01/08/1992 BOH Minutes
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Dr. Goins called the regular meeting of the New Hanover County
Board of Health (NHCBH) to order at 8:00 A.M. on Wed~esday,
January 8, 1992, in the Dr. Thomas Fanning Wood Library of the
New Hanover County Health Department (NHCHD), Wilmington, North
Carolina.
Members Present:
Michael Goins, OD, Chairman
John Coble, Vice Chairman
Mary Lou Alford, RN
Mary King Dean, RN
W. Keith Elmore, RPh
Robert G. Greer
W. Leslie Hall, Jr.. PE
John Leonard, DVM
Spiro Macris, DDS
Sheram Robinson
Alan E. Thomas, MD
Members Absent:
Others Present:
Robert S. (Bob) Parker, Health Director
Frances F. De Vane, Recording Secretary
Dr. Leonard presented the invocation. Dr. Goins called for
corrections to the minutes of the meeting on December 4, 1991.
The minutes were approved.
Oath of Office:
Dr. Goins, on behalf of the Board, welcomed and introduced the
new Board of Health members. Oath was administered to Ms. Mary
Lou Alford, Registered Nurse Member; Ms. Mary King Dean, Public
Ci ti zen Member and Mr. W. Keith Elmore, Registered Pharmacist
Member, by Ms. Frances De Vane, Notary Public.
Recognition:
100% Smokefree Establishments
Dr. Goins recognized and presented a Smokefree Certificate to The
James A. Wolfe Agency as a New Hanover County 100% Smokefree
Establishment.
Ms. Dorothy Paul, Licensed Practical Nurse, Retirement
Dr. Goins congratulated and presented Ms. Dorothy Paul, Home
Health LPN, a plaque commemorating her retirement effective
January 1, 1992 after 22 years of service to the Health
Department and the citizens of New Hanover County.
Departmental Focal:
Ms. Beth Day presented the departmental focal to the Board of
Health concerning 1989 New Hanover County deaths. Her program
was entitled, "What's sending Us To An Early Grave."
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Committee Reports:
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Environmental Health:
Mr. Coble, Chairman, reported that the Environmental Health
Committee met at 7:30 A.M. on Wednesday, January 8, 1992 at the
heal th department. He presented a proposed amendment to the
Rules Governing The Sanitation of Restaurants and Other
Foodhandling Establishments (15A NCNA 18A .2600). These proposed
guidelines are for informal conferences with restaurateurs to
promote the resolution of problems concerning plan review and/or
sanitary conditions and grading of establishments. He explained
after approval of the Board of Health, this amendment will be
referred to the Commission for Health Services.
After discussion Dr. Macris moved that the Board approve the
proposed amendment. Upon vote, the MOTION CARRIED.
Unfinished Business:
Downsizing/Reduction in Services
Mr. Parker gave an update on downsizing in the New Hanover County
Health Department. He explained that one Public Health Nurse II
position (Epidemiology/Adult Health) and one Animal Control
Officer position have been terminated.
Present vacant positions recommended for termination are: Health
Services Coordinator (HOP), Public Health Nurse I (HOP), Clerk
Typist IV (HOP), and Licensed Practical Nurse II (MCC).
Animal Control Officer's Position Terminated
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Due to the termination of one Animal Control Officer's position,
Mr. Parker made the following recommendations to the Board for
the reduction of Animal Control services:
1. Discontinue receiving out-of-county residents' animals.
2. Discontinue setting of animal traps except for injured or
bite animals. The Animal Control Shelter will continue to
remove animals trapped by homeowners. Traps may be secured
from the Animal Control Shelter or rented from local
vendors.
3. Establish new shelter hours for adoption and redemption of
animals from 12 Noon until 4:45 P.M. The Animal Control
office will continue to open at 8:00 A.M. for other
services.
Mr. Greer moved to approve the above recommendations for
reduction of services at the Animal Control Shelter. Upon vote,
the MarION CARRIED.
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Childrens' Special Health Services (CSHS)
At the request of the health department, the State has offered
New Hanover County Health Department $10,000 to continue regional
CSHS services at the health department through this fiscal year.
Mr. Parker recommended the acceptance of these one-time funds for
this purpose.
Mr. Robinson moved tha t the Board approve the acceptance of
$10,000 from the state for CSHS services provided by the New
Hanover County Health Department through June 30, 1992. Upon
vote, the MOTION CARRIED.
Adult Health Neurology
The Board reviewed a cost analysis of the Adult Neurology
Program. A discussion followed regarding the cost of Adult
Health Neurology Clinic services to out-of-county residents.
Dr. Macris moved that Adult Neurology Clinic services to
out-of-county residents be terminated. Upon vote, the MOTION
CARRIED.
Foreign Travel
After discussion Mr. Coble moved to refer the continuance of
foreign travel immunization services in the General Clinic to the
Executive Committee of the Board of Health for recommendations on
whether to discontinue this heal th department service. Upon
vote, the MOTION CARRIED.
Half-Time Clerk Typist III - Administration
As a part of the downsizing plan Mr. Parker explained he has
proposed to county management the termination of a Half-Time
Clerk Typist III position in Administration and the transfer of
the present employee into the Clerk Typist IV position in
Administration.
Conununity Health Nurse - Possible Termination
Mr. Parker indicated that there is a possibility that a Community
Health Nurse position may be terminated and the Public Health
Nurse in that position will be transferred to a nursing position
funded by the Maternal and Child Care Program.
Ministering Circle
Ms. Betty Creech stated that the health department assists in the
administration and identification of patients for the Ministering
Circle Chore Provider Program. She stated that this is a service
which could be considered for termination.
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State Funding
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A discussion followed on the cost of state mandated services
which are not supported financially by state revenues and the
regional concept for health services provided by New Hanover
County for the surrounding catchment area. Mr. Greer suggested
that Mr. Parker write a letter on behalf of the Board of Health
requesting additional funding from the state for state mandated
services. Mr. Parker stated he felt it would be appropriate for
a letter to be prepared by the County Commissioners requesting
additional funds for these state mandated services. It was the
consensus of the Board that letters should go to legislators
requesting revenues for health services provided by New Hanover
County.
OUt of County Residents Who Are New Hanover County Property
owners and Taxpayers
At the December meeting, the Board voted to terminate clinic
services to out-of-county residents. Mr. Parker informed the
Board that he had received a complaint from a non-county
resident who is a New Hanover County taxpayer.
Dr. Macris moved that the out-of-county resident restriction of
services passed by the Board of Heal th be amended to include I
services to out-of-county residents who are qualified New Hanover
County property taxpayers and who show documented proof of their
New Hanover County taxpayer status. Upon vote, the MOTION
CARRIED .
Animal Control Redemption Policy
Mr. Currie stated the Animal Control Advisory Committee was
requested to review the Animal Control Redemption Policy and make
a recommendation to the Board.
Ms. Donna Neal, Chairman, Animal Control Advisory Committee,
presented downsizing objectives of her committee. She stated that
the Animal Control Trust Fund Ordinance was approved by the
County Commissioners and the Capi tal Outlay request is being
presented to the County Commissioners.
Mr. Currie presented the proposed revision of the Animal Control
Redemption Policy which would hold animals with any form of
identification for five (5) days and all other unidentified
animals for three (3) days.
Mr. Greer moved that the Board approve the proposed revision to
the Animal Control Redemption Policy for Impounded Animals,
Section 3-17(a) which would hold identified animals for five (5) I
days and other unidentified animals for three ( 3 ) days. Upon
vote, the MarION CARRIED.
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New Business:
American Stop smoking Intervention Study for Cancer Prevention
(Project ASSIST)
Mr. Parker explained that the North Carolina grant for Project
ASSIST is $8.2 million which will be distributed to local health
departments. He stated he has prepared an application for these
project funds for NHCHD and asked for the endorsement of the
Board.
Mr. Greer moved that the Board endorse the application for
Project ASSIST. Upon vote, the MarION CARRIED UNANIMOUSLY.
Committee Appointments
Dr. Goins referred to the 1992 Board of Health Committee
appointments in the Board packet. (Attachment *1)
Fiscal Year 90 Local Expenditure Summaries
Mr. Parker reviewed the Fiscal Year 1990 Local Expenditure
Summaries.
Comments:
Board Members:
Dr. Goins congratulated new Board members on their appointment to
the Board of Health.
Dr. Leonard referred to a newspaper article regarding women who
smoke. He stated he felt special emphasis should be placed on
adult smoking.
Mr. Greer inquired about clarification of sanitation requirements
for portable cooking in restaurants and/or outdoor portable
cooking. Mr. Parker stated that Ms. Dianne Harvell,
Environmental Health Director, would clarify this issue with a
memo to the Board of Health.
Health Director:
Mr. Parker stated the Association of North Carolina Boards of
Health Sixth Annual Meeting will be held at the Brownestone Hotel
on January 17, 1992, in Raleigh, N.C.
The Orientation to Board of Health Service Workshop will be on
February 28, 1992 from 2:00 P.M.- 8:00 P.M., Hilton, Wilmington,
N.C.
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Mr. Parker announced the Health Leadership Institute will be held
on April 3 & 4, 1991, Siena, Chapel Hill, N.C.
The Executive Committee is to met following the Board meeting for
the selection of the Semi-Annual Super Staff Award winner.
There being no further business, Dr. Goins adjourned the meeting
at 10:10 A.M.
ÆÞ(~
Dr. Michael E. Goins
Chairman, Board of Health
~k-(J~
Robert S. (Bob) Parker
Secretary to the Board
Approved:
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