02/06/1991 BOH Minutes
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The New Hanover County Board of Health met on Wednesday, February
6, 1991, at 8:00 Ã.M. in New Hanover County Health Department.
Members Present:
Don Blake, Chairman
Michael Goins, OD, Vice Chairman
John Coble
Robert G. Greer Marlene M.
Leslie Hall, Jr., PE
Julius F. Howard, RhP
John Leonard, DMV
Spiro Macros, DDS
Sheram Robinson
Rosenkoetter, RN, PhD, FAAN
Alan E. Thomas, MD
Members Absent:
Others Present:
Robert S. (Bob) Parker, Health Director
Frances F. De Vane, Recording Secretary
Mr. Blake called the meeting to order at 8: 00 A.M. Mr. Robinson
presented the invocation. Mr. Blake called for corrections to the
minutes of the meeting on January 2, 1991. The minutes were
approved as corrected.
Recogni tion of Mr. Travis Getz, Laney High School Senior
Certificate of Appreciation Award for Designing Poster for Reporting
communicable Diseases
On behalf of the Board of Health, Mr. Blake presented a
Certificate of Appreciation Award to Mr. Getz in recognition for
his design of a poster entitled Remember to Report Communicable
Disease Cases. Mr. Blake congratulated Mr. Getz on his
participation in the effort to encourage physician reporting of
communicable diseases to the New Hanover County Health Department.
Recognition of Carlos (Pete) Davis - Super Staff Award Winner
Mr. Blake congratulated and presented a plaque to Carlos (Pete)
Davis, Environmental Health Specialist, recipient of the Semi-Annual
Super Staff Award. On behalf of the Board of Health, Mr. Blake
expressed his appreciation to Mr. Davis for his years of service and
dedication to Public Health.
Recognition of Ms. Susan Robinson - Third Place Winner - New Hanover
County Fair
Mr. Blake recognized Ms. Susan Robinson, Environmental Health
Specialist, for her participation in the New Hanover County Fair.
The Environmental Health Division was third place winner in the
exhibit category and New Hanover County received $70.00 for this
exhibit on lead.
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Dr. Michael Goins, Vice Chairman of Board of Health
Wilmington Jaycees Distinguished Service Award
Wins
Mr. Blake recognized Dr. Goins, recipient of the Wilmington Jaycees
Distinguished Service Award on January 26, 1991. Mr. Blake
commended Dr. Goins for his contributions to the community and
Public Health.
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New Hanover County Board of Health - Recipient of OUtstanding Board
of Health Award
Mr. Blake congratulated the Board of Health as recipient of the
Outstanding Board of Health Award from the Association of North
Carolina Boards of Health on January 17, 1991 in Raleigh, N. C.
Mr. Blake stated this is the first year this award has been given
and he is proud to be affiliated with a Board which displays
initiative and dedication to Public Health issues.
Departmental Focal:
Mr. Robert Swift, Soil Scientist, presented the department focal to
the Board of Health on the Creation of a Management Entity: Sewage
System Maintenance. He explained the importance, types and
maintenance of specific septic systems. State regulations require
the creation of a management entity in New Hanover County by July
I, 1991 in order to continue issuing permits for alternative septic
systems. Mr. Blake thanked Mr. Swift for his presentation.
Committee Reports:
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Health Promotions
smoking Pollution Control Ordinance (SPCO) UPdate
Dr. Goins, Chairman of Health Promotions Committee, reported tha t
Wrightsville Beach will discuss the SPCO at a later date. Kure
Beach will have a public hearing on February 19, 1991 at 7:00 P.M.
A Committee of the Carolina Beach Town Council has decided rather
than having the twenty-five percent (25%) rule in restaurants that
Carolina Beach will post signs at every entrance notifying patrons
of their smoking policy. The Carolina Beach Town Council public
hearing date is to be announced.
After discussion on the enforcement of the SPCO, the Board requested
that Mr. Parker prepare a letter to the municipalities before their
SPCO public hearings informing them if they adopt a smoking
regulation that they will be responsible for the enforcement of
their smoking policy.
Posting of Policy Signs at Restaurant Entrances
Dr. Goins referred the Board to the New Hanover County SPCO, Section I
8.5-31. Posting of Signs Required. He explained that this ordinance
designates proper signage relating to an establishment's smoking
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policy. He recommended that the Board consider clarification of the
intent and interpretation of the SPCO signage. Ms. Wanda Copley,
Assistant County Attorney, explained that the purpose of intent and
interpretation of the policy is that upon entry into an
establishment a person should be able to determine the smoking
policy of the owner of the establishment. It was the consensus of
the Board of Health that Ms. Copley's interpretation of the SPCO was
satisfactory.
Dr. Goins reported that Ms. Denise Teachey, Health Promotions
Director, is working on a Breast and Cancer Screening Clinic to be
staffed by local physicians to be held on April 20, 1991.
Personnel Committee
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Mr. Howard, Chairman of the Personnel Committee, reported that the
Personnel Committee met at 7:30 A.M. on February 6, 1991, to
consider the expansion of staffing of the Maternity Care
Coordination Program. He explained that the North Carolina General
Assembly allocated $17,500 start up funds to pay salaries of a
Public Health Nurse I and a Social Worker II for a three month
period to be expended by June 30, 1991 to decrease infant mortality.
Ms. Betty Jo McCorkle, Maternal and Child Care (MCC) Director,
stated these funds are needed to increase the Medicaid MCC caseload
and provide a better delivery of service to the present case load .
Fees earned through Medicaid will reimburse this budget.
Mr. Howard moved that the request for the approval of the Maternity
Care Coordination State Grant ($17,500) and the establishment of one
Public Health Nurse I position and one Social Worker II position for
the MCC Program be approved by the Board of Health and submitted to
the New Hanover County Commissioners for their consideration. Upon
vote, the MOTION CARRIED UNANIMOUSLY.
Health Department Budget
Mr. Blake recognized Ms. Lynda F. Smith, Assistant Health Director,
who reported that the proposed FY1991-92 Budget of $6,000,000 with
revenues of $3,000,000 is to be submitted to the County Budget
Office on Monday, February 11, 1991. The budget hearing with Mr.
Allen O'Neal, County Manager, is to be on March 22, 1991 at 10 A.M.
Ms. Smith asked Budget Committee members to review their budget
packets. The Recommended FY1991-92 Budget will be presented to the
Budget Committee and then to the Board of Health for their
consideration.
Unfinished Business:
HIV Testing, Anonymous/Confidential
Mr. Blake explained that the health department offers either
anonymous or confidential HIV testing. There is a proposal by the
North Carolina Commission for Health Services (NCCHS) to discontinue
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anonymous HIV testing by January 1, 1994. This determination will be
made by the NCCHS on February 22, 1991. Mr. Blake asked the Board I
if they would like to go on record as supporting either anonymous or
confidential HIV testing. Dr. Goins, Dr. Leonard, Dr. Rosenkoetter,
and Dr. Thomas expressed that they felt AIDS should be treated as a
reportable communicable disease.
Mr. Blake referred the Board to a letter to the NCCHS from Ms. Beth
Day, Epidemiology and Adult Health Director , giving comments and
concerns about the proposed change to reduce anonymous HIV testing
to 12 regional sites on July 1, 1991, and to eliminate anonymous HIV
testing in health departments by January 1994. Ms. Day stated that
the health department may lose access to HIV and AIDS patients if
HIV anonymous testing is discontinued.
Dr. Thomas moved that the Board of Health endorse HIV confidential
testing in the health department as proposed by the North Carolina
Commission for Health Services. Upon vote, the MOTION CARRIED
UNANIMOUSLY.
New Business:
Public Concern, Potentially Dangerous Dog Law
Mr. Blake introduced to the Board Ms. Maura McCaughey, Attorney
representing Mr. and Mrs. Rudolph Mallette. Ms. McCaughey stated
that Mr. and Mrs. Mallette are the owners of three dogs declared
potentially dangerous by the Animal Control Dangerous Dog Panel
(ACDDP) on November 29, 1990. Ms. McCaughey explained that Mr. and
Mrs. Mallette were not at the ACDDP hearing. The attorney requested
that her clients be given the opportunity to be heard.
Ms. Wanda Copley, Assistant County Attorney, stated that the
Dangerous Dog Law states that appellant must appeal within three
days of receiving the written decision of the ACDDP. She explained
that the time had lapsed and she does not feel the Board of Health
can proceed even as the Appellate Board.
MOTION: After a lengthy discussion Dr. Rosenkoetter moved that the
Board of Health function as the Appellate Board and hear the case.
3 yes
6 oppose
Upon vote, MOTION NOT CARRIED.
MOTION: Dr. Rosenkoet ter moved tha t the Dangerous Dog Law be
referred to the Animal Control Advisory Board for review of issues
and problems and submit their recommendations back to the Board of
Health and then refer to the General Assembly for consideration of
revision of state statute. Upon vote, the MOTION CARRIED
UNANIMOUSLY.
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Name Tags
Ms. Smith requested that Board members desiring their picture made
for identification cards should go the Department of Social Services
immediately following the Board of Health meeting.
Review of Health Department Fees
Mr. Blake announced that a review of the health department fees will
be placed on the March Board of Health agenda.
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Appointment of Animal Control Advisory Board Members
Mr. Blake presented these applicants for reappointment to the Animal
Control Advisory Board for two year terms:
Diane Connor - Kennel Club Representative
Joe Filion - Dog Trainer
Bill Huffine - Field Trial and Hunter
It was moved that the above applicants be reappointed to the New
Hanover County Animal Control Advisory Board. Upon vote, the MOTION
CARRIED UNANIMOUSLY.
Association of N. C. Boards of Health Representative
Mr. Blake asked for nominations from the floor for a Representative
to the Association of North Carolina Boards of Health for a two
year term.
Dr. Rosenkoetter nominated Dr. Goins. The nominations were closed.
Upon vote, the MOTION CARRIED UNANIMOUSLY. Dr. Goins was elected
Representative to the Association of North Carolina Boards of
Health.
Conments:
Board Members
Health Director
Mr. Parker requested that Board members attend the Dedication of
the Library to Dr. Thomas Fanning Wood to be held on February 22,
1991, at 4 :00 P.M. and a Reception at 5:00 P.M
Mr. Parker referred Board members to the following items in their
Board packets:
Procedures for Appointing Persons to Serve on Boards and
Committees
AHEC Board of Health Training - March 12, 1991 - 6:30 - 9:00
P.M. - Wilmington Hilton
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Presentation Made to New Hanover County Board of Education
Premarital Sexual Experience Among Adolescent Women
Public Health Organizations
(1) Association of North Carolina Boards of Health
(2) N.C. Association of Local Health Directors
(3) N.C. Public Health Association
Survey of School Handwashing/Toilet Facilities
Mr. Parker introduced the following new staff members:
Laetitia Day - Clerk Typist - Community Health
Barbara Egerton - Clerk Receptionist - Epidemiology/Adult 'Health
Shirley Johnson - Public Health Nurse - Home Health
There being no further business, Mr. Blake adjourned the meeting at
10:50 A.M.
~~~ ~. ~
Mr. Don Blake
Chairman, Bo~ealth
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Robert S. (Bob) Parker
Secretary to the Board
~pproved:
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