Loading...
HomeMy WebLinkAbout2022/11/29 - BOH PacketMason County Public Health 415 N 6th Street, Bldg. 8, Shelton WA 98584, (360) 427-9670 ext. 400 MASON COUNTY BOARD OF HEALTH November 29, 2022 3:00 PM Commission Chambers 411 North 5th Street Shelton, WA 98584 Meeting ID: 834 8034 3274 Passcode: 721009 DRAFT AGENDA 1. Welcome and Introductions Chair 2. Approval of Agenda – ACTION Board Members 3. Approval of Minutes (September 27, 2022) – ACTION Board Members 4. Health Officer Report Dr. Keri Gardner a. COVID-19 b. TB 5. Administration Report Dave Windom 6. Environmental Health Report Ian Tracy 7. Community Health Report Melissa Casey 8. Other Business and Board Discussion Board Members 9. Set 2023 Meeting Schedule – ACTION Dave Windom 10. Public Comments 11. Adjourn If special accommodations are needed, please contact McKenzie Smith at (360) 427-9670 ext. 589 or msmith@masoncountywa.gov. MASON COUNTY BOARD OF HEALTH PROCEEDINGS 411 North 5th Street, Shelton, WA September 27, 2022 Attendance: Randy Neatherlin, County Commissioner; Kevin Shutty, County Commissioner; Sharon Trask, County Commissioner; Dr. Keri Gardner, Health Officer; Darrin Moody, Hospital District No. 1; Peggy VanBuskirk, Hospital District No. 2; Kathy McDowell, City of Shelton; Keri Davidson, Shelton School Board; Ian Tracy, Environmental Health Manager; Todd Parker; Haley Foelsch; Tim Wood, FCS Group; Steve P, Central Mason Fire Commissioner; Mike Shults, Compliance Supervisor ORCAA; Jeff Johnston, Executive Director ORCAA; Odelle Hadley, Senior Monitoring Specialist ORCAA; Todd Chase, AICP, LEED AP FCS Group; Lauren Whybrew, Engineer ORCAA; McKenzie Smith, Clerk of the Board; and Dedrick Allen, MasonWebTV. 1. Chair Peggy VanBuskirk called the meeting to order at 3:00 p.m. 2. Approval of Agenda Kathy McDowell/Dr. Keri Gardner moved and seconded to approve the agenda as presented. Motion carried. 3. Approval of the July 26, 2022 Minutes Kathy McDowell/Cmmr. Neatherlin moved and seconded to approve the July 26, 2022 Board of Health minutes as presented with the addition of Kathy McDowell as an attendee. Motion carried. 4. Health Officer Report Dr. Gardner shared that COVID-19 cases have been less frequent and milder but encourages constituents to get another booster shot. The latest booster has been updated to cover the BA4 and BA5 variants. Focus will be pivoted back to Foundational Public Health Services (FPHS) such as screening and treatment of Hepatitis C. Partnerships are being ramped up with Mason Health, the tribes, Corrections departments, and other community stakeholders. The response to the opioid crisis is also being improved. Mason County has the highest rate per capita of opioid fatalities in Washington state. The biggest contributors include opiates and methamphetamines. Successes include lowering the Monkey Pox outbreak and having vaccinations available to those who are high risk. The City of Shelton brought Public Health into the Homelessness Task Force which was created to address the housing needs of the community. 5. Administration Report The administration report is available in the Board of Health packet. Keri Davidson asked when the guidance for schools may be updated? Dr. Gardner answered that changes are expected but the Department of Health has not shared when that information will be released. 6. Environmental Health Report Ian Tracy shared that due to delays and spending out water quality grants from COVID impacts to operations, the Department of Health has extended several grants through December 31, 2022. 7. Community Health Report Melissa Casey shared the July through August health report. As a new manager, her focus is working with staff and understanding their day-to-day work. 8. Other Business and Board Discussion No other business or board discussion. 9. ORCAA Presentation Jeff Johnston, Executive Director at the Olympic Region Clean Air Agency (ORCAA), shared an air quality report. ORCAA, with authority from the Washington Clean Air Act, oversees six counties (Clallam, Grays Harbor, Jefferson, Mason, Pacific, and Thurston) and enforces local, state, and federal clean air laws and regulations. ORCAA has a nine-member board consisting of County Commissioners and City Council members from the three largest cities (Lacey, Olympia, and Tumwater) in the Olympic Peninsula jurisdiction. 90% of revenue comes from fees (permits, asbestos notifications, and per capita assessments) and state and federal grants. The Department of Ecology provides the on-the-ground air quality work. Particulate pollution is a main focus which includes home heating sources such as wood stoves. There is a wood stove replacement program in place that is open to individuals in Thurston County and parts of Mason County. Individuals, when replacing a non-compliant stove, are eligible for $750 when replacing a pellet stove and $1,000 when replacing a wood stove with a natural gas or propane appliance or $1,800 for an electric heat pump. There is also a wood stove recycling program that will give individuals $500 for their wood stove. Education outreach is another main focus of ORCAA. The ORCAA website will be redesigned and relaunched around February 2023. Lauren Whybrew, ORCAA Engineer, shared that, under the Clean Air Act, ORCAA is responsible for reviewing air permit applications and reviewing implications for proposed businesses or facilities. These permit applications for outdoor air emissions are referred to as notice of constructions. A permit is needed when fuel is burned (boilers, crematories, and coffee roasting), when liquids are treated or stored (auto body shops with spray booths, gas stations, breweries, and wastewater treatment plants), when there is potential for dust or particulate (sawmills, abrasive blasting, and gravel pits), or when products are manufactured or processed (chemical manufacturing plants, mechanical paper mills, commercial composting, food processing plants, veneer and plywood production, and landfills). ORCAA is also involved with soil vapor extractions (air sparging). Marijuana facilities do not require a notice of construction application. Odelle Hadley, Senior Monitoring Specialist at ORCAA, discussed that Washington primarily monitors Particulate Matter (PM) 2.5 and ozone concentrations. PM2.5 is any airborne particle with a diameter less than 2.5 micrometers. Total suspended particulate (TSP) matter are particles such as smoke and dust that are small enough to remain in the air. Each County has at least one PM2.5 air monitor to monitor the worst ambient air quality. Data is used to evaluate compliance, determine is a burn ban is required, and allow the public to make informed decisions. The Air Quality Index (AQI) shows if there is any level of health concern. Historically, air quality worsens in the winter due to wood stoves. In June 2019 and June 2020, Purple Air sensors were installed to determine if the current monitor location property represented Mason County. Currently there are eight Purple Air sensors in the County. Also shared were tools to stay informed about the current air quality as well as ORCAA contact information. Mike Shults, Compliance Supervisor at ORCAA, shared there are three main areas of focus regarding the inspection standpoint. Marijuana farms generally have an agricultural exemption; however, odor is still considered an air pollution. ORCAA will not inspect the marijuana facility but will work with the facility to limit or reduce odors. Most commonly ORCAA is known for smoke – wood stove, campfire, land clearing fires, etc. – and will respond to complaints but do not issue permits. Permits go through the Fire Marshal’s office. The last area of focus is asbestos and demolition. ORCAA requires individuals to get demolition permits and an asbestos survey for said demolitions and works with the County to ensure all the proper permits have been applied for. An asbestos survey is also required for some remodels. 10. Housing Needs Assessment Todd Chase, Economic Services for FCS Group, gave a Mason County Housing Needs Assessment presentation. Discussion topics included project objectives, emerging trends, stakeholder input, housing needs, and next steps. A Housing Needs Assessment (HNA) analyzes housing data, public input, and existing policies to create or amend the housing action plan and comprehensive plan update. Tim Wood, Assistant Project Manager for FCS Group, discussed the population growth forecast for Mason County. The medium growth forecast equates to 19,686 people and over 10,130 new housing units over the next 20 years. For housing construction permit trends, 2,250 new housing units have been built over the past 5 years. Mason County housing inventory showed 34,000 total housing unites with nearly 1 in 3 homes being used for seasonal use only. Home types include single-family detached, townhomes/plexes, multi-family, and manufactured home/other. These dwellings are also categorized by owner-occupied, renter-occupied, and seasonal/vacant. The home value index, based on the Zillow median home value, shows an increase of 23.4% in Belfair and 29.5% in Shelton from January 2020 to January 2022. Severe rent burdens show that nearly 3 in 10 renters pay over 50% of their income on rent. Mason County and Shelton both exceed the State average for poverty and ALICE (asset limited, income constrained, employed) households. 4 out of 10 households meet these criteria. A graph was shared for Mason County at-risk subgroups. This includes victims of domestic violence, senior citizens, persons with disabilities, veterans, individuals with mental illness, and homeless families with and without children. Households identifying as Hispanic or Latino was also shared. Todd Chase shared that community stakeholders include housing non-profits, developers, and real estate brokers which help “ground truth” the data and provide perspectives on existing housing issues and policies. The top barriers are funding for new public housing, voucher navigator staff, timing of public sewer/water and power extensions in the Urban Growth Areas (UGAs), and housing costs rising quicker than incomes. Opportunities are City and County revenue from the Affordable Housing Levy, immediate market demand for rentals and mobile home parks, recent City of Shelton code changes, the Belfair Environmental Impact Statement (EIS), and the veteran’s village. The new housing need is 11,573 dwellings over the next 20 years with an immediate demand of over 326 government-assisted units and market demand for 376 rental units. The housing need is then broken down by class (upper, upper middle, lower middle, very low, extremely low, and other). The next step is to refine and accept the HNA then consider policies that promote housing production as part of the Housing Action Plan and Comprehensive Plan update. Strategies include zoning and code changes, reducing regulatory impediments, financial incentives, financial resources, tax exemption and abatement, land acquisition, lease, and partnerships, and other custom options. 11. Public Comment No public comment at this time. 12. Adjourned at 4:34 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 Reminder, get your flu shot! From the Director’s Desk November 22, 2022 Gobble, gobble. Happy Thanksgiving! Welcome to Fall in Mason County. The leaves are turning and falling, and the bright and crisp days, remind us that it’s time to get your flu shot! Influenza A has made a resurgence this year after an almost complete absence in 2020. RSV (Respiratory Syncytial Virus) is being especially tough on pediatric patients and area hospitals are feeling the pressure. 1 In good news, WIC has accepted our proposal for offering WIC services in partnership with Mason Health and the YMCA. We now enter a period of contract approvals, MOAs, staffing, and training. It may be well after the first of the year before the clinic is ready to open. Once the clinic is open, we’ll be providing services to south Mason County. We’re looking especially carefully at reaching populations most at risk. Our early estimations show the need to reach at least 500 families. I’d like to take this opportunity to commend the public health team we have. 2022 has been a year of transition. Ian Tracy replaced Alex Paysse as Environmental Health manager and Melissa Casey took over for Lydia Buchheit in Community and Family Health. We’ve shown the ability to transition from a COVID- 19 response to more traditional public health activities and still respond to emerging threats such as TB. We continue to expand our capabilities in communication, education, and epidemiological study. The team takes personal interest in every case, ensuring they have support and information. Casey and 1 Washington DOH Influenza dashboard Reminder, get your flu shot! administrative folks keep things humming and provide support for the COVID response through efforts to collect and disseminate daily information updates. Environmental Health continues to support the county through onsite septic work, shellfish protection, solid waste, and food safety. We’ve worked diligently to help solve the barriers around homelessness. We truly have a sharp, involved, and energetic team. Proposed meeting dates for 2023: January 24 – Annual Meeting March 28 May 23 July 25 September 26 November 28 Looking forward to 2023! Dave Windom, MSHS Environmental Health Report For Board of Health November 22, 2022 From Ian Tracy, Environmental Health Manager Staffing update We recently lost 2 staff members. Travis Casey left our Water Quality program to work at the Dept. of Ecology in their non-point pollution program. Erik Doran in our Onsite septic/Solid Waste code enforcement program is shifting duties to fill this roll. We are currently hiring for a new Code Enforcement staff member. Charle Anunta left our Food Program to work for Dept. of Licensing. Fortunately, we had 2 staff in the Food program so we still have partial coverage while we fill the vacancy. Sewage Overflows Several significant events occurred since our last meeting. Blue Heron Condominiums Large Onsite Septic System(LOSS) Blue Heron operates a LOSS which serves 22 condo’s. On October 31st the facility reported a sewage spill caused by a crushed pipe. Sewage did not impact Hood Canal no shellfish closures have resulted from the overflow. The facility is working with the State Dept. of Health LOSS program to institute repairs. The spill occurred during low occupancy at Blue Heron which helped to make this a low impact event. North Bay/Victor lift station sewage overflow On November 2nd the lift station in Victor overflowed spilling 500gal of sewage onto the ground around the station. There were no impacts to North Bay and no shellfish closures resulted. Rustlewood Waste Water Treatment Plant(WWTP) On October 30th plant operators discovered that their UV disinfection light was not functioning. The facility estimates approximately 10,000gal of partially treated effluent was discharge to Pickering passage as a result. The WWTP out fall already occupies an existing 41acre long-term shellfish closure area. No additional closures occurred because of this spill. Environmental Health Program Fee Increase We’ve completed our annual fee evaluation and have released an updated fee schedule which will take effect January 1, 2023. Unduplicated Participants 44 580 YTD SUBSTANCE USE MOBILE OUTREACH Syringes Exchanged 30,210 41 Successful overdose reversals with naloxone COMMUNITY HEALTH SEPTEMBER - OCTOBER 2022 COMMUNICABLE DISEASE & NOTIFIABLE CONDITIONS* 574 cases of COVID-19 33 cases of Chlamydia *CD rates are suppressed for all nonzero counts which are <10 OVERDOSE DATA TO ACTION (OD2A) 308 Naloxone kits distributed 63 new people trained on overdose prevention, recognition, and response Re-engaged with 45 participants to give refills In partnership with the City of Shelton, North Mason Regional Fire Authority, Shelton School District, ESD 113 TrueNorth, Mason County Sheriff's Office, Shelton Police Department, and Skokomish Tribe, we hosted a Youth Substance Use Community Forum at the Shelton Civic on November 9th. Over 80 people attended in-person and over 500 have viewed the recording. Recording available at: https://masonwebtv.com/archives/50316 MATERNAL & CHILD HEALTH 17 Children with Special Health Care Needs families served 47%Diagnosed with Autism 88% Of Hispanic families speak an indigenous language with Spanish as a second language COMMUNITY HEALTH SEPTEMBER - OCTOBER 2022 Actual Goal AIAN 9%5% Black 4%4% Hispanic/ Latinx 34%32% POC 49%43% HOUSING & HOMELESSNESS RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (RCORP) MCPH continues to work in partnership with Mason Health, Olympic Health and Recovery Services, and North Mason Regional Fire Authority to provide substance use disorder services to the community. In addition to connecting individuals to prevention, treatment, and recovery supports, RCORP staff have also worked alongside MCPH staff at the Mobile Outreach, Transit Center Overdose Outreach Table, and Behavioral Health Navigator outreach. Most noteworthy activities were individuals who were provided seamless linkages to care upon discharge from the ED, jail, and inpatient treatment services. Many families and caregivers were also given navigation to SUD services. 1,369 evictions were prevented through rent assistance programs 879 were female Heads of Household 482 were male Heads of Household 7 were non-binary Temporary Eviction Programs: Racial Equity Performance Measures BEHAVIORAL HEALTH & RECOVERY SUPPORT TRANSPORTATION PROGRAM New Permanent Consolidated Homeless Grant Eviction Program coming soon! 475 Total transports of Mason County residents in substance use & mental health recovery SUBSTANCE USE PREVENTION COALITION The coalition has started the 100 Cups of Coffee project. Each coalition member has been trained and are asked to meet with 5 community members each. The goal is to listen to our community's concerns and ideas that may help with future prevention.