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BOH agenda 052219
ORANGE COUNTY BOARD OF HEALTH MEETING AGENDA DATE: May 22, 2019 TIME: 7:00 P.M. PLACE: Whitted Human Services Center 300 West Tryon Street Hillsborough, NC 27278 TIME ITEM 7:00 p.m. I. Welcome New Employees 7:00 – 7:05 II. Public Comment for Items NOT on Printed Agenda public Comment for Items ON Printed Agenda will be handled during that agenda item (Please sign up for both on sheet near the entrance to room.) Please limit your comments to 3 minutes. 7:05 – 7:10 III. Approval of May 22, 2019 Agenda 7:10 – 7:15 IV. Actions Items (Consent) A. Minutes of March 27, 2019 Timothy Smith B. Minutes of April 24, 2019 Timothy Smith 7:15 – 8:20 V. Educational Sessions A. CATCH Year One Report Richard Lewis (20 minutes) (relative to BOH Strategic Plan Priority: Physical Activity and Nutrition) B. Chapel Hill Carrboro City Schools Equity Update Lee Williams (15 minutes) (relative to BOH Strategic Plan Priority: Social Determinants of Health) C. Child Fatality Task Force Report Pamela McCall (15 minutes) (relative to BOH Strategic Plan Priority: Social Determinants of Health) D. Tobacco Update April Richard (15 minutes) (relative to BOH Strategic Plan Priority: Substance Abuse & Mental Health) 8:20 – 8:35 VI. Action Items (Non Consent) A. Board Reappointments Timothy Smith B. Fluoride Update Liska Lackey 8:35 – 8:45 VII. Reports and Discussion with Possible Action A. Health Director Report Quintana Stewart B. Media Items Kristin Prelipp 8:45 – 8:50 VIII. Board Comments 8:50 IV. Adjournment BOARD MEMBERS: To ensure a quorum, SEND E-MAIL to lstrange@orangecountync.gov advising her of your attendance at this meeting OR CALL 919-245-2411. Compliance with the “Americans with Disabilities Act” and Title VI - Interpreter services and/or special sound equipment are available on request. Call the Immigrant and Refugee Health Program Manager at 919.245.2387 to request an interpreter or other accommodation. Conforme a la “Ley sobre Estadounidenses con Discapacidades” (ADA) y el Título VI – los servicios de intérprete y/o equipo de sonido especial están disponibles a solicitud. Llame a la Administradora del Programa de Salud para Inmigrantes y Refugiados al 919-245-2387 para solicitar un intérprete u otros arreglos o adaptaciones. MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH April 24, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ April Page 1 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 April 24, 2019 at the Southern Human Services Center, 2501 Homestead Road, Chapel Hill, NC. BOARD OF HEALTH MEMBERS PRESENT: Timothy Smith – Chair, Bruce Baldwin, Keith Bagby, Susan Elmore and Sam Lasris. BOARD OF HEALTH MEMBERS ABSENT: Barbara Chavious, Paul Chelminski, Jessica Frega, Jennifer Deyo, Liska Lackey and Commissioner Earl McKee. STAFF PRESENT: Quintana Stewart, Health Director; Shannon Barnes, Social Work Supervisor III; Rebecca Crawford, Financial and Administrative Services Director; Victoria Hudson, Environmental Health Director; Donna King, Health Promotion and Education Services Director; Kristin Prelipp, Communications Manager; Beverly Scurry, BOH Strategic Plan Manager; and La Toya Strange, Administrative Support I. GUESTS PRESENT: Erin Cane. I. Welcome New Employees Timothy Smith, Chair, called the meeting to order. There were no new employees present. II. Public Comment for Items NOT on Printed Agenda: None. III. Approval of the April 24, 2019 Agenda There weren’t enough BOH members present for a quorum; no vote on this item. IV. Action Items (Consent) A. Minutes of March 24, 2019 Meeting There weren’t enough BOH members present for a quorum; no vote on this item. This item will be voted on at the May meeting. V. Educational Sessions A. Drug Free Youth Gayane Chambless, Program Director, Orange Partnership for Alcohol and Drug Free Youth, and Paige Schildkamp, Program Assistant - Youth and Communications, gave a presentation on ADAPT and an overview of marijuana. Many handouts were distributed as well as paraphernalia related to THC and marijuana. Below are a few highlights of their presentation. MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH April 24, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ April Page 2 • Alcohol and Drug Abuse Prevention Team (ADAPT) ADAPT is made up of high school students; 7 from Cedar Ridge and 5 from Orange High. They help educate their peers about the downside of using drugs and alcohol in hopes to reduce underage drinking and drug use. • Marijuana Most commonly used illicit drug in the US. Slang used to describe it include weed, pot, grass, gas, loud, ganja, mary jane and joint. Over 500 different compounds in the plant. Tetrahydrocannabinol (THC) is found in cannabis plants and is known for causing the “high”. Cannabidiol (CBD) is found in both cannabis and industrial hemp plants. It is grown for fiber and seeds and only has traces of THC. Hemp has a lower THC and is used to make auto parts, clothing, soap, etc. Marijuana is a mixture of dried leaves, flowers, stems and seeds from the cannabis sativa or cannabis indica plants. Mind-altering chemicals/properties are produced by the leaves and buds, primarily in the female cannabis plant. o Cannabis sativa plants – lower CBD and higher THC; creative high Cannabis indica plants – have higher CBD and lower THC counts; mellow high Vaping, Smoking and Edibles o The primary differences between smoking marijuana and eating an edible are in the magnitude of the effects, the time lapse before the effects are realized, and the longevity of the effects. o After eating an edible containing marijuana, THC is absorbed into the bloodstream through the stomach and then the liver. Since this absorption process is much slower than in the lungs, the effects felt through an edible will be less potent, but could last much longer – sometimes between 4 to 6 hours. Also important to note, the liver can change THC into a stronger strain, usually resulting in a greater sedative effect. o Smoking marijuana can lead to health complications just as smoking tobacco can. Health risks can include emphysema, bronchitis, and bronchial asthma. Addictive/Precaution o DSM V has added it as an addictive disorder. 30% of all users show marijuana use disorders. Marijuana is ranked only behind alcohol in the number of Americans meeting clinical criteria for drug dependence or abuse in the past year. About 1 in 6 people who start using marijuana as teens and 25-50% of those who use it every day become addicted. o Negative effects include: THC – Psychoactive/mind-altering; long term health risks include lungs, heart, psych reactions and addiction CBD – Not psychoactive; less known long term risks o You never know what’s in your marijuana as it could be up to 80% THC or be laced with things like mold, glass shards, cocaine, or fentanyl. Legalization o Medical /Recreational THC - used to combat side effects of chemo, muscle spasticity related to Multiple Sclerosis (MS), chronic pain, and wasting disease. CBD - used to combat stress/depression/anxiety, MS, schizophrenia, migraines, epilepsy, arthritis, some cancer and chemo side effects. o Decriminalization Laws have been enacted to stop jailing for those possessing less than 0.5 ounces. Possession of less than 0.5 ounces is a misdemeanor. MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH April 24, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ April Page 3 Decrease in arrests for cannabis related crimes (CO, OR, WA, DC); Decrease in violent crimes and a reduction of violent crime in states that border Mexico After legalization, some common changes include increase in ED visits for marijuana –related reasons, increase in youth use and increase in state revenue (taxes). In NC, SB58 (bill to revise marijuana laws) and HB 401 (Medical Cannabis Act) have been introduced. The BOH had questions that were addressed by Ms. Chambless and Ms. Schildkamp. B. Family Home Visiting Update Shannon Barnes, Social Work Supervisor, Family Home Visiting (FHV) Services, gave the Board a brief orientation of the Family Home Visiting Services section. Below are highlights. • Programs include: Pregnancy Care Management (PCM) o Nurses, social workers, and UNC providers working together to improve the quality of maternity care, improving birth outcomes and providing continuity of care for the pregnany Medicaid population. Case managers work with the client from time of referral to 2 months postpartum. Orange County served 240 at risk pregnant women last year. o Most complex patients are those dealing with homelessness and substance abuse. The social needs are dealt with as well as the medical. FHV also works with UNC Horizon regarding substance abuse needs. Care Coordination for Children (CC4C) o Consists of social workers and nurses that set interventions/activities for the health care & preventive service needs from birth to 5 years of age and works closely with DSS and foster children. Children who are served by CC4C care management have consistently higher rates of obtaining necessary annual dental visits and children in fostercare have consistently higher rates of well care visits before age 15 months than those children not served by CC4C care management. o Services consist of home visits, education, advocacy, linkage to community resources and services, developmental screenings, and collaboration with medical providers and DSS. Behavior Health Services o Behavioral health clinicians provide short-term counseling to OCHD clients experiencing mental health/substance abuse problems or other life stressors. There were 417 clients served last year in which 68% had experienced trauma. o Health and Behavioral Intervention Program offers confidential counseling for Medicaid eligible pregnant women with serious psych-social issues. o Triple P (Positive Parenting Program) is a parenting and family support system aimed at preventing and treating behavioral and emotional problems in children and teenagers. Newborn-Postpartum Home Visiting (NBPP HV) o Nurses conduct newborn and maternal postpartum assessments in the home, which include physical, behavioral, and environmental health assessments, and make referrals to partnering community organizations. MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH April 24, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ April Page 4 o There were 221 mom/baby pairs (total of 442 clients) seen in FY 17-18 consisting of medicaid eligible babies and uninsured mothers. Breastfeeding Support Services o Most referrals are received from UNC. Home visits occur in which education and support are provided to mothers interested in and/or need help with breastfeeding. Sudden Infant Death Syndrome (SIDS) Counseling o Grief counseling for families affected by the death of an infant from SIDS. FHV has 3 SIDS counselors on staff. The BOH members had questions that were addressed by Ms. Barnes. C. 3rd Quarter Financial & Billing Dashboard Reports Rebecca Crawford, Financial & Administrative Services Director, gave a report on the 3rd quarter revenue and billing accuracy. The report is as follows: • Total Health Department Revenue: Average YTD monthly revenue in FY19 at the third quarter is $223k/month or $2.0m YTD, representing 54.6% of our overall budgeted revenue for the year. Multiple factors contribute to the lower than normal revenue: Electronic Medical Record (EMR) change to Epic, and departmental closures due to weather related events and computer network outages negatively impacting all divisions. Allocations of Medicaid Max funds will not be transferred into our budget until the end of the fiscal year. Expenses are higher than revenues at 66.5% of the overall budget but are lower than budgeted in an effort to match our reduced revenue intake. • Total Billing Accuracy: Billing Accuracy is under construction due to the change in medical EMR. The Informatics team and UNC Epic reporting staff are working diligently to have this measure for both medical and dental back by the fourth quarter financial report. • Dental Earned Revenue by Source: The FY 18-19 average monthly dental revenue ($43.6k/month) for the third quarter is slightly below our budget projection ($45k/month) but higher than our FY 17-18 average of $42.6k/month. FY 18-19 dental earned revenue totaled $393k at the end of the third quarter. • Medical Earned Revenue by Source: Medical earned revenue is currently below the budgeted projection for FY 18-19 ($55.6k/month) at $35.5k/month (although higher than the first quarter average of $16.3k/month and second quarter average of $22k/month). We continue to recover from factors in the first and second quarter which contributed to lower revenue but are steadily seeing an increase as our Epic EMR allows us to capture more and more of our earned revenue that was delayed. Medical clinic earned revenue totals $320k for third quarter FY 18-19. • Environmental Health Earned Revenue by Source: Environmental Health earned revenue is currently below the budgeted projection for FY 18-19 ($53k/month) at $44.9k/month) although this is a seasonal trend and has also been affected by office closings and wet weather, which resulted in an inability to perform as many onsite well and septic inspections. We typically see an increase in revenue during the spring with MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH April 24, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ April Page 5 public pool and septic inspections and the division has implemented a strategy to quickly decrease the number of pending weather-delayed inspections. Environmental Health earned revenue totals $404k for third quarter FY 18-19. • Grants Fund Revenue: FSA has drawn $100k of the multi-year Kenan grant. We will receive the second allocation of $100k after third quarter FY 18-19. Expenditures continue to increase as the Social Work Supervisor II implements her program strategies. The BOH members had questions that were addressed by Ms. Crawford. D. Advisory Board Report Beverly Scurry, Board of Health Strategic Plan Manager, gave a brief summary of the Orange County advisory boards’ activities as they pertained to the BOH’s strategic plan priorities. Below are the boards that she highlighted. • Orange County Schools o The Food and Nutrition Program was recognized for being in the top 2 out 3 in the state for measures for participation rates, reporting, and needs filled of students who are hungry. • Carrboro Board of Alderman o The Board approved the town joining the Government Alliance on Race and Equity (GARE). o The Board passed a Resolution to enter into a Memorandum of Understanding (MOU) with Orange County, Chapel Hill and Hillsborough for shared support of the Orange County Food Council. Ms. Scurry also mentioned that many boards are participating in racial equity work in Orange County. The BOH members had questions that were addressed by Ms. Scurry. VI. Action Items A. Board Recommendations Timothy Smith, Chair, read the reappointment recommendations and solicited recommendations for Paul Chelminski’s position. Due to the absence of a quorum, this vote will take place at the May BOH meeting. B. Physical Activity and Nutrition Grant Award The Physical Activity and Nutrition subcommittee met prior to the BOH meeting to review applications for community support grant funds of up to $1,000 to be awarded for projects that address physical activity and nutrition. There were three applicants: Phoenix Academy School, Frank Porter Graham Elementary School, and the Orange County School system. At first, the subcommittee chose to split awarded funds between Phoenix Academy and Frank Porter Graham Schools but discovered that they had enough funds to award both of them $1,000 each. MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH April 24, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ April Page 6 VI. Reports and Discussion with Possible Action A. Health Director Report In addition to her report, Ms. Stewart gave some brief highlights. She thanked Timothy Smith, Chair, for assisting with presenting the BOH Work Plan, which highlighted work with Adverse Childhood Experiences (ACEs) and continued efforts to practice trauma-informed care, before the BOCC. Ms. Stewart informed the Board that she, along with Beverly Scurry, Susan Clifford, Human Rights & Relations Director, Annette Moore, and DSS Director, Nancy Coston, attended the National GARE conference in Albuquerque, New Mexico. She stated that it was intense, sun up to sun down, but great to be amongst other government agencies that were also excited for racial equity work. Ms. Stewart received an invitation from UNC Gillings School of Public Health to serve on the Practice Advisory Committee whose mission is to discuss best practices in regards to the public health profession. It’s a 2 year committee comprised of about 15-20 people that requires attending two meetings each year, one in the spring and one in the fall. The Community Health Assessment (CHA) is still on target; although, the date was delayed to allow for additional volunteer recruitment. The first date for conducting door-to-door surveys will be May 18th. An invitation to the BOH members was extended. The NC Association of Local Health Directors hired a healthcare attorney to assist with the review of Medicaid Transformation PHPs contracts. They provided details including what to look for and specific language that should be included in PHP contracts to reflect the speciality work done by local health departments. Ms. Stewart stated that she is also working closely with county attorney, Anne Marie Tosco. B. Media Items Kristin Prelipp, Communications Manager, briefly mentioned articles regarding the Annual County Health Rankings and computer virus which were included in the Media Items packet. Media items were in the packet which focused on Orange County’s events and our involvement in various efforts. VII. Board Comments BOH Chair, Timothy Smith, asked how the Health Department was fairing after the virus. Ms. Stewart commented that operations are mostly back to normal. Ms. Crawford noted that random staff are missing drives, there’s some email glitches and that Information Technology has vastly increased security measures. Mr. Smith mentioned that most of tonight’s BOH member absences were due to illnesses. He also stated that BOH member, Liska Lackey’s mom recently passed away and encouraged those that would like to reach out to her to do so. VIII. Adjournment The meeting ended at 8:37pm. MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH April 24, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ April Page 7 The next Board of Health Meeting will be held May 22, 2019 at the Orange County Health Department, 300 West Tryon Street, Hillsborough, NC at 7:00 p.m. Respectfully submitted, Quintana Stewart, MPA Orange County Health Director Secretary to the Board MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH March 27, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ March Page 1 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 March 27, 2019 at the Orange County Health Department, 300 West Tryon Street, Hillsborough, NC. BOARD OF HEALTH MEMBERS PRESENT: Timothy Smith – Chair, Jessica Frega –Vice- Chair, Bruce Baldwin, Paul Chelminski, Jennifer Deyo, Susan Elmore, Liska Lackey and Sam Lasris. BOARD OF HEALTH MEMBERS ABSENT: Keith Bagby, Barbara Chavious and Commissioner Earl McKee. STAFF PRESENT: Quintana Stewart, Health Director; Coby Jansen Austin, Director of Programs and Policy; Krishnaveni Balakrishnan, Healthy Homes Coordinator; Rebecca Crawford, Financial and Administrative Services Director; Dominika Gazdzinska, Community Outreach Specialist; Victoria Hudson, Environmental Health Director; Pamela McCall, Personal Health Services Director; Ashley Rawlinson; Healthy Carolinians Coordinator; Beverly Scurry, BOH Strategic Plan Manager; and La Toya Strange, Administrative Support I. GUESTS PRESENT: Mike and Kim Tyler, Carolyn Brandt. I. Welcome New Employees Timothy Smith, Chair, called the meeting to order. Ms. Stewart welcomed new employee, Krishnaveni Balakrishnan. II. Public Comment for Items NOT on Printed Agenda: None. III. Approval of the March 27, 2019 Agenda Motion was made by Sam Lasris to approve the agenda, seconded by Susan Elmore and carried without dissent. IV. Action Items (Consent) A. Minutes of February 27, 2019 Meeting Motion was made by Liska Lackey to approve the minutes of February 2019, seconded by Jennifer Deyo and carried without dissent. V. Educational Sessions A. Cardinal Annual Update MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH March 27, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ March Page 2 Ric Bruton, Senior Community Executive, Cardinal Innovations, presented on how county funds are used to support Cardinal Innovations programming in Orange County (OC). Below are some highlights. Local Maintenance of Effort (MOE) Funding • The counties will give monies to support programs per the statute. • OC contributes $1.3 million annually which is divided amongst 30 separate line items and over 12 entities. • This year, there’s nearly an even split between Cardinal and Orange County managed funding. Programs that receive funding include Freedom House Recovery, UNC Department of Psychiatry, Arc of Orange County, Haven House and Club Nova. Orange County also has set aside a portion of the MOE funding for various programs to address community interests that include services to undocumented people, assisting DSS with placements and trauma focused therapy. Mr. Bruton presented graphs that displayed Medicaid and State data pertaining to the: • Number of members served by age and diagnosis • Members served and expenses by service category • Members served and expenses amounts – crisis services Cardinal Innovations created the Community Reinvestment Initiative as a way to make stable, sustainable investments across its 20-county service area. Hundreds of proposals were received from entities and organizations. Funding totaling more than $4 million was awarded. Recipients include Compass Center for Women & Families, El Futuro and the YMCA of the Triangle. Mr. Bruton presented the newly revamped website and all of its new functions such as the capability to find and access local, statewide and national resources with ease. The BOH had questions that were addressed by Mr. Bruton. B. Severe Vision Problems for Children and Adults BOH member, optometrist and assistant professor at UNC School of Medicine Ophthalmology, Dr. Bruce Baldwin, gave an excellent visual presentation on case reports of patients with significant vision problems that are managed with special glasses or contact lenses. Below are some highlights. The World Health Organization defines legal blindness as visual acuity of 20/200 or less in the better eye with best glasses, and/or a visual field of 20 degrees or less. “Normal" vision is 20/20. This means that a person sees the same line of letters at 20 feet that person with normal vision sees at 20 feet. A student with a visual impairment, partial sight or blindness, is eligible for Special Education services. Visual impairment is a low incidence condition, but can have a high impact on student performance. The Exceptional Children Division of the NC Department of Public Instruction has developed a Statewide System of Support for Students with Visual Impairments to help local education agencies understand and meet the needs of their students with visual impairments. Some conditions/problems that affect visual acuity o Stevens Johnson Syndrome o Cataract o Congenital cataract MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH March 27, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ March Page 3 o Keratoconus o Eye traumas Some surgical procedures/devices that aid in correcting vision problems o Cornea replaced with implanted telescope o Scleral lenses can improve vision (pair ranges in cost from $1300 to $3000) o Bandage contact lens Some visual aids/Prosthetics o Handheld telescopes, handheld magnifiers [range in price from $4 (low quality) to $100 (good quality)], desktop video magnifiers (can range in price from a few hundred dollars to $3000) o Custom molded scleral lens (retail $7,000/pair) o Hand painted prosthetic tint soft lens (range in cost from $400 to $1000) Some funding sources o NC Services for the Blind o Medicaid (doesn’t cover cosmetic/prosthetic lenses) o Some Lions Clubs o There is a strong need for funding as most insurances don’t cover visual aids/prosthetics. Some resources o NC DHHS Division of the Services for the Blind • Kim Tyler, Social Worker for the Blind for Durham and Orange Counties • Rehabilitation agency that can provide magnifiers and sometimes monoscopes to the low vision population. The BOH members had questions that were addressed by Dr. Baldwin. C. SOTCH Review/CHA Process Update Ashley Rawlinson, Healthy Carolinians of Orange County (HCOC) Coordinator, presented the 2018 State of the County Health Report (SOTCH). The SOTCH is a report that is produced every year in between the Community Health Assessment (CHA). Social Determinants of Health, Physical Activity & Nutrition and Mental Health & Substance Abuse are the three areas that are focused on in the report. Below are highlights from Ms. Rawlinson’s presentation. The top 3 leading causes of death (cancer, heart disease and cerebrovascular disease) hasn’t changed over the last couple of years. In Orange County, people of color have higher death rates, when compared to whites, in relation to cancer, heart disease and diabetes. Social Determinants of Health • Poverty o 14% of OC population lives in poverty with 6.5% of all families living below the poverty level. o 9.5% of children in OC live in poverty despite a county-wide median income of $69,940. • Although rich in resources, Orange County has one of the highest measures of income inequality in NC. • In 2017, the first Try Transit Week was held October 23rd-28th to bring awareness to public transportation and encourage use. In 2018, Orange County Public Transportation (OCPT) held 3 community meetings to discuss proposed transit changes and to gather community input on OCPT priorities. In 2019, the OCPT plans to host a Try Transit month with different activities occuring each week of the month. MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH March 27, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ March Page 4 Physical Activity & Nutrition • The OCHD nutrition department offers Medical Nutrition Therapy (MNT) and a Diabetes Self-Management Education Program (DSME) to help prevent and manage certain medical conditions. The MNT program had 782 encounters. The DSME program had 364 enrollments of which 44 were new. • HCOC partners with and serves on the School Health Advisory Council (SHAC). The partnership’s goals include incorporating exercise and healthy eating into daily/weekly activities and encouraging school age youth to get the recommended amount of physical activity to prevent childhood obesity. Mental Health & Substance Abuse • From 2013-2017, there were 66 suicide-related deaths. • The 2nd Annual ‘’Be the Light’’ Suicide Prevention Awareness Walk was held. There were 100 community residents present and local support included the BOH, BOCC, OCHD Health Director, Hillsborough police department and Mayor Tom Stevens. • Alcohol o The Campus and Community Coalition (CCC) which includes the Town of Chapel Hill, OCHD and Chapel Hill Carrboro City Schools partnered and pulled together research on alcohol’s impacts on the underage brain to bring resources to families in our community so they can start a conversation about adolescent substance use. • Tobacco o New bilingual Tobacco Free Signs replaced the outdated and weathered signs which also support the local public school’s 100% Tobacco Free Policy providing a reminder that e-cigarettes are prohibited on school grounds. Ms. Rawlinson stated that this report is desseminated to the NC DPH, BOH, BOCC, HCOC membership and OC government employees. Electronic versions are available online via the HCOC and OCHD websites. She noted that per Benchmark 38, Activity 38.2, for accreditation purposes, the BOH minutes should reflect that the BOH members have received and reviewed the SOTCH report. Lastly, Ms. Rawlinson spoke briefly about the upcoming 2019 CHA. The CHA is a report about the health of the community and the community’s capacity to improve the lives of residents of Orange County. Community involvement helps to ensure that the true needs of the community are identified, accurately represented, and addressed. Collection methods for data collection include focus groups, online surveys and surveys conducted door-to-door. She continued to explain the CHA process which involves 8 phases and takes place over a 12-14 month period. She encouraged the Board member participation in any or all of the CHA process. The BOH members had questions that were addressed by Ms. Rawlinson. D. FSA Strategic Plan Update Coby Jansen Austin, Director of Programs and Policy, and Dominika Gazdzinska, Community Outreach Specialist, gave an update on the FSA’s 2019-2022 Strategic Plan. Below are some highlights. FSA is a collective of various people and organizations that work together to ensure children in OC, whose families struggle to make ends meet, have the opportunity for a healthy, safe and productive life. It was modeled after Harlem’s Children Zone. MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH March 27, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ March Page 5 Entering its fifth year this summer, FSA has successfully recruited four cohorts of students and their families into the navigator program and will begin recruiting the fifth cohort this fall. There are 2 neighborhood zones. • Zone 4 is in Hillsborough and Zone 6 is in Chapel Hill/Carrboro. • Zone navigators act as a link between the families and the services they need. There are a total of 9 navigators (4 in Zone 4 and 5 in Zone 6) assisting over 130 families within both zones. There is also a new Manager of Family Engagement, Dana Crews. • Zone navigators will be transitioning to county employees effective FY 19-20. One size doesn’t fit all as there are families with different level of needs. The Parent Council was created which allows parents to learn from each other. The 6 FSA values are to 1)Be outcome-oriented, 2)Understand that relationships are “the work”, 3)Trust the wisdom of families, 4)Racial equity and inclusion, 5)Community power, and 6)Accountability to the community. There are 3 goals: 1)Children are healthy and prepared for school, 2)Children and youth are healthy and succeed in school, and 3)Families, neighborhoods and institutions support the healthy development of children. Using Results Based Accountability, strategic areas with measures of success were created. Those strategic areas are family empowerment, partnership, systems change and foundational work. VI. Reports and Discussion with Possible Action A. Review of Board of Education Letter of Support BOH member, Jennifer Deyo, presented the proposed letter of supporting Orange County Schools’ Equity Policy. The letter of support summarizes the BOH’s connection to the policy through data and health equity. After brief discussion, the BOH decided to take a vote. Ms. Deyo thanked Beverly Scurry and Quintana Stewart for their assistance with the letter. Motion to move forward with the letter of support was made by Paul Chelminski, seconded by Liska Lackey and carried without dissent. B. Health Director Report In addition to her report, Ms. Stewart highlighted that, on March 19th, the Leadership Team completed its final day of the Results Based Accountability (RBA) Strategic Planning Workshop series with consultant, Deitre Epps, Race for Equity, LLC. The Leadership Team is tasked with thinking about performance measures to be used in the new Strategic Plan as we want to ensure that what we’re doing is making an impact. Ms. Stewart also mentioned that the County Health Rankings were released. This year, Orange County ranked #2 for Health Outcomes and #1 for Health Factors. On April 1st, Rebecca Crawford and Ms. Stewart will meet with the County Manager to discuss the BOH approved budget. On April 4th, the BOH work plan will be co-presented at the BOCC work session. Lastly, Ms. Stewart will be graduating from the Municipal and County Administration course on April 12th. She expressed her gratitude for the training and great networking opportunities. MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH March 27, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ March Page 6 C. Media Items Quintana Stewart briefly mentioned Annual Report for the Health Department that was passed out to the BOH members as well as the article topics of the FSA and the computer virus that were included in the Media Items packet. Media items were in the packet which focused on Orange County’s events and our involvement in various efforts. VII. Board Comments Paul Chelminski mentioned that he was asked, last Thursday, to speak at a community forum at the Calvary Church in Charlotte, NC regarding the opioid epidemic. There was a panel discussion that included a psychiatrist, the mom of an IV drug user and a local news anchor. After some brief presentations, the attendees broke into discussion groups. There has been an increase in fentanyl and heroin deaths in Charlotte. Dr. Chelminski provided some statistics regarding fentanyl and heroin deaths. There are 15.3 deaths per 100,000 people per year. West Virginia has a rate of 44 deaths per 100,000 people which is the nation’s highest; the lowest was Nebraska with 2.2 per 100,000 people. Dr. Chelminski added that he frequently conducts polls in relation to the epidemic and mentioned one he’d conducted amongst Allied Health students in which 40% knew 3 or more people affected. A similar poll was conducted at the community forum in Charlotte. Over 50% of attendees knew at least 3 people that were affected by the epidemic. VIII. Adjournment Jessica Frega moved to adjourn the meeting at 8:58pm and Susan Elmore seconded. The next Board of Health Meeting will be held April 24, 2019 at the Orange County Health Department, 2501 Homestead Road, Chapel Hill, NC at 7:00 p.m. Respectfully submitted, Quintana Stewart, MPA Orange County Health Director Secretary to the Board Agenda Item Number: ORANGE COUNTY BOARD OF HEALTH AGENDA ITEM SUMMARY Meeting Date: May 22, 2019 Agenda Item Subject: OCS CATCH Presentation Attachment(s): PowerPoint Staff or Board Member Reporting: Richard Lewis, SCR Coordinator Purpose: ____ Action _ _x Information only ____ Information with possible action Summary Information: Orange County Schools was award the 2018 Community Support Award by the BOH Physical Activity and Nutrition Subcommittee. Richard Lewis will talk about how their project, CATCH, is coming along a year after receiving the funding. Recommended Action: ___Approve ___Approve & forward to Board of Commissioners for action ___Approve & forward to ___________________________ _x_Accept as information ___Revise & schedule for future action ___Other (detail): Orange County Board of Health(BOH) & Orange County Schools Health Advisory Council (SHAC) Coordinated Approach to Child Health (CATCH) Initiative Year 1 2018 Orange County BOH points CATCH targeted Obesity is a top concern for adults and children Chronic disease is leading cause of death Lack of physical activity (PA) Lack of healthy eating habits Increase level of PA and provide nutrition educational opportunities for children Encourage youth to share information with parents & family Why CATCH and why Afterschool? CATCH promotes physical activity and healthy food choices in preschool through middle school aged children and their families. Over 120 peer reviewed scientific publications support the effectiveness of CATCH in increasing physical activity and healthy eating5,6 and reducing overweight and obesity.7\ CATCH curriculum CATCH stands for a Coordinated Approach to Child Health CATCH is based on the CDC Whole School, Whole Community, Whole Child model in which health education, school environment, and family/community involvement work together to support youth in a healthy lifestyle CATCH creates behavior change are by enabling children to identify healthy foods, and by increasing the amount of moderate to vigorous physical activity (MVPA) children engage in each day After-school Out of school time benefits School-based prevention programs can be a way to teach children how to maintain a healthy lifestyle (CDC, 2013; Kropski et al., 2008). Focus on academics reduces opportunities for PA during school day (Best, 2010; Sallis et al., 1997; Satcher, 2005). Organized after-school physical activities that are perceived as appealing and fun may serve as a vital means for preventing child health risk factors while enhancing interest in leisure-time physical activities (Bailey, Cope, & Pearce, 2013). Parents not receiving the actual training learn about better eating habits and the importance of PA through their children (Nabors, et al. 2015) Initial CATCH flow-chart for 2018 School Selection Volunteer Recruitment Setting program dates & times Provide Curriculum Implement & Follow up CATCH Activities and Lessons Integrated PA for 30 min with 30 min. Nutrition education LESSON EXAMPLE Approx. 30 children at 3 locations CES, PES, NHES Increase in PA and implementation of kid friendly Nutrition education program for elementary age students Increase of 2.5 hours PA for students & 2.5 hours of Nutrition education Volunteer insights: To have fun with activities especially physical activity with the children. Just a deeper appreciation for our kids - great way to give back To assist OCS students with learning how to be healthy and ways that they can safely increase their physical activity. To help assist youth with structure to physical activity along with giving them something and tools to be able to do at home and things that they are interested in doing outside of school. Program(s) Insights: Hit with the kids Children said they had fun “We learned a lot” “Will they be coming back next year?” Community Volunteers (maybe draw from other program partners) Rotate one group of volunteers to different sites Implement as site based and volunteers come as group to one site per month Resources Laura Nabors, Michelle Burbage, Kenneth D. Woodson, and Christopher Swoboda Implementation of an After-school Obesity Prevention Program: Helping Young Children Toward Improved Health, Issues in Comprehensive Pediatric Nursing, 2015; 38(1): 22–38 Centers for Disease Control and Prevention. (CDC, 2013). Retrieved from http://www.cdc.gov/healthyyouth/obesity/facts.htm. Kropski, J. A., Keckley, P. H., & Jensen, G. L. (2008). School- based obesity prevention programs: An evidence-based review. Obesity, 16, 1009–1018. Bailey, R., Cope, E. J., & Pearce, G. (2013). Why do children take part in, and remain involved in sport? A literature review and discussion of implications for sports coaches. International Journal of Coaching Science, 7(1), 56–75. Agenda Item Number: ORANGE COUNTY BOARD OF HEALTH AGENDA ITEM SUMMARY Meeting Date: May 22, 2019 Agenda Item Subject: Chapel Hill Carrboro City Schools Equity Update Attachment(s): PowerPoint Staff or Board Member Reporting: Lee Williams, Executive Director of Equity and Inclusion Purpose: ____ Action _ x Information only ____ Information with possible action Summary Information: Lee Williams will present information on what the Chapel Hill Carrboro City School district is doing and focused on around equity work. Recommended Action: ___Approve ___Approve & forward to Board of Commissioners for action ___Approve & forward to ___________________________ _x_Accept as information ___Revise & schedule for future action ___Other (detail): Agenda Item Number: ORANGE COUNTY BOARD OF HEALTH AGENDA ITEM SUMMARY Meeting Date: May 22, 2019 Agenda Item Subject: Child Fatality Prevention Team Annual Report Attachment(s): 2017 Child Fatality Prevention Team Annual Report Staff or Board Member Reporting: Pam McCall Purpose: ____ Action _ X_ Information only ____ Information with possible action Summary Information: The report is a review of 2018 Orange County CFPT activities. Recommended Action: ___Approve ___Approve & forward to Board of Commissioners for action ___Approve & forward to ___________________________ __X_Accept as information ___Revise & schedule for future action ___Other (detail): 2018 Child Fatality Prevention Team Annual Report I. Introduction In 1993, the North Carolina General Assembly established a network of local Child Fatality Prevention Teams (CFPT’s) across the state to confidentially review medical examiner reports, death certificates and other records of deceased residents under age 18. Each local team consists of representatives of public and nonpublic agencies in the community such as law enforcement, Guardian Ad Litem, health departments, among others, that provide services to children and their families. The purpose of this report is to give a summary of the causes of death, the number of cases reviewed, recommendations for prevention, if any, that have been made and to share local team activities and accomplishments. II. Role of the Orange County Commissioners and Board of Health • Receive annual reports which contain recommendations and advocate for system improvements and needed resources, if requested. • Appoint members of the local team as identified by the membership. III. Child Deaths by Cause, System Problems Identified, Recommendations for Prevention & Proposed Action In 2018, the Orange County CFPT met four times and reviewed five child deaths. No systems issues were identified. IV. Orange County CFPT Activities and Accomplishments Examples: • The annual CFPT Activity Summary was completed and sent by the date requested. • Two members of the team attended the CFPT Summit in Raleigh in April, 2018. • Information on multiple webinars regarding child safety issues was forwarded to team members. • Training surveys were disseminated to team members • NC CCPT child death reviewer provided training to team on intensive fatality review. • Individual reports were completed on child deaths reviewed by the team and were forwarded to the State Coordinator. V. Conclusion Thank you to the members of the Board of Health for the opportunity to share with you the successes and dedicated work of the local team as we continue to review child fatalities, make recommendations, and take actions to prevent future child deaths. Please feel free to contact the Chairperson at 245-2402, should you have any questions about this report. Pam McCall, Public Health Nursing Director Chairperson March 19, 2019______________________________________________________________ Date Agenda Item Number: ORANGE COUNTY BOARD OF HEALTH AGENDA ITEM SUMMARY Meeting Date: May 22, 2019 Agenda Item Subject: Tobacco Program Update Attachment(s): PowerPoint Staff or Board Member Reporting: April Richard, MPH Tobacco Prevention and Control Coordinator Purpose: ____ Action _ x Information only ____ Information with possible action Summary Information: April Richard is excited to share a brief overview of the tobacco related efforts completed from January 2018- May 2019. The presentation will include updates on recent focuses on reducing tobacco use of individuals with complex addictions and reducing initiation of tobacco products by youth. Recommended Action: ___Approve ___Approve & forward to Board of Commissioners for action ___Approve & forward to ___________________________ _x_Accept as information ___Revise & schedule for future action ___Other (detail): Tobacco Program Updates April Richard, MPH Public Health Education Program Manager PROVIDING TOBACCO TREATMENT TO THOSE WITH COMPLEX ADDICTIONS Freshstart 5 classes reaching 40 participants UNC Horizons 2 classes reaching 28 participants Lutheran Services Carolinas 1 class reaching 6 participants Project Connect Individualized Tobacco Treatment Nicotine Replacement Therapy Dispensed 392 boxes Integrating Cessation Referrals into Dental and Medical Services REDUCING YOUTH INITIATION OF TOBACCO PRODUCTS Prevention and Cessation Movie Theatre Ads Lumina Silverspot Timberlyn AMC Classic Durham 15 AMC Southpoint 17 Theatres 10 at Northgate Mall AMC Greensboro 18 Youth Empowered Solutions! Tobacco Free School Signs Emerging Products Educational Presentations for Youth Influencers Ban on E-cigarette Use in Restaurants and Bars Questions? April Richard arichard@orangecountync.gov 919-245-2424 www.OrangeCountyNC.gov/Health Agenda Item Number: ORANGE COUNTY BOARD OF HEALTH AGENDA ITEM SUMMARY Meeting Date: May 22, 2019 Agenda Item Subject: Board Reappointments Attachment(s): None Staff or Board Member Reporting: Timothy Smith Purpose: __X_ Action ____ Information only ____ Information with possible action Summary Information: The Board of Health will vote to recommend: Jennifer Deyo to her 2nd full term; Sam Lasris to his 3rd full term; and to find a replacement for Paul Chelminski as his 3rd term ends June 2019. Recommended Action: ___ Approve _X_ Approve & forward to Board of Commissioners for action ___ Approve & forward to ___________________________ ___ Accept as information ___ Revise & schedule for future action ___ Other (detail): Agenda Item Number: ORANGE COUNTY BOARD OF HEALTH AGENDA ITEM SUMMARY Meeting Date: May 22, 2019 Agenda Item Subject: Fluoride Update Attachment(s): None Staff or Board Member Reporting: Liska Lackey Purpose: ____ Action _ _x Information only ____ Information with possible action Summary Information: Liska will provide the Board with an update on the progress of the Ad Hoc Fluoride Committee. She will review info on the experts, online survey, etc. Recommended Action: ___Approve ___Approve & forward to Board of Commissioners for action ___Approve & forward to ___________________________ _x_Accept as information ___Revise & schedule for future action ___Other (detail): Health Director’s Report May 2019 • May 1, 2019 – Met new UNC Family Medicine Physician, Dr. Dana Iglesias. She will be joining the UNC provider rotation for both Whitted and Southern Medical Clinics. • May 2, 2019 – OC Department Directors Meeting; County Manager’s FY 2019-20 Budget Presentation • May 3, 2019 – I attended the NC DPH Aid-to-County Training where State Nursing Consultants highlighted some minor changes to the online expenditure reporting system that local health departments use. • May 10, 2019 – DHHS announced that R.J. Blackley Alcohol & Drug Abuse Treatment Center in Butner is now certified to initiate treatment for Opioid Use Disorder. The Blackley Center joins two other treatment centers in NC, Julian F. Keith in Black Mountain and Walter B. Jones in Greenville. • I have agreed to join the Partnership Council Charter for Integrated Care for Kids (InCK). The goal of this group is to develop methods to better integrate care coordination and case management across several service agencies, health organizations and community- based organizations. The Council will meet quarterly. • Community Health Assessment Opinion Surveys begin Saturday, May 18, 2019. There will be an additional weekend of surveying and a couple of week nights in June. • Medicaid Transformation – new language; formerly defined “Fee for Service” will now be called “NC Medicaid Direct”; PHP contracts under review with local attorney as well as DHHS to ensure the contract meets the requirements as defined in the RFP. • May 15, 2019 – NC Attorney General Josh Stein announced that NC is suing JUUL, the nation’s biggest e-cigarette company, over allegations that it marketed its products to minors and also lied to consumers of all ages about safety. The lawsuit seeks to ban most e-cig flavors from being sold in North Carolina, among other restrictions. https://www.newsobserver.com/news/politics- government/article230440839.html? Upcoming Events • April 21, 2019 – Nursing Director, Pam McCall and I will meet with staff from UNC to discuss a proposal that will target prenatal patients that are in need of high risk/specialty care and the potential for telehealth services to remove barriers that prevent care/treatment. • April 21, 2019 – Family Success Alliance (FSA) featured at Campaign for Racial Equity in our Schools Monthly meeting; Chapel Hill Library, 7pm. • April 23, 2019 – Budget Work Session for Schools & Outside Agencies • April 24, 2019 – Office of Minority Health & Health Disparities to facilitate CLAS Training • May 28 -31 – Away on Vacation • June 3-4, 2019 – Completion of NC Public Health Leadership Institute Course • June 6, 2019 – Budget Work Session for Human Service Agencies, to include Health • June 21, 2019 – Annual County Service Awards Luncheon Chapel Hill elementary school back to normal following whooping cough cases https://www.cbs17.com/...range-county-news/chapel-hill-elementary-school-back-to-normal-following-whooping-cough-cases/1974027311[5/13/2019 10:05:36 AM] Orange County News Chapel Hill elementary school back to normal following whooping cough cases By: Robert Richardson Updated: May 03, 2019 03:48 PM EDT CHAPEL HILL, N.C. (WNCN) - An outbreak of whooping cough at an elementary school led Chapel Hill-Carrboro City Schools administrators to send seven people home. The Orange County Health Department confrmed cases of pertussis, commonly referred to as whooping cough, in six students and one teacher at Glenwood Elementary School. Tracy Sanders, the CHCCS nurse coordinator, said Health Department staff notifed the school system that a student had a confrmed case. "The nurse at Glenwood was aware of that frst thing one morning, and she was sending kids home that very same day that had any type of cough, especially if it was severe or had any kind of fever," Sanders said. "The school nurse is working really closely with the health department and she's monitoring kids for coughs, particularly if they are a severe cough, and in close contact with that frst child who's been diagnosed, and calling those parents and suggesting they follow up with their primary care physician." Sanders said a second grader was the frst to get sick and spread their cough to classmates, a teacher, and at least one other student on a school bus, and a teacher. Some of the sick children received treatment and have already returned to school with doctor's approval. "We'd like parents to be more cautious about sending their children to school if they're having cold-like symptoms, running any type of fever or any type of cough," she said. Most children are vaccinated against whooping cough before they start school and receive a vaccination booster when they are in middle school. The Centers for Disease Control and Prevention reports pertussis Related Coverage •Whooping cough sends 6 students, 1 faculty member home from Orange County elementary school 67° Chapel Hill elementary school back to normal following whooping cough cases https://www.cbs17.com/...range-county-news/chapel-hill-elementary-school-back-to-normal-following-whooping-cough-cases/1974027311[5/13/2019 10:05:36 AM] vaccines as 80-90% effective. Some adult shots for tetanus and diphtheria also include a pertussis booster, in the Tdap and DTaP vaccines, but there are also vaccines that leave out the pertussis part. Medical professionals recommend these shots every decade. Dr. Gregory Mosteller, an emergency physician who also serves as medical director for UNC Rex Urgent Cares, said whooping cough usually starts out with similar symptoms to a cold or viral illness, despite being a bacterial infection. "It can look like a common cold until it doesn't," Mosteller said. "You may get a runny nose, you may have some low-grade fever and some mild cough, and that's usually in the first couple of weeks so it can be mistook as just a regular cold," he said. "Then after that you go into the coughing fits. You cough so violently that you get all of the air out of your lungs, and then you take a deep breath to get air back in your lungs and it makes that classic whooping sound." Mosteller said that comes after a one or two week incubation period, and doctors hope to treat the illness with antibiotics within the first three weeks. He said most people's symptoms subside and are no longer contagious after about four weeks. Infants are most susceptible to severe symptoms. "It's most dangerous in young kids under 12 months, kids that aren't fully vaccinated. They can have a high mortality and morbidity, and a lot of those kids may need to be admitted to the hospital," Mosteller said. Chapel Hill-Carrboro City Schools spokesperson Jeff Nash said things are back to normal Glenwood Elementary. Chapel Hill Mayor Pam Hemminger visited classes Thursday morning. It's treatable with antibiotics. 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Amazon to employees: We'll pay you to Chapel Hill elementary school back to normal following whooping cough cases https://www.cbs17.com/...range-county-news/chapel-hill-elementary-school-back-to-normal-following-whooping-cough-cases/1974027311[5/13/2019 10:05:36 AM] Video Center quit and haul packages Legendary actress and singer Doris Day dead at 97 Week of events planned to celebrate 50 years of Bimbé Festival in Durham Past attorney for NC pilot charged in triple murder says he's innocent 3 hours ago 3-year-old shoots 1-year-old in Lincoln County 3 hours ago Incredible emergency landing in Myanmar 3 hours ago New exit numbers for I-87 in Wake County Chapel Hill elementary school back to normal following whooping cough cases https://www.cbs17.com/...range-county-news/chapel-hill-elementary-school-back-to-normal-following-whooping-cough-cases/1974027311[5/13/2019 10:05:36 AM] Local News Weather Watch Live Meet the Team Contact Us Terms Of Use About Our Ads Privacy Policy FCC Public File Nexstar CC Certification EEO report Children's Programming © 1998 - 2019 Nexstar Broadcasting, Inc. | All Rights Reserved. Powered by LAKANA LLC. Seven cases of whooping cough appear at Glenwood Elementary - The Daily Tar Heel https://www.dailytarheel.com/article/2019/05/chccs-whooping-cough-outbreak-at-glenwood-elementary[5/13/2019 9:59:09 AM] 125 Years of Editorial Freedom Buy PhotosA Chapel Hill-Carrboro City Schools bus drives toward Chapel Hill High School. JEFF RICHARDSON 5/2/2019, 11:45AM Seven cases of whooping cough appear at Glenwood Elementary BY MARIN WOLF Six students and one staff member at Glenwood Elementary School were diagnosed with whooping cough, a spokesperson for Chapel Hill-Carrboro City Schools said. CHCCS spokesman Jeff Nash said the seven people infected, whose ages range from 8 to 24, are completing treatment, with some already well enough to return to school. Parents were notified of the outbreak with a letter from the Orange County Health Department. OC Report Subscribe Today! × Orange County, Our Communities: Get the OC Report today Seven cases of whooping cough appear at Glenwood Elementary - The Daily Tar Heel https://www.dailytarheel.com/article/2019/05/chccs-whooping-cough-outbreak-at-glenwood-elementary[5/13/2019 9:59:09 AM] Whooping cough, also known as pertussis, is a respiratory infection characterized by severe coughing spells that end in a whooping sound when the person breathes in. The Orange County Health Department said the first symptoms of whooping cough are similar to those of a common cold, including low-grade fever, runny nose and sneezing. Infants and young children are most at risk for whooping cough. According to the letter sent to Glenwood parents, children are routinely immunized against whooping cough with the TDaP vaccine as an infant and again around age 4 or 5. Those infected with whooping cough are treated with antibiotics. EDITORS PICKS Editorial: We stand withUNC Charlotte UNC women's basketballhead coach Courtney Banghart ready for 'a new beginning' Office DJ: Here's where ourbottom quotes came from all year This is not the only whooping cough outbreak in CHCCS this year. In January, multiple cases were reported at Chapel Hill High School and East Chapel Hill High School. “In the seven years I’ve been here, it seems to crop up every couple years or so,” Nash said. The number of cases in North Carolina increased from 300 in 2016 to 361 in 2017, the Orange County Health Department said. The number of cases at Glenwood Elementary has remained steady at seven, Orange County communications manager Kristin Prelipp said. However, it’s too early to say the outbreak is over. “Hopefully it dissipates quickly,” Nash said. “Until it does, we’ll continue working with the health department, making sure notices get to the right families.” @maringwolf city@dailytarheel.com Orange County residents and organizations discuss food security, homelessness - The Daily Tar Heel https://www.dailytarheel.com/article/2019/03/justice-community-workshop-0326[5/13/2019 10:18:47 AM] 125 Years of Editorial Freedom Buy Photos(Left to right) Dominika Goazdazinka, Ashley Heger and Allison De Marco make a list of the crowd's causes at the Carrboro Century Center. The goal of Monday's workshop was to educate community members how to make a difference in society. SOFIA LESNEWSKI 3/26/2019, 11:01PM Orange County residents and organizations discuss food security, homelessness BY SOFIA LESNEWSKI Local community organizations had one message on Monday: you are the answer. Orange County residents and organizations discuss food security, homelessness - The Daily Tar Heel https://www.dailytarheel.com/article/2019/03/justice-community-workshop-0326[5/13/2019 10:18:47 AM] Around 70 community members joined the Family Success Alliance, Orange County Partnership to End Homelessness and the Orange County Food Council for the Charity and Justice Community Workshop at the Carrboro Century Center on Monday. Allison De Marco, outgoing chairperson of the leadership team of the OCPEH, said the event was meant to share the three hosting organizations’ work with the community and raise awareness on the difference between charity and justice approaches to human need. “Our organizations have been working with the county to really think about systems change and how we make, how we impact issues of poverty and homelessness and food insecurity in a more lasting and systematic way,” she said. She said providing shelter or food to people experiencing homelessness or food insecurity is an example of a charity response, while expanding affordable housing is an example of a justice response. EDITORS PICKS Editorial: We stand with UNC Charlotte UNC women's basketball head coach CourtneyBanghart ready for 'a new beginning' Office DJ: Here's where our bottom quotes came from allyear Syndee Kraus, a Carrboro resident, said she came to the event because she was interested in the topic. She said it can be difficult to know how to respond to human need. “My husband and I give charitably and want to be actively involved, but you don’t always know that what you’re doing is helping,” she said. During the event, community members broke off into groups and were assigned topics like homelessness, unemployment, hunger and access to health care. They were subsequently asked to think of causes of the issue, as well as charity and justice responses. When one community member asked if event attendees were allowed to switch groups after seeing his assignment, Ashley Heger, the coordinator of the OCFC, empowered him to stick with his original topic. Orange County residents and organizations discuss food security, homelessness - The Daily Tar Heel https://www.dailytarheel.com/article/2019/03/justice-community-workshop-0326[5/13/2019 10:18:47 AM] “Recognize that everyone has a level of expertise in some way to bring to this conversation,” she said. De Marco said the shift in administration at the federal level has prompted greater attention to some of the issues addressed in the presentation. “With the new administration at the federal level, we’ve seen a lot more both resistance and folks coming together to think about how we might address these issues,” she said. “There are a lot more conversations around race, racism, racial equity – across the country and in our community.” Corey Root, a coordinator of the OCPEH, also facilitated the event. During the March 20 Chapel Hill Town Council meeting, Root said while 12 percent of the overall population in Orange County is Black, 46 percent of Orange County’s homeless population is Black. She said this is consistent with statewide and nationwide data and is not an accident. “We know that this is the result of direct, systemic racism and direct policies and practices in the area of housing for years and years and years going back decades,” she said. “So this is something, and the reason why we address racial equity along with all of our other goals to end homelessness.” De Marco said it is difficult to envision what exactly a just society looks like. “We’ve grown up in a society that perpetuates white supremacy systems and because of that we don’t really know what something else looks like potentially,” she said. Root discussed alarming local trends in homelessness. While the number of people experiencing homelessness has decreased by 15 percent nationwide and 24 percent statewide, it has increased by 13 percent in Orange County. Multiple facilitators suggested including the voices of those who have experienced the issues mentioned in the workshops, such as poverty or homelessness, in the discussion. De Marco said she hopes the workshop contributes to an ongoing dialogue. “We want this to be a conversation, collaborative work within our community, across our towns and our county, both with the governments and with the community organizations and just really a way for us to have a conversation that continues,” she said. @SLesnewski city@dailytarheel.com Next up in Hemminger releases statement clarifying events surrounding the removals CITY & COUNTY