09/04/2002
e
New Hanover County Health Department
Revenue and Expenditure Summaries for July 2002
Cumulative: 8.33% Month 1 of 12
Revenues Current Y~r 11:ft
Prior Year
Type of Budgeted % BUdgeted Revenue Balance %
Revenue Amount Amount Earned Remaining
Federal & State $ 1,692.429 $ 1,692,429 0.00% $1.247,351 $ 1,247,351 0.00%
AC Fees $ 533.044 41,734 $ 491,310 7.83% $ 533,044 32,456 $ 500,588 6.09%
Medicaid $ 1,035,386 $ 1,035.386 0.00% $ 916,278 71,333 $ 844,945 7.79%
Medicaid Mex $ #DIVIOI $ #DIVIOI
EH Fees $ 312,900 10.44% $ 6.11%
HeaRh Fees $ 112,850 12.50% $ 9.63%
Other $ 1,208,298 0.33% $ 0.00%
Note: County Appropriation is not calculated above. The County appropriation Is the difference between the total amounts on the
program expenditure report and the totals on the program revenue report.
The budgeted amount for County Appropriation for FY 02-03 is ($10,463,944 - $4.894.907) = $5.569.037
The expended amount for County Appropriation FY to date is ($320,749-$92.523) $228,228..
e Expenditures
ype of
x ndlture
Budgeted
Amount
Expended
Amount
Balance
Remalnin
%
Budgeted
Amount
Expended
Amciunt
Balance
Remalnln
%
241,487
79,264
2.76%
4.68%
Summary
BUdgeted Actual %
FY 02-'13 FY 02-'13
Expenditures:
Salaries & Fringe $ 8,735,713 $ 241,487 2.76%
Operating Expenses $ 1,693,105 $ 79,264 4.68%
Capital Outlay $ 35,126 $ 0.00 0.00%
Total Expenditures $10,463,944 $ 320,751 3,10%
Revenue: $ 4,894,907 $ 92,523 1,89%
e Net County $$ $ 5,569,037 $ 228,228 4,10%
Revenue and Expenditure Summary 9
For the Month of July 2002
e
e
e
..
Hl:A.LTH
NEW HANOVER COUNTY BOARD OF U9MMIs51urr "l'S
REQUEST FOR BOARD ACTION
Meeting Date: 09~02
Department: Health Presenter: Betty Jo McCorkle, Women's Health Director/Elisabeth Constandy,
Health Educator
Contact: Elisabeth Constandy, Health Educator 343-6658
SUBJECT:
Grant Application to North Carolina Safe Kids-$5,OOO for New Hanover County
Safe Kids/Buckle Up Program
BRIEF SUMMARY:
We are requesting approval to submit a Child Passenger Safety Grant Application for $5,000 to North
Carolina Safe Kids for child restraints for the New Hanover County Safe Kids Buckle Up Program. This
apphcatlulI Is suomifted by New Hanover County Fire Services and New Hanover County Health
Department, Safe Kids Coalition, and Buckle Up Program.
We are requesting $5,000 to cover the cost of child passenger restraints and shipping charges. These
seats will be distributed to low-income families and families in need through New Hanover County Health
Department programs and Safe Kids Buckle Up events. There are many partner agencies in the area,
including childcare facilities, United Way, and the New Hanover County Department of Social Services,
that are able to assist with referral and distribution of seats. Seats will also be available to replace seats
identified in seat check events as recalled or damaged.
RECOMMENDED MOTION AND REQUESTED ACTIONS:
Approve grant application for $5,000 and associated budget amendment when awarded.
~J~
FUNDING SOURCE:
North Carolina Safe Kids grant
ATTACHMENTS:
4pages including a budget page
10
e
e
e
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.P.H., M.A.
Health Director
LYNDA F. SMITH, M.P.A.
Assistant Health Director
August 21, 2002
,Office of the Stale Fire Marshall
PO BOX 26387
Raleigh, NC 27611
ATTN: Peggy Price
Dear Peggy,
Please accept this grant application for child restraints for the New Hanover County Safe Kids
Buckle Up Program. Jennifer Smith with NHC Fire Services and I have spoken, and are
submitting this application together on behalf of the NHC Health Department and Fire Services,
Safe Kids Coalition, and Buckle Up Program. She has been acting as the Buckle Up Coordinator
since David Howard vacated the position last spring. The Health Department is currenUy
recruiting for an Injury Prevention Educator to coordinate our Safe Kids Coalition.
We are requesting $5,000 to cover the costs of child passenger restraints and shipping charges.
These seats will be distributed to low-Income families and families in need through New Hanover
County Health Department programs and Safe Kids Buckle Up events. There are many partner
agencies in the area, including childcare facilities, United Way, and the New Hanover County
Department of Social Services, that are able to assist with referral and distribution of seats.
Seats will also be available to replace seats identified in seat cheCk events as recalled or
damaged.
Thanks for your consideration and assistance. A detailed budget summary follows.
Sincerely,
Elisabeth K. Constandy, MS, CHES
Health Promotion Coordinator
New Hanover County Health Department
910-343-6658
econstandy@nhcgov.com
11
N~ ~41d-~-~"
e
e
e
.
,
New Hanover County Safe Kids/B~ckle Up Program
Child Passenger Safety Grant Application
Budget Summary
'1 Evenflo Secure Choice Convertible Seats 80 seats @ $44 each
2. Evenflo Discovery Adjust Right Infant Seats
(3 pt harness wI base) 3 seats@$42each
$3,520.00
$ 126.00
3. Evenflo Express High Back Booster Seats
(5 pt hamess, 20-80 Ibs) 20 seats @ $43 each
4. Shipping and Handling (approximately*)
$ 860.00
$ 494.00
Total:
$5,000.00
"Evenflo suggests calculating approximately 10% of total product price for shipping charges.
Prices are going up effective September 1, 2002, so this approximation is slightly elevated to
incorporate potentially higher seat prices.
12
.
.,
He SAFE KIDS
Up
1_IlOO Comm~ Jim Lone. CInIIr
North carolina Department of Insurance
Office of Stare Are MalSllal
PO Bo,l( 26387, Ra/e/61 NC 27611
NolTh carolina Hospltlll Assoc:Iatlon, Founding Spofl$O(
e
e
August 6, 2002
To: SAFE KID'S Buclde Up Coordinators
From: Angie Gregg
RE: Child restraint grants
'.
There are some exciting opportunities and changes for our SK Buckle Up
Coordinators this year. We will not be shipping child restraints as we have
previously. Instead we will be offering you an opportunity to apply for grants. In
the past we set the number and types of restraints that were shipped. We had
counties reporting that they received .too many convertibles" and some · had too
many combination". Now you will have the opportunity to buy the number and
type of restraints you need in your county. Your grant request may be for inCant,
convertibles, combination and special needs restraints only. The I\1nding for
these grants is being provided by the Governor's Highway Safety Program.
We have a limiW amOUDt of pDt faDdJqavaDablc f. the puc.... of ehIW
westraJDta. Of course we cannot give everyone all the funds they need for
restraints. This is not a "reach for the stars. type grant. A practical request
would be for the number of restraints that you received last year. Funding will be
granted by a point system. PolDtawUl be Ilv- fm fluute:rl,. npol'tll
aubmlttecllD tIa. past _d clecbaete4 from th_ who cllcl Dot .valt thek
flaarialy wepOl'ta. Points will also be given for coordinators that are working
with the local SAFE KIDS coalition and other agencies to distribute the seats
countywide.
We will notif,y you with a letter and amount of grant money awarded. Checks will
be issued in advance of your purehase. You will submit invoices as
documentation.
County Fire Marshal or Emergency Management personnel will sign form as their
pledge of support.
Please read and till out the fonn below, submit information requested and mail to:
. Attn: Peggy Price, OSFM, P.O. Box 26387, Raleigh, NC 27611. QUESTIONS? '"
Please call Peggy Price -1- 800-634-7854 or e-mail ppric.cdoi.net1.? "'7;::1
The cut off date is WeclDescta,.. Aapst 21. 2002 I~CA... J r\\[)
L- ~O
13
)/j ll8e: 8001634-78S4 . 91Sl/733-2142 · Fex: 9191733-9076
. ~
,
i
I
~
.
.
e
CRlLD RESTRAINT GRANT REoUEBT _d AGREltMJtNT
County
Submitted by
Tech ID *
Criteria fOIl' ex 811cJdt1 Up 2002 Gnat
SK au Coordinator Requirements and Responsibilities:
> 1. Must be a certified National CPS technician. No _ceptloll8l If you are
not certif'1ed we will help loco!.' a certified tecbn1clan in your county in
hopes of continuing the BucKle Up program.
> 2. Maintain National certification and attend an annual SK CPS
Refresher/Update workshop.
~ 3. Submit a!lrld outline/description of how the child restraints will be
distributed. shared with other programs, i.e. SAFE KIDS events, agency
CPS events.
> 4. Send a Budget sumnwy for funds requested _
> 5. Agree to obtain a Distrlbutlon Survey on each restraint distrlbuted. _
> 6. Agree to complete and send in quarterly reports. Y01I will be required to
reimburse grant funds If quarterly reports are not submitted.
;. 7. Agrec to distribute child restraints to State assisted and needy children.
)00 8. Agree to purchase Infant, convertible, combination and specla1 needs
restraints with grant funds.
> 9. Agree to notif,y OSFM if you can no longer continue with the Buckle Up
program and to advise of restraints on hand.
> 10. Submit copies of invoices for child restraints bought with grant funds.
11UIcl..t-ct tIIat these faDcla ID." oDly b. 1IM4l fOS' tII. p_r"'..... of cIlDd
netnlDta. I laave weacl tJa. above w.~CDts _cl wapoDSlbWtIM. I ap.-
to the altGveI
Coordinator Signature
Date
County Fire Marshal or Emergency Management personnel
Date:
Signature
e
14
.. '.
Appendix B
NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 17TH STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-4146
E...,-E_,.E"""'.
DAVID E. RICE, M.P.H., M.A.
Health Director
LYNDA F. SMITH, M.P.A.
Assistant Health Director
February 25, 2002
Dr. Marie Lynn Miranda
Nicholas School of the Environment and Earth Sciences
Duke University
Box 90328
Durham, NC 27708
Dear Dr. Miranda,
~J.171()~ AIY\~ ~U)~EJ
11 I ~I~OO~S
e
I write to confirm the willingness of the New Hanover County Heahh Department to uDdertake a
subcontract of$25,000 from Duke University's Nicholas School of the EDvironment and Earth
Sciences (NSEES). This subcontract is part of a grant from the CDC titled "Developing
Geographic Information Systems (GIS) Capacity in Local Heahh Departments in Eastern North
Carolina" awarded to the Occupational and Environmental Epidemiology Branch (OEEB) of the
North Carolina Department of Health and Human Services. The New Hanover County Health
Department agrees to establish a GIS within the Environmental Health unit with the guidance
and technical support of the Nicholas School of the Environment; the North Carolina Center for
GeographiC Information and Analysis (NCCGIA), and OEEB.
The contact person Cor this grant is Dianne Harvell, who can be reached at (910) 343-6665.
The New Hanover County Heahh Department agrees to undertake the following activities as part
of the subcontract: participate in training and discussions with other County Heahh Departments,
NCCGIA, NSEES, and OEEB; use GIS to analyze at least oI;le county or regional issue and
integrate GIS into daily activities to the extent possible; cooperate with NCCGIA and NSEES in
developing GIS applications and establishing a data mHnagement strUcture compatible with GIS;
provide support Cor a Duke University Slimmer intern, including available staff time and office
space; write a project summary including an assessment of benefits from participation in the
project and recommendations for improvements; and procure equipment required to establish a
GIS.
The $25,000 will be used to purchase software, hardware, and specialized training related to this
project. We look Corward to working with you on this project.
e
David E. Rice, Health Director
15
/I 1/ _ LL~hl _ n".. fJri.nrit,."
. .
e
~ulte ~niber5it\t
DURHAM
NORTH CAROLINA
27708-0077
OFFICE OF RESEARCH SUPPORT
327 NORTH BUILDING
BOX 9:0077
TELEPHONE (919) 684-3030
FAX (919) 684-241 B
August 15, 2002
,Mr. David E. Rice
, Health Director
New Hanover County Health Department
2029 South 17th St.
Wilmington, NC 28401-4946
Re: Subcontract #: 03-SC-NCDHHS-I004
Duke. University PI: Marie Lynn Miranda
Subcontractor PI: David E. Rice
e
Dear Mr. Rice:
Enclosed are three signed original copies of the subcontract referenced above. The
signature represents the authorized official on behalf of Duke University. Please fill in the
Subcontractor Administrative Contact information on the Cover Sheet, and the
information requested on page six.
Please have the originals signed by the authorized official at your institution, and return
two fully executed originals to my attention. You will also find one set of certifications
and assurances that will also need to be signed and returned. If you have any questions
regarding this subcontract, please contact our office at (919) 684-3030. Thank you for all
of your help on this agreement.
Sincerely,
~#m;
Keith Hurka-Owen
Associate Director
Enclosures
e
16
.
e
e
.
Subcontract Number: 03-SC-NCDHHS-l004
DUKE University Subcontract Agreement
Cover Sheet
SUBCONfRACTOR: New Hanover County Health Department
Project Title: Developing Geographic Information Systems (GIS) Capacity in Local Health Departments
in Eastern North Carolina
Prime SpOnsor: North Carolina Department of Health and Human Services
CFDA No: 93.283
Award Number: 01259-03
Pmcipal Investigator for DUKE University: Marie Lynn Miranda
Principal Investigator for SUBCONTRACTOR: David E. Rice
Period of Performance: ~ 1 JO 102 to 03/14/03
Pre-award Spending; No 181 Yes 0, Effective 1 1
Award Amount: $18,000.00
DUKE Administrative Contact:
SUBCONfRACTOR Administrative Contact
Courier Address/Phone/Fax/E-mail:
Keith Burica-Owen, Associate Director
Office of Research Support
Duke Univmity
323 North Building, Box 90077
Durham, NC 27708
Phone: 919- 684-3030
Fax: 919-684-2418
E-mail: kpbo@duke.edu
The following components are hereby incorporated as part of this agreement:
Appendix A: Terms and Conditions
Appendix B: Statement ofWorlc
Appendix C: Budget
Appendix D: Invoice
Appendix E: Rebudget Request Form
Appendix F: Prime Sponsor's Terms and Conditions, ifcbecked 181
IN WITNESS WHEREOF, the parties agree to be bound by the terms of this agreement:
DUKE UNIVERSITY:
Authorized Signature:~!4/~ ~
Name: Keith Hurka-Owen
Title: Associate Director
Date: f /Ai 1 ~~ .
Attest: ..J<.r+ ~ J 8rAlUJi.d0::
Date: 9> ,..t2..'oi--1) -
SUBCONfRACTOR:
Authorized Signature:
Name:
Title:
Date:
Attest:
Date:
17
e ~ :::;~o:uo7~:~~
To: Lynda SmithlNHC@NHC
ee: Dianne HarveIUNHC@NHC. (bee: archive)
Subject: Duke University Grant (Contract)
e
.
Environmental Health plans to purchase the foll~ng with the $18,000.
Computer hardware/software - $10,000 - Acct #110-510-5111-6399
Geographic Positioning Units - 2 @ $4,000= $8,000 - Acct #110-510-5111-6400
Shllron Neuschafer
Administrative Support Supervisor
New Hanover County Health Department
Environmental Health
(910) 343-6585
18
.
e
e
e
.
.
e
e
.
J-
Z
w
::i
c
z
w
::i
ct
J-
W
Cl
c
::)
m
w
U)
z
W
ll.
><
W
'"
;:j
~
<
c
1'1
<
I
'"
;!;
~
~
~
l5
z
8
J-w_ 0 0
0 0
Z -,CJ) 0 0
::l 00:: ci ro
O:I::5
~~5 ..-
<( ",,0
+ ... . + +
0
01-1-
wwz
(/)el::>
-00
ifi::>:::;
0:1D<{
1-1-1-
zwz
wel::>
0:00
0:::>:::;
alD<{
I-
z
w
:::;
I- !!:
0
w (/) ::>
., w 0
10 (/) W
0 Z ,
W ~
ll.
><
W I-
0: ::>
w 0
I- ..J
::> <{
ll. I-
:::; 0:
0 <{
0 0
0> C>
en 0
M 'V
<D <D
~
;;;
;:: 0 0
0 0 0
<( 0 0
N N
u..Z
000
.....O::i=
_0.<(
zo.-
~<g:
,
zZ
<(0
Cl;:: ~ ~
5~ ~ ~
~ ~
..., 10
Z ll.
0 ..J
;:: W
0 :I:
<(
.t::
-
(ij
.,
I
(ij
-
e:
.,
E
e:
w e
::0 'S;
<( e:
Z W
~ ~
;:: ~
Z ~
w ...,
t;
Z
W
Cl 0
<( ~
...,
0
Z
:> 0
u.
~
~
~
tu
8t
:>
Il>.
i
Cl
Z
-0
!ZQ
:>0::
Ow
00.
0
<(
....
Zo::
ww
::Oil>
:>::0
0:>
OZ
0
t;
Z
w
Cl
<(
Il>
W
Z
0
;::w
~.O
CJ)O
zO
~
....
0....
UlW
(/)(9
-0
>:::>
~m
..J
<(
I-
o
I-
o
o
.t::
o
(/)..,
e:
CJ) eD
.!!!.,
o ~
.t::eD
~~
>-Ul
-
.~ ~
.,-
.2: ~
e: E
::>0
., 0
-'" ~
"'.E
0_
'5~
'j: -g
OlIO
e:
U.c:
~~
- .,
5I
0-
.oeD
",-
Ullii
.t::E
Ole:
52
~ ,-
.t::>
-e:
'Ow
~e:
g:E
oj
llSE
eD .,
llS'Iii
.- >-
a(/)
~ e:
.Eo
r....;:;
., eD
'Ee
"0
o'C:
E-
0.2
.;:a
c~
f!!0l
010
0"
oel
0_'"
CIO.t::
~Ul
tit =
~.o
0'"
-'Iii
Ul .,
~o
"'-
:t:UJ
'g8
., e:
0." Z
~~ 0
Gi.c: i=
0l1:: <{
15 >..;..: iij "0 aJ :2
E;0l~~~~ 0::
Q.~ea c: ~
a.>-~a...ca 2_
<{.,<{<{z_
-~ e:OIii ..J
-E 0.2i=E <
., 'lZ<e:.z
E 1D,-ZO~O
"t:= E ::5'~ <<J i=
~ ~o.aTI~i5
~ 0 1:'i'!::!!! 9
.,.,.,
---
"'''''''
000
.,.,.,
;:;;:;::::;
i=i=i=
CD Q) Q)..
EEE$
<<J m <<I co
zzzo
19
J-
Z
w
::i
C
Z
w
::i
ct
J-
W
Cl
C
::)
m
w
::l
Z
W
~
~
'"
<
w
~
<
c
w
c
<
I
'"
;!;
~
~
~
l5
z
8
0
0
J-w_ 0
Z -,CJ) ex>
::l 0 a:: ..-
0~~
~zo
<( ","0
+ ... . +
0
OI-l-
wwz
(/)C)::>
-00
ifi::>:::;
0:1D<{
1-1-1-
zwz
wCl::>
0:00
0::::>:::;
alD<{
~ ....
en
:l
..... en
0 e
~
0 CD
.8 Ql
U m
Ww en
:>0 '"
Za: CD U
~.::J ~ en
wO
a:CJ) ~ '5
~
lZl
El
CD
'" ...
Ql c:l
~ i
1:>0
'"
~i
~
;;;
;:: 0
0 0
<( 0
N
-'-z
~Q
ell-- ~
5~ ~
~
10
Z 0.
0 oJ
;:: W
0 x
<(
.<::
, ""
'"
Q)
x
(ij
-
"
Q)
E
c:
w e
::;; 'S;
<(
Z c:
~ W
~
;:: ~
Z ~
W ...,
>-
0
Z
W
Cl 0
<( ~
10
0
Z
:> 0
u.
~
~
~
I--
W
Cl>-.
0"-
:>
m
~
::;;
Cl
Z
-0
1--0
z_
:>a:
Ow
o~
0
<(
I--
za:
Ww
::;;a>
:>::;; .
0:>
oz
0
t;
z
w
Cl
<(
a>
a:
z'
0
;::w
00
<(0
~o
<(
a:
I--
01-
WW
(/)(9
-0
>:::>
~m
-'
j:5
o
I-
Q) Q) Q)
---
"'''''''
000
Q)Q)Q)
EEE
1-1-1-
Q)Q)Q)..
EEE$
ttI aJ ctI QS
ZZZO
.. ..
m ~.:..: CD
>m<<J>
e"C i:i e
c.Q)~c.
a.>oQ.c.
<{ Q) o.<{
-~<{c:
CD ' 0
e 0._
Q) , lZ
E 10 ,-
1:: E
'" E
0. 0
~ 0
U)
Q)
~
.2
'6
c:
Q)
0.
X
Q)
-
Q)
~
0
.9
~
(/)
w
w
(/)
6
U)
8
c:
Q)
'0
(/)
.<::
1::
'"
W
"
c:
'"
'E
Q)
E
c:
0
~
'S;
c:
W
Q)
.<::
-
-
0
'0
0
.<::
0
(/)
Ul
'"
'0
.<::
0
Z
>-
-
'~
Q)
>
c:
5
J.l
'"
0
E
e
-
0
0 .e
0
a5 Z
~
~ 0
a; i=
0> <{
" ::iE
'" II::
10 0
u..
Z iE
Q ~
I-
<{, Z
z" 0
~* i=
0.0> is
" I~
r:i~
.
.
.
e
e
20
.
e
e
Environmental Health Division
Vector Control Program
Operational Deficits
1)
Staff _ lost Vector Control Operator position when individual had to take early medical retirement
12/01/01 As a result, the Program has extremely limited capacity to:
. conduct adequate surveillance (sampling, identifying and quantifying species throughout county);
. efficiently apply control agents (both larvicide and adulticide prodUcts);
. evaluate and investigate complaint clusters (locate / manage breeding sources); and,
. effectively engage strong level of citizen support through environmental education
2)
Facilitv _ dated operations warehouse had to be demolished four years ago as a result of extensive
hurricane damage. Unavailability of this facility or a replacement has presented the following issues:
. Unable to minimize weather depreciation of hardware. A TV pesticide applicator, boats, equipment
and some tools are fully exposed due to the absence of an adequate shelter or storage facility.
. No enclosed or sheltered space available for routine maintenance of equipment and pesticide
application machines outside of the 50 feet setback of flammable pesticide storage. These
functions are curren~y performed with 100 foot extension cables run from the office to the gravel
parking lot making this existing method extremely inefficient and highly weather sen~itive.
. No enclosed or sheltered space available for CUlling metal, grinding, and welding outside of the 50
feet setback of flammable pesticide storage. These functions are currently performed with 100 foot
extension cables run from the office to the gravel parking lot making this existing method extremely
inefficient and highly weather sensitive.
. Limited space available that meets standards for stockpiling and storing pesticide products.
3)
4)
Vehicles _ two trucks are high mileage and have manual transmissions (1977GMC and 1986 Ford).
Pesticide _ project adulticide inventory and budget for further purchase will be exhausted by 11/01/02.
Solutions Expenditures Revenues
-
Recruit Environmental Health Specialist to replace lost $ 42,642
Vector Control Operator position as this knowledge and skill $ 12,779 (Grant from
level can be readily applied across full continuum of needs State Department of
Environment,
Health an~\Nafl
Resources
Fund 12-hours / week overtime salary for eligible full time $ 23,630
staff during the months of June -September (use will be a $ 236,071 (Request to be
contingency dependent on level of i~~estation which is not a budgeted from County
hiohlv oredictable vear to vear factor Continoencv Funds\
Fund 4Q..ho.urs / week salary for two temporary staff $ 19,968
positions during the months of June -September (use will
be a contingency dependent on level of infestation which is
not a hiahlv oredictable vear to vear factor\
Construct 4800 sq fl metal building $ 96,200
Purchase 2-4WD % ton trucks $ 46,000
Fund purchase of 900 gallons permanone $ 20,700
TOTAL $ 248,870 $ 248;870
21
.
e
e
1)
Environmental Health Division
Vector Control PI...-
Operational DefIcits
~ _ lost Vector Control Operator position when individual had to take early medical retirement
12/01/01 As a result, the Program has extremely limited capacity to:
. conduct adequate surveillance (sampling, identifying and quantifying species throughout county);
. efficiently apply control agents (both larvicide and adulticide products);
. evaluate and investigate complaint clusters (locate / manage breeding sources); and,
. effectively engage strong level of citizen support through environmental education
Facilitv - dated operations warehouse had to be demolished four years ago as a result of extensive
hurricane damage. Unavailability ofthis facility or a replacement has presented the fOllowing issues:
. Unable to minimize weather depreciation of hardware. A TV pesticide applicator, boats, equipment
and some tools are fully exposed due to the absence of an adequate shelter or storage facility.
. No enclosed or sheltered space available for routine maintenance of equipment and pesticide
application machines outside of the 50 feet setback of flammable pesticide storage. These
functions are currenUy perfonned with 100 foot extension cables run from the office to the gravel
parking lot making this existing method extremely inefficient and highly weather sensitive.
. No enclosed or sheltered space available for cutting metal, grinding, and welding outside of the 50
feet setback of flammable pesticide storage. These functions are currently perfonned with 100 foot
extension cables run from the office to the gravel parking lot making this existing method extremely
inefficient and highly weather sensitive.
. Limited space available that meets standards for stockpiling and storing pesticide products.
Vehicles - two trucks are high mileage and have manual transmissions (1977GMC and 1986 Ford).
Pesticide - project adulticide inventory and budget for further purchase will be exhausted by 11/01102.
2)
3)
4)
Solutions Expenditures Revenues
Recruit Environmental Health Specialist to replace lost $ 31,122 $ 12,779 (Grant from
Vector Control Operator position as this knowledge and skill (9mos beginning State Department of
level can be readily applied across full continuum of needs Oct 02; Annual Environment,
SaVfr=$41,919) Health and Nat'!
Resources)
Fund 12-hours / week overtime salary for eligible full time $ 11,815 $ 204,042 (Request to be
staff during the months of Sept 02 and June 03 (use will be budgeted from County
a contingency dependent on level of i~estatiOn which is not Contingency Funds)
a hiahlv m..njctable vear to vear factor
Fund 40-hours / week salary for two temporary staff $ 9,984
positions during the months of Sept 02 and June 03 (use
will be a contingency dependent on level of infestation
which is not a hiahlv Dredictable vear to vear factor) .
Construct 4800 sq It metal building $ 96,200
Purchase 2-4WD % ton trucks $ 48,000
Fund purchase of 900 gallons pennanone $ 20,700
TOTAL $216,821 $ 216,821
t;
e
e
e
NEW HANOVER COUNTY
HEALlH DEPARTMENT
ENVIRONMENTAL HEALlH
2029 SOUTH l7TI' STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6667, FAX (910) 772-7810
Everywbere. Everyday. Everybody.
DAVID E. RICE, M.P.H., M.A.
Health Director
MEMORANDUM
LYNDA F. SMITH, M.P.A.
Assistant Health Director
TO:
New Hanover County Restaurants, Temporary Food Vendors and County
Festival Organizers
Alicia Pickett, Environmental Health Program Specialist of (11
Ricky Gibbs, Senior Environmental Health Program Specialist-np-
FROM:
DATE:
December 17, 2001
SUBJECT'
Senate Bill 312
On October 15, 2001 the General Assembly passed an amendment to G.S. 130A-250(7)
which was signed by the Governor and became law. By tightening the "two day"
exemption, the legislature seeks to reduce outbreaks of food-related illness in North
Carolina. According to 1999 data from the Communicable Disease Section of the North
Carolina Division of Public Health, 47% of documented, food-related outbreaks in the
state that year were caused by non-regulated food preparation.
The new law will prohibit unregulated food preparation and sales from street corners,
vehicles, and door to door and will prohibit an individual from preparing food for sale at
unregulated places. The law will not affect individuals who are hired to prepare food on
site at private parties or weddings and will not affect food preparation at a private club for
members and their guests.
Some previously unregulated food vendors at events such as fairs, carnivals, and festivals
may have to be regulated under the new law. Churches, civic clubs, and other nonprofit
organizations will still be allowed to prepare food for one or two-day events without
being subject to regulation.
Restaurants are no longer entitled to use the off-premise, once a month exemption.
The only people allowed to use the once a month exemption off-premises are those
that: (1) are non-profit or political committees as described in (i), (Ii) and (iii) AND
(2) hold a permit. For example; a permitted elderly nutrition site.
Any restaurant I. or food vendors who are uncertain of their status under the new law
should contact Alicia Pickett at (910) 343-6579.
M ~ ~'l~ _ t'.", /\~f;rr". w
.
-
e
e
.
Sue Grayson
<Sue.Grayson@ncmail
.net>
Sent by'
ehl-admin@ebony_deh.
enr.state.nc.us
To; EHL <EHL@ncmail.net>. Ihd <Ihd@ncmail.net>
cc; (bcc; archive)
Subject: [Ehl] Further Clarification on S8 312
04/10/0206;01 PM
MEMORANDUM
To' Environmental Health Directors, Supervisors and Coordinators
From: Susan C. Grayson, Head
Dairy & Food Protection Branch
Date: April 1 0, 2002
Subject: Further Clarification on SB 312-Exemption Statute (G.S. 130A-250)
As the Regional Environmental Health Specialists have presented "World Foods", they have
been covering Senate Bill 312, which narrowed the window of persons being able to serve food
in an unregulated manner. Some very good questions have been asked and we are interested in
seeing that all of you have the benefit of those answers.
1. What about schools and churches? They have a lot of sub-groups like the boosters club,
the beta club, the drama club, etc. Is each group entitled to its own exemption each month?
Some sub-groups, like the Beta Club, are part of a national organization that has its own IRS
tax-free number. Where a national organization has a tax-free number, that number applies to its
state and local chapters. Therefore, the Beta Club, and other sub-groups that are part of a national
organization having its own tax-free number, are entitled to a once a month exemption oftheir
own.
The other sub-groups of the school or church, that are not part of a separate national
organization, are lumped together under the school or church and the school or church only has
one exemption per month.
2. We have an organization called Relay for Life in our county. They have "teams" within
the local club. Several of the teams want to set up food booths. Can all the teams set up on
one particular day and serve food in an exempt manner?
Yes, the organization is entitled to serve food once a month and that one time can be as long as 2
consecutive days. If all the teams serve on the same day, they are in compliance with the law
3. What if each team wants to serve on a different day in the same month?
,
--
e
e
The organization itself is limited to serving once a month and that one time can be no longer than
2 consecutive days. However, we have had some of these groups further "team" with other local
tax-free organizations and use the second tax-free organization's exemption for that month. That
would be legal. Please make sure that the other organization understands and accepts this
responsibility
4. Are restaurants entitled to the once a month exemption, like the non-profits and the
political subcommittees?
No, restaurants are no longer entitled to the once a month exemption that they used to have. This
law eliminated that exemption.
,
--
e
e
130A-250 (7)
"2 days once a month" exemption
The following are exempt from regulation
2 consecutive days once a
month
Nonprofit
Tax exempt
Political Committees
Elderly nutrition sites
Off-site
Permitted tax exempt can go
off site for 2 days
(some churches)
1 day a month
Elderly nutrition sites
On-site
.'!
USDA Food Solely Jnd Inspection Service I FDA Center tor Food Salety and Applied Nutrition
e
National Food Safety
Education Month"
SEPIEMBER 1001
Welcome
I
- -""'" .~
Select a Step
CLEAN
SEPARATE
e COQK
L CHill
I!
Ii
What's New
Additional
Food Safety Tools
e
Be a BAC Buster
HOME FOOD SAFETY SURVEY
Date Started:
Answer questions 1-15
Y = Yes
N=No
Add the initials offamily members in each column head
CHILL
'IOt- A B C D
Did You... ME
1 Use a cold pack for packed
lunches or picnic foods?
2. Refrigerate leftovers right away?
3 Defrost foods in:
- the refrigerator
or
- cold water
or
- the microwave?
Total Y= Y= Y= Y=
N= N= N= N=
Fridge Exam
The refrigerator is set at
degrees.
Food storage containers found:
tall containers
shallow containers
-\
--
e
e
..
CLEAN
Did You... A B C D
ME
4 Wash hands with warm water and
soap for 20 seconds before preparing
food?
5 Wash hands with warm water and
soap for 20 seconds before eating?
6 Clean countertops before
preparing food?
7 Rinse fruits and vegetables with
cold running water before preparing
them?
8 Rinse fruits and vegetables with
cold running water before eating
them?
Total y= y= y= y=
N= N= N= N=
Family Haodwashiog Scoreboard:
Date:
, Name:
When washed:
,
e
e
. ~
SEPARATE
Did You... A B C D
ME
9 Clean the cutting boards used for
raw meat, fish and poultry before
using for any other foods?
10 Keep raw meat, fish and poultry
wrapped properly in the refrigerator
so juices do not drip on other foods?
11 Put cooked meat, fish or poultry
on a different platter than the one
with the raw juices?
Total y= y= y= y=
N= N= N= N=
Cutting Board Critique
Number of cutting boards:
Type (plastic, wood, etc.):
. ..
COOK
e
Did You... A B C D
ME
12. Rotate food in the microwave to
avoid "cold spots?"
13 Bring sauces, soups and gravy to
a boil when reheating?
14 Make sure eggs were cooked
properly?
15 Not eat cookie dough or cake
batter that was made with raw eggs?
Total y= y= y= y=
N= N= N= N=
Safe Temperature Summary
Kind of Meat:
, Date Cooked: " Food thermometer temp:
e
Kind of Poultry'
Date Cooked:
'Food thermometer temp:
Kind ofFish:
Date Cooked:
Food thermometer temp:
Date Completed:
Student signature:
Parent/Guardian signature:
e
Compliments of The Partnership for Food Safety Education
httD:IIwNw.fiahtbac.oraJ
SM International Food Safety Council
.",
,.
~
e
e
e
STRATEGIC PLANNING PRIORITIES
August 27,2002 Update
t Access to health care
(Issues #7, 11 & 5)
-+ Health Choice: The State has announced a potential freeze in Health Choice enrollment,
beginning September 1 It is important for staff working with families with no insurance on their
children to apply now. Carmen Potter (6687) can help with applications or they can go to DSS.
-+ Carolina Access: Report from Carolina Access regional committee: It has been decided
that a new 501 C-3 organization will be created to administer the regional Carolina Access case
management system. An executive director and a medical director will be hired. The region
presently consists of New Hanover, Pender, Brunswick, Bladen, and Columbus. There will be
representatives from the 5 counties on the board, with DSS, Health Dept., physician, and
hospital reps from each county.
-+ Progress is being made in the area of Access to Dental Care. During August 2002,
Community Dental Care opened on Greenfield Street across from the Department of Social
Services. This office will serve children on Medicaid and Health Choice as well as adults on
Medicaid. Community Dental Care will serve that segment of our population which has
historically experienced difficulty in receiving necessary dental care.
-+ 1.5 new school nurse positions approved
-+ 23% increase in patient visits in Neurology Clinic over same time last year
-+ 150% increase in patient visits in Well Baby Clinics over same time last year
-+ Volunteer interpreter providing daily services which is helping replace needs for paid
interpreter for Hispanics in all CDD programs, primarily in TB.
-+ Vision Screening: DoctorsVisionCenter is offering free "Back to School" vision screenings
for children from now through September 30. This is not a complete eye examination.
This community service is provided annually by DoctorsVisionCenter offices across North
Carolina. Interested parents may call any of the offices to schedule an appointment. Each of
these offices accepts Medicaid and NC Health Choice as well as many other private insurance
plans.
-+
II. Preventive services & lifestyle-related risks
(Issues #12 & 15)
-+ March of Dimes: We received notification from the March of Dimes that the Women's
Health Care Division has been invited to submit a full application for the project to increase
prenatal health education and information/referral services available to pregnant women who
use tobacco. The application is due September 27, 2002.
-+ Fluoridation: In a letter addressed to the Town of Wrightsville Beach dated July 31,2002
from the NC Department of Environment and Natural Resources, Wrightsville Beach was
ordered to temporarily suspend adding fluoride compound to the Town's water supply. Test
samples of the Town's water supply taken in June and July of this year indicate a suboptimal
amount of fluoride had been added during these months. A review and evaluation of the Town's
equipment, procedures and personnel must be conducted in order to correct the situation. Once
corrections have been performed and further samples taken to ensure appropriate fluoride
levels, they may resume fluoridation of the municipal water supply.
-+ The nutrition division celebrated World Wide Breastfeeding Week (Aug 1-7) by distributing
gold ribbons to all HD staff promoting breastmilk as the gold standard against which all other
artificial infant formulas are compared. Nutritionists designed a bulletin board titled ''The Colors
of Breastfeeding" with a gold ribbon to represent the gold standard, a silver ribbon to represent
money saved on the cost of formula and medical bills, a green ribbon to remind us that
breastfeedina is environmentallv friend lv, a red ribbon to renresent the bond of love between
.
fl'
~
.
mother and baby, and an iridescent white bow for purity of breastmilk and the rainbow of
nutrients in breastmilk
-+ The Women's Health Care Division received an invitation to apply for a Marcil of Dimes
grant aimed at reducing tobacco use among pregnant women. The plan is to assess the use of
tobacco among the health department prenatal clients and provide education and referral. A
goal of the program includes education for the professional OB community in order to increase
awareness related to smoking cessation among pregnant women.
-+ A general rabies update was done on one of ACS's morning WAAV Radio talk spots. The
importance of prevention is a continual issue, since people in America are still dying from the
viral infection.
-+ A family on Adams Street was given assistance by ACS and the Humane Society, when
complaints came in on multiple uncared for pets at this address. Animals were surgically altered
and provided food by the two group's efforts. The couple was elderly and unable to financially
manage their pets. Provision of low-cost spay/neuter may have prevented the problem before
growing to such proportions.
-+ Janet McCumbee participated in the 3'. state initiatedChild Fatality Review in NHC this year
(2002) on 8/7 State DSS personnel coordinate these reviews when there has been any
involvement with DSS locally The review team hopes to make recommendations on how to
prevent future child fatalities and better provide services for children between counties. In all
three reviews there was family involvement with several counties.
-+ Tetanus vaccine deferrals lifted for routine adult boosters. Individuals deferred recalled to
receive vaccine. As result of approval to fill nursing positions, CDD proceeding with plans to
provide hepatitis B vaccines off-site in public schools, and making plans for annual influenza
campaign.
-+
III. Communication, education & marketing (promotion)
(Issue #1 & 4 in part)
-+ World Wide Breastfeeding Week: The Nutrition Division will be celebrating World Wide
Breastfeeding Week August 1-7 Gold ribbons will be distributed to staff to symbolize breastmilk
as the "gold standard" for feeding babies. Staff will also receive Word Search about breastmilk.
-+ Annual/Quarterly Reports: Attached is a copy of the FY 2002-03 reporting schedule.
-+ UNCW Telephone Directory' NHCHD advertising is being reviewed by Elisabeth for next
year's listing.
-+ Healthy Carolinians has given Smart Start money to reprint the Health Choice/Health Check
tray liner It will be used in local McDonalds in the coming weeks, Spanish/English included.
Carmen will be working with DSS on encouraging clients to renew applications also, if there is a
lapse in coverage, they will not be able to reapply. Smart Start is also getting permission from
the schools to send home flyers the first week.
-+ AIDS Walk of Wilmington: "Embracing the Need" is the name given to the AIDS Walk of
Wilmington- Grass roots effort to establish AIDS walk in downtown Wilmington. Event sponsored
by Starbucks, scheduled for Sunday, Sept 2S, at Sam. See flyers or contact Beth Jones or
Vivian Mears for details. Donations are staying local to benefit people with AIDS/HIV Excellent
opportunity to raise awareness about local problems of HIV/AIDS. Volunteer to form or sponsor
a team or make a contribution.
-+ Tickborne Diseases: News coverage about tickborne diseases. Increase in cases of Rocky
Mountain Spotted fever from 3 in FY 00-01 to 22 cases in FY 01-02, with 5 more cases under
investigation.
-+ Annual Report: First draft of the FY 2001-02 Annual Report should be submitted to
Elisabeth by August 20, 2002.
-+ Health Department Brochure: Elisabeth Constandy again requested the Management Team
to submit revisions for our outdated brochure. The brochure will be updated inhouse and made
available on our Website.
-+ Three new stores completed WIC vendor trainina and will applv to become new WIC
-
e
e
..
.
e
vendors (Super Walmart at Monkey Junction and two small independent stores)
-+ Carol Bottoms, RD, reviewed the NHC jail menus and therapeutic menus to assure
adequate nutritional quality.
-+ Nancy Nail, Nutrition Director, present "A WIC Certification" as the BOH focal which
explained the many steps of the WIC certification process.
-+ ACS handled a high profile dangerous dog case this past month. The owner's dog violated
the dangerous dog ordinance by running loose to bite another individual. The owner fled with
their pet and was later arrested. The case is still pending final outcome
-+ Judy Evonko and Jean McNeil presented the rabies puppet show to a group of children at
the Children's Museum. This exchange was prompted by Delisa Derseraux viewing a picture on
the Star News of a worker at the museum holding a bat bare-handed. This led to a call to alert
their staff of the danger of rabies, and the message sent to young children by the photo
-+ The Health Choice Coalition has received permission to send flyers home with middle
school and high school students. The Health Choice enrollment freeze is expected Sept. 1
-+ Meetings with Coastal AHEC, Cure AIDS, and AIDS Walk of Wilmington to discuss
collaborations to improve awareness and increase services related to HIV Prevention and
treatment services.
-+ English as a Second Language Class: A special ESL class is being offered on Tuesdays
and Thursdays from 6:45 - 9:00 p.m. at Cape Fear Community College. The classes are free
and the topics will include women's health, exercise, nutrition, and health care. For more
information contact: Nikki DeUnger, 362-7049 or Kim Small, 343-9746.
-+
IV. Facility utilization & Information technology
(Issues #6 & 4 in Dart)
-+ Animal Control Spay Neuter Facility: Request to proceed with using Animal Control Turst
Funds and inkind contributions through Property Management Building, the facility will be on the
County Commissioners' Agenda for August 19, 2002.
-+ Implementation for Barcoding Medical records scheduled for September if pilot testing
successful. Committee working to prepare agency to comply with HIPAA. CDD supervisors met
to begin assessing local department's readiness to implement NC Immunization
Registry(anticipated to be piloted in 4 counties within few months, NHC is not a pilot site).
-+ Animal Control Services Spay Neuter Facility' On August 19, the Board of County
Commissioners approved the spay neuter facility.
-+ Electronic Reporting: Meeting with Dr Rhyne, Dr Steinkraus, Dr Spicer, and Cheryl
Schmitter and several CDD staff to discuss ways to implement electronic reporting to NHCHD.
Most significant problem in getting reports from NHHN are STD-related and from Emergency
Department. Plan made to expedite timely reporting...a critical component to have in place for
adequate patient care, but also to detect bioterrorism- related illness/ syndrome.
-+
V. Water quality, storm water management & drainage; & Air
aualitv (Issues #3 & 8)
-+ Temporary Hire: John McCormick, retired Vector Control Operator, will begin working this
week on a temporary basis to support our response to large numbers of mosquito complaints
throughout the county. This temporary staffing addition will allow us to provide adulticide
treatment of the entire county in a shorter cycle of time.
-+ Forestry Service Assistance: A request from the North Carolina Forestry Service for use of
Vector Control Program equipment is under consideration. Early summer fires in the Murrayville
area of the county were controlled to some extent by constructing fire lanes that disrupted
drainage features of the woodland. July rains have substantially reduced the risk of fire and
demonstrated the need to restore drainage most notably for mosquito control.
-+
--
e
VI. Emerging health risks
(Issue #13)
.. West Nile Virus Update: At least 91 human cases of West Nile Virus (WNV) have been
reported in 2002, with 4 confirmed deaths in Louisiana. Human cases are from Alabama (1,
preliminary), Louisiana (58), Mississippi (22), and Texas (10). A State of Emergency has been
declared in Louisiana because 58 human cases of WNV have been confirmed including 4
deaths. Human cases have been found throughout the entire state. Of the 58 cases, 10 have
been in people under 30 years of age. Deaths: (1) 83-year-old woman from Baton Rouge; (2)
53-year-old man from Folsom; (3) 75-year-old man from Baton Rouge; and, (4) 72-year-old man
from Iowa (Calcasieu Parish). Reports of equine cases are inconsistent as of August 5, 2002,
but it appears that roughly 90-100 cases have been reported including 23 cases scattered
throughout Florida, 1 from SW Illinois, 3 from central Kentucky, 16 cases from southern
Louisiana, 4 confirmed/1 0 suspected cases from Minnesota, 15 cases from Mississippi, 1 from
Nebraska (preliminary), 1 from eastern North Dakota, 4 from South Dakota, 1 from eastern
Tennessee, and 20 from eastern Texas. West Nile Virus has passed the 103rd meridian on its
trek west, now detected as far west as Butte County, South Dakota (on Wyoming/Montana
borders) and Russell, Manitoba, Canada (on the 101st meridian). Thus far in 2002, West Nile
Virus has been detected in birds, mosquitoes, humans, and/or horses in at least 34 states and
Washington DC in the US; as well as in Manitoba, Ontario, and Quebec provinces in Canada;
and in mosquitoes in the Negev Desert in Israel. Its range has expanded in each of the 4 years
since the initial North American outbreak in 1999, and is expected to continue to expand in
2002. In 2002, WNV has been detected already in seven states where it has never been
previously detected (Minnesota, Nebraska, North Dakota, Oklahoma, South Dakota, Texas, and
West Virginia).
.. West Nile Virus getting major media coverage. No positive tests on humans or birds in NHC.
Public interest heightened and calls increased. Increase in cases reported of Rocky Mountain
Spotted fever, a tick-borne disease. Participated with NHHN tabletop exercise on emergency
preparedness and response focusing on botulism scenario.
.. Hepatitis A Contacts: Several individuals /families contacted who are potential contacts to
hepatitis A case in a foodhandler at Homewood Suites in Durham. Immune Globulin being given
if within 14 days of exposure.
..
VII. Population growth & diversity
(Issue #2)
.. Janet McCumbee and our contract interpreter participated in a TV interview and a Star
News interview during the week of July 29'h, related to the needs of the growing Hispanic
population in NHC.
..
VIII. Discontinued services picked up by Health Department
(Issue #9)
..
IX. Staff Development & continuing education
(Issue # 14)
.. School Health: Community Health Nurses met with hospital EMS today to prepare for the
new school year The teams will share protocols, resources, DNR orders and coordination of
services. Ten month nurses return to work today
.. HIPAA Training Modules: Janet McCumbee is participating in the review of HIPAA training
modules developed by UNC- CH. This training may be appropriate for staff in the future.
.. Bioterrorism Update: A smallpox lunch and learn was held on August 8. EpiTeam training
with Brunswick County Health Department has been scheduled for August 28-29.
.. Leadership Video: Supervisors are invited to the Manaoement Team meetino at 8:30 a.m.
~/
.
.
e
e
.
.
--
e
e
on August 20 in the Auditorium. A leadership video will be shown entitled, "Good to Great" by
Charlie Rose.
-+ Breastieeding Education: The Best Beginnings for Breastieeding task force and AHEC are
sponsoring two opportunities for breastieeding education on September 5. Mary Overfield,
BSN, MN, IBCLC will present "Trouble Shooting Problems--Helping Mothers Enjoy Successful
Breastieeding. The morning session will be at Cape Fear Hospital and is targeting hospital
personnel and anyone else interested. Cost for the morning session is $10.00 and includes a
continental breakfast. The evening session will be at the NC Cooperative Extension auditorium
and is targeting pediatricians, OB's and family practice doctors and office staff who work with
mothers. Cost is $25.00 and includes dinner Registration is required. Nancy Nail has
registration forms for anyone who is interested.
-+ ACS staff was relieved to interview for and add a temporary shelter attendant to the current
grouping.
-+ Bioterrorism Update: Meetings with the Community Coalition are scheduled for August 20
and 26, September 16 and 30. A meeting regarding potassium iodide (KI) distribution has been
scheduled on August 23 with Dr Greg Smith from the State, Brunswick County Health
Department, and NHC Emergency Management. EpiTeam training with Brunswick County
Health Department has been scheduled for August 28-29. A meeting has been scheduled on
September 17 in Raleigh with the infectious disease physicians (Dr Charles Schleupner, Dr
Jan Rhyne, Dr Greg Steinkraus, Dr John Sanders), Dr Bill Atkinson, Dr Steve Cline, and Dr
James Kirkpatrick.
-+ Volunteer' Women's Health and Child Health will be sharing a Social Worker who is
volunteering, 3 half days a week. Her name is Ophal Lee Midgette.
-+ Billing: A billing teleconference was attended by staff from CDD, WH, and ChH last week.
New ICD 9/CPT codes have been developed for the remaining Y and W codes. The information
is in the Medicaid bulletin and will be effective Oct. 1 There are still questions about
reimbursement amounts and whether QS will be ready Oct. 1
Leadership Video: A leadership video, entitled "Good to Great," was shown to NHCHD
Supervisors. Dave Rice and Dr Chuck Grubb made comments and responded to questions.
-+
X. Evaluation of services
(Issue #16)
-+ EOC Schedule: Dave Rice and Lynda Smith reviewed the EOC Activation Schedule. The
schedule will remain the same, using back ups as needed.
-+ HIPAA Committee: During Cindy's Maternity leave, we will have meetings of the full HIPAA
Committee once a month on the second Monday at 2pm (instead of the second and fourth
Mondays).
-+ Increase in Fees: Fees for certain purchased vaccines have had minimal increases based
on cost of vaccines. Those included for general population are: Varicella-$60, MMR-$40,
Rabies-$120. Employee fees have changed for Varicella ($55), MMR($35), Pneumonia($14),
Rabies($115), and Menomune($60). Under the NHCHD Fee Policy General Guidelines, Section
Q, "Fees, based on current cost or purchase of supplies, may be adjusted by the Health
Director"
-+ Health Insurance: The County's new medical insurance plan becomes effective on August
1, 2002 at 12:00 a.m. Blue/Cross Blue/Shield to mail cards to employee's home address today
(07/30/02). The old card will not be valid as of August 1 If an employee has not received new
card and needs to medical service, the provider must call Customer Service @ 1-800- 655-9421
for approval of medical service or emergency (number on back of old card). Provider must get
verification of coverage and approval for payment from Blue/Cross Blue/Shield prior to service.
Frances DeVane received this information yesterday regarding from Human Resources.
-+ Organizational Analysis: Chuck Grubb attended the Management Team to observe and
answer questions regarding the process. Chuck plans to attend the NHCBH Executive
Committee meetino this evenino.
,.I I
!
;'
-+ Bioterrorism Update: Health Director participated in the NC DHHS/DPH bioterrorism
teleconference. Issues discussed were: Insurance coverage, equipment standardization, travel,
overtime/compensatory time, and progress reporting.
-+ Organizational Analysis Update: NCIPH Team members Bill Herzog and Penny Whiteside
plan to attend the NHCBH meeting on August 7 Meetings with Divisions and Staff are ongoing.
-+ Potassium Iodide Distribution: Dave Rice requested.input from the Management Team
regarding the distribution of KI. Dr Greg Smith from NC DHHS/DPH plans to contact health
directors from affected communities.
-+ Reduction in State Aid to Counties: State Aid to Counties has been reduced by $4,337
($4338 in one revenue source) in 4 programs (Administration, Child Health, Family Planning and
Tuberculosis) to make up the $17,349 reduction in state funding. Rather than reducing the
budgeted expenditures, we project earning additional revenue through fees or third party
reimbursement to offset this reduction.
-+ Potassium Iodide Distribution: NC DHHS/DPH will send copies of the guidance documents.
A meeting has been scheduled on August 23 with Dr Greg Smith from the State, Brunswick
County Health Department, and NHC Emergency Management.
-+ HIPAA Meetings: All subcommittees met last week to develop NHCHD's plan. Good
progress was noted.
-+ School Health audit revealed improvements in medication program administration, 100%
compliance with emergency action plans, a 50% reduction in lice infestations, approximately
15% of students had chronic medical conditions, and 12% were on medications. Stats for the
year reflected a 41 % increase above last year
-+ ACS staff met with their Hearing Examiner, Andrew Olsen, and Cindy Kee-Mac Pherson
from Legal to examine the collection procedures for the licensing process. New ideas for
collection were introduced, but we will continue until the newer methods can be better
evaluated.
-+ TB Nurse attended annual TB Institute in Black Mountain on scholarship from Duke as result
of our participation in clinical trials with Duke.
-+ Strategic Planning Retreat: Bill Herzog met with Elisabeth Constandy on August 19 to plan
the agenda for the October 26 retreat. Information will be shared with the Management Team
and Personal Health Committee Chairman within the next two weeks.
-+
..
e
e
August 15, 2002
.-Jjew Hanover County Board of Health
"029 S. 17th Street
Wilmington, NC 28401-4946
Dear Board Members,
I have enclosed a copy of a letter I have written to the Wilmington Star News
concerning two recent articles which appeared. One of those articles was about the New
Hanover County Health Boards almost unanimous decision to support a resolution to the
State Legislature to increase tobacco taxes.
First of all, I must commend Mr. Greer for his stance of oposition to the proposal, and 1
must respectfully condemn the remainder of the Board's decision.
While I applaud and commend your desire and committment to improve the health of
smokers by providing education and treatment, I don't feel that your resolution or
comments by Board Members reflect that desire and committment.
Having an attitude of "making them pay more for their nasty habit" does not represent
a concern for their health, rather a disdain for their legal actions.
.egardless of your opinion about smoking, your responsibility as a representative board
W5 to the health and education of the entire community as financed by the entire
population, not by a select few.
If the Board's logic in authoring the resolution is that smoker's cause increased health
and other costs, therefore they should pay for those increased cost, the same logic
should be applied to other groups of people who cause increased health costs. How
about a proposal to increase taxes on fast food because people who eat this food are
causing a rise in health care costs. How about an increased tax on people who go to the
beach and get skin cancer and cause increased health costs.
In my mind, the logic is the same.
Please focus your efforts on promoting healthy and safe lifestyles. Continue to identify
and reduce health risks in the community. If more money is due to you by the State,
concentrate on encouraging the Legislature to insure funds already collected by higher
taxation and tobacco law settlements is going where it should.
If you need more money, request that from the Legislature. But, let them determine
how to collect those revenues. That's their job.
_SinCerelY,
~~
Gary Blake
Dear Editor,
I felt it necessary to write concerning two articles which recently appeared in the newspaper regarding tax At
increases for tobacco. While I am concerned about the proposed tax increase, I am more concerned that ...
informed, educated, public minded people would make such absurd statements as those quoted in your paper.
Your article about the unaimous decision of the Brunswick County Heahh Board to support the tax increase
quoted chairwoman Annette Odom as saying that "The cigarette companies are responsible for causing a lot of
these illnesses, so it is only fair they help pay for them."
I am just curious how an educated woman can reach the conclusion that by raising the tax on tobacco, the
tobacco companies will be punished and held accountable for their actions. Who does she think is going to pay
the tax? It's going to be consumers, not tobacco companies.
The other article was about the almost unanimous decision by the New Hanover Health Board to support the tax
increase. You said in the article that "Board member Melody Speck said she didn't even think it was appropriate
to call the tax a tax." "It should be looked at more as a user fee," she said. "People who smoke have more heahh
problems. Why not make them pay?"
What it comes down to is that these supposedly concerned leaders are not interested in a ~ker's health. Their
cavalier remarks attest to their lack of concern for the increased heahh costs for smokers, many who already pay
more for life and health insurance. Rather, their concern is found in your article when it says that these taxes will
"generate hundreds of millions of dollars for health, education and other programs that fuce damaging cuts
because the state has run short of money".
The same article goes on to say that "despite receiving more than $300 million in tobacco settlement money last
year, North Carolina ranks last nationwide in the amount offunds spent on smoking cessation programs." So theA
money collected at the expense of smokers isn't going toward health and education, it's going to the "other .
programs". I can't believe that Ms. Speck is nieve enough to think additional taxes will be used to help smokers
quit and stay heahhy.
I wish to remind them of their own goals as stated by Brunswick Health Director Don Y ousey in your article. He
said "The goal of the Brunswick County Health Department is to promote healthy and safe lifestyles and identuy
and reduce heahh risks in the community", a goal reached by ensuring that available resources are properly used
before requesting additional resources.
While I applaud their goal as quoted above, I feel their resolution should demand the State Legislature stop using
tobacco tax revenues to balance the State budget, and start using them for the purpose they were intended. But,
they let them off the hook by requesting a tax increase which transfers that burden to smokers. That's not
leadership, and that's not fair whether you are a smoker or not.
~~
Wilmington, NC
-