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02/01/1978 00704 MINUTES OF BOARD OF HEALTH - February 1, 1978 Present: Mr. George Chadwick, Chairman, Mr. J. R. Reaves, Dr. James Furr, Dr. Murray Seidel, Dr William Eakins, Mr. Deother Melvin and County Attorney James Fox Absent: Mrs. Roma Lee Hall, Mrs. Vivian Wright, Mr. R. E. Carter Minutes of the January meeting were approved as presented. Primary Care Grant. Dr. Finger outlined plans for requesting a Primary Health Care Grant and asked the board to decide if we should proceed with the request. This grant would support a Family Nurse Practitioner, a Public Health Nurse, a clerk and a part-time Health Educator. Since we already have two FNP's, this grant would be an extension of services already being given by the department. Dr. Finger stated that under the guildelines we would be expected to collect fees for services - fees of course to be set by the Board of Health. He also stated that he had talked with the presi- dent of the Medical Society, who had in turn appointed a Public Health Committee. This committee would review the grant application. The grant would have to be endorsed by the Medical Society. Dr. Finger told the board that this FNP would work here in the Department to begin with. Mr. Melvin asked if there was a possibility that an FNP could be assigned to the North side to town. He stated that the Boys Club will soon begin construction of a new building and that it might be possible to secure space for a clinic in it. Dr. Seidel made a motion, seconded by Mr. Melvin that we apply for this grant in the amount of approximately $50,000. Motion carried. _.~ Dr. Seidel suggested that Dr. Finger get some figures on how many people our FNP's are seeing and also what the hospital is doing in this area and bring back to the next meeting. Glaucoma Screening: Dr. Finger reported that he would like to add Glaucoma Screening as part of our clinic services. He had talked with the opthalmo- logist and they are all in favor of this. Also, the Division of Health Services has agreed to pay for the tuition of one nurse to be trained in this skill. Mr Melvin made a motion, seconded by Dr. Eakins, that we add Glaucoma Screening. Motion carried. Water Supply Ordinance: Mr. Frank Olive, Sanitation Supervisor asked the Board if it was our responsibility as a Board of Health to cause a well head to be insulated to keep it from freezing. Mr. Olive had been approached by three individuals just recently who had moved here from California and did not know they were supposed to insulate the well heads and therefore had frozen pipes. After considerable discussion, Mr. Melvin made a motion that we table the discussion until we have more information - stating that he did not feel there were enough complaints at the present time to warrant changing the ordinance. Motion was seconded by Mr. Reaves and carried. Mr. Reaves suggested it might be a good idea if Mr. Olive wrote up some recom- mendations about care of wells to go in a home owners packet. There being no further business, the meeting was adjourned. ~._,<. Respectfully submitted, 77~~ -V ?~ Approved: March 15, 1978