03/06/2002
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New Hanover County Health Department
Revenue and Expenditure Summaries for January 2002
Cumulative: 58.33% Month 7 of 12
Revenues
01;7'"
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Budgeted
Amount
Current Y ar
Revenue Balance
Earned Remaining
Prior Year
Budgeted Revenue Balance
Amount Earned Remaining
%
%
$ 1,550,484
$ 533,044
$ 1,012,934
$ 165,773
$ 312,900
$ 127,850
$ 1,532,210
$ 1,109,120
$ 201,263
$ 498,202
$
$
$
$
$ 924,712
$ 523,044
$ 540,836
$ 121,365
$ 312,900
$ 112,015
$1,294,423
396,649 $ 528,063
289,402 $ 233,642
175,153 $ 365,683
121,365
124,308
82,928
709,253
441,
331,781
514,732
165,773
147,247
106,060
835,461
Expenditures
ypeof
x ndlture
Budgeted
Amount
Current Year
Expended Balance
Amount Remalnin
Prior Year
Expended Balance
Amount Remalnln
%
Budgeted
Amount
Summary
Budgeted Actual %
FY 01-02 FY 01-02
Expenditures:
Salaries & Fringe $9,127,617 $4,909,827
Operating Expenses $1,879,852 $863,682
Capital Outlay $227,755 $36,202
Total Expenditures $11,235,224 $5,809,711 51.71%
Revenue: $5,235,195 $2,542,418 48.56% 5d.9%
Net County $$ $6,000,029 $3,267,293 *'
Revenue and Expenditure Summary
For the Month of January 2002
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NEW HANOVER COUNTY HEAlTH DEPARTMENT
BOARD OF HEAlTH (BOH) APPROVED
GRANT APPLlCATIOI STATUS
Date (BOHl Grant Reauested Pending Received Denied
2/6/02 No acllvlly \0 repan for February 2002.
1/2/02 No activity \0 report for January 2002.
Diabetes Education, Managament and
12/5/01 Prevention - CFMF $60,000 $60.000
Youth Tobacco Prevention Project- Robert
1117101 Woods Johnson Youth Center $11,600 $11,600
Teens Against Tobacco Use (TATU)-Health
Action Council of NC $350 $350
Healthv Carollnlans- NC DHHS $10,000 $10,000
Family Assessment Coordinatlon- March
9/5/01 of Dimes $16,500 $16,500
Folic Acid Prolect- March of Dimes $16.618 $3,000 $13.318
Safe Kids Coalltlon- State Famn"Good
Neiohbor" $500 $500
TB Elimination and Prevention - CDC,
8/1/01 NCDHHD. DPH, TB Control ProorBm $10,000 $ 9,200 $600
Teen Aids Prevention (TAP1- CFMF $45,500 $25,000 $20,500
Diabetes Today - Diabetes Prevention & Control
7/11/01 Unit, NCDHHS $10,000 $10,000
Lose Wel9ht Wilmington - Cape Fear Memorial
Foundation $75.000 $75,000
Diabetic Care for Prenatel PatlenteoNC Medical
6/6/01 SodetvFoundatlon $25,050 $25,050
Healthy Homes- Asthma Program - Partnership
for Children (Smart Stert) $28,060 $26,000 $2,060
No actlvltv to reDort for Mav 2001
Maternity Care Coordination Expansion Grant
4/4/01 NC DHHS $15,000 $15,000
Wllmlngton Housing Authority- Ross Grant -
TAP & Alternative HIV Test Sites for 3 year
funding $192,221 $192,221 .
Safe Kids Traller-5afe KIds Safe Communities-
NC Govemo(s Highway Safety $8,740 $8,480 $260
No actlvltv to reDort for Jan, Feb and Mar 2001
Intensive Home Visitation Program Expansion
12/6100 Grant - Smart Stert $100,000 $96,000 $4,000
Childhood Asthma Management & Control
Interventions- NC Department of Health &
Human Sarvices, DMslon of Public Health, WCH
11/1/00 SectIon $23.000 $10,285 $12,715
Cape Fear Memorial Foundatlon-Lice
Eradication Progrem $5,000 $5,000
Healthy Carolinians- Office of Healthy
Carolinians. DMsIon of Public Health, North
10/4/00 Carolina Dept of Health & Human Services $10,000 $10,000
March of Dimes- March of Dimes Birth Defects
Foundation Eastern Carolina Chapter $10,000 $8,250 $1,750
As 012115102
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r.RANT APPLICATION STATU!':
Enhanced Counseling Program far HIV I AIDS
9/6/00 Elton John Aids Foundation $48,000 $46,000
Smart Start applying for Cape Fear Memorial
8/2100 Foundation Grant (MOW) $52,000 $50,000 $2,000
Enhanced Counseling Program- Z. Smith
Reynolds Foundation $46,000 $48,000
Teen Aids Prevention- Z. Smith Reynolds
Foundation $59,000 $59,000
7/12/00 March Toward TB Ellmlnatlon- NC DHHS $10,000 $7,200 $2,800
Cape Fear Memorial Foundation IT AP
Program)2 year request $55,000 per year $55,000 $35,000 $20,000
Diabetes Today - DHHS DDPH $10,000 $10,000
Totals $955,339 $86,500 $351,115 $517,424
NEW HANOVER COUNTY HEAlTH DEPARTMENT
BOARD OF HEAlTH (BOH) APPROVED
9.05%
36.75%
Pending Grants 3 11%
Funded Total Request 8 29%
Partially Funded 11 39%
Denied Total Request 6 21%
Number of Grants Applied For 28 100%
As 012115102
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54.16%
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NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 17TH STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-
4146
DAVID E RICE, M PH, M A
Health Director
February 20, 2002
To:
New Hanover County Board of Health
(':lIt..
Cynthia W Hewett, "Business Officer
From:
Subject: New Medicaid Rates
~..,.,...,...,..
LYNDA F SMITH, M P H
Assistant Health Director
We received an email.alongwithalistingofthenewMedicaidrates.fromDennisE.Harrington.MFH.Chief of Local
Health Services. These rates are retroactively effective February 1,2002. After reviewing this list, there are two of
our current fees that need to be increased in order to meet the requirement that our fees should be equal to or greater
than Medicaid rates. These two fees are shown below'
Code (Description of Service)
Current Fee Charged New Medicaid Rate Proposed Fee to Charge
W8205 (parenting Education Classes)
$ 74.59
$ 75.93
Y2044 ( MCC Home Visit)
$ 72.56
$ 73.87
UYOU! Henllh. Our Priorityn
$ 75.93
$ 73.87
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DRAFT
NEW HANOVER COUNTY
BOARD OF HEALTH RULES
GOVERNING THE SANITATION
OF FOOD VENDORS AT
SPECIAL EVENTS
IN
NEW HANOVER COUNTY
e NORTH CAROLINA
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EFFECTIVE MARCH 6, 2002
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SECTION TITLE PAGE
1000 PURPOSE 3
IDOl GENERAL PROVISIONS 3
1002 DEFINITIONS 3
1003 EXEMPTIONS 5
1004 PERMIT 5
1005 CONSTRUCTION STANDARDS 6
1006 EQUIPMENT AND UTENSILS 7
1007 SOURCES AND PROTECTION OF FOOD 8
e 1008 HYGIENE AND PERSONNEL 8
1009 WATER SUPPLY 9
1010 TOILET FACILITIES AND DISPOSAL OF WASTE 9
1011 PROCEDURE WHEN INFECTION SUSPECTED 9
1012 RIGHT OF ENTRY 10
1013 APPEALS PROCEDURE 10
1014 REMEDIES 10
1015 SEVERABILITY 10
1016 EFFECTIVE DATE 10
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SECTION 1000 PURPOSE
To establish standards for vendors which are not regulated by the North Carolina Commission For
Health Services Rules Governing The Sanitation Of Restaurants And Other Foodhandling
Establishments (15A North Carolina Administrative Code 18A .2600) so as to minimize the risk of
disease transmission through the handling of food at special events of short duration such as
exhibitions, festivals and street fairs. The New Hanover County Board of Health declares that the
following rules for protection ofthe public health are hereby adopted pursuant to authority granted
by Chapter 130A Section 39 of the North Carolina General Statutes, and shall apply throughout New
Hanover County, North Carolina.
SECTION 1001 GENERAL PROVISIONS
SCOPE: Contrary to the provisions of these Rules no person shall construct, operate or renovate
any temporary food service establishment. These Rules supersede regulations, requirements, rules
and standards relative to temporary food service operations previously adopted by the New Hanover
County Board of Health.
CONFLICT: The provisions of any federal, state or municipal law, ordinance, regulation or
rule establishing requirements and standards affording greater protection to the public health, safety,
and welfare shal} prevail within the jurisdiction of such agency or municipality over requirements
and standards established by these Ru1es.
PERMITS: No person shall handle, dispense and/or sell food from a temporary food service
operation until such has been found to be exempt from these Rules; OR inspected, found to comply
with these Rules and permitted by the New Hanover County Health Department.
SECTION 1002 DEFINITIONS
The following definitions shall apply in the interpretation and enforcement of these Ru1es:
Approved means determined by the Department to be in compliance with these rules.
Board of Health means the New Hanover County Board of Health.
Department means the New Hanover County Health Department or its authorized representative.
Emplovee means any person who handles food or drink during preparation or serving, or who
comes in contact with any eating or cooking utensils, or who is employed at any time in any area in
which food or drink is handled, prepared or served.
Environmental Health Specialist means a person authorized to represent the Department on the
local and/or state level in making inspections pursuant to state laws and rules.
Equipment means refrigeration, including racks and shelving used in refrigeration, utensil
cleaning and sinks, food preparation counters, stoves, ovens, and other food preparation and holding
appliances.
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Food means any raw, cooked or processed edible substance, ice, beverage or ingredient used or
intended for use or for sale in whole or in part for human consumption.
Good Repair means that the item in question can be kept clean and used for its intended purpose.
Hermetically sealed container means a container that is designed and intended to be secure against
entry of microorganisms and, in the case of low acid canned foods, to maintain the commercially
sterility of its contents after processing~
Local Health Director means the administrative head of a local health department or his authorized
representative.
Person means any individual, firm, association, organization, partnership, business trust, corporation
or company.
Potentially hazardous food means any food or ingredient, natural or synthetic, in a form capable
of supporting the growth of infectious or toxigenic microorganisms, including Clostridium
botu1inum. This term includes raw or heat treated foods of animal origin, raw seed sprouts and
treated foods of plant origin. The term does not include foods that have a pH level of 4.6 or below
or a water activity (Aw) value of 0.85 or less.
Responsible person means the individual present in a food service establishment who is the
apparent supervisor of the food service establishment at the time of inspection. If no individual is the
apparent supervisor, then any employee is the responsible person.
Sanitize means the approved bactericidal treatment by a process which meets the temperature and
chemical concentration levels in Rules Governing The Sanitation of Restaurants And Other
Foodhandling Establishments l5A NCAC 18A .2619. Immersion for at least two minutes in the
third basin in a chlorine solution containing 50 ppm of available chlorine at a temperature
of at least 750F; OR iodine solution containing 12.5 ppm of available iodine and having a pH not
higher than 5.0 and having a temperature of at least 750F; OR quaternary ammonium solution
containing at least 200 ppm of quaternary ammonium and having a temperature of at least 750F,
provided that the product is labeled to show that it is effective in water having a hardness value at
least equal to that of the water being used.
Sewae.e means the liquid and solid human body waste and liquid waste generated by water using
fixtures and appliances including those associated with food handling.
Sine.le-service articles means cups, containers, lids, closures, plates, knives, forks, spoons, stirrers,
paddles, straws, napkins, wrapping materials, toothpicks and similar articles intended for one-time,
one person used and then discarded.
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Special event means an event in which businesses, churches, organizations, civic groups and other
non-profit organizations and/or persons participating in an exhibition, festival, street fair or
similar public gathering including but not limited to the Azalea Festival, City of Wilmington Fourth
of July Celebration, Piney Woods Festival, Wing Fling, Chili Cook-Off and Riverfest.
Temporary food establishment means those food or drink vendors which operate in a special
event
and does not meet the definition of a state temporary food establishment.
Threat to the Public Health means circumstances that create a significant risk of serious physical
injury or serious adverse health effect.
Utensils means any kitchenware, tableware, glassware, cutlery, containers and similar items with
which food or drink comes in contact during storage, preparation, or serving.
SECTION 1003 EXEMPTIONS
These Rules shall not apply to temporary food service operations meeting the following criteria:
(a) Anyone who meets the qualifications for a North Carolina State Temporary Food
Establishment permitted under North Carolina Rules Governing the Sanitation of
Restaurants and Other Foodhandling Establishments OR
(b) Anyone who is one of no more than two temporary food establishments operating in the
special event including any state permitted establishments such as mobile food units,
pushcarts or temporary food establishments.
SECTION 1004 PERMIT
(a) A completed application shall be submitted to the Department prior to commencement of the
special event.
(b) No permit to operate a temporary food establishment shall be issued to a person until the
temporary food establishment complies with these rules.
( c) Foods shall be prepared in a permitted establishment and shall maintain a record of the type
and origin of such foods. These foods shall be prepared, transported, and stored in a sanitary
manner protected from contamination and spoilage.
(d) Participants shall be responsible for obtaining from the local building code enforcement
official and fire department relevant information concerning electrical, fire and safety codes.
( e) Participants shall be responsible for complying with all other applicable federal, state, and
local codes, laws, ordinances, regulations, rules and standards.
(f)
When an inspection by the Department shows that a temporary food establishment fully
complies with these Rules, a permit to operate shall be issued to the owner or operator and be
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site specific. A permit to operate shall not be transferable.
(g)
The permit to operate shall be posted in a conspicuous place where it will be visible to the
public at all times. The owner or operator of the temporary food establishment shall be
responsible for keeping the permit posted for the duration of the special event.
(h)
Noncompliance with these Rules shall be sufficient cause for the Department to deny or
suspend the permit to operate. A suspended permit to operate shall not be reinstated until an
inspection by the Department shows that the temporary food establishment fully complies
with these Rules and/or conditions stated on the permit to operate.
SECTION 1005 CONSTRUCTION STANDARDS
(a) Temporary food establishments shall be located in clean surroundings and kept in a clean and
sanitary condition. They shall be constructed and arranged that food, utensils, and equipment
will not be exposed to insects, dust, and other contamination.
(b) Temporary food establishments shall not be located within 100 feet of animal/poultry pens,
stables or yards; in areas that are likely to be flooded; in areas that support vermin harborage;
or near other enviromnental factors/features that contribute to, create or promote unsanitary
conditions.
(c)
Protection against flies and other insects in the temporary food establishment shall be
provided by screening or effective use offans.
(d) Where food or griddles are exposed to the public or to dust or insects, they shall be protected
by glass, or otherwise, on the front, top, ends, and exposed only as much as may be necessary
to permit handling and serving of the food.
(e) All food and food service equipment with the exception of bulk storage and grills with lids
shall be located inside an approved covered enclosure and shall not be exposed either to the
public or other potential sources of contamination. The space occupied by bulk storage,
waste disposal containers any other utility type items shall be treated as an extension of the
food service operation. Provisions shall be made to exclude animals from the area
comprising the total temporary food establishment.
(f) A temporary food establishment shall consist of at least one enclosure approved by the
Department. All food dispensed at a special event shall be handled, portioned, prepared and
served from an approved enclosure. Floors and ceilings shall be constructed of canvas,
plastic, wood or other similar impervious material. The roof or ceiling of the enclosure shall
extend at least to the outer edge of all bars, counters, tables, cooking, display and preparation
equipment. Floors and ceilings shall be maintained in a condition or state of repair so as to
be cleanable through routine procedures, and shall be kept clean.
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SECTION 1006 EQUIPMENT AND UTENSILS
( a) All eating, drinking and cooking utensils, table, sinks, cabinets, shelves and other equipment
used in the operation shall easily cleanable, in good repair and used for the intended design.
All griddles, warmers, spatulas, refrigerators, and other utensils and equipment shall be
cleaned routinely and maintained in a sanitary manner.
(b) At least a single vat sink, large enough to wash cooking utensils, pots, and pans must be
provided OR a series of three basins of an adequate size for washing, rinsing and sanitizing
equipment surfaces and utensils must be provided. A suitable testing method should be
available to insure minimum prescribed sanitizer strengths. One drain board or easily
cleanable, non-porous counter top space must be provided to allow the multi-use items to air
dry.
(c) After bactericidal treatment utensils shall be air-dried and stored above the floor in a clean
place. Wherever practicable, clean containers and utensils shall be covered or inverted or
stored in tight clean containers.
(d) Drain racks, trays, easily cleanable non-porous tables and shelves shall be made of not
readily corrodible material, and shall be kept clean.
(e)
Spoons, spatulas, dippers, and etc., used for dispensing food shall be kept in the food product
with the handle extending out of the food or stored on a clean, dry surface.
(f) Single-service utensils shall be purchased only in sanitary containers, shall be stored in a
clean, dry place until used, and shall be handled in a sanitary manner. Single-service cup
dispensers or similar devices shall be used when single-service cups are used.
(g) Facilities shall be provided for employees' hand washing. This may consist of a (2) gallon
closed container of potable water with a cut-off valve, catch basin, antibacterial soap and
single-use disposable towels.
(h) A calibrated metal-stem food thermometer accurate to:l:2 degrees Farenheit and with a range
of 0-220 degrees Farenheit should be available to check food temperatures.
(i) Adequate coolers or refrigeration/freezer space should be provided for the storage of all
perishable foods. Air temperature thermometers accurate to :1:3 degrees Farenheit should be
provided in all coolers or refrigeration/freezer units.
(j) All small equipment, utensils, multi-use wares and food shall be stored off the floor surface
on shelving or pallets.
(k)
Only single service items shall be offered for the public's use.
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SECTION 1007 SOURCES AND PROTECTION OF FOOD
(a) All food served shall be clean, wholesome, and free from adulteration. Potentially hazardous
foods such as cream-filled pastries and pies, and salads such as potato, chicken, ham, crab,
etc., shall not be served in a temporary food establishment. Hamburgers shall be obtained
from an approved market or plant in patties separated by clean paper, or other wrapping
material, and ready to cook.
(b) Wrapped sandwiches shall be obtained from an approved source.
(c) Poultry, beef, and seafood shall be prepared in an approved market/plant or permitted
establishment and be ready to cook. No shell shucking allowed in temporary food
establishment.
(d) Drinks served shall be limited to packaged, canned, or bottled drinks, packaged milk, coffee,
or carbonated beverages from approved dispensing devices. No fresh fruit drinks will be
allowed.
(e) All potentially hazardous foods requiring refrigeration shall be kept at or below 450F (70C),
except when being prepared or served.
(f)
Foods, except raw vegetables, which are to be cooked, shall be kept under cover when not in
the process of preparation and serving. Meat and other potentially hazardous foods shall not
be stored on the floor, or in direct contact with shelves and racks of cold storage boxes, or
permitted to come in contact with dirty clothes, newspapers, pasteboard, previously-used
paper, or other contaminated surfaces. If open dishes and pans containing food are stacked,
food shall be protected.
(g) Containers for onions, slaw mustard, and other condiments shall be pump/squeeze type
containers. Singe serving packets are recommended.
(h) Employees shall avoid unnecessary handling of food in the process of serving.
(i) All potentially hazardous foods shall be kept at 450F or below or at 1400F or above except
during preparation or serving processes. Potentially hazardous food requiring cooking shall
be cooked to heat all parts of the food to a temperature ofat least 1400F except as follows:
Poultry-1650F, Pork-150oF, Ground Beef -1550F, Rare Roast Beef-130oF, and Rare Beef
Steak _130oF.
SECTION 1008 HYGIENE AND PERSONNEL
(a) No one shall work in a temporary food establishment in which there is a likelihood of
contaminating food or food contact surfaces with disease causing organisms or transmitting
the i\1ness to other persons.
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(b)
All employees shall be clean as to their person and methods offood handling, and shall wear
clean outer clothing. All employees shall wear effective hair restraints to prevent the
contamination of food or food contact surfaces.
(c) An employees shan scrupulously wash their hands with soap and water, and then dry their
hands with a clean, single-use towel: before starting work; after use of the toilet; prior to any
direct contact of the hand(s) with food or food contact surfaces; between the handling of
cooked food and raw food; upon returning to work from a break; after drinking, eating or
smoking; and at the conclusion to any other activity or procedure where the probably exists
of contaminating or cross-contaminating food.
(d) No employee shall use tobacco in any form within the temporary food establishment.
(e) A list of all employees including addresses and phone nurnbers shall be provided to the
Department.
SECTION 1009 WATER SUPPLY
(a) Running water under pressure shall be provided in the temporary food establishment unless
otherwise approved by the Department. The water supply shall be approved and of a safe,
sanitary quality. The Department must approve the water supply connections.
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(b)
Provisions shall be made for heating water for the washing of utensils and equipment.
SECTION 1010 TOILET FACILITIES AND DISPOSAL OF WASTE
(a) Convenient and approved toilet facilities to be used by the employees shall be provided.
Public toilet facilities provided on the grounds are acceptable if reasonably convenient,
adequate, and kept clean. Sewage shall be disposed of in an approved manner.
(b) Wastewater shall be so disposed of as not to create a nuisance. A wastewater disposal
contract must be provided to our office.
( c) Garbage and refuse shall be conected and stored in standard watertight garbage cans with
tight fitting lids or other approved containers or methods. Garbage and refuse shall be
conected at least daily and disposed of in a sanitary manner.
(d) Each operator shall keep his immediate premises clean.
SECTION 1011 PROCEDURE WHEN INFECTION SUSPECTED
When the Department has reason to suspect the possibility of exposure to or transmission of an
infection within a temporary food establishment from any person or from any food or drink, the
Director shall act in accordance with the Communicable Disease Laws and Rules (Chapter l30A
e Sections 133 through 148 of the North Carolina General Statues, 15A North Carolina Administrative
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Code 19A).
SECTION 1012 RIGHT OF ENTRY
Pursuant to authority granted by North Carolina General Statute l30A Section 17, the Department
shall have the right to enter upon the premises of any temporary food establishment for the purpose
of conducting an inspection and determining compliance with these Rules,
SECTION 1013 APPEALS PROCEDURE
(a) Local Health Director: Appeals concerning interpretation and enforcement of these Rules
shall be made by written petition to the Local Health Director and shall be made within
fifteen (15) days of the challenged action, The Local Health Director may require the
appellant to submit such information as deemed necessary to make a decision concerning
interpretation and enforcement. The Local Health Director shall respond to affirm, modify or
reverse the challenged action. When granting variance from these Rules the Local Health
Director may impose such conditions as deemed necessary to protect the public health.
(b) Board of Health: Appeals concerning decisions of the Director shall be made written
petition to the Board of Health and shall be made within fifteen (15) days of the challenged
action, The Board of Health shall conduct a hearing within forty-five (45) days after receipt
of an appeal petition and shall give the appellant not less than fifteen (15) days notice of the
date, time and place of the hearing. The Board of Health shall respond to affirm, modify or
reverse the challenged action. When granting variance from these Rules, the Board of Health
may impose such conditions as deemed necessary'to protect the public health.
SECTION 1014 REMEDIES
If a person violates any part of these Rules, then he/she shall be guilty of a misdemeanor and shall be
subject to sanctions provided in Chapter l30A Section 25 of the North Carolina General Statutes.
SECTION 1015 SEVERABILITY
If any provision of these Rules or the application thereofto any person or circumstance is declared
invalid, then the remainder of these Rules or the application of such provision to other persons or
circurnstances shall not be thereby be affected.
SECTION 1016 EFFECTIVE DATE
Adopted March 6, 2002 by the New Hanover County Board of Health, these Rules shall be effective
on and after March 6, 2002.
Signed
Chairman
New Hanover County Board of Health
Signed
Director
New Hanover County Health Department
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STRA TEGle PLANNING PRIORITIES
February 26, 2002 Update
Access to health care
(Issues #7, 11 & 5)
~ Baby Shower to Benefit New Maternity Clinic Moms: The WHC Division is sponsoring a
Baby Shower to be held in the health department's TFW Conference Room on February 12,
2002 @ 12 noon. Staff is encouraged to stop by for the traditional baby shower goodies and to
donate your baby gift items. Donations will also be accepted at the monthly staff meeting on
Thursday, February 7, 2002. Thank you, in advance, for your contributions to the population of
new moms we serve through our maternity clinic efforts.
~ On January 16, Janet McCumbee participated in the annual Partnership For Children (Smart
Start) Board retreat held at the museum. The Board reviewed the contractors' progress toward
meeting the old strategic plan and their successes this year Then the Board was briefed on the
need to switch gears to meet the new state Performance Based Incentive System, which came
about through legislation for Smart Start accountability Finally, the Board looked at how New
Hanover County's present Smart Start funded programs can help the Partnership meet the PBIS
standards over the next year The retreat discussion will guide the Strategic Planning and
Allocations committees as they proceed with the grant process over the next few months. The
Health Department is in its fifth year of Smart Start funding for the Child Care Nursing program
and Health Check Coordination.
~ In honor of National Children's Dental Health Month, the New Hanover County Dental
Program, the North Carolina Oral Health Section, Cape Fear Community College, and the
Wilmington TriCounty Dental Society are sponsoring "Seal Out 2002" "Seal Out 2002" is a
local Dental Health initiative to prevent tooth decay by the increased use of Dental Sealants.
"Seal Out 2002" will take place at the Cape Fear Community College Dental Program on Friday,
February 22, 2002. Local Dentists are volunteering their time in order to supervise the
placement of Dental Sealants by Dental Assisting and Dental Hygiene Students. In total, over
40 local elementary students will receive Dental Sealants free of charge.
~
II.
I.
Preventive services & lifestyle-related risks
(Issues #12 & 15)
~ ASSIST Coalition and the Asthma Task Force: Sponsoring Smoke Free Bowling on
Saturdays at the Cardinal Lanes Alley on Shipyard. The bowling alley, which has a kid's league
that plays on Saturdays, will remain smoke free until 6 pm in an effort to provide a healthier
atmosphere.
~ Seal Out 2002: In honor of National Children's Dental Health Month, the New Hanover
County Dental Program, the North Carolina Oral Health Section, Cape Fear Community College,
and the Wilmington TriCounty Dental Society are sponsoring "Seal Out 2002" "Seal Out 2002"
is a local Dental Health initiative to prevent tooth decay by the increased use of Dental Sealants.
"Seal Out 2002" will take place at the Cape Fear Community College Dental Program on Friday,
February 22, 2002. Local Dentists are volunteering their time in order to supervise the
placement of Dental Sealants by Dental Assisting and Dental Hygiene Students. In total, over
40 local elementary students will receive Dental Sealants free of charge.
~ Food Security. Nancy Nail reported food security has become FDA's top food safety and
nutrition goal for FY 2002. However, the Center for Science in the Public Interest (CSPI) feels
that FDA is focused too much on response rather than prevention. CSPI feels there is a need to
have tighter restrictions in place to ensure contaminated products don't even enter the system.
They site as an example a provision in the House and Senate bioterrorism bills that would allow
food importers to continue operating after an act of intentional food contamination. Importers
would onlv be shut down after an established pattern of introducing adulterated food into this
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country
~ Chickenpox Vaccine: Beginning April 1 , 2002, varicella (chickenpox) vaccine is scheduled
to be a required vaccine for children born after April 1 ,2001 It must be administered on or after
12 months and before 19 months of age. While not required, varicella is encouraged for all
children born on or after July 1,1994 unless they have history of previous varicella disease.
~ Diagnosis Related Groups (DRGs): David Long, Intern in Hospital Administration @ NHHN
has streamlined his data (DRG's by zip codes for hospital discharges) and wants to spend time
with us to see if and how it can be useful to public health.
~
III. Communication, education & marketing (promotion)
(Issue #1 & 4 in part)
~ Eric Peterson with NHC-TV began making video segments of adoptive pets to air weekly on
the county TV station. Since the Humane Society's closing for remodeling, additional people
have come to ACS to adopt and several area television stations have included video time of
animals available for adoption.
~ ACS staff is working on compiling an adoption packet to be sent home with new "parents."
Requests on included content for the packet went out to area veterinarians along with the
September veterinary survey results.
~ January 2002 marked the initial release of our first in-house IT-Newsletter The intent of this
newsletter is to provide staff with a resource tool that will assist them with the use of their PC
and applications such as lotus notes, PCMS, Word Perfect and Microsoft Office applications.
The intent is to publish this newsletter on a monthly basis.
~ ServSafe Food Safety Certification Course: January marked our seven year anniversary of
teaching this course for the local food service industry The first session of the year 2002 was
held January 15, 17,22 and 24 to a sellout audience. Forty-five students participated, while
forty-one took the examination at conclusion and thirty-nine successfully scored in the
certification range. Cape Fear Community College registrars deferred at least a dozen enrollees
to the spring session scheduled in April 2002. Demand for this instruction prompted Cape Fear
administrator's approach of Environmental Health Specialists to offer a weekend version of the
course this summer Feasibility of this proposal is currently being evaluated.
~ The Women's Health Care Division sponsored a Baby Shower on behalf of our maternity
clients. Although the participants were nameless, the honored guests were all of the maternity
clients who are served by health department women's health staff. Jennifer Abney, WECT -
TV6 News anchor/personality agreed to be our honored guest as well - - taking the position of
mom-to-be for a day The goal of the event was to collect donated baby gift items which will be
distributed to maternity clients who have accomplished specific healthy pregnancy goals. The
Women's Health Care Division organized the entire event, donating food items and gifts - and
creating a caring environment - as they do daily with the clients they encounter
~
IV. Facility utilization & Information technology
(Issues #6 & 4 in part)
~ PAR.T list.... some items have been completed, but some remain as "areas of opportunity"
for Property Management!
~ Notice of Change in scheduling auditorium use and/or entering or exiting the building:
Effective immediately, all meetings scheduled at the health department after 5:00 p.m. must end
and individuals must be out of the building no later than 8:00 p.m. Employees who are working
in the building after 5:00 p.m. are to refrain from entering or leaving the building after 8:00 p.m.
The new policy is a result of security concerns. Property management staff has instructions to
have everyone out of the building and set the building alarm by 8:00 p.rn. each night. Those
meetings that were already on the auditorium calendar have been addressed. Please contact
Pat Johnson if you have questions.
~ Recruitment for the Public Health Bioterrorism Team emplovees is proQressinQ. Coastal
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AHEC has advertised for the physician epidemiologist. PDQs will be submitted to HR for all four
positions (physician epidemiologist, nurse epidemiologist, EH industrial hygienist, and
administrative support positions). Space for the Public Health Bioterrorism Team will be located
upstairs where the Child Health Clinic is. The Child Health Clinic will be incorporated into the
Dr Frank R. Reynolds Clinic area.
-+ Bar coding project for medical records set to go...Budget approved to proceed.
-+ Cindy Hewett and Debbie Toth will begin initial training on GWI Help Desk Software
(Wednesday, February 13, 2002). This application is one that was purchased by the county and
we are hopeful that we will be able to use this system to better track IT requests (by logging
requests and resolutions)
-+ The County Commissioners approved the purchase of 20 PC's and other peripherals
through the use of Medicaid Cost Settlement Funds.
-+ 2 PC's, 1 laptop and 1 projector are being ordered through the use of funding received by
the NC Public Health Preparedness grant. This equipment will be used by the CD and EH
Divisions.
-+
V. Water quality, storm water management & drainage; & Air
quality (Issues #3 & 8)
-+ Response To Termination Of Public Sewer Service: Cathy Timpy met with representatives
of the County Attorney's Office and Water / Sewer Finance of the Engineering Department to
discuss procedures currently followed relative to termination of public sewer service. This action
is taken by the Engineering Department only after multiple notices of delinquent bills are given
the property owner Key points of the discussion were: Minimum building code standards
require occupied buildings to have an approved method of wastewater treatment and disposal.
The Inspections Department with the support of CP&L may have the authority to order removal
of electric service meters. If the Engineering Department notifies the Health Department when
sewage is observed on the ground surface, staff time will be optimized as dual surveillance of
these properties will be eliminated.
-+
VI. Emerging health risks
(Issue #13)
-+ Bioterrorism: NHCHD BTL Team, NHHN, and SEMH will meet on February 13 to discuss
mental health issues.
The Laboratory Director continues to serve on the Health Department Bioterrorism Leadership
Team and has been participating in the biweekly meetings with the New Hanover Network
leadership team in planning for man made disasters
-+
VII. Population growth & diversity
(Issue #2)
-+ Limited English ProfiCiency Survey' Processed at the request of Chris Hoke and the Office
of Civil Rights-North Carolina was found out of compliance-downgraded to with deficiencies- (86
HDs and DSS). Terry Hodges, Attorney for DHHS-Department, will be asked to develop a Plan
related to LEP and the state is developing a template. Anyone who receives federal $ will have
to comply with the Office of Civil Rights.
-+ Latino Festival: The Latino Festival is being planned in conjunction with the Cinco de Mayo
Celebration. There will be a health fair focus on Saturday May 4th at Hugh McRae Park, from
11-5, as part of the festivities. They are specifically interested in any screenings that can be
provided, and any and all info that we have in Spanish. Please contact your supervisor, then
Elisabeth at 6658 if you are interested in participation. More info will follow as it is received.
-+ Several Health department staff attended the regular HOLA (Helping Our Latin Americans)
educational meeting on 2/5/02. The panel representatives from NHRMC, Tileston Clinic, and
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DSS discussed improved access to care and services for Hispanics through their agencies.
NHRMC now has an interpreter, Tileston Clinic has expanded services by adding a bilingual
caseworker to follow up with Hispanics who come to clinic and need additional services. The
caseworker will also start parenting classes in Spanish in April. DSS has an interpreter daily for
PMs.
.. The Laboratory continues to see an increase in the need for interpretive services in the
Latino population which has increase four fold in the last two years
..
VIII. Discontinued services picked up by Health Department
(Issue #9)
..
IX. Staff Development & continuing education
(Issue # 14)
.. Intern in WIC: Charlotte Blue from Miller-Motte Technical College is completing an 180 hour
internship with the W1C Program to meet requirements for the medical assistant program.
.. Bioterrorism: Health Director, Communicable Disease Director, Community Health
Director, and Environmental Health Director attended FEMA training "Managing the Emergency
Consequences of Terrorism" January 28 - February 1 at Mt. Weather, Virginia. Dianne Harvell,
Betty Creech, Beth Jones and Dave Rice discussed their experiences.
.. ANCBH Annual Meeting: ANCBH Awarded Outstanding Board of Health Award to
Brunswick County Gela Hunter and Lynda Smith attended.
.. NCALHD Meeting: Introduced Frances Taylor-DHHS Local Public Health HIPAA
Consultant, she is available for consultation, but she is only one person for all counties. We will
not be getting the GAP Analysis from our Assessment Tool work regarding where we are related
to HIPAA. The statistical summary is all that will be provided. Training set up 5 areas around
state, Wilmington May 28/29 for privacy officers.
.. State Health Directors Conference: Carmen Hooker (Buell) Odum addressed the group.
Much of the meeting was on Social Marketing of Public Health and Health Disparities.
.. Child Care Nursing Program: On 1/30, Anna Gallagher moved from her temporary position
in Community Health as a school nurse to the Child Care Nursing program. She will be working
part time doing screenings and giving immunizations to children in childcare facilities.
.. Medical Consultant: Contract with Dr Rhyne still being worked out, hope to have finalized
within a couple days. Staff is also negotiating with physician to provide pediatric services.
.. MAPH: The ACS Team has completed the video segment of the Spay/Neuter Facility
project for the Management Academy for Public Health (MAPH).
.. The In-House as Users Group met on January 31,2002 to discuss several issues regarding
the Patient Care Management System. Users exchanged ideas, shortcuts and tips with each
other that proved to be useful. Staff was reminded that as of January 2002, several reports that
had been previously needed on a monthly basis were now going to be used (and provided)
quarterly
.. ACS staff began the first monthly 7 Habits presentation. Staff who has been fortunate
enough to attend the classes will rotate through teaching a habit each month at the staff
meeting.
.. April MacAlpine, Nutritionist in the Nutrition Division, presented a synopses of her master's
degree thesis The Association of Dietary Habits, Pica and Anemia Among Pregnant
Women Enrolled In the New Hanover W1C Program, North Carolina to two health
department division staff who work with pregnant women.
.. All nutritionists received training to implement the new CDC grow1h charts for infants and
children.
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x. Evaluation of services
(Issue #16)
.. Medicaid Cost Settlement Budget Amendment: Approved by the County Commissioners as
submitted through the Board of Health. The request included Operable Partitions for the
Auditorium. This means when the Operable Partitions are installed, we will be able to convert
the auditorium into 3 smaller meeting spaces, rather that just one large one.
.. Fiscal Year 2002-2003 Budget Request: Our budget request will be presented to the Board
of Health Executive Committee this evening. Thank-you to Division Directors, Budget Support
Staff, Cindy Hewett, and Frances Devane for the great job with a timely submission and much
work which went into the completion of this request.
.. NAVIGATOR Program: Did not receive the March of Dimes grant that Smart Start
submitted for them for clerical assistance. NAVIGATOR and Health Check Coordination will
have a Smart Start site visit on 2/19, while the Child Care Nursing Program will have theirs on
2/6.
.. CASA Immunization Review Results: The State CASA 2001 Age Appropriate Immunization
Rate Assessment results have been received, and the NHCHD's rate of children age-
appropriately immunized by 24 months of age is 77%. This compares to a state average of only
66%, and a region average of 57%. This is a 5% increase over 2000 results for NHCHD (72%
rate - 2000).
.. DHHS Secretary Tommy G. Thompson sent letters to governors on January 31 detailing
how much each state will receive of the $1 1 billion to help them strengthen their capacity to
respond to bioterrorism and other public health emergencies resulting from terrorism. During a
NC DHHS/Division of Public Health conference call on February 4, it was announced that North
Carolina would be receiving $22M for state and local public health.
.. NHCHD BTL Team, NHHN, and SEMH met on February 4 to discuss issues from the FEMA
training. Some of the issues are: mental health, the national pharmaceutical stockpile, DMORT
(Disaster Mortuary Operation Response Teams), and others. A campus (NHHN, NHCHD, and
SEMH) security map was shared with the Management Team.
.. NHC Purchasing Policy Amended:
.. Medical Consultant: Contract with Dr Rhyne still being worked out, hope to have finalized
and signed within a couple days.
.. Designated Authority. Drafting note giving someone other than (Health Dir/Assistant Health
Dir) in our absence designated the authority to take actions exercising legal authority requiring
HD or AHD signature.
.. Commission for Health Services: Update on restaurant grading project will not be presented
to Commission For Health Services until their May '02 meeting, had originally been planned to
be presented at their Feb '02 meeting.
.. Temporary Food Program: Staff held meeting to obtain input concerning proposed
regulatory changes from temporary food facility vendors last Tue, Jan 29.
.. NAVIGATOR Program: Brett Schoen RN, Family Assessment Coordinator, recently shared
statistics he compiled for the first 6 months of using his universal screening tool. 1058 universal
screenings have been done, both prenatal and at birth, in private offices and at the hospital
birthplace, since June 2001 Of that group, 33 were non-English speaking Hispanics. Some of
the top responses from parents included concerns about: how to determine if their child's
growth, skills, and behavior are normal, if their baby is getting enough to eat, how to teach their
child to read, financial needs for everyday expenses, and ways to discipline their child. This
proves the need for programs to teach basic parenting and prevent child abuse.
.. NHCHD BTL Team met this morning to review three documents: NC Public Health
Bioterrorism Preparedness and Response Plan, National Pharmaceutical Acquisition and
Distribution Plan, and the Sample County Plan for Public Health Bioterrorism Preparedness and
Response Plan. The BTL team will compare the Sample County Plan to the revised NHCHD
Emergency Manual. Our revised Emergency Manual will be submitted to NCDHHS - DPH on or
before March 8, 2002.
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-+ Current Budget: Received notice that vacant positions are now frozen. Following the
meeting, the Health Director received a memo from the County Manager (copied to Division
Directors) further restricting travel, overtime, and capital expenditures. Additional information
will be shared when received.
-+ HIPAA. We are forming an In-House HIPAA Committee that will be responsible for moving
our department towards HIPAA Compliance. Cindy Hewett will serve as facilitator for this
Committee. Division Directors will submit names of staff to serve on our department HI PAA
Committee. This committee will have representatives, both clerical and clinical to assist with
HIPAA requirements.
-+ Multidisciplinary Committee: will meet on Monday, March 4th to review proposed changes
in fee policy
-+ WCH Regional Consultants: Betty Cox and Barbara Stelly visited the Women's Health and
Child Health teams on 2/6. Staff requested they come to review our procedures for
MCC/CSC/MOW transition and assist the NAVIGATOR Program with documentation issues.
Good discussion was held. The teams will continue to work on transitioning families between
services to meet their needs, while working with the state and Medicaid guidelines, and
documenting appropriately We were also informed that our health department would be audited
in November
-+ ACS staff evaluated officer schedules to determine best use of working times to
accommodate public needs. Loss of one position and another on hold have made juggling staff
to different time slots necessary
-+ ACS staff reviewed the pre-citation letters and citations in response to a customer complaint
fielded by Pat Melvin. Changes have been implemented to make the wording more users
friendly for our community Citation mail-outs have resumed with the included alterations.
-+
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FYOl-02 BUDGET CONCERNS
REVENUES
Sales Tax $1.4 million
Based on receipts for the first quarter of the fiscal year and current economic conditions,
it is projected that Sales Tax will be $1.4 million under the amount budgeted for FY01-
02. Information on the County's sales tax receipts for the October-December 2001
quarter will be received from the State within the next two weeks. The Board of County
Commissioners will be informed of any change in this projection.
Interest Income $1 million
Due to the lower-than-anticipated interest rates, it is projected that interest income will be
$1 million less than the amount budgeted for FY01-02.
State Reimbursements $1.4 million
On February 5, 2002, Governor Easley announced that he would hold county
reimbursements to help the State budget shortfall. The impact on New Hanover County
is $1.4 million budgeted in the General Fund that will not be received. This action
coming so late in the fiscal year has made an already grave budget situation more critical.
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EXPENDITURES
Medicaid $400,000
The State has estimated that the FY01-02 Medicaid expenditure for New Hanover County
will exceed the amount budgeted by $400,000. To date, New Hanover County Medicaid
expenditures are within budget. In addition to funding $7.8 million in Medicaid expenses,
the County also funds $1.1 million in other entitlement programs.
O~ertime Expenditures $700,000
The FYOI-02 budget was adopted with reduced budgets for overtime. Departments have
made attempts to eliminate overtime whenever possible. Even with these actions, it is
projected that the amount required for overtime County-wide will exceed the amount
budgeted by $700,000. Efforts continue to eliminate overtime, and this amount may be
reduced as we continue through the fiscal year.
Jail Health Expenditures $158,000
Current projections are that the expenditures for jail health care will exceed the amount
budgeted by $158,000. Expenditures vary depending on the number ot'inmates requiring
care and the cost of this Care. The estimate may be adjusted.
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POSSIBLE SOLUTIONS TO FYOI-02 BUDGET SHORTFALL
Unexpended Salaries $1,248,542
Since the beginning of the fiscal year, all vacant positions have been reviewed for
possible elimination. A number of positions have been frozen and the filling of positions
delayed. To date, 40 positions have been eliminated. Due to these actions, it is
anticipated that at the end of the fiscal year there will be a balance unexpended of
$1,248,542 in the salary and benefit accounts (County-wide). This amount is not greater
due to the fact that the budget was adopted with salary and benefits under-funded by $1.2
million in anticipation that not all positions would be filled for the entire fiscal year.
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Reduce Payments to Non-County Agencies $200,000
In the FY01-02 funding notification, non-County agencies were warned that the funding
might be reduced if an expenditure reduction was required. The savings is based on
reducing the remaining payment to non-County agencies by 50 percent (see attached
spreadsheet).
Reduce Airlie Budget $300,000
Recommendation is to eliminate the contribution of $200,000 to Airlie Foundation for
FY01-02 and reduce the Airlie budget by $100,000.
Reduce Contribution to Schools $2 million
On Monday, Cam and I met with Dr. Morris and Mary Hazel Small to explain that due to -
current economic conditions the County planned to reduce the contribution to the schools ,.,
in the current year by $2 million. The School Board is encouraged to budget $2 million of
the School's fund balance so the expenditure budget is not impacted by the County's
reduction.
Eliminate Balances in Certain Capital Projects $1,309,458
Staff has reviewed all capital project budgets and identified three budgets where balances
could be transferred to the General Fund without a significant impact on current capital
projects. The capital projects are Emergency Operations Center, $205,155; Veterans
Park, $966,000; and Soccer Complex, $138,303.
1. Emergency Operations Center - The capital project for the Emergency Operations
Center was established in 1995. The project was not undertaken at that time, since
the estimated cost for the project exceeded the amount budgeted. Currently, the
needs of the Center are being addressed by utilizing Law Enforcement capital
project funds.
2. Veterans Park - The balance in the Veterans Park capital project is funding that
was intended for a completed phase. The actual expenditures were less than the
budgeted funds.
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POSSIBLE SOLUTIONS TO FYOI-02 BUDGET SHORTFALL
CONTINUED
3. Soccer Complex - In January 2000, a capital project was established for a soccer
complex in the Castle Hayne area. Seed money for the project was budgeted, but
the project was not undertaken.
As in any budget year, there are expenditures and revenues over and under the budgeted
amount. The good news is that the County has received $1.2 million from the Federal
Emergency Management Agency (FEMA) for Hurricane Bonnie expenditures. The bad
news is that the Department of Social Services will need to return $400,000 to the State
for prior year adjustments. Museum repairs are expected to exceed the amount budgeted
by $160,000.
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FY01-02 PROBLEMS:
Revenue: e
Sales Tax $ 1,400,000
. Interest $ 1,000,000
I State Reimbursements $ 1,400,000
I
I Total $ 3,800,000
Expenditures:
.
I Medicaid $ 400,000 *
. Overtime Salary Accounts $ 700,000
.
I Jail Health $ 158,000
i Total $ 1,258,000
.
. TOTAL $ 5,058,000
...
-
.
ii * Based on State estimate, NHC to date is within budget.
=
POSSIBLE SOLUTIONS:
Salaries saved by freezing positions $ 1,248,542
Eliminate some remaining payments to outside agencies $ 200,000
Reduce Airlie Budget: e
Contribution to Foundation $ 200,000
Reduce Airlie Budget $ 100,000
Reduce Contribution to Schools and have them $ 2,000,000
budget fund balance
Eliminate Balances in Capital Projects $ 1,309,458
TOTAL $ 5,058,000
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NEW HANOVER COUNTY BOARD OF HEALTH
Committee Assignments
2002
Executive Committee:
Mrs. Gela N. Hunter, Chairman
Mr W Edwin Link, Jr., Vice-Chairman
Dr. Wilson O'Kelly Jewell
Dr. Melody Speck
Mr. William T Steuer
Bud!!et Committee:
Member Division
Dr. Wilson O'Kelly Jewell, Chairman Dental Health
Dr. Wilson O'Kelly Jewell Laboratory
Mr Henry V Estep Women's Health Care
Mrs. Gela N. Hunter Child Health Services
Mrs. Gela N. Hunter Nutrition
Mr. W Edwin Link, Jr. Communicable Disease
Mrs. Anne Braswell Rowe Administration
Dr. Philip Palmer Smith, Sr. Community Health
Dr. Melody C. Speck Animal Control Services
Mr. William T Steuer Environmental Health
Environmental Health Committee:
Mr. William T Steuer, Chairman
Mr. Henry V Estep
Mr. Marvin E. Freeman, Sr.
Dr. Wilson O'Kelly Jewell
Dr. Philip Palmer Smith, Sr.
Personal Health Committee:
Dr. Melody C. Speck, Chairman
Mr. Marvin E. Freeman, Sr.
Mr. W Edwin Link, Jr.
Mrs. Anne Braswell Rowe
Dr Edward Weaver, Jr.
Animal Control Services Advisorv Committee
Dr. Melody C. Speck
Association of NC Boards of Health
Mrs. Gela N. Hunter
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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. . . . . I . . . . . . . . . I . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . 686-444-2 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: nprttchett@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: linkrx@aol.com 763-0845 Office
762-6916 FAX
Henry V. (Hank) Estep, RHU (Lisa). . . . . . . . . . . . . . . . . . . . . .. ......... 792-9584 Home
3213 Snowberry Court 28409 e-mail: hankestep@isaac.net 232-8272 Office
792-0188 FAX
Marvin E. Freeman, Sr. (Pat). . . . . . . . ... ........ . . . . . .. . . . . . . .... . .452-0504 Home
915 Roscoe Freeman Ave 28409 e-mail:freemanm@wrightcorp.com 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
Wilson O'Kelly Jewell, DDS, Past Chairman (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, Past Chairman, (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 28403 e-mail:eweaver@ec.rr.com 791.6086 Work
Janelle A. Rhyne, MD, Medical Consultant. . ......... ... ........ 686-2913 Home
1202 Medical Center Drive 28401 e-mail: janrhyne@hotmail.com 341-3245 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
03/06/02