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HomeMy WebLinkAbout2022/09/27 - 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 September 27, 2022 3:00 PM Commission Chambers 411 North 5th Street Shelton, WA 98584 Zoom Information Meeting ID: 834 8034 3274 Passcode: 721009 DRAFT AGENDA Peggy Van Buskirk, Chair Board Members Board Members Dr. Keri Gardner Dave Windom Ian Tracy Melissa Casey Board Members ORCAA Staff FCS Group 1.Welcome and Introductions 2.Approval of Agenda – ACTION 3.Approval of July 26, 2022 Minutes – ACTION 4.Health Officer Report a. COVID-19 b. Other 5.Administration Report 6.Environmental Health Report 7.Community Health Report 8.Other Business and Board Discussion 9. ORCAA Presentation 10. Housing Needs Assessment 11.Public Comment 12.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 July 26, 2022 Attendance: Randy Neatherlin, County Commissioner; Kevin Shutty, County Commissioner; Sharon Trask, County Commissioner; Dr. Keri Gardner, Health Officer; Dave Windom, Community Services Director; Darrin Moody, Hospital District No. 1; Peggy VanBuskirk, Hospital District No. 2; Keri Davidson, Shelton School Board; Ian Tracy, Environmental Health Manager; McKenzie Smith, Clerk of the Board; and Dedrick Allen, MasonWebTV. 1. Chair Peggy VanBuskirk called the meeting to order at 3:05 p.m. 2. Approval of Agenda Kathy McDowell/Cmmr. Trask moved and seconded to approve the agenda as presented. Motion carried. 3. Approval of the May 24, 2022 Minutes Cmmr. Shutty/Trask moved and seconded to approve the May 24, 2022 Board of Health minutes as presented. Motion carried. 4. Term Limits for House Bill 1152 Dave Windom shared the categories for the Board of Health membership have been decided but no applications have come in for the community member position. The bill requires term limits for all positions excluding the Elected Official positions. Darrin Moody/Cmmr. Trask moved and seconded to rotate three-year term limits for non-Elected Official Board of Health member positions. Motion carried. 5. Health Officer Report Dr. Gardner discussed the BA5 COVID variant which has had a small increase in the number of hospitalizations and deaths and is extremely transmissible. Therapeutics appear to still be affective against this variant if used within the first five days. The latest variant is BA2.75 and is expected to reach the States. Each variant behaves different and may need to be treated differently. The Dept. of Health estimates that the case numbers are only 12% of what is out there. About 78% of cases are not being reported due to at-home testing. Influenza is late this year; a lot of positive influenza cases and deaths are occurring. Monkeypox was declared by the World Health Organization to be a disease of international interest. Cases are spreading rapidly. Washington has had 83 cases; a majority were considered as unknown etiology. Monkeypox can be transmitted through respiratory, but is most commonly transmitted through close physical contact. Testing is becoming available in commercial labs for individuals with insurance and the Public Health lab will do tests for individuals without insurance. Vaccines are being released to areas with the most cases. The State has increased response to an acute Hepatitis of unknown origin in pediatrics (children under the age of ten). Very few cases and not spreading at this time. Washington has a program to make the state Hepatitis C free by 2030. This program pays for anyone who needs to take Hepatitis C treatment. Treatment used to be very expensive and considered dangerous. Now the treatment is two pills twice a day for two months and has less side effects. The Center for Disease Control (CDC) shared that nationwide indicators of emotional distress are lower as far as visits for suicidal ideation, suicidal attempts, and psychological distress. Overdose deaths have increased due to the current fentanyl circulating. The number of overdose deaths this year has already exceeded the total number of overdose deaths last year. The population at the greatest risk of suicide is males ages 50 to 65 by firearm. Congratulations to David Windom for increasing funding for Foundational Public Health Services to $1.26 million. Last year $740k was received, the year before that $200k. 6. Administration Report Dave discussed the Foundational Public Health Services (FPHS) contract to expand services around obesity, diabetes, and strokes in the amount of $360k. The FPHS report for last year was completed today; capacity was increased but expertise decreased. 10,000 test kits were purchased and another 2,000 was received from the State. An order for 300 was put in for the Novavax vaccine for emergency uses. The Novavax is not an MRNA vaccine, it is more durable. The RNA is combined with DNA and put in a host cell which grows the spike proteins. The proteins are harvested and used in a plant extract to irritate the immune system. It is a two-dose vaccine taken three weeks apart. A contract is being discussed with Permitium for individuals to be able to order both birth and death certificates online or via their phone for a $4 fee. These certificates, once printed at Public Health, can be mailed or picked up in the office. Public Works has a cooling center set up. Dave met with Peninsula Community Health Systems in Bremerton to discuss getting a medical van down to the homeless shelter. Cmmr. Shutty recommended reaching out to Thurston-Mason Behavioral Health Administrative Service Organization to bring in a peer counselor. 7. Environmental Health Report Ian Tracy shared that Mason County had the State’s first rabies positive bat on July 12, 2022. This is the first case in Mason County since 2016. 8. Community Health Report Melissa Casey shared the new format for the Health Report. Homelessness is a growing issue in the community. Nearly 900 evictions were prevented in the last month and 600 individuals stayed in the emergency shelters. Mental health is a huge priority. Melissa attended the Positive Community Norms conference and a lot of the data shared in assessments and in reports can be negative. However, there is also a lot of data that can be celebrated as well. The 2023-25 Community Health Needs assessment survey link is available online. This is a federal requirement of public hospital districts. 9. Other Business and Board Discussion Cmmr. Shutty shared that there is a lack of crisis stabilization beds, both involuntary and involuntary. He will be traveling to Spokane to look at a crisis stabilization facility. Partners are needed to operate and run a facility like that in Mason County. There is a lot of capital money available from the State through the Department of Commerce. 10. Public Comment No public comment at this time. 11. Adjourned at 3:50 p.m. 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 Sept 2022 Summer is going, going…..! Welcome to COVID day 938 As we’ve all seen in the news, COVID-19 response is winding down. As of October 31, Governor Inslee will be ending the emergency declaration and most COVID-19 restrictions will be removed or reduced. Those items under the Authority of the Secretary of Health may remain in place such as masking. We are still watching to see what exactly changes with schools and congregate living such as skilled nursing and jails. By the End of October, we’ll be standing down Area Command and public health will be taking full lead on COVID-19 response. Some of our funding ends on 18 October and other funding ends on December 31st. Our COVID team is already transitioning to new tasks while continuing to be ready for COVID contingencies. Homelessness has risen to the top of the community interest, and we have been participating in a six- month homelessness task force lead by the City of Shelton. The task force brought together service providers, local government, public health, activists, and downtown business representatives. In October, the task force will make recommendations to the city council to address short, medium, and long-term interventions. I think that public health has a role to play and certainly in looking at prevention as a means to reduce new additions to the homeless population. General Update: Foundational Public Health Services Funds (FPHS) will aid our transition from COVID to traditional public health as well as increasing the capabilities we have. We’ll be focusing on communication heavily. Our intent is to fill positions in health education and Hepatitis C intervention and focusing efforts on chronic diseases such as obesity, diabetes, and heart disease. We’re ordering the equipment needed for us to be ready to store and administer vaccines in the future. We’ve not heard back on our WIC application yet but should have information by the end of this month. We’ve had some turn-over especially in our administrative section. Alyssa Medcalf is now attending nursing school and we certainly wish her the best. Sunni Evans has taken a position in our Environmental Health section as a food inspector while Shelly Bellisle is moving upstairs to become a permit technician. We welcome Alejandra Nacasio to the Admin section, and we’ll be adding another team member on the 1st of October. We’re currently filling our health educator position as well as an environmental health position. Come find us at Oysterfest! Dave Windom, MSHS COMMUNITY HEALTH REPORT JULY-AUGUST 2022 Housing & Homelessness Communicable Disease & Notifiable Conditions* 1,358 cases of COVID-19 42 cases of Chlamydia *CD rates are suppressed for all non-zero counts which are <10 Unduplicated Participants 40 569 (YTD) Overdose Data to Action (OD2A) • 232 Naloxone kits distributed • 52 new people trained on overdose prevention, recognition, and response • Re-engaged with 42 participants to give refills Substance Use Mobile Outreach Syringes exchanged 17,800 21 Successful overdose reversals with Naloxone Eviction Prevention A total of 1,298 evictions were prevented through all temporary eviction programs between March 2020 and August 2022. An average of 64 households were provided assistance per month, an average of $7,079 per household for an average of 7 months. Housing-related factors (median gross rent) is the strongest predictor for rates of homelessness (graph below is from the book, Homeless is a Housing Problem). In addition, the National Low Income Housing Coalition has found that for every $100 dollar increase in rent there is a 9% increase in homelessness. Households Below 30% AMI 82% Mason County Area Median Income $77,200 Evictions Prevented 1,298 COMMUNITY HEALTH REPORT JULY-AUGUST 2022 Melissa Casey, MPH | Community Health Manager | Mason County Public Health mcasey@masoncountywa.gov | 360-427-9670 Ext 404 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 144 Substance Use Prevention The team is continuing to work diligently to launch an exciting Social Norms campaign in the Fall. Social Norms messages have been developed, and listening sessions have begun to collect feedback from CHOICE and Cedar High School students as well as from members of the Mason County Substance Abuse Prevention Coalition. New Referrals January-August 58 Diagnosed with autism 38 Did not meet criteria for diagnosis 12 On hold (too young or parent request) 4 This program provides transportation to substance use and mental health related medical appointments, inpatient and out outpatient substance use and mental health treatment, recovery support meetings, UAs, jail re-entry services, and other necessary support services for Mason County residents in substance use and mental health recovery. • 237 transports by Patty Wagon (in county) • 45 transports by Gethsemane Ministry (out of county) Behavioral Health & Recovery Support Transportation Program Behavioral Health Navigator The Behavioral Health Navigator Program is steadily increasing in referrals by law enforcement. Our law enforcement partners have expressed gratitude for the program and the quick response time by our navigators. Rural Communities Opioid Response Program (RCORP) The Olympic Health and Recovery Services (OHRS) team continues to work diligently with the jail substance use disorder population, providing assessments, creating treatment plans, case management, peer services, working with the legal team to establish furloughs for treatment, coordinating treatment upon release for those who are not eligible for furloughs, and providing reintegration case management to individuals who have left the jail. Mason Health’s Peer Navigator has begun community outreach two days per week with the Behavioral Health Navigator to build relationships within the community as well professionally with law enforcement agencies.