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Home My WebLink About2022/07/26 - BOH PacketMason County Public Health 415 N 6th Street, Bldg. 8, Shelton WA 98584, (360) 427-9670 ext. 400 Fax (360) 427-7787 MASON COUNTY BOARD OF HEALTH July 26, 2022 3:00 PM Commission Chambers 411 North 5th Street Shelton, WA 98584 Zoom Information Meeting ID: 834 8034 3274 Passcode: 721009 DRAFT AGENDA 1. Welcome and Introductions Peggy Van Buskirk, Chair 2. Approval of Agenda – ACTION Board Members 3. Approval of May 24, 2022 Minutes – ACTION Board Members 4. Approval of Term Limits for HB 1152 – ACTION Board Members Intro by Dave Windom 5. Health Officer Report Dr. Keri Gardner 6. Administration Report Dave Windom 7. Environmental Health Report Ian Tracy 8. Community Health Report Melissa Casey 9. Other Business and Board Discussion Board Members 10. Public Comments 11. Adjourn If special accommodations are needed, please contact McKenzie Smith at (360) 427-9670 ext. 589. MASON COUNTY BOARD OF HEALTH PROCEEDINGS 411 North 5th Street, Shelton, WA May 24, 2022 Attendance: Randy Neatherlin, County Commissioner; Kevin Shutty, County Commissioner; Sharon Trask, County Commissioner; Mark Neary, County Administrator; Darrin Moody, Hospital District No. 1; Peggy VanBuskirk, Hospital District No. 2; Keri Davidson, Shelton School Board; McKenzie Smith, Clerk of the Board; Ian Tracy, interim Environmental Health Manager; and Dedrick Allen, Mason WebTV 1. Chair Peggy VanBuskirk called the meeting to order at 3:04 p.m. 2. Approval of Agenda Cmmr. Shutty/Trask moved and seconded to approve the agenda as presented. Motion carried. 3. Approval of the March 22, 2022 Minutes Cmmr. Trask/Shutty moved and seconded to approve the March 22, 2022 Board of Health Minutes as presented. Motion carried. 4. Approval of Board Positions for E2SHB 1152 by Dave Windom The composition of the Mason County Board of Health will be as follows: three elected members of the Mason County Board of Commissioners, one elected member of the City of Shelton Council, one representative from the Squaxin Island Tribe, one representative of the Skokomish Tribe, at least one representative of Public Health, at least one consumer of public health, and at least one community stakeholder. Board members can fill more than one slot. Community stakeholders could be Gary Plews (fire district) and Keri Davidson (school district). Public Health, healthcare facilities, and providers could be Darrin Moody and Peggy VanBuskirk with the hospital districts. An applicant is needed for the consumer of public health position. This must be done by July 1, 2022. If not, decisions made by the Board of Health past that date are invalid. The two positions for the tribes will be filled through the American Indian Health Commission. Cmmr. Shutty/Darrin Moody moved and seconded to place Peggy VanBuskirk and Darrin Moody into the healthcare facilities category, Gary Plews and Keri Davidson as community stakeholders, and to fill the consumers of public health through the recruitment process. Motion carried. 5. Health Officer Report by Dave Windom COVID rates are increasing from 24.4 cases per hundred thousand to 172 cases per hundred thousand. These numbers are only counting the PCR tests through the normal lab process, not the at home tests. This particular version, BA.2, is about 40% more transmissive than Omicron. If you are positive, you have a five-day window to get Paxlovid or Remdesivir. From the time individuals are symptomatic to the time they test positive is about three days. Contracting with a third-party provider to do telehealth and telemedicine to allow an individual to show their positive test and get a prescription is being discussed. The United States has one case of Monkeypox and 90 cases outside of Africa. Chances of getting it are very slim. 6. Administration Report by Dave Windom Presentation on the County Health Rankings website. BOARD OF HEALTH PROCEEDINGS August 4, 2005 - PAGE 2 7. Environmental Health Report by Ian Tracy Presentation on Oakland Bay and conditional areas. 8. Community Health Report 9. Other Business and Board Discussion 10. Public Comments Jean Bray inquired about the infant formula crisis. Dave shared that WIC was the main provider and is no longer in south Mason, people are having to go to Olympia. Looking to bring back. 11. Adjourned at 3:38 p.m. BOARD OF HEALTH PROCEEDINGS August 4, 2005 - PAGE 3 ATTEST _______________________________ McKenzie Smith, Clerk of the Board MASON COUNTY, WASHINGTON BOARD OF HEALTH MASON COUNTY, WASHINGTON _______________________________ Darrin Moody, 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 July 2022 Welcome to summer! Two years, four months, and 28 days and counting with COVID-19 BA.5 is the newest variant and is causing most of the disease we’re seeing lately. It’s much more transmissible and seems to avoid the vaccine and immunity from prior infection. Across the state, we’re seeing reinfection within weeks of a prior infection. Hospitalizations are up and deaths have started to climb again. We’ll be using a combination of monitoring of both case rates as a means to give a rate/direction of disease and hospitalization rates as a means of measuring the level of disease within the community. Cases per 100,000 Hospitalizations per 100,00 From the Director’s Desk The demand for test kits has increased so we’ve ordered and received another 10,000 tests for distribution. We continue to have good stocks of personal protective equipment and have the ability to provide assistance to county private and public agencies who need support. We hav e adequate funding for COVID response and our staffing continues to be ready. Ian Tracy is now our official environmental health manager taking over for Alex Paysse. Melissa Casey continues to grow into her new role as community health manager. We have a couple of openings in the department and those positions will be advertised soon. With an expected influx of FPHS (foundational public health services) funding, we’ll be expanding staffing into chronic disease work once we have confirmation of the funds and the statement of work. We have applied to open a WIC clinic in cooperation with Mason Health and the YMCA. It will be some time before we know if we’ve been awarded the contract. Whether we get the contract or another organization is awarded the contract, it’s important to bring this valuable service back into south Mason County. We held an all-staff workgroup in June to sets goals and build the framework for our strategic plan. Our current plan ended in 2020 just as COVID started so this has been our first opportunity to begin putting together this valuable tool. Once a draft has been put together, I will be presenting it to the BOH for their input and direction that they would like to see taken in public health over the course of the next three years. Lastly, we have been notified that our Live Stories website will no longer be s upported. We are reviewing three proposals for a dynamic and interactive website to showcase our community needs assessment, the community health improvement plan, and the work of our partners in housing, substance abuse, behavioral health, and the community forums. The plan is to have the new site ready for unveiling by the November meeting. David Windom, MSHS Environmental Health Report For Board of Health July 26, 2022 From Ian Tracy, Environmental Health Manager Vector Program DOH is providing funding through our consolidated contract to conduct West Nile Virus surveillance. Starting in June, program staff are setting 2 mosquito traps for 1 night twice per month. The captured mosquitoes are sent to the state lab for species determination and analysis. Only Culex pipiens and Culex tarsalis are potential vectors in our region. Water Quality Program Mason County Clean Water District funding is now available. Program staff have begun selecting freshwater monitoring sites and will collect our first round of samples this month. The Clean water district website will be updated to include a map and list of sample sites. Our Hood Canal Regional Pollution Identification and Correction grant which was due to expire September 30th 2022 has been extended through the end of December 2022. This will help us spend the remaining funds. Execution of the contract for this grant was greatly hampered by COVID-19 response and staff turnover. Sewage Program Our annual Septic Blitz is ongoing with a mass mailing to all septic system owners in the county, posting of signage in high visibility areas, and coordination with service providers. This past spring we mailed 732 Onsite Septic deficiency letters. We have had a 30% response rate and 16% of those deficiencies are already corrected. We did not send a deficiency mailing in 2021 due to program impacts from COVID-19 response. The Onsite Sewage Advisory Committee is working on a revised version of the programs building permit policy which we will bring before the BOH once it has been finalized. Food Safety Program Our Food program has seen extensive turn over in the past 8 months. Travis Casey moved from Food to Water Quality in March. We hired Rosalie Howarth in December 2021 however she left to work for Kitsap County in June. We have recently hired 2 new food inspectors, Charle Anunta and Sunni Evans. Both are in training and able to perform temporary event inspections but have not yet had sufficient training for full Food Establishment inspections. Neighboring jurisdictions have been limited in their ability to accommodate our training requests due to their own staffing challenges. COMMUNITY HEALTH REPORT MAY-JUNE 2022 This program provides transportation to substance use and mental health related medical appointments, inpatient and out outpatient substance use and mental health treatment, recov- ery support meetings, UAs, jail re-entry services, and other necessary support services for Mason County residents in sub- stance use and mental health recovery. • 114 transports by Patty Wagon (in county) • 16 transports by Gethsemane Ministry (out of county) Coordinated Entry • 280 unhoused households, 512 individuals • 143 Adult Only households • 103 Family households • 34 Transitional Aged Youth households (Age 18-24) Rental Assistance • 167 unhoused households were provided rental assistance to become housed Emergency Shelters • 629 Individuals stayed in emergency shelters • 202 Crossroads Housing • 152 Community Lifeline • 252 Turning Pointe Survivor Advocacy • 19 Youth Connections • 4 Community Action Council Eviction Prevention Programs • 891 Evictions Prevented Profile on Homelessness in Mason County now published on the Mason County Community Health website under Housing & Homelessness. Housing Year-End Summary July 1, 2021 - June 30, 2022 Communicable Disease & Notifiable Conditions* 1,011 cases of COVID-19 30 cases of Chlamydia *CD rates are suppressed for all non-zero counts which are <10 Behavioral Health & Recovery Support Transportation Program Unduplicated Participants 40 555 (YTD) Overdose Data to Action (OD2A) • 130 Naloxone kits distributed • 16 new people trained on overdose prevention, recognition, and response • Continued engagement with statewide workgroups to ensure the rural perspective is considered for resource development Successful overdose reversals with Naloxone 12 Substance Use Mobile Outreach Syringes exchanged 22,590 COMMUNITY HEALTH REPORT MAY-JUNE 2022 Melissa Casey, MPH | Community Health Manager | Mason County Public Health mcasey@masoncountywa.gov | 360-427-9670 Ext 404 47.4% Immunization Improvement Childhood immunization rates (ages 19-35 months) decreased by over 47% between 2020-2021 Children with Special Health Care Needs • The School Medical Autism Review Team (SMART) evaluates and may diagnose children with autism. • Public Health assists families to get the support and resources needed during or after their child is diagnosed. Maternal Child Health Active LEAD Cases 24 referred by Behavioral Health Navigator Program 86 Substance Use Prevention Our Substance Use Prevention Coalition Coordinator and Community Health Manager attended the 2022 Montana Institute, an intensive training workshop dedicated to the Science of the Positive. The team is working diligently to launch an exciting Social Norms campaign in the Fall, using data from the 2022 Healthy Youth Survey to encourage positive childhood experiences and engage youth in promoting substance use prevention. SMART Team featured in June 2022 issue of Mason Health Scope Magazine Children open to SMART Team Services 40