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09/06/1978 - 00722 MINUTES OF BOARD OF HEALTH MEETING - September 6, 1978 _.... Present: All Members of the Board .......- The meeting was opened with a moment of silent meditation and prayer in memory of Mr. George Chadwick who was serving as Chairman of the Board of Health before his death on September 1. Minutes of the August meeting were approved and Mrs. Wright asked that it be recorded that she left the meeting, due to another appointment, during the disucssion on Recommendations for Proposed Certification for Sub-Divi- sion Review. Review of Family Planning Program: Mrs. Beth Day, PHNP with the Family Planning Program gave an informative program on the activities of this program in our department. Committee Report on Sub-division Regulation Plat Plan Certification Statement. Dr. Eakins read the statement as the committee recommendation, "I, hereby, certify that the type of water supply and sewage disposal system installed or proposed in Sub-division are approved by this department. The installation of individual, on-site sewage disposal system proposed for this sub-division mayor may not be approved subject to lot by lot soil evaluation, subject to New Hanover County Health Department Sewage Disposal Regulations. The individual, on-site water supply system proposed for this sub-division must be constructed according to New Hanover County Health Department private water supply ordinances." Date and Signature. ~~ Mrs. Wright made the motion that the Board accept the report and recommenda- tion of the subcommittee and make recommendation to the Planning Commission that they adopt it. Motion was seconded and carried. Dr. Eakins also read a letter to Mr. Dan Eller from R. M. Williams, Jr., regarding Dr. Eakin's letter of August 10, 1978. (Copy of letter attached to minutes) Mr. Melvin made a motion that this report be submitted to the County Commissioners for information. Motion was seconded and carried. The new Statement for Plat Plans will have to go to the Planning Commission and to the County Commissioners for approval before it can be changed. There- fore, Mrs. Wright made the motion that authority be given to the Department to sign plans until this is worked out, with details to be worked out and clarified by the County Attorney. Motion was seconded and carried. A general discussion of drainage in sub-divisions and easement right-of-ways was interwoven into the above with conclusion that the question of fixing right-of-ways and easements so that drainage ditches would be maintained rests with the Planning Commission. Several people from the Marquis Hills Sub-division contributed to this discussion. .. Question was raised by Attorney John C. Collins, who attended in place of Algenon Butler, if the plans signed during the past month are legal or if they should be recalled. Mr. Joe Taylor, Attorney substituting for Mr. James Fox, County Attorney, said this would be discussed in executive session. .....~ 00723 Lower Cape Fear Soil and Water Conservation District: Representative of this group, Elizabeth Bland and Howard Loughlin had asked for time on the agenda. Mrs. Bland stated that for the past six or seven months the expertise of this group had not been used by either the Planning Board or Health Department as much as in the past. She stated they have a Civil Engineer available - his headquarters are in Goldsboro - also they have a GS-9 Soil Scientist on their staff now here in Wilmington. with Family Planning Grant for work"'Teenagers thru Region "0": This grant was tabled for further study. ~ - Cancer Budget: This discussion was deferred until October meeting. Dr. Furr was elected as Chairman of the Board and Dr. Eakins as Vice Chairman. This was due to the death of the Chairman, George Chadwick. Motion was made by Mrs. Hall, seconded by Mr. Melvin that the Board go into Executive Session and asked that no minutes be made of this session. After the Executive Session, Attorney Taylor made a statement that the Board did not make any action due to the illness and absence of Dr. Finger. That sometime before the October meeting the Board would meet with Dr. Finger in executive session and on legal advice decide if the plans that were signed were legal or not. There being no further business the meeting was adjourned. -. Approved: September 20, 1978 Respectfully submitted, - /11~ 1 . :1c3 t/Z~ ~ - 00721 MINUTES OF BOARD OF HEALTH - SPECIAL MEETING - September 20, 1978 Present Dr. James Furr, Chairman, Dr. J. William Eakins, Mr. R. E. Carter, Mr. Deother Melvin, Mr. J. R. Reaves, Mrs. Vivian Wright, Mrs. Roma Lee Hall -...,.,; Absent: Dr. Murray Seidel Minutes of the September 6 meeting were approved as presented. Dr. Eakins asked that a summary of the program reviews given at each meeting be typed up and given to the board members after being presented. Family Planning Grant. The grant application for improving services to teen- agers in New Hanover County was discussed at length. Some exceptions were taken to statistical numbers shown and on page 3 the entire paragraph 2 was deleted. It was also pointed out that much of the application was based on assumption rather than fact. Mrs. Wright cited especially the part on page 2 concerning gonorrhea. -- Several questions were raised by the Board' Does the grant have to be funded through Family Resources? If we accept the grant can we increase services to the citizens of the County? Mr. Reaves made a motion, seconded by Mrs. Hall, that this grant be tabled until the next meeting and that plans be submitted on just what the money will be used for in so far as increasing services. Motion carried. It was suggested that statistics be given on present program as to number of pregnancies and abortions among our clinic patients in family planning, along with any other statistics that might help. It was suggested also, that Meredith Cosby of Family Resources be present for the meeting if possible. Mr. Melvin asked if more clinics could be established in outlying areas in the County. Dr. Finger stated that because of equipment needed for these clinics this is almost impossible. Cancer Grant: After a discussion of why the Cancer Screening Clinic was moved to the Health Department from New Hanover Memorial Hospital (because it is a Department of Human Resources Program and in all counties except New Hanover it was based in the Health Department - decision was made at the State level to remove the program from the hospital) motion was made by Mr. Melvin, that we accept the grant monies in the amount of $7,614. Motion was seconded and carried. Mrs. Wright asked if the money would be used to support an existing position instead of hiring new personnel. Dr. Finger said he felt this could be done. Mention was made that we are presently mailing the pap smear cultures taken in the hospital's maternity clinic to the State Laboratory. Our nursing department helps staff this clinic and bring the smears here to be mailed. The State will not accept them directly from the hospital and many of the patients are indigent and cannot pay for them. Question was raised as to whether or not we should give the hospital this service. Dr. Furr asked that Dr. Finger get a letter from the hospital stating that they in fact are not billing for these tests. _.. WIC: The Board was asked to reconsider income criteria for this program since it is very slow getting off the ground. Mrs. Wright made a motion that the criteria be left as it is. Mr. Melvin amended the motion to state that within a specified time limit, after all avenues have been explored to reach people 00725 within this income level, that we review this again. Mr. Reaves suggested a 90 day time limit. Motion was seconded and carried ~ Personnel Matters: Mrs. Wright made a motion that the Board go into executive session to discuss personnel matters. Motion was seconded and carried. No minutes were made of the executive session. - After the executive session, motion was made by Mr. Carter and seconded by Mrs. Wright that upon reviewing statements of counsel and Dr. Finger the Board finds that the signing of the three subdivision plats during the month of August were proper in that the Health Department was certifying only to the system to be used in the subdivision and not whether that system would function properly on each individual lot. Stoneybrook had been re-certified by the Health Department during the month of September under the new Board of Health standards adopted September 6, 1978, and the other two subdivision criteria for certification as specified by the Board at its August meeting. The Board further acknowledges Dr. Finger's apology to the Board for signing the plats without consultation with the Board but that such certificates were proper and met the standards of the Board as expressed in its August meeting. Motion carried Also, motion was made by Mr. Melvin, seconded by Mr. Carter, that the following statement be approved to be attached to any El~~_pl~n signed after September 6, 1978, pursuant to the standards set out for signing at the September 6, 1978, meeting and that said statement be attached to all subdivision certified during the month of August, 1978. Motion carried. IIIIIl "Pursuant to Sec. 4.4(10) (b) of the Subdivision Regulations of the County of New Hanover, North Carolina, the following statement shall be attached to all subdivision plats certified by the New Hanover County Health Department until further notice. - The certification affixed to the plat of Subdivision dated and executed by on behalf of the New Hanover County Health Department is a certification that septic tanks are an approved method of sewerage disposal in New Hanover County subdivisions The installation of individual, on-site, sewerage disposal systems proposed for this subdivision mayor may not be approved subject to lot by lot soil evalua- tion, subject to New Hanover County Health Department Sewerage Disposal Regula- tions. The individual on-site water supply system proposed for this subdivision must be constructed according to New Hanover County Health Department private water supply ordinances." Mrs. Wright made a motion, seconded by Mr. Carter that the Board approve Dr. Finger's request to combine two part-time positions formerly filled by Mrs. Betty West and Miss Nancy Gilliland into one full-time position for PHN Supervisor II. Motion carried. Replacement for Mr. Chadwick will be discussed at the next meeting and recom- mendations forwarded to the County Commissioners. There being no further business, the meeting was adjourned ~ Approved October 4, 1978 Respectfully submitted, - ~<-~ 0 '1 {. L '-LJ2.. "