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02/05/1992 BOH Minutes I I I 145- Dr. Goins called the regular meeting of the New Hanover County Board of Health (NHCBH) to order at 8:00 A.M. on Wednesday, February 5, 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 W. Leslie Hall, Jr.. PE John Leonard, DVM Spiro Macris, DDS Sheram Robinson Alan E. Thomas, MD Members Absent: Robert G. Greer Others Present: Robert S. (Bob) Parker, Health Director Frances F. De Vane, Recording Secretary Mr. Sheram Robinson presented the invocation. Dr. Goins called for corrections to the minutes of the meeting on January 8, 1992. The minutes were approved. Recognition: Dr. Marlene Rosenkoetter, RN, PhD, FAAN Recognized On behalf of the Board of Health, Dr. Goins thanked and presented a plaque and coffee mug to Dr. Rosenkoetter commemorating her service on the Board of Health from January 1, 1989 through December 31, 1991. Departmental Focal: Mr. Ben Gillespie, Chairman, Operation Science Against Smoking (OSAS), gave the departmental focal and a slide presentation on Hoggard High School Science Club's project, OSAS. This project is sponsored by Hoggard High School Science Club and New Hanover County Health Department. The project goal is to educate the community to uphold the state law which prohibits the sale of tobacco products to persons under 18 and to reduce teenage smoking in New Hanover County. Adoption of OSAS Proclamation Dr. Leonard presented the OS AS Proclamation to the Board. Dr. Leonard moved that the Board of Health adopt a proclamation designating the 1991-1992 School Year as OSAS Year in New Hanover County. Upon vote, the MOTION CARRIED. 146 Committee Reports: COIIDDunity Planning Mr. Hall, Chairman, informed the Board that the Community Planning Committee met on January 26, 1992. They prioritized COMMUNITY HEALTH STATUS PROBLEMS AND OTHER HEALTH STATUS PROBLEMS as identified by the Health Department Management Team and Staff. This was done for the COMMUNITY DIAGNOSIS which is submitted to the state every two years for Expansion Budget requests. I Environmental Health Mr. Coble, Chairman, reported that the proposed amendment to the Rules Governing The Sanitation of Restaurants and Other Foodhandling Establishments (15A NCNA 18A .2600) will be reviewed by the Commission for Health Services. Executive Dr. Goins, Chairman, stated that the Executive Committee met at 7: 30 A.M. on February 5, 1992 to address the feasibility of discontinuing foreign travel immunizations in the health department. Due to the interest of a private physician to provide these foreign travel immunization services, it was the consensus of the Board to continue health department foreign I travel immunization services through June 30, 1992 or until such time that the services could be provided through a private provider. Health Promotions On behalf of the Health Promotions Committee, Dr. Leonard, Chairman, presented the proposed Position Statement on Casual Sex. Dr. Thomas suggested that the statement include condom usage as well as abstinence as the preventive measures against AIDS. Ms. Dean expressed concern regarding the failure rate of condoms. After a lengthy discussion, Dr. Leonard moved to refer the Casual Sex Statement back to committee for further revision and to include condom usage in the position statement. Upon vote, the MOTION CARRIED. Dr. Leonard and Dr. Goins expressed concern regarding the reluctance of the beach communi ties to adopt the New Hanover County Smoking Pollution Control Ordinance ( SPCO) . Mr. Parker stated that restaurant compliance had been the only barrier to the SPCo. Dr. Macris suggested a survey of SPCO restaurant compliance be conducted by the Environmental Health Division during routine restaurant inspections. I I I I 147 Dr. Leonard moved to approve the implementation of a survey for SPCO restaurant compliance to be conducted by Environmental Health Specialists during their routine restaurant inspections. The beach community SPCO compliance is to be reviewed by the Board after the completion of the survey. Upon vote, the MOTION CARRIED . Mr. Parker reported Durham County Health Department was awarded the Health Educator position by the Kate B. Reynolds Health Care Trust. The health department had submitted an application for this position. Unfinished Business: Downsizing/Reduction in Services Mr. Parker informed the Board that the New Hanover County Management Team has accepted the health department's downsizing plan. Following are positions which have been terminated as designated by this plan: Public Health Nurse II (Epidemiology/Adult Health) Animal Control Officer (Animal Control) Health Services Coordinator (Health Opportunities Program (HOP) Public Health Nurse I (HOP) Clerk Typist IV (HOP) Licensed Practical Nurse II (Maternal and Child Care) Half-Time Clerk Typist III (Administration) Half-Time Clerk Typist III (Laboratory) Mr. Parker indicated the health department has met a five percent reduction in staff; however, the New Hanover County Management Team plans to continue their review of vacant positions. Animal Control Citation Fee Schedule Accepted Mr. Parker reported that the New Hanover County Commissioners adopted the Animal Control Citation Fee Schedule. New Business: Request for Moratorium on Livestock Operations Mr. Bob Slaughter, Public Citizen, requested that the Board of Health consider declaring a moratorium on livestock operations. He expressed concern over the health problems caused by waste disposal lagoons from hog and cattle farming. Wanda Copley, County Attorney, advised the Board to research the permitting system, inspections and regulations for livestock operations. She stated a resolution from the Board would be more appropriate than a moratorium. 148 Mr. Hall moved to refer the livestock operations issue to the Environmental Health Committee for further study. Upon vote, the MOTION PASSED. I Comments: Board Members: Health Director: Mr. Parker reminded the Board of the Orientation to Boards of Health Service Workshop to be held from 2:00 P.M. - 8:00 P.M. on February 28, 1992 at the Wilmington Hilton in Wilmington, N.C. Mr. Parker announced the Health Leadership Institute will be held on April 3 and 4, 1991, Siena, Chapel Hill, N.C. Requests for attendance to this meeting should be submitted at the March Board of Health meeting. Mr. Parker stated the Association of North Carolina Boards of Health Sixth Annual Meeting was held at the Brownestone Hotel on January 17, 1992, in Raleigh, N.C. Board members were asked to submit their request for reimbursement as soon as possible. Mr. Parker reported that the health department defeated the Department of Social Services (DSS) in the county blood drive. I Mr. Wayne Morris, DSS Director, will present a bouquet of flowers recognizing the success of health department staff blood donors. Mr. Parker referred the Board to Sexually Transmitted Diseases (STD) and AIDS statistics on page 18 and 19 of the Board packet. Mr. Parker explained the procedure for invocations at regular monthly Board meetings. Mr. Parker introduced new employee: Ms. Susan Weaver, Maternal and Child Care Social Worker There being no further at 9:35 A.M. business, Dr. Goins adjourned the meeting )/LLfLdJ Dr. Michael E. Goins Chairman, Board of Health ~ 2- (J~ Robert S. (Bob) Parker Secretary to the Board I Approved: