10/03/2001
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New Hanover County Health Department
Revenue and Expenditure Summary
August 2001
Cumulative: 16.66% Month 2 of 12
Revenues
Budgeted
Amount
Current Year
Revenue Balance
Earned Remalnin
'8I,~
26,876
93,936
94,441
Prior Year
Budgeted Revenue Balance
Amount Earned Rernalnln
%
%
$ 1,267,174
$ 439,108
$ 867,493
$
$
191 ,756 $ 1,059,090
76,075 $ 448,969
66,378 $ 850,522
$
312,900 $ 282,126
$ 92,840
$1,017189
Expenditures
ypeol
x enditure
Current Year
Expended Balance
Amount Remalnl
Prior Year
Budgeted Expended Balance
Amount Amount Remalnl
%
Budgeted
Amount
%
7,546,833
1 ,405,759
Summary
BUdgeted Actual %
FY 01-02 FY 01-02
Expendnures:
Salaries & Fringe $8,754,147 $1,207,314
Operating Expenses $1,548,683 $142,924
Capital Outlay $111,658 $32,731
Total Expendnures $10,414,488 $1,382,969 13.28%
Revenue: $4,464,459 $354,791 7.95%
Net County $$ $5,950,029 $1,028,175 1 .8% 1"3' ?-'5'"
Revenue and Expeuditure Summary
Fiscal Year 01
As of Augusty 31, 1001
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NEW HANOVER COUNTY HEALTH DEPARTMENT
BOARD OF HEALTH (BOH) APPROVED
H~lijj4I;l:~~Mld:'Q!iiilli4t/
Family Assessment Coordination- March
9/5/01 of Dimes
Folic Acid Pro'ect- March of Dimes
Safe Kids Coalition- State Fann"Good
Neighbor"
$16,500
$16,618
$16,500
$16,618
$500
~iidrt~i!Cl!l1i:ed/'HQ!iijlJ*t/
!)l!!!i..(l!lPI:lY:....,..,.........
8/1/01
6/6/01
4/4/01
Maternity Care Coordination Expansion Grant
-NC DHHS $15,000
Wilmington Housing Authority- Ross Grant -
TAP & Alternative HIV Test Sites for 3 year
funding $192,221
$192,221
$15,000
Sale Kids Trailer-Safe Kids Safe Communtties-
NC Governo~s Highwa Safe! $8,740
tOaf!lliiiiiBiI'fi!!l4MiWll@t."
Intensive Home Visitation Program
Ex anslon Grant - Smart Start
$8,480 $260
::,:':::::::.:,::,:,:,;
10/4/00
Cape Fear Memoriai Foundatlon-Lice
Eradication Pro ram
Healthy Carolinlans- Office of Healthy
Carolinians, Division of Public Health, North
Carolina De t of Health & Human Services
$10,000
$10,000
$5,000
$5,000
March of Dlmes- March of Dimes Birth Defects
Foundation Eastern Carolina Chapter
8/2/00
Smart Start applying for Cape Fear Memorial
Foundation Grant (MOW)
Enhanced Counseling Program- Z. Smith
Reynolds Foundation
Teen Aids Prevention- Z. Smith Reynolds
Foundation
$59,000
$59,000
$52,000
$50,000 $2,000
$48,000
$48,000
As of 9/26101
. NOTE: Notification received since last report.
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NEW HANOVER COUNTY HEALTH DEPARTMENT
BOARD OF HEALTH (BOH) APPROVED
P
$55,000
$10,000
{$l!'$i'.'i$n''''i11~:
19.94%
As of 9126101
. NOTE. Notiflcalion received since last report.
. A ~ ..I.. I.. .
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$35,000
$10,000
i~'~
33.36%
$2,800
$20,000
.J4!l"~"lt
46.70%
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WHO ARE WIC VENDORS?
A retaU grocer or pharmacy
autboriz.d by tb. Nortb Carolina
WIC Prognun to red..m WIC food
iDstruments.
CORPORATE STORES
. Food Lion
. CVS phannades
. Wbm DiDe
. Lowes Foods
. Harris Teeter
WaJ-MaJ1
Supercenter
HOW DOES A STORE
BECOME A WIC VENDOR?
. Complet. a Nortb Carolina V.ndor
Appll.ation
. Complete a Vendor Agreement
. Compl.te a WIC Pri.. Ust
. Att.nd training
. P..s a monitoring visit
. R...Iv. antborization from the Nortb
Carolina WIC Program
WHO ARE WIC VENDORS
IN NEW HANOVER
COUNTY?
36 Gro.....
12 Pbarmaet.s
INDEPENDENTLY OWNED
STORES
. Everybody's
Supermarket
. ]n and Out Food Mitt.
International B & B
RwseD's Quick Stop
Sam's Superette
TOlDs Drug Store
Seashore Drugs
Sunmart Supermarket
Fast Mart Grocery and
1><11
J.R. Mini Market
National Food Mkt
New York Mini Mkt.
The Sea Merchants
Vlllqe Stop and Shop
elUde Hayue PiggIy
Wiggley
HOW ARE VENDORS PAID?
WIC .b..ks are d.poslted In tb.
store'. bank auouDt. Payment is
re..Iv.d for tb. .urrent sb.lf price
of the food Items purcbased by tb.
WIC participant.
1
HOW DOES A STORE
MAINTAIN WIC VENDOR
STATUS?
. Sign a Dew agreement each year
. Submit an updated price list twice a year
. Attend aDDual training
MILK
o Total of 6 gallons
. Both whole and low fat/skim. mUk
o Wbole milk mnst be available In gallon
and balf gallons sizes
CEREAL
o Total of12 boxes
. 12 oz or larger size.
o Fonr types ofWIC approved .ereal
WHAT IS THE INVENTORY
REQUIREMENT FOR A
VENDOR?
CHEESE
o Total of 6 ponnds
. 8 or 16 oz size
o Two types ofWIC approved .b..se
EGGS
o Total of 6 dozen
. Large or extra large
o Grade A
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JUICE
. Botb 12 oz. frozeu aud 46 oz. tontalnen
. 10 containers of eacb size
. Orange juice available In botb sizes
. A se<ond flavor ofWIC approved jnlces
available in one size
INFANT FORMULA
. Total of 62 <ans
. 13 oz. concentrated size
. Any combination of Pro so bee and
Enfamil wllb lroD
TUNA
. Total of 4 cans
. 6-6 % or.. size
. Chunk light, water packed
DRIED BEANSIPEAS
OR
PEANUT BUTTER
. Total of 3 I-lb. bags of dried beans/peas
. Two types of dried beans/peas
. Total of318-oz. Jan ofpeannt butter
INFANT CEREAL
. Total of 6 boxes
. 8 01.. size
. Beechnut, Gerber, or Heinz
. Plain grain, no added frnlt
. Two types, one must be rice
CARROTS
. Total of two patkages
. 14.4-160z. size
. Raw, canned, or frozen
3
WHAT IS THE INVENTORY
REQUIREMENT FOR A
PHARMACY?
NONE
Special formulas must be available
upou reque.t by tbe WIC .taff
within 48 boun.
CAN A VENDOR BE
DISQUALIFED?
The Nortb CaroUna WIC Program
uses a Sanction System to address
vendor violations.
CATEGORY III
. Assessment of sandion points
. Fonnd dnrlng routine WIC monitoring
visits
. Stay on the vendor'. record for 1 year
. Vendor Is .nbject to a dl.qnallflcatlon
period after being as.e..ed 15 .anctloB
points
WHAT~THEROLEOFTHE
NEW HANOVER WIC
PROGRAM
. Accept applications and submit to the state
omce
. Provide tralnlng
. RevaDdate rejected food lnstnunents
. Conduct on..site monitoring visits
. Investigate the vaUdlty of payment for certain
food Instnunents
. Forward participant complaints about vendors
to the state office
. Investigate vendor complaints about Wle
partkipants
CATEGORY I AND II
. Most severe
. Category I earri.. a dlsqnallflcatlon
period from I year to permaneBt
. Category n earrie. a dl.quallfleatlon
period from I to 3 montb.
. Found during the coune of UDdercover
investigation. by tbe .tate WIC omce
WHAT DOES THE WIC
VENDOR PROGRAM MEAN
FOR NEW HANOVER
COUNTY?
. A metbod for over 30M women, Infants
and cbUdreB to pureba.. b.a1tby food.
and formnIa.
. A healthier commnnlty
. GeBerate. about 52 mllUon Into tbe local
retaU economy
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North Carolina Department of Health and Human Services
Division of Public Health, Women's and Children's Health Section
Nutrition Services Branch
Vendor Number - Use vendor slamp
N. C. WIC VENDOR APPLICATION
NOTE.
A. Complete the application either by typewriter or print in ink.
B. All applicant's signatures must be notarized.
C. Store manager to complete.
D. Return to local Wle agency
1 Slore Name:
Phone No.. (
Mailing Address:
City'
2. location (include street address, block #, and highway number):
State:
Zip:
County' City' State:
3. Type of Ownership: (check one) 0 Individual 0 Partnership 0 Corporation
If incorporated, Corporate Name:
Address of regional or corporate headquarters:
Zip:
e4
Name of Bank (where WIC vouchers will be deposited):
Mailing Address:
Phone No..
City'
State:
Zip:
5. Name of Store Person Responsible for WIC:
Title:
6. Store Sales Include: (check all that apply)
o Gasoline 0 BeerlWine 0 GrilllDeli 0 Bait and Tackle 0 Hardware 0 Household Products 0 Food Only
7 Amount of Store's Annual Food Sales: $
Total Annual Sales: $
(If not currently in operation, give projected sales)
8. Store Classification:
o large 0 Independent 0 Independent 0 Convenience 0 Pharmacy 0 WlC Only 0 Commissary
Chain Chain
9 Number of Scanning Devices:
10 Number of Scanners that Identify WIC Approved Foods:
11 Does this store now participate in the Food Stamp Program? 0 Pending 0 Yes, # _ _ _ _ _ _ _ 0 No
_2. Name of supplier(s) of dairy products:
13. Name of supplier(s) for other WIC approved foods:
OHHS 3282 (Revised 7101)
Nutrilion Services (Review 7102)
Page 1 of3
Routing: While Copy - Slale WIC Office Yellow Copy - Local WIC Office
Store Name:
~.
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Vendor No..
14. Business Hours
Sunday _ AM/PM - _ AM/PM
Monday _ AM/PM - _ AM/PM
Tuesday _ AM/PM - _ AM/PM
Wednesday _ AM/PM - _ AM/PM
Thursday _ AM/PM - _ AM/PM
Friday _ AM/PM - _ AM/PM
Saturday _ AM/PM - _ AM/PM
Mr
Mrs.
15. Name of Manager' Ms.
(Firs/)
(Middle)
(Last)
16. Manager's Social Security No..
17 Has the manager ever been convicted of a misdemeanor involving fraud, theft or misuse of state or federal funds, or
any felony? 0 Yes 0 No
If Yes, Explain:
18. How long has the owner(s) operated this business at the present site?
years
months
If not applicable, provide opening date:
19. Has the owner(s) operated this business under another name and/or at a different location? 0 Yes 0 No
If yes, name and location of former store:
e
20. Has the owner(s)/vendor site ever been disqualified, suspended, withdrawn, or fined by the WIC Program in North
Carolina or any other state? 0 Yes 0 No
If Yes, Explain:
21 Has the owner(s) ever been warned, fined, or suspended from the Food Stamp Program? 0 Yes 0 No
If Yes, Explain:
e
DHHS 3282 (Reviled 71(1)
Nutrition Services (Review 7102)
Page 2 of 3
Rouling: While Copy - Slale WIC Office Yellow Copy - Local W1C Office
. NOT SUBMIT THIS PAGE FOR STORES UNDER CORPORATE CONTRACT.
~~NERSHIP DATA (25% or more ownership) Store Name:
'orporate stores not under contract: If not owners, provide
formation on officers.) Vendor No..
Mr
Mrs.
Owner Name: Ms, Title (if not owner):
Residential Address:
~.. ,,'
City'
Home Telephone No..
State:
Zip:
Social Security No..
Has the owner ever been convicted of a misdemeanor involving fraud, theft or misuse of state or federal funds. 01 a:"
felony? DYes D No If Yes, Explain:
Percentage of business owned:
%
Does the owner own any other store(s)? DYes D No
If yes, please list name and location.
Mr
Mrs.
Owner Name: Ms.
Title (if not owner):
Residential Address:
City' State: Zip:
eome Telephone No. Social Security No..
Has the owner ever been convicted of a misdemeanor involving fraud, theft or misuse of state or federal funds, or any
felony? DYes D No If Yes, Explain:
Percentage of business owned:
%
Does the owner own any other store(s)? DYes D No
If yes, please list name and location.
Mr
Mrs.
Owner Name: Ms.
Residential Address:
Title (if not owner):
City'
Home Telephone No..
State:
Zip:
Social Security No..
Has the owner ever been convicted of a misdemeanor involving fraud, theft or misuse of state or federal funds, or any
felony? DYes D No If Yes, Explain:
Percentage of business owned: %
eoes the owner own any other store(s)? DYes D No
If yes, please list name and location.
DHHS 3282 (Rsvisejj 7101)
Nutrition ServiceslReview 7102)
Page 2a of 3
Routing: White Copy - State WIC Office Yellow Copy - Local WIC Office
'I
North Carolina Department of Health and Human Services
Division of Public Health. Women's and Children's Health Section
~
Wle-VENDOR AGREEMENT
a,iS agreement is between
~ the Women, Infants and Children (W1C) Program of the Vi hereinafter
referred to as the "Local Agency" and the State of North Carolina Department of Health and H man Services, Division of
Public Health, hereinafter referred to as the "State Agency. This agreement will become effective on July 1, 2001, and will
terminate on June 30, 2002.
day of NORTH CAROLINA DEPARTMENT OF
HEALTH AND HUMAN SERVICES
DIVISION OF PUBLIC HEALTH
WOMEN'S AND CHILDREN'S HEALTH SECTION
NUTRITION SERVICES BRANCH
1914 Mail Service Center
Raleigh, N.C. 27699-1914
The undersigned represents the State Agency and has the
authority to contract for and on behalf of said agency
AUTHORIZED WlC VENDOR STAMP
Signature of Owner or President
Date
(Prinl) Name of Owner or President
TiUe
Name of Vendor (Slore)
Mailing Address-Slreel, P.O. Box
City
State
Zip Code
(Area Code)
Telephone Number
worn to and subscribed before me this the
Notary Public
My commission expires:
STORE CLASSIFICATION (Check Box)
o 1. Large store chain
o 2. Independenl slore chain
o 3. Independenl store
o 4. Convenience store
o 5. Pharmacy
o 6. WlC only
o 7 Commissary
The undersigned represents the Local Agency and has the
authority to contract for and on behalf of said agency
Signature of Local Agency Authorized RepresentativeJDate
(Print) Name of Local Agency Authorized Represantative/Tltle
Name of Local Agency
Local Agency Number
Mailing Address-Street, P.O. Box
City
State
Zip Code
(Area Code)
Telephone Number
Director
TERMS OF VENDOR AGREEMENT
WITNESSETH:
This agreement Is pursuant to 15A NCAC 210.0100-1100
f. Enter in the "DATE REDEEMED- box the month, day and year the Wle food
instrument is accepted in consideration for the purchase of supplement food
items prior to obtaining the counter-signature.
g. Refuse acceptance of any food InstNment on which quantities, signatures or
dates have been altered.
h. Not redeem food instruments in whole or in part for cash. credit, unauthorized
food. or non.food items.
i. Clearly imprint the Authorized WlC Vendor Stamp In the .Pay the Authorized
WlC Vendor Stamped Here" box on the face of the food instrument
j. Clearly imprint the vendor's bank deposit stamp or the vendor's name,
address and bank account number in the "Authorized WlC Vendor Stamp.
box In the endorsement
k. Deposit WlC Program food instruments in the vendor's local bank within 60
days from the "DATE OF ISSUE" on the fOOCIlnstrumenl
I. Ensure that the Authorized WlC Vendor Stamp Is used only for the purpose
and in the manner authorized by this agreement and assume full responsibility
for the unauthorized use of the Authorized W1C Vendor Stamp.
m. Maintain secure storagefortheAuthorizedWlC VendorStampand Immediately
report loss of this stamp to the toeal egency.
n. Notify the local agency of misuse (attempted or actual) of the W1C Program
food instruments.
1. The Vendor Agrees to:
a. Process WlC program food Instruments in accordance with the terms of this
agreement, state and federal W1C Program rules. regulations and policies
and applicable law.
b. Accept wac Program food instruments in consideration for the purchase of
8upptemental food. Supplemental foods are those food items which satisfy the
requirements specified In 15A NCAC 21 D .0501. The food items, speclficatioos
and product identification are described in the WlC Vendor Manual.
c. Allow W1C participants to purchase with the food instrument the W1C
supplemental foods specified on the food instrument and charge only for
those provided; clearly complete the -PAY EXACTl V. box on the food
instrument prior to obtaining the counter.signature by the participant, parent,
guardian, proxy or compliance investigator.
Enter In the -PAY EXACTLY" box only the total amount of the current prices,
or less than the current prices. for the supplemental food items provided. Not
Charge or collect sales taxes for the supplemental food provided. Not charge
or collect tax on coupons used In conjunctiOn with W1C food instruments.
e. Accept W1C Program food instruments only on or between the -DATE OF
ISSUE- end the -PARTICIPANT MUST USE BY- date.
ed
DHHS 2768 (Revised 7/01)
Nutrition Services (Review 7/02)
Page 1 of3
Routing: VVhite Copy - State WlC Office Vellow - local Agency Green - Vendor Pink - Vendor (temporary)
o. Maintain minimum inventory or supplemental food items in the store for purchase.
The following ilems and sizes constitute the minimum inventory 01 supplementallood
Items for stores classified 1.4.
Foodltom Type of Inventory
MILK WhOle fluid: gal. and hall gal.
-800-
Skimllowfat fluid: gal. or half gal.
Nonlat dry; quart package
(maximum box size e qts.)
-or-
Ev~porated; 12 oz. can
CHEESE 2 varieties (8 or 16 oz. pkg.)
CEREALS 4 types
(minimum pkg. size 12 oz.)
EGGS Grade A. large or extra large:
white or brown: one dozen
size carton
JUICES Frozen: 11.5-12 oz. con1ainer
Single strength: 46 oz. container
Orange juice must be available
In frozen and single strength.
A second Ilavor must be
available in frozen or single
strength.
DRIED PEAS
& BEANS 2 varieties: one pound package
or PEANUT
alJITER Plain (smooth, crunchy or
whipped; no reduced lat):
18 oz. container
INFANT Beechnut, Gerber, Heinz
CEREAL Plain-no fruit; 2 cereal grains
(one must be rice): s.oz. box
INFANT Enfamil with iron and ProSobee
FORMULA 13-ounce concentrate
TUNA chunk light In water
6106.5 oz. can
CARROTS raw, frozen or canned
14.5 - 16 oz. size
Required Quantities
Total 016 gallons fluid mUk
Total 015 quarts when
reconstituted
5 cans
Total of 6 pounds
Total 0112 packages
6 dozen
10 containers
10 containers
:3 packages
3 containers
6 box combination
62 can combination
4 cans
2 packages/cans
For store classification 5. the following applies: supply special formula within 48 hours
of verbal request by local WIC agency staff. .
All vendors (classifications 1 through 5) agree to supply Enlamll With Iron, ProSobee
and Lactose-free In 32 oz. ready.lo-leed or powder upon request by the slate or local
agency.
p. Ensure that all supplemental food items In the store for purchase are within the
manufacturer's expirallon date.
q. Permit the purchase of supplemental food lIems without requiring other purchases.
r. Require the store manager or an authorized representative 10 attend annual vendor
training class on WIC procedures and regulations upon notification of class by the
local agency.
s. Inform and train vendor's employees in WIC procedures and regulations.
l. Be accountabSe for actions 01 vendor's employees In the processing of WlC food
instruments and provision 01 WlC supplemental food.
u. Allow reasonable monitoring ancllnspection of the store premises and procedUr'BS to
ensure compliance with this agreement and state and federal WIC Program rules.
regulations and policies. This includes, butshall not be limited to, allowance of access
to all WIC food instruments at the slore and vendor records pertinent 10 the purchase
of W1C supplemental food items; vendor records of aU deductions and exempUons
allowed by law or claimed in filing sales and use tax returns; .and vendor r~rds 01
all WIC supplemenl8ll00d items purchased by the vendor, Including 10V0ICeS and
copies of purchase orders.
v. Submit a current accurately completed WIC Price list to the local agency when
signing this agreement and by January 1 and July 1 of each year, and within one (1)
week 01 any written request by the state or local agency.
w. Reimburse the state agency wtthln thirty (30) days of written noUflcatkm for amounts
paid by the state agency on WIC Program food instruments processed by the vendOr
which did not satisfy the conditions 01 this Section 1 and lor amounts paid by the state
agency on WIC lood Inslrumenls as the result of the unauthorized use of the
Authorized WIC Vendor Stamp.
x. Not seek restitution lrom the participant. parent guan::ltan or proxy for relmbursements
paid by the vendor to the state agency or lor WlC loed instruments not paid by the
state agency and not contacl a particlpanl, parent, guardian or proxy outside the store
regardIng the redemption of WIG lood instruments.
y. Notify local agency and rerum the authorized WIC vendor stamp 10 the local agency
when the vendor ceases operations or the ownership changes.
z. Retum the Authorized WIC Vendor Stamp to the local agency upon terminaUon of this
agreement or dlsqualifiactlon from the WIG Program.
lB. Not be employed or have a spouse, child, or parent who is employed by the state WIC
program or the local WIC program serving the county In which the ven~r condu~ts
business. A vendor shall nol have an employee who handles, redeems. deposits,
stores or processes WIC fOOd instruments who is employed, or has a spouse, child,
DHHS 2768 (Revl~. 'd 7101)
Nulrlllon Service ~",vlew 71021
or parent who is employed by the state WIG program or the local WIC program
serving the county in which the vendor conducts business. For purposes 01 this
clause, the tenn "Vendor" means a sole proprietorship, partnership, corporation,
other legal entity, and any person who owns or contro!a more than a 10 percent
Interest In the partnership, corporation, or other legal endty.
lb. Offer WIC paniclpants the same counesies as offered to other customers Including
the acceptance of store and manufacturers' coupons. e
lb. The vendor shan comply with the noncUscrimfnation provisions of 7 CFR parts
tSa. and 15b.
I
...1
2. The local agency agrees to:
a. Provide at a minimum aMual vendor lralnlng ctasses on WlC procedures and
regulations.
b. Monitorthe vendor'spertormance underthlsagreement In a reasonabte manner,
to ensure compUance with lhe agreement, state and federal WlC Program rules,
regulations and policies, and applicable law. A minimum of 50% of an authortzed
vendors shall be monitored at least once each state contract year (Ju~une)
with every vendor monitored within a two-year period. Any vendor shall be
monitored within one (1) week of a written request by the state agency.
C. Provide vendors with the North Carolina WIC Vendor Manual, all Vendor Manual
amendments, blank WIC Price Lists, and the Authorized WIC Vendor Stamp
Indicated on the signature page of this agreement.
d. Assist the vendor with questions regarding the vendor's participation in the WIC
Program.
e. Keep records of the transactions belWeen the parties under this agreement
pursuant to 15A NCAC 210 .0206.
3. The state agency, upon compliance by the vendor with the conditions contalned in
Section 1. above, hereby agrees to make payment to the vendor for the "PAY
EXACTlY" amounts on the WlC Program food instruments. Payment will not be
made unless and until the conditlons in secUon 1. above have been met
No1withstanding the foregoing, n payment is made by the state agency and the
conditions in sectJon 1. abOve have not been satisfied, the state or local agency shall
notify the vendor of the payment In writing and the vendor shall reimburse the state
agency for the amount paid within thiny (30) days of the notification. ThIs shall be a
condition for continued participation as an Authorized WIC Vendor.
The state agency reserves the right to set offfulure payments to a vendor tf the above
noted reimbursement requested Is not made. Furthermore, the state or local agency
shall notify the vendor of any payment made as a result of the unauthorized use 01
the Authorized WIC Vendor Stamp.
Disqualification and Termination: .
1. The State agency may dlsqualily a vendor or Impose a civil money penalty In lieu of
disqualification for reasons of program abuse. The State agency does not have 10
provide the vendor with prior wamlng that violations were occun1ng before Impo_1
such sanctions.
2. The Slate agency shall peimanently disqualify a vendor convicted 01 traffick!
foocllnstrumentsorsellingllrearms,ammunlllons, explosives, orcontrolledsub6t8nc
[as defined In seclion 102 of the Controlled Substances Act (2tU,S.C. e02)] in
exchange lor lood instrumenls. A vendor shall not be enUtled to receive any
compensation for revenues lost as a resuh of such violation.
3. The State agency shaU disqualify a vendorfor the violations listed in Category I of the
Vendor Sanction System. However,lftheStateagencydeterminesthatdlsqualllication
at the vendor would result in inadequate participant access, the Stale agency shall
impose a civil money penally In lieu of disqualification for vloIations In Category 1 (B-
I). The State agency shall not Impose a cIvU money penalty in lieu of disqualification
lor third or subsequent sanctions for violations In Category I (8-1).
4. The State agency shall impose state sanctions as Ilsted In category II and III. State
agency sanctions may include disqualifications. civil money penallles assessed In
lieu of disqualifications, and fines. The total period of disqualification Imposed for
State agency violations investigated as pan of a single InvestlgaUon may not exceed
one year. A civiJ money penalty or fine shall not exceed '10.000 for each violation.
The total amount of civil money penalties Imposed lor violattons Investigated as part
of a singe investigations shaU not exceed $40,000_
5. The Slate agency shall disqUalify a vendor who has been disqualified from Ihe Food
Slamp Program. However, if the State agency determines that dlsqualiftcatlon of the
vendor would resuh In inadequale participant access, the Slate agency shan impose
a civil money penalty in lieu of WIC disqualification. .
6_ DlsqualiflC8tkm from the WlC Program may result in disqualification as a retailer In
the Food Stamp Program. Such disqualification may not be subject to administrative
or judldal raview under the Food Sta"1J Program. .
7 A vendor applicant shall not become authorized as a WIC vendor If the vendor srte
for which the applicant is applying has been disquaUlied from pal1icipatlon In the W1C
Program and the disqualification period has not expired. Change of ownetship,
ceasing vendor operations, withdrawal from lhe WIC program or nonrenewal of the
WIC Vendor Agreement shall not tenninate a disqualification peflod applicable to the
vendor site.
e. A vendOr who commits fraud or abuse 01 the Prognurt ls liable 10 prosecuUon under
appticable Federal, State. or local laws. Under 7 C.F.R. 246.23, those who have
willfully misapplied, sIoIen, or fraudulenUy obtained program lunds shall be subject
to a tine of no1 morethanS10,OOO orlmprisonmemfofl'lOtmoretllanftve yearsorboth,
If the value of the funds ls $100 or more. II the value Is less than $100, the penallies
are a line ot not more than $1000orlmprfsonmenl foroot more than one year or.
9. Either the Slate agency or the vendor may terminate this agreement for cause
providing 30 days advance written notice. This agreement may be terminal
mUlualagreementof both parties at anytime. Neltherlhe State agency nor the ven
has an obligation to renew the vendOr agreement. A change In ownership
automBtically tennlnafBs the agreement.
Psoe2013
,
Vendor Number - Use vendor stamp
~ Store
-eel Procedure
-The Vendor Appeal Procedure shall be In accordance with 15A NCAC 210 .0800. The vendor has the right to appeal a State agency decision pertaining to disqualification, denIal
of application to participate, or other adverse actions thai affed participation during the vendor agreement period; except that, expiration of an agreement with 8 vendor, disqualification
of a vendor 8S a result of disqualification from the Food Stamp Program, and the State agency's detenninatlon regarding participant acx:ess are not subject to review.
Name:
General Conditions
The Division of Public Health reserves the right to modify this agreement upon thirty (30) days notice in order to comply with any new federal or state WlC program laws, regulations.
rules and policies.
The Division of Public Health has determined this contrad to be a purchase ofgoods or services and is notsubject to G.S. 143-6.1 and thus an audit is not required forthls contract.
This agreement shall be performed in acoordancewith the provisions otTIlie VI of the Civil Rights Act of 1984, Section 504 of the Rehabltitation Act of 1973, and 'MC Program
laws, rules, regulaUons and policies. This is In Equal Opportunity Program. .
VENDOR SANCTION SYSTEM
Category I Violations
A. Vendors criminally convicted of trafficking in food instruments or selling firearms, ammunition, explosives, or controlled
substances In exchange for food instruments ...,..............,....................,.........,........,.....................,... ......,........,.........,..................,........
Permanent
B. Administrative finding of buying or selling food instruments for cash (trafficking) or selling firearms, ammunition, explosives,
or controlled substances In exchange for food instruments............................,................,.,........,...........,..................,............................,.,...6 years
C, Sale of alcohol or alcoholic beverages or tobacco products in exchange for food instruments...............................................................,.... 3 years
D. Claiming reimbursement for the sale of an amount of a specific supplemental food item which exceeds the store's documented
inventory for that supplemental food item ~or a specific period of time....................................,....,...............................................................3 years
E. Charging participants more for supplemental food than non-W1C customers or charging participants more than the current shelf
price or contract price ...,........,.,.,........,..........,.,.......,............................3 years
F Receiving, transacting, and/or redeeming food instruments outside of authorized channels, including the use of unauthorized
vendors and/or unauthorized persons
G. Charging for supplemental food not received by th. participant
H. Providing credit or non-food items, other than alcohol, alcoholic beverages, tobacco products, cash, firearms, ammunition,
explosives, or controlled substances in exchange for food instruments...........,........"........,.........,..,.....,....,.....,......,...,.,........,.................... 3 years
_ =~~:~~n~f ~~:~~hlf::::do~~e l~:: ii~s~~~:~~.~..~~~.~~.~~~.~~:~~~~,..i.~.~~~~~~~.~~~~~~~~.~~.~~~~~~~~~~~~,~~~~.,~~~~~~.~.~..i.~..,.. ....... ........,... 1 year
~ 2nd sanction, excluding sanctions for trafficking convictions & FSP DOs.................................................".,......................,......... Double Sanctions
K, 31d sanction, excluding sanctions for trafficking convictions & FSP OOs...,,,..................................,.,,,........,........,...................... Double Sanctions
& no CMP option
Disqualification from FSP Sam. as FSP DO
FSP = Food Stamp Program DOs = Disqualification CMP = Civil Mon.y P.natty
DIsqualification
3 years
3 years
e
Violations A-C require only a single occurrence to result in a disqualification. Violations 0-1 require a pattern of occurrences. Pattern Is defined as two
occurr.nces within a 12 month period for violations 0, E, F, G, and H. A patt.rn is d.fin.d as three occurr.nces within a 12 month period for violation.
CateQory II Violations
A. Failure to properly red.em s food instrum.nt by not compl.ting date and purchas. price on the food Instrum.nt
before obtaining the counter-signature or by accepting a food instrument prior to the "Oate of Issue" or after the
"Participant Must Use By" dat.s on the food instrum.nt................................................................................................... gO days/each occurrence
B. R.qulring cash purchases to red.em WlC food instrum.nt(s) .............................................. 60 days/each occurr.nce
C. Requiring the purchase of a specific brand when more than one WlC supplemental food brand is available 30 days/each occurrence
Category III Violations
Sanction points are assessed for the following violations:
A. 2.5 po/n'" for:
a. stocking WIC suppl.m.ntal foods outside of manufacture(s .xpiration date
B. 5 po/n'" for:
a, failure to attend annual vendor training
b. failure to submit WIC Price Ust by January 1 and July 1 of each year or within seven days of request by state or local agency
c. failure to stock minimum inventory
C. 7.5 poln'" for:
a. discrimination on the basis of WIC participation (separate WlC lines, d.nying trading stamps, .tc.)
b. contacting WIC participant, par.nt, guardian or proxy in an att.mptto recoup funds for food instrum.nt(s) or contacting them outside the
store regarding the redemption of food instrum.nts
o 15 points for:
a. failure to allow monitoring of a store by WIC staff when r.quired
b. failur. to provide WIC food instrument(s) for review when requested
c. failure to provide store invenlory records when requested by WlC staff
d. nonpaym.nt of a claim made by the Stat. agency
e. providing fals. information on vendor records (application, agr..m.nt, price list, WlC food Instrument(s), monitoring forms)
Sanction points remain on the vendor's record for one year or until disqualified as a result of those points. A vendor with 15 or more points shall be
disqualified, The formula to calculat.th. disqualification period is: the number of points of th. worst offense multiplied by 18 days. Eighteen days shall
be added to the disqualification for each point over 15 points.
DHHS 2768 (Revised 7/01)
Nutrition Service (Review 7/02)
Page 3 0'3
Routing: White Copy _ State we Office Yellow - local Agency Green - Vendor Pink - Vendor (temporary)
North Carolina Department of Health and Human Services
Division of Public Health
Women's and Children's Health Section
Nutrition Services Branch
Local Agency No. #-1
Name
WIC PRICE LIST
Vendor Number - Use vendor stamp
Please enter the current highest price for each ofthe following WIC-eligible foods: (Failure to submlUhis list as required can
result in the assessment of sanction points.)
REQUIRED FOODS
MILK whole
skim/lowfat
CHEESE
evaporated
nonfat dry (max. box size 8 qts.)
2 varieties - 8 or 16 oz. only
Not brand names
(Refertofood brochure)
(4 types are required.
~Iease list each cereal,
size [12 oz. minimum],
and the corresponding
price).
Refer to food brochure.
CEREALS
EGGS
JUICE
large or extra large
DRIED PEAS/BEANS
PEANUT BUTTER
INFANTCEREAL
INFANT FORMULA
smooth or crunchy
Beechnut, Gerber, Heinz
Enfamil with iron
ProSobee
chunk light, water packed
o Raw 0 Canned 0 Frozen
TUNA
CARROTS
SIZElTYPE
Yo gallon
gallon
Yo gallon
gallon
12 oz. can
_ qt. box
oz.
oz.
oz.
oz.
oz.
oz.
1 dozen
11.5/120z. frozen
46 oz. container
1 lb. bag
18 oz. container
8 oz. box
13 oz. concentrate
13 oz. concentrate
6 to 6.5 oz. cans
14.5 to 16 oz.
PRICE
$
e
As authorized representative of this store, I do hereby certify that the items listed on this form were available at the store
indicated and the prices entered were the current price on the day of ,
Store Name:
City/State/Zip:
Signature of Authorized Representative
Print Name of Authorized Representative
Street Address:
Phone No.
Title
DHHS 2766 (Revised 7/01)
Nutrition Services (Review 7/02)
e
Routing: While Copy - Slate WIC Office Yellow Copy - Local WIC Office Pink Copy - WIC Vendor
North Carolina Department of Health and Human Services
Division of Public Health. Women's and Children's Health Section
Nutrition Services Branch
O Un
Pre-Aulhvo o....cv . - p.~n! ~ ;':;:>1c-J..:l:
Dale d vst
e
VENDOR MONITORING REPORT
~M:..~
WlC Vendor Name
Vendor _-u.e~_
Program No.
WIC Program Name
I. FOOD INSTRUMENT REDEMPTION
Review a sample of food instruments present in the store for accuracy of completion. Were food instruments c;ompIeted
for-
Date redeemed
Pay exactly
Counter Signatures
Yes
o
o
o
None
No Available
B 0
o
Comments: (Include food instrument number for those
not redeemed properly)
II. INVENTORY OF WIC AUTHORIZED FOODS
Shortage Valid
(Number Expiration
Required Item Quantity and/or Dates Expired Foods, Dates
and Quantity. Tvpe(s). Size* in Stock Tvpe) Yes/No/C.. and Additional Comments
Fluid milk Whole "/znal.
6 gallons (both sizes \ nal.
lolal SkimILow Fat 'IIoal.
(one size) gal.
Evaporaled - 5 cans Evaooraled 12 oZ.
-OR-
Nonfat dry Nonfal _qts.
5 qts. reconstituted dry
Cheese: a or 16 oz. only oz.
6 Ibs. (2 varieties) oz.
Cereals oz.
4 types: oz.
12 packages oz.
(12 oz. min. size) oz.
Grade A
Eggs - 6 doz. Large or 1 dozen
Ex-large
Juices Oran e Juice 11.5/12. oz.
10 each of both sizes froz.
(2 flavors in 1 size; Oranae Juice 46 oz.
orange juice in both sizes container
Dried peas/beans
3 l-Ib. (2 varielies) lib.
-OR- Smooth
Peanut buller or
3 conlainers Crunchy laoz.
lmant cereal - Heinz,
Beechnul, Gerber Rice a-oz.
6 boxes (2 types) box
Infant Formula Enfamil with
A 52-can combine- Iron 13-oz.
tion of the 2 types ProSobee can
Chunk Lighl 6 to 6.5 oz.
Tuna - 4 cans Waler Packed cans
Raw, Frozen 14.510
Carrols - 2 pkgs.lcans or Canned 160z.
.See vendor manual for lisling of N.C. WlC-approved foods. ..Coded
Rouling: While Copy - Slale W1C Office Yellow Copy - Local W1C Office Pink Copy - W1C Vendor
Page 1 of2
OHHS2925(Revlsed7101)
NulritionServlceS(Revlew7KJ2)
VENDOR MONITORING REPORT (Continued)
III. VENDOR PROCEDURES
..
.~t:~ '
""
e':~\
W1C Vendor Name
Vendor Number
Monitor Reviewed: 0 cashier procedure for food instrument redemptions
o procedure for reporting problem participants and problem food instruments
IV. QUALITY OF SERVICE
1 Does the vendor permit participants to buy non-W1C food items with W1C food instruments?
DYes 0 No 0 Not Kn'own
2. Are the WIC participants treated with courtesy? 0 Yes
o No
o Not Known
3. Problems/complaints/comments expressed by vendor?
4. Vendor needs follow-up training.
DYes 0 No
If yes, date scheduled:
-----------------------------------------
V. MONITORING VISIT FINDINGS Complete Section A OR S.
A I verify that this store was monitored on this date. The findings in this report have been discussed by both
representatives signing this form.
/
/
Title
e
Authorized Vendor Representative
Title
W1C Monitor
Date:
------------------------------------------------------------------------------------------------------------------------------------
S. I, the Authorized Vendor/Representative, verify that this store was monitored on this elate and that the WIC Monitor
discussed the findings in this report with me prior to my signing. I understand that the WIC Monitor determined that this
store is not in compliance with certain W1C Program requirements; that this report serves as a warning regarding
compliance with those requirements; that, pursuant to 15A NCAC 21 D .0706(e)(3), a vendor who accumulates 15 or
more points shall be disqualified as a W1C vendor; thatthis store will be remonitored within two weeks; and that a finding
of noncompliance during remonitoring could result in this store being disqualified from the WlC Program. The following
is my plan and time frame to correct deficiencies:
/
Date:
Authorized Vendor Representative
Title
I, the WIC Monitor. verify that I monitored this store on this date; found it not to be in compliance as to certain WlC
Program requirements specified in this report; and explained to the Authorized Vendor/Representative the statemeA
contained in paragraph V.S. ofthis report. _
Date:
WlC Monitor
Title
Rouling: White Copy - Slate WIC Office Yellow Copy - Local WlC Office Pink Copy - WIC Vendor
DHHS2925(R8Yised7~1)
NuIl'itionServices(ReviBw7m)
Page 2 of2
-
e
e
~"li\I'
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Preferred Proarammino Acoroach
Compre/1enSlve to YIeld Long-Term Results
Intrapersonal - IndMdual decision making
Interpersonal-Influences of ft1ends, family, coworkers
Organlzatlonal- SOdaI envfronmen1s like work, raith,
sd'looI, dubs that are more structured
community -Influence of how Institutions retail! to one
anoll1er and get things done (ex: task Iilrces)
Policy -Iawsf ordlnances, polldes, In the public domain
and also pr1vall! business
PROGRAMMING OVERVIEW
Justlflcatlon'
New Hanover County continues to lead the state In
tratrk: crash rates and tratrk: Injury rares (NC D,O,T
Traftle Crash Fads, 2000 edl\lon)
Rationale'
Dlstradlon while drMng IS estimated to account for
20 to 30 pert:eI1t of trafllc crashes (NHTSA, 1996)
Anecdotal evidence suggests diStraction Is a
conSIderable cause of aashes In New Hanover
Coun
Comoonents To Date Continued
l>CoortlInation with Local Law Enrorcement
maintaining retat10nshlps with local police
departmen1s and sherlfl's department for
possibility of local enl'orcement I awareness
campaign
l>Data Gathering and Assessment
will gather as mudl data and Information as
possible CM!t' next several monltls to shed light
on exactly what IS causing crashes In our area
l>New Hanover sare Communities / SAFE KIDS Coallllon
coalition of many area organizations working to
prevent Injuries to our dtizens - key to success
-
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II
ComlXlnents To Date
l> P"",""llnser1s
will be done for county employees and will
make same mater1als available to other area
employers
l> Videos on NHC Television I constant Medla Contact
videos to run on NHC TV
conbnual contact with media maintained
through Interviews, PSA's, News Releases
l> 8111lx>ard Now Up on Carolina Beach Road
will remain until end of Nowmbe', re-usable,
storage ~-d1arge
Comoonents To Date Continued
)> DlillOf'Dlstractlon Tool KIt
produced by the NetwOI1< of Employers for
Traffic sarely (NETS), use of too! kit and
membeBhlp will be promol2d continually
>Tool KIt use In Driver Education dasses
video being used now at Ashley High School,
have also received InvItation to QUest speak
l>DlillOf' D/stradK>n Spec/fic Brochure
can be developed In-house and dlstrfbuted
widely
Safe Communities I SAFE KIDS Members
New Hanover Public HeaItf1 OepIrtment - Lead Agency
state Fann InsunInce NHHN - Trawna SeMces
American Red Cross Pllrents As TeKhers
COIISbIJ Ara Heafth EdUClltlon FuJI Pob!ntiaI of NHHN
Hurricane Cyd\ng Raa'Ig Oub NHC Sheftff's Department
NHC Rre Servfces WIlmington Police Departrnent:
W1lmlngtxln Rre Department W1lm Bityde Advbory Committee
Two \VheeIer Deater Chafn ReactIon Biqde Shop
YNlAY -1V3 Wtlm Health Access for Teens
N.C. Hlghwlly Patrol- Wilm N.C. D.M.V. - Wilm office
Wrightsvllle Beac:h P.O. Coastal Horizons
NHC hrtnershlp for ChIldren (Smart Start)
1
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e September 18, 2001
To: Personal Health CommittEe of the New Hanover County Board of Health
From: David Howard, Health Educator for Injury Prevention, New Hanover County Public Health Dept:.
Re: Driver Distraction Reduction Programming Update
_ 2000 D.O.T. Traffic Oash Facts shows New Hanover as oontinuing to lead the state in crash and Injury rates
Suspected causes Indude:
Total Oash Rate (crashes per 100 motor vehicle miles traveled)
Non Fatal Injury Oash Rate (non fatal Injuries per 100 MVMT)
Oash Injuries per 1000 populatiOn
speeding and/or reckless driving
unfamiliarity of local drivers with heavy traffic conditions
viSitors not familiar with area roads while in heavy traffic
poor traffic flow caused by rapid development / growth / policy
distraction / inattention of drivers while driving
driving under the influence of akxlhol and/or drugs
inexperienced drivers using poor judgment
SpecIf1cally, the rates are:
(based on 3 yr averages)
- BIllboard up on Carolina Beach Road
e
To remain until end of November, 2001
Re-usable, Lamar Outdoor Advertising will store free of charge and we can re-use In future
Inll!nt is to place a red "circle and bar" or 'X. over #1, and replace with #2, #3, etc. in future
- VIdeos can be aired on New Hanover County T.V. as soon as possible
Mark Bayer, county public information officer, has already been contacted
- Driver Distraction Tool Kit
one kit purchased from the Network of Employers for Traffic Safety (N.E. T.S.) for purpose of promoting N.E. T.S. and
the toolkit to area employers
notification of National Drive 5afeIy to Work Week and N.E. T.S. sent to area chamber of commerces and county
safety officer, no response to date from chambers, brief response from county safety officer
- Driver Distraction Brochure can be developed In-house and distributed
- Guest speaking at DrIver Education classes at county schools
one Invitation already at Ashley High School
- Payrolllnsert(s)
we Intend to place payroll Inserts for county employees soon and encourage other gOY'\: and private
employers to do the same
_ Coordinate with law enforcement and other members of New Hanover Safe Communities / SAFE KIDS Coalition
hope to do assessment of traffic crash infonnation with police dept's, this will help focus our work to
geographical areas and POPUlations most at risk of crashes seemingly caused by distraction or inatl:l!ntion
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Andre Mallette
09/28/2001 04'47 PM
(q~\~~~-t,CJ\. 8D-k
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To: Lynda SmithINHC@NHC Ps
cc: Betty Creech/NHC@NHC, Cathy MorganINHC@NHC, David E L....:
RiceINHC@NHC, Mark FrancolinilNHC@NHC, Shirley
L1oyd/NHC@NHC
Subject: Re: ADA nurse at Trask~
Allen approved this request today, September 28, 2001
Lynda Smith
,---,,-~-
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Lynda Smith
09/28/01 12:00 PM
To: Andre Mallette/NHC@NHC
cc: Cathy MorganINHC@NHC, Mark FrancolinilNHC@NHC, David E
RiceINHC@NHC, Betty CreechINHC@NHC, Shirley
L1oydINHC@NHC
Subject: ADA nurse at Trask
Cathy, (I am copying to you per your request due to difficulty with Andre's e.mail.) please make
certain Andre gets this request ASAP.
This request is for a Temporary 1/2 time nurse for the schools to begin immediately (Monday
Oct l.if we can get approval today). We can begin this temp position by paying with the lapsing
salary in School Health from vacant positions until we can get the request before the cty
Commissioners. We are requesting to put Michelle Massoun (see Betty's note below) in this
critical position since this is an emergency situation. Dr. All Lerch is working on a school health
budget increase which we will take to the County Commissioners on October 15, 2001, to
increase the budget and to keep this temporary at least until June 30, 2002.
..... Forwarded by Lynda Smith/NHC on 09/28/2001 11'49 AM .....
It
_Betty Creech
09/28/200111:45
AM
To: David E Rice/NHC@NHC
cc: Lynda Smith/NHC@NHC
Subject: ADA nurse at Trask
In response to Dr. AI Lerch's note below, I request permission to employ an additional half.time
nurse. This is a situation where the child's status becomes life threatening throughout the
school day. School staff cannot handle the child. We need this nurse immediately. We have a
nurse, Michelle Massoun, who we have been providing field experience for as she worked on her
BSN. She is willing to come as a temporary employee. The school system will be funding the
position. We actually have lapsed salary to cover almost 4 months. Dr Lerch has asked how
much more we need. I have given that information to his secretary. Will forward his written
verification of that as soon as received. I expect it today.
I don't know how to make this request more urgent, except to say that it is critical.
..... Forwarded by Betty Creech/NHC on 09/28/2001 11:26 AM ....
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..
"ALFRED H LERCH"
<alerch@nhc:s.k12.nc
.US>
09/28/2001 09:57
AM
./111 :)
; 1 ~ j ,:i
To: <Bcreech@nhcgov.com>
cc: 'ROBERT GRIMES' <RGRIMES@nhcs.kI2.nc.us>, "WILLIAM R
TRANT" <WTRANT@nhcs.kI2.nc.us>
Subject: ADA nurse at Trask
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Mr. Grimes has requested a full time nurse based on the medically fragile
needs of a child that attends Trask. Please make the appropriate changes to
allow a full time nurse to be at Trask to meet this obligation.
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Lynda Smith
10/02/2001 08:03
AM
To: Cindy HewettlNHC@NHC
cc:
Subject: PO to nurses
See below regarding SA for School Health. .1 have done and sent to budget.
... Forwarded by Lynda Smith/NHC on 10/02/2001 08:00 AM .....
'.... Betty Creech
~09128/2001 01:17
~PM
To: David E Rice/NHC@NHC
cc: Lynda SmithINHC@NHC, Kim RoaneINHC@NHC
Subject: PO to nurses
For your information. The budget break down should be temporary salary. $13,909 ; FICA.
$1,064; employee reimbursement/uniform $177 Thanks.
..... Forwarded by Betty CreechlNHC on 09/28/2001 12:53 PM .....
.
"ALFRED H LERCH"
<alerch@nhcs.k12.nc
.us>
e
09/28/2001 11 '40
AM
To: <Bcreech@nhcgov.com>
cc:
Subject: PO to nurses
We will increase our P.O. with you to reflect the $ll,950 increase by puting a
full time nurse at Trask.
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Animal Control Advisory Committee
ADoointment Rotations
Replacements will occur by rotation of the respective members in the following categories:
GroUD One
Member @ Large - general public (Jewell Ann Diehn)
Friends of Felines - group representative (Timmi Evans)
Kennel Operator - general public (restricted selection) (Sylvia Hall)
GroUD Two
Hanover Kennel Club - group representative (John Boozer)
Azalea Dog Training Club - group representative (Cheryl Fiste)
Cat Interest - general public (Jeannie Leonard)
GroUD Three
Member @ Large - general public (Donna Booth-Neal)
*Hunter - general public (restricted selection) (vacant since 1999)
Humane Society - group representative (Joyce Bradley)
Note: The veterinarian position on the committee is the veterinarian that serves on the Board of
e Health or their designee.
*The Advisory Committee is recommending a change in this category. The position has
been open for over a year, and no one knows anyone to fill it. New Hanover County has
grown in recent years, taking away viable hunting areas. The Committee felt it was in the
best interest of the group to replace the hunter position with a member-at-large slot.
Members in group one will come to the end of their term in December, 1999. Groups two and
three will be replaced in 2000 and 2001, respectively. Anyone currently in a position will serve
until their term expires. If they are serving in their fIrst three year term, they have the option of
serving another three year term before going off the committee.
These positions are subject to approval by the Board of Health. Group representatives are named
by appointment, and that named person is the only voting member of the committee. Another
person may be sent to the meetings in their stead for information to be distributed to the group
that they represent.
The selections were made to allow an opportunity for someone from the general public to apply
annually. There is as even a dispersement of group representatives as possible as well.
.
Revised 10101101 jpm
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STRA TEGle PLANNING PRIORITIES
September 25, 2001 Update
I. Access to health care
(Issues #7, 11 & 5)
-+ The New Hanover County Dental Program and the New Hanover County Department of
Aging sponsored "Senior Smile 2001" The New Hanover County Dental Staff provided Dental
Health Education and Oral Health Assessments for over 250 seniors at six nutrition sites during
July and August.
-+ Two public health nurses employed to provide nursing services in three new schools.
-+ Janet McCumbee, as chair of the Local Interagency Council For Special Needs Children -
Transition Subcommittee, helped organize a Transition Forum called "Next Steps"
Professionals who work with special needs children birth to 5, and parents of special needs
children attended this forum, held 9/6/01 The focus of "Next Steps" was to look at ways to make
transitions easier for children and families, as they work through the many services and
programs available for their children over the first 5 years of life.
-+
II. Preventive services & lifestyle-related risks
(Issues #12 & 15)
-+ The Women's Health Care Division received a grant from the NC Medical Society in the
amount of $25,050 for the purchase of supplies and educational materials for pregnant women
with diabetes. This grant addresses chronic disease, education related to lifestyle, diverse
populations (esp. Latino clients), and access to health care for those who would not be able to
access these services and supplies.
-+ Site visit to TAP presentation at Creekwood South Rec. Center by funding organization,
Cape Fear Memorial Foundation
-+ Tetanus Vaccine: Terrorism on America may have an impact on the availability of tetanus
vaccine, which is already in short supply
-+ American Academy of Pediatrics: Received a 3-year grant to provide breastfeeding
promotion in physician office practices.
-+
III. Communication, education & marketing (promotion)
(Issue #1 & 4 in part)
-+ General Staff Meeting: Scheduled for September 6 at 8: 15 am. The AHEC Information and
Continuing Education Booth will be present following the meeting.
-+ 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 multiple donations and pledges. New Hanover Health
Network will provide food for the reception.
-+ In celebration of National Food Safety Education Month - September 2001, staff created a
bulletin board on the importance of handwashing for the general clinic waiting room and a food
safety display for the airport.
-+ Alicia Pickett was a presenter at a Child Advocacy sponsored educational session for
childcare facility workers on August 16, 2001 She discussed food safety and hygiene practices
utilizing the black light to demonstrate proper handwashing. Utilizing a similar theme, she will
present to another group of childcare facility workers at a Smart Start sponsored event during
the latter part of September
-+ A survey was sent to area veterinarians to seek input from them regarding general
operational procedures at ACS. The data will be compiled by the MAPH group to be used in
providing needed information for their business plan.
1
.\.
"
~ J
-+ ACS clerical staff (original idea by Hazel Hewitt) sent invitations to veterinary hospital
representatives to come to our first annual Public Health Conference. Staff has targeted
October for the meeting based on number of responses. It will cover ACS procedures and
responsibilities and serve to bridge the gap between the community and ACS.
-+ Mark Boyer rode with Officer Jimmy Price to get film footage and photos to complete the
ACS s'pot for NHC-TV
-+ September marks the beginning for ACS' yearly Paws to Recycle campaign. Aluminum
cans are collected over a period of three months, and the shelter is entered in a drawing for a
potentially large cash prize.
-+ Jean McNeil completed a series of questions for a shelter representative in EI Segundo, CA,
pertaining to the NHC tethering ordinance. They will attempt to place an anti-tethering law into
effect in the near future.
-+ TB grant funded video made using individuals receiving services from TB program and TB
staff to convey importance of taking TB medicines. To be shown to individuals starting on TB
medicines for treatment and latent infection (preventive therapy).
-+ Television interview on availability of flu and tetanus vaccines. Having same video produced
in Spanish.
-+ WAAV Radio: It was decided to continue NHCHD participation. Concerns regarding the 'no
show' rate were discussed.
-+ HIV Testing & Counseling: Vivian Mears and Courtney Wilson conducted a training session
for CDD, WHC, and Coastal Horizons. 22 participants were trained.
-+ Forum: The Interagency Council for Special Needs Children sponsored a forum on
September 6. 44 parents and professionals attended it. Speakers focused on communication
between parents and professionals to ensure smooth transitions among services and programs
for special needs children.
-+ Annual Report: The first draft of the FY2000-01 Annual Report should be received this
week.
-+ Newspaper Article: On Mother-Friendly Businesses appeared in the Wilmington Star News
on September 18.
-+ NCPHA Award: NCPHA Women's and Children's Health Section presented the Women's
Health Team Award to the New Hanover County Health Department - Women's Preventive
Health Team. Congratulations!
-+
IV. Facility utilization & Information technology
(Issues #6 & 4 in part)
-+ The Management Academy of Public Health experienced their first animal control team with
a group that attended last month. The accepted business plan will focus on building an on-site
spay/neuter facility with attached play area.
-+ Property Management staff worked diligently to complete installation of the generator
transfer switch at the ACS shelter They hope to finish the project before a seasonal hurricane
sweeps our coast.
-+ Wrightsboro Volunteer Fire Department secured plans and information about the ACS
shelter to assist them as a resource in the event of an emergency at the facility
-+ Proceeding with bar-coding project for medical records
-+ MICR Printing: W1C has changed to MICR printing for WIC vouchers on September 18. It is
faster, quieter, looks more like a check. Pilot counties reported that W1C participants are more
comfortable using the new voucher at the store.
-+ County Auction: Deadline to submit items are October 12.
-+ Computer Viruses: Are on the rise. We currently have 12 computers that have been
infected with various viruses. Cindy Hewett will send out an email to staff with further
information.
-+ Host-on-Demand: wrc is accessing HSIS via Host-on-Demand.
-+
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. (
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V. Water quality, storm water management & drainage; & Air
quality (Issues #3 & 8)
-+ Jail Construction Site: Environmental Health made a field visit to the jail construction site on
August 30. Representatives from NCDHHS, Division of Public Health accompanied NHC and
NHCHD staff. Environmental Health Staff demonstrated the use of Geographic Information
System (GIS) software with a map showing drinking water wells within a 1-mile and a 1/2-mile
radius of the site.
-+ Mosquito Abatement: EHS began the Snow's Cut project last week. Completed this on
September 21
-+
VI. Emerging health risks
(Issue #13)
-+ West Nile Virus: A blue jay tested positive in Cabarrus County, NC. EHS - Vector Control
continues to submit suspect birds for WNV sampling.
-+
VII. Population growth & diversity
(Issue #2)
-+
VIII. Discontinued services picked up by Health Department
(Issue #9)
-+
IX. Staff Development & continuing education
(Issue # 14)
-+ Performance Appraisals: Schedule of appraisals for Division Directors, Administrative
Support Manager, and Business Officer for FY 2001-02,2002-03, and 2003-04 has been
finalized by the Health Director and Assistant Health Director
-+ ACS staff met with Sergeant Nester of Wilmington PD to receive training on use of the
Motorola hand-held radios. Staff has made changes in the radio 10 code signals to be more in
line with other law enforcement agencies.
-+ Mike Winebar trained ACS staff regarding fire safety techniques.
-+ Laboratory Staff continues to participate in the special Lunch and Learns provided by the
UNC School of Public Health. The program in August was on Viral Foodborne illness.
-+ Training for staff to comply with OSHA standards and protect employees from occupational
hazards.
-+ NCPHA, NCALHD, Legal Conference: Health Director reported on the North Carolina
Public Health Association Meeting, the North Carolina Association of Local Health Directors
Meeting, and the Institute of Government's Health Director's 2001 Legal Conference.
-+ Centralized Intern Training: Ken Sholar is attending two-weeks training to obtain NC DENR
authorization.
-+ Training: NHC Human Resources has agreed to provide performance appraisal training to
Health Department Supervisors/Employees. October 1, 2001 is the date for the Supervisors
training. Employees training date to be determined.
-+ EPI Lunch & Learn: Scheduled for September 27,12 - 1 pm. October 25 will begin a series
on bioterrorism, taught by Dr Robin Ryder Grand Rounds is scheduled for 2 pm, September 28
at Coastal AHEC.
-+
X. Evaluation of services
(Issue #16)
-+ Super Staff Award: NHCHD Staff will be asked to vote to continue or discontinue the Super
3
A
t "..... . ,.~ ,
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.,
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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.
.. Nursing Clinic: Community Health has placed the Castle Hayne Nursing Clinic on hold due
to staffing shortage. This clinic was held on the first Thursday of each month.
.. The loss of three officer positions at ACS caused staff to decrease availability of ACO's for
general fieldwork. They had schedules that accommodated most evening and weekend needs,
but these have had to be eliminated to meet the needs of the community during regular working
hours.
.. ACS staff determined the need to increase the number of hearings appeals due to the
surplus of cases presented on the docket. The cases are increasing in difficulty as more and
more people are coming into the appeals with diverse complaints.
.. The new ACS address became official on September 1, 2001 The change is from 220
Division Drive to 180 Division Drive (physical location remains the same!).
.. Bi-annual customer satisfaction survey conducted first two weeks in September for
everyone receiving CDD services
.. Super Staff Award: A team (Susan O'Brien, Jean McNeil and Elisabeth Constandy) will
review and make recommendations to the Management Team regarding the suggestions made
by staff to improve the Super Staff Award process. The Super Staff parking space has been
identified and a sign placed close to the Auditorium entrance.
.. AEIOU' The AEIOU Team met on September 17 The three committees reported on
activities to improve our organizational capacity The teams are: Community Health
Assessment, Access to Care, and Public Policies/Health Priorities. Minutes will be emailed to
Staff.
.. Patient Confidentiality. The brochure "Patient Confidentiality' It's Everybody' Job, Not
Everybody's Business" was given to the Management Team.
.. Awards: Latino Achievement Award nominations for individuals and agencies that have
impacted the Latino community will be accepted through October 10. Cape Fear Youth
Leadership Award nominations will be accepted through September 24 Division Directors have
applications.
.. Policies: The Management Team will discuss two policies on October 2, Incident Report
and Interpreter Draft copies have been distributed to the Management Team.
.. Monthly Report: Beth Jones, Cindy Hewett, and Frances DeVane are preparing draft
revisions of the monthly report format.
.. Health Promotion Funding: Received notice that NHCHD will be reduced by approximately
$13,000 in State funding.
.. CPT Billing: Pre-July CPT billing is still outstanding. Waiting to hear from State for further
guidance.
.. Super Staff Award: Susan O'Brien, Jean McNeil, and Elisabeth Constandy will present their
recommendations to the Management Team on October 2.
..
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David E Rice
09/19/01 11:41 AM
To: bgreer@co.new.hanover.nc.us. gelajim@hotmail.com,
wojewell@aol.com, linkrx@aol.com, annerowe@bellsouth.net,
ppsmithsr@aol.com. wsteuer541@aol.com,
han kestep@isaac.net, 02seedoc@bellsouth.net
cc:
Subject: Fw: United letter opposing H1060 Amendment
for your information.
Forwarded by David E Rice/NHC on 09/19/01 11:40 AM .....
. "Deborah Rowe"
',' " <ncphal@mlndsprin
. g.com>
09/19/0111:13 AM
To: 'Leah Devlin' <Leah.Devlin@ncmail.net>
cc:
Subject: Fw: United letter opposing H1060 Amendment
----- Original Message -----
From: Deborah Rowe
To: Dr. Stephen Keener; Chris Hoke; Carmine Rocco; Rachel Stevens; Barbara Ann Hughes;
Lee K. Allen; Susan Adams; Terry Lawler
Sent: Wednesday, September 19, 200111:12 AM
Subject: United letter opposing HI060 Amendment
I have included in the text of this message the letter that haS been jointly signed by the members of the
pUblic health family of NC. This letter will be canied to the General Assembly today after receiVing
appropriate signatures and provided to all members of the Senate Agriculture, Environment and Natural
Resources Committee. If you have a legislator that is on that committee, please pick up the phone and
cali himlher today before the committee meets again tomolTC7N morning. It is possible that the
committee will meet early tomorrow, so today will be the day to get to them before the vote. carmine
and Wayne forwarded you the members and their phone numbers last week.
I'm Including this as text to the message in lieu of an attachment due to the nasty virus that is going
around and attacking many county computer systems. Be careful of the virus. It has shut down some
pretty sophisticated systems.
deb
PS the original letter is printed on ANCBH letterhead as we felt that ANCBH should be the leading
association in this effort
september 19, 2001
<?xml:namespace prefix = 0 ns = "um:schemas-microsoft-com:office:office" />
The Honorable Charles W Albertson
North carolina General assembly
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525 Legislative Office Building
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Raleigh, NC 27601-2608
Dear Senator Albertson:
As the united voice of public health in North carolina, the Association of North carolina Boards of
Health, the North carolina Association of Local Health Directors, the Division of Public Health and the
North carolina Public Health Association respectfully oppose the proposed amendment, "Appointment of
Local Health Directors", on House Bill 1060. We commend your commitment to the citizens you
represent in addressing their concems and we aoknowledge that these citizens have expressed concems
with issues relating to the county health department.
For most of the other one hundred counties in the state, however, the current law pertinent to
govemance issues works extremely well. As you know, current law requires the local board of health to
consult with appropriate board or boards of county commissioners in the appointment of a local health
director, which allows a mechanism for commissioners to express disagreement with a proposed
appointment. The board of county commissioners appoints the local board of health and one member of
the board of health with full voting privileges is a county commissioner. The county commissioners in
each county already have the authority to dismiss a member of the board of health for cause if they are
dissatisfied with the board's performance, which would include the evaluation or hiring of a local health
director Board of Health members have health and other related expertise to best serve their county's
public health needs, which includes evaluating the quaiities needed in a health director to address their
specific issues/needs.
e
We would like to offer our resources to assist you in addressing your local concems. We commit to you
our participation in and representation on an independent team to review the issues that are of concem
and to make recommendations In the resolution of these issues. We pledge to work with the local Board
of County Commissioners, Board of Health, health director, program staff and citizens to build consensus
in addressing the local concems in lieu of broad, sweeping legislation that will affect other counties who
have no issue with the current law.
We urge you to consider our proposal for an independent review and resolution before changing state
law. We all share a common mission, which Is to protect the public's health. We would be honored to
work with you and your citizens to ensure that this mission is fulfilled.
Sincenely ,
Rachel Stevens, President
ANCBH
Tim Green, President
NC Association of Local Health Directors
Stephen Keener, M.D., President
NCPHA
Leah Devlin, DDS, Acting State Health Director
DHHS Division of Public Health
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,
.
"
David E Rice
09/21/01 02:40 PM
To: NHC Board of Health,
cc:
cc:
Subject: GOOD NEWS ON H1060!!!!
For your information.
..... Forwarded by David E Rice/NHC on 09/21/01 02:40 PM .....
. "Deborah Rowe"
. . . <nc:phal@mlndsprin
g.com>
09/21/01 10:52 AM
To: 'Tim Green' <tim.green@alamance.nc.com>
cc:
Subject: GOOD NEWS ON H1060!!!!
We have been successful in derailing this bill this session. We have been advised by Senator
Albertson's office he is planning to put this issue into a Study Bill which means NO SUBSTANTIVE
CHANGE IN THE LAW THIS SESSION I As you know, study bills are taken up beI\-reen sessions. We
will be viligent in our watch for this issue.
Though the news today is good, please be advised that this is about the 4th change in this bill this week
and we were not advised in advance of any of the changes. We will all be at the committee meeting on
Tuesday morning to ascertain that he is truly putting this bill into a Study Committee. We will advise you
as soon as the meeting is concluded as to the disposition of this bill. If we need to react quickly, please
be ready. Hopefully, the need will not arise.
As always, your support, patience and cooperation is very much appreciated. Unfortuantely, things
move so quickly in the legislature, especially in the last weeks, we can't have everyone here to provide
timely feedback. We do appreciate your trust and want to acknaweldge the efforts of Wayne Raynor,
Carmine Rocco, Barbara Ann Hughes, Glenn Wells and espcially Chris Hoke. Chris has been our point
person for negotiation and we truly appreciate his efforts on our behalf.
Have a gopd weekend.
deb
< 'I' '1 ,,'
1\.\
1
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David E Rice
09/25/01 07'44 AM
To: Health_DivisionDirectors, NHCBH
cc:
cc:
Subject: Fw: Commissioners seek more control over Health Department.
JACKSONVILLE
This newspaper article sheds some light on HB1060 and Onslow County
Forwarded by David E Rice/NHC on 09/25/01 07'44 AM .....
. "Deborah Rowe"
..... . <ncphal@mlndsprin
g.com>
09/24/0109:08 AM
To: 'George O'Daniel' <George_O'Daniel@co.onslow.nc.us>
cc:
Subject: Fw: Commissioners seek more control over Health Department.
JACKSONVILLE
George:
With this type of publicity in your newspaper yesterday, we really need to be vigilent re: H1060. If you
hear anything, please pass along. We will keep our ears open as well. The senator has a track record of
pulling late minute surprises.
deb
----- Original Message -----
From: Paula Wolf
To: wolf@covenant.gI2.com
Sent: Sunday, September 23, 20011:49 PM
Subject: Commissioners seek more control over Health Department - JACKSONVILLE
SUNDAY, SEPTEMBER 23, 2001
legislators taking UP locallssue
Commissioners seek more control over Health Department
BY WILUAM DAVIS
JACKSONVILLE DAILY NEWS STAFF
The ongoing problems with the Onslow County Health Department have reached the state legislature, where a
measure was introduced to give county commissioners more power in the choice of a health director.
A bill introduced in the N.C. House would give the Onslow County Board of Commissioners the final say on over
the county health board's choice to head the department, said Sen. Cbarles Albertson. Currently, the
commissioners have the power to name only members of the health board, who then select a director.
The bill was proposed after the commissioners and several Onslow County citizens asked local legislators to
increase the county's authority over the health board Originally, the county's Aug. 21 resolution asked the state to
give it the power to dissolve the health board - along with the boards of social services and mental health -- and
create a consolidated board. Current law gives that authority only to counties with more than 425,000 people -
essentially Wake and Mecklenburg counties.
Albertson said some lawmakers had issues with the original bill and it was reworked.
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"We're trying to find a bill that would be more palatable to the members," he said.
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Since tbe new group of commissioners carne into office in December, the issue tbey have dealt with most is sewer
and septic systems, said Commissioner Joe McLaughlin.
Commissioner Jack Bright said he supported the resolution to change the law after receiving numerous citizen
complaints. The commissioners need more control of the healtb department, Bright said, but he is not certain tbe
bill will help.
"I don't know if it will have enough teetb to accomplish what we need to accomplish," he said.
The attempt to change the law comes as a surprise to Health Director George O'Daniel. Before the resolution, he
did not know the commissioners had problems with his department, he said. "I didn't know we were at odds."
O'Daniel said he is willing to meet with any of the commissioners to discuss tbeir concerns and complaints they
have received.
"I feel as though the health department has made strides in the right direction," he said.
A number of people have complained about "a lack of respect" from certain employees, County Manager Ron
Lewis said. When a complaint is made about a county agency, the commissioners are held accountable, Lewis said.
But under current laws, tbey have only limited power over many agencies.
With the health board, Lewis said, the commissioners can only change the budget or appoint new members when
terms expire.
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"It's not just something tbat has happened in the last couple of days. Two previous boards had significant issues,"
Lewis said.
Among those complaining are former county commissioners Herschel Brown and Randolph Thomas and
Swansboro town commissioner Robert Fisher. The three said they have been wronged by tbe department and know
of others with similar complaints.
The three prompted the previous board of commissioners to hold a public hearing about the health department. At
the November hearing, dozens of residents voiced complaints, mainly about the environmental health section.
Brown and others cite the case of Robert Willis of Jacksonville as an example. Willis said an official from tbe
.environmental health section forced him to install a $10,000 abovo-ground septic system in 1996, even tbough his
neighborhood was just montbs away from being annexed by Jacksonville. Annexation would have let Willis hook
ito the city sewer system. When he objected, he said, tbe official threatened that he would condemn the house.
The health department's decision violated state guidelines, Willis said. "I get ill every time I tbink about it."
William Davis can be contacted at wdavis@jdnews.com or 353-1171, Ext. 239.
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September 2001 New Hanover County Health Department
CDC
Alert
The Centers for Disease
Control (CDC) has is-
sued an alert to all state and
local health departments, in
the wake of the events of
September 11, 2001, to be
alert for any unusual disease
patterns associated with
these terrorist events. This
includes chemical and bio-
logical agents.
If health care professionals
require any assistance or
become aware of any un-
usual occurrence, please
contact the iocai health de-
partment 24-hour report-
able line at 343-6682, the
24-hour CDC emergency
number at (770) 488-7100,
or the CDC via e-mail at
healthalert@cdc.gov.
Thank you for your assis-
tance in this critically impor-
tant process.
Food- .
borne
Illness ~
Salmonella and Shigella
remain present in New
Hanover County, including
recently, a few cases of a
Salmonella strain not seen
previously, Salmonella en-
teritidis.
Health Department staff col-
lects food histories on all
cases that can be contacted.
This, however, may be sev-
eral days after the onset of
illness given the time in-
volved in obtaining the cul-
ture report and contacting the
patient. The time lapse
makes recollection difficult.
In identifying a possible com-
mon source for a new strain,
this effort becomes more im-
portant.
Health care providers who
suspect Salmonella when
seeing a patient with diar-
rheal illness can facilitate a
difficult process by asking the
patient or parent to develop a
food diary for the past 12-72
hours.
Immunization
Vaccine )~
Update II( ~
Three influenza vaccine
manufacturers have pre-
dicted that the overall num-
ber of influenza vaccine
doses produced, about 79
million doses, will be greater
for the 2001-02 season than
in past years.
Only about 60% of the pro-
jected total will be distrib-
uted by the end of October-
-the prime time for vaccina-
tions. The difference will
be made up in production
and distribution of more
than 31 million doses in
November and December.
The Assistant Surgeon Gen-
eral and Director of the Na-
tionallmmunization Program,
Walter B. Orenstein, MD, has
developed a plan and en-
courages its use with the ob-
jective of minimizing the ad-
verse effects of a delayed
influenza vaccine.
Plan Guidelines
1) Target the use ofvac-
cine available early in the
season to those with In-
creased risk of complica-
tions from influenza-the
elderly, those with chronic
cardiac and pulmonary dis-
eases, and the immunosup-
pressed.
2) Distribute a portion of
vaccine early to all provid-
ers since all providers will
have some high-risk patients.
(Continued)
CONTENTS
WNV Update.................2
Flies..............................2
Statistics ......................2
3) Defer vaccination of
low-risk persons unUI No-
vember when vaccine sup-
plies should increase.
4) Extend the optimal time
for vaccination through the
end of November and en-
courage vaccination through
December and later-as long
as vaccine is available.
Vaccine Needs
All anticipated vaccine to be
produced has been obligated
early If ordere have been
overestimated or ordered
from more than one manu-
facturer, health care pro-
viders ars encouraged to
reassess needs to facilitate
distribution to all who at-
tend high-risk patients.
West Nile
Virus .
Update
West Nile Virus contin-
ues to cause disease
in states along the East
Coast. As of September 10,
2001, fifteen cases of West
Nile Virus have been re-
ported in humans.
Numerous other case reports
in birds have occurred, in-
cluding reports from Canada
and the first confirmed case
this year in a blue jay in
Cabarrus County, North
Carolina. Health care pro-
viders should continue to
encourage their patients to
use protective clothing and
Insect repellant to prevent
mosquito bites.
.
REPORTED HUMAN
WNV CASES
. Florida (4)
. New York (4)
. Connecticut (3)
. Maryland (2)
. Georgia (1), fatal
. New Jersey (1)
~
Those
Nasty
Houseflies
Researchers have
found that In addi-
tion to being Just down-
right pesky, houseflies
carry bacteria linked to
meningitis and other seri-
ous illnesses. This is the
first time the bacteria
Acinetobacter baumanni
has been identified in flies.
Orkin Pest Control funded
the research.
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Communicable Disease Statistics
New Hanover County
July 1, 2001 - August 31,2001
AIDS ............................ 5
Campylocater ............. 6
Chlamydia................. 70
E.Coli 0157:H7 ............ 0
Gonorrhea................. 56
Hepatitis A.................. 1
Hepatitis B (acute) ..... 1
Hepatitis B (carrier).... 4
Hepatitis C (acute) ..... 0
HIV Infection ..................... 8
Lyme Disease................... 0
Pertussis........................... 0
Rky. Ml Spotted Fever....O
Salmonellosis................. 25
Shigellosis ........................ 3
Strep. Group A Invasive..1
Syphilis ............................. 2
Tuberculosis ....................1
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.
BenEvents
New Hanover County Employees
Fall Blood Drive
Location
Cape Fear Museum
814 Market Street
Tuesday, October 2, 200110AM - 3PM
Call Libby Johnson for an appointment
at the blood drive location
@ 341-7178 ext.7311
Or
between September 17th - October 19th
schedule an appointment at the
Americall Red Cross Center
@ 762-5540 or 762-2683
.
EMPLOYEES WHO DONATE WILL RECEIVE
4 HOURS COMPENSATORY LEA VB
Donor Form on reverse
.....
BLOOD DRIVE DONOR FORM
To receive compensatory leave credit, you must (1) donate at the Red CI'088 Center between the dates of
Monday, September 17th, and Friday, October 19th, 2001, or at the Blood Drive on Tueeday, October 2nd,
2001. (2) Complete this form and retum to the Department of Human Resources.
INSTRUCTIONS
1. Complete Section 1.
2. Have a Red Cross representative authorize the donation or deferral in Section 2.
3. Take this completed form back with you and SUBMIT IT DIRECTLY TO THE HUMAN RESOURCES
DEPARTMENT Please DO NOT attach your completed donor form to your time sheet. The Human
Resources Department will add four (4) hours of blood time to your blood account.
4. If your classification is other than "employee", leave your completed form with a Red Cross representetive. It
will be forwarded to the Human Resources Department for credit to the department of your choice.
5. When you are ready to USE your leave, record it on your time sheet as BLUbu.
Name of donor:
SSN#:
Donation site:
Donor status:
SECTION 1 (TO BE COMPLETED BY DONOR)
Date of donation:
County department to receive credit:
D BLOOD DRIVE LOCATION D RED CROSS CENTER
D EMPLOYEE D BOARD MEMBER 0 RETIREElSPOUSElOTHER
SECTION 2 (TO BE COMPLETED BY RED CROSS REPRESENTATIVE)
RESULTS: D SUCCESSFUL DONOR (donor was assigned collection bag)
D DEFERRAL (deferred prior to receiving collection bag)
Verified by: , American Red Cross Representative
SECTION 3 (TO BE COMPLETED BY HUMAN RESOURCES/FINANCE)
D Four (4) hours added to BLUD (blood) account (date).
Keyed by:
DONATION SITE INFO
Red Cross Center
11025.16111 Street
September 1"'" - October 19111, 2001
Call 762-6540 or 762-2683 for appointment
Mon.12-6pm Wed.12-6pm Fri.8am-1pm
New Hanover County Health Department
20295.17111 Street
Tuesday, October 2, 2001
Call Libby Johnson at 341-7178
ext. 7311 for an appointment
-
.
C DEADLY
DISTRACTIONS
Tips for keeping your mind on the road.
Count on Shell-
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. .
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mmz
Distractians Are Everywhere
The list of driver distroctions
that contributes to crashes
ond injuries is long. But
here's the bottom line:
driving is a serious re-
sponsibility; it demonds
ond deserves your full,
undivided attention.
Whot is 0
distraction? It's
anything that takes
your hands, eyes or
attention away from
driving. It could be a
billboard, passengers in
your car, something going
on outside your car or even
something as simple os trying to set
the speed of your windshield
wipers. Of course, you
have to occasionally
glonce ot your
speedometer, fuel
and other gauges.
But actions like
changing the radio
station, dialinn
cell phone, red0
a map or using a
navigation system
while you're driving
can lead to big trouble.
In fact, one recent study
showed that driver
distractions are a contributing
1
factor in more than 4,300 crashes
o doy. Among the most common
driving distractions are:
· Adjusting the radia, cassette or
Olayer
her occuponts in the vehicle
· Moving objects in the vehicle
· Using/dialing 0 wireless phone
· Eoting and drinking while driving
· Personal grooming
· Adjusting the vehicle's tempera-
ture controls
· Smoking while driving
· Outside distractions, including:
. Accidents
. Vehicles stopped by police
. Friends in other vehicles
. Roodside advertising
. New construction (shops,
restaurants, etc.)
Our goal is to help you
recognize driver distractions and
give you tips on how you can
ovoid falling victim to them.
Mobile Phones -
Dialing for Disaster
~t imagine life without your
\ )hone? They're an importont
pOol of everyday life, but using a
wireless phone while driving
increases your chance of getting
into an accident by 400 percent.
When you're searching for a
number, dialing or talking, you're
not watching the road like you
should. "Hands-free" phone features
help, but they can't prevent you
from becoming involved in a con-
versation and losing concentration.
A survey of 837 drivers with
cell phones found thot olmost half
swerved or drifted into another
lane, 23% had tailgated, 21% cut
someone off and 18% nearly hit
another vehicle while using the
phone.
So whot con you do? How
can you be a safe driver if you
absolutely have to use your phone
while traveling? Wireless phone
manufacturers suggest a number
of good options:
· Pull off the road and stop in a
sofe ploce before using your phone.
· When the phone rings, let it
ring! It's better to use your phone's
voicemail or even miss a call than
to put yourself, your passengers or
others at risk.
· Become very familiar with your
phone before using it on the road.
2
· Never take nates or jot dawn
numbers while driving.
Remember: driving safely is always
more important than using the phone.
Dashboard Dining -
A Crash Diet
From breakfast burritos to burgers
and fries, eating an the run has
turned into an everyday part of
our lives. Who hasn't done it?
French fries an your lap, a drink in
one hand and a sandwich in the
ather while your knees do the
steering. Eating while driving is
not only dangerous, ies messy. and
fumbling with napkins, condiments,
wrappers and beverages means
you're not watching the road.
Here are a few ways you can
concentrate more on the road
than on your burger:
· Leave a little early. Allow 0
self time to stop far a bite to
. If you're traveling with someone,
take turns driving and eating.
Turning Knobs Means
Turning Your Head
Radio station buttons, CD and
cassette controls, volume, balance
and fade, A/C and heat knobs,
fan speed. cruise control...
Those are just some of the knobs,
switches, buttons and controls you
can adjust, switch on or off and
turn up and down while driving,
and they all help make travel mare
comfortable and mare fun.
You may think all the adjusting
Ohanging is routine - after all,
e been doing it since you got
your license. But inserting a CD or
searching for a radio station
makes you six times more likely to
get into an accident than glancing
at the fuel gauge or speedometer
Don't Let Technology
Take a Toll
Some technology - like anti-lock brakes
and traction control - has helped make
driving safer. Other new technology,
though, can couse you to toke your
mind and your eyes off the road.
There's a whole new generation
of in-car electronic gadgets - called
"telematics" - designed to make life in
the car more convenient and more
comfortable. Wireless phones, alphanumeric
pagers and other "messaging" devices,
mobile Internet and hand-held computers
all fall into this category, and many
newer cars even have on-board navi-
gation and night vision systems.
But as communication and navi-
tion technology becomes more and
;e common in vehicles, companies
J even local and state governments
are taking steps to increase safety.
Some systems cannot be programmed
while the vehicle is in motion. Voice-
activated systems are being developed.
And new laws are being considered in
many places to limit what devices may
be used while driving.
3
Think about it; let's say you're
going 60 miles per hour. If you
look down for just two seconds to
choose a CD or adjust the climate
controls, you'll have traveled 176
feet blindly. That's mare than half
the length of a football field.
Try these tips to help keep your
attention an the raad:
. Ask your passenger to adjust the
radio or climate controls for you.
. Take advantage of normal stops
to adjust cantrals.
. With more complex devices -
G PS/navigatian systems, ete. -
take the time to stop in a safe place
before giving them your attention.
Children,
Pets and Passengers
It's hard enough concentrating on
the raad without the distraction of
children, pets and passengers, and
adding in just one of those factors
can make driving dangeraus. But
there are ways you can avoid
driving distractions within your
own vehicle:
. Be sure children are properly
and safely buckled up, and give
them books, games or ather items
to occupy their time.
. Use a pet carrier or portable
kennel to limit a pet's ability to roam.
. Avoid arguments and minimize
distracting conversations while driving.
4
Extemal Distractions -
Looks Can Kill
It's just human nature - the urge
to "get a good look" at the scene
of an accident or at cars that have
been stopped by police can be
almost overwhelming. And who can
resist a long look at what they're
putting in at the new shopping
center? The best advice: Don't
do it! Those things are never more
important than staying focused
on driving.
Remember, letting your con-
centration be diverted by these
common driving distractions can
be deadly:
. Roadside activities such as
accidents or vehicles stopped by
police
. Friends in other vehicles
. Roadside advertising
. Construction areas
. Scenic views
Q)
Other Dangerous Driving
Distractions
As you know there are all kinds of
other distractions that take your
attention away from driving. How
many times have you seen people
putting on make-up, styling their
hair or shaving while driving? Haw
about people reading maps ar
directions, a newspaper or even a
book? And we all know smoking is
hazardous enough, but lighting up,
putting aut cigarettes or dealing
with falling ashes while driving can
be deadly.
The safe solution is simple -
never do any of these things while
you're driving.
This booklet was written with assistance from
~otionol Highway Traffic Sofety
inistrotion (NHTSA), the AAA
~ndotion for Traffic Safety, the Federal
Highway Administration and the National
Sofety Council. Because every situation is
different, the individual driver must decide
what to do in each particular scenario. For
further information, visit our partners' websites
at www.nhtsa.dot.gov, www.aoafts.org,
www.fhwo.dot.gov and www.nsc.org.
5
How To Keep Your Concentrotion
Are you always prepared to avoid a
car swerving in front of you? How
about braking for a pedestrian who
suddenly steps into your path? Con
you steer sofely clear of debris falling
from a truck?
Stay focused. Pay attention.
Expect the unexpected. And follow
these simple tips to help you - and
others - stay alive:
. Always be sure you and your pas-
sengers are properly buckled up.
. Get plenty of sleep; never drive
while drowsy.
. Avoid aggressive drivers.
. Do not tailgate.
. Allow sufficient time to reach your
destination.
6
Distractions
and Young Drivers
Cor crashes are the number one
killer of teenagers in America -
more than 5,000 teens die each
year. Inexperience, risk-taking and
driver distractions are some reasons
why.
Loud music, changing discs and
tapes as well as tuning the radio are
also potentially deadly distractions
when behind the wheel. And when
a teen driver has friends in the car,
the risk is even higher - the more
passengers, the greater the chance
of a serious crash. Here are other
common teen driver distractions
that can be deadly:
. Friends in other vehicles. Don't
let saying "hi" or other fun and
games take your attention- off the
road. Never try to pass items from
one moving vehicle to another
. Headphones. Hearing what's
going on around you is just as
important as seeing. In most states
it's illegal to wear headphones while
driving.
. The "show-off" foctor. It moy be
tempting to go faster, turn sharper
or beat another car through 00
intersection. But don't do it. K
focused on staying safe and staying
alive.
For additional copies of Deadly Distractions, contact Shell on the Internet at
www.countonshe:ll.com or in the: US call1-BOO-376-0200.
. Recycled 10% Post-Consumer Content.
Count on Shell-
@
National Association of Local Boards of Health
(
-
Published for Members of Local Boards of Health
I
President's
Message
By Harvey Wallace, PhD
~
.
.
I
I
Thank you to all who took
the time to join us in
Cleveland ta celebrate
NALBOH's ninth annual
summer conference. With
all the special plenary
sessions, the more than 20 concurrent sessions, and the pre and
post conference workshops, your NALBOH officers, executive board
members, staff, and members of the program planning committee
brought together an outstanding collectian of experts and members
af local boards of health to share with us the important issues and
ChallengeS we all face.
One of the recurring themes was the need to rebuild the public health
infrastructure, which is ane of the U.S. Public Health Service
abjectives as stated in Healthy People 2010. In order ta do this,
Congress passed the Public Health Improvement Act (a.k.a., the
Frist-Kennedy Bill) last year. The Act authorized several activities
related to its goal. One of thase activities concernS the
development of national guidelines ta prepare local publiC health
agencies for acts of bioterrorism (8T). I have represented
NALBOH as a partner with CDC for this praject. In fact. the day I
left our annual conference I traveled ta Washington, D.C. for the
third af four BT workgroup sessions scheduled for this summer. In
Cleveland we heard Dr. Ed Baker, Assistant Surgeon General and
Rep. Bart Stupak (0, MI), recipient of the NALBOH Legislator af the
Year Award, urge us all to contact our senators and reJ}resentatives
to ask for their support to pass the funding authorization bill for Frist-
Kennedy. With passage of this vital funding, bill monies will flow to
every state far the expressed purpase of public health
infrastructure development. This is very important to you. Please
pick up the phone today and make thase calls.
Another interesting presentation was organized by Dr
Anthony (Tony) Moulton, Director af the CDC-Public Health Law
Program. He brought together a panel of experts wha discussed
ways in which boards "learn what their full iegal powers are and
how they use those powers to shape effective local public health
programs and services." Dr. Moultan will wark with NALBOH to
,-,,:ombine the information from this group and from a similar panel,
\.-.. 'hich was presented a few weeks earlier at the NACCHO meeting.
This information will be presented in format that will be a valuable
tool for our members.
Continued on Page 3
August 2001
Every Health Department Fully
Prepared; Every Community Better
Protected
Edward L. Baker, MD, MPH, Assistant Surgeon General
Director, Public Health Practice Program Office
Centers for Disease Control and Prevention
Deborah L Jones, Deputy Director,
Public Health Practice Program Office
Centers for Disease Control and Prevention
"Is your health department fully prepared?" We suggest that this
questian shauld be asked by every member of a local baard of
health in the nation. We are a nation at risk. We face a world of
new threats and ancient foes. Is public health's infrastructure
prepared to respond?
Microbes are coming to our shores, hitching rides on
travelers, immigrants, and foad and they are here to stay. West
Nile Virus and multi-drug resistant Tuberculasis (TB) are but a few
examples of the ceaseless traffic across borders that cannot be
hermetically sealed.
These threats are man-made, but they are not intentional. Yet we
are now also plagued by the threat af a whole new category of
deliberate harrors - the death and destruction caused by terrorism,
the willful unleashing af chemical or bialagical agents into
unsuspecting populations.
Chronic diseases also pose an increasing threat. More than 90
million Americans live each day with chronic diseases. Heart
disease, cancer, diabetes, and other chronic conditions now
account for 70 percent of all deaths in the United States each year
and for one-third of the years of potential life lost. This tragedy is
compounded by the fact that these deaths are largely preventable.
How can we protect ourselves from these threats? Our national
public health infrastructure is the first - and in many cases the anly
- line of defense Like our system of national military
preparedness, our public health armaments - a skilled
professional wOrkfarce, robust infarmatian and data systems. and
strong health departments and laboratories - must be at a
constant state of "battle readiness" nationwide. Because many
threats know no boundaries, we can afford no weaknesses in our
line of defense. Either we are all protected, ar we are all at risk.
But is public health's infrastructure up to the task, prepared for the
global health threats of the 21" century? Unfortunately, the
Continued on Page 2
NALBOH NewsBrief
Every Health Department Fully Prepared...(conlinued from page 1}
answer is no. Recognizing the importance of this issue,
rebuilding public health infrastructure has been a key priority of
the Secretary and the Department of Health and Human
Services, and important strides have been made on many fronts.
However, as a recent CDC status report to the U.S. Senate (1)
documents, the U.S. public health infrastructure, which protects
the Nation against the spread of disease and environmental and
occupational hazards, is still structurally weak in nearly every
area. Yet these weaknesses can be corrected.
One major tool to address the weakness in the public health
infrastructure is a piece of landmark legislation: The Public Health
Threats and Emergencies Act sponsored by Senator William Frist
(R- TN) and Senator Edward Kennedy (D-MA) was signed into
law on November 13, 2000.
As Senator Frist explained, "Our nation faces alarming risks from
a number of potential public health threats.... It is vital that we
take steps to address current inadequacies and ensure that our
public health infrastructure is prepared to meet the challenge of
any public health crisis."
To protect our health into the 21" century, the country must build
a reliable, strong infrastructure for public health, including:
. A public health workforce that is well trained and ready to
respond to biological and environmental threats
. Information systems and technology to guarantee rapid
detection and transmission of critical data
. Health departments, laboratories, and health facilities that are
fully prepared and have the resources needed to protect our
health at all times.
As a first step, the Public Health Threats and Emergencies Act
authorized funds for public health capacity building ($99 million),
and public health leaders (2) are especially excited by the
potential of the public health capacity provisions of the act. For
the first time, our nation could undertake a systematic analysis of
where we have gaps in our ability to respond to public health
threats and then, armed with that knowledge, begin to fill those
gaps. In the words of Mary Selecky, Secretary of Health,
Washington State, "This is an effective and sensible process that
is tailored to unique state and locai needs."
NALDO" Officers
The NALBOH NewsBriefis published by the
National Association of Local Boards of Health
1840 East Gypsy Lane Road
Bowling Green, OH 43402
Phone: (419) 353-7714
Fax: (419) 352-6278
Email: <nalboh@nalboh.org>
Wcbsite: <www.nalboh.org>
President
Harvey Wallace. PhD (MI)
President-Elect
Phil Lyons (UT)
Secretary/Treasurer
Stephen Papenberg (N))
The production and distribution of this publication arc
supported by funds from the Centers of Disease Control
and Prevention.
Page 2
August 2001 :
The assessment section of the act authorizes $45 million for grants
to state and local agencies to assess and inventory
speciflc needs in public health infrastructure. The improveme~
section authorizes $50 million to address demonstrated needs
areas such as developing electronic information network..,)
training public health personnel, enhancing local and state
laboratory capacity, developing detailed, coordinated
emergency response plans for such events as bioterrorism,
natural disasters, and signiflcant outbreaks of communicable
disease.
In the past century, we have witnessed unprecedented
advances in science, technology, longevity, and overall standards
of livin9. With breakthroughs like the mapping of the human ge-
nome, it becomes easy - and tempting - to believe that this
progress will continue at an ever accelerated pace, allowing us
to conquer new problems as they occur. Yet, as we have seen,
some of theses advances have spawned new threats, and we
are losing ground against both old and new threats to our
nation's health. Only with a uniformly strong public health
infrastructure can we combat these threats. Our immediate
investment today will buy something truly priceless for
tomorrow - enhanced protection for all Americans and improved
health for future generations.
References
1. Public Health s Infrastructure: Every health department fully prepared; every community bet-
ter protected - A Status Report; Prepared for the Appropriations Committee of the United States
Senate by the Department of Health and Human Services, Centers for Disease Control and
Prevention, 2001.
2. Seleck.y, Mary; View Point: The Public Health Threats and Emergencies Act Addressing
Public Health Preparedness; Northwest Pubiic 18:12. 2001. 0
r Requests for Articles and Meeting
Announcements
fJ
I
NALBOH would like to receive announcements and articles for
future issues of the NewsBrief. If you have a topic that would be
of interest to other local boards of health, please let us know.
We are also interested in publishing upcoming conference
announcements and meeting dates. The next publication
deadline is October 10, 2001
Please mail your articles and/or announcements to NALBOH at
1840 East Gypsy Lane Road, Bowling Green, OH 43402. Or
fax to (419) 352-6278 or email us at <marie@nalboh.org> D
'\.. ~
NALDOH Trustees
NortbAtlantic
Shepard Cohen (MA)
Mid Atlantic
John C. Saccenti (NJ)
Soutbeast
J. Frederick Agel (GA)
East Great Lakes
Jim Recchio (OH)
West Great Lakes
Ken Hartke (IL)
Midwest
Diane Wartgow (COl
West
Connie Tatton (UT)
State Affiliate
Barbie VanderBoegh (lD)
State Affiliate
Ronald Burger (GA)
NALBOHStaff
Executive Diedor
Marie M, Fallon, MHSA
Director of Liaison &
Governmental Relations
Edwin "Ted" Pratt, Jr., MPA
Project Director-Tobacco
Rebecca Edwards, MPH
Project Director-Training
Sarah Chard. PhD
Director of Membersbip
Services
Sylvia Beck, MPA
Project Coordinator
JenniferO'Brien, MPH
Administrative Assistant
Grace Serrato
NewsBriefEditor
Fleming fallon. MO, OrPH
----
~
I
NALBOH NewsBri~f
Report from Washington
By Edwin "Ted" Pratt, Jr.. MPA
Director of Liaison and Governmental Relations
CI
~.;
~' .\
'f.
Washington's air is very hot
today, despite Congress
being out of town on its
summer recess. And even with
our nationa' legislators largely out
of town, the work with their staff
continues. The public health
community here in DC has many
issues it pursues, but two stand
out for NALBOH and its members
at this time.
The first is the upcoming decisions on appropriations for the
Public Health Improvement Act of November, 2000, commonly
referred to as the Frist-Kennedy Public Health Infrastructure Law.
NAt.BOH was fortunate to have Dr. Ed Baker, Director of the
Public Health Practice Program Office (PHPPO) at the Centers
for Disease Control and Prevention (CDC) speak at our recent
annual conference in Cleveland (see article on page 1), where
he described the opportunities for improved resources for local
and state public health infrastructure provided by this landmark
legislation. There is authorization for up to $99 million for
enhancing public health capacity, and as you are reading this,
people in your state's departments of public health, emergency
response, law enforcement, and others are beginning the
process of preparing applications for grants from CDC to assess
strengths and weaknesses in state and locai pubiic health
Iffill1iYstems. Local boards of health need to find out who in their
\.....;late is responsible for this activity and make certain that they
participate fully in the process of developing grant applications.
This will assure that local boards of health are at the table when
priorities are set and funds distributed.
And speaking of funds, that $99 million is not yet appropriated.
NAt.BOH will be working hard with its public health partners to
educate Congress on the need for full funding of the entire
Frist-Kennedy Bill - $534 million in all. We will need your help!
You need to contact your representatives in Congress to explain
the enormous need to support public health infrastructure at the
iocal and state level. If you are the home town board for a
Member of Congress or Senator, let them know what these
resources could mean for their friends and neighbors.
A second major effort is the establishing of the U. S. Food and
Drug Administration (FDA) authority to regulate tobacco. The
important bills are H.R. 1097 and H.R. 1043, jointiy referred to
as the Ganske, Dingall, Waxman Acts after the three members
who introduced them. Currently there are 93 cosponsors - 16
R's, 1 Ind., and 76 D's. In its ruling on FDA regulation of tobacco
products last year, in which it found that Congress had yet to
authorize authority, the Supreme Court called tobacco the
nation's most significant public health threat, particularly for our
children, and made il clear that the obligation to protect them
from tobacco falls squarely on Congress. H.R. 1097 and H.R.
1043 would grant FDA authority over tobacco, as it has over
~ther products we ingest or consume.
~~~
'-There has also been another bill regarding FDA authority over
tobacco fiied by Rep. Tom Davis (R-VA), H.R. 2180, "The
National Youth Smoking Reduction Act." Despite its grand title,
the Davis Bill does little to protect public health. It fails to protect
children from tobacco company marketing. In addition, H.R. 2180
August 200 I
includes loopholes that will prevent the FDA from requiring
tobacco companies to reduce the harm their products cause,
even when the technology to do so already exists! in short, this
bill, if enacted, would do more harm than good to the public's
health. Every major public health organization in the country
opposes this biil.
NAt.BOH has been on the forefront of tobacco control and use
reduction. We need local boards of health to contact their
members of Congress to urge that they cosponsor or support
the Ganske (R-IA), Dingall (D-It.), Waxman (D-CA) Bills, H.R.
1097 and 1043, and that they oppose the Trojan Horse Davis
Bill.
These two issues are not partisan. They are important
opportunities to advance public health in this country and to
sustain and enhance the capacity of local boards of health to do
their job - protecting and improving the health of the community
they serve. Members of Congress need to hear this directly
from you!
if you need assistance or further information, call NALBOH's
Washington office at (202) 777-3900 or email me at
<nalbohdc@olg.com> 0
Check out our Website! I
<www.nalboh.org> '
If you have not checked out our website, then now is the time.[
Our website has really expanded. We are trying to meet
i the needs of all NALBOH members. We welcome suggestion
i on how to improve our site. Remember, our goal is to
assist local boards in providing up
to date information and training.
President's Me.sage...(continued from page 1)
During the Saturday morning workshop, which ended the
conference, Mr Matthew Guidry from the DHHS-Office of
Disease Prevention and Health Promotion offered NALBOH the
opportunity to apply to serve as a conduit for a small grants
program. This program will award a maximum of $2010 to any
community group, such as a local board of health, that develops
a simple one or two page grant request to carry out an activity
reiated to any objective found in Healthy People 2010. Groups
could use the money for any purpose with no restrictions and no
strings attached. The ODPHP has no reporting requirements for
these grants. NALBOH would appreciate some brief report from
any local board of health that receives a $2010 grant that we
will put in future editions of this NewsBrief. Perhaps we could
showcase some of your efforts at NALBOH's tenth annual
summer conference in New Orleans. I hope we have the
opportunity to implement this program by next January. Look for
an announcement in future NewsBriefs. Meanwhile, start
thinking of how your community could best use these funds. If
you are not familiar with the objectives found in HP2010, check
out its web site at <http://www.health.govihealthypeople>
I have provided you with just a hint of the wealth of
information and the networking opportunities NALBOH members
found at the annual meeting. We also had time to enjoy
Cleveiand. Some of us took in an Indians baseball game, others
enjoyed the Cleveland Symphony's outdoor concert, and still
others walked the two blocks to the edge of Lake Erie to visit the
Rock and Roll Hall of Fame. Drew Cary was correct when he
said, "Cleveland Rocks!" We'll be back. 0
Page 3
i NALBOH NewsBrie!
L
DeKalb County Board of Health's
Center for Public Health
Preparedness
Submitted by J. Frederick Agel
Southeastern Regional Trustee
In 1999, the DeKalb County Board of Health (GA) received funding
from the Centers for Disease Control and Prevention to create a
Center for Public Health Preparedness whose primary focus Is to
develop and enhance local public health infrastructure to address
bioterrorism and other emerging public health threats. DeKalb Coun-
ty was one of only three local health departments nationally to re-
ceive support for creating an "exemplar" site; Denver (CO) and Mon-
roe County (NY) were also recipients.
DeKalb's Center has focused on three major areas:
. operational readiness;
. surveillance and communications and;
. training.
For operational readiness, the Center was tasked with developing
a bioterrorism preparedness plan for DeKalb and adjoining Fulton
County. Staff focused on developing relationships with many new
partners - emergency management, public safety, emergency
medical services (EMS), medical examiners, as well as hospital
and health care providers. Because bioterrorism was a novel and
different threat, we emphasized education and clarification of roles.
We held several "table-top" exercises (simulated attacks) and
participated in many other exercises to identify gaps and delineate
responsibilities. The preparedness plan is now being finalized.
In surveillance and communications, DeKalb has strengthened its
reporting relationships with local hospitals. With the West Nile
Virus expected to arrive in Atlanta in the summer, we have
implemented active surveillance for potential West Nile cases;
hospital infection control Practitioners are contacted on a routine
basis to look for cases. As a result, we are now providing
in-service lectures on notifiable diseases to emergency department
and other hospital staff. Meanwhile, we are enhancing our
capacity to use electronic data for surveillance. The local medical
examiners' offices share data with us on a regular basis, and in the
future we hope to obtain EMS (ambulance) data on a daily basis.
We envision a future in which electronic connections with all the
hospitals are in place.
In training, the table-top exercises have been invaluable for
creating and sustaining relationships with our partners. We plan to
conduct additional functional exercises to test the bioterrorism
preparedness plan. Within the board of health, we are building the
capacity to have distance-based learning through satellite
downlinks.
The board's philosophy has always been that bioterrorism
preparedness must be multifunctional. The capacity that we are
building must have applicability to our other public health functions.
Thus, we have an enhanced on-call system that can more
efficiently serve the public, a strengthened surveillance system that
can detect emerging threats like West Nile Virus, and a system for
distance-based learning that can benefit all staff. These examples
illustrate that multifunctionality. Preparing for the threats of
bioterrorism has afforded the DeKalb County Board of Health the
opportunity to strengthen the public health infrastructure essential
for protecting and improving the health of all its citizens. 0
Page 4
August 200 t
Local Board of Health gets
Settlement Dollars in the Community
Submitted by J. Frederick Agel 0'
Southeastern Regional Trustee /
The DeKalb County (GA) Board of Health (DCBH) has a long history
of engaging the community in the planning process of public health
efforts, which recently resulted in DeKalb County receiving a
$975,000, two-year grant to design, implement and evaluate a
comprehensive tobacco use prevention demonstration project for
the country. Funding for the grant came from the 2000 Georgia
State Legislature's allocation of $15.8 miliion from the Master
Tobacco Settlement Agreement.
The DCBH Tobacco Use Prevention plan is based on the Centers
for Disease Control and Prevention's (CDC) 1999 "Best Practices
for Comprehensive Tobacco Contref and includes community
intervention projects, counter-marketing, program polley and
regulation, and surveillance and evaluation. The demonstration
project is part of the Georgia Department of Human Resources
Division of Public Health's statewide tobacco use prevention
program.
With this grant, the DCBH created a Tobacco Use Prevention Unit
with eight staff members. This unit implements the comprehensive
tobacco use prevention project by addressing the four goals
outlined in the CDC framework: preventing youth initiation,
promoting quitting of tobacco products among youth and adults,
reducing exposure to environmental tobacco smoke (ETS), and
identifying and eliminating disparities of tobacco use among special
populations. ~
DeKalb County is taking a multi-faceted, community based approac),!,l/
to reducing the burden caused by tobacco-reiated illness and death.
Throughout the demonstration project, a small grants program was
created that awarded $240,000 in seed money to 22 community
groups including schools, businesses, health care partners, local
government agencies, and faith-based organizations to conduct
tobacco use prevention activities. A second round of tobacco action
grants that will supplement the DCBH's tobacco use prevention
action plan will be made avaiiable to the community in the fall.
Another major component of the DeKalb County demonstration
project is building and nurturing a community coalition, the
Prevention Alliance for Tobacco Control and Health (PATCH).
Convened by the DCBH in 1996 as the Prevention Alliance for
Tobacco and Health, PATCH has been gaining a steady
membership and formed four working PATCH subcommittees - youth,
ETS, disparities, and communications. At present, each committee
has conducted and identified activities that are included in an
annual action plan.
The next step for the DeKalb County Tobacco Use Prevention Unit
and the PATCH coalition will be to enhance community capacity;
provide education, information and training for PATCH and other
community members on effective tobacco control strategies; and
develop and implement a media and communications plan for the
country. Among the many activities are a youth access tobacco
survey, an "Eliminating Disparities in T~~acco Use" conference, ~
media advocacy and spokesperson training, and the developme\ J I
of a DeKalb County smoke-free dining guide. ---.J-
Findings from the DCBH's comprehensive tobacco prevention
program will serve as a statewide model for how communities can
reduce the burden of tobacco use. CI
----,.----...-.-
NALBOH NewsBrief
~__u____ _ u________
()
Community Preventive Services
Decatur, Georgia
J Frederick Agel, Southeastern Regional Trustee (GA)
represented NALBOH on the Task Force on Community
Preventive Services. This June 15 meeting provided
administrative and method updates. Specific areas of concern
which were focused on included violence prevention, mental
health and sexual behavior. Approved - Cancer' Incentives,
Tobacco: Youth Access, Restrictions and Physical Activity'
Urban Planning. 0
Public Health Workforce Development
Atlanta, Georgia
I
I:
Barbie VanderBoegh, State Affiliate (10) and Ted Pratt, Director
of Liaison and Governmental Relations (DC) attended the CDC
Global and National Public Health Workforce meeting. This two
day committee workshop previewed the progress made by
partners in the four key areas (Curriculum, Technology,
Certification, and Research) and identified priorities. The
direction of public health for the next century was proposed and
debated. Information will continue to be shared and
partnerships strengthened. 0
G Council on Linkages Between
Academic and Public Health Practice
Raleigh, North Carolina
-I,
I
[
,
,-
J. Frederick Agel, Southeastern Regional Trustee (GA), attend-
ed the Council on Linkages Between Academic and Public Health
Practice on June 27th. The Community Campus Partnerships
for Health were voted in as members of the council. Fred will
serve as a reader for the Student Excellence Award sponsored
by ASPH. 0
1!
National Environmental Health
Association
Raleigh, North Carolina
J. Frederick Agel, Southeastern Regional Trustee (GA) and
Ronald Burger, State Affiliate (GA) represented NALBOH at the
National Environmental Health Association (NEHA)
Educational Conference. NALBOH was a new concept to many
exhibit attendees from California, Texas, Florida, Louisiana,
Kentucky, Tennessee, and Connecticut.
~red Agel and Ron Burger promoted the benefits of NALBOH
T\..-... hembership to many attendees who now realize the importance
of boards of health and support their needs. They met with orga-
nizations that could potentially be exhibitors for NALBOH's 10th
Annual Conference in New Orleans, LA. 0
August 200 t
NACCHO's Annual Conference
Raleigh, North Carolina
Phil Lyons, NALBOH President-Elect and Marie Fallon,
NALBOH Executive Director presented and exhibited at
NACCHO's Annual Conference in June 2001
The pre - conference session in which NALBOH participated
showed the importance of local boards of health in working at
the state legislative level. Conference attendees were then split
into two groups and time was given to interact with the groups,
where Phil Lyons was able to answer questions about local
boards of health.
NALBOH representatives met with attendees and are hoping to
work with both Colorado and California health officers to offer
NALBOH's assistance in starting state associations for their
boards. California has no health boards per se and NALBOH
would also work to help them get started.
Many attendees were interested in how NALBOH could help
health officers and were given membership information. Phil
and Marie also met with the Education Committee of NACCHO
to lay some ground work for our co-located conference In New
Orleans, Louisiana in 2002. 0
Florida Public Health Association and
Southern Health Association (SHA)
Joint Conference
Orlando, FL
Ronald C. Burger, State Affiliate (GA), attended this conference
to promote NALBOH, recruit new members and nurture
current members. The SHA members are Florida, Tennessee,
Kentucky, South Carolina, Alabama, Arkansas, and Virginia. Met
with the Health and Human Services liaison representative from
the Florida Association of Counties. We have been invited to
prepare an article for their newsletter and to attend the
Kentucky Public Health Association in March, in Louisville. 0
Bioterrorism Preparedness and
Response Program
Washington, DC
Harvey Wallace, President (MI) represented NALBOH at this
third of four work sessions to "Develop the capacity of state and
local public health systems to prepare and respond to an
epidemic caused by a bioterrorist act."
The group worked to refine the draft document containing five
goals with pre-event and event objectives developed from the
previous work session in Kansas City, MO. The five goals are
as follows:
- Surveillance
'Identification
-Communication
- Mobilization
. Public Health Interventions
o
Page 5
NALBOH NewsBrief
A Success Story: Computerizing a
Health Department
Submitted by Dr. Christopher Szwagiel, Health Director
Halifax County Health Department (NC)
About three and one-half years ago The Halifax County (NC)
Department of Health (HCDOH), fully supported by its board of health,
embarked on an adventure, the likes of which this author has not
previously encountered In the many health departments he has
worked, that is, evaluating health department business
practices using private sector "best practice" standards, and then
identifying and applying an automated solution to impiement best
practices.
At about the same time, the North Carolina Association of Local Health
Directors (NCALHD), after many years of requesting and working
towards a new statewide system of data management, decided that
it should, in conjunction with the State of North
Carolina, broadcast a nationwide RFI to ascertain whether there,
indeed, existed any software systems capable of addressing the
needs of the public health community.
It was at this time that this author became aware of a system
marketed by CMHC, Inc. of Dublin, OH, one of two software
vendors asked to demonstrate their system for NCALHD and the
State of North Carolina. What initially impressed this author about
the system was its strong businesslfinancial component. (Those
acquainted with public health departments know that they are weak
in the area of "real World" business practices.)
Although the system presented did not demonstrate particular
prowess in public heaith "programs., it had am admirable record of
serving mental health agencies for years, and was indeed, found to
be "user definable", as advertised. (This author's definition of user
definable is that an agency does not need to hire a
programmer to make modifications to program modules,
modifications can be easily made by existing IT personnel.) Today
the CMHC/MIS for Public Health uses best practices for "programs"
as well as the business/financial component.
As time progressed the North Carolina process became "bogged
down" Giving consideration to the fact that health departments must
start operating like private sector businesses for long term survival,
and address the issues of Y2K and HIPAA, and the
HCDOH home health agency was imminently facing the prospect of
the Medicare Interim and Prospective Payment Systems and
OASIS data set reporting requirements, the HCDOH Management
Team and board of health decided to proactively address these
concerns and contract with CMHC.
To date, there have been many obstacles to overcome in making
data flow readily through the North Carolina State System. North
Carolina's data management system for public health has been put
in the position of addressing new Medicaid concerns (the state acts
as a data clearing and warehouse for health department fee for
service billing), changing its fundamental data structure and how it
handles data transmitted from outside agencies.
Today we have in place a robust system on which we will be basing
future business decisions as to how much it costs to provide
services and what level of staffing is most appropriate for the
services rendered. The biggest successes have been the board of
health's proactive stance and a vendor willing to follow through on
their commitment to deliver a robust operating system. 0
Page 6
August 2001
Health Tracking is a Sound
Investment for Public Health
Submitted by Ron Bialek, MPP
President, Public Health Foundation
0)>
We are pleased to announce the release of the report, "Returning on
Investment of Nationwide Health Tracking." The report's key finding
is that with a federal government investment of $275 million in a na-
tionwide health tracking network and a $100 million
investment in a public health intelVention based on what is learned
from the tracking network, the federal government can save over $500
miliion annually in reduced health care costs.
Health-Track, the public health project commissioning the study, an-
ticipates iegislation being introduced in the fall for funding a
nationwide health tracking network. The network being proposed will
build upon infrastructure that already exists at the federai, state, and
local levels, but will have additional components helping to build links
between many of the existing data systems and improve
environmental tracking related to chronic diseases.
For a full copy of the report, visit <http://health-track.org/reports/
phf0809/phfreport.pdf> or contact Donald Salley at (202) 898-5600.
o
TrainingFinder.org Adds New
Features
<www.TrainingFinder.org>.thePublicHealthFoundation.sdistance .
learning clearinghouse for public health professionals, just gor\'"\ )'
better with new features added in July 2001 Since its launch in MaW
2000, TrainingFinder.org has been the nation's only free,
centralized website to find and publicize distance learning courses in
public health.
Public and private health organizations, universities, associations, and
other training providers submit distance learning courses to the site.
New site features let submitters:
- Receive e-mail copies of learner reviews of their courses
. Use open message boards <http://www.trainingfinder.org/cgibin/
wwwthreads/wwwthreads.pl> to share documents and tips to help
develop, deliver, and evaluate distance learning courses
- Receive reminders before their course listings expire
. Find resources <http://www.trainingfinder.org/resources.htm> for
course developers 0
Check Out Our Website!
<www.nalboh.org>
If you have not checked out our website,
then now is the time. Our website has really
expanded. We are trying to meet
the needs of all NALBOH members. We
welcome suggestions on how to improve
our site. Rernember, our goal is to
assist local boards in providing up
to date information and training.
G, )
----~- -
, NALBOHNewsBrieJ
August 200 I
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A Look At Membership
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New NALBOH Memberships in 2001
NALBOH extends a very warm welcome to the following new members of NALBOH. We look forward to your involvement and hope to see
all of you at the 10th Annual NALBOH Conference in New Orleans, Louisiana, July 10-13, 2002.
California
'Brian Jacobs (Retired) - Long Beach, CA
Connecticut
'North East District Board of Directors - Danielson, CT
Florida
'Brevard County Board of Commissioners - Merritt Island, FL
'Charlotte County Board of Commissioners - Punta Garda, FL
'Okeechobee County Board Commissioners - Okeechobee, FL
'Orange County Board of Commissioners - Orlando, FL
'Pasco County Board of Commissioners - New Port Richey, FL
'Seminole County Board of Commissioners - Sandford, FL
Georaia
'Dawson County Board of Health - Dawsonville, GA
'Reynolds County Board of Health - Centerville, GA
Guam
'Guam Department of Public Health & Social Services -
Agana, Guam
(}awaii
'Hawaii State Board of Health - Honolulu, HI
Iowa
'Earlharn Home Health Care Board - Winterset, IA
Illinois
'City of Evanston Community Advisory Health Board -
Evanston, IL
Indiana
'Hendricks County Board of Health - Danville, IN
'Indiana Department of Health - Indianapolis, IN
'LaPorte County Board of Health - LaPorte, IN
Maine
'Bureau of Health, Maine Department of Health - Augusta, ME
!
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Michiaan
'Guessner Davis, Wayne County Health Department -
Wayne, MI
Minnesota
'Morrlson County Board of Health - Little Falls, MN
Missouri
'Center for Local Public Health Services - Jefferson City, MO
'rel.
, ,
ne rth Dakota
'Pemblna County Board of Health - Cavalier, ND
'Richland County Board of Health - Wahpeton, NO
'Upper Missouri District Board of Health - Williston, ND
Nebraska
'Platte-Colfax County Board of Health - Columbus, NE
New HamDshire
'Goshen Board of Health - Goshen, NH
New Jersev
'Beachwood Board of Health - Beachwood, NJ
Ohio
'Findlay Board of Health - Findlay, OH
Pennsvlvania
'Harrisburg City Board of Health - Harrisburg, PA
Texas
'Waco-McLennan County Public Health District Board of Health
- Waco, TX
Virain Islands
'Virgin Islands Department of Health - St. Thomas, VI
Membership Committee Report
Submitted by Sylvia Beck, MPA
Director of Membership Services
What began less than 10 years ago as the effort of a handful of
dedicated volunteers from a few states is now a force of more
than 770 members across the country. This represents
approximately 4,000 individual board members. Membership is
now available in six different categories~ Institutional, Affiliate,
Associate, Retired, Sponsor, and Student.
As you transition off your board service, you may choose to
continue your involvement in public health through membership
in NALBOH as a retired member for only $10 per year.
This year the Executive Board added a new category of
membership, Student, during the Cleveland Conference. Now
for just $20, full-time students can enjoy all the responsibilities
and privileges afforded to Institutional members, except they may
not vote or be eligible for office.
The Membership Committee recommended a $20 increase in
dues to the Executive Board at the Cleveland Conference. This
was voted on and approved and will become effective in the 2002
membership drive. This is the first increase in membership dues
since the Association began, almost 10 years ago. CI
Page 7
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NALBOH NewsBrieJ
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August 200 I
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NALBOH's 9th Annual Conference
Rev. Everett I. Hageman Award accepted by Ron Bialek for Michael
Gemmel (VA) by Harvey A. Wallace, NALBOH President
Meritorious Service Award presented to Ohio Attorney General
Betty Montgomery by Harvey A. Wallace, NALBOH President
Mid Atlantic Regional Trustee Award presented to Paul Roman (NJ)
by John C. Saccenti, NALBOH Trustee
Page 8
President's Award presented to Fleming Fallon (OH) by
Harvey A. Wallace, NALBOH President
O})
Lifetime Membership Certificate presented to Clyde Willis (OH) by
Harvey A. Wallace, NALBOH President
)
Southeast Regional Trustee Award presented to Lee K. Allen (NC)
by J. Frederick Agel, NALBOH Trustee
NALBOH NewsBrief
August 200 I
[
Award Recipients
_J
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L'
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,
;'..,1''-
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East Great Lake Regional Trustee Award presented to Richard Neal
(OH) by Grace Duncan, NALBOH Emeritus Committee
~
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Midwest Regional Trustee Award accepted by Dennis Grady for
Eileen Kensinger (TX) by Larry Hudkins, NALBOH Emeritus Committee
West Regional Trustee Award presented to Gary Morris (10)
by Connie Tatton, NALBOH Trustee
I
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Additional 2001 NALBOH Awards
State or Local Health Officer/Commissioner/Director Award
. Daniel Reardon, Director of Public Health (MA)
. Karen Wilson, RN, MSN, MPH
Direclor of Williamson County & City
Health District (TX)
Legislator of the Year Award
. Senator Tom Daschle, (0, SO), Democratic Leader,
United States Senate
. Congressman Bart Stupak (0, Mi)
Special Award
. J. Frederick Agei (GA)
Leadership Awards
. Harvey Wallace, PhD, NALBOH Presidenl (MI)
Retiring Board Member Award
. Ned E. Baker, MPH,
NALBOH Emeritus Committee (OH)
. Grace Duncan, RN, BSN,
NALBOH Emeritus Committee (OH)
Regional Trustee Awards
. Paul Jacobsen (MA) - North Atlantic Region
NALBOH's 9th Annual Conference:
A Success Story
By Phil Lyons, President-Elect
This has been an exciting year for NALBOH, and for me as
President-Elect. Having just compieted a very successful
annuai conference in Cleveland, Ohio, I wanted to thank alllhose
who worked so hard to make sure thai everything went off
without a hitch from lhe opening evenl 10 lhe closing session.
The Program Commillee did an excellent job identifying
session topics as well as selecting presenters. Our staff worked
so hard to see that everything was in place and on time.
Mosl of all, I would like to thank each of you thai attended. I
hope that you felt good about what was available. You are the
ones who make NALBOH a greal organization. I look forward to
seeing all of you in New Orleans. Make plans now to come and
bring along another member from your board.
As Ilalked 10 many of you, I found lhal you experience the same
challenges on your boards as I do on mine. You have concerns
from tobacco to waste water treatment and immunizations and
all of the olher lhings lhat presenllhemselves in public health.
NALBOH will conlinue 10 work on issues that will help you to
strengthen your local board.
If you haven't taken the opportunity to visil our Website
<www.nalboh.org>. I would encourage you to do so. You will find
many areas that will help you to be a better board member. Feel
free to e-mail me on any issue that you might have concerning
NALBOH at <Iyonspb@shadowlink.net> D
Page 9
NALBOH NewsBrieJ
TOBACCO-FREE USA
......... ........ ..............
. .
. Join Other Local Boards of Health Members for .
: Tobacco Control Conference Calls :
.
.
.
.
.
.
.
.
.
.
.
.
. NALBOH will moderate discussions on various tobacco use
. prevention and control issues relevant to local boards of health.
.
.
. If you would like a reminder notice before the calls,
. please send your email address to <rebecca@nalboh.org>
. .
... ................. ...........
Monday, November 5, 2001
Monday, February 11, 2002
Monday, May 13, 2002
12 noon-1:00 p.m. Eastern Time
Contact Rebecca Edwards at <rebecca@nalboh.org> for the
toll-free bridge number and conference code.
A First for Ohio;
NO Exemptions, Just Clean Air:
The Story of the Lucas County Regional
Health District's Clean Indoor Regulation
Information provided by Stu Kerr
Northwest Ohio Regional Policy Coordinator.
Tobacco-Free Ohio
Surprise, Surprise!! Headlining your local newspaper is an article
that reads, "Lucas Health Chief Wants County to be Smoke-Free"
If that isn't a sure-fire way to revitalize a local coalition, I don't know
what is. Fortunately, a core group of dedicated coalition
members organized quickly to play out a real page-turner.
A few months after the newspaper's announcement, using the
Americans for Non-smoker's Right's 100% Smoke-Free Model
Ordinance as a basis, the Toledo-Lucas County Board of Health
gave their first smoke-free regulation reading. Unii~e anything they
had ever experienced before, the board of health attracted quite a
crowd at their next several board meetings. At each board of heaith
meeting news cameras were rolling as a group of vocal owners of
restaurants, bars, and bowling alleys raised a ruckus. A small
number of young men in suits, who didn't carry business cards,
were also interested in the goings on.
At one meeting, a document entitled "Smoking Ban Killing Some
Mesa (AZ) Firms" began circulating. Examples were given of
severe economic hardships. Further investigation into this
document revealed that the economic hardship was nothing more
than seasonal fluctuation that had been occurring for years. The
document was just one example of how the opposition tried to ma-
nipulate the facts. Other tactics included bashing solid facts on the
dangers of secondhand smoke, behrving rude and
belligerent at open hearings, suggesting the community should be
able to vote on the issue, and challenging the board of health's
authority to impose such a ban.
Page 10
August 200 I
After a second reading in March, one board of health membel":\\\
requested an opinion from the State Attorney General as to thl..,(JlJ
basis of the board's authority to adopt a regulation protecting the
public from the effects of secondhand smoke. Just in the nick of
time, the Attorney Generai returned a ruling stating that, in fact,
the board of health did have the authority to adopt such a
regulation as long as no exemptions or opportunities for
variances based upon factors other than public health were
given.
Confusing the board further was a iate night phone call from the
city law department informing the Executive Officer of the city
and appointee to the board of health that the proposed
regulation would be in conftict with a 1 987 regulation already on
the books. When the board was notified of this the morning of
the third reading, some suggested tabling the third vote for the
next regular meeting so that clarification could be made. Others
wanted to go ahead and vote. A motion for adoption occurred
and it was put to vote. Some who supported the regulation voted
"no" in an effort to gain the extra month, and the finai vote was 5
"lor' and 4 "against" The motion was thought to have passed.
The next morning the local paper reported that the bylaws of the
board required 6 votes for passage of a regulation. With one
board member absent due to illness, there would have to be
another vote taken. With bylaws indicating that voting on a
regulation could not occur at an emergency board meeting, the
re-vote would have to wait another month. In the mean time, th~
city law department announced a reversal on their earlieW ),
opinion. The reversal came due to additional legal research _.L
determining the board to be a state agency.
In May, the ground breaking regulation was adopted by the
Toledo-Lucas County Board of Health. The rest of the story is
that a complaint was filed in the local Common Pleas Court just
a few days before the regulation was to go into effect. Because
one of the five counts posed a federal question, the case was
removed to the U.S. District Court.
It is now August and Lucas County Is still serving up respiratory
problems, cancer, and heart disease in public places. Citizens
will have to wait to see their fate played out in the courts. It may
be years before the issue is resolved.
NALBOH's project director provided information and assistance
by testifying in support of the Toiedo-Lucas County Board of Health
Clean Indoor Air regulation NALBOH commends the
Toledo-Lucas County Board of Health for doing its part to protect
the community. Board action is the first step in the tedious
process to fight against harmful social norms, regardless how
deadly they may be. 0
........................................
If you are e-mail friendly and would like :
to communicate with other board of .
health members and health officers on !f;:, ')
tobacco control and prevention, you VI "
should join our Iistserv called .
Smokelesslocals! Take a minute to join
by emaillng<smokelesslocalssubscribe@yahoo.com>
YAN<JOr.:
~rOLlp5 .
Join Now! '
........................................
NALBOH NewsBrie!
()
SUGGESTIONS FOR BOARD OF
HEALTH
INTRODUCTORY STATEMENTS AT
PUBLIC HEARINGS
Submitted by D.J. Wilson, Tobacco Control Director.
Massachusetts Municipal Association
NALBOH NOTE. This information is a suggested statement that
may be used for a board of health public hearing. It is to be
considered guidance only.
This public hearing is to discuss proposed tobacco control
regulations for TOWN/CITY Copies of the proposal have been
made availabie at the board of health office, the library and at TOWN/
CITY Hall.
The TOWN/CITY Board of Health is a NUMBER-member board
that is elected/appointed for a NUMBER-year temn. The purpose
of the board is to promote and protect the public health for the
citizens of TOWN/CITY They derive their authority from the STATE
Legislature (or other). The members are: INTRODUCE MEMBERS.
NAME is the Health Agent for TOWN/CITY The Health Agent is an
employee of the municipality. The duties of a Health Agent are to
carry out the wishes of the Board, assist in the enforcement of its
regulations and conduct the day-to-day operations of the board of
health.
~ith the exception of EXAMPLE IF RELEVANT, it is uncommon
~\4'~r the board of health to hold public hearings on proposals before
them, even though all proposals discussed at meetings to which
the public Is always invited. However, because of the broad
interest in tobacco control, every effort has been made to provide a
public forum for the exchange of ideas and views. As the
purpose of the public hearing is to collect information and
opinions, the board will not ask for a vote from the audience nor will
the board itself vote on the proposal at this public hearing. The
board will announce the meeting date to which it will discuss and
vote on the proposal. This meeting will be pubiic. However, the
board will not provide time for further public testimony unless a
board member has a specific question to which an audience
member can offer some clarification. After the public hearing, the
board will accept written testimony for a period of NUMBER days
until DATE. Letters can be mailed to BOARD OF HEALTH
ADDRESS. If the proposal is adopted, the approved regulation will
be posted at the board of health office and will be publicized, in
summary form, in LOCAL NEWSPAPER NAME within TIME
PERIOD of passage.
,
I
\
I Welcome to the X Board of Health public hearing to discuss a
I proposal to regulate the Y We appreciate your taking the time to
'1'( (/"Ie here. A copy of the regulations is available at Z. In the interest
,! \ I....,;f time, we ask that you adhere to the following ground rules:
i'
,
,
PUBLIC HEARING BEFORE THE X
BOARD OF HEALTH
Any person wishing to make comments should sign in. The
sign-in sheet is located A.
I
I
I
August 2001
2. Before addressing the board of health, you must have read the
proposal.
3. When addressing the board of health, you must first identify
yourself by name, address and any professional affiliation you
may have that impacts your comments.
4. Identify the section of the proposal that you wish to comment
on.
5. Please limit your comments to B minutes so that other
members of the audience will have a chance to speak.
6. Please be considerate of those persons speaking, whether you
agree or disagree with them and refrain from commenting out
of turn.
7 A written comment period, for those who are unable to attend
or do not wish to testify at the public hearing, will be allowed.
Written testimony will be accepted by the board of health until
DATE. Please send comments to: ADDRESS.
8. Any person showing verbal disrespect to those speaking will
be asked to leave the public hearing.
Thank you for your cooperation. 0
'"
Model Ordinances
Model Tobacco Control Ordinances are available for interest-
ed board of health members by contacting NALBOH at
(419) 353-7714 or via e-mail at <rebecca@nalboh.org>
;/
What's that Smell? "Bidis"
American Lung Association: Midterm Update, June 2001
Bidis or beedies are small, flavored, filterless cigarettes made in
India that have gained popularity among America's teenagers.
They consist of shredded tobacco rolled in dried tendu leaves (a
broad-leafed plant native to India) and secured with string. They
are produced in a variety of flavors, including chocolate, vanilla,
cherry, licorice and mango. These hand-rolled cigarettes, which
resemble marijuana joints, appeal to many American youth
because they look different from cigarettes and have an enticing
flavor added to them. Studies show that bidis deliver a far greater
amount of nicotine, tar and carbon monoxide than standard
cigarettes. A study by the National Institute on Drug Abuse found
that 11 out of 12 brands of bidis analyzed contained higher
concentrations of nicotine than the unfiltered cigarette American
Spirit by an average of 28 percent. Studies In the United States
and India have found that bidis have three times more carbon
monoxide and five times the amount of tar as compared to filtered
cigarettes. According to the Centers for Disease Control and
Prevention (CDC), bid is also contain more phenol, ammonia,
nitrosamines and hydrogen cyanide then conventional filtered
American cigarettes. 0
Page 11
NALBOH NewsBrief
Cuyahoga County Board of Health's
Response to Legionnaire's Disease
L. Fleming Fallon, Jr., MD, DrPH
Legionnaire's disease has been a leading story for much of this
year. In Cleveland, four cases among employees of a local Ford
Motor facility were confirmed. Citizens in the Cleveland area
are justifiably concerned and asking many questions. Where
are they seeking answers? Who has the responsibility for con-
ducting an investigation?
The answer to the first question is everywhere. People seeking
information have approached all newspapers. co-workers and
health professionals. The answer to the second question is the
Cuyahoga County Board of Health.
I had an opportunity to visit the Cuyahoga County Board of Health.
As an informed observer, the activities of employees were
readily understood. I spent the entire day watching activities
and came away impressed.
The employees of the Cuyahoga Health Board were in nearly
constant motion throughout the day. Several were tasked to
answer teiephone calls from members of the public. They used
portable telephones so that current information was always
provided.
The day started with a meeting of almost all employees. Events
of the previous day and night were reviewed. The Health
Commissioner provided much of the information. He had worked
late the previous evening and had already appeared on two
early-morning network television shows.
Personnel from the Centers for Disease Control and Prevention
(CDC) were on site. Local health authorities are obligated to
inform the CDC of such outbreaks. They must also invite these
experts to assist. In turn, the CDC provides expertise but
requires support and local knowledge. This is provided by the
local Health Department.
A telephone hotline had been set up and operated until midnight
the previous evening. All of the persons providing answers to
over 100 callers each hour were back at their jobs by 8:30 the
next morning. Many had full coffee cups to help wake up but the
overall atmosphere was one of calm professionalism.
The Health Commissioner held a meeting with members of his
senior management team. They discussed recent developments
and the outcomes of earlier meetings with officials from Ford
Motor Company. Like their subordinates, the atmosphere was
one of calm. These people were determined to safeguard the
health of the people they serve, educate the public and provide
accurate information to all concerned.
A news conference was scheduled for 3:00 in the afternoon.
Reporters and camera persons began to arrive and set up at
2:00 pm. Information sheets were prepared and distributed. The
Health Commissioner provided a statement that summarized
events of the previous 24 hours. Questions were answered for
another twenty minutes. The questions were penetrating and
the responses were forthright.
Page 12
August 2001
After the news conference was over, reporters left to file stories and
make their deadlines. Employees who had gathered to watch t~
event went back to work. The activities in an urban health deparI,(,L)
ment continued once again.
A bit of explanation is in order. Legionnaire's disease was named
for the 1 976 outbreak at the convention of the American Legion in
Philadelphia. In the course of an entirely normal year, there are
many cases of Legionnaire's pneumonia. Experts feel that oniy
one out of every 10 cases is ever identified and reported. This is
because the cases usually occur one at a time and once cured,
most victims do not really worry about the name of their disease.
Deaths from Legionnaire's disease are unusual and attract
attention. Likewise clusters of cases (an outbreak) are also
unusual and attract attention. When an outbreak does occur,
people with accurate knowledge are often at a premium. Health
department personnel must educate members of the media and
the public.
The normal workload of a health department does not pause
be.cause a disease outbreak occurs. Restaurants must be
inspected, vital statistics must be recorded and clinic patients must
be treated. The employees of the Cuyahoga County Board did not
let their normal duties siide.
This outbreak occurred in Cleveland. Just as easily, it could have
occurred in a small community in another state. There are over
3,100 local health departments in the United States. Their employ-
ees work hard so that they are ready to act when health problem~
occur. Health departments are often prime candidates for budg~~
cuts. Remember the current Legionnaire's disease outbreak when
the subject of financial support emerges in your community.
Congratulations, Cuyahoga County, for setting a professional
example.
(Dr. Fallon is an Associate Professor and Director of the Master of
Public Health degree program at Bowling Green State University.
Please direct comments to him bye-mail at:
<ffallon@bgnet.bgsu.edu> or in writing in care of NALBOH.) 0
"And The Winners Are..."
NALBOH is pleased to announce the three winners of the
drawing for a $50 certificate towards next year's conference
registration fee. All 2001 conference attendees who turned
in a completed conference survey were eligible for this draw-
ing. The certificate can be applied to the registration fee of
the individuai or a member of their board. The winners are:
. Paul Roman, Monmouth Regional Health Commission
. Dr. Lois Salmeron, Oklahoma City-County Health
Department
. Dr. Phillip Tutnauer, Manalapan Township Board of Health
), \
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Thank you to everyone who turned in a conference survey!
NALBOH NewsBrief
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Tech Tips
By Jennifer M. 0 'Brien, MPH
In the May Tech Tips column, we
discussed Internet search engines
and how you might find information
necessary to you as a board of
health member. For this issue, we
will focus on the various forms of
communication available on the
Internet and electronically. These
forms of communication include: Iistservs, message boards, chat,
instant messaging and paging. Before using some of these forms,
make sure you understand netiquette (Internet etiquette). The
Internet is a culture all its own and you should be aware of it so you
do not make unnecessary blunders. The resource list at the end
of the column contains netiquette sites.
The most basic form of communicating with others is to use a
message board, which might also be called a forum or an
electronic bulletin board. These boards usually have a specific
topic to which members can "post" information. For example, say
you belong to a message board whose topic is tobacco use
prevention and control. You could go to the site and post a
message about a new program that your board is doing regarding
youth prevention. Others, who are also members ofthat particular
board, can go to the site and either post a response to your
message or post their own messages about their programs on adult
cessation. The entire course of the "conversation" between users
;s via the postings rather than direct contact between two persons.
In addition, the "conversation" does not occur in "real time,"
~ neaning that you respond and post whenever you log in and go to
~t(he site instead of interacting with another person at the same time.
Message boards mayor may not have someone monitoring
posting to ensure that they are ianguage and topic appropriate.
For more information on using message boards, see the following
examples: MSNCommunities < http://communities.msn.com/
home> and Yahoo!Clubs < http://clubs.yahoo.comJ?myciubs>
Listservs are very similar to message boards except that instead
of going to a website to read and post messages, all communica-
tion occurs via e-mail. After subscribing to a listserv, you receive
e-mails from other subscribers. For example, NALBOH and
NACCHO have a joint listserv for tobacco use prevention and
control. After subscribing to the list, you can send and receive
e-mails to all the subscribers. Like message boards, though,
communication is not in "real time" and may be monitored. In
addition, any communication is not private because e-mails are
sent and received by all subscribers to the list. You can have the
option of repiying "off list," which means that you would reply
directly to the person and not back to the list. This option is
sometimes necessary if there needs to be private information
exchanged that is not for everyone else's eyes. You can explore
and use listservs at: Yahoo!Groups <http://groups.yahoo.com>
Chat is a form of communication where people "speak" in real time.
Also arranged topically, you can join chat rooms to discuss a
subject with others in the room. Chatting may require special
C-Boftware, which may already be included in your Internet Browser
re.g. Internet Explorer, AOL, Netscape Navigator). Some
,- examples are: Yahoo!Chat <http://chat.yahoo.com>, Excite Chat
<http://www.excite.com/communities/chaU>, and MSN People &
Chat <http://communities.msn.com/people>
August 200 t
Instant messages are a way to chat online with designated people.
Using special programs, you allow people to be able to contact
you if you are online. While this can be useful to send messages
quickly back and forth, it is difficult to remain anonymous to those
people who are on your contact list. Some instant messaging ser-
vices allow users to speak (like using a telephone) or to use web
cameras to interact with instant messaging. You can download
some of the common instant messages from:
. Yahoo!Messenger <http://messenger.yahoo.com>
. Excite Messenger <http://messenger.excite.com/>
. MSN Messenger <http://messenger.msn.com/>
. AOL Instant Messenger
<http://aim.aol.com/aimnew/oldreg/home.html>
Online text paging may be available with certain kinds of pagers.
This option allows someone to go to a website and send a textual
message to the recipient. For example, if your sanitarians have
pagers with this capability, someone from the office can page them
with a message that tells of a complaint and the address. The
sanitarian receives the message and can respond
appropriately without stopping to call the office.
In your role as a board of health member, you may be called upon
to approve policies regarding the use of these tools for local
public health employees, and to consider ways in which these can
improve communication between staff and the community. For
example, does your health director want to create a listserv so that
if there is an outbreak, the media, clinics, hospitals, and
surrounding health departments can be quickly notified? Does the
school nursing staff want to use instant messaging or paging so
they can be quickly reached when they are out of the health
department? Is your health district large enough that it may be
useful for staff to communicate via some of these technologies so
that time and money are not being lost through phone calls and
transportation costs?
These questions are the tip of the iceberg regarding how boards of
health can support the use of technology to improve and
enhance the work of public health employees. Obviously, issues
of security and privacy must be addressed, as do the policies that
govern the use of the technology, before they can be used, but we
need to seriously consider how technology can help board
members improve or enhance the core functions of public health.
Resource List
. Internet for Beginners. <http://netforbeginners.about.com/
index.htm?rnk=c2&terms=netiquette>
. Shea, Virginia. Netiquette. <http://www.albion.com/netiquette/
corerules.html>
. Smokelesslocals Listserv. Contact Rebecca Edwards at the
NALBOH office, (419) 353-7714 or <rebecca@nalboh.org> LI
We want to hear from you. We value your input on services that
NALBOH can offer. What articles would you like to see in .
upcoming NewsBrief editions? What training opportunities or !
materials would be helpful to your board? Please call or drop us a
line with your ideas by phone, (419) 353-7714 or via e-mail at i
<nalboh@nalboh.org> LI :
Page 13
NALBOH NewsBrief
August 2001
NALBOH Needs You!
"
NALBOH is in the process of searching for new committee members for the year 2002. Below is a list of all NALBOH committees and I
summary of their objectives for the coming year, Please indicate which committee(s) you have an interest in serving on by checking the
box and completing the information below. Fax (419) 352-6278 or mail to NALBOH, 1840 East Gypsy Lane Road, Bowling Green, OH
43402. Please return your response no later than December 15, 2001 Thank you for your support.
o Awards Committee 0 Legislative Committee
Directs the search for award nominations through the NewsBrief Develops procedures for proposing legislation and programs to
and the Regional Trustees. Reviews nominations and selects keep national legislators informed on public health issues.
recipients for Executive Board approval. Coordinates awards and Encourages legislative efforts at the state level to promote local
presentations at annual conference. public health advocacy efforts.
o Board of Health Training Institute (BOHTI)
Works to assist state and local boards of health to understand the
importance of state associations and helps in the development of
establishing a state association. Coordinates and reviews all
educational efforts.
o Budget Committee
Oversees the development and implementation of financial
policies and procedures. Explores additional income opportunities.
Reviews and approves quarterly and annual financial statements.
o By-Laws Committee
Annually reviews NALBOH By-Laws and submitted draft and
proposed amendments. Presents revisions to the Executive Board
and the association membership, for vote at the annual conference.
o Communications Committee
Directs, promotes and develops modes of communication for
training and education in support of NALBOH's mission, goals and
objectives.
o Membership Committee
Plans and organizes the annual membership drive and all follow
up activities. Establishes targeted membership drives and explores
joint membership ventures.
o Nominating Committee
Provides a slate of candidates for open Executive Board positions
and presents ballots for voting.
o Program Committee
Plans, organizes and initiates the annual conference; reviews past
evaluations; presents draft conference schedules to the Executive
Board for approval.
o Tobacco Control Advisory Committee ('\
Guides the development of NALBOH's tobacco control policies an<"-'r"
advocacy efforts on a national level. Promotes anti-tobacco
efforts, oversees grants, works with NALBOH Tobacco Fellows and
other national public health and anti-tobacco organizations.
Name
Board of Health
Address
Phone
F..
E-mail
Application for Membership
Date: Membership Year- 2001
Board of Health/Organization/Name:
Address:
City: State: Zip Code:
Phone: Fax: E-mail:
Contact Person: litie:
Check type of Membership:
[] Institutional ($100) Any local board of health or other governing body that oversees local public health services or programs
[] ($75) A local board of health that is a member of its state association
[] Affiliate ($250) State associations of local boards of health
[] Associate ($50) Any individual committed to NALBOH's goals and objectives
[] Retired ($10) Any former member of a board of health, state board of health, local governing body, state, territorial or tribal,
board of health ,
[] Sponsor ($50) A non-profit organization, agency or corporation committed to NALBOH's goals and objectives '~ )
($250) A for-profit organization, agency or corporation committed to NALBOH's goals and objectives
[] Student ($20) Any full time student committed to NALBOH's goals and objectives
Mail this portion, along with payment of dues to: NALBOH, 1840 East Gypsy Lane Road, Bowling Green, OH 43402
Page 14
NALBOH NewsBrief
August 200 I
C.lend.r of Events
c
ASTHO Annual Meeting
September 18-21,2001
Orlando, Florida
For more information, visit the website at <www.astho.org> or call (202) 371-9090
National Live Satellite Broadcast and Webcast
Stand Up and Be Counted: Improving Your Community's Health
Through Performance Standards
September 28, 2001
2:00 p.m.-3:00 p.m. Eastern Time
Satellite coordinates will be available on the program website no later than September 14, 2001 at
<www.PublicHealthGrandRounds.unc.edu> or call (888) 232-3299
.~
American Public Health Association
129th Annual Meeting and Exposition
One World: Global Health
October 21-25,2001
Atlanta, Georgia
c','
For more information, visit the website at <www.apha.org> or call (202) 777-2742
2001 National Conference on Tobacco or Health
November 27-29,2001
New Orleans, Louisiana
For more information, visit the website at <www.tobaccocontrolconference.org>
3rd Annual Ned E. Baker Lecture in Public Health
Board Member to Board Member: Issues to Consider
Featured Speaker: Susan Scrimshaw, PhD
Dean, School of Public Health
University of Illinois at Chicago Circle
Friday, April 5, 2002
1 :00 p.m. Eastern Time
MARK
YOUR
CALENDAR
This lecture will be broadcast by satellite for local boards of health throughout the country!
Visit <www.nalboh.org>for more information or call NALBOH at (419) 353-7714
MARK
YOUR
CALENDAR
NALBOH's 10th Annual Conference
The Foundation of Local Public Health:
Boards of Health, Health Departments, and Health Officers
July 10-13, 2002
The Astor Crowne Plaza Hotel
New Orleans, Louisiana
Co-located With the
National Association of County and City Health Officials
II
For more information, visit <www.nalboh.org> or call NALBOH at (419) 353-7714
Page 15
( NALBOH's 10th Annual Conference
i---- --.-.. -~..- -- --- - --.- -~-- --
!
_ _ ,t~",_..,
6;
The Foundation of Local Public Health:
Boards of Health, Health Departments,
and Health Officers
July 1 0-13, 2002
The Astor Crowne Plaza Hotel
New Orleans, Louisiana
Co-located with the
National Association of County and
City Health Officials
For more information contact the NALBOH office at phone: (419) 353-7714; fax: (419) 352-6278
e-mail: <nalboh@nalboh.org>, or visit our website at <www.naiboh.org>
National Association of Local Boards of Health
1840 East Gypsy Lane Road
Bowling Green, OH 43402
Websi!e: <www.nalboh.org>
NON PROFIT ORG.
U.S. Postage
PAID
Bowling Green, OH
Permit No. 47
c'
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