HomeMy WebLinkAbout2021/05/25 - BOH Packet MASON COUNTY
T COMMUNITY SERVICES
Building,Planning,Environmental Health,Community Health
MASON COUNTY BOARD OF HEALTH
REGULAR MEETING
May 25, 2021
3:00 PM
Via Zoom
411 North Fifth Street
Shelton, WA 98584
DRAFT AGENDA
1. Welcome and Introductions Peggy VanBuskirk Chair
2. Approval of Agenda—ACTION Board Members
3. Approval of Minutes of January 2021—ACTION Board Members
4. Blue Zones Presentation CPAA/CHOICE
5. Health Officer Report Dr. Dan Stein
6. Administration Report Dave Windom
a. Vaccine Rollout
b. Phased recovery
c. Health Officer search
d. County Health Rankings
7. Environmental Health Report Alex Paysse
8. Community Health Report Lydia Buchheit
9. Other Business and Board Discussion Board Members
(Presentation by Commissioner Trask HB 1152 update)
10. Public Comments
11. Adjourn
If special accommodations are needed,please contact McKenzie Smith,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 61h 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 51'Street,Shelton,WA
March 23,2021
Virtual Attendance:Randy Neatherlin,County Commissioner;Kevin Shutty,County Commissioner;Sharon Trask,
County Commissioner;Peggy Van Buskirk,Hospital District#2;Dave Windom,Mason County Community
Services Director;Lydia Buchheit,Mason County Community Health Manager;Abe Gardner,Community Health
Program Assistant;Darrin Moody,Hospital District# 1;Keri Davidson,Shelton School Board;Kathy McDowell,
City of Shelton Council Member Seat#2;Dr.Dan Stein,Health Officer;Gary Plews,Fire Fighters Association;
McKenzie Smith,Clerk of the Board;Katie Hayes,Shelton-Mason County Journal.
1. Chair Peggy VanBuskirk called the meeting to order at 3:00 p.m.
2. Approval of Agenda—Kathy/Cmmr.Shutty moved and seconded to approve the agenda as presented.
Motion carried.
3. Selection of Vice-Chair—Cmmr.Trask/Kathy moved and seconded to appoint Keri Davidson as vice-
chair. Motion carried.
4. Approval of Minutes—Cmmr.Trask/Cmmr. Shutty moved and seconded to approve the January 26,2021
minutes as presented. Motion carried.
5. Health Officer Report by Dr.Dan Stein
Dr. Stein shared that focus still remains on COVID-19. At this time there is a plateauing of the descent of
cases which is being monitored. Staff is doing a great job distributing vaccines. Reopening schools for in
person learning is being looked into with the Governor and the CDC. Key points include maintaining the
six-foot distance between students and checking in with schools monthly.
6. Administrative Report by Dave Windom
Dave discussed the vaccine rollout in January which had a bit of a bumpy start. However,a three-week
forecast on vaccine availability is now being provided by the Department of Health. Our two primary
providers for mass vaccine and pop-up clinics are Mason General Hospital and Peninsula Community
Health. At this time there is no access to Johnson&Johnson,only Moderna and Pfizer. Pharmacies will
be stocked with initial doses and some with their second doses. Dave anticipates by the end of May there
will no longer be mass vaccination clinics. The vaccine will be available to individuals 18 and older on
May I". The State is getting 6,000 doses of Johnson&Johnson this week,but there is not a way to order
doses through the system yet. Currently we are in Phase 3. Regarding schools,a three-foot distance rule
was recommended to stay consistent with the CDC.
The recently selected Health Officer has declined the position. Dr.Stein is willing to help facilitate the
transition for a new Health Officer but is hoping to step down by July. Dave will send out candidates to the
Personnel Committee for screening. All options are being explored such as sharing a Health Officer with
another jurisdiction and having an interim.
Fiscally a lot of COVID funds are coming in,however there are some strings attached. For example,funds
to run vaccine clinics would require joining with a multi-County incident management team,requesting an
overhead team to come in from the State,and the funds would not cover actual administration of the
vaccine. The State is about two months behind in getting the consolidated contract amendments out.
County health rankings should be coming out April 1,2021. Dave plans to create a document focused on
Community Services in 2021 looking at the mission and adjustments that need made regarding Community
Services,Public Health,and Community Development.
BOARD OF HEALTH PROCEEDINGS
March 23,2021—Page 2
7. Environmental Health Report by Alex Paysse
Dave shared the Environmental Health Report for Alex. Environmental Health permits are up,the County
is seeing a large influx of incoming residents,and houses are selling same day. With the pandemic,some
Environmental Health staff are helping support the vaccine clinics.
8. Community Health Report by Lydia Buchheit
Lydia shared that half of her staff are still working within their programs while the other half are helping
fill in for COVID-related activities. COVID cases are remaining low.
9. Other Business and Board Discussion
Abe presented a Mason County Law Enforcement Assisted Diversion(LEAD)and Behavioral Health
Navigator Programs slideshow. The grant for the LEAD program will go through the end of June and Abe
is confident they will hit their target of 50 referrals.
Sharon discussed her concerns for House Bill 1152 which has to do with organizing regional Public Health
districts. At this time the Bill has passed the House and is in the Senate. This Bill would require the
County to pay for expenses incurred by the Health District or County for enforcing the Governor's
proclamations.
10. Public Comments
11. Meeting adjourned at 4:05 p.m.
BOARD OF HEALTH PROCEEDINGS
March 23,2021—Page 3
ATTEST MASON COUNTY,WASHINGTON
BOARD OF HEALTH
MASON COUNTY,WASHINGTON
McKenzie Smith,Clerk of the Board
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
I�
From the Director's Desk
7 TwIJ
May 2021
Time to get that COVID-19 vaccination!
16 months and counting with COVID-19
Since our last board meeting our primary focus has remained the delivery of vaccines through
mass vaccination clinics.As of this writing, we have given over 45,526 doses in Mason County
with roughly half of those people fully vaccinated. Rates of requests for vaccines have dropped
in recent weeks and we may have reached a saturation point. We are standing down our mass
vaccination sites and will be relying on pharmacies, hospitals, and clinics to continue to provide
vaccine as we move forward.The spikes in the chart below indicate mass vaccination events.
VACCINE DOSES GIVEN BY DATE
Vaccine Doses Given Incomplete data—Vaccine Doses Given(7 day avg.) Incomplete data(7 day avg.)
1500
1000
500
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tan 2021 Feb 2021 Mar 2021 Apt 2021 May 2021
Administration Date
DOH and members of the Washington State Association of Local Public Health Officials worked
together to present what we felt were reasonable measures to the Governor's office
concerning either moving forward or backwards in the phased recovery plan. Mason County
has not been in danger of moving backwards in phases as our case rate and hospitalization
rates have been below the thresholds set in the plan.
We are moving forward with addressing those areas that most affect health.The 2021 County
Health Rankings have been released and we're using that data to inform our plan to implement
a community improvement plan known as the Blue Zones Project.,Working in conjunction with
the Cascade Pacific Action Alliance, CHOICE Health Network, and Mason Health we believe that
Mason County is ready to move forward.
In the financial realm,we have had good news.The Foundational Public Health Funds (FPHS)
that we have received in the past two years will continue ($22 million statewide).These dollars
have funded programs in Mason County around water quality and communicable disease
1 https://www.bluezones.com/services/blue-zones-project/#section-1
From the Director's Desk
71 TV
response.The legislature also approved another$149 million per biennium for FPHS work.This
will allow public health in Mason County to expand water quality work, septic and solid waste
complaints and resolutions, communicable disease response, improve cross cutting business
capabilities, increase assessment capabilities, and surveillance of disease patterns.As the co-
chair of the FPHS Steering Committee, I will be busy in the coming months working with DOH
and other local health jurisdictions to develop equitable allocations of funding.
The pace this winter and spring has certainly been hectic. Our staff, partners, and volunteers
worked tirelessly preparing and executing mass vaccination plans. As things begin to slow and
the state reopens, our intent is to begin a shift towards recovery operations and resuming the
regular work of public health and moving that work to an even higher level.
David Windom, MSHS
S/1lI2021 Mason County,Washington I County Health Rankings&Roadmaps
Robert Wood Johnson Foundation
The 2021 Rankings includes deaths through 2019.See our FAQs for information about when we anticipate
the inclusion of deaths attributed to COVID-19.
Mason(MA)
2021 Rankings
Download Washington Rankings Data
State
Population 66,768 7,614,893
"below 18yearsofage 19.5% 21.8%
%65 and older 23.3% 15.9%
%Non-Hispanic Black 1.3% 4.0%
American Indian&Alaska Native 4.8% 1.91Y.
%Asian 1.3% 969.
%Native Hawaiian/Other Pacific Islander 0.45/ 0.8%
%Hispanic 10.695 13.0%
•Non-Hispanic White 79.8% 67.5%
%not proficient in Fnglish 3% 4%
%Females 48.1% 49.9%
%Rural 63.7% 16.0%
Error Top U.S. Washington
Margin Performers^
Health Outcomes
Length of Life
Premature death 6,600 5,900-7.300 5,400 5.600
Quality of Life
Poor or fair health" 20% 18-23% 14% 15%
Poor physical health days" 4.7 4.3-5.1 3.4 3.7
Poor mental health days'• 4.8 4.4-5.2 3.8 4.0
Low birthweight 6% 5-6% 6% 6%
Additional Health Outcomes(not Included in overall ranking)
Life expectancy 79.2 78.5-79.9 81.1 80.4
Premature age-adjusted mortality 350 320-370 280 290
Child mortality 30 20-50 40 40
Infant mortality 4 3-7 4 4
Frequent physical distress" 14% 13-16% 10% 11%
Frequent mental distress" 15% 14-16% 12% 12%
Diabetes prevalence 11% 9-15% 8% 9%
HlVprevalence 142 50 215
Health Factors
Health Behaviors
Adult smoking" 18% 16-21% 16% 12%
Adult obesity 37% 33-42% 26% 29%
Food environment index 7.7 8.7 8.2
Physical inactivity 229' 18-27% 19% 16%
Access toexercise opportunities 63% 91% 86%
Excessive drinking" 21% 20-22% 15% 17%
Alcohol-impaired driving deaths 29% 20-39% 11% 33%
Sexually transmitted infections 381.4 161.2 465.2
Teen births 30 26-33 12 16
Additional Health Behaviors(not included In overall ranking)
Food insecurity 14% 9% 11%
Limited access to healthyfoods 3% 2% 65;
Drug overdose deaths 17 12-24 11 16
Motor vehicle crash deaths 14 11-18 9 8
Insufficient sleep" 35% 33-36% 32% 32%
ClinicalCare
Uninsured 10% 9-12% 6% 7%
Primary care physicians 3,850:1 1.030:1 1,180:1
Dentists 2,900:1 1,210:1 1,200:1
Mental health providers 490:1 270:1 250:1
Preventable hospital stays 2,734 2,565 2.853
Mammography screening 42% 51% 40%
Flu vaccinations 43% 55% 47%
Additional Clinical Care(not Included in overall ranking)
Uninsured adults 12% I1-14% 7% 9%
Uninsured c hildren 4% 3.5% 3% 3%
Other primary care providers 2,470:1 620:1 1,020:1
Social&Economic Factors
High school completion 895, 87-905. 94% 91%
htips://mvw.cou ntyhealthra nkings.orglappAvashington/2021/county/snapshots/045iprint 112
5/18/2021 Mason County,Washington I County Health Rankings&Roadmaps
Some college 49% 44-54% 73% 71%
Unemployment 6.3% 2.6% 4.3%
Children in poverty 21% 15-27% 10% 12%
Income inequality 4.3 3.9-4.6 3.7 4.4
Children in single-parent households 23% 17-29% 14% 20%
Social associations 6.0 18.2 6.5
Violentcrime 220 63 294
Injury deaths 96 85-107 59 67
Additional Social&Economic Factors(not included in overall ranking)
High school graduation 78% 95% 89%
Disconnected youth 7% 3-11% 4% 6%
Readingscores 2.6 3.3 3.0
Math scores 2.4 3.4 3.0
Median household income $63,700 $57.500-69,900 $72,900 378.700
Children eligible for free or reduced price lunch 62% 32% 43%
Residential segregation-Black/White 52 23 59
Residential segregation-non-whlte/white 27 14 38
Homicides 6 4-6 2 3
Suicides 20 15-25 11 16
Firearm fatalities 19 15-25 6 11
Juvenile arrests 17 25
Physical Environment
Air pollution-particulate matter 5.4 5.2 6.4
Drinking water violations No
Severe housing problems 17% 14-19% 9% 17%
Driving alone to work 76% 74-78% 72% 72%
Long commute-driving alone 51% 46-55% 16% 37%
Additional Physical Environment(not included In overall ranking)
Traffic volume 88 601
Homeownership 77% 75-80% 81% 63%
Severe housing cost burden 13% 11-15% 7% 14%
Broadband access 84% 82-86% 86% 88%
r.rcas to=>:piorc
^10th/90th percentile,i.e.,only 109;are better.
Data should not be compared with prior years
Note:Blank values reflect unreliable or missing data
htips:/Avww.counlyhealthrankings.org/app/washington/2021/county/snapshots/045/print 212
2021 Health Outcomes - Washington
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Environmental Health Report
For Board of Health May 25th, 2021
From Alex Paysse, Environmental Health Manager
As our involvement in vaccine efforts slow down, I would like to highlight and thank our EH staff for
their dedication and hard work. For the past 5 months they have remained diligent, within their
busy work schedules, in supporting the 12 mass vac. clinics in Shelton. Rain or shine our staff, along
with volunteers and hospital staff, worked hard to ensure a smooth vaccination process.
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Sewage & Drinking Water Program
EH permit activity continues to increase in 2021, keeping our sewage and drinking water programs
very busy. As attention gets pushed towards maintaining acceptable review/process times, other
programs and work gets pushed aside. EH staff needs more support to maintain our daily
obligations that come with the management of septic systems and construction of wells.
Management is working with commission and finance staff on these requests.
Environmental Health Permits (mo/yr)
■April ■March ■February January
2021 EH Permits
2020 EH Permits
2019 EH Permits
0 50 100 150 200 250
Water Quality Program
Ian continues to work our PIC (Pollution Identification and Correction) projects in North Bay/South
Sound and Annas Bay/Hood Canal. As DOH works on providing notice of downgrades for the
2021 year, we are taking proactive steps in our water quality program. On May 1 1'h, the Board of
County Commissioners approved an ordinance combining our existing 8 shellfish protection
districts into a single district model. In addition, the ordinance included a financing mechanism to
support proactive services for maintaining clean waters in Mason County. This is an exciting
accomplishment for public health in the protection of our waterways and ensuring the safe
consumption of shellfish for the public. We will keep everyone informed as we move forward with
these program updates. A copy of the approved ordinance is attached for review.
Solid Waste Program
The number of cases and complaint sites are a
growing because staff cannot keep up with
intake of new concerns. As new complaints
are received, staff investigates and prioritizes ,;
based on the degree of health threats.
Management and staff are working on t.4 Y
integrating SmartGov to increase efficiency,
but more staffing is needed to properly
address the problem. Most of our problem
sites involve fulltime residents on parcels _
without means of proper sewage and solid �-
waste disposal. Many times, there is no
ownership or party taking responsibility of
violations making abatement efforts difficult.
No situation is the same, but its evident more attention is needed to increase the success in
bringing sites into compliance with health requirements. Management is working on more
solutions and funding options to support these needs.
Food Safety and Water Recreation Program
Kayla continues to respond to calls related to COVID-19 guidance from the state. Temp
inspection requests have started to trickle in, but less than previous years. Kayla is working with
pool operators and state DOH on addressing the chlorine shortage. Increased demand for
chlorine in combination with a major manufacturer facility burning down is said to be the culprit of
the shortage. Mason County has 15 licensed pools and 4 spas that receive routine inspections per
246-290 WAC.
Additional items or actions for BOH review: MASON COUNTY
none currently COMMUNITY SERVICES
Rudmq varwnq Env,ronmenw Meal,h,(«ortun 1,heal",
ORDINANCE NO.
AN ORDINANCE COMBINING ALL EXISTING SHELLFISH PROTECTION
DISTRICTS AND AMENDING MASON COUNTY CODE TITLES 3 AND 6
WHEREAS, Mason County is home to over 200 miles of marine shoreline and 25,000
acres of commercial shellfish harvest area; and
WHEREAS, Mason County has experienced many historic commercial shellfish harvest
downgrades from Washington State Department of Health due to bacterial pollution from
non-point pollution sources; and
WHEREAS, State law (Chapter 90.72 RCW) directs a county having shellfish tidelands
within its boundaries to establish a Shellfish Protection District and to establish a Clean
Water Program with elements intended to improve water quality by eliminating or reducing
nonpoint pollution sources; and
WHEREAS, Mason County has established historic Shellfish Protection Districts in
response to previous downgrades per Chapter 90.72 RCW including (but not limited to)
Oakland Bay Clean Water District, Annas Bay Shellfish Protection District, North Bay
Shellfish Protection District, Totten Little Skookum Shellfish Protection District, McLane
Cove Shellfish Protection District and Big Bend Shellfish Protection District increasing
administrative requirements in management of said districts; and
WHEREAS, this County's legislative authority recognizes commercial, recreational, tribal,
and private shellfish harvest as a vital aspect to Mason County and requires protection
from nonpoint pollution sources; and
WHEREAS, this County's legislative authority further recognizes maintaining the highest
levels of water quality is paramount to sustaining the livelihood of Mason County, this
Puget Sound region, and to the greater environment; and
WHEREAS, Mason County is encouraged by the legislature to: "establish shellfish
protection district(s) and programs designed to prevent any further degradation and
contamination and to allow for restoration and reopening of closed shellfish areas" by
Chapter 90.72 RCW.
NOW, THEREFORE, BE IT ORDAINED BY THE MASON COUNTY BOARD OF
COUNTY COMMISSIONERS that a Shellfish Protection District be established
encompassing the area within the boundaries shown on "Attachment A" and be called the
"Mason County Clean Water District"; and
BE IT FURTHER ORDAINED that past shellfish protection districts and/or clean water
districts within the boundaries of this new Mason County Clean Water District be
abolished per Chapter 90.72.040(1) RCW and replaced by the Mason County Clean
Water District ensuring no disruption to any existing response plans and pollution
identification and correction projects; and BE IT FURTHER ORDAINED that a financing
mechanism be established, specifically an annual parcel fee of five dollars and six cents
($5.06) for parcels or lands specified in the chapter below, with a five (5) year sunset
requiring review and re-authorization of said fee and programs.
BE IT FURTHER ORDAINED the Mason County Board of Commissioners hereby
approves and adopts revisions to Mason County Code Title 6, adding Chapter 6.88 which
is to read:
Chapter 6.88
MASON COUNTY CLEAN WATER DISTRICT
Sections:
6.88.010 Establishment
6.88.020 Purpose
6.88.030 Definitions
6.88.040 Clean Water Program Creation and Authority
6.88.050 District Boundaries
6.88.060 Assignment of a lead department
6.88.070 Advisory Committee
6.88.080 Program Evaluation
6.88.090 Annual Fee
6.88.100 Parcels Exempt from Fee
6.88.010 - Establishment
Pursuant to Chapter 90.72 RCW there is hereby established a shellfish protection
district, which shall be called the Mason County Clean Water District.
6.88.020 - Purpose
The purpose of the Mason County Clean Water District is to accomplish the mandates
of Chapter 90.72 RCW to protect and improve the water quality in shellfish growing
areas. This will include, but not limited to, establishing programs and projects to reduce
non-point pollution threatening surface water quality in Mason County
Nothing within this chapter is intended to supersede, limit or reduce development rights
on parcels within the district and any such development will continue to be regulated
under Mason County development regulations, shoreline master program and
other applicable building and land use codes.
6.88.030 - Definitions
Reserved
6.88.040 - Clean Water Program Creation and Authority
Mason County, pursuant to Chapter 90.72 RCW hereby creates a Clean Water Program
to implement a comprehensive, countywide water quality plan.
Watershed specific response plans may be created within the shellfish protection district
boundaries as required in 90.72.045 RCW.
6.88.050 - District Boundaries
The legal boundaries of the Mason County Clean Water District include all lands within
Mason County with surface water drainage connection to a marine body of water as
described by the Oakland Bay, Case Inlet, Hood Canal, Totten Little Skookum
watersheds.
6.88.060 - Assignment of a lead department
The Mason County board of commissioners hereby directs Mason County Community
Services to serve as the county department responsible for administering the Clean
Water District (in coordination with the Washington State Department of Health, the
Washington State Department of Ecology, the Puget Sound Partnership, Mason
Conservation District, Skokomish Tribe, Squaxin Island Tribe, Lower Hood Canal
Watershed Coalition, and other appropriate entities).
6.88.070 - Advisory Committee
The Mason County board of commissioners will, through written resolution, create a
local advisory committee to assist in implementing the purposes and goals of this clean
water district.
6.88.090 - Annual Fee
A fee of five dollars and six cents ($5.06) per year per tax parcel within the Mason
County Clean Water District as described in 6.88.050, except for tax parcels or lands
described in 6.88.100 is hereby established.
All tax parcels subject to fees shall be assessed annually beginning in 2022. Billing
shall be included on the annual property tax statements and collected by the Mason
County Treasurer consistent with Chapter 84.56 RCW.
A re-occurring sunset of 5 years thereafter 2022 shall remain in effect requiring review
and re-authorization by the Mason County Board of County Commissioners.
Additional fees may be assessed upon tax parcels closed to commercial shellfish
harvesting due to non-point pollution sources. Changes to annual fee will be subject to
review and approval by the Mason County Board of Commissioners.
6.88.100 - Fee Exemption
The following described parcels or lands shall not be subject to said annual fees
described in 6.88.090:
a. Tax parcels classified as forest land under Chapter 84.36 RCW and timber land
under Chapter 84.34 RCW.
b. Tax parcels within the boundaries of City of Shelton.
c. Tax parcels connected to a Wastewater Treatment Facility or which fees are
imposed under Chapter 36.94 RCW for substantially the same programs and
services.
d. Tax parcels determined by the county assessor to qualify for a senior citizen or
disabled persons property tax exemption under RCW 84.36.381 on January 1 st
of the tax year shall not be subject to said fee.
e. All other exemptions outlined within Chapter 90.72.070 RCW.
If a portion of a real property parcel does not satisfy any exemption criteria specified in
this section, then the parcel shall be subject to said fee.
BE IT FURTHER ORDAINED the Mason County Board of Commissioners hereby
approves and adopts revisions to Mason County Code Title 3, Chapter 3.172 which is to
read:
Chapter 3.172
OAKLANDQBAY SSHEL FUSH PROTECTION MASON COUNTY CLEAN WATER
DISTRICT FUND
3.172.010 - Established.
The Mason County board of county commissioners does hereby establish the Oakland
Bay shellfish nrnten4inn Mason County Clean Water District fund (145-000-000) to
receive resources and to pay the costs of the Shellfish PFGteGtOGR Mason
County Clean Water District.
3.172.020 - Administration.
The director of publiG healtI4 Mason County Community Services will administer this
fund and pay proper expenses from this fund as approved by the Mason County board
of county commissioners.
DATED this day of 2021.
BOARD OF COUNTY COMMISSIONERS
MASON COUNTY, WASHINGTON
ATTEST:
Randy, Neatherlin, Chair
McKenzie Smith, Clerk of the Board
Sharon Trask, Commissioner
APPROVED AS TO FORM:
Tim Whitehead Kevin Shutty, Commissioner
Chief Deputy Prosecuting Attorney
�rg0N COO��F
Mason County Clean Water District -
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nkrded by Mason Cobrty.In no c rt shall Mason County be liable for direr
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Healthop
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Report
Manager
March-April 2021
Communicable Disease & Notifiable Conditions (3 programs-CD,TB, STD) Staff:Audrey O'Connor,
Back up: Elizabeth Custis& Lydia Buchheit
March and April our communicable disease(CD)program nurse received 65 reports requiring data entry into the
State database,and/or investigation and follow-up. * Hepatitis C cases being directly entered into new WDRS
database by DOH. This does not include their work in COVID-19 case investigations.Year total for COVID-19
included in this update.
Disease Jan-Feb Total to date
COVID-19/2021 * 877
Campylobacteriosis 6 9
Cryptosporidiosis 0 1
Giardiasis 0 0
higa Toxin 2 0 0
higellosis 0 0
Mumps 0 0
Haemaphilus Influenza 0 0
Hepatitis B-Acute 0 0
Hepatitis B-Chronic 0 0
Hepatitis C-Chronic
Hepatitis C-Acute 0 0
Hepatitis D 0 0
Lyme 0 0
Pertussis 0 0
almonellosis 1 1
ersinia 0 0
1
Coccidioidomycosis 0 0
Carbapenemase-resistant 1 1
enterobacteria(CRE)
Hepatitis A—Ruled out 0 0
Meningitis-Ruled out 0 0
ibrio-Ruled out 0 0
Listeriosis-Ruled out 0 0
Q—Fever-Ruled out 0 0
Mumps-Ruled out 0 0
Tuberculosis-Ruled out 0 0
uberculos is-Latent 0 0
Tuberculosis-Active/open cases 0 0
ibriosis(non-cholera) 0 0
Listeria 0 0
Congenital Syphilis 1 1
Chlamydia 36 61
Gonorrhea 14 21
Syphilis 5 6
Herpes 1 4
HIV 0 0
Totals 64 105
Hepatitis C Screening Staff: Christina Muller-Shinn
Staff had a meeting with various players from the Department of Health who are involved with HCV and
HIV to begin planning an infectious disease screening program through the Substance Use Mobile
Outreach. Christina will attend a phlebotomy class in June to become eligible for licensing to conduct
HIV and HCV antibody screening. Staff is gathering information to produce an academic detailing
presentation to engage with local stakeholders to try and gather support for a county-wide response to
HCV. More information to come soon.
Maternal Child Health Staff: Elizabeth Custis
Providing work in this grant via approved COVID work.Assisting with guidance to childcare agencies
regarding COVID.
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Maternal Child Health Parenting Program
No parenting classes were offered in March or April to COVID and Mass Vaccination work. Future work
will be with DCYF for Child Protection Services.
ABCD Dental Program
Elizabeth continues to provide telephone assistance for families needing a dental home.
Breastfeeding Coalition of Mason County
Breastfeeding Coalition meetings and support group are on hold during COVID. Elizabeth has continued
to share breastfeeding COVID immunity and vaccination information with MGH OB Department and
Mason Clinic Pediatricians.
Early Learning Coalition of Mason County
Elizabeth was able to participate in the April ELC meeting to review the state level Early Childhood
Framework and provide input and information on how our county level framework is meeting these
same goals.
Immunization Improvement Grant
Most work in this grant has been on hold due to COVID priorities. Elizabeth continues to encourage
parents and newly vaccinated adults to apply for online access to their child's and their own
Immunization Information System records. There have been more phone calls from parents needing
guidance, answers to questions, and assistance to get their child's immunizations in compliance for
school attendance.
Children with Special Health Care Needs
Priority work has been in COVID mass vaccination and other COVID work. Elizabeth has been providing
increased consultation and care coordination via phone to families with children that have special health
care needs in the Mason County area. Outreach has been on hold during COVID. Referrals continue to
be submitted to RN. RN has been unable to participate in monthly Pediatric Care Coordination Meetings
that include Mason Health Pediatricians, Birth to Three Early Intervention, School and Mason Health
Speech, Physical, and Occupational Therapy, and Developmental Preschool and Special Services staff.
Social Service Programs
Housing($2,434,817 Annually: 12 funding sources—grants,tax, local recording fees, 12 subcontracts,
and 20 programs)Staff:Todd Parker
Rental assistance continues to be the hot topic in the Homeless Crisis Response System. Washington
State has received almost$1 billion dollars toward rent assistance.
Eviction Rent Assistance Program (ERAP) Summary:
• 207 Households Assisted
• $595,046 total rent paid
• 3.75 average number of months rent paid
• $2,875 average rent paid
• 60% (125) are female head of household
• Exceeded Equity Performance Measures
o Persons of Color: Goal 43%,Actual 46%
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o Hispanic/Latinx: Goal 32%,Actual 34%
Treasury Rent Assistance Program (T-RAP): In April, Mason County entered into contract with the
Department of Commerce in the amount of$3,459,027 in federal funds to further provide rental
assistance to prevent eviction. The contract has an end date of December 31, 2021 although there is
talk of extending it through September 2022. There is a 65%spend down requirement by September of
2020 and this may remain. The County is subcontracting with Crossroads Housing, Shelton Youth
Connection and PUD3.
Emergencv Shelters:
Community Lifeline's capacity has been expanded from a baseline of 28 beds to 54 beds with recent
grants received. Community Lifeline established a shelter bed notification system to key agencies with
the average bed night availability at 28. Under the Shelter Grant Program, Community Lifeline will be
open year-round and are working on expanding outreach to the community to maximize bed utilization.
The Emergency Solutions Grant, Covid (ESG-CV) has funds allocated to temporary emergency shelters.
Subcontracts have been awarded to Crossroads Housing and Shelton Youth Connection that have
expanded shelter to 9 families and 6 young adults (ages 18—24). Shelton Youth Connection is working
to locate a site in the Belfair area for their second temporary emergency shelter.
Behavioral Health
Treatment Sales Tax(TST) Funded Staff:Todd Parker(March), Abe Gardner, Lydia Buchheit
The Social Services Task Force meets monthly to collaborate efforts among agencies and reduce barriers
to treatment and referral's when delivering client services.
PCHS also hosts a monthly behavioral health call. The focus in March and April has been on crisis
response to youth and young adults up to age 24. With increased suicide rates, crisis calls and the lack
of youth beds the team continues to focus on providing care for this population. In April, Shelton Youth
Connection opened an office in Belfair and plans a grand opening May 6. This agency along with Coffee
Oasis, located out of North Mason Resources,will combine efforts for youth outreach, engagement,
services and referrals.
While funded through housing/homeless crisis response funds,there is a twice-monthly case conference
meeting(By-name meeting)to discuss the most vulnerable households. Many of the households have
SUD and/or Mental Health conditions and it is a collaborative meeting between behavioral health and
housing providers to coordinate care. Dr. States has also been able to join this call and his Psychiatric
background has been instrumental in coordinated care for a few of the households. In a presentation to
the Housing and Behavioral Health Advisory Board, Dr. States stated that this was a key meeting in the
community to coordinate behavioral health care.
Effective April 1 Abe Gardner became the program coordinator for Community and Family Health's
Behavioral Health programs which now includes the Treatment Sales Tax.
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Mason County Mental Health &Substance Use Disorder(SUD) Response(6 programs) Staff: Abe
Gardner,Christina Muller-Shinn,Audrey O'Connor
Overdose Data to Action (OD2A)
General overdose prevention and response education continued as normal. Staff worked with several
first responder agencies to work on reporting quality improvement. Staff also regularly attends the
monthly Washington State Opioid and Overdose Response Plan goal 3 workgroup,which has been
changed from "Morbidity and Mortality"to "Ensure and Improve the Health and Wellness of Individuals
that Use Drugs," ensuring the rural perspective is considered for state strategies.
Substance Use Mobile Outreach of Mason County
Substance Use Mobile Outreach has maintained its operations as usual.There has been an uptick of
participants wanting to schedule medical appointments through our partnership with Peninsula
Community Health Service's Community Health Worker who staff the outreach. One success story is
noteworthy. Through this partnership,the PCHS CHW made a primary care medical appointment for a
participant while they came to exchange. What makes this special is MCPH staff had been trying to get
this individual involved in medical care for over three years without success but due to many things,
including fear of stigma,they were hesitant.This participant came back to Mobile Outreach the next
week and reported that they had a very positive experience with their medical provider, had many
things taken care of, and did not feel judged.This was a big deal for this person, and something that
likely would not have happened had there not been a relationship of trust and understanding between
Mobile Outreach staff and the community.
COAP/COSSAP(Community partnerships,Systemic change, Program coordination)
The COAP/COSSAP project is nearing the end of its grant life and will be complete as an official program
in September of 2021. The program coordinator is working closely with our research and data collection
partner to gather end of the project data so that a final report can be completed.
This program continues to be the catalyst for system coordination and overall partnership and
collaboration. As new programs are added to the local behavioral health system, Public Health is
continuing to put an emphasis on coordination, so as to not duplicate efforts, but instead fill needed
gaps and provide the best and most appropriate services to the community of Mason County.
MCLEAD (Mason County Law Enforcement Assisted Diversion)
Mason County's LEAD program continues to go well, and it continues to grow at a steady rate. The
direct service partner on this project,Olympic Health and Recovery Services (OHRS), has done an
incredible job,and they have been great to work with.
All three referral pathways are open for use and the outreach/case management team continues to be
excited about more referrals. The program coordinator and clinical supervisor are making sure to
communicate on a consistent basis,to make sure that the case-management team is supported,so that
the services they provide are consistent and dependable.
Behavioral Health Navigator Program with Mason County Sheriff's Office
The Behavioral Health Navigator program continues to take shape and build as it enters its fourth month
of existence. The program has received positive feedback from the MCSO, local agencies as well as
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community members. Details and workflows continue to be implemented and crafted, but the
foundation of the program seems to be set.
From Feb. 5ch-May 51h there have been 40 referrals to the navigator program and exactly half of those
referrals have been able to be connected to a subsequent service/program. The level of willingness for
help and support has been encouraging and the navigator is hoping that as the program becomes better
known and trust within the community continues to build that more connections will be made.
RCORP (Rural Communities Opioid Response Program)
The certified peer recovery coach/community health worker has been hired at Mason Health,and is
working in the emergency department and with their Behavioral Health team.This peer has been
working at the Substance Use Mobile Outreach to integrate into the RCORP team, as well as to begin
building trust and relationships with the active substance using community who may end up in the ED
with substance-related issues.
MCPH staff has also been working with adjacent RCORP recipients;Jefferson County has an
implementation grant to expand harm reduction and overdose prevention services and has reached out
to Mason County for guidance, and Cascade Pacific Action Alliance received an RCORP planning grant for
the entire region, including Mason County,to improve the regional response to opioids. Part of Mason
County's RCORP program will be the development of a Peer Support and Professional Development
group to enhance and retain the peer workforce. CPAA has adopted that idea, as well,so we may be
partnering with them to create a more robust and regional development group, in addition to the peer
support component that will be kept more local.
Substance Use Prevention Staff: Ben Johnson& Melissa Casey
Community Prevention Wellness Initiative
The Shelton and North Mason Substance Abuse Prevention Coalitions have continued to meet via zoom.
Most recently meeting together on projects that include all county youth.
Both the North Mason and Shelton youth prevention groups have started their respective youth
outreach programs in their communities.The Shelton and North Mason PEER2PEER youth groups who
will complete their programming as of the end of April 2021 have been very active with student training
and presentations in Jan and Feb 2021. All prevention activities will be conducted by zoom. Both
groups are committed to continuing outreach messaging that focus on social norms campaigns, drug
take bake boxes and the North Mason Safety Days event.
The Coalition and the marijuana project have partnered to Bring Dr.Jason Kilmer to Mason County for
two presentations. Providing The Science of Alcohol and Marijuana training on April 12, 2021 at 3;30PM
and May 11, 2021 at 6:30 PM. Over 30 participated in each event. The Mason County Substance Abuse
Prevention Coalition is currently working on a Town Hall project. Partners include Shelton and North
Mason Youth Connections and Ifiber one radio.
Community Health Education,Assessment and Data Staff: Melissa Casey, Lydia Buchheit
The Mason County Health Coalition has been temporarily on hold as staff are focused on COVID-19 mass
vaccination clinics. In the interim, work groups have been encouraged to continue meeting as they are
able. A regular meeting schedule will be established in late Spring. Mason County's Community Health
Assessment data sheets—last updated in 2018—are being updated with 2019-2020 assessment data.
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The findings of these data will be used to identify the health priorities of focus for the Health Coalition's
project efforts.
We invite community members interested in joining the coalition,to get more information and to be
added to the coalition contact list, please contact: Melissa Casey at 360-427-9670 ext 406 or
mcasey@co.mason.wa.us.
Emergency Preparedness Staff: Lydia Buchheit,Alex Paysee,Sunni Evans(plus all Public Health Staff)
COVID-19 Response
With the availability of more vaccine, and more providers offering the vaccine,the need for Mass Covid
Vaccination Clinic's in Mason County dwindled in April. Unless the need changes, May will be the last
month doing the Shelton Area Mass Vaccination Clinics. We thank all the Public Health Staff, Mason
Health Staff and Community Volunteers for their efforts to run these clinics. From January-May we
gave both 15Y and 2nd doses for a total number of vaccinations given of 8,113 and total persons having
been fully vaccinated of 3,930. We thank Peninsula Community Health Services as well,for their
amazing efforts of Mass Vaccination clinics in the North Mason Area,which numbers were not available
at time of this publication.
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