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03/07/1990 BOH Minutes I I .1 II The New Hanover County Board of Health met on Wednesday, March 7, 1990, at the Health Department. Members Present: John Leonard, DVM, Chairman Don Blake Pascal Camak, DDS Albert Corbett Michael Goins, OD Amaryallis Rehder, MA Sheram Robinson Marlene Rosenkoetter, PhD Alan Thomas, MD Catherine Vangellow, MPH Members Absent: Julius Howard, RhP Others Present: Robert S. Parker Frances F. De Vane, Recording Secretary Wanda Copley, County Attorney Dr. Leonard called the meeting to order at 8:12 A.M. Dr. Thomas presented the invocation. Dr. Leonard called for corrections to the minutes of the meeting of February 7, 1990. Corrections were made to the minutes. The minutes were approved as corrected. Super Staff Award Winner Dr. Leonard congratulated and presented a plaque to Ms. Doris Musselwhite, LPN, recipient of the Semi-Annual Super Staff Award. Dr. Leonard commended Ms. Musselwhi te for her dedicated participation in the Tuberculosis Program of the health department. COIIIDUnity Service Award Dr. Leonard presented Dr. Kenny Morris, President, Delaney Radiologists, a Conununity Service Award. Dr. Morris accepted this award on behalf of Delaney Radiologists for providing mammography for low income women seen in health department clinics. Dr. Leonard thanked Dr. Morris and stated that 176 women had obtained mammograms due to the generosity of the physicians of Delaney Radiologists. Department Focal: Quality Assurance Program - Home Health Ms. Jeanne Rose, Home Health Quality Assurance Coordinator, presented a program on the Home Health Quality Assurance Program. Ms. Rose defined quality assurance as systematically monitoring and evaluating Home Health services. The three components of this system include process, structure process and outcome. Dr. Leonard thanked Ms. Rose for her presentation. 12 Committee Reports: I Personnel Two Clerk Typist III Positions - Home Health Ms. Vangellow, Personnel Committee Chairman, reported that the Personnel Committee met on February 7, 1990, at 7:30 A.M. to consider the establishment of two Clerk Typist positions in Home Health. She stated these positions are needed due to the growth of this program. Ms. Vangellow moved that the Board of Health approve the request for the establishment of two additional Home Health Clerk Typist III positions and submit the request to the New Hanover County Commissioners for their consideration. Upon vote, the MOTION CARRIED. Board of Health Vice Chairman Mr. Corbett moved that a Vice Chairman for the Board of Health be established and elected. Upon vote, the MOTION CARRIED UNANIMOUSLY. Dr. Leonard asked for nominations from the floor for the Vice Chairman. The nominations were Ms. Catherine Vangellow and Mr. Don Blake. Ms. Vangellow withdrew her nomination. Dr. Goins moved the nominations be closed. Upon vote, the MOTION CARRIED UNANIMOUSLY. Mr. Blake was elected Vice Chairman of the New Hanover County Board of Health. I Board of Health Executive Committee Ms. Vangellow stated that the Personnel Committee reconunends that a Board of Health Executive Committee not be established since State Statutes prohibit the establishment of this committee. It was the consensus of the Board that this Executive Committee should not be established. Health Director Evaluation Ms. Vangellow requested that Board members complete the annual written performance evaluation of Mr. Parker and return it· as soon as possible to Ms. Vangellow. Environmental Health Mr. Corbett, Environmental Health Committee Chairman, reported that the Environmental Health Committee met on February 14, 1990. I He stated that lead detection water samples have been completed in all New Hanover County Schools. State Temporary Food and Drink Stand Regulations for Public Festivals time frame for food r I I I 13 booths has been changed to 30 days. Ms. Dianne Harvell, Environmental Health Director, plans to request that county regulations be updated and she will submit these regulations and a draft of New Hanover çounty Well Regulations will be presented by June 1990. Mr. Bobby Waters, Director of Vector Control, gave a report on Mosquito Control at Eagle Island. Ms. Harvell presented preliminary soil evaluation lawsuits in other counties. Mr. Tom Stich plans to report on new Lead Abatement Regulations by July 1, 1990. Mr. Corbett announced the Environmental Health Committee will meet quarterly on May 9, 1990, August 8, 1990, and November 14, 1990. Unfinished Business: New Hanover County Health Department Mission Statement Ms. Amaryallis Rehder, Chairman, Community Relations Committee, stated that the Community Relations Committee recommends that the Board of Health approve the following Mission Statement: The mission of the new Hanover County Health Department is to protect the public health and environment, promote healthy living and optimize the quality of life through preventive, restorative, environmental and educational services. Ms. Rehder moved that the Board of Health adopt the above Mission Statement for the New Hanover County Health Department. Upon vote, the MOTION CARRIED UNANIMOUSLY. Health Promotions Smoking Pollution Control Regulation Dr. Goins, Chairman, referred the Board members to a draft of the Proposed Smoking Pollution Control Regulation presented by the Health Promotions Conunittee. Dr. Goins stated that the Committee requests the Board's input on this proposal. A lengthy discussion and a review of the Proposed Smoking Pollution Control Regulation followed regarding the purpose, appl-ication, implementation, timing, rights of nonsmokers and smokers, enforcement, exceptions, exemptions and wording of the Proposed Smoking Pollution Control Regulation. It was the consensus of the Board that additional time was needed to review and revise the proposed smoking regulation. Mr. Corbett moved that the Board of Health meet within 30 days to formulate the Proposed Smoking Pollution Control Regulation. Upon vote, the MOTION CARRIED UNANIMOUSLY. 14 The Board of Health agreed to meet at 7:30 P.M. on Tuesday, March 13, 1990, to revise the Proposed Smoking Pollution Control I Regulation. New Business: Board Member Comments: Mr. Blake announced that he was pleased to see Mr. featured again in the Star News - Public Affairs Section newspaper. He commended Mr. Parker for continuing to be in the public's eye and in community activities. Parker of the active Health Director Comments: Mr. Parker encouraged Board members to attend the Public Health Celebration to be held at the health department on March 30 and 31, 1990. The Board was asked to RSVP for this celebration to Ms. De Vane. Mr. Parker announced that two new Family Planning Clinics with 24 patient slots have been added to the Family Planning schedule. Mr. Parker stated that Public Health Week will be observed from April 1 -7, 1990, following the New Hanover County Health Department Public Health Celebration. I Mr. Parker referred the Board members to a list of New Hanover County Health Department Programs. Dr. Leonard suggested that this list be placed in the orientation packet. There being no further business the meeting was adjourned at 10:00 A.M. ætn~ Chairman, Board of Health ~S¿(J~ Robert S. Parker Secretary to the Board Approved: I II I I I 15 The New Hanover County Board of Health met on Tuesday, March 13, 1990, at the Health Department. Members Present: Dr. Leonard, DVM, Chairman Don Blake Albert Corbett Michael Goins, OD Julius Howard, RhP Amaryallis Rehder, MA Sheram Robinson Marlene Rosenkoetter~ PhD Alan Thomas, MD Catherine Vangellow, MPH Members Absent: Pascal Camak, DDS Others Present: Robert S. (Bob) Parker Frances F. De Vane, Recording Secretary Wanda Copley, Assistant County Attorney Dr. Leonard called the meeting to order at 7:30 P.M. Mr. Sheram Robinson presented the invocation. Unfinished Business: Smoking Pollution Control Regulation (SPCR) Dr. Leonard, Chairman, stated that the purpose of this Board of Health meeting was to consider the draft of the SPCR. He stated the three steps for the Board's consideration of the proposed SPCR were where, when and how the draft should be written to regulate smoking in indoor public places. The Board was referred to a draft of the SPCR which had been redrafted since the Board meeting of March 7, 1990, by Ms. Copley, Assistant County Attorney. Ms. Copley identified revisions and made modifications to the SPCR as the reviewed and discussed each section of the SPCR. Wanda these Board The effects of smoking on the health of the public were discussed. Dr. Thomas expressed that he felt this regulation was a health directive and should not be delayed. Ms. Rehder stated that the object of the regulation was to protect the nonsmoker from the smoker. Mr. Howard expressed concern over the consistency of the application of the smoking regulation. The proposed regulation will allow smoking in restaurants only if the restaurant is properly ventilated to the outside of the building. Mr. Blake and Mr. Howard expressed concern over the expense to restaurant owners to provide separate ventilation systems in their businesses to separate nonsmokers from smokers. 16 Dr. Goins said that the health department has the responsibility to help with the implementation of the smoking policy in the I worksites. Mr. Parker stated that additional health department staff will be needed to see that there is conformity to this regulation. Ms. Copley stated that additional attorneys would be required for the increase in legal proceedings. Mr. Corbett stated there is always a price to pay. Mr. Blake stated he felt voluntary cooperation was most essential during the implementation of this regulation. It was the consensus of the Board to prohibit smoking in New Hanover County in specific enclosed public areas of public places and work sites. Dr. Goins moved that if the SPCR proposal is adopted, it effective January 1991. Upon vote, the MOTION UNANIMOUSLY. become CARRIED Dr. Leonard moved that Section 8., Exceptions, be adopted as presented in the draft of the SPCR. Upon vote, the MOTION CARRIED UNANIMOUSLY. Dr. Leonard moved that Ms. Copley redraft the New Hanover County SPCR and present it to the Board of Heal th. Upon vote, the MOTION CARRIED UNANIMOUSLY. I Mrs. Copley is to further define designated smoking area in the redraft of the SPCR. There being no further business the meeting was adj ourned at 10:15 P.M. ~~ Dr. John Leonard Chairman, Board of Health MÅh ¡J~ Robert S. Parker Secretary to the Board Approved: I