09/05/2001
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New Hanover County Health Department
Revenue and Expenditure Summary
July 2001
Cumulative: 8.33% Month 1 of 12
Revenues
Current Year Prior Year
ypeo! Budgeted Revenue Balance % Budg_ Revenue Balance %
evenue Amount Earned Remaining Amount Earned Remainin
$ 1,247,351 $ 1,247,351 $1,311,466 4,668 1,306,798 0.36%
$ 533,044 32,456 $ 500,588 $ 523,044 38,316 484,728 7.33%
$ 916,278 71,333 $ 844,945 $ 916,900 916,900 0.00%
$ $ $ 0.00%
$ $ $ 8.05%
$ $ $ 7.01%
$ $ $ 0.17%
Expenditures
Budgeted
Amount
Expended
Amount
Budg_
Amount
Expended
Amount
%
Summary
Budgeted Actual %
FY OO~1 FY OO~1
Expenditures:
Salaries & Fringe $8,462,670 $249,325
Operating Expenses $1,498,715 $41,454
Capital Outlay $53,032 $22,143
Total Expenditures $10,014,417 $312,922 3.12%
Revenue: $4,091,540 $133,769 3.27%
Net County $$ $5,922,877 $179,153 3.02%
Revenue and Expenditure Summary
Fiscal Year 02
As of July 31, 2001
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NEW HANOVER COUNTY HEALTH DEPARTMENT
BOARD OF HEALTH (SOH) APPROVED
, 6.PPLIr.ATlnN ST6.TII!'!
Date (BOH) Grant Reaueated Pendlna Received Denied
TB Elimination and Prevention - CDC,
8/1/01 NCDHHD, DPH, TB Control ProQram $10,000 $10,000
Teen Aids Prevention (TAP!- CFMF $45,500 $45,500
Diabetes Today - Diabetes Prevention & Control
7/11/01 Unit, NCDHHS $10,000 $10,000
Lose Weight Wilmington - Cape Fear Memorial
Foundation $75,000 $75,000
Diabetic Care for Prenatal PatJents-NC Medical
6/6/01 Society Foundation $25,050 $25,050
Healthy Homes- Asthma Program. Partnership 21..<<tJ
for Children (Smart Start) $28,060 $28,060
No actJvitv to reDort for Mav 2001
Matemlty Care Coordination Expansion Grant
4/4101 NC DHHS $15,000 $15,000
Wilmington Housing Authortty- Ross Grant -
TAP & A1temative HIV Test SlIes for 3 year
funding $192,221 $192,221 .
Safe Kids Traller-Safe Kids Safe Communities-
NC Governo~s Highway Safety $8,740 $8,480 $260
No actJvlty to reDOrt for Jan, Feb and Mar 2001
Intensive Home Visitation Program Expansion
12/6/00 Grant - Smart Start $100,000 $96,000 $4,000
Childhood Asthma Management & Control
InterventJons- NC Department of Health &
Human Services, Dlvtslon of Public Health, WCH
11/1/00 Section $23,000 $10,285 $12,715
Cape Fear Memorial Foundation-Lice
Eradication Program $5,000 $5,000
Healthy Carolinians- 0Ifice of Healthy
Carolinians, Dlvtslon of Public Health, North
10/4/00 Carolina Dept of Health & Human Services $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
9/6/00 ElIon John Aids Foundation $48,000 $48,000
Smart Stert applying for Cape Fear Memorial
8/2/00 Foundation Grant (MOW) $52,000 $50,000 $2,000
Enhanced Counseling Program- Z. Smith
Reynolds Foundation $48,000 $48,000
Teen Aids PreventJon- Z. Smith Reynolds
Foundation $59,000 $59,000
7/12/00 March Toward TB Ellmlnation- NC DHHS $10,000 $7,200 $2,800
Cape Fear Memorial Foundation IT AP
Proaraml2 vear reauest $55,000 per Year $55,000 $35,000 $20,000
Diabetes Today. DHHS DDPH $10,000 $10,000
Totals $839,571 $168,560 $265,265 $405,746
*'
>t
1<
20.077%
31.595%
48.328%
As of 8120101
. NOTE: Notification received since last report.
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__ T 1-\
NEW HANOVER COUNTY BOARD OF 111Q51QtfERS
REQUEST FOR BOARD ACTION
Meeting Date: 09/~/Ol
Df:"
Department: Health Presenter: Janet McCumbee, Director Child Health
Contact: Janet McCumbee, 343-6559
SUBJECT:
March of Dimes Grant Application for Family Assessment Coordination
($16,500)
BRIEF SUMMARY:
The New Hanover County Health Department Child Health Division is requesting approval to
apply for a March of Dimes grant for $16,500 (salary for part time clerk/plus small operating
budget) to provide supoort services for the Family Assessment Coordinator from January 2002
through December 2002. If this funding is received, the Child Health Division would hire a
temporary (no benefits) data entry clerk to work 20 hours a week to provide support to the
Family Assessment Coordinator. The Family Assessment Coordination Program began in
February 2001, with funding from Smart Start and Cape fear Memorial Foundation. The Family
Assessment Coordinator (RN) has implemented a universal screening process for expecting
parents and parents with newborns. The ''New Arrivals Survey" is administered at OB offices and
at the hospital at birth, to determine the financial, social, and parenting needs of new parents. The
Family Assessment Coordinator is administering the surveys with parents, processing them,
entering data in a data base, providing follow up resources for families, giving feedback to
physicians about results, and connecting families to many programs in New Hanover and
surrounding counties.
The Family Assessment Coordination Program is presently evolving and the nurse spends much of
his time marketing the service, revising the materials, talking with parents and providers of care,
etc. He can concentrate on his functions as the universal screener if there is clerical support for
data entry and general clerical duties. With the additional clerk over the period of this start up
year, the program should become smoothly run and able to function without additional support.
RECOMMENDED MOTION AND REOUESTED ACTIONS:
Approve submission of March of Dimes Grant application for $16,500 (and budget amendment if
awarded) to County Commissioners
FUNDING SOURCE:
March of Dimes
ATTACHMENTS:
Yes- 7 pages
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New HanO\"er County Health Department
family <\ssessment Coordination
Page lof I
March of Dimes Grant - Family Assessment Coordination
Since its inception in March 2001, a dynamic approach to improving the
lives of expecting parents and families with small children has been
accompanied by widespread support in Southeastern North Carolina. This
program affects families receiving prenatal care or delivering in New
Hanover County. The continued success of this program, which is known as
Family Assessment Coordination, will depend on the availability of
additional funding to expand the program to effectively meet the needs of
this large, diverse region of the state.
Project Description:
The North Carolina March of Dimes Chapter funding priorities number (1)
and (2) are inherently synchronous with the objectives of Family Assessment
Coordination (FAC), which is currently being implemented within the nine-
county region of Southeastern North Carolina. This program was begun in
March 2001, with Smart Start funding. This MOD grant would provide full
expansion of Family Assessment services, which are already in existence. A
part time data entry clerk would be hired, to allow the FAC (nurse) to
provide more screening and follow up with families. Additionally, funding
priority number (3) would be approached in a manner differing from
current Folic Acid campaigns in this region. The intent of this new initiative
would be to enhance, existing Folic Acid projects by including Folic Acid
reminders and stickers in mailings sent out to families requesting
information about prenatal services. Specific methods in which each of
these priorities would be met are discussed in detail in the section titled,
"Project Objectives and Activities/Methods".
Specific needs or problems to be addressed through this initiative include
the following:
IZl Funding priority 1a: "Enhancing (pre-pregnancy and) prenatal risk
assessment, pregnancy case management and health education for
high-risk women."
IZl Funding priority 1b: "Increasing--through education and public
awareness-participation in state or local maternal and child health
programs including, but not limited to, WIC and Medicaid for (pre-
pregnancy and) prenatal care."
IZl Funding priority 2e: "Increasing (pre-pregnancy and) prenatal health
education and information/referral services available to pregnant
women who use tobacco, alcohol, and other drugs."
North Carolina Grant Application
Sep.emher.2001
12
New HanO\'er County Health Depanment
Famih As~s....menl Coordination
Page 20f I
IZl Funding priority 3h: "Increasing the number/proportion of women of
childbearing age in a targeted geographic area who take the
recommended amount (0.4 mg) of synthetic folic acid daily."
IZl Funding priority 3i: "Educating women of childbearing age about the
importance of folic acid in preventing neural tube defects."
The needs outlined above will be impacted by a process known as
Universal Screenin~. which is intended to be a concise,
comprehensive, and "user-friendly" method of identifying the diverse
needs of families during three critical phases of their early parenting
experience:
12) Phase I (Prenatal): To identify eligibility for family support services
and provide prenatal information as soon as possible, with
appropriate referrals.
IZl Phase II (Postpartum): Every mother who delivers at New Hanover
Regional Medical Center is given the opportunity to participate in
Universal Screening. Additionally, follow-up screening is offered to
parents contacted during Phase I. This will ensure that clients
screened during their pregnancy have indeed had the opportunity to
access resources that are appropriate and available to them.
12) Phase III (Follow-Up): This contact occurs within the child's first year
either via a survey distributed in the mail, a telephone interview, or
screening conducted in area pediatric clinics.
By offering Universal Screening to families on these three occasions, the
following benefits can be realized:
1. For expecting families and parents with small children - A
personalized, up-to-date source of reliable healthcare information and
support services will be made available when and where it is needed
most.
2. For healthcare providers -- By acting as a liaison for clients with far-
reaching medical, financial, parenting, social, and emotional needs,
physicians are afforded the opportunity to focus their attention on
medical priorities with the confidence that the diverse needs of the
maternal-child population are being met.
3. For the community - Because Universal Screening can be applied to
virtually any family support service or healthcare setting, a network of
collaboration and communication among many disciplines results.
Another benefit is the timely availability of information about how
various programs within this region are impacting health promotion
North Carolina Grant Aprlicalion
September. 200 I
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New Hanover Counly Heahh Depanment
Family Assessmenl Coordination
Page 301' I
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goals of reducing risk factors related to infant mortality and
morbidity. At a recent seminar on reducing neonatal risk factors, Dr.
Marvin Hage, high-risk perinatologist at New Hanover Regional
Medical Center, cited a lack of timely information about the
availability of community resources as a barrier to effective prenatal
care. With current data available on the types of information and
services health care consumers request, area physicians are in a better
position to anticipate the needs of their clients.
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With an average of over 3,000 births at New Hanover Regional Medical
Center per year, the number of families, which stand to benefit from
Family Assessment Coordination, is impressive. The FAC began
universal screening in March. With recent improvements made to the
process of performing Universal Screening at the Family Birthplace
more efficiently, there have been 212 births for the month of August
(as of 8/17). of these, 192 families were offered Universal Screening
(also known as the New Arrivals Survey). A total of 138 (71.8 %) have
been returned. A cursory review of survey responses indicates a wide
range of needs being identified. Among them are the following:
information about using car seats properly, nutrition/WIC
information, emotional support, parenting classes, and a surprising
proportion of parents indicatin~ that they would like to know how
much to feed their infant. and how they can tell if their babv is l!etting
enough to eat. These responses suggest that, despite widespread
efforts to raise public awareness, a prevailing need persists among
parents to receive vital information.
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The ability of the New Hanover County Health Department to effectively
organize and administer a quality service, such as Family Assessment
Coordination, is evident. First convened in 1877 under the leadership
of Dr. Thomas Fanning Wood, New Hanover County is the site of North
Carolina's first State Board of Public Health. The longstanding
tradition of improving the lives of those who reside in Southeastern
North Carolina continues to this day. In fact, there are several
similarities among priorities identified by the March of Dimes and
Strategic Planning Priorities developed at the New Hanover County
Health Department. Among key issues under surveillance are the
following:
'" Communication, education, and marketing (promotion)
'" population growth & diversity: increased need/demand for services
North Carolina Granl Application
September. 20111
14
NIt\\ Hano\ er County Health Department
Family Assessment Coordination
Page 40f I
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12) Access to health care: transportation; indigent, at-risk populations,
language barriers, outreach and satellite services
12) Preventive services: education, screening/early detection, and
treatment
12) Evaluation of services
Family Assessment Coordination is currently in the process of being
announced to the community by means of Powerpoint presentations at
area OB and Pediatric clinics. and an informative newsletter titled
Family Assessment Times (Attachment A). The Universal Screening
Tool itself has been designed with attention to aesthetic appeal. An
interdisciplinary group of local maternal health workers and
consumers, known as the Prenatal Triage Team, has reviewed and
approved the format of the Universal Screening Tool. Updated
statistics and information will be communicated to area healthcare
providers and family support services via future publications of the
Familv Assessment Times. Additionally, requests have been made for
up-to-date resource information to be available on the Internet.
Funding by the March of Dimes and technical support from the e
Southeastern Public Information Network (SPIN NC) would make this
mode of communication available to healthcare providers and
consumers alike in the near future. Public service announcements
would be released to area radio and news media to promote the
availability of this searchable database.
Proiect Obiectives and Activities/Methods:
Planning activities are currently underway, and will continue on a
periodic basis. Feedback and status reports are provided at the
following monthly program meetings: NAVIGATOR, Maternity Care
Coordination, and Child Health Services. Quarterly reports are
submitted to the Prenatal Triage Team and the New Hanover County
Partnership for Children.
Progress is to be monitored based on the following information:
12) Rates of participation by families visited at the Family Birthplace
12) Subjective input obtained from healthcare providers, participants in
the New Arrivals survey, and peers during program meetings
12) Increased family support services utilization rates: Medicaid, WIC, _
Child Service Coordination, Maternity Care Coordination -
North Carolina Grant Application
September. 2001
15
New Hano\<cr County Health Department
Family Assessment Coordination
Page 501' 1
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Currently, Family Assessment Coordination is manned by one full-time
Public Health Nurse, with supervision provided by one nurse
supervisor. A 30-hour per week clerical position provides
administrative support to 3 other home visiting nurses and is only able
to support the FAC minimally. The table below is an estimate of the
additional hours (20) of administrative support needed to provide
Family Assessment Coordination services at full capacity.
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Administrative Filing, completing routine papelWork,
forms. 1 5 20.75
Phone Calls Includes follow-up on clients with special
needs 2 10 41.50
Birthplace Visits Distribute, collect surveys, enter data,
provide information 3 15 62.25
OB Clinics Pick-up and process surveys every 2
weeks 43.33
(2 brs X 10 clinics X approx. 2.16
times/month)
Database Includes: Backup data, Systematically
Management updatingreso~information,entering 16.00
new information, un......des
Research Includes: Grant applications, reviewing
and analyzing family-related data 24.00
Meetings Includes: Child Health, Health Dept.,
Navigator, MCC, and quarterly Triage 8.66
meetinll
Copying Based on estimated 2 hours twice
Resource monthly. 4.31
Infonnation
Reports Includes: Printing monthly totals,
reports, mailing labels, and Quarterly 6.50
newsletter
Enter MCC data Monthly activity
6.00
Misc. Time allotted for unplanned activities. 16.00
Total: 60.07 249.31
Need: 20.07 83.31
Time Estimate for Full-Service Family Assessment Coordination
Daily Weekly Monthly
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Note: Fi[{ure.< are ha..ed on an Ol'erai:e 0(5 workdOl" per week, -/, /5 week.< per month. and /66 hour,. per
month.
Nonh Carolina Grant Application
September. 2001
16
New Ilano\'er Count" Heallh Oepanment
Famih Assessment Coordinalion
Page 60f 1
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."'OIe: Fi[{ure., are ha"ed on an a\'erai:e 0(5 workdat." per week, -/./5 week., per month. and /66 hour.. per
month.
. Based on this table. a part-time administrative support position for 20 hours per week can
be justified.
Specific responsibilities are delegated by the nurse supervisor. In addition
to supervision of daily activities, the supervisor acts as an experienced
resource when obstacles arise. Problem solving assistance is provided for
logistical issues, as well as locating appropriate resources for families with
multiple or special needs. Clerical support is provided to assist with
ordering/copying resource information, processing completed surveys,
and printing monthly totals, reports and mailing labels.
The role of the Family Assessment Coordinator includes the following:
o Develop and maintain a database of current family support services
available within the community
o Facilitate consumer access to a comprehensive network of prevention,
treatment, and support services (includes both private and publicly funded _
services) .
o Match the intensity and type of services to the client's unique self-
identified needs
o Maintain statistical information on what types of services are needed
within the community
o Document unmet needs when programs are full or have a prolubitive
waiting list
In collaboration with the New Hanover County Partnership for Children
(SmartStart), vital support services to Latino families will be coordinated.
The collaborative goal to be achieved will be to increase the access of
uninsured or underinsured Hispanic women to early prenatal care and
family support services. One means will be to assist clients with applying
for health coverage such as Medicaid or Health Choice. Other initiatives
will be to provide families with information on transportation options,
English as a Second Language (ESL) classes, and Spanish-speaking
parenting classes or support groups.
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Nonh Carolina Granl Applicalion
Septemhor.2001
17
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HEALTH
....~;~ji\~J:~~~r~~ ~: ==~i:
NEW HANOVER COUNTY BOARD OF
REQUEST FOR BOARD ACTION
Meeting Date: 09/~/01
os"
Department: Health Presenter: Betty Jo McCorkle, Director Women's Health
Contact: Betty Jo McCorkle, 343.6660
SUBJECT:
March of Dimes Grant Application for Folic Acid Project ($20,000)
BRIEF SUMMARY:
The New Hanover County Health Department Women's Health Care Division is requesting
approval to submit a March of Dimes grant application for $20,000 for continuation of our Folic
Acid Grant Project. We are currently delivering multivitamins with folic acid along with
educational material to agencies and organizations that serve women. Specifically, we are
providing these vitamin/educational packets to the Register of Deeds, UNC.W Wellness Center
and Health Department clinics (women's health and nutrition). Our proposal will be to continue
and expand this effort.
We plan to expand the number of women we can reach in the areas already established and to
expand to some new areas - specifically, some hair and nail salons. The goal of the project is to
educate women on the value of taking a multivitamin every day to prevent birth defects
(especially of the brain stem and spinal column) for those women of childbearing age. and of the
protective effects for older women (especially protection against colon cancer, heart disease and
stroke).
There is an evaluation in place using a survey which is completed at the time the packets are
distributed. UNC.W is assisting us with the evaluation process. An additional goal is to increase
the educational level of women related to the positive benefits of folic acid which will change
behavior and, in turn, women will begin taking multivitamins with folic acid even after the free
sample bottle is gone. We will be assessing this through random follow-up telephone calls.
RECOMMENDED MOTION AND REOUESTED ACTIONS:
Approve March of Dimes Grant application submission for $20,000 (and budget amendment if
awarded) to County Commissioners
FUNDING SOURCE:
March Of Dimes
ATTACHMENTS:
Yes-grant application guidelines. Write up of application is not yet completed, but will be
finalized by submission to the County Commissioners.
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March
of Dimes
2002 Chapter Community Grants
Request for Proposals:
Application Guidelines
North Carolina Chapter
Chapter Office - Charlotte
Other Offices _ Raleigh, Statesville, Winston-Salem, Asheville, Morganton,
Fayetteville, Greenville, Wilmington
March
of Dimes
Saving babies, together
20
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The mission of the March of Dimes is to improve the health of babies by preventing birth
I defects and infant mortality. e
Purpose:
Tb~ })'19~ ('?wli:A~ Cbapter "'QmJ~n1,.,ity ~'Qtc! p7'ngr~TT'I 1" ApC!;gr'""r1 tn l"UlDoC1t ;,., prinrity prnj~tc~ that
support three important foundation strategies:
. Access to and quality of health care for women and infants
. Availability of prevention services
. Folic acid education
The chapter community grants fund for 2002 is approximately $550,000. It is anticipated that about 30
projects will be funded, with awards ranging from $5,000 to $50,000 each. Community awards ($3000 or
less) are separate and are available to support activities such as professional conferences.
Elil!ibllitv:
Proposals will be accepted from organizations with the capacity, competence and experience to accomplish
project goals and objectives, The applicant must provide services within North Carolina. Applicants must
disclose any conflict of interest due to representation by their organization on the chapter's program
services committee.
Application Procedure:
Organizations interested in submitting an application that meets at least one of the listed funding priorities
may apply for a new or existing grant between $5,000 and $50,000, Grant writing assistance is available, _
Please call Judy C. Ritter at 704-873-2554 and make a request if this assistance is needed, _
Applications should be sent to Judy C. Ritter, Associate Director of Program Services, at the
following address: March of Dimes
1601 Norwood'Road
Statesville, NC 28625
An oril!inal application and 6 copies must be received by Friday, September 14, 2001. AppUcations
may not be faxed. Late applications will not be accepted.
Notification Procedure:
Multi-disciplinary program services committees in each Division will review the applications from their
region. The State Program Services Committee will review the Division Committees' recommendations,
make decisions, and forward the recommendations for funding to the State Executive Board for approval,
Applicants will be notified in writing of their application's status in January 2002,
Multi-Year Fundinl!:
Chapter community grants are approved for one year. Continued support in subsequent years requires
resubmission of a proposal for the next year, review of grant progress and budget management and
availability of chapter grant funds. Grants may be renewed only twice for a total project time span of three
years.
O March
of Dimes
Saoin<<bohia.,.u...
21
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Nonh Carolina Gnnt Application
June. 2001
Fundinl! Priorities:
_.
Access to and QuaUty of Health Care for Women and Infants
a. Enhancing pre-pregnancy and prenatal risk assessment, pregnancy case management and health
education for hi risk women.
b. Increasing through education and public awareness participation m state or oc m an
child health programs including, but not limited to, WIC and Medicaid for pre-pregnancy and
prenatal care.
c. Enhancing existing outreach worker training and support to improve the use of prenatal care among
high risk women.
2. Increasing Availability of Prevention Services
d. Increasing education, screening and treatment for sexually transmitted diseases in women.
e. Increasing pre-pregnancy and prenatal health education and information/referral services available
to pregnant women who use tobacco, alcohol or other drugs.
f. Enhancing the availability, quality, and utilization of genetics services.
g. Improving the ability of health care providers to identify and provide patient services related to
preventable birth defects, including, but not limited to, neural tube defects and fetal alcohol
syndrome.
3. Folic Acid Education
h. Increasing the number/proportion of women of childbearing age in a targeted geographic area who
take the recommended amount (0.4 milligrams) of synthetic folic acid daily.
1. Educating women of childbearing age about the importance of folic acid in preventing neural tube
defects.
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March of Dimes chapter grants do not fund research projects. For information about research grants
funded by the March of Dimes national office, please refer to the March of Dimes website
(www.modimes.org) or email the office of research and grants at ResearchGrants@modimes.org.
The Mission Investment Opportunities Program (MIOP) is a special partnership between the March of Dimes
national office and local chapters to fund larger scale projects that address the priority areas listed above.
Please ask your local chapter for more information about the application process and schedule for MIOP.
Aoulicadon Format:
All applications must include the six required components, addressing each bullet point listed, and a
completed cover sheet, budget form and proposal objectives form. Application forms are attached.
Duplicate copies of these forms are available via email. Send any requests for forms to
jrittenw.modimes.org. The application can be downloaded from our website www.e:etfolic.com.
Applications must be no longer than 12 double-spaced pages (excluding forms and attachments). Font size
must be at least 12 pt and margins must be at least 1 inch. Attachments may be included, however, all
information requested under each of the required components must be provided within the proposal
narrative, observing page limitations. Applications which exceed the maximum page limitadon will not
be reviewed.
07~
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North Carolina GIani Application
Junc.2001
1 2002 Grant Schedule
Applications due
; Notification of awards
Grant period
September 14, 2001
January, 2002
January 2002 through December 2002
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NOTE: Please be aware that 2002 Grantees cannot be notllJed until January lUUl ana our grant
year will coincide with the calendar year. It is imperative that in developing your application yonr
agency/staff be ready to begin the activities proposed immediately after notification in January 2002.
Tbe first payment (60%) of your grant award will come within 30 to 45 days after notification.
Allowable Costs:
Allowable costs include salary, consultant fecs, materials and supplies, printing and travel that are reasonable
and necessary for project implementation.
Grant funds may be used to cover salaries for project-related employees, but cannot be used to pay salary
costs for employees who are alreadv employed full time.
Indirect costs are allowable for grants of$2S,000 or more only and cannot exceed 10010 of total costs.
Not Allowable Costs:
The following items are not allowable and should not be included in the grant budget request:
. Salary costs for staff who are already employed full-time by tileir organization
. eonstruction, alteration, maintenance of buildings or building space
. Dues for organizational membership in professional societies
. Tuition, conference fees, or awards for individuals
. Billable services provided by physicians or other providers
. Permanent equipment (computers, printers, furniture) unless essential to project implementation and not
available from other sources
. Educational materials from non-March of Dimes sources if comparable materials are available from the March
of Dimes
. Indirect costs for grants under 525,000, this includes.
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Grantee Reauirements:
All grantees must sign the March of Dimes grant guidelines agreement (copy attached) in order to receive
grant funds. Grantees must submit sil' mopth and annual progress and expenditure reports to the North
Carolina ehapter. Grantees will be provided with report fOnI1$ arid notified in writing o(report due dates.
Grantees must get written approval from the ehapter Program Services eommittee for any changes in project
design or implementation, variance from the submitted budget, or changes in staff overseeing/administering
the project. All such requests should be sent to the attention of Judy e. Ritter, Associate Director of Program a
Services. .-
~ Mar.ch
"'~ of Dimes
'f:dI SotMB 6abia."'tJ0fh6
Nonh Carolina Grant Application 23
June. 2001
equired ComDOnents:
1. Project Abstract (page Iimit- 1 page)
. "Prnmtlp .. _0 OPTltPTl{"" ""mmary of YOllr program to be used in a tisting of alt annlications for all
reviewers.
. Provide a one-page summary of the project
2. Project Description. (suggested length- 3-4 pages )
. Which of the priorities is the project supporting?
. What needs or problems woutd be addressed through this initiative?
. How will the project have an impact on these needs or problems?
. Who and how many will be the primary beneficiaries of this project?
. What is the capacity of the applicant to carry out the project (inctude experience working with the
primary participant group)?
. How will the project be announced to the community?
. How will the project results be shared?
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3. Project Objectives and ActivitieslMethodS (suggested length- 3-4 pages, not including form )
Using the enclosed form, list the project's measurable objectives and activities.
Ptease answer the following questions in narrative form:
. What planning activities will take place before project startup?
. How will progress be monitored?
. What are the staff responsibilities?
. What is the rote of collaborating organizations (if applicabte)?
Include current letters of support from collaborating organizations.
4. Evaluation Plan (suggested length-1-2 pages)
. How will the successes, chaltenges, and impact of the project be evaluated? (include how the project
objectives will be evaluated and how participant input will be incorporated). Who will design and
carry out the project evaluation?
5. Project Impact (suggested length- < 1 page)
. How will the project make a difference in the lives of participants?
6. Budget (no page limit)
. Complete enctosed budget form
(a description of altowable and not allowable costs is inctuded on page 4)
. Provide budget justifications that give more detail on items included in the budget form, including the
calculation used to estimate costs.
Letters of Support and other supporting materials may be inctuded as attachments. There is no limit on the
number of pages for attachments. If you have questions regarding the North Carolina community grants
application, ptease contact Judy C. Ritter, Associate Director of Program Services, at 704-873-2554 or
iritter(@.modimes.org.
~ March
~ SGvt!2~~s
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North Carolina OmIt Applioation
J....,2OO1
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\-\E'ALT H
NEW HANOVER COUNTY BOARD OF GeMMI""lu~ERS
REQUEST FOR BOARD ACTION
Meeting Date: 09/.17/01
os-
Department: Health Presenter: Betty Jo McCorkle, Director Women's Health
Contact: Betty Jo McCorkle, 343-6660
SUBJECT:
State Farm "Good Neighbor" Grant Application for SAFE KIDS Coalition for
$500
BRIEF SUMMARY:
The New Hanover County Health Department Women's Health Division is requesting approval to
submit a State Farm Good Neighbor grant application for $500 to support the New Hanover SAFE
KIDS Coalition, as well as, other injury prevention initiatives. David Howard, Health Educator,
handles all leadership, budgetary, and administrative responsibilities associated with the New
Hanover County SAFE KIDS Coalition, a member of the National SAFE KIDS Campaign network of
coalitions.
RECOMMENDED MOTION AND REOUESTED ACTIONS:
Approve State Farm "Good Neighbor" grant application submission for $500 (and budget
amendment when awarded)
to the County Commissioners
FUNDING SOURCE:
State Farm "Good Neighbor" Program
ATTACHMENTS:
Yes, 3 pages (2 of grant information and 1 application page)
25
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NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 1?1l1 STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-4146
.---..-.
DAVID E. RICE, M.P.H., M.A.
Health Director
August 16, 200 I
LYNDA F. SMITH, M.P.A.
Assistant Health Director
Good Neighbor Grant Program
State Farm Companies Foundation
One State Farm Plaza, B-4
Bloomington, IL 61710-000 I
To Whom It May Concern:
In reference to the enclosed application for a Good Neighbor Grant from Ms. Courtney
Lowe, the New Hanover County Public Health Department, a department of our county
government, is the lead agency for the New Hanover County SAFE KIDS Coalition (recipient of
grant), and the coalition coordinator (David Howard) is a full-time employee of our county health
department on the health promotion staff As lead agency for the coalition, Mr. Howard handles
all leadership responsibilities, budgets and cash flow, and all other administrative duties
associated with the New Hanover County SAFE KIDS Coalition. Our county coalition is a
chapter of the N.C. State SAFE KIDS Coalition, which is a member of the National SAFE KIDS
Campaign's network of coalitions. Our county health department is recognized by the N.C.
SAFE KIDS office and the National SAFE KIDS Campaign as the lead agency of our county
SAFE KIDS coalition. Therefore, the state and national level offices approve of all funds
benefiting the county SAFE KIDS coalition being deposited with the county health department's
health promotion budget due to our county coalition not existing as a separate entity with any
bank accounts in the name of the county coalition.
The New Hanover County Public Health Department is a Department of the County
Government and operates under the auspices of the County Board of Health and the County
Board of Commissioners.
Thank you very much for this grant opportunity and your Good Neighbor Grant Program!
Sincerely,
~ 70 11{~t~
Betty Jo McCorkle, RN, BSN
Director, Women's Health and Health Promotion
New Hanover County Public Health Department
N~ ~~_~~~"
26
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Good~hbor
-gyax,'-b
P R@ G RAM
At State Farm,
we are people
who make it
our business to
be like a good
neighbor. . ·
e
Through the Good Neighbor Grant Program,
the State Farm Companies Foundation
awards a $500 grant on behalf of each State
Farm associate who volunteers a minimum of
40 hours a year to an eligible nonprofit orga-
nization.
Program Guidelines
Eligible Participants
State Farm employees, agents and retirees
in the United States are eligible to participate.
Spouses, family members and staff employ-
ees of agents are not eligible.
Participants are limited to one Good
Neighbor Grant each year.
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Eligible Hours and Types of Service
. Eligible participants must volunteer a min-
imum of 40 hours for the same organiza-
tion during the program year.
. Volunteer service may include board ser-
vice, committee work and fund raising.
Participation in a one-time event, such as
a walk-a-thon, is not eligible.
. Employees may not include educational
support time or time for which they are
paid. Personal time and paid vacation
may be used.
Eligible Organizations
. All public and private schools.
. Tax-supported organizations that are part
of local government
. Nonprofit, tax-exempt organizations
under Section 501 (c)(3) of the U.S.
Internal Revenue Code.
. Tax-exempt foundations of the above
institutions, except for those that are pri-
vate foundations under Section 509 (a).
Organizations Not Eligible
. Houses of worship and organizations
established for religions or political
purposes.
. Veterans, fraternal or social organizations
(like college alumni associations or
recreational clubs).
. Professional associations (like chambers
of commerce, American Society of
Training and Development, Society of
Actuaries) .
27
One Slate Fann Plaza, B-4
Bloomington, Dlinois 6171?-?oo1
statefarmcom TO<
181-S045a.l PrintediDUSA.onret')'dedpaper
How the Program Works
Send completed grant applications wi~
required documentation to:
Good Neighbor Grant Program
State Farm Companies Foundation
One State Farm Plaza, B-4
Bloomington, n. 61710-0001
(309) 766-2161
!:l
State Farm Companies Foundation must
receive completed applications with
required documentation by Nov. 30.
Applications received after this date will
NOT be accepted.
The Foundation will notify participants of
application status within 8 to 1 0 weeks.
Grants will be mailed directly to organiza-
tions in June and December.
NOTE: State Farm associates are respe
sible for submitting applications. Requests
without proper documentation will be
returned to the associate.
;'(-
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The State Farm Companies Foundation
reseIVes the right to make final determi-
nation of eligibility. The Foundation
reseIVes the right to discontinue or
change this program at any time.
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AGREEMENT BETWEEN
New Hanover County Health Department
And
The North Carolina Center for Public Health Preparedness
at The North Carolina Inst' te for Public Health
This agreement is made and entered on Aug , 2001 by and between the North Carolina
Center for Public Health Preparedness (N -HP) at the North Carolina Institute for Public
Health 1 University of North Carolina and the New Hanover County Health Department
(NHCHD). The funding for this project comes from a grant titled the North Carolina Center for
Public Health Preparedness (agency # SI539-20/20, UNC # 5-47731) as part of the
ASPH/CDC/ATSDR cooperative agreement.
The NCCPHP and the NHCHD agree to the following:
1. The NCCPHP will provide the health department with $20,000.00 and an IBM ThinkPad
laptop computer as incentives for participating in this project. This money and computer
will be given to the health department to use at their discretion. These ful'd,> win be
transferred upon receipt of a written request from the NHCHD
2. The NCCPHP will assist the NHCHD to identify the public health training needs of its
staff.
3. The NHCHD agrees to collaborate with the l.GCPHP by providing the following
services throughout the project period) ~ -;;.(fJO :?
-
a) Develop a surveillance study of an emerging health problem(s) that is mutually
agreed upon by both parties
b) Identify and assign a health department liaison to work with NCCPHP staff
c) With advanced notice, make a computer with internet connection, telephone and
workspace available for NCCPHP personnel when they visit the health
department to conduct work related to the surveillance project
The parties have hereunto signed this agreement in their official capacities on the day and
year listed below.
FOR AND ON BEHALF OF NEW HANOVER COUNTY HEALTH DEPARTMENT
Date
FOR AND ON BEHALF OF NC INSTITUTE FOR PUBLIC HEALTH-UNC SCHOOL OF
PUBLIC HEALTH
Date
30
.rj>:"" .
Carolina Computing Initiative
I . Electronice Office Service Center Receivinl! Report
_eliVery Information:
lame Sheila Pfaender Order Number: 5790
Dept Number 4626
)epart. Name
NCIPH
Phone
966-2299
Location
TTK 422A
NOTES:
'der Serial Tag Date
Imber Model # Number Number Rec'd
'90 2628-UN5 Thinkpad A2.2 1S2628UN578LDGYP C17098 8/2212001
'90 2628-UN5 Thinkpad A2.2 1 S2628UN578LDGYG C17099 812212001
'90 2628-UN5 Thinkpad A2.2 1 S2628UN578LDGZD C17100 8/2212001
'90 2628-UN5 Thinkpad A2.2 1 S2628UN578LDGZC C17065 812212001
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iignature:
Date:
"'riot Name:
No. of Boxes
31
. _ :-:" "~.~...""';:'; =~ '""',; "-: ~7.
,
.
New Hanover County Health Department
Budget for $20,000 Grant From
The North Carolina Center for Public Health PreparedDess
At The North Carolina Institute for Public Health
University of North Carolina School for Public Health
The North Carolina Center for Public Health Preparedness (NCCPHP) is providing New
Hanover County Health Department (NHCHD) $20,000 and an IBM ThinkPad laptop
computer as incentives for participating in the project as described on the previous page.
Below is the itemized budget for $20,000:
EXPENDl1URES:
Epidemiology 110-510-5151 Amount
$
4210 LCD Projector Bulb 500
Audio Visual Cart 300
5200 Training on Geographic 4,700
Information Systems Software
e 6399 Personal Computer (super model) 2,500
Faster processor/1arger memory
Personal Computer 2,000
Laptop 3,000
Laser Printer 500
Geographic Information Systems 1,500
(GIS) Software
LCD Projector 5,000
Total Expenditures
20,000
REVENUE:
Epidemiology 110-510-5151
Source 3528 North Carolina Center for 20,000
Public Health Preparedness
Grant
Total Revenue
20,000
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Whit is HIPAA!
Health Insurance fortability and
Accountability Act of 1996
P.- Law 104.191, The HeaIlh _ p_
anel Aa:cunlabiIiIy Jod, was signed inlo law on August
21,1996.
. HaYing its roots in the 1993 Clnton heahhcare reform
pqlOUIs, 1lle primafy in\enI 01 HIPM is to provide
_ acceso to _Insurln:e, IimII fraud and
abuse. and reduce adll.ll~cd~~ cosI$.
~tdoes HlPAA accomplish? A
. Guarantees health coverage when job
changes
. Reduces Fraud and Abuse (Medicaid and
Medicare)
. Provides patients with certain rights
. Cuts administrative costs
. Preempts Stale Laws, Unless More
Stringent
1
_at does HlPAA accomplish? a
-Establishes National Standards
-Electronic Transactions
-{;ode Sets
-Identifiers (Providers, Payers, Employers,
lodividuals)
-Privacy & Confidentiality
-Security & Electronic Signature
--
.~ministrati~~;i~p]ificationJW .
- Regulation Time Frames
- EDl Compliance 10116102
- Privacy Compliance 04/14103
- Security Compliance '!?m103
- National ldentiflCTS Compliance '!?m103
.
/8
Who is Affected?
-Covered Entities
--Heal1bcare Providers
-Heahhcan: Plans
-Heahhcan: Clearinghouses
-Hybrid Entities
-Noo-IIeaIthclR Orpnizations performing
some hcahhcan: functions (educational facilities)
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Who is Affected?
11
Trading Partners
- EDI- Organization OJ individual electronically
exchanging protected health information
Business Associates
- Privacy- Organization or individual perfonning
services "on behalf of' covered cnlity
-
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Who is Affected?
Chain of Trust Agreement
- Security Organization or individual 1ha.
receives healtbCaR data &om a covered entity
. Must bave a ChliD of'TrusI AptleIDmt wi1h TJ3dinB
_-'_.................how
tbey.....4u......../sccuriIy
(Note: dais is DOl finati2ed)
_ Electronic Data Interchange
(EDI)
A
ED! Transactions
- Claims
- Claims Status Request 1 Response
- paymems 1 Reminaoce Advice
- Benefit Enrollment and Maimenance
- Payroll Deductioos '" Premium Payments
Goal is 10 ~&... each oflhesc: formals!
3
_ Electronic Data Interchange
(ED!)
~
11*
. Code Sets
- Diagnosis
- Medical Procedures
-Drugs
- Denial Procedures
Goal: Standard Codes used iD coding claims. diagDOsis. procedures
... mcdicarions.
Note: y 4. W Codes will no kMtger be used under HlPAA
(350 aR still in use in NC)
.- Wh~t is PRIVACY?,Q
. Right of individual to keep hislher health
infonnation from being disclosed to
unauthorized persons.
. Fundamental premise upon which the
privacy nile is based:
- II slwuld be easy 10 use heallh information
for heallheare and very difficulllo use il
for any olher purposes.
.
PRIVACY
Jj
. First comprehensive FEDERAL LAW to
PROTECf the privacy of individually
identifiable beaIth infonnation.
. Importance to:
- Patients
- Healthcare ProvideJs
- HeaIthcare Plans
- Healthcare Clearinghouses
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PRIVACY
Protected Health Infonnation (PHI)
- Individually Identifiable
- Past, present and future health information
- All forms: Electronic, paper and oral
1here are 18 potential identifJtfS to be considered.
__potential Identifi~.
for Consideration
. Names
Geographic: subdivisions smaller than a slate
including street address, city, county, precinct, zip
code
Elc:men1s of dates (except year) such as DOB
Telepbone numbeJs
Fax numbers
. Ekctronic mail addresses
. Social Security NmnbeJs
.
Ii
Potential Identifiers
for Consideration
. Medical Records NmnbeJs
. Heallb Plan _fic:iary Nmnbers
. Account NmnbeJs
. Certificale I License NmnbeJs
. Vehick Identifiers! Serial Nmnbersl License: Plate
NumbeJs
. Device ldentiflClS I Serial NmnbeJs
. Weh Universal Resource Locations
. Internal Protocol (IP) Address
'"
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.
Potential Identifiers
for Consideration
Jj
Biometric Identifiers (fingerprinlS, cyeprinlS)
Full face pbotographic image &. any comparable
images
Any other unique identifying numbers,
characteristics or codes
..m _HealthCare prOViderS-~
Responsibilities
Protect! Secme HeaI1b Information ofPatieolS
(Living .. Deceased)
Provide health information to other healthcare
providers
R.elease "minimum necessary" ioformation
Establish intemal complaint process
Develop system of sanctions f.. Agency Staff
Determine enforcement" compliance requirements
.Otice ofInfonnation Practices .a.
State Agency PJactices Regarding Patient
Information
Include anticipated uses and disclosures of PHI
Written in easily uodersIood senltnCeS
Include examples
Post Notice (English, Spanish, Braille)
Revise: if practices change
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Patient's Rights
a
. Right to be informed through agency notice
. Right to inspect & review own record
. Right to receive copy of record
. Right to amend I correct record
. Right to add supplemental information
- - -----;:-tient's Rights
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. Right to restrict use & disclosure of
information
. Right to accounting of disclosures
. Right to personal representative
. Right to revoke authorization
. Right to appeal
. Use & Disclosure of PHI
~
. Use: PHI is used wben shared, examined,
applied or analyzed wilhin the covered entity
that maintains the information
. Disclosure: PHI is disclosed wben released,
transferred, been given acc:ess to, or
divulged tnlISide the covered entity holding
!be information.
7
. Consent & Authorization
a
Consent: A general consent is required for
use or disclosure of infonnation for
treatment, payment, and other health
operations.
Authorization: A more specific authorization
is required for use & disclosure of
infonnation for purposes other than
treatment, payment or health operations.
-- - .~s~:ess ~ssociate Responsibilities a-
. Must enter into contract with Covered Entity
. Must exercise an appropriate level of care
related to privacy and confonn to HIP AA
regulations.
Must treat protected health infonnation the
same as the covered entity
. What is SECURITY? .IIi
The mechani5m(s) in place to protect individual
health infonoation
- Policiu and Proadure.
- Physicol Sofegwuds of building and equipment
- SojIware Conlrols
- Transmission ofDakJ
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Enforcement
US DHHS Office for Civil Rights
- Assists with voluntary compliance efforts
- Responds 10 questions
- Provides inlerprela'ion I guidance
- lnves,igoles complaints
- ConthlclS compliance reviews
- Seeks penallies for non-compliance
--~~ - Imposing Compliance -a
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General Civil Penalty for Failure to Comply
- $/00 per viola/ion per person
- NollO exceed $25,000 per calendar year
. a
Imposing Compliance
. Criminal pcnaIties regarding privacy (P.....
knowingly '" _fully clis<:1oses individually
_liable health infonDation)
- SilllpkoJJm.w: Up 10 J50.000..Nor OfWyear
--
- q~""rjtll#1ft'DUU: UpIOSJOO.OODand
I.,j~~
- If COIPfilkd ttrith nmllO seJlll'tIM.fer, or MSe
--I?-Ifiobk .........p__"'laI
odr""'ap. pefWtIDI pin II' MOIklmtr hantI: Up to
$1'O.OOOtnd/t)rJO~;1IIpri$OltlllDll
9
. III
Information
Flow
Assessment
. ~ - - ------~---- -1j -------
> Statewide DHHS Initiative ' '.
. Central Managemenl Response
- ffiPAA Project M_emcnl OffIC<
. Coosolidatc Efforts
. Communicate PlIO
. Resource Center
- WEB SHE: bnp:l/dirm.sIalIc.nc.USlbipaal
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STRATEGIC PLANNING PRIORITIES
August 28, 2001 Update
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Access to health care
(Issues #7, 11 & 5)
-+ Good Shepherd Ministries received approval to develop a medical component for the new
homeless shelter
-+ Effective July 1, 2001, the Maternal Outreach Worker (MOW) Program successfully
completed all the requirements for billing Medicaid for outreach services to at-risk pregnant and
parenting young women, receiving referrals through our in-house MCC and CSC case
management services. This program had received start-up funds from the Cape Fear
Foundation while training and orientation was undertaken. The MOW program will now be self-
sufficient through revenue generated from Medicaid.
-+ Collaboration on grant application with Good Shepherd Ministries resulted in funding for the
new homeless shelter to contain space and equipment for a medical clinic. Good Shepherd will
need to secure funding for salaries to staff the clinic.. Good Shepherd plans to use contract
staff...this will improve access to care for neighborhood as well as those using facility for
shelter .targeted population for public health treatment and prevention education.
-+ Two new school nurse positions approved
-+ Wilmington Rotary Club purchased wheel chairs for disaster shelters
-+ Twenty volunteers trained to do vision screening in schools
-+ 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 provided
Dental Health Education and Oral Health Assessments for over 160 seniors at five nutrition sites
during July
-+ Newborn Visits: Community Health Division has placed these visits on hold due to staff
shortage. The Child Health and Women's Health divisions will continue their newborn visits.
-+ Schools: EHS Staff visited new schools and other school rennovation projects on August
10.
II.
Preventive services & lifestyle-related risks
(Issues #12 & 15)
-+ NC Medical Society Grants: WHC received a grant award for diabetic supplies/educational
materials for pregnant women.
-+ CD Outreach: HIV and Syphilis testing and prevention education at St. Jude's Metropolitan
Church on August 8, 3-6 pm.
-+ Jean McNeil presented ACS policies and procedures to Wilmington PD officers in one of
their initial training courses.
-+ Project ASSIST ASSIST Coalition co-sponsored "smoke free night" at Alleigh's Restaurant.
"Fresh Starf' smoking cessation training was attended by 20 people from Brunswick and New
Hanover counties. Anti-tobacco posters are available. Call DeAnne Chryst (6548).
-+ HIV/Syphilis Outreach conducted at St.Jude's Church, August 8.
-+ Laboratory provided phlebotomy services for the Communicable Disease Division=s off-site
testing for HIV and Syphilis held at the Metropolitan Community Church on Castle Street.
-+ Wake Forest med students developed two pamphlets for use in schools
-+ Medication Administration training video developed
-+ Immunizations: National Immunization Survey for 2000 was conducted by CDC. North
Carolina ranked #1 in immunization coverage for children 19-35 months of age.
-+
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III. Communication, education & marketing (promotion)
(Issue #1 & 4 in part)
-+ EPI Lunch & Learn: Held on July 26, 2001 Topic was Parasitic Foodborne Diseases. Staff
from NCDHHS and Brunswick County Health Department also attended.
-+ Annual Report: FY 2000-01 Annual Report progressing on schedule.
-+ NHCTV' Jean McNeil met with Mark Boyer regarding ACS procedures.
-+ Bulletin Boards: Effective August 1, information available via email messages will not be
posted.
-+ Newspaper Article: Article on West Nile Virus appeared in the Wilmington Star News on
July 28.
-+ NHCHD Communication Policy' Is being updated to include NHCHD's responsibility to
customers with language barriers. The NHCHD Policy Team will process this policy with the
input from a work group.
-+ ACS staff made changes to the ten codes utilized for field calls to bring them into closer
compliance to other law enforcement.
-+ Jean McNeil assisted other HD CPR instructors in two days of CPRlAED update training
classes
-+ Critter Magazine: ACS had two articles in the latest edition, one on rabies and the other on
animals available for adoption.
-+ Four companies in New Hanover County (AAI Pharma, KOSA, Corning, Inc., and PPD)
were recognized as Mother-Friendly Businesses for their support of mothers continuing to
breastfeed after returning to work. 39 companies recognized in NC.
-+ Star News: Health Director met with the Publisher and the Executive Editor He will meet
with the Executive Editor, the Features Editor and the City Editor on August 23 to discuss
newspaper coverage for the Board of Health and the Health Department.
-+ Dental Social: Health Director and Dr David McDaniel attended the Tri-County Dental
Society Political Social on August 17
-+ Budget Information: Management Team was asked to review the Health Department
narrative, accomplishments, goals, objectives, and performance measures by August 22.
-+ Tribute: Members of the Management Team are planning a tribute to Dr Frank Reynolds.
A celebration to dedicate our clinic area in his honor has been scheduled for November 1 at
8:30 am. NHCHD has already received one donation and two pledges. Management Team
members discussed other possible sponsors of the tribute. Invitations will be sent to community
members.
-+ Newspaper Articles: An article on the availability of tetanus vaccine appeared on August 27
An article on "Click It, or Ticker' related to child safety seats appeared on August 28.
-+ Address Change: Effective September 1, Animal Control Services address will change to
180 Division Drive (Same location).
.. Olmstead Decision: A brochure explaining a new civil right for persons with disabilities was
distributed to the Management Team. Based on the U.S. Supreme Court decision on June 22,
1999, it is now against the law to make people stay in an institution if they do not want to be
there and their treatment team agrees that they are able to live in the community People must
be given the choice.
-+
IV. Facility utilization & Information technology
(Issues #6 & 4 in part)
-+ Storage: Storing items under the stairwells is not permitted by the Fire Marshal. Please do
not store or discard items under the stairwells.
-+ The ACS shelter is experiencing water pressure problems since the work was done to
Division Drive.
-+ NHCHD Blueprints: Have been moved to a box in the Administration closet.
-+
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V. Water quality, storm water management & drainage; & Air
quality (Issues #3 & 8)
.. Processed Jail Construction Project (adjacent to an old landfill) concerns with NHCBH,
NHC, NC DENR, and NC DHHS. EHS Staff will continue monitoring this project.
.. Wastewater System Permits: A new permitting procedure for on-site wastewater systems
has been implemented. Initiated by examining the requirements for developing new
subdivisions in New Hanover County, and state standards, the resulting process is a dramatic
change from prior practice. The fee schedule has been adjusted to shift focus from the
Improvements Permit to the Authorization To Construct Permit. All forms underwent major
design and layout changes. Collaboration with the Inspections and Planning Departments were
essential to this endeavor This new direction of permitting adds efficiency and reduces liability
.. Veterans Park: EHS Staff are working with residents experiencing well problems believed to
be impacted by school startup and the irrigation of new fields. Staff attended a meeting with
Boney Architects, NHC Engineering Department, and School Staff.
..
VI. Emerging health risks
(Issue #13)
.. Dog Fighting: ACS is involved in a potential dog fighting case.
.. Jean McNeil presented the August BOH department focal with a topic of, "Animal Cruelty
Trends in New Hanover County" The presentation included the high profile cases from the last
fiscal year, as well as a general overview of animal cruelty
.. Handling a few calls from public with questions about West Nile Virus, dead birds and
tickborne diseases...awareness level fairly high in community
.. WIC clients are being educated on methylmercury in fish and the risks associated for
pregnant and breaslfeeding women and children under age 15 years
.. Laboratory Division has been participating with the Vector Control Section of Environmental
Health in processing the blood samples from the sentinel chickens that are placed in areas of
the county to detect West Nile Virus and the Triple E virus.
.. Enhanced Mosquito Surveillance: The Centers For Disease Control Fay-Prince Trap is
currently being implemented in our Vector Control Program to enhance mosquito surveillance
efforts. Designed as a daytime trap, it features a bold contrast of gloss black and white panels.
This unique visual element attracts day flier mosquitoes. The trap features a wind orienting
cover and a suction motor, which blows the mosquitoes into a collection cup. To increase the
traps catch, staff will use C02 and scented water buckets placed near each trap. Gravid Culex
mosquitoes find water scented with alfalfa ideal for egg laying. The traps will be set at
complaints and other container-breeding suspicious sites to quantify the population of these
difficult to trap species. Our goal is to monitor Aedes albopictus, Culex quinquefaciatus, and
other Culex species, which may prove significant to the spread of West Nile Virus.
.. Blue Clay Road Jail Construction Site: Citizen concern over potential negative impact on
groundwater quality led to investigation of this project. Key factors are prior use of the property
for a brief period during the early 1980's for a solid waste landfill, and generally low-lying, wet
site conditions. The NHCBH Environmental Health Committee met with representatives of the
NCDENR Division Of Waste Management to determine the status of the old landfill. Upon
notice of questions about the project, Engineering Department staff decided to contract
additional site tests. These results will be evaluated further with state hydrology and toxicology
experts to assure protection of the groundwater
.. Rabies: A rabid bobcat was found in Onslow County on August 9.
..
VII. Population growth & diversity
(Issue #2)
.. On August 7, Janet McCumbee and Nancy Nail participated in an HOLA (Helping our Latin
".-r.--
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Americans) forum on children-s services available to Hispanic families. Janet presented on well
child clinics, immunizations, Lead poisoning prevention, home visiting, and school health
services; Nancy presented on W1C service
+
VIII. Discontinued services picked up by Health Department
(Issue #9)
+ Nutrition Director and Dietitian in the General Nutrition Program met with the Community
Diabetes Task Force to discuss need for diabetes education classes to be reinstated in the
community
+
IX. Staff Development & continuing education
(Issue # 14)
+ Car Seat Training: A four-day Car Seat Instructor Training will be held in Shallotte,
September 11-14. Interested Staff should contact your Supervisor, then David Howard (6636)
for additional information.
+ Budgeting & Expenditure Forms: Lynda Smith and Cindy Hewett attended a meeting on the
new forms. Reports to the State will have the same information in a different format. Divisions
will now use a funding authorization form.
+ CPR Class: Held on August 2-3. Update on the new American Heart Association guidelines.
Recertified 20 NHCHD Staff. Changes geared to the use of ambu bags, oxygen, AEDs in a
healthcare setting.
+ OS Users Group: Meeting will be held on August 9 in the Auditorium. Focus will be financial
screens and billing. Sign up sheets on message board by the Auditorium.
+ State Administrative Consultant: Penny Lewis will meet with Multidisciplinary Committee to
discuss billing issues on Friday afternoon, August 1 O.
+ Judy Evonko met with state-wide representatives in order to develop an animal control
officer training program for the state.
+ Human Resources has responded to HD staff request to offer a performance appraisal class
for HD supervisors to better educate them in the performance appraisal process.
+ Judy Evonko, ACS Supervisor, won the HD Super Staff award for July 2001 (announced at
the August 2001 staff meeting).
+ Daisy Brown and Jean McNeil attended their first week for the Management Academy of
Public Health. They met with their group prior to this week to develop ideas for their business
plan and become familiar with group members.
+ Training: NHC Human Resources has agreed to provide performance appraisal training to
Health Department Supervisors/Employees. Jean McNeil will determine the date(s) based on
input from Management Team.
+ EPI "Lunch and Learn" on Parasitic Foodborne Illnesses sponsored by Workforce
Preparedness Project
+ 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 were given information about
their duties and resources available to them.
+ West Nile Virus Lunch & Learn: Jeff Brown, Public Health Pest Management, NCDENR and
Ken Sholar, Senior Environmental Health Program Specialist presented a West Nile virus
update on July 11, 2001 Jeff spoke to clinical aspects of the disease, while Ken gave an
overview of local mosquito control efforts.
+ Epi Lunch and Learn: Next session on August 23, 12 - 1 pm in the Auditorium. Dr Robert
Ryder will make a presentation on "Viral Foodborne Illnesses."
+ Medical Students: Students from Wake Forrest Medical School are working on a project
with the Asthma Task Force until August 28.
+ Interagency Council for Special Needs Children: Will hold a forum on September 6, 3:30 -
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7:30 pm. Th subject of the forum is "transition." Professionals who work with special needs
children (birth - five) are invited, as well as parents. Flyer is posted on the Administration Hall
bulletin board next to the mailboxes.
+ OSHA Training: Communicable Disease, Child Health, and Women's Health staff need to
register for the OSHA update scheduled for August 30 or 31 Others are welcome to attend.
Contact Elisabeth (6658) for information.
+ Executive Master's Program: UNC School of Public Health has distributed brochures that
describe the program and announce GRE Prep for Graduate School workshops. This
information was distributed to the Management Team.
+ Grand Rounds: Public Health Ground Rounds has been scheduled for September 28 on
performance measures.
+ Coastal AHEC: The AHEC Information and Continuing Education Booth will be present
following the General Staff meeting on September 6.
+
X. Evaluation of services
(Issue #16)
+ HIPAA Assessment: Divisional representatives will meet on August 14 at 9:00 am to
process the HIPAA (Health Insurance Portability and Accountability Act of 1996) Information
Flow Assessment for NHCHD. A GAP analysis will be completed by the State after we submit
NHCHD's response, due on August 31 Lynda Smith and Cindy Hewett attended training on
July 26.
+ WIC Audit: State's biennial WlC audit was conducted July 25-27 Only four funding
conditions were noted compared to sixteen in 1999 and ten in 1997 Congratulations Nutrition
Division Staff!
+ TANF Site Visit: Conducted on July 26. WHC was seen as a "Model of Excellence."
Program objectives were exceeded! Opportunity for additional funding due to our success with
outreach/recruitment of clients.
+ Email Access: The issue of email access through the internet was placed on hold until a
policy/procedure was received from the NHC Human Resources Department.
+ Civil Rights Ouestionnaire: NHCHD submitted our response to the NCDHHS Public Health
Division regarding our Civil Rights practices. The review of NCDHHS is being conducted under
the authority of Title VI of the Civil Rights Act of 1964 (Title VI). Title VI prohibits discrimination
based upon race, color or national origin. Specifically, USDHHS is conducting a survey involving
programs, benefit, and services that are provided to "Limited English Proficient (LEP)"
individuals. Due to the large increase in North Carolina's Hispanic population, USDHHS is
focusing on that segment of our population and our ability to translate the English language into
Spanish. This is their primary focus, but does not exclude other language translation needs if
necessary
+ Regional Personnel Offices: The State will be closing these offices on August 31 NHC
Human Resources has been contacted regarding the impact to the Health Department.
+ Car Seats: For Divisions who work with young children and their mothers, please do not
send them to Pat Johnson's office for car seats. Have them telephone David Howard (6636) or
Pat Johnson (6659) for an appointment to attend the monthly class and receive a car seat.
+ Animal Control Officers are spending less time in the field and more time in the shelter to
accommodate staff shortages in the shelter due to jury duty and summer vacations.
+ Daisy Brown attended an informational meeting with the Postmaster and staff regarding
mailing procedures and changes, as well as new products offered to enhance bulk mailings.
This is particularly important, since the ACS address has been changed to 180 Division Drive
(from 220 Division Drive).
+ Expenditures: David Rice and Lynda Smith met with NHC Finance Department (Bruce Shell
and Pat Melvin to clarify Health Department expenditures in the areas of travel, training,
entertainment, etc. They discussed restrictions with the Management Team.
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.. Tax ID Number' The NHC Asthma Task Force received a Tax ID Number from the IRS.
This allows the Task Force to open a bank accout for money raised to send children to Asthma
Camp. 501 (C)(3) is not necessary to receive a Tax ID Number
.. NHCHD Emergency Policy' Was updated on August 9.
.. Reorganization - Senior Environmental Health Program Specialists: The scope and
complexity of environmental health programs made the past organizational structure a
bottleneck and a highly inefficient way of conducting business. To address these issues, we
have implemented a long planned reorganization of staff into specialized teams with leaders.
Three team leaders known as Senior Environmental Health Specialists will now further develop
their expertise in children's environmental health services, food safety and wastewaterlwater
quality while they share supervisory responsibilities for field staff. Ken Sholar was also
reclassified as a Senior Environmental Health Program Specialist with his area of expertise
being vector control. All staff including Ken and David Jenkins, Environmental Health Specialist-
Vector Control Program have or will soon obtain authorization from the NCDENR to enforce
laws and rules governing public swimming pools. Several staff in other programs also have
obtained a public health pesticide license. This long process of adding and changing
responsibilities gives much greater depth during peak or seasonal demands for specific services
plus greater flexibility to respond in disasters or emergencies.
.. Courier Service: Items for the State Courier should be placed in the top box with a pink
label in the mail room. Items for the County Courier should be placed in the bottom two boxes
labeled "in coming" and "outgoing." Misplaced items could be delayed for 24 hours.
.. NHCHD Incident Report: Is being updated. The NHCHD Policy Team will process this
policy A working draft was distributed to the Management Team for input.
.. Working Titles: Division Directors were asked to submit an emaillist of working titles for
employees to the Health Director by August 31
.. Expenditures: Health Director discussed updated information regarding expenditures in the
areas of travel, training, entertainment, etc. The County Manager sent a memorandum clarifying
acceptable expenditures. The memo has been circulated to Division Directors.
.. Super Staff Award: Payment for the plaque, lunch, and a day off with pay for the Super
Staff Award has been suspended by the County NHCHD Staff will be asked to vote to continue
or discontinue the Super Staff Award during our General Staff Meeting on September 6. When
voting, you will be asked to make suggestions on possible incentives that wouldn't require the
use of tax dollars should the Super Staff Award be continued.
.. Intensive Home Visiting: The Navigator Program will need to make a decision in the next
couple of months regarding its future as a national Olds program, or switch to the Healthy
Families model.
.. TAP' Teen AIDS Prevention Program has a scheduled site visit by the Cape Fear Memorial
Foundation on August 30 at Creekwood.
..
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NC DEPT EHNR EPIDEM
Fax:919-733-8493
Rug 29 2001 8:59
P.Ol
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North Carolina Department of Health and Human Services
Division of Public Health . Section of Homan Ecology and Epidemiology
1912 Mail Service Center. Rale.igb, North Carolina 27699-1912
Te1919-7JJ-J410. Pax 919.733.9555
Micbae1l' . Easley, Governor
Augu>t29, 2001
Cormea Hooker Bud], Seaewy
David Rice, MPR, MA . Director
New H.nover County Health Department
2029 South 17111 St.
Wilmington, NC 28401
near Mr. Rice,
The Medicalllv.luation and Risk Asseosment Unit (MllRA) was asked to review environmental
sompling dala for the jail ConstiuCtiOD project at the Blue Clay Ro.d landfill site in New Hanover County
and to ....ss th. polClltial public health risks associ.ted with the project. After evaluating the .vallable dala
and conferring with you and others during our 813/0 1 conferen<:e caD, I would like to identify the -
information that we have and what is still needed for us to perform the appropri.te risk ass.ssment
o Groundwater sampling condocted lnl98S at the1andfill site detected groundwater
contamination (iron, lead, arsenic, cadmium, and chromium).
. Groundwater sampling in early August 200 I by a consultant and analysis by a private lab
indicates the pre.ence of xylene. in sever.l of th. old monitoring wells (perscnal
communlc.tion, Ken Rudo with Ray Church, 8123/0 I). It is our understanding that this
sampling <1id Dot inclu<1. the LAW monitorinll wells.
o We ate not aware of any monitoring that h.. been eonducted in offsite drill1cing w.ter wells.
oW. are not aware of soil .ampllng data for this site.
o We ate not aware ofan evaluation ofth.presence ofmethan. gas near lhejail construction
site or prec.utions ta1cen to prevcnt methane from entering the jail.
Wo nood the following to better ....ss tho public health risks:
. More monitoring wells and 'llD1pling at this site iD order to deflllC the degree of currenl
groundwater contamination and the direction of groundwater flow and to better predict the
risk to Deighborlng wells. At this time, we are unable to specify the lI\DI1ber of w.lls and
samples needod to predict the risk of off,ile CODtaminatiOD because we lack sufficient data
regarding groundwater flow.
. W. would like to know what has been don. to detennin. the pres.nce of methane gas allll. if
prc.en~ what is planned for preventing it frODl accunw.lating in the jail.
As you and 1 have discussed, we Wan! to make sure this project mlnirnizcs the risk 10 the residents
o{New lIallover County. A. we get more infonnatioD, we willllpdate this assessment. Please call m. at
919-715.6425 if you want more infonnation.
tJ~~ ~
William Tynan, MD, MPH, Head Y
Occup.ticnal and Environmenl8! Epidemiology Brancb
cc: S~. Cline, DDS, MPR
Ken Rudo, Ph.D
Bill Pate
poct-r Fax l\Iote
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Phone t
* Localion: 2728 <:opiul Boulevard. Porker: .ax.
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NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 17111 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
August 2, 2001
LYNDA F. SMITH, M.P.A.
Assistant Health Director
William S. Funderburg, Director
Castle Hayne Steering Committee
4321 Blue Clay Road
Castle Hayne, NC 28429
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RE: New Hanover County Jail Construction Project
Dear Mr. Funderburg:
The New Hanover County Board of Health met on August 1, 2001 and discussed
issues related to the Jail Construction Project. Based on your letter dated June
27, 2001 ,our letter to the New Hanover County Engineering Department dated
July 26, 2001, and the Engineering Department response dated July 30, 2001
(copies attached), we believe that the potential public health concems have been
satisfactorily addressed.
The Engineering Department has agreed to process additional water testing at
the Jail Construction Site and has agreed to determine the directional movement
of the groundwater. Copies of the test results will be provided to the Health
Director. David Rice will keep you informed as additional information becomes
available. Should you have questions, please contact him at 343-6591.
Wilson 0' elly Jewell, DDS
Chairman
New Hanover County Board of Health
Cc: Ted Davis, Chairman, New Hanover County Board Of Commissioners
Allen O'Neal, New Hanover County Manager
Wanda Copley, New Hanover County Attorney
James Coffey, Chief, Solid Waste Section, NCDENR
Arthur Mouberry, Chief, Groundwater Section, NCDENR
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/I '/jour .JJeafth _ Our priority /I
LMEMO
NEW HANOVER COUNTY
INTER-OFFICE
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August 16, 200 I
FROM:
Allen O'Neal, County Manager
Dave Weaver, Assistant County Manager OW
TO:
RE:
Groundwater issues at Veterans Park
ISSUE
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A cluster of up to 10 residential wells appears to be failing primarily in an area across
Carolina Beach Road from Veterans Park. The cause of well failure is declining
groundwater levels that, based on preliminary discussion with State hydrologists and others,
have been caused by low rain, growth in the area including several golf courses, and
possibly, pumping for irrigation and potable water for Veterans Park.
In Veterans Park, the groundwater pumping situation is as follows.
The County Water and Sewer District operates one drinking water well. It
currently pumps approximately 105,000 gallons per day (gpd), of which the
new Schools are using around 55,000 gpd.
The Parks Department operates two irrigation wells and the Schools operate
four irrigation wells. Although it is difficult to estimate irrigation water usage,
the total pumped for irrigation may be close to 100,000 gpd. Irrigation usage
will decline once the fields are established.
Three issues exist between the Countys and Schools.
I)
The Schools, based on meter readings, are using approximately 55,000 gpd
from the County drinking water system. This figure includes over 20,000 gpd
at night, when very little activity occurs at the school. Both usage levels
appear to be excessive.
The Schools have not been allowed by the County to hook-up their irrigation
system to the County's potable water system, primarily because of the
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Allen O'Neal
Page Number Two
August 16, 2001
impact of irrigation demand on our drinking water system. County staff,
however, have made initial chlorine tests in the Schools irrigation pond, which
is theoretically fed only by non-chlorinated School irrigation wells. Chlorine
has been detected in the pond. The source of the Chlorine could be from the
County's drinking water system.
3) Assuming that the high degree of groundwater pumping at Veterans Park is
contributing to residential well failure, County staff initiated discussion with
Schools staff on how the County and Schools should respond to requests for
help from these residents. At this point, Schools staff are not willing to
assume responsibility for correcting the residential well problems.
Actions being taken bv the County
2)
1)
County Engineering will calibrate the water meter for the Schools and monitor
discharge flow from the Schools. This effort should take approximately a
week and give an accurate picture of water use amounts by the Schools and if
drinking water is being diverted from the Schools through leaks or for
irrigation water..
County Engineering staff are monitoring chlorine levels in the Schools
irrigation pond. Additional readings will be made in other ponds on the Park
site to help confirm whether or not the Schools irrigation system may be using
the County drinking water system.
County Engineering staff will run some water flow tests with the cooperation
of Schools staff to help determine if there is some kind of unwanted
connection between the Countys system and the Schools irrigation system.
Environmental Health staff will continue to respond to residents' complaints
that their wells are failing. Staff are giving residents the following advice:
The County is investigating the situation, but has not yet made a
determination if it will contribute to fixing the residents' well problems
Residents should contact a plumber or well driller to fix their systems
and should save their receipts.
Environmental Health fees have been waived.
If a resident feels the need to drill a new well, which can cost several.
thousand dollars versus simply modifying their pump system at a cost
of $500-$1000, the resident should contact County Engineering for
confirmation of that need.
County staffwill continue to monitor ground water levels in the area to see if
3)
4)
5)
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Allen O'Neal
Page Number Three
August 16, 2001
they continue to drop.
Recommendation
In addition to the above actions presently being taken, I would recommend that the
County be willing to absorb 50% of residential costs in fixing failed wells, provided residents
follow the procedures outlined in the previous section. Although the County is under no
obligation to assist those residents, it appears that County and School pumping in Veterans
Park has contributed to the groundwater depletion problem.
The County should take this funding action assuming no hydrological information
comes to light, to help those residents obtain water, with the funds to come from the Water
and Sewer District and Parks. The Schools should also be requested to share in this funding
but, based on discussion with School staff, this participation may not occur.
No long term actions are recommended at this time until it is determined if ground
water levels continue to drop and ifmore complaints of residential well failure in the area are
brought forward.
cc: Jim Craig
Greg Thompson
Dianne Harvell
Bill Hance, New Hanover County Schools
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August 21,2001
Dr. Frank R. Reynolds
1706 Fairway Drive
Wilmington, N.C. 28403
Mr David E. Rice, Health Director
New Hanover County Health Department
2029 South 17th Street
Wilmington, N.C. 28401
Dear Mr. Rice,
This is to notify you that effective December 31, 2001, I am terminating my Health
Professional Contract with the Health Department for all services I have been providing.
I have served many years in this capacity and am now ready to allow another health
professional the opportunity to do this.
I am giving this notification early (verbally August 1, 2001) so that you will have ample
time to find another health professional to contract for these services. Since I served as
Medical Consultant to the New Hanover County Board of Health, please advise the
Board and your staff.
Sincerely,
~~.~~fflD.
Dr. Frank R. Reynolds
C: Dr. Wilson Jewell, Chairman,New Hanover County Board of Health
Lfs/8-21-01
fF~-
Sanitation TIps For Food Workers
Fall 200 I
Also in this issue...
Keeping Your Cool
About Food
Temperatures
2 The Cold War-
What you should
- ---"'-know-to'keep-the--
chilling buffet foods
safe
2 Thawing Food-Tips
to prevent bacteria
growth
2 Frozen Foods
( Frozen food Q&A
~
2 Refrigerator Word
Find
3 The Temperature
Danger Zone-How
you can avoid it
3 Receiving Cold and
Frozen Foods-Take
steps to prevent
your frozen food
from warming up to
food borne illnesses
4 Keeping
the Chill in
Autumn -
Know how
to keep the
food at fall
festivities safe
Fall is falling upon us, but in many parts of the country it is still warm enough
for outdoor dining. Autumn is packed with a variety of outside events-from
catered wedding receptions to school picnics. Many of the foods served at those
types of events are cold items ranging from cold cuts to shrimp cocktail. For food
handlers, it's important to know how to keep those chilly delights from spoiling and
making people sick after they eat it.
September is National Food Safety Education Month, initiated by the National
Restaurant Association Educational Foundation. The theme is "Be Cool, Chill Out." In
honor of this event, this issue of Food Talk tells you all about keeping your food at
safe temperatures - whether you are chilling leftovers or thawing and cooking up
food from the freezer
Copyright 2001
Pike & Fischer. Inc.
1-800-255-8131
Here are a few more tips for cooling hot foods fast:
. Cool food in two stages. First, cool the hot food from
1400F to looF within two hours. Second, cool the food
from looF to 410F (or less) within four more hours.
. Do not put large containers of hot food directly into a
refrigerator The refrigerator cannot cool it fast enough.
Cool the food first by taking it from a large container
and dividing it into smaller containers or shallow con-
tainers. Put these smaller containers into pans filled
with ice water
. Stir hot foods wi1h cold paddles to help cool i1 thoroughly
. You can use a blast chiller to quickly cool hot, cooked
foods.
(continued on page 2)
Food Talk
Refrigerator
Word Find
The Cold War: Defend Your Chilled Buffet Items from Harmful Bacteria
Did you know that it takes only 20 minutes for bacteria to double in
numbers when perishable food is left at room temperature? Even when
food is refrigerated, bacteria can still grow-although at a slower pace.
Some harmful bacteria continue to grow while under refrigeration.
Ie,!
Frozen
Time
Chill
Gel Pack
Ice
Cooler
Divide
Two stage
Thaw
Cold Zone
Cool
Track
Cover
Freeze
Temperature
Melt
Here are tips to slow bacteria growth at the buffet:
. Keep foods at or below 400F
. Place cold food containers on ice or put food into chilled gel. filled
bowls or platters.
. Make sure perishable foods stay chilled until it is time to dish them up.
. Stir food now and then to keep it cold.
. Cover food to help it stay cold.
TOAGELITFCX
WEEECOCIFHJ
OIMLOOYMRIL
SKEPVCOEOLO
TCLAEFELZLM
AATCRREOERT
GRAKEEANNRS
ETHAWEOTAIN
OCOLDZINUCI
DIVIDEEOURC
COOLERMALTE
Answers 10 Your Questions on Frozen Food:
a. What is freezer burn and what can be done about it?
A. Freezer burn is caused when meat and poultry become exposed
to refrigerated air The cold air dries the meat and makes
white, frosty patches. The food is safe to eat, but it may be
tough. Wrapping meat and poultry in aluminum foil or thick
plastic can prevent freezer burn.
a. How long does it take to thaw food in the refrigerator?
A. As a rule of thumb, it takes meat and poultry about 15 hours
per pound to thaw in the refrigerator Make sure meat and
poultry are placed on the bottom shelf in a pan that will catch
the juice as the food thaws. That prevents contamination of
other foods in the refrigerator
---------...
-
Thawed.full Food Safety
If frozen food is notthowed properly, bacteria con grow and couse foodborne illness. The
federal government recommends four ways to safely get food out of cold storoge.
Thaw food in the refrigerator. The femperoture of fhe refrigerofor should be no more fhon ...............
41.F Since it con toke 0 long time for large ifems fo thaw using fhis mefhod, you musf plan to toke
food ouf of cold storage for enough in advance so rhot it will be available when you need fo make 0 dish.
Submerge frozen food in running potable _r. The water should be no greofer fhon lO.F. It's 0 good ideo for
water fo flow fast enough so food particles will wash into fhe overflow train. Meof and poultry con also be fhowed in
oirtighf packaging in cold water. The water must be changed every 30 minutes to keep the wafer cold and keep the
food thawing. Food must be fhowed and prepared wifhin fwD hours of removing it from the freezer to keep it safe
and bocterio.free. Also, make sure the water that is used to thaw 0 food doesn't drip onto other food or onfo food-
preparation counters.
Some food con be token right from the freezer to the grill, os long os " reaches the right internol temperolure to
prevent foodbome illness. For instance, hamburgers con be token out of the freezer and grilled. But fhey must be
cooked unfilthey reach on internal temperature of 160.F to be safe to eat.
U.. 0 microwave to thaw food, but only if you plan to cook" right away. Remove outside portions os food begins
to thaw. Microwaves con begin to cook the food during the thawing process. That's why you need fo go ahead and
finish cooking the food to prevent bacteria growth.
Fall 2001
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Fall 2001
Food Talk
Stay Clear of the Temperature
Danger Zone
Bacteria that causes food poisoning begins to grow when food is allowed to reach temperatures of 400F
to 1400F This is known as the temperature danger zone. If you're not careful, food ingredients can reach
that zone as they sit out on the counter while you prepare a dish. But there are simple steps you can take
to keep food cool and well below the danger zone during preparation:
. Prepare recipes in small batches, so that food won't be sitting out of the refrigerator long enough to
allow bacteria growth. Usually, this means working with an amount of food that can be prepared in 20
minutes or less.
. If you are interrupted while preparing food and have to stop working for a short time, put the food back
into the refrigerator until you can continue.
. Chill salad fixings before you begin your preparation work to keep them safe.
. Refrigerate canned goods, such as mayonnaise and chicken chunks, the day before
you plan to open the cans to make chicken salad or some other dish.
. Chill utensils, platters, and bowls that you will use to prepare food.
Giving Your Food Shipments
a Chilly Greeting
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When you receive food shipments, there ore 0 num-
ber of bosic refrigerotion guidelines you should follow to
keep the food from spoiling before you serve il. Here
are a number of questions and answers on safe food
deliveries.
Q. What should you look for when food is delivered?
A. Check cold food right oway for qualify and for its
internal temperature using 0 sanitized, calibrated
thermometer. Refuse foods at delivery that ore above
the following temperatures:
o Fish-41 OF.
o Shellfish-4 5 0 F
o Meat-41of
. Poultry-41 OF (It also should orrive in self-drain-
ing crushed ice.)
. Milk ond other dairy products--41 OF
. Cut melon-41OF
Also, the oir temperature of 0 truck delivering eggs
should be no more than 450F.
Q. How should food shipment deliveries be timed to
protect food?
A. Schedule deliveries when 0 restourant, grocery store,
deli, school cafeteria, or any other food establishment
is not ot its busiest. Schedule one delivery at 0 time.
This way you con check each product at the time of
delivery and refrigerate it promptly. Tog 011 foods
with the delivery dote and the use-by dote.
Q. What is the best temperature to store food?
A. It depends on what food you ore storing. A tempera-
ture that keeps fruits and vegetables fresh may not
be cold enough for fresh fish. Generally, by maintain-
ing air temperature os cold os possible without freez-
ing the food, the food will be protected and its shelf
life will be extended.
Q. What should the refrigerator be set on to keep food
safe?
A. A refrigerator's oir temperature must not exceed 20F
to keep food at the internal temperature of 41 OF.
Make sure the refrigerator ~tays at that temperature
by checking it with 0 calibrated thermometer at vari-
ous times throughout the day. Also, if you hong 0
thermometer in the warmest port of the refrigerator
to track the air temperature, you will be sure that the
food stays at 0 safe temperature.
Q. How con I keep the refrigerator cold?
A. Be careful not to overload the refrigerator with food.
Too many items con prevent the air from circulating
to keep the food nice and cold. Keep the inside of the
refrigerator cold by only opening the refrigerator os
needed. This will keep the cold air in and word off the
wormer air from outside.
FOOD TALK_
o
NEW HANOVER COUNlY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH DIVISION
2029 SOUTH 17TH STREET
WILMINGTON, NC 28401
NEW HANOVER COUNTY HEALTH DEPARTMENT
David Rice
Health Director
Health Department
Keep the Chill in Autumn Affairs
Whether catering an outdoor reception, serving meals at a sidewalk
cate, or hosting an autumn barbeque, you can follow these tips to keep
cold food safe.
. Cook food intended for an outdoor event way ahead of time so it can chill
in the refrigerator Take chilled food straight from the
refrigerator and put it into a cooler If fried chicken is
part of the fare, buy and chill the chicken or cook it yourself
and chill it before packing it in the cooler The cooler is not able
to chill foods that are not already cold.
. Pack dishes in the cooler in the order to be served. The last food
you plan to serve should be on the bottom and the first on the top.
Only take food out as needed.
. Carry food for a picnic or other outdoor event in an
insulated cooler with a cold, gel paltcor . so that the
temperature is no more than 400F F
boxes or fill plastic milk containers d
freeze. Fill the cooler to the top. A
keeps food cold longer Replace ice
. Make sure coolers stay cool by putting them in an
air-conditioned vehicle, and not in the trunk or luggage
carrier Make sure the cooler remains in the shade to
keep the food cold. Keep the lid on the cooler to pro-
tect the food from temperature fluctuation, insects,
birds, and animals.
. Separate foods into different coolers to
keep any harmful bacteria in one food item
from spreading to other items. Also, put drinks
in their own cooler A drink container is frequently
opened, which may allow other bacteria to grow on
perishable items stored with the drinks.
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