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Home My WebLink About2023/11/28 - BOH PacketMason County Public Health 415 N 6th Street, Bldg. 8, Shelton WA 98584, Phone (360) 427-9670 ext. 400 ❖ Fax (360) 427-7787 MASON COUNTY BOARD OF HEALTH November 28, 2023 3:00 PM Commission Chambers 411 North 5th Street Shelton, WA 98584 Meeting ID: 834 8034 3274 Passcode: 721009 DRAFT AGENDA 1. Welcome and Introductions Chair 2. Approval of Agenda – ACTION Board Members 3. Resolution – Set Meeting Dates – ACTION Board Members 4. Health Officer Report Dr. Keri Gardner 5. Administration Report Dave Windom 6. Environmental Health Report Ian Tracy 7. Community Health Report Melissa Casey 8. Other Business and Board Discussion Board Members 9. Public Comments 10. Adjourn If special accommodations are needed, please contact McKenzie Smith at (360) 427-9670 ext.589 or msmith@masoncountywa.gov RESOLUTION NO. 24-01 A Resolution setting the 2023 meeting dates for the Mason County Board of Health WHEREAS, the Public Health and Human Services department 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; and, NOW, THEREFORE, BE IT RESOLVED, by the Mason County Board of Health that the meetings for 2023 will be held at 3:00 p.m. on the following dates: January 23, 2024 March 26, 2024 May 26, 2024 July 23, 2024 September 24, 2024 November 26, 2024 DATED this 28th day of November, 2023. ATTEST McKenzie Smith, Clerk of the Board MASON COUNTY, WASHINGTON BOARD OF HEALTH MASON COUNTY, WASHINGTON 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 From the Director’s Desk November 2023 ‘Tis the season It’s the holiday season as well flu, RSV, and COVID. There are also some other bugs going around so do take care this holiday season. We’re going into the new year with good funding, probably the best outlook since 2006. Foundational Public Health Funds are secure for this year with some flexibility as well as some focused areas for programmatic work. We have received a syndemic grant defined as addressing "two parallel occurring epidemics that are unfolding in the same real-time together that may or may not have interconnections with one another." We’ll be using this to address substance abuse, and health for the homeless through outreach, testing, and referrals. This funding replaced our previous funding source rather than supplementing it so our scope of work is changing from what we had initially intended. WIC is coming closer to reality. We’ve hired a WIC coordinator who has many years of experience in WIC clinics and will be starting for us in mid-December. Our aim is to start seeing clients in February. Part of the funding for this next year is dedicated to workforce development which is something that we’ve been trying to get for some time. $100,000 has been approved but is limited to COVID training. We’ve asked to have those parameters relaxed to make that funding more useful for us in 2024. I expect to see changes in the next Consolidated Contract amendment. In December, we’re holding a resiliency workshop for staff to talk about the effects of the COVID pandemic on the workforce as well as compassion fatigue. The object is for us to better understand how our work generates stress and what we can do for self care. We’ve had far less turnover that other LHJ’s and this will add another tool for us in being resilient. Another project that has been started and continues is measuring what we do in terms of key performance indicators. The goal is to establish a baseline of where we are currently and then measure performance going forward and tying that to the effectiveness of money spent per outcome. If what we’re doing isn’t getting the effect we’re looking to achieve, we’ll have the data to either allocate more resources or redirect resources in a way that achieves measured improvement. This will be tied into the Community Health Assessment and the Community Health Improvement Plan. We’ve looked at the environmental health programs and will add the community health programs next. David Windom, MSHS We can’t forget that flu season is here. Our flu season usually starts upward during early October and peaks in late December or early January. The COVID dashboard is now the Respiratory Illness Data Dashboard. Respiratory Illness Data Dashboard | Washington State Department of Health Environmental Health Report – Mason County Board of Health November 28, 2023 From Ian Tracy, Environmental Health Manager Septic Program A targeted mailing is going out to homeowners with deficient septic systems starting this week. The severity of septic system deficiencies can range from minor maintenance issues to failed drain fields with surfacing sewage. There are approximately 1200 deficient septic systems identified in our maintenance database and we will be sending 100 mailers per week over the next three months. The letter details the deficiency and asks them to report how they have corrected the deficiency or how they plan to correct it. In the past we have asked them to call us to report, but the large call volume is time-consuming for staff. We are trialing a response form that they can either fill out and mail back to us or fill out electronically on the county website. Water Quality Program The Hood Canal Pollution Identification and Correction grant was extended an additional two months through 11/30/2023, however there is no plan for further extensions to our knowledge. Staff have started wet season shoreline sampling focused on northern Oakland Bay, Annas Bay, and the Allyn waterfront in North Bay. Food Program Staff have responded to several recalls related to disease outbreaks. One of the most significant was apple-cinnamon flavored applesauce pouches found to contain lead at levels capable of causing acute exposure in children. See CDC Bulletin. The Wana Bana brand specifically was known to be sold locally. Staff worked with Emily Layman in Community Family Health to spread the word on social media. Solid Waste Program We have developed an educational handout to provide guidance to residents when we receive complaints about burning garbage which we have also translated into Spanish. See attached. We have seen a recent increase in this type of compliant. Attachment: Illegal Burning Brochure(Spanish/English) Environmental Health Briefing TO: Mason County Board of Health FROM: Ian Tracy, Environmental Health Manager DATE: November 28th, 2023 ITEM: Onsite Sewage Advisory Committee (OSAC) Membership – New Application for Installer Position SUMMARY: Shane Maples has applied for the Installer position currently held by Thad Bamford in response to Thad’s desire to move into the new O&M Specialist position. Shane is a certified Septic System Installer in good standing, based in Mason County with 15yrs of experience in the industry and has attended OSAC meetings as a guest in the past. REQUESTED ACTION: Board discussion and call for vote if appropriate. ATTACHMENTS: Application Environmental Health Briefing TO: Mason County Board of Health FROM: Ian Tracy, Environmental Health Manager DATE: November 28th, 2023 ITEM: On-site Sewage Advisory Committee(OSAC) Membership – Application for Renewal SUMMARY: Thad Bamford is a current member of the OSAC holding the Installer position. He has served on the committee since it’s reformation in 2019 and has applied to extend his service for another three years, however he would like to move into the newly created O&M Specialist position. Thad is a certified O&M Specialist and has worked in the septic installation and maintenance industry for over 20yrs. REQUESTED ACTION: Board discussion and call for vote if appropriate. ATTACHMENTS: Application Environmental Health Briefing TO: Mason County Board of Health FROM: Ian Tracy, Environmental Health Manager DATE: November 28th, 2023 ITEM: On-site Sewage Advisory Committee (OSAC) Membership – Application for Vacant Position SUMMARY: Vladimir Nekrutenko, an Environmental Health Specialist , Senior with Mason County Environmental Health, has applied to serve in the currently vacant Mason County Public Health position within the OSAC. The position was formerly held by Rhonda Thompson who has decided not to renew her membership. Vladimir currently works in our Water Quality Program and has eight years of experience as a regulator of on -site sewage disposal systems. REQUESTED ACTION: Board discussion and call for vote if appropriate. ATTACHMENTS: Application To make a report, file a complaint, or for more information, please call (360) 427-9670 ext. 584 or ext. 405Scan here to visit our website Illegal Burning Guide IT IS ONLY LEGAL TO BURN NATURAL VEGETATION The burning of garbage has been illegal since 1967. Only burning of natural vegetation and firewood is legal. RCW 70A.15.5010 The burning of garbage is punishable by up to a $513.00 fine, including mandatory court fees. Any evidence of burned garbage is adequate proof to be fined. Burn barrels are prohibited from use in the state of Washington. WAC 173-425-050 A Burning Permit Application is required for piles greater than 4ft in diameter. Please contact the Fire Marshal for this application. Burning these materials can create toxic smoke. Breathing in this smoke is harmful to your health. It is illegal to burn these materials in an outdoor fire anywhere in Washington State Cardboard Tires Asphalt Paper Treated Wood Construction Debris Metal Pesticide Containers Deceased Animals Petroleum Products Demolition Debris Plastic Paint Garbage NO BURN BARREL Para hacer un informe, presentar una queja o para obtener más información, llame al(360) 427- 9670 ext. 705 Escanee aquí para visitar nuestro sitio web GUIA DE QUEMAS ILEGALES SOLO ES LEGAL QUEMAR VEGETACIÓN NATURAL La quema de basura es ilegal desde 1967. Sólo es legal la quema de vegetación natural y leña. RCW 70A.15.5010 La quema de basura se castiga con una multa de hasta $513 dólares. Cualquier evidencia de basura quemada es prueba suficiente para recibir una multa. Está prohibido el uso de barriles para quemar basura en el estado de Washington. WAC 173-425-050 Se requiere una solicitud de permiso para quemas pilas de basura que midan más de 4 pies de diámetro. Póngase en contacto con la estación de bomberos para esta solicitud. Quemar estos materiales puede generar humo tóxico. Respirar este humo es dañino para la salud. Es ilegal quemar estos materiales en un fuego al aire libre en cualquier lugar del estado de Washington Cartón Llantas Asfalto Documentos Madera tratada/curada Escombros de construcción Metal Envases de plaguicidas Animales muertos Productos de petróleo Escombros de demolición Plástico Pintura Basura PROHIBIDO USAR BARRILES PARA QUEMAR Unduplicated Participants 90 (725 YTD) Syringes Exchanged 22,350 HOUSING & HOMELESSNESS Project Intervention Type # of person served during Quarter 1 (July 1,2023- September 30, 2023) (families, single adults, transitional age youth, domestic violence survivors, Housing and Essential Needs, and veterans) Housing and Essential Needs Homeless Prevention 66 people served Housing and Essential Needs Rapid Rehousing 80 persons served All Homeless Prevention (Crossroads and The Youth Connection) 164 persons served All Street Outreach projects (Crossroads and the Youth Connection) 129 persons served All Emergency Shelter (Crossroads, Community Lifeline, The Youth Connection, and Turning Pointe) 292 persons served Transitional Housing (Crossroads) 15 persons served All Rapid Rehousing (Crossroads, The Youth Connection, Turning Pointe) 115 persons served Quixote Veteran Village 6 persons served 118 Successful Overdose Reversals with Naloxone COMMUNICABLE DISEASE & NOTIFIABLE CONDITIONS* 40 cases of Chlamydia 14 cases of Gonorrhea *CD rates are suppressed for all nonzero counts which are <10 SUBSTANCE USE MOBILE OUTREACH COMMUNITY HEALTH SEPTEMBER - OCTOBER 2023 OVERDOSE DATA TO ACTION (OD2A) Note that as of November, we are now collecting all overdose reversals that occurred since the last time we saw that participant. Previously we collected one overdose reversal per refill engagement, so it is not accurate to compare this report with previous reports. 691 Naloxone Kits distributed 106 new people trained on overdose prevention, recognition, and response Re-engaged with 104 participants to give refills SUBSTANCE USE PREVENTION COALITION 84 Unique individuals 80 Unduplicated households 87 In person contacts 113 Calls received COMMUNITY HEALTH SEPTEMBER - OCTOBER 2023 The Mason County Substance Abuse Prevention Coalition conducted a fundraiser at the 2023 Oysterfest. We had over 24 volunteers providing over 130 hours of volunteer time selling Olympic Mountain Ice Cream. to benefit the Coalition’s projects. Public Health & Human Services and the Coalition co-sponsored a Cannabis Packaging training on Washington’s cannabis laws and codes that seek to reduce the appeal of cannabis packing to young people; 10 school administrators were in attendance. Public Health & Human Services, KMAS Radio, and the Coalition co-sponsored the Second Annual Community Youth Listening Session, hosted by the Youth Connection on Thursday, November 16th. County youth discussed common issues that impact them in the community; key leaders also attended, including the Mason County Sheriff, Shelton Police Department, Tribal law enforcement, Mayor of the City of Shelton, Mason County Commissioners, Mason County Administrator, and school district administration. LAW ENFORCEMENT CO-RESPONDER PROGRAM LAW ENFORCEMENT ASSISTED DIVERSION The Health Coalition is pending approval from the Mason Matters Board on a project proposal template for workgroups to apply for funding for community health improvement projects. The template will be released on the next Health Coalition newsletter and on the Healthy Mason County website. COMMUNITY HEALTH SEPTEMBER - OCTOBER 2023 RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (RCORP) HEALTH EDUCATION Olympic Health & Recovery Services (OHRS) and Public Health & Human Services staff continue outreach activities at the 3 mobile outreach locations and transit centers but have expanded services to the encampments along Highway 3 and have seen a significant increase in participants engaged in services. In addition to harm reduction services, staff also bring an array of supplies: hygiene and menstrual supplies, food, and sleeping bags. This has been a great location for case management staff to re-engage with clients who may have been hard to reach or lost to follow up. OHRS staff continue to provide SUD case management and re-entry services in the county jail. In October, due to emergency staffing levels, many inmates at the jail were transferred to Nisqually jail, including several RCORP clients. OHRS has been working diligently with Mason County Sheriff’s Office and Nisqually Jail to ensure clients continue to receive wrap around services. The Health Educator attended the Overdose Awareness Walk at the beginning of September. We interacted with numerous families and individuals and handed out several different resources. A social media campaign encouraging families to get their back-to-school vaccines was released at the beginning of the school year, including information about the updated COVID- 19 vaccine and ordering more testing kits. For the month of October, a campaign for Breast Cancer Awareness month was posted weekly, encouraging people to get a regular mammogram. MATERNAL CHILD HEALTH Our Maternal Child Health Public Health Nurse is coordinating the Immunization Improvement Plan for the county; the work plan was approved by the Department of Health. She has been collaborating with medical providers, the Department of Health, school districts, and childcare facilities to increase childhood immunization rates. She helped to support a Care-a-Van (mobile vaccination services) immunization event for one of those districts to vaccinate 22 children with 71 vaccines required for school attendance. She is working on a special project with the Department of Health to increase rates of children under 3 that are fully vaccinated. Current collaboration with our local homeless response providers is providing their case managers with guidance and resources for families with children. 14 Children with Special Health Care Needs clients