02/06/2002
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New Hanover County Health Department
Revenue and Expenditure Summary
December 2001
Cumulative: 50.00% Month 6 of 12
Revenues
Budg_
Amount
cunent Yea,
Revenue Balenee
Earned Remalnl
%~
357~7 $ 989,511
265,811 $ 267,233
265,808 $ 747,128
165,775
108,823
82,987
874423
PrIor Year
Revenue Balenee
Earned Remain
%
$ 1,029,088
$ 273,254
$ 898,720
Expenditures
BUdgeted Expended Balance
Amount Amount Remainin
%
Budgeted Expended Balence
Amount Amount Remalnln
%
Summary
Budgeted Actual %
FY 01-02 FY 01-02
Expendilures:
Salaries & Fringe $9,028,041 $3,960,361
Operating Expenses $1,685,304 $750,885
Capital Outlay $126,456 $35,251
Total Expendilures $10,839,801 $4,746,497 43.79%
Revenue: $4,839,772 $1,918,902 39.65%
Net County $$ $6,000,029 $2,827,595 -4T12'lli '16'10
Revenue and Espenditure Summary
FiKal Year 01
As of December 31, 1001
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NEW HANOVER COUNTY HEALTH DEPARTMENT
BOARD OF HEALTH (BOH) APPROVED
11/7/01
Youth Tobacco Prevention Project- Robert
Woods Johnson Youth Center
Teens Against Tobacco Use (TATU)-Heailh
Action Council of NC
Heslth Carollnlans- NC DHHS
.
$11,800
$11,800
9/5/01
Family Assessment Coordination- March
of Dimes
Folic Acid Pro ect- March of Dimes
Safe Kids Coalition- Slale Farm"Good
Neighbor"
.
$16,500 $16,500
$16,618
$3,000 $13,318 .
8/1/01 $800
$20,500
7/11/01
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6/6/01
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4/4/01
$15,000
$15,000
$192,221
$192,221
Safe Kids Traller-Safe Kids Safe Communilies-
NC Govemo~s HI hwa Sa!
$8,740
$8,480
$260
NijJ~Ii..'-,':':;mr~':''''':jftJ4ij.infjlifjj.~N.jf@b.lmlMM1UMmwmnmmmmmmmm%&HmM~HMwnmtmmmmmm.NHgMMH:@f@@hHmH
Intensive Home Visitation Program
Ex ansion Grant - Smart Start
10/4/00
Cape Fear Memorial Foundatlon-Lice
Eradication Pro ram
Healthy Carolinians- Office of Heailhy
Carolinians, Division of Public Heailh, North
Carolina Dept of Heailh & Human Services
$10,000
$10,000
$5,000
$5 000
As 011/17102
. NOTE: NlIIificaIlon received since last report.
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NEW HANOVER COUNTY HEALTH DEPARTMENT
BOARD OF HEALTH (BOH) APPROVED
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
Re nolds Foundation
Teen Aids Preventlon- Z. Smith Reynolds
Foundation
$48,000
$52,000
:ttm~MmmMM$MMMtMMH~MIDWMMt@HWm%kmHmMmm%~~mmmtMr~:':':".:....
9.05%
Pending Grants 3 11%
Funded Total Reouest 8 29%
Partiallv Funded 11 39%
Denied Total Reouest 6 21%
Number of Grants Applied For 28 100%
As of 1/17102
. NOTE: NoUfication received since last report.
$50,000 $2,000
$48,000
$35,000
$10,000
:~ilqll$i!l\" . "
36.75% 54.16%
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..Betty Creech
01/15/200210:27
AM
To: David E Rice/NHC@NHC
cc: Lynda Smith/NHC@NHC
Subject: Request lor Additional Half.time PHN for School Health
Board of Education administrative staff has requested that we add a half.time nursing position to
enable us to provide a full.time nurse in an elementary with extensive health services demands.
This request is based on the needs of medically fragile students and the complexity of managing
these students in the school setting. This not only requires advance health care skills but requires
ongoing decision making regarding treatment. School staff are not qualified to make these
decisions or provide very skilled nursing procedures. Schools are required by law to meet the
health needs of students. The other liability issue is that the service be provided safely. The
Board of Education will fund this position. Therefore, I request that a half.time position be
established.
I will put copies of the required paperwork in each of your mail boxes.
Thank you
11
~1/11/2882 18:49 9182544352
5llSAH
PAGE 81
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OR. D..Df\I MORRIS..R.
9..,-"'" .aut
OR. AIJ'RID H. \BPI. oR.
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MEMOBAHPUM
FROM:
DATE:
RE:
10:
Betty Creech
New Hanover County Health Dept.
AI Lerch oJ...
January 11, 2002
Nurse position
FY01#22
TO:
e
Please add an additional half-time nurse position for New Hanover County
Schools.
Cc: Justine Lerch
Norm Shearin
e
1802 SouIIt 161H SnlEEl . WlMNtaltlN.1\IORlII CNICiI.W\ 28401 . PHONE (910)25+4206 . fAXt'110> 2$4-4a62
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School Health Budget Increase
Additional Half-time Nmse
2001- 2002
Expenditures
Salary
FICA
$6531
486
Insurance
835
Uniforms
74
Total
$7926
Revenue
110-510-5169-3425 Contribution/Schools
$7926
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".,~_"'" REQUISmoN FORM _ - REQUEST TO FILL PosmON VACANCY
1. Position Title: Public Health Nurse I!
For Human Resources Department's Use
2. Department name: Health Approved By: Date:
3. Department number: 110.510.5169 Job Notice ID:
4. Position status: New Start Date: End Date:
If "existing", please enter the name(s) and social
security number(s) of the vacating employee(s): Title Group: JNOT Type:
Job Statement:
Entered By: Date:
~ How many position vacancies do you want to fill at this time? 1
~. Employment status: Regular "budgeted" part.time 10-month position
If part-time, Indicate the %: 50%
.- Projected duration of temporary position: N/A
~. Normal Days/Houn: Other
If "Other", please indicate days/hours: 8:00 a.m' 12 noon
Rotating Shift:? No
Lunch Period: None
Special or Occasional Days/Hours: Other
If "Other", please specify: EmergencY, on.cal!, soecial events
i Salary: 18,104/18ar 20.89/hour
Grade/step:NUZ2/01 If other than Step "01", please indicate:
Advertise Trainee Rate: No
!fO. Recruitment open to: The Public
Length of tIme to keep open: 1 week
If "Other", please specify:
ILl. Recruitment sources: (check all that apply.)
[gI Local newspapers
o Out.of.town newspapers (Specify Below)
o Professional journals (Specify Below)
o Other (Specify Below)
Please specify when applicable:
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2. Essential Functions of the position: (This must be completed. List about 5.6 major
ssential functions.)
"
. Manage school health program in assigned school; perform student physical assessments;
conduct mass screenings
. Provide health care in school
. Teach school personnel to provide health services; monitor care delivery
. Health promotion counseling; develop and implement plans of care
. Collect data and assist with strategy development
. Maintain school supplies
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3. Responsibility/supervision: (Scope of responsibility/positions formally supervised?)
ust teach and monitor health care provided by school staff.
4, Work setting/environment: Schools; clinics; homes throughout New Hanover County
5. Education/experience required: Bachelor of Science in nursing; at least 1 year nursing
xperience or graduation from an associate degree or diploma nursing school approved by NC
oard of Nursing and School Nurse certification
6. Knowledge, skills and abilities required: Skilled in use of diagnostic/treatment equipment
elative to job; skilled in office equipment relative to job; thorough knowledge of anatomy and
hysiology; current knowledge of pediatric and adult disease/disability management; excellent
eaching, counseling skills; good interpersonal skills; ability to communicate clearly both verbally
nd in writing
7. Knowledge or experience (exceeding those required) desired:
revious school health and program management experience
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8. Special licenses or certifications required:
icensed to practice as a registered nurse in North Carolina; North Carolina driver's license and
wn transportation. Must have good driving record.
9. Physical activities and demands: Must be able to sit, stand, walk, talk, hear; use hands to
inger/handle/feel/grasp; climb; balance; stoop; kneel; crouch; crawl; reach with hands and arms;
nd taste. Visual requirements. close, distance. color, peripheral, depth perception, and ability
o adjust focus. Must be able to lift 25 Ibs. and move 50 Ibs.
O. Penon authorizing requisition: David E. Rice
B. Creech Phone #: 343.6647 Ex\. FAX#: 341.4146
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DAVID E. RICE, MP.a, MA.
Health Director
To
From:
Date:
Subject:
NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 17TH STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-4146
E_.E""""".E""""',.
LYNDA F. SMIm MP.A.
Assistant Health Director
New Hanover County Board of Health Executive Committee
Cynthia Hewett, Business Officer()llk
January 23, 2001
Budget Workbook Fiscal Year 02-03
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Enclosed is your Budget Workbook for Fiscal Year 2002-2003 The first 7 pages provide summaries of the
information contained within the workbook.
Our total Budget Request FY 2002-2003 is $11,004,283 This is an increase of $438,268 over the
Approved Budget FY 02 amount of$IO,566,0 15 As directed by the County Manager, we are not requesting
any new positions for FY 02-03.
Revenues through federal and state grants, fees, Medicaid, and other sources show an increase of$316,586.
The net increased cost to the county is $121,682 (2.10%). The budget request does not include a projection
for salary market adjustment or merit.
Our Budget Request FY 2003 is due to the County Budget Office on February 15, 2002; forreview by
the County Manager, Allen O'Neal, and his Budget Committee. In May we will receive the County
Manager's Recommended Budget FY 2002 for the Health Department. Any revisions to our original Budget
Request will be presented to you at a later date. On May 20, 2002, a Public Hearing on budget is scheduled
and you will have an opportunity to appear before the Commissioners to discuss budget matters.
C: Board of Health Budget Committee
David E. Rice, Health Director
Lynda F. Smith, Assistant Health Director
e Health Department Management Team
"'YOUR HeALTH - OUR PRlORl7Y'
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TO:
Department Heads
FROM:
DATE:
Allen O'Neal, New Hanover County Manager
January 10, 2002
RE:
FY 02-03 BUDGET PROCESS
The FY 02-03 budget process is going to be verv difficult; therefore, I wish to thank you
in advance for your cooperation and extend my appreciation for your patience and
support during the current fiscal year
The revenue side of the budget will be most directly impacted by the uncertainty in sales
tax revenue. Sales tax is the second largest source of revenue for the County and is
directly related to the economic conditions within the State and County. Also, New
Hanover County's sales tax receipts will be negatively impacted by the City of
Wilmington's last phase of annexation. Additionally, the County's investment income is
down due to the decrease in interest rates and the current economic conditions.
The expenditure side of the budget will be substantially impacted by cost increases in
the following: Medicaid, debt service, education, health insurance, mental health
reform, and opening of the new jail.
In view of the challenges we face, I am requesting that you adhere to the following
guidelines when you formulate your FY 02-03 budget request.
(!) DO NOT request any new positions.
(!) Hold operating budgets at the FY 01-02 adopted level or LESS.
(!) Review your department's operations to determine if expenditures can be
DECREASED or revenues INCREASED
(!) Do not request capital outlay items without documentation for the ABSOLUTE
CASE that the request is ESSENTIAL
While I am not going to ask all departments to cut their budget requests by a
percentage; however, I am requiring each department to identify areas that can be
reduced to balance the FY 02-03 budget. The areas can include programs, positions,
or other expenditures. A form will be available on Lotus Notes to submit the "areas for
reduction."
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If you have any suggestions on ways to reduce the County's budget or increase
efficiency, please call Cam Griffin at 341-7170.
The budget preparation manual with specific directions was distributed in December
Please make sure that your budget support staff has a copy of the manual.
As you are well aware, the FY 01-02 budget was adopted by the Board of
Commissioners with the directive to reduce the size of County government. My goal is
to reduce the County's workforce by 40 positions. To date, 29 positions have been
eliminated. We will be working with you on additional position reductions as we prepare
the FY 02-03 budget.
Please let me know if you have any questions or need additional information.
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TABLE OF CONTENTS
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Index
Summary of Expenditures and Revenues
Temporary Salaries and Overtime IOn-Cali
Capital Outlay Requested
Summary of Computer Requests
Operating and Capital Outlay
Revenues
Organization Line Items and Revenue Requests
5111 Environmental Health
5112 Vector Control
5114 Animal Control
5121 Laboratory
5122 Public Health Bioterrorism
5131 Administration
5132 Board Members
5133 Child Health Services Coordination
5134 Navigator Partnership
5141 Women, Infants and Children
5142 Nutrition
5151 Epidemiology
5152 Tuberculosis
5153 Teen Aids Prevention
5154 Navigator
5155 Child Health Child Care Consultant
5156 Komen Grant
5157 Maternity Outreach Workers
5158 Ternporary Aid to Needy Families
5159 Maternity Care Coordination
5160 Health Check
5161 Personal Health
5162 Maternal Health
5163 Farnily Planning
5165 Breast and Cervical Cancer Control Program
5166 Partnership for Children
5167 Child Health
5168 Dental Health
5169 School Health
5172 Neurology
5174 Jail Health
5178 Children's Special Health Services
5180 Risk Reduction I Injury Prevention
5181 Project Assist
5182 Health Education
5183 Safe Communities
5185 Healthy Carolinians
5186 Asthma- SS
T ernporary Salaries
Overtime IOn-Cali Salaries
1
2
3
4
5
6
7
8-179
8-14
15-21
22-27
28-31
32-35
36-40
41-43
44-47
48-51
52-55
56-59
60-64
65-68
69-72
73-76
77-80
81-83
84-87
88-91
92-95
96-99
100-103
104-107
108-112
113-116
117-120
121-124
125-127
128-131
132-135
136-140
141-144
145-148
149-152
153-156
157-158
159-160
161-164
165-173
174-179
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NEW HANOVER COUNTY
BOARD OF HEALTH
2029 SOUTH 17TH STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-4146
EveJyWhere. Everyday. Everybody.
New Hanover Countv Board of Health
Gels N. Hunter, RN, FNP, Chairman
W. Edwin LiDk, Jr., RPH, Vic:e-Cbairman
Heory V. Estep, RHU
Manin Freemao
Commissioner Robert G. Greer
Wilson O'Kelly JeMIJ, DDS
Anoe Braswell Rowe
Philip P. Smith, Sr., MD
Melody C. Spook, DVM
William T. Steuer, PEIRLS
Edward Weaver, 00
David E. Rice, MPH. MA
Health Director
Lynda F Smitb, MPA
Assistant HealJh Director
"Your Health - Our Priority"
26
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New Hanover County
Health Department
Requested Budget FY 03
Summary
February 6, 2002
Ex~~,~e}!~.E!l!n~'~:!Qnr.l1nUn.j~.uilll!l Qnl1.~,",m FY 02...
,~ ;, 'I
' niiiir~ r---r-- 14J!-t--."0%
v
PlaIR DOle IlleR
n.uresdoDOt
IDdlldeaalar1
aad t'rbtp
~"uw ;.- il3:226F I "',
iJ811 ! l , 1 I U'l\II
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$ 156,990
1.1 0%
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,
.
QnUQIQutlav: IT Requests for FY 03. . .
Software for Environmental Health
$29,175
$ 6,000
$ 2,000
$ 50,000
$ 2,600
Computers for Dept (14)
Printers
HUBS, Cables & Other Peripherals
AS400
TOTAL IT Requests:
$89,775
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CapltalOlJllav: Excluding IT lequests
Organization
Qty Description
Total Cost
Vector Control 1 Operations Building
$96,200
Total Combined Capital Requests:
$89,775 + $96,200 = $185,975
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2
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.
,PosnionUpdates for FY 03...
As requested by the County Manager, NO NEW
POSITIONS are being requested for Fiscal Year 02-03.
In FY 01-02 4 positions were cut from our department,
the chart below represents the amounts that will be
deducted from Salary and Fringe line items.
ili..~..~.I.~.,~-.~.;'...I'.;. ";.\;..~.:;~~~j.~;i:.L.~~;III.I;~I~~~~i~~11
Her FiiiiIlYPli'iii'ilfiij"' LPN "'"---'-'---':'-'--S33:a8~F-"u:nlrl-' "'11)1.+ -14.W- --"'."'t1I' "'J.u;nsj
,.==~:~ '.~=~'~:::~'='-=-.~~:' .....~~...=..-=..:=~=._...:I..llu.2u.i!~~~!L=~!.~~=~~:O','lI,. "'''~':.!~~~~!.~:!~~
New Salary/ Fringe Amount for FY 02-03: $ 9,125,803
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FY 03 Revenue Changes from FY 02...
~ :{Ei'NnnniiiirHiiil' i .
.....
"'" I
.."FIiCtiM" 369.850"1
^ . on
........... , .
_p-...--J ';0001
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..,..
1af
Piiti'iiiilijfiiU'llawl
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5160"----------_.. HiiilffCfiiC1i:---.--r-+--------3;752- .-.-.--.--,-..:..---
5':--'---' :;!iiir~---'--i--(-'--~- '-'------ .
iiiilfPliiillng
$ 316,586
5'80 RRIIP
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Summarv 01 Projected Revenue
State Money
Fees
. Medicaid
Other
$ 347,130
$ 0
$ 2,488
($ 33,032)
Total Increase in Revenue:
$ 316,586
+ 6.64%
Total Cost no Countv lor FY 03
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FYOI-02 FY 02 .03
Salary & Benefits $ 9,028,041 $9,125,803
Operating Expenses $ 1,487,974 $1,508,989
Capital Outlay $ 50.000 $ 185.975
Total Expenditures $ 10,566,015 $10,820,767
Difference: $ 254,752
Total State & Federal
Revenue: $ 4,764,340 $5,080,926
Difference: $ 316,586
Total Decrease to County. $ (61,834)
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NEW HANOVER COUNTY
BOARD OF HEALTH
2029 SOUTH 17TH STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-4146
Everywhere. Everyday. Everybody
New Hanover Countv Board of Health
Gela N. Hunter. RN. FNP. Chairman
W Edwin Link. Jr.. RPb. Vice-Chairman
Henry V Estep, RHU
Man-in Freeman
Commissiooer Robert G. Greer
Wilson O'Kelly Jewell, DDS
Anne Braswell Rowe
Philip P. Smith, Sr., MD
Melody C. Speek, DVM
William T. Steuer, PElPLS
Edward weav~
David E. Rice. MPH, MA
Health Director
Lynda F Smith. MPA
Assistant Health Director
"Your Health - Our Priority"
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NEW HANOVER COUNTY HEALTH DEPARTMENT LABORATORY
The Health Department Laboratory serves not only the medical needs of the citizens of New
Hanover County but the environmental needs also. The Laboratory is a highly technical support
service to all Health Department programs, and a resource for private medical care providers and
community health programs. The control and treatment of disease are often determined by the
proficiency and ability of the laboratory staff.
Hematology Laboratory patients receive eight parameters performed on an automated cell
counter. Parameters are hemoglobin, hematocrit, red cell count, white cell count, platelet count
and three red cell indicies. The Laboratory averages 6500 automated profiles each year.
The Laboratory and the Health Department have had an active Lead Testing Program since
1976 when the Centers for Disease Control and Prevention identified an extensive lead problem
in the children of the intercity. New regulations and a national push to test all children have
dramatically increased the number of tests the Laboratory collects.
The largest program in the Laboratory is the sexually transmitted disease testing program.
This covers TRUST (RPR) tests for syphilis. This test is mandated by North Carolina Public
Health Law to be provided in local health departments. Presently the Laboratory tests
approximately 5000 blood samples for syphilis each year. Gonorrhea cultures are performed on
all VD patients, Family Planning patients and on any other clinic patient where it is deemed
necessary. The State provides the Laboratory with GC Culture plates needed to carry out this
program. Between five and six thousand cultures are processed each year. Since 1986, when the
test for the HIV virus became available, the Laboratory working with the Communicable Disease
Division has offered HIV testing for the AIDS Virus. The Laboratory draws and processes the
blood and the State Laboratory performs the test. This year the Laboratory will draw more than
3000 HIV tests. The Laboratory participates with the SID Program and the State STD/HIV
Division to provide CD4 Counts on newly identified HIV positive patients.
Other medical testing performed in the Laboratory includes wet smears for Trichomonas,
yeast and other cellular components; blood chemistry profiles; glucose and cholesterol testing;
complete urinalysis, bacteriological culturing of throats and urine; and pregnancy testing.
Laboratory procedures not performed on-site can be referred to the State Laboratory in Raleigh.
The State Laboratory provides these services to local health departments free of charge.
The Laboratory in the area of environmental health provides water bacteriology testing for
New Hanover County. The EPA and the Federal Government set the standards and New
Hanover County has regulations that require a water sample before a well can be used. The
Laboratory is certified by the State Laboratory to performed this testing.
The Laboratory works at maintaining high technical standards. It participates in a proficiency
sample program in all areas of testing. All procedures are quality controlled with known value
samples and all equipment is checked daily. The Laboratory is governed by the Federal Clinical
Laboratory Improvement Amendments of 1988. These amendments placed all medical
laboratory testing facilities under the Federal Government who conducts inspections and issues
laboratories a permit to test. This program was designed to standardize laboratory testing
procedures.
tit
NEW HANOVER COUNTY
HEALTH DEPARTMENT
LABORATORY
PUBLIC HEALTH DIVISION MANAGER
(LABORATORY DIRECTOR)
Susan Merritt O'Brien 'J- 7-
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MEDICAL LABORATORY SUPERVISOR
Diane Tucker V osnock () '7'
MEDICAL
LABORATORY
ASSISTANT
(X3)
Monique Simon 13 ~
Sheila Jamerson I J- ~
Lucretia Cox )-, 'f'L1"
ADMINISTRATIVE
SUPPORT
TECHNICIAN
(1)
Pamela Horne {/~
e Chart reflects the new Pay and Classification Study
e NEW HANOVER COUNTY HEALTH DEPARTMENT LABORATORY
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The Laboratory is a technical support service to the Health Department Programs and
provides only those tests and procedures that are mandated or needed by the programs or
the Health Department.
The Laboratory provides services to the following programs:
Communicable Disease Division
Sexually Transmitted Diseases
Chest (TB) Clinic
General Communicable Disease Services
Community Health Division
Jail Medicine Program
Community Nursing Programs
Women's Health Care Division
Women's Preventive Health
Child Health Division
Health Check Program
Lead Screening Program
Sickle Cell/Newborn Screening Program
Nutrition Division
AC Program
Environmental Health Division
Individual and Public Water Supply Bacteriological Culture Program
Laboratory Services are mandated under General Statue GS 130-A and Mandated Public
Health Services .0242. The Laboratory Services are essential. Health Department
Programs cannot meet their mandated services without laboratory testing being available,
since it is a ml\ior component of the programs.
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STRATEGIC PLANNING PRIORITIES
January 29, 2002 Update
Access to health care
(Issues #7,11 & 5)
.. Health Choice Coalition: Janet McCumbee and Carmen Potter continue to be involved with
the local Health Choice Coalition. The group is submitting a grant through Smart Start to the NC
Pediatric society for $37,000.00 to enhance outreach for uninsured children.
.. More at Four' The More At Four grant submitted as a joint venture between the school
system, Smart Start, and private childcare was not chosen as a pilot for this year
.. Partnership for Children: The annual Partnership For Children (Smart Start) Board retreat
will be January 16. The Board will be looking at priorities for the strategic plan for the next year,
in order that "Requests for Funding" can be initiated to grantees in the next few months.
.. Health Check Rate: NHC is now at 80.5% Health Check participation rate, State average is
69%. The state goal for the year 2000 was 80%. Having our Smart Start funded Health Check
Coordinator has raised our rate from 41.2% in 1997 to the 80.5% in CY 2000. The participation
rate is based on numbers of Medicaid children receiving well checkups.
.. Members of the Wilmington TriCounty Dental Society were presented information
concerning establishing a volunteer dental clinic on Saturdays at the New Hanover Community
Health Center 18 privately practicing dentists indicated an interest to participate in this
program. An "open house" will be held for prospective dentists and auxiliaries at lunchtime on a
weekday in early Spring.
.. Community Chilid Protection Team: Janet McCumbee attended the quarterly Community
Child Protection Team at DSS 1/18. It was announced that the Carousel Center (place for child
medical exams,interviewing, and counseling for child sexual abuse victims) has a new physician
on Tuesday and Thursday to do the exams. She is Dr Sonya Brown, a Family Practice
Physician. There was much discussion about use of the center by law enforcement and DSS to
prevent children form having to disclose several times. Coastal Horizons open house to be held
at new location (615 Shipyard) Feb. 6, 2-5pm.
..
II.
I.
Preventive services & lifestyle-related risks
(Issues #12 & 15)
.. Infant Formula: Mead Johnson is changing the size of powered formula cans from 16 to
14.3 ounces. As a result, infants on powered Enfamil will get less formula with WlC vouchers.
.. Growth Charts: By March 1, 2002, all NHCHD programs for infants and children will need to
start using the new CDC growth charts. The biggest change is in the 2-20 years of age charts.
Overweight and risk of overweight will be determined by the body mass index (BMI). the
Nutrition Division will schedule training for NHCHD staff.
.. Tuberculosis: TB program is participating in research project with Duke University
Candidates for preventive therapy are offerred enrollment in clinical trials with new regimen.
Participation is optional and Duke is paying participants. Thus far, most individuals are choosing
not to enroll, even though the regimen is for shorter duration than the current treatment.
.. PPD Tests: State- purchased PPD can only be used if testing meets state-<lefined criteria.
Locally purchased PPD must be used if outside the state criteria. Most nursing programs are
only conducting screening for individuals who meet the criteria, other than General Clinic where
many PPDs for employment will be from purchased PPD. Contact TB program if there are
questions.
.. EPI Team: Held quarterly meeting January 14 Discussed role of EPI team in Bioterrorism
and recent reportable cases.
.. March of Dimes Grant: The Women's Health Care Division received $3,000 (of$16,618) to
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continue folic acid program (already established) through outreach to you women of childbearing
age.
..
III. Communication, education & marketing (promotion)
(Issue #1 & 4 in part)
.. General Clinic Bulletin Boards: Assignments for 2002- Contact Nikki Todd (6677) to sign
up.
.. Maternal Health Team Event: The Maternal Health Team is sponsoring a Baby Shower to
be held on February 12,2002 @ 12:00 noon in the TFW Conference Room. The event will be
hosted by TV personality, Jennifer Abney, who will accept the gifts on behalf of the unnamed
recipients of the gifts - pregnant women who participate in our maternity clinic settings. The
event also represents an opportunity for acceptance of donations from the maternal health team
as well as the entire health department staff, and including the community Please bring your
donations to the February general staff meeting in the Health Department Auditorium, Thursday,
February, 7 Maternity clients will participate in a drawing to receive the gifts - following
participation with an educational program which includes specific criteria which must be met.
.. WIC News: President Bush mentioned WlC in his radio address on Saturday, Jan.12,
calling it one of the government's most effective services. He stated his budget is adding
resources to vital programs that have proven their value.
.. ACS presented a "commercial" presentation on NHC-TV compiled by Mark Boyer, county
Public Information Officer This video was part of the department focal for the BOH's January
meeting about adoptions at ACS.
.. An article and an editorial in the Star News has spiked keen interest in the addition of a
spay/neuter facility and adoption play area on the current building. The MAPH team from ACS
will have a completed business plan to present to the BOH in June of 2002.
..
IV. Facility utilization & Information technology
(Issues #6 & 4 in part)
.. NHHN/NHCHD continue to hold weekly meetings. The next meeting on January 15 will
focus on security issues. Property Management will attend.
.. Stamped Mail: In the Mail Room, place stamped mail (Wilmington or out of town) in the box
labeled STAMPED. Mail must have a postage stamp and a return address. Mail without a return
address will be discarded!!!
.. Property Management Schedule: Property Management has adopted new policies related
to their work schedule and arming the building's alarm system. Effective immediately, Property
Management will vacate the building by 8:00 p.m. Therefore, the auditorium schedule for night
meetings will entertain requests for meetings which end in order for Property Management to
have everyone out of the building so they can arm the alarm system. If there are meetings
scheduled after 8:00 p.m., a Health Department Employee will need to be responsible for
coming to the health department and arming the alarm system. Staff also need to be aware of
these changes as many have keys to the back door and may have become accustomed to
entering after hours.
.. Health-IT Newsletter' The first monthly Health-IT Newsletter was distributed via lotus notes
1/14/02. The intent of this newsletter is to provide the end-user with another tool for helpful
tidbits, shortcuts and information. Users are encouraged to submit questions, shortcuts,and
tidbits to Health It_requests for future newsletter editions. These submissions should be
received by Health IT by the 15th of each month.
.. Health IT staff worked with ACS staff to determine functionally needed upgrades to
computer systems at the shelter Two main pc's are used to load all licensing data regarding
pre-citations, citations, and collections information. These pc's had become overloaded with the
lotus notes revisions.
.. Chameleon will soon have their 32 bit version available for general use at no additional cost
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to ACS, because it is included in the maintenance fee.
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V. Water quality, storm water management & drainage; & Air
quality (Issues #3 & 8)
-+ Jail Construction Site: Site has been cleared by DHHSIDPH Occupational and
Environmental Epidemiology Branch. Sampling of wells in the area proved minimal risk to the
water supply
-+ On-Site Wastewater Systems: Monitoring wells have been constructed on two sites, one on
Blue Clay Road and another in Country Place subdivision. When sites are classified unsuitable
for septic systems based on projected soil wetness conditions, property owners sometimes
request monitoring through the winter months or wettest season of the year This process
generates a more accurate determination of wetness conditions during a given year Depth to
saturation is measured via groundwater well portals. A time intensive undertaking, such
properties will be visited 2-3 times weekly and 24 hours after a rain event from December
through April. Private soil specialists consultants often use remote sensing devices to record
daily readings of saturation depths. At conclusion of the monitoring period, automated and
manual data will be evaluated in the context of documented precipitation levels. In some cases,
this information along with other site / soil characteristics can be used to facilitate design of a
septic system that can be expected to properlY treat and dispose wastewater
VI. Emerging health risks
(Issue #13)
-+ Bioterrorism: NHCHD BTL (Bioterrorism Leadership) Team will finalized its review of the
draft policies and procedures. on January 22.
-+ NC DHHS/DPH continues the weekly teleconferences on implementing the regional
bioterrorism teams. The fifth teleconference was held on January 14. Draft positions for the
physician epidemiologist, nurse epidemiologist, and industrial hygiene consultant are attached:
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VII. Population growth & diversity
(Issue #2)
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VIII. Discontinued services picked up by Health Department
(Issue #9)
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IX. Staff Development & continuing education
(Issue # 14)
-+ Dr Charles Schleupner is the temporary physician advisor to the Public Health Response
Team for NHC and surrounding counties. He has a strong background in infectious diseases
and epidemiology Dr Schleupner is the medical director for Coastal AHEC. Recruitment for a
physician epidemiologist, a disease intervention specialist, an environmental health
professional, and an administrative support should begin soon. Last night the NHC Board of
Commissioners approved our participation as host health department.
-+ The Health Director attended the workshop on Weapons of Mass Destruction on January 5.
-+ NHHN/NHCHD continue to hold weekly meetings. The next meeting on January 15 will
focus on security issues. Property Management will attend. A newspaper article on January 3
identified some of the Health Department concerns regarding security
-+ Health Director, Communicable Disease Director, Community Health Director, and
Environmental Health Director will attend FEMA training "Managing the Emergency
Consequences of Terrorism" January 28 - February 1 at Mt. Weather, Virginia.
-+ Growth Charts: Training for new CDC growth charts will be Feb. 18, 1.30-3:30 and Feb. 22,
8:30-10:30.
3
-+ Diane Vosnock, Laboratory Supervisor completed the AFrontline Leadership@ training
offered by the county in concert with Cape Fear Community College. The Frontline
Leadership=s approach to performance improvement begins with a foundation of fundamental
supervisory skills and then expands to address a variety of leadership issues today=s managers
and supervisors face. The course consisted of 24 hours of classroom training and employees
completing the course were awarded CEUs and certificates from the Continuing Education
Department of Cape Fear Community College.
-+ Jean McNeil taught her first class of Standard First Aid wi AED to county personnel during
the month of December Staff is encouraged to check future times for certification with Human
Resources staff.
-+
X. Evaluation of services
(Issue #16)
-+ Bioterrorism: NHCHO BTL (Bioterrorism Leadership) Team continues its review of the
draft policies and procedures. Attachment J (Communication Needs) and Attachment I (Building
and Grounds) have been completed.
-+ NC DHHS/DPH continues the weekly teleconferences on implementing the regional
bioterrorism teams. Fourth teleconference was held on January 7 Map of Regional areas of
Public Health Response teams is attached:
-+ FY 2002-03 Budget: Chairman of the NHCBH Budget Committee sent a letter to Board
Members and Division Oirectors outlining the budget process. Deadlines were listed in the
December 11 Management Team minutes.
-+ WIC Funding: FFY02 funding was the most dramatic increase since W1C began in 1974
-+ Temporary Food Events: Environmental Health is informing restaurants managers and
others potentially affected by a change in state statutes defining operations that qualify for
exempt status, i.e. don't have to comply with standards and be permitted. Essentially, the
change establishes that only nonprofit organizations and political committees qualify as exempt
for operations of no more than 2-days in length once a month. By tightening the "two day"
exemption, the legislature sought to reduce outbreaks of food-related illness. According to 1999
data from the Communicable Disease Section of the North Carolina Oivision of Public Health,
47% of documented, food-related outbreaks in the state that year were caused by non-regulated
food preparation.
-+ Navigator Program: Will be submitting their CFMF grant (1/15/02) for another year of
funding. The nurses are billing Medicaid for visits; however, this revenue will not sustain the
program.
-+ Standing Orders: Are being reviewed and revised for Dr Rhyne's signature (new Medical
Consultant).
-+ A meeting has been scheduled with Coastal AHEC on January 22 to discuss contracting for
physician epidemiology services.
-+ AEIOU TEAM: After four years of processing issues through the APEx/PH (Assessment
Protocol for Excellence in Public Health) process, the AEIOU Team elected to sunset its
activities when the three (Community Health Assessment, Access to Care, and Public
Policies/Health Priorities) committees work is complete. With the ongoing strategic planning
process available, the AEIOU Team believed it was important to continue with one coordinated
process. Thanks to members of the AEIOU Team: Carol Bottoms, Mamie Carlos, Andrea
Carson, Mitzi Chappell Dianne Harvell, Beth Jones, Mary Jo Newton, Susan O'Brien, Dave
Rice, Avery Rollinson, Lynda Smith, Marcy Smith, Bobby Waters. Minutes of the January 14
meeting will be sent by email.
-+ FY 2002-03 Budget: Management Team reviewed items discussed at the County
Manager's meeting on January 10. Some of the budget items were: Do not request any new
positions. This includes grant-funded positions. Hold operating budgets at the FY 2001/02
adopted level or less. Review operations to determine if expenditures can be decreased or
revenues increased. Do not request capital outlay items without documentation for the absolute
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case that the request is essential.
-+ Immunization Review: CASA Immunization review not finalized because of data
discrepancies. State will be coming to work with staff to review data and determine if problems
attributable to HSIS, as, or combination. Staff worked extremely hard to improve our coverage
rates and are disappointed the review was not indicative. Immunization Consultant very
complimentary of CDD efforts in Immunization tracking.
-+ WIC Vendor Program: There will be some major changes in the WIC vendor program
starting July 1, 2002. The State sent a letter last week informing vendors of these changes.
Changes are due to new federal regulations. The state will be establishing maximum prices that
it will pay for WIC foods. Regulations also strengthen sanctions for WIC Program participants
and vendors who violate program requirements. All WIC vendors will have to also be authorized
for the Food Stamp Program.
-+ Funding Authorizations: Some funding authorizations have been received from the State
Controllers office for the current fiscal year Copies will be made for the divisions as soon as the
signed originals are received back from Finance. Thus far, those received match our budgeted
figures!
-+ Medicare Payment: We have received our first payment for this fiscal year from Cigna
Medicare- in the amount of $38,729.02 for Flu and Pnuemonia shots.
-+ Policy Team: Presented a draft revised Merit Increase Process policy to the Management
Team. The last paragraph of the current policy was deleted. Management Team adopted the
revised policy
-+ ACS mailed out multiple month's of pre-citation letters to bring county residents to current
status with their pet licensing. Citation mail-outs will resume after the holiday and tax season
have passed.
-+
5
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6
North Carolina Department of Health and Human Services
Division of Public Health. Office ofthe State Health Director
1915 Mail Service Center. Raleigh, North Carolina 27699-1915
Tel 919-715-4177 . Fax 919-715-3144
Michael F Easley, Governor
Cannen Hooker Buell, Secretary
Leah Devlin, DDS, MPH
Acting State Health Director
Director, Division of Public Health
January 9, 2002
TO'
Health Directors ofthe Host Regional Bioterrorism Response Teams:
George Bond, Buncombe County
Peter R. Safir, Mecklenburg
Janet Lindbloom, Cumberland
Brian Letourneau, Durham
Harold Gabel, Guilford
David Rice, New Hanover
John Morrow, Pitt ~
'- , tJ...., "r-
Leah Devlin, DDS, MPH, A~alt irector
Funding for Regional B ioterrorism Response Teams
FROM:
SUBJECT
This is to notify you that the our Division's request as presented for the funding of seven (7) Regional Bioterrorism
Response Teams has been approved by the Governor's Budget Committee chaired by Secretary Beatty
This funding will be available over the next two years of the Biennium as follows:
Year 1 (SFY 2001-02) remaining six months: $362,300 divided by 2 = $181,150. + $25,000.
(one-time funding) Total: $206,150.
Year 2 (SFY 2002-03) anticipated 12 month funding:
Total: $369,850.
This funding will be administratively processed through the Epidemiology Section. Dr Cline and Mr Harrington
will both support this process. You will receive an Agreement Addendum and further budgetary guidance from
Dr. Cline in the near future.
Our Division is committed to support you to the fullest extent possible to make our State as safe as humanly
possible from the threat of terrorism. As usual, public health will do whatever it takes to protect the health and
wellbeing of our citizens.
Thank you for you willingness to provide this vital service to your citizens and the region.
Cc: Dr Steve Cline
Dennis Harrington
PHMT
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. EveryWhere. EveryDay. EveryBody.
Location: /330 St. Mary', Street. Raleigh, N.C. 27605
I
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,
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...1.....
~ . " .
Course Manager
Phil McDonald
CONFERENCE AND TRAINING CENTER
Mount Weather Emergency Assistance Center
Bluemont, Vir2inia
CLASS SCHEDULE
COURSE CODE: S915
INTEGRATED EMERGENCY MANAGEMENT COURSEI
CONSEQUENCES OF TERRORISM:
NEW HANOVER COUNTY, NORTH CAROLINA
January 28-February 1,2002
Chief Exercise Controller
Phil Moore
Sundav. January 27. 2002
Check-In
5'00-
10:00 p.m.
6:00-
8:00
Balloon Shed Lounge Open
Dinner
Mondav. January 28. 2002
7:40 a.m.
8:00
Registration
Welcome
Place
Building 411
Mount Weather Emergency
Assistance Center
Bluemont, VA
Exercise and Simulation Lab
Building 411
Visitor Center, Building 403
Cafeteria, Building 435
(Lower Level)
Cafeteria, Building 435
(Upper Level)
Building 411
Steve Sharro
Superintendent
Emergency Management Institute
Emmitsburg, MD
i
tit Mondav. January 28. 2002 (Continued) e
8:05 a.m. Mount Weather Orientation Steve Hill
Program Analyst
Integrated Emergency Management
Branch
Mount Weather Emergency
Assistance Center
Bluemont, V A
Richard Callis
Deputy Superintendent
Emergency Management Institute
Emmitsburg, MD
8:20 Course Introduction Phil McDonald
Training Specialist
Integrated Emergency Management
Branch
Emergency Management Institute
Emmitsburg, MD
e 9'15 Break e
9:30 Terrorism: Threats and Trends Peter Lejeune
Co-founder and Director
BLE Incorporated
Westport, CT
10:30 Break
10:45 Public Policy Issues John Laye
Managing Partner
Contingency Management
Consultants
Moraga, CA
11:45 Newsbreak #1
12:00 Lunch
1:00 p.m. State Role in Response to Terrorism Tom Collins
Area Coordinator
North Carolina Division of
e Emergency Management e
Raleigh, NC
1:45 Break
,
. Mondav. Januarv 28. 2002 (Continued)
2:00 p.m. Centers for Disease Control and Prevention Cyndi Shaffer
(CDC) Bioterrorism Program and Case Program Advocate and Government
Study: Public Health Anthrax Response Affairs Liaison
CDC Bioterrorism Preparedness and
Response Program
Atlanta, GA
Rick Roman
Public Health Advisor
Laboratory Management and Support
Branch
CDC Bioterrorism Preparedness and
Response Program
Atlanta, GA
2:45 Break
3:00 Media and Public Information David Schoumacher
Media Consultant
Hume, V A
. 3:45 Break
4:00 Exercise Orientation Phil Moore
Training Specialist
Integrated Emergency Management
Branch
Emergency Management Institute
Emmitsburg, MD
4.20 Discipline Meetings Staff
5:00 Dinner
6:00- Policy Group Meeting Building 411
8:00
Tuesdav. Januarv 29.2002
8:00 a.m.
Fire Service Orientation
Alan Benson
Chief
Oklahoma City Fire Department
Oklahoma City, OK
.
,
e Tuesday. Januarv 29.2002 (Continued) e
9:00 a.m. Break
9:15 Public Works Orientation Al Lenzini
Deputy Director of Public Works
(Retired)
Oakland Department of Public
Works
Oakland, CA
10:15 Break
10:30 Law Enforcement Orientation Joseph Bolesta
Colonel (Retired)
Baltimore Police Department
Westminster, MD
11:30 Policy Group Presentation Policy Group Spokesperson
11:40 Newsbreak #2
e 11:45 Lunch e
12:45 p.m. Emergency.Program Management Donald Lynch
Assistant Chief for Emergency
Management Programs
City of Shawnee Fire Department
Shawnee, OK
1:30 Break
1:45 Emergency Medical Services Robert Park
Battalion Chief
Pierce County Fire District #21
Graham, W A
2:45 Break
3:00 Response Exercise One Building 411
6:00- Coordination Group Meeting Building 411
8:00 Operations Group Meeting
e e
.
,
.
.
.
Wednesday. January 30. 2002
8:00 a.m.
8:45
9'00
10:30
10:45
11.30
12:00
1 :00 p.m.
2:00
2:15
2.25
2:30
5:00
Community Services Orientation
Break
Critical Incident Stress Management
Break
Orientation to CDC's National
Pharmaceutical Stockpile
Chemical and Biological Agents
Lunch
Chemical and Biological Agents
(Continued)
Break
Coordination Group Presentation and
Operations Group Presentation
Newsbreak #3
Response Exercise Two
Adjourn
Dinner
Bill Karl
Emergency Management Consultant
Anniston, AL
Dr. George Eyerly
ChiefExecutiye Officer and
Co-Founder oflntemational Critical
Incident Stress Foundation
Baltimore, MD
Stephen Skowronski
CDC National Pharmaceutical
Stockpile Program
Atlanta, GA
Richard Thomas, Pharm.D.
Clinical ToxicologistlManaging
Director
Samaritan Regional Poison Center
Phoenix, AZ
Group Spokespersons
,
e Thursday. January 31. 2002 e
8 :00 a.m. Incident Command System (ICS) and Alan Benson
Emergency Operations Center (EOC)
8:45 Break
9'00 Protocol for Handling a Potential Rick Roman
Bioterrorism Product
9'45 Break
10'00 Exercise Update Phil Moore
Major Response Exercise
Critique Preparation
Critique Presentation
4'00 p.m. Course Summary and Presentation of Phil McDonald
Certificates e
e 5:00 Adjourn
Dinner
6:00- Class Social Balloon Shed Lounge
10:00
Friday. February 1. 2002
9:00 a.m.
Buses Depart Mount Weather for Dulles
Airport
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Ted Davis, Jr., Chairman (Jane) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 313-0755 Home
7111 Creeks Edge Drive E 28409 e-mail: tdavis@nhcgov.com 763-6249 Office
762-5175 FAX
Robert G. Greer, Vice-Chairman (Lou) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 763-5961 Home
1218 Country Club Road 28403 e-mail: bgreer@nhcgov.com 619-7879 Mobile
763-5961 FAX
Julia Boseman. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 686-4442 Home
6605 Providence Road 28411 e-mail: jboseman@nhcgov.com 251-6975 Office
251-6976 FAX
William A. Caster, (Diane) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 452-1282 Home
310 Brookshire Lane 28409 e-mail: bcaster@nhcgov.com 341-7149 Office
452-2875 FAX
Nancy Pritchett. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 791-2827 Home
637 Robert E. Lee Drive 28412 e-mail: npritchett@nhcgov.com 798-1706 FAX
NEW HANOVER COUNTY BOARD OF HEALTH
Gela N. Hunter, RN, FNP, Chairman (Jim)........... ......... ..... . 799-0723 Home
126 Quail Ridge Road 28409 e-mail: gelajim@hotmail.com 763-2072 Office
763-1586 FAX
W. Edwin Link, Jr., RPh, Vice Chairman (Laurie). . . . . . . . . . . . . . . . . . . . . 343-1244 Home
306 Colonial Drive 28403 e-mail: Iinkrx@aol.com 763-0845 Office
762-6916 FAX
Henry V. (Hank) Estep, RHU (Lisa). . . . . . . . . . . . . . . . . . . . . .. ......... 792-9584 Home
33213 Snowberry Court 28409 e-mail: hankestep@isaac.net 232-8272 Office
792-0188 FAX
452-0504 Home
655-2263 Work
Ext.5210
Robert G. Greer (Lou). ..............,........... .............. 763-5961 Home
1218 Country Club Road 28403 e-mail: bgreer@nhcgov.com 619-7879 Mobile
Marvin Freeman (Pat).... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
915 Roscoe Freeman Ave 28409 e-mail:freemanm@wrightcorp.com
Wilson O'Kelly Jewell, DDS (Christy)............... ............ ..791-6113 Home
218 Pine Grove Drive 28403 e-mail: wojewell@aol.com 791-2401 Office
791-2408 FAX
Anne Braswell Rowe (Mercer). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 762-2425 Home
2216 Acacia Drive 28403 e-mail:annerowe@bellsouth.net
Philip P. Smith, Sr., MD (Nancy)................................. ,762-2230 Home
1810 Azalea Drive 28403 e-mail:ppsmithsr@aol.com
Melody C. Speck, DVM ( Matt) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .798-1436 Home
4605 Wrightsville Avenue 28403 799-5587 Office
799-8545 FAX
WIlliam T. Steuer, PE/PLS, (Mary). . . . . . . . . . . . . . .. .................799-2144 Home
5710 Oleander Drive, Suite 110 28403 e-mail:wsteuer541@aol.com 395-5585 Office
395-5586 FAX
Edward Weaver, Jr., 00 (Sherry) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 762-6071 Home
1535 Magnolia Place 28401 e-mail:eweaver@ec.rr.com 791-6086 Work
Janelle A. Rhyne, MD, Medical Consultant. . ......... . . . . . . . . Home
1202 Medical Center Drive 28401 341-3426 Work
David E. Rice, Health Director (Linda). . . . . .. ...................... 791-2092 Home
1008 East Primivera Court 28409 e-mail: drice@nhcgov.com 343-6591 Office
888-745-5094 - Pager 341-4146 FAX
612-1684 Cell
01/30/02
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
e DIVISION OF ENVIRONMENTAL HEALTH
MICHAEL F EASLEY, GOVERNOR
WILLIAM G. ROSS. JR., SECRETARY
LINDA C. SEWALL, DIRECTOR
MICHAEL U. RHODES, SECTION CHIEF
..~~~
~..
----- -- ~"
-
NCDENR
February 1,2002
Memorandum
To:
All Restaurant Grading Pilot Project Counties
From:
Michael U Rhodes, Chief
Environmental Health Services Section
Ref:
Restaurant Grading Pilot Project Survey Results
e
This is an opportunity to officially thank all Pilot Project Counties for their involvement in the Restaurant Grading
Pilot Project. Without your help the Pilot Project would not be possible. It is always inspiring to see groups of
professionals actively seeking new and improved methods of operation.
The Restaurant Grading Pilot Project survey results were originally planned to be presented to the Commission for
Health Services February 13,2002. Pilot Project survey results also were to be sent out to all stake holders
approximately two weeks prior to the Commission for Health Services February meeting.
On Wednesday January 30, 2002 the North Carolina Association of Local Health Directors approved a motion to
delay the Restaurant Grading Pilot Project survey results presentation to the Commission for Health Services. The
Health Directors Association requests a presentation of the survey results be made to the LHD Association
Environmental Health Liaison Committee prior to being made to the Commission for Health Services. In order to
satisfy the wishes of the Health Directors Association the Commission for Health Services Pilot Project survey
results presentation will be delayed until May 2002.
I will be making a presentation of the Restaurant Grading Pilot Project survey results to the Health Directors
Association Environmental Health Liaison Committee at their February 2002 meeting. During the months of March
and April I will be available to make presentations of the survey results to all interested parties.
e
This will be an opportunity for all stakeholders to discuss the survey results prior to the May meeting of the
Commission for Health Services. It will also allow additional time to analyze the survey data thoroughly In the
very near future I will send the survey result data to all major stakeholders. If you have questions concerning this
please call 919-715-0930 or e-mail me(michael.rhodes@ncmail.net).
Cc:
Linda Sewall
Malcolm Blalock
Susan Grayson
Control County HD
Health Departments
NCALHD
ENVIRONMENTAL HEALTH SERVICES SECTION
1632 MAIL SERVICE CENTER, RALEIGH, NORTH CAROUNA 27699-1632 TELEPHONE 91 9-733-2884 FAX 919-71 &4739
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER
e
New Hanover County Health Department Betsy Summey, FNP, 343-6531
Influenza remained low - one percent was found in this group than
Incidence - or less. There have been in those without asthma.
three positive isolates
Just How Bad identified from samples Tetanusl
Is It? submitted, all identified
as A1H3N2, and all uni. Diphtheria
versity students.
F rom September 30, 200 I Influenza I Supply
to May 18, 2002, 42 sen- Remains Short
tinel sites around the state Vaccine
are conducting surveillance A ventis-Pasteur. Inc.,
for influenza. A wide variety
of practice sites are in- currently the sole pro-
e eluded - pediatrics, family T he Health De- vider of tetanus and diphthe-
practices, internal medicine, partment has influenza ria toxoids for adult use, rec-
local health departments and vaccine available for $12.00 ommends
university student health ser- per dose or without charge that health
vices, if Medicare covers the indi- care provid-
v.idual. Feel free to refer pa- ers should
Participants can send cui. ttents for vaccine through continue to
tures to the State Labo- February. Based on the sen- follow the
ratory for Public Health. tinel surveillance system, it's May 200 I
They report not too late since influenza CDC recommendation
to the CDC activity is still low. which restricts use of teta-
the numbers nus diphtheria toxoid to:
of patients Patients with asthma o those who have not
seen with in- who were previously de- completed the initial
f1uenza-like ferred from flu vaccine series;
illness (Ill) - case definition because of questions re- o those necessary for
being fever 100 degrees F. or garding safety, are now wound management;
higher and cough or sore encouraged to get the o those traveling to areas
throat. vaccine. A study published where risk is high; and
in the November 22, 200 I o pregnant women who
Thus far, the percentage of issue of The New England have not been boosted
patients in sentinel sites with Journal of Medidne found in the past 10 years.
visits attributable to III has safety in the vaccine when Routine boosters should be
used in both children and deferred and a record kept
CONTENTS adults, regardless of the se- of those who need them.
e verity of the asthma. No
TB............................2 higher rate of side effects
Stats ........................ 2 (Con/inued)
2
Aventis-Pasteur antici-
pates increasing distribu-
tion of vaccine to office-
based physicians by mid.
year 2002, with a return to
the routine booster immu-
nization schedule antici-
pated by late summer or
early fall 2002.
In order to assist health care
providers in their efforts, the
company has developed a
tracking kit, which can be or-
dered online at www.
vaccineshoppe.com. Full pre-
scribing information and CDC
recommendations are also
available at this site.
Think TB!
It's not a common occur-
rence when TB hits the front
page of the newspaper or the
six o'e1ock television news, but
a recent large contact investi-
gation prompted media cover-
age. In November, a gende-
man was diagnosed with infec-
tious pulmonary tuberculosis,
18 months after he became
symptomatic. Numerous chest
X-rays were done but the find-
ings did not cause concern for
TB to those caring for him.
The patient had hundreds of
contacts, some e10ser than
others, who required TB skin
testing.
Of those tested, a higher than
normal percentage tested posi-
tive and are being offered pre-
ventive medicine. Those
testing positive are also be-
ing offered a clinical trial of
rifapentine and isoniazid,
dosed once weekly for
three months.
Duke Univer-
sity is con-
ducting the
trial for the
U.S. Public
7'
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Health Service. Information
received could lead the
way to a significant change
in therapy for latent TB in-
fection: three months du-
ration of therapy versus
the six-month minimum
and nine month preferred
duration now recom-
mended by COCo
e
In addition to work contacts
that constituted the majority of
the above, the patient's two-
year-old grandson was hospi-
talized for "pneumonia" before
his mother was aware that
they had been contacts of in-
fectious TB. Currendy on
four-drug therapy for tubercu-
losis disease, the Health De-
partment is awaiting culture
results. And, by the way, the
two-year-old was in child care!
e
Communicable Disease Statistics
New Hanover County
July 1, 2001 - December 31, 2001
AIDS .......................... 17
Campylobacter ........... 9
Chlamydia ............... 209
E. coli 0157:H7............ 0
Gonorrhea............... 164
Hepatitis A.................. 2
Hepatitis B (acute) ..... 5
Hepatitis B (carrier).... 8
Hepatitis C (acute) ..... 2
HIV Infection ....................27
Lyme Disease ....................0
Pertussis ............................1
Rky. Mt. Spotted Fever....10
Salmonellosis ..................66
Shigellosis .........................3
Strep, Group A Invasive....1
Syphilis ............................15
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Tuberculosis ......................7
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NEW HANOVER COUNTY
ANIMAL CONTROL DIVISION
180 DIVISION DRIVE
WILMINGTON, NORTH CAROLINA 28401
TELEPHONE (910) 341-4197
FAX (910) 341-4349
DAVID E. RICE
Health Director
JEAN P McNEIL
Animal Control Director
TO: The New Hanover County Board of Health
FROM: Dangerous Dog Determination Hearings
CONCERNING: The cases heard for the year 2001
NUNBER OF CASES HEARD---I0S
note: Some cases had more than one dog involved and
some cases did not have a victim, but were dogs
already convicted and not obeying the rules.
DECISIONS:
Dangerous-----3
Potentially Dangerous-----89
Not Dangerous-----19
Euthanasia-----ll
Victims-------Children-----7
Adults-----Sl
Animals-----34
All required medical attention.
All animals involved not under control.
Note: While most all breeds were involved, the most seen
were Pit Bulls, Shepards, Rottweilers, Labradors,
and Chows.
dJ8-7UC<- /Joo'fl-kJ
'YOWl. d/-with- Du't rP'tio'tity
NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 171H STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-4146
Everywhere. Everyday. Everybody.
DAVID E. RICE, M.P.H., M.A.
Health Director
LYNDA F. SMITH, M.P.A.
Assistant Health Director
Memorandum
Gill
To: Members of the New Hanover County Board of Health
From: Gela N. Hunter, Chairman
New Hanover County Board of Health
e
Date: February 6, 2002
Re: Evaluation of David E. Rice, Health Director
Enclosed is an evaluation form I am asking you to complete. After you complete this
form, please retum it to me in the enclosed addressed stamped envelope by
February 15, 2000.
The Executive Committee will review these evaluations on February 26. Upon
completion of the review, we will submit our recommendations and findings to the
Board of Health. If you give a rating of anything other than "expected" on a
performance factor, please give specific reasons (positive or negative) in comment
area of the evaluation form. Please call me regarding your concems. My telephone
number is 799-0723.
Thank you.
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