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HomeMy WebLinkAboutBOH minutes 092503MINUTES ORANGE COUNTY BOARD OF HEALTH September 25, 2003 Board of Health Minutes Transcription completed by V. Anne Miles 1 September 25, 2003 ORANGE COUNTY HEALTH DEPARTMENT MISSION STATEMENT: To enhance the quality of life, promote the health, and preserve the environment for all people in the Orange County community. THE ORANGE COUNTY BOARD OF HEALTH MET ON September 25, 2003 at the United Church of Chapel Hill, Chapel Hill, North Carolina. BOARD OF HEALTH MEMBERS PRESENT: Alice White, Vice-Chair; Matt Vizithum; Moses Carey, Jr.; Alan Rimer; Christina Harlan; Sharon Van Horn; Lee Werley; Kate Wilder; Tim Carey; Jonathan Klein BOARD OF HEALTH MEMBERS ABSENT: Mel Hurston, Chair, out of town; Jessica Lee, out of town STAFF PRESENT: Rosemary Summers, Health Director; Letitia Burns, Central Administrative Services Division Director; Wayne Sherman, Personal Health Services Division Director; Donna King, Health Promotion and Education Services Division Director; Angela Cooke, Dental Health Services Division Director; Ron Holdway, Environmental Health Services Division Director; John Sauls, Animal Control Services Division Director; Anne Miles, Administrative Assistant; Renee Kemske, Staff Nutritionist GUESTS PRESENT: J. Kenneth Taft, Lori Taft, and Jackie Taft, citizens; James Stanford, Clerk of Court I. Welcome and Introductions Alice White called the meeting to order at 6:10 P.M. and introduced guests. James Stanford, Clerk of Court, administered the Oath of Office to two new Board of Health members, Christina Harlan, who is replacing Martha Stucker in the RN position, and Dr. Timothy Carey, who is replacing Dr. Jonathan Klein in the physician position. Alice White presented a plaque to Jonathan Klein in recognition of his years of service to the Board. II. Approval of September 25, 2003 Agenda The motion to approve the Agenda of September 25, 2003 was made by Lee Werley, seconded by Moses Carey, and carried without dissent. III. Public Comment for Items NOT on Printed Agenda None IV. Action Items on CONSENT Agenda A. Dangerous Dog Appeal: Taft Hearing A dangerous dog order was issued by the Animal Control Director on August 25, 2003 for a tri-colored hound mix owned by Mr. and Mrs. Taft. Mrs. Taft filed an appeal with the Orange County Health Director on August 27, 2003. Mr. Taft addressed the Board regarding this matter and raised concerns over the MINUTES ORANGE COUNTY BOARD OF HEALTH September 25, 2003 Board of Health Minutes Transcription completed by V. Anne Miles 2 September 25, 2003 procedures in place for having a dog declared dangerous that do not allow for extenuating circumstances or exceptions. Motion to accept the committee determination was made by Lee Werley, seconded by Matt Vizithum, and carried without dissent. B. Bottled Water Reimbursement for Quarry Area Residents The No Fault Well Repair Fund (NFWRF) policy was adopted last year by both the Board of Health and County Commissioners. It provides for well replacements and water treatment systems for only those citizens with wells within 3,000 feet of the American Stone Quarry perimeter. Last year the State lowered the level of arsenic in groundwater that necessitates an advisory issuance by the department. The advisory recommends that persons with arsenic in their well water either treat the water or drink bottled water to reduce the amount of arsenic ingested by intake of the water. Several of the homes in the area affected by the NFWRF have arsenic levels that exceed the advisory level. Because of the limited experience to date with treatment systems, staff is not comfortable recommending use of the NFWRF to install them at this time. Several of the residents with elevated arsenic levels have asked that they be reimbursed for buying bottled water to reduce their risk of long-term health effects from drinking water with elevated arsenic levels. The reimbursement would be offered only to those citizens in the prescribed vicinity of the quarry with arsenic levels above advisory limits. A price quote from a bottled water supplier and spreadsheet developed by Alan Rimer of costs for a two-year period were presented to the Board. Motion to approve as part of the overall NFWRF policy the reimbursement of bottled water for residents with elevated arsenic levels for a maximum two-year period, subject to re-evaluation at the end of that time, that otherwise meet the requirements of the adopted policy was made by Alan Rimer, seconded by Sharon Van Horn, and carried without dissent. C. Bodyworks, Weight Management Program for Adolescents & Teens BodyWorks is a 10-week family-based weight management program developed by a group of health professionals to combat the increasing incidence of adolescent obesity. Unlike programs based on diet and exercise, BodyWorks identifies and treats the underlying contributors to obesity and provides families with the skills needed to succeed at long-term weight management. Since BodyWorks is both an educational program and a clinical treatment for adolescent obesity, it is implemented by a mental health clinician and an registered/licensed dietitian. Each adolescent is assessed to identify contributors to obesity and to determine if BodyWorks is an appropriate program. Eight sessions follow on varying topics and include nutrition and exercise components in each session. Body mapping, role-playing and food/activity records are some of the tools used to teach weight management skills. These skills enable the adolescents to make behavior changes that enhance their physical and emotional well- being and help them accept their body size. Options for follow-up include individual MINUTES ORANGE COUNTY BOARD OF HEALTH September 25, 2003 Board of Health Minutes Transcription completed by V. Anne Miles 3 September 25, 2003 counseling, walking/support groups, and circulation of a Body/Works newsletter. In addition, we will be incorporating a six and twelve month follow-up telephone interview to assess effectiveness. The need for a program is based on the rising rates of childhood obesity and specifically based on the requests of local physicians, school nurses, and parents to implement a program in the school setting. The department proposes to pilot BodyWorks in one northern Orange County middle or high school. The fee for the program is $100. Currently there are no programs in place. BodyWorks has been shown to be successful in Wake County Schools and could be an additional strategy to combat childhood obesity in Orange County. Motion to approve the BodyWorks pilot program in one of Orange County School District school and to recommend to the Board of Commissioners the approval of the $100 fee for the series was made by Alan Rimer, seconded by Sharon Van Horn, and carried without dissent. D. Weight Management Program for Orange County Employees: The Healthy Way This program began ten years ago at Rex Wellness Center as a liquid diet program and has evolved to what it is today: a multi-dimensional approach for weight management that is geared to enhancing overall well-being. The program is currently provided at three locations, and the UNC Wellness Center is now piloting the program. The program includes twelve weekly, one-hour group discussion and educational sessions facilitated by a registered dietitian and/or health educator/exercise physiologist. Thirty minutes of exercise facilitated by an exercise physiologist follows the educational sessions each week. Each participant receives one individual consultation with the registered dietitian to determine nutritional goals and program set -up. Pre and Post measures of change include: attitude survey, weight, resting blood pressure, body mass index, resting heart rate, circumference measurements (waist or hips), and aerobic exercise. Group support and interaction for goal setting, creating change, problem solving, overcoming barriers, and recipe exchanges are also an essential component of this program. Rex Wellness Center and UNC are currently charging fees for the program in the amounts of $215 for members and $315 for nonmembers of the wellness centers. Renée Kemske was a dietitian at the UNC Wellness Center prior to being employed full- time for Orange County Health Department and is helping to update the program material. The health department is proposing to pilot a modified weight management program to Orange County employees based on The Healthy Way. The proposed charge for each participant is $175, with the option of paying for the program on a weekly basis ($15). The price is reduced since there is not an exercise physiologist on site. There are currently no weight management programs exclusively for Orange County MINUTES ORANGE COUNTY BOARD OF HEALTH September 25, 2003 Board of Health Minutes Transcription completed by V. Anne Miles 4 September 25, 2003 employees. The proposed program would entail meeting with a registered dietitian as a group and individually, structured physical activity sessions, and detailed behavior change strategies. These components are not offered at other local programs. Since two thirds of Americans are overweight or obese, this is another effort to promote healthy lifestyles within the organization. Motion to approve the implementation of the pilot program “The Healthy Way” for Orange County employees and forward to the Board of Commissioners, the fee request of $175 for the series or $15 per session was made by Kate Wilder, seconded by Moses Carey, and carried without dissent. E. Acceptance of Bioterrorism Funds/Public Health Preparedness Position Bioterrorism Competitive Project Money $ 44,868 All counties in North Carolina were offered a chance to submit proposals in FY 02-03 in response to a Request for Proposal issued by the Division of Public Health, Office of Public Health Preparedness & Response. The money disbursed by the DPH is a Federal allocation to the state, and is again available to the counties for FY 03-04. This spring the money was used to contract two staff persons to begin working on the Volunteer Corps and review and re-write the department’s Bioterrorism Plan. For FY 03-04 the department will use this money to hire one staff person to continue these projects Bioterrorism Lab Improvements $3,000 Funding was approved for each county to upgrade or purchase new computers and printers in their clinic labs to meet minimum standards set by the state lab. The new equipment will enable the counties to access the state lab results on-line, thus reducing the waiting time for clients and practitioners. The department plans to purchase one new computer and two printers. Bioterrorism Communications and Risk Management $305 Funding approved for communications systems, phones, radios and/or a department risk analysis/assessment and associated costs. Bioterrorism Preparedness and Response $3,000 These funds may be used for any of the following: tuition, registration fees, purchase of education or training courses or material, travel and per diem, facilities rental, breaks and meals provided as part of a training, and any other materials necessary to achieve training goals and objectives for this project. Motion to approve Bioterrorism money to be used by the department, and forward recommendation to the Commissioners for approval and amendment to the budget was made by Tim Carey, seconded by Kate Wilder, and carried without dissent. F. Minutes approval of July 24, 2003 meeting. Motion to approve the minutes of July 24, 2003 was made by Lee Werley, seconded by Sharon Van Horn, and carried without dissent. V. Reports and Discussion with Possible Action A. Community Assessment Update MINUTES ORANGE COUNTY BOARD OF HEALTH September 25, 2003 Board of Health Minutes Transcription completed by V. Anne Miles 5 September 25, 2003 The Health Department through its contract agreement process with the state is responsible for conducting a community assessment once every four years. That assessment must meet certain criteria, including widespread community involvement and it must include both secondary and primary data analysis. The Orange County Healthy Carolinians Council has taken on the task of managing the community assessment process this year. Maria Hitt, the coordinator of Healthy Carolinians, has worked very hard to ensure that a broad spectrum of community agencies and residents are involved in this process. More than 35 agencies have participated by joining in the assessment team. Three community forums will be held to further discuss the four or five priorities chosen. This will be the first step in developing action plans towards addressing each priority. The assessment is due to Raleigh on December 1, 2003. A draft will be presented to the Board at the November meeting. Staff is scheduled to present the final report and the beginning action plans to the Healthy Carolinians Council January 22, 2004. It is proposed that the Board of Health join the Healthy Carolinians Council at a dinner meeting where the results would be presented prior to the Board’s regular meeting. The Board delayed discussion until the October meeting due to time constraints. B. Discussion on Animal Services Reports Discussion was delayed until the October meeting so Board members could attend the public hearing on the HSUS report. VI. Adjournment Motion to adjourn the meeting was made by Lee Werley, seconded by Kate Wilder, and carried without dissent. The next Board of Health meeting will be held on October 23, 2003 at the Government Services Center in Hillsborough, North Carolina at 7:00 PM. Respectfully submitted, Rosemary L. Summers, MPH, DrPH Health Director Secretary to the Board