HomeMy WebLinkAboutBOH minutes 042596S:\MANAGERS WORKING FILES\BOH\MINUTES\1990s Minutes\Minutes 1996\496MIN1.DOC 1
APRIL 25, 1996
MINUTES
ORANGE COUNTY BOARD OF HEALTH
APRIL 25, 1996
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 THURSDAY, APRIL 25, 1996, AT THE
ORANGE COUNTY HEALTH DEPARTMENT, IN HILLSBOROUGH, NORTH CAROLINA.
BOARD OF HEALTH MEMBERS PRESENT: Timothy Ives, PharmD, MPH, Chair; Brenda Crowder-Gaines,
MSA, At Large, Vice Chair; Cleon Currie, BS, At Large; Richard J. Marinshaw, PE, Barry Lynn Adler, OD; Janet
H. Southerland, DDS, MPH; Ronald J. Cammarata, DVM; Barbara Chavious, MPH, At Large; Jonathan E. Klein,
M.D.
BOARD OF HEALTH MEMBERS ABSENT: Alice Gordon, PhD, Commissioner; Beverly Foster, RN, PhD.
STAFF PRESENT: Daniel B. Reimer, MPH, Health Director; John Sauls, BS, Animal Control Director; Eileen
Kugler, RN, MPH, Personal Health Director; Jeanne Price, BS, Administrative Officer; Ann Hill, Administrative
Assistant.
VISITORS PRESENT: Tammy Powell, intern, Orange County Health Department, Senior Health Education
Major at North Carolina Central University; Beatrice Rayner, intern, Durham County Health Department, Senior
Health Education Major at North Carolina Central University.
Prior to the Board meeting, Board members took a tour of the Health Department facilities.
1. CALL TO ORDER AND RECOGNITION OF GUESTS
Dr. Ives, Chair called the meeting to order at 7:30 and asked the Health Director, Mr. Reimer to introduce the
above noted staff and visitors who were present.
2. ADDITIONS OR CHANGES TO THE AGENDA
Add Item 5.1 Board of Health Meeting Schedule. Ms. Crowder-Gaines motioned to accept the agenda as
amended. The motion was seconded by Ms. Chavious and passed unanimously.
3. REVIEW OF THE MINUTES OF MARCH 28, 1996
Item 4.2, fifth sentence, delete the second writing of need by. Item 6, second paragraph, first sentence, delete the
words - being a. Item 6.0, second paragraph, change the word environment to agency. Dr. Klein motioned to
accept the minutes as amended. The motion was seconded by Dr. Cammarata and passed unanimously.
4. RABIES CONTROL REPORT - John Sauls
Mr. Sauls presented current articles and reports regarding rabies in North Carolina. A 1995 Animal Control
Activity Report and an article by Lee Hunter, DVM, MPH, Public Health Veterinarian, titled “Rabies Epidemics in
North Carolina." summarizes the rabies epidemic. These epidemics are part of a larger regional problem affecting
the Southeast, Mid-Atlantic, and Midwest United States. The reasons for the epidemic outbreaks are varied and
complex. The epidemic in the northwestern part of the state affects mainly skunks, while that in the northeastern,
southeastern, and south-central regions of the state affects primarily raccoons. The difference is due to the origins of
the epidemics affecting each area. Rabies statistics for North Carolina and Orange County were reviewed. The
virus exists in all states bordering North Carolina and is in many of the counties adjacent to Orange. There are no
geographical barriers that will preclude the movement of animals into any county.
Mr. Sauls updated the Board on the Orange County Rabies Prevention Program. The programs two major
components are education and vaccination compliance and protection. The main objective of the Educational
component is to increase rabies awareness in the citizens of Orange County. The program has been presented to
fourth, sixth and seventh grade school students in Orange County. Rabies awareness/prevention pamphlets for
students to take home have also been provided. Rabies pamphlets will be put in government offices, recreation
centers, the Health Department, pet stores, kennels and veterinarians’ offices. Newspaper articles and radio stories
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will be featured. Animal Control vehicles will carry ads for rabies vaccinations. The second component of the
Prevention Program consists of vaccination compliance and protection. The objective is to increase the number and
percentage of vaccinated pets through the use of rabies vaccination clinics and compliance enforcement.
5. PRESENTATION OF THE REQUESTED BUDGET SUPPLEMENTS, 1996-97 - Daniel B. Reimer
Mr. Reimer presented the following three supplemental budget proposals and the county cost of each.
Continuation funding for the Community-Based Public Health Initiative $26,818
Administrative Support to the Child Service Coordination Program $15,831
Realignment of vacant FNP I position to Public Health Nurse I/CSC position $ 450
TOTAL $43,099
The supplemental budget proposals have been presented to the Manager’s Budget Office. The Manager could
commit to the third request but a response will be forthcoming on the other two.
Dr. Klein motioned to accept and support the proposed supplemental budget proposals. The motion was
seconded by Ms. Crowder-Gaines and passed unanimously.
5.1 BOARD OF HEALTH MEETING SCHEDULE
The Board of Health Meeting Schedule/Locations was reviewed and revisions made. The meeting schedule was
approved except for July and December. The December meeting will be held at Carr Mill, either in the Health
Department or the Aurora Meeting Room, followed by the Christmas Social. The Health Director will locate
another place for the month of July. The May meeting will be held at the Northern Recreation Center in Cedar
Grove. The Board would like to have direction maps included in the Board packet for future meeting sites.
Barbara Chavious motioned to accept the proposed meeting schedule as amended. The motion was seconded
by Dr. Cammarata and passed unanimously.
6. HEALTH DIRECTOR’S WORK PLAN - Daniel B. Reimer
Ms. Crowder-Gaines and Dr. Southerland explained that the Board had redefined internal and external areas of
the workplan for more clarification of Orange County boundaries. Internal: Orange County community exclusive of
Academic Institutions use as resources (county scope) UNC, UNC Hospitals. External: All non-county resources
and collaborative agencies or organizations, committees and communities that impact on the health environment of
Orange county residents. The Health Director and Board members made revisions, additions, deletions and time
table/completion date changes to the workplan.
Ms. Crowder-Gaines motioned to accept in concept the ten points of the Health Director’s workplan with the
proposed modifications and changes. The motion was seconded by Dr. Adler and passed unanimously.
The Board would like to see updates/revisions to the workplan at the next scheduled meeting.
7. BOARD OF HEALTH GOALS - Dr. Janet Southerland
1. Develop and implement evaluation plan for the Health Director.
2. Establish subcommittees regarding community diagnosis needs.
3. Educate Board members regarding health care changes.
4. Develop goals that relate to the community as well as the Health Department.
5. Cultivate relationship with Association of North Carolina Boards of Health.
6. Continue to develop relationship with county commissioners and county management.
7. Evaluate Board functioning; consider external reviewers to give Board a “report card."
8. Get to know staff, their jobs, and concerns in order to come together around common interests.
9. Create model of how Board meeting will progress through the year.
10. Focus on Board leadership development (including new Board member orientation and preparing
members to fill Board leadership positions).
The Board will address the goals in further detail at the May 23, 1996, Board of Health meeting.
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8. CLOSED SESSION TO CONSIDER A PERSONNEL MATTER in terms of G.S. 143.318.11 (a) (8)
Ms. Chavious made a motion to go into closed session pursuant to G.S. 143.318.11 (a) (8). The motion was
seconded by Dr. Southerland and passed unanimously.
At the conclusion of the closed session, a motion was made by Mr. Currie and seconded by Dr. Cammarata to
close the session. The motion carried unanimously.
10. Adjourn
There being no further business, Mr. Currie moved and Ms. Chavious seconded to adjourn the meeting.
The motion carried unanimously.
Respectfully submitted,
Daniel B. Reimer, MPH
Health Director