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04/10/1996 'I 71 I Dr. Dennis Jackson, Chairman, called the regular business meeting of the New Hanover County Board of Health (NHCBH) to order at 8:00 a.m. on Wednesday, April 10, 1996, in the Carl Thomas Durham Auditorium, New Hanover County Health Department, Wilmington, North Carolina. Members Present: Dennis L. Jackson, DVM, Chairman W. Keith Elmore, Vice-Chairman John C. Coble Mary King Dean Michael E. Goins, OD Mark A. Veenstra, PE Members Absent: Mary Lou Alford, RN Thomas V. Clancy, MD Robert G. Greer Spiro J. Macris, DDS Estelle G. Whitted, RN Others Present: Robert S. (Bob) Parker, Health Director Frances F. De Vane, Recording Secretary I Invocation: Mr. Coble gave the invocation. Minutes: Dr. Jackson called for corrections to the minutes of March 13, 1996. Mrs. Dean requested for the March 13 minutes to be corrected. The minutes were corrected and approved by the Board of Health. Recognition: Dr. Jackson requested for Mr. Parker to make an award recognition. Baby Love Care Coordination Participant of the Year Award I Mr. Parker recognized and introduced Ms. Linda Bradley, recipient of the Babv Love Care Coordination Participant of the Year Award to the Board. The NHCHD Child Health Division nominated Ms. Bradley for her personal development following the loss of a baby to SIDS 13 years ago. Mrs. Janet McCumbee, Child Health Director, explained that Ms. Bradley won her award at the Eighth Annual Baby Love Conference held on March 20-22, ) 72 1996, at the Sheraton Imperial Hotel and Convention Center, Research Triangle Park, North Carolina. Dr. Jackson congratulated Ms. Bradley for her achievement. I Department Focal: Ms. Jean McNeil, Animal Control Services Supervisor, gave the department focal on Animal Control Services Pet Adoptions. She explained a high priority of Animal Control Services is to foster the adoption of animals. Methods for adoption of animals were presented. Animal Control Services has a 10% adoption rate for pets. Ms. McNeil announced on the weekend of May 4-5, 1996, Animal Control Services will host an Open House and Pet Adoptathon 96 sponsored by lams Inc. A Blessing of Animals Ceremony will be at 8:00 a.m. on Sunday, May 5. Committee Reports: Budget Committee Mrs. Dean, Chairman, Budget Committee, reported the Board of Health Budget Committee has scheduled and is completing the May Health Department Program Reviews. NHCHD I division directors are to contact their Board of Health representative for appointments for these program reviews. At the request of Mrs. Dean, Mr. Parker presented a Proposed Budget Schedule for Fiscal Year 1996-97. He reported Ms. Lynda F. Smith, Assistant Health Director, and Mr. Parker reviewed the proposed NHCHD Budget with Mr. Allen O'Neal, County Manager, and the Budget Team on March 28,1996. On May 6, the County Manager will present the Recommended Budget to the New Hanover County Commissioners. The health department budget is to be presented to the full Board of Health on May 8. Mrs. Dean inquired about when the health department budget is to be returned from the County Commissioners. Mr. Parker informed the Board that the County Commissioners' Public Hearing for the NHCHD Fiscal Year 1996-97 Budget is tentatively set for May 20, 1996. He encouraged Board of Health members to plan to participate in this budget hearing. The New Hanover County Budget is scheduled to be adopted on June 3, 1996. Environmental Health Committee Mr. Coble, Chairman, Environmental Health Committee, reported that the Environmental I Health Committee met at 6:00 p.m. on February 19, 1996. I I I J 73 Fee for Mobile Home Relocation Mr. Coble stated that the Environmental Health Committee endorsed the current fee of $110 for each time a mobile home is relocated. Tattoo Artists Training Mr. Coble advised the Board that Mrs. Harvell, Environmental Health Director, is coordinating plans for a Tattoo Artist Training Program for Tattoo Artists in New Hanover County. Environmental Health Specialist Position Mr. Coble emphasized the need for a new Environmental Health Specialist position and additional training for all Environmental Health Specialists. Since 1983 NHCHD has not established a new Environmental Health Specialist position. Mr. Coble explained with the increased population since 1983 in New Hanover County, the same number of Environmental Health Specialists are grading and inspecting many additional foodservice facilities. Azalea Festival Mr. Coble reported that the Environmental Health staff is preparing for the 1996 Annual Azalea Festival to be held the weekend of April 12-14. Approximately, 60 food booth permits have been issued. Mr. Coble expressed his appreciation to the County Commissioners for the radios which will be utilized during the inspection of food service booths during the festival. Sewage Spill Notification Mr. Coble stated that the Public Health Department has not been informed of some recent sewage spills occurring in New Hanover County. For example, the Board of Health was not notified of the sewage spill at Whiskey Creek. Mr. Coble recommended for the Board of Health to consider the adoption of a policy which would mandate county and/or city officials to inform the Public Health Department of any sewage spill which occurs in New Hanover County. Dr. Jackson referred this issue to the Environmental Health Committee for further development of a policy to inform the Public Health Department of any sewage spill in New Hanover County. Executive Committee Dr. Jackson, Chairman, Executive Committee, advised the Board that the Executive Committee met aL6:15 P.M. on March 5, 1996. Items discussed are on the Board of Health Agenda under Unfinished Business and New Business. ).74 Unfinished Business: I Restaurant Stickers Mr. Parker presented the final draft of a Smokefree Sticker for restaurants which was approved by the Board of Health at their meeting on March 13. Corrections to the sticker include a space for a name and phone number and the addition of the words I would instead of I'd. New Business: Policy and Procedures Governing Adoptions at Local Veterinary Hospitals Dr. Jackson presented the Animal Control Services Policy and Procedures Governing Adoptions at Local Veterinary Hospitals for the Board's consideration. Dr. Jackson recommended from the Executive Committee for the Board to approve the adoption of the Policy and Procedures Governing Adoptions at Local Veterinary Hospitals. MOTION: Dr. Jackson, Chainnan, moved from Executive Committee for the Board to approve the Policy and Procedures Governing Adoptions at Local Veterinary Hospitals effective April 10, 1996. Upon vote, the MOTION CARRIED UNANIMOUSLY. (Attachment #1 is I incorporated as a part of these minutes.) Animal Control Services Volunteer Program Dr. Jackson referred the Board to the information on the Animal Control Services Volunteer Program in their Board packet explaining program rules, services, activities, positions, and forms. Dr. Jackson recommended from the Executive Committee for the Board to approve the Animal Control Services Volunteer Program as presented to the Board. MOTION: Dr. Jackson moved from Executive Committee for the Board of Health to approve the Animal Control Services Volunteer Program effective April 10, 1996. Upon vote, the MOTION CARRIED UNANIMOUSLY. Mrs. Dean congratulated the staff and planners of the Animal Control Services Volunteer Program for their thoroughness and for a good job on the development of the Animal Control Services Volunteer Program. Policy for Appointments to Animal Control Services Advisory Committee Dr. Jackson explained that the Animal Control Services Advisory Committee had requested I guidelines for committee appointments. I I I 175 Dr. Jackson presented a recommendation from the Executive Committee for the Board to approve the Policy for Appointment to Animal Control Services Advisory Committee. A revision was made to Section 1, (B) stating that all terms of office shall be three years. MOTION: Dr. Jackson moved from Executive Committee for the Board of Health to approve and adopt the Policy for Appointment to Animal Control Services Advisory Committee effective April 10, 1996. Upon vote, the MOTION CARRIED UNANIMOUSLY. (Attachment #2 is incorporated as a part of these minutes.) Comments: Board of Health Members Animal Control Services Mr. Elmore commended Animal Control Services for their contribution to the welfare of animals. Statistics reflect that 55% impounded dogs and 85% impounded cats are euthanized in New Hanover County. The state average for euthanization is 82% impounded dogs and 89% impounded cats. Mr. Elmore advised the Board that New Hanover County is below the state average for euthanization of impounded animals. Also, Mr. Currie indicated that the intake of animals is below the state average. He expressed his appreciation to the Board for their support of Animal Control Services. Mrs. Donna Neal, Chairman, Animal Control Services Advisory Committee, reminded the Board of the Pet Adoptathon 96 sponsored by lams Inc. to be held at Animal Control Services on May 4-5. Mr. Coble Elected to Board of Directors and Information Regarding New Hanover Adolescent Health Center (NHAHC) Mr. Coble expressed his appreciation to the Board for their support during his recent election to the Board of Directors of the Association of North Carolina Boards of Health. He announced he now serves on four state committees and plans to study the restaurant inspection process. Mr. Elmore inquired if the timing has improved for the permitting and inspections of the booths for the Azalea Festival. Mr. Coble stated that this process has improved and is working well. Mr. Coble read a letter dated 2/6/96 to Mr. Coble from Mrs. Janice A. Cavenaugh, Chairman, New Hanover County Board of Education regarding a presentation on March 13, 1996, to the Board of Health on the proposed New Hanover Adolescent Health Center (NHAHC) given by Mrs. Constance Parker, Chairman, Board of Directors, NHAHC. He requested that a copy of this letter be incorporated as a part of the April 10 Board of Health minutes. (Attachment #3 is incorporated as a part of these minutes.) 176 Health Director: Board of Health Sponsored Luncheon for Staff Mr. Parker reminded the Board of the Staff Luncheon sponsored by the Board of Health from 12 Noon - 1:00 p.m. on Tuesday, April 16, 1996, at the health department. Dr. Jackson, Dr. Goins, Dr. Macris, and Mrs. Whitted volunteered to serve as cooks for the luncheon. I March of Dimes TEAMWALK - 3-16-96 Mr. Parker announced that NHCHD contributed $2,800 and ranked fourth in the March of Dimes TEAMWALK held on March 16, 1996. He commended the March of Dimes Committee and staff for their contributions. Blood Drive - 6-13-96 - Health Department The New Hanover County Blood Drive is to be held on June 13, 1996, in the Carl Thomas Durham Auditorium, NHCHD. Board members were requested to donate blood on June 13, or one month prior, or one month after the date of the Blood Drive. Public Health Month Mr. Parker presented a schedule of activities planned to celebrate April, Public Health .1 Month. Mr. Parker displayed a Public Health T-shirt signifying T-shirt Days during Public Health Month at NHCHD. The logo for Public Health Month is Every Where, Every Day, Every Body. Mr. Parker emphasized the following Public Health Month Activities: ~ Community Health - Coloring books for children in Well Baby, Kindergarten Health, Neurology, and Orthopedic Clinics. ~ Communicable Disease - Four Year Old Birthday Party NHCHD - Saturday, April 27, 1996 10:00 a.m. - 1 :00 p.m. Mrs. Beth Jones, Communicable Disease Director, displayed a T-shirt to be given to 4-year-olds. She stated 750 invitations have been extended to the Four Year Old Birthday Party. Prizes and games will be enjoyed at this immunization follow-up event to prepare children for school. ~ Child Health - Parenting Classes begin April 17, 1996. ~ Women's Health - Mr. David's School of Hair Design to do nails for Family Planning patients - 4/17, 4/18, 4/19 I '17J ~ Dental Health - Three new Dental Health Exhibits in NHCHD Library in Celebration National Public Health Week - 4/4 I ~ Laboratory - Provide Health Promotion coloring books to children receiving blood tests during Public Health Month ~ Board of Health Luncheon for Staff - 4/16 - 12 Noon ~ T-shirt Davs - Staff encouraged to wear T-shirts with Pubic Health Messages 4/4, 4/10. 4/16, 4/26 ~ Public Health Month Media Activities - WECT TV-6 Public Health Month Series with Bryan Moore 4/3 at 6:00 p.m. - Health Department Overview 4/10 at 6:00 p.m. - Environmental Health 4/17 at 6:00 p.m. - Injury Prevention 4/18 at 6:00 p.m. - Day Before Four Year Old Birthday Party Mr. Parker expressed his appreciation to Mrs. Denise Houghton, Health Promotions Director, for organizing the 1996 Public Health Month Activities. I Staff Vacancies Mr. Parker reported that NHCHD has two staff vacancies which is a low number of vacancies. Two other positions will be vacated by Ms. Julie Mciver, Social Worker, and Ms. Felicia Myott, Public Health Nurse, who have been accepted in Occupational Therapy Schools. Smokefree Ad Mr. Parker displayed a Restaurant 100% Smokefree Ad which appeared in the Star-News today. The ad will include additional restaurants when they are identified as 100% Smokefree facilities. The advertisements will be paid for by Project ASSIST. Blessing of Animals - Animal Control Services Mr. Parker requested Board participation the Blessing of Animals Ceremony to be held at Animal Control Services at 8:00 a.m. on Sunday, May 5, 1996. Absences for Board of Health Meeting ,I Mr. Parker stated that due to conflicts in schedules, the attendance for the Board meeting today was unusually low. J í"f:\::1 .' 1(1 Mr. Parker remembered Reverend and Mrs. Whitted. He stated Reverend Whitted had a stroke and is recovering at the Rehabilitation Center. A card was signed by the Board to be sent to Reverend and Mrs. Whitted. I Also, Mr. Parker remembered Mrs. Alford, whose Mother is moving to Wilmington. UNCW Nursing Student Mr. Parker introduced Mr. Stephen Implom, Senior Nursing Student, University of North Carolina at Wilmington, studying under Dr. Marlene Rosenkoetter, former Board of Health member. Mr. Implom is one of several nursing students observing health department activities. Mission Statement. Motto. and Board of Health Direction Mr. Parker reviewed a memo to the Board of Health and NHCHD Staff regarding the NHCHD Mission Statement, Motto, and Board of Health Direction provided by the North Carolina General Assembly. Other Business: Board of Health Sunshine Fund Dr. Jackson suggested that the Board establish a voluntary Sunshine Fund to purchase I greeting cards, flowers, etc. for remembering those who are sick or bereaved. Dr. Macris is to collect for incurred staff luncheon expenses from the Board. Mrs. Dean suggested that Dr. Macris add an optional $10.00 Sunshine Fund fee to his statement for the luncheon expenses. The Board concurred with Mrs. Dean's suggestion. Adjournment: There being no further business, the regular meeting of the Board of Health was adjourned at 9:00 a.m. Ç)~I Dennis L. Jackson, Chao man ~wI Robert S. (Bob) Parker, Health Director New Hanover County Health Department Approved: I '181 I Attachment #1 ANIMAL CONTROL SERVICES NEW HANOVER COUNTY BOARD OF HEALTH POLICIES AND PROCEDURES FOR ADOPTION OF DOGS AND CATS AT LOCAL VETERINARY HOSPITALS (1) Animal Control Services shall select all animals to be transported to area veterinary hospitals. (2) Animal Control Services will transport the animals to veterinary hospitals as time permits. I (3) Veterinary hospitals shall call Animal Control Services if animal is not suitable for adoption. (4) Animal Control Services shall pick up returned animal(s) as soon as possible. (5) Any medical expenses incurred shall be covered by the veterinary hospital of adoptee. New Hanover County shall not or will not be responsible for any medical expenses. ADOPTED this 10th day of April 1996. EFFECTIVE DATE: April 10. 1996 SIGNED: Dennis L. Jackso VM, Chairman New Hanover County Board of Health I 04/10/96 ') R~ "c~ Attachment #2 NEW HANOVER COUNTY BOARD OF HEALTH POLICY AND PROCEDURES FOR APPOINTMENTS TO ANIMAL CONTROL SERVICES ADVISORY COMMITTEE I Section 1. The policy of New Hanover County Board of Health appointments to the Animal Control Services Advisory Committee is as follows: (A) Any resident of New Hanover County is eligible to serve on the Animal Control Services Advisory Committee. (B) All tenns of office shall be three years. (C) Three unexcused absences during a calendar year on the part of any appointee automatically const~tutes resignation on the part of the appointee, from the Animal Control Services Advisory Committee and constitutes automatic acceptance of such resignation of the appointee by the Board of Health. Excused absences are defined as absences caused by events beyond one's control and are subject to approval by the Animal Control Services Advisory Committee. Upon such automatic resignation and acceptance, the Board of Health shall select a I replacement from the applications of persons who applied for the last vacancy, without further notice, advertisement, or action by the Board of Health. (D) Appointees must uphold County policies pertaining to the Animal Control Services Advisory Committee. (E) In the event an issue comes before the Animal Control Services Advisory Committee and a member has a financial, personal, or employment related interest in the outcome of the issue, that member shall notify his fellow members that he/she has a potential conflict of interest and request that he/she be excused from voting. (F) An appointee will not be considered for any employment vacancy in Animal Control Services until said appointee resigns his/her seat on the committee, thirty (30) days before being considered for the vacancy. Should the appointee not be selected to fill the vacancy, he/she will not be eligible for reappointment to the Animal Control Services Advisory Committee. ADOPTED this 10th day of April 1996. EFFECTIVE DATE: April 10. 1996 SIGNED: º Dennis L. Jackson, D , Chainnan New Hanover County Board of Health I 04/10/96 I t I FRO" CAVEH~~GH 91' 4'2 5j81 Ð2.01.2eea eelee P. Attachment 3 New Hanover Cou"t)' Schools South 15th Street WUmlnaton, NC April 4, 1995 ('- Dear Dr. Coble, It has come to my attention that Jnaccurate information is baing disseminated by Constance Parker, Board Chairman and Actin9 Director of the New Hanover Adolesoent Health Center. Mrs. Parker reoently made a presentation to your Board rêqarding the development of an adolesoent health olinio. A document has been disseminated to the community that states that the New Hanover County Schools would oooperate in a number of way.. The document list. us as a partner in the health clinio. It further states that our nurses would ba making referrals to the clinic. 1 have talked with Dr. Martin, the superintendent, and Al Learch, the school system representative to the committee doing the planning for the clinic. Both .e" have a88ured me that the only thing that they have agreed to i8 to provide necessary data to the committee. Therefore, the dooument i. in error when it mentions anyth1n9 about the New Hanover county School system. Please note that our School Board is very reluotant to interfere with the parent/child relationship. Reterral. to the clinic, espeoially tor oontraceptive lntorma~lon, and ~.nsportation of pat1ent~ have not be approved by our Board.' =:-:-- J am conoerned that the New Hanover county Schoola' n... may be used in part ot the prooess to procure 9rants. Our Board has not approved participation 1n the effort to establish nor maintain any olinic. Th~n~ you for your a.sletanoe 1n this matter. Sincerely, . ~4~a.~ Janice cavenaugh