01/08/1997
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Mr. Keith Elmore, Chairman, called the regular business meeting of the New Hanover
County Board of Health (NHCBH) to order at 8:00 a.m. on Wednesday, January 8, 1997,
in the Carl Thomas Durham Auditorium, New Hanover County Health Department,
Wilmington, North Carolina.
Members Present:
W. Keith Elmore, RPh, Chairman
Mary King Dean, Vice Chairman
Mary Lou Alford, RN
Thomas V. Clancy, MD
Michael E. Goins, OD
Robert G. Greer
Dennis L. Jackson, DVM
William O'Kelly Jewell, DDS
Anne Braswell Rowe
William T. Steuer, PE, RLS
Estelle G. Whitted, RN
Members Absent:
Others Present:
Robert S. (Bob) Parker, Health Director
Frances F. De Vane, Recording Secretary
Invocation:
I Dr. Thomas Clancy gave the invocation.
Minutes:
Mr. Elmore called for corrections to the minutes of December 11, 1996. The minutes were
approved by the Board of Health.
Recognitions:
New Board of Health Members
On behalf of the Board of Health, Mr. Elmore welcomed and introduced the following three
new Board members to the New Hanover County Board of Health:
Dr. Wilson O'Kelly Jewell, Dentist
Mrs. Anne Braswell Rowe, Public Citizen
William T. Steuer, Professional Engineer/Registered Landscape Surveyor
Oath of Office
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Oath of office was administered by Mrs. Frances De Vane, Notary Public. Mr. Elmore
congratulated newly installed Board of Health members.
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Staff Recognitions
Mr. Parker introduced and welcomed the following health department employees:
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New Employee
Kelly P. Hill, Animal Control Officer, Animal Control Services
Linda K. Wilson, Clerical Specialist 1, Communicable Disease
Five Year Service Award
Jimmy Price, Animal Control Officer, Animal Control Services
Mr. Parker explained to the Board that the New Hanover County Commissioners recognize
county employees for each five years of service with either a gold pin or charm and that
health department employees are also recognized by the Board of Health at their regular
meetings.
Committee Reports:
Executive
Mr. Elmore, Chairman, Executive Committee, reported that the Executive Committee met I
at 6:00 p.m. on Monday, January 7. Issues discussed are on the Board agenda.
Department Focal:
New Hanover County Water and Sewer Systems
Mr. Dave Weaver, Assistant County Manager, and Mr. Wyatt Blanchard, County Engineer,
presented a department focal on the New Hanover County Water and Sewer Systems.
Mr. Blanchard gave an overview of the water and sewer systems.
Mr. Weaver explained there are five treatment plants in operation which are monitored 24
hours a day. The Southside Treatment Plant will be expanded. Proposed expansion
projects including treatment plants for sludge, water and sewer systems were presented
to the Board. A task force has been formed to address revenues for these projects.
Mr. Blanchard informed the Board that the New Hanover County Commissioners passed
an ordinance to amend the County Code to provide required metal clean-out boxes for all
sewer clean-outs on public and private property in the county.
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MOTION: Dr. Goins moved and Dr. Jackson seconded for the Board of Health to
approve a letter of support endorsing the ordinance to amend the New Hanover County
Code, Chapter 15, Water Supply System, Article II, Waste Water Collection and
Treatment, Section 15-90, Required Connections, Subsection (d), Installation of the
Connection, by adding a new subsection 5; entitled Metal Clean-out Boxes Required to
Mr. Blanchard, County Engineer. Upon vote, the MOTION CARRIED UNANIMOUSLY.
After discussion of drainage problems and the county water and sewer systems, Mr.
Parker recognized the NHCHD Environmental Health staff attending the Board meeting.
Unfinished Business:
New Business:
Appointment of Board of Health Committee Chairpersons and Committees
Mr. Elmore appointed the following 1997 NHCBH Committee Chairs and Committees:
Animal Control Liaison: Dr. Dennis L. Jackson
Budget:
Mrs. Mary King Dean, Chairman
Mr. W. Keith Elmore
Mrs. Mary Lou Alford
Dr. Thomas V. Clancy
Dr. Michael E. Goins
Mr. Robert G. Greer
Dr. Dennis Jackson
Dr. William O'Kelly Jewell
Mrs. Anne Braswell Rowe
William T. Steuer
Mrs. Estelle Grady Whitted
Environmental Health: Dr. Dennis Jackson, Chairman
Mrs. Mary Lou Alford
Mr. Robert G. Greer
Dr. William O'Kelly Jewell
William T. Steuer
Executive Committee: Mr. W. Keith Elmore, Chairman
Dr. Thomas V. Clancy
Mrs. Mary King Dean
Dr. Michael E. Goins
Dr. Dennis Jackson
Health Promotions:
Dr. Michael E. Goins, Chairman
Dr. William O'Kelly Jewell
Dr. Thomas V. Clancy
Mrs. Anne Braswell Rowe
Mrs. Estelle Grady Whitted
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Save Boards of Health
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Mr. Elmore recommended from the Executive Committee for the Board of Health to send
a letter to the New Hanover County Board of Commissioners requesting them to oppose
the North Carolina Association of County Commissioners (NCACC) legislative goal to seek
legislation to remove the population threshold and enable all counties to consolidate
human service governing boards. Reasons regarding whether the Board should support
or not pursue this legislation were discussed.
Mr. Parker informed the Board that the legislation discussion is on the agenda of the
NCACC Goals Conference which will be held January 9-10 in Raleigh, North Carolina. He
stated that the Association of North Carolina Boards of Health (ANCBH) recently voted to
oppose this legislation.
Mr. Greer explained that this legislation if passed will allow small counties to consolidate
human service boards and that he does not see it as a threat to nor would it necessarily
abolish all Boards of Health. He expressed it is not a bad idea to have one human service
board and that the legislation would benefit some counties. He reiterated that this is a
proposed goal of the NCACC Conference to be held on January 9-10.
MOTION: Mr. Elmore moved from the Executive Committee for the Board of Health to
send a letter to the New Hanover County Board of Commissioners requesting them to I
oppose the North Carolina Association of County Commissioners (NCACC) legislative goal
to seek legislation to remove the population threshold and enable all counties to
consolidate human service governing boards. Upon vote, the MOTION CARRIED.
l Aye
~ Nay
-L Abstained
Maternal Home Visits
Mr. Elmore recommended from the Executive Committee for the Board of Health to
approve the marketing of maternal home visits to the private sector with the understanding
that the program will be reviewed/evaluated within six months. He explained a new
position should be established to provide the service with revenues earned if the service
grows and generates revenues.
Mrs. Betty Jo McCorkle, Director, Women's Health Care, presented the request to the
Board for marketing of maternal home visiting. She explained that the Maternal Health
nursing team proposes marketing of high-risk maternal and postpartum maternal and
newborn home visits within 48 hours after birth to the private sector in our county. Staff will I
be on duty on weekends. Services are needed for prenatal patients who do not meet the
home health criteria of "homebound".
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Mrs. McCorkle reported that maternal home visits to the private sector should decrease
no-show rates, increase compliance, and improve pregnancy outcomes. Current staff will
provide these services until additional staff needs to be hired to meet the demand for
services.
Mrs. Alford inquired if these services are for high risk patients. Mrs. Alford asked if more
staff is needed, will it be funded. Mrs. McCorkle stated that home visits will be marketed
for high risks patients and that funds will be generated from services to provide additional
staff. Mrs. Whitted expressed there is a great need in this county for this 24-hour service.
MOTION: Mr. Elmore moved from the Executive Committee for the Board of Health to
approve marketing of maternal home visits to the private sector with the understanding
that the program will be evaluated within six months and a new position will be requested
if needed to provide the service with revenues covering all costs. Upon vote, the
MOTION CARRIED UNANIMOUSLY.
Reclassification - Community Health Assistant to Clinical/Clerical Assistant
Mr. Elmore recommended from the Executive Committee for the Board of Health to
approve the reclassification of the Community Health Assistant position to a Clinical
/Clerical Assistant in the Communicable Disease Division.
Mr. Parker explained that the reclassification of this position will provide additional clerical
skills and better utilization of personnel in the Communicable Disease Division and will
require no additional funding.
MOTION: Mr. Elmore moved from the Executive Committee for the Board of Health to
approve and recommend to the New Hanover County Board of Commissioners the
reclassification of the Community Health Assistant position to a Clinical/Clerical Assistant
in the Communicable Disease Division. Upon vote, the MOTION CARRIED
UNANIMOUSLY.
Comments:
Board Members:
Trauma Symposium
Dr. Clancy invited the Board to attend a Trauma Symposium from 8:00 a.m. - 4:30 p.m. on
February 8. Topics will include Clinical Trauma Care and other related topics.
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Budget
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Mr. Elmore announced that the Budget Committee will consist of the entire Board of Health
as it did in the prior year. Mrs. Mary Dean is Chairman of the Budget Committee. She
stated each Board member will be assigned a program budget.
Ms. Lynda Smith, Assistant Health Director, reviewed the timetable for the budget process.
After department heads complete their budgets, they will meet with Board members to
review budgets. Ms. Smith will furnish the Board with a budget schedule.
Map of Contaminated Wells
Dr. Jackson requested the preparation of a map displaying contaminated wells in New
Hanover County before next week.
Health Director:
Elected Officials List
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Mr. Parker distributed an Elected Officials List from the Board of Elections to Board
members.
Campaign for Tobacco-Free Kids Ad
Mr. Parker referred the Board to a Campaign for Tobacco-Free Kids ad featured in
Governing Magazine which was sponsored by the National Association of County and City
Health Officials.
Association of North Carolina Boards of Health (ANCBH)
Mr. Parker reminded Board members of the ANCBH Annual Meeting on January 24 at
the Velvet Cloak Inn, in Raleigh, North Carolina. Mr. John Coble has been nominated as
President Elect of ANCBH. Mr. Elmore, Mrs. Dean, Mrs. Alford and Dr. Goins plan to
attend this meeting.
Graduated Licensing Program
Mr. Parker furnished the Board with an informative article on Graduated Licensing I
Program. He stated that the Health Promotions Committee plans to address this issue.
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Health Policy Information Legislative Forum
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Mr. Parker invited the Board to attend a reception and a Showcase of Public Health to be
held from 5:00 p.m. - 6:30 p.m. on January 16 in the Carl Thomas Durham Auditorium
at the health department. Coastal Area Health Education Center will host a Health Policy
Information Legislative Forum from 6:30 p.m. - 8:30 p.m. at Coastal AHEC. The
Legislative Health Policy Reception and Forum are being sponsored by Bell South, Inc
Board of Health List and News Articles
Mr. Parker referred the Board to a Board of Health Roster and to news articles in their
packet related to Public Health issues.
Other Business:
Orientation Guide
Orientation guides were given to new Board of Health members. Mr. Parker explained that
each month a Board member provides the invocation for the Board meeting. This is an
optional assignment.
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Executive Committee Meeting
Mr. Elmore announced that the Executive Committee will meet immediately following this
meeting.
Adjournment:
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There being no further business, the regular business meeting of the Board of Health was
adjourned at 9:55 a.m.
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W. Keith Elmore, RPh, Chairman
New Hanover County Board of Health
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Robert S. (Bob) Parker, Health Director
New Hanover County Health Department
I Approved: