08/01/2001
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New Hanover County Health Department
Revenue and Expenditure Summary
June 2001
Cumulative: 100.00% Month 12 of 12
Revenues
Cumulative % 100.00% Month Reported Man 12 of 12 Jun-Ol
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned Remaining
Federal & State $ 1,337,583 $ 1,172,698 $ 164,885 87.67% $1,346,871 $ 1,260,300 86,571 93.57%
AC Fees $ 523,044 $ 535,888 $ (12,844) 102.46% $ 516,453 $ 439,969 76,464 85.19%
Medicaid $ 941,900 $ 822,422 $ 119,478 87.32% $ 852,864 $ 708,113 144,771 83.03%
Medicaid Max $ 153,479 $ 153,479 100.00% $ 315,511 $ 366,891 (51,380) 116.28%
EH Fees $ 312,900 $ 293,906 93.93% $ 312,900 $ 304,821 8,079 97 42%
HeaRh Fees $ 112,015 $ 153,526 137.06% $ 109,515 $ 134,092 (24,577) 122.44%
Other $ 1,319,585 $ 1,349,447 102.26% $ 824,269 $ 839,313 (15,044) 101.83%
Expenditures
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Type of
Expenditure
Budgeted
Amount
Current Year
Expended Balance
Amount Remaining
%
Budgeted
Amount
Prior Vear
Expended Balance
Amount Remaining
%
Summary
Budgeted Actual %
FY OO~1 FY OO~1
Expenditures:
Salaries & Fringe $8,245,328 $7,787,417
Operating Expenses $1,984,198 $1,667,183
Capital Outlay $534,236 $394,391
Total Expenditures $10,763,762 $9,848,991 91,50%
Revenue: $4,700,506 $4,481,366 95,34%
Net County $$ $6,063,256 $5,367,625 88.53%
Revenue and Expenditure Summary
Fiscal Year 01
As of June 30, 2001
Note: Tbis is not tbe FINAL Report for FY 01
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NEW HANOVER COUNTY HEALTH DEPARTMENT
BOARD OF HEALTH (BOH) APPROVED
GRANT APPLICATION STATUS
Data (BOHI Grant Reauested Pendlna Received Denied
Diabetes Today - Diabetes Prevention & Control
7/11/01 Untt, NCDHHS $10,000 $10,000
Lose Weight Wilmington - Cape Fear Memorial
Foundation $75,000 $75,000
Diabetic Cars for Prsnatal Patlenta-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 rsport for Mav 2001
Maternity Cars Coordination expansion Grant
4/4/01 NC DHHS $15,000 $15,000
Wilmington Housing Authority- Ross Grant -
TAP & AAemative HIV Test Sttes 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 rsDort for Jan, Feb Bnd Mar 2001
Intensive Home Visitation Program expansion
12/6/00 Grant - Smarl Start $100,000 $96,000 $4,000
Childhood Asthma Management & Control
Interventions- NC Department of Health &
Human Services, Division of Public Health, WCH
11/1/00 Sactlon $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 Heatth, North
10/4/00 Carolina Dept of Health & Human Sarvlces $10,000 $10,000
March of Dimes- March of Dimes Birth Defects
Foundation Eastem Carolina Chapter $10,000 $8,250 $1,750
Enhanced Counseling Program for HIV / AIDS
9/6100 EtIon John Aids Foundation $48,000 $48,000 .
Smart Start 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 Aida Prsventlon. Z. Smtth Reynolds
Foundation $59,000 $59,OOO
March T_ard TB Elimination- NC Dept of
7/12/00 Heatth and Human Sarvlces (DHHS) $10,000 $7,200 $2,800
Cape Fear Memorial FoundatiDn (TAP
Programl2 veer reQuest $55,000 oer veer $55,000 $35,000 $20,000
Diabetes Today. DHHS Division of Public
Health $10,000 $10,000
As of 7/17101
. NOTE: Notification received since last report.
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NEW HANOVER COUNTY HEALTH DEPARTMENT
BOARD OF HEALTH (BOH) APPROVED
GRANT APPLICATION STATUS
Date (BOH) Grant Reauested Pendlna Received Denied
Servlclos Para Nlnos-Rahab Therapy
6/7/00 Foundation $50,000 $50,000
Family Planning Outreach InIUaUve-NC
Division of Public Health- WPH Untt (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
Project Asslst-American Legacy Foundation
513/00 Grant ($57,500 for each of 3 years) $57,500 $8,512 $48,988
MOW Services (Infent Mortellty)-NC Heatthy
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
3/1/00 WIC Outreach- NC DHHS I $5,590 I I $5,590 I
No actlvltv to reo< rt for Jan and Feb 2000
Child Health Consultent Grant- UNC Dept of
Maternal & Child Heatth- Contract wIIh NC
12/1/99 DHHS, Division of Women and Children's Health $48,210 $29,275 $18,935
Healthy Carolinians Task Force- NC OffIce of
11/3/99 Heatthv Carolinians (FROZEN) $10,000 $10,000
Operation Reach Women. Susan G. Kamen,
Breast Cancer Foundation $19,822 $19,822
North Carolina Chllhood Asthma InlUatlve- NC
DHHS, Women and Children's Health Section
FROZENI $7,500 $7,500
No actlvltv to reDort for Oct 1999.
School Health Uce 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-NC
Communtty Heatth Initiative- Heatthy Carolinians-
9/1/99 Center for Disease Control and Prevention $17 ,375 $17,375
Diabetes Today Community Planning InltlaUve
NC DHHS - Diabetes Prevention and Control Untt $10,000 $10,000
No activity to report for Aua 1999.
Healthy Women First- Communtty Heatth
717/99 Improvement Program $24,692 $24,692
Teen Aids PrevenUon.cape Fear Foundation
Grant $50,700 $35,000 $15,700
Totels $1,316,973 $330,331 $363,900 $602,742
25.083% 29.150% 45.767%
As of 7/17101
. NOTE: Notification received since last report.
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/IJt. Dianne Harvell
07112/2001 10:48
AM
To: David E Rice/NHC@NHC, Lynda Smlth/NHC@NHC
cc: Dottie Ray/NHC@NHC, Ken Sholar/NHC@NHC, Keith
StudVNHC@NHC, Sharon Neuschafer/NHC@NHC, Debbie
Lovett/NHC@NHC
Subject: Corps Of Engineers Request For Additional Work. Snow's Cut
Dave & Lynda,
Howard asked Ken to put together a proposal for work on a dredge disposal island in Snow's Cut.
Minnows + larvicide are the current control methods on this site, however, neighboring property
owners do not find this adequate. Howard proposes that the site be modified to exclude standing
water with available fill material. It will require rental of a bulldozer due to site stability
questions. Ken & Keith have put together a proposal (see attachment). Best case scenario is to
complete in 1.week + rent only large bulldozer. Worst case scenario is presented in proposal.
Howard will get a check cut to NHCoHD for $19,066.00 prior to our performing any of the work
as this is outside the scope of our current COE contract. Do we have vour oermission to oroceed
?
DH
~
Snows Cut Prolect.wpd
-----------------------
Dianne Harvell
Environmental Health Director
New Hanover County Health Dept
2029 S 17th St
Wilmington, NC 28401
Phone 910.343.6665
Fax 910.772.7810
-----------------------
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July 11, 2001
Howard Vamam, Contracting Officer
U.S. Arrrrj Corps of Engineers
POBox 1890
Wilmington, NC 28402
RE: Snow's Cut Spoil Island (West End)
WJlmington, North Carolina
The residents of the area adjacent to the Snow's Cut Spoillsl
the U.S. Arrrrj Corps of Engineers relative to mosquito prob
On July 2, 2001, Howard Vamam, Contract Officer, U.S. Arrrrj Corps of Engineers requested New
Hanover County Health Department, Vector Control to assess the situation at Snow's Cut. New
Hanover County Health Department, Vector Control bas an integrated pest "",nagement program
along with gambusia minnows in place at Snow's Cut. The residents have conveyed not to accept
!PM management strategy of gambusia minnows with any larvicide option and want the standing
water to be removed.
On July 10,2001, New Hanover County HealthDepartment, Vector Control staffreviewed the work
site and developed a work plan for Snow's Cut Spoil Island West End and contacted Howard
Varnam with proposed abatement strategies.
PROJECTED WORK PLAN
New Hanover County Health Department proposes to move soil from high sandy end to fill water
area at low end. Note: Water level inside is approximately eight foot below drain weir elevation. The
proposed project will require rental of equipment for a four week period due to the potential unstable
site work conditions. Work can also be supported with additional county owned equipmentifneeded
through intra-departmental resources. The project completion is dependent upon the stability of the
material during b;w1rt;l1ing operations. Work will commence upon approval by the U.S. Arrrrj Corps
of Engineers.
PROJECTED COST
Equipment will be rented from private contractor.
Rental (Large Dozer)
Rental (Small Dozer)
Fuel
Transportation
Labor (2 operators) 288 hours
TOTAL COST
$ 6,350
3,450
3,000
420
5.8%.
$19,066
db17/11101
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BUDGET INFORMATION FOR SNOWS CUT PROJECT
Sno~s Cut Project - 519,066
Vector Control Budget - ll0-510-5112
EXPENDITURE BUDGET
Budget:
110-510-5112-1000 Salaries
110-510-5112-3520 Equipment Rent
110-510-5112-3700 Contracted Services
110-510-5112-4250 Fuel
TOTAL
REVENUE BUDGET
$ 5,846
$ 9,800
$ 420
$ 3.000
519,066
Vector Control Revenue Budget: 110-510-5112
Please set up a new revenue source account fortbis project. - $19,066
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07/09/2001 13:44
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NEW
HANOVER
courm
SCHOOU
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9102544352
SUSAN
PAGE 01
01>. D. JOHN MORRIS, JR.
~',re.~
DR. AlFRED H. LERCH. JR.
_'~'",".Jo."
S1lK1onf~~
F_ProgtarrrI,Tes/tv
We are requesting two new full-time RN positions to fill the requirements for
nursing services at the three new schools opening this fall. Funding will be provided
by the New Hanover Country Schools.
1802 SoUTH 15lH SlREET . WlM1NGTON. NORlH CAAouNA 28401 . PHoNE (91 0) 254-4206 . FAX (910) 264-4362
Mmmrlm
To: Betty Creech
From: AI Lerch ~
Date: 07/09/01
Re: New nurse positions for Ashley, Parsley and Murray
c: D. John Moms
Mary Hazel Small
.,',r",',
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New Position Or Increase/Decrease Hours
Fiscal Year: 2001 - 2002
Department: Health
Division: School Health
Contact Person: Kim/Marcy Contact Phone Nbl
Fund: 110 Agency: 510 Orgn: 5169
o I Am Not Requesting New Position Or Increa!
Check The Requested Action:
. New Position 0 Increase/Deere
Note: Two copies of a Position Description (PDQ) form must accompany this
request for a New Position. This form is located on NHCForms on Srvnotesl.
Two copies of the PDQ along with this new position request should be sent to
the Budget Department.
New Position
Number Requested: 2
Requested Position Classification Title:
Public Health Nurse II
Requested Pay Grade: NUZ2; $36,209 - $55,590; prorated based on 10-month
salary
Proposed Effective Date Of Requested Action: August, 2001
Check one:
~ Full-Time 0 Part-Time 050%
075%
080%
Justification For Requested Action
10-month/year position
Three new schools will open in the fall of 2001. Board of Education
administrative staff have requested that we employ nurses for these schools.
They are requesting a full-time nurse for the high school and a full-time nurse to
cover the elementary and middle schools. These nurses will provide services that
will enable medically fragile students to safely attend school and enable the
schools to comply with laws governing meeting student health needs.
16
How Will The Requested Action Benefit The County?
Student health problems will be efficiently and effectively managed in the new
schools. This should aid with limiting absenteeism and improve school
performance. Liability to the schools will be reduced. The schools can comply
with laws requiring that student health needs be met. Home schooling can be
reduced.
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Are There Any Employees Currently Performing The Same Duties And
Responsibilities As Described In The Attached PD?
. Yes 0 No
If "Yes", Identify By Name, Position Classification Title And Unit.
Patty Hochwalt Public Health Nurse Community Hlth/School Hlth
Candace Sancilio Public Health Nurse Community Hlth/School Hlth
Mania Swart Public Health Nurse Community Hlth/School Hlth
Ellen Harrison PHN Supervisor Community Hlth/Personal Hlth
Gloria Umstetter Public Health Nurse Community Hlth/School Hlth
Rose Bauerlein Public Health Nurse Community Hlth/School Hlth
Dorothy Ashbaugh Public Health Nurse Community Hlth/School Hlth
Laura West Public Health Nurse Community Hlth/School Hlth
Frankie Mincey Public Health Nurse Community Hlth/Personal Hlth _
Evelyn Bowden PHN Supervisor Community Hlth/Personal Hlth _
Charlotte Norris Public Health Nurse Community Hlth/School Hlth
Teresa Stanely Public Health Nurse Community Hlth/Personal Hlth
Pat McSwain Public Health Nurse Community Hlth/Personal Hlth
Shenita Josey Public Health Nurse Community Hlth/Personal Hlth
Mary Jo Newton Public Health Nurse Community Hlth/Personal Hlth
Beverly Fussell Public Health Nurse Community Hlth/Personal Hlth
Gayle Bordeaux Public Health Nurse Community Hlth/School Hlth
Deborah Goodwin Public Health Nurse Community Hlth/School Hlth
Patty Hanes Public Health Nurse Community Hlth/School Hlth
Kelly Johnson Public Health Nurse Community Hlth/School Hlth
Leslie Yusko Public Health Nurse Community Hlth/School Hlth
Linda Wright Public Health Nurse Community Hlth/School Hlth
If "Yes", What Impact Would The Requested Action Have On The Position(s)
Listed?
They would continue to provide comprehensive, timely services to the schools.
They would be responsible for fewer students; liability related to service delivery
would be reduced.
What Will Be The Impact If The Requested Action Is Not Taken?
Schools will be unable to meet requirements for student health services. More
at.risk care will be provided. School personnel will have to neglect their duties to
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provide health care. The three new schools would not have nursing coverage
unless services were reduced at other schools.
How WiII The Position Be Funded?
New Hanover County Schools
If position requires any equipment (uniform, computer, vehicle, etc.) please list
the equipment and approximately cost below.
Mileage. $300
Training/Travel. $400
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Fiscal Year 2001 - 2002
School Health Budget (5169)
for Additional Two (2) PHN n School Nurses
Expenditures:
Salary
FICA
Retirement
Insurance (Medical, Dental)
Disability Insurance
Mileage
Trainingffravel
$65,177
4,986
3,194
8,144
169
300
400
Total
$82,370
Revenue:
Contribution From Schools
$82,370
Note: Salary, FICA, Retirement for nine (9) months
Insurance ten (10) months because school system pays year round
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~E.~L TH
NEW HANOVER COUNTY BOARD OF' GMf.1I5310NEftS
REQUEST FOR BOARD ACTION
Meeting Date: 08/'8f"01
Department: Health Presenter: Beth Jones, Communicable Disease Director
Contact: Beth Jones, 343.6648
SUBJECT:
Grant Application-Reapplication for Teen AIDS Prevention (TAP) for $45,500
from the Cape Fear Memorial Foundation
BRiEr SUMMARY:
We are request approval to reapply to Cape Fear Memorial Foundation for grant funding of
$45,500 for FY 2002 to continue our Teen AIDS Prevention Program. We began the TAP peer
education program in January, 1999, with $32,000 from the HIV ISTD Prevention and Care
Section of the North Carolina Department of Health and Human Services. After the initial
funding, TAP has been funded for two years by the Cape Fear Memorial Foundation.
TAP is a unique program focusing on HIV/STD prevention by providing peer-led presentations to
high.risk New Hanover County Teens on a regular basis. TAP is the only peer education program
in New Hanover County that serves adolescents in housing developments, the Juvenile Detention
Center, and the Wilmington Treatment Center on a consistent basis.
TAP answers a need that is not otherwise filled in this community At each weekly session, the
peer educators teach other teens the skills to ignore negative peer pressure, as well as,
education about HIV/STDs, to help them make safe and healthy choices.
By providing this education early, we reduce the risk of the spread of HIV ISTDs and improve the
quality of life for all citizens.
This funding request is for a period of October 1,2001 through September 30, 2002. No county
match is required. In. kind support is through existing staff and resources already budgeted in
the Communicable Disease Division budgets.
RECOMMENDED MOTION AND REOUESTED ACTIONS:
'Approve grant application for $45,500 to be sent to the County Commissioners and approve
associated budget amendment if grant awarded.
FUNDING SOURCE:
Cape Fear Memorial Foundation Grant for $45,500 (no county support other than in.kind staff
and supplies)
ATTACHMENTS:
Yes-23 pages of grant (including one budget page) and 27 pages in attachments (including 14
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: 4/30/99
CAPE FEAR MEMORIAL FOUNDATION
GRANT APPL\CA TION FORM
I Part 1 :
YOUR ORGANIZATION
,
Name: New Hanover County Health Deoartment
Street Address: 2029 South 17th Street
City, State, & Zip Code Wilminaton. North Carolina 28401
Name of Key Contact Person: Beth Wolfe Jones
Title: Communicable Disease Division Director
Telephone #.
(910) 343-6648
Fax#:
(910) 341-4146
Fiscal Year End: June 30
Federal Tax 10 #: 56-6000324
1. Is your organization a nonprofit, tax-exempt organization under IRS Code Section 501 (c) (3) or a
govemmental unit? If not, you do not qualify for a grant. If your organizations is a 501 (c) (3), please
attach a copy of your current IRS tax-exemption letter with this ApplicatIon.
Yes, govemmental unit.
2. Is your organization a private, 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. Board of Health appointed by County Commissioners.
Department does not engage in political activity.
6. Summarize your organization's background, goals and current programs. Discuss your assets In
personnel, services and programs which could be built upon by the Foundation's help.
Answer on separate page.
7. Describe your organization's structure and attach a list of your officers and dinectors.
Answer on separate page.
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Revised: 4130/99
CAPE FEAR MEMORIAL FOUNDATION
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GRANT APPLICATION FORM
6. Swnmarize your organization's background, goals and current programs. Discuss your
assets in persoDDe~ services and programs which could be buih upon by the Foundation's
help.
The New Hanover County Health Department (NHCHD) is a public health facility that
provides services to citizens of New Hanover and surrounding counties. Funding comes
from state and local government for most programs and services. Some revenues are
generated through fees.
NHCHD has 10 divisions that offer programs for the prevention of disease and the
promotion of health. The Communicable Disease Division (CDD) provides medical and
educational services to screen, treat, and prevent the spread of communicable diseases.
Programs lldmini!ltered by the division include: Tuberculosis Control; Sexually
Transmitted Diseases (SID); Human Immunodeficiency Virus (HIV) Counseling, Testing,
and Prevention; Surveillance and outbreak control for other infectious diseases; childhood _
and adult immunizations; medical records; and general registration. The division consists _
ofa nursing director, 9 staffnurses, I physician extender, 1 communicable disease
investigator, and management support staff. There is also a health educator position for
Teen AIDS Prevention (TAP), which is eliminated unless funding is approved. Operating
expenses for CDD are approximately $157,000, which are used for employee mileage
reimbursements for outreach activities and medi~ laboratory, and office supplies,
including purchase of some medications and vaccines not provided to NHCHD by the
state. NHCHD participates in the Southeastern North Carolina HlV Prevention Regional
Community PIRnning Group- a group of collaborating organizations, agencies, and
individuals who meet to identifY local needs and imprOve HlV prevention efforts. NHCHD
is also involved in the Cape Fear Teen Health Counc~ facilitated by Wdmington Health
Access for Teens.
NHCHD does not receive any funding specifically to provide HlV and SID prevention
activities, with the exception of the funding from your foundation. Despite this lack of
filnding, since 1985 NHCHD Communicable Disease Division staffhave promoted HlV
and SID prevention by offering individual testing on a daily basis. The testing procedure
incorporates risk elimination/reduction counseling and education for each patient. In
addition, NHCHD staff offer educational and screening activities in community settings
and distribute literature to medical providers' offices. NHCHD's HlV focus is to prevent
trllnsmi"Sion of the disease and provide access for free HlV testing to individuals who are _
at risk. Obviously, testing alone does not prevent transmission. However, identification of _
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infections, referral for care, and education and counseling can reduce secondary
transmissions. This will continue to be a focus for CDD staff.
Primary prevention is much more compassionate and cost-effective than secondary efforts.
Behaviors that for some people begin during adolescence must be changed. TAP
addresses those behaviors and decisions that are necessary to protect health by teaching
life preservation skills. The longer that risk-taking can be postponed, the more well-
equipped an individual will be to make decisions about his or her behavior.
NHCHD began the TAP peer education program in January, 1999 with $32,000 from the
HIV/SID Prevention and Care Section of the North Carolina Department of Health and
Human Services. The initial funding was for six months to pilot a peer education program
for teenagers. Though six months was hardly adequate time to implement and evaluate a
new program, the initial start-up work was completed. A health educator was hired, a
curriculum manual developed, recruitment and training ofteen peer educators completed.
and successful programs were facilitated by the peer educators.
After this initial funding, TAP has been funded for two years by the Cape Fear Memorial
Foundation. During the :first year, 1999-2000, the TAP program coordinator and eight
peer educators trained twelve new peer educators. Together, these twenty TAP peer
educators wrote and presented a thirty minute play about peer pressure, stereotypes, and
drug/alcohol use; co-sponsored the 5111 Annual Family Fun Day in the Park to raise
awareness oflllV and serve as a fundraiser; continued to receive ongoing training; served
on panels throughout the community; participated in school health fuirs; gave numerous
presentations to adolescents in the community; and provided one-on-one street outreaCh
to their peers. During the 1999-2000 fur1ding year, the TAP program coordinator and
peer educators iilcilitated approximately 3-5 peer-led presentations per week to
adolescents in different community groups.
During the 2000-2001 year of funding by the Cape Fear Memorial Foundation, TAP
expanded greatly. TAP now consists of thirty trained peer educators who give
approximately 5-7 presentations per week to adolescents in djff",ent connmurity groups.
TAP has achieved the majority ofits year-long goals and objectives. For example, TAP
has succeeded in giving presentations to numerous groups of students within the school
system, increased its weekly after-school groups to adolescents in the housing
developments, and provides weekly presentations to the highest-risk adolescents, who are
in the Juvenile Detention Center and the Wilmington Treatment Center.
Other staff in CDD have provided tremendous support for TAP through secretarial and
administrative oversight, as well as assistance with training activities and tranSportation of
peer educators. WIth the help of the Cape Fear Memorial Foundation, the health educator
position and the TAP program can continue to access the hard-to-reach adolescent
population.
23
The TAP program coordinator has a Master's in Social Work and a Master's in Public
Health from the University of North Carolina at Chapel Hill. She utilizes both her social
work skil\s.and her health education skills in working with adolescents.
7. Descnbe your organization's structure and attach a list of your officers and directors.
See attached organizational diagram and Board of Health list in the Attachments.
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<
e Revised: 4130/99
CAPE FEAR MEMORIAL FOUNDATION
GRANT APPLICATION FORM
PART ll: PROJECTIPROGRAM (Please quantify wheneVer possible.)
I. Descn'be the problem/need that the program/project will address.
e
The problem the TAP program addresses is the lack of educational programs for
adolescents that effectively change attitudes and behaviors. Nationwide, children between
the ages of 10 and 19 acquire an estimated 3 million cases ofSTDs each year. New
Hanover County Heahh DepartmeDt's STD clinic statistics demonstrate that the
percentage of people und.er the age of20 visiting the NHCHD STD Clinic has consistently
remained within the range of 15% to 23% since 1995 [Source: NHCHD Clinic Statistics,
January 1995-December 31, 2000]. Thus, approximately one-fifth of all NHCHD STD
clinic patients are under the age of20. By their presence in the STD clinic, these
teenagers are acknowledging that they are engaging in risky behaviors. In NHCHD's
STD Quarterly Report from October 1,2000 thru December 31, 2000, 25% ofindividua\s
diagnosed with gonorrhea were under the age of20, 19% of individuals receiving the mv
tests were under the age of20, and 45% of chlamydia patients were under the age of20.
In addition to the negative r"v<'lcussions ofbaving an STD, the presence ofSTDs also
increases a person's risk ofmv transmission.
According to the Centers for Disease Control and Prevention (COC), 51% of new mv
infections in the U.S. are among people under the age of25. For this reason, targeting
adolescents with mv prevention is tantRmount to curbing the spread of this virus. Given
the incubation period ofmv, it can naturally be assumed that many of those who develop
AIDS in their twenties and early thirties became infected as teenagers. Many of the
behaviors associated with mv tran",mssion, such as alcohol and drug use as wen as
unsafe sexual practices, were developed as teenagers.
The preva1ence of STDs and mv have reached an aJarming rate in both in North Carolina
and in New Hanover County. Teens aCCOunt for 3% of all reported AIDS cases within
North Carolina, whichis more than three times greater than the cumulative percentage for
the United States. New Hanover County bas an STD infection rate that is more than two
times higher than the state average.
NHCHD SID Clinic statistics show that there bas been a 10".4 increase in the number of
people visiting the STD clinic in Fiscal Year 2001, as compared to FY 2000. There bas
been an 11% increase in the number of people receiving mv tests at NHCHD from FY
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2000 to FY 2001. There has been an 11% increase in the number of people diagnosed
with both chlamydia and gonorrhea in New Hanover County in FY 2001, as compared to
FY 2000.
In April, 1999, the Search Institute published a report on New Hanover County
adolescents entitled "Developmental Assets: A Profile of Your Youth." The Institute
surveyed students in grades 6 through 12 at the New Hanover County Schools, Cape Fear
Academy, and Myrtle Grove Christian School According to the survey, 33% of the
students used alcohol once or more in the last 30 days, and 20".4 of students got drunk
once or more in the last two weeks. Twenty-three percent of students used marijuana
once or more in the last 12 months, and 10".4 used other illicit drugs once or more in the
last 12 months. Thirty-three percent of students have had sexual intercourse one or more
times, and an alarming 22% of students have had sexual intercourse three or more times in
their lifetime.
This report descn"bes the risk-taking behavior of youth living in New Hanover County. _
The TAP program is taking heed of these survey results, offering positive ahernatives to _
teenagers so that they will be less likely to engage in these destructive activities. Each of
the factors descn"bed above puts individuals at a greater risk of acquiring mv or other
SIDs. For this reason, it is essential to seek new ways to combat the overwhelming
pressures many teenagers are unprepared to handle about drug and alcohol use, mv ISID
prevention, relationships, and other critical issues. TAP utilizes caring and trained peer
educators to deliver the lifesaving messages necessary for survival, and helps teenagers
develop positive decision-"",lnng skills.
NHCHD's decision to target the adolescent population was initially determined in 1998 by
the Southeastern North Carolina mv Prevention Regional Community plRnnhlg Group as
the area population least served by existing HIV prevention education efforts. While
Coastal Horizons Center, Inc. and Cure AIDS ofW1lmingtonhave programs that target
injecting drug users and minority females of childbearing age respectfully, the NHCHD's
TAP program has been the only local peer education program that specifically targets
adolescents with HIV ISTD prevention education.
TAP is a unique program in that it focuses on providing peer-led presentations to high-risk
New Hanover County teens on a regular basis. TAP is the only peer education program in
New Hanover County that serves adolescents in the housing developments, the Juvenile
Detention Center, and the Wilmington Treatment Center (an inpatient substance abuse
treatment mcility) on a consistent basis. Peer educators return week after week to the e
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same sites, serving as mentors for these high-risk adolescents and influencing them
through positive peer pressure.
TAP is also unique in that it gives numerous peer-led presentations during the summer
vacation. Whereas many other peer education programs take breaks during the summer,
the summer is the busiest time for the TAP program. TAP recognizes that adolescents get
into trouble when they have too much time on their hands; for this reason, TAP goes into
overdrive during the summer vacation in order to keep adolescents involved in structured
activities.
For these reasons, TAP answers a need that is not otherwise filled in this community.
When TAP peer educators arrive for the weekly sessions at Creekwood South Recreation
Center, Nesbitt Courts Recreation Center, and the Derek Davis Recreation Center, the
adolescent participants are a1ready sitting there and waiting for the TAP program to begin.
They are anxious for something constructive to do during the summer and after school,
and they are engaged and enthusiastic during the educational sessions. At each weekly
session, the peer educators teach them skills to ignore negative peer pressure, as well as
education about mv ISIDs, to help them make safe and healthy choices.
2. Descn'be the objective of the project/program and indicate how individual lives of the
recipients will be changed and what benefits are expected to result.
The TAP program espouses three main goals. The primary goal is to promote an
environment in Wdmington and the surrounding areas where personal health, safety, and
positive life skil1s are more socially and personally desirable to young people than
unhea1thy alternatives such as unsafe sexual practices and drug/alcohol abuse.
Adolescents are constantly bombarded with peer pressure coaxing them to engage in
negative activities: to have sex, to not use protection when they have sex, to try drugs, to
drink alcohol, to smoke cigarettes, and so on. The purpose of TAP is to give adolescents
the opportunity to send positive messages to their peers to counteract all of the negative
pressures. By providing information, teaching personal risk reduction strategies, and
serving as role models for their peers, TAP peer educators help to foster a social climate
where it is comfortable and acceptable for adolescents to avoid risky behavior. The TAP
program aims to educate teenagers that the risk-taking behaviors that expose them to mv
and other SIDs also compromise their potential for healthy and productive adult lives.
TAP is a life-skil1s curriculum thatW8S developed for mv ISID prevention. Once these-
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skills are learned, they apply to behaviors and experiences throughout life. The TAP
program offers adolescents the information, skills, and self-esteem building exercises that
lead to increased self-confidence, improved health, and attainment of life goals.
The second goal is to empower adolescents to make a positive difference in their own and
other teenagers' lives through education, leadership and being a role model for other
teenagers. The TAP program currently consists of thirty-two peer educators, which is the
highest number ofpeer educators who have participated simultaneously. The more
experienced peer educators train new peer educators during intensive training retreats.
The most recent training retreat was held in May, 2001- eighteen experienced peer
educators trained fourteen new ones. The trainings promote TAP's objective of
empowering adolescents to honestly discuss issues and educate one other. Each peer
educator is interviewed and carefu1ly selected by the TAP program coordinator, and share
three main attnbutes: they demonstrate a zeal for helping their peers, they are dedicated to
alleviating the problems faced by adolescents, and they come from COlIID1unities and
demographic groups that have been targeted as "at-risk" for mv and other STDs. In -
order to make a difference in the colIID1unity, it is essential for TAP to select peer .,
educators who are true peers of teenagers at risk of acquiring mv or other STDs, and not
simply teenagers with active leadership roles in the schools. These teenagers may seem
ordinary, but they are doing extraordinary things.
The thirty-two peer educators are greatly impacted by the voiunteerism and colIID1unity
service they provide through TAP. TAP has given these teens a message that their
colIID1unity values them and that they can make a difference in their own and other
teenagers'lives. One TAP peer educator, Gordon, who has facilitated TAP presentations
every Wednesday morning at the Juvenile Detention Center for the past 1 Yo years, stated
that TAP has shown him the "power of one," that he alone can make a difference. As an
African-American male, Gordon feels that he is making an impact by serving as a positive
role model for the African-American males in the detention center. Adolescents in the
detention center respect Gordon and his messages of prevention, and openly and honestly
discuss the issues that he raises with them.
Through continued support, skil1-building, and discussions, TAP encourages its peer
educators to reach beyond themselves and become leaders in their colIID1unity. At the same
time, TAP staff provide guidance and mentoring to peer educators to encourage them to
practice positive life skills and reach their goals. The subgroup of teens targeted for TAP
training fulls in the category of financially needy and medically underserved. Some of the _
TAP peer educators come from single parent homes and some lack an aduh mentor. The .,
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TAP coordinator serves as an adult mentor for them, helping them through crises and
periods of doubt in themselves. Some of the peer educators have stated that TAP has
given them a sense ofmeaning in their lives- a positive force to outweigh the negativity
that surrounds them in their violence-torn, impoverished neighborhoods. TAP provides an
opportunity for teenagers to develop a higher sense of self-esteem. Research shows that
teenagers who have a higher self-esteem, as well as a supportive aduh mentor, are less
likely than other teenagers to engage in behaviors that put them at risk for mv and other
SIDs.
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The TAP coordinator searches for opportunities for the peer educators in order to increase
their self-esteem and help them achieve success in life. For example, she nominated two of
the peer educators for the YWCA Women of Achievement award. These peer educators
feh honored and proud to have been nominated, and were able to attend a special banquet
for nominees. In addition, the coordinator encouraged the peer educators to apply for
scholarships to attend the Ryan White National Youth Conference in Denver, Colorado.
This youth conference, which took place February 17-19, 2001, was geared towards
adolescent mv prevention peer educators across the nation. Four TAP peer educators
received scholarships to the conference: two received national scholarships sponsored by
the conference (please refer to the newspaper article in the "AttaChmentS" section), one
received a scholarship from the Coastal AllEC Minority Health Careers Education
Depiu'tIIleDt. and one received a scholarship from the local Ryan White chapter. Out of
these four teens, only one of them had ever been on an airplane before, and one of them
resides in the Creekwood South Housing Development. Their involvement with TAP has
enabled them to take advantage of opportunities to travel and increase their education.
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The third goal is to fucilitate the exchange of ideas and open communication between TAP-
trained teens and their peers, and provide opportunities for question and answer sessions.
TAP presentations have enabled hundreds ofteenagers to discuss issues of concern to them
in an environment where they receive both correct information and respect for their
opinions. For example, peer educators filcilitated TAP workshops for teenage residents of
Nesbitt Courts in Wilmington every Thursday afternoon during the school year.
Stereotyped as "uneducated," "criminal-looking," and "unmotivated," the program
participants nonetheless demonstrated a strong desire for knowledge. The opportunity to
discuss issues of concern to them such as violence and relationships was as important as the
messages about mv prevention. In particular, the male participants enjoyed listening to an
African-American male peer educator talk frankly with them about relationships, drugs, and
alcohoL By the end of the school year, several program participants were motivated
enough to prepare and filcilitate parts of the workshops, demonstrating the hypothesis that
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if teenagers are given the attention and the opportunity to succeed, they will rise to meet
expectations.
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Teenagers around Wilmington often comment that they are bored, and that they get into
trouble for lack of anything better to do. The majority of adolescent pregnancies occur
between the hours of 3 pm and 6 pm, because adolescents are bored and lack adult
supervision. The TAP program helps to combat this problem by providing adolescents
options to keep them occupied. TAP peer educators benefit from their hours giving
presentations in the community and program participants benefit by being engaged in
constructive activities. The TAP program coordinator encourages motivated, active
program participants to apply to become peer educators.
TAP peer educators often include question and answer sessions in their presentations.
Index cards are passed out to program participants and collected to ensure the anonymity
of questions. Questions recently asked at a session at Coastal AHEC's Health Careers
Workforce Diversity Summer Camp include "How do you know if you have any sexually _
transmitted disease?' "Why do boys always want to talk to you but then when you talk to _
them they disrespect you?' and "What are the chances of getting pregnant if you don't use
a condom?' These questions reveal that teenagers welcome the opportunity to talk with
and listen to other teenagers. Many of the questions typically center around dating and
relationships. In feedback and evaluations from presentations, we have learned that it has
been extremely helpful for teenagers to learn from their peers that healthy relationships are
about self-respect, respect for the partner, and open communication.
The Advocate, a newsletter sponsored by the Adolescent Pregnancy Prevention Coalition
of North Carolina, printed the results ofa survey ofparents and kids ages 10-15. The
survey, conducted by the Kaiser Family Foundation and Children Now, revealed that SO"A.
of the children said that they personally wanted more information about how to protect
themselves against lllV/AlDS.
Too often, adults do not offer teenagers the chance to discuss their concerns about health
and relationships, or teenagers are uncomfortable being candid with adults. TAP provides
teenagers with this opportunity in a safe environment, assisted by a health educator who
can provide them with referral and resource information.
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3. Describe the strategies you will develop to accomplish the objective.
The Centers for Disease Control (CDC) has conducted research to determine effective
strategies to reduce the risky behaviors of adolescents. Based on current data, the most
effective prevention strategy to reduce high risk behaviors among adolescents is to train
peer leaders to provide prevention messages to at-risk youth. According to the National
Campaign to Prevent Teen Pregnancy, peer pressure can be a positive influence to assist
adolescents in making smart choices to avoid behaviors that put them at risk for HIV and
STDs. One proven strategy is a series of programs for small groupS of adolescents, largely
conducted by peer leaders.
This research-based evidence directed the development of the TAP program. The TAP
coordinator has identified and trained thirty-two adolescents as current peer leaders. These
adolescent educators range in age from 14-22; ten are male and twenty-two are female.
Eighteen of the peer educators are African-American. nine are Caucasian, three are Latino
and two are Asian. One of the peer educators is HIV-infected. and acquired HIV
perinatally. The diversity within the group teaches the peer educators about people who are
different from them, and helps to dispel stereotypes. DiscUSSions at the weekly peer
educator meetings often center around cultural diversity and overcoming stereotypes.
These discussions help the peer educators addreSS the issue of stereotypes. racism, and
cuItural differenceS in their presentations.
The health eQucator selected the initial peer educators from various coJlllIlll1lity sites.
including eureAIDS ofWiJmington, Girls, Inc., the YMCA Black Achiever Program, the
youth group at Union Baptist Church, the Latino youth group at St. Mary's Catholic
Church, and the schools. Successive groups of peer educators have been selected from the
coJlllIlll1lity organizations and youth groupS where TAP gives reguJar presentations. TAP's
philosoPhy is one of empowerment: rather than bring teenagers from the "outside" in to
give presentations to youth in a given organization, TAP encourages youth from within the
organization to become trained peer educators. In this way, adolescents give presentations
to their true peers. One participant in TAP's weekly sessions at the Creekwood South
Recreation Center has become a peer educator; similarly, one participant in TAP'S weekly
sessions at Nesbitt CourtS Recreation Center is now a peer educator.
The educators use three methods to reach the target population: a series of smal1 group
programs, community outreaCh, and one-on-one outreaCh. Since its inception in January,
1999, TAP peer educators have reached 8,927 individuals throughsmal1 group
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presentations, outreach events, and one-on-one outreach activities. In the past nine months
alone, since October, 2000, TAP peer educators have reached 3,603 adolescents.
Included in the series of small group presentations is basic knowledge oflllV ISTDs and
identification of risky behaviors. The most challenging component is in building support
for safer behaviors. The following topics are included in the sessions: determining benefits
and barriers to behavior changes, assessing individual personal risk behaviors (not openly),
and identifying life goals and priorities and how to reach them. Skills building is an
integral part of the series, assisting adolescents in developing methods of resisting external
pressures and exercising internal control over behavior decisions. TAP peer educators are
encouraged to follow the curriculum closely so that lllV prevention messages are
intertwined with strategies to improve the self-esteem, confidence, and decision-making
capabilities of program participants. The TAP program coordinator attends each of the
peer-led sessions and offers support when needed.
TAP peer educators prefer to conduct at least six consecutive sessions; however, the _
quantity of program sessions is fleXlble in order to adapt to the schedules of collaborating .,
agencies. Whenever poSSIble, the TAP coordinator arranges to schedule four or mote
sessions at organizations requesting presentations. Research has demonstrated that the
effectiveness ofheahh-related educational messages is maximized by repeating sessions.
Repeat sessions are also necessary in order to involve program participants in the
curriculum's interactive games and exercises. TAP currently gives regular presentations at
the following sites:
. Juvenile Detention Center: once a week for the past 1 Yo years
. Detek Davis Recreation Center: once a week
. Nesbitt Courts Recreation Center: once a week during the school year
. Creekwood Soutb Recreation Center: once a week during the school year
. Wilmington Treatment Center: once a week
. Girls, Ine. summer camp: every other week during the summer
. TAP peer educator meeting: once a week
These programs have high levels of participation rates and are weU-established. TAP offers
each of these sites a comprehensive program for adolescents, teaching them how to respect
themselves and others. TAP is not a program that focuses exclusively on one or two
adolescent issues. Instead, TAP is a holistic, all-inclusive program that teaches teenagers
leadership skills, builds their self-esteem, increases their knowledge about how to stay
healthy, and gives them something constructive to do during the after school and S'......w e
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hours. It gives the peer educators the opportunity to become role models for their younger
peers, and to feel proud of themselves. It unifies youth in the connnunity, giving older
teenagers the leadership skills and desire to spend time with younger teens. One teenage
resident of the Juvenile Detention Center wrote the following comment about the peer
educator on his program evaluation: "He shows us care, respect, and treats us like we're
equal to him. He showed us kindness and I think that's the best part."
In addition to these regu1ar sites, TAP gives other presentations to various community
groups. For example, in May, 2001, TAP peer educators gave a presentation to a group of
approximately 20 parenting/pregnant teenagers at the Adolescent parenting Program of
Pender County. In June, 2001, TAP peer educators gave two presentations to teenagers in
the waiting room of the Family planning Clinic at NHCHD. Also in June they gave two
presentations to the twenty participants of Coastal AHEC's Heahh Careers Workforce
Diversity Swnmer Camp. Currently, TAP gives presentations on almost a dai\y basis; TAP
frequently gives two to three presentations per day. TAP receives daily requests for
presentations. The majority of these requests come from organizations that have heard
about TAP from other agencies or professionals who were impressed by the presentations.
Since its inception in January, 1999, TAP peer educators have given presentations to 3,286
teenagers. These small group presentations have taken place for groups of adolescents at
the following collaborating agencies: Cure AIDS ofWiJmington, Girls, Inc., the Juvenile
Detention Center, the teen pregnancy division of the Coastal OBlGYN Clinic, the
Adolescent Parenting Program ofPJanned parenthood, Hope Baptist Church, St. Andrews
AME Zion Church, St. Luke AME Zion Church, Soul-Saving Station Church, Grace
United Methodist Church, the Community Boys and Girls Club, the YWCA. the YMCA
swnmer job program, Coastal Horizons, wilmington Heahh Access for Teens, Student
Action for Farmworkers, Cape Fear Academy, Nesbitt Courts Recreation Center,
WiJmington Treatment Center, the Creekwood Festival Committee, Wibnington Treatment
Center, Crisis Line Open House, Creekwood South Recreation Center, Dprek Davis
Recreation Center, Hoggard High School, New Hanover High School East CampUS, the
Domestic VioJence Sheher, UNCW Greek Organizations, the gay/lesbian youth support
groUp at St. Jude's MetrOPOlitan Community Church, Noble Middle School, Methodist
Homes for Children, the Generations Program of Fourth Street, the wtlmington GRASP
program, the Coastal AllEC Health Careers Workforce Diversity 8"mmet' Camp, and the
NHCHD Teen Clinic.
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TAP achieved one of its greatest goals this year when it was invited into the school system
to give presentations. The ability to give presentations within the schools enables TAP to
reach greater numbers of adolescents at one time. Four TAP peer educators gave a
presentation to an assembly of all the seventh and eighth graders at Noble Middle School
The peer educators wrote skits and divided the assembly into smaller groups, so that the
adolescents could practice refusal skills. TAP peer educators also gave presentations to a
series of health classes at Hoggard High School. TAP plans to return to the schools in the
upcoming school year.
TAP travels beyond Wilmington's city limits in order to spread its messages of awareness.
For example, in May, 2001, the Jordan Institute for Families invited TAP to give a
presentation to foster parents from all over the state about accepting mv -infected foster
children. Four peer educators wrote skits and poems and developed interactive games to
present to the audience. In March, 2001 , TAP teens joined other members of the Cape
Fear Teen Heahh Council in Raleigh for Adolescent Health Advocacy Day at the NC _
Legislature. _
The second method of reaching adolescents is through outreach activities. For example, in
December 1999 and December 2000, TAP peer educators participated in several events to
raise awareness for World AIDS Day. Peer educators held World AIDS Day booths at
UNCW, Hoggard High School, Lakeside High School, New Hanover High School, and
Cape Fear Connnunity College. At these booths they distn'buted AIDS n'bbons and
conducted activities to raise awareness about HIV and encourage prevention. Six peer
educators attended a World AIDS Day celebration in Raleigh that honored mv prevention
volunteers.
TAP also held ~ths this year at the Hoggard High School Health Fair, the Lakeside High
School Health Fair, and the Cape Fear Conununity College Health Fair. Every student who
walked by the booths was encouraged to spin the "Wheel of Fortune" and answer
questions such as "How can you prevent yourself from acquiring mvr In this way, TAP
encourages adolescents to actively think about how to have a healthy lifestyle. TAP has
also set up the "Wheel of Fortune" three times at Independence Mall, bringing its message
of SID prevention and heahhy lifestyles to the place where many teens spend Jeisure time.
The third method of educating adolescents is through one-on-one street outreach. TAP
peer educators are encouraged to provide one-on-one informal education to their peers,
sharing mv and SID prevention education with other teenagers. Peer educators are also e
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pregnancy, and substance abuse. At this time, peer educators have talked with 377 of their
peers in these one-on-one sessions. Since October, 2000, peer educators have conducted
280 of these sessions, helping their friends in need.
The TAP peer educators and staff meet weekly to discuss ideas and practice presentations.
Each week, a different teen practices giving a presentation to the group. This strategy
introduces the peer educators to different games and activities and provides feedback and
constructive criticism to each presenter. The peer educators take advantage of
opportunities to expand their knowledge base. Professor Sandy Adams, who teaches a
public speaking course at UNCW, has taught public speaking skills to the peer educators
on several occasions.
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The TAP coordinator utilizes her background as a social worker to serve as a mentor both
for TAP peer educators and for program participants. She has developed relationships
with program participants that she sees every week at program sites such as the Derek
Davis Recreation Center and the Juvenile Detention Center. When in trouble or in need of
a listening ear, the program participants come to talk with her individually before or after
the program. She thus serves as a mentor for the program participants, encouraging them
to stay in school, continue coming to the TAP sessions, and teaching them how to resolve
conflicts in a non-violent manner.
If refunded, the TAP program coordinator will continue to utilize her skills lis a social
worker when working with the adolescents. She will continue to assess when program
participants need help, and will continue to talk with them individually, listening to their
concerns and sharing resource and referral information with them. This social work piece
is a critical component of the TAP program. Program participants tell the TAP program
coordinator about problems with relationships, school, family life, sexual abuse, date rape,
and other issues, and the TAP coordinator helps to guide them, or directs them towards
services in the community.
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TAP has the support of its collaborating organizations. The TAP coordinator is a member
of the Cape Fear Teen Health Council, sponsored by Wilmington Health Access for Teens.
The TAP coordinator is the co-chair of the Male Involvement Subcommittee of the Teen
Health Council As a co-chair of this committee, she is helping to develop a program for
males only, to begin in the mIl semester. The program, entitled WISC Guys, is a successtW.
evaluated program model, and will take place at the recreation center of one of the housiDg
developments in Wilmington. A TAP peer educator will co-facilitate this program with a
WHAT peer educator.
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In January, 2001, TAP collaborated with Wilmington Health Access for Teens, Crossroads
Co-op, Communities that Care, the Community Mediation Center, and the New Hanover
Commission for Women, in order to put on a youth summit. Along with Crossroad Co-op
peer educators and WHAT peer educators, TAP peer educators served as facilitators for
small groups at the youth summit, which focused on developmental assets.
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The TAP program collaborates on a regular basis with CARE (CoastaI AIDS Resource
Efforts), which is a volunteer program that offers services and activities for people infected
or affected by mv. In November, 2000, peer educators put together food baskets for
fifteen New Hanover County residents living with AIDS. In December, three TAP peer
educators volunteered at the CARE children's Christmas party, passing out gifts and
serving food to forty children and their families affected by mv. Peer educators have
volunteered at CARE's Easter egg hunt for mv -infected children and at Camp CARE, the
summer camp for children infected or affected ,by mv. In January, 2001, CARE presented
one TAP peer educator with the Flame of Hope award for his outstanding volunteer service
and leadership role. e
The TAP program works closely with other NHClID services, The TAP coordinator is
responsible for contacting teens seen in the NHClID SID program to provide individual
risk reduction education and referrals to TAP programs. Conversely, referrals for mv and
SID screenings at the health department are made by TAP peer educators when indicated.
TAP peer educators also facilitate educational sessions with teenagers in the waiting room
of the family planni11g clinic.
WJth future funding, TAP plans to achieve the following accompli~hments by October,
2002:
.
Provide 40 hours of continuing education and skill-building sessions for 32 current
peer educators
Train eight new peer educators
Continue to provide weekly presentations at Juvenile Detention Center
Continue to provide weekly presentations at Wilmington Treatment Center
Provide weekly after-school presentations at Creekwood South Recreation Center
during the school year
Provide weekly after-school presentations at Nesbitt Courts Recreation Center
during the school year
Provide weekly after-school presentations at Derek Davis Recreation Center during
the school year
.
.
.
.
.
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. Provide weekly male-only presentations to boys in one ofW1lmington's housing
developments. Presentations will be co-facilitated by a TAP peer educator and a
WHAT peer educator
. Give presentations in the schools
. Continue to give 5-7 peer-led presentations per week to community groups
. Help to organize and facilitate this year's Youth Summit, sponsored by the Teen
Leadership Experience
. Continue to participate in health fairs and other outreach activities in the community
. Sponsor awareness booths at the high schools and local colleges for World AIDS
Day in December, 2001
. Provide 300 more one-on-one sessions, given by the peer educators to their peers
4. State how, when, and who will conduct an evaluation to measure how well your
project/program is meeting its objective.
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TAP staffcurrently administer a standardized pre- and post-test behavioral questionnaire to
all program participants. Susan Roberts, Ph.D., an epidemiologist, volunteered to develop
an evaluation survey to measure TAP's effectiveness. This survey, which is a modified
version of the Prevention Minimum Evaluation Data Set developed by Sociometries
Corporation, can be viewed in the "Attachments" section. TAP staff administer a pre-test
of this behavioral questionnaire to all program participants before the beginning of each
new series of presentations; staff ask participants to fill out the instrument again as a post-
test during the last class of each series of workshops. At ongoing sites, such as the
Wibnington Treatment Center and the Juvenile Detention Center, the test is administered
on a regular basis to program participants. The evaluation tool measures a combination of
knowledge and behavioral indicators. Pre- and post-test data will be analyzed and
compiled in a project report by September, 2002.
The TAP coordinator receives guidance and expertise from Mr. Henry Lister, the evaluator
of the Smart Start program in Raleigh, in erlmini!rtering the evaluation. The coordinator
consuhs with both Ms. Roberts and Mr. Lister on all aspects of the evaluation.
Role plays and interactive games are used throughout the series to not only liven the
presentations, but also to assess the participants' abilities to apply the information learned.
Program participant complete an evaluation form after presentations, so that peer educators
can assess skills that need improvement.
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Program data is collected by peer educators throughout the project using forms to
document the number of education sessions conducted, the type of activity performed, the
location of the activity, the number of participants or contacts, the characteristics of groups
of individuals receiving the information, and referrals made. The TAP Coordinator
monitors this data collection.
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I PART III: FINANCIAL INFORM A TlON
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1. Amount requested from Cape Fear Memorial Foundation.
$45,500 for October 1, 2001 to October 1, 2002
In the letter of inquiry, we stated we would request $35,000. In preparing the grant and
analyzing the growth of the program, however, we realize that TAP needs $45,500 next
year in order to operate.
2. Develop a complete project/program budget, including income and expenses. for the
period you are requesting funds (see attached format). Also, please attach a copy of your
most recent audit or financial statement with this application.
See attached budget.
3. List the names of organizations, both public and private, to which you have applied for
support for this specific project/program. Also, show the amount requested and the status
(pending, approved or disapproved).
Orl!.aniultion
Wilmington Housing Authority
Ross Grant
Amount
Yr. 1: $64,000
Yr. 2: $66,337
Yr. 3: $68,884
~
pending
4. Descn"be how your project/program will become self-sufficient within three years.
TAP may never be self-sufficient because it is a program for teens, and there are not likely
to be opportunities to receive third party payment or charge for services. Because it is a
service program and especially because of the population served, there will always be a
39
.
Revised: 4/30/99
e
CAPE FEAR MEMORIAL FOUNDATION
GRANT APPLICATION FORM
need for funding. The presentations are given at sites not likely to be able to be charged if
we expect to continue to reach our targeted population.
TAP fund-raising activities this year raised $400. This money was used along with the
Communicable Disease Division budget to support activities, while the Cape Fear
Memorial Foundation money was used to pay the TAP coordinator's salary- the most
critical ingredient to TAP's success.
There were discussions held with WHAT last year, and we mutually agreed that TAP
should not be integrated into the WHAT peer education program. The groups are very
different, the TAP presentations are meant to be done as a series, the TAP curriculum is
very structured, and the TAP peer educators want their identity. That evolution mayor
may not occur later, but certainly will not occur if the peer educators are not comfortable in
the transition. There were too many successes to risk failure by trying to move TAP to
WHAT. The groups collaborate on some programs and learn from one another, which will
continue. e
TAP is a long term investment in our teenagers. It takes years to change attitudes and
behaviors in a society full of negative messages. That does not deter TAP but rather
""'gnifies the necessity for efforts to continue TAP in this community. As described in the
evaluation section, we are using standardized behavioral measurement instruments to
measure the success rate of TAP. Thus, over time we hope that the resuhs of the
evaluation will offer scientific evidence of the impact of our program, which will help with
funding efforts. We hope that once these results are documented, either county or private
fimders will be wilJing to support our continuing efforts.
Ideal1y, TAP needs permanent and stable funding. As TAP continues to perform wen in
this community, it is our hope that our community collaborators and partners will assist us
in supporting our efforts for either county or private funding for the TAP program, so that
fund-raising and grantwriting does not take time away from TAP activities.
After the current funding cycle from the Cape Fear Memorial Foundation, we were bopeful
for more secure and stable multi-year funding for TAP. We had planned to request total
funding from the county for the continuation ofT AP as an integral component of disease
prevention. In light of the current budget crisis in New Hanover County, bowever, New
Hanover County Health Department did not request fimding ofTAP from New Hanover
County beyond the current level of support in this budget year. We hope that the county
e
40
e Revised: 4130/99
CAPE FEAR MEMORIAL FOUNDATION
GRANT APPLICATION FORM
will be in a better position next year to expand support of the program if other funding
does not become available.
e
We hope that you will consider funding us again. According to the article "HIV in the
United States at the Turn of the Century: An Epidemic in Transition" (Am J Public Health.
2001; 91:1060-1068), AIDS surveillance data show that the mv epidemic is becoming
increasingly concentrated among racial and ethnic minorities, women. and the poor. The
article states that these populations need increased access to prevention programs.
Similarly, according to Mr. Colin Powell, the key to ending the AIDS epidemic is
"prevention, prevention and more prevention" (Wilmington Star News, June 26,2001).
TAPis heeding this call for prevention. The TAP program already provides successful,
well-attended programs for youth in this community. Wrthout further funding, however,
these programs will disappear in October. It is important to demonstrate to the high-risk
adolescents in the housing developments, Juvenile Detention Center, and similar sites that
TAP is not just another temporary program- providing hope, a structured environment.
and guidance from peer mentors and adults for a short time, and then disappearing, leaving
the adolescent residents without this positive, structured program in their community. TAP
is too important to this population and to this community to end. TAP requests continued
funding from your organization in order to allow TAP to survive this year,. in the hopes of
receiving other support the following year. NHCHD hopes that TAP will continue to be a
consistent force in these adolescent's lives-- we request funding in order to make this
happen.
We welcome suggestions from Cape Fear Memorial Foundation on how to move TAP to a
self.sufficient program and commit to pursue other avenues. NHCHD is cAtlernely
appreciative of the gift from your foundation and recognize that your generosity allowed us
to continue this important work.
5. If the funds are to be used for construction or equipment acquisition, explain the bidding
process.
NIA
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41
APPLICATION FOR FUNDING WILL E ACCEPTED ONLY IF A LETTER OF INQUIRY HAS BEEN SUBMITTED
BY ORGANIZATION AND APPROVED BY CFMF PRESIDENT
Application Form Revised: 4/30/99
CAPE FEAR MEMORIAL FOUNDATION
GRANT APPLICATION FORM
e
Part III: Question 2 Attachment, Project/Program Information
Develop a complete projecVprogram budget, including income and expenses for the period you re requesting
funds as shown below:
Project Budget:
From
October 1. 2001
To September 30. 2002
Expenses (by Category)
Income (by Sources)
SalarieslWages . . . . . . $33,467
1 Frr Health Educator
Fringe Benefits.. .. .... ..9,174
Total. . .. .. .. . . .. . .. .. .. . $42,641
Cape Fear Mem. Foundation . $45,000
TAP Peer Educator
Fundraising Activities ......... 500
Operating Expenses
Employee Mileage ... .. 1,500
Trainingrrravel .......... ... 1,359
Total Operating Expenses ... $2,859
Totallncome .............. $45,500
NHCHD In-Kind Support. . . .. $17,500
TOTAL Grant Request ......... $45,500
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NHCHD In.Klnd Support
Management Support
2 hrslwk x 52 wks x $12/hr . . . . 1,248
Fringe (25%) . . . . . . . . .. ..... 312
Administration
1 hrslwk x 52 wks x $25/hr . . . . . 1,300
Fringe (25%) . .. . .. .. . .. . ... 325
Professional Staff Support
3 hrslwk x 52 wks x $25/hr plus 40 hrs
initial training ............... 3,900
Fringe ... . . . . . . . . . . . . . . . . .. 975
Space
(~6 sq ft x $7/sq ft x 12 mol ... 3,024
Telephone. . . . . . . . . . . . . . . . . .. 200
Utilities ..................... 600
Copier Services and Printing . . . .. 800
Employee Mileage ............ 165
Dept. Supplies. . . .. .. . . . . . . .. 1,651
TrainingfTravel .............. 1,800
Total NHCHD In-Klnd ...... $16,300
Adult Mentor In-Kind Support
32 sessionslyr x 1.5 hrs/session
x $25fhr ................. $1,200
Totalln-Klnd ............. $17,500
e
Total Expenses: .............. $63.000
(Including In-kind)
Total Income: ................ $63.000
(including in-kind)
42
e
e
e
.APPLlCATION FOR FUNDING WILL BE ACCEPTED ONLY IF A LETTER OF INQUIRY HAS BEEN
SUBMmED BY ORGANIZATION AND APPROVED BY CFMF PRESIDENT
Application Form Revised: 4/30/99
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 informing the Foundation of the progress made by your
projecVprogram?
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 return with this Application.
SUBMmED BY:
Signature of Chief Executive Officer
Health Director
Title
Board of H,!alth
If
. 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.
.
4
43
ATTACHMENTS
e I
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44
,
New Hanover County Health Department
Revenue and Expenditure Summary
June 2000
Cumulative: 100.00% Month 12 of 12
e
Revenues
Current Year Prior Year
Budgeted Revenue Balance Budgeted Revenue Balance %
Amount Earned Remainln Amount Earned Remaln'n
$ 1.394.968 $ 1.324,619 70,349 $1,377,269 $ 1.354,279 22,990 98.33%
$ 516,453 $ 441,964 74,489 $ 493,100 $ 381,908 111,194 77 45%
$ 801,504 $ 757,447 44,057 $ 824,754 $ 723,773 100,981 87.76%
$ 366,891 $ 366,891 $ 401,769 $ 209,467 192,302 52.14%
$ 312.900 $ 308,470 $ 243,100 $ 299.857 (56,757) 123.35%
$ 109,515 $ 135,667 $ 98,065 $ 101,178 (3.113) 103.17%
$ 776,172 $ 791,643 $ 574,957 $ 628,832 (53,875) 109.37%
Expenditures
e
Budgeted
Amount
Current Year
Expended Balance
Amount Remalnln
%
Budgeted
Amount
Prior Year
Expended
Amount
%
Summary
Budgeted Actual %
FY 00-01 FY 00-01
Expenditures:
Salaries & Fringe $7.208,637 $7,107,403
Operating Expenses $1,716,581 $1,526,907
Capital Outlay $778,115 $583,897
Total Expenditures $9.703,333 $9,218,207 95.00%
Revenue: $4,278,403 $4.124,701 96.41 %
Net County $$ $5,424,930 $5,093,506 93.89%
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Revenue aDd Expenditure Summary
Fiscal Year 00
Final Report
45
New Hanover County Health Department
Revenue and Expenditure Summary
May 2001
Cumulative: 91.63% Month 11 of 12
,
e
Revenues
Current Year PrlorYaar
Budgeted Revenue Balance % Budgeted Revenue Balance %
Amount Earned Remainln Amount Earned Remalnln
$ 1,337,583 $ 1,046,702 $ 290,881 $1,188,426 158,445 88.24%
$ 523,044 $ 484,584 $ 38,460 $ 384,709 131,744 74.49%
$ 941,900 $ 615,414 $ 326,486 $ 641,932 210,952 75.27%
$ 153,479 $ 153,479 $ 366,891 (51,380) 116.28%
$ 312,900 $ 271,645 $ 283,507 29,393 90.61%
$ 112,015 $ 133,172 $ 117,950 (8,435) 107.70%
$ 1,319,585 $ 1,148,460 $ 777,200 47,069 94.29%
Expenditures
Budgeted
Amount
Current Year
Expended Balance
Amount Remalnin
Prior Year
Budgeted Expended
Amount Amount
e
%
Summary
Budgeted Actual %
FY 00-01 FY 00.01
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 $3,853,458 81.98%
Net County $$ $6,061,416 $5,108,993 84.28%
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Roveuue aod Expeodlture Summary
Fiscal Year 01
As olMa" 31, 2001
46
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Revised 7/01
New Hanover County Health Department
Communicable Disease Division
(Employees - 27)
Communicable Disease
Division
Manager
Public Health Nurse Physician Administrative Health
Supervisor Extender Support Manager Educator
(Clinical)
I
Public: Health Administrative
Nurses (5) Tuberculosis Support
Supervisor
Disease Public Heafth Public Health Administrative
Intervention Nurse Nurse Support
Specialist Zone 2 Zone 1 Technicians (6)
Licensed X-Ray Administrative
Licensed Pradlcal Technician Support
PradIcaI Nurse Technician
Nurse
Administretlve
Support
Asslstent
Adminlstretlve
Support
Spec:iaDst
Medical Records
Admlnlstretlve
Support
Technlc:ian
Medical Records
.
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Ted Davis, Jr., Chairman (Jane) .... ... . ., .,. . . . . ., . . ..... . . . ., .. . 313-0755 Home
7111 Creeks Edge Drive E 28409 e-mail: tdavis@co.new-hanover.nc.us 763-6249 Office
762-5175 FAX
Robert G. Greer, Vice-Chairman (Lou) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 763-5961 Home
1218 Country Club Road 28403 e-mail: bgreer@co.new-hanover.nc.us 619-7879 Mobile
763-5961 FAX
Julia Boseman. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 686 ~~~2 Home
6605 Providence Road 28411 e-mail: jboseman@co.new-hanover.nc.us 251-6975 Office
251-6976 FAX
William A. Caster, (Diane) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 452-1282 Home
310 Brookshire Lane 28409 e-mail: bcaster@co.new-hanover.nc.us 341-71490nlce
452-2875 FAX
Nancy Pritchett. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 791-2827 Home
637 Robert E. Lee Drive 28412 e-mail: nprftchen@co.new-hanover.nc.us 798-1706 FAX
NEW HANOVER COUNTY BOARD OF HEALTH
Wilson O'Kelly Jewell, DDS, Chairman (Christie). . . .. . . . . .. ., ....... 791-6113 Home
218 Pine Grove Drive 28403 e-mail: wojewell@aol.com 791-2401 Office
791-2408 FAX
Gela N. Hunter, RN, FNP, Vice Chairman (Jim) . . . . . . . . . . . . . . . . . . . . . . 799-0723 Home
126 Quail Ridge Road 28409 e-mail: gelajim@hotmail.com 763-2072 Office
763-1586 FAX
Henry V. Estep, RHU (Lisa). . . . . . . . . . . . . . . . . . . .. ................,792-9584 Home
3213 Snowberry Court 28409 e-mail: hankestep@isaac.net 792-0188 Office
792-0188 FAX
Michael E. Goins, 00 (Anne) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .392-3445 Home
5030 Randall Parkway 28403 e-mail: 02seedoc@bellsouth.net 392-0270 Office
392-0271 FAX
Robert G. Greer (LOU) . . . . . . . . . . . . . . . . . . . . . . . . . .. ............... 763-5961 Home
1218 Country Club Road 28403 e-mail: bgreer@co.new-hanover.nc.us 619-7879 Mobile
W. Edwin Link, Jr., RPH (Laurie) ................................. 343-1244 Home
306 Colonial Drive 28403 e-mall:linkrx@aol.com 763-0845 Office
762-6916 FAX
Anne Braswell Rowe (Mercer). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 762-2425 Home
2216 Acacia Drive 28403 e-mall:annerowe@bellsoulh.net
Philip P. Smith, Sr., MD (Nancy)................................. .762-2230 Home
1810 Azalea Drive 28403 e_mail:ppsmfthsr.@eol.com
Melody C. Speck, DVM ( Matt) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .798-1436 Home
4605 Wrlghtsvllle Avenue 28403 799-5587 Office
799-8545 FAX
William T. Steuer, PE/RLS, (Mary). . . . . . . . . . . . . . ., .................799-2144 Home
5710 Oleander Drive. Suite 110 28403 e-mail:wsteuer541@aol.com 395-5585 Office
395-5586 FAX
Estelle G. Whitted, RN (Louis).... ...... . .. .. . ... . ., . .,. ., .,. ... . .675-2179 Home
1611 Rock HIli Road. Castle Heyne 28429
Frank ReynOldS, MD, Mecl cons. (Marguerite). . . . . . . . . . . . . . . . . . . . . . . 762-4621 Home
1 lUll ...alrway unve :.!lI4W
David E. Rice, Health Director (Linda). . . . . .. ...................... 791-2092 Home
1008 East Prlmivera Court 28409 e-mail: drice@co.new-hanover.nc.us 343-6591 OffIce
888-745-5094. Pager 341-4146 FAX
612-1684 Cell
49
04/05101
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ose answer all of the questions below os completely
as you con. Your answers are completely confidential.
'}>trrtA
BIRTHDAY@:
/ /
.
Month Day
Year
Sex:
o Femole
o Mole
Which group(s) best describes
YOU? (Mark all that apply.)
o Hispanic/ Latino/ Mexican
-----0-
_ .. -Native AmeriCaiil AfciskanNcitive
o Black! African American
o Asian or Pacific Islander
o White
o Mixed Race (Specify):
o Other (Specify):
Who do you live with?
o One Parent
o Two Parents
o Grandparents
o Other: specify:
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Is this your first TAP session?
OVes
ONo
____ If-No, how many_TAP-sessions
have you attended before t()day
(not including today's session):
o One (today makes my 2nd
session)
o Two
o Three or Four
o Five or Six
o More than six sessions
What grade are you in? (If
summertime, what grade will you
be In this Fall?)
- 1 -
51
I,
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. '1>Alt T 1?
f!f~~'.'.:.;t~.~
it' ii';:~ ~Y-,
l .t '~:-';
>,~j~~:f t~~8t;t,
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Please circle T for TRUE and F for FALSE.
T
or
F
There is a cure for AIDS.
T F A person can look healthy but still pass HIV to
or . t~~ir sex _partller~______
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T F The birth control pill will prevent a woman
or from getting HIV.
T
or
F
Taking an HIV test two weeks after havin9 sex
will tell a person if she or he has HIV.
T
or
F
Drinking alcohol puts people at a higher risk of
getting HIV.
T
or
F
You can get HIV through oral sex.
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-2-
52
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Please answer the following questions as honestly as possible:
Which of the following best describes your pIons or opinions about
having sexual intercourse in the future? Check one.
e
o I plan to wait until marriage before
having sexual intercourse
o I plan to wait until I am engaged
.~. ...-------
before having sexual intercourse
o I plan to wait until I find someone I
really love before having sexual
intercourse
o I plan to wait until I am at least 19
before having sexual intercourse
o I plan to wait until I am at least 17
before having sexual intercourse
o I plan to hove sexual intercourse
whenever an opportunity comes along
o I plan to have sexual intercourse as
soon as possible
o Having sexual intercourse isn't
something you can plan: it just
happens.
Have you ever had sexual intercourse? Check one.
DYes: Continue on next paGe (paQe 41-
o No: Stop here. You are finished with this survev... THANKS!
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.3-
S3
'-""""""""""",,,,,,, ,.
.
During the last 3 months. I had sexual intercourse
TIMES.
e
During the last 3 months, I had sexual intercourse with _ different PARTNERS.
t>urinQ my lifetime, I have had sexual intercourse with _ different PARTNERS.
The lost time you hod sexual intercourse, did you or your portner
use 0 condom?
YES
CJ
NO
o
If you or your portner were on Birth Control Pills or Depo-Provero,
would you still use 0 condom?
YES NO
--0 0 e
Could you, now or in the future, tell your boyfriend/girlfriend that
you don't wont to make out or hove sex with himlher? (Check one.)
I definitely
could
D
I probably
could
D
I probably
could not
D
~!
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54
=-.0 =.0 =00 =.0 =00 =.0 =0. =.0 =.0 =.. =.. =.. =.. ==-." -.- -.
. .. . . . 0 0 . . . . . . 0 . · '0
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In which of the ways below, if any, hove you chat'lQed your sexual
behavior in the last month?(Check 011 that apply)
o Decided to wait to have sexual
intercourse
o Stopped having sexual
intercourse
o Don't have sex as often
o Stopped having sex with more
than one partner
o Stopped having sex with
partners I don't know well
e
-,._-,- ------......... .-
o Stopped having sex with
partners who use needles to
take drugs
o Started to use condoms
o Use condoms more often
o No changes
I would insist on using 0 condom even if mv oortner didn't wont to.
I definitely
would insist
o
I probably
would insist
o
I probably
would not insist
o
I definitely
would not insist
D
.....
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55
LETTERS OF SUPPORT
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COASTAL AREA HEALTH EDUCATION CENTER
2131 South 17th Street. Cameron Building
Post Office Box 9025 . Wilmington, NC 28402-9025
(910)343-0161 . FAX (910)762-9203
.CA~1t-~
June 28, 2001
Dear Jessica,
Thank you so much for your presentation to our middle and high school students last
week. As always, you and the peer educators, left quite an impression on everyone.
Many of our students had not had the privilege meeting you all before, nor had they
heard the message of HIV/AIDS prevention given in such an Interactive thought-
provoking way.
All of them complimented the teens on their maturity In diScussing a subject many
people are not comfortable discussing, particularly In public with strangers.
As a former health educator, I too am quite Impressed with your overall program. I
know the Importance of helping our youth understand that our choices have
consequences and the TAP peer educators deliver that message with enthusiasm,
confidence and passion.
I would love for us to continue our networking. Please let me know If there Is
anything we can do to assist you.
e
Keep up the great work!
Gratefully,
or\~
Cyndl Meredith, Director
Health Careers Workforce Diversity
e
/rl affiJiafIOfl with the UJ1IueJSi1!/ of North caronna SchOOl of Medlcine at C/1QpeI Hill
.
57
June 29,2001
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CREEKWOOO SOUTH LEARNING CENTER
To Whom It May Concern;
My name is Joe Mihner. I am the Educational Coordinator for Creekwood South. It is one of
the neighborhoods managed by the Wilmington Housing Authority here in Wilmington, North Carolina.
I am responsible for scheduling educational/training programs for all of the residents which are
also open to residents of adjoining neighborhoods.
The T AP(Teen Aids Prevention) is one of our most successful programs and the only one which
deals with teenagers. In an environment where education is not perceived as "cool", the TAP program is
providing invaluable sex education information to our "at risk" youth population. Their lesson structure
has varied in presentation ranging from skits to role playing to Question and Answer periods. Both peer
educators and the aduh moderator are well informed and prepared to answer any questions.
As there are many uneducated aduhs in this community who may be uncomfortable discussing
sex and may nOt be as well informed as their kids, this program helps to fill a void in the gap of
information about this often sensitive but very relevant subject. The TAP program provides an oasis for _
those seeking answers to.even the most personal questions about sex in a non-threatening environment. -
I have found in my work here that few people beyond the very young come easily or readily to
attend any program just for its sake. TAP has provided one incentive with refreshments. But more
importantly are the budding relationships that have been formed between the youths and TAP staff. In
order to gain and cuhivate the trust of anyone time is needed. And TAP has the potential to succeed in
many ways that cannot readily be measured. For it to succeed it needs ALL of our support. The kids
involved have fervently expressed the wish for it to continue. And it can only grow larger with ongoing
support.
Neighborhood support for it continues to grow also. Some of the participants have not simply
learned information but are actually e"amining the consequences of their actions. All ofus here are
aware of TAP's growing impact and , frankly, it would be deeply disappointing and a catastrophe to lose
such a valuable program. Please consider continuing to fund it for the youth's sake and that of all those
they may affect.
Respectfully yours,
~
~
Educational Coordinator
Creekwood South
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July 10, 2001
Mrs. 1. lamison
515 CloverRd.
Wilmington, NC 28405
Dear lessica,
I would like to say thank you for your labor of love that you exemplifY toward the YOuDg
teens of today. You are truly making a difference in their lives. They are being prepared
to~ the future with hope oflcnowing that they bold the key to their destiny.
The children now know and believe that it is OK to be different. That is it OK for you to
be who you are and not become intimidated by another person's opinion and that you
have a voice when it comes to your body.
Jessica, you have assured the teens oftoday in becoming knowledgeable and
understanding what the consequences of unprotected sex may have on an individual
They are thoroughly being informed about venereal diseases that stems from unprotected
sex and how they can damaged your entire life. Not only do you inform them about the
consequences of unprotected sex but also in aiding them in building self-esteem and self
control.
I can truly say that T IU' has helped my three children who have been a part oftbis 0n-
going program. They have learned how to take pride in themselves and how to say no
and mean it. Being a part of the TAP program bas truly help my SOD in the area of
expressing and sharing among the groups how important it is to p1Idice safe sex and not
feeling left out because of your decision.
Thank you, for the many times that you provided transportation for the children or IJIlIde
sure they had a ride to attend the meetinp. The TIU' retreats were also instrUmCll18l in
helping my children make sound decisions for their lives and a chance to meet others
teeIIlI who may or may not bav.: been experiencing peer pressure.
lessica, your work and dedication that you present to the teens truly speaks loud and
clear. Please continue to allow the LoJd to use for s~b a great work in such a time IS
this.
Again, I say thank you SO very much for a job well done. Please, keep up this most
needed work for the teenS of today.
59
mRm fR(JUTIJ
UJilminyton Tlflbnflll (ftlIfl,1nc.
2j20TroqDrivf
WilminYlon, n( 28401
Phon!:
Phon!:
Fax:
(800) 99l-lli7l
(9101162-2727
(910)1i2-J92l
OUTPRTI[8T 1[RV)({S
1602 Phqlidam Drivf, luit! 102
WilminylOR, n( z840l
Phon!:
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6lZVillay!Rd.luit!Z
Ihallolk, n( z84'jO
Phonr.
Fix:
Iloj n. Franklin It /ho8
Whitfvilk. D( ZS/iIZ
Phonr.
Fix:
(9IO)Zjl-8100
(910)~1-81Z1
(910) lVt-ZllO
(gI0)lVt-4ZZO
(glO) 6r,z-j088
(910) 6\I-GOU
f1J\11n(( Off)U
UlilminttOll TIfttmIIIl (1IIIIr,1Dc.
~zoTIOOlDm
Wilminylon,D( ~
Phonr. (800) 99l"l6'}t
Phonr. (91l)191-6m
Fix: (9101791~lli7
www.wihnllMbnftlt.lDm
UJILffilnGTOn TR[HTffi[nT ([nT[R
... for balanced, sober living
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June 28, 2001
Ms. Beth Jones
New Hanover County Health Department
2029 South 17th St.
Wilmington, NC 28401
Dear Ms. Jones:
We are pleased to have the opportunity to collaborate with the T IU' program,
and otTer continuing support to your program. TIU' peer educators used to
give presentations to our adolescent residents once a month. However, in the
past several months they have begun giving presentations to our adolescent
residents on a weekly basis. We very much appreciates TAP's dedication in
coming to our treatment center every week to share messages of prevention
and health with the adolescent residents. Our adolescents benefit greatly
from the chance to talk frankly with other teenagers on a weekly basis,
receiving educational information that they would have been uncomfortable
asking about in most other situations. We hope to continue receiving TIU'
presentations on a weekly basis for the next several years.
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AIDS prevention and substance abuse are topics that go hand in hand. It is
well known that adolescents under the influence of drugs or alcohol are more
likely to put themselves in risky situations than sober adolescents. Thus, it is
critical that adolescent residents of our substance abuse treatment program
hear facts and information about mv/SlD prevention.
What I especially like about the TAP program is that the peer educators do
not simply give a lecture to the residents about mv/AIDS. Instead, they
teach the adolescents skills to help them be more assertive in saying "No"
and to think about their values. The peer educators encourage debate and
discussion about real-life issues, helping to teach our adolescent residents
about different choices that they have, and the consequences of each of these
choices. During one recent activity about decision- making, one of the peer
educators exclaimed: "I'm actually having to face this in my life right now.
How did you all know that I would be dealing with thisl" By encouraging
him to role-play his decision, the TAP group is helping him make the healthy
choice in his life.
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Our residents listen to the TAP peer educators in ways that they do not listen
to adults, because of the similarity in age and background of peer educators.
The residents look forward to Friday's weekly TAP session; and are often
animated and enthusiastic during TAP's activities. TAP encourages our
adolescent residents to think on their own and make healthy decisions
themselves, without merely lecturing to them.
We look forward to TAP's weekly presentations, and hope to continue our
collaboration for many years. Our adolescent residents need to hear TAP's
message over and over, because they are the teenagers who are engaging in
high-risk behaviors. We appreciate TAP's dedication to giving presentations
to these high-risk teenagers week after week. TAPis truly reaching those
teens who can benefit from TAP's messages. By repeating their messages of
prevention week after week, they are influencing our adolescent residents in
a positive direction.
Sincerely,
Charlie Sharp
CEO, Wilmington Treatment Center
61
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DERICK G. S. DA VIS CENTER
1101 MANLY AV.
WILMINGTON, NC 28405
910-341-7867
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Dear Ms. Jessica Nake1l,
Thank you for helping our teens throughout the city understand the message of
prevention. The weekly program has been an asset to our regular program schedule. We
look forward to the 10-12 teens this programs brings to the center As you know it is
hard to get teenagers to come and participate in a program like this. However, T APP
seems to have all the right components
The level of commitment from the peer educators speak highly to your overall training
and dedication to the program. The summer session has really been received well by area
teens. From the Creekwood Development as well. Seeing how this is a time of the year
when teenagers have a great deal of free time on their hands.
If their is anything I can do to help in getting the word out about this wonderful
program, please don't hesitate to call.
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Sincerely,
~YnVr7ctJ~
Althea A McMillian,
center supervisor
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WILMINGTON
HEAJJH ACCESS
FOR TEENS
July 1, 2001
Teen Aids Prevention Program
Attn: Jessica Nakell
2029 S. 17'" Street
Wilmington, NC 28401
Dear Jessica,
I am pleased to be writing a letter in support of the Teen Aids Prevention Program. Since
TAP's inception w1lmington Health Access for Teens has collaborated to provide
assistance for curriculum development and support from our existing Synergy Peer
Education Program. It has been wonderful to see your successes.
e
I feel that through our collaborations we have been able to reach different populations of
peers to educate which increases the effectiveness of having multiple programs in our
community. There are so many teens that want the opportunity to become peer educators,
which speaks to the effectiveness of our programs. I've seen the difference you've made
in your teen's behavior, and attitudes about their lives.
The collaboration oftbe TAP, Crossroads Co-op, and' Synergy Peer Education programs
has been instruJDental in having successful pool teen leaders to implement events such as
the Youth Summit, Teen Leadership EXperience, and Mentoring Expo. I look forward to
continuing to work on new programs through the Cape Fear Teen Health Council in
which your input bas been crucial.
The Teen Aids Prevention Program is a visible, and recogniZed group in our co1JllIl\lllity.
Its survival is necessary not only for this co1JllIl\lllity but for each teen that this program
reaches. If you need any further assistance pl<;ase do not hesitate to call.
Sincerely,
~~~
Health Educator
e 4005 Oleander Dme
Wilmington, NC 28403
910.790.9949
910.790.9455 Fax
63
Girls Incorporated
of Wilmington, NC
1502 Castle l;;treet
Wilmington, NC 28401
Tel: (910) 763.6674
Fax: (910) 772.9528
.
July 6, 2001
!J h-I se
Inc.
Ms Jessica Nakell
New Hanover County Health Department
2029 S Seventeeth Street
Wilmington, NC 28401
Inspiring all girls
to be strong,
smart and boldSM
.
Dear Ms Nakell:
This letter is a strong endorsement of the TAP program. We here at Girls
Incorporated are very euited about tbe collaboration witb tbe TAP program of the
New Hanover City Healtb Department. The partnersbip between tbe two agencies
bas most definitely bad a great impact in continuing to reduce the teen BIV/STD
rate of New Hanover County.
The opportunity to work witb TAP bas given us additional tools to otTer continued
service to girls that are enrolled in our After School and Summer Camp Programs.
More specifically, some of the girls in our Preventing Adolescent Pregnancy (pAP)
Program bave had tbe opportunity to become teen bealtb educator in our
community and otTer positive peer pressure to others to delay sexual activity. Onr
collaboration bas also enabled all oftbe girls involved in tbe PAP Program to bear -
messages about BIV/STD prevention, self-esteem, drug and alcobol prevention, and -
value clarification during repeated worksbops.
TAP peer educators are giving presentations on a regular basis to girls of ditTerent
ages all summer. Our girls really enjoy tbe TAP presentations. What is so special
about tbeir presentations is that they always come up witb creative activities that
are fun for our girls and I am impressed witb tbe way tbat the peer educators, wbo
are teenagers themselves, lead tbe presentations. I am amazed tbe peer educators
volunteer tbeir time to come to our program on a regular basis.
We strongly support tbe New Hanover County Healtb Department in tbeir
application for funds to continue the TAP Program. We would welcome the
continued opportunity to work with TAP in the very real struggle to decrease the
teen HIV/STD rate and to prepare our teenagers to become responsible, 8e1f-
confident, and successful, "Strong, Smart and Bold" women.
Sincerely,
J~ /u-tl-Rf ftI-'L#
Delores Wallace
Director of OperatiODS
-
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Fonne~y Gi~s Club
of Wilmington. Inc.
.
A United Way Agency
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STATE OF NORTH CAROLINA
DEPARTMENT OF JUVENILE JUSTICE
AND
DELINQUENCY PREVENTION
NEW HANOVER REGIONAL JUVENILE DETENTION CENTER
3830 JUVENILE CENTER ROAD
CASTLE HAYNE. NC 28429
STATE COURIER No. 04-11-30
Michael F Easley, Govemor
George SWeat, Secretary
James \IV, Speight Director
Telephone: (910) 675-0594
Fax: (910) 675-2542
June 29, 2001
Ms. Beth Jones
New Himover Co. Health Depl
2029 S. 17'" Sl
Wilmington, NC 28401
Dear Ms, Jones:
It Is with pleasure that I once again write this letter of support for the Teen Aids Prevention (TAP)
Program, The TAP Program continues to enhance our eXisting services.
Jessica Nakell, the TAP Health Educator, and Gordon Huggins, the TAP Peer Educator, teach the health
class for the juveniles every Wednesday moming. They present a different set of games and interactive
activities that effectively capture and hold the attention span of the students, Although the primary focus of
their program is AIDS prevention, they cover topics ranging from stereotypes to health issues and self-
esteem. The concrete way in which TAP presents these games enable the juveniles, many of whom have
leaming deficits or leaming disabilities, to grasp abstract concepts and understand the consequences of
their actions.
Gordon continues to serve as a positive role model for many of the juveniles. The juveniles ask his
personal advice about a wide range of issues. They have great respect for Gordon, and he is able to
positively Impact them. The teens continue to make appointments at the STD clinic at the health
department for check-ups as a result of the presentations, just as last year.
The TAP Program offers a rare opportunity for the juveniles to listen to their peers tell them to make the
most out of themselves and succeed in life.
Once again, I hope that we will be able to continue our collaboration throughout the coming school year.
?/rely,
~~.-tI--sr
,.James W.Speight '
Center Director
65
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April 12, 2001
Dear Jessica,
Thank you so much for the wonderful presentation that your TAP Peer
Educators put on at our Peer Group on Wednesday night. I was reaI1y excited
to see bow well the girls responded and participated. It was truly a success
and I would love to have you all come back again. There may even be the
makings of a Peer Educator among our groupl Please tell your Peer Educators
what a wonderful job they did in keeping the girls interested and in conveying
the information. Talk to you soon.
Sincerely,
:XcLUt ~
Katie Kirkman
APP Coordinator
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69
GRASP
(Guard Response Alternative Sentencing Program)
2221 Carolina Beach Road
Wilmington, NC 28401-4105
Pager: (910) 310-1430 Fax: 343-4105
February 27, 2001
Ms. Jessica Nakell-TAP
New Hanover County Health Dept.
2029 S. l71h Street
Wilmington, NC 28401
Dear Ms. Nakell:
Thank you for your presentation on Teenage Aids Prevention (TAP). Your presentation
was very informative and was presented in a manner that really catered to the clients this
program serves. Your class provided these troubled youth with some very informative
insight on SID's and HlV/AIDS. The youth really thought your class was interesting,
and I am sure that they learned a great deal from your presentation.
I hope that a collaboration between our agencies will continue because the services you
offer are a great educational experience for these troubled youth. I look forward to
working with you in the future.
Should you have any questions, or need further information, please feel free to contact me
at (910) 762-5333.
Sincerely,
~~
GRASP Site Director- WiJmington
.
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NEW HANOVER COUNTY BOARD OF eeMM133131~LnS
REQUEST FOR BOARD ACTION
Meeting Date: 08/96/01
01
Department: Health Presenter: Beth Jones, Communicable Disease Director
Contact: Beth Jones- 343-6648
SUBJECT:
Grant Application-Center for Disease Control (CDC) TB Elimination and
Prevention ($10,000) from the North Carolina Department of Health and Human
Services, Division of Public Health, Tuberculosis Control Program
BRIEF SUMMARY:
We are requesting approval to apply for a CDC TB Elimination and Prevention grant of $10,000
for Fiscal Year 2002, to better serve our growing Hispanic population, to improve TB services to
our patients, and to assist with outreach education activities.
The funds will be used to purchase equipment for directly observed therapy, to purchase
educational tools, to print and translate written material into Spanish, and to contract with ATI
Interpreter Services to pay for Spanish speaking interpreter to work one day a week in the TB
Control Program. See attached grant for more specifics.
No county funds are required.
RECOMMENDED MOTION AND REOUESTED ACTIONS:
Approve grant application for $10,000 to be submitted to County Commissioners and approve
associated budget amendment if awarded.
FUNDING SOURCE:
The North Carolina Department of Health and Human Services, Division of
Public Health, Tuberculosis Control Program
ATTACHMENTS:
Yes-2page grant application
72
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North Carolina Department of Health and Human Services
Division of Public Health
Section for Human Ecology and Epidemiology
General Communicable Diseases Control Branch . Tn Control Program
225 North McDowell Street, room 3107 E
1905 Mail Service Center. Raleigh, North Carolina 27699-1905
Branch phone: 919-733-3419 . Branch fax: 919-733-0490
6'
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MEMORANDUM
TO:
County and District Health Administrators
TB Control Nurse
Director of Nursing
SUBJECT:
Carol Dukes Hamilton, MD, TB Medical Director
J. Steve Cline, DDS, Section Chi~Ct~
Requests for Applications - CDC TB Elimination and Prevention Funds
FROM:
DATE:
July 2, 2001
Cc:
Dr. Kelly McKee Communicable Diseases Branch Head, TB Nurse Consultants
Weare requesting proposals for one-time funding support focused around your county or district's _
efforts to control and prevent TB. The awards can be made up to $10,000 per county for any effort .,
or purpose that will address a county need in TB prevention and control. Past awards have been
used to purchase computer hardware, software and training for the TB nurse. Other awards have
been provided for tuberculosis education, language training and the purchase and development of
TB educational materials. Current requests are not limited to areas of prior awards.
Please keep in mind that the CDC has placed an increased interest in both targeted testing and
treatment of latent TB infection. Also in NC the great majority ofTB cases reside with African-
American males, although the state's demographics have been undergoing a substantial shift
toward Hispanic immigrants. Consider the population that you serve and their special needs.
There may be an area that you would like to consider expanding if you had the resources. We
want to hear your proposal to reduce or prevent TB in either population group.
In order to simplify and expedite the review process, a template for the proposal submittal is on the
following page. Please limit your proposal to three pages or less, and submit a budget revision at
the time of your funding request. The deadline for receipt of all funding proposals in our Raleigh
office is Friday August 3, 2001. You can expect to learn of the decision concerning your proposal
during the week of September 17,2001.
Thank you for your efforts in the control and elimination ofTB in North Carolina. We look
forward to receiving your proposals.
-
Jj
EveryWhere. EveryDay. EveryBody.
An Equal Opportunity / Affirmative Action Employer
~72a
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NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 11l'H STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-4146
E"""""'-E"""'.E_.
DAVID E. RICE, M.P.H., M.A.
Health Director
LYNDA F. SMITH, M.P.A.
Assistant Health Director
CDC TB Elimination and Prevention
Request for Funding by New Hanover County Health Department
to
North Carolina Department ofHea1th and Human Services
Division of Public Health! Tuberculosis Control Program
July 13, 2001
County. New Hanover
.
County #. 065
Person submitting this proposal:
e Name: Maureen Lamphere, RN
Title: TB Control NurselNHCHD
Mailing Address: 2029 S. 111' Street, Wilmington, NC 28401
Phone Number' (910) 343-6689
Fax Number' (910) 341- 4146
Email Address:mlamoherelalnhcllov.com
Number of persons under active surveillance: 322
Description of Proposal:
The New Hanover County Health Department is requesting $10,000 funding to better serve our
growing Hispanic population, improve TB services to our patients, and assist with outreach
educational activities. The number of Hispanics served by the TB Control Program, as suspects,
cases, and preventive therapy has increased from last year to this year Funds would be spent by
June 30, 2002.
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Budget Narrative:
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1 $300.00 is requested to purchase a 19" color television and cart to mount it on to be used by
the TB nurses for directly observed therapy using the television video phone. There are situations
with individuals who are cooperative and responsible in which the video phone can be used by the
TB nurses reducing the need for home visits. The purchase of the TV would allow the video
phone to be set up permanently rather than having to borrow a TV from the audiovisual
equipment room and having to set up the system each time it is used.
2. $15000 is requested to purchase educational tools. One of our goals this year has been to
provide educational inservices to skilled nursing facilities, assisted living homes, and various
health care settings teaching the correct way to place a PPD, read a PPD, TBdisease, TB
infection, and the role of the Health Department. The educational tools that would be purchased
are a flip chart to be a visual aid while lecturing and a TB testing arm set used for identifYing
positive TB reactions. The desired TB testing arm set is made of a new material which looks and
feels like real skin.
3. $800.00 is requested to print and translate written material into Spanish for distribution at the
Health Department. Most general educational materials needed are supplied by the State, but
there are materials developed in the local departments for our use that need to be translated into -
Spanish. These include drug information sheets, contact letters, and local correspondence specific .
to our progrant or a particular patient type, for exantple pregnant women with positive TB skin
tests.
4. $8,750.00 is requested to contract with AT! Interpreter Services to pay for Spanish speaking
interpreter to work one day a week in the TB Control Progrant. The busiest day in the TB
progrant at the Health Department with the greatest numbers of Hispanics is Thursday, this day
the Health Department's contracted interpreter is scheduled to be in the WlC clinic and unable to
assist other progrants. This requested interpreter would assist the TB nurses with DOT, DOPT,
home visits, medication refills, telephone calls, and scheduling of Hispanic patients. Basic
Spanish language training has been offered and attended by TB staff. At this time staff are not
proficient enough in the language to assure adequate communication and understanding of
Hispanics being served. We are continuing to educate our staff and all recruitment notices are
requesting bilingual applicants.
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Science Fair Project
e "The Effect of Cellular Phone Use Upon
Driver Attention"
Noble Middle School
8* Grade
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The Effect of Car Phone Use on Driver Attention: A Study in New
Hanover County
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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. Tbis study was done to try to answer tbe question oCwbetber car pbone use
distracts drivers wblle tbey are driving. If drivers are distracted, then car phone use is
dangerous and sbould be banned or restricted.
Hypotbesis
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 witb tbe tester _
seated next to tbe driver should be more easily completed tban wben tbe same tests are _
given over a car pbone. Drivers wbo are not distracted by tbe car pbones should bave better
roadside attention to detalls.
Metbods
Since most of the literature on cell phone use is not available at the public hllrary, 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 wbether 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 mathernstical 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
pbone. 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 e
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
OgdenlMarket Street
Male Percentage Female Percentage
Drivers on 11 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%
Ai the OgdenlMarket Street and Oleander/College Road site, I also recorded the type ofvehic1e
each car phone user was driving (Table Four).
Table Four
Ollden!Market Oleander/Colleae
Car Van Truck SUV 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, e
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 sma11
when they are applied to all the drivers driving at any time in New Hanover County they are
significant,
Table One
e
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 3.4%
Eating
I also recorded the sex of drivers on the phone or eating at both sites. Ai 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. Ai 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"A.).
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My mental ability tests were verl>al 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).
Graph One
Reverse Counting
100
80
'iii'
-0
g 60
c.>
..
III
~ 40
~
F 20
o
Dava
Steve
Matt
Bob
Pam
. 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
Math Calculations
200
Steve
-_ 150
~
c:
~ 100
-
CD
E
i= 50.
o
Dava
Matt
Bob
Pam
-
-
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).
~10
o
:;::; 8
~
~ 6
.c
o
0)4
c:
e
s: 2
o
Graph Three
Road Side Awareness Test
12
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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 small 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 ishalso 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.
.'
-#
Driver.
Test Giver:
Date:
Time:
,
. .
DRIVING TESTS
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In person
On phone
-
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
Number right:
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DRIVING TESTS
In person
Driver.
Test Giver:
Date:
Test Two
Months of Year Backwards
Dee
Nov
Oct
Sept
Aug
Jul
Jun
May
Apr
Mar
Feb
Jan
Time:
Number right:
On phone
.
. ' ", . "
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-.
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DRIVING TESTS .
In person On phone
Driver:
Test Giver:
Date:
T estThree
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.
e 1. Light House 1.Pig Picker
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
e Construction Ahead"
9.Tan Port-o-let restroom
10.Traffic sign fallen down 10. Yellow boat
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Science Fair Project
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"The Effect of Cellular Phone Use Upon
Driver Attention"
Merri Parr
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 of Health 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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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 OgdenlMarket Street location and
47 % 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 34 % 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
OgdenlMarket
Oleander/College
Total Percentage Total Percentage
Cars 757 318
Drivers on 40 5.3 % 15 47%
Car Phone
Drivers 5 07% 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%).
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Table Two
OgdenlMarket Street
Male Percentage Female Percentage
Drivers on 11 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 OgdenlMarket Street and Oleander/College Road site, I also recorded the type of
vehicle each car phone user was driving (Table Four).
Table Four
o nIM k
I d /C II
)gde ar et o ean er o ege
Car Van Truck SUV Car Van Truck SUV
Driver 29% 43% 0% 29% 25% 16% 8% 50%
on Car
Phone
tit
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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).
Graph One
Reverse Counting
100
80
'CD
..,
c 60
0
<>
CD
$ 40
CD
E
1= 20
0
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
Math Calculations
200
-150
en
-=
<=
~ 100
en
-
co
E
i= 50
o
Matt
Bob
Pam
Dava
SteVE
-
-
Phone
Passenger
e
e
e
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).
~ 10
o
=ca 8
~
~ 6
,Q
o
Cl 4
c
e
~ 2
o
Graph Three
Road Side Awareness Test
12
Matt
Pam
Dava
Steve
Bob
. 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 small 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.
tit
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e CAR PHONE SAFETY IN NEW HANOVER COUNTY
EDUCA TION
THE GENERAL PUBLIC MUST BE INFORMED OF THE DANGERS OF DRIVING
AND CAR PHONE USE. EDUCATION IN THE KEY.
PUBLIC SERVICE ANNOUNCEMENTS FROM THE BOARD OF HEALTH
PUBLIC ACCESS TV, RADIO AND NEWSPAPER
BOARD OF HEALTH SPONSERED PUBLIC SCHOOL COMPETITION
CAR PHONE SAFETY BUMPER Sl1CKERS
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INFORMATION FLIERS AT BOARD OF HEALTH, DOCTORS OFFICES,
MOVIE THEATERS, RESTUARANTS, AND WHEREVER PEOPLE
GATHER
LA W ENFORCEMENT
ALL ACCIDENTS SHOULD RECORD WHETHER A CELL PHONE WAS IN USE
SERIOUS ACCIDENTS SHOULD INCLUDE A CELL PHONE TIME LOG
IF A CELL PHONE IS IN TIlE CAR
INCREASED FINES AND PENALTIES FOR ACCIDENTS THAT OCCUR WHEN
CELL PHONES ARE BEING USED
.e
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NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTIl17nI STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-4146
E_.E"""".E_.
DAVID E. RICE, M.P.H., M.A.
Health Director
LYNDA F. SMITH, M.P.A.
Assistant Health Director
July 31, 2001
FROM:
New Hanover County Board of Health Members
David E. Rice, Health Director ~~
To:
SUBJECT: Jail Construction Project
e
Attached please find the Jail Construction Project correspondence dated July 26,
2001 from Dr. Wilson Jewell and David Rice to the New Hanover County
Engineering Department, including an attachment from the Castle Hayne
Steering Committee. Also attached is the response to this correspondence with
attachments from the Engineering Department dated July 30, 2001
The New Hanover Count Board of Health (NHCBH) Environmental Health
Committee discussed the Jail Construction Project issues on July 23 and the
NHCBH Executive Committee discussed these issues on July 24. Please review
this information prior to the NHCBH meeting tomorrow.
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II ?jour fieaftk _ Our priori!,! "
.
.
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NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 17m STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (
..
DAVID E. RICE, M.P.H., M.A.
Health Director
LYNDA F. SMITH, M.P.A.
Assistant Health Director
July 26, 2001
Wyatt Blanchard, P.E., County Engineer
New Hanover County Engineering Department
414 Chestnut Street Room 101
Wilmington, NC 28401
e
Dear Wyatt:
The Castle Hayne Steering Committee appealed to the New Hanover County
Health Department (letter attached) to address the potential risks to
groundwater quality posed by Jail Project Construction at the Blue Clay Road
Landfill Site. The New Hanover County Board Of Health (NHCBH)
Environmental Health Committee met with representatives of the North Carolina
Department Of Environmental and Natural Resources (NCDENR) on July 23,
2001. In addition, the NHCBH Executive Committee met on July 24 to consider
the preliminary review of the Environmental Health Committee. Based on this
review, the Executive Committee decided to send this correspondence.
Several factors may make the Jail Project Construction Site a potential public
health concern:
e
. Location of a closed solid waste landfill on a tract of land adjacent to the
proposed jail site (12 acres permitted by DENR, 35 acres used);
. Prevalence of site/soil conditions indicative of a shallow depth to the static
water table;
. Sampling/testing conducted does not conclusively establish that
groundwater quality has not already been impacted by the closed solid
waste landfill (While a recent set of sample analyses conducted by
NCDENR from abandoned test wells is reported within accepted limits, older
data suggests the necessity of a more comprehensive study);
. Reports provided by Law Engineering And Environmental Services, Inc. do
not ascertain directional (lateral and vertical) movement of the groundwater
on this site; and
. Structural requirements of the jail will require the placement of numerous
pilings to depths that may penetrate the clay and limestone strata, thereby,
possibly creating portals to the aquifer.
/I You,. ..J.Jealtl" - Ou,. P,.io,.J'j /I
.
.,
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Wyatt Blanchard, P.E., Director
July 26, 2001
Page 2
Additionally, Law Engineering and Environmental Services, Inc. and NCDENR
raised the question of monitoring methane. It is recommended that methane
concentrations be measured prior to construction activities and permanently
within the completed structure due to migratory properties of the gas.
Further, we were advised by NCDENR that two additional landfill sites exist at
other locations in New Hanover County, one near Carolina Beach and one
adjacent to Landfall Subdivision. Similar concerns may surface at the point of
development of these properties.
Compelled by our duties to protect public's health and minimize future risks, we
request that your department respond to these issues.
Very truly yours,
e
a/-t.-
Wilson O.
Chairman
New Hanover County Board of Health
~
David E. Rice
Health Director
Cc: Ted Davis, Chairman, New Hanover County Board Of Commissioners
Allen O'Neal, New Hanover County Manager
Wanda Copley, New Hanover County Attorney
William S. Funderburg, Director, Castle Hayne Steering Committee
James Coffey, Chief, Solid Waste Section, NCDENR
Arthur Mouberry, Chief, Groundwater Section, NCDENR
?
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WILLIAM S. FUNDERBURG
Pw..pl.... c.-, ....~ . 4321 Bl... Clay Road, Calli. Hayn.. NC 28429 . 910.602.6282 to.,. 910.790.1841
June 27, 2001
Mr. David E. Rice, MPH, MA, Director
New Hanover County Health Department
2029 SoUlh 17" Street
Wilmington, Nor1h Carolina 28401
Re: Jail Project ConstrUction at the Blue Clay Road Landfill Site and
Potential Contamination of Drinking Water Aquifers
Dear Mr. Rice:
I appreciated the opportunity to meet with you and Dianne Horvelle on June 11, 2001.
While the community has several concems regarding the old landfill site and current
development activities, the safely of the area's drinking water aquifer and containment of
the landfilllld waste are our highest prioritieS. Through our discussions, I believe that
you share our community's concam for protecting the County's drinking water sources.
To the contrary, other County agencies seem to be more concemed with accused
murderers sharing jail cells with less violent criminals. While we can sympathize with the
current management crises, the selection of a politically expedient solution to insufficient
prison capacity cannot be bought at the expense of a community's health.
As demonstrated in "after-the-fact" wetland permitting, and significant changes to site
preparation and the foundation design, the expedited jail project appears to be forging
ahead without a complete evaluation of environmental and public health related issues.
In my opinion, New Hanover County's behavior leads other property owners to believe
that it is easier to seek forgiveness and pay fines, than It Is to property plan and secure
permits. Through an Independent evaluation of the existing public project
documentation, we believe that environmental conditions and planned site development
activities represent an immediate and eminent threat to the public health and
environment. In our opinion, the installation of deep foundation piles at an approximate
density of 1 pileJ10 square feet of building area wiD create a significant Increased
potential for landfill leachate to move through the subsurfaCll clay layer intO the
underlying limestone and sandstone drinking water equlfers. In addition to the
documentation I provided to you, Law Engineering and Environmental Services (Law)
has produced several detailed reports which document conditions supporting this claim.
SummariZing the attached reports. a discussion of key elements of Law's WOr\( Is
provided for your review and consideration.
e
ENVIRONMENTAL SITE ASSESSMENT
Preliminary to project funding and design, Law Engineering and Environmental Services
(Law) completed a baseline assessment of anvironmental site issues in January 2000.
In their Phase 1 Envlronmentel Assessment (ESA) Report, Law avaluated the 202
County-owned property and a 87 Acre tract adjoining the County's nor1hem property
line. On page 7-1, Law's conclusions stated the following:
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Castle Hayne Community - Aquifer Protection
"The assessment has revealed evidence of recogni~ed environmental
conditions associated with the subject property and surrounding areas."
Citing "elevated concentrations of iron, lead, chromium, manganese, and potentially
arsenic and silver", Law recommended sampling the four existing groundwater
monitoring wells and installing an (anticipated) upgradient well for background
comparison. On January 24, 2000 Law collected groundwater samples for laboratory
analysis. While "no target constituents were identified in the (single) samples above the
interim groundwater standard(s),' contaminants were detected at levels approaching the
standards. According to the limited scope of the Phase 2 investigation and in our
opinion, the results are inconclusive regarding an assessment of groundwater
conditions, existing contaminants on-site, and contaminant migration before and after
site alteration.
It appears that the scope of environmental investigation did not characteri~e
groundwater flow rate, direction, or statistically significant increases or decreases in
detected contaminant levels. Furthermore, such assessments are typically limited to
existing site conditions and do not fully consider the effect of constructiOn activities on
the local hydrogeology. To our knowledge, no assessment has been made regarding
the existing and future verticlll potential for leachate to migrate down into the drinking
water aquifers beneath the water table aquifer In our opinion, such an investigation
(including contaminant flow modeling) is warranted prior to further development. WJlh
the pile contractor ready to mobilize, the County still has the opportunity to more
completely investigate the potential for aquifer contamination.
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SUBSURFACE EXPLORATION
While the focus of further slle investigations turned to geotechnical. issues (site
improvements and deep foundation systems), the data collected during drilling provides
information regarding environmental conditions. Approximately 43 soil borings were
installed in January, February, August, and September 2000. This data likely exceeds
any investigation performed for development of the iendfill, and provides further insight
regarding the landfill and site geologic and hydrogeologic conditions.
In their Preliminary Subsurface Exploration Report dated February 17. 2000, Law
provides measurements of the landfill area and data from a boring instelled through the
landfill. According to the report,
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"The landfill area is a raised mound with dimensions of approximately
1,800 by 850 feet In the central portion of the 288 Acre parcel."
Given these dimensions, the aduallandfill area is 35 Acres. As referenced in the Phase
1 ESA Report, the Stale of North Carolina perrnilllld only 12 Acres for above ground
disposal of solid wasle. Apparently, the landllll area exceeds the limits permitted by the
State. If this is the case, the permitted 12 Acre landfill Is adjacent to a 23 Acre 'open
dump., as defined by State Law and local ordinance.
The landfill permit (State Permit No. 65-(3) required closure of the. landfill with a clay
ClIp, constrUcted from clay with a maximum permeability of 1x1ae an/SlIC. In addition to
Page 2
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Castle Hayne Community - Aquifer protection
the clay cap requirement, 0'" "." mil steted-that-'WastAR will not be deposited below
existing ground elevation." Boring 8-5 drilled through the landfill to a total depth of 30
feet below the current ground elevation. Waste was encountered to a depth of 24 feet
and the soil placed over the landfill was sampled as a ''firm, black, silty sand". The water
level in the boring was estimated by the drillers at a depth of 5 feet below ground
elevation, at the time of drilling. A 4-loot thick gray clay layer was sampled beneath the
landfill at depth of 26-28 feet. From this dala, it appears that the landfill cap is
constructed with sandy soils (not the low-permeability clay soil specified by permit), and
allows surface water to seep into the landfill. Likewise, lhe root system from the treeS on
the landfill provideS additional pathways for water infiltration.
Over time, it appears that the waste has become completely saturated and the water
table is now mounded in the waste. From the reported area of the landfill, boring data,
and an estimated pore fraction of 0.40, the potential leachate volume In the landfill is
approximataly 87 miUion gallons.
From all the borings drilled for the foundation and site design, the subsurface profile
appears to be typical of its Coastal Plein setting. The typical subsurface profile consists
of interbedded layers of sands, days, and silts. The clay layer underiying the landfill was
not encountered in all the borings. Limestone lenses, typical of the Castle Hayne
formation were found at depths less than 40 feet from the ground surface.
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CONCLUSIONS
Clearly the $8,000 (0.02%) budget for evaluating critical environmental and public health
related risks associated with the jail project Is disproportionate to its $51,557,000 total
project cost. As development continues to rapidly change the natural surface features of
this area of the County, there Is an Increasing need to evaluate and understand the
direct and potential impacts on the Castla Hayne and Pee Dee Aquifers. The cumulative
effects of the projects In the Castle Hayne area and watershed have the potential to
effect floodplain bOUndaries, aquifer recharge ratas, overall water quality, and in turn the
public health and environment. Relative to the Immediate threat of the jail project and
cumulative effects 01 public projects in the area, we are requesting that the New Hanover
County Board of Health invastlgate and review the existing data and take the appropriata
actions to ensure the community's heelth. Furthermore, we urge you to discuss these
issues with State regulators to ensure compliance with pertinent laws and regulations.
As evidenced by the exhibits and existing data, the landfill and its potential to effed, the
locel drinking water aquifers should be fully evaluated prior to the County issuing a
Notice to Proceed to the J.M. Thompson Company Dr the piling contractor. Such an
assessment should be conducted by qualified licensed professional engineers and
geologists and should include:
1. ConfirmatiOn thet all son borings are properly abandoned, grouted to prevent
direct vertical migration of contaminated groundWater into the aquifer.
2. Chemical and Volumetric characterimtion of the Iandfillleachete through direct
sampling and laboratory analysis.
3. Characterization of the lateral and vertical flow components in the water table
and drinking water aquifer.
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Castle Hayne Community - Aquifer Protedlon
4. Contaminant llOW llouJeHng-underexistiRg-and rnst-l':nnstruction site conditions
(after pile installation).
5, Evaluation of driving thousands of piles through "confining" or "semi-confining"
soil layers on groundwater and potential contaminant flow into the drinking water
aquifer.
6. Planned compliance with North Carolina's Laws and Regulations indudlng, but
not limited to: Solid Waste Management, Safe Drinking Water. Groundwater,
Surface Water, Wetlands, and Floodplains.
7 Delineation of the actual landfiil limits, including areas outside the permitted
disposal boundary.
While the County's Zoning Ordinance requires public participation for facllities such as
kennels, no requirement exists for jails. As such, the projed has been closed to public
participation and been managed by County administrators and their consultants.
Through the use of CertificateS of Participation (COPs), the project is essentially being
funded as a public/private partnership. We believe that the local community and in
general, the public health is not being adequately protected by this closed process. We
welcome the opportunity to meet with the Health Board to review this Important issue.
We urga you to take prompt action. Should you have any questions, please feal free to
contact me at 802.6282.
Sincerely,
!lil&lJ?t ~ :4cJ~JuP
William S. Fund~~Direa; ~[J
Castle Hayne Steertng Committee
Cc: Dr Wilson O'Kelly Jewell, Chairman
Carmen Hooker Beull, Secretary of NC DHHS
James C. Coffey, NC DENR Solid Waste Section
Collen Sullins, NC DENR Water Quality Section
Arthur Mouberry, P.E., NC DENR Groundwater Section
New Hanover County Commissioners
Page 4
t17St 06L Ot6
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NEW HANOVEP rllTTNTV
ENGINEERING DEPJ
414 CHESTNUT S'
Wilmington, NC 2~
TELEPHONE (910) j
WYATT E. BLANCHARD
COUNTY ENGINEER
July 30, 2001
David E. Rice, Health Director
2029 South 171h Street
Wilmington, NC 28401
Dear David:
Your letter to Wyatt Blanchard dated July 26, 2001 concernir
Steering Committee outlines six items associated with the Co~
identified as public health concerns. Per your request, please re~
regard to your concerns.
I
Item (1) Location of a closed solid waste landfill on a tra
jail site ( 12 acres permitted by DENR, 35 acres used) I
New Hanover County has had the property surveyed as pt
survey was performed by Cape Fear Engineering d
convenience,(Attachment #1). The survey clearly defines!
,
x 300 feet or 11.02 Acers. The dimensions referenced in d
Gibb, 1,800 x 850 feet, includes the landfill cell, the borro.J
taken to cover the celL The cell was constructed within I
Waste Management Permit
Item (2) Prevalence ofsite/soil conditions indicative of a
This statement in general is correct As documented i
Assessment, the permeability of the native clay found in tho
1ft' and 1ft" em/sec. (Section 4.1.4, see Attachment #2)
************
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Item (3) Sampling/testing conducted does not conclusively eSlaUIJ.u .ua. g.uuuum""""'1uU"'3
has not already been impacted by the closed solid waste landfill (While a recent set ofsample
analysis conducted by NCDENR from abandoned test wells is reported within accepted
limits, older data suggests the necessity of a more comprehensive study)
As part of the preliminary site evaluation, New Hanover County directed Law Gibb to perform
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David E. Rice, Health Director
Page 2
July 30, 2001
an analysis of the existing ground water and to monitor for methane gas in the vicinity of the
landfill as recommended in the Phase I ESA. On January 24, 2000, ground water samples were
takenfromfour monitoring wells on site. As stated in the February 14, 2000 report, "No target
constituents were identified in the samples above the corresponding interim ground water
standard." As you have mentioned in your letter, NCDENR sampled groundwater at the site.
These samples were taken on October 24,2000, nine (9) months after the samples taken by Law
Gibb and the resulting conclusions are identical to those found in the Law Gibb Report, there
is no evidence that the landfill has impacted the groundwater. (Attachment #3).
Also mentioned in the Law Gibb report is a statement regarding the groundwater test data
collected in 1984 and 1985. The report states that this data "suggests that elevated levels (above
current interim I!roundwater standards) of lead, iron, chromium, manganese and potentially
arsenic and silver were present in the samples. " Though it is impossible to tell exactly why
elevated levels were reported, it should be noted that both sampling protocol and groundwater
standards have changed over the last 15 years. It would be careless to apply today's standards
to water samples taken 15 years ago and taken in accordance with dated sampling procedures.
However, it was the results reported in the 1984 and 1985 reports that prompted the County to
take the samples in January 2000. New Hanover County will conduct additional test and copies
of these test will be made available to you.
Item (4) Reports provided by Law Engineering and Environmental services, Inc. do not
ascertain directional (lateral and Vertical) movement of the groundwater on this site.
New Hanover County has contracted to have the directional movement determined. A copy of
the test results will be provided to you.
Item (5) Structural requirements of the new jail will require the placement of numerous
pilings to depths that may penetrate the clay and limestone strata, thereby, possibly creating
portals to the aquifer.
There are a variety of facts regarding this item which make this extremely unlikely. The letter
generated by William Funderburg specifically identifies a concern with regard to the impact to
the Castle Hayne and PeeDee Aquifers. In actuality, the Castle Hayne aquifer does not exist
in this location. As documented in the attached July 26 letter from Nathaniel Wilson, Lead
Hydrogeologist, NCDENR, (Attachment #4), the first confined aquifer is the Peedee aquifer
which is located about 76 feet below the land surface. The longest pilings which will be
installed are 40 feet and therefor will terminate 35 feet above the aquifer. The only aquifer that
would be penetrated by the installation of the piles is the surFICial aquifer or the water table
aquifer. Also mentioned in Mr. Wilson's letter, is the statement, "The Peedee aquifer is an
important water source for the County, but these oilinl!s do not reoresent a threat to that
resource nor to the surficial aauifer. "
As discussed in item 3 above, there is no evidence of groundwater contamination. Additionally,
the manner of installation of the piles by driving compacts the soil surrounding the pile and
increasing the soil density and decreasing the porosity. Therefore, driving piles would not
increase or create "portals to the aquifer". (Attachment #5 Statements from Herman Fox and
Law Engineering)
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David E. Rice, Health Director
Page 3
July 30, 2001
Item (6) Law Engineering and Environmental Services, Inc. and NCDENR raised the
question of monitoring methane. It is recommended that methane concentrations be
measured prior to construction activities and permanently within the completed structure
due to migratory properties of the gas.
New Hanover County contracted with Law Gibb to perform a test for Methane gas. In the
February 14, 2000 report from Law Gibb, the results of the Methane test are identified as
between 0.0% and 0.1% of the LEL. (Attachment #6) Asyou have requested, Methane detectors
will be permanently installed in the new facility.
We will keep you informed as additional information regarding this issue becomes available. Should
you require additional information concerning this issue, please contact me at your convenience.
jf;?7L-
Gregory R. Thompson, P.E.
Chief Project Engineer
cc: Ted Davis, Chairman, New Hanover County Board of Commissioners
Allen O'Neal, New Hanover County Manager
Wanda Copley, New Hanover County Attorney
Wyatt Blanchard, New Hanover County Enineer
William S. Funderburg, Director, Castle Hayne Steering Committee
James Coffey, Chief, Solid Waste Section, NCDENR
Arthur Murberry, Chief, Groundwater Section, NCDENR
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New Hanover County Engineering - Report of Phase I ESA
LAw Project 31000-9-13/4
01/10/00
4.1.4 Solid Waste
According to Mr. Ed Hilton, former New Hanover County Engineering Director, the landfill at the
site accepted municipal wastes from October I, 1980 to November 198 I. Mr. Hilton indicated that
no oil or hazardous materials were disposed of in the landfill. The landfill was reportedly
constructed at grade on the native clay found in the area. Mr. Hilton indicated that the
permeability of the native clay was detennined to be between 10'. to 10-11 cm/sec. No liner was
constructed under the landfill. Daily cover was excavated from the sandy area south of the
landfill. Reportedly, the landfill was capped with two feet of clay excavated from north of the
landfill. The 12-acre landfill was pennilted by the North Carolina Department of Human
Resources, Division of Health Services on December 8, 1980 to accept sanitary waste under
pennit Number 65-03. The pennit stipulated that the pennit be filed with the register of deeds,
that the height of the landfill was not to exceed an elevation of 48 feet, that no waste would be
deposited below the original ground elevation, and that the state shall monitor the site for five
years after the closure of the landfill. A copy of the pennit has been included in Appendix D.
Four groundwater-monitoring wells were installed around the landfill as part of the original
pennit. Only one of these wells was observed on the site during the site walk-over. Monitoring
data has been included in Section 4.1.8 of this report.
4.1.5 Sewage Disposal/Septic Tanks
What appears to be an abandoned septic tank or holding tank was observed just south of the closed
landfill along the access road. According to Mr. Ed Hilton, a small office trailer was located along
the access road to the landfill. The trailer and landfill were managed by Waste Management.
4.1.5 Hydraulic Equipment
No hydraulic equipment was observed on the site during the site visits.
4.1.6 Contracted Maintenance Services
No contract maintenance is performed on the subject.
4.1.7 Electrical Transformers
Electrical transformers are a source of recognized environmental condition due to the potential
presence of polychlorinated biphenyls (PCB) contained in dielectric fluids used in some units. One
pole mounted transformer was observed on Juvenile Court Drive. No labeling as to the PCB
content of this unit was observable from street level. However, no indications of a release of
dielectric fluid were noted from the unit.
G:dientsWewHanollenESA\hluec.:lavphtuel,dr)C
4-3
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Attachment #3
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LAW
LAWGIBB Group Member J...
.
February 14, 2000
--wi~":;-""T
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! FEB' 5 2000
, L~7":;;:;~::':;~r,:
ENGINEERING k:-,,':K '.;~:~~::~..
~."-.~-",.,_.-..._-~-
Mr Greg Thompson
New Hanover County Engineering
414 Chestnut Street
Wilmington, North Carolina 2840 I
Subject:
Letter Report of Phase II Environmental Site Assessment
Blue Clay Road Tract
4129 Blue Clay Road
Castle Hayne, North Carolina
LAW Project 31000-9-1314
Dear Mr Thompson:
Law Engineering and Environmental Services, Inc. (LAW) is pleased to submit this letter report
of our Phase II Environmental Site Assessment for the Blue Clay Road Tract Property in Castle
Hayne, North Carolina. The purpose of our services was to analyze groundwater samples and
monitor methane levels in ambient air in the vicinity of the landfill.
BACKGROUND
Law Engineering and Environmental Services, Inc. (LAW) completed a Phase I Environmental
Site Assessment (ESA) of the Blue Clay Road tract of land located along Blue Clay Road and
Juvenile Center Drive in Castle Hayne, New Hanover County, North Carolina (January 10,2000).
The Phase I indicated that the site is currently undeveloped and appears not to have ever been
developed, with the exception of a small former agricultural field on the southern portion of the
site and a closed municipal landfill in the same location. LAW did not identify recognized
environmental conditions during the site visit and regulatory research, except the closed municipal
landfill. The landfill accepted municipal waste from October 1980 to November 1981 The landfill is
unlined. However, it was constructed on top of a naturally occuning clay deposit. The permit
requirements for the landfill indicated that groundwater monitoring was required for five years after
closure. Four monitoring wells were reportedly located on the site. Groundwater data from the mid
1980's indicate that elevated concentrations of iron, lead, chromium, manganese and potentially
arsenic and silver were present in the groundwater samples collected from the on-site monitoring
wells. The method detection limits for arsenic and silver were above the interim groundwater
LAW Engineering and Environmental Services, Inc.
5710 Oleander Drive, Su~e 110
Wilmington, NC 28403
910-452-1185' Fax 910-791-1338
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Lerrer Reporr - Phase 11 Ellviroflmellwl Site A.uessment - Blue eta)' Roml
LA W Project No. 31000.9./314
2//4/00
standard. An intermittent odor was identified in the vicinity of the landfill on the days of the site
visits. Methane vapors are after a byproduct of organic decomposition.
Based on this information the following work was performed at the site.
SCOPE OF WORK
On January 19,2000 LAW personnel attempted to locate the four existing monitoring wells located
in the vicinity of the closed landfill. MW-C was identified off of the northwestern comer of the
landfill. MW -D was identified off of the northeastern comer of the landfill. Neither MW-A nor MW-
B could be located. Based on this information, LAW installed two temporary wellpoints near the
landfill. TW-l was installed south of the landfill and is anticipated as being an upgradient point. TW-
2 was installed north of the landfill. Figure I illustrates the approximate locations of the wells.
Groundwater samples were collected from all four wells using a peristaltic pump on January 24,
2000. Each groundwater sample was placed on ice and transported to Paradigm Analytical Labs for
analysis. The samples were analyzed for the North Carolina Appendix I constituents (comprising
volatiles and metals).
One February 9, 2000 LAW personnel monitored the landfill area using a portable Microgard™
methane detector. The detector was continuously screening methane concentrations in the ambient
air as percent of the lower explosive limit (LEL) for methane. The temperature on the day of the
monitoring was approximately 500 F
RESULTS
No target constituents were identified in the samples above the corresponding interim groundwater
standard. Table I lists the results of the groundwater analysis. The groundwater data reviewed does
not suggest that leachate from the landfill has impacted the site groundwater with the target analytes.
Methane concentrations identified on the site during the February 9. 2000 monitoring event ranged
between 0.0 % and 0.1 % of the LEL. This monitoring was intended to be a screening device to detect
a potentially explosive environment. Based on the results of the February 9, 2000 screening event, it
does not appear that an explosive environment was present in the ambient air on the day of
screening. It is recommended that additional monitoring of methane concentrations be conducted at
the site prior to the planned construction acti vities.
G:Clif!lIfi\I1t'II.hwlm'I'N.w\t.:IlI//IIdll'(/'~r .fCllnplillN
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Leuer Repol1 - Pha.ff 11 Ellvironmen/al Sife Assessment - Blut! CIa\' Road
LAW Projec.:t No. 31000.9.13/4
2/14/00
We appreciate your selection of LAW for this project and look forward to assisting you further on
this and other projects. If you have any questions, please do not hesitate to contact us.
Sincerely,
LA W ENGINEERING AND ENVIRONMENTAL SERVICES, INC.
1JiJ
Cheryl J. Moody
Project Environmental Scientist
Michael W. Minett, REM
Principal Scientist
Attachments: Figure (I)
Tables (I)
Cc: (I) File
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. MONITORING WELL LOCATION
. TEMPORARY MONITORING WELL LOCATION
NOTE: ALL WELL LOCATIONS ARE APPROXIMATE.
MW-A AND MW-B HAVE NOT BEEN FIELD VERIFIED
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SITE MAP
BLUE CLAY ROAD TRACT
WilMINGTON, NC
DRAWN: KlC DATE. 115199
OFT CHECK. CJM SCALE. N.T.S.
ENG CHECK: JOB #. 31000-9-1314
APPROVAL: MWM FIG #. 2
MAl' FH'FNE'W HANOVER COUNTY ENGINE'ERING l1iY9.
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March 2, 2001
TO;
Dave Weaver, Assistant County Manager
Ray Church, Director ~~
Environmental Management' '(
FROM:
RE:
Blue Clay Road Landfill
Water Sample Results
P4 cL, L-F
Attached is a report recently received from the NC Solid Waste Section for monitoring
welLsampling results. The samples were obtained during a samplingevent'on" .
October 24, 2000. The sampling event was performed due to a citizen's request.
Well MW-B was unable to be located and therefore was obviously not sampled.
The results show no evidence of groundwater contamination in the wells. The old
landfill cover was in excellent shape with no evidence of erosion. A very healthy stand
of pines covers the entire landfill site.
If you need additional information, please let me know.
Thank you.
C: Paul Marlow, Environmental Programs Manager
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North Carolina
Department of Environment and Natural Resources
AVA
NCDENR
Division of Waste Management
Michael F. Easley, Governor
William G. Ross Jr.j Secretary
William L. Meyer, Director
February 9, 2001
Mr. Ray Church
Director, Environmental Management
New Hanover County
3002 Hwy 421 North
Wilmington, N.C. 28401
SUBJECT: Groundwater Monitoring Data - Blue Clay Road Landfill- New
Hanover County (permit # 65-03) - File Closure
Dear Mr. Church:
Analyses of groundwater samples collected October 24, 2000 from the existing monitoring
system at the Blue Clay Road Landfill have been completed. Samples were analyzed for volatile
organic compounds (vQGs), semi-volatile organic compouncls (except fq~.MW"A), metals, a,nd
other selected inorganic parameters. In addition, field measurements for pH and specific
conductance were made. Monitoring wells MW-A, MW-C, and MW-D were sampled. Well
MW-B could not be located. An equipment rinse blank was analyzed for VOCs for QAlQC
purposes
The wells at this site have never been surveyed for vertical control and as a result groundwater
flow direction caunot be definitively determined. However, the original drainage ditch slope was
constructed with monitoring well MW-A being upgradient, MW-C downgradient, and MW-D
somewhat side-gradient.
Organic Data
No VOCs were detected at quantifiable concentrations in samples from wells MW-A and C.
Acetone was reported as a possible lab contaminant at 5.6 ppb in the sample from well MW-D.
It was also found in the equipment rinse blank at about the same concentration and was also
reported as a possible lab cont~min~nt. The groundwater standard for acetone is 700 ppb.
No semi-volatile compounds were detected from wells MW-C and D. Well MW-A was
damaged and sufficient sample could not be collected for a semi-volatile analysis.
MetalslInorganic Compounds
Iron was detected in all wells, including the up gradient well, at concentrations greater than the
groundwater standard. Manganese levels exceeded the groundwater standard in well MW-D.
1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone: 919 -733-0692 \ FAX: 919-733-4810\ Internet: www.enr.state.nc.us/
AN EQUAL OPPORTUNITY \ AFfIRMATIVE ACTION EMPLOYER - 50% RECYCLED' 10% POST CONSUMER PAPER
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All other detected metals were at concentrations less than their respective groundwater standard.
Concentrations of the selected inorganic parameters were well within acceptable limits.
Summary
Analytical data from the existing monitoring system does not indicate there has been an effect on
the area from past landfiIling activities. Of all the analytes, only iron and manganese levels
exceeded groundwater standards and those probably resulted from suspended soil sediments in
the samples. All of the samples were turbid, even after extended welLpurging. Both iron and
manganese are naturally occurring in uncontaminated native soils and are frequently detected at
elevated concentrations in turbid groundwater samples.
The landfill appeared to be in good shape. It was covered by an extensive stand of pine trees.
According to correspondence in our files, soils used for the closure cap had hydraulic
conductivity values sufficiently low to help reduce rain infiltration; and as'aresult, lessen the
generation ofleaqhate. Some landfill gas. odor was detected along the slope nearwellMW"C.
"
No further action is anticipated by the Solid Waste Section at this site. By way of copy of this
letter to Charlotte Jesneck, I recommend this site for inclusion in the inventory of the Inactive
Hazardous Sites Program, of the DENR Superfund Section. The monitoring wells should be
maintained and secured with padlocks in case there is ever a need for future monitoring. The
county is advised to avoid disrupting the integrity of the landfill during site development
activities.
Thank you for your assistance during the sampling event. If you have any questions, please call
me at (919) 733-0692, extension 257.
Q~>C-
Groundwater Compliance Unit
Solid Waste Section
cc: Phil Prete, Head - Field Operations Branch
Mark Fry - Eastern District Supervisor
John Crowder - Waste Management Specialist
Charlotte Jesneck, Head - Inactive Hazardous Sites Program
Attachment
NC Department of EnviroMlllnt,
Hulth, Ie. Natural ReaoUrcCl
.. Solid W.stcManalcmcnt Divi,ion
~iteNumber '5-03
Name of Site 13,.., Cfe, IZd
SiteLocation tJ....\ .H~...... v.o..v-
SAMPLE ANALYSIS REQUEST
SampleID NumberlName
LF"
Collecte<! By
c... .
Date Collected
Agency:
Hazardous Waste t/ Solid Waste _ Superfund
Sample Type
Environmental Concentrate
,/ Ground Water (I)
Solid (5)
Surface Water (2)
Liquid (6)
Soil (3)
Sludge (7)
Olber (4)
Other (8)
Organic Chemistry
-.\ " '. l'
Parall'feter 'Results (mg/l)
P&T:GCIMS
Acid:B/N Ex!.
2.4-D
2,4,S-TP(Silvex)
chlordane
heptachlor
hexachlorohenzeoe
hexachlorobutadiene
endrin
lindane
methoxychlor
loxapbene
FOR LAB USE ONLY
Dale Receive<!
Dale EXlracte<!
Date Analyzed
e.porte<! By
Date Reporte<!
II C{ 00
Lab Number
DHS 3191 (Revised 12/93)
Comments
)(Lu-A
.
Inorganic Chemistry
Parameter Result.'lfmgtD(mg/kg)'
antimony
t/ arsenic
L barium
beryllium
v' cadmium
V' chloride
V chromium
cohalt
V copper
fluoride
v" ~on
~ lead
L manganese
V mercury
v nickel
nitrate
v" selenium
V silver
sui fates
thallium
vanadium
JL zinc
pH
conductivilJ'
..\L. IDS
flash lJoint _
Z Ilt~k;c-'.: 41-
,
() .()()4
O.n2J
<0.05
lOP,
l. ;(0 u..
'''-2.'1'-00
TCLP Compounds
Innrganic Compounds
arsenic
barium
cadmium
chromium
lead
mercury
selenium
silver
Results(mgll)
Organic Compounds
benzene
carbon tetrachloride
chlordane
chlorobenzene
chloroform
o-cresol
m-cresol
p-cresol
cresol
1.4-dichlorobenzene
1.2-dichloroethane
I,I-dichloroethylene
2.4-dichloroethylene
hepla,chlor
hexachlorobenzene
hexachlorobutadiene
hexachloroethane
methyl ethyl ketone
nitrobenzene
pentachloropbenol
pyridine
tetrachloroethylene
trichloroethylene
2.4.S-trichlorophenol
2,4,6-trichlorophenol
vinyl chloride
endrin
lindane
melQoxychlor
_ toxaphene
2,4.D
2.4,S.TP (Silvex)
Results(mg/l)
He Department of EnviRlMltnl.,
Heahh, &. Natural Ruourcel
_ Solid Wam Mln&lemenl Divilion
~iteNumber '5-03
Name of Site 13,.., Cfe, IZd
SiteLocation tJ.. .. \ H~...... u.o..v-
SAMPLE ANALYSIS REQUEST
Slate Laboralol)' of Public Heallh
P.O. Box 28047. 306 N. Wilmington 51.
Raleigh, Nonh CalOlina 27611-8047
SampleIDNumberlName Zo e.. ~ '7
LF" Collecte<!By l. ;(0(.... I H. I!.....J~/~#
c....
Dat.eCollected ,,, - 2. ,('_ 00
Agency:
Hazardous Waste t/ Solid Waste _ Superfund
Sample Type
Environmental Concentrate
v'" Ground Water (1)
Solid (5)
Surface Water (2)
Liquid (6)
Soil (3)
Sludge (7)
Olber (4)
Other (8)
Organic .Chemistry
Parameter ' Results (mg/l)
P&T:GClMS
Acid:BIN Ex!.
2,4-D
2.4.S-TP(Silvex)
chlordane
heptachlor
hexachlorobenzeoe
bexachlorobutadiene
endrin
lindane
methoxychlor
toxaphene
FOR LAB USE ONLY
Dale Recei ve<!
Date Extracte<!
Dale Analyzed
.,.'" By ~
Dale Reporte<! Jll9J 00
Lab Number
DHS 3191 (Revised 12/93)
f'\W-l)
Comments
Inorganic Chelnistry
Par~e~er Resul~"';g/kg}
antimony
nO?&*'
arsenic
barium
beryllium
t/ cadmium
..... chloride
V chromium
cobalt
v copper
fluoride
~'iron
~ lead
L manganese
../ mercury
v nickel
nitrate
v" selenium
v silver
sulfates
thallium
vanadium
JL zinc
pH
conductivilJ'
..\L. TDS
flash poinl
:z A/II&Ir~(11J
7
0/
L
<' O.fY:6
.~~
< n.n/
<( 0.D5
< 5.85
O. nn<)
no 17
< o. 000.<;
<(0.01
<g. 005
< O{
<: 0.05
a elP,
/5f)
Time
TCLP Compounds
Inorganic Compounds
arsenic
barium
cadmium
chromium
lead
mercury
selenium
silver
Results(mg/l)
Organic Compounds
benzene
carbon tetrachloride
chlordane
chlorobenzene
chloroform
o-crcsol
m-cresol
p-cresol
cresol
1.4-dich1orohenzene
1.2-dich1oroethane
l,l-dichloroelhyJene
2,4-dichloroethylene
hepta.chlor
bexachlorobenzene
hexachlorobutadiene
hexachloroethane
methyl ethyl ketone
nitrobenzene
pentachlorophenol
pyridine
tetrachloroethylene
lrichloroelbylene
2.4.S-trichlorophenol
2.4.6-trichloropheool
vinyl chloride
endrin
lindane
metQoxychlor
toxaphene
2,4-D
2.4.S-TP (Silvex)
Results(mg/l)
"
NC Dcpanmenl of Environment,
Heahh, &. NaDlnl RuourcCl
_ Solid Wute MaM,emcnl DivilioD
"leNumber ~:r -03
NameofSile Bl..... C{2~d /;F
Sit.eLocalionl...lr.... (-k..o"~Y Ce.
SAMPLE ANALYSIS REQUEST
SampleIDNumberlName I 'l3'3
CollectedBy l. ~oo;.., 111. f"."..d4...L kV'
,
Agency:
Date Collect.ed
/D-a."'i_cJO
Hazardous Waste ....... Solid Wast.e _ Superfund
Sample Type
Environmental Concentrate
L Ground Wat.er (I)
Solid (5)
Surface Water (2)
Liquid (6)
Soil (3)
Sludge (7)
Other (4)
Otbcr (8)
Orga~c ql~;.stry
eter " Results (mg/l)
P&T:GC/MS
Acid:B/N Ext.
2,4-D
2,4,5- TP(Silvex)
chlordane
heptachlor
hexachlorobenzcne
hcxachlorobutadiene
cedrin
lindane
methoxychlor
toxapbene
FOR LAB USE ONLY
DateReceived:~
_ort
Date Reported tiD V 0 2 2000
Lab Number 00579Z
OHs 3191 (Revised 12(93)
~_i-rI"'1n" "....... ___
Comments
I1w-A
Inorganic Chemistry,."
Parameter Results(mg/l)(mg/kg)
antimony
arsenic
barium
beryllium
cadmium
chloride
chromium
cobalt
copper
fluoride
iron
lead
manganese
mercury
nickel
nitrate
selenium
silver
sulfates
thallium
vanadium
zinc
pH
conductivil)'
TOS
flash point
TCLP Compounds
Inorganic Compounds
arsenic
barium
cadmium
chromium
lead
mercury
selenium
silver
Results(mg/l)
. Organic Co:npounds
benzene
carbon tetrachloride
chlordane
chloroben.zene
chloroform
o-cresol
m..,resol
_ p..,resol
cresol
1,4-dichlorobenzcne
1,2-dichloroetbane
_ I,l-dichloroethylene
_ 2,4-dichloroethylene
hcptl\Chlor
hexachlorobcnzcne
hexachlorobutadiene
hexacbloroethane
methyl ethyl ketone
nitrobenzene
pentaehlorophenol
pyridine
tetrachloroethylene
trichloroethylene
2,4,5-lrichlorophceol
2,4,6.tricbloropbeool
vinyl chloride
cedrin
lindane
methoxychlor
toxapbene
2,4-D
2,4.5-TP (Silvex)
Results(mg/J}
He Dcpartmcnl of Environment,
Hc.allh, &: Natural ROIOUrcN
_ Solid W&. Manalemenl Division
~leNumber b:r -03
NameofSile Blu.. C{2~d
SiteLocationu..... (.f~..o,,~y Ce.
SAMPLE ANALYSIS REQUEST
Stato Labor.tory of Public Health
P.O. Box 28047, 306 N. Wi1miflBlOn St.
Raleigh, NOM Carolina 27611-8047
/;F
SamplcIONumberlName ( Sf 3' 3 "
CollcctedBy l.~o;.., /11. f".~4..L 1<..".
,
ION
DateCollecled
Time
/O-2:"'_cJO
Agency:
Hazardous Wasle v Solid Wasle _ Superfund
TCLP Compounds
Sample Type
Environmental Concentrate
L Ground Water (I)
Solid (5)
Surface Water (2)
Liquid (6)
Soil (3)
Sludge (7)
Other (4)
Other (8)
Organic. Chemistry
eler' Results (mglI)
P&T:GC/MS
Acid:B/N Ext.
2,4-D
2,4,S-TP(Silvex)
chlordane
heptachlor
hexachlorobenzene
hexachlorobutadiene
eodrin
lindane
methoxychlor
toxaphene
FOR LAB USE ONLY
Date RcceivedOCT 2 5 2000 6!;)
Dale Extracted...w-
pr
Date Analyzed A:l-30~
. . r
eOrled By
Date Reported
Lab Number 00579.,
10.2i:,ool/i'1'\
B ,.;p,.
/11'M'OOeg
.
OKS 3191 (Revised 12/93)
Comments
Inorganic Compounds
arsenic
barium
cadmium
chromium
lead
mercury
selenium
silver
rtlV- D
Inorganic Chemistry
Parameter Results(mg/l)(niglkg)
_ antimony
arsenic
barium
beryllium
cadmium
chloride
chromium
coball
copper
fluoride
iron
lead
manganese
mercury
nickel
nitrate
selenium
silver
suI fates
thallium
vanadium
zinc
_pH
conductivity
TDS
flash point
Organic Compounds
benzene
carbon telracbloride
chlordane
chlorobenzene
chloroform
a-cresol
_ m-cresol
p-cresol
cresol
1,4-dichlorobenzene
1,2-dichloroethane
I,I-dichloroethylene
2,4-diehloroethylene
hepta,chlor
hexachlorobenzene
hexachlorobutadiene
hexachloroethane
methyl ethyl ketone
nilroben.zcnc
penlacblorophenol
pyridine
tetrachloroethylene
trichloroethylene
2,4,5-trichlorophenol
2,4,6-trichlorophenol
vinyl chloride
endrin
lindane
methoxychlor
toxaphene
2,4-D
2,4,5-TP (Silvex)
Results(mgl1)
,
.;..;, '-'"
Resu)t5(mg/l)
,
(D
STATE LABORATORY OF PUBUC HEALTH
PO BOX 28047 - 306 N. WILMINGTON ST" RALEIGH, NC 27611
e
ORGANIC CHEMICAL ANALYSIS
E.
131~
J1/n_A Mw-e. rlV--J) ':".Du.,./).
PORGEABLE COMPOUNDS IABNO tJoS'"R;2 005713 005791- 005796
FIELD NO IW3.3:3 , 'if 5:3 5 18'3.3" 1'?337
COMPOOM) TYPE ( I ) ( I ) ( I ) ( I ) ( ) ( )
~:~).\, @ppm ~ppm 6~ppm 9ppm pph ppm pph ppm
CHLOROMETBANB )...0 il II I 1 U
VINJ1, CHLORIDE
BKOMOMETHANE
CHLOROBTHANJt
TRICHLOROFLUOROM:ETIIANE \ I,
! 1.1-DICHLOROETHENE 0,5 " r , J
ACETONE: :l.0 ..5',{.&> K;c.. 3,1K,l-
JODOMETBANE 0.5 I J LC
cWON DlSt1I.7tDZ -1/ ,
Ja'1'HYL1tNJ: CHLORIDE ',' t-rQ.cE..
RTLONlTKILE i.J.
TRAN&-l.2--DICHLOROE'l'BE1'fJ:
METJlYL.t-B'D"l"Y'L--ETHER
1.1-DICHLORO.l!:'l'RAllE
ISOPROPYL r:nmR
CIs.l.2-J)ICHLOROETHENE \ " / . 1/
2-BUTANon :Z.O -h-"a.c.e..c.. +-rOCf'_ c..
Tl:I'RAHYDR01l'URAN ~ LL (A.~
CHLOROFORM tJ.S
1.I,I-TRlCHLOROETHANE
CARElON TETRACHI..ORIDB
BENZENE
l,2-DICHLOROBTHANB
TRJCHLOROETHENE
1,2-DICHLOROPROPANE
DlSROMOME'l'HANE , ' / \V , 1/ /
&J Possible lab cODtamlnatioD or background +('Q.(E ~ o('t~c'n+ bl..L-+ below MDL
~ Estimated value r
K - A.etual value 18 known to be 1... than value given.
L _ Actua1 value is known to be greater than value given..
U _ Material was analyzed for but not detectea. 'lhe number is the Minima Detection Limit.
NA. - Not analyzed.
AI - Tentative identification.
D - SAMPLE DILO'l"ED. ImL'S JX) NOT APPLY.
DHHS 3066-1 (l/9S)
PURGC0M2.0RC
STATE LABORATORY OF PUBLIC HEALTH
(j)
'. '
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POBOX 28041 - 306 N WI~~TON ST
RALEIGH N C 21611
, . . -:/)' ., . ' .
~">~GANIC O1El1Irt/-ALYSIS - .
E/NEUTRAL AHO ACID lAB NO ,'V''''-7r.J:::1.
EXTRACTABLES FIELD 1/ I J(~.3.-< J,~""
TYPE I J 1 III I 1 , ,- ""\ I ) ( 'I
COIlPOUND
UNITS ',,"11 ~uo/l ~ uo/l uo/ka uo/1 ua/ka ua/l uo/ka ""ll uo/ka
N-nitrosodimethvlamine In!: !A- I.
bis 12-chloroethvl 1 ether
2-chloroohenol
oheno1
1 3-dichlorobenzene
1 4-dichlorobenzene
I 2-dich1orobenzene
bis(2-chlorol 11 ether
hexachloroethane
N-ni troso-di -n-nr'fYlvlami ne
nitrobenzene
I SODhorone
2 'nitroohenol
2 4-dimethvlnhenol
bisl2-chloroethoxv'lmethane
2 4-dichlornnhenol
1 2 4-trichlorobenzene
naohthalene "
hexach1orobutadiene "
,',
Wro-<n-creSOl
h1orocvclnnontadiene
6-trich1oroohenol
2-ch1oronanhtha1ene
acenaohthvlene
dimethyl ohthalate .
2 6-dinitrotoluene
acenaohthene IF
2 4-dinitrnnhenal SO) 't..50
2 4-dinltrotoluene 10 ~~O
4-nitroohenol SO &..r;o
fluorene 10 231)
4 chlornnhenvlnhenv1ether
diethvl ohthalate I
4 6-dinitro--o-creso1 So
diohenvlamine It) .1'330
azobenzene
~rnnnnhenvlnhenvlether
hexachlorobenzene "
oo>ntach 1 ornnheno 1 S"O '&,51)
ohenanthrene '//J :?,~O
anthracene
dibutvl ohthalate I I
fluoranthene , , 'I
m1)L
~ Estimated value. H..O/SOIJ-
Actual value Is known to be less than value given.
- Actual value is known to be greater than value given,
U... Haterial was analyzed for but not detected, The nurber is the HlnillU1l Detection limit, m'DL
NA ... Not analyzed, - - --
1/ ... Tentative identification,
~I - On NROC List of Priority Pollutants.
"
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~C.DEHNR.
Division oC Solid Waste Management
!perrUnd Seellon
zurdous Waste Section
Solid WuSle Section
Organics Lab: ,/
Inorganics Lab:
CHAIN OF qJS'fODV RRCORD
Project Name: ~/u...~ elM
Site ID # (NCD#) '5-
Location: A..lw ~__I.llLA. en
Address:
Rd
C-F
Sampled by: !<u.,.. /(7~L~ J.......
Sampler 10
Telephone:_U .'" :3- 01. 'I 7 ~ 'z..5'7
Date Sampled: It> I LV I DO
Time Sampled: .-
Sample Types: Soil
Water
t/
Waste
Other
Remarks:
1
li??:J :,...~ ":iI'~
-(W.
t'l'JY<;'
II<':nl::
, 1lj(,-,~11
Relinquished by: . Date~v Time:/J: 30
19natur TT
Received by: -~. LJ.....~---_._------------~te:Jo.h'(!l2>'> Time: 1/: ~;;--_._-
(Signalure) .
Relinquished by:
Date:
Time:
(Signature)
-------------------------------------------------------------------------.---------------...--.----------------------....----------....--------.-
Received by: Date: Time:
(Signature)
Relinquished by: Date: Time:
(Signature)
-----------....---------------
suits Reponed:
Date:
Time:
Received by:
D1UW
ime:
~ ".
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Attachment #4
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North Carolina \
Department of Environment and Natural Rc:sources
Division of Water Resources
MicIIlleI f. Easley, c;ovenaJ
WOUam G. Ross Jr., S...:r~3
JOhD Morris, DIJ-.c:tor \
I
I
I
\
i
Beth Easley Wethe~lI1
New Hanover CouIltY Engineering
July 26, 2001 i
I
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You phoned the Di,iision of Wa~r Resources this morning and requested Imonnation
about the subsurfact in New Hanover County nell the intersection of Blue Clay Rd and
Rte 131. Concern ~as expressed to you about your foundatioD pilin&5 - that they were
beIDg driven into th~ Castle Hayne aquifer. As I understand it, your pilings art driven up
to 40 feet below Ian/! surface. Based on hydrogeologic data we have at our disposal (see
attaehments) that depth of penetration only encounters the water table aquifer (swficlal
aquifer). In fact, thb Castle Hayne aquifer does not exist at this location. The first
commed aquifer at /loout 76 feet below land surface is the Peedee aquifer. The Peedee
aquifer is an impmqmt water source for the County. but these pilings do not represent a
threat to that resourte nor to the surficial aquifer.
I
AVA
NCDENR
~. cere! i
~.Id~
a1liaDie1 c. Wi'&.G.
Lead Hydrogeologi$t
Ground Water BranCh
!
i 1611 Mail Servicc Cc:atcr. Raleigh. Nonb CaJOIi.. 27699-1611
1'boml:\919-733-4064 \ FAX: 919_733.3S511 \ IDtaMI: www,DCWlda""ll
AN f!()UALoppO~ \AFPIRMAnVllACTlON EMPLOYeR -~ RECrCLBD/I01llI'OST OONSUMB!l PAI'IlR
I.
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Attachment #5
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J. Allan Tice, P.E
Senior Principal Engineer
Registered, North Carolina 6428
The County needs a response to these issues, immediately. Your assistance in
responding to me, or directly to Greg Thompson is urgent. Please call me at
910/675-1420, ext.207, if you have any questions, or my cell phone
#910/264-1229.
Thank You,
Ray Rosalezof
.
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Attachment #6
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,........,.
~ ~.. ...
Letter Report - Phase /I Ellv;mllmentaf Sire A,fsessment - Blue Clay Road
LAW Project No. 3/000-9-/3/4
2//4100
standard. An intermittent odor was identified in the vicinity of the landfill on the days of the site
visits. Methane vapors are after a byproduct of organic decomposition.
Based on this information the following work was performed at the site.
SCOPE OF WORK
On January 19,2000 LAW personnel attempted to locate the four existing monitoring wells located
in the vicinity of the closed landfill. MW -C was identified off of the northwestern comer of the
landfill. MW-D was identified off of the northeastern comer of the landfill. Neither MW-A nor MW-
B could be located. Based on this information, LAW installed two temporary wellpoints near the
landfill. TW-I was installed south of the landfill and is anticipated as being an upgradient point. TW-
2 was installed north of the landfill. Figure I illustrates the approximate locations of the wells.
Groundwater samples were collected from all four wells using a peristaltic pump on January 24,
2000. Each groundwater sample was placed on ice and transporteil to Paradigm Analytical Labs for
analysis. The samples were analyzed for the North Carolina Appendix I constituents (comprising
volatiles and metals).
One February 9, 2000 LAW personnel monitored the landfill area using a portable MicrogardTM
methane detector. The detector was continuously screening methane concentrations in the ambient
air as percent of the lower explosive limit (LEL) for methane. The temperature on the day of the
monitoring was approximately 500 F
RESULTS
No target constituents were identified in the samples above the corresponding interim groundwater
standard. Table I lists the results of the groundwater analysis. The groundwater data reviewed does
not suggest that leachate from the landfill has impacted the site groundwater with the target analytes.
Methane concentrations identified on the site during the February 9, 2000 monitoring event ranged
between 0.0 % and 0.1 % of the LEL. This monitoring was intended to be a screening device to detect
a potentially explosive environment. Based on the results of the February 9, 2000 screening event, it
does not appear that an explosive environment was present in the ambient air on the day of
screening. It is recommended that additional monitoring of methane concentrations be conducted at
the site prior to the planned construction activities.
G:C/iellf.f\l/eU"l(Ij'(II't'N.flf~n}fmdwll'er .f(llnfllill,t!.
2
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STRATEGIC PLANNING PRIORITIES
July 24, 2001 Update
I.
Access to health care
(Issues #7,11 & 5)
+ Resources for Diabetics: NHCHD Maternity Clinic has researched resources for ongoing
support of gestational diabetics. NHRMC will provide NHCHD Maternity Clinic with "recycled"
insulin.
+ ACS staff met with community representatives and ACS Advisory Committee members to
discuss plans to set up a site to house the pets of homeless people during emergency
situations, such as a snowstorm.
+ The New Hanover County Dental Program and the New Hanover County Department of
Aging are sponsoring "Senior Smile 2001" The New Hanover County Dental Staff will be
providing Dental Health Education and Oral Health Assessments for local seniors at six nutrition
sites during July and August.
+ Meeting 6/25/01 with Outreach and Medical Clinic Coordinator for Tileston to discuss
collaboration to reach population with communicable disease information and services.
+ Community Health Center' New Hanover Community Health Center has hired a second
dentist, Dr Julie Dimock. She will start in August 2001
+ Waiting List: Child Services Coordination started a waiting list for referrals. Referrals will be
prioritized based on risk factors.
+
II.
Preventive services & lifestyle-related risks
(Issues #12 & 15)
+ Injury Prevention: A billboard will be placed in New Hanover County (Route 17) to bring
attention to Drive Distractions.
+ Tobacco Prevention: The Sharks Baseball Team is participating with NHCHD Staff and
youth throughout the community to spread the message of tobacco prevention.
+ Vector Control: Ken Sholar reported the City of Wilmington stormwater control ponds on
Park Avenue would produce mosquitoes. Eagle Island is under control for 600 acres of positive
mosquito larva.
+ Hepatitis Vaccine: Combination Hepatitis A & B vaccine will be available beginning July 11
It is a series of 3 injections over a six-month period.
+ TAP' Teen AIDS Prevention program is applying to Cape Fear Memorial Foundation for
third-year funding. Application is due on July 15.
+ TB Funding: Application for State funding will be made by August 3.
+ Tobacco Prevention: Wilmington Sharks tickets available in break room for Saturday, July
14. The Sharks are sponsoring a "tobacco free night at the ballpark." Fresh Start Smoking
Cessation Training on August 9 from 1 :30 - 4pm.
+ Diabetes Awareness: Diabetes Today Coalition is working with the US Postal Service.
Diabetes Awareness display will be rotated among the Post Offices in NHC. Also, a diabetes
postage stamp is available to raise awareness.
+ SIDS: No SIDS cases have been reported in NHC since 1998. One of the reasons is the
"Back to Sleep" campaign.
+ Lead Investigations: Child Health and Environmental Health Staff processed six lead
investigations in FY 2000-01, an increase from the previous year In April 2000, a 2-year old
died of acute lead poisoning in New Hampshire.
+ All prenatal clients receiving WlC services are being informed about the danger of
Listeriosis, foods to avoid during pregnancy, and the importance of safe food handling.
+ All postpartum women receiving WlC services are bein!! informed about the importance of
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foliate for women during childbearing years and are taught how to read the label on vitamins to
assure that they are getting the recommended dosage each day
+ WIC staff is involved in the recall of Nutramigen infant formula to assure that parents are
aware that instructions written in Spanish are incorrect for powdered and ready-to-feed forms.
+
III. Communication, education & marketing (promotion)
(Issue #1 & 4 in part)
+ General Staff Meeting: Scheduled for this Thursday, July 5 at 8:15 am.
+ Web Page Suggestions: Please visit our site at:
http://www.nhcgov.com/HLTH/HLTHmain.htm and submit email suggestions for improvement to
the Health Director
+ Department Heads Meeting: Health Director attended the NHC Department Heads meeting
on June 29 The following items were discussed: Purchase order limit changed to $1000; the
FY 2001-02 Budget and associated matters; and the recognition of the new 911 Department.
Health Director will share additional information at the General Staff meeting on July 5.
+ BCC: Three NHCHD items were approved by the Board of County Commissioners on July
9: Diabetes Today Grant, Cape Fear Memorial Foundation Grant, and Personal Health Fee
revisions.
+ ACS Address: The address for Animal Control Services has changed to 180 Division Drive
<from 220 Division Drive).
+ Federal WIC Budget: The NC Women, Infants, and Children Budget is to be reduced by
$2.6M (Nationwide $110M). The number of NC participants could be cut by 5100.
+ Annual Report: First Draft due to Elisabeth by July 17
+ Health Fairs: Due to budget considerations, a closer review of participation at health
fairs/events will occur during the next two years. After discussion, the Management Team
decided not to participate at River Fest in October
+ WIC AD. WIC Program advertised in Wilmington Journal.
+ Breast Feeding Week: World Wide Breast Feeding Week is August 1-7 State Office
requested nominations for "mother friendly" businesses. Three nominations from NHC were
submitted: Corning Industries, Kosa, and AAI Learning Center
+ Monthly Reports: The following Team was formed to address concerns with reporting
statistical information for programs and services: Beth Jones, Cindy Hewett, and Frances
DeVane.
+ The Child Care Nursing Program (Smart Start funded) has begun to publish a monthly
newsletter, which goes to Child Care Providers, featuring health and safety tips, services
available, etc.
+ CDD staff participated in Hurricane Expo 6/2/01 TAP requesting third year funding from
Cape Fear Memorial Foundation. Developed video on tuberculosis for patient education.
+ Diane Vosnock, Laboratory Supervisor, presented an over-view of the laboratory portion of
the Lead Program as part of two Lunch and Learn educational sessions presented by the Health
Department Lead Program. One session was for the health department staff and the other was
for outside agencies that were performing lead testing. She covered the collection of
specimens, the type of specimens collected, reporting of results and potential problems
+ Bulletin Boards: At the completion of LotusNotes R5 upgrades, all Health Department Staff
should have access to email. Starting in August, information available by email will not be
posted on our bulletin boards. Staff who experience problems accessing information should
contact their Division Director
+ Accomplishments: NHCHD Accomplishments for FY 2000-01 will be submitted to NHC
Budget Office this week.
+ Nutrition: NC Nutrition Services Branch has provided consumer advisories on the risk of
methyl mercury in fish and its relationship to the WlC population.
+ Telephone Number. A new internal phone number for the general clinic information and
referral. 6751 replaces 6205.
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-+ Newspaper Articles: Recent articles appeared in the Wilmington Star News: Lose Weight
Wilmington (diabetes awareness) and Folic Acid.
-+ Media coverage highlighted the fee schedule changes that started with the beginning of the
fiscal year for ACS.
-+ TV-3 interviewed Jean McNeil regarding rabies in New Hanover County as an informational
update on current conditions in our area.
-+ NHCTV' NHC Public Information Officer, Mark Boyer continues to look for information for
the new County television station. Mark taped a Health Department introduction on July 23. It
will be used in conjunction with the "Everywhere, Everyday, Everybody" video.
-+ Accomplishments: NHCHD Narrative and Accomplishments for FY 2000-01 submitted to
NHC Budget Office last week.
-+ School Health Video: Community Health Division is developing a medication administration
training video for school personnel.
-+ Tetanus Boosters: Tetanus boosters temporarily deferred for college/university admission.
The basic series of three is required.
-+ Wilmington Sharks: NHCHD Staff participated in the health promotion/tobacco prevention
educational display/interactions at the Wilmington Sharks baseball game on July 14.
-+ Newspaper Article: Article on Rocky Mountain Spotted Fever appeared in the Wilmington
Star News on July 24
-+
IV. Facility utilization & Information technology
(Issues #6 & 4 in part)
-+ Facilities Task Force: Met on July 2 and reviewed accomplishments. Set next meeting for
October 1 (Attachment 14).
-+ Bilingual signs for both inside and outside the building have been put up. This is a goal
9months in the making, so we are celebrating this success.
-+ Both the Carl Durham Auditorium and the elevator have long needed, long awaited, new
carpet installed. This not only makes our facility more aesthetically appealing, but also reduces
the risk of accidents due to the unraveling/torn carpet in the auditorium.
-+ Keys (for some existing door locks), desk locks, and locks on designated doors have been
completed, giving us the ability to secure equipment, files, personal belongings, and specific
areas of our building both during and after hours when our auditorium or other meeting spaces
are utilized.
-+ WlC Printers: MICR printers have been supplied by the State and will be operational in
September 2001
-+ ACS staff elected to move the collar and leash display board into the hall outside the cat
adopt room to make space for a future wall mural of adopted pets.
-+ ACS staff made adjustments to the Chameleon software to implement the fee increases and
the licensing program
-+ Computer Terminals: Last Women's Health Care Division terminal was replaced at the
Hospital with a personal computer The only terminals remaining in the Health Department are in
the Nutrition Division.
-+ WlC Printing: Printer upgrades should be completed in the Nutrition Division by September
-+
V. Water quality, storm water management & drainage; & Air
quality (Issues #3 & 8)
-+ Throughout the year, a variety of individuals or groups typically make contact with us to
secure information about drinking water quality A strong interest recently has been the
availability of geologic data recorded by drillers as they construct drinking water wells. Local
rules require submittal of a construction log upon completion of a well. In addition to valuable
geologic data, this documents materials and procedures used by the driller to develop a potable
source of drinking water All of these factors must be evaluated when degradation of an aquifer
and loss of a valuable natural resource occurs. Saltwater intrusion has rendered many drinking
3
water wells along the coastal edge of northeastern New Hanover County unusable. As a long-
term remedy, the county is planning construction of a well field to provide a community source of
drinking water along Highway 17 north of Ogden. Construction methodology and geologic data
relative to existing drinking water wells was sought as Dickson Engineering began to work with
New Hanover County Engineering Department on a plan for this water system. Staff researched
and supplied this information. Another contact was by a researcher at Woods Hole
Oceanographic Institute in Massachusetts. This individual was specifically interested in geologic
data. Administrative support staff with the assistance of volunteers has subsequently compiled
files of available well logs so as to be better prepared to respond to similar requests in the
future.
-+
VI. Emerging health risks
(Issue #13)
-+ Shigella: Positive Shigella in a 12 month old in a child care setting. After sampling, no other
positive cases from the setting have been identified. Several cultures from other contacts to the
case are pending.
-+ Hepatitis A. A case was confirmed in NHC. Staff provided immune globulin to
approximately 40 contacts.
-+ EOC Activated Schedule: The Management Team reviewed the current Emergency
Operations Center schedule
-+ Laboratory Director attended a day long workshop on the new changes to the OSHA Blood
Borne Pathogen Standard and the new OSHA TB Standard. The staff will be working to
implement the changes and the new standard
-+
VII. Population growth & diversity
(Issue #2)
-+ Interpreting Contract: Was signed with Amigo Interpreting and Translation for FY 2001-02.
No changes in contract; minor changes in scheduling.
-+
VIII. Discontinued services picked up by Health Department
(Issue #9)
-+
IX. Staff Development & continuing education
(Issue # 14)
-+ NACCHO Conference: Health Director attended the National Association of City and
County Officials Conference on June 28. Materials were shared with the Management Team.
-+ Lotus Notes R5 Upgrades: Training and upgrades began on July 2 and will continue
through the month of July for Health Department Staff.
-+ Auditing Medical Records: In-service for NHCHD Staff held on July 2. Eunice In mans,
Regional Nursing Consultant, conducted the training.
-+ Legal Documentation: Workshop to be held on August 29. Wilmington will be a PHTIN site.
-+ Epi Lunch and Learn: A presentation on Listeriosis Case Study in Forsyth County last year
was given by Dr Pia Macdonald, NC State EIS Officer on June 28.
-+ CPR Certification: Staff CPR update on August 2 & 3. An announcement distributed to
NHCHD Staff.
-+ Disaster shelter training for involved staff has been completed for this year Oxygen
company reps provided information on current equipment and their plans for servicing shelters
and patients during disasters, a hearing impairment specialist instructed the staff in effective
communication with hearing-impaired individuals, and new staff was given information about
duties and resources available.
-+ At EDNCPHA, the Lab Director and Supervisor were able to attend sessions on new and
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emerging lab technology The new testing in New Born Screening, the Thin Smear PAP Smear
and the new Biosafety Section of the State Lab were topics covered
-+ Tape Series: Lynda Smith requested suggestions for the purchase of a tape series for the
Health Department.
-+ Training: NHC Human Resources is working with Jean McNeil, our representative to the HR
Training Committee, to make available supervisory training on performance appraisals. The
Management Team identified 31 NHCHD supervisors for this training opportunity
-+ HIPAA Training: NHCHD Staff will attend training on July 26 at Coastal AHEC
-+ EPI Lunch & Learn: Scheduled for July 26, 2001 from 12-1pm in the Auditorium. Topic:
Parasitic Foodborne Diseases by Edith Alfano, Environmental Health Specialist/Medical
Technologist.
-+ Lotus Notes R5 Upgrades: R5 upgrades should be completed by July 31 R5 training
should be completed by mid-August.
-+ ICD9/CPT Training: Scheduled on July 24 at Coastal AHEC.
-+
X. Evaluation of services
(Issue #16)
-+ as Back Billing: Issues continue to be processed through the State.
-+ AEIOU Update: AEIOU Team met on July 16. Community Health Assessment, Access to
Care, and Public Policies/Health Priorities teams reported on activities. Minutes of the July 16
meeting will be circulated when available.
-+ Nutrition Division conducted a customer satisfaction survey during the months of May and
June with positive results.
-+ ACS staff reviewed final changes to implement the new fiscal year's fee increases. Stamps
were purchased and distributed to the veterinary community along with letters to explain the new
fee schedule.
-+ E Learning: Demonstration on Health Stream's e-Iearning capabilities (electronic learning)
will be held at Coastal AHEC on September 6.
-+ WIC Audit: State WIC audit begins on July 25.
-+
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July 2001
New Hanover County Health Department
her baby seven weeks pre-
mature and severely ill.
Listeriosis Becomes
Reportable in
North Carolina
Because of an outbreak
of listeriosis in Forsyth
County affecting 12 Hispanic
residents (10 were pregnant)
last fall and winter, listeriosis
has been made a reportable
disease in North Carolina ef-
fective June 1, 2001 This is
an important modification in
surveillance for the state.
Prevention
Listeriosis can be prevented.
Early notification of cases
Is critical to prevention and
control. Until the Communi-
cable Disease Report Card
can be modified, please write
in the word "Listeriosis' in the
square in the upper left cor-
ner of the card. Cases may
also be reported to the
New Hanover County 24-
hour reportable hotllne at
343-6682, or Cammie Marti
at 343-6532.
The Listeria monocytogenes
bacteria infecting Forsyth
County patients was traced
to homemade Mexican-style
cheese made from contami-
nated raw milk from a local
dairy Although the outbreak
was concentrated in Forsyth
County, it is suspected that
the practice of making fresh
Mexican-style cheese in
homes for consumption or
sale is occurring across the
state. The most recently re-
ported patient with listeriosis
was in Mecklenburg County
This Hispanic patient was
pregnant, and infection with
Listeria caused her to deliver
Susceptibility
Fetuses and newborn In-
fants are highly suscepti-
ble to the disease, as are
elderty, immunocompro-
mised, and pregnant
women. EffOrts to educate
all pregnant women, with tar-
geted messages to Hispan-
ics, can prevent further
cases.
Deferral of Tetanus
Booster Doses
A shortage of tetanus and
tetanus/diphtheria vac-
cines, which is expected to
last for the remainder of
2001, has prompted new
guidelines from the Advisory
Committee on Immunization
Practices.
Recommendations are:
. Delaying all routine teta-
nus/diphtheria boosters
for adolescents and
adults until the supply is
adequate to meet the de-
mand, probably some-
time in 2002.
. Immunizing people trav-
eling to countries where
risk for diphtheria is high.
Travelers to certain
countries may be at sub-
stantial risk for exposure
to toxigenic strains of C.
Diptheriae, especially
with prolonged travel, ex-
tensive contact with chil-
dren, or exposure to poor
hygiene. Based on sur-
veillance data and con-
Betsy Summey, FNP, 343-6531
sultation with the World
Health Organization,
countries at highest risk
are: Africa-Algeria,
Egypt, and sub-Saharan
Africa; Americas-
Brazil, Dominican Re-
public, Ecuador, and
Haiti; Asia/Oceania-
Afghanistan, Bangla-
desh, Cambodia, China,
India, Indonesia, Iran,
Iraq, Laos, Mongolia,
Myanmar, Nepal, Paki-
stan, Philippines, Syria,
Thailand, Turkey, Viet-
nam, and Yemen;
Europa-Albania and all
countries of the former
Soviet Union.
. Immunizing persons who
have received fewer than
3 of any vaccine contain-
ing tetanus.
. Immunizing pregnant
women who have not
been vaccinated in the
last 10 years.
. Immunizing persons re-
quiring tetanus for pro-
phylaxis in wound man-
agement.
Wound Management
Health care providers us-
ing T d for wound man-
agement should follow
recommendations from
the Advisory Committee
on Immunizations Prac-
tices.
All wounded patients
should receive Td If
they have received <3
tetanus-contalnlng vac-
cines or If vaccination
history Is uncertain.
(Continued)
For persons with 3 or more
doses of TT -containing
vaccine and severe or con-
taminated wounds, Td
should be given only If >5
years have passed since
the last dose of tetanus-
containing vaccine.
For clean and minor wounds,
Td should be given only if the
patient has not received a
tetanus-containing vaccine
during the preceding 10
years.
Health care providers
should inquire from pa-
tients prssentlng for wound
management about the tim-
Ing of their last tetanus-
containing vaccine to avoid
unnecsssary vaccination.
The Health Dept. is required to
comply with these recommenda-
tions in order to assure continued
availability of state-supplied vac-
cine. Medical providers can refer
individuals who meet the above
criteria to the Health Dept. It Is
recommended that lists be
maintained to notify alllndl-
vlduals deferred when vaccine
Is available.
The FDA advises these women
not to eat shark, swordfish,
king mackerel, and tlleflsh. ,As
a matter of prudent public
Reports of tick-bome illnesses heaith advice, the FDA also
have increased this year, recommends that nursing
both locally and statewide. For mothers and young children
Lyme Disease, three reports were not eat these fish as well.
received in June 2001, versus
none in June 2000. Although no
reports were received for Rocky
Mountain Spotted Fever in June,
the local year to date total is six
for 2001 compared to two in
2000.
Tick-Borne Illnesses Up
This Year
The use of protective clothing
can reduce the risk for Infec-
tion by various tick-borne dis-
eases. Children and others in-
volved in outdoor activities should
be especially targeted for educa-
tion on "tick inspections' after be-
ing outside.
Consumer AdVisories
on Methylmercury
In Fish
The Food and Drug Admini-
stration (FDA) and Environ-
mental Protection Agency (EPA)
issued advisories to pregnant
and childbearing age women
who may become pregnant on
the hazard of consuming certain
fish that may contain high levels
of methylmercury
-
Shark, swordfish, king mackerel,
and tilefish contain high levels of
a form of mercury called methyl-
mercury that may harm an un-
bom baby's developing nervous
system. These long-lived, larger
fish that feed on smaller fish ac-
cumulate the highest levels of
methylmercury and therefore
pose the greatest risk to the un-
bom child. Mercury can occur
naturally In the environment
and It can be released into the
air through Industrial pollution
and can get Into both fresh and
salt water.
The FDA advisory acknowledges
that seafood can be an important
part of a balanced diet for preg-
nant women and those of child-
bearing age who may become
pregnant. FDA advises these
women to select a variety of
other kinds of fish Including
shellfish, canned fish, smaller
ocean fish or farm-raised fish.
These women can safety eat 12
ounces per week of cooked
fish. A typical serving size of fish
is three to six ounces.
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Communicable Disease Statistics
New Hanover County
July 1, 2000 to June 30, 2001
AIDS........................... 25
Campylobacter .........10
Chlamydia ............... 410
E. Coli 0157:H7 ...........1
Gonorrhea............... 355
Hepatitis A.................. 1
Hepatitis B (acute)...... 8
Hepatitis B (carrier).. 14
Hepatitis C (acute)...... 0
HIV Infection ....................34
Lyme Disease ....................5
Pertussis ............................0
Rky. Ml Spotted Fever......6
Salmonellosis ..................60
Shigellosis .....................119
Strap, Group A Invasive....1
Syphilis ............................54
Tuberculosis ....................12
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