HomeMy WebLinkAboutBOH Minutes of 052720 MINUTES - Draft
ORANGE COUNTY BOARD OF HEALTH
May 27, 2020
ORANGE COUNTY HEALTH DEPARTMENT MISSION STATEMENT: To enhance the quality
Hof life, promote the health, and preserve the environment for all people in the Orange County
community.
THE ORANGE COUNTY BOARD OF HEALTH MET ON May 27, 2020 virtually via Go To
Meeting.
BOARD OF HEALTH MEMBERS PRESENT: Jessica Frega, Chair, Keith Bagby, Bruce
Baldwin, Aparna Jonnal, Liska Lackey, Sam Lasris, Commissioner Earl McKee, Lee Pickett,
Timothy Smith and Alison Stuebe.
BOARD OF HEALTH MEMBERS ABSENT: None.
STAFF PRESENT: Quintana Stewart, Health Director; Denise Blanco-Duran, Community
Outreach Specialist; Susan Clifford, Immigrant and Refugee Health Program Manager; Rebecca
Crawford, Financial and Administrative Services Director; Victoria Hudson, Environmental
Health Director; Donna King, Health Promotion & Education Services Director; Pamela McCall,
Public Health Nursing Director; Kristin Prelipp, Communications Manager; Ashley Rawlinson,
Healthy Carolinians Coordinator; Beverly Scurry, BOH Strategic Plan Manager; and La Toya
Strange, Administrative Support I.
GUESTS PRESENT: Brian Crandell, Craig Lloyd, Jennifer Miller, and Diane Uzarski.
Jessica Frega, Chair, called the meeting to order at 7:01 pm. Ms. Frega announced that she'll
be conducting all voting via roll call by individually calling upon each member versus a show of
hands. Quintana introduced the new employee in attendance: Denise Blanco-Duran.
I. Public Comment for Items NOT on Printed Agenda: None.
II. Approval of the May 27, 2020 Agenda
Motion was made by Bruce Baldwin to approve the agenda, seconded by Alison Stuebe
and carried without dissent.
III. Action Items (Consent)
A. Minutes of April 22, 2020 Meeting
Motion was made by Liska Lackey to approve the minutes of April 2020, seconded by Lee
Pickett and carried without dissent.
IV. Educational Sessions
A. 474 CLAS Standards Advancing Health Equity AA
Beverly Scurry, BOH Strategic Manager, provided an update on the 474 CLAS AA. The goal of
S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/
May Page 1
MINUTES - Draft
ORANGE COUNTY BOARD OF HEALTH
May 27, 2020
the Agreement Addendum (AA) is to provide training for agencies and communities to increase
cultural and linguistic competence through adoption of the National Standards for Culturally and
Linguistically Appropriate Services (CLAS) in Health and Health Care. OCHD is now in the
second and last year of this pilot project. While COVID-19 interrupted a lot of the plans for year
two, there were many great outcomes for our staff and community partners. Below are
highlights of the presentation.
• The service period for the AA was from June 1, 2019 to May 31, 2020. There was an
award of$28,000 received.
• The Health Department (HD) staff leading the AA efforts are Beverly Scurry, Susan
Clifford and Donna King.
• There was an increase of 13 individuals and 9 organizations from year one for a total of
35 individuals representing 23 community organizations and county departments on the
Health Equity Council (HEC).
• Year one highlights include:
0 25 staff and partners attended the 40t" Annual Minority Health Conference.
o Trainings provided by the Office of Minority Health and Health Disparities (OMHHD)
were attended by 60 staff and community partners.
o A community forum that featured a Gallery Walk was held.
• Year two highlights include:
o There were some deliverables that were interrupted by COVID-19 which caused
plans to change and events cancelled.
o In lieu of in-person trainings, OMHHD sent 10 webinars to assist with attendance in
attaining the percentage (which was lowered from 20% to 10%) of OCHD staff
participation. Webinar topics included Perinatal Health Equity, Health Equity and
Food Security and Building Communities through Faith Partnerships.
o Management Team, frontline staff, HEC members and BOH members attended
Racial Equity Institute Phase I training.
• Year three next steps include:
o HEC will create an action plan to address the health equity top priority identified in
the Community Health Assessment.
o OCHD will have a fall UNC Capstone Team from the Health Behavior and Health
Equity, Social Justice and Human Rights MPH concentrations at the UNC Gillings
School of Public Health that will focus on the Equity Data Index as well as other
items from the OCHD's Racial Equity Strategic Plan.
The BOH members had questions that were addressed by Ms. Scurry.
B. 2019 Community Health Assessment Presentation
Ashley Rawlinson, Healthy Carolinians of Orange County (HCOC) Coordinator, gave an update
on the 2019 Community Health Assessment (CHA) which enables public health officials to
address health disparities and identify needs of populations who are most disadvantaged.
Below are some highlights.
• Community data was collected via community opinion surveys (in-person and online),
focus groups and community input sessions. BOH members were present at each
session to facilitate community discussions.
• The top 10 issues that were presented at the community input sessions that residents
voted on were Access to Care, Mental Health, Substance Abuse, Physical Activity and
S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/
May Page 2
MINUTES - Draft
ORANGE COUNTY BOARD OF HEALTH
May 27, 2020
Nutrition, County Government & Infrastructure, Income & Employment, Social Justice,
Housing, Environmental Health and Health Promotion.
• The original 3 chosen priorities were: Access to Care, Health Promotion and Social
Justice. After speaking with Quintana Stewart and Donna King, Director of Health
Promotion & Education Services, and referencing Healthy NC2030, the decision was
made to replace Health Promotion with Health Behaviors and Social Justice with Health
Equity.
• The 2019 CHA is complete and as of now, is awaiting feedback from the state on
whether or not it's approved or if any edits need to be made.
• There are 8 phases to the CHA process—all of which occurs over a 12 month period.
Phase 1 (establish CHA teams) started January of last year with phase 6, the creation of
CHA document, starting this past January.
• Next steps include community and partner involvement recruitment to assist in the
development of Community Health Improvement Plans (CHIP) and the actual develop of
those action plans based on Results Based Accountability (RBA). Phase 7, to
disseminate the CHA document, will begin in early June. The document will be shared
electronically, with the hope to share it wide throughout OC (website, listserv's, HCOC
membership, OCHD staff, OC Government staff, BOCC). Physical copies will also be
available. The last phase, to develop community action plans, will begin in June. The
deadline to submit completed action plans is September, and the HCOC will work to
write the plans based on RBA. The HCOC was instructed that if additional time is
needed to develop them, due to the detailed and extensive nature of RBA, an extension
can be granted.
• The goal is not to create all new groups or initiatives, but to see who may be doing what,
where the gaps are, and who needs to be involved to create the best results so that OC,
as a whole, is better off. HCOC will address the 3 chosen priorities through committees
and/or partnering with pre-existing committees.
• To satisfy the Accreditation requirement, Ms. Rawlinson mentioned sharing the results of
the CHA with the BOH as being an Accreditation requirement and that it should be
reflected in the minutes that the Board was able to review the CHA document, were able
to review the data and have any questions answered. Ms. Rawlinson also requested the
Board's stamp of approval to move forward with the action steps.
The BOH members had questions that were addressed by Ms. Rawlinson, Quintana
Stewart and Susan Clifford.
C. BOH Strategic Plan Discussion
Beverly Scurry, BOH Strategic Plan Manager, displayed the "Top Ten Community Concerns
and Related Data" document based on community feedback. Ms. Scurry led a discussion with
the Board regarding the BOH's top three priorities.
Quintana Stewart made a request to the Board. In thinking about the priority areas and tasks
we want to work on, it was requested of the Board to assist with some of the macro level types
of interventions and strategies as the Board has more leeway to do a little more with the
advocacy piece than the OCHD as local government employees at times. Ms. Stewart also
mentioned that all ideas, input and programmatic support from the Board are appreciated;
however, she wanted to use and capitalize on their positions as board members to help with the
bigger policy and advocacy tasks.
S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/
May Page 3
MINUTES - Draft
ORANGE COUNTY BOARD OF HEALTH
May 27, 2020
After discussion was held, the Board voted via Menti.com on the three priorities from the ten
community concerns. The chosen three priorities were Access to Healthcare, Social Justice
and Substance Abuse. BOH member, Bruce Baldwin, had abstained from voting.
The BOH members had questions that were addressed by Ms. Scurry and Ms. Stewart.
V. Reports and Discussion with Possible Action Action Items (Non Consent)
A. BOH Vice-Chair Discussion
Jessica Frega, Chair, informed the Board that Jennifer Deyo, Vice-Chair and Pharmacy
representative, moved to Alamance County; thus, she's no longer a member of the Board.
There was a request for volunteers to serve on a small committee to interview candidates to fill
the Pharmacy representative seat. Timothy Smith and Lee Pickett will serve on that committee
alongside Ms. Frega. Ms. Frega also asked the Board to send her nominations, in the next
couple of weeks, for the Vice-chair position which will be voted on at the June Board meeting.
Nominees should be aware that they are expected to serve the remainder of this year, next year
and the year after.
Ms. Frega also announced that the BOCC reappointed Lee Pickett as the Veterinarian
representative and approved the recommendation to appoint Shielda Rogers to fulfill the
Nursing representative seat. She will be participating in the August Board meeting.
B. Health Director Report
In addition to mentioning upcoming events, Ms. Stewart also reiterated the items below from her
report.
• Dr. Michael Day, Dental Clinic Director, is retiring this Friday. He has worked for many
years as a dentist in many counties in North Carolina and out of state as well. He will be
relocating to Florida to join his family that travelled ahead of him. Ms. Stewart
encouraged the Board to send him well wishes and will provide Dr. Day's email address
to the Board.
• Ms. Stewart along with the Deputy County Manager and AMS Director, Travis Myren
and Steve Arndt, respectively, had two meetings at the courthouse in Hillsborough to
discuss the safe re-opening of courts on June 1" during the COVID-19 pandemic.
• Ms. Stewart and Environmental Health Director, Victoria Hudson, spoke to the Chapel
Hill Chamber on "Safe Operation, Regulation and Health Inspections" during COVID-19.
• Ms. Stewart continues to participate in weekly Multi-Agency Coordinating Policy Group
(MAC/Policy Group) calls to give updates on COVID-19 and discuss potential policy
needs.
• OCHD will partner with OWASA and NC State to participate in a study to test
wastewater samples for COVID-19.
C. Mask/Cloth Facial Covering
Chair, Jessica Frega, led the discussion on mask/cloth facial coverings. Aparna Jonnal, Liska
Lackey and Ms. Frega received an email from a member of the public concerned that
masks/face coverings are not mandated in Orange County as they are in Durham County. At
which time, Ms. Frega reached out to Quintana Stewart to find out how that decision was made.
S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/
May Page 4
MINUTES - Draft
ORANGE COUNTY BOARD OF HEALTH
May 27, 2020
Since receiving that email, it has now become a requirement for certain workers. Kristin Prelipp,
Communications Manager, recited part of the Executive Order which includes "All restaurant,
personal care, grooming, tattoo, and retail employees and staff shall wear a face covering while
on duty, however notwithstanding this general requirement, people whose religious beliefs
prevent them from wearing a Face Covering, people who cannot wear a Face Covering due to a
medical or behavioral condition, and people who are under twelve (12) years of age are
excepted from the requirement to wear a Face Covering. Children under two (2) years of age
shall not wear a Face Covering so that their breathing may not be inhibited...".
Ms. Prelipp also helped define what constituted as being a restaurant, still citing the Executive
Order Number 141. Ms. Frega wanted to inform the Board that the decision was made by the
MAC/Policy Group which includes the mayors of Hillsborough, Carrboro & Chapel Hill, Town
Managers, the County Manager, Sheriffs, Police Chiefs, Public Information Officers, EMS
Director, UNC Hospitals, BOCC Chair and our OCHD Health Director, Ms. Stewart.
It was stated that there was discussion on having a mandated policy similar to Durham County;
however, access to masks and enforcement were issues that influenced the decision not to do
so. Ms. Frega relayed the information to the community member at that time. Ms. Frega noted
that this discussion was just for informational purposes and for future reference, in case the
Board wants to make a public stance on this topic. Discussion was also had on the specificity of
religious exemptions. Ms. Stewart stated that the exemptions listed in the revised Orange
County declaration did not include religious exemptions. If the public wants to report someone
not in compliance with the face covering order, they have been instructed to call the COVID
information line (919-245-6111) or 911 as law enforcement are technically legally to assist in
enforcing these orders. As a result of recent guidance from DHHS regarding restaurants
specifically regarding non-compliance, we may take other avenues to hold the restaurant
owners accountable. Ms. Frega stated that further discussion can take place at next month's
meeting if there are any additional developments between now and June.
D. COVID-19 Update
Quintana Stewart, Health Director, gave an update on the COVID-19 status in Orange County
as well as took questions from the Board. Some highlights are below.
• As of today at 11 am,
➢ in NC, there are:
0 24,628 confirmed lab cases
0 794 deaths with 63% occurring in the 75+ age group and 21% in the 65-74
age group
0 434 hospitalizations
➢ in OC, there are:
0 314 confirmed lab cases
0 40 deaths
0 27 hospitalizations
0 28 patients are being monitored
o The bulk of the cases are from the 65+ age group; while 30% of cases fall
into the 25-49 year old age group
• There has been an increase in cases in the Latinx community. Staff is trying to find out
what's going on and whether there's a cluster or something similar occurring?
• There is an UNC mobile testing event occurring on June 51h in the northern part of the
county in the parking lot of the Mt. Zion AME Church. The numbers are low there in the
S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/
May Page 5
MINUTES - Draft
ORANGE COUNTY BOARD OF HEALTH
May 27, 2020
rural part of the county. That may be due to lack of testing. The African-American and
Latinx communities there may not have transportation to get tested. We're focusing on
targeting the underserved populations. There's a meeting on tomorrow to iron out the
testing event details including testing criteria.
• We're still doing contact tracing. The contact tracers consist of county staff and school
nurses. We continue to build and train more in case of a spike in cases and are still
looking to add more bilingual staff to assist with contact tracing.
• The Medical Director, Erica Pettigrew, continues to have weekly calls with congregate
facilities.
• The Strike Team has begun to focus on educating farmers and the migrant workers.
There was a dashboard titled "Board of Health Dashboard — OCHD COVID-19 Response"
displayed. Ms. Stewart will email it to the Board members. It will also be posted on the OCHD
website. This dashboard was created by Rebecca Crawford to show how the OCHD clinics
responses have been affected by COVID-19. Below are some highlights.
• Patients are still being seen at both clinics. The SHSC Clinic has been deemed the
"well clinic" where visits such as primary care and family planning occur. The Whitted
Clinic has been deemed the "sick clinic" for those symptomatic patients and those
unable to do telehealth appointments.
• The Dental Clinic is missing from the dashboard as we were unable to pull data from
EagleSoft. They continue to only see emergency visits at this time.
• In regards to data on communications,
o The Nurseline is still receiving calls about coronavirus.
o The COVID-19 information line has seen a drastic decrease in call volume;
however, emails are still being received by the COVID-19 email link.
o We have a strong social media presence thanks to Kristin Prelipp and the Joint
Information Center (JIC). They are doing a great job.
o Our Immigration and Refugee Health program has been extremely beneficial in
assisting DSS and other Human Service agencies in serving our immigrant and
refugee populations.
E. Media Items
Kristin Prelipp, Communications Manager, mentioned that all of the articles were COVID-19
related. Ms. Prelipp also briefly spoke about the social media campaign that consists of taking a
selfie wearing a face covering along with a quote of why you do or why you don't or are unable
to wear a face covering. It's aimed at trying to normalize face coverings so that people can
wear them in public and feel confident. She invited anyone that wants to participate to email her
a selfie wearing a face covering including a quote of why you wear one or if you're unable to, a
quote stating why not.
Media items were in the packet which focused on Orange County's events and our
involvement in various efforts.
Public Comment
There was a public comment in the chat box left by public attendee, Jennifer Miller. It asked
"Do you have a formal stance on considering graduation to be limited to 25 people outside at
once on the entire campus of OHS?".
S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/
May Page 6
MINUTES - Draft
ORANGE COUNTY BOARD OF HEALTH
May 27, 2020
In the chat box, Kristin Prelipp quoted Ms. Stewart's official response to the school district which
was "Pursuant to Section 4(E)(3) of Executive Order 138 the Governor has left decisions about
whether to hold graduation ceremonies up to local school boards and superintendents and has
directed those officials to consult with local health departments and law enforcement officials
about how to safely hold such graduation ceremonies. If local school leaders elect to hold
graduation ceremonies, then those ceremonies must comply with requirements of applicable
Executive Orders in effect at the time of the event.
It's outside of the Health Director's jurisdiction; it's left to the discretion of the school boards and
superintendents. As the local health official, I strongly recommend that the outdoor graduation
ceremonies limit groups to 25 max including support staff. I also recommend the use of face
coverings for those that are able to wear them, physical distance of at least 6ft between
individuals, and clear communication advising that COVID positive individuals and those with
symptoms should not attend as graduates, family, or support staff.
Again the final decision about graduation ceremonies remains at the discretion of local school
board and superintendents".
Ms. Stewart added the school boards and superintendents were given guidance to consult with
local health officials which they have done. She continued by stating that it is a milestone in the
life of a high school graduate, she's not immune or insensitive to that. She does want everyone
to have the experience of celebrating that milestone, understands that everyone has worked
hard but just wants everyone to be safe doing so.
Ms. Miller thanked Ms. Stewart for the clarification as she stated that the school board had
pushed the idea that the Health Director had the final say on high school graduations.
VI. Board Comments.
None.
VII. Adjournment
Alison Stuebe moved to adjourn the meeting at 9:19pm and Aparna Jonnal seconded.
The next Board of Health Meeting will be held June 24, 2020 at 7:00pm via Go To Meeting.
Respectfully submitted,
Quintana Stewart, MPA
Orange County Health Director
Secretary to the Board
S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/
May Page 7