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HomeMy WebLinkAbout2021/03/23 - BOH Packet MASON COUNTY COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health MASON COUNTY BOARD OF HEALTH REGULAR MEETING Mar. 23, 2021 3:00 PM Via Zoom 411 North Fifth Street Shelton, WA 98584 DRAFT AGENDA 1. Welcome and Introductions Peggy VanBuskirk Chair 2. Approval of Agenda—ACTION Board Members 3. Elect Officer Positions (possible vice chair) -ACTION Board Members 4. Approval of Minutes for January 26, 2021 & March 8, 2021 —ACTION Board Members 5. Health Officer Report Dr. Dan Stein 6. Administration Report Dave Windom a. Vaccine Rollout b. Phased recovery c. Health Officer search d. Fiscal 7. Environmental Health Report Alex Paysse 8. Community Health Report Lydia Buchheit a. COVID Report b. Presentation by Abe.Gardner 9. Other Business and Board Discussion Board Members (Presentation by Commissioner Trask HB 1152 update) 10. Public Comments 11. Adjourn If special accommodations are needed,please contact McKenzie Smith,427-9670,Ext.589. From the Belfair area,please dial 275-4467,Ext.589;from the Elma area please dial 482-5269,Ext.589. Mason County Public Health 415 N 6th Street, Bldg 8,Shelton WA 98584, Shelton:(360)427-9670 ext 400 ❖ Belfair:(360)275-4467 ext 400 ❖ Elma:(360)482-5269 ext 400 FAX (360)427-7787 MASON COUNTY BOARD OF HEALTH PROCEEDINGS 411 North 511 Street,Shelton,WA January 26,2021 Virtual Attendance:Randy Neatherlin,County Commissioner;Kevin Shutty,County Commissioner; Sharon Trask, County Commissioner;Peggy Van Buskirk,Hospital District#2;Dave Windom,Mason County Community Services Director;Lydia Buchheit,Mason County Community Health Manager;Alex Paysse,Environmental Health Manager;Keri Davidson, Shelton School Board;Dr.Dan Stein,Health Officer;McKenzie Smith,Clerk of the Board;Ben Johnson,Public Health Program Coordinator;Carole Beason,City of Shelton Chief of Police;Keri Gardner;and Brooke Quigly. 1. Chair Peggy VanBuskirk called the meeting to order at 3:01 p.m. 2. Approval of Agenda— Cmmr.Neatherlin/Cmmr.Trask moved and seconded to approve the agenda as presented. Motion carried. 3. Resolution to Set Meeting Dates Cmmr.Shutty/Keri Davidson moved and seconded to approve the Resolution to Set the Board of Health Meeting Dates. Motion carried. 4. Electing Officer Positions Cmmr.Neatherlin/Cmmr.Shutty nominated Peggy VanBuskirk for Chair. Motion carried. 5. Approval of Minutes— Cmmr.Neatherlin/Cmmr.Shutty moved and seconded to approve the November 17,2020 minutes as presented. Motion carried. 6. Health Officer Report Dr. Stein reported the focus on spikes in COVID-19 cases and strategizing with the State on vaccine rollout and safe reopen plans for schools. 7. Administration Report a. Vaccine Rollout Vaccine rollouts have been problematic as there is not a reliable estimation on the number of doses and when they will be received. There are four initial mass vaccination clinic sites and three more will be added,however none are near Mason County. Cmmr. Shutty inquired about the number of vaccines given, increasing that number,and the Department of Corrections(DOC)vaccine rollout. Dave answered the DOC has their own chain of command through the State. Vaccines per day is about 200. Cmmr.Trask would like to work with distributors to better understand the vaccine rollout. b. Phased Recovery Each Friday we will find out if there is a phase change for Monday. c. Health Officer Search Dr. Stein will stay on for fewer hours and it is open for the new Health Officer to work remotely. BOARD OF HEALTH PROCEEDINGS January 26,2021—Page 2 It is preferred that the individual is local or understands our community. d. Fiscal Many PPEs(Personal Protection Equipment)have been purchased as well as trailers with CARES Act funding. e. Other With Commissioner approval,food permit fees will be postponed. 8. Environmental Health Report Alex Paysse shared permitting has increased with the economy and construction and that the department has been proactive regarding water quality. 9. Community Health Report a. COVED-19 Report Lydia Buchheit shared staff has mostly moved to online. For COVID-19 positive tests,we are at our lowest since mid-to end-November. Department of Health is trying to reconcile the State dashboard,it shows the Washington Correction Center's cases under our numbers. The first vaccination clinic in Mason County filled up within half an hour and had 500 people register. Keri Davidson asked if,at the clinic,they scheduled the registrants for the second dose. Lydia answered yes. Cmmr.Trask asked for clarification on the timeline between the first and second dose. Dr. Stein responded as close to 28 days as possible,but the Moderna vaccination can go up to 90 days. b. Presentation by Ben Johnson Ben Johnson shared a presentation on the relaxed cannabis and alcohol regulations and youth. 10. Other Business&Board Discussion No other business or board discussion. 11. Meeting adjourned at 4:18 p.m. BOARD OF HEALTH PROCEEDINGS January 26,2021—Page 3 ATTEST MASON COUNTY,WASHINGTON BOARD OF HEALTH MASON COUNTY,WASHINGTON McKenzie Smith,Clerk of the Board Scott Hilburn,Hospital District#1 Kathy McDowell,City Commissioner Kevin Shutty,Commissioner Randy Neatherlin,Commissioner Sharon Trask,Commissioner Peggy Van Buskirk,Hospital District#2 Gary Plews,Fire Commissioner Keri Davidson, Shelton School Board MASON COUNTY BOARD OF HEALTH PROCEEDINGS 411 North 5"Street,Shelton,WA March 8,2021 Virtual Attendance:Randy Neatherlin,County Commissioner;Kevin Shutty,County Commissioner; Sharon Trask, County Commissioner;Dave Windom,Mason County Community Services Director;Lydia Buchheit,Mason County Community Health Manager;Alex Paysse,Environmental Health Manager;Keri Davidson, Shelton School Board;Kathy McDowell,City of Shelton Council Member Seat#2;McKenzie Smith,Clerk of the Board;Katie Hayes; Shelton-Mason County Journal. 1. Keri Davidson called the meeting to order at 3:03 p.m. 2. Executive Session—RCW 42.30.110(1)(g)Qualifications of an applicant for public employment—from 3:06 p.m.to 3:18 p.m. 3. Selection of Public Health Officer Cmmr.Neatherlin/Shutty moved and seconded to move forward with the recommendation to the Commission to hire Dr.Keri Gardner as the Public Health Officer of Mason County. Motion carried unanimously. Cmmr. Shutty/Trask moved and seconded to extend Dr. Stein's employment for an additional month of service to overlap with the onboarding of our new Public Health Officer Dr.Keri Gardner. Motion carried unanimously. 4. Public Comments No public comment. 5. Meeting adjourned at 3:22 p.m. BOARD OF HEALTH PROCEEDINGS March 8,2021—Page 2 ATTEST MASON COUNTY,WASHINGTON BOARD OF HEALTH MASON COUNTY,WASHINGTON McKenzie Smith,Clerk of the Board Scott Hilbum,Hospital District#1 Kathy McDowell,City Commissioner Kevin Shutty,Commissioner Randy Neatherlin,Commissioner Sharon Trask,Commissioner Peggy Van Buskirk,Hospital District#2 Gary Plews,Fire Commissioner Keri Davidson, Shelton School Board From the Director's Desk March 2021 � . ! Time to get that COVID-19 vaccination! It's hard to believe that it has been a year since our COVID response started! Since our last board meeting our primary focus has been the delivery of vaccines through mass vaccination clinics. As of this writing,we've given over 17,890 doses in Mason County with around 7,000 people fully vaccinated. We've seen the most incredible partnerships with Mason General, Peninsula Community Health Services, Mason County, and our wonderful volunteers. We are currently vaccinating in North Mason County at the high school on Wednesdays and at the Port of Shelton on Thursdays for the foreseeable future. We are moving to Phase 113 Tier 2 on the 17th of March and Tier 3 on April 12. With the opening of new tiers,we face a challenging time. New tiers will be opening while the second doses for the previous tiers are not yet complete which will require additional clinics and patience from the public. Our plan is to use the Johnson and Johnson single dose product to vaccinate in pop up clinics that would increase access for groups such as congregate workers and shelters. This will give us a "one and done" response to special populations. Phases have changed once again in the Roadmap to Recovery plan. Mason County moved forward with the rest of the state to Phase 3. To remain in Phase three there are two metrics which we will continue to have to meet, both of which we currently meet easily (cases per 100,000/14 days and hospitalizations per 100,000/7 days). DOH and members of the Washington State Association of Local Public Health Officials worked together to present what we felt were reasonable measures to the Governor's office. Many of our recommendations were incorporated into the announced plan. With the legislature still in session, we follow closely those bills that will most likely impact public health from either a policy or budgetary perspective. Our bill of most concern is H131152. Commissioner Trask has been involved in workgroups addressing this bill for the past two months and will brief the board on the most current changes to the bill as it works its way through the senate. There are bills that seek to fund public health through either a tax on covered lives on medical insurance or through a sugary beverages tax like the Seattle ordinance. We are watching these bills as the budget cycle at the legislature gets into full swing. The goal is to provide a stable source of foundational public health funding. There is no doubt that this past year has been stressful for all of us engaging in the pandemic response. I cannot express enough how proud I am to work with such a dedicated group of public health professionals who have worked tirelessly to protect the health of the community. We have a great team! David Windom, MSHS WASHINGTON'S COVID=19 VACCINE PHASES Phase 1 Estimated Start Dates (Tiers A and B) Find out if it's your turn at FindYourPhaseWA.org .. 1pA FUTURES TIER,:4: PHASES n DECEMRER 2020,-°PRESENT 2021 EST. MARCH 17 EST.APRIL 12 EST,.APRIL 26 SPRING/SUMMER i • High-risk health All people65.yealrs High-risk critical People 50'years People,staff, • Information on care workers In, or.older workers who or older with 2 or and volunteers in who is eligible 9�hea th°care settings work'in certain more co-morbidities congregate living for Phases 2, 3 &4 All peop-Ie 50 years congregate settings: or underlying settings: Correctional coming soon. responders, isk first= or older e. Agriculture;fishing conditions facilities;group responders mulsehold ,( o menal vessel crews;food homes for people households,(home '• • Long-term,care where Individuals from processing;grocery with disabilities;_ facilityAres dents stores, corrections; people experiencing r or sid of generat- d . ' prisondeten ion centers peO'APRIL 26 homelessness All other workers � °reside such as"an elder' prisons,fails or • People 16years` that live in or at risk in.health .,and agrandchild) public transit; or older with 2 or access services in care settings . Educators and staffs remaining first more co-morbidities congregate settings „ :forpre-K through responders or underlying -12th grade`° people 16'years conditions Child care'providers 9 or older who are pregnant or have a disability that puts them at,high risk for severe COVID-19 illness. FOCUS ON EQUITY:This approach,prioritizes population groups who have been disproportionately impacted by COVID-19 due to external social factors and systemic inequities,including people of color; people with limited English proficiency;people in shared housing,crowded housing,and multigenerational homes;people in poverty and low-wage earners;people with disabilities that are connected to underlying Vaccinate health conditions that may put them at higher risk of COVID-19;and people with access barriers to healthcare,The social vulnerability index is one of several inputs informing equitable vaccine allocation. WA NOTE*Immigration and health insurance status do not impact eligibility. CovidVaccineWA.org The timeline represented here is tentative and subject to change based on vaccine supply and demand. DOH 348-785January 2021 Last updated 3/11/21 GLOSSARY OF; TERMS CO-MORBIDITIES HIGH-RISK WORKERS IN A HEALTH CARE SETTING (CON'T) Morbidity is a medical term that means illness or disease. • Worker(for example, health care provider, security, Co-morbidities means more than one illness or disease occurring environmental management) in a setting that provides in one person at the same time. Phase 1 -Tier 3 includes people direct care for suspected or confirmed COVID-19 patients. with 2 more comorbidities or underlying conditions that put them • First responder(for example, EMS, police or firefighter) at increased risk for severe illness if infected with COVID.This list in settings where direct care is provided to suspected or of these conditions can be found on the CDC website: confirmed COVID-19 patients. https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/ • Worker at high risk of infection and transmission of COVID-19 people-with-medical-conditions.html. because of exposure to the general public. CONGREGATE SETTING LONG-TERM CARE FACILITY An environment where individuals work and/or reside in an enclosed For the purposes of the vaccine allocation guidance, long-term care space and where they are interacting with a high volume of people facilities are defined as community-based, congregate living settings over an extended period of time and not able to consistently where most individuals over 65 years of age are receiving care, maintain physical distance. supervision, or assistance and are unable to reside independently in the community. CRITICAL WORKERS Individuals working in an industry that maintains critical MULTIGENERATIONAL HOUSEHOLD infrastructure for social and economic systems in our state. Household where individuals from 2 or more generations reside (See reverse side for detailed list.) such as an elder and a grandchild. Does not include a parent or guardian caring for a child or teen. HIGH-RISK WORKERS IN A HEALTH CARE SETTING Workers who are at higher risk of COVID-19 infection because WORKERS IN HEALTH CARE SETTINGS they meet one or more of the following criteria: This includes the full spectrum of workers at health agencies • Administer COVID-19 testing or handle COVID-19 specimens including all types of staff(e.g., contracted, part-time, • Administer COVID-19 vaccine or have patient contact in a unpaid/volunteer)and the spectrum of staff who provide services COVID-19 vaccination site. (e.g., ambulatory, direct patient care,support services). It is inclusive • Work at a community-based, congregate living facility of Community Health Workers, home care aides, health care (for example, long-term care facility, adult family home interpreters, doulas, caregivers, and personal care providers. or residential care community)where people over 65 years old receive care, supervision or assistance. To request this document in another format, Vaccinate Ak • A professional care provider to someone who is a at higher call 1-800-525-0127. Deaf or hard of hearing �A/� risk of severe outcomes if infected with COVID-19 customers, please call 711 (Washington Relay) {/{/ ;�f (for example, home health aide, dialysis provider, or email civil.rights@doh.wa.gov. or cancer treatment provider). CovidVaccineWA.org DOH 348-785 January 2021 Last updated 3/11/21 Environmental Health Report For Board of Health March 23rd9 2021 EHManager Updates: Environmental Health staff continues to serve Mason County residents with its various programs throughout COVID- 19. Since January, our EHS staff and myself have been very busy supporting our vaccination efforts. We are attempting to do these weekly,as vaccine allotment and availability allows. I have been extremely proud of the support and determination provided by our EH staff on these efforts,we truly have an amazing team. EH permitting does not appear to have slowed down in January and February of 2021. EH staff received,reviewed, inspected, issued 250 permits these past two months over the 186 done in 2020. As previously reported,this is primarily tied to new construction related to onsite sewage and well permitting. So far we have been successful in keeping permit review times to about 2 weeks, including EH review of building permits. 341 EH licenses have also been processed thus far in 2021. These licenses include food establishments,sewage contractors,pools/spas, and solid waste facilities. We continue to work with food establishment owners on various complications related to COVID-19 restrictions. Environmental Health Permits (mo/yr) 2021 EH Permits 2020 EH Permits --�- -- - .� 2019 EH Permits - .. .. 0 20 40 60 80 100 120 140 ®February Wanuary Addition items or actions for BOH review: none at this time V E� g w° January-February 2021 Communicable Disease & Notifiable Conditions(3 programs-CD,TB, STD)Staff:Audrey O'Connor, Back up: Elizabeth Custis&Lydia Buchheit January and February our communicable disease(CD)program nurse received 39 reports requiring data entry into the State database,and/or investigation and follow-up.* Hepatitis C cases being directly entered into new WDRS database by DOH. This does not include their work in COVID-19 case investigations.Year total for COVID-19 included in this update. Disease Jan-Feb Total to date COVID-19/2021 * 467 Campylobacteriosis 3 3 Cryptosporidiosis 1 1 Giardiasis 0 0 higa Toxin 2 0 0 higellosis 0 0 Mumps 0 0 Haemaphilus Influenza 0 0 Hepatitis B-Acute 0 0 Hepatitis B-Chronic 0 0 Hepatitis C-Chronic Hepatitis C-Acute 0 0 Hepatitis D 0 0 Lyme 0 0 Pertussis 0 0 almonellosis 0 0 Coccidioidomycosis 0 0 1 Anthrax—Ruled out 0 0 Hepatitis A—Ruled out 0 0 Meningitis-Ruled out 0 0 ibrio-Ruled out 0 0 Listeriosis-Ruled out 0 0 Q—Fever-Ruled out 0 0 Mumps-Ruled out 0 0 Tuberculosis-Ruled out 0 0 Tuberculosis-Latent 0 0 Tuberculosis-Active/open cases 0 0 ibriosis(non-cholera) 0 0 Listeria 0 0 ersiniosis 0 0 Chlamydia 25 25 Gonorrhea 7 7 Syphilis 0 0 Herpes 3 3 HIV 0 0 Totals 39 39 Hepatitis C Screening Staff: Christina Muller-Shinn MCPH has been working with Department of Health epidemiology staff to get the most available up-to- date numbers of newly reported and/or diagnosed HCV positive cases in Mason County that exclude Department of Corrections(DOC) cases. Current available data include DOC cases, which does not give an accurate portrayal of the of cases within our community.We will be using these numbers to estimate prevalence and current burden. Staff has been working with the Hepatitis C Free Washington (Hep C Free WA 2030) Community Engagement/Community-Based Service workgroup to learn,strategize, and guide State initiatives surrounding HCV elimination. Hep C Free WA is a "collective impact initiative seeking a multisector response to the public health threat of hepatitis C." Maternal Child Health Staff: Elizabeth Custis Providing work in this grant via approved COVID work.Assisting with guidance to childcare agencies regarding COVID. 2 Maternal Child Health Parenting Program No parenting classes were offered in Jan-February due to COVID Mass Vaccination work. ABCD Dental Program Elizabeth continues to provide telephone assistance for families needing a dental home. Dental outreach provided at the Early Learning Coalition drive through event. All other work is on hold during COVID. Breastfeeding Coalition of Mason County Breastfeeding Coalition meetings and support group are on hold during COVID. Early Learning Coalition of Mason County Provided dental and immunization information at the Early Learning drive through event. Immunization Improvement Grant Most work in this grant has been on hold due to COVID priorities. Elizabeth continues to encourage parents to apply for online access to their child's Immunization Information System records. There have been more phone calls from parents needing guidance, answers to questions, and assistance to get their child's immunizations in compliance for school attendance. Children with Special Health Care Needs Priority work has been in COVID mass vaccination and other COVID work. Elizabeth has provided some consultation and care coordination via phone to families with children that have special health care needs in the Mason County area. Outreach has been on hold during COVID. Referrals continue to be submitted to RN. RN has been unable to participate in monthly Pediatric Care Coordination Meetings that include Mason Health Pediatricians, Birth to Three Early Intervention,School and Mason Health Speech, Physical, and Occupational Therapy,and Developmental Preschool and Special Services staff. Social Service Programs Housing($2,434,817 Annually: 12 funding sources—grants,tax, local recording fees,12 subcontracts, and 20 programs)Staff:Todd Parker Rental assistance continues to be the hot topic in the Homeless Crisis Response System. Washington State has received almost$1 billion dollars toward rent assistance. Eviction Rent Assistance Program (ERAP): Governor Inslee approved additional ;.Location Waitlist state funds for rental assistance to prevent eviction. Mason County is in the Allyn 5 process of receiving an additional$227,668. Crossroads Housing has 175 people Belfair 49 on a wait list and Shelton Youth Connection has 15 households under the age of Hoods port 8 25 on their wait list. The table to the right represents the geographic distribution Shelton 95 on Crossroads Housing waitlist. Union 3 Tahu a 6 Gta eview 3 3 Treasury Rent Assistance Program (T-RAP): Mason County should be receiving a contract from the Department of Commerce in the amount of$3,459,027 in federal funds to further provide rental assistance to prevent eviction. The contract will have an end date of December 31, 2021. Behavioral Health Treatment Sales Tax(TST) ($900,000 Annually: 4 subcontracts and 8 programs)--Treatment Sales Tax (TST) Funded Staff:Todd Parker, Lydia Buchheit The focus of the behavioral health treatment efforts has been a community coordination effort. With the addition of grants such as LEAD and RCROP and piloting programs such as the Navigator program, additional community staff have been added through various funding sources and are joining meetings to better coordinate care, access to service and case conference. Dr.States recently joined a case conference meeting and has been a great asset to help find solutions and care for those with high needs behavioral health conditions. Mason County Mental Health &Substance Use Disorder(SUD) Response(6 programs) Staff:Abe Gardner,Christina Muller-Shinn,Audrey O'Connor Overdose Data to Action (OD2A) Since COVID has prevented many outreach activities from taking place, staff have reached out to other agencies who are in contact with people who use drugs or are in early recovery to help Public Health get a naloxone kit to the people most likely to experience or witness an opioid overdose.OD2A staff did a "train the trainer"workshop with the case managers of Parent-Child Assistance Program (PCAP)so they can train their clients on overdose prevention and response and get them a naloxone kit. OD2A staff also did an overdose workshop with the staff of Shelton Youth Connection and gave them a naloxone kit to have on hand. In total, Mason County Public Health distributed 358 naloxone kits to 73 people, including to 28 newly trained individuals during this reporting period.There were 15 reported overdose reversals using naloxone distributed through the OD2A program. Substance Use Mobile Outreach of Mason County During the reporting period of January and February,Substance Use Mobile Outreach had 86 interactions between 69 unduplicated individuals, including 19 new participants. 12 people reported experiencing or knowing someone who has experienced an overdose in the last 30 days. Participants exchanged 48,280 syringes,were given naloxone during 53 visits(including to 13 new people), and received 19 referrals for treatment, recovery supports, navigation, medical, and/or dental including two warm handoffs. One story highlights the successful partnership between MCPH and Peninsula Community Health Services.An individual visited this program for the first time and said yes to wanting a referral for treatment.They had previously been on the medicated assisted treatment program with PCHS and was interested in returning.The PCHS Peer/Community Health Worker who helps staff the Mobile Outreach was able to go into their system and book them a medical appointment for that very afternoon.This truly epitomizes seamless linkages to care! 4 COAP/COSSAP(Community partnerships,Systemic change, Program coordination) The COAP/COSSAP program continues to help facilitate overall system coordination. The program coordinator continues to stay plugged into the behavioral health system in Mason County, attending local meetings and engaging with key stakeholders. As gaps and needs are assessed and identified,the program coordinator explores solutions and potential partnerships so that Mason County's behavioral health system continues to pursue the overall goal of"no-wrong door." The COAP/COSSAP program also continues to collect data from the local SLID provider partners and will continue to do so for the foreseeable future. This data has helped inform decisions that impact programs and funding and has also helped in supplying data for other grant applications. MCLEAD (Mason County Law Enforcement Assisted Diversion) Mason County's LEAD program is continuing to exceed original program expectations. With three months remaining on the original grant contract,the goal for program referrals, has almost been surpassed. All parties involved with the program have reported that they are pleased with progress at both the operations level as well as the policy level. The community referral mechanism has been fully implemented and the program has seen multiple referrals sent in this way. Mason County is one of only a few LEAD programs in the state that has three active referral pathways. Program sustainability is a current priority,and the program coordinator is currently seeking short and long-term funding for the Mason County LEAD program. Behavioral Health Navigator Program with Mason County Sheriff's Office Mason County Public Health has recently partnered with the Mason County Sheriff's Office,to develop and implement a Behavioral Health Navigator program. This program began on February 1st and has already seemed to have a positive impact, both for the deputies using and referring to the program, but also for the individuals that are being referred to the program. The main objective of the navigator program is to provide support and a connection to services,to individuals that deputies are interacting with and responding to in the field. The navigator is coordinating with local resources and programs to find the best support for individuals needing help. The goal is to focus on program implementation over the next six months,the program coordinator over that time will be gathering and collecting data and information to then discuss options for program sustainability. RCORP (Rural Communities Opioid Response Program) The RCORP grant, a partnership between Public Health (who is leading and coordinating this grant), Mason Health, Peninsula Community Health Services(PCHS),and North Mason Regional Fire Authority, has been in planning stages and will be moving into implementation in March. This grant increases the peer workforce in Mason County, a vital bridge between vulnerable individuals who may have barriers to engaging in treatment and medical care. 5 Mason Health has hired their Certified Peer Coach/Community Health Worker(CPC/CHW),who will begin in March.This position will be embedded in the emergency department and will connect with individuals experiencing substance-related emergencies, like overdose and soft tissue/bacterial infections,to provide linkages to harm reduction, prevention,treatment,and recovery services. Substance Use Prevention Staff: Ben Johnson &Melissa Casey Community Prevention Wellness Initiative The Shelton and North Mason Substance Abuse Prevention Coalitions have continued to meet via zoom. Both the North Mason and Shelton youth prevention groups have started their respective youth outreach programs in their communities.The Shelton and North Mason PEER2PEER youth groups have been very active with student training and presentations in Jan and Feb 2021. As of now, all prevention activities will be conducted by zoom.They plan to begin in person training if allowed in the spring. Both groups are committed to continuing outreach messaging that focus on social norms campaigns, drug take bake boxes and the North Mason Safety Days event. The Shelton and North Mason Substance Abuse Prevention Coalitions continue assisting a Washington State project called Prevention Voices to develop policies that would not extend temporary rule changes on alcohol and marijuana retail sales during the COVID pandemic. A 6 week Strengthening Families Parenting class will begin on March 11, 2021 and a Winning at Parenting class specifically for our Hispanic community is currently in progress. We sponsored a "Hidden in Plain Sight"Training on Jan 27, 2021 6:30PM-8:30PM. 24 participants attended. Including a couple from the Mason County Sheriffs dept. We are partnering with Regional the Youth Marijuana Project to provide a Science of Alcohol and Marijuana training with Dr.Jason Kilmer on April 12, 2021 at 3;30PM and May 11, 2021 at 6:30 PM. Both trainings will be the same. Community Health Education,Assessment and Data Staff: Melissa Casey, Lydia Buchheit The Mason County Health Coalition has been temporarily on hold as staff are focused on COVID-19 mass vaccination clinics. In the interim,work groups have been encouraged to continue meeting as they are able. We invite community members interested in joining the coalition,to get more information and to be added to the coalition contact list, please contact: Melissa Casey at 360-427-9670 ext 406 or mcaseV@co.mason.wa.us . Emergency Preparedness Staff: Lydia Buchheit,Alex Paysee,Sunni Evans(plus all Public Health Staff) COVID-19 Response Mason County Public Health (MCPH), Mason Health (MH)and Peninsula Community Health Services(PCHS)have been busy at work for the past few months on getting Covid Vaccines out to those community residents eligible in the priority groups. MH has been conducting clinics on-site as well as pop-up clinics in the community, PCHS has been offering a weekly Mass Clinic in Belfair and MCPH has been doing weekly Mass Drive-thru clinics,in Shelton. Together over 17,000 have been vaccinated through these efforts. We are thankful for all staff and volunteers who have helped to in these clinics. 6