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HomeMy WebLinkAbout2023/09/26 - BOH Packet MASON COUNTY = COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health MASON COUNTY BOARD OF HEALTH September 26,2023 3:00 PM Commission Chambers HEALTH411 North 5'Street ® Shelton,WA 98584 Meeting ID: 834 8034 3274 Passcode: 721009 DRAFT AGENDA 1. Welcome and Introductions Chair Shutty 2. Approval of Agenda—ACTION Board Members 3. Approval of Minutes (July 25,2023)—ACTION Board Members 4. Health Officer Report Dr. Keri Gardner 5. Administration Report Dave Windom a. Fiscal—Foundational Public Health Services (FPHS) 6. Environmental Health Report Ian Tracy a. OSAC Application b. OSS Permit Extension Policy 7. Community Health Report Melissa Casey 8. Other Business and Board Discussion Board Members 9. Public Comments 10. Adjourn If special accommodations are needed,please contact McKenzie Smith at(360)427-9670 ext.589 or msmithkmasoncountMa.gov Mason County Public Health 415 N 6't'Street,Bldg. 8,Shelton WA 98584, Phone(360)427-9670 ext.400 Fax(360)427-7787 MASON COUNTY BOARD OF HEALTH PROCEEDINGS 411 North 511 Street,Shelton,WA July 25,2023 Attendance: Randy Neatherlin,County Commissioner;Kevin Shutty,County Commissioner; Sharon Trask, County Commissioner;Dr.Keri Gardner,Health Officer;Peggy VanBuskirk,Hospital District No. 2;Keri Davidson, Shelton School Board;Ian Tracy,Environmental Health Manager;Melissa Casey,Community Health Manager;McKenzie Smith,Clerk of the Board; and Dedrick Allen,MasonWebTV 1. Chair Shutty called the meeting to order at 3:01 p.m. 2. Approval of Agenda Peggy VanBuskirk/Cmmr. Trask moved and seconded to approve the agenda as presented. Motion carried. 3. Approval of Minutes Peggy VanBuskirk/Keri Davidson moved and seconded to approve the May 23,2023 Minutes as presented. Motion carried. 4. Health Officer Report Dr.Keri Gardner shared her thanks to Mason Health for their partnership in testing,treating, and educating providers on tuberculosis and to Peninsula Community Health Services on their work with the Hepatitis C Free Mason County initiative. North Mason Fire has also created innovative plans to bring services to Mason County. Dr.Gardner applied for a Health Equity Zones Grant for improved translation for Guatemalan languages;however,this grant was not awarded. North Mason Fire is in the finalist group to bring primary care to people by Emergency Medical Services(EMS). Dr.Gardner and Dave Windom have been discussing providing direct care services to fill gaps in the community's health needs. This is still in the planning stage and is being worked on by Christina- Muller Shin and Melissa Casey. A syndemic grant through the state has been applied for and would provide enough money to fund those services as well as allow for the purchase of a new mobile van. Services this van would provide include syringe exchange,HIV testing,and screening and treatment for Hepatitis C and tuberculosis. Dave added that notification should be given around January 1 for grant awards. Funding for the van could come out of Treatment Sales Tax(TST)funding. Cmmr. Shutty reminded the Board to be mindful of medical billing, credentials,startup costs,and staffing. 5. Administration Report Dave discussed grant management software that will allow Public Health to better manage grant deliverables,payments,grant status,how much funding is left in the accounts, etc. and may be able to integrate into Munis. Munis has a grant module,but that is more focused on bars lines and setting up funding cycles. This software can be used by other departments as well. The Consolidated Contract(CONCON)amendment no. 13 was signed by the Commissioners. Dave and Casey completed the annual Foundational Public Health report which allows Public Health to receive$1.2 million in Foundational Public Health Services(FPHS)funding. COVID funds ended June 30 of this year. Amendment no. 14 has smaller changes. In August the second portion of FPHS funding for the amount of$7.9 million should be available and should be in amendment no. 15. The Maternal and Child Health(MCH)Block Grant had a small increase. Four requests for the Public Health mini grant have been received. The Hub in Belfair applied for$1,000 for their medical library. There has been a small uptick in COVID. Blue Zones is trying to get the community interested in wellness for longevity;however,post-COVID culture has made it difficult for people to join groups and forums. Mason Matters is back up and running. An updated contract for$25,000 a year is on its way. Gaps in access for healthcare were discussed. 6. Environmental Health Report Ian Tracy shared there will be a total of five new staff in Environmental Health. Ian discussed draft changes to the On-Site Sewage System(OSS)Permit Extension Policy. Changes would allow OSS designers to extend their design permit for an additional two years for a maximum five-year term. This is more stringent than what the state requires. The application for extension must be stamped and signed by the original designer certifying and attesting that the design has not been altered or disturbed,it continues to meet minimum setbacks,and that no boundary line adjustments or subdivisions have occurred. The On-Site Sewage Advisory Committee(OSSAC)has reviewed this change. Teri King shared concerns regarding state law changing and asked not to"grandfather"in a five-year permit extension. This could cause financial issues;there used to be a special fund that could only be expended once a permit was fully executed. Teri asked what would happen if the original designer was unavailable and how far past due can the permit be extended? The shellfish industry was not represented at the OSSAC meeting,and this should also be referred to the Clean Water District (CWD). Constance Ibsen commented that not enough information was provided at the OSSAC meeting. Board recommendation is to take the draft changes back to OSSAC and CWD and have further discussion with other groups. 7. Community Health Report Melissa Casey touched on housing and TST contracts,the grant management software discussed earlier,and asked for feedback regarding the Community Health packet. Additional funding has been awarded to Maternal and Child Health and will allow the Children with Special Healthcare Needs Nurse to dedicate her time fully to her caseload. The Rural Communities Opioid Response Program received a no cost extension. The syndemic grant,if awarded,will be funded in January. Dave mentioned the Insight Vision program that will allow Public Health to track and account for key performance indicators to show the difference being made in the community. 8. Other Business and Board Discussion No other business or Board discussion at this time. 9. Public Comments Teri asked for more information regarding the mini grants and who it is available to. Dave shared that $10,000 was set aside for the grants and about$4,000 has been given. Applications are reviewed by Dave and Melissa and must meet the mission statement. 10. Adjourned at 4:02 p.m. ATTEST MASON COUNTY,WASHINGTON BOARD OF HEALTH MASON COUNTY,WASHINGTON McKenzie Smith,Clerk of the Board Darrin Moody,Hospital District#1 Kathy McDowell, City Council 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 September 2023 Welcome to Fall! We have seen a recent uptick in COVID cases throughout the community with some effect on the workplace. In some agencies, we've seen as much as 50% absenteeism though not all that is due to COVID.The state has recently revamped the data dashboard and local county data is no longer being reported. We're using wastewater surveillance and hospitalizations as our barometer for estimating the amount of disease activity that is occurring. Recent trends showed a very steep increase in the presence of COVID in wastewater. Mason County, WA Wastewater data We can't forget that flu season is also 800 just around the corner. Our flu season usually starts upward during early October and peaks in late December 400 or early January. 0 Mar 2023 The CONCON (consolidated contract)Amendment 14 has been released effective July 15Y.This comes on the heels of Amendment 13 and also has a July 15T start date. A lag between the start date and the date of the contract's arrival continues to hinder access to funds.This has even affected us when we receive funds from other agencies with the same base funding mechanism. We had one contract arrive with only two weeks left on the funding cycle. We've had a number of discussions with state agencies, but no solutions have come to pass. We've received another$960,000 in funding that will greatly allow us to expand our capacity in communication, emergency planning, life-course work, immunization outreach, Environmental Health Leadership, finance capacity, and illicit substance abuse response. David Windom, MSHS Environmental Health Report - Mason County Board of Health September 26, 2023 From Ian Tracy, Environmental Health Manager Staffing Update We are fully staffed! Vladimir Nekrutenko has joined our Water Quality Team. He comes to us from Thurston County where he worked in their Septic O&M program, Septic Pumper Certification program, and Homeowner Septic Inspection Certification program. Food Program Our food program is working with our new food inspection software vendor Inspect2GO to build the program to match our current processes. We estimate a rollout of the new software in January 2024. Water Quality Program Mason County's first annual water quality report under the new Clean Water District has been released. The report is in the form of an ESRI story map accessible here: https://storymaps.arcais.com/stories/310850f9l3664132833b0427d23a969b We have a limited printing of a partial report to hand out at our booth at OysterFest. We have received a National Estuary Program sub-recipient contract from Mason Conservation District to perform water quality related public education and outreach in the form of mailings and two public meetings per year over the next three years. Our two water quality grants with Hood Canal Coordinating Council and Pierce County are ending Sept. 30th. Due to staffing shortages and late receipt of contracts we were not able to fully utilize these grants. We were told there may be extensions through the end of December but have not received new contracts at this time. Attachment: Water Quality Report Handout 2023 Mason County Clean Water District 9°N�cot, N� SteAnnual Water pan - - Mason County Environmental Health 1854 Overview r The Mason County Clean Water District (CWD), _ _ _ _ established in 2021, is a shellfish protection district I defined by the boundaries of the Hood Canal, Oakland Bay, Case Inlet, and Totten/Little Skookum watersheds in Mason County. With guidance from the CWD Advisory Committee, Mason County Environmental Health staff carry out a variety of tasks throughout the year in order to Hood Canal monitor and improve water quality within the district, including: I - Year-round ambient monitoring of 33 rivers and Case streams(more info on back) I Inlet - Shoreline surveys in sensitive shellfish growing areas, including Oakland Bay and Annas Bay - Door-to-door water quality surveys of properties Oakland Bay with unmaintained or deficient onsite septic systems I located near surface water - Quarterly CWD Advisory Committee meetings, and other collaboration with our local water quality I Totten I ittle Sk um partners I - Various other investigative sampling projects - - - - - - - - - scattered throughout the year Clean Water District/ Shoreline Surveys Onsite Septic watershed boundaries Two shoreline surveys were conducted in late February System Surveys Mason County border 2023. During a shoreline survey, county staff walks along a section of shoreline at low tide, locating and sampling Mason County is home to over 26,000 onsite septic every significant source of freshwater runoff found systems, many of which being located adjacent to surface flowing onto the shore. This process is one of the most water. From July 2022 through June 2023, county staff thorough and effective ways of detecting and correcting visited and assessed a total of 116 properties with potential bacteria hotspots in sensitive areas. Presently, deficient septic systems located near streams and our shoreline survey efforts are focused around shorelines. Property owners were educated about the risk commercial shellfish growing areas that have been their systems pose to surface water quality, and were downgraded by the Washington State Department of encouraged to get their systems inspected and repaired. Health, like those found in Oakland Bay and Annas Bay. Of the 116 properties surveyed, 45 property owners Going forward,we hope to conduct both a wet season and followed up later to report that their systems had been a dry season survey of both of these areas each year. repaired. Below is a breakdown of surveys and Oakland Bay Annas Bay subsequent septic system repairs by watershed. - 3.5 miles of shoreline - 4.5 miles of shoreline Hood Canal Oakland Bay surveyed surveyed - 61 surveys, 26 repairs - 31 surveys, 12 repairs - 1.5 miles of Deer Creek - 1.5 miles of Skokomish Case Inlet and Cranberry Creek River surveyed Totten Little Skookum surveyed - No hotspots identified - 19 surveys, 7 repairs - 5 surveys, 0 repairs - One hotspot identified MASON COUNTY Scan here to view the full online Q u ❑� report, with interactive maps and :;19 f Public Health&Human Services additional program information! Mason • • .I •. 1 x400 Surface Water Ambient "' Monitoring July 2022 - June 2023 Mason County Environmental Health staff collect monthly coliform bacteria samples from 33 different rivers and ❑ 'ti ❑ streams located throughout the county. ~,F6 . a�+f Over the next few years, we hope to •' "� - - - -�,,��.,: generate a robust set of water quality { o• data that can be used to identify + seasonal trends and catch bacteria hotspots as they appear. lie a of Grades green through orange meet state standards for coliform bacteria.Grades of red or brown fail to meet state standards and need improvement. Notice that many of the streams with . . lower grades flow through/out of some of the most populous parts of the county. Sources of coliform bacteria pollution in these areas include I n l e t a S e improperly maintained septic systems, pet/livestock waste, and untreated stormwater runoff from impervious surfaces. Through this ambient monitoring program, we are able to , detect, track down, and address many of these pollution sources as they arise. a • ® .. a -;,.=- � • -- Ott e - 4 Sample probe being used to gather data from Lilliwaup Creek at low tide A Stepan Mason County Environmental Health Environmental Health Briefing TO: Mason County Board of Health FROM: Ian Tracy, Environmental Health Manager DATE: September 261", 2023 ITEM: OSAC Membership Renewal SUMMARY: Constance Ibsen, a citizen member of the On-site Sewage Advisory Committee(OSAC) has re-applied to continue her service on the Committee for another 3yrs. Her term expired on 7/28/2023. REQUESTED ACTION: Board discussion and call for vote if appropriate. ATTACHMENTS: Application s MASON COUNTY COMWSSIONERS 411 NORTH FIFTH STREET SHELTON WA 98584 Fax 360-427-8437, Voice 360-427-9670, EA 419,275-4467 or 482-5269 I AM SEEKING APPOINTMENT TO Re-Appointment to Onsite Sewage Advisory Committee NAME: Constance C Ibsen ADDRESS: PHONE: CITY 1 VOTING PRECINCT: WORK PHONE: (ORAREA IN THE COUNTY YOU LIVE) E-MAIL: ___-___---_v________________________________________________._______._____.__-________-_______ COMMUNITY SERVICE EMPLOYMENT: (IF RETIRED. PREVIOUS EXPERIENCE) McReavy House&MuseumERSH rs) COMPANY: Calif. Depts of Health& Consumer Affairs yRS Lower Hood Canal Watershed Coalition POSITION: Clerical/Admin 1997-1986 Hood Canal Improvement Club COMPANY: Foster City Fire&General Services YRS WRIA 16/14b (2001-2011) POSITION: General Clerical 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: Provide input to Mason County Public Health in its development of septic ordinances, policies, procedures and priorities that will protect public and environmental eat . As a citizen in the Lower Hood Canalwatershed an ownerloperatornfmvnwngewagewaqtewgtertrpatmentfnc"'t�i, I am parliculapt keen on ensurinq that the written documents are understandable and functional for the average resident to understand. What Interests,skills do you wish to offer the Board,Committee,or Council? I have worked cooperatively and collaboratively with citizens, businesses, government agencies and tribal governments on water quantity and quality issues since 2000. 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) None 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 tralnings would be at no cost to you.Would you be able to attend such trainings? Yes Realistically,how much time can you give to this position? Quarterly X Mo ly Weekly c/ Daly Office Use Only Appointment Date Signature Date Term Expire Date Environmental Health Briefing TO: Mason County Board of Health FROM: Ian Tracy, Environmental Health Manager DATE: September 261", 2023 ITEM: On-site Sewage System(OSS) Permit Extension Policy SUMMARY: During the September 11 t" On-Site Sewage Advisory Committee (OSAC) meeting, the Committee voted to change the OSS permit extension policy as attached. REQUESTED ACTION: Review changes and discuss. If appropriate, consider formal Board of Health approval. ATTACHMENTS: Draft changes to OSS Permit Extension Policy. Excerpt from Environmental Health Policy and Procedure Manual(Pg27- 28) OSS DESIGN EXTENSION Commented[IT1]:Add statemetn that kinspeciton occurred by designer. A. Prior to or after expiration of an approved design,the applicant may apply for a permit extension. The permit extension shall extend the expiration of the design for up to 365 daystwo years,but not exceed five years from the signature date of the Environmental Health Specialist's site inspectionfPer WAC 246-272A- 200 4 e 4Q&AC,42.49.49} B. The application for the extension must be stamped and signed by the original designer certifying and attesting that the following conditions are true as of the date of their signature on the application: • NO part of the proposed Drainfield or Reserve area has been altered or disturbed in such a way that may render the proposed design invalid. • NO development has occurred on this parcel or neighboring parcels which would cause the proposed system to no longer meet minimum setbacks. • NO Boundary line adjustments or subdivisions have occurred which would Formatted:List Paragraph,Indent:Left: 1",Bulleted+ cause the property to fall below the minimum land area requirements of Level:1 +Aligned at: 0.79"+Indent at: 1.04" WAC 246-272A. ed n ..,.9FigiRal Fati R of the desigR. C. All approved septic designs may receive one extension. Additional extensions shall not be accepted and would instead require a renewal. A .0 0 MASON COUNTY Public Health&Human Services COMMUNICABLE DISEASE & HOUSING & NOTIFIABLE CONDITIONS* HOMELESSNESS Profile on Homelessness in Mason County 29 cases of Chlamydia was updated for FY 2023 and current grants. *CD rates are suppressed for all nonzero counts which are<10 FY 2024 Fair Market Rent was released and compared with other counties. Mason County is$100-$400 higher: SUBSTANCE USE _ ■ TYPE FMR 150%FMR MOBILE OUTREACH ilk Mason County Studio $866 $1299 MC I-Bedroom $1040 $1560 Syringes • • • MC 2-Bedroom $1278 $1917 Exchanged Participants MC 3-Bedroom $1885 $2827 Grays Harbor Studio $775 $1162 (OVERDOSE DATA TO ACTION (O D 2A) Grays I-bedroom $898 $1347 • Grays 2-bedroom $1143 $1714 • ILLSII S4f1� __- Grays 3-bedroom $1611 $2416 Successful Overdose Reversals with Naloxone Lewis Studio $843 $1264 Note that as of November,we are now collecting all overdose reversals that occurred since the last time we Lewis 1-bedroom $964 $1446 saw that participant.Previously we collected one overdose reversal per refill engagement,so it is not accurate to compare this report with previous reports. Lewis 2-bedroom $1244 $1866 • 398 Naloxone Kits distributed Lewis 3-bedroom $1706 $2559 • 63 new people trained on overdose prevention, recognition, and response • Re-engaged with 61 participants to give refills di MASON COUNTY Public Health& Human Services ,Exw �u�ExEx, SUBSTANCE USE PREVENTION COALITION vnmxnoxrownox t The Substance Use Prevention Coalition launched a prescription lock up awareness project in partnership 36 Locking bags with the Shelton Fire Department. distributed �— rn Conducted Adult Substance Abuse Community Surveys �- at the Overdose Awareness Events in Shelton & Belfair. Renewed contracts with student leadership groups atDffi�- North Mason and Shelton School Districts to involve ••• - o •�`l 1 youth in substance abuse prevention campaigns. Fundraising boothat MATERNAL CHILD HEALTH O� Initiated collaboration with the Department 0 of Health to test paint in the home of a child Children with Special ` with a very high lead blood level Health Care Needs clients Elizabeth's ongoing project is coordinating the Immunization Improvement Plan for the county; a work plan has been submitted to the Department of Health. 'S Elizabeth also assisted with two different school district open house events to ` promote vaccines and a Care-a-Van immunization event for one of those districts to vaccinate 53 children with 110 needed vaccines. A, di MASON COUNTY Public Health& Human Services RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (RCORP) RCORP grant period ended Aug 31, but OHRS and MCPH received a No Cost Extension to continue work until 2024. This includes jail SUD services, including intensive case management for individuals no longer incarcerated, as well as staffing and providing case management to the Mobile Outreach and Transit Center naloxone distribution table participants. Mason Health will continue to have a navigator for patients with substance use disorder/substance related challenges but will absorb the position into the Behavioral Health Department's general budget. Data and program highlights will be available in the next BOH report. HEALTH EDUCATION Emily is in the process of creating a blog titled, "Public Health in Layman's Terms." This blog will be used to give the community a better understanding of what public health is and the work the department does in the community. It will be a biweekly installment that will include interviews with staff from all programs, highlights of staff in action out in the field, health education about the latest in public health, and more, all in a way that is easy to understand.This blog will hopefully connect more people to the public health department and get them the help or information they need! Mason ^1A. WV �� M Matters Emily has created a space on the healthymasoncounty.com website dedicated to the Mason County Health Coalition. This webpage has a section for each workgroup, where members can find information from the latest meeting.The new coalition newsletter can also be found here.This newsletter was created as a way to get information out to the entire coalition. It will contain updates on the workgroups, projects, Public Health, and updates from Blue Zones.