HomeMy WebLinkAbout2019/05/28 - BOH Packet 40 MASON COUNTY
COMMUNITY SERVICES
Building,Planning,Environmental Health,Community Health
MASON COUNTY BOARD OF HEALTH
® REGULAR MEETING
*IN May 28, 2019
3:00 PM
Commission Chambers
411 North Fifth Street
Shelton, WA 98584
DRAFT AGENDA
1. Welcome and Introductions Scott Hilburn Chair
2. Approval of Agenda—ACTION Board Members
3. Approval of Minutes: March 26, 2019 &
May 8, 2019 Special Meeting Minutes—ACTION Board Members
4. Executive Session RCW 42.30.110 (1)(g)
Review Qualifications -Health Officer
Candidates Board Members
5. Open Session-Health Officer Selection—ACTION Board Members
6. Environmental Health Report Alex Paysse
7. Health Officer Report Dr. Diana Yu
8. Community Health Report Lydia Buchheit
9. Administration Report Dave Windom
10. Other Business and Board Discussion Board Members
11. Public Comments
12. Adjourn
If special accommodations are needed,please contact Melissa Drewry,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 5t"Street,Shelton,WA
March 26,2019
Attendance: Randy Neatherlin,County Commissioner; Sharon Trask.County Commissioner;Scott Hilburn,
Hospital District#1;Peggy VanBuskirk,Hospital District#2;Gary Plews,Fire Commissioner;Kathy McDowell,
City of Shelton Council Member.
Absent:Kevin Shutty,County Commissioner
1. Chair Scott Hilburn called the meeting to order at 3:00 p.m.
2. Approval of Agenda—Peggy/Sharon moved and seconded to approve the agenda as presented.
3. Approval of Minutes—Peggy/Gary moved and seconded to approve the January 22,2019 minutes as
written.All in favor.
4. Health Officer Report—Dr.Yu announced that there have been two deaths due to influenza since the last
meeting. She warned that though people may be"young and healthy"the flu can still quickly attack and
create other illnesses such as pneumonia. She said most recently,the H3N2 strain of influenza is floating
around which is causing many illnesses.Audrey O'Connor said there have been 114 deaths from influenza
this year.
Dr.Yu said there have been no confirmed cases of measles in Mason County.There have been 74
confirmed cases,mostly children,in other counties.
A discussion was had about the substance use mobile outreach.Between November 2018 and February
2019 they have exchanged 21,525 syringes for 170 people.Also,they have successfully assisted 20 people
towards treatment.
Dr.Yu reiterated that she is retiring May 31,2019.Two possible candidates were discussed,and Dr.Yu
said a third resume had recently been received. She said it is ultimately up to the Commissioners to
interview and hire the Health Officer so a Special Meeting would likely be necessary.
5. Administration Report—Dave Windom was not present so no review of his report was done.
6. Community Health Report—Audrey O'Connor spoke in place of Lydia Buccheit and quickly briefed her
report.
7. Environmental Health Report—Alex Paysse spoke about the Onsite Sewage Advisory Committee(OSAC)
Appointments and the attempts to get the group up and running again.He spoke about bylaws and positions
that were discussed at the March 6,2019 meeting. Cmmr.Neatherlin and Dr.Yu discussed the possibility
of any conflict of interest.
Dale Tahja who sits on the committee spoke and said he was one of the original members and feels that the
current attempt to re-establish the group is going to be successful.Alex asked for approval to appoint the
following nine members:
• Keith Fuller
• Thad Bamford
• Micah Halverson
• Wes Graves
• Kim Delaney
• Dale Tahja
• Darin Ogg
• James Medcalf
• Jim Henry
BOARD OF HEALTH PROCEEDINGS
March 26,2019-PAGE 2
Peggy/Cmmr.Trask moved and seconded to approve the nine members to the Onsite Sewage
Advisory Committee.All in favor. Motion carried unanimously.
Alex asked if the BOH should vote on the Mason County Health position and the watershed position on the
board.Peggy suggested the watershed position be decided upon by the OSAC as they have a better feel for
the applicants.
Peggy/Gary moved and seconded to approve Wendy Jonas as the Mason County Health
representative to the OSAC.All in favor. Motion carried unanimously.
Alex explained that tiered term limits need to be set up for the members.Due to the fact that this group was
being recreated,names were put into a bucket and drawn.The terms will be as follows:
• 1 year term—Thad Bamford,Jim Henrey,Michah Halverson
• 2 year term-Keith fuller,Jim Medcalf,Dale Tahja
• 3 year term-Darrin Ogg,Wes Graves,Kim Delaney
8. County Health Rankings-Dr.Yu asked to table this discussion until May.
9. Public Health Week Proclamation-Audrey read through the proclamation.
Peggy/Kathy moved and seconded to approve the Public Health Week Proclamation as written.All in
favor. Motion carried unanimously.
10. Other Business and Board Discussion-None
11. Public Comments-None
12. Adjourn-The meeting adjourned at 4:02 p.m.
BOARD OF HEALTH PROCEEDINGS
March 26,2019-PAGE 3
ATTEST MASON COUNTY,WASHINGTON
BOARD OF HEALTH
MASON COUNTY,WASHINGTON
Melissa Drewry,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
MASON COUNTY SPECIAL BOARD OF HEALTH PROCEEDINGS
411 North 51 Street,Shelton,WA
May 8,2019
Attendance: Kevin Shutty,County Commissioner;Sharon Trask.County Commissioner;Peggy VanBuskirk,
Hospital District#2;Dr.Diana Yu,Health Officer;Dave Windom,Community Services Director.
Member Peggy VanBuskirk called the special meeting to order at 8:02 a.m.for the purpose of holding an executive
session pursuant to RCW 42.30.110(1)(g)to interview Health Officer candidates.
The Board members met in Executive Session from 8:10 a.m.to Noon to conduct the interviews.
The Board reconvened and directed staff to conduct a reference check on two candidates and forward the results to
the Board of Health.
The special meeting adjourned at 12:15 p.m.
ATTEST
MASON COUNTY,WASHINGTON
BOARD OF HEALTH
MASON COUNTY,WASHINGTON
Melissa Drewry,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
From the Desk of the Environmental Health Manager
April 2019 and May 2019
For Board of Health May 28th,2019—by Alex Paysse
April Activities:
April 3'—Staff hosted an Onsite Sewage Advisory Committee meeting.
April 51—Linsey Fields(EHS)resigned for a job in Thurston County.
April 17'—Onsite staff met with planning staff to discuss areas of overlap in permitting within critical areas.
April 18'—Jeff attended an annual workshop from DOH Office of Drinking Water in relation to sanitary surveys for
group A public water systems.
April 18'—Staff finalized contract with Pierce County for the upcoming water quality project in south sound SPDs.
April 241—Meeting with DOH—LOSS program staff at the Blue Heron Condos to discuss the upcoming changes in
relation to their sewage system. This system is within the Big Bend SPD,which has ongoing water quality efforts.
April 261'—MCCS All staff training. This training was centered around housing and related opioid problems. In
addition how does those things relate to what we are seeing with code enforcement issues and building permits.
May Activities:
May 61-81—Katie and Rhonda attended and presented a poster at the Washington State Environmental Health
Association conference. This was a results poster from our water quality efforts in Hammersley Inlet. Poster is
attached.
May 71—In April,governor Inslee proclaimed May 71 as Environmental Health Specialist day in honor of all the
great work they do for public health.
May 71—Commission finalized contract with Squaxin Island Tribe for the upcoming water quality project in south
sound SPDs. 130 acres of North Bay harvesting area was downgraded in August of 2017. Response plan was
completed in April 2018.
May 81-Staff hosted an Onsite Sewage Advisory Committee meeting. During the meeting a rep.from Online RME
gave a presentation on their product and what it could do for the O/M program and industry.
May 16'—Staff will participate in the regular local management plan meeting for implementation of the Operations
and Maintenance program.
Other items to note:
Staff have been working with the Onsite Sewage Advisory Committee in making updates in the reporting fields on
maintenance and pumping reports. During this work it has been discussed to change reporting programs from the
current Carmody Inc.to a more regionally used system called Online RME. Investigation on this is on-going,but staff
feels this system is better equipped with the tools needed for the program to operate and respond to immediate health
hazards. It also provides a more transparent public portal to a septic systems history. Realtors,contractors,and
sewage providers working in multiple neighboring counties are more than likely already familiar with this system.
Staff received word from DOH, legislature will no longer provide funding for Group B water system programs. In the
past Mason County has received$5,000 annually to support its partial program. Staff is working on funding solutions
and possible updates to the program. There are currently over 500 group B water systems in Mason County and over
5000 approved connections.
Hammersley Inlet Norovirus Outbreak Response � K,_4!ingtdnSUteDepartmentcf
�
Mason County Public Health 4*Health
Katie Otanez, Stacey McDowell,Sean McGuire, Linsey Fields
MethodologyResults
re.There Bend Tracker id in
toriskrf Geometric Mean FC Sampling
fdun:.There ere9nskfacmrsthdecndnng ask ming tor,a,h sy snm:llistw..o to Surface 350.00 BoiLtas,sa6.5'
Water,Type of System and Age,Ope ations&Maintenance,Access,Pre—m 3x5.00
bel- wDye Test,Sampling Results,Parcel Arco,Suinble Soil Depth,and Suit 1,pe �'�
OSS with 11.5 vi cr mr t considered hi h n s id audit d sluve'd f tst x)S.m
Wm 8)® 4 �Dri. Y
2m
--v
m m OBS-0.1,x54
x55.
OSS Risk Based Tracker
'75
On
908-145,178.4 OBPd)3,1x3.
1 W 125.00 EDD FC/100m1
2 x75.00
75.00
5,
z On
3 SQDD
DOD
9 0.00
O O O O O S O O
a o SAMPLE SITE
Introduction ,5 _D YSeaw —We Sea on
8 6.5
In April 2017 Hammersley Wel experienced An emergency an on for A,.Intspot"il Jel'luud as a sample site vont a geometric mann aver IOOFC/IOOnIL
commercial shellfish harvesting due noroviras RI.—.In response to thl+ v 5 with a1 leasl3 samples tion the acme srason.There acre loo••dry'•season
chane,MasonCoutmr Public Health-s Water Quality program mvemgamd I. ��•. *ALotspols ant mo 7aef'seamn Mtsp.ts.All Opbal Brigh—padwereNoo-
possible causes.The purpose of this program is to protect public health by _ - Detect Four Dy'e Studies that xerc canductd in-hatspot'-drainages and all four
—Ing the impact of on-site septic systems(OSS)on surface water and dye tests scene Non-Detect.The absences of Optical Brightener detection and the
assure effective Deetrnen,of sewage on a long-term basis. results of Dye Studies led to the reopening of 18 shellfish harvesting psrceb
ager a res long closure.
Sanitary Survey
bwerw„a, }e" xnR«ora aa.d.a b% Completed Dye Studies
>6G Mne„e,
tlaw,sn
• Failare �x%
3 U laves,!,
NAD 92%
a NAP •NDwe +No A.KooJOraWna
Hammarslry Wet is e shallow,narrow channel connecting Oaklmd B
fly Luring a Saawy Survey MCPH will:
with the main body of southam Puget Sound.The=is appmzmulely 6.5 Search MCPH systems for adeq-.septic morda. ka/Bag
miles long sod 0.13 rode ride.There are approximatelY 175 small creeks, Conduct a 15-20 minute—of the s.scan and parcel uith the oxner on-sita
drainages,culverts,and seeps that exist along tk shorelines of the Provide copies of record and educational matenal for the lamcoxner.
Hammersley Wet.This study targeted a minimum of 50 drainages xith Verify that words are accurate and update as necessary. ^"'•"'
hiMncally elevated battens levels or located near significant upland Educate the public about were quality issues. "tea"'•...
development.
Sauna,survey's wave A rating of other:NAP(No apparent Problem),No Record,
C—,Suspect,or Failure.Concern and Suspect ratings should be dye tested.Failures arc
h3nuak Goals of Thier Stmdv: aired nr replaced with our Onsue Depmtmenl, REBATE DISTRIBUTION BY TYPE OF WORK
•Determine if bacterial po0ubov is associated xilh OSS xastc rata.
•Pmt.1 and restore shellfish groaing ancon end public beaches.
•Address or aunt%1th federal,state and county inter quality monitoring. MCPH pmcesaed n
•Gain funher krowledge about bacterial pollution sources to Hammersley RebaNr muting
Wer. S200.we stoned
FCIDB Sampling Sites this 6+.of Rcbst
—su,Li d m
b mea,ran
MCPH'A Maul Obi¢tives. hW nes had melr
OSS.—iced.and
I.Conduct fr shxater monitoring Dist least 50 drainages n identify the 404-N e ;t'. one An Oss
aided
eM ♦11 t that war Dun ofdaN. '
presence of opoeal brighte,nas said fecal colifo an battens. Me w
2.Complete pend surveys of onlsitcseplic systems. •e e e •1 e ej• V
3.Complete dye Wats of any OSS of concern. e S e•/
e N e
- e ♦ � RETROFIT PUMPING 04M EFFLUENT COMBINED
e e RISERS FILTER WORK
50dninagea were monR.red over the course o/one'dry' e
son(May-Sept.)and one logy season(Oct:April)Optical e
= Bnghlener Pad were placed in sampled drainages one week e
- _ Hammersley Inlet Boundary pini ID Feral Coliform Samplant.al,so OB pads auto be '-
cplleaedandanalyzedin..P,—oconnFc sampler ft.. COnCIUS10nS
MCPJ I x as unable In identify a filing OSS acuxiatdh u,c no��ie a nn
Dye Studies outbreak.MCPH—1,d over 350 Optical Bnghicacr Pad m
u,50 diuga,all
were non-deta:t.ran continued-Inntspots'are lvcatul in meas a,th A d—
Fluorescent dye is commonly used in population ofxildhic And forested land-Wildlife rq--In&.Geese.Doer,
ttxting OSS edjacsnt to surface waters. Raccoons,Riva= l
iva Otters,Black Bears,and m least 1 Mountain Lion.Although warm
Samplers use activated charcoal to blooded mtirnals Are most likely not the sole cause of ergostat FC results,they are
adsorb doe that has been muduced m an major contributors.For example,MCPH has identified and noted a racoon Ietruse
(nuiteSeptic S)stem.If xo,king dimtly above`day-seam.hot spot OBS-0JI on Lee&Rd.A bmken.Wven
properly,an OSS should trevt the dyeabove when the samples were taken could be connecting the raccoon latrine to the
_ Finding dye in charcoal packets indicates shoreline,causing higher I...1,of FC in that parucular sampling site.
ie A malfunctioning system or a failure.
A Dye Test may be performed if
There are elevated levelaoflocal Steps Forward
�• coli((>200 FC/100TL)in surfxt
cooter,but ro lmoxn"powt-once"of tiannussley Wer u a highly developed wa civ.Although MCPH could not 1::
pollution A failing OSS to elevated Fete Cofifomr,homecxners should he diligent about
Contact Information A e systaint is rccaved. maintaining than OSS.
•oThe system is hav a rating of Suspect
Katie Ot to Eo—canned Hculth Spain _ Concern
MCPH rill conwue to track OSS maintenance schedules and send rentinders to
onnez eco mann wa us 1360)427-9670,5--' homeoxners schen service is due
L .
I In oNa to continue xorking N Hartmnersley InkL MCPH stns d m Ind a
suminable source to fund Water Quality work.A desigruud fwd would BUD,th,
MCPH to work on a proactive approach and not A reoctivc app—h.
Thu prgee,has been fmdud whollvor or;port kv he Unin d Snares Ln.,.cvimenml Rebates Continue providing education matenals and events to the public about the
P—Pon Agenev Nrnda,A4 ranre.4grremanr CLffl8253,o rine Ifo,lung,on -porlwce of sgac care.Emmples of such events are Nesco.ed Septic Dhiz.
Stan Depa-1 offfeahh'the romen,s ofthu d—N,do nun nee-1,, One hundred rebates wee offered La OSS owners to incentivae OSS casincessinso,.$200 Oyster Fen,cod Oakland Bay Day.
herr die view,.and potirie,,f she Emimn cont Prmerrio 4genev,nor does rebates were offered for inspections,pumping,and vutaRation ofrisersar an effluent fdWr. Continue m collaborate with Oakland Bay Partners an v,how pmjsts to pioneer
on of_1.names err roar inial pmdur„ocw,ri,n,e endorsement or Rebates Are a valued mol as they ism make the diftcrcnce of omens bnoging their OSS into, water resources.
eodanonfor ,orphan,phan,c or not.
0MASON COUNTY
COMMUNITY SERVICES
Building,Planning,Environmental Health,Community Health
May 15,2019.
To: Board of Health(meeting May 28",2019)
RE:Onsite Sewage Advisory Committee(OSAC)Appointments
During the previous BOH meeting on the March 2611,I presented four applications for an open Watershed position on
the Onsite Sewage Advisory Committee. At that time the board requested a recommendation from the committee.
On the April 31 OSAC meeting,all four applications were presented and reviewed. In addition,the committee heard
from each of the applicants whom were present and held a vote. The final recommendation from the committee is
Toby Tahja-Syrett.
I again present all four applications for the boards review and appointment to this vacant position. In addition,I ask
the board to designate a 1 or 3 year term for this position to achieve the staggered terms as we previously discussed.
Applicants:
-Cindy Waite,Toby Tahja-Syrett,Paula Johnson,Constance Ibsen- Watershed(position 3)
Thank you,
Alex Paysse
Public Health(Community Health/Environmental Health)
415 N.61 Street—Shelton,WA 98584
Shelton:360-427-9670,Ext.400 - Belfair:360-275-4467,Ext.400 - Elma:360-482-5269,Ext.400
cob, MASON COUNTY COMMISSIONERS
411 NORTH FIFTH STREET
SHEL'I'ON WA 98584
�� = iA Fax 360-427-8437, Voice 360-427-9670, Ext. 419;275-4467 or 482-5269
I AM SEEKING APPOINTMENT TO OA 5Ss+- ��, C tS�✓`� ��^�^+' �
T--
NAME: Cindy Waite
ADDRESS: PHONE: 360-
CITY2IP: Shelton, 985VOTING PRECINCT: WORK PHONE:
8REMAIL:
( AREA YOULIVE) com
COMMUNITY SERVICE EMPLOYMENT: (IF RETIRED, PREVIOUS EXPERIENCE)
SC
TIWT ES OR MEMBERSHIPS) COMPANY: Mason County Public Health 20 years yRS
Olympia Co p
POSITION: Environmental Health Specialist
COMPANY. Bill Bingham and Assoc 20 years YRS
POSITION: Owner
-------------------------------------------- --------------------------------------------------
In your words, what do you perceive is the role or purpose of the Board, Committee or Council for which you are applying:
Work towards creating new policies, procedures, if needed. Maintain a good working relationship between the
citizens, on-site providers and Mason County Public Health.
I
What interests, skills do you wish to offer the Board, Committee,or Council?
I have been active in the on-site industry for forty years on the private and public side. I am currently a licensed
designer with DOL. I was a member of the DOH Technical Review Committee, DOL On-Site Waste Management
Nsensingeard:t was-erg-the ser tm4tee-to-wfite4he-RSG49FGreywateFReuse-faFWashingter-State.1 rewrete4he—-
Mason Counbty Regulation and On-Site Standards to realign with the WAC246-272A in 2007.
Please list any financial, professional, or voluntary affiliations which may influence or affect your position on this Board:
(i.e.create a potential conflict of interest)
Your participation is dependent upon attending certain trainings made available by the County during regular business hours
(such as Open Public Meetings Act and Public Records).The trainings would be at no cost to you. Would you be
able to attend such trainings? 9 It,5 _
Realisficall h time can you give to this position?
Quarterly Monthly Weakly Dah-y
` ^ Office Use Only
Appointment Date _
Signature Dia
Term Expire Date
*1854
MASON COUNTY COMMISSIONERS
411 NORTH FIFTH STREET
SHELTON WA 98584
Fax 360-427-8437; Voice 360-427-9670, Ext. 419;275.4467 or 482-5269
(( `
I AM SEEKING APPOINTMENT TO OU Dvr SOM aMMo
NAME: --
ADDRESS: PHONE: 3�d .
CITY/ZIP: �gSFS�( VOTING PRECINCT: Agee- 1 WORK PHONE: 1 ,
-
(OR AREA IN THE COUNTY YOU LIVE)
E-MAIL: . �oT�l•�• 6^'1
COMMUNITY SERVICE EMPLOYMENT' (IF RETIRED PREVIOUS EXPERIENCE)
(ACTIVITIES OR MEMBERSHIPS) COMPANY: -` "� CAN 00 .. YRS
_ O — C T POSITION: _L�_=—��
�he Moa -Nt '2s COMPANY: �J'GS�'�NS 2mYRS
POSITION: OWN -(,IF
S h
-------------------------------------------
In your words, what d you perceive is the role or purpose of the Board, Committee or Council for which you are applying:
Ch N'I-& 1f C O M SQN vN� 1
A-�C �l}¢,'o�S fir.►5�•���G'ES �(o-tE� � oN" � �-►�'� -w '�
What interests, skills do you wish to offer the Board. Committee,or Council? t t- l(Z.S he
Ar A31V19:�
OA
V G. 1 `�v s - v s•!s 5S Q
Please list any financial, prof ssional, or voluntary affiliations which may influence or affect your position on this Board:
(i.e. create a potential conflict of int rest)
SAE 2CEV J 4X
Your participation is dependent upon attending certain trainings made available by the County during regular business hours
(such as Open Public Meetings Act and Public Records).The trainings would be at no cost to you.Would you be
able to attend such trainings? Yec5
Realistically,how much time can you giveAajhis position?
Quarterly Monthly Ween Ne1CCCC Office Use Only
Appointment Date
Signatur Date Term Expire Date
Toby Syrett
EDUCATION:
• Master's in Teaching, The Evergreen State College (2015)
• Bachelor of Science, The Evergreen State College (1999)
• Associate of Arts, South Puget Sound Community College (1997)
PROFESSIONAL EXPERIENCE:
• School Teacher (Elementary & Jr High), Hood Canal School (2015 - present)
• Owner/Designer, Tahja-Syrett Designs, 1999 - present
• Mason County licensed designer (1999-2001)
o State licensed On-Site Wastewater Treatment Systems Designer (2001-present)
o Mason County licensed O&M provider (2002-2012)
MILITARY EXPERIENCE:
• United States Army 1991 - 1996
o Airborne Infantry Scouts (LRRS) - Communications and Senior Scout
o Emergency Medical Technician (EMT) certified
o NCO Leadership Course; LRS Leaders Course
o British jump wings, Cambrian International Patrol Competition medalist
NOTABLE ACHIEVEMENTS:
• Interned at Mason County Env. Health (1999) in onsite, solid waste and the water quality lab
• Wrote and received $50,000 Puget Sound Action Team environmental grant studying denitrification
through recirculating media filter technologies .
• President, Glendon BioFilter Technologies (2009-2011)
• Wrote, Illustrated, and formatted Mason County Environmental Health publication Septic System User
Manual (currently in use since 2008)
• Mason County Onsite Advisory Committee member 2001-2011 (President for 5+ years)
• Multiple professional presentations including
• Glendon BioFilter annual conferences on R&D, Design, Installation & Maintenance
o Washington Sea Grant & Washington State Environmental Health Association
o Multiple Mason County On-Site workshops to area licensed designers, installers, pumpers and
O&M providers
• Onsite System-Designer and O&M Inspector
• Hoodsport IGA (Recirculating Gravel Filter Treatment), Hama Hama Co. (2008 facility
expansion), and multiple other commercial (high strength waste) systems
o Shoalwater Bay Tribe community system (LOSS), and Community Medical Clinic system
o Amanda Park Timberland Regional Library (Advantex to drip)
o Over 1,000 residential projects (designs, as-builts, O&Ms etc.) in Mason County since 1999
o Professional memberships in WOSSA, NOWRA, WSEHA, NEHA
o Attended 30+ professional trainings, conferences, classes, courses since 1999
/11- -
otl co a r MASON COUNTY COMMISSIONERS
N A ` 411 NORTH FIFTH STREET
l SHELTON WA 98584
— Fax 360-427-8437,, Voice 360-427-9670, Ext. 419;275-4467 or 482-5269
_ r
a: 1854 /
I AM SEEKING APPOINTMENT TO
ADDRESS: >,' PHONE:
CITY/ZIP: 9.5-JL VOTING PRECINCT: WORK PHONE: 3Lo �`
(OR AREA IN THE COUNTY YOU l NE)
E-MAIL: `'-------------------------------------------------------------------------------------------
tnc Ec,coti.
COMMUNITY SERVICE EMPLOYMENT' (IF RETIRED PREVIOUS EXPERIENCE)
(ACTIV(jIES OR MEMBERSHIPS) COMPANY: J\`c � ) � 'C �S '�S I L t YRS
POSITION: C-
r
COMPANY:
I
POSITION;
In your words, what do you perceive is the role or purpose of the Board, Committee or Council for which you are applying:
_���.n�ri-��. �rC CQ.S S ec�� � 1,�.��9.''.t'��Q�,1� C��'v�►�-f� C'L�.�1~� i�����r---�.
What interests, skills do you wish to offer the Board,Committee, or Council?
Please list any financial, professional, or voluntary affiliations which may influence or affect your position on this Board:
(i.e. create a potential conflict of interest)
Your participation is dependent upon attending certain trainings made available by the County during regular business hours
(such as Open Public Meetings Act and Public Records).The trainings would be at no cost to you.Would you be
able to attend such trainings? C
Realistically, how much time can you give to this position?
uarterly 04- onthly Weekly Dally Office Use Only
Appoinhuent Date
Signature Date
Term Expire Date
I
,e0T' COLNh MASON COUNTY COMMISSIONERS
411 NORTH FIFTH STREET
SHELTON WA 98584
Fax 360-427-8437; Voice 360-427-9670, Ext.419;275-4467 or 482-5269
BSl r
I AM SEEKING APPOINTMENT TO Mason County Onsite(Septic System)Advisory Committee
NAME: Constance C Ibsen
ADDRESS: 106HP ONE: 360-
CITY/ZIP: VOTING PRECINCT: WORK PHONE: NA
Union 98592 Union
(OR AREA IN THE COUNTY YOU LNE) E-MAIL; net
hcc.net
------------------- -------------------------------
COMMUNITY SERVICE EMPLOYMENT: (IF RETIRED PREVIOUS EXPERIENCE)
(ACTWITIES OR MEMOERSHIPS) COMPANY: State of California, Depts of Health and YRS
Currantes ro-C:hair I ower Hnnrl Ga al
Watershed Coalition and POSITION: Consumer Affairs, 1977-1986
Vice.-President,Hood Canal Improvement -
Club
2001-2011. Planning Unit Member. COMPANY: City of Foster City, Fire and General ypg
WRIA 14/16b
POSITION: Services Depts, 1987-1991
In your words,what do you perceive is the role or purpose of the Board, Committee or Council for which you are applying:
Ensure that Washington-State and Mason County on ite-septiia-systanLregulations are consistent and implemented to
protect public health.
What interests,skills do you wish to offer the Board,Committee,or Council?
For 1havebIn-an-active-participant-in--Lower-Hood-Canal-watershedissues.-I-have-experience-in
marine water quality sampling, coordination of ongoing water quality monitoring and working cooperatively with
government agenciesand o ok m-s Tri e to protect ground,sur ace and marine wa er qua i y al nd-quantity. aTfi ve
hncir,nnriorctnnriinn of contir,mnintannnra and nm familiar with iho AAncnn r.nnnhi OP AA r.nrmnriv rialahacn
Please list any financial, professional, or voluntary affiliations which may influence or affect your position on this Board:
(i.e.create a potential conflict of interest)
-P1n
Your participation is dependent upon attending certain lrainings made available by the County during regular business hours
(such as Open Public Meetings Act and Public Records).The trainings would be at no cost to you.Would you be
able to attend such lrainings? ves
I
Realistically,how much time can you give to this position?
Quarterly x Monthly Weekly Daly Office Use OHIO
I
Cot ce c. Ibsen 03-15-19 Appointment Date
Signature Date
Term Expire Date
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•
Community- HeI Hu I
Manager
March-April 2019
Communicable Disease & Notifiable Conditions (3 programs-CD,TB, STD) Staff:Audrey O'Connor,
Back up: Elizabeth Custis&Lydia Buchheit
March-April,our communicable disease(CD)program nurse received 76 reports requiring data entry into the
State database,and/or investigation and follow-up. * Reporting of Chronic Hepatitis cases began to be handled
directly by the State Department of Health in 2019.
Disease March-April Total to date
Campylobacteriosis 4 8
ryptosporidiosis 0 1
Giardiasis 2 3
Shiga Toxin 2 0 1
Hepatitis B-Chronic 0 0
Hepatitis C-Chronic
Hepatitis C-Acute 0 0
Lyme 0 0
Pertussis 0 1
Salmonellosis 2 2
Suspected rabies-PEP 1 1
recommended
R/O measles 1 5
R/O mumps 5 5
occidiodmycosis 0 0
Influenza related deaths 1 3
Tuberculosis-Active/open cases 0 0
1
Vibriosis(non-cholera) 0 0
Yersiniosis 0 0
Chlamydia 48 93
Gonorrhea 8 15
Syphilis 3 4
Herpes 1 2
HIV 0 0
Totals 76 144
Maternal Child Health Staff:Elizabeth Custis
Parenting Classes
One of our public health nurses has been trained in an evidence-based parenting and prevention curriculum called
Incredible Years. Funding is provided by DBHR grant for prevention work. Staff will be providing education to
parents in Mason County and has met with Therapeutic Courts to discuss options for referring participants.
We are in the final process of a final contract with the Division of Children Youth and Families (previously
Children's Administration and Child Protective Services)to provide the Incredible Years evidenced-based program
with their clients needing parenting instruction and support.
ABCD Dental
We have been reaching out to community agencies to provide Medicaid dental benefit materials to providers and
parents regarding dental visits for children. These dental visits should be started before a child is 1 year of age and
children should have 2 dental visits per year,but many children are not participating in care.These strategies are
requirements of the ABCD grant contract but it also a focus since our rates of untreated decay in children under
the age of 5 are higher than average in our state.Smile Survey data from 2015 shows dental decay in 69%of low-
income Mason County children.We provide phone assistance to families that need assistance in finding a dental
provider that accepts Medicaid and we link them to appropriate providers near their home.
Breastfeeding Collaborative:
Our public health nurse is facilitating a group of Mason County providers that are collaborating to provide support
for breastfeeding health.This group is comprised of Public Health, Mason General Hospital Birth Center, Mt View
Women's Clinic,Oakland Bay Pediatrics,WIC,and Shelton Family Medicine staff.
Early Learning Coalition of Mason County:
Another task in our Maternal Child Health programing is collaborating with community agencies and leaders to
focus on the importance of early learning. Staff participated in the February Early Learning Family Fair in Belfair.
The focus has been on sharing early learning support and information with our community. A Community Learning
Celebration is scheduled for May 16`h,from 9:30-11 am,inviting community partners to hear about this work and
to honor early learning champions in Mason County.
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Immunization Improvement Grant:
Staff met with SPIPA(South Puget Intertribal Planning Agency)Wellness and Cancer Program Managers to provide
data regarding the low rates of Human Papilloma Virus(HPV)immunization in our county and discussed ways to
partner to increase our immunization rates. HPV causes the majority of oral-pharyngeal,vaginal,penile and anal
cancers. HPV can be prevented with 2 vaccinations prior to age 15 or 3 vaccinations after age 15.SPIPA also has
interest in increasing their tribal rates and agreed to partnership events to focus on immunization improvement.
Staff presented HPV vaccine and cancer awareness information at a SPIPA Wellness event.
Housing Staff:Todd Parker
The Work Force Housing Group is convening monthly. This is the core working group from the Work Force Housing
Summit sponsored by Peninsula Credit Union on January 3,2019. The goal is to increase affordable housing and
home ownership among the working-class household that earns between 60%(31,058)to 140%($72,469)of the
Area Median Income($51,764)
A total of eight applicants responded to the Homeless and Housing Request for Proposal requesting a total of
$1,504,497 on a budget of$1,198,277. Six agencies were selected to receive funding for essential programming
such as Coordinated Entry, Emergency Shelters, Rapid Re-housing,and Transitional Housing.
Legislative Updates
• Lawmakers allocated$175 million to the Housing Trust Fund. It's the largest HTF allocation ever included
in a biennial budget,and it will build nearly 5,000 more permanently affordable homes across the state.
• HB 1406-Local communities have the option to retain a portion of the state sales tax they already collect
for affordable housing.
• Housing&Essential Needs received a$14.5 million increase,the largest since it started in 2011. It is
estimated that it will help 1,000 more people avoid homelessness.
• SB 5600 will allow tenants 14 days(instead of three)to catch up on late rent before losing their homes,
allow eviction court judges to use discretion and consider extenuating circumstances such as job loss or
hospitalization,expand a mitigation fund to ensure landlords receive judgement payments promptly while
giving tenants more time to pay,and limit the attorney fees tenants can be required to pay.
• HB 1440 increases the amount of notice landlords must give tenants of rent increases from 30 to 60 days.
Treatment Sales Tax Staff:Todd Parker,Lydia Buchheit
Therapeutic Courts received a five-year grant for Family Recovery Court,part of which will allow hiring a case
worker dedicated to this court.
Mason County Opioid Response (3 programs) Staff:Abe Gardner,Christina Miller-Shinn,Audrey
O'Connor
Prescription Drug Overdose Program (PDO) Funded by Department of Health Grant through 08/30/19
2019 has been a busy year so far.We have focused on increasing our community visibility and have presented
Mason County's Opioid Response Plan at many meetings.These notably include a group of North Mason clergy
and church members(20 individuals from 5 different churches)and the North Mason Community Voice(an article
about this presentation appeared in the Shelton-Mason Journal on March 28),as well as the Cascade Pacific Action
Alliance's Consumer Advisory Board.
3
We had a naloxone table at the Squaxin Island Tribe's Drug and Alcohol Awareness Dinner,the Point in Time count
at Community Lifeline,and continue to have a table at the Transit Center in Shelton on Wednesday's from 2-5.
Aside from the regular monthly Community Lifeline workshop(which has now been moved to the last Monday of
every month)and trainings in the county jail,workshops were also given to the Little Creek Casino Security and
Gaming staff,ESD 113 regional school nurses(as requested by Shelton's school nurse)in conjunction with Central
Mason Fire's Stop the Bleed training,and a small training at the Squaxin Island Tribe's Community Kitchen.We
were also asked to present Mason County's Opioid Response on a harm reduction panel at the TOGETHER
conference in Chehalis and have been contacted by multiple other counties' public health departments who are
wanting to emulate our programs.
Mason County was chosen for a follow-up CDC grant to this current PDO grant which ends in August 2019 and
awaiting final confirmation of funding in mid-August. The new grant will give us opportunity to maintain staff and
continue this overdose prevention work for 3 more years. It is called Overdose 2 Action (OD2A).
DEPARTMENT OF HEALTH OVERDOSE PREVENTION PROJECT
Year Reported Fatal opioid Number of Number of Number of Resource
non-fatal overdoses individuals Naloxone community Guides
opioid trained in kits workshops distributed
overdoses OD distributed
response
2017 17 5 143 246 8 2100
2018 24 1 481 535 12(+41 Approx.
table events) 1700
2019 17 2 208 302 7(+15 table Approx.
events) 1500
Comprehensive Opioid Abuse Program(COAP) Funded by Bureau of Justice Assistance through(BJA)
9/30/20
Our COAP grant team continues to work on coordinating community resources to work towards a "no-wrong door
"approach. We are in our ninth month of data collection and are looking forward to putting together our first
years'worth of data after the conclusion of the summer. Our monthly substance use treatment provider meetings
continue to be fruitful. We have continued to discuss existing barriers to treatment and potential solutions,the
current referral process and most recently the group has put together a comprehensive list of behavioral health
and recovery support services that can be accessed through the Community Health platform at
www.healthymasoncounty.com.
Mason County Public Health,Peninsula Community Health Services,Mason General Hospital and the North Mason
Regional Fire Authority recently joined together to write a Health Resources Services Administration (HRSA)grant
that would potentially sustain and enhance many of the efforts that we were able to start because of the COAP
grant for another 3 years. We were able to lean heavily on the partnerships that were initially formalized by
MOU's through the work of the COAP grant and we are excited for the potential opportunity to continue this
important work and coordination.
Substance Use Mobile Outreach of Mason County Funded by Health Care Authority(HCA)through
1/31/22
The Substance Use Mobile Outreach program continues to gain momentum,however,not every location has been
as successful as we had hoped. We have decided to move one location(Skokomish)and are looking into moving
the location of the Kamilche site in hopes of increasing participation. We are looking forward to increasing our
4
advertising efforts over the next several months and continue to concentrate on gaining and building trust within
our active drug using community. We also continue to focus our efforts on connecting individuals to treatment
and recovery resources with the help of our community's certified peer counselor as well as our community health
workers.
March-April 2019 Program Totals
Number of individuals served 44 89
Number of people exchanged for 177 347
Number of syringes exchanged 19,484 41,019
Number of direct referrals
(Tx,MAT,CHW, Insurance, 44 64
Mental Health)
Total number of individuals
housed 79% 76%
Gender M- 17 F-27 M-35 F-54
Age range 26-35yrs.-56% 26-35yrs. -46%
Substance Use Prevention (3 programs) Staff: Ben Johnson&Alison Smallwood
Community Prevention&Wellness Initiative(CPWI)-Ben Johnson
The Shelton and North Mason Prevention Education Partners(PEP)is a partnership of community sectors
county,city state, parents, law enforcement,mental health,key community leaders,substance abuse counselors
and school prevention staff.Our highest priority is to reduce underage drinking and drug use among 8th and 10th
grade students.
The coalition focuses on community norms,policy and data review. Reducing easy access alcohol point of sale
placement in stores, reducing theft,stopping promotion and sales to underaged youth. Increase Evidence based
prevention programming
The coalitions and coordinator worked to hold the first Mason County Prevention Summit. The Summit was held
at the Squaxin Tribal Community Hall this Spring with over 100 participants in attendance.
A Media Awareness project is being accomplished in North Mason high school including a"Starts with One"Opioid
Drug Take Back Campaign. Monitoring current prescription drug take back boxes and increasing take back box
capacity is a continued focus.
Ben assisted with the process of getting a new Students Assistance Professional SAP in the North Mason School
District. The North Mason ESD 114 position that will assist with substance abuse prevention in the North Mason
5
School District. The North Mason Coalition completed the North Mason Substance Abuse Prevention Strategic
Plan April 2019 and are co-sponsoring a Hidden in Plain Sight Event of Friday May 3111 at Hawkins Middle school.
Shelton coalition meets monthly,the second Wednesday of each month at the Shelton Transit Center 4-5:30pm.
The coalition works on community policy and prevention event projects throughout the year.The North Mason
Coalition Meets Monthly on the Third Thursday from 4-5:30 PM at the Belfair Commons.
Tobacco&Vaping Prevention Program &Youth Marijuana Prevention Project- Alison Smallwood
The coordinator is partnering on the seven-region tobacco and vaping education and policy and strategic planning
group. In May,Alison will be attending a Substance Abuse Prevention Skills Training in Spokane,WA May 21St-24tH
She will report on the training in the next manger's report.
Community Health Assessment and Data Staff:Alison Smallwood,Lydia Buchheit
The month of April was a busy month here in public health.As the Board had proclaimed,April was Public Health
Month,and thus we stayed busy as a department promoting health in many ways.During this month we attended
the Olympic College Shelton Health and Wellness Day,did two radio spots with ifiber News,and posted to our
Facebook and Twitter pages almost daily.
You may want to regularly check our new Health Improvement platform through LiveStories which is available for
sharing and tracking community work to improve health outcomes.You can access it from our Public Health Page
directly above the picture of our building at www.healthymasoncounty.ora or directly through this link:
insight.livestories.com/s/v2/mason-cou ntv-homepage/48b8750d-70ef-4589-84c5-0dfl31766a6a/
6
From the Director's Desk
May 2s
i -
Summer is certainly here!
The work of the Foundational Public Health Steering Committee continues. In the 2019 legislative
session we passed the FPHS (Foundational Public Health Services) bill which puts FPHS into RCW.The bill
requires that DOH have concurrence with local public health and the State Board of Health when
distributing funds or the money is returned. It also puts the funding into a permanent account so we'll
not have to go back year after year asking for the same dollars. We asked the legislature for$100 million
dollars to fund environmental health, communicable disease and assessment for foundational work but
received 22 million in the final budget version. Of the 22 million, 15 million covers the work currently
underway, gives 1.2 million to the tribes to start FPHS work and leaves 5.8 million in new dollars to
move FPHS efforts forward. To put that in perspective, that's only around 45 cents per resident per year
for public health. Last year, Mason County received a little over$47,000 so we're hoping to increase that
some. Final decisions about allocations have yet to be made but we're making the definitions
intentionally broad to allow the greatest application. For example, a new computer system can help
improve response rates to communicable disease.
Legislation has passed that raises the smoking age to 21, taxes vapor products, and reduces the
exemptions for measles vaccinations. Death and birth certificates will increase in cost by$2.
It's with mixed emotions that we'll be saying goodbye to Dr. Yu at the end of this month. We'll miss her
great sense of humor and dedication to all aspects of public health, but we certainly do wish her well on
her retirement. Congratulations Dr. Yu!
In June I will be stepping down from the President position with WSALPHO (Washington State
Association of Local Public Health Officials) for the upcoming year. It's sure was an exciting year as we
headed into a long legislative session and worked hard on getting FPHS into law to set a good
foundation for future funding. We'll tackle my last objective for WSALPHO in June by finishing a five-year
strategic plan.
Our FTE's stand at 19.65, down 1 FTE from last report
Dave Windom, MSHS