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HomeMy WebLinkAboutBOH Agenda 111820ORANGE COUNTY BOARD OF HEALTH MEETING AGENDA DATE: November 18, 2020 TIME: 7:00 P.M. PLACE: Go To Meeting Please join my meeting from your computer, tablet or smartphone. https://global.gotomeeting.com/join/923777797 You can also dial in using your phone. United States: +1 (872) 240-3311 Access Code: 923-777-797 New to GoToMeeting? Get the app now and be ready when your first meeting starts: https://global.gotomeeting.com/install/923777797 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 the chat section of the screen.) Please limit your comments to 3 minutes. 7:05 – 7:10 III. Approval of November 18, 2020 Agenda 7:10 – 7:20 IV. Actions Items (Consent) A. Minutes of October 28, 2020 Jessica Frega B. 2021 Board of Health Schedule Jessica Frega 7:20 – 7:50 V. Educational Sessions A. Customer Satisfaction Survey Dr. Stephanie George (20 Minutes) and Victoria Hudson B. Mobile Dental Van Update Dr. Meng-Haggerty (10 minutes) 7:50 – 8:00 VI. Action Items (Non-Consent) A. Elections (Chair & Vice-Chair) Jessica Frega 8:00 – 8:20 VII. Reports and Discussion with Possible Action A. Health Director Report Quintana Stewart B. COVID-19 Update Quintana Stewart C. Media Items Kristin Prelipp 8:20 – 8:50 VIII. Closed Session to Discuss Health Director’s Annual Review Closed Session (ref. NCGS 143-318.11(a)6) to consider the qualifications, competence performance, fitness, conditions of appointment, of an individual public officer or employee, or prospective public officer or employee; or to hear or investigate a complaint, charge, or grievance by or against an individual public officer or employee. 8:50 – 8:50 IX. Adjourn to Open Session 8:50 – 8:55 X. Board Comments 8:55 XI. 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 October 28, 2020 S:\Managers Working Files\BOH\Agenda & Abstracts\2020 Agenda & Abstracts/ October 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 October 28, 2020 virtually via Go To Meeting. BOARD OF HEALTH MEMBERS PRESENT: Jessica Frega – Chair, Sam Lasris – Vice-Chair, Keith Bagby, Bruce Baldwin, Brian Crandell, Aparna Jonnal, Commissioner Earl McKee, Lee Pickett, Shielda Rodgers, Timothy Smith and Alison Stuebe. BOARD OF HEALTH MEMBERS ABSENT: None. STAFF PRESENT: Quintana Stewart, Health Director; Rebecca Crawford, Financial and Administrative Services Director; Karen Graham, PHN II - CD; Victoria Hudson, Environmental Health Director; Jennifer Jensen, PHN II – Preparedness Coordinator; Donna King, Health Promotion & Education Services Director; Kristin Prelipp, Communications Manager; Beverly Scurry, BOH Strategic Plan Manager; and La Toya Strange, Administrative Support I. GUESTS PRESENT: Mikayla Gaspary, Community Engagement Manager, NCCARE360 and Unite Us. I. Welcome New Employees Jessica Frega, Chair, called the meeting to order. Ms. Stewart, Health Director, introduced the new employees in attendance, Karen Graham and Jennifer Jensen. II. Public Comment for Items NOT on Printed Agenda: None. III. Approval of the October 28, 2020 Agenda Motion was made by Timothy Smith to approve the agenda, seconded by Bruce Baldwin and carried without dissent. IV. Action Items (Consent) A. Minutes of September 23, 2020 Meeting Motion was made by Aparna Jonnal to approve the minutes of September 2020 with the edit of changing Ms. Bagby to Mr. Bagby on page 6 of the minutes, seconded by Bruce Baldwin and carried without dissent. V. Educational Sessions A. NCCARE360 Mikayla Gaspary, Community Engagement Manager, NCCARE360 and Unite Us, gave a MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH October 28, 2020 S:\Managers Working Files\BOH\Agenda & Abstracts\2020 Agenda & Abstracts/ October Page 2 presentation on NCCARE360, its network status update and how to get involved. Below are some highlights. • NCCARE360, which was rolled out in 2019, is the first statewide electronic referral network that unites healthcare and human services organizations and enables a coordinated, community-oriented, person-centered approach for delivering case management in NC. Any organization that is providing services that impact health or the social determinants of health can onboard to the platform to better streamline their referral process. Partners include the NC DHHS (the brainchild behind NCCARE360), the Foundation for Health Leadership and Innovation (provided the funding), Unite Us (developed the network platform), NC 211 and the United Way. • The main goal of the network is to make sure that North Carolinians are getting connected to the agencies that can help them and are ultimately getting the help that best fits their needs. • There are over 200 service types in the platform. • NCCARE360’s referral process is different from the traditional referral process in that: o Information is stored and transferred on United Us’ HIPPA, FERPA, FIPS, VAWA and 42 CFR Part 2-compliant platform. All data is encrypted, secure and compliant with security and data storage standards and breach and enforcement rules. o Informed consent is requested by the system once before the first referral is made which gives their consent to have their information shared in order to receive services from network partners. o Clients are matched with the provider(s) they qualify for. o Providers have insight into the entire client journey. o Longitudinal data is tracked to allow for informed decision-making by community care teams. Reports can be pulled to understand information about the clients you serve, services you provide and the referrals you send and receive. o If the client wants to be notified of their referral(s) status, once they give permission, they can be enrolled to receive notifications whether via phone or email. o Clients also have the option of looking for resources themselves. They’re able to do so and the referral request is sent to NC 211. • There are entities that are required to use NCCARE360 for their referrals including Healthy Opportunities Pilot grantees, PHPs for Medicaid Transformation and community health workers. • Network status update: o NCCARE360 is live in all 100 counties in NC. o There are over 1,700 organizations onboarded, over 4,134 users and over 5,600 referrals have been sent. • To become a partner: o You’ll need to submit a partner registration form. o Determine how you want your organization to be set up in the network. o There are webinars every Tuesday at 2pm, self-guided and in-person trainings available. B. 1ST Quarter Financial Reports & Billing Dashboards Rebecca Crawford, Financial & Administrative Services Director, gave a report on the 1st quarter revenue and billing accuracy in FY 20-21. Her report is as follows: • Total Health Department Budget vs. Actuals: MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH October 28, 2020 S:\Managers Working Files\BOH\Agenda & Abstracts\2020 Agenda & Abstracts/ October Page 3 Average YTD monthly revenue in FY20-21 after the first quarter is $195k/month or $584k YTD, representing 17% of our overall budgeted revenue for the year. As usual though, the total first quarter revenue is skewed down due to the majority of state funds not eligible to be drawn in July (this is typical) and allocations of Medicaid Max funds will not be transferred into our budget until the end of the fiscal year. Revenues were only slightly below this point last fiscal year (FY 19-20 1st Quarter YTD: $216k). Expenses are in line with revenues, at 18% of the overall budget. • Dental Earned Revenue by Source: The FY 20-21 average monthly revenue ($31.3k/month) for the first quarter is below our budget projection ($41k/month) and our FY 19-20 average of $39.7k/month due to longer than anticipated dental clinic closures during the pandemic and the Dental Division Director vacancy. PPE shortages had a negative impact on the dental clinic and its ability to re-open to increased capacity, as Dental staff are required to wear a higher level of PPE for most procedures. The clinic is working with Duke Hospital to sanitize N95 masks, which have allowed staff to see more patients. FY 20-21 dental earned revenue totaled $94k at the end of the first quarter compared to $160k at the end of the FY 19-20 first quarter. • Medical Earned Revenue by Source: Medical earned revenue is currently above the budgeted projection for FY 20-21 ($33k/month) at $44.3k/month due to greater than anticipated revenue during the pandemic. Telehealth visits have been very successful and allowed the clinic to continue to see patients and bill for services even as in-person visits were limited. Billing staff have also worked diligently to collect as much revenue as possible from Medicaid and insurance companies from older accounts. We anticipate this trend toward increased revenue will continue to improve as the medical clinic gradually adds more in-person visits based on PPE availability and staff capacity. Medical clinic revenue totals $133k for first quarter FY 20-21 compared to $130k in first quarter FY 19-20. • Environmental Health Earned Revenue by Source: Environmental Health earned revenue is slightly below the budgeted projection for FY 20-21 ($53k/month) at $48.4k/month. It is a seasonal trend to see lower revenue in the first quarter of the year than in later quarters due to spring pool inspections. EH staff have worked hard to continue OSWP inspections during the pandemic with little to no in- person required of residents. • Grants Fund Revenue: FSA has drawn $200k of the multi-year Kenan grant. Expenditures are tracking as anticipated and will continue to increase as we fill the vacant Navigator position in November. The BOH members had questions and comments that were addressed by Ms. Crawford and Ms. Stewart. C. Advisory Board Update Beverly Scurry, Board of Health Strategic Plan Manager, made reference to the Advisory Report and stated that COVID-19 related issues were a topic of discussion for most boards. She directed the Board to review the Advisory Report and asked if there were any questions. The Board had none. MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH October 28, 2020 S:\Managers Working Files\BOH\Agenda & Abstracts\2020 Agenda & Abstracts/ October Page 4 VI. Reports and Discussion with Possible Action A. BOH Chair and Vice-Chair Slate The Board members shall elect a Chair and Vice-Chair by majority vote each year at the last meeting of the calendar year. It is customary for the current Vice-Chair to occupy the Chair position because of the experience gained as Vice-Chair. There was a nomination for Bruce Baldwin for Vice-Chair. Ms. Frega informed the Board to email her if there are any other nominations. The vote for Chair and Vice-Chair will take place, next month, at the November 18th meeting. B. Health Director Annual Evaluation Jessica Frega, Chair, reviewed this year’s process for the annual review. Ms. Stewart will send her send her updated work plan to Ms. Frega. Ms. Frega will be in contact with the County Manager and human resources. A survey will be sent to Ms. Stewart’s direct reports and a random sampling of staff at the OCHD. The annual review will occur during a closed session at the November 18th meeting where the results will be discussed as well as her performance. Ms. Strange will create a new Go To Meeting link for the closed session. C. Health Director Report In addition to her report, Ms. Stewart spoke briefly on the items below beginning with a brief overview of the information displayed in the COVID Dashboard created by Ms. Crawford as well as took questions and comments from the Board. • The Medical Clinic patient encounters for October were low. One of the reasons may be attributed to a new clinic schedule that began this month that only has one clinic location operable per day. The SHSC and Whitted locations alternate days in which they are open. The schedule was instituted out of caution and patient safety as we were short staffed. We are currently in the process of hiring and orienting additional staff. • In-house COVID testing numbers decreased which correlates with our increased community testing opportunities across the county while working with state partners. • The Communication team continues to be responsive to community questions and requests even though call line volume and email activity has decreased a little. • As a result of Mr. Bagby’s request at the last Board meeting for a COVID update for the community, a Public Health Chat series was created with a plan to do one monthly. It started last month with Ms. Stewart and others including EMS director, Dinah Jeffries, participating. Kudos was given to Ms. Prelipp for her excellent video editing skills. Ms. Prelipp also facilitated another video that involved Ms. Stewart, the mayor of Chapel Hill and the UNC Chancellor that encouraged safety while enjoying Halloween. • The OCHD has had some key staff, the Dental Director and the Personal Health Services Director, retire. A departmental reorganization was recently implemented. There are still five divisions. There were no changes in the Environmental Health and Financial and Administrative Services divisions. There was a minor change in the Dental Clinic. Carla Julian served a dual role as our Compliance & Quality Assurance (QA) manager and Dental Clinic manager. Now, her full-time focus is on compliance & QA. She is also the liaison for the congregate facilities in reference to COVID as well as the supervisor for our interpreters as Susan Clifford has made the transition to Human Rights and Relations due to the County Manager’s vision of making the work Susan does available on a countywide level vs only at the OCHD. Personal Health Services MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH October 28, 2020 S:\Managers Working Files\BOH\Agenda & Abstracts\2020 Agenda & Abstracts/ October Page 5 now consists of the medical clinic, communicable disease and nutrition teams. The newly created Community Health Services division consists of family home visiting, Family Success Alliance and Health Promotion & Education Services. A new director will be hired for this division. • Ms. Stewart congratulated Victoria Hudson on receiving the Bill Broadway award from the NCPHA. Ms. Hudson expressed her appreciation for being honored with the award and thanked Ms. Frega for the kind words she provided in the nomination packet. • The new Dental Director, Dr. Monica Meng-Haggerty, will be joining the OCHD sooner than expected. She will be starting on November 9th. D. COVID-19 Update Quintana Stewart, Health Director, gave an update on the COVID-19 status in Orange County (OC) as well as took questions from the Board. Some highlights are below. • As of today, o There are 3,088 confirmed cases and 58 deaths in OC. o There were 111 new cases in the last 7 days, an average of 15-16 cases daily. • We’ve seen a steady increase in cases; however, they’re widespread all across the county in both rural and urban areas. There are no potential clusters or indication of a single source that we’re aware of based on the information we’re getting from case investigations. The increase has mostly been with the younger population and working age groups, specifically the 18-24 year olds with the 25-49 year old age group following slightly behind. • There are some new outbreaks in long term care facilities with most of them being employees. • There’s a steady increase in hospitalizations in OC and the state. UNC Main is at 95% capacity. • The percent positive tests percentage for OC is currently at 3% which is below the ideal percentage of 5% or less; however, OC has been as low as 1.3%. • There have been 64,372 tests conducted. This does not translate into the number of individuals tested because some community members have been tested multiple times. Roughly 44% of the population, an increase of 3%, has been tested in Orange County. • We are attempting to make sure there are assessible testing sites in all parts of the county. StarMed consistently sets up a Wednesday testing site in the Chapel Hill area. Through state resources, we’ve also onboarded a new vendor, Optum Health, which will focus on testing in the Efland area. We also have testing in the northern part of the county in Hurdle Mills. The fourth Saturday of the month, we’re testing in Chapel Hill at St. Thomas More. This Sunday, there is a testing event at McDougle Elementary School in Carrboro. This week, we’ve started daily testing at the OCHD in Hillsborough at the Whitted site. All testing is free. We’ve also offered free flu shots at some of the community COVID testing events. So far, 412 flu shots have been administered. • At today’s Governor’s press update, the eviction moratorium was extended until the end of the year for those unable to pay their rent. It was announced last week that the HOPE (Housing Opportunity to Prevent Evictions) federal funds are another resource that can assist with some emergency housing needs. For our community members that are undocumented, they are not eligible for those funds. Our housing director is aware of this and is in the process of requesting some additional resources to support community members not eligible for the HOPE funds. MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH October 28, 2020 S:\Managers Working Files\BOH\Agenda & Abstracts\2020 Agenda & Abstracts/ October Page 6 • Also at the Governor’s briefing, they debuted a new PSA about the importance of wearing masks especially as there will be more family gatherings due to the holidays. The question isn’t how well you know someone, it’s whether this person a part of my immediate household. If the answer is no, you’ll need to wear a mask. E. Media Items Kristin Prelipp, Communications Manager, mentioned that the articles in the Board packet were just a selection of the numerous COVID-19-related articles. Included in the Board’s packet were articles regarding UNC-Chapel Hill’s fall reopening, the Hurdle Mills COVID-19 testing and Halloween health guidance. Media items were in the packet which focused on Orange County’s events and our involvement in various efforts. VII. Board Comments Mr. Bagby stated that he’d completed the orientation with the Family Success Alliance. Ms. Stewart thanked him for being the Board’s liaison. Ms. Stuebe and Ms. Pickett stated that the County’s Diversity, Equity & Inclusion (DEI) training in which they participated was great. VIII. Adjournment Bruce Baldwin moved to adjourn the meeting at 8:48pm and Alison Stuebe seconded. The next Board of Health Meeting will be held November 18, 2020 at 7:00pm via Go To Meeting. Respectfully submitted, Quintana Stewart, MPA Orange County Health Director Secretary to the Board 2021 BOARD OF HEALTH MEETING SCHEDULE Whitted Human Services Center Board of Health Conference Room Building 3rd Floor Room A 305 7:00 p.m. – 9:00 p.m. Contact Person La Toya Strange 919-245-2411 January 29, 2021 February 24, 2021 March 24, 2021 April 28, 2021 May 26, 2021 June 23, 2021 August 25, 2021 September 22, 2021 October 27, 2021 November 17, 2021 All meetings are held on the fourth Wednesday of the meeting months and at the Whitted Human Services Center, Hillsborough unless noted otherwise. Agenda Item Number: ORANGE COUNTY BOARD OF HEALTH AGENDA ITEM SUMMARY Meeting Date: November 18, 2020 Agenda Item Subject: Customer Satisfaction Surveys – Environmental Health and Dental Clinic Attachment(s): PowerPoint Staff or Board Member Reporting: Victoria Hudson and Dr. Stephanie George Purpose: ____ Action _ X Information only ____ Information with possible action Summary Information: Per Board of Health Policy and Accreditation standards, annually staff will present to the Board of Health results of patient and client input on services received, including any corrective actions deemed necessary to improve services 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): Customer Satisfaction Survey Reports 2020 Dental and Environmental Dr. Stephanie George and Victoria Hudson November 18, 2020 Dental Health Patient Satisfaction Surveys 1.Ongoing through Solutionreach Patient Engagement Software Sent by text or email one day after visit 11% Response Rate 51 Responses Since 5-2020 2.Paper Spanish and English Surveys Conducted Aug. 25- Sept. 1 Provided at Checkout 19 Spanish 20 English Dental Health Patient Satisfaction Surveys •Spanish Paper Survey Results: Aug 2019 –95% satisfied with overall experience –100% agreed front desk staff and dentists were courteous and responsive to needs –100% agreed dental assistants or hygienists were courteous and responsive to needs –95% satisfied with interpretation services –Mostly positive open-ended survey responses, such as “Great care” and “their kindness.” –Two needs improvement comments: •“Having more available appointments for when someone needs them. •“I understand that the assistants do their job. Just a small observation: Some of them should be a little patient with children, and try making them feel safe and not afraid. I hope it does not bother you. Thanks for everything- .” Dental Health Patient Satisfaction Surveys •English Paper Survey Results: Aug 2019 –95% satisfied with overall experience –100% agreed front desk staff and dentists were courteous and responsive to needs –100% agreed dental assistants or hygienists were courteous and responsive to needs –Mostly positive open-ended survey responses, such as “Prompt,” “Professional,” “Friendly”, and “Great Care” –One Needs Improvement Comment •“If we don’t have to wait long for an appointment, that would be better. Not complaining, we understand. Thank you all so much.” Questions? Stephanie George sgeorge@orangecountync.gov 919-245-2043 www.OrangeCountyNC.gov/Health ENVIRONMENTAL HEALTH CUSTOMER SATISFACTION 2019-2020 89 RESPONDENTS GENERAL STATISFACTION = 100% 90% EXCELLENT 10% GOOD UNIFORM DISTRIBUTION OF SURVEYS COMPLETED AS SHOWN BY THE QUARTER -FLUCTUATES WEEKLY -LESS FLI PROGRAM RESPONDENTS -SAME AVAILABILITY OF THE SURVEY AS THE PAST 10 YEARS RESPONSE TIME •Response time –Initial evaluation of the application for accuracy and completeness –Background research –Field visits/ evaluations/ investigations –Examination of premises plus adjacents –Legal analysis of proposed operations –Time to write, draft, draw, or otherwise generate a reports and site plans How would you rate staff promptness and response time? AVAILABILITY- THE GOAL WAS TO MAKE THE DELIVERY OF SERVICES AS SEAMLESS AS POSSIBLE AFTER COVID RESPONSE •IMPROVE PERCEPTIONS ABOUT RESPONSE TIME BY 25% •ENHANCE THE APPLICATION EXPERIENCE NOW THE LMCPS IS VERY FUNCTIONAL & CSS IS MORE POSSIBLE THAN EVER •INCREASE SUBMITTAL RATE BY 10% FOR OSWP •INCREASE SUBMITTAL RATE BY 25% FOR FLI TARGETS FOR 2020-2021 Questions? VICTORIA HUDSON vhudson@orangecountync.gov 919-245-2365 www.OrangeCountyNC.gov/Health Agenda Item Number: ORANGE COUNTY BOARD OF HEALTH AGENDA ITEM SUMMARY Meeting Date: 11/18/2020 Agenda Item Subject: Update on the Mobile Dental Clinic Attachment(s): N/A Staff or Board Member Reporting: Dr. Monica Meng-Haggerty Purpose: ____ Action _ x_ Information only ____ Information with possible action Summary Information: An update on the status of the Mobile Dental Clinic will be provided by Dr. Monica Meng-Haggerty, the new Dental Director. The update will include status on what still needs to be completed for the Mobile Clinic to be operational, as well as the plans and timeline for the parking area for the Mobile Clinic at Southern Health and Human Services. Dr. Meng-Haggerty will also provide an estimate of when the MDC will be ready for use. 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: November 18, 2020 Agenda Item Subject: Elections (Chair & Vice-Chair) Attachment(s): None Staff or Board Member Reporting: Jessica Frega Purpose: __X_ Action _ __ Information only ____ Information with possible action Summary Information: Per the Board of Health Policies and Procedures, the Board shall elect a Chair and Vice-Chair by majority vote each year at the last meeting of the calendar year. Recommended Action: _X_Approve ___Approve & forward to Board of Commissioners for action ___Approve & forward to ___________________________ ___Accept as information ___Revise & schedule for future action ___Other (detail): Health Director’s Report November 2020 • October 30, 2020 – Orange County Cost Recovery Training facilitated by Haggerty Consulting, Inc. (Virtual) • November 4, 2020- NC InCK Partnership Council Meeting (Virtual) • November 5, 2020 – Orange County Department Directors Meeting (Virtual) • November 5, 2020 – Town of Chapel Hill Emergency Manager & Town Manager COVID Q&A (Virtual) • November 6, 2020 - Partner Information Sharing Group (formerly MAC group) meeting (Virtual) • November 6, 2020- OCHD hosted UNC Public Health Students for the Annual UNC Phield Trip. UNC PHield Trip – a way of introducing incoming public health students from UNC to local governmental public health; Krishnaveni Balakrishnan, Healthy Homes Coordinator, coordinated and facilitated the event this year. There were 23 students and 10 staff in attendance. Due to COVID-19, it was held in a virtual format rather than in person as traditionally done. Krishnaveni gave a comprehensive overview of the Orange County Health Department highlighting the important racial equity work of the department and the impact of systemic racism on health disparities. She made a clear connection of this as evidenced by the impact of COVID-19 on historically marginalized communities. Students had an opportunity to go into breakout rooms to hear from health department staff in an intimate setting to ask questions and hear more about department programs and initiatives. Special thanks to Donna King, Kristin Prelipp, Ana Salas, Asuka Nakamura, Rita Krosner, Cathy York, Jennifer Jensen, Dana Crews, and Angela Sowers for their participation and assistance in making the event a success. • November 9, 2020 – Large/High Impact County COVID-19 Call (Virtual) • November 13, 2020 - NCALHD New Health Director Orientation (Virtual) • November 13, 2020 - Campus & Community Collaborative Fall Meeting • November 13, 2020 –Management Team Meeting; PERFORM training with Human Resources (Virtual) • The team and I continue to work with UNC, both the school districts, and several community agencies to discuss COVID re-opening plans. • We recorded Public Health Chat #2 this month. In addition to the COVID update we featured the School Superintendents from both school districts (Dr. Monique Felder – OCS and Dr. Jim Causby (Interim) – CHCCS to discuss school reopening plans and preparation. • On November 10th, Governor Cooper announced that NC would remain in Phase 3 until December 4, 2020. He also announced that the mass gathering limit for indoors will decrease to 10 maximum. As we see cases increase across the State, it is largely due to social, community and family gatherings. The change to the mass gathering limit is an effort to suppress the spread of the virus as we head into the upcoming Thanksgiving Holiday when many may gather indoors to share a meal. • On November 12, 2020 BOCC Chair, Penny Rich, signed an Amendment to the Declaration of State of Emergency in Orange County to align with the Governor’s Executive Order 176 issued on November 10, 2020. • As of Friday, November 13, 2020, NCDHHS will be making a change to the NC COVID-19 Dashboard that will result in an increase in hospitalizations. The Centers for Disease Control and Prevention (CDC) has revised the criteria for reporting COVID-19 hospitalizations. Previously, the CDC required that hospitals report patients only when they were under isolation precautions, which is typically a maximum of 21 days. Because patients may suffer the effects of COVID-19 for a longer period of time, the CDC now requires that hospitalizations be reported for the entire length of stay. It is anticipated that we will see an increase in the number of COVID-19 hospitalizations being reported as this metric will now include patients that are still hospitalized due to COVID-19 but are no longer under isolation precautions. We will likely have a one-time increase on November 13th and then longer term we may see a higher more sustained number of COVID-19 hospitalizations. • Please note that NCDHHS is modifying the time that the data is pulled for the dashboard. As a result, there will be a one-time artificial decrease in the number of tests, cases and deaths on November 13, 2020 as the data will cover 10 hours as opposed to the standard 24 hours. Future data will cover the standard 24-hour period. Upcoming Testing Events • Monday – Friday, 9am – 5pm – OCHD, Whitted Building, 300 West Tryon Street, Hillsborough, NC 27278 • NEW Daily Weekday Testing! We will begin working with a new vendor, Optum, to increase our testing efforts in the county. Beginning Monday, November 16, 2020, Monday – Friday, 9am – 5pm (closed for a hour break for lunch) - R7 Parking Lot, 725 Martin Luther King Blvd., Chapel Hill, NC 27514 • Wednesday, November 18, 2020, 11am – 3pm - Mt. Moriah Baptist Church, 200 Buckhorn Road, Mebane, NC 27302 • Wednesday, November 18, 2020, 3pm - 7pm - Nash Parking Lot Wilson Street, Chapel Hill, NC 27514 • Saturday, November 2, 2020, 10 am - 2pm - Lattisville Grove Missionary Baptist Church, 1701 Jimmy Ed Road, Hurdle Mills, NC 27541 Agenda Item Number: ORANGE COUNTY BOARD OF HEALTH AGENDA ITEM SUMMARY Meeting Date: November 18, 2020 Agenda Item Subject: COVID-19 Update Attachment(s): Staff or Board Member Reporting: Quintana Stewart Purpose: ____ Action _ X Information only ____ Information with possible action Summary Information: Quintana Stewart will give an update on COVID-19 status in Orange County. 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): 11/11/20, 6:21 PMOrange County Courthouse Closes Due to COVID-19 Exposure - Chapelboro.com Page 1 of 6https://chapelboro.com/news/coronavirus-covid-19/orange-county-courthouse-closes-due-to-covid-19-exposure ___ Orange County Courthouse Closes Due to COVID-19 Exposure Posted by Brighton McConnell | Oct 28, 2020 | COVID-19, Local Government The Orange County Courthouse will temporarily close ON AIRNOW: 97.9FM The Aaron Keck Show - - Live & Local I List en Liv e WCHL Broadcast Calendar NEWS SPORTS TOWN SQUARE !2020 ELECTION COVID-19 LOCAL & VIRTUAL EVENTS !NEWSLETTER PROMOTIONS DONATE 97.9 THE HILL ON DEMAND ! "#$SEARCH %% 11/11/20, 6:21 PMOrange County Courthouse Closes Due to COVID-19 Exposure - Chapelboro.com Page 2 of 6https://chapelboro.com/news/coronavirus-covid-19/orange-county-courthouse-closes-due-to-covid-19-exposure to the public following “an exposure” to COVID-19. Court o!cials for the Hillsborough facility announced the closure on Tuesday, citing a recent threat to the public and court employees’ safety from the coronavirus. According to a release from the North Carolina Judicial Branch, those working at the courthouse have been coordinating a response with Orange County Health o!cials. “We are working quickly to protect the health of those who work in the building as well as the people that we serve,” said Senior Resident Superior Court Judge Allen Baddour in the release. “We’re grateful for the quick response by the Orange County Public Health Department and the County’s Environmental Services Department.” The release from the state judicial branch did not specify whether the “exposure” came from a positive COVID-19 case in a community member or courthouse sta" member. Orange County court o!cials say the courthouse will be closed through at least Friday, November 6, with the exception of some operations. First appearances for in-custody defendants, emergency domestic violence matters and emergency #lings will still occur in-person. Criminal Superior Court matters and Civil District Court matters will be conducted remotely when possible, according to Tuesday’s release. Other matters, including tra!c court and criminal district court, will be rescheduled automatically. Orange County court o!cials said those with such cases will soon receive a letter about a new court date. The North Carolina Judicial Branch said the Orange 11/11/20, 6:21 PMOrange County Courthouse Closes Due to COVID-19 Exposure - Chapelboro.com Page 3 of 6https://chapelboro.com/news/coronavirus-covid-19/orange-county-courthouse-closes-due-to-covid-19-exposure County Grand Jury scheduled to meet on Monday, November 2, will be postponed to November 30. At the beginning of the COVID-19 outbreak in the state, North Carolina Chief Justice Cheri Beasley announced most non-criminal proceedings in court would be conducted remotely. In June, guidance from the state court system led the Orange County Courthouse to resume more in-person operations in a limited fashion, implementing several requirements to visitors to protect public health. Chapelboro does not charge subscription fees. You can support local journalism and our mission to serve the community. Contribute today – every single dollar matters. Related Report: 4 Positive COVID- 19 Cases in Orange County Face Mask Requirement Begins in N.C. Courts as Cases Grow Local Government Updates: Chapel Hill Closes Town O!ces to Public March 20, 2020 July 16, 2020 March 24, 2020 Sponsored Content North Carolina Launches New Policy for Cars Used Less Than 50 Miles My Insurance Savings North Carolina Launches New Policy For Cars Used Less Than 50 Smart Lifestyle Trends Most wine drinkers in the US don't know these 5 simple Dos and Don'ts NakedWines.com 11/11/20, 6:11 PMRaleigh & Durham areas’ COVID-19 cases spike along with NC | Raleigh News & Observer Page 1 of 9https://www.newsobserver.com/news/coronavirus/article247060012.html CORONAVIRUS COVID-19 cases climbing in Triangle, but rate is lower than in rural parts of NC BY ADAM WAGNER NOVEMBER 08, 2020 05:34 PM !"#$ Just like the rest of North Carolina and much of the country, the Triangle has seen its number of COVID-19 cases rise quickly in recent weeks. According to the NC Department of Health and Human Services, Wake County’s 2,393 newly confirmed cases over the last two weeks are second in North Carolina only to Mecklenburg’s 3,246 cases. During that same period, Durham County has added 881 and Orange 262 cases. Dr. Mandy Cohen, secretary of the NC DHHS, said during a briefing Nov. 5, 2020, if you are planning on a gathering over the holidays, these are steps you can take during the coronavirus pandemic to do it as safely as possible. BY UNC-TV Listen to this article now 04:45 Powered by Trinity Audio SECTIONS SUBSCRIBE 11/11/20, 6:11 PMRaleigh & Durham areas’ COVID-19 cases spike along with NC | Raleigh News & Observer Page 2 of 9https://www.newsobserver.com/news/coronavirus/article247060012.html The number of cases per capita in the Triangle trails those in other parts of the state over the last two weeks, with more rural parts of North Carolina typically having the state’s highest rates. For instance, Alexander County, slightly east of Boone, has the state’s highest rate with 872 cases per 100,000 residents. TOP ARTICLES By comparison, Durham leads the Triangle over the past two weeks with 274 cases per 100,000 residents — a rate below that of nearly 60 of the state’s 100 counties. Wake County’s rate is 215 cases per 100,000 residents, while Orange County’s is 176 per 100,000. Wake County’s highest single-day total recently was 257 cases on Friday, the county’s second-highest day since the pandemic began. The same day, Durham County reported 120 cases, its third-highest day during the pandemic. Orange County saw its highest numbers in August when UNC-Chapel Hill tried unsuccessfully to return students to campus. While the county is seeing its seven-day average for new cases steadily trend upward, it is now nearing 25 new cases a day, much lower than the roughly 80 it topped out at in August. COVID-19 IN SCHOOLS Schools throughout the Triangle are reopening gradually, even as case counts mount. Thursday, Dr. Betsey Cuervo Tilson, the state health director, said cases among children are not “a big driver” of the state’s escalating COVID-19 cases. Coronavirus: Latest news Sign up for our newsletter and get updates on the coronavirus in North Carolina and across the nation. SIGN UP This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Enter Email Address SKIP AD www.affordablerxnc.com/take-act… JOIN US Learn More Ad : (0:11) Skip Ad 11/11/20, 6:11 PMRaleigh & Durham areas’ COVID-19 cases spike along with NC | Raleigh News & Observer Page 3 of 9https://www.newsobserver.com/news/coronavirus/article247060012.html Wake County reported 20 cases at its schools this week. On Monday, some middle school students will return to in-person learning in Wake County. The News & Observer previously reported that an estimated 6,000 of the district’s 160,000 students will be on campus Monday. Like PreK-3 and K-12 special- education students in regional programs before them, middle schools students will return to classes in a rotation of one week in school and two weeks of remote learning. Wake County PreK-3 students and K-12 special-education students will begin daily in-person classes on Nov. 16, while fourth and fifth graders will start the three-week rotation. Staff and students must cover their faces, undergo temperature screenings and stay 6 feet apart whenever possible. Chapel Hill-Carrboro Schools moved last week to start returning a very small number of students to classrooms. About 60 students with disabilities who attend adaptive classes are set to return to the classroom on Dec. 7, with in-person classes in the morning and remote classes in the afternoon, The News & Observer reported. Some working students who take evening classes could also soon return to the classroom. The district also announced that K-12 students will continue virtual learning until at least Jan. 15. At Orange County Schools, preschool and special-education students returned to the classroom Oct. 27, while most K-12 students are scheduled to return in small groups beginning January 2021. Students at Durham Public Schools are also scheduled to begin returning in January. COVID-19 IN JAILS, NURSING HOMES On Friday, Franklin County announced that its jail is undergoing a COVID-19 outbreak. As of 2 p.m. Friday, 30 inmates and two staff members had tested positive for COVID-19 at the Louisburg facility. In a press release, the Franklin County Health Department said it is working with All-access digital subscription Connect to local news for just $1 a month for 3 months VIEW OFFER 11/11/20, 6:11 PMRaleigh & Durham areas’ COVID-19 cases spike along with NC | Raleigh News & Observer Page 4 of 9https://www.newsobserver.com/news/coronavirus/article247060012.html DHHS and the Franklin County Sheriff’s Office to test both incarcerated people and jail staff, as well as conducting contact tracing efforts and quarantining people who have tested positive. According to DHHS’ latest outbreak report, released Friday, there are 12 other county jails with ongoing outbreaks. An outbreak is defined as two or more cases in a congregant living setting. Outbreaks are considered over four weeks after the last person with COVID-19 linked to the outbreak either tested positive or had symptoms develop. Around the Triangle, there are ongoing outbreaks at the Johnston County jail, where 18 inmates and five staff members have tested positive for COVID-19, as well as the Wake County jail, where 39 inmates and a staff member have tested positive. DHHS also identified multiple outbreaks in Triangle nursing homes and long-term care facilities. There are a dozen ongoing outbreaks at facilities in Durham, three at facilities in Orange County and six at Wake County facilities. The DHHS report does not include an outbreak at Garner’s The Laurels of Forest Glen that was reported Wednesday by Wake County. The outbreak is the second at The Laurels of Forest Glen, which, according to Wake County, means the facility must increase its restrictions, including not having visitors for four weeks. Source: N&O analysis of NC DHHS data • Get the data NC CORONAVIRUS CASES AND TESTINGNC CORONAVIRUS CASES AND TESTING The chart below shows confirmed cases, completed tests and percent positive rates for the last 14 days. Select variables from the dropdown menu for more information. Total Cases Oct 31 Nov 03 05 07 09 11 50k 100k 150k 200k 250k 300k 269k 271.8k 274.6k 276.7k 278k 280.4k 282.8k 285.7k 288.6k 291.2k 293.3k 294.9k 297.4k 300.6k FREE SHIPPING + RETURNS NC health official: COVID-19 steps to take for a safer holiday gathering Dr. Mandy Cohen, secretary of the NC DHHS, said during abriefing Nov. 5, 2020, if you are planning on a gathering over the UP NEXT NC Gov. Cooper extends Phase 3 COVID restrictions, offers × 11/11/20, 6:11 PMRaleigh & Durham areas’ COVID-19 cases spike along with NC | Raleigh News & Observer Page 5 of 9https://www.newsobserver.com/news/coronavirus/article247060012.html Map: David Raynor • Get the data NC CORONAVIRUS CASESNC CORONAVIRUS CASES Number of reported coronavirus cases by county as reported by NC DHHS. Not all cases of COVID-19 are tested, so this does not represent the total number of people who have or had the virus. < 1505 1505–3829 3829–7953 7953–23727 ≥ 23727 202420242024 659665966596 312931293129 243724372437 115811581158 156115611561 152215221522 237272372723727 299229922992 399939993999 635063506350 442544254425 214021402140 179179179 259225922592 162116211621 768768768 209820982098 245524552455 462746274627 133591335913359 795379537953 140414041404 674467446744 657665766576 331933193319 436243624362 244924492449 424642464246 190919091909 506050605060 842842842 650650650 371623716237162 382938293829 325325325 225322532253 783783783 223022302230 465446544654 813813813 308830883088 219921992199 125512551255 164616461646 122812281228 156915691569 292729272927 218218218 364036403640833833833 709709709 842842842 352352352 150515051505 532532532 583458345834 574574574 697697697 134134134 534353435343 102961029610296 259825982598 786786786 168316831683 337533753375 341341341 170517051705 468468468 279279279 344634463446 271827182718 849584958495 896896896 181181181 120512051205 173917391739 153215321532 407407407 281628162816264264264 259259259 905905905120912091209 223322332233 273273273 421421421 255255255 586658665866 Case totals for the following counties include state and federal prisons where positive tests have been reported: Granville, Greene, Halifax, Hertford, Johnston, Pasquotank, Wayne. f f inin Map: David Raynor • Get the data NC CORONAVIRUS DEATHSNC CORONAVIRUS DEATHS Number of reported deaths due to COVID-19 by county as reported by NC DHHS. Under 10 10 to 24 25 to 49 50 to 99 100 or more 676767 102102102 323232 545454 191919 171717 474747 280280280 555555 353535 696969 717171 434343 555 656565 323232 212121 636363 575757 111111111 216216216 108108108 777 444444 666666 767676 353535 191919 484848 717171 101101101 363636 222222 410410410 868686 555 393939 131313 535353 122122122 888 606060 666666 393939 323232 888 353535 212121 151515 939393151515 333 202020 131313 777 343434 777 939393 333 666 333 676767 137137137 747474 101010 454545 606060 333 282828 999 888 727272 686868 979797156156156 363636 333 121212 333333 666 222 161616101010 103103103 444 474747 101010 181818 121212 242424 444 333 222 131313 222 353535 444 333 464646 181818 f f inin FREE SHIPPING + RETURNS holidays, these are steps you can take during the coronaviruspandemic to do it as safely as possible. BY UNC-TV % 11/11/20, 6:11 PMRaleigh & Durham areas’ COVID-19 cases spike along with NC | Raleigh News & Observer Page 6 of 9https://www.newsobserver.com/news/coronavirus/article247060012.html Chart: David Raynor • Get the data CORONAVIRUS CASES BY DAYCORONAVIRUS CASES BY DAY "Total Cases" shows the cumulative number of positive cases from molecular and antigen tests. "New Cases" shows the number of new cases by day. "7-Day Rolling Average" shows a 7-day average of new cases in order to account for the lag- time of how cases are reported by county health departments to the state. On Sept. 25, the state Department of Health and Human Services started including the cases and deaths diagnosed via antigen tests and the number of antigen tests completed. The spike of more than 6,140 cases over one day on Sept. 25 reflect a one-time addition of new information as the state backfilled data through May 20, when the first antigen positive case was reported, a DHHS spokesperson said. We flatten the curve by reducing the number of new cases per day. Total CasesTotal Cases New Cases 7 Day Average Cases Recoveries Apr May Jun Jul Aug Sep Oct Nov 100k 200k 300k Data is from the NC DHHS daily updates. Not all cases of COVID-19 are tested, so this does not represent the total number of people who have or had the virus. The number of recovered patients is reported each Monday by DHHS. FOLLOW MORE OF OUR REPORTING ON CORONAVIRUS IN NORTH CAROLINA SEE ALL STORIES ➔➔ RELATED STORIES FROM RALEIGH NEWS & OBSERVER CORONAVIRUS Is it safe to go holiday shopping during the pandemic? Here’s what experts say NOVEMBER 11, 2020 3:24 PM COLLEGE SPORTS UNC asks its athletics boosters to help offset $30M in lost ticket sales and TV money NOVEMBER 11, 2020 12:06 PM CORONAVIRUS North Carolina has averaged more than 2,000 new COVID-19 cases a day for 3 weeks NOVEMBER 08, 2020 11:42 AM 11/11/20, 6:27 PMSafety tips to make Halloween less frightful | Arts & Entertainment | newsoforange.com Page 1 of 2https://www.newsoforange.com/arts_and_entertainment/article_1830e96c-153c-11eb-a9a2-cf64ca29fb15.html https://www.newsoforange.com/arts_and_entertainment/article_1830e96c-153c-11eb-a9a2-cf64ca29fb15.html FEATURED Safety tips to make Halloween less frightful Dale Edwards/News of Orange Oct 23, 2020 Be safe and have fun on Halloween Courtesy of the Orange County Department of Health The Orange County Health Department is echoing the words from the Centers for Disease Control and the N.C. Department of Health and Human Services in urging residents to forgo traditional Halloween activities because of concerns for spreading COVID-19. But that doesn’t mean all hope for having a good time this year is lost. “We want people to have a good time because people need a bit of a release and to have some fun,” said Kristin Prelipp, communications manager and public information o!cer with the Orange County Health Department. “That makes you healthy, too. We’re just hoping that whatever people do Halloween night, then two weeks later we’re not all paying the price for that.” Prelipp said the OCHD took guidance from the CDC and N.C. DHHS, which broke down Halloween activities into risk categories. Door-to-door trick-or-treating and large costume parties are considered high risk because of the potential for many hands touching the same surface. “If you happen to have one person in that crowd that is sick, it’s just so contagious,” Prelipp said. “We’re trying to encourage people that if they’re going to do these activities, at least know what are the riskiest parts. In general, we’re looking at things in more of a risk-reduction model. We can’t stay home forever. You have to be able to go out and live your life. Many of these activities, like Trunk-or- Treat, or door-to-door Trick-or-Treating are in the high-risk category.” 11/11/20, 6:27 PMSafety tips to make Halloween less frightful | Arts & Entertainment | newsoforange.com Page 2 of 2https://www.newsoforange.com/arts_and_entertainment/article_1830e96c-153c-11eb-a9a2-cf64ca29fb15.html In a typical year, OCHD emphasizes the importance of Halloween candy-seekers being seen, wearing bright colors, using crosswalks, being aware of moving cars and trick-or-treating in groups. The germ aspect was never much of an issue. COVID also has changed how treats should be given out. “We have guidance on how to structure one way trick-or-treating,” Prelipp said. “We also have signage you can print out that’s in English and Spanish to help. One way trick-or-treating with individually wrapped goodie bags, and they’re lined up for families to take and go so you don’t have that shared bowl of candy. The idea is that you could have that set up at the edge of your driveway or the edge of your yard. Whoever is preparing the goodie bags would have to follow the same hand-hygiene guidelines of washing your hands with soap and water for at least 20 seconds before and after preparing the bags.” Another point is the importance of social distancing and continuing to wear cloth face masks, even if you’re wearing a costume mask. Prelipp said the cloth masks should not be worn under the costume masks as it could be dangerous if the costume mask makes it hard to breath. People could consider using a Halloween-themed cloth mask. “There are a lot of cool masks out there,” she said. Lower risk alternatives to trick-or-treating include — if you’re sticking with your household members — decorating pumpkins, decorating your home and yard, and some people are doing a Halloween scavenger hunt for the kids. Also virtual Halloween costume contests and Halloween movie night. “If you’re going to do the moderate risk activities, just make sure you go into it knowing the parts that are more risky,” Prelipp said. “For instance, let’s say there’s a lot of local places o"ering a haunted attraction that you can walk through, if you’re going to be really afraid, you typically shout or scream. When you do that, more of the virus that might be in you goes out.” 11/11/20, 6:27 PMScreening the key to breast cancer prevention, treatment | Community | newsoforange.com Page 1 of 2https://www.newsoforange.com/community/article_b9a83da0-14b4-11eb-8e13-a3ed26349c17.html https://www.newsoforange.com/community/article_b9a83da0-14b4-11eb-8e13-a3ed26349c17.html FEATURED Screening the key to breast cancer prevention, treatment Dale Edwards/News of Orange Oct 22, 2020 Breast Cancer Awareness Month Vecteezy.com It’s not often that breast cancer is overshadowed by another health crisis, but such is life in pandemic times. But what should never take a backseat where breast cancer is concerned is the importance of screening and prevention. “Screening for breast cancer is really important because, while it is quite common and can be deadly, when caught early it is much more treatable and less deadly,” said Christy Bridges, a physician’s assistant with the Orange County Health Department in Hillsborough. “The idea for doing a screening is your looking at someone who doesn’t have any symptoms and looking for a concern or a problem. Because you would only screen if you could do something about it. Breast cancer is a cancer we can do something about by screening.” The most-commonly used tool for breast cancer screening is the mammogram. It is recommend women of average risk for breast cancer start discussing screening with their care provider at age 40. Between ages 40 and 50 there’s not a strong base of evidence showing any real bene!t in undergoing a mammogram. After reaching age 50 the evidence is more clear that breast cancer screening with mammogram is e"ective. The recommendation of screening every two years with a mammogram starts at age 50. Health care providers will order a mammogram for a patient. Many health care facilities, like UNC Healthcare, do mammogram screenings at multiple locations. The patient goes in for the mammogram and is given the results through a letter, or if there is a determination that additional follow up is needed, then that can be done either at the time of the screening or at a follow up appointment. 11/11/20, 6:27 PMScreening the key to breast cancer prevention, treatment | Community | newsoforange.com Page 2 of 2https://www.newsoforange.com/community/article_b9a83da0-14b4-11eb-8e13-a3ed26349c17.html It’s often believed that family history is a big factor in the likelihood of being diagnosed with breast cancer. But this is not necessarily so, said Bridges. “Most women who are diagnosed with breast cancer do not have a family history. For women who have a family history of breast cancer, we want to discuss that and it’s good for us to know that so we can determine if they would bene!t from a speci!c, like targeted testing to determine if they have a genetic marker that makes them more of a risk. But the vast number of women who are diagnosed with breast cancer don’t have a genetic history. While it is a risk factor, it’s not the only one.” As far as types of cancer, breast cancer is the most common of new cancer cases in North Carolina, according to 2017 statistics from the Centers for Disease Control, making it more common than lung and colon cancers. It is less deadly than lung cancer, but it still is the second-leading cause of cancer deaths in the state. While there may not be much di"erence in the number of breast cancer cases, minorities often face a higher mortality rate. “What we unfortunately see sometimes is that breast cancer is diagnosed at a later stage in African American or Latino women,” Bridges said. “If you’re diagnosed at a later stage, or a more advanced stage of breast cancer, that decreases your likelihood of surviving it. Women-of-color should take any breast cancer concerns seriously and take any opportunity for screening. Surgery and surgery with radiation is the most common treatment for breast cancer, if it is caught early enough and before it has spread beyond the breast. If the cancer is a more spread, then chemotherapy can be used. Other treatments include hormonal therapy and targeted therapy. Although there are many layers of treatment for breast cancer, the message health professionals want to make clear is the earlier cancer is diagnosed, the easier the treatment tends to be. For some risk factors, like age and family history, little can be done to decrease the the chance of a cancer diagnosis. But there are steps that can be taken to cut down on other risk factors. “Things you do have control over that are risk factors for breast cancer that someone can alter or change include not being physically active,” Bridges said. “Increasing your physical activity is protective from breast cancer. Being overweight is a risk factor. Keeping your weight to a healthy level is protective. Alcohol can be a risk factor. Hormonal therapy, like post-menopausal hormone replacement therapy that can be useful in certain instances, can also have some risks. That’s worth a discussion with your care provider.” One of the biggest risk factors is for women who are not connected with a health care provider, or are underinsured. One program that the Orange County Health Department participates in is the Breast and Cervical Cancer Control Program, or the BCCCP, which is a federal and state program with funding to help screen women for breast and cervical cancer who are underinsured or uninsured. The Orange County Health Department participates in the program to help women who may not have a health care provider or be connected to care. 11/11/20, 6:18 PM‘Unsanctioned’ NC festival leads to executive order violations | Raleigh News & Observer Page 1 of 7https://www.newsobserver.com/news/coronavirus/article246818712.html Comfo!, Rede"ned Giesswein USA NEW HOT NEW NEW CORONAVIRUS Two charged with breaking COVID-19 rules after sheriff busts music festival in NC field BY HAYLEY FOWLER OCTOBER 29, 2020 08:31 PM !"#$ An event promoter and a property owner face criminal charges after sheriff’s deputies were called to an “unsanctioned music festival” in rural North Carolina over the weekend, according to local law enforcement. Almost 1,000 people were expected to attend, though when deputies arrived, there were more than 125 people, the Orange County Sheriff’s Office said Thursday in a news release. North Carolina Gov. Roy Cooper on Oct. 21, 2020, extended Phase 3 of the pandemic reopening plan until Nov. 13, as COVID-19 coronavirus cases and hospitalizations reach highs not seen since the summer’s worst weeks. BY UNC-TV Listen to this article now 02:23 Powered by Trinity Audio SECTIONS SUBSCRIBE 11/11/20, 6:18 PM‘Unsanctioned’ NC festival leads to executive order violations | Raleigh News & Observer Page 2 of 7https://www.newsobserver.com/news/coronavirus/article246818712.html Karl Wilkins and Patricia Roberts were charged with violating Gov. Roy Cooper’s executive order requiring certain COVID-19 safety precautions — a misdemeanor, the news release said. TOP ARTICLES Wilkins is the owner of V Block Entertainment, which promoted the event, and Roberts is accused of renting out the land where the event was held on Saturday, the sheriff’s office said. Orange County Sheriff's Office about 2 weeks ago NOISE COMPLAINTS LEAD TO CHARGES AGAINST TWO FOR VIOLATION OF GOVERNOR’S ORDER Hillsborough, NC (October 29, 2020) – The Orange County Sheriff’s Office obtained criminal summonses against two people, charging them with a violation of Governor Cooper’s Executive Order 121, which details emergency prohibitions and restrictions. The individuals hosted an unsanctioned music festival in a field off Gregg Street. The charges came after Orange Communications (911) received multiple...See More 87 39 48 Under North Carolina’s Phase 3 executive order, music halls and entertainment venues with seating are allowed to be open, but must comply with mass gathering Coronavirus: Latest news Sign up for our newsletter and get updates on the coronavirus in North Carolina and across the nation. SIGN UP This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Enter Email Address North Carolina Seniors On Medicare Are Getting a Big Pay Day Raleigh elementary school that just reopened Monday reports its first COVID-19 case NC Gov. Cooper extends Phase 3 COVID-19 restrictions as cases rise North Carolina Gov. Roy Cooper on Oct. 21, 2020, extendedPhase 3 of the pandemic reopening plan until Nov. 13, asCOVID-19 coronavirus cases and hospitalizations reach highsnot seen since the summer’s worst weeks. BY UNC-TV UP NEXT Children in eastern Wake County find two men’s bodies in SUV % × 11/11/20, 6:18 PM‘Unsanctioned’ NC festival leads to executive order violations | Raleigh News & Observer Page 3 of 7https://www.newsobserver.com/news/coronavirus/article246818712.html limits of 25 people indoors and 50 outdoors. Cooper and Dr. Mandy Cohen, secretary of the N.C. Department of Health and Human Services, have pushed for local law enforcement to help enforce COVID-19 rules as case numbers across the state rise. Officials sent letters last week to 36 counties where the virus is spreading quickly. The letters suggest they enforce stricter measures, such as fines or orders to temporarily shut downs businesses that present a safety threat. Other suggested actions could include lowering mass gathering limits or stopping the sale of alcohol earlier than the current time of 11 p.m. Wake County received one of the letters, but Orange County did not. “We’re hoping all of that can help us stem the tide that we see coming at us,” Cooper said at a news conference Oct. 21. NOISE COMPLAINTS PROMPT CALL On Saturday, the sheriff’s office said multiple noise complaints prompted deputies to visit a field off Highway 70 West in Efland, about 45 minutes northwest of Raleigh. Deputies found more than 125 people attending OxFest Music Festival, the release said. It was advertised online as a “family friendly benefit concert in aid of family homelessness” with tickets costing between $20 and $25 in advance. “Organizers reportedly expected 1,000 people to be in attendance; 300 tickets were sold at the gate,” the sheriff’s office said. The event was hosted by Coco Filipina, the host of “The Culture” show every Sunday from 3 to 6 p.m. on 97.9FM, according to the radio station’s website. Pictures of the event shared on social media showed a few dozen people in the crowd, many of whom weren’t wearing masks. All-access digital subscription Connect to local news for just $1 a month for 3 months VIEW OFFER 11/11/20, 6:18 PM‘Unsanctioned’ NC festival leads to executive order violations | Raleigh News & Observer Page 4 of 7https://www.newsobserver.com/news/coronavirus/article246818712.html FOLLOW MORE OF OUR REPORTING ON CORONAVIRUS IN NORTH CAROLINA SEE ALL STORIES ➔➔ RELATED STORIES FROM RALEIGH NEWS & OBSERVER Sheriff’s deputies in Orange County charged two people with violating the governor’s executive order after they said 125 people attended an “unsanctioned music festival” near Mebane on Oct. 24, 2020. SCREENGRAB OF RENEENEPTUNESHOTS'S FACEBOOK LOCAL ‘It’s like a dream.’ Fallen soldier’s family receives new home on Veterans Day NOVEMBER 11, 2020 5:12 PM CORONAVIRUS Is it safe to go holiday shopping during the pandemic? Here’s what experts say NOVEMBER 11, 2020 3:24 PM CORONAVIRUS Some states want to check safety of COVID-19 vaccine before giving it. Here’s why OCTOBER 29, 2020 5:53 PM CORONAVIRUS 58 coronavirus cases tied to church that didn’t require masks, Michigan officials say OCTOBER 29, 2020 3:09 PM SOUTH-CAROLINA Baby with coronavirus gets CPR from deputy just in time as SC medics rush to scene OCTOBER 29, 2020 3:46 PM ELECTION Two attendees at a recent Trump rally in NC test positive for COVID-19 OCTOBER 29, 2020 1:27 PM