BOARD OF HEALTH MINUTES
OCTOBER 13, 2011

Attendees:    Lynn Jones, George Kellner, Dr. Kevin Ketring ,Noreen Mocsny, Jean Hicks, Mayor Webster, Student Nurse Rebecca Dennis, Cammie Mitrione and Dr. Webb
   
The minutes of September 8, 2011 were approved unanimously.

UNFINISHED BUSINESS
Comparison of Food Fees From 2007 to 2011
Mrs. Mitrione said she looked at the income from food fees from 2007 to 2011 and that they go up and down for a variety of reasons, such as number of food service operations, number of inspections, etc.

Mrs. Mitrione stated the City has received $10,500 in additional PHER dollars that is being used to upgrade the Health Department’s web site. This funding prompted the City to upgrade the overall web site.

Mayor Webster said the handout indicated that the Health Department received $150,927 in revenue in 2009.

Mrs. Mitrione said yes, approximately $70,000 was funding for H1N1 response. Many of those dollars were paid to local paramedics and nurses who helped with immunizations.

Mayor Webster said so generally it would be $85,000 in revenue versus $340,000 in expenses.

Dr. Ketring asked if the overhead hours in the Food License Cost Methodology are now moved into other areas.

Mrs. Mitrione replied they are spread out among the food service operation, retail food establishment, vending and mobile programs instead of only into the FSO/RFE category. She said she included additional office hours for each inspector to reflect office time spent on food related activity and allowed more actual overhead expenses to be included and, in general, increase license fees in all categories.

Mrs. Mitrione said without the part-time sanitarian, she did pool inspections and will do hotel/motel inspections with Ella. She is also doing the RFEs.

NEW BUSINESS
Regulation R2-2011
A REGULATION OF THE SPRINGDALE BOARD OF HEALTH AMENDING BOARD OF HEALTH REGULATION R2-2010 WHICH ESTABLISHED FEES FOR FOOD SERVICE OPERATIONS, RETAIL FOOD ESTABLISHMENTS, VENDING MACHINE LOCATIONS, AND TEMPORARY FOOD OPERATIONS WITHIN THE CITY OF SPRINGDALE; AND ESTABLISHED FEES FOR FOOD SERVICE OPERATION AND RETAIL FOOD ESTABLISHMENT PLAN REVIEWS.

Mrs. Mitrione read Regulation R2-2011 by title only.

Mrs. Mitrione stated the board needs to decide on the plan review fee. Do they want to charge an hourly rate or set fee?

The board agreed to charge $50 minimum for the first hour and $25 each half hour after that.

HEALTH COMMISSIONER’S REPORT
Smoking Complaints
Mrs. Mitrione stated the City receives $150 for each investigation. She said there have been six complaints and five are closed. The Boulevard had another incident where a patron asked for the “no smoking” section and was sent through the door in the back that lead her outside behind the building.

Listeria in Cantaloupes
Mrs. Mitrione reported there have been twenty-two deaths nationwide from listeria in cantaloupes.

Cryptosporidiosis in Hamilton County
Mrs. Mitrione stated the outbreak of cryptosporidiosis is the worst outbreak in quite a while. She said they have recommended that pools involved super chlorinate and peroxide to be used to clean in daycares.

NURSE’S REPORT
Ten Great Public Health Achievements in US 2001-2010 – see copy of CDC MMWR May 20,2011/60(19);619-623
Public health achievements contributed to the increased life expectancy of U.S residents from 47 years on 1900 to 76 years in 2000.
1. Decline in vaccine-preventable illnesses and deaths due to programs that increased the number of children receiving the vaccines and due to new vaccines.
2. Decrease in communicable diseases due to improvements in screening, testing, lab techniques, surveillance, and follow-up to prevent the spread.
3. Policies such as prohibit smoking in worksites, restaurants and bars along with increased sales tax on cigarettes and education reduced tobacco use significantly. Continues work in this area is still needed.
4. Mandatory folic acid fortification of cereal grain products has decreased the number of infants born with neural tube defects. Improved newborn screening for 26 disorders has resulted in earlier and more effective treatment.
5. Decreased number of motor vehicle and crash related injuries and deaths due to safer vehicles, safer roadways, seat belts, child safety seats, and graduated licensing policies.
6. Coronary heart disease and stroke death rates have decreased due to a decline in prevalence of uncontrolled hypertension, elevated cholesterol and smoking and due to improvements in treatments, medications, and education.
7. Progress has been made in reducing workplace associated injuries in the areas of patient lifting, etc.
8. Increased screening and education has decreased colorectal cancer, breast cancer and cervical cancer.
9. Significant decline in number of children with elevated lead levels resulted from enforcement of laws and education to prevent.
10. improvements in public health preparedness in the areas of surveillance, epidemiology, laboratory and response capabilities.

Flu Clinic
Mrs. Hicks reported about 170 people have signed up for the flu clinic scheduled for October 18th at the Community Center. Maple Knoll Home Health Care Nurses will give flu immunizations to those covered by Medicare B, and those with Medicare Supplements through United Health Care, Humana, Anthem or Aetna. The Springdale Health Department will offer flu immunizations to adults for $20 and to children for free.

Flu vaccinations will continue to be offered through the Health Department after this event at the charge of $20 for Adults and Free for Children.

Blood pressures and glucose screening will also be offered.

The clinic has been advertised in newspapers, Springdale Website and Springdale Facebook as well as signs and flyers.

Chronic Disease Management Healthy U Workshop
Mrs. Hicks said the first workshop of the series of six was held September 22, 1 – 3:30 PM at Community Center. There is an average of eight people at each workshop. The target group is persons with chronic diseases such as arthritis, cardiac, pulmonary, and other chronic illnesses.

Cryptosporidiosis
Mrs. Hicks said as of October 11, /2011 SWOH has had almost 500 cases and 126 cases in N Kentucky since early June. All lab confirmed cases are contacted by phone and interviewed and informed how to avoid spreading Crypto, advised to use Hydrogen Peroxide solution for disinfecting, to stay home until symptoms gone, to avoid swimming in a pool for 2 weeks after symptoms stop. As anticipated, the number of cases decreased now that local pools have shut down. We are seeing some cases in Day Care Centers.

Childhood Immunization Clinics
Mrs. Hicks stated she continues to stay busy with school aged children needing to be immunized for pre-school, kindergarten and middle school.

Blood Pressure Screenings
Springdale Health Department continues to help decrease the number of persons with undiagnosed hypertension by offering to monthly blood pressure screenings at the Community Center. See handout CDC MMWR May 27, 2011/60(20);671 for information about undiagnosed hypertension in persons 20-64 years of age.

Hispanic Coalition Meeting
Mrs. Hicks said she continues to represent the Health Department at these meetings. Primary purpose of these is to increase trust among the Hispanic Communities of the Police and Fire Departments so that persons needing police or Fire Department assistance will contact those departments. They also want to increase awareness of services available through the Health Department.

EDUCATIONAL MINUTE
Mrs. Mocsny gave a brief report on Tylenol acetaminophen. She said it is in over 600 medicines and if you are taking two or three different drugs containing it, you may overdose. They are trying to get drug companies to self regulate.

Respectfully submitted,



Cammie Mitrione, RS
Health Commissioner