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12/07/1983 OG96tj The New Ha..'1.over County Board of Health met on Wednesday I December 7, 1983 at the New Hanover County Health Department~ .-.'..'..... Members Present: - Carl Durham, Chairman Larry Neal, D.D.S., Vice ChInn. Ted Bagley Donald Blake Jean Credle J. William Eakins, M. D. William Grathwol James Strickland Hobart Whaley Members Absent: None Others Present: Robert s. Parker, Secretary to the Board Robert P0pe, County Attorney Mabel Price, Recording Secretary Nr. Durham, Chairman, called the meeting to order at 8:00 A. M. and called for corrections to the November 2, 1983 minutes. Mr. Bagley moved the minutes be approved. Dr. Neal seconded th~ motion and it carried unanir:1.ously. Deo.artment ~oca~: Mike Rhodes t Director of Envirorunen1:al Health, ond Susan 0' Brien, Director of the Laboratory 1 reported on a Food Born Proteus :1irabilis outbreak from a ] (;cal barbecue. .....-..... ~ecC'qtli!=_i()... af Dr. 0. vlilliam Eakins: Hr. Durha'TI, on behalf of t.he B'Y:ircl of HeulLL presented Dr. Eakins a plaql:~ in appreciation of his service to the EDa:r.c. of HE:alt.~ and "to trH? Eea.lth Df':partmi:::Dt. Dr. Eakins served a'::-i a membeT cf the Board f~OFl Jan1;.:;r! 1, ~978 to December 31, 1983. six months of that time v-las ~:,pep.t c.s Act:Lnq Healt.L Di rQctur. Hr. Dur,harr also commended Dr. Eakins for the work h"; has done to improvl:":- many of the programs in the Deparb~ent. Mr. Durham, other membe~s of the Board, ~n0 Mr. Parker all expres~ed thanks to Dr. Eakins for a job well done and told him he would certainly be miss~d by the Board and the Depe-I't.'11ent. N0minatinq Co~~ittee Report: tions were Dr. LZir~y- Neala's The nominating cornmiti:ec qave iLs report. Chairman and Jean Credle 2S Vice Chai~Rn. Their nomin.:l.- ~~ucati?n Comm~~tee Report: Mrs. Credle reported t~at the committee had asked for rtnd recei\red recommenuations fr8m each Division in the Heal~h Department a~ to needs in thei..l: Division. She stated that these recommendations would be sU.'1unarized and the committee should have their report ready for the Board at the January meeting~ E~~~onmental Healt~ Staffing: The Environmental Health Staffing Committee held two mee-cings this month and recommends to the Board that two experienced Sanitarians be employed imnlediately, with fu~ther reco~mendations tQ be made later~ Mr. G!athwol re.ported that several other counties have had Environmental Health Staffing studies done by the State and that copies of these studies have been requested for comparison. r1r. Grathwcl moved that". the Board recommend to the County Com.."'TIissioners that two experi- enced Sanitarians be hired iw~ediately. Dr. Eakins seconded the motion~ Mr. Blake asked if the Health Department has any lapsing salary funds. Mr. Parker told the Board that he would check this out ~ A vote was taken on the motion ,:;:md it carried unanimously. ~.,---... rnt.::.7 (;jJU _ -2- Policy on Official Reports: Mr. Parker presented a policy on specific reports going out of the Health Department. The policy is as follows: -- "The following two reports need to be co-signed by the sanitarian involved and the Director of Environmental Health or the Environ- mental Health Supervisor, in the absence of the Director of Environ- mental Health, before leaving the New Hanover County Health Department. - 1. Reports to the Planning Department ccncerning Major Sub-Division reviews. 2. Reports to food, lodging and institutional establishments concern- ing approval of plans for remodeling and new construction. Also, when a Sanitarian is inspecting a restaurant or other foodhandling establishment and the numerical grade falls below 70%, or there is an imminent public health hazard found, either the Environmental Health Super- visor, Director of Environmental Health or the Health Director must be notified immediately before the establishment is closed. The above policy was put into effect immediately. Members of the Board expressed satisfaction with this policy. Fee Policy: Mr. Parker reported that after st.udying the Fee Policy further he realized that we are already charging for most of the services mentioned in the policy. He proposed that the Board adopt a flat fee for all the other services except Adult Health Screening. A sliding fee scale would be used for Adult Health -- Scree~ing as it is with Family Planning. After disCl1ssion, Mr. Grathwol moved the Fee Policy Committee study the matter further and include Mr. Parker's suggestions ... in the pel.icYa Mr. Whaley seconded the motion and it carried unanimously a prainage: Hr. Blake reported that a position has been approved by the County Commis- sioners for a D~ainage Engineer to be included in the FY 1984-85 budget. This position will be dir~ctly under the supervision of the County Commissioners and will work with both the Engineering Department and the Health Department. Dr. Eakins asked that a letter be sent to all the people who have made application to the Drainage Committee explaining the new plans so that they would not feel they hau been given false hope. Physician Consultant Need: Mr. Parker told the Board that he would like to put money in the 1984-85 budget for a Physician Consultant. He feels that there are many times he would benefit from having a Medical Consultant available. After discussion it was agreed that Mr. Parker would plan on including this in the FY 1984-85 budget. Minimum Compensation for Clinicians: Mr. Parker proposed to the Board that we pay our clinicians for at least one hour for coming to a clinic, whether or not there are enough patients to keep the physician busy for the entire hour. Mr. Parker's feeling is that the physician has set this time aside for us and is not seeing patients in his ~ffice during this ti~e. The Board was in agreement with this suggestion and instructed Mr. Parker to write this into the policy. -- ...., -3- 00960 Animal Control Advisory Committee, Dr. Neal presented the following list of people to serve on the Animal Control Advisory Co~mittee for the 1984 year: ....-....... Diane Connor, Kennel Club Nora Davis, Member at Large Joe Filion, Azalea Dog Training Club Bill Huffine, Field Trail and Hunters Paula McKenzie, Humane Society Donna Neal, Member at Large Betty Rullman, Cat Breeders Scott Singleton, Kennel Operator, Breeder Dr. R. E. Treadwell, Veterinarian Dr. Larry Neal, Board of Health Representative Ron Currie, Animal Control Director, and Robert 5. Parker, Health Director, will also serve on the Committee. Dr. Neal moved the n~minations be approved. Mr. Grathwol seconded the motion and it carried unanimously. Home Health Clerk Position: Mr. Parker told the Board that due to the increase in the work load in Horne Health, an additional clerk is needed in the program. Funds for this position will come from Medicare and Medicaid funds collected by the program. Dr. Eakins moved the position be approved by the Board of Health and forwardad to the County Comrnis- s ioners for appro~Jal. t-1r ~ ,"Thaley seconded the motion and it carried unani.:n('\usly. Space Needs: earn McAbee, Hu.rnan Services J:l..nalyst for .the County. had made a study on space needs fo~ the Department. She sugg~sted that we have ttlree options: 1) Rent space for particular progr?....il1s.. 2) Redesign existing space (short te~ solution - put: mCYJable partitions in audi.torium).. 3) Mobile office units. After discussioI"' by the Board, It was suggested that Mr. Parker and Carn investigate reritn.l space in t.:nis area for the Home Ee21th Prcgra~ dnd bring a proposal back to the Board. . - v()t,~ on NC:lir.ating COi::L.'Tlit.tes Report: Nominations .....Ii;!re restated as p~G.3enteG earlier l:;}-;-ti:;-!-~o.~rnat._L:Jg CO:l"~':\l. ttep.. Hr. Gra"Ch.....ol moved the nominations be closed ~ Dr. Eaid.."i.1s .second.:;c," the ~otion an.d by (.:r_)rJsent of the Board, Mr. Durh2Jl1. declared. D.c _ Neal -3.S Cn ,ir !:1an of the Board ar..d !~!:rs. Credle .JS Vice Chairman fer the year 1984. Reco'~lT!.:.!: tioD of Outgoing Chairman Carl Durham: A plaque W.3.S presented to C..:irl D;.lrh;:un on behalf cf the Boe.rd by Dr. Neal. Dr. Neal and other members of the Beard tha:lkeQ Mr. Du:;:,ham for the wory_ he has done as Chairman of the Boo.rd during the past t......'c :rGars. Mr. Blake thClnked Hr ~ Du:;:'harr. on behalf of the Comrnissioners fo.!' his (Jutstanu~.ng 3e:rv ice t::'! tne c;DITIJrlUni ty. Dr. Neal chaired the remainder or the meeting. Nsw DDard MRLlbers: Nr. Blake told -the Board that Ted Bagley has been appointed to the Board for a. three year term. Mr. Bagley was s~rving an unexpi-.:-ed t:enn .:m the Board. No c.ecision has been made by the Commissioners on other nembers who are to be appointed. An~~~~cements by Health Director: Mr. Parker told the Board that he would vie'\.li:aq for the position of Associate Director within the next few weeks. he hoped to have this position filled by the fiI'st of the Y~3.r. begin inter- He st.ated Mr. Pdrker also invited all those present to the Annual Chri~~mas Dinner at 11:30 A. M. on December 15, 1983, at the Health Department. Mr. P~rker introduced Ron Currie, Animal Control Director, to the Board. ~- C Ci9bU -4- There being no further business Mr. Blake moved the meeting be adjourned. Mrs. Credle seconded the motion and it carried unanimously and the Board was adjourned. Respectfully submitted, c:;/ f;/7~/ Chairman, Board of Health j.~~~p~ Secretary to the Board Approved: /_ '1- >Ii .... - ~ - ~ -