01/03/2007
• New Hanover County Health Department
Revenue and Expenditure Summaries for November 2006
Cumulative: 41.67% Month 6 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 1,027,692 $ 960,113 51.70% 1,860,591 1,236,687 $ 623,904 66.47%
C Fees 611,161 256.005 $ 355,156 41.89% 659,496 281,142 $ 378,354 42.63%
Medicaid - 1,546,994 385,160 $ 1,161,834 24.90% 1,500,300 - 414,765 $ 1,085,535 27.65%
Medicaid Max 310,000 0 $ 310,000 0.00% 0 0 $
EH Fees 310,000 77,581 $ 232,419 25.03% 300,212 91,483 $ 208,729 30.47%
Health Fees 250,200 121,262 $ 128,938 48.47% 128,000 110,118 $ 17,882 86.03%
Health Choice 35,125 6,637 $ 28,488 18.90% 0 0 $ -
Other 2,751,461 1,068,658 $ 1,682,803 38.84% 3,053,386 993,096 $ 2,060,290 32.52%
Totals $ 7,802,746 $ 2,942,995 $ 4,859,751 37.72% $ 7,501,985 $ 3,127,291 $ 4,374,694 41.69%
Expenditures
Current Year Prior Year
Type of Budgeted Expended Balance J36.90% Budgeted Expended Balance %
Expenditure Amount Amount Remaining Amount Amount Remaining
Salary & Fringe $ 12,163,729 $ 4,283,696 $ 7,880,033 $ 11,315,151 $ 4,104,390 $ 7,210,761 36.27%
Operating $ 2,274,248 $ 714,183 $ 1,560,065 $ 1,893,430 $ 647,141 $ 1,246,289 34.18%
Capital Outlay $ 88,585 $ 32,684 $ 55,901 $ 679,225 $ 166,395 $ 512,830 24.50%
Totals $ 14,526,562 $ 5,030,562 $ 9,496,000 $ 13,887,806 $ 4,917,926 $ 8,969,880 35.41%
Summary
Budgeted Actual %
FY 06-07 FY 06-07
Expenditures:
Salaries & Fringe $ 12,163.729 $ 4,283,696
Aerating $ 2,274,248 $ 714,183
Capital Outlay $ 88,585 $ 32,684
Total Expenditures $ 14,526,562 $ 5,030,562 34.63%
Revenue: $ 7,802,746 $ 2,942,995 37.72%
Net County $ 6,723,816 $ 2,087,567 - 31.05%
• Revenue and Expenditure Summary
For the Month of November 2006
8
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 06-07
Date BOH Grant - Requested Pending Received Denied'
• Office of Research, Demonstrations and
11/2/2005 Rural Health- Pediatric Prima Care Grant $50,000 $50,000
Health Carolinians- Contract Coordinator $5,000 $5,000
10/12/2005 No activity for October 2005.
917/2005 No activity for September 2005.
Wolfe-NC Public Health Association
Prenatal Grant for FY 05-06 and FY 06-07-
8/3/2005 assistance for diabetic prenatal patients. $5,000 $5,000
alboa5ng
North Carolina Ailiance(NCAH) for $5,000 from
Secondhand Smoke- Local Control existing PA
Initiative-if approved and awarded PA funds ' allocating budget- Grant ores
to be used for educational purposes misting and mistinfrom approves by not approved
g PA NHCLC by RWJ
media campaigns only. budget 9/19105 Foundation
7162005 No activity for July 2005.
NC Dept of Insurance- Office of State Fire
6112005 Marshall- Risk Watch Continuation Grant $ 25,000 $ 25,000
HUD (partnership with City of Wilmington)
Lead Outreach and Education Program (3
ear funding) $ 275,000 $275,000
Ministering Circle- Good Shepherd
Ministries Clinic supply & Equipment $ 15,000 $ 15,000 $ -
No activity for May 2005. '
Cape Fear Memorial Foundation- Living
4/6/2005 Well Program $ 20,000 $ 20,000 $
National Safe Kids Coalition- Mobile Van for
• 31212005 Car Seat Checks $ 49,500 $ 49,500 $ -
Smart Start-Child Care Nursing Program $ 239,000 $ 170,000 $ 69,000
Smart Start- Health Check Coordination
Program $ 43,800 $ 43,800
Smart Start- Navigator Program $ 155,000 $ 44,000 $111,000
22/2005. No activity for February 2005.
Champion McDowell Davis Charitable
1/52005 Foundation - Good Shepherd Clinic $ 56,400 $ 56,400
12/1/2004 No activity for December 2004.
March of Dimes- Maternity Care Coordination
Program educational supplies and incentives
11!712004 for pregnant women. $ 3,000 $ 3,000 $ -
10/612014 No activity 4o report for October 2004.
911/2004 No activi to report for September 2004.
Office of the State Fire Marshal- NC
Department of Insurance- Risk Watch
8/42004 continuation funding (3years) $ 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
717/2004 Pro ram- Smoking Cessation- $ 50,000 $ - $ - $
Wolfe-NCPHA Prenatal Grant- Diabetic
Supplies for Prenatal Patients $ 5,000 $ 5,000
Totals $2,202,832 $3,000 $1,165,469 $966,363
0.14% 52.91% 43.87%
Pending Grants 1 3%
Funded Total Request 16 52%
• Partial/ Funded 9 29%
Denied Total Request 6 19%
Numbers of Grants A lied For 31 100%
As of 12/13/2006
NOTE: Notification received since last report. 9
Program did not apply for grant.
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 06-07
Date (BOH Grant Requested Pending Received: Denied
111112006 No Activity for November 2006 - f
10/4/2006
March of Dimes - Maternity Care I •
Coordination expenditures for Baby Love
Program Baby Boutique and Learning Center $3,000 $3,000 -
9/6/2007 No Activity for September 2006
8/212006 No Activi for Au ust 2006
71512006 t ervtce oor na ton amt y
Counseling Program (Cape Fear Memorial
Foundation) - Funding for Licensed Clinical
Social Worker for 3 ears $260,000 $75,000 $185,000
Eat Smart Move More - Community Grant
(NC Dept of Public Health Physical Activity
and Nutrition Branch $16,495 $12,416 $4,079
6/712006 Living Well (Cape Fear Memorial
Foundation) Ratify grant received. to produce
Living Well publication $0 . $12,000
Landfall Foundation - Purchase CPR
supplies and instruction manuals for school
nurses $2,300 $2,300
51312006 Diabetic Supplies (Cape Fear Memorial
Foundation $21000 $21,000
NHCDHHS - Division of Medical Assistance
- Health Check Coordination Funding $33,873 $33,873
I
41512006
NC Pandemic Influenza Planning Funds -
Pandemic Influenza planning. Ratification of •
grant application submitted for 312106 deadline
Note: Full funding expected per State
notification; currently partial funding
confirmed with additional award to follow. $49,030 $49,030
31112006 No Activity for March 2006
Child Care Nursing (Smart Start)
Continuation funding for existing grant
2/1/2006 program $186,600 $160,000 $26,600
Health Check Coord. (Smart Start)
Continuation funding for existing grant
program $45,800 $12,000 $33,800
amt y, Assessment oor mart Start) Continuation funding for FAC portion of
Navigator program 'NOTE: May receive
$44,000 in 2nd phase if funds avail. $113,000 $44,000 $69,000,
NC Institute for Public Health - Accreditation
- assistance with improvement in areas
(policies/procedures & continuing ed training
log). $17,034 $4,150 $12,884
Tabled by BOH Pediatric Primary Care (United I.
not approved Way/NHRMC) Start-up funds to support new
for submission prima care program for pediatric patients $30,000 $0
I
Cape Fear Memorial Foundation- Obesity
1/4/2006 . Grant (3 year period) $300,000 $225,000 $75,000
Cape Fear United Way- Panorex Grant $38,000 $38,000
NC Office of Minority Health & Health
Disparities- Interpreter Grant $20,000 $20,000
NACCHO Grant-Addressing Disability in
Local Public Health. Collaboration with
12/7/2005 IUNCW. $25,000 $25,000
NOTE: Notification received since last report.I
Program did not apply for grant. 10
NEW HANOVER COUNTY
• HEALTH DEPARTMENT
2029 SOUTH 17'x' STREET
WILMINGTON, NC 28401-4946 NEW "LXOVEE co..T, ME.00
TELEPHONE (910) 798-6500 FAX (910) 341-4146
December 12, 2006
To: New Hanover County Board Of Health (BOH)
From: Janet McCumbee RN, BSN
Personal Health Services Manager
Regarding: Status of "Requests for Funding Applications" to Smart Start for FY 07-08
The Personal Health Services Division, more specifically, Community Services and
Child Service Coordination, are seeking support from the BOH for the following
recommendations.
I. The Child Care Nursing Program Application will be submitted to Smart Start
on January 8, 2007, for continued funding. The Board Action Form and Grant
information is included in your packet.
II. The Health Check Coordination (HCC) continuation grant will not be
• submitted. The NC Division of Medical Assistance (DMA) is now funding the
majority of that program (1 FTE Program Assistant and operating). We will
budget Medicaid revenue to cover the remainder of the HCC program for 07-
08.
III. The Family Assessment Coordination Program (FAC) continuation grant will
not be submitted this year. The FAC social worker (temporary, part time)
visits the Birthplace at NHRMC six days per week to go door to door to survey
new parents. Referrals are made based on needs indicated, and resource
information is given. Juanita Sneeden, Nursing Supervisor for the Child
Service Coordination Program and FAC, has evaluated the program data and
reviewed its purpose and intent, as well as outcomes. She met with staff from
the hospital to discuss the purpose and benefits of the FAC program. They
discussed the internal social work support at the hospital and our good
working relationship with them, their knowledge of resources, and information
currently being given to new parents. The group felt that all bases are being
covered with hospital staff, MCCs, and CSCs. We are receiving all
appropriate referrals and providing follow up as needed. Discontinuation of
FAC could be transitioned by the end of the current FY, working with Smart
Start and the hospital to put some procedures in place to support the current
workings of the program without additional funds.
• If these recommendations are approved, we would inform the Smart Start Director of
our decision to submit only one grant for 07-08. Thank you for your support!
11
"Healthy People, Healthy Environment, Healthy Community"
• NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date:
Agenda: ® BOH Mtg. 1/3/07
CC Mt g. 1/22/07
Department: Health Presenter: Janet McCumbee, Personal
Health Services Manager
Contact: Janet McCumbee 798-6559/Kim Roane, Business Manager 798-6522
Subject: Grant Application-Smart Start Child Care Nursing -$178,500 - FY 07-08
Brief Summary: This is a request to submit an application to Smart Start for continued
funding of the Health Department's Child Care Nursing Program. Smart Start has funded
the program since 98-99. The grant would support the current staff (1.8 FTEs -Public
Health Nurses, and 1 FTE Program Assistant) and operating expenses for FY 07-08. The
program provides health and safety training, technical assistance, and consultation to all
Child Care facilities in NHC.
Recommended Motion and Requested Actions: To approve the submission of the Smart
Start Grant-Child Care Nursing Program and to approve or ratify (grant due 1/8/07) any
• resulting budget amendment needed, upon receipt of the grant, and in accordance with
annual county budget approval and to submit to the New Hanover County
Commissioners for their consideration.
Funding Source: Smart Start of New Hanover Count
Will above action result in:
?New Position Number of Position(s)
?Position(s) Modification or change
®No Change in Position(s)
Explanation: Funds to be used for for continuation of the New Hanover County Health
Department Child Care Nursing Program for year 10. Grant covers staff and operating.
No matching count funds are needed. Inkind services are listed on ant.
Attachments: Grant Activity Description and Budget
12
ar
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December 4, 2006
Dear Applicant:
On behalf of Smart Start of New Hanover County, I would like to extend my thanks for your
interest in helping us meet the needs of young children and their families in our community. All
programs that wish to be considered for funding in 2007-08 must submit a Request for Funding
Application. You will find this attached.
The Allocation Committee of Smart Start of NHC will oversee the review of applications and
prepare recommendations to the Board of Directors for approval. Only applications submitted by
the deadline on Monday, January 8, 2007 will be evaluated. A review process among Smart Start
of NHC staff, Program Consultants at the North Carolina Partnership for Children, and applicants
will take place immediately upon receipt of eligible applications. This process will allow
applicants to respond to questions and/or requests for clarification prior to the Allocation
• Committee's evaluations and is intended to present the most complete and finalized form of an
application's activity description. Therefore, applicants should be prepared to respond to any
questions and clarification requests by January 25th. The Allocation Committee's evaluation
includes, but is not limited to, ratings for completeness, content, experience, contractor
qualifications, reasonableness, cost, and, where applicable, current outcome status and results of
monitoring. Applicants will be notified of funding decisions by April 15`
Also, please note that award of a grant to one entity does not mean that another service provider's
program lacked merit, but that, all factors considered, the programs selected for funding were most
likely to positively impact the agency's goals and provide the best value. All funding is based on
the appropriations to Smart Start by the North Carolina General Assembly.
Please follow all instructions very carefully so that your application will be eligible for
consideration. You are welcome to call our office if you have questions (815-3731).
We look forward to reviewing your application. Thank You.
Sincerely,
• Janet Nelson
Executive Director
13
Application Cover Sheet •
Activity Title: Child Care Nursing
- - - a
Agency Legal Name: New Hanover County Health Department
Mailing Address: 2029 S. 17t Street - -
Street Address: same
City: Wilmington New Hanover County, NC Zip: 28401
Phone: 910 798-6522 Fax: 910 341 4146
Email: kroane@nhcgov.com - `Website: www.nhcgov.com J
Program Contact Person
Name: Page Dunn Title: Community Services Supervisor
hone/Fazc 910 798 6648/ 910 341 4146 'Email: pdunn@nhcgov.com
Person Responsible or Fiscal Accounting/Audit Reporting o Activity
Name: Itim Roane Title: Business Manager
Phone/Fax: 910 798 6522/910 3414146 Email: kroane( nhcgov.com
Person Authorized to Sin Contract - _ _ _ --T-7
Name: David E. Rice Title: Health Director
Phone/Fax: 910 798 6591/910 341 4146 Email:drice@nhcgov.com
Tax Status: OFor Profit (j)Public ( )Tax-Eaempt_ganization •
Federal Tax ID Number: 56-6000324
Total Project Budget: $199,100
Other Funding Sources: $20,600
• Funding Requested, from Smart _Start of New Hanover Coup, Inc.
r
Year (2007-2008) $178,500
Total Request $178,500
;
!Signatures indicate completeness and accuracy otproposal packet. _
i
i
Program Contact Person Date
I
I
Person Authorized to Sign Contracts Date .
14
R
SMART START OF NEW HANOVER COUNTY
Smart Start Format for Activities
• Partnership Name: Smart Start of New Hanover County. Inc. Submission Date: 12-13-06_
Activity Title: Child Care Nursine
V. Proiected Line Item Budget AND Budget Justification:
Complete Attachment # 2 - Projected Budget
Complete Attachment # 3 - Budget Justification
Reference Attachment # 4 - Budget Column and Line Item F.aplanadons.
VI. Contract Activity Description (CAD), 200 words maximum:
The New Hanover County Health Department will employ 1.8 FTE Qualified Child Care Health
Consultants (Registered Nurses) and a full-time Program Assistant to provide health and safety
training, technical assistance, and consultation to child care facilities in New Hanover County
(NHC) to promote compliance with the county and state regulations and enhance the quality of
child care environments. The Child Care Nursing Program will provide ongoing health and safety
education to child care providers, children, and parents, consultation to child care providers and
parents, developmental monitoring, health record reviews, including Health Check/Health Choice
referrals, and assistance in the review and development of health policies, emergency preparedness
plans, and medical action plans. Evaluations and technical assistance will be offered based on
components of the Environmental Rating Scale, New Hanover County Environmental Health
Services regulations, and Division of Child Development (DCD) licensing consultants. The Child
Care Nursing Program will work closely with Early Childhood Connections and the Licensing
Consultant for the Division of Child Development.
VII. Required Documentation
Complete Attachment # Sa, Sb, or Sc.
•
FY2007 Smart Start Format for Activity Proposals
12/06 15
Attachment # 2 Projected Budget
Projected Line Item Planning Budget for Direct Services Provider Activity
Partnership: Smart Start of New Hanover County, Inc. Fiscal Year: 2007-08
Direct services Provider: Smart In-Kind Cash Total
Contract Activity Start Funds Match Funds
Activity Name: Child Care Nursing Funds Amount Amount Amount
I.
11 Personnel $173,728.00 $12,500.00 $186,228.00
12 Contracted Services $0.00
13 Total Personnet/Contracted Services $173,728.00 $12,500.00 $0.00 $186,228.00
14 Office Supplies & Materials - $500.00 $500,00
15 Service-Related Supplies & Materials $700.00 $700.00
16 Total Supplies & Materials $1,200.00 $0.00 $0.00 $1,200.00
17 Travel $2,247.00 1$2.247.00
18 Communications & Postage $200.00 $1,500.00 1 $1,700.00
19 utilities $800.00 1 $600.00
20 Pdnfin & Binding $85.00 $1,000.00 1$1,085.00
21 Repair & Maintenance $0,00
22 Mee6n Conference Expense $0.00
23 Employee Training no travel $680.00 $680.00
24 Advertising $0.00
25 Not Available for Use $0,00
26 Total Non-Fixed operating Expenses $3,212.00 $3,300.00 $0.00 - $6,512.00 •
27 Office Rent Land, Buildings, etc. $4,000.00 $q,000,Op
28 Furniture Rental $0.00
29 Equipment Rental Phones. Computer, etc. $0,00
30 Not Available for Use $0.00
31 Dues & Subscriptions $360.00 1 $360.00
32 insurance & Bonding $0.00
33 Books Libra Reference Materials 1 $0.00
34 Not Available for Use $0.00
35 Other Expenses $800.00 $800,00
36 Total Fixed Char es & Other Expenses $360.00 $4,800.00 $0.00 $5,160.00
37) Not Available for Use $0.00
36 Not Available for Use. $0.00
39 Fumiture/Non-Cornuter Eqpt., $500+ per item $0.00
40) Computer E ui ment/Pdnters, $500+ per Item $0.00
41 Furniture/Eqpt, under $500 per item $0,00
42) Total Property & Equipment Outlay $0.00- - $0.00 $0.00 $0.00
43 Purchases of Services I $0.00
44 Not Available for Use $0.00
45 Awards Stl ends/Scholarshi s $0.00
46) Cash Grants $0.00
47 Non-Cash Grants $0.00
48 Total Services/Contracts/Grants $0.00 $0.00 $0.00 $0.00 -21 50 ota u ete Ex endttures 178,500.00 20,600.00 07 0 11 199 100.00 •
16
Attachment # 3
Budget Justification
• In addition to the attached budget form, please give a brief explanation of each line item listed in
your budget using the format below. Refer to Budget Column Explanations and Line Item
Explanations (Attachment # 4) for appropriate expenses.
Budget Line Item Justification
Activity Name Title: Child Care Nursing
Direct Service Provider: New Hanover County Health Department
. REQUIRED INFORMATION
Description and Use of Smart Start Funds Description of
Requested Other Funding Support
11)
Personnel Position #1 (PHN2 Public Health Nurse 2 NHCHD (New Hanover County
• Position #1 Team Leader/Program Coordinator: Health Department) In-kind
• Position #2 Salary/fringe $72,374 = one staff (1 FTE) 40 provision of supervision,
• Position #3 hours/week @34.80/hour (includes fringe) for administrative support,
52 weeks. (Hourly rate without fringe:. information systems support and
$27.02). accounting services estimated at
• Position #2 (PEN): Salary/fringe = $55,930 $12,500
one staff (.8 FTE) 32 hours/week @33.61/hr
(includes fringe) for 52 weeks (Hourly rate
without fringe: $25.46)
• Position #3 (Program Assistant):
Salary/fringe $45,424 = one staff (1 FTE) 40
hours/week_@ 21.84/hr (includes fringe) for
52 weeks. (Hourly rate without fringe:
$14.62
12)
Contacted Services
14) Office supplies, storage containers, toner cartridges,
Office Supplies & paper, ink cartridges, computer supplies, software
Materials and other items for administrative uses in Child Care
Nursing Program: $500
15) Child care literature, books, handwashing education
Service Related materials, resource books for teachers, handwashing
Supplies and and diapering presentation supplies, posters, stickers,
Materials toothbrushes, labcoats and other personal protective
equipment, supplies for puppet shows, supplies for
training/educational programs held at facilities
throu hout the Count : $700
• Local mileage reimbursement: $1,500
17) Travel • Out-of-town travel for conferences/meetings
(includes mileage, hotels, meals : $747
1 17
Attachment # 3
18) Communications 1 Cellular phone for 12 months: $200 In-Kind donation from NHCHD
& Postage (postage, phone service, one
cellular hone) - $1,500
19) Utilities In-Kind donation from NHCHD
(building utilities): $800
i
20) Printing & Forms, itineraries, leave slips, literature, educational In-kind donation of copying
Binding materials: $85 services fromNHCHD: $1,000
23) Employee Registrations for training and conferences: $680
Training (no travel) Smart Start conference registration fee $125
x2 = $250
• Child Care Health Consultant Conference
registration fee $65 x 2 $130
• Computer training - Excel and Word - $100 x
3 = $300
27) Office Rent In-kind donation from NHCHD
of office space: $4,000
31) Dues & • Child Care Health Consultant Association
Subscriptions dues: $65 x 2 = $130
• Memberships in NAEYC (National
Association for the Education of Young
Children): 1 Comprehensive Membership
($110) and 1 Regular Membership ($70)
• American Heart Association Membership
($50)
35) Other Expenses In-Kind donation from NHCHD
of housekeeping services: $800
2
18
• NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date:
Agenda: ? BOH Mt g.: 1/3/07
De artment: Health Presenter: David E. Rice, Health Director
Contact: David E. Rice 798-6591
Subject: New Hanover Count Board of Health Operating Procedures
Brief Summary: The attached document is a draft for the New Hanover County Board of
Health (NHCBH) Operating Procedures. Chris Hoke, State Health Director's Attorney
and Jill Moore, UNC School of Government's Attorney prepared these procedures in
consultation with Craig Michalak of the Accreditation Board. The amended accreditation
rules include a benchmark that requires boards of health to have operating procedures
that comply with state law and to review those procedures annually. The requirement for
operating procedures replaced an earlier accreditation rule that allowed (but did not a~
require) boards to have bylaws, so long as those bylaws complied with state laws.
Parts of the procedures are based on model rules that appear in a book authored by Jill's t' J
SOG colleague Fleming Bell (Suggested Rules of Procedure for Small Local Government
Boards, 2nd ed.). They used Fleming's ideas-and in some places his exact words-with
his permission, and they gratefully acknowledge his assistance and expertise on these
• issues.
These procedures are offered so that we can have operating procedures that satisfies the
Accreditation Board's expectations and avoids conflicts with state laws. The draft
NHCBH Operating Procedures have been reviewed by the New Hanover County
-Attorney's office.
Recommended Motion and Requested Actions: To recommend to the Board of Heatlh to
approve the New Hanover County Board of Health Operating Procedures and replace the
current Bylaws with these procedures.
Funding Source: Not Applicable
Will above action result in:
?New Position Number of Position(s)
?Position(s) Modification or change
®No Change in Position(s)
Ex lanation:
Attachments: Draft NHCBH Operating Procedures and NHCBH Bylaws
•
19
1
• Operating Procedures
New Hanover County Board of Health
DRAFT - December 4, 2006
1. Name and Office.
The name of this organization is the New Hanover County Board of Health (hereinafter
"Board"). The principal office of the Board is located at 2029 South 17`h Street,
Wilmington, North Carolina.
2. Officers and Committees.
a. Chair and Vice-Chair
The Board members shall elect a Chair and Vice-Chair byy vote each year at the
December meeting.
b. Secretary
• The health director shall serve as Secretary to the Board, but he/she is not a member of
the Board. The health director may delegate the duties of the Secretary that are set forth
in these operating.procedures to an appropriate health department employee.
c. Standing committees
The Board shall have the following standing committees:
Executive Committee:
Section 1. The officers of the Board of Health and three members appointed by the
Chair shall constitute the Executive Committee. It has been the practice of the Board of
Health to include the Immediate Past-Chair as one of the three appointed members
Section 2. The Executive Committee shall have general supervision of the affairs of
the Board of Health between its regular meetings. The Executive Committee shall be
subject to the orders of the Board of Health and none of its acts shall conflict with action
taken by the Board of Health. Action taken by the Executive Committee shall be
reported to the Board of Health for ratification.
Section 3. The Chair may call special meetings of the Executive Committee.
•
1
29
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r
Environmental Health Committee: •
The Chair shall appoint an Environmental Health Committee composed of up to five
members in January. It shall be the duty of this committee to act as an advisor to the
Board of Health with respect to environmental health matters.
Personal Health Committee:
The Chair shall appoint a Personal Health Committee composed of up to five members in
January. It shall be the duty of this committee to act as an advisor to the Board of Health
with respect to health promotion and disease prevention matters.
Animal Control Services Advisory Committee:
An Animal Control Services Advisory Committee shall be composed of members
appointed by the Board of Health as set forth under Section 3-2 of the New Hanover
County Code. Members will include, but not be limited to, interested citizens, hand
persons representing animal care, welfare or similar organizations. It shall be the duty of
this committee to act as an advisor to the Board of Health with respect to animal control
matters.
Other Committees:
Committees, standing or special, shall be appointed by.the Chair to assist the Board of
Health or Executive Committee. The Chair shall be an ex officio member of all
committees except the Nominating Committee. The Chair has no obligation to
participate at committee meetings and should not be counted in determining if a quorum
is present.. •
All committees are subject to the North Carolina open meetings laws and shall comply
with the provisions of those laws.
3. Meetings.
a. Regular Meetings.
The Board shall hold a regular meeting on the first Wednesday of each month. In the
event a regular meeting day is a legal holiday, the meeting shall be held on the next
Wednesday. The meetings shall be held at 2029 South 170' Street, Wilmington, No
Carolina, or designated location, and shall begin at 8:00 a.m.
b. Agenda.
The Secretary to the Board shall prepare an agenda for each meeting. Any board member
who wishes to place an item of business on the agenda shall submit a request to the
Secretary at least two working days before the meeting. For regular meetings, the Board
may add items to the agenda or subtract items from the agenda by a majority vote. The
agenda for a special or emergency meeting may be altered only if permitted by and in
accordance with the North Carolina open meetings laws. •
2
21
• Any person may request that an item be placed on the Board's agenda by submitting a.
written request to the Secretary at least ten working days before the meeting.
c. Presiding Officer.
The Chair of the Board shall preside at Board meetings if he or she is present. If the Chair
is absent, the Vice-Chair shall preside. If the Chair and Vice-Chair are both.absent,
another member designated by a majority vote of members present at the meeting shall
preside.
d. Quorum
A majority of the actual membership of the Board, excluding vacant seats, shall
constitute a quorum. A member who has withdrawn from a meeting without being
excused by a majority vote of the remaining members shall be counted as present for
purposes of determining whether or not a quorum is present.
e. Voting.
Each Board member shall be permitted to abstain from voting, by so indicating when the
vote is taken. A member must abstain from voting in cases involving conflicts of interest
as defined by North Carolina law. If a member has withdrawn from a meeting without,
• being excused by a majority vote of the remaining members, the member's vote shall be
recorded as an abstention.
L Minutes.
The Secretary shall prepare minutes of each Board meeting. Copies of the minutes shall
be made available to each Board member before the next regular Board meeting. At each
regular meeting, the Board shall review the minutes of the previous regular meeting as
well as any special or emergency meetings that have occurred since the previous regular
meeting, make any necessary revisions, and approve the minutes as originally drafted or
as revised. The public may obtain copies of Board meeting minutes at 2029 South 17"
Street, Wilmington, North Carolina.
4. Amendments to Operating Procedures.
These operating procedures may be amended at any regular meeting or at any properly
called special meeting that includes amendment of the operating procedures as one of the
stated purposes of the meeting. A quorum must be present at the meeting at which
amendments are discussed and approved, and any amendments must be approved by a
majority of the members present at the meeting.
5. Other Procedural Matters.
3
22
The Board shall refer to the current edition of Robert's Rules of Order Newly Revised •
(RONR) to answer procedural questions not addressed in this document, so long as the
procedures prescribed in RONR do not conflict with North Carolina law.
6. Compliance with North Carolina Law.
In conducting its business, the Board shall comply with all applicable North Car lina
laws, including but not limited to open meetings laws, public records laws, and the flaws
setting forth the powers and duties of local boards of health. To assist the Board in
compliance, the local health director shall maintain a current copy of relevant North
Carolina General Statutes and make them available to Board members on request.
Approved and adopted by the New Hanover County Board of Health on January 3, 2007.
Edward Weaver, Jr., OD
Chair, New Hanover County Board of Health
•
David E. Rice, MPH, MA
Secretary, New Hanover County Board of Health
4
23
BYLAWS
OF THE NEW HANOVER COUNTY BOARD OF HEALTH
ARTICLE I
Name
The name of this organization shall be the New Hanover County Board of Health,
hereinafter referred to as "Board of Health."
ARTICLE II
Object
The object of the Board of Health shall be set forth under Chapter 130A of the North
Carolina General Statutes and the New Hanover County Code.
Section 1. The Board of Health shall be the policy-making, rule-making and ad
judicatory body for the New Hanover County Health Department.
Section 2. The Board of Health shall have the responsibility to protect and promote
the public health. The Board of Health shall have the authority to adopt rules necessary
for that purpose.
Section 3. The Board of Health may adopt a more stringent rule in an area regulated
by the Commission for Health Services or the Environmental Management Commission
where, in the opinion of the Board of Health, a more stringent rule is required to protect
• the public health; otherwise the rules of the Commission for Health Services or the rules
of the Environmental Management Commission shall prevail over the Board of Health
rules.
Section 4. The rules of the Board of Health apply to all incorporated and
unincorporated areas of New Hanover County.
Section 5. Except for codes and standards adopted by reference, all rules and
regulations adopted, amended or altered by the Board of Health must meet certain
procedural requirements in order to have the force and effect of law.
Section 6. The Board of Health may, in its rules, adopt by reference any code,
standard, rule or regulation which has been adopted by any agency of North Carolina,
another state, any agency of the United States or by a generally recognized association.
Section 7. The Board of Health may impose a fee for services to be rendered by the
New Hanover County Health Department, except where the imposition of a fee is
prohibited by statute, or where an employee of the Health Department is performing the
services as an agent of the State.
•
Adopted February 4, 1998 1
Revised December 1, 1999
Revised June 7, 2006
24
{
ARTICLE III
•
Members
The members of the Board of Health shall be set forth under Chapter 130A of the
North Carolina General Statutes.
Section 1. The New Hanover County Board of Commissioners shall appoint the
members of the Board of Health. The Board of Health shall be composed of 11
members. The composition of the Board of Health shall reasonably reflect the popula 'on
makeup of New Hanover County and shall include: one physician licensed to practice
medicine in North Carolina, one licensed dentist, one licensed optometrist, one licensed
veterinarian, one registered nurse, one licensed pharmacist, one county commissioner,
one professional engineer, and three representatives of the general public. All members
shall be residents of New Hanover County.
Section 2. Members of the Board of Health shall serve three-year terms. Except for
the county commissioner, no member shall be eligible to serve for more than two
consecutive terms. Vacancies shall be filled for any unexpired portion of a term. .
Section 3. Members of the Board of Health may receive a per diem in an amount
established by the New Hanover Board of Commissioners. Reimbursement for
subsistence and travel shall be in accordance with a policy set by the Board of
Commissioners. •
Section 4. No member should vote on a question in which he/she has a direct
personal or pecuniary interest not common to other members of the Board of Health.
ARTICLE IV
Officers
Section 1. The officers of the Board of Health shall be a Chairman and Vice-
Chairman. These officers shall perform the duties prescribed by these bylaws and the
parliamentary authority adopted by the Board of Health. The Health Director shall serve
as secretary to the Board of Health.
Section 2. At the regular meeting held in October, a Nominating Committee of three
members shall be appointed by the Chairman. It shall be the duty of this committee to
nominate candidates for the offices to be filled at the regular meeting held in December.
The Nominating Committee shall report at the regular meeting in November. Before the
election in December, additional nominations from the floor shall be permitted.
Section 3. The officers shall be elected by ballot to serve for one year or until their
successors are elected, and their term of office shall begin at the close of the regular
meeting at which they are elected
•
Adopted Febmary 4, 1998 2
Revised December 1, 1999
Revised June 7, 2006
25
Section 4. No member shall hold more than one office at a time, and no member
shall be eligible to serve more than two consecutive terms in the same office
ARTICLE V
Meetings
Section 1. The regular meetings of the Board of Health shall be held on the first
Wednesday of each month unless otherwise ordered by the Board of Health. All
meetings of the Board of Health are subject to the provisions of North Carolina's open
meeting law
Section 2. Special meetings may be called by the Chairman or by the Executive
Committee and shall be called upon written notice. The purpose of the meeting shall be
stated in the notice. Except in cases of emergency, at least three days' advanced notice
shall be given.
Section 3. All rules and regulations previously adopted by the Board of Health may
only be amended by a two-thirds vote of the entire membership.
Section 4. Six members of the Board of Health shall constitute a quorum
ARTICLE VI
Executive Committee
• Section 1. The officers of the Board of Health and three members appointed by the
Chairman shall constitute the Executive Committee. It has been the practice of the Board
of Health to include the Immediate Past-Chairman as one of the three appointed members
Section 2. The Executive Committee shall have general supervision of the affairs of
the Board of Health between its regular meetings. The Executive Committee shall be
subject to the orders of the Board of Health and none of its acts shall conflict with action
taken by the Board of Health. Action taken by the Executive Committee shall be
reported to the Board of Health for ratification.
Section 3. The Chairman may call special meetings of the Executive Committee.
ARTICLE VII
Committees
Section 1. An Environmental Health Committee composed of five
members shall be appointed by the Chairman in January. It shall be the duty of
this committee to act as an advisor to the Board of Health with respect to
environmental health matters.
Section 2. A Personal Health Committee composed of five members shall be
appointed by the Chairman in January. It shall be the duty of this committee to act as an
advisor to the Board of Health with respect to health promotion and disease prevention
• matters.
Adopted February 4, 1998 3
Revised December 1, 1999
Revised June 7. 2006
26
Section 3. An Animal Control Services Advisory Committee shall be composed of
members appointed by the Board of Health as set forth under Section 3-2 of the New
Hanover County Code. Members will include, but not be limited to, interested citizens,
and persons representing animal care, welfare or similar organizations. It shall be the
duty of this committee to act as an advisor to the Board of Health with respect to animal
control matters.
Section 4. Such other committees, standing or special, shall be appointed by the
Chairman as the Board of Health or Executive Committee shall from time to time deem
necessary to carry. on the work of the Board of Health. The Chairman shall be ex officio
a member of all committees except the Nominating Committee. The Chairman has no
obligation to participate at committee meetings and should not be counted in determining
if a quorum is present.
ARTICLE VIII
Parliamentary Authority
The rules contained in the current edition of Robert's Rules of Order Newly Revised
shall govern the Board of Health in all cases to which they are applicable and in which
they are not inconsistent with these bylaws and any special rules of order the Board of
Health may adopt.
ARTICLE IX •
Amendment of Bylaws
These bylaws may be amended at any regular meeting of the Board of Health by a
two-thirds vote of the entire membership, provided that the amendment has been
submitted in writing at the previous regular meeting.
Donald P. Blake, Chairman
New Hanover Board of Health
0
David E. Rice, MPH; MA, Health Director
New Hanover County Health Department
•
Adopted February 4, 1998 4
Revised December 1, 1999
Revised June 7. 2006
27
New Hanover County
• Public Health PrePareciness
Pandemic influenza Awareness
and
Mass DisPensin9 Exercises
Proposed Schedule
Tabletop: March 8, 2007
Pandemic Influenza Summit:
February 17, 2007
Receiving Exercise:
March 29, 2007 (Thursday) 1/2 day
Drive Through Exercise:
March 30, 2007 (Friday) all day
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• PANDEMIC FLU
EXERCISE OBJECTIVES
Dispensing Site
1) Process 833 people per hour through the drive through mass dispensing site.
2) Determine optimum # of staff for an individual dispensing station.
3) Determine how long it takes to do a site set-up to be ready to dispense.
4) Determine best job duties for personnel assets.
5) Test the effectiveness of using a local radio station as an information channel
for messages we would like to pass along to those in the vehicles.
6) Determine optimal traffic flow pattern for Veterans Park location.
7) Develop an ICS structure for the receiving and dispensing sites.
8). Operate a unified command post on site during the dispensing exercise.
Receiving Site
1) Identify transportation needs for transporting from receiving sites to dispensing
sites.
2) Develop an asset tracking and reporting mechanism for all SNS items received
and utilized.
3) Develop a chain of authority for medications/vaccines.
4) Develop a method of communication between the receiving site and the
dispensing site.
•
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Health Department: New Hanover County, NC Page 1 of 2
r•; New Hanover County NORTH C A R O L I N A
4. I -
IN New Hanover CountyBoard of
Health Committees
t GENERAL ~ 2007
Department Home Page
Department Information
Staff
Services
F.A.o.s Executive Committee:
Dr. Edward Weaver, Jr., Chair
D I V I S I O N S Dr. Sandra L. Miles, Vice-Chair
Board of Health Mr. Donald P. Blake
Administration Dr. Robert M. Shakar, Jr.
Animal Control Services
Dental Health Dr. G. Robert Weedon
Environmental Health
• Health Programs Administration Environmental Health Committee:
Personal Health Health Services
Support Services
Mr. Donald P. Blake, Chair
Mr. James R. Hickmon
Page maintained by Thomas Mr. John S. Tunstall
Bove.
910 798-6730 Dr. G. Robert Weedon
Last modified on 12/19/2006.
Personal Health Committee:
Dr. Robert M. Shakar, Jr., Chair
Mr. Marvin E. Freeman, Sr.
Dr. Virginia Adams
Dr. Sandra L. Miles
Mr. C. Benjamin Spradley
Animal Control Services Advisory Committee:
Dr. G. Robert Weedon
0 Association of NC Boards of Health:
http://www.nhcgov.conl/BLTH/NHCBH-Committees.asp 1/2/2007
Health Department: New Hanover County, NC Page 2 of 2
Dr. Edward Weaver, Jr.
. i
http://www.nhegov.com/BLTH/NHCBH-Coniniffees-asP 1/2/2007
INFLUENZA SURVEILLANCE, NC 2006-2007
• Influenza-Like Illness in Sentinel Site Patients (Solid Line)
Comparative prior years, Dashed Lines
Data available as of 21 December, 2006 -
8.0%
A
n
7.0%-
6.0% ,
e?
5.0%
• 2003-2004
J 4.0% e
o ~
3.0% '
d e o-o
2.0% '
• 2004-2005
1.0% zoos-2007 ` j* -5005-2006 a
e
O ?
0.0% 41 ~G e-e-e-e-e-ttp -
bC a?~ Ds 0~ 0~ h~ bM N V, co CO ^o ^N? ^O" 1~? V.b N
WEEK #
For more information about comparable national data. visit www.cdc.goN-/ncidod/diseases/fltj/iveekIN-.I)tiii and in
particular. click on the Wil. "View Chart Data" on the right of the "Percentage of Visits for Influenza-like Illness
Reported by Sentinel Physicians National Sunmian. 2006-20076°graph.
• Influenza-Like Illness Surveillance in North Carolina. 2006-2007 Influenza Season
Comparative trend between two surveillance systems:
Sentinel Provider Network (SPN) and Hospital Emeraencv Department (ED)
3
4 1
National Association Local Boards 1 Health
United -we stand
NevnBdef
Published for Members of Boards of Health Fourth Quarter. 2006
Partnerships
J
A few years ago the National Association of Local Boards of Health (NALBOH)
affiliated with the National Association of Counties (NACo). This partnership
is beneficial to both associations. The old saying about "strength in
numbers" gives us a stronger voice as we work together in improving public
• Welcomes health and addressing quality of life issues that will always be a challenge for
DC Director both associations.
I start this message concerning partnerships for several reasons:
3 State Association • Local membership, State Associations of Local Boards of Health (SALBOH's), and accreditation.
Boards of Health News
In any organization membership is everything. The exchange of ideas, the improvement of policies
Membership Application and procedures, and the way we do business in general is dependent on its members and their
involvement. There will always be better ways of doing what we need to do to improve public
health. The more members that are involved in the process, the better the product will be. Healthy
Medical Corps people will live more productive lives.
Oral In states with local boards of health, an association helps to bring members together for training and
education, collaboration, state technical assistance, and helps to develop the vision and mission
unique to that state's health challenges.
Tobacco-Free
Accreditation of health departments is a work in progress in many states, and in some states a
general statute or law has been enacted to require accreditation. The NALBOH board of directors
6 Environmental Health & unanimously passed motions in October to endorse the recommendations of the Exploring Accredi-
Preparedness tation Steering Committee for a voluntary national accreditation program and to lead in cooperation
with appropriate partners, in the development and implementation of such a national voluntary
accreditation program to drive continuous quality improvement. This supports the belief that the
2006 MacNeal Scholarship general public expects and deserves a certain level of public health availability no matter what city,
Recipients county, or state they live in or travel through.
I believe that by forming partnerships and working together, all of these things are obtainable. We
• Report • Washington must be diligent in public health because of the changes in our environment and the evolution of our
technology. New challenges will always lie before us.
1 Calendar of Events As my term of office as President comes to an end on January 1, 2007 I want to thank the NALBOH
officers, directors, staff, committee members and especially our membership for working together to
make the public's health a priority in the life of all of our citizens.
11 00
Officers Directors Keep safe and stay healthy,
Lee Kyle Allen
e 4.
Page 2 NALBOH NewsBrief Fourth Quarter, 2006
Strategies to Promote a
Healthier America
Jennifer Weber, Manager, National Nutrition Policy
-;i Juliana Smith, Director of State Government Relations
American Dietetic Association
r
Snapshot of America's Health
Take a snapshot today, and the picture isn't pretty: From the age
5 years on, Americans are overfed but undernourished. Our
physical activities are declining, and our knowledge of health - our
health literacy - is limited. More troubling is that the situation is
getting worse. In 13 states, more than a quarter of the adult
population meets the definition of "obese" and in nearly every state
the percentage of overweight adults is increasing. One-in-three
American children already have been identified as overweight or at
risk of becoming so. By 2010, 120 million Americans - 40 percent
of the population - are in danger of being diagnosed with chronic
diseases and conditions related to diet and exercise, especially type
NALBOH Welcomes 2 diabetes, heart disease, stroke and cancer.
Marnie Glaeberman as Registered Dietitians are Part of the Solution
Director of Government Relations With nearly 65,000 members, the American Dietetic Association
(ADA) is the nation's largest organization of food and nutrition
at the Washington DC Office professionals. Its members are among the nation's leading food
and nutrition experts, translating the science of nutrition into
I am delighted to join NALBOH as the new Director of Government practical solutions for healthier living. Roughly 40 million Americans
Relations. I have worked in public health, education and advocacy this year will receive nutrition care and services from a registered
dietitian over ten years, and am very excited about supporting the or other member the ADA. Every American will
grassroots of public health. I received my Master of Public Health have access ss to reliable nutrition information and education, based
with a focus on Health Education and Behavioral Science in 1996, on the science of dietetics.
and my JD in 2001, both from Rutgers University. From 1993 to The ADA and its related groups also advance nutrition rese
1998, I served as a health educator in Arkansas, New York, and Research by the ADA Foundation shows that many Americans
New Jersey, addressing a variety of adolescent and unaware of their own nutritional status, weight and diet. When
community health issues. Since 1999, I have worked on legal and parents lack that awareness, do not recognize the long-term health
policy aspects of public health, with organizations including consequences of overweight or obesity, and/or erroneously
Covenant House - New Jersey (serving homeless youth), and
Doctors of the World - United States of America, where I built and perceive their children's nutritional status, the seeds are sown for
expanded relationships with advocacy organizations and health another generation growing up without good nutrition and activity
habits
professionals. More recently, I directed the Public Service Law .
Network, connecting law students, attorneys, and non-profits to Public health advocates recognize that there are significant
advocate for underserved populations. I have also taught as an opportunities to reduce health care costs and serve the general
adjunct faculty member, most recently at a graduate Health Law well-being of the population by addressing nutrition today.
Seminar at New Jersey City University in 2003. Registered Dietitians play critical roles in helping consumers
I look forward to meeting and working with all of NALBOH's interpret nutrition guidelines and focus on lifestyle changes. They
members and partners. Please feel free to contact me if I can be are the masters of nutrition intervention to improve the health
of any assistance to you and your community at the Washington, of our nation, reduce health care costs and serve the general
DC satellite office (202) 218-4413, or via email at well-being of the population.
<marnie@nalboh.org>. ? RDs in Your Community
You may not realize it, but you have Registered Dietitians working
in your community in public health departments and programs
such as WIC and food stamps. RDs are key resources in emergency
Requests for Articles & preparedness - with expertise in food and water safety, as well as
how to feed large numbers of people in a safe way. RDs work in
Meeting Announcements many venues, such as schools, hospitals, colleges and universities
and industry helping people learn how to make healthy choices in a
NALBOH publishes articles about the successes, challenges, and sea of abundance, understand health risks of poor diets and
accomplishments of boards of health as well as upcoming sedentary lifestyles and inspire behavior change in a commu46
conference announcements and meeting dates. To submit an approach to improved public health.
article or announcement, please contact the NALBOH office at
1840 East Gypsy Lane Road, Bowling Green, OH 43402, fax to How can you connect with this network of nutrition professionals?
(419) 352-6278, or email us at <nalboh@nalboh.org>. Contact your state dietetic association to partner in ways that can
A NewsBrief submission form is available online change the picture of American nutrition in your community. You
at<www.nalboh.org/newsbrief/newsbrief.htm>. 11 can find your state dietetic association at <www.eatright.org/cps/
rde/xchg/ada/hs.xsl/career_491_ENU-HTML.htm.>. ?
Fourth Quarter, 2006 NALBOH NewsBrief Page 3
State Association News
New
2007 NALBOH Membership
AIt is time to consider your 2007 pNALBOH portu membership. A
hip in NALBOH provides an opportunity for you and your
7 members
~~V11
board of health to:
n.uwme M.,~,n,.a., a„d,~red.e • Have an input into national health policy;
Receive copies of the NALBOH NewsBrief for each board
member;
The Massachusetts Association of Receive discounts on NALBOH educational materials; and
Health Boards and the National Participate in NALBOH's exceptional Annual Conference at
a member rate.
Association of Local Boards of Health The 2007 annual conference is planned for Anchorage, Alaska,
- Working Together September 19-22, 2007. Plan gn being part of this great
Cheryl Sbarra, J.D. Director, Tobacco Control Program, conference designed specifically for those serving on boards of
Senior Staff Attorney, MAHB health.
Lauren Dimitrov, RD, MPH, Project Director, NALBOH
Join NALBOH now by sending in the membership application
For the past year the Massachusetts Association of Health Boards below or return the invoice that will be mailed to you in
(MAHB) and NALBOH have been working together to update the November, along with payment to: NALBOH, 1840 East Gypsy
Legal Authority for Tobacco Control in the United States, which Lane Road, Bowling Green, OH 43402. Call the office
was originally published in 2000. This collaboration is a key example (419) 353-7714 if you need a replacement invoice. ?
of a state association and NALBOH working together. Attorneys ,
Cheryl Sbarra and Laura Richards have been researching the Application for Membershi
current status of legal authority to enact and enforce state and p
local tobacco control laws in the United States, while Lauren
Dimitrov has been reviewing and compiling the information. This Date:
project has been a large undertaking and will be very helpful for Membership Year: 2007 (January 1 - December 31, 2007)
# ds of health and others to utilize.
publication is only one of the many accomplishments of MAHB's Board of HealthlOrganization/Name of Individual
Tobacco Control Program this past year. MAHB played a pivotal role
in the Massachusetts Supreme Judicial court case that upheld the Maley Address
authority of local boards to prohibit smoking in private clubs. This
was an enormous win for local public health. The court city stare zip code
underscored the fact that public health is not about geography,
but rather is about protecting all members of a community, Rn Fax email
regardless of whether they are in private or public places. Please
contact Cheryl Sbarra at sbarra@tuglaw.edu, or visit the MAHB contact Person and Tine
website <www.mahb.org> for more information regarding this Check type of desired membership:
case. ? Institutional ($120)
Any board of health or other governing body that oversees
About the Massachusetts Association of Health Boards: local public health services or programs or
Under the direction of Marcia Benes, MAHB's mission is to assist ($95) a local board of health whose state association is
and support boards of health in meeting their statutory and an affiliate member of NALBOH (GA, ID, IL, MA, MI,, NC, NE,
service responsibilities, through programs of education, technical NJ, OH, LIT, WI)
assistance, representation, and resource development. ? Affiliate ($300)
Massachusetts Boards of Health are responsible under general laws, State association of local boards of health (SALBOH)
state and local regulations, for disease prevention and control, ? Associate ($60)
health and environmental protection, and promoting a healthy Any individual committed to NALBOH's goals and objectives
community. ? Retired ($12)
Any former member of a board of health, state board of
For more information regarding State Associations of Local Boards health, local governing body, state, territorial or tribal board
of Health please contact the NALBOH office at (419) 353-7714 or of health
via email at <nalboh@nalboh.org>. ? ? Sponsor ($60)
A non-profit organization, agency or corporation committed
® to NALBOH's goals and objectives or
($300) a for-profit organization, agency or corporation
committed to NALBOH's goals and objectives
? Student ($20)
Any currently enrolled student committed to'NALBOH's goals
and objectives
m -
f 4
Page 4 NALBOH NewsBrief Fourth Quarter, 2006
Medical Reserve Corps Oral Health
Re loping Volunteer Mocal hips and
bilities:
overall success oMRC unit
Medical Re serve Corps: relies upon the volunteers of the unit. Oral Health islA,
Dedicated volunteers with a sincere interest essential compone
Introduction to the
to serve their local communities will help drive general health. As
Technical Assistance the success of the local MRC unit. This volunteer leaders in
Series resource will help local boards understand how jj public health, local
to recruit volunteers, what is required of the 1 ' boards of health (BOH)
volunteers once they are a part of the local ff and state associations
In the previous NewsBrief, how to start a unit, and how to retain the volunteers for long not only make necessary
Medical Reserve Corps (MRC) unit was briefly term sustainability. The local board can assist policy and regulatory
introduced. The MRC also has many online in recruiting efforts through their professional changes to introduce or
resources available for local board of health relationships - many local board members are institutionalize oral
members to review and incorporate into their employed in the medical and health fields. health programs into
local MRC unit activities. The MRC Technical their local public health
Assistance Series (TAS) offers valuable Establishing and Maintaining Your MRC agency practice, but are advocates for and
information including: Unit's Organization: liaisons to their neighbors, peers,
Boards of health can be an extremely valuable stakeholders, and other partners. It is the
Organizing an MRC Unit: Operational asset to the administration of a local MRC unit. responsibility of a BOH to improve the oral
Components and the Coordinator's Role: Boards have tremendous experience with many health of the communities it serves.
How the local MRC unit is organized may activities that are necessary for establishing
determine how successful the unit will and maintaining a local unit. These activities The burden and cost of oral disease is
operate when needed.' A local MRC unit include the development of internal policies tremendous. In 2004, Americans spent an
should be organized so there is ongoing and and procedures, strategic planning, liability and estimated $78 billion on dental services.
close coordination with all local response risk management, emergency declaration, and Although preventable, tooth decay, also
partners including the local public health leveraging resources for long term sustainabil- known as dental caries, remains the most
agency. The board should encourage ity. As the oversight body for a local public common chronic disease for children age 5
ongoing coordination between the MRC unit health agency, a local board of health can to 17. Children lose an estimated 50
and the local public health agency. This guide offer their expertise and guidance to a local million school hours a year while adults lose
will help board members understand how an MRC unit in all of the activities above. By an estimated 164 million hours of work,
average MRC unit is composed and the role offering this assistance, a local board can due to dental-related illnesses. f~)
of the coordinator in building community become an essential partner to a local unit. research has linked oral disease with
partnerships. pacts on chronic diseases such as diabe-
All of the resources listed above include tes, heart disease, and preterm low-birth
Coordinating With Your Local Response action checklists that are excellent for weight. Additionally, an increased burden
Partners: summarizing the entire publication. These is placed on those in lower socioeconomic
Local boards of health understand the checklists are perfect for discussion during a groups and individuals experiencing racial
constant need for collaborating within a monthly board of health meeting. For more disparities.
community. The MRC unit is no different and information on the MRC Technical Assistance
must effectively work together with all Series and to print out the action checklists The Centers for Disease Control
response partners within a community for use during the board meetings, visit and Prevention's (CDC) Guide to
including the local board of health. The local <www.medicalreservecorps.gov/TASeries>. Community Preventive Services
board of health can be an integral part of this <www.thecommunityguide.org> includes
process by enabling,the local public health In next quarter's NewsBrief, we will examine evidence-based recommendations for
agency staff to train and exercise with the challenges that local MRC units may programs and policies to promote
local MRC unit. encounter including liability and credentialing population health. Reviews of the
issues. ? effectiveness of selected population-based
The local board can also help ensure that other interventions addressing oral health found
key response partners including the fire the strongest evidence to support two
department, police, emergency management The NALBOH NewsBrief is published by the interventions: community water
agency, and other response partners in the fluoridation and school-based dental
local infrastructure are invited to train and National Association Local Boards of Health h
sealant delivery programs. The
exercise with MRC volunteers. By training and Association of State and Territorial Dental
exercising with other local response agencies, 1840 East Gypsy Lane Road Directors <www.astdd.org> analyzed eight
Bowling
local MRC volunteers will better understand Phone: Green (419) , 353-7714 43402 dental public health strategies. The
their roles and responsibilities within the local Fax: 3522-62 -6278 strength of evidence was also the
response system. This resource also includes Email: <nalbo nalboh.org> strongest for these two interventions. For
appendices which offer brief introductions to Website: <www <www.nalboh.org> more information on ways to support and
the Incident Command System (ICS) and the implement these interventions in y
National Incident Management System (NIMS). communities, please visit the previo
The production and distribution of this
publication is supported by funds from the mentioned websites or the CDC Oral Health
Centers for Disease Control and Prevention. Program <www.cdc.gov/oralhealth>. ?
Reproduction or use of any contents enclosed
must be requested in writing to the
NALBOH office. 13
Fourth Quarter, 2006 NALBOH NewsBrief Page 5
Philadelphia, PA percent. The poll found that 69 percent of
(Parts excerpted from: Mary Claire Dale, Mayor Signs respondents request nonsmoking sections
Smoking Ban in Philadelphia, Associated Press, in restaurants. Almost 60 percent said they
September 14, 2006.) prefer to visit entertainment venues that
On September 14, Philadelphia Mayor John don't allow smoking. However, when asked
Street signed legislation into law that will specifically about requiring bars and
prohibit smoking in most public places and work- restaurants to ban smoking, more
r places, including restaurants and most bars. respondents expressed opposition. While 31
c, Stand-alone bars making 10 percent or less of percent said they would oppose a smoking
their sales from food can apply for waivers ban for public places, 42 percent disagreed
exempting them for two years. Enforcement with forcing restaurants and bars to stop
of the law began on September 25. Additional tobacco use. Anti-smoking advocates say
legislation is being considered in the city the poll reflects increasing Momentum to
council that would make the bar exemption stamp out public smoking in the South,
permanent, and change the enforcement date where tobacco has long been a lucrative
Massachusetts Study to January 2007. crop. This year, the state Legislature
FII1dS IVICOtlyde 111 banned smoking in public areas. On
Putnam County, WV Monday, three major hospital systems - Duke
Cigarettes Has Increased (Parts excerpted from: Charles Shumaker, Putnam University Health System, University of North
Health Board Bans Indoor Smoking, Charleston Carolina Health Care and WakeMed Health
Gazette, September 27, 2006.)
On August 29, the Massachusetts and Hospitals -announced they would
Department of Public Health released a new On September 26, the Putnam County Board expand their restrictions in July to ban
of Health voted unanimously for a regulation
study showing that nicotine levels in that will prohibit smoking in almost all public smoking anywhere on hospital properties.
cigarettes have been increased in recent places and workplaces, including restaurants
Learn
years. This increase can make it easier for and bars. Bingo halls that distribute more than more about what is happening in your
youth to start smoking and harder for area at no-sm a e for Nonsmokers Rights at:
a certain number of cards will still be exempt. <www nosmok.or
established smokers to quit. This updates a 1995 regulation that had 9 ?
allowed smoking in designated areas in many
The study reviewed the nicotine yield in places. The new regulation is stronger than
cigarettes from 1998 to 2004 and found an many in West Virginia because it also includes Study Shows Decrease
overall increase in nicotine yield of 9.9 bars. It takes effect January 1, 2007. in Heart Attacks After
ent; 92 of 116 brands tested had higher
Ws in 2004 than 1998. This study is yet Macon County, GA Smokefree Air Law
another source of evidence showing that (Parts excerpted from: Mike Frazier, Smoking ban is (Parts excerpted from: Circulation, Reduction in
tobacco companies are working to keep burning issue again: Macon County Board of Health the Incidence of Acute Myocardial Infarction
current smokers from quitting and to increase cite secondhand smoke as reason for countywide Associated With a Citywide Smoking Ordinance,
the numbers of new smokers. ? recommendation, Herald and Review, August 17, Oct. 2006).
2006.)
The Macon County Board of Health approved
Recent Local and a draft resolution that calls for a smoking ban
Statewide Action in nearly all 600 establishments licensed to serve 's-
food across the county, including restaurants,
Allegheny County, PA bars, bowling alleys, bingo halls, grocery stores,
(Parts excerpted from: Anita Srikameswaran, and day care centers. The ban would stiffen
Allegheny County Council Passes Smoking Ban, the county's food sanitation regulations. After (
Pittsburgh Post-Gazette, September 27, 2006.) community members vote, the health board
On September 26, the Allegheny County will present a final resolution to the Macon
council passed by a 14 to 1 vote, a compre- County Board Environmental, Education, Health A study in the October journal Circulation
hensive smokefree law prohibiting smoking and Welfare Committee. Health advocates are concluded that a public ordinance reducing
in almost all public places and workplaces, in- seeking to protect the community from the exposure to secondhand smoke was
cluding restaurants and bars. The new ordi- hazards of secondhand smoke. "The time is associated with a 27 percent decrease in
nance is likely to draw a lawsuit as Pennsylva- now," said Carol ]entry, president of the heart attack hospitalizations in Pueblo, CO,
nia's statewide law appears to prevent all county health board. which supports previous data from a smaller
local communities except Philadelphia from
passing stronger smokefree ordinances. North Carolina study. There was no significant change in
(Parts excerpted from: Erin Gartner, Poll., 65 percent heart attack hospitalizations in an adjacent
Tupelo, MS of N.C. residents support smoking ban, Herald Sun, county that had no smokefree air laws. The
(Parts excerpted from: Andy Kanengiser, Tupelo October 3, 2006) study looked at heart attack hospitalization
Council votes 9-0 for Smoking Ban, Northeast A pall released October 3rd by Elon University data from 18 months before and 18 months
issippi Daily Journal, September 5, 2006.) found that more than half of North Carolina after Pueblo's law took effect July 1, 2003.
September 5, the Tupelo City Council residents prefer restaurants that don't
/ed unanimously (9-0) for an ordinance that allow smoking. The survey also found that 65 This study found the overwhelming evidence
will prohibit smoking in almost all public percent of residents support allowing city and that secondhand smoke exposure is
places, including restaurants and bars.The law town governments to pass local smoking bans, harmful, and that comprehensive smokefree
went into effect October 5. Tupelo joins which is barred by state law. The survey of air laws can have immediate health
Starkville, and several other smaller towns in 649 people was conducted Sept. 24-28 and benefits. ?
Mississippi that have passed comprehensive has a margin of error plus or minus 3.9
smokefree ordinances.
e O.
Page 6 NALBOH NewsBrief Fourth Quarter, 2006
2006 NATIONAL ENVIRONMENTAL • Essential Functions: Boards must response plans, orders of successio
PusLICHEALniConFEnEncE determine which vital services must be delegations of authority, and stafs)
continued during an emergency. Boards assignments. Legal and financial inc
.Will be held at,the Hilton Atlanta Hotel; must think strategically and be able to records such as payroll, retirement,
Atlanta, Georgia from .December 4 -6. = The. sustain these services for up to 30 days. insurance, social security, and other
conferencewill i bring together a personnel related records.
cross-section,of federal,-state ariba[, local,'and • Delegations of Authority: Specifies
nternational environmental'' public who is authorized to act on behalf of • personnel Issues and Coordination:
health professionals i°To'regisEer.for the the agency. Boards should ensure that There are many personnel issues that
conference„ please visit :<www:cdcgov/nceh/ this is more than just one individual. As boards will have to overcome during an
conference/>. absenteeism may be high during an emergency. Boards should ensure that
emergency, delegations of authority will the following are addressed in their
NALBOH Pandemic be critical to continued business COOPS Plan:
Influenza Planning operations. Circumstances should also Designation of emergency
9 be outlined in the plan under, which the employees
Checklist Online authority will be exercised. Dismissal or closing procedures
Media announcements informing
• Orders of Succession: Who is in the public of the agency's current
Planning for pandemic influenza is critical. To charge? Then who is in charge if that status
assist you in your efforts, the National individual is unavailable? The local board Z Guidelines for communicating with
Association of Local Boards of Health
(NALBOH) has modified the State and Local planning, must conduct succession essential and non-essential
Pandemic Influenza PlanninChecklist, planning, not only preparing for an personnel
9 emergency but also for day-to-day ~ Methods of employee communica-
originally developed by the Department of operations of the health agency. tions (interoperable communications)
Health and Human Services (DHHS) and the Staffing flexibilities
Centers for Disease Control and Prevention • Alternate Facilities: Boards should by Pay flexibilities
(CDC). NALBOH's checklist addresses a board now have a location, other than the = Employee benefit issues
of health's roles and responsibilities in normal everyday facility, selected to be = Roles and responsibilities of
preparing for pandemic influenza. This
checklist may also pertain to any public health used to carry out essential functions in employees (may change
a COOP situation. In certain situations corresponding to the situation) ~
emergency. For more information about such as a pandemic, another facility may
pandemic influenza planning, please visit the not be an option. Instead, local boards • Tests, training and exercise: As with
United States government's Pandemic must consider the option of any emergency plan, the COOP plan must
Influenza Planning website at telecommuting or other means to be tested during a health agency
<www.pandemicflu.gov> or contact the continue the essential functions of the exercise. If deficiencies are found, the
NALBOH at (419) 353-7714. ? agency. board should address them immediately
and incorporate the changes into the
• Interoperable Communications: existing plan. The plan should also be
Essential Elements of a These systems must provide the evaluated annually and updated as
Continuity of capability to perform essential functions needed.
until normal business operations can be
Operation Plans resumed. These methods also must • Devolution: To ensure the continuation
' provide access to health agency data, of an agency's essential functions, the
Local boards of health are charged with systems, and services. When develop- board must include a devolution plan as
overseeing a health agency's operations. This ing these communication systems, the part of the COOP. The devolution plan
includes the day-to-day functions of the agency goal is to minimize the workplace risk should address how the agency will
as well as the operations during an emergen- for staff and provide a method to identify and transfer its essential functions
cy. This year, there has been increased facilitate communication in the from either its primary or alternate facility
attention to emergencies such as absence of person-to-person contact. to other employees and facilities and be
pandemic influenza and the possibility of health Some examples are teleconferencing able to sustain that capability for an
agency's operating with decreased staffing and telecommuting through remote log extended period of time.
levels. Boards of health must be ready for this in.
• Reconstitution: Boards must be
situation. part their duties, boards must to return back to "normal
ensure that t a Continuity of Operation Plans • Vital Records and Databases: What prepared
(COOP) are developed and can be activated is a vital record? Every agency may have operations" as quickly as possible after the
during an emergency. Boards must be involved a different answer. A vital record is an emergency. In order for this to be a
in this planning process as they are information item that is considered vital smooth transition, plans should outli
responsible for assuring health services to the operation of an agency. The procedures to re-occupy the agen
continue to be provided to the public even decision of what is vital and what is not main facility from the relocation site
during an emergency. The essential elements must be made by a local board of well as replacing personnel who may not
of COOPs are as follows: health. The two basic categories of be able to perform job duties following
vital records are emergency operating the emergency. ?
records and legal and financial records.
Emergency operating records include
I
Fourth Quarter, 2006 NALBOH NewsBrief Page 7
Environmental Health 8 Emergency Preparedness Contmued
Be Wise, Guys: Protect Ground Water
NATIONAL GROUND WATER AWARENESS WEEK / MARCH 11-17, 2007
0 hasn't poured household cleaning products down the drain, applied an extra dose of weed killer or pesticide, or thrown old paint or
the trash? People should think twice before doing it again. They may be polluting the ground water.
Proper disposal of hazardous household wastes will be a key message during National Ground Water Awareness Week, March 11-17,
2007, sponsored by the National Ground Water Association (NGWA).
Now is a good time for local boards of health to start planning for how to publicize proper disposal of hazardous household wastes to
constituents during National Ground Water Awareness Week.
What's the connection to public health? Almost half our nation's population gets all or part of its drinking water supply from the ground.
This includes families using private, household wells. Private well owners are responsible for making sure their water supply is safe.
Whether a person lives in the city or the country, there is something every individual can do to help or hurt ground water. Here are some
tips from the NGWA:
• Identify hazardous substances before discarding them. Common hazardous household substances include paint and paint
thinner, cleaning products, weed and bug killers and motor oil as well as some things we might not think about, such as old medicines.
When it doubt, home owners should check with their local waste authority or environmental protection agency about what is
hazardous.
• Don't pour it down the drain or put it in the garbage. Landfills, sewer systems and septic systems are not made to treat
hazardous wastes, so disposing of them in this manner can pollute ground water. The same goes for dumping hazardous substances on
the ground.
• Find out where hazardous wastes can be disposed of properly. Many local waste authorities sponsor periodic hazardous waste
collections. Otherwise, people should contact their local waste disposal authority or state environmental protection agency or
guidance.
• Don't over apply fertilizers, weed killers or pesticides. Consumers should follow product directions. Using more than is
recommended can harm ground water.
6 Water well or septic system owners should get regular maintenance checkups. NGWA recommends an annual water well
maintenance checkup and water test. Well owners can find an NGWA member contractor by going to <www.wellowner.org> and
clicking on "Contractor Lookup" Septic systems also should be regualrly serviced. Consumers can find National Onsite Wastewater
Recycling Association member contractors by using the association's "Septic Locator" service on its Web site at <www.nowra.org>.
• Maintain proper distances between the well and septic tanks, hazardous substances, roads and animal enclosures. Well
owners can learn more about proper clearance distances by calling their local health or environmental health departments.
• Properly seal old, unused water wells. An old well can be a pathway for contamination into the ground water. Unused or
abandoned wells should be properly sealed using a specialized procedure. This should be done only by a qualified water well contractor.
• Protect wells from surface water contamination. The well casing that goes into the ground should be specially grouted to
prevent polluted surface water from trickling down into the well. Also, the ground should slope away from a wellhead so that water
does not pool around it.
• Install anti-backflow devices to prevent accidental siphoning of contaminated water or fertilizers, pesticides or
herbicides into your well. Such accidents can occur when mixing substances in water using a hose or through landscape sprinkler
systems.
• Store hazardous materials properly. This means using sealed containers in a safe, secure place.
Everyone has a part to play, and local boards of health are critical to informing constituents on how to be "wise guys" and protect ground
water. Citizens can learn more about ground water and wells, at NGWA's Web site, <www.wellowner.org>. Also, local boards of health can
download a ground water protection poster from the "Awareness Week" page of Wellowner.org. ?
E-Coll Outbreak and the Need for Ongoing Public Education
The E-Coll outbreak from packaged spinach brought much needed attention to the volnerability of our food supply. As this outbreak
progressed, there were various health alerts from many agencies and organizations. During the same exact time as the outbreak, many of
my family members gathered for a celebration that had a catered meal included. A little over 30 hours later, almost like clockwork, several
of the family members came down with a mystery illness (or "the flu" as many insisted was the cause). As a public health professional, the
symptoms of this mystery illness made me suspicious. Unfortunately, some of the parties involved with this illness had their minds already
ade up and would not accept the possibility that it could be a food-borne illness. How could it be that 16 out of 21 people all contracted
flu at the same time? Even stranger, all 16 people who got "the flu" all ate the same rice and the other 5 people who were not ill didn't
the rice. This type of incident happens frequently and is often not reported to the health agency because the parties involved actually
believe or insist that they have "the flu." Boards must understand that these occurrences do happen frequently and must ensure that
there is ongoing public education regarding food-borne illnesses. Most people outside of the public health world would not recognize the
symptoms of E-coli or another food-borne illness and would classify their illness as "the flu." Boards of health must ensure that if there are
cases of food related illnesses in their jurisdiction, correct information regarding the illness is effectively disseminated to the public. A well
educated public will help the public health agency in their efforts to find the source and control the transmission of the illness. ?
d
Page 8 NALBOH NewsBrief Fourth Quarter, 2006
MacNeal Scholarship Award
Presented to •
]ennifer Gilchrist Walker &
Nasir Mustaq +
JENNIFER GILCHRIST WALKER - I was honored by the opportunity to attend i a
the 2006 NALBOH conference as a MacNeal Scholar, and thrilled to visit
San Antonio in the bargain. With its pedestrian-friendly streets and
captivating River Walk, the city was an inspirational setting in which to ~e
absorb information from the seminars, the surroundings, and the many i
wonderful individuals I met during the conference. f
O CC:
My interest in promoting physical activity through supportive a'
environments (e.g., more sidewalks and bike trails) coincided with 0
NALBOH's initiative to promote local board of health involvement in land
use planning and community design, leading me to apply for the
scholarship. As a Master's student completing a dual degree in Public Health and City and Regional Planning, I wanted to know more
about the role of local boards of health in making community policies and environments more conducive to routine physical activity,
and I indeed learned a great deal. People that I met at the conference, for instance, were an extremely diverse group. I talked not
only to public health professionals, but also individuals with backgrounds in parks and recreation, farming,
entrepreneuriahism, public communications, and many others. It was extremely encouraging to think that community-wide
concerns were being addressed so ardently by people with a breadth of local knowledge and connections. The potential for even
greater levels of collaboration between public health and land use planning around these important issues was certainly encouraging.
As another positive outcome, the conference allowed me to think outside my main area of interest and gain more exposure to the
wide range of issues facing local boards of health. What I took away was nothing less than a renewed admiration and sense of pride
in the ways that public health serves society. For example, disaster planning strategy for pandemic flu was a subject that I hadn't
spent time studying, yet a discussion with a local health director opened my eyes to the threat that disasters pose to communities,
and the painstaking work already being done to ensure readiness. Other educational highlights included the journalist panel discussion
to help public health practitioners connect more effectively with the media, a session on civic engagement for local health policy an1
regulation, a keynote speech showing that public deliberation can uncover competing values and bring consensus over the tradeoffs,
and also a presentation about confronting black male health disparities by funding a position in the health department to address that
specific issue. These and many other sessions left me with large and small insights that will impact my work now and in the
future.
Last but not least, one of the best opportunities at the conference was the ability to meet and network with others. As mentioned
earlier, the diversity of backgrounds of those in attendance was truly impressive. This conference underscored the necessity of
connecting with other colleagues within and across disciplines, since public health issues are complex and can best be addressed by
building consensus and political will. To that end, the conference was intimate enough to foster a sense of community and interaction
among old friends and newcomers. As a newcomer, the connections I made were not only professionally rewarding, but also made the
entire experience fun! I'd like to thank NALBOH again for the honor of attending, and for its hard work in organizing such an excellent
event. ?
NASIR MUSHTAQ - Being a medical and public health graduate, pursing a PhD in epidemiology, my primary aim in attending the annual
conference of National Association of Local Boards of Health was to better understand the role of local boards of health and the
responsibilities of their members in the field of public health.
The conference helped me in getting insights into how local boards of health function in collaboration with other health agencies to
effectively improve the quality of community health by community outreach programs and public involvement. I received first-hand
knowledge from different sessions about various public health issues, particularly those related to environmental health, and how
various community-based programs focused on these issues are being evaluated and implemented. This conference was a wonderful
opportunity to learn from the experience of public health professionals that the essence of an effective disease prevention program
lies in the synergetic relationship between public health intervention and active community participation. I learned how
multidisciplinary team can reduce health disparities and improve the access and quality of disease prevention programs throug
scientific knowledge, policy development, and design implementation.
It was also a great opportunity to broaden my vision for my PhD research into the effects of environmental factors and tobacco on
maternal child health and the need for new policies to address these concerns. By attending this conference, I improved my strength
and aptitude in research and enhanced my skills of policy development and decision making to effectively practice these
policies to address existing and emerging public health issues. ?
Fourth Quarter, 2006 NALBOH NewsBrief Page 9
A Public Health Perspective on 111ft • • • I
Pandemic Influenza From Marnie Glaeberman, Director of Government Relations
Od influenza experts believe that within the next few years a It's been an exciting
new strain of influenza is likely to appear. It probably will begin with month since I joined
a mutation in bird flu in Southeast Asia. Because no one will have NALBOH as the new
immunity to this new strain it is likely to spread far and wide - a Director of Govern-
pandemic - affecting perhaps forty percent of the world's popula ment Relations. I've
tion. The details of its "natural history" (how rapidly it spreads, how ue++11, '
long a person is infectious age groups affected, symptoms of:. spent the past few
weeks learning about
infection, fatality rate, etc) can't be known until after it first tiw%= NALBOH's activities,
appears. structure, and goals,
and getting to know
The new strain may not be greatly different or more dangerous than the staff in both
seasonal influenza. The key difference with the pandemic will be the Bowling Green and
huge number of people affected - greatly disrupting community Washington. It's also been an opportunity to begin meeting with
services, overwhelming health care facilities, affecting schools, NALBOH's many partners in and around Washington.
businesses, and transportation. The best way to head off a
pandemic is with widespread vaccination. Unfortunately an effective To that end, I had the opportunity last month ,to attend the CDC's
vaccine cannot be developed until the new strain appears and then Partners' Meeting here in Washington. A follow-up to the April
several months will be required before adequate quantities are avail- Leaders to Leaders Conference: Engaging the Power of
able. The next best intervention is a general anti-viral medicine (e.g. Partnerships, this 2-day meeting invited NALBOH and other national
"Tamiflu"). But we don't really know how effective it will be with organizations and experts to help define and prioritize objectives
the new strain and, at present, the stockpiles are inadequate. The within the CDC Health Protection Goals, Participants also offered
pandemic is likely to cycle through a population in a few "waves" perspectives on the CDC's role in relation to public and private
with each wave separated by a few weeks. After the first wave sector public health agencies.
most of those infected will have immunity and, because of the
passage of time, vaccinations may then be available to protect With responsibility for developing local public health vision, involving
others against subsequent waves. the community in local health priorities, and the core public health
functions of assessment, policy development, and allocation of
ne thinks we can stop or even head off a pandemic once it resources, local boards of health are key stakeholders in this
ns. All we might do is slow it down. The Centers for Disease process. As the CDC finalizes the Health Protection Goals and
Control and Prevention (CDC) is developing recommendations and objectives at the national level, it remains the purview of local health
strategies that communities might use to mitigate or reduce the boards to oversee their execution on the community level.
severest effects of a pandemic on society. The crisis occurs when so
many people are ill at the same time. If a pandemic can be slowed, The four CDC Health Protection Goals are:
then the peak number of sick persons may be spread out over a
longer time. Although the same number of people may ultimately * "People: Healthy People in Every Stage of Life" which divides
become ill, it makes a great difference to the resources available to targets by age group,
help those in need whether 40% of the population is ill at one time 0 "Places: Healthy People in Healthy Places;" addressing all aspects
or perhaps only 15%. Historic analysis of how different cities of environmental health, including home, school, workplace, built
responded to the pandemic of 1918 show that it is possible to slow environment, and others,
a pandemic and reduce the disruption to society. Personal behavior 0 "Preparedness: People Prepared for Emergency Health Threats;"
will be a key factor is slowing the pandemic. Follow your grandmoth- encompassing both terrorism and epidemics, and
er's common sense advice: "If you feel sick stay home - isolate 0 "Global: Healthy People in a Healthy World;" which targets
yourself. Avoid adults and children who appear sick. Keep at least international efforts.
three feet away from most people. Wash your hands frequently and
avoid touching your mouth, nose or eyes." The CDC is evaluating More information can be found on <www.cdc.gov> under "Goals."
the effectiveness and acceptability of other measures such as closing
schools, canceling large gatherings, and encouraging social isolation. The CDC planned to follow the Partners' Meeting with several public
The legal and ethical implications of any recommendations must also engagement forums where local leaders could provide additional
be considered. The detailed guidelines should be available in Decem- feedback on the CDC Goal Action Plans.
ber. At this time it is uncertain whether they will be applied on a
statewide or community basis. I look forward to providing a window into Washington for NALBOH
members, and hope to provide news that is relevant and useful to
Boards of health must make certain their local public health agency you in upcoming Reports from Washington. Until then, please
has developed the relationships, resources and protocols to let me hear from you via email at <marnie@nalboh.org or by phone
essfully deal with a pandemic. Checklists have been developed at (202) 218-4413 if you are interested in a particular issue,
e CDC and states to guide health departments in preparing for event, or group in Washington DC. I'm here to help keep you
a andemic. NALBOH has developed a Pandemic Influenza Checklist "connected" O
for Boards of Health that is available on its website at
<www.nalboh.org>. Pandemic influenza has not yet appeared. The
more complete our planning and preparation, the better we will
avoid the most severe consequences. An excellent source for
current information is <www.pandemicflu.gov>. 71
Page 10 NALBOH NewsBrief Fourth Quarter, 2006
NAIBON~ Tile U , Hoots
1
t Idr / 11
December 2006
2006 National Environmental Public Health Conference
Advancing Environmental Public Health: Science, Practice, New Frontier
December 4-6, 2006
Hilton Atlanta Hotel, Atlanta, Georgia
Sponsored by National Center for Environmental Health & the Agency for Toxic Substances and Disease Registry (NCEH/ATSDR), &
Centers for Disease Control and Prevention (CDC)
The conference will address the need to revitalize environmental public health, and it will chart the nation's vision for the future.
The conference will bring together a cross-section of federal, state, tribal, local, and international colleagues within the field of
environmental public health and its allied professions. Topics will include bio-monitoring; climate change; environmental justice;
environmental public health tracking; food and water protection; health disparities; healthy places and healthy homes; indoor air
quality; injury prevention; laboratory science and service; preparedness & response; public health policy and law; toxicants,
exposures, and contaminants; vector management; and workforce development.
For more information visit, <www.cdc.gov>.
February 2007
2007 Local, State and Federal Public Health Preparedness Summit
Partnering for Preparedness: Strategies & Solutions
February 16-23, 2007
Hilton Washington, Washington, DC
Sponsored by the National Association of County & City Health Officials
Your peers in public health-oriented professional associations, in cooperation with CDC and HRSA, have joined to design a program
of interactive sessions, hands-on learning workshops, and social opportunities that will leave participants inspired, energized and
j connected to their colleagues.
For more information visit, <www.naccho.org>.
Future Events
Ned E. Baker Lecture in Public Health
Co-Sponsored by the National Association of Local Boards of Health and Bowling Green State University, College of Health & Human
Services For iCfgrmation on previous and/or future Lectures in Public Health, visit <www.nalboh.org>
NALBOH's 8th Annual Lecture in Public Health
Leslie Beitsch, MD, JD
Director, Center for Medicine and Public Health
Florida State University
Law and Ethics in Public Health
Friday, March 30, 2007
j
NALBOH's 9th Annual Lecture in Public Health
Hugh H. Tilson, MD, DrPH
Senior Advisor to the Dean, Public Health Leadership Program
University of North Carolina at Chapel Hill
Institute of Medicine's Future of Public Health 20 Years Later
Thursday, April 3, 2008
Fourth Quarter, 2006 NALBOH NewsBrief Page 11
Term Term - Term Term
ends 12/31/07 ends 12/31/07 ends 12/31/07 ends 12/31/07
(Elected) (Elected) (Elected) (Elected)
,g,Kla Lee Kyle Allen
John Gwinn Alice Davis Gladys Curley Past President
President President-Elect Secretary/Treasurer 118 Oakwood Drive
511 Harvey Street 12 Augusta Drive 5447 Endicott Lane Havelock, NC 28532
Kent, OH 44240 Bowling Green, OH 43402 Columbia, MD 21044 Phone: (252) 447-3684
Phone: (330) 678-2239 Phone: (419) 352-9064 Phone: (410) 730-2308 Fax: (252) 447-4584
Fax: N/A Fax: (419) 352-6278 Fax: (410) 730-7131 Email: chieftwostars@
Email: gwinn@uakron.edu Email: acdavis@wcnet.org Email: mlcurley@erols.com bigfoot.com
a Term Term
ri : ends 12/31/09 ends 12/31/09
(Elected) (Elected)
Donna Rozar Ed Schneider
State Affiliate State Affiliate
1126 Ridge Road 7641 Leighton Avenue
Marshfield, WI 54449 Lincoln, NE 68507
Phone: (715) 387-8121 Phone: (402) 466-7196
• Fax: N/A Fax: (402) 466-7470
Email: superrn_2@charter.net Email: schneidered@msn.com
Term - Term Term Term
ends 12/31/07 _ ends 12/31/07 i ends 12/31/07 ends 12/31/07
(Appointed) (Elected) (Elected) (Appointed)
TBA Walter Stein Larry Hudkins TBA
East Great Lakes Region Mid Atlantic Region Midwest Region New England Region
Address 7 Chesapeake Road 8600 NW 112st Street Address
Address Manalapan, NJ 07726-3507 Malcolm, NE 68402 Address
Phone: Phone: (732) 792-3506 Phone: (402) 796-2254 Phone:
Fax: Fax: (732) 446-1576 Fax: (402) 796-2340 Fax:
Email: Email: was8@columbia.edu Email: Ichudkins@alltell.net Email:
r
Term Term Term
ends 12/31/08 ends 12/31/09 ends 12/31/09
1 (Elected) (Elected) (Elected)
dy Gallenstein Ann Benson Sharon Hampson
qWtheast Region West Region West Great Lakes Region
4 West 3rd Street 2389 East 1980 North 2510 Cass Street
Maysville, KY 41056 Layton, UT 84040 La Crosse, WI 54601
Phone: (606) 564-4308 Phone: (801) 544-9265 Phone: (608) 785-2022
Fax: (606) 564-7315 Fax: N/A Fax: (608) 785-9846
Email: jgallenstein@mason Email: ann_benson1000 Email: sharonkgh@charter.net
countykentucky.com @yahoo.com
rFL115th Annual ConferenEe
National Association of Local Boards of Health
September 18-21,2007
The Hotel Captain Cook
ANCmNORAGE
All pholas are courtesy of ACVB
ALASK
The Hotel Captain Cook in Alaska is Anchorage's only true luxury hotel and
is located in what is now the bustling hub of America's gateway to the Pacific Rim.
For more information on the Hotel Captain Cook visit <www.captaincook.com/>.
For more information on NALBOH's 15th annual conference, visit <www.nalboh.org>.
NALBOH
National Association of Local Boards of Health
1840 East Gypsy Lane Road, Bowling Green, OH 43402
Phone: (419) 353-7714; Fax: (419) 352-6278
Email: nalboh@nalboh.org; Website: www.nalboh.org