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..
"