07/11/2001
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New Hanover County Health Department 1141//
Revenue and Expenditure Summaries for Ascii iaa'1
Cumulative: 91.63% Month 11 of 12
Revenues
Current Year Prior Year
ypeof Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned Remalnln
ederal & Slale $ 1,337,583 $ 1,046,702 $ 290,881 78.25% $1,346,871 $1,188,426 158,445 88.24%
C Fees $ 523,044 $ 484,584 r $ 38,460 92.65% $ 516,453 $ 384,709 131,744 74.49%
edicaid '" (gO I $ 941,900 $ 615,414 $ 326,486 65.34% $ 852,884 $ 841,932 210,952 75.27%
edicaid Max $ 153,479 $ 153,479 100.00% $ 315,511 $ 366,891 (51,380) 116.28%
H Fees $ 312,900 $ 271,645 86.82% $ 312,900 $ 283,507 29,393 90.61%
ealth Fees $ 112,015 $ 133,172 118.89% $ 109,515 $ 117,950 (8,435) 107.70%
her $ 1,319,585 $ 1,148,460 87.03% $ 824,269 $ 777,200 47,069 94.29%
Expenditures
Budgeted
Amount
Current Year
Expended Balance
Amount Remalnin
Prior Year
Expended Balance
Amount Remalnln
%
%
Budgeted
Amount
Summary
Budgeted Actual %
FY 00-01 FYOO-01
Expenditures:
Salaries & Fringe $8,205,489 $7,092,824
Operating Expenses $1,974,333 $1,477,859
Capital Outlay $582,100 $391,766
Total Expenditures $10,761,922 $8,962,449 83.28%
Revenue: $4,700,506 $3,853,456 81.98%
Net County $$ $6,061,416 $5,108,993 84.28%
Revenue and Expenditure Summary
For the Month of May 2001
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
REQUEST FOR BOARD ACTION
Meeting Date: 07/,lJ 101
Department: Health Presenter: Lynda Smith/ Trish Snyder
Contact: Lynda Smith, 343.6592 Trish Snyder 763.4419
SUBJECT:
Cape Fear Memorial Foundation Grant Application, $75,000 for Lose Weight
Wilmington.
BRIEF SUMMARY:
We are requesting approval to submit a grant application for $75,000 to the Cape Fear Memorial
Foundation fOr a Lose Weight Wilmington project. Weight management is a key strategy to prevent the
onset of diabetes as well as to help bring it under control. Because adults resist exercise more than they
rebel against making healthful food choices and limiting portion sizes, Lose Weight Wilmington (LW\^,?
will target overweight adults and widely promote the benefits of weight loss and a healthy diet. LWW
will recruit and enroll 800 - 1000 participants. Activities will focus on helping people bring physical
activity into their daily life. A Program Coordinator and a Fitness Leader will be contracted to carry out
the goals of the program (see budget page in grant application).
Lose Weight Wilmington will engage partners such as the YMCA, YWCA, Senior Center, UNCW, Cape
Fear Community College, Mall Walkers, City of Wilmington, New Hanover Health Department,
Wellness Department of New Hanover Health Network, churches and members of the Diabetes Today
Coalition. Partners will help provide in-kind space, speakers, and program services as well as program
participants. Enrollees will be recruited from partners, physician offices and through media sponsors. A
fun and spirited campaign with all partners will publicly kickoff LWW in January 2002.
Six 8 week sessions will be offered. Participants can re-enroll after comp1eting each 8 week session.
Teams of 4 - 40 people will set goals for weight loss and physical activity. The Fitness Director will
supervise physical activity, lead classes, monitor activity progress and arrange mass exercise sessions
with Sports Teams such as the Wilmington W A VFS and the Hammerheads. The Coordinator will
organize and promote hi-monthly events for enrollees including Shape Up breakfasts, weigh-ins, group
physical activity, and guest speakers on diabetes awareness, motivation, nutrition, and healthful living.
Community contests will solicit the LWW Tip for the Day and media sponsors will include the Tip as a
public service. Incentives and rewards for individuals and teams will be offered for successful
participation. A graduate student in the UNC MPH program will monitor progress towards
individual/ team weight loss goals, self-reports and through non-invasive health screenings.
RECOMMENDED MOTION AND REOUESTED ACTIONS:
Approve $75,000 grant application to be submitted to the County Commissioners.
FUNDING SOURCE:
Cape Fear Memorial Foundation $75,000 (and a $5,000 grant from the North Carolina Diabetes
Prevention and Control Unit, Department of Health and Human Services which wiil be applied for
later.this would make the total project $80,000 if approved). No county match required.
ATTACHMENTS:
Yes, 11 pages including a budget page and 5 letters of support.
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APPLICATION FOR FUNDING WILL BE ACCEPTED ONLY IF A LETTER OF INQUIRY HAS BEEN
SUBMITTED BY ORGANIZATION AND APPROVED BY CFMF PRESIDENT
Application Fonn Revised: 4130/99
CAPE FEAR MEMORIAL FOUNDA T/ON
GRANT APPLlCA TION FORM
I PART I:
YOUR ORGANIZATION
Name: New Hanover County Health Department
Street Address: 2029 South IT" Street
City, State & Zip Code Wilmington, North Carolina 28401
Name of Key Contact Person: Lynda Smith Trish Snyder
Title: _Assistant Health Director Program Coordinator
Telephone #: 910-343-$92 Trish 910-763-4419 Fax #: 910-341-4146
Fiscal Year End June 3D, 2001 Federal Tax I[)# 5EH3000324
1. Is your organization a nonprofit, tax-exempt organization under IRS Code Section 501 (c) (3) or
a governmental unit? If not, you do not qualify for a grant. If your organization Is a 501 @ (3),
please attach a copy of your current IRS tax-exemption letter with this Application. YES.
2. Is your organization a privata, nonoperating foundation? If Yes, you do not qualify for a grant.
NO
3. Would a grant from Cape Fear Memorial Foundation In the amount being requested Jeopardize
your tax-exempt status? NO
4. Will any of these funds be used to pay a nationally affiliated organization? If yes, please
explain. NO
5. Does your organization now, or does It plan In the future, to engage In any way In the
promotion or advancement of political causes? If yes, please explain.
Organization is a local public health department with a Board of Health appointed by the County
Commissioners. The department does not engage in political activity
6. Summarize your organization's background, goals and current programs.
DIscuas your assets In personnel, services and programs which could be built upon by the
Foundation's help.
Background, Goals, and Current Programs
New Hanover County Health Department boasts being the first health department In the nation. The
North Carolina's State Board of Health was established in 1877 with Dr Thomas Fanning Wood of
Wilmington es its first secretary. Dr. Wood is considered the Father of Public Health. The New Hanover
County Board first met on June 14, 1879, which is the oldest recorded Board of Health meeting.
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APPLICATION FOR FUNDING WILL BE ACCEPTED ONLY IF A LETTER OF INQUIRY HAS BEEN
SUBMITTED BY ORGANIZATION AND APPROVED BY CFMF PRESIDENT
Application Fonn Revised: 4130199
New Hanover County Health Department (NHCHD) is a public health facility which is a part of the local
county government and provides public health and clinical services to citizens of New Hanover County.
Funding comes from federal, state, local govemment, and grant sources.
6. cont'd
Our Mission is:
To protect the public health and environment,
promote health living,
and optimize the quality of life through
preventive, restorative, and environmental and educational services
Our Motto is:
Your Health Our Priority
The Health Department has 10 divisions offering programs for the prevention of disease and the
promotion of health. Those divisions are: Administration, Animal Control Services, Child Heath,
Communicable Disease, Community Health, Dental Health, Environmental Health, Laboratory, Nutrition,
and Women' HealthlHealth Promotion. (Please see the attached brochure for the array of programs
under each division.)
In OcIober of 2001, the Board of Health and staff held a 2 day Strategic Planning Retreat to establish
health prioltles to improve the health of citizens in New Hanover County. Based on analysis of much data
including stakeholder surveys, Community Health Assessments, and focus group information, 10
Strategic Planning Priorities were established. These are listed below:
1 Access to health care 6. Emerging health risks
2. Preventive services and Iifestyle-related risks 7 Population growth & diversity
3. Communication, education & marketing (promotion) 8. Discontinues servs.p1cked up
4. Facility utilization & information technology 9. Staff Development & continuing education
5. Water quality, storm water management&drainage; 10. Evaluation of services
i. & air quality
During a time of limited financial resources, focusing on these priorities will assist us in addressing the
most critical needs of public's health.
Assets in Personnel, Services and Programs which could be built upon by the Foundation's help
Especially during this time of dwindling federal, state, and county financial resources, the Health
Department Staff seek every opportunity to apply for grants to help provide new programs, expand
existing programs, or simply to continue much needed programs. For the period of July, 1999 to date we
have written grant applications for $1,178,883 and have been awarded $383,900. Of the total, $290,221
is still pending approval.
7. Describe your organization's structure and attach a list of your officers and directors.
The Health Department is structured with 10 Divisions, each managed by a division director under the
supervision of the Health Director and Assistant Health Director. The entire department is governed by
an 11 member Board of Health who are appointed by the Board of County Commissioners through an
application process. The Health Department is a Department of the local (New Hanover County) county
government. See the attached list of Board Members and Division Directors.
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APPLICATION FOR FUNDING WILL BE ACCEPTED ONLY IF A LETTER OF INQUIRY HAS BEEN
SUBMITTED BY ORGANIZATION AND APPROVED BY CFMF PRESIDENT
Application Form Revised: 4I3OJ99
CAPE FEAR MEMORIAL FOUNDATION
GRANT APPLICATION FORM
I PART II: PROJECTIPROGRAM ( Please quantify whenever possible.)
1. Describe the problem/need that the program/project will address.
Too many calories and too little exercise has led to illCr! nail rates of obesity, a surge in diabetes and an
ever increasing number of people at-risk for Type 2 diabeles. This risk goes up as people get older, are
overweight or not active. In the last ten years, obesity has ina e an II by 60%, diabetes has increased by
40%. This mix has led to the phenomenon of diabesity. The probIern is even more pronounced in
southeastern North Carolina where 9.9% of adults indicated that they had diabetes, neaI1y twice the 5.4%
found nationally. Over two-thirds (67.3%) in the region are identified as at an 'unhealthy weight",
significantly higher than the national rate of 58.5% and the Healthy People 2010 goal of 40% or less.
2. Describe the objective of the project/program and indicate how Individual lives of the
recipients will be changed and what benefits are expected to result.
Weight management is a key olb..b:oyy to orevent the onset of diabetes as well as to help bring It under
control. Because adults resist exercise more than they rebel against making healthful food choices and
limiting portion sizes, Lose Weight Wilmington (LWWJ will target overweight adults and widely promote
the benefits of weight loss and a healthy diet. LWWwill recruit and enroll 800 - 1000 participants.
Activities will focus on helping people bring physical activity into their daily life.
ScIentific studies show that once people ina ease their exercise and make it part of their dally routine,
their eating habits change for the better. There is clear evidence that overweight people who drop
sufficient pounds to achieve a healthy weight can maintain their new weight if they exercise dally The
additional benefits of cardiovascular health, improved mental status, strength, flexibility, balance and the
delay or prevention of Type 2 diabetes will accrue to all active participants.
3. Describe the strategies you will develop to accomplish the objective.
Lose Weight Wilmington will engage partners such as the YMCA, YWCA, Senior Center, UNCW, Cape
Fear Community College, Mall Walkers, City of Wilmington, New Hanover Health Department, Wellness
Department of New Hanover Health Network, churches and members of the Olabeles Today Coalition.
Partners will help provide in-klnd space, speakers, and program services as well as program participants.
Enrollees will be recruited from partners, physician offices and through media sponsors. A fun and
spirited campaign with all partners will publicly kickoff Lose Weight WIlmington In January 2002.
Six 8 week sessions will be offered. Participants can re-enroll after completing each 8 week session.
Teams of 4 - 40 people will set goals for weight loss and physical activity. The Fitness Director will
supervise physical activity, lead classes, monitor activity progress and arrange mass exercise sessions
with Sports Teams such as the Wilmington WAVES and the Hammerheads. The LWWCoordinator will
organize and promote bi-monthly events for all enrollees to include Shape Up breakfasts, weigh-ins, large
group physical activity, and guest speakers on such topics as diabeles awareness, motivation, nutrition,
and healthful living. Community conteste will solicit the LWW Tip for the Day and media spollSOl'8 will
include the Tip as a public service. Incentives and rewards for individuals and teams will be offered for
SUO( i i sful participation.
4. State how, when, and who will conduct an evaluation to measure how well your
project/program is meeting its objactive. A graduate student in the UNC MPH program will monitor
pi ogress talNards individual and team weight loss goals, self-reporls and through non-invasive health
screenings.
I PART III: FINANCIAL INFORMATION
1. Amount requested from Cape Fear Memorial Foundation. $75,000
2. Budget and audit attached
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APPLICATION FOR FUNDING WILL BE ACCEPTED ONLY IF A LETTER OF INQUIRY HAS BEEN
SUBMITTED BY ORGANIZATION AND APPROVED BY CFMF PRESIDENT
Application Form Revised: 4130199
CAPE FEAR MEMORIAL FOUNDATION
GRANT APPLICATION FORM
3. List the names of organizations, both public and private, to which you have applied for
support for support for this specific project/program. Also show the amount requested and the
status (pending, approved or disapproved).
Oroanization
Amount
Status
Pending
NC Diabetes Prevention and Control Unit
$5,000
Other
Total
~
4. Describe how your project/program will become self.ufficient within three years.
The initial target group of 1000 will not need the program services once they make lifestyle changes to
improve eating habits and make physical activity a part of their daily lives. They l!l1ill be self.ufficient. But
the climbing rales of obesity and diabetes are epidemic. Poor diet and inactivily are overtaking smoking
as a preventable cause of death in the U.S. There are 300,000 deaths each year because of obesity.
With the rising mix of obesity and diabetes, this number will increase. As long as this dangerous pattern
continues, a program such as this cannot be self-sufficient.
With a cost of less than $100.00 per person for Lose Weight Wilmington, it is reasonable that employers,
HMOs and insurance companies could be charged to cover the costs of the program for their
constituencies. While there has been a growing awareness of the need for health maintenance and
preventative services, there unfortunately has not been a corresponding willingness to pay for such
services on the part of most insurers.
5. If the funds are to be used for construction or equipment acquisition, explain the bidding
process.NlA
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APPLICATION FOR FUNDING WILL BE ACCEPTED ONLY IF A LETTER OF INQUIRY HAS BEEN
SUBMmED BY ORGANIZATION AND APPROVED BY CFMF PRESIDENT
Application Fonn Revised: 4130199
CAPE FEAR MEMORIAL FOUNDATION
GRANT APPLICATION FORM
I PART IV: REPORTING REQUIREMENTS
Do you agree to furnish to Cape Fear Memorial Foundation, in a timely manner,
periodic progress reports infonning the Foundation of the progress made by your
projectlprogrem? YES
If Progress Report forms are enclosed for projects previously funded for which an annual report
has not yet been made. please complete the forms and retum with this Application.
SUBMITTED BY:
David E. Rice. Health Director
Typed Name of Chief Executive Officer of Requesting Organization
Signature of Chief Executive Officer
Health Director
Date
Title
Dr. Wilson O'Kelly Jewell
Typed Name of Chairman of the Board of Directors
Signature of Chainnan of the Board
of Directors
Date
Signature of Chief Executive Officer and Board Chairman Is required for Application to be viewed
as complete.
COmpleted Application must be received In the Office of Cape Fear Memorial Foundation by 5:00
p.m. on the cutoff date for each grant cycle. The cutoff dates are January 15 and July 15 annually.
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APPLICATION FOR FUNDING WILL BE ACCEPTED ONLY IF A LETTER OF INQUIRY HAS BEEN
SUBMITTED BY ORGANIZATION AND APPROVED BY CFMF PRESIDENT
Application Fonn Revised: 4130199
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CAPE FEAR MEMORIAL FOUNDATION
GRANT APPLICATION FORM
I Part III: Question 2 Attachment, projectlProgram Infonnation
Develop a complete project/program budget, including income and expenses for the period you are
requesting funds as shown below:
Project Budget:
From
October15,2001 To December31,2002
Income
NC Diabates Prevention and Control Unit 5000
Cape Fear Memorial Foundation 75,000
TOTAL 80,000
e Expense
Contracted Personnel Services
Program Coordinator @ $251hr. 25.000
Fitness Leader @ $201hour 25.000
Clinical and other Professional Services @35Ihr 3500
Promotion and Marketing
Print and educational materials 4500
Advertising, posters. displays 3500
Incentives and awards 5000
DesIgn development 1500
Newsletter 5000
Motivation and R_ard Special Events
Such as Battle of the Bulge at the Battleship, 4000
Shape Up Breakfasts at the Park, A to Z Weight Loss
at the y. 2002 and Counting Kickoff event
Travel. phone, postage 1500
Supplies 1500
TOTAL EXPENSES $80,000
e Total Expenses: $80,000 Total Income: $80,000
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FROM YWCA OF WILMINGTON
Jun. 07 2001 09:32RM P1
PHONE NO.
910 799 5681
W
YWCA
of the Lower Cape Fear, Inc.
;!ll1 ~ $cull1 Coll109e Read
WilmingtOn, NC 28412.6826
ilC1-rw-1lll20
Fax: 91o.7"'~1
June 6, 2001
Mr Garry Garris. President
Cape Fear Memorial Foundation
2508 Independence Boulevard, Suite 200
Wilmington. North Carolina 28412
Dear Mr. Garris:
The YWCA 01 the Lower Cape Fear supports the New Hanover County Health
Department in their plans to Implement the Lose Weight Wiimington Program. We believe
it will make a valuable contribution to the goals of increasing understanding of diabetes
and obesity In our area. We e.gerly look forward to working with the New Hanover
County Health Department and other community organizations during this campaign to
improve the health of our community
We are happy to support the efforts 01 this program.
With kindest regards,
p~~~r~~' 0 .~
E;xecutive Director
A Un~ way AQency
: r'
; liff
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JUN-05-01 TUE :5:48
P. 02
NEW HANOVER COUNTY
DEPARTMENT OF AU!f';G
2222 SOUTH COLLEGE ROAD
WILMINGTON, NORTH CAROLINA 28403
TEI-EPHO."E (9JQ) 45;.64001"""(910) 452-641!
'\NN~TTE C1(\',MrTON
Dire(:l"Z
June 5,2001
Gary Garms, President
Cape Fear Memorial Foundation
2508 Independence Blvd. Suite 200
Wilmington, NC 28412
Dear Mr Ganiss:
1 writing in suPPOrt of the New Hanover County Health Department's efforts to apply for
a grant from Cape Fear Memorial Foundation tu aadress "diabesity" in our community.
As the Director of the Department of Aging, I am very concerned with the number of
elderly persons who are over weight and the increasing cases of diabetes. I am very
pleaSed to hear the Health Department, if funded, will implement a program to address
these two health problems The Senior Center is committed to providing fitness activities
to alea older adults and would like to be involved in the Lose Weight Wilmington
program,
I comment the Health Depa~menl for their efforts to keep OUI community healthy and
safe.
Sincerely,
/' ,1/
~ ~'. ?t..",~ l;:.-',,<.4....~-
Annette Crumpton
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Cape Fear Hospital
5301 Wrlghtsville Avenue
Wilmington, North Carolina 28403-6599
FAX (91 OJ 452-S306/Phone (910) 452-8100
Mr. Garry Garris
Cape Fear Memorial Foundation
2508 Independence Blvd., Suite 200
Wilmington, NC 28412
Dear Mr. Garris:
I am very pleased to have been asked to write a letter of support for the New Hanover
County Health Department's Lose Weight Wilmington grant proposal. I was the Director
of the NHHN Coastal Diabetes Center for three years, therefore, I am very aware of the
devastation that is caused by diabetes in our community I am also very aware of the
importance of the role of exercise in the diabetic's life, I have been a member of the
Diabetes Today Board for the past two years and I am familiar with their success in
developing a community-based coalition for community education and awareness.
I will be happy to offer the services of the Wellness Services Department at NHHN to
assist the development and implementation of the proposed Lose Weight Wilmington.
One of our most successful programs is Dump Your Plump and we will be happy to share
our expertise in the implementation of this program, Please feel free to contact me at
452-8443, if you have any additional questions about our level of support. I am confident
that Lose Weight Wilmington will be a very successful program and help a lot of people
in our community.
/---
/
Sincerely,
Jo n W. Rader, .D.
ean of Education &
irector of Wellness Services
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NEW HANOVER COUNTY
HEALTH DEPAR~ENT
2029 SOUTH 17111 STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-4146
EYCl')'Wbere.Everyday. Ewcr,bolty.
DAVID E. RICE, M.P.H., M.A.
Health Director
LYNDA F. SMITH, M.P.A.
Assistant Health Director
June 7, 2001
Garry Garris, President
Cape Fear Memorial Foundation
2508 Independence Blvd, Suite 200
Wilmington, NC 28412
Dear Mr. Garris,
It is with great enthusiasm that I am writing this letter in support of the New Hanover County Health
Department's grant application to address diabetes and obesity in New Hanover County As the Health
Promotion Coordinator for the Department, I am constantly reminded of the growing problem of cbronic
diseases related to obesity. As obesity has been on a rampant rise dwing the last decade, there have been
corresponding increases in diabetes, cancer, and cardiovascular diseases.
By implementing the Lose Weight Wilmington campaign, the Diabetes Today Coalition will be able to
reach people in our community who are in need of weight loss for diabetes management or prevention. A
program such as this one could also have many other beneficial "side-effects", such as inspiring those
already living with diabetes to have regular blood tests, foot checks, and eye screenings.
As an educator, I continually look for new and innovative ways to address and improve the health status of
the people that I serve. Lose Weight Wilmington will bring knowledge and inspiration to its' participants in
a ftm, rewarding way. Programs such as these are our best hope for long term success and behavior
change, and have the potential to seriously improve the health of our county.
Please feel free to contact me if I may be of additional assistance.
Sincerely,
E~~::~
Health Promotion Coordinator
New Hanover County Health Department
910-343-6658
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
REQUEST FOR BOARD ACTION
Meeting Date: 07100/01
II
Department: Health Presenter: Lynda Smith/ Trish Snyder
Contact: Lynda Smith 343.6592 Trish Snyder
SUBJECT:
Diabetes Today Grant Application for $10,000 from the Diabetes Prevention and
Control Unit, North Carolina Department of Health and Human Services
BRIEF SUMMARY:
We are requesting approval for the Diabetes Today Grant Application for $10,000 from the
Diabetes Prevention and Control Unit, North Carolina Department of Health and Human Services
to implement the Diabetes Today community-based planning program for Fiscal Year 2002. The
Diabetes Today Coalition, organized 2 years ago through this same grant, will plan and execute
the various interventions.
The planned interventions are:
1 Sponsor a vision screening with the Lions Club for people with diabetes and/or at risk for
diabetic eye disease to reduce blindness for people with diabetes.
2. Communicate with the community through a free standing 6-foot information display in post
office lobbies to enlighten educate the public in hopes of reaching those with diabetes yet
undiagnosed.
3. Offer diabetes self-management classes to patients and families of patients with diabetes to
educate on how to manage their disease.
4 Recruit and enro11800-1000 participants for weight management to reduce the risk of
'diabesity' for overweight, inactive people.
See attached grant application and budget page.
RECOMMENDED MOTION AND REOUESTED ACTIONS:
Approve grant application and associated budget amendment for $10,000 if granted.
FUNDING SOURCE:
North Carolina Department of Health and Human Services. Diabetes Prevention and Control Unit.
No county match required.
ATTACHMENTS:
Yes.3 page grant including budget information.
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DIABETES TODAY THIRD YEAR GRANT APPLICATION FOR $10,000
The New Hanover County Health Department hereby requests $10,000 to
implement the Diabetes Today community-based planning program for the
period August 1, 2001 through June 30, 2002.
Has the Health Department received funding from the Diabetes Prevention and
Control Unit? YES in FY 99/00 and FY 00/01.
Lead Staff Person - Patricia McSwain, R.N. trained in 1996.
1. Burden of Diabetes in New Hanover County.
A number of factors come together to exacerbate the burden of diabetes in New
Hanover County. The county is growing with many new retirees over age 65
moving to the area. The African American population is 21 %. The Hispanic
population has increased significantly in the last five years. And since May 2001
when the hospital closed the Coastal Diabetes Center, people with diabetes in
New Hanover County have no place to go for diabetes education and
management.
e 2. Community to be involved in Diabetes Today planning and intervention.
The Diabetes Today Coalition, comprised of 20 members representing agencies
and a broad cross section of the community, will plan and execute the various
interventions planned for 2001/2002. New Hanover County Post Office staff
will assist with the outreach activity in the Post Office stations. The Lions Oub
will assist with the vision screening; Cape Fear Community College will assist
with diabetes education classes; fitness organizations will participate in Lose
Weight Wilmington.
3. Interventions.
Goall. Reduce Blindness for People with Diabetes.
Objective: Sponsor a vision screening with the Lions Oub for people with
diabetes and/ or at risk for diabetic eye disease. With equipment developed by
the Duke Eye Oinic, screenings for diabetic retinopathy, macular degeneration
and glaucoma will be conducted at the Community Health Center on October 17,
2001. The Diabetes Today Coalition will recruit an ophthalmologist and
volunteers, and will publicize the screening. 13 people per hour will be screened
over a 6-hour period.
e Goal2. Enlighten the 1/3 of those with diabetes who are undiagnosed.
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Objective: Communicate with the community using a free standing 6-foot
display, information, and awareness messages in Post Office lobbies in New
Hanover county. In conjunction with the Diabetes Awareness stamp for 200,
window clerks will wear buttons supplied by the ADA and information cards
developed by the Diabetes Today Coalition will be distributed in lobbies. The
display will rotate through all Post Office stations according to the following
schedule: Monkey Junction July 18 through August 18, Azalea Station August 18
through September 18, Magnolia Station September 18 through October 1;
Wrightsville Beach October 1-15; Carolina Beach October 15- 31; Downtown
Main Branch November and December 2001. A health screening will be offered
in the downtown branch during Diabetes Awareness Month in November 2001.
Goal 3. Educate people with diabetes about how to manage their disease
Objective: Offer diabetes self-management classes to patients with diabetes and
their families. Using the Diabetes Self-Management Education Curriculum
materials from the Diabetes Advisory Council, the New Hanover County Health
Deparbnent and Cape Fear Community College School of Nursing will offer a
Fall and a Spring Session. A minimal fee may be charged to cover materials.
Participants will be recruited through the Community Health Center, Tileston
Oinic, physician offices and the media. Low-income, ethnic minorities will be
targeted, but the program will be open to all those in need.
Goal4. Reduce the risk of "diabesity" for overweight, inactive, older people.
Objective: Recruit and enroll 800-1000 participants for weight management to
prevent the onset of diabetes as well as to help bring it under control. Pending
additional funding from Cape Fear Memorial Foundation (applied for), the New
Hanover Health Department and the New Hanover Diabetes Today Coalition
will launch a community-wide weight loss and fitness program, "Lose Weight
Wilmington". Funding notification is September 15, with release of funds
October 15. Public kickoff will occur in January 2002.
BUDGET
Advertising 1500
Contract Services 5000
Printing 1500
Training and Travel 1000
Postage and materials 1000
TOTAL $10,000
TIMELINE
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Activity Aug- Oct- Jan- Apr-
Sept 2001 Dee 2001 Mar 2002 June 2002
Vision Screening X
Post Office Outreach X X
Self-mgt. classes X X
Lose Wei~ht Wilmington X X X
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BY-LAWS
OF THE
PUBLIC HEALTH FOUNDATION OF NEW HANOVER COUNTY, INC.
-1
Article I
Purp~ses
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I
'Section 1 ': Mission Statement:
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..
A.
Insure the availability, accessibility and affordability of healthcare
services.
B.
C
.Promote good.health practices. --.. - . -..- -- "
__.,__...._...___ _._ _" ~__.,.~_ ___ _ _ __.~ .'_ 1
Contribute to the achievement of the highest practical stand~r~~ in put>li9
health. , ", -.' ..- - J
",
. '
D _ Conduct public health wl'!ich will develop new knowledge and methods.
E. Provide supportive management and professiohal resources for more
.- efficient'andeffective.llse offunds.- . !
. ~
Section.2: . The general purposes of the Foundation are as follows:
/
(
A. I The Corporation shall be a non-profit Corporation to solicit, receive and
administer funds for the furtherance of the purposes of this Corporation as
set forth in the Articles of Incol'{loration and hEm;iin.
B. To do all other things necess;iry, desirable or useful in order to carry out
. .' ,the'purp"ose~a'::l~~.bjec::tivesJ)fthe CQrp9r.C1!I2:ii~-.-
/.
"
'"
/
,
, (
Section 3: Organization:
The organization is organized exclusively for charitable, religious, educational
'and/orscientific purposes under section 501 (c)(3) of the Internal Revenue Code
\
1
26
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Article \I
Membership
Section 1: The corporation will not have members.
f -
Article 11\
Directors
Section 1: Composition of the Board. The Board of Directors shall consist of nine
(9) members six (6) of which shall be appointed by the New Hanover
County Board of Health.
The following Board members shall serve by virtue of their position, as
indicated: I
One (1) Chairman of the Board of Health
One (1) Vice Chairman of the Board of Health
_' . -- ...- 1-'
On8.(1) New Hanover CountY Health Department Director
!
L
--I
I
Section 2: Honorary Directors. In'' recClgnitionHof significant seniice to the
Foundation or contributions of other nature, the Board of Directors may
.- 'alsoapPClirit honorary or f}meritus directors. Such- directors -shall l>ei
considered ex officio members-of th~_Board tluf shall not have the power
to vote at Board meetings.
Section 3:
Section 4:
Elections, Terms and Vacancies. -- Except in' the case of the initial
directors, terms of all directors will beJor threeJ3) years and will begin on
July 1 of the Year following their appointment and expire on June 30 of the
.last . year of their terms. Directors may serve a maximum of- two
consecutive terms (six years); they will again be eligible for appointment
\
to the Board after one year off the Board.
Quorum. Five (5) members of the Board with the power to vote shall
constitute a quorum at any meeting of the Board.
2
27
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Section 5: Function. The Board of Directors shall be the governing body of the
Foundation.
Article IV
"
I
Officers
. ,
'~ection 1: '.'Officers-:- -'The officers-onliis -Corporation shall-ce- a.Prelside'nf, ~
i..i' Vice-PresidEmt; a Secretary~ a Treasurer;ariil suC~h other ffice~"'" or
: ! agents as the Board of Directors find to be needed. ~
l_. ~ _ ____-1
:S;;~ti~-~ 2\ Method of Election. : Va'canci~s. Except for the Sec tary who shall
, serve by virtue of his/her position as Director of the Ne Hanover County
Health Department, th~ officers 'shall be elected by majority of the
; ....Directors-present-at-the annual Board-meeting. in . of each-year.
.-Theyshall.holdoffice for two years (oneterm).followingtheir. election of
until successors are elected. Officers may serve a maximuJ!l.ofjour.year~
(2 terms). They will again.!>~ .eligible.for' electiorfas'offi~rs.one-year
...~.fte[ thecompletioh-ofajecond consecutive' term. . X vacancy in any
.___.. - .....on.._ 'I
.-'.office shall'befilled'for the unexpired term of the official whose term is not
--.corrij5te!e~: ..' i__
'_n..
-i
"'-.. - _._l
Section 3:
Duties of Officers.
- _.~--- --.-- ~-
-----
i
. ..
-~
Presiden(ThePresident shall berespcmsible for cafrying ~t the
policies adopted by the Fou~dation'.arid its Board of Directors. He
or she shall preside at all meetings of the Foundation membership,
_..n_ ..aILmeetings.of.the Board 'of Directors,.and.aILmeetings..of the
_ ._. ......0. n." Executive..Committee. .._ fie or. she- sha\l execute--all deeds,
contracts, agreements, transfers, and such other instruments as
...._...-..may.beordefeCloy.theBoard 'ofDirectors;---"- "-. _.
B. .. v;:~-;resid':~.-;~e-~i~~-~~::i~~~t :~all"~~~;;~"SUCh- duties as
may be prescribed from time-to-time by the Board of Directors o~
the President. The Vice-President may, in case of the absence or,
'aisability ofthe"Pfesidenf,-bElsssignecfoy the Board to perform an~
--- '-"clrall oHtiedutlesolthepresidenf ~. .---~'"-- -. .---"
-A.
~.-'-
,,~.-
3
28
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C
Secretary. The Secretary shall preserve in the books of the
foundation true records and minutes of all meetings of the
Foundation, its Board of Directors, and its Committees.
,
l..
Treasurer. Subject to the policies of the Foundation, custody and
management of the assets of the Foundation shall be undertaken
by the Treasurer All financial transactions shall be overseen and
approved by the Treasurer of the Foundation and the Secretary
""-The--Foundation 'shall'- operate"'under--an-'annual-'budget-as
I" .'''- rec6rrtmE!nded by the Director a'nathEfTreasurer 'and as'iunended
I and adopted by the Board. The Treasurer shall review and
____., authorize disbursement of funds according to the budget and
transfer of funds among bank and investment accounts, shall
periodically revi~w the status of the budget, interim financial
statements, and: the transactions and books of the Foundation;
shall monitor investment accounts and performance and shall
, -'..'-recommend . changes; shall reviewthe'annual"independent audi'
---...- . ._, and recommend and monitor corrective'action, and shall render to
the Board accounts of all fiscal transactions and--of .the-financial
......,__ ,,-- I
condition of the,F,oundation. -.-."
D.
r ~--'- .--...,
, i
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,
----~ ._"~'-
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.--..'..---Article.V ",.
Committees
~-------_..-- .~,.,. - -- ~- - ---
Section 1: committees. The. ~oard of'Directors may ,by'resolution, provideforariy
and all committees necessary for thitprgper,conducf of the affairs of the
Foundation. Committees, may also,beestablished by the President as he
or she, with the approval of the Board, deems desirable. The duties and
l 'responsibilities'ofeacncommittee, Inot inconsistent with the'By-laws;shall
-- - --, -------be'fixed-by'theBoard of Directors: The 'President shall'be members ex
officio of e<!.C<I1.committee.and,shaIL have the p_o,vller to vote in committee
,/' meetings~ .AII other.,members shall: beappointes!far' certain"terms by the
_ _ Board 'Of Directors acting for the Board. VacanCIes shall be fillectby
. appointment of the President for unexpired terms. \'
i
,
-- ---..--- ---. ~ -- ------..--.-- - -_._~_... -- -,-------- -- --.---,. -_._.~---- --- - -.--"
,
__.._ __ __._ . __~~ __'n
--". - ------ --.---" ..-- ---.-- ...--_..--- - -.,-----.-.--..-.
4
29
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Section 1:
"
$ection 2:
r--
,
I .
Section 3:
Article VI
Meetings of the Foundation
Regular Meetings. There shall be an annual meeting of the Board of
Directors of the Foundation, to be held in August in Wilmington, North
Carolina, together with such additional meetings as the Board of Directors
may schedule.-- -.
Special Meetings. Special meetings of the Foundation may be called by
a majority vote of the Board of Directors in any of its official meetings.
i
Notice. At least five (5) days prior to the date set for any regular meeting
of. the Foundation, notice of the time and place of such meeting shall be
mailed to. each. member of the.Foundation..Suchnotice may be made
through newsletters or other regular mailings. - "
-------" --
_.________l
-' .~.~..
Article VII :
. Fiscal Year'
Section 1: Du.ration._ The.fiscal year ofthe Foundation shall be from July 1_throu9h-~
, / ,- ,- ..-- June 30 inclusive. . -. . ,-- .' .-'- - - -...' :
/ - --. -
Article VIII, .. --
"
, i
Amendments-
Section_ 1: Method:---r~e!l~~iy"laWSrllay: be _amen(fe~,.altered.-orrepealed by a
/ / .recommendation of the Board of Directors at anyregular,lTIeetingor,at
;- any special meeting (provided notice of the proposed' qhange or
amendment is given in the notice of such special meeting),' with final
.apprQvaJ.bytl:le,N~wHanover_~ounty.Boarc:j of Healtl1~_ ____. :
.. __ - __ - _____ __ __._._ ~___. - n__. __ '.'n'_~
5
30
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Approved by the Board of Directors of Public Health Foundation of New Hanover
County, Inc. on ,2001
Approved by the New Hanover County Board of Commissioners on
,2001
r-- -- ---1
-,....--- -- -- -----..---.-
~._- --- -----1
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NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 17TH STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-
4146
E~""'''''rc,E.orydo)'_E,"~'l>.>d\
DAVID E RICE,M PH, M A
Health Director
LYNDA F SMITH, M P H
Assistant Health Director
June 28, 200]
To:
New Hanover County Board of Health
Cynthia W Hewett, Business Officer ~
From:
Subject: New Sliding Fee Scale
We received an email dated June 14,2001 from Dennis Harrington, Chief of Local Health Services regarding new
Sliding Fee Scales that are based on new Federal Poverty Levels. The New Hanover County Health Department
e currently uses two sliding fee scales. The first is for our Family Planning Program which uses the Sliding Fee
Scale ranging from] 00% up to 250% of Federal Poverty (250% of Federal Poverty is the maximum scale
approved by the State for this program to use). The second Sliding Fee Scale ranges from ] 00% up to 350% of
Federal Poverty (350% is the maximum amount approved by the State for use at the local level). This scale is
used by some of the other programs within our health department who base charges on a sliding fee scale.
We are requesting approval to implement use of the new Sliding Fee Scales based on the new Federal Poverty
Level. ]fapproved, these scales would be effective as ofJuly], 2001. Attached are the following:
]) Sliding Fee Scale - 100% - 250% of Federal Poverty rill f I
2) Sliding Fee Scale - 100%- 350% of Federal Poverty
e
" Your Health - Our Priority"
32
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NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 17TH STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-
4146
E.........,h<P:_E.<I\do',F~,hOO)
DAVID E RICE, M PH,M A
Health Director
LYNDA F SMITH, M P H
Assistant Health Director
July 11,2001
To:
New Hanover County Board of Health
Cynthia W Hewett, Business Officer ~
From:
Subject: Two New Vaccines and New Rates for Medical Nutrition Therapy Services
We have recently received information regarding new Medicaid rates for Medical Nutrition Therapy (MNT) services.
Currently, these are billed using "Y" codes (Y2351 and Y2041). As of July], 2001 these services must be billed
using CPT codes and will be charged according to billing units (where] 5 minutes of service equals] billing unit),
instead of the current $47 for pediatric or $50 for maternal, per contact, regardless oftime spent.
Additionally, we would like to offer two new vaccines. The first is the Combination HEP AlE vaccine (Twinrix).
The second vaccine is the PCV - 7 (7 -valent pneumococcal vaccine- a relatively new vaccine to prevent meningitis
in children). The charges for these vaccines will be flat rates which must be paid for at the time of service. Proposed
rates are listed below
Code (Description of Service) Current Fee Charged Medicaid Rate Proposed Fee to Charge
90636 (HEP AlE Comb Vaccine) N/A N/A $ 55.00
PCV -7 vaccine N/A N/A $ 65.00
97802 (Initial Assess MNT) $47 / $50 per contact $16.70 per unit $ ]6.70 per unit
97803 (Re-Assess MNT) $47/ $50 per contact $ 16.70 per unit $ ]6.70 per unit
"YOUT Health - Our Priority"
35
NEW HANOVER COUNTY
OFFICE OF THE COUNTY MANAGER
320 CHESTNUT STREET, ROOM 502
WILMINGTON, NORTH CAROLINA 28401-4058
TELEPHONE (910) 341-7184
FAX (910) 341-4027
ALLEN O'NEAL
County Manager
ANDREW J. ATKINSON CPA
Deputy County Manager
PATRICIA A. MELVIN
Assistant County Manager
June 20, 2001
DAVIDF.WEAVER
Assistant County Manager
414 Chestnut Street, Room 101
Telephone (910) 341-7139
Fax (910) 341-4035
Dear Fellow Employee:
It is with great relief that the 2001/02 Fiscal Year County budget bas been approved.
The process was much more difficult this time around due largely in part, to the state's
unsure financial position.
New Hanover County is not out of the woods just yet. We are still waiting to hear the
fina1 outcome of the General Assembly's attempts at formulating a balanced budget. If
the state withdraws its reimbursements to counties in the coming fiscal year, as it did
during the current year, you will see changes in our workforce.
e
In my budget message to the Board of Commissioners, I made it clear that our
organization will go through a staff reduction plan this fall. In fact, that reduction bas
already started. Each week, the Management Team and I carefu1ly review every request
to fill vacant positions. In the past several weeks, very few vacant positions were
allowed to be filled. That careful scrotiny will continue. It is my goal to reduce the size
of the workforce through attrition. It is also my goal that services to the public continue
at the level at which citizens have grown accustomed.
I have directed the Deputy and Assistant Managers to work with the Director of Human
Resources to begin working on the process to eliminate vacant positions from county
government. We will begin with an inventory of all positions and target unfilled, vacant
positions for elimination. The way I see it, each vacant position is an opportunity to
retain an active employee.
In approving the FY 2001/02 County budget, the Board of Commissioners eliminated
my recommendation that each employee receive a two day unpaid furlough. If you
haven't done so already, it is suggested you thank the Commissioners for that change.
As you already know, the increased cost of insurance coverage was also included in the
budget. In looking at the situations faced by other North Carolina counties, we are very
fortunate.
I hope I have kept you well informed during this difficult process. I will continue to do
so as we look to cut the size of county government in the coming year. As always, feel
free to contact me with your concerns and your suggestions.
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More later...
36
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Science Fair Project - "The Effect of Cellular Phone Use Upon
Driver Attention"
To be recognized on July 11, 2001 during the NHCBH meeting under
Other Recognitions
.
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. .
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Science Fair Project
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"The Effect of Cellular Phone Use Upon
Driver Attention"
Noble Middle School
8th Grade
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The Effect of Car Phone Use on Driver Attention: A Study in New
Hanover County
Introduction
Millions of people use car phones while driving. In the future even more people are
expected to talk and drive at the same time. The New Hanover County Board ofHea1th recently
debated whether to ban the use of car phones while driving because some members of the Board
and the general public thought that driving and phoning at the same time was dangerous. After
much debate it was decided that not enough information was available to answer this important
question. This study was done to try to answer the question of whether car phone use
distracts drivers while they are driving. If drivers are distracted, then car phone use is
dangerous and should be banned or restricted.
Hypothesis
Using a car phone may be distracting while driving. Drivers using car phones may try to
mentally see the speaker in their minds while driving and this could be distracting. This extra
mental effort may distract drivers from the task of driving. If the speaker is seated next to the
driver and having the same conversation, the driver does not mentally have to see the speaker and
can spend more of his attention on driving. Mental ability tests given to drivers with the tester
seated next to the driver should be more easily completed than when the same tests are
given over a car phone. Drivers who are not distracted by the car phones should have better
roadside attention to details.
Methods
Since most of the literature on cell phone use is not available at the public library, I used
the InterNet to research this problem. Many sources of information were found, but none where
specific for New Hanover County To estimate the number of drivers in New Hanover County
who use cell phones while driving, I did traffic counts at two busy intersections and counted how
many cars passed and how many drivers were using cell phones over a given time period. I also
recorded whether the drivers where male or female and whether they were young or elderly I also
recorded whether the drivers were driving a car, truck, van, or SUY While I was doing my
counts, I noticed that many of the drivers were eating or drinking while driving, and I added these
numbers to my records.
Next, I conducted verbal tests of mental awareness and mathematical ability while five test
drivers were driving county roads. To answer the question of whether car phone use was more
distracting than having the same conversation with a front seat passenger in the car, I gave similar
tests to drivers in person, while I was seated in the front seat next to the driver, and over a car
phone. The test course remained the same under both testing conditions.
Test One: Drivers were timed counting backward from 100 by 7 and 9 The number of correct
and incorrect answers and the time to complete the test were recorded.
Test Two: Drivers were timed naming the months of the year backward. The number of
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Table Two
Ogden/Market Street
Male Percentage Female Percentage
Drivers on II 46% 13 54%
Phone
Drivers 2 100% 0 0%
Eating
Table Three
Oleander/College Road
Male Percentage Female Percentage
Driver on 4 33% 8 66%
Phone
Driver Eating 5 71 % 2 29%
At the Ogden/Market Street and Oleander/College Road site, I also recorded the type of vehicle
each car phone user was driving (Table Four).
Table Four
II
OlZden/Market o eander/Co elZe
Car Van Truck SUY Car Van Truck SUY
Driver 29% 43% 0% 29% 25% 16% 8% 50%
on Car
Phone
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correct and incorrect answers and the time to complete the test were recorded.
Test Three: Two multiplication problems were given and timed. The number of correct and
incorrect answers and the time to complete the test were recorded.
Test Four: After each driving scenario, drivers where asked to identifY and locate roadside
objects on a map of their route. The number of correct and incorrect answers was recorded.
The test included a number of false objects not found on the route to ensure that drivers were not
just guessing while taking the test. In addition, the drivers had to correctly locate objects seen
with their location on the map to receive credit.
Results
My traffic survey results showed that 5.3 % of drivers at the Ogden/Market Street location and
4 7 % of the drivers at the Oleander/College Road location were using car phones on the day of
my survey An interesting finding was that 0.7 % of the drivers at Ogden and 3 4 % of the drivers
on Oleander were eating while driving (Table One). While these percentages may seem small
when they are applied to all the drivers driving at any time in New Hanover County they are
significant.
Table One
Ogden/Market
Oleander/College
Total Percentage Total Percentage
Cars 757 318
Drivers on 40 5.3 % 15 4.7%
Car Phone
Drivers 5 0.7% 11 34%
Eating
I also recorded the sex of drivers on the phone or eating at both sites. At the Ogden site,
drivers using car phones were approximately equally divided between males and females (46 %
versus 54 %). Only male drivers were noted to be eating. At the Oleander site, female drivers
using car phones were more common than males( 66 % versus 33 %). Male drivers at this site
were more likely to be eating and driving than female drivers (71 % versus 29"10).
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My mental ability tests were verbal tests designed to test mental ability while driving. Five
drivers were tested by a front seat passenger and again over the car phone while driving the same
route. Four of the five drivers took longer to count backwards over the phone than with a
passenger seated beside them (Graph One).
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~ 40
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1= 20
Graph One
Reverse Counting
100
80
o
Matt
Bob
Pam
Dava
Steve
. Passenger . Phone
In my analysis of math calculations given to drivers in person and over the phone four out of
five drivers took longer to complete this more difficult mental task (Graph Two).
Graph Two
-150
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Math Calculations
200
o
Matt
Bob
Pam Dava
Steve
-
_ Phone
Passenger
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On the roadside awareness test four out five drivers tested over the phone had more incorrect
answers than when they were tested by a passenger in the car (Graph Three).
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Graph Three
Road Side Awareness Test
12
Matt
Bob
Pam
Dava
Steve
. Passenger
. Phone
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Discussion
According to my observations, approximately 5 % of the drivers in New Hanover County
are using car phones while driving at any given time. The actual numbers are probably higher
because I was limited in my ability to actually see all the car phones in use and some drivers may
have been using hand-free phones. Nationally the number of drivers using car phones while
driving is expected to increase in the future and this will probably apply to New Hanover County
as well. While 5 % may seem like a smaIl number, when the total number of drivers in New
Hanover County at any given time is taken into account this means that thousands or drivers are
using car phones while driving on a daily basis.
The major finding in this study is revealed in the data on performing complex mental
calculations while using a car phone. Four out offive drivers took longer to complete mental
tasks while using a car phone. This finding is very important since safe driving requires constant
attention to details. Any distraction can be hazardous. In addition, four out of five drivers using
car phones did not observe or recall roadside details that they passed while driving. This finding is
also very important in that observation of roadside details is critical for safe driving. Car phone
users are not as observant as other drivers and may not be as safe.
My hypothesis was correct. Car phone usage appears to affect the attention to detail and the
mental ability of drivers. This is an important finding for both the driver and the general public.
.... _.~
e DRIVING TESTS
In person
On phone
Driver'
Test Giver
Date:
Test One
Counting Backwards
7 100 6 100 9 100 3 100
93 94 91 97
86 88 82 94
79 82 73 91
e 72 76 64 88
65 70 55 85
58 64 46 82
51 58 37 79
44 52 28 76
37 46 19 73
30 40 10 70
23 34 1 67
16 28
9 22
2 18
Time:
Number right:
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Driver'
Test Giver:
Date:
Time:
DRIVING TESTS
In person
Test Two
Months of Year Backwards
Dec
Nov
Oct
Sept
Aug
Jul
Jun
May
Apr
Mar
Feb
Jan
Number right:
On phone
..
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In person On phone
Driver:
Test Giver:
Date:
Test Three
Math
155 145 165 175
x7 x6 x7 x6
1085
870
1155
1055
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Time:
Number Right:
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DRIVING TESTS
In person
On phone
Driver'
Test Giver'
Date:
Test Four
Road Awareness
Circle and number any of the following objects you noticed on your trip. Place the
number of the object on the map.
1 Light House 1.Pig Picker
e Light on What color pig picker
2.Yellow Flowers on post 2.Snake road sign
3.0range unmarked pavement sign 3.Two wreaths on a stuco wall
4.Skidoes 4 What color is South pt sign
5.Life size Nativity Scene 5.Color of first Queens pt sign
6. Green Tractor 6.Firewood sign
7 Cactus plant 7 Large red, white, and blue
open sign
8.Plastic Flamingo 8.Purple balloons on mailbox
What color Flamingo? 9.0range sign reading .Utility
Construction Ahead"
9.Tan Port-o-Iet restroom
e 1 O.Traffic sign fallen down 10. Yellow boat
.
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NEW HANOVER COUNTY HEALTH DEPARTMENT
BOARD OF HEALTH (BOH) APPROVED
GRANT APPLICATION STATUS
Date (BOH) Grant Reauested Pendlna Received Denied
Diabetic Care for Prenatal Patlente-NC Medical
6/6/01 Society Foundation $25,050 $25,050
Healthy Homes- Asthma Program - Partnership
for Children (Smart Start) $28,060 $28,060
No actlvltv to reDort far Mav 2001
Maternity Care Coordination Expansion Grant
4/4/01 NC DHHS $15,000 $15,000
Wilmington Housing Authority- Ross Grant -
TAP & Alternative HIV Test Sites for 3 year
funding , $192,221 $192,221
Safe Kids Traller-5afe Kids Safe Communities-
NC Govemo~s Highway Safety $8,740 $8.480 $260
No actlvltv to reDort for Jan, Feb and Mar 2001
Intensive Home Visitation Program Expansion
12/6/00 Grant - Smart Start $100,000 $96,000 $4,000
Childhood Asthma Management & Control
Interventlons- NC Department of Health &
Human Services, Division of Public Health, WCH
11/1/00 Section $23,000 $10,285 $12,715
Cape Fear Memorial Foundation-lice
Eradication Program $5,000 $5,000
Healthy Carollnlans- Office of Healthy
Carolinians, Division of Public Health, North
10/4/00 Carolina Dept of Health & Human Services $10,000 $10,000
March of Dlmes- March of Dimes Birth Defects
Foundation Eastem Carolina Chapter $10,000 $8,250 $1,750
Enhanced Counseling Program for HIV / AIDS
9/8/00 Elton John Aids Foundation $48,000 $48,000
Smart Stert applying for Cape Fear Memorial
8/2/00 Foundation Grant (MOW) $52,000 $50,000 $2,000
Enhanced Counseling Program- Z, Smith
Reynolds Foundation $48,000 $48,000
Teen Aids Prevention- Z, Smith Reynolds
Foundation $59,000 $59,000
March Toward TB Elimination- NC Dept of
7/12/00 Health and Human Services (DHHS) $10,000 $7,200 $2,800
Cape Fear Memorial Foundation (TAP
ProDraml2 vear request $55,000 oer vear $55,000 $35,000 $20,000
Diabetes Today - DHHS Division of Public
Health $10,000 $10,000
Servlclos Para Nlnos-Rahab Therapy
617100 Foundation $50,000 $50,000 .
Family Planning Outreach Inltlatlve-NC
Division of Public Health- WPH Unit (Year One
$21,538 and Year Two: $22,615) $21.538 $21 ,538
Healthy Homes Inltlatlve-NC Childhood Lead
Poisoning Prevention Program $20,000 $12,448 $7,552
As of 6/18/01
. NOTE: Notification received since last report.
NEW HANOVER COUNTY HEALTH DEPARTMENT
BOARD OF HEALTH (BOH) APPROVED
GRANT APPLICATION STATUS
Date (BOH) Grant Reauested Pendlnll Received Denied
Project Assist-American Legacy Foundation
5/3/00 Grant ($57,500 for each of 3 years) $57,500 $8,512 $48,988
MOW Services (Infant Mortallty)-NC Healthy
Start Grant Application (2yr Grant: $85,000 yr 1
4/5/00 and $43,845 yr 2) $128,845 $128,845
Skin Cancer Screenlng- NC Advisory
Committee on Cancer Coordination and Control $1,500 $1,500
WIC Outreach- NC Dept of Health and Human
3/1/00 Services $5,590 $5,590
No actlvltv to reDort for Jan and Feb 2000
Child Health Consultant Grant- UNC Dept of
Matemal and Child Health- Contract with NC
Dept of Health and Human Services, Division of
12/1/99 Women and Children's Health $48,210 $29,275 $18,935
Healthy Carolinians Task Force- NC Office of
11/3/99 Healthy Carolinians (FROZEN) $10,000 $10,000
Operation Reach Women- Susan G. Komen,
Breast Cancer Foundation $19,822 $19,822
North Carolina Chllhood Asthma Initiative- NC
Dept of Health and Human Services, Women and
Children's Health Section (FROZEN) $7,500 $7,500
No actlvltv to report for Oct 1999.
School Health Lice Grant. Carolina Power and
9/1/99 Light Company Corporate Contributions Fund $4,900 $4,900
Growing Up Buckled Up- National Highway
Traffic Safety Administration Cooperative
Agreement $54,730 $54,730
Model Community Assessment Grant-North
Carolia Community Health Initiative- Healthy
Carolinlans- Center for Disease Control and
9/1/99 Prevention $17,375 $17,375
Diabetes Today Community Planning Initiative
NC Dept of Health and Human Services -
Diabetes Prevention and Control Unit $10,000 $10,000
No actlvltv ta reD< rt for AUll 1999.
Healthy Women First. Community Health
717199 Improvement Program $24,692 $24,692
Teen Aids Preventlon-Gape Fear Foundation
Grant $50,700 $35,000 $15,700
Totals $1,231,973 $245,331 $383,l!00 $802,742
19.914% 31.161% 48.925%
As of 6/18/01
. NOTE: Notification received since last report.
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New Hanover County Health Department
2029 S. 17th Street
Wilmington, NC 28401
910/343-6500
December 15, 2000
Dear Parent,
Head Lice is one of the major focuses of School Health this school year Our mission is to
stop/eradicate the transmission of head lice and reduce absenteeism related to lice within our schools.
This year we received a grant which we will use to help combat head lice. Your school nurse has
knowledge and educational materials including our 14-Day Check List to Stop Head Lice and Alternative
Treatments for Lice that do not use medicated shampoos. She can also help track lice plus evaluate and
monitor the classroom. If necessary, your nurse can make a home visit to evaluate reinfestation.
Head to head contact is the primary method of spreading lice. Elementary students generally have
the greater potential for getting lice (I child in 4) because they come in close contact with one another.
We are concerned about the children and their reaction to having head lice. Some of their fears and
misconceptions can be avoided by education and attitude. Anyone can get head lice ---"it doesn't mean
you are dirty or not a good housekeeper Lice like really clean hair
Signs and symptoms of lice include itching and scratching of the scalp, red marks on the scalp,
nits (lice eggs) on the hair shaft (cannot be flicked off), and live lice. Nits are a whitish gray and sort of
translucent (size of nit . ). Lice cannot jump or fly They are tan to reddish brown and the size of
sesame seeds (size of louse - ).
It is important to check your child's scalp and hair every week during the school year You can
help STOP head lice. Call the school or call the school nurse to inform us if your child has nits or lice,
even if you have already treated your child. It will help stop the spread of lice. The information will be
strictly confidential and used in our attempts to track down the source of lice plus informing other parents
to check their children. Studies have shown that only 10"10 of lice cases are actually acquired at school.
Lice are spread in day care or after care centers, visits to relatives, at the movies or other places where
infested children come in contact with each other They are also spread on cloth seats in cars, airplane
seats, wearing others' earphones and hats, using others' combs and brushes and any other item that has
come in contact with an infested person's head. Lice live off the head for 24-72 hours. No lice treatment
is 100% effective, research indicates up to 32% of nits hatch even after treatment. Nits must be removed
by hand to prevent reinfestation.
New Hanover County Schools' "No Nit Policy" is an administrative plan for control and
prevention of head lice outbreaks. Preventing the spread of head lice requires that parents and
schools work together. Working as a team we can decrease the incidence oflice.
Thank you for your help and consideration in protecting all children. Call your school nurse if
you have questions.
Sincerely,
~~~~~
Evelyn Bowden, RN, C
School Health Supervisor
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Naysayers Take Heed: Here's Why We Fight for YOUR Safety Even Without Your S!!~port! Page 1 oftS
. /lJlXO
Phone Legislation
"....... th. ... of ...d bdd ,,. ...... wb" doM., . .. mr......mt of my ....~
freedom. " to IIf"'''
"Talking on a cell phone is no more dangerous than putting on makeup. eating fast food. ~
tuning your radio or reading a map while driving. People need to use common sense. and we
can't write laws that make that happen."
"There are already laws that punish careless and reckless drivers appropriately for reckless
driving. We don't need another one specifically for cell phones."
"A law like this would not be enforceable."
"This law will be bad for business."
"There isn't enough evidence to prove that using a cell phone while driving causes accidents."
"Cellular telephones are important devices for reporting emergencies."
"Banning the use of hand held cell phones while driving is an infnngement of my personal
freedom. "
Some people have asserted that they believe they have the right to use their cell phones while driving.
They do not have that right. The state of Pennsylvania does not guarantee its citizens driving
privileges, let alone the ability to drive and talk on a cellular phone. Since when does requiring
someone to make a call while the car is in park constitute an attack on the very concept of democratic
freedom?
Our state and national constitutions guarantee us all the freedom to live our lives. We have the right as
parents to thoughtfully and responsibly care for, nurture, and raise our children. These are the kinds of
freedoms that build the foundation of a democracy These are the kinds of freedoms worth fighting
for. Cell phone users face no such compelling loss of freedom. They're faced with a minor
inconvenience, a change in habit, and nothing more. Any small discomfort someone may experience as
a result of this legislation is far outweighed by the overall benefit to public safety
"Talking on a cell phone is no more dangerous than putting on makeup, eating fast food,
tuning your radio or reading a map while driving. People need to use common sense, and
we can't write laws that make that happen. "
There is no question that there are many distractions occuring in the car Of course responsible drivers
should make every effort to minimize those distractions. But none of those behaviors rise to the same
http://www.geocities.comlmorganleepena/rebuttal.htm
6/24/01
,
Naysayers Take Heed: Here's Why We Fight for YOUR Safety Even Without Your Support! Page 2 of 5
"
,
level of driver inattention as does dialing and then conducting a conversation or closing a business deal .
on a cellular phone, Human Factors experts tell us that there are basically three kinds of driving
distractions. The first is visual. Looking away from the roadway would be an example of this. The e
second is mechanical, This would include manipulation a control -- such as dialing a cellular phone or
adjusting a radio, and can often be associated with a visual distraction. The third is cognitive By
example, we have all had the experience of traveling from point A to point B and then realizing that
we aren't sure how we got there or what happened in between. Being "lost in thought" or being in
focused conversation with someone causes us to withdraw from situational awareness. Researchers
are beginning to obtain evidence that shifting from hand held to hands-free phone use while driving
does not result in eliminating all cell phone distractions. It addresses the visual and mechancial
distractions, but does not address the cognitive issues. This raises the question, "How is conversing on
a phone different from talking with a passenger in the vehicle?" There are two important differences,
The first is that a passenger in a vehicle is aware of the driving situation and can even serve as an
additional look -out for hazards. If there is a needed pause in conversation, the reasons are evident to
all parties. The second is that phone use seems to carry a certain obligation of immediacy When the
phone rings, we feel compelled to answer it -- whether it is convenient, safe, or appropriate to do so
or not. We become focused on the phone call and lose the situational awareness so necessary for safe
driving, (Fran Bents) Ofall the distractions mentioned, only the use ofa cell phone incorporates all
three of those demands. The sheer magnitude of cell phone usage also differentiates these behaviors.
There are currently 88 million cell phone users in this country alone. There are 40,000 new subscribers
every day That rate of subscribership exceeds the birth rate. A Prevention Magazine survey in 1995
reported that 85% of cell phone owners use their phones while driving at least some of the time. If
such statistics hold true, there are now about 75 million drivers talking on their phones while driving.
In addition to this, there are currently services available that allow us to check e-mail and stocks, send
faxes, and surf the web, all from our cell phones. Industry plans to broadly expand the availability ofa _
multitude of in-vehicle communications devices for e-mail, Internet communications, and electronic -
navigation...are gaining momentum. We know that as a society we can provide the means to keep in
touch with family and mends, conduct business deals, entertain ourselves, or order a carry out dinner
while driving our cars, but the important question that has not been adequately addressed is should
we?*
The Fatal Analysis Reporting System (F ARS) is a census of police reported fatal accidents which
occur in the U.S. All data about cell phone use are derived from the narrrative portions of police
accident reorts, dependent upon the initiative shown by the police officer who responded to the crash.
Cell phone related cases in 1994 and 1995 contain some interesting similarities. The citations issued to
cell phone-using drivers involved in these fatal crashes were disproportionately high for "inattention"
when compared to all drivers included in F ARS. In virtually all crashes, the cell phone-using drivers
were in the striking vehicle. When the type of crash is examined, they fall into two categories -- drivers
striking something in front of them, or leaving their lane of traffic - this pattern is repeated every day
on our highways. Data contained in the National Automotive Sampling System (NASS) containing
nationally representative data on all types of crashes followed a similar pattern. In eight examined
crashes, 5 of the drivers struck something stopped in front of them, the remaining 3 left their lane of
travel and struck a vehicle or object. In these crashes, 6 of the drivers were engaged in conversation,
one was dialing his phone, and one was hanging up. Of the 6 engaged in conversation, two of the
drivers were using mounted phones in hands-free mode. What is common among all these drivers is
inattention. These drivers were not presented with changing situations which required emergency
maneuvers, they simply failed to control their vehicles during routine driving conditions. * _
Some people have a problem with the concept oflegislating personal responsibility, but legislating
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personal responsibility is nothing new The state of Pennsylvania has enacted laws enforcing the use of
seatbelts and child safety seats. Aren't these, too, personal responsibilities? Once it was realized that
people were not wearing seat belts or strapping their children into car seats, it took an act of
legislation to force the public to change their habits. In 1988, the year following the enactment of the
seatbelt law, we saw a 100"10 increase in the public's use of safety belts. This change in social
acceptance came about as a direct result of the legislation. In today's society we MUST legislate
becasue there are people out there who do not take personal responsibility for their own safety and
that of others. We do not pass laws to punish responsible people; we pass laws to protect ourselves
from irresponsible ones.
"There are already laws that punish careless and reckless drivers appropriately for reckless
driving. We don't need another one specifically for cell phones."
Careless and reckless driving laws do cover a wide variety of driving infractions. Yet we don't choose
to simply lump all driving behaviors under reckless or careless driving. We make special laws making
it illegal to drive through a red light, to follow the speed limit, or to stop when a school bus lets off
children. We also made a law specifically addressing the behavior of driving while intoxicated. Why? A
person violating any of these laws could surely be accused of reckless or careless driving. When we
recognize a specific behavior as being particularly hazardous we address it independently Those laws
clearly define particular behaviors as unacceptable leaving no ambiguity for drivers or law enforcement
officials. A law is needed because it underscores to the public exactly how dangerous and destructive
the behavior can be. A law forces people to think about that specific behavior and its consequences.
Currently, in the state of Penn sylvania, one can run a stop sign while being distracted using a cellular
phone, cause someone's death, and receive only two traffic tickets and a $50 fine.
"A law like this would not be enforceable."
Some lawmakers have raised the question of whether a law such as this would be enforceable. Is it
because they think it will be difficult to see people driving and using their cell phones? How do police
officers detect whether someone is wearing a seatbelt? How do they spot an invalid inspection sticker?
All of these things would be difficult to detect and therefore enforce. Yet we've made them laws
anyway When we are faced with overwhelming safety concerns, we legislate. We've even passed laws
making it illegal to carry a concealed weapon. The very nature of that offense would make it highly
unlikely that an officer would be able to enforce it. Yet we've sti1I passed the law anyway Why? The
hope is always that lawmakers will be able to spot and remove potential hazards from the public
before harm occurs, but if that fails, it gives us the ability after the fact, to assess additional penalties
on those who have chosen to act recklessly or irresponsibly
"This law will be bad for business."
The fact is that as we speak there are business all over this country who are rewriting their employee
handbooks to prohibit the use of cell phones while driving. Companies such as Johnson & Johnson,
the third largest pharmaceutical company in the world, and Praxair, a bottled gas transportation
company, just to name a few, have prohibited their employees from using cell phones in moving
vehicles while on company time. They see how wlnerable they are, in terms of liability, if an accident
were to occur. The companies can distinguish the difference between the small advantage their
employees incur by conducting business on their phones while driving, and the enormous disadvantage
of being held financially responsible for the injury or life of the employee and any person they strike
while exhibiting this behavior.
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For instance, in February oflast year Smith Barney, the brokerage firm, paid THREE MILLION
DOLLARS to the family ofa man, whom one of their employees struck and killed because he ran a .
red light while on his phone. The precedent has been set. What could be worse for business?
"There isn't enough evidence to prove that using a cell phone while driVIng causes
aCCidents. "
A lack of statistical data about a problem is not the same thing as a lack of evidence! *
The fact is, we have evidence that a problem exists. We don't have statistics not because they don't
exist, but because we don't currently collect them.
The Harvard Center for Risk Analysis published a study (funded by AT&T) in the summer of1999 in
a journal called Medical Decision Making. In the study, they assigned a crash risk factor to using cell
phones. Mike Goodman took the factor, and applied it to the number of cell phones in use last summer
(95 million). We're up to 107 million as of December 2000 As of summer 2000, it comes out to 450-
1000 fatalities each year *
NHTSA says that for every fatality, there are 666 property damage and injury producing crashes. So,
we are having soewhere between 300,000 and 650,000 "other" crashes due to cell phones. *
NHTSA also says that an average crash costs society $37,000. This means we have a multi-billion
dollar problem that no one is trying to fix. *
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We killed 120 kids and small statured women with airbags and there was a huge government, industry
and societal response. We killed 150 people with Firestone tires, and the response was the same. Both
airbags and tires are essential parts of the driving environement. Cell phones are not, so why do we
tolerate this problem?*
Pennsylvania police are not required to note whether a driver involved in an accident had been on the
phone, so statistics linking crashes to phones are hard to come by Only Oklahoma and Minnesota
record that infomIation, but experts say those states' data-collection methods are dated and unreliable.
"The infomIation you need most is not available, because we are not collecting it," said Mark Burris of
the University of South Florida's Center for Urban Transportation Research. In November, Japan
became one of 14 countries banning handheld phone use while driving. "Accidents caused by the use
of mobile phones dropped by 75 percent the next month," Burris noted.
"Cellular telephones are important devices for reporting emergencies. "
This is absolutely true, and the law enforcement community supports such use. But emergency calls
can and should be made from stopped vehicles. Indeed, most calls relate to witnessing a crash. Under
such circumstances, traffic is often stopped, and witnesses attempt to render aid. *
The cellular telephone industry often demonstrates their commitment to promoting safety for their
customers through the use of infomIation packets included with product purchases or customer e
billing, and through the occasional television ad. All industries include caveats for product use in the
literature that accompanies products. Most of us don't read any of it because we know it is provided
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to protect companies during litigation. *
*InfOmIation marked with an asterisk provided by Fran Bents, co-author of the Department of
Transportation's 1997 report entitled "An Investigation of Wireless Communications in Vehicles," in
her March 7, 2000 testimony before the Senate Transportation Committee in Pennsylvania.
Return to HOME
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'YJl;dOOlGeoCtties Info
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STRA TEGle PLANNING PRIORITIES
June 28, 2001 Update
Access to health care
(Issues #7,11 & 5)
-+ Collaborating with Good Shepherd Ministries for grant proposal to add medical component
to new homeless shelter being built at gth and Martin streets. Good Shepherd will submit the
grant. Plan is to offer medical services on-site to residents and others from community with no
payment source, This will supplement (not replace) the services at Tileston clinic that clearly
cannot meet the demands for care. Good Shepherd will contract for the medical services. They
want to use a public health approach.
-+ Universal Screening Form: Brett Schoen, Navigator Program Family Assessment
Coordinator, began using this form with pregnant women and new parents in June at the
NHRMC and physician offices,
-+
II.
I.
Preventive services & lifestyle-related risks
(Issues #12 & 15)
-+ Folic Acid Project: Kickoff on June 15 in Auditorium.
-+ Multivitamin Samples: To WlC for distribution at postpartum recertification. Will provide
education regarding folic acid and label reading on vitamin bottles.
-+ Animal Control Cases: Removed 38 dogs from Maides Avenue on June 6. PAWS Place is
working with ACS on this case. A previous Case was remanded back to District Court.
-+ TB Case: Non-compliant TB client was incarcerated for the violation of an isolation order
-+ Navigator Program: The Navigator Program held their routine parent support group on June
14. Gela Hunter, RN, FNP was the featured speaker 32 of 45 enrolled parents attended.
-+ Child Care Nursing Program: With additional Smart Start funding, a Community Health
Assistant was hired in February She has completed more than 500 hearing screenings for 4-5
year olds in child care. Nurses are busy doing follow ups, with many referrals. '
-+ National HIV Testing Day' On June 27, NHCHD will be collaborating with CARE (AIDS
Support Group) to offer HIV testing in our community
-+ ACS staff was diverted from a second court appearance by jury trial with Sid Salling. Mr
Salling chose to remand his case to the district court's ruling, which closes this file for our follow
up.
-+ The Women's Health Care Division hosted a Folic Acid Training for community agencies
and health department staff on 6/15/01 The purpose of the training was to educate the
community about the benefits of taking folic acid daily and to assist participating agencies with
procedures for distribution of vitamins, educational information and surveys/evaluations.
-+ June 12, our Family Assessment Coordinator began his daily visits (including weekends) to
New Hanover Regional Medical Center He is visiting new parents in the birthplace,
administering a "universal screening tool", and assisting them with their needs. He will be
making referrals to all Health Department programs and other community resources. He has
been well received at the hospital and at several OB doctors' offices, as he is trying to market
the new tool. Cape Fear Memorial Foundation and Smart Start have provided funding for this
service.
-+ "Senior Smile 2001'" The NHCHD Dental Program and NHC Department of Aging are
sponsoring this program. The Dental Staff will provide Dental Health Education and Oral Health
Assessments for local seniors at 6 nutrition sites during July and August.
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III. Communication, education & marketing (promotion)
(Issue #1 & 4 in part)
-+ Community Health Staff volunteered for additional services to schools, serving on Senior
Project Review Boards, mentoring seniors, and Media Review Committee
-+ Lunch and Learn presentation to the Health Department Staff on the Lead Program in the
Health Department. The Laboratory Director discussed how blood samples are collected and
handled. Another program designed for physician's offices that collect their own blood lead
samples was held on Tuesday, June 5.
-+ Update on project at Nesbitt Courts. Month-long campaign to increase visibility and provide
immunizations in collaboration with Rotary Club. Thus far, 75 participants have signed up to
receive immunizations. Rotary Club members are excited about the participation. Drug company
donated hepatitis B vaccine to administer free to indigent.
-+ Web Site: Brent Fulton will be assisting the Health Director through June 15 with updating
the contents of our Web Site. Our site is iocated at: http://www.nhcgov.com/hlth/hlthmain.htm
-+ Stand For Children: Was held on June 1, with the focus on "Celebrating Reading"
Community leaders went to childcare centers to read to children. 58 attended the luncheon.
-+ Hepatitis C: Workshop conducted by Cammie Marti, PHN on May 31
-+ Medical Society. The article "Death Registration: The Physician's Responsibilities"
appeared in the New Hanover - Pender County Medical Society "The Bulletin" in the Second
Quarter 2001 edition.
-+ Critter Magazine: ACS included in current edition on page 21
-+ Annual Report: Coastal AHEC has been contacted regarding the FY2000-01 Annual Report.
Expectation is to have the first draft to Elisabeth in July Ideas regarding special highlights
should be forwarded to Elisabeth by email.
-+ ACS staff attended the 2001 Hurricane Expo in conjunction with the ACS Advisory
Committee to give information about pet care before, during, and after a hurricane or emergency
situation.
-+ Web Page: Brent Fulton completed his work on the NHCHD Web Page. Dave Rice has
contacted Robert Bowen, NHC Webmaster, to update our information on the internet.
-+ Annual Report: Elisabeth met with Julie Macie, Coastal AHEC, on June 19 A timeline was
distributed to the Management Team.
-+ BCCCP' Nancy Russ represented the Breast and Cervical Cancer Control Program at the
Legislature on June 19.
-+ ACS experienced a barrage of media attention in dealings with the dogs rescued from
Maides Avenue. Ten of these were relocated to PAWS Place in Brunswick County after careful
evaluation of breed status.
-+ On Saturday, June 16 CDD staff completed initial phase of project at Nesbitt Courts.. month-
long campaign to increase visibility and provide immunizations in collaboration with Wilmington
East Rotary Club. There were 51 residents who participated with 40 doses of vaccine given,
including 19 doses of hepatitis B vaccine donated to the project by a drug company
-+ Diabetes Display' Will be displayed at area post offices.
-+
IV. Facility utilization & Information technology
(Issues #6 & 4 in part)
-+ Faciliites Update:
-+ Good news is that Bilingual Signs ordered for the inside of our building have been delivered
and will be up shortly
-+ The Outside signs are also in process at this time, so we will be able to process payment of
these PO's without having to request rollover funds for this project
-+ The Facilities Task Force has rescheduled its meeting to July 2.
-+ LotusNotes Update: R5 upgrades will begin for NHCHD Staff on July 2.
-+ GIS Proiect: NHCHD will be participatino with Duke Universitv and NCDHHS on a
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Geographic Information project to establish GIS capabilities within local health departments. In
addition to NHC, Albemarle Regional, Craven, Pamlico and Wayne counties are pilot counties.
-+ Architect met with ACS staff to discuss change needed to build a spay/neuter facility and
dog exercise area onto the existing structure.
-+ Keys: The Keys project has been completed. Desk keys will be placed as an item on the
employee's inventory sheet.
-+ NHCHD Auditorium: Will be carpeted on June 21
-+ Pharmacy Alarm: Switchboard will be responsible for deactivating alarm in the pharmacy
-+
V. Water quality, storm water management & drainage; & Air
quality (Issues #3 & 8)
-+
VI. Emerging health risks
(Issue #13)
-+ June 5, 1981 Twenty years ago today the first cases of AIDS were reported.
-+ Bioterrrorism: NHC Emergency Management is applying for federal funding to assist local
governments in preparedness against domestic bioterrorism.
-+ West Nile Virus: Wake Forrest Medical Student working with Communicable Disease and
Vector Control to develop local education on WNV
-+ Animal Control Case: ACS Staff will be removing 25-35 dogs from a private residence in
Wilmington on June 6. This case has recieved media attention this week.
-+ Rocky Mountain Spotted Fever. 5 Cases have been reported in NHC since March 2001
Information will be disseminated to the public on tick and mosquito control.
-+ Shigella: One positive case in child care facility -collecting samples from classroom
contacts.
-+ EPAlFDA Guidelines: Awareness campaign planned related to fish consumption for
pregnant women and your children because of methylmercury levels in fish.
-+
VII. Population growth & diversity
(Issue #2)
-+ Interpreter Training: Carmen Potter completed Level II Training for Interpreters in Health
Care Settings.
-+ Spanish Newscast: WRAL-TV has their 6pm newscast in Spanish.
-+ Interpreting Contract: Will be re-negotiating the Amigo's contract for July
-+ Bilingual Signs: Most signs have been placed inside and outside the Health Department's
17th Street location.
-+ ACS Staff has nearly completed a notebook of Spanish translations which will assist them in
service to the county's Hispanic community Officers will carry a condensed version with them
as they work in the field
-+
VIII. Discontinued services picked up by Health Department
(Issue #9)
-+
IX. Staff Development & continuing education
(Issue # 14)
-+ Hepatitis C workshop presented to staff on May 31
-+ Volunteers: Julia Bibbs requested the Management Team assist her in recruiting volunteers
and using volunteers effectively in each division. Brochures are available for recruitment
purposes.
-+ First Aid/AED Certification: Jean McNeil completed certification for Standard First Aid/AED
3
~ Several lunch time educational sessions were held for staff and private health care providers
who see children_ The topic was Childhood Lead Poisoning and New Hanover County Health
Department Lead Program Protocol for screening and follow up of children ages 1 year to 6
years. The total attendance was 70. The purpose of the program was to encourage staff and
outside health care providers to screen children for lead poisoning and refer to the Lead nurses
for patient education and follow up.
~ Judy Evonko attended a free two-day workshop pertaining to animal emergency
preparedness certification.
~ Senior Aide: JElan Morehead has been assigned to Administration through June 30.
~ Core Public Health Concepts Program: Five NHCHD Staff members will be pursuing a
certificate from this UNC-SPH program: Rebecca Balthazar, DeAnne Chryst, Elisabeth
Constandy, Betty Jo McCorkle, and Dianne Harvell.
~ EPI Lunch and Learn: "Listeriosis" Thursday, June 28, 12noon in auditorium.
~ GIS Training: Environmental Health staff attended GIS training at Duke University last
week, beginning a collaborative effort between DHHS Harmful Algal Blooms Program, Center
for Geographic Information and Analysis and Duke University Nicholas School of Environment
to empower local departments to use GIS software in public health.
~ Lotus Notes R5 Upgrades: Begin Monday July 2.
~ Auditing Medical Records Training: On July 2, Eunice Inman, Regional Nursing Consultant,
will conduct a workshop on Auditing Medical Records. Clinical and Clinical Clerical staff are
encouraged to sign up on sheets posted outside the auditorium.
~
X. Evaluation of services
(Issue #16)
~ Smoking Policy. Revised by adding the following statement, "Smoking is prohibited at all
entrances to county buildings as well as on all sidewalks immediately adjacent to county
buildings. "
~ County Code: ACS section of the New Hanover County Code has changed from Section 3
to Section 5.
~ Budget Update: The BCC finalized the FY 2001-02 Budget on June 18. No appealed items
by the NHCBH were included in the approved budget. After discussion of alternative tax
increase proposals, the BCC approved increasing the tax rate by 8 cents, eliminating the
recommended two days off without pay by employee, and directing staff to continue to reduce
the size of government.
~ BCC Action: BCC approved the Health Department fee increases (personal, environmental
and animal) and grant applications on June 18.
~ Community Health Services Rules: Two new rules: (1) Pregnant women must be tested for
HIV unless patient refuses to consent, and (2) Listeriosis is now a reportable disease.
~ ACS Staff reviewed changes necessary to implement the fee increases that were approved
by the BOH. Renewal cards and software codes are two important areas of concern that must
be altered
~ Weight Scales: Health Department weight scales were checked by the North Carolina
Department of Agriculture on 6-25-01, after adjustment of some, all are synchronized and in
working order
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JUN-20-01 WED 09:17 AM
NH CO MANAGER'S OFFICE
P.02/02
FAX NO. 9103414027
NEW HANOVER COUNTY
OFFICE OF THE COUNTY MANAGER
320 CHESTNUT STREET. ROOM 502
WIlMINGTON, NORTH CAROLINA 28401-4058
TELEPHONE (910) J4/-71U
FAX (910) 341-4027
ALLEN O'NEAL
County Mona&er
ANDREW J. ATKINSON CPA
Deputy County Manage.
PATRICIA A. MtLV1N
Assistant County MlIIla8er
June 20,2001
DAVIDJI. WEAVER
Assistant County Manager
414 Chestnut Street. Room 101
Telephone (910) 341-7139
Fax (910) 341-403'
Dear Fellow Employee:
It is with great relief that the 2001102 Fiscal Year County budget has been approved.
The process was much more difficult this time around due largely in part, to the state's
unsure financial position.
New Hanover County is not out of the woods just yet. We are still waiting to hear the
final outcome of the General Assembly's attempts at formulating a balanced budget. If
the state withdraws its reimbursements to counties in the coming fiscal year, as it did
during the current year, you will see changes in our workforce.
In my budget message to the Board of Commissioners, I made it clear that our
organi7.ation will go through a staff reduction plan this fall. In fact, that reduction has
already started. Each week, the Management Team and I carefully review every request
to fill vacant positions. In the past several weeks, very few vacant positions were
allowed to be filled. That careful scrutiny will continue. It is my goal to reduce the size
of the workforce through attrition. It is also my goal that services to the public continue
at the level at which citizens have grown accustomed.
I have directed the Deputy and Assistant Managers to work with the Director of Human
Resources to begin working on the process to eliminate vacant positions from county
government. We will begin with an inventory of all positions and target unfilled,
vacant positions for elimination. The way I see it, each vacant DOSition is an
opportunity to retain an active emplovee.
In approving the FY 200 1/02 County budget, the Board of Commissioners eliminated
my recommendation that each employee receive a two day unpaid furlough. If you
haven't done so already, it is suggested you thank the Commissioners for that change.
As you already know, the increased cost of insurance coverage was also included in the
budget. In looking at the situations fi1ced by other North Carolina counties, we are very
fortunate.
I hope I have kept you well informed during this difficult process. I will continue to do
so as we look to cut the size of county government in the coming year. As always, feel
free to contact me with your concerns and your suggestions.
More later...
National Association of Local Boards of Health
c
Published for Members of Local Boards of Health
President's
Message
By Hanf!y A. ~ PhD
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The last message I
wrote for the
NewsBrief was
written at my desk I
during a winter "
snowstorm. This
time I'm beginning I
thG is letter in Bowling L.
reen, Ohio, at
NALBOH's national offices following a meeting of our board of
directors. It's Saturday, April 6 and the board is getting ready to
celebrate Ned and Jo Baker's 50" wedding anniversary tonight.
Last night we all attended the 2'" Annual Ned E. Baker Lecture in
0Jblic Health at Bowling Green State University, which featured
~ ..chael E. Bird, MSW, MPH, and current President of the American
Public Health Association. His inspirational speech was entitled
"Relationships: Family, Community and Public Health" and was made
available to all local boards of health by satellite. I hope many of
you took advantage of this opportunity.
The NALBOH Board took action on many issues during the two
days we were together. It was decided to have the annual con-
ference for July 2002 in the city of New Orleans. This conference
will be co-Iocated with NACCHO's conference. We will begin plan-
ning. several cosponsored events including the opening plenary
session and a conference reception. We have contracted with a
soon-to-be built hotel that is scheduled to be completed by the
end of this year and is located on the comer of Camil and Bourbon
Streets. It will be within one block of the NACCHO conference
hotel.
We also received a copy of the CDC document that outlines the
process we must follow to receive funding for NALBOH's major
programs. This program is called a cooperative grant, in which CDC
contracts with NALBOH to serve as a partner to advance improve-
ments in the public health infrastructure, including
local boards of health. NALBOH is the lead partner to help im-
prove the functioning of local boards. To achieve this goal, we
have been engaged in projects that I have discussed here before
such as, the National Public Health Performance Standard~
Program, an environmental health primer, and numerous tobacco
r 1ntrol programs. In the future, NALBOH will be involved in pro-
'--. ams, which will provide local boards with infonnation on public
health law and food safety.
Two weeks ago, April 26-27, I was in St. Louis participating in the
Contmued on p88e 2
May 2001
Public Health's Infrastructure
Status Report
The Department of Health and Human Services, Centers for
Disease Control and Prevention (CDC) recently released the
Public Health's Inf171structure - Every health department fully
prepared; every community better protected. In 1999, the
Appropriations Committee of the United States Senate requested
a report that assesses the current state of the Nation's public
health infrastructure and makes recommendations on possible
actions that could be taken to strengthen key components. Our
national public health infrastructure is the first, and in many
cases the !!!l!Y.. line of defense against intentional and unin.
tentional threats, including bioterrorism.
Uke our system of national military preparedness, our public
health annaments include:
1) a skilled profesSional wor1d'orce;
2) robust infonnation and data systems; and
3) strong. health departments and laboratories - must be at
a constant state of "battle readiness" nationwide.
Because many environmental and health threats know no
boundaries, we can afford no weakness in our line of de-
fense. Either we are all protected, or we are all at risk.
Is the nation's public health infrastructure up to the task? What
infonnation do you need to advocate for the changes re-
quired? This report summarizes the disparities of quality and
capabilities of the American public health infrastructure and
provides a plan to address these problems. The recommenda-
tions, supported by CDC and its partners, will bolster
our foundations, anticipate threats to health, and avert both
unnecessary costs and needless morbidity and mortality. These
recommendations are built on an ethic of accountability and a
commitment to measuring not only health outcomes, but also
perfonnance and contributions of public health's infrastructure.
The report also compliments the Healthy People 2010 - Public
Health Infrastructure objectives.
For a full copy of the report or additional infonnation, please
go to the website <www.phppo.cdc.gov> For more infor-
mation and dialogue, Dr. Edward L. Baker will be speaking on
this topic at NALBOH's 9th annual conference in Cleveland.
See pages 8 & 9 for more infonnation. 0
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8
NALBOH's 9th Annual Conference
Boards of Health: Building Healthy Communities
Through
Partnerships and Policies
Join Us!
July 25-28, 2001
Sheraton Cleveland City Centre
In cooperation with
OHIO AsSOCIATION OF
BOARDS OF HEALTH
Deadline Dates:
Special Conference Room Rate: June 25, 2001
Early Bird Registration: July 1, 2001
For more infonnation contact the NALBOH ()flire at:
Phone: (419) 353-7714; Fax: (419) 352--6278;
E-mail: <nalboh@nalboh,org>; ~ite: <www.nalboh.org>
National Association of Local Boards of Health
1840 East Gypsy Lane Road
Bowling Green, OH 43402
NONPROFITORG.
V,S, Postage
PAID
Bowling Green, OH
PennitNo. 47
",
"",J
:)
-\
------
(
NEW HANOVER COUNTY HEALTH OEPARTMENT
Also in this issue...
2 Food Poisoning-
Three bacteria to watch
2 Stopping Mad Cow
Disease in the U.S. -
How we've prevented
it
3 Foot.and-Mouth
Disease - Cows get it,
not people
(
'-
3 The Meat Inspect.
ion Program - How the
U.S. keeps meat and
poultry safe
4 Brief Beef Facts-
Handling and cooking
meat without getting
sick
\ ""O/(~
\\\~\~t ..
\SS\jt.
Copyright 200t
Pike & Fischer, Inc.
1-800-255-8131
Summer 2001
Beef Up -on Bare Bone
Meat Safety Facts
There's nothing that says summer quite like beef on~ the barbeque. But many peo-
ple ore starting to think twice about eating 0 nice, juicy stl1ak or thahll-American
favorite, the grilled hamburget Every day you hear reports on foadborne illness out-
breaks, Mad Cow Disease, and Foot-and-Mouth Disease. It's enough to make anyone
squeamish, if they don't know the fads. Inside this issue, you'll learn the real risk to
meat and poultry safety and how to ovoid those risks and keep your meot safe.
A big threat to beef safety is the organism E. coli 0157:H7 In 1993,600 people
were sickened and three children died after eating at a Jack in the Box in
Washington state because hamburgers contaminated with E. coli were not cooked
enough. E. coli is killed when the internal temperature of hamburger reaches 1600 F
Just last summer, 62 people contracted E. coli after eating at one of two Sizzler
Restaurants in Milwaukee. Many customers were hospitalized, including four chil-
dren. Sadly, one 3-year-old girl died. If the restaurant had followed basic food safety
principles, this tragedy would never have happened.
Here's what went wrong at Sizzler:
. The producer delivered beef contaminated with E. co/i.
. The meat was ground on the meat-grinding stand.
. The meat then cross-contaminated hands, utensils, cutting and food prep surfaces.
. The l<itchen staff often just dipped their
hands in a bucket of sanitizing SOlutions~ I
intended for cleaning food prep sur- {
faces, rather than wash their hands at ~
the hand-wash sink.
. Watermelon was prepared on the
meat-grinding stand. Contam-
inated watermelon was
placed on the salad bars at
both Sizzler Restaurants.
After an employee replaced the fruit
salad with a fresh new bowl, the employee
would dump the remains of the old con-
taminated fruit with the new salad. This
practice could have kept the outbreak
going on indefinitely.
(continued on page 2)
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FOOD TALK~
NEW HANOVER CO
-
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NEW HANOVER COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH DMSION
2029 SOUTH 1 nH STREET
WILMINGTON, NC 28401
David Rice
Health Director
Health Department
Printed on recycled paper
Brief Beef Facts
What's the difference between beef, baby beef and veal?
Beef is meat from a cow two or more years old. A 1,000-pound cow yields about 450 pounds of meat.
Baby beef or calf is meat from young cattle weighing about 700 pounds and fed mainly grass and milk. The cuts are
smaller and less fatty than beef.
Veal is meat from a calf less than 3 months old and weighing less than 150 pounds. The calves are mainly milk fed.
Veal contains more cholesterol than beef.
Here are a few clues that the meat is spoiled:
Watch out for brown beef. If the beef turned brown after it's been stored for five or more days, if it has an off smell,
and if it is tacky to the touch, it's spoiled.
Sliced, cooked lunch meat sometimes has an iridescent color when the light hits it because it contains iron, fat and
other compounds. This doesn't mean the meat is bad. But if it smells funny and feels slimy and sticky, the meat is
spoiled.
How should meat marinade be handled?
Beef can be marinated up to five days in the refrigerator. But before brushing the marinade on cooked beef, boil it.
How hot does beef need to be? ........
The U.S. Department of Agriculture recommends using ~er to make sure the meat reaches safe tempera-
tures to kill the pathogens that make you sick.
Hamburger or other ground meat mixtures should reach an internal temperature of 1600 F to be safe.
Steaks and roasts may reach different internal temperatures for safety.
For medium rare, a steak or roast must reach 1450 F
For medium, a steak or roast must reach 1600 F
For well done, a steak or roast must reach 1700 F
../