10/01/1997
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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, October 1, 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
Members Absent:
Estelle G. Whitted, RN
Others Present:
Lynda F. Smith, Acting Health Director
Frances F. De Vane, Recording Secretary
Invocation: Dr. Thomas Clancy gave the invocation.
Minutes:
Mr. Elmore called for corrections to the minutes of September 3, 1997 Board of Health meeting.
The minutes of the meeting of September 3, 1997 were approved by the New Hanover County
Board of Health.
Recognitions:
NCPHA Norton Group Award
Ms. Smith announced the Environmental Health and Laboratory Divisions of the New Hanover
County Health Department won the Norton Group Award at the 1997 North Carolina Public
Health Association (NCPHA) Annual Conference held on September 9-12, 1997, in Winston-
Salem, North Carolina. She congratulated and recognized the staff of the Environmental Health
and Laboratory Divisions, recipients of the Norton Group Award, one of the most prestigious
NCPHA Awards. Ms. Smith displayed the Norton Group Award plague and the framed
narrative for environmental and public health laboratory services in the community prior to and
following Hurricanes Bertha and Fran.
Glaxo Welcome Child Health Award - Honorable Mention
Ms. Smith congratulated and recognized Ms. Juanita Richardson, Public Health Nurse,
Community Health, recipient of Honorable Mention for the Glaxo Welcome Child Health
A ward for her delivery of outstanding services in the health department Lead Program.
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Staff Recognitions
Ms. Smith recognized the following health department employees:
Five (5) Year Service Award
Cathy H. Timpy, Environmental Health Specialist, Environmental Health
New Employees
Janet Farrell, Clerical Specialist I, Communicable Disease
Diana Williams, Clinical/Clerical Assistant, Communicable Disease
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On behalf of the Board of Health, Mr. Elmore congratulated the health department award
recipients and welcomed the new employees to the health department staff.
Department Focal:
Breast Cancer Awareness Pink Ribbon Campaign
Mrs. Nancy Russ, Public Health Nurse III, Women's Health Care Division, presented the
department focal on the Breast Cancer Awareness Pink Ribbon Campaign. She stated the health
department received CDC funding to begin a Breast and Cervical Cancer Control Program
(BCCCP) in January 1997 for breast and cervical cancer education and screening tests for
women age 50 or older without medical insurance who qualify financially. She stated patients
with abnormal results are referred to appropriate New Hanover Regional Medical Center
(NHRMC) clinics for follow-up.
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Mrs. Russ stated in honor of National Breast Cancer Awareness Month, Governor Hunt
proclaimed October 5-12, 1997, Pink Ribbon Week in North Carolina. She explained the
health department worked with NHRMC planning campaign activities and a Breast Screening
Clinic to be held on Saturday, October 4, at the New Hanover Regional Center Mall.
Mrs. Russ distributed to the Board a pink bag of incentives containing pink ribbons to be worn
during the Pink Ribbon Campaign as a symbol of hope for a cure for breast cancer. Ms. Russ
announced 3,207 pink ribbons have been distributed by area churches, businesses, and
organizations.
Mr. Elmore thanked Mrs. Russ for her presentation and the information on Breast Cancer
Awareness Pink Ribbon Campaign.
Committee Reports:
Environmental Health Committee
Dr. Dennis Jackson, Chairman, Environmental Health Committee, reported the Environmental
Health Committee met at 6:00 p.m. on Monday, September 8, 1997. He informed the Board the
revised draft agreement for the proposed installation of the sewer connection at Hanby and
Wilmington Beaches prepared by the New Hanover County Attorney has been accepted by the I
Carolina Beach and Kure Beach Town Councils and the New Hanover County Commissioners.
The county is to fund the installation of the sewer and then is to be reimbursed through
connection fees received by Carolina and Kure Beaches. On behalf of the Board of Health, Dr.
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Jackson recommended for the Board of Health to request that Ms. Smith prepare a letter of
appreciation to the Carolina Beach Town Council, Kure Beach Town Council, and New
Hanover County Commissioners for their efforts for the sewer connection at the beaches.
MOTION: Dr. Jackson moved for the Board of Health to request Ms. Smith to prepare a letter
of appreciation to the Carolina Beach Town Council, Kure Beach Town Council, and New
Hanover County Commissioners for their participation in the cooperative resolution of the
sewer connection at the beaches. Upon vote, the MOTION CARJlUE]!)) lUNANIMOUS]L Y.
Executive Committee
Mr. Elmore, Chairman, Executive Committee, reported the Executive Committee met at 6:05
p.m. on Tuesday, September 23, 1997. Items discussed at the meeting are listed under New
Business on the Board of Health Agenda.
Health Promotions Committee
Dr. Michael Goins, Chairman, Health Promotions Committee, reported the Health Promotions
Committee met at 6:10 p.m. on Monday, September 29, 1997 and discussed the Community
Diagnosis (CDx) process. He stated the CDx (traditionally prepared every two years) is not
mandatory and is used by the State Health Director in planning his budget request to be
submitted to the North Carolina General Assembly
Dr. Goins reported the Executive Committee approved for the Health Promotions Committee to
discuss, review, and develop the 1998 Community Diagnosis since a Community Planning
Committee was not appointed in January 1997.
Dr. Goins recommended from the Health Promotions Committee for the health department
Management Team to identify the health issues by priority for New Hanover County for the
Community Diagnosis and submit these to the Health Promotions Committee for development
of the CDx.
MOTION: Dr. Goins, Chairman, moved from the Health Promotions Committee for the Board
of Health to approve for the New Hanover County Management Team to identify New Hanover
County's Health Issues for the Community Diagnosis and to present their health issues to the
Health Promotions Committee for review and development of the Community Diagnosis.
Upon vote, the MOTION CARJlUE]!)) UNANIMOUS]L Y.
Dr. Goins reported Fred Michael, Project ASSIST Coordinator, presented information regarding
a Merchant Education Plan. The educational endeavor was approved by the Health Promotions
Committee and is to begin in October and to be concluded by January 1998.
Mr. Michael informed the Board the Merchant Education Plan is a component of the Annual
Action Plan required by the State Project ASSIST Program. A free Responsible Retailer Kit is
to be furnished and a letter is to be sent to merchants informing them of the changes in the
Youth Access To Tobacco Legislation to strengthen the current law and provide continuous
supervision or locking devices on vending machines.
Search Committee
Mr. Keith Elmore, Chairman, Search Committee, announced the selection of Mr. David E. Rice
to the position of Health Director for New Hanover County. He stated Mr. Rice is leaving a
seven-year term as District Health Officer of Washoe District Health Department in the Reno,
Nevada area and is bringing 19 years of experience working with local and regional health
programs. Mr. Rice is to be employed as New Hanover County Health Director on November 10, 1997.
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Mr. Elmore thanked the Board of Health and the Search Committee for their sincerity and
dedication in the selection process of the Health Director. He commended Mrs. Smith, Acting I
Health Director, for a job well done.
Unfinished Business:
Partnership For Children Grant Awarded
Mrs. Janet McCumbee, Child Health Director, announced the Partnership For Children Smart
Start Grant ($76,569) was awarded to the health department. She explained during the FY98
budget process the Board of Health approved two positions which were removed from the
budget request pending notification of the grant approval. These positions were a Licenced
Practical Nurse II (Pay Grade 113, $21,757) and a Medical Office Assistant (Pay Grade 111,
$19,698).
Mr. Elmore recommended from the Executive Committee for the Board of Health to accept
and approve the Partnership For Children Smart Start Grant ($76,569) to fund the LPN II and
MOA positions. No local funding is required.
MOTION: Mr. Elmore, Chairman, moved from the Executive Committee for the Board of
Health to accept the Partnership For Children Smart Start Grant ($76,569), to fund the LPN II
(Pay Grade 113, $21,757) and MOA (Pay Grade 111, $19,698) positions, and to submit this
request to the New Hanover County Commissioners for their consideration. Upon vote, the
MOTION CARRIED UNANIMOUSLY.
Mrs. Dean inquired about the number of health department Well Baby Clinics for non-Medicaid I
clients. Mrs. McCumbee informed Mrs. Dean that health department health check clinics are
held for non-Medicaid babies.
New Business:
Grant Procedure Flow Chart
Mr. Elmore presented a revised Grants Procedure Flow Chart approved by the Executive
Committee. He explained the revisions to the flow chart are to add a box indicating action if
the Board of Health Executive Committee denies a grant application and to add a foot note
stating: "If the deadline for a grant application is approaching, the Board of Health Executive
Committee may move a grant application forward by approving the grant for application and
reporting the action to the Board of Health." He stated Ms. Smith had produced the flow chart.
Dr. Goins stated according to the Grant Procedure Flow Chart the grant application will go the
Board for their approval, if the deadline is close the Executive Committee can move the grant
forward and report the action to the Board of Health.
Dr. Clancy suggested that an application could be returned for revisions after Board of Health
review and suggested a dotted line showing a break in the circuit to allow this step and to show
the revisions to be made and approved by Health Director and signed off by the Board of Health
Chairman.
Mr. Greer stated the Board of Health needs to approve all grants. Mrs. Dean stated that the
rational is to keep the Board of Health informed of grant applications.
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Mr. Elmore explained under the grant process the Board of Health will eventually approve all
grants before they become effective. The flow chart was designed to move the grant application
forward if there are time constraints.
MOTION: Mr. Elmore moved from the Executive Committee for the Board of Health to
approve the Grant Procedure Flow Chart as presented and to make the following revisions to
reflect that revisions may be made by the Health Director and signed by Board of Health
Chairman. Upon vote, the MOTION CARRIED UNANIMOUSLY.
Reclassification: Child Health Service Coordination Public Health Nurse II to PHN III
Mr. Elmore presented a request for the reclassification of a Public Health Nurse (PHN) II
position to a Public Health Nurse III position in Child Service Coordination. He explained the
Child Health Division under the direction of Mrs. Janet McCumbee is the only Nursing Division
without either a nursing or a clerical supervisory position. The reclassification to a PHN III is to
assume some supervisory responsibilities to assist the Child Health Director.
Mr. Elmore recommended from the Executive Committee for the Board to approve the
reclassification of the PHN II to a PHN III position in Child Services Coordination.
MOTION: Mr. Elmore moved from the Executive Committee for the Board of Health to
approve the reclassification of a Child Health Service Coordination Public Health Nurse II
position to a PHN III position. Upon vote, the MOTION CARRIED UNANIMOUSLY.
Child Fatality Prevention Team Annual Report
Mrs. Janet McCumbee, Child Health Director, summarized the Child Fatality Prevention Team
Annual Report. She stated the New Hanover County Child Fatality Prevention Team is a group
comprised of community representatives from diverse agencies and disciplines, who meet every
two months to address the causes of childhood death, identify deficiencies in service delivery of
public agencies to children and families, and to make recommendations to prevent child death.
Mrs. McCumbee reported the team reviewed 13 death certificates in 1995-96. Causes of death
include perinatal conditions, accidents, illness, and birth defects. She stated no
recommendations were made concerning perinatal conditions and birth defects as the team
found there are adequate resources for prenatal care. General prevention of child deaths
included car safety seat training through the health department, DSS workers, law enforcement
agencies; improved parenting educational materials on toxic substances; and the provision of
car seats and smoke detectors.
Mrs. Dean requested more daycare guidelines for children who have asthma.
Comments:
Board Members
Dr. Goins reported this morning he heard a telephone interview with Mr. Rice; Mr. Rice was
most complimentary of staff and stated that he is looking forward to coming to Wilmington.
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Acting Health Director
UNCW Nursing Students
Ms. Smith welcomed and recognized nursing students from the University of North Carolina @
Wilmington attending and observing the Board of Health meeting.
Association of North Carolina Boards of Health - Leadership Institute "Academv at the
Beach"
Ms. Smith encouraged Board members to attend the ANCBH - Leadership Institute, "Academy
at the Beach, " to be held on October 10 - 11, 1997, at the Blockade Runner Hotel on
Wrightsville Beach, North Carolina. Five Board members are registered to attend the
"Academy at the Beach."
North Carolina Pubic Health Association (NCPHA) 1997 Annual Conference - Robert
Spencer Parker Scholarship
Ms. Smith announced NCPHA awarded a new scholarship in honor of Mr. Parker, former New
Hanover County Health Director. The Robert Spencer Parker Scholarship was awarded at the
NCPHA 1997 Annual Conference held on September 9-12, 1997, at the Adams Mark Hotel,
Winston-Salem, North Carolina, and will be awarded each year in the amount of $500 to
$1,000.
Inner City Rabies Clinic (Donated $) Saturday. November 1. 1997. 12:00 p.m. - 4:00 p.m..
Five Points Community Center
Ms. Smith announced that the Annual Inner City Rabies Clinic is to be held on Saturday,
November 1, 1997.
Community Diagnosis - January 15. 1998
Ms. Smith announced that the Community Diagnosis is due on January 15, 1998.
County's Untied Way Campaign
Ms. Smith recognized Mrs. Nancy Russ, Public Health Nurse, Co-Chair of the Health
Department's United Way Campaign. Mrs. Russ recognized her Co-Chair Mrs. Shirley Lloyd,
Clerical Specialist. Mrs. Russ stated the kick-off for the United Way Campaign is October 2
and it ends on October 31. The goal for the health department is $4,500.
Other Business:
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Minutes of September 16. 1997
Mr. Elmore called for corrections to the Board of Health Closed Session Meeting on September
16, 1997. The minutes of the September 16, 1997 meeting were approved as submitted.
There being no further business, the regular business meeting of the Board of Health was
adjourned at 9: 1 0 a.m.
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New Hanover County Board of Health
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Lynda F. Smith, Acting Health Director
New Hanover County Health Department
Approved: