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02/03/1993 BOH Minutes I I I 215 Mr. Coble called the regular business meeting of the New Hanover County Board of Health (NHCBH) to order at 8: 00 A.M. on Wednesday, February 3, 1993, in the Dr. Thomas Fanning Wood Library, New Hanover County Health Department (NHCHD), Wilmington, North Carolina. Members Present: John M. Coble, Chairman Spiro J. Macris, DDS, Vice-Chairman Mary Lou Alford, RN Thomas V. Clancy, MD Mary King Dean W. Keith Elmore, RPh Robert G. Greer Dennis L. Jackson, DVM Laura Pitts Maness Edward L. Paul, Jr., OD Mark A. Veenstra, PE Members Absent: Others Present: Robert S. (Bob) Parker, Health Director Frances F. De Vane, Recording Secretary Ms. Alford presented the invocation. Mr. Coble called for corrections to the minutes of the meeting on January 6, 1993. The minutes were approved. Recognition: 100% Smokefree Establishments Mr. Coble recognized 15 New Hanover County 100% Smokefree Establishments. He presented 100% Smokefree Certificates to the following: Amy Bradley School Kings Memorial Christian Academy Park Avenue School St. Mary's School St Thomas Preschool wilmington Christian Academy UNC-Wilmington Southeastern Center Mr. Coble recognized Dr. Michael E. Goins, former Chairman and Board of Health Member, as recipient of the Carl Durham Award. The Association of North Carolina Boards of Health (ANCBH) presents this annual award to the outstanding Board of Health member who exemplifies and carries on the example set by Carl T. Durham, a former Chairman and Member of NHCBH, former County Commissioner and the first president of ANCBH. On behalf of the NHCBH, Mr. Coble congratulated Dr. Goins and expressed his appreciation to Dr. Goins for his dedicated Public Health leadership and service. 216 Departmental Focal: I Ms. Lynda F. Smith, Assistant Health Director, presented the departmental focal on "In Which Pod Does The Pea Fit?" She gave an analysis of health department programs, explained their sources of revenue, types of services (entitlement, mandated, self-supporting and partially self-supporting) and the rank of non-mandated health department services. Committee Reports: Budget Committee Mr. Veenstra, Chairman, Budget Committee, stated that the Budget Committee met at 8:00 A.M. on January 28, 1993. He presented a review of the contents of the Fiscal Year 1993-94 Budget manual. The Budget Committee will schedule a meeting for an extensi ve review of the NHCHD FY 1993-94 Budget and report to the Full Board at the March Board of Health meeting. Board members were invited to attend this proposed Budget Committee meeting. Health Promotions Committee Mr. Keith Elmore, Chairman, Health Promotions Committee, reported the Health Promotions Committee met at 5:00 P.M. on Tuesday, January 19, 1993, at the health department. Smoking Pollution Control Ordinance (SPCO) - Beach Communities I Mr. Elmore informed the Board that the Wrightsville Beach Town Aldermen held a Public Hearing on January 28, 1993, concerning the New Hanover County and City of Wilmington SPCO. Citizens attending the Public Hearing favored adopting the proposed SPCO. The Wrightsville Beach Attorney was instructed ~o prepare the proposed Town of Wrightsville Beach SPCO to be voted on at the next Town Council meeting. On behalf of the Health requested for the Board of the adoption of the SPCO Beaches. Promotions Committee, Mr. Elmore Health to offer support in favor of in Carolina, Kure and Wrightsville Mr. Elmore moved from the Health Promotions Committee for the Board of Health to provide further education on the importance of the SPCO and to support the proposed adoption of the SPCO in the beach communities. Upon vote, the MOTION CARRIED. New Hanover County Smokefree Schools Mr. Elmore reported that New Hanover County Public Schools and I Cape Fear Community College are not smokefree. He recommended from Committee that the Board approach these schools and request that they become smokefree. I I I / 217 Mr. Elmore moved from the Health Promotions Committee for the Board of Health to request that all New Hanover County schools (private and public) become smokefree establishments. Upon vote, the MOTION CARRIED. Cigarette Vending Machines Mr. Elmore recommended from Committee for the Board to ask our State Senators and Representatives to introduce legislation in the General Assembly to effectively prevent minors under the age of 18 years from purchasing cigarettes from vending machines. Mr. Elmore moved from the Health Promotions Committee for the Board of Health to ask state legislators to introduce legislation in the North Carolina General Assembly to prevent minors under the age of 18 years from acquiring cigarettes from vending machines. Upon vote, the MOTION CARRIED. Carolina Beach Bicycle Helmet Ordinance Mr. Elmore informed the Board that Sergeant Tom Connolly, Carolina Beach Police Department, plans to approach the Carolina Beach Town Council regarding the preparation of a Bicycle Helmet Ordinance. Mr. Elmore presented the proposed ordinance to the Board for their endorsement. Dr. Jackson moved for the New Hanover County Board of Health to support the principle of the Carolina Beach Proposed Bicycle Helmet Ordinance which requires children under 12 years of age to wear protective bike helmets while operating a bicycle in Carolina Beach. Upon vote, THE MOTION CARRIED. Executive Committee - Request for New Positions Mr. John Coble, Chairman, Executive Committee, reported that the Executive Committee met on Monday, January 28, 1993, to consider the request for additional staff. Child Services Coordination (CSC) Program Mr. Coble recommended from the Executive Committee for the Board of Health to approve the requested two Social Worker positions in the CSC Program. These positions are to be supported 100% by Medicaid reimbursement. Ms. Brenda Jones, Public Health Nurse, explained the positions are needed to follow the existing case load and that early intervention makes a positive difference in the outcome of infant health. Mr. Coble moved from the Executive Committee for the Board of Health to approve the request for two additional Social Worker positions in the CSC Program which are to be Medicaid reimbursed. There was a five to five vote with one Board member abstaining. Upon vote, the MOTION DID NOT CARRY. 218 A discussion followed on the need for statistics and facts substantiating the success of the CSC Program and other health I department programs. Mr. Parker will provide this requested information or plan an educational session on the CSC Program for the Board of Health. Mr. Coble moved to refer the request for the two Social Worker positions in the Child Services Coordination Program back to the Executive Committee for further study. Upon vote, the MOTION CARRIED. Home Health Nurse - PBN II (Half-Time to Full-Time) Mr. Coble recommended from Committee for the vacant Home Health PHN II half-time position to be changed to a PHN II full-time position. Mrs. Joan Womble, Patient Care Coordinator, explained that a full-time PHN II position is needed due to the increased case load and for the admission process in the Home Health Program. Mr. Coble moved from the Executive Committee for the vacant Home Health Public Health Nurse II half-time position to be reclassified as a Public Health Nurse II full-time position. Upon vote, the MOTION CARRIED. Unfinished Business: I Recognition Program for Productive County Employees Mr. Coble appointed the following committee to study the establishment and implementation of a recognition program for productive county employees: Dr. Clancy, Chairman Ms. Dean Dr. Paul New Business: Animal Control Advisory Committee Appointments Mr. Coble presented a list of applicants to serve on the Animal Control Advisory Committee. Upon vote the following Animal Control Advisory Committee members were elected: Temple Todd, Azalea Dog Training Club Gretchen Bannon - Hanover Kennel Club Doug W. Jackson - Hunter I I I I 219 Dangerous Dog Appellate Board Mr. Coble from the appointed Dangerous explained that Dr. Brian Dangerous Dog Appellate a Board Member and Dog Appellate Board. Moore, Veterinarian, resigned Board. The Board of Health an Alternate Member to the Upon vote the following were elected to serve on the Dangerous Dog Appellate Board: Dr. Robert Weedon - Board Member Dr. Iva Nusbaum - Alternate Board Member COlIDDents: Board Members Mr. Elmore thanked Mr. Parker for furnishing the Board a health department organizational chart. Health Director Annual Meeting, Association of N.C. Boards of Health (ANCBH) Mr. Parker announced that Mr. Coble was elected as a member of the ANCBH Nominating Committee. He stated that Ms. Maness will serve as a representative to the State Project ASSIST Coalition. Mr. Parker extended congratulations to these Board members. Board members were encouraged to attend the Area Health Education Center Boards of Health Continuing Education on The Year 2000 Health Objectives from 6:30 P.M. - 9:15 P.M. on Thursday, March 18, 1993, at the Wilmington Hilton - Dinner included. The Orientation to Board of Health Service Leadership Institute will be held on February 26 in Charlotte, March 19 in Rocky Mount and on March 26 in Fayetteville, N. C. Board members were encouraged to attend one of these programs. Mr. Parker introduced the following new health department employees: Vivian Gray, Public Health Nurse Home Health Linda Culla, Student Intern, WIC Home Health Orientation Ms. Karen Hogan, Home Health Director, announced that the Home Health Orientation for new Board members will be held in the Home Health Office immediately following this meeting. 220 There being no further business, Mr. Coble adjourned the meeting at 10:15 A.M. ~~,d1fê- ø_JOhn M. Coble Chairman, Board of Health ~k-{J~ Robert S. (Bob) Parker Secretary to the Board I Approved: I I