08/07/2002
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New Hanover County Health Department
Revenue and Expenditure Summaries for June 2002
Cumulative: 100% Month 12 of 12
Revenues
ypeof
evenue
Current Year June 01-02
Budgeted Revenue Balance
Amount Earned Remainln
Prior Year June 00-01
Budgeted Revenue Balance
Amount Earned Remainin
%
$
$
$
$ 164,885
$ (12,644)
119,478
Expenditures
Budgeted
Amount
Expended
Amount
%
Budgeted
Amount
Expended
Amount
Balance
Remainin
%
Balance
Remalnln
Summary
Budgeted Actual %
FY 01-02 FY 01-02
Expenditures:
Salaries & Fringe $8,968,832 $8,336,123
Operating Expenses $2,127,288 $1,569,752
Capital Outlay $207,583 $133,331
Total Expenditures $11,303,703 $10,039,206 90.08%
Revenue: $5,303,674 $4,769,617 90.00%
Net County $$ $6,000,029 $5,269,589 87.83%
Revenue and Expenditure Summary
For the Month of June 2002
8
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NEW HANOVER COUNTY HEALTH DEPARTMENT
BOARD OF HEALTH (BOH) APPROVED
GRANT APPLICATION STATUS FY 02-03
Date (BOH) Grant Reauested Pendlna Received Denied
Prenatal Health Education and
Information/Referral Services- March of Dimes
6/5/2002 Community Grant Pro9ram $49,975 $49,975
5/1/2002 No activity to report for May 2002.
4/3/2002 No activity to report lor April 2002.
3/6/2002 No activity to report lor March 2002.
2/6/2002 No activity to report for February 2002.
1/2/2002 No activity to report lor January 2002.
Diabetes Education, Management and
12/5/2001 Prevention - CFMF $60,000 $30,000 $30,000
Youth Tobacco Prevention ProJect- Robert
11n12001 Woods Johnson Youth Center $11,800 $11,800
Teens Against Tobacco Use (TATU)-Health
Action Council of NC $350 $350
Healthv Carollnlans- NC DHHS $10,000 $10,000
,
Family Assessment Coordination- March
9/5/2001 of Dimes $16,500 $16,500
Folic Acid Prolect- March of Dimes $16,618 $3,000 $13,318
Safe Kids Coalltlon- State Farm"Good
Neiohbor" $500 $500
TB Elimination and Prevention - COC,
8/1/2001 NCOHHO, OPH, TB Control Program $10,000 $ 9,200 $800
Teen Aids Prevention /TAP)- CFMF $45,500 $25,000 $20,500
Diabetes Today - Diabetes Prevention & Control
7/11/2001 Unit, NCDHHS $10,000 $10,000
Lose Weight Wilmington - Cape Fear Memorial
Foundation $75,000 $75,000
Totals $306,243 $49,975 $99,850 $158,118
16.32%
32.60%
Pending Grants 1 8%
Funded Total Request 5 42%
Partially Funded 4 33%
Denied Total Request 2 17%
Number of Grants Applied For 12 100%
**No changes since last report, June 2002
As of July 31, 2002
50.98%
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Request for 1 and % New Nurse Positions in School Health
Additional Funding From New Hanover County Schools
School Health (110-510-5169)
Expenditures:
$63,803
Salary
FICA
Rat
Insur
Ois
Supplies
Uniforms
47,884
3,740
2,420
8,730
103
300
626
Total
63,803
Revenue
Contributions From Schools: $63,803
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Betty Creech
<..< ,,&~'07/0912002 12:51 PM
To: David E RieelNHC@NHC
ee: Lynda SmilhINHC@NHC, (bee: archive)
Subject: nurse posrtions
As requested below, please request an increase of one and one-half positions in the School Health
Program. What we would like 10 do is have the opportunity to increase the half-time position we now
have to full time and then add another nurse. The need for the additional staff is based on the increasing
needs of students with severe chronic diseases or conditions. Due to the fragility of the students' health,
the complexity of care provision and school staffs inability to recognize and manage health crisis, skilled
staff is needed. Also, the law requires that the students' health needs be met. School staff has become
more hesitant about performing some procedures because of related liability and fear of exposure to
disease. These positions will enable us to provide full time nurses in two schools thet have been
identified to be in need of additional assistance. (The two positions are budgeted for 9 months Instead of
10 months since they will not be hired until September.)
expenditures: $ 63,803
Salary
FICA
Ret
Insur
Dis
Supplies
Uniforms
47,884
3,740
2,420
8,730
103
300
626
Contributions From Schools: $ 63,803
_ Forwarded by Belly Creeeh/NHC on 07/0912002 12:07 PM-
. "ALFRED H LERCH"
..':' <alerch@nhcs.k12.nc.
\ us>
. 07/0912002 11:34 AM
To: <bereech@nhcgov.com>
cc: (bee: archive)
Subject: nurse positions
The additional positions (l~)) will come from state "69" funds. We feel that
this is a very high priority and we have eliminated several areas of expenses
to be able to do it.
11
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IUNC
-~ SCHOOlOfIlBlC_
The North Carolina Institute for Public Health (NCIPH) was developed to provide service
to the people and organizations of North Carolina that work so hard to improve the
public's health. The Institute provides specialized training, consulting, research, and
technical assistance to public health and human service organizations and agencies in
North Carolina and throughout the southeast. Created in 1999 to bridge the gap
between knowledge and practice, the Institute provides practical applications- products
and services - to improve health-related decision-making and service delivery by
organizations such as state and local governments, health departments, hospitals,
community-based groups, health plans, and purchasers of health care.
New Hanover County Health Department - Organizational Assessment
Purpose and goals:
}> Understand the goals, activities, and achievements of individual programs and
services of the Department.
}> Identify concerns or issues that program employees believe need to be addressed in
order to strengthen program operations.
}> Identify opportunities for improving operations and services to clients that will
produce more efficient and effective service delivery and contribute to the
enhancement of staff morale.
}> Document specific suggestions and recommendations to address these issues or
concerns.
Organizational Assessment Methods
}> Extensive group and individual interviews with Department staff and significant
stakeholders and opinion leaders in the community
}> Direct observation of meetings and service delivery
_}> Survey of all individual staff.
}> Detailed review of relevant reports, policies, procedures, and other documents.
}> Focus groups of all levels of Department employees.
14
UN<t
SCHOOl OF PUBLIC HEALTH
William L. Roper, MD, MPH
Dean and Director
H. Penningion WhiteSide,Jr., MSPH
Deputy Diiutor
e
Campus Box 8165
Tate- Thrner-Kura1t Building
The Univmity of North Carolina
at Chapel HiD
Chapel Hill, NC 27599-8165
Phone: 919.966.1069
Fax: 919.966.9138
E-mail: pmn}'_whittside@ullLedU
e
Overview
The mission of the North Carolina
Institute for Public Health (NCIPH) is to
improve the health of all North
Carolinians. It is the organizational unit
within the School of Public Health that is
dedicated to teehnical assistmce, mining
and applied research in public health. The
irutitute provides practical applications -
prodUC1S and services - to improve
health-related decision-making and serv-
ice delivery by organizations such as
. state and local governments ,
. health departments,
. hospitals,
. community-based groups,
. health plans,
. and purchasers of health care.
The Institute was designed to bridge the
gap between public health knowledge
and practice by facilitating the timely and
effective application of the School's aca-
demic and research resources to the state's
complex health issues. The Institute pro-
vides services and products to clients on a
contract/fee basis.
Program Areas
The NCIPH conducts its worle in several
program areas: consultation and teehnical
assistmce, worlcforce development, and
speciaI programs and applied research.
Consultation and
Technical Assistance
Through its consultation and technica1
assistmce program area, the NCIPH
serVes as an agent to link the public health
practice community with the faculty, stu-
dents and staff in the School of Public
Health who can provide information,
advice or direct service to help address
professional, institutional or policy level
issues. The Institute\ consultation and
technical assistmce projects are c1ient-
driven and vary widely as to client type,
geographic location, and scope and dura-
tion of work. The NCIPH has provided
technical assistmce to state health agen-
cies,locaI health departments and district
health departments, community-based
health organizations, and Area Health
Education Centers (AHEC) as well as pri-
vate sectOr health care providers. Services
offered by the NCIPH include ........
ment, planning and evaluation, identifica-
tion ofbest practices, policy analysis,
media relations and technical writing.
hnp:/ /www.sph.unc.edu/nciph/
Workforce Development
Programs including Executive
Education and Outreach
National Public Health Leadership
Institute. The mission of the CDC-fund-
edNational Public Health Leadership
Institute (pHLI) is to strengthen the lead-
ership competencies of senior level public
health ofIicials from national, state and
local health departments, hospitals,
HMOs, government health agencies, and
health. related businesses and organiza-
tions. The rwo-year program. focusing on
understanding public health challenges,
expanding practical leadership skills, goal
setting, and improving outcomes, is con-
ductedjointly by the Schools of Public
Health and Business and the Center lOr
Creative Leadership in Greensboro.
Management Academy fur Public
Health. A joint program of the UNC
SChools of Public Health and Business, the
Management Academy for Public Health
(MAPH) is dCsigned to improve the efIi-
cieney and effectiveness of management
personnel in state and local public health
organizations. Aimed at public health .
managen fiom Vuginia, Georgia and both
Carolinas, the ten-month program trains
three-to-<ix person teamS using a project-
based curriculum ofboth on-<ite and dis-
tance learning courses. Training topics
include managing personnel, finances,
projects and data, civic entrepreneurshiP,
communication and social marketing, and
quality improvement.
Certificate in Core Public Health
Concepts. this program consists of the
five core courses online required lOr all
15 over
..~
.,
SCHOOL oj PUBLIC HEALTH' THE NORTH CAROLINA INSTITUTE FOR PUBLIC HEALTH
~
MPH students: Epidemiology, Health
Policy and Administration, Environmental
Health, Biostatistics and Health Behavior.
The certificate program targets those
working in public health or considering a
career in public health, but who have had
no formal public health training.
Public Health Grand Rounds. This
project uses satellite broadcasting and
Internet webcasting to deliver Grand
Rounds where the "patient" is the com-
munity and the "presenting problem" is a
public health issue challenging the com-
munity. The series is based on real cases
that demonstrate exemplary responses
fiom the public health community. As in
medical grand rounds, a panel of special-
ists assesses the problem and provides cur-
rent information pertinent to the case.
The goal of Public Health Grand
Rounds is to promote a leadership-level
dialogue on public health issues of
national significance. The program, sup-
ported by funding fiom the CDC. is
offered at no charge to viewers who reg-
ister electronically. Topics have included
asthma, food safety, breast cancer screen-
ing, West Nile Virus, genetics, biorerror-
ism, and disaster preparedness.
Southeast Public Health Leadership
Irutitute. The Southeast Public Health
Leadership Institute (SEPHLI) is.a year-
long regional training program aimed at
experienced senior and mid-level public
health professionals currently worlcing in
health agencies in North Carolina, South
Carolina, Tennessee, Virginia and West
Virginia. . Exceptional candidates fiom
outside traditional public health set:ting;,
such as business or industry, hospitals,
managed care organizations, professional
associations, city, state or local govern-
ments, and community organizations, also
attend. The program curriculum, deliv-
ered through retreats, telephone confer-
encing. and computer-based discussion
forums, focuses on eight broad leadership
competencies: visioning; personal aware-
ness, systems thinking, information man-
agement, partnerships and collaborations,
communication, strategies for political
and social change, and customer service.
Southeast Public Health Training
Center. The Southeast Public Health
Training Center (SPHTC) was estab-
lished by an ASPH/HRSA cooperative
agreement to strengthen public health
workforce systems within and among
West Virginia,Virginia, North Carolina,
South Carolina, and Tennessee. The
SPHTC is one ofl3 such HRSA-funded
regional partnerships that communicate
and collaborate nationally.
Academic and practice partners fiom
each state collaborate on the SPHTC
project. to assess the needs of the worle-
force in regard to training in the core
public health competencies, to assess
mining delivery systems in each state, and
to inventory best practices in terms of
mining, curricula, and multimedia.
Project resources will be disseminated
through an interactive web-mounted
database called Asksphere.org.
The North Carolina Center for
Public Health Preparedness. The
NCIPH was awarded funding to establish
The North Carolina Center for Public
Health Preparedness (NCCPHP) as a
regional representative in a nationwide
CDC-sponsored effort to prepare the US
public health worlcforce to respond to
emerging health threats in general, and to
biorerrorism and newly emerging and re-
emerging infectious diseases in particular.
The NCCPHP project will develop and
implement models for field surveillance
of emerging infectious diseases, assess the
preparedness level of the regional public
health worlcforce, and facilitate training to
meet assessed need.
The Office of Continuing
EducatiOD. The School of Public
Health OtIice of Continuing Education
(OCE) provides a complete range of pro-
fessional services that enables the School
to operate the largest, most comprehen-
sive continuing education program
among the nation's accredited schools of
public health. The OCE provides assis-
tance with needs assessment, program
design, consultation, program develop-
ment, marketing, program arrangements,
direct training and program assessment
for face-to-face and distance-based pro-
grams to reach local, regional and nation-
al target groups. Each year OCE offers
approximately 200 courses in about 400
sites throughout North Carolina.
.
Special Programs and
Applied Research
Through its special programs and applied
research focus, the Institute also fosters
and develops a variety of working part-
nerships throughout the public health
practice commWlity.
Office of AHEC and Field Services.
The AHEC and Field Services Office in
the NCIPH coordinates the training and
education activities jointly sponsored by
the UNC School of Public Health and
the nine regional AHEC offices. It also
serves as the liaison between the regional
AHECs and the School\ faculty, staff and
students whose activities are supported by
AHEC travel funds. These activities
include student field training and faculty
and staff travel to continuing education
programs, technical assistance visits, and
other teaching and program activities.
e
North Carolina Prevention Partners.
The NC PreventionPartners (NCPp)
works to improve the health of North
Carolinians throughout the state by
bringing attention to the importance of
prevention as a strategy. The organization
fosters partnerships for prevention, edu-
cates the public and professionals, facili-
tates new prevention efforts, evaluates
prevention efforts, and in/luences policies
for prevention. Its outreaCh efforts lOcus
primarily on the areas of tobacco use,
nutrition, and physical activity.
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RESOLUTION URGING THE STATE OF NORTH
CAROLINA TO INCREASE THE TAX ON CIGARETTES
WHEREAS, the New Hanover County Board of Health is delegated the responsibility to protect
and promote the public health; and
WHEREAS, the New Hanover County Board of Health upholds the mission of the New Hanover
County Health Department to preserve, protect and enhance the general health and
environment of the community; and
WHEREAS, the general goals of the New Hanover County Health Department include the
promotion of "healthy and safe lifestyles" and "identification and reduction of health risks in the
community"; and
WHEREAS, a goal of Healthy People 2010 is to "reduce illness, disability, and death related to
tobacco use and exposure to secondhand smoke"; and
WHEREAS, death rates from heart disease and cancer, the leading causes of death in North
Carolina and New Hanover County, are partially attributable to smoking and tobacco use; and
WHEREAS, the current tax on cigarettes in North Carolina is well below the national average
and only higher than two other states; and
WHEREAS, seventy percent of the 638 participants, in a current North Carolina Public Health
Awareness Survey, favorably responded to a cigarette tax increase of $0.25 to more than $1.00
(provided that the money is used to fund tobacco use prevention programs for youth); and
WHEREAS, each year 24,200 children in North Carolina become regular daily smokers and 1/3
of those will die prematurely; and
WHEREAS, studies show that a 10 percent increase in the price of cigarettes can lead to a 6 to
10 percent decrease in the smoking rate of youth and a 3 to 5 percent rate for adults; and
WHEREAS, the Centers for Disease Control reported that tobacco use cost North Carolina
$4 75 billion annually in health care expenses and lost productivity; and
WHEREAS, North Carolina can collect significant additional revenue that would help to ease the
financial crisis it currently faces;
THEREFORE, BE IT RESOLVED that the New Hanover County Board of Health determines
that a tax increase to at least the national average needs to be applied to the real price of a
pack of cigarettes. Only then will an overall reduction in youth and adult consumption be
realized as well as the added benefit of a significant increase in revenue generated for the State
of North Carolina.
Gela N. Hunter, RN, FNP, Chairman
Adopted by the New Hanover County Board of Health
August 7, 2002
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The WIC
Certification
Process
.
'.
Eligibility Criteria
. Categorical
. Residential
. Income
. Medical/Nutritional
1
Proof of Identity for Child and
Parent/Caretaker
Photo ID card
Medicaid card
Paycheck stub
SS card
Birth certificate
Immunization r<<ord
. WIC folder
Hospital
bracelet/crib card
Insurance card
~'Green Card"
Proof of Residence
. Driver's license
. Medicaid card
. DMV ID card
. Paycheck stub
. Utility bill
. Mortgage/rental agreement
. Bank statement
. School record
Proof of Income
. Adjunct Eligibility if currently receiving
Medicaid, Food Stamps, or Work First
. Gross Income by Family Size when
family income is below 185% of the
Federal Poverty Income Guidelines
(family offour: <$27,787 annual income)
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Additional Requirements
. Screeu if lead test ueeded (state mandate)
. Offer voter registration (federal
maudate)
. Complete Health Check survey (NHCHD
Child Health Division Request)
. Call child's CSC worker if so noted in
computer (NHCHD CSC Program
request)
3
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MedicaIIN utritional Eligibility
. Anthropometries
. Biochemical
. Clinical
. Dietary
The nutritionist will:
. Plot the growth chart
. Determine the child and parental 8M.
. Review lab results
. Screen for delinquent immunization
. Review the UD medical record
5
The nutritionist will:
Interview the parent/caregiver about the
child's diet intake, including foods eaten,
amounts, and times eaten
. Review the growth chart and lab results
with the parent/caretaker
. "Assess" the entire picture (ABCDE)
. Provide nutritional counseling
. Determine the WIC food prescription
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The nutritionist may also:
. Refer for medical or dental care
. Refer to CSC for infants/children and
MCC for pregnant women
. Refer client to apply for benefits
provided at Social Service (Medicaid,
food stamps, day care assistance, child
support enforcement, etc)
. Refer for immunizations
. Refer pregnant and postpartum women
for substance abuse treatment
. Observe for any signs of domestic abuse
or child abuse
. Refer to local food banks when needed
Refer pregnant and breastfeeding clients
for the In-Home Breastfeeding Support
Program (NC Coop Extension program)
. Provide a folic acid gift packet to
postpartum women (NHCHD Women's
Health Grant)
7
Issuing Food Instruments
(Vouchers)
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DRAFT
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New Hanover County Health Deoartment OrganIzational Review
Workmg Draft: 6/29/02
General Model for NHCHD Orgamzational AnalvsIs Effort
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Administrative Team
Whiteside, Grubb, Herzog,
Pfaender
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Preliminarv Stal!e: (Complete by July 11, 2002)
Organizational readiness for Organizational Analysis, Contract, Staffing, Design, Local
Advisory Team
Common Framework: Organizational Analysis Matrix and Elements
""-7 ... 7
Orl!anizational Survev PrOl!ram Review
Focus: Organization as a whole Focus: Specific Program/Services
Tasks: Questionnaire Tasks: Document Review
Focus Groups Detailed Interviews
Stakeholder Interviews Observation
Conclusions and Conclusions and
recommendations recommendations
Target Completion: 8/30/02 Target Completion: 8/30/02
... .. "" ;-
Summarv Panel and Retreat (Project Team and Consultants)
Review conclusions and recommendations from organizational survey and program review
efforts
Request additional information and suggestions as needed
Develop general conclusions and action recommendations
Target Completion: 9/27/02 ,.
J L
Report to Organizational Leadership and Board: October 26, 2002
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Final Written Report: December 20, 2002
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"Geta Hunter"
<gelajim@hatmail.co
m>
0810312002 08: 32 two
To: annerowe@bellsouth.net, bgreer@co.new-hanover.nc.us,
drice@nhcgov.com, eweaver@ec.rr.com, fdevane@nhcgov.com,
freemanm@wrightcorp.com, hankestep@isaac.net, linkrx@aol.com,
Ismith@nhcgov.com, ppsmtthsr@aol.com, wojewell@aol.com,
wsteuer541@aol.com
cc: (bee: archive)
Subject: Item added to agenda for the board meeting on Wed.
Just wanted to inform you that I have been contacted by Teresa Lee, the
immediate past president of the General Federation of Women's Clubs in Ne,
about speaking to the board of health on an issue that the group is now
lobbying for in Raleigh. It is the taxing of beer. I have invited her to
come and speak during "other business" on our agenda as this should be a
relatively short meeting anyhow. See you Wed. Gela
Send and receive Hotmail on your mobile device: http://mobile.msn.com
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. We need revenue - The state is in debt $1.5 billion. A nickel increase
on beer generates $83 million. 1
. It's overdue - The tax hasn't been increased since 1969. Inflation has
eroded the tax by 80%.2
. It's sUDDorted - 82% of North Carolinians support raising the tax on
beer.3
. It's qood Dublic health - When beer prices increase, fewer teens die
or are injured in car crashes.4 Family violence and sexually
transmitted diseases decrease.s
The beer tax just makes sense.
More information will be posted at http://www.penniescount.ora as it
becomes available for release. If you have questions please post
them on our discussion page and they will be addressed ASAP.
1 Philip J. Cook, ITTlSanford Professor of Public Policy. Duka Unlverslty
2 Calculated from the Consumer Prloe Index comparing 1969 dollatll to 2002 dollalS.
3 MathemaUca Policy Research, 1998
4 Ruhm 1996; Kenkel, 1993.
5 Cook and Moore, 1993; Chesson al ai, 1997
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The Problem,in
North Carolina
Young people are told that they should
Mt drink, yet they live in a social
envir01l11ll!1lt that encourages and
enables them to do so.
Underage drinking is a big problem in
North Carolina and throughout the
natioll, as statistics show:
Underage DriDking Patterns
. Thirty-eight percent of high school students choose to drink.
. 72 percent of females and 60 percent of males report that they drink in their homes.
. The average age when young people take their first drink is 12.8 years - that's 'Jlh grade.
. Nearly 70 percent of high school students surveyed get alcohol from a friend or relative over 21.
. Sixty-eight percent of teens say it is easy to get alcohol.
Effects of Underage Drinking
. In 1996, North Carolina experienced more than 6,000 DWl arrests of persons under the age of
21 and almost 4,800 alcohol law arrests of underage aersons.
. North Carolina has an average of 1 ,227 alcohol-related crashes involving underage drinkers
every year.
. Alcohol-related crashes involving underage drinkers cost $470.2 million in 1998 dollars.
. Alcohol-related violence involving underage drinkers cost nearly $631 million in 1998 dollars.
Parents and Teenagen Have Different Perceptions About Underage Drinking
· Only 13 percent of parents knew of a store in their community where someone underage could
buy alcohol, but 30 percent of teenagers knew of a location.
. About 44 percent of teens think most peers at their school drink at least once a month, while 43
percent of parents believe about half of the teens at their children's school drink at least once a
month.
. Fifty percent of teens said they drink in their homes, but parents reported that teenagers are most
likely to drink outdoors (31 percent of parents) and in cars (27 percent).
Parents Are Concerned about Underage Drinking
. Eighty-eight percent of parents are very concerned about the problems of teenage drinking.
. Fifty-eight percent of parents think drinking alcohol should be banned on college campuses.
. Fifty-eight percent of parents strongly agree and 27 percent agree somewhat that bars and stores
are not careful enough in preventing teens from buying alcohol.
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CortofUnd~age~g
Cost of Underage Drinking
Junior and senior high school
students in the United States spend
about $534 million each year to
consume 1.1 billion cans of beer.
Advertising Costs
Beer and wine companies spent
about $525 million on advertising in
the first eight months of 1996. The
three top beer companies spent
$396.7 million on advertising in the
first nine months of 1996.
Costs of Alcohol Use by Youth in North Carolina
(111 1998 dollan according 10 OJJDP)
Traffic Crashes $470.2 million
· Medical care $ 29.1 miIlion
· Worle lost & other costs $138.2 mil1ion
· Pain & lost quality oflife $302.9 mil1ion
Violence $631.9 million
· Medical care $ 21.9 mil1ion
· WoIk lost and other costs $107.1 mil1ion
· Pain & lost quality of life $502.9 mil1ion
Grand Total: $1.1 billion
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Hospital Costs
In 1996, the hospital charges in North Carolina for primary alcohol-related diagnoses for
people under age 21 were nearly $1 million. '
Costs Due to Alcohol-Related Crashes
The estimated cost of crashes in the United States involving a driver under age 21 that are
attnbutable to alcohol are $16.66 billion (in 1995 costs). Of these costs:
. $1 biIlion is for medical care;
. $5.46 bil1ion is for worle loss, plop~Lf tlam'lge and emergency services; and
. $10.2 billion is for pain and suffering.
Some $268 million in costs are attributable to pedestrians and cyclists under age 21 who were
under the influence of alcohol.
Cutting the Costs. of Underage DrinJcmg
The reduction in traffic fatalities resu1ting from the increase in the minimum drinking age has
resulted in a savings to society of$53.6 billion, and a significant reduction in physical and
emotional suffering.
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~~nd I.(ormation
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Pennies Count. North Carolina
!:lllmlI
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Position Slatemenl
PolicY SuoDOrteta
. Do Pennres Count?
BackGround Information
. Discussion
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Media Room
.. Point Pao8
. The OecIlnlna Beer Tax Graoh
Do Pennies Count? Graoh
External RII!IOUfCIIS
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hup'l/www.pclloiclcounl.ora/bad:lfound.lhtml
6/2810210;01 AM
JlJlliJ I~ JJ1JlJ
HOME POSITION STATEMENT Pa.1CY SUPPORTERS OlSCUSSfON CONTACT
Background Information
I Slale Beer Revenue History:
Lost raised 33 yoars ago, In 1969
Current tax is $0.53 per gallon, the equiYalenlto 5 cents per 12 oz. boItIe/can
Boor Is !axed on 0 1Ia1 ralo (by contrasL liquot Is !axed by pen:onlogo)
. N.C. slalo !ax por standord drink: wine . $0.03, boor . $0.05, Iiquot = $0.13
Ilnflatlon Implications:
SO.53/g81 0' beer in 1969 equates 10 only SO.11/galln 2002.
Based on 1969 dollars. effective beer tax Is only 20.5% today (In 2002 dollars).
If lhe lax hod kepI pace with Innollon, tho !ax would be $2.60/901 todoy (SO.24/boIUo).
The OoclI"lng Effectlv. Be.r Tax
w; r........~........._l..__
Tax equivalent in 1969 dollars
: . ; . : ! ! ! ! ! , t , , , , , , , I , , , , , , , , , , I I I
IWhO supports a beer Nvenue IncNass?
. 82% of North CaroJlnians support a 5..cent per drink Increase if the funds go to education and
treatment programs (Mathematics Policy Research Inc.. 1998).
. N.C. Child Fatality Task Force recommends Increasing and indexing the excise tax on beer (AprIl,
2002).
. The N.C. Substance Abuse Federation supports doubling the N.C. taxes on beer, wine and
tiquot (maintaining tho porcenlogo of funds thol ratum to tho counlies), with 75% of the funds going
to . TNSI for the N.C. Division of Menial Hoalth. Devalopmonlal Disabilities and Subslanco Abuse
SaMcos (April. 2002).
National supporters:
AARP
American College of Physicians
American Medical Association
American Public Heatth Association
Center for Science in the Public Interest
National PT A
The U.S. Surgeon General recommends a $-cenl per drink increase.
PICC I of2
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..nd Information
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hllp Ilwww,penniescounl.orglbackgroundshlm]
6128/02 10'01 AM
I . list of North Carolina SUDDorters
IRevenue Implications:
. Duke School of Public Policy researchers estimate (2001) revenue projections (or state to be $83
million (or a 5--cenVdrink increase1
. Beer taxes contributed $86.3 million2 to N.C. General Fund in fiscal year 2000..2001 (45.3% o(
total alcohol revenue).
- I( Ihe excise tax rate on beer had been indexed to inflation in 1969. it would have contributed
$300 million more.3
Beer accounts for almost two-thirds of total alcohol consumed in N.C.
1. Philip Cook, m&rIon:I F'n:lIeuor of PublIc PolIcy. DuQ UrWer1i1y (512<W2)
2. Per Lenny CoIns. NC DepaItment of Revenue (412<W2)
3. PhllpCook,ITTISan!ord Pfofeuor of Public Policy . Duke UrMnllyI5l24JU2)
I other Alcohol Dala:
. liquor: the state taxes liquor at a rate of 25% o( the wholesale price and 6% of the retail sales
price. A customer pays $9.86 for the average 750 ml bottle. In a standard drink (1.5 oz.), over $.13
is tax.
2001 Alcohol Revenue and Consumption Dala
Excise taxes collected ending June 30, 2001
Percent of total Excise tax rate
Beer' $86,366,383 45.3% (53.177 cents/gallon)
Fortified wine 1 $1,371,523 (24 centslliter)
Unfortified wine' $8,685,184 4.6% (21 centslliter)
Sub.lolal: $96,423,090
liquor2 $94,028,322 49.4% (25% wholosalo price: I
6% retail sales price)
Total: $96,423,090
Standard drinks sold: Percentage of total drinks sold:
Beer3 1,801,701,998 63.5%
Fortified wine3 40.193,123
Unfortified wine3 290,883,840 10.2%
Liquor. 704,397,397 24.8"_
Total: 2,637,176,356
1. PerleMy~ Oepartmemol~(4I24J02)
2. Per Guy Potts. NC ABC ComnissIon. (4I20W2)
3. Cak:uIaIed based on groM exdslttaxa colleded. COl'lYettOd 10 botIIes t$1g 8JCdse lax ntlefor ~ I)pe of
-.
4. From 0istiIled SpirIts Coundl, data Mardl2001. per Guy Polls. NC ABC COIM'lISsion (41204102)
HOME POSITION STATEMENT POlICY SUPPORTERS DISCUSSION CONTACT
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/ IN NORTH
WHOHDST.I CAROLINA
TIiEMOSr'
BE A TO UNDERAGE DRINKING
FACT SHEET
Underage drinking is illegal
. It is illegal to make alcohol available to anyone
under 21
. It is illegal to host or allow teen drinking parties
in your home.
. It is illegal and unhealthy for anyone under 21
to drink alcohol.
. It is unsafe and illegal for teens to drink and
-+- drive. .
e Parents can be prosecuted under the law,
.
Underage drinking deeply affects
our children
. Someone who begins drinking at age 15 is
four times more likely to become alcohol
dependent later in life than someone who
begins drinking at 21
. 95 percent of violent crime on college
campuses is alcohol-related.
. 50% of North Carolina teens surveyed said
they drink in their homes. but parents reported
that teens are most likely to drink outdoors
(31% of parents) and in cars (27%).
For more information, visit htto:/Iwww.initiative.orQ
Paid for by the Governor's Institute on Alcohol &
Substance Abuse, Inc. with a grant from the Office
Juvenile Justice and Delinquency Prevention.
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WILMINGTON MORNING STAR I llA I FRIDAY, JULY 12, 2l
[ OPINIONS & IDEAS ]
TERESA LEE
Time to raise state beer tax
e
NOrth' Carolina is facing a
$1.5 billion budget deficit
- our worst budget crisis
since the Great Depression.
State leaders have made many
budget cuts already, and have
reached the point where addi-
tional cuts will reduce or elimi-
nate critical services for some of
the state's neediest people - es-
pecially children.
It is time for our leaders to be
creative in their search for addi-
tional revenue streams and con-
sider alternative means of raising
much-needed money. Increasing
the excise tax on beer will help
reduce North Carolina's budget
deficit as well as reduce youth
traffic crashes, violence and sex-
ually transmitted diseases.
There are four key reasons
why increasing the tax on beer
makes sense.
It will raise much-needed
revenue for state and local
governments: A nickel increase
on each can of beer will produce
$83 million per year. That is
money that can help the state and
local governments avoid painful
cuts in desperately needed social
service programs.
The tax will help local govern-
ments because, by law, almost
one quarter of the excise tax is
distributed to cities and counties.
In the year 2000, local govern-
ments received almost $20 mil-
lion from the state excise tax on
beer. If the tax were increased,
their share would be even larger.
It's time: The beer tax has not
been raised in North Carolina
since 1969, and inflation has
eroded the real tax by 80 percent.
If the excise tax rate on beer
e
had been indexed to inflation in
1969, North Carolina would have
collected $300 million more in
2000. Since we cannot turn back
time, one solution is to raise the
current excise tax, and index it to
inflation now so that it increases
over time in the future.
North Carolinians support
this measure: According to a
1998 survey, 82 percent of North
Carolinians support increasing
the beer excise tax if funds go to
support substance abuse preven-
tion programs.
State and national organiza-
tions that support increasing the
excise tax on beer include The
Child Fatality Task Force, N.C.
Association of Chiefs of Police,
AARP, Mothers Against Drunk
Driving's North Carolina chapter,
the Campaign for Alcohol Free
Kids, and many other individuals
and organizations in this state.
Some people may argue that
increased beer taxes will hurt the
average North Carolinian. The
reality is that nine out of 10 adults
in N.C. will pay little or none of
these taxes because they seldom
or never drink.
High-risk drinkers and al-
CQholics cause higher costs for
society, and it's only fair for them
to pay their share of those costs.
While this small group will pay
more, everyone will benefit from
lower car and health insurance
premiums.
It's good for public health:
Studies are very clear on the fact
that when beer prices increase,
fewer teens die or are injured in
car crashes.
Family violence and sexually
transmitted diseases will also de-
crease. This simple tax could
-.
save a life - possibly the life of
your child, brother, sister, neigh-
bor, or babysitter. This tax will
also reduce the costs to society
caused by underage drinking - a
cost estimated at $1.16 billion in
medical care, work loss and other
expenses. Studies have also
shown that someone who begins
drinking at age 15 is four times
more likely to become alcohol de-
pendent later in life than some-
one who begins drinking at age
21.
What we can and must do: It is
time for each of us to make our
voices heard and let our state
representatives know that they
must consider other sources of
revenue, instead of dealing a crip-
pling blow to programs that pro-
vide critical services to our most
needy citizens.
Let's encourage the General
Assembly to increase beer taxes
and help decrease our state's
budget deficit. This 'measure is
long overdue and most No~h
Carolinians support it. More in-
formation on this important sub-
ject can be found at the following
web site: www.penniescount.org.
Most important to me as the
daughter of an alcoholic father, it
might save another family from
the needless pain that my
mother, brother and I experi-
enced.
It's time for beer to pay its fair
share,
Teresa Lee is a member of the
N.C. Initiative to Reduce Under-
age Drinking and immediate past
president of the General Federa-
tion of Women's Clubs of North
Carolina.
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AUG-06-2002 TUE 12:47 PM NH co MANAGER'S OFFICE
Fax
Name:
OI'llIDizatfon:
Fu:
PhoDe:
From:
Phone:
Dlte:
Subject:
Pagu:
FAX NO, 9103414042
p, 01
- _. - - -
David Rice
Health Dept
3tf1- '-11'16
(Phone]
Patricia A. Melvin, Assistant Collllly Manager ~t1. ~
(910)341-7184
August 6, 2002
Request ofCollllt Commissioners
1
In last night's Collllly Conunissioners' meeting, !be members of the Board voted to ask the
Board ofHeallh to develop an4 propose /I Water llmergeocy Management Ordineace, which
wonld be: applicable countywide. and to private wells. Wyatt BIanc1Jard submitted the attached
ordinence which Wl$ 8dopted by the Board for setvice provided by the Collllty's WIler &: Sewet'
District. I hereby seek your Board's assislllnce in responding to the request of the COlmly
CollllDissionm. lboy anticipltc that SUcb an ordinance win be approved by your Board then
sent to them for adoption.
NOTE:
I wi1I be in meetings this afternoon and will be lmaVlilllble for phone
COIltact. but will telephone you tomorrow. Thanks for your prompt
response to my call.
AUG-06-2002 TUE 12:47 PM NH CO MANAGER'S OFFICE
FAX NO. 9103414042
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
REQUEST FOR BOARD ACTION
Meeting Date: 08/05/02
Reguler Item #: 1 Estlmatad Time: Page Number:
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Department: Enginaerlng
Prasenter: Wyett E. .Blanchard
;.
1 Contact: Wyatt E. Blanchard
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Water Emergency Management Ordinance - Second Reading
BRIEF SUMMARY'
During the first half of thIs year and last year (20011, the amount of rainfall nas been significantly
belOW normal. This has yielded a dry spring resulting In I much higher than normal wlter usa by
county customers for such uses as irrigation, The County water system haa met the demand, but
our ability to pump the water has blSn greatly challenged.
In the event the situation gets worse or occurs again in tha future, the County must be prepared.
Atteched Is I proposed water ordinance amendment which will IIIow the County Maneger or his
autnorlUd representative to declare a water emergency, If necessary.
Aa Indicated, It ia s.t up In three steges, as follows:
Stage 1 - Water Conservation AI"rt.
A Srage , weter amergency may be declared In the evant of In Immediate water ehortage or when
therl ere three 131 conseclltlve days when weter demand exceeds eightY (60%) percent of the
weter production capacity.
Stilge 2 - Weter Shortage Mandatory Conservation.
A Stege 2 Wlter emergency mey be declared in the eVlnt of an Immediate water shortage or when
there ere two (2) conaecutlve days when water demend exceeds ninety (90%) percent of the weter
production cIPaclty.
Stage 3 - Wlter Shortage Dinger Mandltory ConsetVltlon.
A Stege 3 water emergency may be decllrad in tha event of an Immediate water shortlge or when
thare Is one III day whln water demands exceeds one hundred (100%) percent cf the water
producticn caplcity.
The attached ordinance provides more details,
RE'COMMENDFD MOTION AND REOUESTED ACTIONS:
This /8 the second reading. Recommend that tha Ordinance amendment be approved with
authorization for the Chslrman to execute.
fUNDING SQ.~
ATTACHMENn:,
II
WatsrEmerancyOrdinanca. w
RFVIFWI;D BY!
LEGAL: N/A FINANCE: Approve
BUDGET: Approve
HUMAN RESOURCeS: N/A :.. ,r .'
COUNTY MANA(lliR'~TS AND RECOMMENDATIONS:
Recommend approval.
COMMISSIONERS' ACTIONS/COMMI:NTS,
Second Reading
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AUG-06-2002 TUE 12:47 PM NH CO MANAGER'S OFFICE
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FAX NO, 9103414042
DRAFT
AN ORDINANCE
OF THE
NEW HANOVER COUNTY
BOARD OF COMMISSIONERS
Add a new section to be desIgnated:
Division 2. Water Emeroencv Manaaement.
Section 66-40. DeClaration of Water Emergency.
The County Manager or his authorized representative is authorized to declare that a wet
emergency exists. Depending On the aeverity of the emergency, voluntary (Stage 1) ar
mandatory (Stage 2 and Stage 3) staged water use restrictions as described in this artlc
shall be imposed upon water customers. The declaration shall be made by e pub
announcement through one or more media sources. such as print, radio. television
Intemet, at tha County's election.
Sectlon 56-41. Staged Water Use Restrictions.
Stage 1 - Water Conservation Alert.
A Stage 1 water emef'geney may be declared in the event of an immediate watl
shortage or when there are three (3) consecutive days when water demen
exceeds eighty (80%) perc:ent of the water prOduction capacity. Water productio
capacity shall be defined as the maximum volume. of water that meets state an
federal standards that the water treatment process Clan prodUce during twelve hour
within a twenty-four (24) hour period. Water prOduction c:apacity can var
depending on system component reliability and raw water conditions. During
declared Stage 1 water emef'gency the fOllowing voluntary water conservat/o;
practices shall be encouraged:
(a) Inspect and repair all faulty and defective parts of fauceta and tol/eta.
(b) Use shower for bathing rather than bathtub and limit ahowerto no more thar
five (5 ) minutes.
(c) Do not leave fauceta running while shaving. brushing teith, rinsing 01
preparing food.
AUG-06-2002 TUE 12:47 PM NIl CO MANAGER'S OFFICE
FAX NO. 9103414042
P. u4
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(d)
Umit the use of clothes washers and dishwashers and when used, operate
fully loaded. Operate dishwashers during non-peak demand hours of 6 a.m.
to 10 p.m..
(e)
Limit lawn watering to that necessary for plant survival. Water lawns before
during non-peek demand hours from 10 p.m. to 6 a.m..
(f)
Water shrubbery the minimum required. Water shrubbery before the peak
demand hours of 6 a.m. or after 10 p.m.. .
Limit vehicle washing.
Do not wash down outside areas such as sidewalks. driveways, patios, etc..
Install water sevlng showerhaads and other devices.
Use disposable and biodegradable dishes where possible.
Install water saving devices in toilets such as early olosing flappers.
Limit hours of water-cooled air conditioners.
Do not fill swimming or wading pools.
Section 56-42.
Stage 2 . Water Shortage Mandatory Conservation.
A Stege 2 water emergency may be declared in the event of an immediate water
shortage or when there are two (2) consecutive days when water demand exceeds
ninety (90%) percent of the water production capacity. Water production capacity
shall be defined as the maximum volume of water that meets state and federal
standards that the water treatment process can produce during twelve hours within
a twenty-four (24) hour period. Water production capacity can vary depending on
system component reliability and raw water conditions. During a declared Stage 2
water emergency the following activities shall be prohibited:
(a) Watering lawns, grass, shrubbery, trees, flower and vegetable gardens
except by hand held hose, conlainer. or drip irrigetion system. A person
who regularty sells plants will be permitted to use water on their commercial
stock. A golf course may water their greens. State. County and City
licensed landscape contractors may water by hand held hose or drip
irrigation any plant4 under a written warranty.
(b) Filling swimming or wading pools, either newly constr1.lcted or previously
drained. Make up water for poolS In operation will be allowed.
(c) Using water-cooled air conditioners or other equipment. In which cooling
water is not recycled, unlass there are heelth or safely concerns.
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(d) Washing any type of mobile eCluipmenl including cars. trucks, trailers. boats,
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AUG-06-2002 TUE 12:47 PII NH CO IlANAGER'S OFFICE
FAX NO. 9103414042
P. 05
or airplanes. Any persons Involved in a business of washing motor vehicle
may continue to opel"llte.
(e) Washing outside surfaces such as streets, driveways. service statio
aprons, parking lots, or patios.
(f) Washing the exterior of office buildings, homes, or apartments.
(g) Using water for any omamental fountain, pool, pond, etc.
(1'1) Serving drinking water in food establishments sueh as restaul"llnts c
cafeterias. unless requested to do so by a eustomer,
(i) Using water from a pUblic or private fire hydrant for any reason other thai
to suppress a fire or other public emergency or as authorized by the Genera
Manager or his authorized representative,
0) Using water to control or compact dust.
(k) Intentionally wasting water
(I) Commercial and industrial water customers shall achieve mandatol1
I"llductions in water usage through whatever means are available. p.
minimum reduction of twenty (20%) percent shall be the target, however a
greater target reduction percentage may be required depending on thfil
severity of the water emergency Compliance with the reduction target shall
be determined by the General Manager or his authorized representative.
Variances to the target reduction may be granted by the General Manager
or his authorized representative to designated pUblic health facilities.
Section 56-43.
Stage 3 - Water Shortage Danger Mandatory
Conservation.
A Stage 3 water emergency may be deClared in the event of an Immediate water
shortage or when there is one (1) day when water demand exceeds one hundred
(100%) percent of the water production capacity, Water production capacity shall
be defined as the maximum volume of water that meets state and federal atandards
that the water treatment process can produce during twelve hours within a twenty-
four (24) hour period. Water produetlon capacity can vary depending on system
component reliability and raw water conditions. During a declared Stage 3 water
emergency the following activities shall be prohibited. in addition to activities
prohibited under Stage 2;
(a) Watering lawns. grass, shrubbery. treeli, and flowers.
(b) Washing motor vehicles at commercial car wash establishments.
(c) Watering any vegetable garden except by hand held hose, container, or drip
Irrigation.
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AUG-06-2002 TUE 12:48 PM NH CO MANAGER'S OFFICE
FAX NO. 9103414042
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(d)
Commercial and Industrial water customers shall achieve mandatory
reductions in water usage through whatever means are available. A
minimum reduction of fifty (50%) percent shall be the target. however a
greater target reduction percentage may be reqUired depending on the
severity of the water emergency. Compliance with the reduction target shall
be detelT11lned by the Generel Manager or his authorized representative.
Variances to the target reduction may be granted by the General Manager
or his authorized representative to designated public health facilities.
(e)
In the event thatthe prohibition ofthe activities listed above Is not sufflclent
to maintain an adequate supply of water for fire protection, all USe of water
for purposes other than maintenance of public health and safety shall be
prohibited. Residential water use shall be limited to the amount necessary
to sustain life through drinking, food preparation and personal hygiene.
Section 66-44.
Compliance Plan During Stage 2 and Stage 3
Emergencies.
The County Manager or his authorized representative may require that commercial
and industrial water customers prepare plans detailinlil measures to be taken by
them to achieve mandatory reductions in daily water usage durinlil Stage 2 and
Stage 3 emergencies. Sueh plans shall be completed within sixty (60) calendar
days after receipt of notice to prepare them.
Section 66-45.
Penalties for Violation of Mandatory Restrictions.
(a) Violations of the mandatory restrictions set forth in this article may be
punished by a ciVil penalty to be recovered In the nature of a debt of Five
Hundred ($500.00) Dollars for the first violation, One Thousand ($1,000.00)
Dollars for the second violation, and One Thousand Five Hundred
($1,500.00) Dollars for the third and subsequent violations. Violations may
also be punished es a misdemeanor under G. S. 14-4.
(b) This article may be enforced by anyone or more of the remedies authorized
by G. S. 153A-123.
Section 56-46.
Authority to Discontinue Service.
Water aervice may be temporarily discontinued for failure to comply with mandatory
restrictions In this article. All applicable penalty fees may be applied in the event of
such service suspensions. In the event of continued noncompliance with this
article, removal of meter and service will be deemed proper and service will be
dIscontinued and tap fees and deposit& will be forfeited.
Section 116-47.
Appeal by Customers of Penalties and Termination of
Service:
Any User who receives a penalty and/or has service terminated as a result of
P. 06
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AUG-06-2002 TUE 12:48 PM NH CO MANAGER'S OFFICE
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violations of the mandatory restrictions in this article may appeal upon notification
to the County Manager or his designee. The County Manalijer or his designee shall
be the final decision maker for appeals.
Section 66-48.
Adoptlon and Enforcement of Article by Public or Private
Water Systems.
:::!
Public or private water systems purchasing water from New Hanover County shall
adopt and enforce this entire article as a condition of water service. Upon
declaration of a water emergency, the public or private water systems shall enforce
the appropriate water use restrictions for the level of declared emergency.
Section 56-49.
Termination of Restrictions.
A water emergency decl'aration will expire when the County Manager or his
authorized representative determines that the condition which causes the
emergency has been abated. The expiration or cancellation of a water emergency
declaration shall be publicized.
Except as specified referenced herein, the existing provisions of Chapter 56 shall remain
In full force and effect.
This the 8~ day of July, 2002.
[SEAL]
NEW HANOVER COUNTY
ATTEST:
Ted Davis, Jr., Chairman
Board of Commissioners
Clerk to the Board
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July 2002 New Hanover County Health Department Betsy Summey, FNP, 343-6531
Pertussis in ment duration was thereby varicella and who has
Siblings extended to comply with that been exposed
of case treatment. The cul- in the previous
tures of other family mem- 96 hours. VZIG
A 22-month-old male bers were negative. is very expensive
child became ill in the (about $600 per
latter part of May with persis- The child who became symp- dose) making it
tent cough. tomatic first had not been im- virtually impossi-
After several munized with pertussis. The ble for local health depart-
trips to health mother had refused pertussis ments to stock it. The
care providers immunization, saying the child American Red Cross, once
over a two to was "weakly and sick a lot of the major distributor of the
three week pe- the time" and she wanted to vaccine. is no longer distribut-
riod, a local pediatrician be- wait until he was a little older. ing VZIG. Individuals with
came suspicious of pertussis The older sibling, and the last Medicaid or private insur-
e as the cause of the child's to 'become symptomatic, was ance may contact FFF En-
symptoms. The child was immunized appropriately for terprises' customer ser-
transferred to North Caro- age. vice line at (800-843-7477)
Iina Memorial Hospital to obtain the vaccine.
(NCMH) in Chapel Hill Outside contacts of the family
where he was diagnosed with were few Neither of the The duration for protection
8. pertussis. children had been in day care. provided by VZIG is not cer-
They did accompany their fa- tain but should last at least
Other family members were ther as he delivered Meals- the half-life of VZIG
cultured, with an additional on-Wheels, and occasionally (approximately three weeks),
DFA being performed on the visited with the clients for 15- according to Beth Rowe-
specimen of the four-year-old 20 minutes. There were no West, head of the Immuniza-
sibling who became sympto- other close contacts the par- tion Branch at the North
matic the day before the fam- ents identified. Carolina Department of
i1y went to NCMH. The sib- Health and Human Services.
ling's DFA was negative for Varicella
antigen presence so the child Immune Globulin Those susceptible individuals
was treated only as a contact. given one dose of VZIG, yet
The culture on that specimen for Pregnant are contraindicated for the
returned positive. The treat- Women vaccine, and who become re-
exposed after more than
CONTENTS three weeks should receive
Varicella Immune another full dose of VZIG.
Tetanus................... 2 Globulin (VZIG) is
Hepatitis 8.............. 2 indicated for any woman
e Stats ........................ 2 who is susceptible to continued
Tetanus
Vaccine
~*
...
^ sufficient
J....... supply of tetanus!
diphtheria vaccine is now avail-
able to allow for resumption of
routine administration prac-
tilces. While vaccine was in
short supply, only immuniza-
titon for pregnant women, basic
childhood immunization and
wound management was of-
f,~red.
lrhe Advisory Committee
(In Immunization Practice
r'ecommends that boosters
be given every ten years. It
is required that individuals en-
rolling in a North Carolina col-
II~ge or university for the first
time have a tetanus booster if
none has been given in the past
ten years.
Health care providers are en-
c:ouraged to review the immu-
nization records of their pa-
tients and encourage tetanus
boosters if due. Vaccine is also
available at the Health Depart-
ment.
Cancellation of
Hepatitis B
Vaccination in
Middle Schools
DUe to the decrease in
nursing staff, New Hano-
ver County Health Depart-
ment will not provide hepati-
tis B vaccinations in middle
schools for the 2002-03 school
year.
Medical care
providers ~
should be
prepared for
a possible in- .
crease in demand for hepatitis
B vaccine. The Health De-
partment will continue to
2
HEALTH DEPT.
GENERAL CLINIC
IMMUNIZATION
HOURS
e
Monday and Friday:
8:15 am to 4:30 pm
TuesdaY,VVednes-
day, Thursday:
12:30 pm to 4:30 pm
provide hepatitis B vacci-
nations through the Gen-
eral Clinic.
State-supplied vaccine can be
given to any child who is 18
years old and younger. lfa
child begins the series at age
18, that child can complete the
series using state-supplied vac-
cine.
If you have any further
questions or concerns,
please contact Kristi
Barnes at 910-343-6523.
e
Communicable Disease Statistics
New Hanover County
July 1, 2001 - June 30, 2002
AIDS.............................. 34
Campylobacter.............17
Chlamydia .................. 540
Gonorrhea .................. 271
Hepatitis A...................... 5
Hepatitis B (acute) ......... 6
Hepatitis B (carrier) ..... 17
Hepatitis C (acute) ......... 3
HIV Infection................. 45
Legionellosis.................. 2
Listeriosis ...................... 1
Lyme Disease................. 3
Meningococcal
Disease ...............................1
Pertussis ...............................3
Rky. Mt. Spotted Fever ....... 22
Salmonellosis...................... 79
Shigellosis............................. 4
Strep, Group A Invasive .......1
Syphilis................................ 35
Tuberculosis ......................... 9
Typhoid (acute) .....................1
Vancomycin Resistant
Enterococcus ....................1
e
SANITATION TIPS FOR FOOD WORKERS
SUMMER 2002
Also in this issue ...
Gloves or Bare Hands -What's
best practice? Page 2
Accept or Reject-How do you
decide? Page 2
(
~
Hand Washing Hints-What's
the best way? Page 3
Test Your Food Safety
Knowledge-Need training?
Page 4
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"For health reasons, I had
the food laminated."
Copyright 2002
Pike & Fischer, Inc.
800-255-8131
Foodborne Illness Declines;
Let's Keep Up the Good Work
The good news is that foodborne illness has declined significantly in the
United States over the past five years, according to the latest figures from
FoodNet, the surveillance system operated by the Centers for Disease Control
and Prevention in cooperation with other federal and state agencies. So we
must be doing something right!
Infections from Listeria, Campylobacter, Salmonella and E. coli 0157:H7
declined by 21 percent over the past six years. Among the less common
bacterial illnesses. Yersinia infections dropped by 49 percent, and Shigella
infections declined by 25 percent.
USDA's Hazard Analysis and Critical Control Point systems in meat and
poultry slaughter and processing plants played a key role in achieving the lower
illness rates, CDC said.
Good news indeed. But what can you do in your own workplace to make sure
foodborne illness continues to decline?
Now that we're into summer, the main bug season of the year -- not just for
flies but for those microscopic bugs that cause food borne illness -- you should
be paying even closer attention to proper temperature control, and to good food
handling practices, such as proper hand-washing, avoiding cross-contamina-
tion, and rejection of spoiled food.
Summer is the time to be especially careful
in your food preparation...
Foodborne outbreaks surge during the summer months. So this is the time to
be most careful in your food preparation.
Increasingly, outbreaks are being blamed on fresh produce, like Salmonella
and E. coli in alfalfa sprouts, Shigella in parsley and Cryptosporidium in green
onions. So wash fresh produce very well before offering it to your customers.
Despite the major progress in reducing foodborne illness, some bugs we
thought we had under control, like Listeria monocytogenes, are rearing their ugly
heads again, causing problems for makers of ready-to-eat meats.
Health and Human Services Secretary TommyThompson, commenting on
the promising new FoodNet figures, warned that '100dborne disease remains a
substantial public health burden so we must continue to expand our efforts to
keep America's food supply the safest it can be."
So what can we do to prevent foodborne illness? We need to keep using
good food safety and sanitation practices. We need to stick to the basics, like
properly chilling and cooking of foods, frequently cleaning hands and surfaces,
and preventing cross contamination.
If we do this, the next FoodNet report on declining illnesses will look even
better!
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FOOD TALK
SUMMER 2002
Test Your Food
Safety Knowledge
1. The most effective way to control the growth of bacteria in
a food establishment is by controlling:
a, time and temperature
b. pH and oxygen conditions
c. temperature and water activity
d. time and food availability
2. Bacteria are the most common cause of foodborne
disease in a food establishment because:
a. under ideal conditions, they can grow very rapidly
b. they are found naturally in many foods
c. they are easily transferred from one source to another
d. all of the above
3. Which of the following bacteria are most likley to cause a
foodborne disease outbreak in a food establishment?
a. Salmonella spp. and Campylobacter jejuni
b. Cryptosporidium parvum and Giardia lamblia
c. Hepatitis A and Norwalk virus group
d. Anisakis simp/ex. and Trichinella spiralis
4. Which of the following bacteria produce a toxin that is
most likely to cause death if consumed?
a. Campy/obacter jejuni
b. Clostridium botulinum
c. Escherichia coli o 157:H7
d. Listeria monocytogenes
5. Which of the following is not considered a potentially
hazardous food group?
a. red meats
b. fish and shellfish
c. poultry and eggs
d. dried grains and spices
FOOD TALK ~
/\
'...../'
6. Which of the following is a histamine poisoning?
a. Ciguatoxin
b. Scombrotoxin
c. Mycotoxin
d. Paralytic Shellfish Poisoning (PSP)
7. Most bacteria that cause foodbome illness grow:
a. with or without oxygen at an ideal temperature of
98.6"F
b. only without oxygen at an ideal temperature of 11 O"F
c. only with oxygen at an ideal tempera- 0
ture of 110"F
d. only without oxygen at an ideal
temperature of 98,6"F
8. Bacteria grow within a
temperature range called the
danger zone, which is be-
tween:
a. 0" and 220"F
b. 0" and 140"F
c. 41" and 140"F
d. 41" and 220"F
Source: "Essentials of Food
Safety & Sanitation," 3rd Edition, -
Prentice Hall
7-11 correct: Bon apeUt
5-6 correct: So-so
Less than 5: Get some training!
-
,
-
-
-
::> "8 :e L:Q"9:P"9:Q'v:e '€ :p "2: :e . ~ :SJ9MSUV
NEW HANOVER COUNTY HEALTH DEPARTMENT
NEW HANOVER COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH DIVISION
2029 SOUTH 1 nH STREET
WILMINGTON, NC 28401
David Rice
Health Director
Health Department
Printed on recycled paper
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WHEN A DISASTER STRIKES...
(Hurricane, Fire, Tornado, Flooding)
*** SAFE FOOD HANDLING***
Power outages can endanger your food supply. If electrical service to your establishment is
interrupted at any time, for any reason, your establishment must close (and remain closed)
until service restoration is verified.
REFRIGERATED/FROlEN FOOD'
. Refrigerated foods which can cause problems are: milk or milk products, meat,
poultry, fish and shellfish.
. Frozen food that has not exceeded a refrigerator temperature of 450F can be treated as
refrigerated food and can still be eaten but should not be frozen again. This thawed
food may be safely held in a refrigerator at 450F for no more than 2 DAYS.
. If refrigerator or freezer food temperatures rise above 450F for 4 hours, these items must
all be discarded to avoid the risk or food borne illness.
. Open doors to refrigerators and freezers as little as possible.
. Keep hand contact with food to a minimum.
OTHER TYPES OF FOOD:
. Do not use pre-packaged, canned or bottled food which has been damaged by: fire,
water, insects, crushing or denting (including dry goods).
. Do not use produce from a flooded garden.
*** SAFE WATER SUPPLY***
. If water service is interrupted at any time, for any reason, your establishment must
close until safe water service is restored. You may not use bottled or otherwise treated
water in your establishment in place of regular water service.
. Safe water may not be available due to lack or electricity or due to contamination of
private wells, water treatment facilities or pipes. Do not use water until an approved
bacteriological test has been done for the well or until a public service announcement
states that the water is safe to use for drinking and cooking.
***SAFE SEWAGE DISPOSAL***
. If your sewage disposal system is interrupted at any time, for any reason, your
establishment must close. You must call the Environmental Health Division of your local
Health Department for information on how to proceed if your establishment is on a septic
system.
. If the municipal waste water system is not functioning, your establishment must stay
closed until public notification.
CLEANING KITCHEN EQUIPMENT
--
. Thoroughly clean and sanitize all salvageable equipment using a detergent
sanitizing solution made with one tablespoon bleach in one gallon of water
gloves when cleaning and sanitizing.
and a
Wear
. Equipment may be salvageable if:
. made of stainless steel or other non-absorbent materials;
. contains only non-absorbent, closed cell polyurethane insulation
(may require cleaning - check with manufacturer)
*HW ARNINGH*
ALWAYS USE EXTREME CAUTION WHEN RESTARTING EQUIPMENT
WITH ELECTRICAL COMPONENTS!!
. Inspection by a professional of electrical components (wiring, compressor, etc.) is needed
to judge if equipment is safe to use or what parts may need replacing.
. Check the water heater. Replace if burner, electrical parts, or insulation have been
flooded.
. Thoroughly clean all equipment with water Jines (beverage machines, coffee/tea urns, e
ice machines, glass/dishwashing machines) using the following method:
Flush water lines, faucet screens & waterline strainers
Purge fixtures of any standing water
Clean and sanitize ALL fixtures, sinks and equipment using one tablespoon
bleach in one gallon of water.
. Discard equipment which cannot be repaired to NSF standards.
. Walk-in coolers must be reviewed on a case-by-case basis.
. Guidelines are available for restoration of walls, ceilings, floor/floor coverings and duct
work.
HTHE GOLDEN RULE OF CLEAN UP WORK **
THROW IT OUT!
WASH HANDS THOROUGHLY & OFTEN !!
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