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10/09/1996 ........... Dr Dennis Jackson, Chairman, called the regular business meeting of the New Hanover County Board of Health (NHCBH) to order at 8:00 a.m. on Wednesday, October 9, 1996, in the Carl Thomas Durham Auditorium, New Hanover County Health Department, Wilmington, North Carolina. Members Present: Dennis L. Jackson, DVM, Chairman W Keith Elmore, Vice-Chairman Mary Lou Alford, RN Thomas V Clancy, MD John M. Coble Mary King Dean Michael E. Goins, OD Robert G Greer Spiro J Macris, DDS Mark A. Veenstra, PE Estelle G. Whitted, RN Members Absent: Robert S. (Bob) Parker, Health Director Frances F De Vane, Recording Secretary I. Others Present: .. Invocation: ....- Mrs. Mary Lou Alford gave the invocation. . -..ojt--f.. ....... Minutes: Dr Jackson called for corrections to the minutes of August 14, 1996. The minutes were approved by the Board of Health. The Board of Health meeting schedule for September 11, 1996, was canceled due to the after effects of Hurricane Fran. Recognitions: Mr Parker introduced and welcomed the following new health department employees: New Emplovees .. Beverly K. Bass, Public Health Nurse I, Women's Health Care Bea Bolton, Graduate Student Intern, WIC Patsy R. Farrow, Clerical Assistant, Animal Control Services Pamela Overstreet, Environmental Health Specialist, Environmental Health --- Mr Parker recognized the following individuals for their years of service in the New Hanover County Health Department: ..-.- Ten (10) Year Service Award Lynette Fennell, Clerical Specialist, Women's, Infants, and Children (WIC) - Fifteen /151 Year Service Award Sharon Neuschafer, Administrative Assistant I, Environmental Health 1996 United Wav Campaign Mr Parker praised Mrs. Beth Jones, Communicable Disease Director, Chairman, New Hanover County Employees 1996 United Way Campaign, for her leadership of a most successful campaign. County United Way contributions were $39,872.66, a 22% increase from 1995 surpassing the county's goal of $33,750. Mrs. Denise Houghton and Mrs. Nikki Todd, Co-Chairs, Health Department United Way Campaign, Health Department United Way Committee, and staff were applauded for their notable campaign with contributions of $5,00666 exceeding the health department goal of $4,300 On behalf of the New Hanover County Board of Health, Dr Jackson congratulated Mrs. .... Jones for her achievement as Chair of New Hanover County United Way Campaign and Mrs. Houghton and Mrs. Todd, Co-Chairs, and the Health Department staff for an -II outstanding United Way Campaign. Public Health Awards Mr Parker announced that health department staff and the NHCHD received prestigious awards at the North Carolina Public Health Association (NCPHA) Annual Meeting held October 18-20, 1996, at the Adams Mark Hotel, Charlotte, North Carolina. Dr Jackson, Mr Parker, and Ms. Lynda F Smith, Assistant Health Director, recognized and congratulated award recipients and displayed award plagues given to the following: Individual Public Health Awards Betty Jo McCorkle - Maternal and Child Health (MCH) Outstanding Achievement Award, MCH Section North Carolina Public Health Association (NCPHA) Robert S. (Bob) Parker - Reynolds Award, NCPHA .... Bobby Waters - James M. McDiarmid Award HIV/STD Control Section, NCPHA - ,..---- Susan Weaver - Socia/ Work Outstanding Achievement Award, Social Work Section, NCPHA -- Health DeDarbnent Awards North Carolina Public Health Month Certificate of Achievement, Public Health Month Committee Baby Bootie Award, North Carolina/South Carolina Perinatal Association On behalf of the Board of Health, Dr Jackson complimented Mr Parker, recipient of the Reynolds Award, and health department staff for their receipt of the achievement awards. Department Focal: Aerial "Altosid" - 30 Dav MOSQuito Control ~ Mr Ken Sholar, Manager, Vector Control, presented the department focal on Aerial "Altosid" - 30 Day Mosquito Control. His slide presentation focused on Eagles Island mosquito breeding, larvaciding, and control. Aerial Altosid spraying via helicopter is a one year Pilot Project which has been successful in controlling the breeding of mosquitoes. -- ReQuest for MOSQuito SDravinQ in Columbus County Mr Parker informed the Board he has received a request via the Department of Environment, Health and Natural Resources for NHCHD Vector Control to spray for mosquitoes in Columbus County Columbus County does not have a Mosquito Control Program. A case of Encephalitis has been diagnosed in Columbus County Projected reimbursement to NHCHD for expenses for proposed mosquito spraying in Columbus County was $582.39 MOTION: Mr Coble moved and Dr Goins seconded to allow the NHCHD Vector Control Program to spray for mosquitoes in Columbus County with reimbursement of expenses to New Hanover County Vector Control Program. Upon vote, the MOTION CARRIED UNANIMOUSLY Committee Reports: Executive ~ . Dr Jackson, Chairman, Executive Committee, reported that the Executive Committee met at 6.15 p.m. on Monday, September 9, 1996. Items discussed have been placed on the Board of Health Agenda. -- ,V '/ ~) Environmental Health .-.- Mr John Coble, Chairman, Environmental Health Committee, reported that the Environmental Health Committee met at 6'15 p.m. on Monday, October 7, 1996 ....... Hanbv and Wilminaton Beach Water Samples Mr Coble informed the Board that water samples were recently collected by the Environmental Health staff in Hanby and Wilmington Beaches. The Laboratory's analysis of these water samples showed coliform contamination. A discussion followed regarding the health effects of failing and inadequate septic tank systems on Wilmington and Hanby beaches in New Hanover County Mr Coble recommended from the Environmental Health Committee to schedule a meeting with the Mayors of Carolina Beach and Kure Beach, Dr Jackson, Mr Parker, and Mrs. Dianne Harvell, Environmental Health Director, to address the public health impact of the failing septic systems and water sample results. MOTION: Mr Coble moved from the Environmental Health Committee for the Board of Health to approve the arrangement of a meeting with the Mayors of Carolina Beach and Kure Beach, Chairman of the Board of Health, Health Director, and Environmental Health Director to discuss the health effects of the failing septic systems and contaminated water ~ sample results of the ocean outfall pipe at Hanby Beach and to seek a resolution. Upon vote, the MOTION CARRIED UNANIMOUSLY ....... New Hanover County and Wilmington Wastewater Svstems Operation Mr Coble informed the Board fOllowing Hurricane Fran that numerous failures of wastewater systems in New Hanover County and in the City of Wilmington were not reported to NHCHD Mr Parker reported that due to wastewater systems failures, sewage was spilling into surface waters, and presented a public health concern and problem. Concerns were expressed that reports of wastewater system failures are not being promptly reported to the health department by the City of Wilmington and New Hanover County The city agreed to notify the health department of sewage spills in New Hanover County The city and county are responsible for notifying appropriate health department personnel when a spill occurs. MOTION: Mr Coble moved from the Environmental Health Committee for the Board of Health to request reports of all wastewater system failures within New Hanover County for the past five years from the City of Wilmington, New Hanover County Engineering, and the Department of Environmental Management. Upon vote, the MOTION CARRIED UNANIMOUSLY .-.- - r ' Vision Software. Inc. Certificate of OccuDancv and No Sewaae Treatment Permit - Mr Coble reported to the Board that the Environmental Health Division after notification by the Castle Hayne Community Steering Committee learned that Vision Software, Inc., received a Certificate of Occupancy without an approved sewer system. MOTION: Mr Coble moved from the Environmental Health Committee for the Board of Health to send a letter to New Hanover County Building Inspections and New Hanover County Engineering requesting explanation of how a Certificate of Occupancy for Vision Software, Inc., was granted by New Hanover County Inspections and New Hanover County Engineering when sewer is not operational; and how the situation will be resolved. Upon vote, the MOTION DID NOT CARRY (Note: Motion failed because response had already been received.) Memos Reaardina Sewer Service to Vision Software. Inc. ~, On October 9, 1996, the Board received memos addressing the sewer service to Vision Software, Inc., from Wyatt Blanchard, County Engineer Mr Coble explained that it states the county entered into an agreement through the state to help provide for the location of Vision Software, Inc., as an individual expansion project. The county's agreement was to provide sewage treatment. However, Vision Software, Inc., was issued a Certificate of Occupancy with the intention of allowing initial low amounts of wastewater to collect in a manhole and be pumped and hauled until an adequate sewage treatment system was functioning. A pump and haul permit was not secured from the state as required. No untreated wastewater was discharged from Vision Software, Inc. ....... MOTION: Mr Coble moved and Dr Goins seconded for the Board of Health not to accept the written response as justification for the Certificate of Occupancy for Vision Software, Inc., issued by County Engineering. Upon vote, the MOTION CARRIED UNANIMOUSLY City of Wilminaton and New Hanover County Wastewater Svstem Failures Mr Coble again reiterated his concern regarding the wastewater system failures which result in sewage flowing into the surface waters in the City of Wilmington and New Hanover County These failures occur frequently and create a real public health concern. Mr Greer pointed out sewage problems are county-wide. He reported that the problem around Bradley Creek should be relieved when the Northside Treatment Plant is enlarged and sewage will be rerouted. There is a need to establish a City/County Water Authority to oversee the water/sewer operation. ----, Dr Clancy suggested that the city and county meet to discuss the wastewater sewer systems. Mr Coble expressed concern over the lack of accountability concerning sewage spills in the area. He stated he supports a plan to consolidate the City/County Sewer Systems. Mrs. Dean and Mr Coble suggested that the Board of Health pass a resolution - ~ , > supporting unification of the city and county water and sewer services. ~ MOTION: Mr Coble moved and Mrs. Dean seconded for the Board of Health to adopt a resolution to request that the City of Wilmington expediently join with New Hanover County to unite all City and County water and sewer services and to present the resolution to the City Council prior to their meeting on Tuesday, October 15, 1996. Upon vote, the MOTION CARRIED UNANIMOUSLY (Attachment #1 - Copy of Resolution: United City and County Water and Sewer Services is incorporated and made a part of these minutes.) - Health Promotions Mrs. Mary Lou Alford, Chairman, Health Promotions Committee, reported that the Health Promotions Committee met on Tuesday, August 20, 1996. Childhood injury prevention projects were discussed which include Safe Kids, Learn Not to Bum, and Buckle Up Kids. The Health Promotions Committee is to gather more information and statistics on these injury projects to support the need for additional injury prevention resources. Dr Clancy suggested for a department focal to be planned concerning the injury prevention projects. He stated injury is a significant public health problem and media coverage for these Health Promotions projects could disseminate the facts to the community He stressed the need for an additional Health Educator in the Health Promotions Division. .... Dr Jackson requested that the Health Promotions Committee study the above projects _ further and report back to the Board their findings including statistics. Recognition: Dr Jackson welcomed to the Board of Health meeting Mrs. Ann Allen, Professor, and two Community Health Nursing Classes, University of North Carolina at Wilmington. Unfinished Business: Field TriD to NorthChase Sewaae Treatment Plant Mr John Coble reported Mr Wyatt Blanchard, County Engineer, arranged a tour of the NorthChase Sewage Treatment Plant for the NHCBH. The tour of the operation of the treatment plant was informative and gave those attending a better understanding of the facility New Business: ~ - r"-)t r " Invitation to Join New Hanover County PartnershiD for Children Board of Directors - Dr Jackson referred from Executive Committee an invitation for Mr Parker to accept membership on the New Hanover County Partnership for Children Board of Directors. MOTION: Mr Coble moved and Dr Clancy seconded to allow Mr Parker in his capacity as Health Director and other Health Department personnel to participate on the New Hanover County Partnership for Children Board of Directors provided there is no expense to the health department. Upon vote, the MOTION CARRIED UNANIMOUSLY North Carolina Nurses Association Emeraencv Reference ReDort Mrs. Mary Lou Alford gave a summary of the North Carolina Nurses Association (NCNA) Emergency Reference Report which was passed by the NCNA House of Delegates at the NCNA Convention on October 20, 1995 She presented recommendations to the Board that should be a part of new alliances in the delivery of Public Health Nursing Services. She presented facts which pertain to the changes in the fields of Public Health, health and nursing professions. Mrs. Alford stressed the importance of awareness of the differences in the structure of Public Health and Public Health Nursing to the Board. r Animal Control Issues _ Dr Jackson reported the NHCBH Executive Committee met and approved the following recommendations including additions and/or revisions to New Hanover County Code, Chapter 3 (Animals and Fowl) and recommended the adoption of two new fees associated with Dangerous Dog Appeals and CatslDogs Breeders Permit. He explained that after reviewing the budget, these modifications are needed to reduce current medical costs, to increase pet owners' responsibility, and to produce revenues to cover expenditures. The Animal Control Advisory Committee has approved these recommendations. MOTION: Dr Jackson moved from the Executive Committee for the Board of Health to recommend to the County Commissioners the revision to the New Hanover County Code, Chapter 3, (Animals and Fowl) Section 3-17, to reduce the holding period of strays from five (5) business days to three (3) business days as required by North Carolina State Law Upon vote, the MOTION CARRIED UNANIMOUSLY - . MOTION: Dr Jackson moved from the Executive Committee for the Board of Health to recommend to the County Commissioners the revision to the New Hanover County Code, Chapter 3, (Animals and Fowl) Section 3-27, to require dog owners to pay an "appellant fee" if they decide to appeal a dangerous/potentially dangerous dog ruling. Upon vote, the MOTION CARRIED UNANIMOUSLY -- o~. . /, ~L _1'- MOTION: Dr Jackson moved from the Executive Committee for the Board of Health to recommend to the County Commissioners the addition to the New Hanover County Code, Chapter 3, (Animals and Fowl), to add a new requirement for pet owners to secure a "breeding permit" from Animal Control Services. Said "breeding permit" must be obtained no later than three business days following the birth of the litter The fee for the permit shall be established by the Board of Health. This article does not impose any restrictions upon what animal is bred or the frequency of such breeding. Upon vote, the MOTION CARRIED UNANIMOUSLY ~ - Dr Jackson explained that one of the purposes of the above recommendation is to require pet owners to be more responsible for the breeding of their pets. Dr Jackson recommended from the Executive Committee that the following Animal Control Services new fees be established for the above revisions. Dangerous Dogs Fees - Appeals Breeder's Permit Fees - Cats/Dogs $25 00 $1000 MOTION: Dr Jackson moved from the Executive Committee for the Board of Health to recommend to the County Commissioners the establishment of a new Animal Control Services Fee for Dangerous Dogs "Appellant Fee" in the amount of $25 00 to be incorporated in the NHCHD Fee Policy Upon vote, the MOTION CARRIED .... UNANIMOUSLY - MOTION: Dr Jackson moved from the Executive Committee for the Board of Health to recommend to the County Commissioners the establishment of a new Animal Control Services Fee for a "Breeder's Permit" in the amount of $1000 to be incorporated in the NHCHD Fee Policy Upon vote, the MOTION CARRIED UNANIMOUSLY Child Fatalitv Prevention Team Year End Report (1995-96) Mrs. Janet McCumbee, Child Health Director, summarized the Child Fatality Prevention Team Year End Report (1995-96). She reported the New Hanover County Child Fatality Prevention Team (CFPT) completed their first year There were 21 New Hanover County child death reports for 1994-95 Causes of death included SIDS, accidents, perinatal conditions, birth defects and other causes. General recommendations for prevention of child deaths were, bike helmets, baby buckles (seat belts), smoke detectors, more education and communication with DSS, hospital staff, and families. Comments: Board Members: IIIIlIII - , Appreciation to Health Department Staff Dr Goins stated he would like to say thank you to the health department staff for their services during Hurricane Fran. Mr Elmore expressed that he is continually impressed with the health department staff and their services and achievements. He thanked Mr Coble and the Environmental Health Committee for their services. Mr Coble added that the Environmental Health staff has put in yeoman's work during Hurricane Fran and he expressed his appreciation to them for their capabilities and dedication. - Heart Disease and Stroke Prevention Task Force Mr Greer announced he is serving on the Heart Disease and Stroke Prevention Task Force which was established by the North Carolina General Assembly He noted this area of the nation is an high incidence area for both Heart Disease and Strokes. The Task Force will focus on lifestyles and diet for prevention. This is a Public Health issue which may involve the Board of Health in the future. Letter of Appreciation to Staff Dr Jackson asked Mr Elmore to assist Mr Parker in the preparation of an appreciation letter to health department staff for their assistance and support during the hurricane. Mr Elmore agreed to assist with this letter Association of North Carolina Boards of Health (ANCBH) - Mr Coble issued an invitation to the Board to the ANCBH Board of Directors Retreat on Friday and Saturday, November 8 - 9, at the Blockade Runner Beach Resort, Wrightsville Beach, North Carolina. A reception will be hosted by Mr Coble at 6.30 p.m. on Friday night at Trail's End Steakhouse Restaurant and will be followed by a Dutch dinner The Board meeting will be held at 10'00 a.m. on Saturday at the Blockade Runner Resort. Health Director: Community Health Improvement Proaram (CHIP) Mr Parker advised the Board of the Community Health Improvement Program (CHIP), a well ness-centered outreach program developed by New Hanover Regional Medical Center (NHRMC). A grant of $1.3 million is available. Activities will be designed to promote better health. Health concerns identified in the Regional Health Needs Assessment will be targeted. Mr Parker plans to communicate with Mr Hobbs, President, NHRMC, regarding this issue. Letter to Governor Hunt - Mr Parker referred the Board to a letter he wrote to Governor Hunt referencing two Wake Forest students who were killed in an automobile accident. ')0C Inner City Rabies Clinic ... Mr Parker announced a free Inner City Rabies Clinic will be held from 12 Noon until 4:00 p.m. on Saturday, November 2, at Five-Points Community Center, Wilmington, North Carolina. He expressed his appreciation to veterinarians who participate in this free clinic. - Private Wells Water Testing The health department Laboratory has performed bacteriological water testing for private wells. During the first week of water analysis (September 25-28), 182 samples were tested, and there was a 26% positive rate for total Coliform and 4 5% positive rate for Fecal E. Coliform. The Laboratory will discontinue these services effective October 11, 1996, at 5:00 p.m. Public Health and Hurricane Fran - Slide Presentation Mr Parker invited Board members and guests to stay for the Public Health and Hunicane Fran slide presentation immediately following the business meeting of the Board. Other Business: Executive Committee Meetina .... Dr Jackson announced there will be an Executive Committee Meeting atter the slide presentation. - Adjournment: There being no further business, the regular business meeting of the Board of Health was adjourned at 10'00 a.m. The slide presentation ended at 10'17 a.m. ~~L~ New Hanover County Board of Health JLP~ Robert S. (Bob) Parker, Health Director New Hanover County Health Department ... Approved. - ~ <~ ,... .. Attachment #1 - RESOLUTION ofthe New Hanover County Board Of Health Whereas, the discharge of untreated wastewater to the soil or surface waters of New Hanover County is a serious threat to the public health; Whereas, malfunction ofthe systems serving citizens in the unincorporated areas and in the City of Wilmington is a chronic problem; Whereas, more efficient design, operation and maintenance of these systems would be possible under the authority of a single management entity; " NOW, THEREFORE, THE NEW HANOVER COUNTY BOARD OF HEALTH resolves to respectfully request that the City of Wilmington expediently join with New Hanover County to unite all City and County water and sewer services. - Adopted this the 9th day of October, 1996 New Hanover County Board of Health Dr. Dennis L. Jac ATTEST: J~J~ Frances Devane, Secretary to the Board - . -