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HomeMy WebLinkAbout1997/05/01 - Board of HealthMASON COUNTY BOARD OF HEALTH May 1, 1997 The Board of Health was called to order at 10:00 a.m. by Chairperson Cady with Board Members Olsen and Bolender in attendance. ATTENDANCE: Mary Jo Cady, Chairperson Cindy Olsen, Board Member John Bolender, Board Member Dr. Mark E. Trucksess, Health Officer. Brad Banner, Director of Health Services Steve Kutz, Personal Health Director Mark Tompkins, Environmental Health Director Brent Long, Board of Health Clerk Ann Cole, Mason County Children's Dental Coalition and Kiwanis Grace Young, Mason County Children's Dental Coalition and Kiwaniannes Eva Rooks, Mason County Children's Dental Coalition/Health Planning Council Karen McElroy, Mason County Children's Dental Coalition Jerri Hawthorne, Mason County Children's Dental Coalition & M-T Headstart/ECEAP Pamela Johnson, Mason County Health Planning Council & M-T Headstart/ECEAP Dr. James Penney, Mason County Children's Dental Coalition APPROVAL OF MINUTES Board Member Olsen/Chairperson Cady moved/seconded that the minutes of the March 25, 1997, meeting be approved as circulated. Motion carried. Vote: C:yes; O:yes; B:abstain. Board Members Olsen/Bolender moved/seconded that the minutes of the April 3, 1997, meeting be approved as circulated. Motion carried. Vote: O:yes; B:yes: C:abstain. HEALTH OFFICER'S REPORT Dr. Mark E. Trucksess, Health Officer, reported that during the month of April there were investigations of one case of pertussis and one case of rubella. Results have not been received at this time. There were two cases of Hepatitis A, one death from strep pneumonia, and one case of Hepatitis B. During 1996, the Mason County Health Department tested 224 individuals for HIV. One of those tests was positive. Post-test counseling was achieved in 191 cases, or 85 percent. In the past five years (1991-1996) there have been 1,078 individuals tested for HIV, with 5 being positive. The type of people being tested are primarily homosexuals, bisexuals, drug users, people with hemophilia, blood recipients, and heterosexuals with known risk. The positive results have been found in homosexuals and the drug using communities. Chairperson Cady asked how the prison population affected these statistics. Mr. Kutz, Personal Health Director, replied that the prison population was included in the figures presented by Dr. Trucksess. MASON COUNTY BOARD OF HEALTH May 1, 1997 - Page 2 of 10 Dr. Trucksess commented that there were salmonella outbreaks in our state in 1995-1996, even though they did not occur in our county. Much of it was transmitted by baby chicks and ducks which are given as gifts. Another source of salmonella has been found in exotic pets such as reptiles. Reptiles are popular as pets, but about 90 percent of the reptiles carry salmonella. Hedgehogs and prairie dogs are also known to carry salmonella and the plague. If a person has an exotic pet, it is very important for them to wash their hands thoroughly after cleaning the pet cages. Salmonella is a disease that is manifested by a sudden onset of headaches, abdominal pain, diarrhea, nausea, vomiting, and dehydration. The disease may be mild or severe. The infection persists for several days but the bacteria may last for weeks. It can be transmitted through food and is classified as a food -associated illness. A person tested positive for salmonella needs to be excluded from handling food until they test negative. There are about five million cases of salmonella in the United States annually. Sometimes there are epidemics, which are very large when the bacteria inhabits a municipal water system. Poultry, swine, cattle, rodents, the pets previously mentioned, and humans are reservoirs for salmonella. The transmission can be through contaminated food or water, especially uncooked eggs and egg products. Raw milk, contaminated meat and poultry products, and recently raw vegetables have been associated with the disease. These facts emphasize the need for foods to be handled and cooked properly, and the necessity for a good Food Program within the Health Department. Chairperson Cady asked about the treatment for salmonella. Dr. Trucksess answered that there was no real treatment; the illness has to be waited out. Mr. Kutz commented that antibiotics can actually increase the carrier state. Board Member Olsen asked if the pets carry salmonella indefinitely. Dr. Trucksess replied that the pets are basically carriers. APPEAL DISCUSSION - DEVIN Brad Banner, Health Services Director, commented that Carl Devin had initially requested an Appeal of Water Adequacy but has indicated that he now prefers to work with the Water Association and the Health Department in an effort to resolve the issues so that an appeal is not required. HEALTH PLANNING COUNCIL Eva Rooks, Executive Committee of the Health Planning Council, reported that she was present today representing the Mason County Health Planning Council. She presented a written copy of her presentation (Exhibit A). As you know, from Donna VanKirk's appearance here in February, the Council is a group of concerned community members representing various social service, health care, education and other agencies who have come together to work to improve the health of Mason County residents. Steve Kutz, Co -Chair of the Council, has already approached the Board about the group becoming a formal or informal advisory group to the Board of Health. The Planning Council is pleased that the Board is willing to work with them on an informal basis. The Council met on April 24th and discussed ways the Council can work with the Board of Health to assure the health and well-being of Mason County residents. First, with the Council's broad spectrum of representation, there is a great likelihood that recommendations by the Council will be representative of the true needs and values of Mason County Residents. Secondly, there will be increased opportunity to find alternative funding MASON COUNTY BOARD OF HEALTH May 1, 1997 - Page 3 of 10 sources for health care programs which may not be available to the Board of Health. An example of creative funding which has already happened has been the Dental Grant which made Ms. Rook's position possible. In her position, she has brought together people who are now known as the Mason County Children's Dental Coalition. She will talk about this further when she speaks for the Dental Coalition. There is an ever-increasing trend that health care funders are asking for collaborative grant proposals in which two or more agencies cooperative in creating and implementing the grant proposal and work plan. The Health Care Advisory Council will provide immediate access to agency representatives when a project, which is appropriate for the county to make applications, requires collaborative planning with other agencies. The Health Planning Council can work as a citizen's advisory committee when the Mason County Public Health Improvement Plan data is completed. The Council can help the Board of Health prioritize public health issues which should be addressed and help implement a plan of action. The other members of the Council and Ms. Rooks are excited to work collaboratively with the Board of Health to work to improve the health and well-being of our community. The Council would like the opportunity to report to the Board of Health on a quarterly basis, or more often than that if it is warranted. The Health Planning Council looks forward to working with the Board of Health, and thanks the Board for this opportunity to serve fellow community members in this way. Chairperson Cady thanked the Council for getting together, and noted that the Board appreciates the fact that they have maintained their momentum. She noted that quarterly reports would be great, and more often if needed. She stated that the Council members are volunteers and they should be congratulated. Board Member Bolender stated that whenever the Council believes they have substantial information, the Board would like to receive the input. DENTAL COALITION Eva Rooks, on behalf of the Mason County Children's Dental Coalition, thanked Commissioners Cady and Olsen for attending their March meeting. The Coalition members were pleased to have them in attendance. She presented a copy of her prepared statement (Exhibit B). Ms. Rooks stated she appreciates the opportunity to update the Board on the Healthy Smiles Dental Clinic. The pilot project was funded by an increase in the Medical Assistance Administration Grant that originally funded her position. She is pleased to report that in the first six weeks of operation the Healthy Smiles Dental Clinic was able to treat 201 children with medical coupons. This Clinic has treated more children on Medicaid than were seen by all Mason County dental providers in Mason County during the 1995 MAA reporting year. This shows the tremendous need for Medicaid dental services in Mason County. Unfortunately, the Clinic has only been funded through June 30, 1997. On May 6, the Access Committee of the Children's Dental Coalition will be meeting in the Pershing Room at Mason General Hospital to make plans for continuing Clinic operation beyond June. They welcome the Board to attend this MASON COUNTY BOARD OF HEALTH May 1, 1997 - Page 4 of 10 meeting so that plans to continue meeting the dental needs of Mason County Medicaid children and perhaps begin treating children with no dental insurance can be accomplished. They would welcome any or all of the Commissioners to attend this meeting. The Coalition has a second committee which is addressing the status of dental education in our county. On April 27th, members of the Education Committee personally delivered surveys to Mason County School Districts asking what dental education is currently being taught and what issues still need to be addressed. The Committee is sending similar surveys to Mason County dentists, doctors, clinics and school nurses to get further information on available resources and gaps in resources which exists in our county. The Committee will use this information to target areas of greatest need and to develop materials to educate on those needs. The Director of Personal Health has indicated that there may be some funding for dental education available through the Department of Health Services. The Committee would be very appreciative of funding to purchase educational materials to meet these needs. In order to have time to develop appropriate dental curriculum to be given to schools in September of 1997, the Committee must have a decision about funding in the very near future. Because of this, the Coalition requests that they have written information available from the Health Department informing of the amount of money available, any stipulations to funding, and the date that funding to purchase materials should be expected by their May 13th meeting. The Coalition greatly appreciates the possibility of financial support of their endeavors, but they must know what amount of money they have to work with and when funds will be available so they can meet their obligations. Finally, the Coalition wishes to give an update on the Portable Sealant Equipment Grant. At the February 6th meeting, when the Coalition originally addressed the Board of Health, Chairperson Cady directed the Department of Health Services to apply for sealant equipment funds right away. She met with the Director of the Department of Health Services on February 1 lth to discuss the Department of Health Sealant Grant application. At that time, they felt it would be easier if the Coalition would apply for the equipment in their dental grant increase request instead of the Health Department completing the sealant proposal separately. Subsequent funding was only granted on the dental clinic portion of the grant increase request. It was denied because of limited funding and the availability of dental sealant equipment funds from the Department of Health. Due to the decision of approaching DSHS instead, another year has passed without the Department of Health Services receiving available Department of Health funding for the sealant equipment. The Thurston County Health Department, Pixie Needham who is the President of the Washington State Dental Hygienist Association, and Kathy Kelso who currently supervises and administers the Community School Sealant Program in Thurston County, have offered assistance to Mason County Department of Health Services in planning for a sealant program. As she mentioned in her last appearance before the Board of Health, dental sealants are a cost-effective, preventative treatment. As much as prenatal care prevents bad birth outcomes, so do sealants result in lower costs to taxpayers than resulting restorative costs for unprotected teeth. MASON COUNTY BOARD OF HEALTH May 1, 1997 - Page 5 of 10 Their inability to obtain funding for sealant equipment represents another lost opportunity for the children of Mason County, and they are concerned. The Coalition still feels it is in the best interest of the community that a Dental Sealant Program is implemented in Mason County. They wish to know if this is also a priority of the Board of Health. The Coalition appreciates the opportunity to work collaboratively with the Board of Health to improve the overall dental health of children. Children are our future, and they must assure their health and well-being so the children can be successful in their daily lives. Ms. Rooks asked that members of the Coalition introduce themselves. Jerri Hawthorne stated she was a representative from the Mason -Thurston Headstart, ECEAP Program at Pioneer and Belfair. Anne Cole, Kiwanis and Coalition Member; Grace Young, Kiwanianne and Coalition Member; and Jim Penney, Access Committee for the Coalition, were also present. Pamela Johnson, Member of the Mason County Health Planning Council and Health Coordinator for the Mason -Thurston Headstart/ECEAP stated she had been approached by telephone by two concerned individuals regarding the Maternal Child Health Contract. Because she has worked collaboratively with Beth Hines over the last three years both at the state level on the Washington State Oral Health Coalition and on the local level with the Thurston County Childen's Dental Health Coalition, as well as with issues relating to baby bottle tooth decay, etc., she offered to call her to see if she, as a concerned person who is also trying to access dental services for the Mason County population, could get some idea of clarification on where the contract stood. She made notes of her telephone conversation with Ms. Hines on April 29 (Exhibit C) which she will give to the Board, but she also wanted to share them aloud. Ms. Johnson stated that Ms. Hines had a long meeting with Mr. Kutz on April 3rd to discuss the Maternal Child Health Contract for Oral Health Services which the state gives to the Mason County Health Department (MCHD). This is an ongoing contract to do education in schools, screenings, referrals, and community assessment activities. At this meeting, they discussed an amendment to this contract which would allow MCHD to hire Eva Rooks as their Oral Health Coordinator. Ms. Rooks would need to be supervised by a dentist or dental hygienist in this capacity, and Mr. Kutz was going to explore resources for this. It was also discussed to hire Pixie Needham, Registered Dental Hygienist, to do .a Smile Survey. As of today, Ms. Hines has not had follow-up from Mr. Kutz. She is concerned that MCHD has had a year to do something with the funding from the contract, and so far has not presented a written action plan to the state. She is in agreement with the Dental Coalition that the bulk of the education piece should be happening at the MCHD level. As there are a number of agencies and individuals actively working to improve the dental health of children in this county, Ms. Hines is willing to meet with representatives of the Board of Health, Health Department and the Dental Coalition to discuss the work methods for the Oral Health Services Contract. Ms. Hines would like to see the outcome of this meeting to be a written action plan of what will happen with the county contract. Also included would be an action plan time line with target dates for accomplishments specifically outlined. By bringing all the players to the table at the same time, MASON COUNTY BOARD OF HEALTH May 1, 1997 - Page 6 of 10 the uncertainty of knowing what has happened at the meetings with the state will be resolved and progress toward a collaborative plan can begin. This written action plan would then be given to the Board of Health so progress on contract goals can be followed. She and Ms. Hines also spoke briefly about the Sealant Equipment Grant. Ms. Hines said this opportunity has been offered to the Health Department each of the last three years. Successful applicants must demonstrate organization and planning for implementation of the equipment. This would involve collaboration with other agencies and resources. At the present time, Mason County has not demonstrated the organization and planning necessary to be a successful applicant. The importance of developing a Sealant Project as a preventative measure had been discussed several times over the last two years at the Health Planning Council, and there had certainly been ample interest and opportunity to work toward such a goal. Given the dental access crisis for Medicaid children this seemed like a wonderful way to protect at least some of the children's teeth, and Ms. Hines agreed. She and Ms. Hines completed their conversation with the agreement that she would get information to Ms. Rooks to integrate into her presentation to the Board of Health meeting on May lst. Ms. Hines reiterated her willingness to meet with representatives from various committees and agencies to develop a written action plan for the Maternal Child Health Contract and to advise others about the importance of doing so. Mr. Kutz commented that pursuant to his discussions with the Board of Health approximately one month ago regarding hiring a dental coordinator, it was decided by the Commissioners that he would look at sub -contracting for these services. That required a letter which he received two weeks ago. Chairperson Cady noted that the advertising has been done. Mr. Kutz stated that the advertisements did not receive any applicants for a dental hygienist. He, now, has an authorization to sub -contract. Regarding the components within the sub -contract, there are some assessment requirements to do a Smile Survey. He has contacted Ms. Needham who has agreed to do some sub -contracting as a dental hygienist. He has talked with a consulting firm about helping them come up with a sampling scheme. It needs to be decided who will write the report afterwards. He has been in contact with Ms. Rooks about sub -contracting with Communities in Schools in do some of the education pieces and some of the other components which were mentioned, and they have been waiting for the Communities in Schools Director to return from sick leave, which was last Monday. He and Ms. Hines have been playing phone -tag for quite some time. She left a message last Monday, and they did not make contact until today because she had been unavailable. They have tentatively scheduled a meeting for May 22nd to pull the interested parties together to look at how the sub -contracting could be done and come up with an action plan to address the requirements under the consolidated contract. Chairperson Cady asked what the dates of the consolidated contract were. Mr. Kutz replied that the funding goes from January through December. Chairperson Cady noted they could still address this in order to get it in place in the fall for the kids. Mr. Kutz stated that the real issue, that Ms. Johnson really did not bring out, was that if they do not do something with this money, and very little was used last year, the $10,000 will be lost. They have a requirement that there MASON COUNTY BOARD OF HEALTH May 1, 1997 - Page 7 of 10 be a Dental Health Coordinator, so it is not a simple issue to just sub -contract out these components because it becomes a complex management process to address all of the reports and things that are required under this contract. It is not something that will happen over night, but there are some things that can be sub -contracted for. He does not know if he will have an amount of money he can bring to the Coalition at their next meeting on May 13th. Chairperson Cady asked for explanation regarding the decision to apply for the sealant equipment through DSHS rather than going through the contract. Mr. Kutz responded that if they put it in the sealant contract, they have to have a program that would have some dental oversight and it had to be done in two weeks. At that point, there was no time to put together pieces to meet all the requirements of each component. He believes Ms. Johnson was incorrect, because in previous years, he was not notified that there was sealant money available. The last time he was notified of that was in 1995. That was when the decision was made not to apply for it. Chairperson Cady asked about the two -week time frame. Mr. Kutz replied that was when he received the paper work stating the grant was available but had to be applied for within two weeks. Chairperson Cady asked if that was when the choice to go to DSHS was made. Mr. Kutz replied yes, they asked for money through their contract. Chairperson Cady asked what could be done to get this project rolling. Mr. Kutz responded that it was his recommendation that on May 22nd discussion be held about dental oversight, so it would be helpful if Dr. Penney was present. He has talked with Ms. Rooks about being at the meeting, and he needs to talk with Ms. Needham. If the community education is going to be addressed, they need representatives from that sub -committee also. Ann Cole commented that the Education Committee has already implemented the surveys going into the schools, and this can be continued to be talked to death, but now they need to act. Chairperson Cady agreed. Ms. Cole suggested that they sit down and decide what money is available and go to work with it. Jerri Hawthorne stated the Education Committee has met, has compiled goals, and they were presented to the Dental Coalition for feedback on April 1st, and they were instructed by Mr. Kutz to come up with concrete ideas and come up with a curriculum, which is fine, but to develop a curriculum takes an awful lot of time, and sometimes a year. They do not have a year. They are looking at a couple of months before Ms. Rooks' position is gone and there may be no more Coalition. The problem, too, is when you look through catalogs to develop curriculums, prices can be anything from free to $200 per item depending upon the age group being targeted. She can come up with concrete ideas that may run into the billions of dollars, but if she doesn't have that kind of money to spend, then all the time she has used to develop a curriculum is gone, and she has to start over from square one. They are at a standstill. They have talked about this and they know what materials they would like to purchase. They are trying to get information from dental providers and educational providers about what is already out there. They certainly do not want to replicate what is already being implemented. MASON COUNTY BOARD OF HEALTH May 1, 1997 - Page 8 of 10 Chairperson Cady stated she wanted to attend the May 22nd meeting. Board Member Bolender noted that several components of the consolidated contract need to be addressed with the $10,000. Mr. Kutz agreed, stating the Smile Survey and the education component, and then the coordination piece of the programming in Mason County. There are three components. Board Member Bolender asked if it was a matter of allocating that $10,000 to those three activities and that is what would be accomplished on the 22nd of May. He noted it would be hard to put together an action plan without knowing what the resources were. Mr. Kutz answered that $10,000 does not go very far, and they need to address all the parts of the contract. Ms. Cole commented that they would have more information when the surveys were returned. After that, they will have an idea of the scope of the education needs. Service organizations are also being asked for donations. Mr. Bolender stated that they may be a good source of funding for the education component. Mr. Kutz stated that they also need to discuss what will be done with the $10,000 for next year. Chairperson Cady wondered when these funds would be received. Mr. Kutz replied that the new money would be available in January. Chairperson Cady asked if there were any Department of Health funds available. Mr. Kutz replied he did not know. Board Member Bolender noted that this funding possibility should be explored, and the department should be prepared in advance. Mr. Kutz stated that some counties used the money to purchase the equipment and utilized their staff dental hygienist to do the sealant program in the schools. Dr. Penney asked Mr. Kutz if it was a total of $10,000 for the sealant program, the hygienist and the educational program. Mr. Kutz responded there was $10,000 for whatever was done with it. Mr. Penney asked if the other counties were able to pay for a dental hygienist for a year to perform the sealant program. Mr. Kutz replied there are different amounts of funding received depending upon the size of the county. There are reimbursements that come in also. He stated he called the Dental Program at St. Peter's Hospital to see about sub -contracting with them for the sealant program, and they could not do it because they were loosing their shirt on this deal. He believed this was due to the way they had structured it. They go into a school and do everybody. The parents do not cooperative about the private insurance because they were told it was free, and kids with no insurance are done. If they go forward, they need to look at how they can make it work and be financially viable. Ms. Rooks informed that they were only seeing DSHS kids in the clinic and they are making a good amount of money. They are projecting, right now, to have a sizable profit in four months, and they are open for only two days a week. Chairperson Cady asked if a hygienist could be brought in. Ms. Rooks replied that they have someone who is not a hygienist but who works under the direction of a dentist. It does not have to be a hygienist so a considerable amount of money can be saved. Chairperson Cady stated that there is a sealant program running now that is perpetuating itself without using a hygienist. She asked how the sealants were being done. Dr. Penney answered that the equipment is in Dr. Dana Larson's dental office and they are using her equipment and personnel. They have contracted with her two days a week to see nothing but DSHS kids and Dr. Emery, her associate, is overseeing it. He takes a certain percentage for MASON COUNTY BOARD OF HEALTH May 1, 1997 - Page 9 of 10 his costs and then above that, the money goes to pay the contract. The remainder is a net profit. Right now they are only seeing DSHS kids, but they want to start seeing the other kids who do not meet DSHS criteria but cannot afford dental care. However, this is where they could start loosing their shirt. Chairperson Cady wondered if a certain percentage could be seen. Dr. Penney agreed, commenting they have been contemplating this. They have the clinic until the end of June. Ms. Rooks stated they were there to find out how the county really feels about this project and the options available. They want to benefit the most Mason County children in this process. Dr. Penney commented that they may not be able to use the space they are right now after the end of June, which would mean an additional cost, plus the cost of equipment. Chairperson Cady wondered if the $10,000 would be better used for equipment. Ms. Rooks noted there are creative ways to accomplish this, and they are looking for leadership from the Commissioners so the Coalition is not out their on its own. They are working for the good of all Mason County children, and meeting their needs. There will be a transition period in June, and may not have funding for her position, but she would be willing to volunteer to some extent. They want to plan for the future. It was noted that the dentist overseeing the clinic, will be moving from the area. Chairperson Cady suggested that a retired dentist be sought. Chairperson Cady thanked the members of the Coalition for being present. She stated she appreciated their efforts. The Board definitely wants to see this project going, and do not want them spinning their wheels and talking it to death. There is a lot of potential. And, possibly more money from the state. Dr. Penney remarked that they are seeing that it can be a successful program, and that is what the state looks at. Ms. Johnson stated that she was at the meeting last week when they talked about the financial piece, and yes, there is a financial concern, but she does not want the Board to take the comments of Mr. Kutz to be the reality of the situation. Since she was at that meeting, she knows there are concerns but there are ways to work it. They are addressing the concern one way. But if you could apply those sealants in-house and not have folks go out to the schools, that would be another way to do this. She is really excited about what Thurston County is doing and thoroughly support it, and they are doing very good work and are working out the bugs in an effort to serve those children in those targeted schools. They are being targeted based on free and reduced lunches. They are looking at expanding it next year. They are not looking to close it. They will be including third graders in the targeted schools next year, and will be adding two more schools. Board Member Bolender wondered if bringing the service to a single location would limit the access of those who cannot get to the program. Ms. Johnson replied probably not any more than in Thurston County. There they are targeting second graders in eight schools, and there are certainly more than eight elementary schools. There is a limited access in their plan. They are addressing the eight schools with the highest percentage of free and reduced lunches. Here, you would have the opportunity for anyone to come that fell in the Medicaid eligibility. MASON COUNTY BOARD OF HEALTH May 1, 1997 - Page 10 of 10 Karen McElroy noted that people are directing families to this service, and also following up to see that the appointment is kept. Board Member Bolender stated that it makes very good sense in reducing your costs by scoping it down to a central location as long as it does not restrict access, which it appears there are mechanisms in place to assure, as much as possible, that it does not happen. He noted that was encouraging. Chairperson Cady thanked them again, and stated the Commissioners would be represented at the next Coalition meetings. She would like to see it fully on track by September when school starts. OTHER BUSINESS Chairperson Cady called for other business. None heard. MEETING ADJOURNED Chairperson Cady adjourned the Board of Health meeting at 11:00 a.m. MASON COUNTY BOARD OF HEALTH '27«��(� Mary .4C7Cadj, Chairper qn John Bolender, Board Member Cindy 1 sen, Board Member Respectfully submitted, dimat.LL Lorraine Coots MASON COUNTY BOARD OF HEALTH MAY 1, 1997 Members Present: Mary Jo Cady, Chairperson; John Bolender, Board Member; Cindy Olsen, Board Member Staff Present: Dr. Mark Trucksess, Health Officer; Brad Banner, Director of Health Services; Steve Kutz, Personal Health Director; Mark Tompkins, Environmental Health Director; Brent Long, Board of Health Clerk Others Present: Ann Cole, Grace Young, Eva Rooks, Karen McElroy, Jerri Hawthorne, Pamela Johnson, Dr. James Penney 1. CALL TO ORDER Chairperson Cady called the meeting to order at 10:03AM. 2. CORRESPONDENCE None 3: APPROVAL OF MINUTES It was moved/seconded by Board Member Olsen/Chairperson Cady that the minutes of the March 25, 1997 meeting be approved. Motion passed with Board Member Bolender abstaining. It was moved/seconded by Board Members Olsen/Bolender that the minutes of the April 3, 1997 meeting be approved. Motion passed with Chairperson Cady abstaining. 4. HEALTH OFFICER REPORT Dr. Trucksess presented the 1996 HIV testing summary. Of the 224 tested, 1 was positive. 85%, or 191 had received post-test counseling. From 1991-96 1078 have been tested, with 5 being positive. Mr. Kutz noted that 1/4 to 1/3 of the figures were from the prison population. There have been Samonella outbreaks in the State of Washington in 1995-96. Much of it has been transmitted by baby chicks and ducks, and also exotic pets(of which 90o are carriers). The hedgehog and prairie dog also carry Salmonella, along with the plague) It can also be transmitted through food, such as undercooked eggs, milk products, contaminated meats and contaminated raw vegetables. Chairperson Cady asked if there was treatment, and Dr. Trucksess noted there was none. Board Member Olsen asked if pets could be carriers forever. 5. APPEAL Mr. Banner spoke re: an appeal received by Mr. Carl Devin re: meeting water adequacy requirements for Building Permit No. BLD97-0139. (See attachment to agenda) Mr. Banner had since been notified by Mr. Devin that he wished to work with the Water Association and the Health Dept. Therefore no appeal needs to be scheduled at this time. NOTE: It was requested that the order of items 6 and 7 of .the agenda be switched. 7. REPORT FROM HEALTH PLANNING COUNCIL Eva Rooks gave a report from the Health Planning Council(Ex. A). Chairperson Cady noted that the quarterly reports were great, and Board Member Bolender noted the Board would like more imput whenever needed. 6. REPORT FROM DENTAL COALITION Eva Rooks gave a report from the. Dental Coalition(Ex. B), noting that they needed imput from the Health Dept. for funding by their May 13th meeting. Coalition members introduced themselves. Pamela Johnson, Member of the Mason County Health Planning Council and Health Coordinator for the Mason -Thurston Head Start/ECEAP spoke re: the Maternal Child Health contract for oral health services(Ex. C). She wished to have a written action plan Mr. Kutz spoke re: contract issues. The committee advised him to sub -contract. He received a letter 2 weeks ago, authorizing him to sub -contract. There are assessment requirements to do a Smile Survey. A meeting has been set for May 22nd to pull all the parties together anddevelope and action plan. If funds are not used, $10,000.00 will be lost. Chairperson Cady asked about the sealant program, Mr. Kutz responded. She asked what could be done to" get it moving, and Mr. Kutz gave his recommendation. Ann Cole and Jerri Hawthorne commented. Chairperson Cady commented that she would like to attend the May 22nd meeting. Board Member Bolender asked Mr. Kutz questions. Discussion followed between Board Member Bolender, Ann Cole, Jerri Hawthorne and Chairperson Cady. Meeting dates were discussed.. Ann Cole spoke re: contracting service organizations also. Board Member Bolender and Chairperson Cady responded. Discussion followed between Mr. Kutz, Chairperson Cady and Board Member Bolender re: monies available. Dr. Penney directed questions to Mr. Kutz, who responded. Eva Rooks responded, and noted that the program was making money, and was seeing only DSHS kids. Discussion followed with Board. Dr. Penney explained sealant process. Eva Rooks, Dr. Penney and Chairperson Cady discussed the funding process. Pamela Johnson spoke re: past meeting she was at. Board Member Bolender spoke of the risk of limiting access. Karen McElroy spoke. 8. OTHER BUSINESS None 9. ADJOURN Chairperson Cady adjourned the meeting at 11AM.