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HomeMy WebLinkAbout2001/05/31 - Board of HealthMASON COUNTY BOARD OF HEALTH COMMISSIONER'S CHAMBERS MONTHLY MEETING MAY 31, 2001 PAGE 1 OF 9 MASON COUNTY Y BOARD Off COMMISSIONER'S CHAMBERS MONTHLY MEETING May ay 31, 2001 The Mason County Board of Health was called to order at 10:04 a.m. May 31, 2001 by Chairperson Wes Johnson with Board Mi eonPoer, Herb Bate and Board Member, Mary Jo Cady present. ATTENDANCE: CORRESPONDENCE: APPROVAL OF MINUTES: Wes Johnson, Chairperson Herb Braze, Board Merxiher Mary Jo Cady, Board Members Dr. Mark Trucksess, Health Officer Steve Mintz, Health Department Director Debbie Riley, Environmental Health Director Kevin O'Sullivan, Thurston County Commissioner Donna Bosworth, Thurston\P�/[i ason County Chemical Dependency Program Manager, Thurston County Public Health and Social Services Department Julie Miller, Program Manager, Personal Health Services in Thuo°stoop County Eric ILandus, Health Educator for Thuston County en Johnson, Mason County Health Educator Mary Duncan, Reporter, Mason County Journal Dan Mann, KMAS Nancy Ploys, Clerk SongRau, Transcriptionist 6' None Mary Jo Cady moved to approve the Minutes for the Mason County Board of Health, April 112, 2001, as corrected. Herb Baze seconded. Johnson, Aye; Baze, Aye; Cady, Aye Chairperson Wes Johnson recognized the presence of Thurston County Commissioner Kevin O'Sullivan and welcomed him. MASON COUNTY BOARD OF HEALTH COMMISSIONER'S CHAMBERS MONTHLY MEETING MAY 31, 2001 PAGE 2 OF 9 ADMINISTRATIVE ISSUES — HEALTH OFFICER'S REPORT by Dr. Mark Trucksess: Communicable Disease Report for the month of May: 1 case of Giardia 1 case of Bacterial Meningitis 1 case of Hepatitis A 1 active case of Hepatitis B 1 chronic case of Hepatitis C 1 new case of PPD related to the therapy 2 active cases of Tuberculosis still being treated in the County. For the Year 2001 total so far: 1 case Campylobacter 2 cases Giardia 4 cases Bacterial Meningitis 2 cases Shigella 1 case Hepatitis A 1 case Hepatitis B 4 cases Chronic Hepatitis B 11 cases Chronic Hepatitis C 16 cases total Hepatitis C 9 cases positive PPD's (7 cases started on latent therapy) 1 case of active TB 1 case of Meningococcal Meningitis (died despite therapy) 15 people prophylax following this case of Meningococcal Meningitis Warning from Olympia about Hanta Virus, which is transmitted by the deer mice droppings. About 13% of the deer mice have been identified as carrying Hanta Virus pulmonary syndrome. There is no treatment for it and people who contract it will die. Deer mice are distinguished from other mice by their white belly and furry tails. Usually found in buildings that are closed up for the winter. It is recommended that buildings be opened up and aired out well before entering. The next step is to use 50% bleach and water using gloves, masks and well soaked sponges to clean up the deer mice nests. It is recommended that you do not sweep or vacuum. The majority of cases have been in Eastern Washington with 8 cases in Western Washington. Counties that have had cases of Hanta Virus are: 2 cases Grant County 2 cases San Juan MASON COUNTY BOARD OF HEALTH COMMISSIONER'S CHAMBERS MONTHLY MEETING MAY 31, 2001 PAGE 3 OF 9 2 cases King County 2 cases Adam County 2 cases Lincoln County 2 cases Stevens County 2 cases Franklin County 2 cases Yakima County 2 cases Klickitat County 3 cases Snohomish County 3 cases Lewis County Warning of Salmonella being found on cantaloupe. It is important to wash all vegetables and fruits, even those with rinds. In California there have been 6 cases of Salmonella. One woman was over 60 years of age and died of the disease; the others were all children. King County Measles Report: Since 1999 there have been 86 cases of measles reported Nationally. Center of Disease Control has recommended anyone born before 1957 is probably immune. Between 1957 and 1968 the vaccine was not very potent and people vaccinated between those dates are being asked to get re - vaccinated with at least 2 shots. Vaccine for Children is being benched marked. The results are as follows: 1999 - 28% of the children were on Medicaid. 5.4% were Native American 7% were uninsured 4.3% were under -insured 54% had some form of insurance 2000 - 31% Medicaid 4.1% Native American 7% uninsured 58.8% insured Mason County - 48% on Medicaid 14% Native American 7.1% uninsured 28% insured 2001 - All is the same except the insured increased to 36%. FDA Warning - A plant that is being sold in nurseries in Washington and Idaho has been mislabeled. It is Autumn Monks Foot, which is a poison plant, and carried a label saying it is tasty MASON COUNTY BOARD OF HEALTH COMMISSIONER'S CHAMBERS MONTHLY MEETING MAY 31, 2001 PAGE 4 OF 9 in soups and salads. Do Not Eat!! West Nile Virus, is still a problem on the East Coast and has not been found West of the Mississippi River yet. It is a mosquito borne virus and is primarily carried by birds. In 1999, 62 people became ill in New York City; in 2000, 21 people were identified (14 in New York, 6 in New Jersey, and 1 in Connecticut). March Spring Break a lot of kids went to Acapulco. Forty-four of those students returned with an infection in their lungs called Retroplasmosis. It is a fungal infection carried by dust. 2000 Tuberculosis Summary: 258 new cases of TB 13.2 per 100,000 rate - Franklin County 7.5 - King County 6.3 - Cowlitz County 4.8 - Pierce County 4.7 - Yakima County 55% Male 45% Female 65 years and older had highest age significant rate of 8.5 per 100,000. Asian 31.3 per 100,000 highest incident rate. Blacks 21.8 per 100,000. American Indians 10 per 100,000. Hispanics 9.2 per iuu,uuu 75% of all TB were in persons born outside the United States. 58% were from Asia or Southern Asia. 17% came from Africa or the Middle East. In Mason County they are usually Hispanic. 1996 - No cases of TB 1997 - 1 case of TB 1998 - 5 cases of TB 1999 - 2 cases of TB 2000 - 1 case of TB 2001 - 1 case of TB Venereal Disease Summary State-wide: Chlamydia - most prevalent - 13,056 cases in year 2000 reported State-wide. 224 for every thousand - females at higher risk - 328 per 100,000 MASON COUNTY BOARD OF HEALTH COMMISSIONER'S CHAMBERS MONTHLY MEETING MAY 31, 2001 PAGE 5 OF 9 males 120 per 100,000 Gonorrhea - Increased 2,419 from a low in 1998 of 1,949. 41.6 per 100,000 State-wide. 36.9 in females 46.3 in males 15% increase in 1999. Syphilis - 86 cases in 2000 with 66 of those cases reported in King County. Mason County this year 2001: 2 cases Chlamydia 3 cases non-Gonococcal Urethritis several cases Vaginitis 1 case of Herpes THURSTON/MASON DRUG AND ALCOHOL TREATMENT SERVICES — Donna Bosworth Summary Steve Kutz introduced Donna Bosworth Thurston County Chemical Dependency Program Manager. Donna introduced Julie Miller and Eric Landus. Donna is also an Advisor for the Mason County Drug Dependency Treatment Board and explained the services available in Mason County. She stated that there are two outpatient providers which are Providence St Peter Chemical Dependency Center located in Shelton and in Belfair. They provide youth and adults with outpatient services and a Counselor is provided through the Community Services Office. Education Certificate One Thirteen is a certified outpatient provider and currently provide onsite- services at Mary M. Knight School District. The other provider in Mason County is Behavioral Health Resources Recovery Services which is the main provider for pregnant parenting services and childcare. They are located in Shelton also. They provide care for parents who are in treatment. Copies of the summary page were left to be reviewed. Eric Landus HIV/AIDS Prevention - Needle Exchange Eric Landus was introduced by Donna Bosworth. Eric explained that the needles brought in are traded one for one. He explained what the Heroin Detox Program does, which is part of the needle exchange and how the medications for detox can be done at home with a family member helping. He stated that the goals are to provide medical MASON COUNTY BOARD OF HEALTH COMMISSIONER'S CHAMBERS MONTHLY MEETING MAY 31, 2001 PAGE 6 OF 9 evaluation and treatment for dependent people and to offer support services. The results are that 13.1% are currently abstained and have maintained that for 10 weeks to a year. Currently seeing 10 to 15 people a month. These are self reported: 15.5% are abstained for one month and then contact is lost with them. The process takes 3 to 5 times of failure before they realize they really want to do this and they are acquiring the skills to get off the drug. Many of the drug users are infected with Hepatitis B. There is also Hepatitis A in those that have poor hygiene along with the drugs. 22.4 of the patients go to out -patient care and treatment. Relationship is important with these people and identifying where they are and helping them to move along to reach their goals. Strong motivation is important to these people - believing they can be and live better lives. About 40% of the people start attending a 12-Step Program of some kind. About 90% of the people have several things they are doing at once, along with the 12-Step Program, as they need a lot of elements they need to use to get back into the community. The Needle Exchange is where many people start to change their lives. Relationship is developed with these people and they are accepted for themselves with no judgement - at this point they usually come to find out what they can do to make changes. Heroin is a severe part of the drug epidemic and methamphetamine is increasing and at an epidemic point. A task force is being formed now in Thurston County for methamphetamine. There are treatments available for methamphetamine. Donna Bosworth discussed what is happening at the State and Federal levels concerning heroin and methamphetamine. Thurston County Commissioner Kevin O'Sullivan discussed what is happening with the Task Forces and finances State-wide. He stated that help is needed as well as enforcement because this is an epidemic. He stated that a Summit meeting is going to take place in August in Tacoma and •�� �• n_ - -- _ �• t,. nr+l_. .. ,n_..,,. _. S„ '1..-. 1�_„� haw, ,., n CTS as part as the he will be seliding ndounatioii On IL. Thin bi,V11 Connty 1S clic ast to haV, a as she task force. He gave examples of how this is affecting children who are caught in the drug culture due to parents use of or making drugs, and also, mental illness which affects the drug users. Eric Landus discussed the Needle Exchange Task Force. It has now become mobile in order to reach more people in the county, as well as in the cities. It has been affective in reaching different people. Meetings are conducted on a regular bases with the Law Enforcement and the Narcotics Task Force. This has given each department knowledge of what the job of the other department is in fighting these epidemics. An RV is located twice a week in downtown Olympia where HIV/AIDS testing (which is done with a swab of the mouth and is a new test) and vaccinations are done as well as exchanging needles. Many of the people who have been involved in drugs, have been helped, and are absentee from drugs, are now coming back and volunteering to help with the needle exchange. They are given training and have proven to be very effective in these volunteer positions, because they are trusted by other drug users. Some of them have even gone onto careers in the medical field. Ben Johnson, Health Educator for Mason County, stated that he believes IV drug use is a major MASON COUNTY BOARD OF HEALTH COMMISSIONER'S CHAMBERS MONTHLY MEETING MAY 31, 2001 PAGE 7 OF 9 issue in Mason County. He stated that methamphetamine residents are having to drive up to Fife for methamphetamine treatment. Eric Landus stated that 10 to 15 new people are seen each week for methadone use and they come from all areas of the population. He stated that these people are just the tip of the ice berg. Julie Miller stated that she has only been with Thurston County for 3 months and she really sees a need for these services that are being provided. Commissioner Kevin O'Sullivan said Thurston County is going to have Thurston County Commissioners meetings taped and on Television. He thanked the Mason County Board of Health for having them. He also stated he liked Dr. Trucksess' style of presenting the Health Officer's Report and found it to be very informative. He is going to take that back to Thurston County Board of Health. PERSONAL HEALTH ISSUES — None ENVIRONMENTAL HEALTH — Debbie Riley, Director of Environmental Health, announced that Bret Bishop is seeking appointment for the On Site Advisory Committee, as a representative from the Oyster Growers. Mary Jo Cady moved to appoint Bret Bishop to the On Site Advisory Committee as representative from the Oyster Growers. Herb Baze seconded. Johnson, Aye; Baze, Aye; Cady, Aye. Debbie Riley stated that Jeannie Ness has asked to be removed from the Food Safety Advisory Committee due to a job reassignment. Debbie stated that two individuals from the Red Apple have agreed to fill the one position by sharing the position. They have both been attending the meetings. The Department of Health has some items that need to be made available to the public. It was suggested that they be taken to the schools and the libraries. Eileen Hyatt, Solid Waste person, has successfully completed her classroom requirements for her 40 hours Haz. Walker Certificate. (Haz Walker = someone who deals with the hazardous waste materials.) MASON COUNTY BOARD OF HEALTH COMMISSIONER'S CHAMBERS MONTHLY MEETING MAY 31, 2001 PAGE 8 OF 9 ENVIRONMENTAL WAIVERS AND VARIANCES — Presented to the Board of Health by Steve Kutz, Health Department Director. OTHER — Chairperson Wes Johnson recognized the Youth Tobbacco Prevention awards at the 6`l` Annual Youth Volunteer Recognition Awards which was April 30, 2001. Mary Dossel from the Department of Health is the Advisor for that group. Notices: June 2001 Board of Health meeting cancelled. July 12, 2001 Board of Health moved up to 9:30 a.m.. Meeting adjourned at 11:33 a.m. Respectfully submitted by: Sonja A. u, Transcriptionist Wes John s�6i, Chairperson Dr. Mark Trucksess, Health Officer Herb Baze, Board Member Mary Jo Cady, Board Member MASON COUNTY BOARD OF HEALTH COMMISSIONER'S CHAMBERS MONTHLY MEETING MAY 31, 2001 PAGE 9 OF 9