
Extended Clinic Hours: Tuesday evening until 7 p.m. This article is for anyone who made a New
Se Habla Espanol Year's Resolution, to be healthier in-2007,
Servicio de Interprete Gratis especially if that resolution included
making smarter choices about nutrition
New, Hanover County and exercise. Unfortunately, some people
Health Department who had the best intentions have probably
already lost the motivation to "stick to it".
2029 South 17th Street If that person sounds familiar, please read
Wilmington, NC 28401 on!
phone 910.798.6500 '
fax 910.341.4146 March is National Nutrition Month, and
to celebrate, the New Hanover County
WWW.nhchd.org Health Department (NT-ICHD) wants to
share some exciting news about a new local
Offsite locations: initiative called the Winner's. Circle
Healthy Dining Program. Working under Locally, several area restaurants are
Animal Control' the collaborative effort of the Cape Fear currently working with the Winner's Circle
Services Healthy Carolinians, the NHCHD and partners to have their recipes analyzed.
180 Division Drive partners PPD, Inc and the University of Their. reasons for participating vary, but
Wilmington, NC 28401 North Carolina at Wilmington received share a consistent message of help. ing
910-798-7500. funding to the fall of 2006 to develop a"
people make smart choices. Chef Lee of
local Winner's Circle campaign. The Bento Box agrees that he "wants
;Environmental people to become aware of healthy meal
Health Services The Winner's Circle program uses one alternatives, and to provide people with a
230 Marketplace Drive " consistent logo-.a purple star with a gold meal that is healthy, tasty, and enjoyable."
Wilmingtop, NC 28403 fork-to identify healthy foods anywhere Blair Stroup of Francesco's Caf6 says "with
910-798-6667 eo le eat awa from home. These health
(located in County Annex at p p y Y the growing health and nutrition concerns
Market Place Mall) foods are qualified based on widely among people today, I wanted to dispel
accepted nutrition , recommendations to some of the myths about delis and inform
NEW HANOVER COUNTY support optimal health and prevent people that there are healthy options avail-
HEALTH DEPARTMENT chronic diseases. Winner's Circle qualified able with good taste."
BOARD MEMBERS items encourage consumption of fruits,
vegetables, grains, beans, and calcium-rich Be on the lookout for more news on the
Edward Weaver, Jr, OD, Chairman, Optometrist foods while limiting the intake of fat, release of the Winner's Circle Healthy .
Sandra L: Miles, DDS, Vice Chair, Dentist sodium, and sugars. Over half of all Virginia W. Adams, PhD, Nurse Dining program in upcoming months: For
American meals are eaten away from inform lion on the program, visit the North
Donald R Blake, Public Member home, and research and common sense Carolina Prevention Partners website at
Marvin E. Freeman, Sr, Public Member both reveal that these meals tend to be http://www.winnerscirclehealthydining.com.
James R. Hickmon, RPh, Pharmacist larger servings and contain more For local progress and an upcoming list of
Nancy H. Pritchett, County Commissioner unhealthy fat and sodium. The Winner's Winner's Circle establishments, in addition
Robert M. Shakar, Jr, MD, Physician Circle is an easily identifiable program to information about other local health
C. Benjamin Spradley, Public Member that points consumers in the right direc- initiatives, please visit the Cape Fear Healthy
John S. Tunstall, PE, "Engineer lion for healthy nutrition away from Carolinians website at
G. Robert Weedon, DVM, MPH, Veterinarian . home. ~http://www.capefearhealthycarohiiians.org/.
Janelle A. Rhyne, MD, Medical Consultant
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of health and North Carolina f
your local health department or the human services Public Heath • t 0
Department of Health and Human State of North Carolina p -
Wash your hands neon l,_ig,..rga.odh'a., Department of Health and Human Services =t' ' t
Services' CARE-LINE at
Division of Public Health Always cover your hiouth and nothi shen 1-800-662-7030' www ncdhhs.gov
caught a, suaAa
tons,
Use a disposable tissue and throw it a-
Wash was hands again Aw
N.C. DHHS an "
equal opportunity employer and providers
Avoid tonching your eyes nose or month, 200,000 copies of tlas public document were printed
Stay home when you are sick at a cyst of $66,000.00 or $0.33 per copy. 09/06 ® :S
Avc A close contact with people ,lot or, sic' _ -d~
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There is no pandemic flu in the world today. No confused about the difference between
seasonal, bird and pandemic flu?
pandemic occurs, how can I
one knows when or where a pandemic may begin What is the Seasonal Flu?
'
This is the yearly flu. North Carolina's flu season rune from protect and
My family?
or how severe it will be. October through April. The seasonal flu is a resptatory
- virus that is spread person to Person. This wintertime Public health officials will take action to slow
respkatory illness fs marked 'by a fever and symptoms
- Us coughing and sneeang. People usually have some the spread of the diseam Actions you can take
immunity against the seasonal flu. There fs also a vaccine
But, North Carolina must be ready. available to prevent the seasonal flu. This vaccine must be include:
gi en every year beginning in the fall months social gatherings,
Z '4 l4 What is Bird Flnl-_ _ _
Bud flu is just that - e flu that affects birds. trouts has
The•'}North Corollas Division' of Public Health ' bean a to of attention focused'on a bird flu outbreak
that began in Asia in the late 1990x. That strain of flu, • ;
which. is called H5Ni, is highly contagious among birds. Y.
and local health departments are leading those A small number of People have been infected with the f~m
virus through very close contact with birds, or very close ? ~ s
' preparation 'efforts. contact with another person with this strafe of bird flu. • ~t44ppaS^'• ? tNff~S • {~T'+,,yyq., e
What is the Pandemic Flu? E E ? a • • ? -
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A pandemic flu occur when a new flu virus appears e t • • e • ? m - - e e - : ? m UE yt~_„
' in humans, spreads easlly from person-to-person, causes _
t ? serious illness, and comm. across the globe. Flu pandem -
Now is the time to prepare for pandemic flu. ics are caused by new flu viruses. Because they are new,
humans have little or no immunity to them, leading to
This preparation will help you cope with other rapid disease spread from _ I i 1 I I ' 1
person to person. tTfflRE rs
CURRENTLY NO PANDE6uC PLM
emer encies like hurricanes or ice storms.
9 + What is the state of North Carolina doing
•i - _ To prepare for a pandemic flu? Learn -1 11= I
? -
That means c North Carolina public health has a history ofmspondfbg
to emergency situations. Public health helps cam ormi • e • - • -t avoiding
des respond to and recover from natural disasters like tcucning • a or • _
limmicanes and ice storms as well as to new diseases.
Public health professionals are working now, to ensure your ban Ste i ile ill.
that the state is prepared for a pandemic flu. They: healthy -
Get he thy. A i ..7 • person is better able to I
" Use technology to detect unusual illnesses at deal with an infection like the flu. Now is the time
1 - hospital emergency departments across North
to get • under control, be physically fit,
Carolina.
• • using tobacco and cut back an alcohol use.
' Educate. health care workers tobeon the alert
L
` for signs of unusual illness. Keep your 7 immunizations t'-" - - Prepare to distribute vaccines and antiviral
particularly the • , vaccine that is
g medications in the event of apandemic.
S_. .
mat-y+* Photo cred6. Semes cash any Work with education, business, community recommended ~ for (pith g[Oaps to help everyone prepare for flu complications.
and for
'a - apantlemfc. _
i New Hanover County Health Department
Phone 910.798.6500
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New Vaccines and Services Available
the United States. 'About 20 million people in the United States are infected and an
~e : additional 6.2 million get infected each year. HPV is spread through sexual contact and
r v a a that is skin-to-skin contact. Certain HPV strains can lead to cervical cancer which is the
s second leading cause of cancer deaths among women in the world The vaccine is a three
t t Y 3 rt dose series for females ages 9 through 26 years of age. It is important to complete the
t " ~s series after beginning it
RotaTeq and Gardasil are provided free of charge under certain state-supplied vaccine
1 yv guidelines for infants and adolescents through 18 years of age that fall under the Vaccines
for Children Program. The eligibility criteria for this program are: }
t Medicaid eligible VA
x Uninsured
r Native American or Native Alaskan
_ Underinsured children whose health insurance benefit plan does not cover the full cost
*}t of vaccinations and they receive immunizations at a Federally Qualified Health Center or
_ Rural Health Center (this does not apply to the New Hanover County Health Depart-
" ment) ,
a t , r A new vaccine to prevent shingles or herpes zoster is also available. The Varicella Zoster
virus causes shingles, which is the same virus that causes chickenpox. Since shingles is a 1
reactivation of this virus after many years of being in the body, anyone that has had chick- t
n enpox or the chickenpox vaccine is at risk of having shingles. Shingles is a painful skin
rash that includes fever, chills, headache, and upset stomach. The shingles vaccine,
k k Zostavaq, is available to persons 60 years and older. 0
If you are planning a trip to an exotic location or just down the street, the New Hanover `
n; County Health Department can help with that too. The Foreign Travel Clinic is a new
' I
L = r'4 service that includes vaccinations, anti-malarial medications, and consultation concerning
- your travel destinations and any risks for disease. Travel specific vaccinations will include
yellow fever, typhoid, adult poho, immune globulin, and Japanese encephalitis. Your local f
Looking to be vaccinated against typhoid? Or yellow fever? Or what about HPV - the health department already has Hepatitis A, Hepatitis B, pre-exposure rabies, tetanus and
human papillomavirus? Look no further, because beginning in March, the New Hanover diphtheria, ,measles, mumps, and rubella (MMR), meningococcal, pneumococral, and
County Health Department can help with all these needs. It seems that new vaccines are varicella vaccines. In addition, we provide the Yellow Fever Stamp for international 10
being introduced to the public everyday and the health department is taking the initiative documentation, World Health Organization immunization card, and specific travel
in providing these vaccmes`to our citizens. Three new vaccines that we provide are information to the desired area of travel.
RotaTeq, Gardasil, and Zostavaq. Each is unique in the protection it provides against
disease. Why go anywhere else when your local health department has it all? No appointments
are needed for vaccinations, but appointments are needed for Foreign Travel Clinic
RotaTeq is supplied for infants to help protect against rotavirus. Rotavirus is a virus that Services. Please call 910-798-6500 to schedule an appointment.
causes diarrhea, vomiting, and fever. It is one of the most serious causes of diarrhea and
is responsible for numerous doctor and emergency room visits, hospitalizations, and even RotaTeq, Gardasil, and Zostavaq are registered trademarks of their respective companies. -
death. Many children; almost all in the United States, are infected with rotavirus before
their fifbirthday. RotaTeq is oral e. and is not given by injection. It consists of rn 1 ,
3 doses given between 6 and 32 weeks o of f age. It is important to begin the series on time.
Gardasil helps to protect girls and women against four viral strains of human papillomavi- ~f Op e o 0 0 --~1 ~l/JQ
ms, HPV, which can lead to cervical cancer, genital warts, and other ir or Ul5 ~7 UC ! l U ~n
dysplastic (abndrmal) lesions. HPV PV is the most commonly sexually transmitted d virus us i n o 0 0 O o tl
Mks of Smiles Q_vn0n~e~ $y
s.
The Mobile Dental Unit has relocated to the Gregory -Children with Medicaid 'or NC Health Choice Insur-
Elementary / Williston Middle School campus. Children ance
do not need to be students at either of those schools in Children with no dental insurance n
order to be seen and receive services. Children from both Children in need of low-cost dental care
New Hanover and Brunswick counties may be seen. Children who are unable to travel to a local dental office '
Who is eligible?' How do I schedule an appointment? 6
Children 3 - 18 years of age Call 910-512-3113 to schedule an appointment
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New Hanover County Health Department : + a ? E t
f Phone 910.798.6500
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Andy's - Shallotte Hardee's
Wilmington Archibald's Deli Holden Beach Pier and Grill
' A Southern Thyme Fratellits Italian Buffet Sammy's ® UNCW Bart's BBQ Hole-In-One at Goose Bay
F A Taste of Italy Frenchis Classic Burgers Sarku Japan
Andyts Cheesesteaks Frontier Food to Go Sawmill - Beck's Jade Garden- Leland
Anntoriy's Caribbean Cafe Genki Japanese Restaurant Sbarro Pizza Bella Cucma Joseph's Italian Bistro
Antonio's Pizzeria Golden China Schlotzsky's . BHI Clubhouse - KFC -
Arab Shrine Club Golden Dragon Seascape Internet Cafe Billy Bass Seafood Kohl's
Arby's Goody Goody Omelet House 7 Regione's Inc.
Artisan Market and Cafe Gumbyis Pizza 17th Street Deli Bojangle s- Shallotte Koppls Quick Stop I & II
Atlanta Bread Company Gyro Place _ South College Sandwich Burger King- Shallotte McDonalds
Bagel Basket - Han-dee Hugo Spurns Breakfast and Lunch
Barnes and Noble Cafe Hardees Subway ' Calabash Deli - New China
Bayan Hibachi Express Taco Bel] 'Captain Nance's Seafood Papa Johnts Pizza
Bear Rock Cafe . Hollywood East Cinema Grill Tailwind Deli News and Gifts Captain Pete'' Phil's Sandwich Shop
r Bellas Sweets and Spirits Honey Baked Ham Company, Target Food Avenue Cinelli's at Ocean Isle Beach Port City Java
Bento Box I Love NY Pizza Terrazzo
Blimpie's Subs Indochine Restaurant Tidal Creek Co-op Cook's Nook Pharmacy Restaurant
Bojangle's Invista The Woods at Holly Tree - Derbster's Dining The Pierhouse Restaurant
Bon Appetit Jackson's Big Oak BBQ Tokyo Deli Double Eagle Grill Subway 1
Boodles Jellybeans Two Guys Grille r
Brasserie Du Soleil Jersey Mikes UNCW Cafeterias Ella's Sugar Shack
Brigade Boys and Girls Club Jesters Java - Verizon Wireless Cafeteria Great Wall TK Diner
Brigbrmore Jeters Hot Dogs Water Street Restaurant
Brooklyn Pizza Company Joe Muggs Wendy's -
Burger King Jones Seafood House What's Cookin' Pender County
Cafe at Temptations Jungle Rapids Wilmington Ice House
Cameron An Museum -K's Cafe Wilmington Tea Room - -
Carolina BBQ _ Ken's Bagels and Deb Wilmingtonian/Percy''s $Urg"Aw Port CityJava
Catch Kohl's Frozen Custard WOW Cafe and Wmgery A B Grille and Ice Cream Scotchman .
CFCC Food Court Krazy Pizza - Wrightsville Cafe Andy's Subway
Charley's Grilled Subs KS Cafe and Catering Zaxby's - The Bagel Bake
Charlotte's Uptown Eatery Lake Shore Commons - Zero's China King Bakery
Checkers Le Catalan _ D&B Restaurant Topsail Greens Snack Bar
Cheeze Pleaze Cheesecake House UOven Cafe
Chelsea's Loveyts Natural Foods Carolina Beach Dee's Drug XYZ Pizza
Chick fit A Lucky Star Domino's
China Garden Lupitus Bakery Cottage Holland's Shelter Creek Rocky Point
China King _ Manhattan Bagel Courtyard B Marriot Freshwa I
ariarram y
China One _ Macias on Market Frank's By
China Star Marriott Courtyard Pizza Mariats Courtyard Grand Oak Driving Range
Generations
China Wok Mason Bistro Hardee's •
Granny's Country Kitchen McDonald's
Chopstix Express Me Cinemas Scotchman Paulis Place
Chuck E Cheese McDcDononald's Hardees '
Ciciis Pizza Merin's Burger House Kate's Breakfast and Lunch Skit's Wendy's. 1
City Club Cabbies Midtown Deh & Grill - Mama Mia's Subway
Connection Internet Cafe Minch Sushi - Michaelangelo's Pizza Szechuan Pavilion SUIT City
Courthouse Cafe - Ming Tree Subway '
Cabbie's Moe's Southwest Grill Top Wok U Wash and Dry Grill Andy's
-
D & U Diner Montego Bay Tuscan Grill Your Convenience Batson's Gallery
Dairy Queen Nagila - Bo Sues
David's Deli and Restaurant Nicola's H
y
Deli Downtown Nikki's Fresh Gourmet Kure Beach ampstead Corianders -
Dick's Dogs and Btirgers Nino's Pizza and Pasta And}~s, Crabby Mike's
Dog House NoFo Cafe
Double Happiness Opus Freddie's Restaurante China Garden Dairy Queen
Dunkin Donuts Orange Julius Domino's Domino's
Echo Farms Country Club - Papa Bellas Wrightsville Beach - King's Table Hardee's
Ed's City Grill Pita.Delite Old Point Country Club Grill Lamer's Campground
El Guajiro Restaurant Pizza Pan Wilmington Airlie Seafood Company Max's Pizza 1
Everyday Gourmet Pop's Incredible Pizza The Bridge Tender' Panda Chinese Restaurant i
Fire Bowl Portland Grille Mercens Restaurant Pizzais 2 U Mollies Restaurant r"
Firehouse Subs Quizno's Subs New York Corner Deli
Flaming Amps Ray's Restaurant Verandah Cafe-Holiday Inn Players Cafe '
Subway
F ,,\y. !
Folk's Cafe Rudino's Vitois Pizzeria
Look for this logo on the. NHCHD website for the most current list of area
y t
New Hanover County Health Department smoke-free dining establishments. If your favorite smoke-free restaurant is
Phone: 910.798.6500 not on the list, please call Project ASSIST at 910-798-6548 and let us know!
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