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HomeMy WebLinkAbout2020/01/28 - Board of Health MASON COUNTY COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health MASON COUNTY BOARD OF HEALTH REGULAR MEETING Jan. 28, 2020 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. Resolution: Set Meeting Dates -ACTION Board Members 4. Elect Officer Positions-ACTION Board Members 5. Approval of Minutes of November, 2019—ACTION Board Members 6. Health Officer Report Dr. Dan Stein 7. Administration Report Dave Windom 8. Environmental Health Report Alex Paysee 9. Community Health Report Lydia Buchheit 10. Other Business and Board Discussion Board Members (opioid update) 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 Resolution No. A Resolution setting the 2020 meeting dates for the Mason County Board of Health WHEREAS, The Department of Community Services supports the administrative requirements of the Mason County Board of Health and provides public notice; and, WHEREAS,The Board of Health meets regularly to address the public health needs of Mason County; NOW,THEREFORE BE IT RESOLVED by the Mason County Board of Health that the meetings for 2020 will be held at 3:00 p.m. on the following dates: January 21 March 24 May 26 July 28 September 22 November 17 Adopted this 28th day of January 2020 MASON COUNTY,WASHINGTON ATTEST BOARD OF HEALTH MASON COUNTY,WASHINGTON Scott Hilburn,Hospital District#1 Melissa Drewry,Clerk of the Board 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 Vh Street,Shelton,WA November 26,2019 Attendance: Randy Neatherlin,County Commissioner;Kevin Shutty,County Commissioner;Sharon Trask. County Commissioner;Peggy VanBuskirk,Hospital District#2;Gary Plews,Fire Commissioner Absent: Scott Hilburn,Hospital District#l;Kathy McDowell,City of Shelton Council Member,Keri Davidson, Shelton School Board Member 1. Vice-Chair Peggy VanBuskirk called the meeting to order at 10:03 a.m. 2. Approval of Agenda—Gary Plews/Cmmr.Neatherlin moved and seconded to approve the agenda as presented. 3. Approval of Minutes—Cmmr.Trask/Gary moved and seconded to approve the September 24,2019 minutes as written. 4. Health Officer Report—Dr.Stein was not present,so Dave handed out an email from him outlining his current projects.Dave briefed the email and said he's been extremely busy with these projects,as well as his normal duties within the Health Department. 5. Administration Report—Dave spoke about the Washington State Association of Local Public Health Officials(WSALPHO)conference.He discussed state funding noting that the state did not hand out almost $2 million as promised to public health. 6. Community Health Report—Lydia was not present,and no questions were asked about the report. 7. Environmental Health Report—Alex was also not present.Dave mentioned there was another new hire, and Alex has been working with that person to get them trained. 8. Vaping Ordinance Update—Allison Smallwood said that they are working to have vaping banned on county property,and announced that there will be a public hearing December 10,2019 at 9:15 a.m. in the Commission Chambers.A discussion was had about the long-term effects of vaping. Dave reminded the board that Tobacco 21 will begin January 1,2020 meaning tobacco cannot be sold to those under the age of 21. 9. 2020 Budget—Dave began by noting the budget will now be cut more than anticipated due to the vape ban which was projected to bring in millions via taxes.He discussed expected funding around various counties in Western Washington. Dave said staffing seems to be set unless Thurston County needs staff.He stated that Thurston County usually steals our staff.Gary questioned the pay difference between Mason and Thurston Counties to which Dave explained it's quite a bit higher. 10. Other Business and Board Discussion—Cmmr. Shutty announced an upcoming meeting with the EPA and said he would bring back information to review after the meeting. Cmmr.Shutty talked about a meeting with WSU Medial School which has a mobile outreach to small counties.He said he and Dave are going to see if this service would be available to more rural areas in Mason County. 11. Public Comments—Tom Davis spoke about how the jail administers opioids to inmates and the effects opioids have. 12. Adjourn—Cmmr.Shutty/Gary moved and seconded to adjourn.Meeting adjourned at 10:36 a.m. BOARD OF HEALTH PROCEEDINGS November 26,2019-PAGE 2 ATTEST MASON COUNTY,WASHINGTON BOARD OF HEALTH MASON COUNTY,WASHINGTON Melissa Drewry,Clerk of the Board Scott Hilburn,Hospital District#I 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 Is Desk January 2020 7 i It's not too late, get your flu shots! The gavel has fallen, and the legislative session is underway. As a recap from last season, the legislature passed the Foundational Public Health Bill and appropriated funds of$22 million. The funding hinged largely on revenues from vapor product taxes. Almost immediately, revenues came short and only $18.3 million was funded. With the new regulations on vaping, the revenue is being further eroded resulting in an approximate $10 million shortfall. The Governor's budget proposal funds the shortfall, but the legislature isn't bound by that proposal. What does this mean for Mason County? We could see $46,000 or as much as $100,000 annually. This funding is flexible as long as it's applied to foundational programs. DOH has agreed to front three months' worth of funding out to the LHJ's as a stop gap measure which is greatly appreciated. The Washington State Public Health Association will be holding our annual legislative day on February 5th. This is an excellent opportunity to reach out to our legislators. My intent is to thank our delegation for the hard work on last year's bill and to really listen to their concerns which I can bring back to our BOH. We'll then work these into the workplan for the coming year. We know that substance abuse, homelessness, and mental health will probably be the major topics and we're already addressing these issues. We could see movement on vaccines, vaping, onsite septic, and tobacco as well. As the legislature moves forward in this short session, I will keep the BOH informed of those issues that might impact public health in Mason County. Being this close to Olympia is an advantage for us to speak out when needed. 2019 proved to be a good year though tough as well. We had some turnover within the environmental health staff, but we've also gained some top-notch new people. 2020 looks to be a good year for us. We'll be replacing our aging vehicle fleet with newer, safer vehicles. The local health coalition is gaining momentum. We're applying for funding that would help divert people with mental health issues from the criminal justice system into treatment. Good things are happening. have been accepted as a board member for Peninsula Community Health Services. This should be a great way of staying connected in health care delivery for a primarily Medicaid population. Because PCHS and Mason County Public Health can often be in either a competitive or contractor relationship with grants, we've put in place a very thorough conflict of interest agreement. FTE's stand at 20.5 2019 EH Report: For Board of Health January 28th,2020—by Alex Paysse In review,2019 saw some big changes for Environmental Health. Across all EH programs,a staff of 6 completed 1400+inspections,reviewed 2003+permits, issued 403 licenses,responded to 232+complaints and 24 vector cases, surveyed 38 public water systems,walked over 10 miles of shoreline, collected 136 freshwater samples,collected 26 shellfish samples,hosted 12+public meetings,held 5 workshops, and sent out over 74,000 educational mailings. I estimate over 3,000 calls and inquiries are also answered by clerical and EH staff throughout a year. In addition,EH staff attended over 20 workshops,conferences,and trainings to stay educated and informed for MC residents. Below is a year-end review of the larger programs EH staff provides for public health. Water Quality Program: Hood Canal PIC work wrapped up Phase 3 in March of 2019. Phase 3 included sampling and investigation in several Hood Canal regions,primarily Big Bend SPD and Hoodsport. No PIC activity in HC occurred after March due to lack of funding. Contract for Phase 4 funding is expected in January 2020. Phase 4 funding will be dedicated mostly towards Annas Bay SPD. Staff will be working closely with the Skokomish tribe on this project. In April,MCPH finalized its contract with Pierce County for PIC work in North Bay and other South Sound SPD's. Due to the amount of funding and time period of this project,PIC efforts were focused in North Bay/Allyn. Katie Otanez completed dry season sampling with 10 confirmed hot spots and multiple shoreline surveys. Katie resigned from MC in October when she made the decision to relocate to Yakima. Ian Tracy was hired in November to continue the North Bay/South Sound work. So far 36 sample have been taken in the wet season and Ian is working on hot spot investigation and correction. Water Quality work remains difficult to staff and implement based entirely off state and federal grants. Grants are project based typically after contamination has already occurred and funding opportunities vary. Despite these challenges,Mason County's marine shorelines saw several upgrades this year as a couple grant funded PIC projects wrapped up and various pollution sources were corrected. • Oakland Bay, 172 acres (Conditionally Approved to Approved) • Hood Canal 6, 17 acres(Conditionally Approved to Approved) • Hammersley Inlet, 44 acres(Conditionally Approved to Approved) • Several parcel closures were also reopened in both Hammersley and HC 6. Onsite Sewage Program: In January MCCS changed permitting systems to SmartGov,an online based permit tracking system. We once again experienced an increase in OSS permits,which makes 2019 an 11-year high for the program. As construction activities in MC increase,On-site Sewage Systems follow suite. There are over 26,300 systems in Mason County. In 2019,management worked with BOH to re-establish the Onsite Sewage Advisory Committee(OSAC)per MCC 6.76. Working with OSAC, staff and management worked on several program improvements this past year. Such as,changing the Operation and Maintenance(O/M)tracking system from Carmody Inc.to OnlineRME. Sewage system reports now have a uniform set of questions for each system component,which sets standards and guidelines for inspectors. These new reports will bring more information to system owners, so they know how each component is functioning. Providing more detailed reports can increase the publics knowledge of their components so they can make timely decisions on repairs. The more informative reports also help staff in helping homeowners with system questions. Homeowners will also have easy access to their system overview and history through the OnlineRME public portal. Drinking Water Program: Well construction permits saw a slight decrease from 2018,which does not align with other construction related permits. Wells are required to be constructed prior to approval of a building permit, so it may be just the timing of when people were permitting wells compared to their homes. In addition,there were tensions in 2018 on effects of the Hirst decision which involved exempt wells and instream flows. More property owners might have felt compelled to permit wells prior to legislature addressing the supreme court ruling. As of December,well construction and decommission permits are available for online(paperless)submittal. Applicants can submit the permit online,staff will inspect with use of tablets,then email out results. MC contracts with DOH for sanitary surveys of smaller Group A water systems. In 2019, staff had a higher number of water systems to survey but were able to complete them within the required timeframes. Food Safety Program: Food program 2019 numbers are right on point with past years. This program remains consistent year to year on permitting and establishment inspections. In October,Cody Lund resigned from Mason County. Kayla Hamme joined the county in September and was able to train with Cody and DOH staff. In November, Luke Cencula attended a temporary establishment inspection course in Florida by FDA so he can continue to assist and bring depth to our inspection capabilities. Food worker training and testing is available online and in several languages. We also have a food program facebook page that posts program updates and recall information. The Food rule(WAC246-215)is currently undergoing updates with SBOH. The new rule is expected to be rolled out in fall of 2020. County staff expects an increase in workloads implementing changes proposed and educating our local establishments. Solid Waste Program: Staff wrapped up the education grant from Ecology in June. This project included multiple mailings and handouts educating residents on proper solid waste handling and recycling. Handouts were also printed in Spanish,to assist Spanish speaking residents in compliance with MC code. In August,Wendy Mathews was hired to the Solid Waste program,as Luke Cencula moved into the Onsite program. Towards the end of the year, staff and management have been working with MC Utilities on a voucher program that could help with solid waste enforcement sites. These vouchers for up to 1,000 lbs of solid waste disposal could turn up to be a great resource for residents and resolving neighborhood nuisances. Other EH Programs: 24 vector activities were tracked in 2019. 5 specimens were collected and tested for rabies,all with negative results. Mussels from Jerrell's Cove were collected 26 times and tested for biotoxins. Mason County had no confirmed biotoxin cases for 2019. 13 inspections were completed on public pools and spas throughout the county. Review of EH Permits 2018 2019 % Change Onsite Sewage New Construction/ Upgrades 303 343 11.7% Repairs/ Replacements 160 165 3.0% Total Applications 463 510 9.2% _ Drinking Water Group A Sanitary Surveys 30 39 23.1% Group B System Permits 2 5 60.0% Private 2-party Systems 38 26 -46.2% Well Construction/Decommission 162 148 -9.5% Food Safety Food Establishments Permitted 374 364 -2.7% Routine Inspections 330 314 -5.1% Temporary Event Inspections 123 123 0.0% Food Worker Cards 3030 2898 -4.6% Water Safety Pools Permitted 15 15 0.0% Spas Permitted 4 4 0.0% Total Inspections 17 13 -30.8% Solid Waste Facility Permits 6 6 0.0% Facility Inspections 6 6 0.0% Environmental Health Complaints Food 38 19 -100.0% Sewage 68 52 -30.8% Solid Waste 102 63 -61.9% Other 12 98 87.8% Total 220 232 5.2% Ira 4 j 0 4. G .. `1roe- Cornrndnity , He'alt[-�& H62m: an '_e_�rvices• er Repdryt . 5 November-December 2019 Communicable Disease & Notifiable Conditions (3 programs-CD,TB, STD) Staff:Audrey O'Connor, Back up: Elizabeth Custis&Lydia Buchheit November and December our communicable disease(CD) program nurse received 66 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 Nov-Dec Total to date Campylobacteriosis 2 30 ryptosporidiosis 0 2 Giardiasis 0 4 Shiga Toxin 2 1 4 Hepatitis A-Acute 0 1 Hepatitis B-Chronic 0 0 Hepatitis B-Perinatal 0 2 Hepatitis C-Chronic Hepatitis C-Acute 0 1 Lyme 0 0 Pertussis 0 1 Salmonellosis 2 8 Suspected rabies-PEP 0 1 recommended R/O measles 0 6 R/O mumps 0 5 Coccidiodmycosis 1 2 Lead Exposure 0 1 1 Influenza related deaths 0 3 aping Associated Lung Injury 0 1 Tuberculosis-Active/open cases 0 0 Vibriosis(non-cholera) 0 3 Yersiniosis 0 0 Chlamydia 42 242 Gonorrhea 15 60 Syphilis 0 5 Trichomoniasis 1 2 Herpes 2 7 HIV 0 0 Totals 66 391 Maternal Child Health Staff: Elizabeth Custis Maternal Child Health Parenting Program As part of the DBHR prevention grant and DCYF(CPS) contract, Elizabeth Custis is providing the Incredible Years evidenced-based parenting home visiting program to families across Mason County. Classroom education will begin shortly and will be available to referred CPS clients and anyone in the community.This is new programing to Mason County in response to the high abuse and neglect referral rate in our community. ABCD Dental Program Elizabeth continues to provide outreach to families and agencies across Mason County regarding the importance of regular dental visits starting by age 1. In December, we helped to promote the Smile Mobile that was located at a Shelton Elementary School to see uninsured or families that need evaluations and care. Breastfeeding Coalition of Mason County Our Public Health Nurse continues to facilitate the group of Mason County providers that are collaborating to provide support for breastfeeding health. This group is a collaboration of medical providers, MGH Birth Center RNs, home visitors, clinic staff, lactation consultants,WIC, and Mason County Maternal Child Health (MCH)staff. January 9th will be the start date of a new breastfeeding support group located at Mason General Hospital with the goal that infants will be supported to breastfeed longer and improve the health of mother and babies in our county. Early Learning Coalition of Mason County RN continues to co-facilitate this group made up of agencies serving Mason County. This mission of the coalition is to support parents, caregivers, and the community in developing the skills children need to 2 be successful in school and life. The coalition is currently planning an Early Learning Family Fun Fair in North Mason for families to have access to free early learning activities and agency resources. Immunization Improvement Grant Elizabeth has met with the school nurse for Hood Canal and Grapeview School Districts to provide support and ideas on improving immunization compliance rates. We are working with our Health Officer, Dr. Stein,to communicate new compliance regulations and offer assistance to school administration of all Mason County School Districts. Children with Special Health Care Needs Our Public Health Nurse continues to participate in the SMART Team of Mason County(School-Medical Autism Review Team). This enables children from our county,that appear to be on the Autism Spectrum, per the team, to be prioritized for a specialty evaluation and diagnosis at Children's Hospital to be seen in 1 month vs. 18 months. The benefit will be receiving support and services earlier. The team has been meeting since October and are collecting testing and documentation for students that need determination and diagnosis of Autism. Elizabeth continues to provide consultation and care coordination to many families with children that have special health care needs in the Mason County area. Social Service Programs Housing Staff:Todd Parker —Our housing coordinator attended the Washington Low Income Housing Alliance Annual Conference November 5—7 in Spokane, WA The Veteran Stand-down was hosted November 16. A total of 57 veterans attended the event 18 of which reported as homeless. In 2018, 16 were counted as homeless. —The annual Point in Time homeless census count is the night of January 23 with Project Connect Events happening on Friday at the Shelton Family Center and North Mason Resources. The events are places people can connect to resources,food and obtain donations such as clothing, sleeping bags and tents. From January 1—8, Community Lifeline has averaged 25 guests at the adult emergency shelter on a bed capacity of 35. "'5-year Housing and Homelessness Plan was approved by the Board of County Commissioners and submitted to the Department of Commerce as required. Behavioral Health--Treatment Sales Tax(TST) Funded Staff:Todd Parker, Lydia Buchheit Treatment Sales Tax contracts were extended 6 months through June 30, 2020 to continue services in the community during the transition from the BHO to MCO. The Therapeutic Court programs graduated a total of 22 individuals for the 2019 calendar year. 18 people graduated each year for the past three years. Mason County Opioid Response (3 programs) Staff: Abe Gardner,Christina Miller-Shinn,Audrey O'Connor Overdose Data to Action (OD2A) Through the Opioid Overdose reports we receive from Mason General, first responders and law enforcement, as well as through the self-reports received by participants at various outreach events, we identified a spike in overdoses in October and November. We used this information to alert people actively using opioids, as well as friends and family and professionals who interact with people who actively use, to be extra cautious about the illicit supply and practice harm reduction techniques to reduce overdose risk. There were seven reported non-fatal opioid overdoses in November and 3 December, and 3 fatal opioid overdoses (note that sometimes it takes many months before we get fatality reports due to toxicology reports). We continue to increase the coordination of linkages to care by partnering with a Peer Recovery Coach from Northwest Resources at all Substance Use Mobile Outreach sites, as well as on our Wednesday Transit Center outreach table. We regularly strive to refer people to services via warm handoffs or phone calls to make sure everyone is linked to care who wants to be. Staff also checks in regularly with local treatment providers at monthly meetings. All regular outreach activities have been maintained,with a slight interruption during the holidays.This includes monthly overdose prevention workshops with inmates at the jail (34 inmates trained during reporting period),weekly Transit Center outreach table events on Wednesday afternoons, and the Substance Use Mobile Outreach.These outreach events provide harm reduction education to people using substances, and education about local resources, and connection to services. Substance Use Mobile Outreach of Mason County It has been business as usual at the Mobile Outreach. We have been doing lots of education surrounding soft tissue infections and how to prevent them. We have also begun asking participants if they have been tested for HCV in the past year to get a better understanding of whether our highest risk populations are getting screened, as well as provide an opportunity for HCV education. We have identified a lack of providers who are treating HCV locally, especially who are treating individuals who are still actively using. We are exploring where to refer our participants who want to begin addressing their disease. We will be pursuing this topic in the upcoming year. Naloxone kits were given at 67%of visits. We gave 11 treatment referrals, including 7 for Medicated Assisted Treatment(MAT), an increase from last year(Nov 1, 2019-Oct 31, 2019) where 26 treatment referrals were given total.At every visit, we ask if the individual wants any referrals for treatment, mental health, medical etc. By screening every person each visit, we can catch individuals when they begin actively contemplating change, as well as regularly remind them that we are able to help navigate the system. One participant came in December, not to exchange, but only to receive treatment information. We were also able to provide a warm handoff to one of our partnering community agencies,who helped the participant attain detox and inpatient.That individual is currently in sober transitional housing. Several people have also stopped by the RV solely to learn what local resources are available to help loved ones.These anecdotes exemplify that this program has become a trusted location for people in the community to receive help and information. The Belfair location is gaining momentum. During this reporting period (Nov-Dec 2019), Belfair accounted for 11%of all visits. Previously(year one of this program-Nov 1, 2018-Oct 31, 2019) Belfair made up only 4.7%of visits. This increase is likely due to partnering with Kitsap's mobile exchange program to promote our program in September 2019. We have received a lot of good feedback from participants about our program—several people have stated that they look forward to coming all week because of how empowered and comfortable staff make them feel.They also are appreciative of having a place to ask sensitive questions. Sept-Oct 2019 Nov-Dec 2019 Program Totals (Nov 2018-Dec 31 2019) Number of interactions 85 70 370 Number unduplicated participants 46 59 205 Mean number of individuals each encounter is serving 4.2 3.4 3.3 Number of syringes exchanged 26,490 26,910 143,939 4 COAP (Community partnerships,Systemic change, Program coordination)-Abe Gardner Over the last several months MCPH has continued to coordinate and facilitate conversations to fill gaps in Mason County's treatment and recovery support system. More specifically, MCPH has been concentrating on Medication Assisted Therapy in the Mason County jail, while also coordinating an effort to apply for a local Law Enforcement Assisted Diversion program (LEAD). While awaiting the results of the FORE grant that MCPH applied for several months ago,that would fund a peer/care coordination position at the Mason County jail, MCPH has started to implement a MAT/re- entry program. In partnership with the medical staff, the mental health provider as well as jail staff, MCPH has been establishing policies, procedures and a workflow processes that will allow for a comprehensive and effective jail MAT and re-entry program. As there are a lot of details to work out, all parties have agreed to start slow, with an emphasis on proactive communication, so that we can make sure to be as safe and ultimately successful as possible. In addition to the jail work, MCPH has also been coordinating an effort to apply for some grant funds that would support the implementation of a local LEAD program. With the participation and input of the Sheriff's office, Shelton's Police Department, the prosecutor's office, the public defender's office, superior and therapeutic court,Olympic Health and Recovery Services, the Commissioner's office, as well as other community-based organizations, MCPH has been working with a grant writer with the goal of bringing funds to Mason County to start a LEAD program. LEAD is a pre-booking program that provides an avenue of treatment and recovery to individuals that are experiencing behavioral health issues as opposed to arrest and incarceration. MCPH through the support of the COAP program has also continued to collect important data from local substance use treatment providers that has and will continue to guide and inform projects important to helping Mason County residents that are experiencing behavioral health issues. MCPH will continue to take a proactive approach in filling gaps in the treatment and recovery support system, while supporting and sustaining current programs. Substance Use Prevention Staff: Ben Johnson&Alison Smallwood Community Prevention Wellness Initiative The Shelton Coalition continues to meet the 2nd Wednesday of each month at 4PM at the Family Education Support Services office at the Shelton Transit Center.The North Mason coalition meets the 3`d Thursday of each month at 4PM at the North Mason high School commons. The Shelton coalition served ice cream at Oysterfest in October to assist with funding the 2020 nature remedies calendar.The calendar was completed and over 5000 have been distributed between October and December at Mason County Government Buildings, Health Clinics,Treatment Centers, Hospitals, Libraries and more. The Shelton Coalition has decided to begin work on the 2021 calendar soon. The Shelton and North Mason Youth Prevention clubs will begin student and community prevention activities and classroom education in February 2020.They will focus on media awareness; prescription take back box and lock box awareness and National Rx take back month in April. The first North Mason Shelton Substance Abuse Prevention Summit Series has been Scheduled. All will be held at 7PM at the North Mason High School Commons: Wednesday Feb 19-Current Science on Vaping, Emma Goddard American Lung Association Wednesday March 18-Social Norms-Scott Waller, Washington State Traffic Commission Wednesday April 22-Jason Kilmer, Implications for Prevention--Dr.Jason Kilmer, University of Washington Associate Professor in Psychiatry& Behavioral Sciences 5 Tobacco and Vaping Prevention Program The Tobacco and Vapor Product Prevention Program made a huge leap forward when the Board of Mason County Commissioners voted to include vaping and vaping products in existing County non- smoking policy.This is an important step in the programs mission of removing the potential of second- hand smoke exposure from vapor products to the residents and visitors of Mason County. In the coming year we hope to expand these policies beyond just County property to all city and private owned business in Mason County. Community Health Education, Assessment and Data Staff:Alison Smallwood, Lydia Buchheit In December 2019,the Mason County Health Coalition hosted a workshop style meeting at Public Works for which we had 32 people in attendance. The purpose of the Mason County Health Coalition is to improve the health and wellness of our community. We are asking community members and key stakeholders to participate with us in completing a Community Health Improvement Plan that will identify areas in our community where gaps exist. Our goal,through the collaboration of this group, will be to conduct projects and programs to fill gaps in our community, ultimately leading to a measurable improvement of health in Mason County. We are asking anyone who may be interested to participate with us, especially Board of Health members. In addition, we hope that you will reach out to other members of the community you feel could help us in our mission of improving health in Mason County and invite them to participate in this effort. For more information, and to be added to the coalition contact list, please contact: Alison Smallwood, MPH asmallwood@co.mason.wa.us Mason County Community Services-Public Health Our next meeting will occur on January 29th at PUD 3 from 3-5 PM. We are hopeful we will have another great turnout of community members that wish to help us with our mission of improving health and wellness in Mason County. 6