Transcript August 2001 Human Services Committee Report
Human Services Committee
September 2009 Health Department Report with January – July 2009 Data
State Funding for October – December 2009
At this date, there is uncertainty of funding for public health services, including the adolescent health program at the Youth Health & Wellness Center. Because of the uncertainty, I request approval to
continue services for the month of October of 2009 at the usual service level. When more information on funding from the State is known, the Health Department staff will formulate a plan to adjust to these funding changes and present this plan to the HSC for the County Commission’s advice and consent in a future HSC meeting.
Food Service Report
Regular Inspections Re-inspections Vending Enforcement Hearing Food Borne Outbreaks Public Complaints Temporary Permits (festivals, etc.) 2005 2006 2007 2008 2009
Jan-Jul 581 683 671 661 378 97 46 0 1 10 50 92 49 0 0 37 83 56 45 0 0 41 64 38 44 3 0 17 61 24 43 1 0 7 44
Septic System Permits Issued 1979 -2008
800 700 696 600 500 400 585 437 385 507 481 449 598 680 647 664 659 642 583 652 641 692 614 667 706 729 678 650 678 755 785 741 645 474 300 249 200 100 0 19 79 19 80 19 81 19 82 19 83 19 84 19 85 19 86 19 87 19 88 19 89 19 90 19 91 19 92 19 93 19 94 19 95 19 96 19 97 19 98 19 99 20 00 20 01 20 02 20 03 20 04 20 05 20 06 20 07 20 08
Monthly Accumulative Septic Tank Disposal Permits
2004-2009 600 500 400 339 300 200 100 3740 19 32 7 1 57 92 51 49 22 7 143 116 108 94 39 20 0 JAN FEB MAR 192 132 71 39 APR 254 199 102 67 May 258 139 92 June 478 447 386 302 159 119 July Septic 04 Septic 05 Septic 06 Septic 07 Septic 08 Septic 09
Monthly Accumulative Septic
2002-2009
Permits
678 755 785 741 645 474 249 DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN 2002 2003 2004 2005 2006 2007 2008 2009
Jan-July
Monthly Accumulative Well
2002-2009
Permits
619 717 671 609 551 412 246 DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN 2002 2003 2004 2005 2006 2007 2008 2009
Jan-July
West End Beach Daily Geometric Mean of
E. coli
June – September 2007 -2009
WEEK 2007
1 NA 2 14
2008
46 171 3 19 4 32 55 4 5 18 6 330 L2 7 20 9 46 35 8 16 93 9 10 8 10 19 11 41 12 172 13 4 81 14 3 55 14 55 3
2009
15 4 55 4 3 14 5 52 16 11 44
Clinch Park Beach Daily Geometric Mean of
E. coli
June – September 2007 -2009
WEEK 2007
1 NA
2008
1 2 2 3 2 4 3 5 16 6 44 177 3 15 1 27 7 4 24 8 23 9 31 164 34 10 7 12 11 240 12 326 L2 13 15 3 20 20 14 11 94
2009
8 2 3 2 7 8 4 111 16 15 21
Bryant Park Beach Daily Geometric Mean of
E. coli
June – September 2007 -2009
WEEK 2007
1 NA 2 3 13 30 4 4 5 20 6 236 7 26 8 99 9 29 10 18 11 9 12 102 13 27 14 9
2008
147 57 77 5
2009
3 9 23 22 6 281 36 10 7 20 193 29 6 3 15 15 59 546 L2 11 56 19
East Bay Park Beach Daily Geometric Mean of
E. coli
June – September 2007 -2009
WEEK 2007
1 2 3 4 NA 13 47 123
2008
17 13 22 2 5 46 3 6 704 L2 8 7 2 26 8 38 78 9 4 68 10 29 11 29 12 225 13 19 14 13 8 9 29 18 3
2009
1 6 15 2 286 12 7 138 2 5 16
TC State Park Beach Daily Geometric Mean of
E. coli
June – September 2007 -2009
WEEK 2007 2009
1 NA 24 2 53 134 3 7
2008
37 90 37 8 4 17 1 2 5 9 6 24 6 244 18 7 10 99 31 3 8 3 80 3 9 30 11 9 10 50 14 11 2265 L3 12 168 6 8 13 10 7 14 12 427 L2 45 10
JAN FEB MAR APR MAY 6JUN JUL AUG SEP OCT NOV DEC total
Animal Control Data
2008 Seized
30 25 33 30 33 45 50 39 44 49 26 14
418 2008 Redeemed
11 3 10 11 9 16 17 14 28 11 11 3
144 2008 Citations
14 8 16 17 23 33 42 26 36 19 18 6
258 2009 Seized
46 42 23 47 31 22 41
2009 Redeemed
16 6 3 15 6 6 9
2009 Citations
23 13 13 28 22 33 33
252 61 165
Animal Control Activities
60 50 40 30 20 10 0 Seized 08 Seized 09 Redeemed 08 Redeemed 09 Citation 08 Citation 09 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
Animal Control Activities
Dogs Seized 25 20 15 10 5 0 50 45 40 35 30 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Seized 08 Seized 09
Communicable Disease Report
DISEASE Enteric STD Hep A Hep B & C TB HIV/AIDS Animal Bites 2000
49 119 1 13 16 8 NA
2001 2002 2003 2004 2005 2006 2007 2008 2009
Jan-July 37 40 46 27 26 31 28 29 20 189 1 22 21 6 NA 133 0 12 8 3 NA 121 2 28 4 0 NA 175 0 9 0 3 NA 168 1 26 1 5 77 126 2 49 1 0 123 138 0 65 0 0 110 188 1 57 0 0 129 159 0 48 0 2 82
Unique Disease for January – July 2009: 6 Aseptic Meningitis; 1 Guillian-Barre Syndrome; 5 Chicken Pox; 3 Lyme Disease (1 Investigation determined negative); 1 Noro Virus Investigation in a Retirement Community; 1 Cryptococcosis; 3 Pertussis; 1 Legionellosis; 7 Novel Influenza (H1N1) HIV/AIDS activities include counseling/testing in Reproductive Health Clinic and at jail for court ordered testing.
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC total
Family Planning Data
Unduplicated Number of Patients Seen 2005
242 205 254 245 260 269 207 289 222 238 232 244
2,907 2006
171 182 243 196 265 199 254 257 205 221 220 181
2,594 2007
246 197 198 239 204 272 251 259 203 253 194 211
2,727 2008
234 251 265 257 227 283 236 253 251 253 193 237
2,940 2009
214 210 238 260 223 264 217
1626
2005 2006 2007 2008 2009 0
Family Planning Data
Unduplicated Number of Patients Seen 1,000 2,000 3,000 1626 Jan-July 2,907 2,594 2,727 2,940 4,000
2007 2008 2009 0
Family Planning Data
Number of Patients Seen - 3 Year Trend 100 200 300 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
Youth Health & Wellness Center
SERVICES Chronic Disease Management Reproductive Health Health Promotion/Risk Reduction Immunizations Mental Health Services Prenatal/Postpartum STI Testing/Dx/Trx Substance Abuse/Asx/Dx/Tx General Medical Dental (oral srv.ended 6/30/09) 2008
169 171 1134 555 189 31 66
24
907 278
2009
Jan -July 142 151 780 292 157 8 75
76
659 56
YHWC Services
Unduplicated vs. Total Services 3500 3000 2500 2000 1500 1000 500 0 3254 2856 2449 2148 1026 1108 784 555 2006 2007 Unduplicated Clients 2008 Total Services 2009
Jan - July
Youth Health & Wellness Center
Ongoing and New Special Projects:
• Childbirth Education Classes to Pregnant TCHS Students • Smoking Cessation Services • On Site Mental Health Services • Youth W.O.W. Pediatric Weight Management Program
Youth Health & Wellness Center
Challenges
• Substance Abuse • MMC perinatal providers have reported an increase in babies being born addicted to substances, especially in younger mothers.
• Our YHWC providers and TCHS staff have noticed an increased number of students who are using various substances and needing treatment guidance.
• YHWC can provide support and prevention education to our young teens at risk.
• We have now aligned ourselves with Third Level – experienced with crisis counseling, mental health and substance abuse counseling services. •We have purchased a new substance abuse curriculum which combines smoking and substance abuse cessation. We hope to begin this program in the fall.
Youth Health & Wellness Center
Acceptance of Donation SUMMARY
The Traverse City Track Club made a donation of $2,500 in support of the Youth Health & Wellness Center “W.O.W.” working on wellness program. This program assists in connecting area youth with the tools and resources to achieve a healthier lifestyle, including weight management.
RECOMMENDATION:
Approval to accept the $2,500 from the Traverse City Track Club for the Youth Health & Wellness Center’s “W.O.W.” program.
Hearing and Vision Testing Data
of School Children by Month JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC total 2006
771 557 808 837 670 55 86 454 1721 1340 1746 788
9,833 2007
1591 1531 1133 462 769 35 52 519 1351 2014 1419 1195
12,071 2008
1279 1607 1069 621 608 64 19 837 1330 1988 876 941
11,239 2009
1521 1880 705 599 790 83 6
5,584
Hearing and Vision Testing
of School Children by Month 2500 2000 1500 1000 500 0 Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec 2006 2007 2008 2009
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC total
Immunization Data
Patients Immunized at Health Department 2005
283 276 267 292 244 252 287 452 412 666 411 209
4,051 2006
266 256 256 238 248 268 248 397 249 393 282 298
3,399 2007
291 222 341 258 304 274 396 257 179 311 154 134
3,121 2008
346 300 254 354 268 317 349 504 402 637 260 232
4,223 2009
255 182 235 188 222 340 306
1728
Immunization Report
In Health Department Only 400 350 300 250 200 150 100 50 0 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC 2005 2006 2007 2008 2009
New WIC Food Card
as of 8/1/09
Food Packages Have Been Updated
to support the American Academy of Pediatrics recommendations on infant feeding and introduction of solid foods to align with Dietary Guidelines for Americans 2005
New WIC Food Card
as of 8/1/09
Key nutrition messages for WIC clients are:
Eat more fruits & vegetables Lower saturated fat & cholesterol intake Increase whole grains & fiber Drink less juice Babies are meant to breastfeed
New WIC Food Card
as of 8/1/09
Old WIC Food Card
(3 month supply for child age 1 – 5)
New WIC Food Card
(3 month supply for child age 1 – 5)
1 dozen eggs 16 quarts milk 2 dozen eggs 13 quarts milk
(no whole milk after 2 years old)
2 pounds bread or tortillas or 128 fl. oz. juice 36 ounces cereal 128 fl. oz. juice $6 cash value for fruits & veggies 36 ounces cereal 16 oz. dry legumes, beans or peas 2 pounds cheese or 12 ounces peanut butter 18 ounces peanut butter 16 oz. dry legumes, beans or peas or 64 ounces canned legumes, beans or peas 1 pound cheese
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC total
Maternal Support Services Data
2005
308 302 346 304 247 282 284 313 286 290 275 255
3,492 2006
306 275 302 288 267 317 267 276 267 299 227 228
3,319 2007
291 236 325 237 283 302 253 247 272 305 284 231
3,266 2008
276 276 237 233 258 274 266 228 223 297 232 242
3,042 2009
277 248 272 235 285 300 296
1,913
Maternal & Infant Support Services
at Homes and in the Clinic 400 350 300 250 200 150 100 50 0 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC 2005 2006 2007 2008 2009
• • • • • – – – – –
Emergency Management Accomplishment
Revision of
May – July 2009
“Local Emergency Management Planning Workbook” and 209b “Review Guide for Local Emergency Plans”.
“Region 7 Homeland Security Strategy” document – a strategic planning tool for all homeland security units in the northern portion of the lower peninsula.
Completed presentations and adoption of “Natural Hazards Mitigation Plan” to all units of government Cities and Townships within Grand Traverse County.
Sponsored Incident Command Training – ICS 300 and ICS 400 – Three day training sessions each – at the Grand Traverse County Civic Center to 25 participants.
Received regional approval for the following 2007 Homeland Security Grant requests: $75,000 for emergency generators for the local emergency alert system broadcast tower sites.
$40,000 for Forensic Computer Software/Hardware for the Grand Traverse Sheriff Office.
$35,000 for Grand Traverse County Information Technology Software to serve as additional firewall/protection for E-Team Server.
Assisted Grand Traverse County Safety Committee with the re-write of the Grand Traverse County Fire and Emergency Plan and adoption by County Board.
Emergency Management
• Exercise Activity: – Conducted a tabletop exercise for Northwestern Michigan College administrative staff testing notification and response procedures to an emergency. – Participated in a tabletop exercise with Munson Medical Center staff testing response and evacuation procedures.
– Served as an evaluator for Crawford County’s tabletop exercise testing the scenario defined in the Region 7 • Assisted National Cherry Festival and Traverse City Film Festival with placement of Communications Trailer, Operations with Trailer, and Antenna Trailer to enhance their operations.
H1N1 Update as of 8-13-09 for Michigan
• 3,257 cases 10 deaths • $15,583,768 for Michigan for program • Vaccine 20 M doses for US by Sept. 30, 100M by late Oct.
• MCIR to be used for all vaccinations • Inform and recruit Local Health Departments, Pharmacies, Hospitals, Physicians
GTCHD Role in H1N1 Vaccination Program
• Plan H1N1 Vaccination program $137,915 for planning 8/1/2009 – 7/30/2010 • Coordinate with schools for surveillance, infection control, & closings • Gatekeeper of vaccine for the county • Solicit physicians, pharmacies, hospital and clinics for vaccine dispensing • Train providers on use of MICR • Set up vaccination site(s) for large immunizations (PODS) – Sites – Logistics – Information – Planning – Finance • Public information
Priority Groups for Vaccination
• • • • • • The groups recommended to receive the novel H1N1 influenza vaccine include: Pregnant women because they are at higher risk of complications and can potentially provide protection to infants who cannot be vaccinated;
Household contacts and caregivers for children younger than 6 months of age
because younger infants are at higher risk of influenza-related complications and cannot be vaccinated. Vaccination of those in close contact with infants less than 6 months old might help protect infants by “cocooning” them from the virus; Healthcare and emergency medical services personnel because infections among healthcare workers have been reported and this can be a potential source of infection for vulnerable patients. Also, increased absenteeism in this population could reduce healthcare system capacity;
All people from 6 months through 24 years of age
– Children from 6 months through 18 years of age because we have seen many cases of novel H1N1 influenza in children and they are in close contact with each other in school and day care settings, which increases the likelihood of disease spread, and – Young adults 19 through 24 years of age because we have seen many cases of novel H1N1 influenza in these healthy young adults and they often live, work, and study in close proximity, and they are a frequently mobile population; and,
Persons aged 25 through 64 years who have health conditions associated with higher risk of medical complications from influenza.
• Legal Issues for Immunization Efforts
PUBLIC HEALTH CODE (EXCERPT) Act 368 of 1978 333.9203 Free immunization treatments; free periodic immunization clinics for children; publicity; mass immunization programs; liability.
Sec. 9203.
(1) A local health department shall offer free immunization treatments to the public for protection in case of an epidemic or threatened epidemic of a disease as ordered by the director.
(2) A local health department shall conduct free periodic immunization clinics for children residing in its jurisdiction. The local health department shall publicize the free immunization service and the time and place of the clinics.
(3) When the department approves a mass immunization program to be administered in this state, health personnel employed by a governmental entity who are required to participate in the program, or any other individual authorized by the director or a local health officer to participate in the program without compensation, is not liable to any person for civil damages as a result of an act or omission causing illness, reaction, or adverse effect from the use of a drug or vaccine in the program, except for gross negligence or wilful and wanton misconduct. This subsection does not exempt a drug manufacturer from liability for a drug or vaccine used in the program.
History: 1978, Act 368, Eff. Sept. 30, 1978 Popular Name: Act 368
Swine Flu Activities
Significant Local Partners
• Munson Medical Care • Area Physicians and Clinics • Area Pharmacies • TBA-ISD • TCAPS • Northern Michigan College • Grand Traverse Sheriff • Local TV, Radio, and Newspapers
Amendment #4 to FY 2008-2009 Comprehensive Planning, Budgeting and Contracting • • • • • • • • • (CPBC) SUMMARY OF ITEM TO BE PRESENTED: Amendment #4 to FY 2008-2009 Comprehensive Planning, Budgeting and Contracting (CPBC) Agreement with the Michigan Department of Community Health. Changes included in Amendment #4 are as follows: Addition of H1N1 Planning funding of $10,348.00 and additional WIC per participant allocation totaling $4,454.00
Immunization program name is changed and program requirements are specified.
Executive Order Maternal Child Health (MCH) and Local Public Health Operations (LPHO) funding reductions totaling $15,811.00 are incorporated into the contract.
RECOMMENDATION: Approve Amendment # 4 to the CPBC agreement with the Michigan Department of Community Health. The contract has been sent to Al Schneider, Prosecuting Attorney, for review and approval.
Because MDCH is requesting the amendment be returned by August 12, 2009, (It was received August 21, 2009) the Health Department is requesting immediate signature with ratification at the Full Board of Commissioner’s September meeting.