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HomeMy WebLinkAbout2024/01/23 - BOH Packet MASON COUNTY = COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health MASON COUNTY BOARD OF HEALTH January 23,2024 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 2. Approval of Agenda—ACTION Board Members 3. Approval of Minutes—ACTION Board Members (September 26&November 28,2023) 4. Health Officer Report Dr. Ken 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 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 September 26,2023 Attendance: Randy Neatherlin,County Commissioner;Kevin Shutty,County Commissioner; Sharon Trask, County Commissioner;Dr.Keri Gardner,Health Officer;Darrin Moody,Hospital District No. 1;Peggy VanBuskirk,Hospital District No.2;Kathy McDowell,City of Shelton;Keri Davidson, Shelton School Board; Dave Windom,Public Health Director;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 3:00 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 July 25,2023 Board of Health Minutes as presented. Motion carried. 4. Health Officer Report Dr.Keri Gardner shared that it is currently flu,RSV,and COVID season. There is also a large upswing in COVID wastewater. COVID home tests are available for free at Public Health or online at www.covidtests.gov. Tests should be ordered before individuals feel sick. Flu vaccines are available and so are RSV vaccines for adults 60+and infants under 2 years old. Vaccines for infants born during RSV give immediate resistance and cuts down on hospitalizations. Washington State had its first case of Candida,which is different than yeast and is an invasive disease that is hard to treat but easy to test for. Symptoms include fever,chills,weakness,and exhaustion. Health Officers have been discussing masking;recommending or making it mandatory. With COVID upswing,it is mandatory in long term care facilities and correctional facilities. It is preferred to be mandatory,not required. 5. Administration Report Dave Windom shared contract amendments 13 and 14 for the Consolidated Contract(CONCON). The amendments revolve around Foundational Public Health Services(FPHS)and allowing Public Health to expand capacity in communication, emergency planning,life-course work,immunization outreach,Environmental Health leadership, finance capacity,and illicit substance abuse response. FPHS funds are not a replacement for County funds,just an expansion. There is a need to add an assistant manager position for both Environmental Health and Community Health. There is$709k available to run COVID clinics but cannot be used for vaccines. An additional 2,000 test kits have been received. Expired COVID tests are still viable if the control line is dark. 6. Environmental Health Report Ian Tracy shared a water quality report handout for Oysterfest. The goal is information and interest around water quality. There is a QR code to view the actual report. The 2023 Annual Water Quality Report with interactive map was presented. In general,the water quality in Mason County is very good. There are"yellow"and"orange"areas,but those still meet State standards for water quality. The only location not meeting standards is Cranberry Creek,but not by a lot. Standard sampling method is done in the middle of channel about 6"below surface. An application was received from Constance Ibsen to reapply to the On-Site Sewage Advisory Committee(OSAC)for another three-year term. Peggy VanBuskirk/Cathy McDowell moved and seconded to reappoint Constance Ibsen to the On- Site Sewage Advisory Committee. Motion carried. The On-Site Sewage System(OSS)Permit Extension Policy was shared. The OSAC all voted in favor,one abstained. Peggy VanBuskirk/Cmmr.Neatherlin moved and seconded to approve the On-Site Sewage System (OSS)Permit Extension Policy. Motion carried. 7. Community Health Report Melissa Casey shared that Community Health is anticipating a busy fall season and was awarded part of a syndemic grant applied through the Department of Health. This will assist chronic disease prevention,extension of syringe exchange programs,implement clinical services using a mobile exchange RV,allow for wound care,and provide HIV/STI screening and treatment. Wendy Wong, Pharmacist,will help with Hepatitis C testing and treatment. The full amount was not awarded;part of the strategic plan includes looking at services that can be provided immediately. This will begin January 1,2024. Public Health has partnered with Mason Health and the Shelton Family YMCA to bring back the Women,Infants, and Children(WIC)program. The WIC Coordinator/Certifier job position will be posted soon. Services will be available two days a week with flexible hours. Feedback has been received from the schools. Equipment has been ordered for the clinic as well. The hope is for a January start date. Mason Matters and Blue Zones is hosting a Food Sumit on September 27,2023 at 12:30 p.m. at Public Works. The new Health Educator launched a newsletter on the Healthy Mason County website and subject matter expert groups have identified their S.M.A.R.T.goals using data provided in the Community Health Assessment. Mini grants were received from FPHS and the YMCA was able to partner with Hope Garden and the Skokomish Tribe to host cooking classes with fresh produce. Dave added that he purchased a rapid tox screen machine that can do a tox screen in twenty minutes to identify presence of drugs and the quantity of drugs in an individual's system. This will be kept at the Coroner's Office. Updates for the device are guaranteed for nine years. 8. Other Business and Board Discussion Dave discussed Board of Health membership and opening the Fire Commissioner position up. Positions for the tribes are still open as well. 9. Public Comments No public comment at this time. 10. Adjourned at 3:48 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 MASON COUNTY BOARD OF HEALTH PROCEEDINGS 411 North 511 Street,Shelton,WA November 28,2023 Attendance: Randy Neatherlin,County Commissioner;Kevin Shutty,County Commissioner; Sharon Trask, County Commissioner;Dr.Keri Gardner,Health Officer;Peggy VanBuskirk,Hospital District No. 2;Kathy McDowell,City of Shelton;Keri Davidson, Shelton School Board;Dave Windom,Public Health Director; Ian Tracy,Environmental Health Manager;McKenzie Smith,Clerk of the Board;and Dedrick Allen, MasonWebTV 1. Chair Shutty called the meeting to order at 3:00 p.m. 2. Approval of Agenda Cmmr. Trask/Peggy VanBuskirk moved and seconded to approve the agenda as presented. Motion carried. 3. Resolution to Set Meeting Dates Peggy VanBuskirk/Cmmr.Neatherlin moved and seconded to approve the Resolution setting the 2024 Board of Health meeting dates. Motion carried. 4. Health Officer Report Dr.Keri Gardner 5. Administration Report Dave Windom shared amendment no. 16 was received for the Consolidated Contract(CONCON), what is and it not allowable for spending has been added. There was a pneumonia outbreak in China that is primarily pediatric. The Syndemic Grant,which replaces the Substance Abuse Grant,was applied for,and received. However,the full amount was not received. There is enough to expand HIV testing and treatment. Due to funding,a sprinter van will be purchased in lieu of an RV to get Public Health into the community. A WIC Coordinator/Certifier and Finance Manager were hired. There has been discussion around the opioid settlement funds. Keri Davidson discussed the"One Pill Can Kill"campaign that has downloadable information that can be shared. Peggy added this has been discussed in opioid groups. Dave added that there has been concern with public transit and finding trace amounts of meth and fentanyl on buses. Public Health is trying to create guidelines that protect public safety in coordination with Department of Labor&Industries(L&I)and the Department of Health(DOH). On December 5 and 6,2023 an individual will be here to teach professional resiliency classes for compassion burnout,coping skills,and more. This will be paid for with Foundational Public Health Services(FPHS)funding. 6. Environmental Health Report Ian Tracy discussed a WanaBana apple sauce recall due to lead contamination. This brand is sold locally at the Dollar Tree. Ian shared applications for the On-Site Sewage Advisory Committee received from Vladimir Nekrutenko,Thad Bamford,and Shane Maples. Peggy VanBuskirk/Cmmr. Trask moved and seconded to appoint Vlad Nekrutenko to the On-Site Sewage Advisory Committee(OSAC). Peggy VanBuskirk/Cmmr. Trask moved and seconded to appoint Thad Bamford and Shane Maples to the OSAC. 7. Community Health Report The Community Health Report is available in the packet. 8. Other Business and Board Discussion Dave discussed Board of Health membership; four positions are open. Cmmr. Shutty shared a special thanks to Ben Johnson in partnership with the Youth Connection for the session that he hosted. Dave added that the notice was received regarding the City of Shelton doing an abatement on the property on Railroad Avenue. A Health Officer order of support was done. 9. Public Comments Constance Ibsen,member of the Lower Hood Canal Watershed Coalition,commented on the County's septic program and hopes the County will adopt a sustainable routine septic program. Individuals need predictability,i.e. inspection every three years. Constance is not fond of pollution identification correction. $125k of taxpayer money went into finding eight systems that were already well known. The new rule making for 2025,a local management plan will need to be developed by each County. More public education and enforcement needs to be addressed. Constance is pleased the County is starting outreach on short-term rentals,but shared concerns on septic not being used for designed capacity which can pose negative impacts. A mandatory annual septic inspection should be included in the Ordinance. The main issue is septic systems not being used as designed and many are on the shoreline. Short-term rentals are a business and there are fees and expenses for business. One of those fees and expenses should be to ensure the environment or public health is not damaged. Cmmr.Neatherlin discussed the justification for the County to tax or fee individuals every three years for inspection. This costs about$650 without pumping. Sometimes to inspect systems,they must be pumped. For short-term rentals,it would be a fee each year. It takes three years to get a"perfect ecosystem"in the septic system. Ian added that there are different standards depending on the septic system type and the company doing the inspection. A thorough inspection will require pumping. There is not a mandatory pumping requirement,but rather a professional standard. 10. Adjourned at 3:38 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 Fire Commissioner Keri Davidson, Shelton School Board 1-1. From the Director's Desk January 2024 Welcome to the new year! With the holidays and the election behind us, we start 2024 with our annual business meeting. We'll be talking about new board members, goals for the upcoming year, and new projects. Funding remains in good shape. I've sent a wrap-up of the past year's financials. We came in over budget on revenue and under budget on spending. Our syndemic'outreach grant will start this month and we're excited to start providing services. Addressing substance abuse also tops the priority list. We now have enough funds in the opioid abatement fund to do some real work.The trick is getting all the partners together and agreeing on the path forward. We'll be taking a look at what other counties have done and putting our plan together in the very near future. We are very excited that WIC is about to open once again here in Mason County. It's been a two-year- long process getting to this point. We're looking at seeing our first clients on the first of March with a grand opening sometime before. We're instituting some new workforce training and development this year.The department received an additional $200,000 for hiring,training, and retaining. For years we've had little opportunity to sharpen our skills, partially because of responding to COVID and partially because of a lack of funds.This year should prove to be very rewarding. We held a workshop in December to work on resiliency. I feel that COVID really brought to light our need to be prepared for the stress and fatigue that comes with being in healthcare. Covid has increased since November but seems to be dropping off now.There simply are many bugs going around right now with increases in bronchitis and other respiratory ailments. Hopefully, now that we're past the holiday celebrations, we'll see everything decrease. We're watching the data to see if we're getting into a trifecta of flu, RSV, David Windom, MSHS and COVID.The COVID dashboard is now the Respiratory Illness Data Dashboard and measures flu, RSV, and COVID. 1"two parallel occurring epidemics that are unfolding in the same real-time together that may or may not have interconnections with one another." Figure 1: Influenza Positive Tests Reported to the CDC from WA Public Health Laboratories U) c 0 E U N d_. N U) 0 a 0 Z — -- 40 42 44 46 48 50 52 2 1 t 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 CDC Week(2023-2024 Season) e A(2009 H1PJ1) e A(Unable to Subtype) W 6(Subrypin9 not performed) M BV cm Figure 2: Influenza Positive Tests Reported to the CDC from WA Commercial Laboratories c W E 0 W n U) n) 0 d 0 a� E Z) Z 40 42 44 46 48 50 �2 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 CDC Week(2023-2024 Season) ❑ Influenza A ■ Influenza B 2 2 Washington State Influenza Update Environmental Health Briefing TO: Mason County Board of Health FROM: Ian Tracy, Environmental Health Manager DATE: January 23rd, 2024 ITEM: Solid Waste Abatement Fund SUMMARY: At our March and May 2023 Board of Health meetings we discussed using Foundational Public Health Services funds to abate severe solid waste accumulations on privately owned property where the owner is willing but neither physically nor financially able to complete the clean-up themselves. Since then, we have had several discussions with Chief Deputy Prosecutor Tim Whitehead and Lisa Frazier, Mason County Treasurer. Early in our discussions the Treasurer identified a problem with our proposal. Under our current abatement code, expenses for the abatement, if unpaid by the property owner, would be placed as a lien to be collected as property tax. Properties with unpaid tax for more than three consecutive years are subject to foreclosure by the county. A property owner would understandably be hesitant to agree to a county abatement when it could result in them losing their home three years later. It has been my understanding that the county does not have the desire to take a person's home because of unpaid abatement costs. We reviewed the abatement code for Thurston County and Kitsap County, and we found that they do not lien abatement costs on the property taxes and their abatements do not result in foreclosure. Their costs are recouped at some point in the future when the owner sells the property in a real estate transaction. We drafted proposed regulations which were shared with Lisa Frazier and Tim Whitehead. After several more meetings and discussions, Tim Whitehead recommended that we do not remove the requirements and instead retain the ability to foreclose to recoup abatement costs. REQUESTED ACTION: Board discussion. ATTACHMENTS: COMMUNITY HEALTH November - December 2023 COMMUNICABLE DISEASE & NOTIFIABLE CONDITIONS* LAW ENFORCEMENT • • 36 cases of Chlamydia ASSISTED DIVERSION LEAD (LEAD) LAW ENFORCEMENT *CD rates are suppressed for all counts <10 ASSISTED DIVERSION • J u ly 1, 2023 - N ove m be r 30, 2023: SUBSTANCE USE _ :y . Total admitted into LEAD: 130 new cases MOBILE Q,. • Number of individuals contacted through OUTREACH LE response vs. community referral: o Social Referrals: 18 (14%) o Community: 112 (86%) o Outreach referrals: 85 participants • Number of staff contacts: 0 0 1,298 unduplicated encounters •" o 30% with case management o 54% with peer counselor o 16% were a brief outreach OVERDOSE DATA TO ACTION (OD2A) LAW ENFORCEMENT CO- RESPONDER PROGRAM 7 iuu�spuL.. 1 'k �  Successful Overdose Reversals with Naloxone0 : A Calls In person • 288 Naloxone Kits distributed `` ,'.�.°N�O`~TY received contacts 9fsp I WA ya • 9 new people trained on overdose prevention, recognition, and response • Re-engaged with 66 participants to give refills COMMUNITY HEALTH November - December 2023 RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (RCORP) Olympic Health and Recovery Services (OHRS) and Public Health and Human Services staff continue outreach activities at the 3 mobile outreach locations, Highway 3 encampment, and transit centers. One of the main goals of RCORP was to interact with the community around overdose prevention and naloxone distribution. Between OHRS and MCPHHS at weekly outreach activities as well as community and agency trainings,staff: • Trained 329 individuals on overdose prevention and response, • Had 419 re-fill engagements for naloxone • Distributed 2,643 naloxone kits throughout Mason County • Collected reports on 444 successful opioid overdose reversals from program participants- hundreds of lives saved! Additionally, OHRS staff continue to provide SUD intensive case management and re-entry services in the county jail. OHRS has been working diligently with Mason County Sheriff's Office and Nisqually Jail to ensure clients continue to receive wrap around services for inmates who have been transferred to Nisqually due to staff shortages at the Mason County Jail. dM'1h, SUBSTANCE USE nM w"'"sw.�".a wwv�.�.E.� PREVENTION COALITION The Mason County Substance Abuse Prevention Coalition partnered with CHOICE High School, CEDAR High School, the Youth Connections, and Jeff Slakey of KMAS to conduct a Key Leader listening session in mid-November.25 students and 10 Community leaders including County Commissioners, the Mason County Sheriff, and the County and City Administrators. The Coalition partnered with the South Puget Intertribal Planning Agency and Alex Stroski of Washington Poison Control to conduct vape training for SPIPA tribal partners. North Mason and CHOICE High Schools have also partnered with the Coalition to promote events and awareness campaigns including Alcohol Awareness, Prescription Drug, Cannabis, and Vape lock boxes and take back boxes, Mental Health, and more. COMMUNITY HEALTH November - December 2023 �_ HOUSING & 4 HOMELESSNESS Health Conditions of Family Single % of persons in Emergency Shelter child) Mental Health 34 24% 81 25% Alcohol Use 0 0 9 3% Drug Use 6 4% 32 10% Both Alcohol & Drug 0 0 22 7% Use Chronic Health 23 16% 48 15% Developmental 26 19% 32 10% Disability Physical Disability 17 12% 66 20% History of DV 34 24% 34 10% TREATMENT SALES TAX (TST) RENTAL ASSISTANCE TST Rental Assistance is available through Northwest Resources II and Crossroads Housing; from July 1, 2023 through November 30, 2023, e25 unduplicated households and 12 individuai were served. COMMUNITY HEALTH November - December 2023 ~ MATERNAL AND CHILD HEALTH Elizabeth collaborated during case management meetings with a school, Division 0 of Children Youth and Families, and another agency to assist in meeting the needs of 3 Children with Special Health Care Needs clients different children and families. Elizabeth is coordinating the Immunization RN care coordination was provided for: Improvement Plan for the county, directed Transportation needs, toward increasing childhood vaccination rates DDA and SSI application assistance, which decreased during the pandemic. The Resources, next Immunization event is on February 22nd in Healthcare coordination, and partnership with the Department of Health and • Interpreter services Care-a-Van (mobile vaccination services). Mason Matters A QK FA MASON COUNTY HEALTH COALITION Mason Matters released a project "w•a� .... ... proposal template for Health •---•�M� '•`w�ti Coalition Workgroups to request funding for community health improvement projects in Healthy Living, Behavioral Health Prevention :. •"�� " '�"•" -•�-�- °-- • � ` " and Treatment, Affordable and Healthy Housing, Access to Healthcare Services, Trained and Prepared Workforce (Education & Employment), Empowered Families, and Healthy Physical Environment. p ••r Ynre COMMUNITY HEALTH November - December 2023 CHRONIC DISEASE PREVENTION In 2024, we are focusing on disease prevention throughout the lifespan! We are reaching out to our community partners & creating opportunities to expand Health & Wellness in Mason County. ACCESS TO BABY AND CHILD DENTISTRY (ABCD) PROGRAM Cavi+y Fi9h+in9 in Mason Coun+y with D Den+al In 2023 Mason Coun+y Public Heal+h in Par+nersh1P with ABC ) den+ol Provided More than GOO Mason County Kndergor+eners with Dental Kits! Newborns at Mason Health with a Eger brush L, Educational Brochure! sponsored * R South Mayon Youth Soccer Team the Cavity Fi9h+ers! Ou+reach * +o Mason Goun+y den+i-+s +o expaM den+al resources ror kids! r R++ended Fore-0 Festival & Health Fairs where we Provided toothbrushes & resources � E ducoted Attended Sa�-e+y Days with Nor+h Mason Schools, where we tough+ oral 40 ' HeaHh and den+al friendly food choices ' Looking �-orword +o zDz We are looking JPorward to Partnering with Mason County WIG!