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Home My WebLink About2000/12/07 - Board of HealthMason County Board of Health Commissioner's Chambers Monthly Meeting December 7, 2000 Page 1 of 5 MASON COUNTY li BOARD0 HEALTH ALTH CMMISSIONI,�R'S CHAMBERS MONTHLY M_EETINO DECEMi BER 7, 2000 The Mason County Board of Health was called to order December 7, 2000 at 10:00 a.m. by Clnanrpersonn Cindy Olsen. Board Member Many Jo Cady was present and Board Member John 1 olender was absent. ATTENDANCE: Cindy Olsen, Clnanrperson Mary Jo Cady, (Board Member Dr. Mark Trucksess, Health Officer Steve Mintz, Director Health Services Debbie Riley, Director Environmental Health Joy Johnson, RN, Health Services Thomas Edmonds, Member Thinking Water Advisory Mary Duncan, Reporter, Mason County Journal Nancy Plews, hoard Clerk Sonja Rau, Board Transcriptionist CORRESPONDENCE: Mary Jo Cady presented three correspondence. Two from the National Board of Health. The first, concerning membership and 2001 goals; the second concerning the tobacco settlement. The third from Bob Appel concerning the possibility of a dialysis treatment center in Shelton, which he stated will not be possible. APPROVAL OF MINUTES: Cady moved to approve the October 5, 2000 minutes as cin'cadated. Olsen seconded. Cady, Aye; Olsen, Aye; Bolender, Absent. It was decided to approve today's meeting minutes on December 19, 2000 at 8:45 a.m. HEALTH OFFICER'S REP S)RT: Dr. Mark Trucksess gave the Health Report. Communicable Diseases for Mason County: Mason County Board of Health Commissioner's Chambers Monthly Meeting December 7, 2000 Page 2 of 5 3 cases of active Tuberculosis continues. 1 case has clear sputum and released from quarantine 1 case not contagious is receiving therapy. 1 case, a women who has TB in the ovaries and lungs. May have to quarantine. 7 cases of Hepatitis C. 1 case of Hepatitis B. 1 case of Mycro Bacterium Avium Complex (Non -Tuberculosis Mycro Bacterium.) 2 cases Campylobacter. 2 case of Meningococcal Meningitis 1 case of Salmonella. 1 case of possible positive HIV, not yet confirmed. A report was received of exemptions from immunization in Mason County. There is a student population of 8,587 and 191 of those claimed exemptions which is 2.2% of the student population in Mason County. The percentage of exemptions in the other Counties are as follows: King County it is 3%, Jefferson County 8.9%, Kitsap 1.9%, and Thurston 4.1%. Exemptions from pertussis, polio, measles, rubella, mumps was 154. The lowest number of exemptions was for Hepatitis B which was 53. The State Department of Health is going to conduct a survey of hospitals with Obstetrics services to assess whether the policies for screening of pregnant women for Hepatitis B and the immunization of newborns prior to discharge is being followed There is a national shortage of tetanus vaccine now, which is limiting the distribution of vaccine. The Health Departments and Vaccine Providers are being advised to not use the vaccine except for children 7 to 18 years of age. No free vaccine to adults. There had been no cases of influenza reported in Oregon or Washington as of November 9. In Canada there have been 146 adverse reactions to the influenza vaccine, primarily conjunctivitis. A letter was presented to the board that Dr. Trucksess typed up to help people cope with the flu. Mary Duncan stated that it is in today's Mason County Journal. Dr. Trucksess passed out the new list for Washington Notifiable Conditions Requirements for Health Care Providers. One of the new items is that they have non-infectious things that need to be reported, such as birth defects, burns, pesticide poisoning. ENVIRONMENTAL HEALTH ISSUES: Debbie Riley, Environmental Health Manager, introduced Thomas Edmonds as a possible new member to the Drinking Water Advisory Committee and she requested the appointment also of, William Lee, Well Driller and reappointment of Ron Wiley, Well Driller. Mason County Board of Health Commissioner's Chambers Monthly Meeting December 7, 2000 Page 3 of 5 Cady moved to appoint William Lee and Thomas Ednnonds to the Thinking Water Advisory Committee and also reappoint Ron Wiley to the Drinking Water Advisory Committee. Olsen seconded Cady, Aye; Olsen, Aye; Bolender, Absent. Debbie Riley requested the following Food Advisory Committee terms be extended for 18 months: Don Betker, David Westerman, Larry DuPaul, and Susie Craig. The following to be appointed for 2 year terms: Steve and Angela Olsen, Jeannie Ness, Linda Trout, and Steve Edmondson. Cady moved to extend the appointments for 18 months to the Food Advisory Committee for Don I3etkerr, representing the small complex restaurants; David Westerman; Larry DuPaul representing the small noncomplex restaurants; and Susie Craig, Ad Hoc Member. Also that we approve for 2 year terms, Steve and Angela Olsen, representing restaurant complex small; Jeannie Ness, large complex markets; Linda Trout; Steve Edmondson, citizen at large. Olsen seconded. Cady, Aye; Olsen, Aye; olender, Absent. H IUSEKEEPl<NO OF ON -SHE SEWAGE POLICY AND PROCEDURES: Because the State has taken over the certification of On -Site Designers action is needed to delete that section from our Board of Health On -site Food Regulations and make changes. Cady moved to amend Section 10 of the Mason County Board of Health On -site Sewage Regulations to a change in Section 10.01, change the word "department" in that sentence to the "State of Washington" and delete the rest of that section that goes through to 10.04.04. Olsen seconded. Cady, Aye; Olsen, Aye; Bolender, Absent. Other recommended changes in EH 19, deleting the sections on Level One and Level Two Designers, adding the section for Designers and adding section for Maintenance Specialist were requested. Cady moved to amend the requirements specifications in the Environmental Health Policy, to delete Section 3 and Section 4 regarding Level 1 Designers and Level 2 Designers; change those to Section 3 Designers and 3A Certification to the State of Washington. Section 4 Maintenance Specialist; 4A Maintenance Specialist Test Path; 4B to your average continuing education of 8 hours per year; 4C is one year eycperience working with Certified Maintenance Specialist as a Designer or equivalent; 4B for approval by a Certification Board. Olsen seconded. Mason County Board of Health Commissioner's Chambers Monthly Meeting December 7, 2000 Page 4 of 5 Cady, Aye; Olsen, Aye; Bo➢ennder, Absent. The next section concerns with the Environmental Policies concerning sub -surface holding tanks and it is on page EH-16. Cady moved amend the Environmental Health Policies to use of partial with sub -surface holding tangs Section A, adding the word "must apply for, pay for, and receive a State Class A Waiver. Section 2C adding the word "naa»st apply...or new Section C must comply with Washington Revised Standards and Guidance Standards for holding tallhs. Olsen seconded. Cady, Aye; Olsen, Aye; Boleinler, Absent. Concerning changes to flow chart. Cady moved to amend the Tnnviromnental Health On -site Sewage Requirements based on location of proposal flow chart to eliminate the North Bay section , as address another area. Olsen seconded. Cady, Aye; ben, Aye; Bollender, Absent. Cady moved to delete, nnnder the Shorelines portion of the same Plow Chart, the seasonal living unit section. Olsen seconded. Cady, Aye; Olsen, Aye; It°lenderr, Absent. To add participation in the OM Program to the EH Requirements and the EH Review Materials and Interpretations. Cady moved to add the LM Reguuirenrnents to that same Flow Chart, the EH Requirements and EReview Materials and Interpretations. Olsen seconded. Cady, Aye; Olsen, Aye; olender, Absent Cady niioved to remove the Contract Permit Fee Interpretation, Section 2 that would change the wording in the first paragraph, at the end of the first paragraph, from 2 hours to 1 hour of technical assistance so the system design does not have to be redone. In the second bullet of that same Section 2, change from 2 hours to 1 hour, and add a fifth bullet which says, "may require Planning Department review to determine if the design meets the requirements of the Critical Resource Ordinance. Olsen seconded. Cady, Aye; Ilsel., Aye; Bolender, Absent. PERSONAL HEALTH ISSUES: Steve Kutz introduced Joy Johnson, RN, who gave a brief update on the flu program. Joy is Mason County Board of Health Commissioner's Chambers Monthly Meeting December 7, 2000 Page 5 of 5 Clinic Coordinator for the Department of Health. She stated that the deliveries of the flu vaccine have been slow and not coordinated or controlled by the CDC. When it was known a delivery was due, the physicians were notified as only high risk or over 65 years of age would receive the vaccine. Several more clinics will be held: High risk only, December 7 from 1:30 p.m. to 4:15 p.m. General Public, December 14 from 1:30 p.m. to 4:15 p.m. All Day Clinic, General Public, December 21 from 9 a.m. to 11:15 a.m. and from 1:30 p.m to 4:15 p.m. CDC is allowing, this time only, to sell some of the vaccine to the providers (private Physicians.) Steve Kutz stated that the Health Department has received most of the bulk of the flu vaccine. WAIVERS: Waivers were presented by Steve Kutz to the Board of Health. Mary Jo Cady moved to continue the meeting to Tuesday to December 19, 2000 at 8:45 a.m.. Olsen seconded. Cady, Aye; Olsen, Aye; Bolender, Absent. Adjourned at 10:38 a.m. Respectfully submitted by: je91-2 Sonja Cindy ben, Chairperson au, Transcriptionist Dr. Mark Trucksess, Health 'Officer Absent Mary Jo Cady, Board Member John Bolender, Board Member