HomeMy WebLinkAbout2024/10/22 - BOH Packet MASON COUNTY
= COMMUNITY SERVICES
Building,Planning,Environmental Health,Community Health
MASON COUNTY BOARD OF HEALTH
October 22, 2024
1:00 p.m.
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 (July 22,2024)—ACTION Board Members
4. Health Officer Report Dr. Steve Krager
5. Administration Report Dave Windom
a. Family Planning discussion
b. Mobile Clinic discussion
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
msmithg,masoncountMa.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
July 23,2024
Attendance: Randy Neatherlin,County Commissioner;Kevin Shutty,County Commissioner; Sharon Trask,
County Commissioner;Dr. Steven Krager,Health Officer;Darrin Moody,Hospital District No. 1;Peggy
VanBuskirk,Hospital District No.2;Miguel Gutierrez,City of Shelton;Ian Tracy,Environmental Health
Manager;Elizabeth Custis,Public Health Nurse;Rachel Hook,WIC Coordinator;McKenzie Smith, Clerk of
the Board;Dedrick Allen,MasonWebTV.
1. Chair Neatherlin called the meeting to order at 11:00 a.m.
2. Approval of Agenda
Cmmr. Trask/Peggy VanBuskirk moved and seconded to approve the agenda as presented. Motion
carried.
3. Approval of Minutes
Peggy VanBuskirk/Cmmr. Trask moved and seconded to approve the March 26,2024 minutes as
presented. Motion carried.
4. National Breast-Feeding Month Proclamation
Elizabeth Custis read the National Breastfeeding Month proclamation.
Miguel Gutierrez/Peggy VanBuskirk moved and seconded to approve the National Breastfeeding
Month proclamation. Motion carried.
5. Health Officer Report
Dr. Steven Krager shared a PowerPoint presentation on Tuberculosis and smoke from fires.
6. Administration Report
David Windom provided the Administrator's report and shared a PowerPoint presentation on Public
Health financials and the Local Board of Health(LBOH)Workshop—Statewide Orientation Efforts.
An update was provided on the new building. Other discussions included family planning,funding for
Hepatitis C,mobile outreach,and the purchase of a new mobile outreach vehicle.
7. Environmental Health Report
Ian Tracy discussed the Sanitation Policy which is to provide guidance to staff and ensure consistency
around non-permitted living conditions i.e.tents,recreational vehicles(RVs),campers, sheds,cars etc.
Currently there is no support to prosecute these cases. Darrin Moody suggested a partnership between
the City of Shelton and the County for dedicated contracted Prosecutor for code enforcement.
Darren Moody/Miguel Gutierrez moved and seconded to set a special meeting to continue discussion
around the Basic Sanitation for Non-Permitted Living Conditions Policy. Motion carried.
Ian shared the On-Site Sewage Advisory Committee(OSAC)application from Keith Fuller.
Cmmr. Trask/Peggy VanBuskirk moved and seconded to approve appoint Keith Fuller to the On-Site
July 23,2024 Board of Health Minutes
Sewage Advisory Committee. Motion carried.
Ian discussed the request for a new food establishment permit type for street vending. This type of
food establishment has a lower cost of entry for those looking to start a food business,at the expense
of limitations to the food menu. Thurston County is in their second year of allowing this type of
establishment. Miguel shared his support and would like an established location option for street
vending. "No on-site food prep"means that food would have to be made at a commissary location.
Peggy VanBuskirk/Cn=. Trask moved and seconded to approve the Street Vending Food
Establishment Policy. Motion carried.
8. Community Health Report
Melissa provided the Community Health report.
Rachel Hook shared WIC met its state goal of 300 participants. The 2023 breastfeeding rates were
35.9%for the United States,47.4%for Washington State,and 56%for Mason County's WIC
program. The WIC World Breastfeeding Celebration will be held at the Mason County WIC on
August 2,2024 from 2:00 p.m.to 4:00 p.m.
Melissa discussed the Request for Proposals(RFP)for Homeless Response System expansion in the
amount of$512k.
9. Other Business and Board Discussion
Next regular Board of Health meeting will be Tuesday,October 22,2024 at 11:00 a.m.
1. Public Comments
No public comment at this time.
2. Adjourned at 12:45 ap.m.
ATTEST MASON COUNTY,WASHINGTON
BOARD OF HEALTH
MASON COUNTY,WASHINGTON
McKenzie Smith,Clerk of the Board
Darrin Moody,Hospital District#1
Miguel Guiterrez,City Council
Kevin Shutty,Commissioner
July 23,2024 Board of Health Minutes
Randy Neatherlin, Commissioner
Sharon Trask,Commissioner
Peggy Van Buskirk,Hospital District#2
Gary Plews,Fire Commissioner
Keri Davidson, Shelton School Board
July 23,2024 Board of Health Minutes
From the Directors Desk
September 2023
Welcome to Fall!
Much like this period last year, we have seen a recent uptick in COVID cases throughout the community
with some effect on the workplace.The state has recently revamped the data dashboard (COVID-19 I
Washington State Department of Health) and local county data is no longer being reported.
Trend:Percent of COVID-19 Hospitalizations for Statewide
---2021-2022 -2022-2023-2023-2024-2024-1,25
20%
15%
10%
0%
October November December January February March April May ._ a July August September
Hospital Admission Date
The CONCON (consolidated contract) ends on Dec. 31 and starts again on Jan. 1, 2025. Our FPHS funding
for calendar year 2025 has already been sent. There will be new language in the CONCON around
funding cycles as the state fiscal year and the county fiscal year are different and this has caused
confusion in the past. We hope to have the draft CONCON in the next week or so and have our changes
added to it and have it returned to DOH by November 5cn
Funding for 2025 from the state looks stable but we will have a new governor and major changes in the
state legislature. Governor Inslee is submitting his budget in December with a decision package request
from DOH for 220 million in new funding. Foundational public health increases account for 45 million of
that number.
We have moved into our new building on the hospital campus! Our open house was on the 11' and was
well attended. Our team now has more room, and we have clinic rooms that we are starting to build for
future use in testing and treating hepatitis C and eventually opening a family planning and STD clinic at
the new location. We are also exploring replacing our current syringe exchange with a mobile unit that
will have the capability for both behavioral health and wound care and may add a second vehicle for
public health outreach, community wellness,vaccinations, A1C checks, education, and more. We'll be
discussing this more at length during the BOH meeting.
David Windom, MSHS
From the Director's Desk I
ShOon Physical Therapy
Sports Medicine clinic
Mason County Public Health
and Human Services
k
Public Health and
Human Services
i
■
- MASON COUNTY
C We can't forget that flu season is also
just around the corner. Our flu season
usually starts upward during early
October and peaks in late December
or early January.
Environmental Health (EH) Report - Mason County Board of Health
October 22, 2024
From Ian Tracy, Environmental Health Manager
General Program Updates
On October 1 It, Vladimir Nekrutenko was promoted from an EH Specialist, Senior to our new EH
Supervisor position. In this position, Vladimir will coordinate the day-to-day operations of the
programs, develop program statistics, process improvements, etc. Our program staffed an
educational booth at Oysterfest focused on outreach for water quality and onsite septic
maintenance.
Water Quality
The program lost JJ Stepan in August, who left to pursue a new career path. On October 1 st,
Vladimir Nekrutenko was promoted internally to be the EH Supervisor, and Noah Roland, who
came to us from Washington State Parks and Recreation, started work in the program. We have
one remaining vacancy to fill for this program. The Mason County Clean Water District annual
water quality report has been finalized. See attached.
Onsite Septic
Our Residential Septic System permit application became available online in August. This
completely paperless process has made permit submission more convenient for customers who
design systems electronically. Our Annual Septic Blitz took place in August. We mailed
maintenance reminder postcards to over 25,227 homes in Mason County. Septic Permitting staff
attended a 3-day ordinary high water mark training hosted by the Department of Ecology. This
training will help our septic permitting staff identify critical areas and better coordinate with the
Planning Dept.
Food
Our inspectors are now conducting food inspections using tablets and Inspect2Go. The new
software replaces the multipart state inspection forms. The online database of inspection reports is
not yet available to the public. Our vendor is working out a few issues but we hope to have it
available soon. We are currently working with seven(7) interested applicants to permit our first
Street Vendor Food Establishments. No Street Vending establishments are presently in operation.
Solid Waste
EH, in conjunction with the Fire Marshal, the Prosecutor's Office, and the county Fire Chiefs, have
teamed up to develop a new policy to tackle solid waste burning in the county. In the past, it has
been challenging for the Fire Chiefs to pursue enforcement for illegal burning, but they are
typically the first responders who witness the fire. EH staff have enforcement authority, but rarely
do we witness burning of solid waste. Under the new policy EH staff are using the reports and
testimony of Fire Dept. staff to issue infractions for solid waste burning.
Attachments: Annual Water Quality Report
MASON COUNTY
Public Health & Human Services
2024 Water
Quality
eport
July 2023-June 2024
Mason County Clean Water District
Vladimir Nekrutenko, RS
Mason County Environmental
Health
Overview
The Mason County Clean Water District
(CWD), established in 2021, is a shellfish _ _ _ _
protection district defined by the
I Z_
boundaries of the Hood Canal, Oakland
Bay, Case Inlet, and Totten/Little
Skookum watersheds in Mason County.
With guidance from the CWD Advisory Hood Canal
Committee, Mason County Environmental
Health staff carry out a variety of tasks
throughout the year in order to monitor
i Case
and improve water quality within the Inlet
district, including:
• Year-round ambient monitoring of Oakland Bay
33 rivers and streams
• Shoreline surveys in sensitive
Totten
shellfish growing areas, including ittle Sk um
Oakland Bay and Annas Bay I _ _ _ _ _ _ _ _
• Door-to-door water quality surveys
of properties with unmaintained or
deficient onsite septic systems
located near surface water Clean Water District,/
• Quarterly CWD Advisory Committee watershed boundaries
meetings, and other collaboration
with our local water quality partners I_ _ J Mason County border
• Many smaller, investigative sampling
projects scattered throughout the
year
Ambient Monitoring Program
Mason County Environmental Health staff collect monthly coliform bacteria
samples from 33 different rivers and streams located throughout the county.
Over the next few years, we hope to generate a robust set of water quality data
that can be used to identify seasonal trends and catch bacteria hotspots as they
appear.
21Page
Ambient Monitoring V,,,VjdW,,c
Results H&Wna Kwrvnd F4VW • t,
Geef� • r� 1
Many of the streams with lower grades Av(xk� - - - - - -- - - - 41, ;
flow through/out of some of the most r '
populous parts of the county. Sources EageCra* •
of coliform bacteria pollution in these „ •
areas include improperly maintained �" De�� ,
septic systems, pet/livestock waste, and
LAt*"2WMC * De•ee..
untreated stormwater runoff from F" � G.
impervious surfaces. Through this = StwnwnGeer OTrebErd
Cleo
monitoring program, we are W,G.f • � .� �
able to detect, track down, and address CM*
many of these pollution sources as they ,
�
arise. Cie*
Alil:" PAW
<20 <140
<30 <170 j
<40 <200 �•'
<100 <350
<200 <500 c,arer�►p�.
.. Den Ge�
2 200 2 500 A"&Ge* ►wmwr 6i
`Grades green through orange meet state standards for �
coliform bacteria. Grades of red or brown fail to meet
state standards and need improvement. �„,�,,,q,�, It �""°'CIO*
�� lrxk?Jm
Click here to view a map with up-to- ';�
date graphs of month-to-month water. ,
quality data.
Ebm Gael • I • sxrde sloe
Click here to view PDFs of raw ►•ter�� > .
ambient monitoring data, including
data on temperature, pH, dissolved -- N
oxy eg_n, and turbidity. r A
31Page
Shoreline Surveys
Three shoreline surveys were conducted in the 2023 wet season, and two shoreline
surveys were conducted in the 2024 dry season. During a shoreline survey, county staff
walks along a section of shoreline at low tide, locating and sampling every significant
source of freshwater runoff found flowing onto the shore. This process is one of the most
thorough and effective ways of detecting and correcting potential bacteria hotspots in
sensitive areas. Presently, our shoreline survey efforts are focused on commercial shellfish
growing areas that have been downgraded by the Washington State Department of Health,
like those found in Oakland Bay, Annas Bay and North Bay. Going forward, we hope to
continue to conduct both a wet season and a dry season survey of Oakland and Annas
Bays each year.
Oakland Bay Shoreline Survey
While the area of Oakland Bay shown here
is crucial to both commercial and t
recreational shellfish harvesters, it is also
highly susceptible to coliform bacteria : a
pollution from a variety of sources,
including improperly maintained septic
systems, livestock, and pet waste.
During October 2023 and June 2024, *�'• ;^
~3.5 miles of shoreline was surveyed
along Oakland Bay, and 26 different
drainages were identified and sampled. ',e
Across all samples, only two hotspot was » "
identified, which were located on the north
shore of Oakland Bay. The map to the right
,�.
shows the areas of shoreline that were `
surveyed.
41
Annas Bay Shoreline Survey
Annas Bay, like Oakland Bay, serves as an
important growing area for commercial
shellfish harvesters, but is also susceptible
to coliform bacteria pollution from
contaminated freshwater drainages. �
In October 2023 and in June 2024, ~4.5
miles of shoreline was surveyed along the
eastern shore of Annas Bay, and 20
drainages were identified and sampled. An
additional 9 drainages were located and
sampled along ~1.5 miles of the southern
shore of the Skokomish River. •�,
Two hotspots were identified during this �=
survey, but a variety of potential pollution
sources were monitored in this area 'x -
throughout the year, including livestocks, n
and deficient septic systems.
i
51
North Bay Shoreline Survey
Due to its history and recent water quality '
concerns Mason County Staff conducted a ;
shoreline survey for North Bay in February 0.
2024. North Bay is located at the north end _
of Case Inlet in southern Puget Sound. Most
of the development within the watershed is
r
along the marine shoreline and in the
watersheds of Sherwood and Coulter Creeks. �.►
The town of Allyn is located on North Bay's ,
west shoreline and is a home for many jr
commercial and residential properties most
of which are connected to public sewer.
i r•
In February 2024, ~0.8 miles of shoreline
was surveyed along the western shore of
North Bay within the Allyn city limits, and 9
drainages were identified and sampled.
Eight hotspots were identified, and our staff
continues to sample those drainages in h
coordination with DOH Marine Sampling
events of North Bay. In addition, we are
currently anticipating a grant that will ,
provide us with funding to evaluate the �"-
current sewer system and plan for
infrastructure improvements.
61
Septic System and Water Quality Surveys
Throughout the year, county staff visit dozens of properties located all over the CWD to
assess potential water quality risk factors and offer guidance to homeowners. Properties
located near surface water that have unmaintained, deficient, or failing septic systems
make up the vast majority of properties surveyed. Properties with livestock, pets, and
other coliform bacteria sources are also often assessed.
Onsite Septic System (OSS) Surveys
Mason County is home to over 26,000 onsite
septic systems, many of which are located - - - -
near surface water. From July 2023 through
June 2024, county staff visited and assessed '
Z-
a total of 391 properties with deficient septic
systems located near streams and shorelines.
Property owners were educated about the Hood Canal
risk their systems pose to surface water I 86 surveys;6 repairs
quality and were encouraged to get their
systems inspected and repaired. Of the 391 Case
properties surveyed, 58 property owners Inlet
followed up later to report that their systems ; 118 s eys
had been repaired. `1 3re airs
i Oakland Bay
i
This map shows a breakdown of the number 186 Surveys;49 repairs
of properties surveyed and the resulting Totten
number of OSS repairs made in each ittle Sk um
watershed within the district. 1 Survey; repairs
71Page
Shellfish Growing Areas Updates
The goal of the Mason County Clean Water
District is to ensure clean water resources, •
and to address non-point pollution sources
affecting shellfish harvest areas. In the past 1 1 5 r•• �'
year the district has seen classification 21
changes in 3 growing areas within the
Clean Water District. �''
1
On September 14, 2023, the Washington -
4
State Department of Health (DOH)
downgraded the classification of 30.E acres
of the Hood Canal 6 Shellfish Growing
Area near the mouth of the Tahuya River
from Approved to Prohibited. This zt
classification change was made in response "
to DOH marine monitoring station 217
failing to meet the National Shellfish
Sanitation Program (NSSP) water quality �- 01
standards for Approved classification. •
On September 14, 2023, DOH downgraded
the classification of 14.1 acres of Hood Cx '
Canal 5 shellfish growing area near the
mouth of Lilliwaup Creek from Approved
to Conditionally Approved. The '� �' , _ ,= ' _
classification change was made in response Rr party
to DOH marine monitoring station 186
failing to meet the NSSP water quality
standards for Approved Classification.
ti
Growing Areas
14eets Approved Water Quality
Approved Standard
n Conditional ■ No
Prohibited ■ Yes
Restricted
Unclassified
8 Page
In February 2024 DOH upgraded the 11'
classification of 73 acres of Oakland Bay
shellfish growing area north of the City of -'
Shelton Wastewater Treatment Plant from
41
Restricted to Conditionally Approved. The
classification change was made due to
improvement at the plant and increased
holding capacity.
�u
Ao
` j
'115
M • 24
Grov,ing Areas
M-eets Approved Water Quality
Approved Standard
Conditional ■ No
Prohibited ■ Yes
Restricted
Unclassified
Other Projects
County staff carried out a variety of brief water quality projects during the 2023/2024
water year, including:
• Freshwater sampling events synchronized with DOH marine water sampling days.
• Investigative sampling of high-risk drainages near shellfish harvest downgrade
areas.
• Bracket sampling to track down septic system failures and other sources of
coliform bacteria pollution.
• Outreach efforts in Tahuya and Lilliwaup Watersheds as part of Closure Response
Plan implementation to upgrade those shellfish growing areas.
9 1 P a 9 e
\:i4, MASON COUNTY
Public Health & Human Services
COMMUNITY HEALTH
July - September 2024
---------------------------------------------------
......................................................................................................
• COMMUNICABLE DISEASE & LAW ENFORCEMENT
• NOTIFIABLE CONDITIONS* � ASSISTED DIVERSION
• LEAD (LEAD)
LAW ENFORCEMENT
ASSISTED DIVERSION
53 cases of C h i a nnyd i s
*CD rates are suppressed for all counts<10
July 1, 2024 - September 30, 2024:
• Working on entering 2024 cases into WDRS • Total admitted into LEAD: 56 new cases
• Screening for rule-out TB cases Number of individuals contacted through LE
response vs. community referral:
o Arrest Diversion: 3
SUBSTANCE USE o social Referrals: 20
o Community:33
MOBILE OUTREACH Q. Number of staff contacts:
o 787 unduplicated encounters
�+��
„t.R`FF K LAW ENFORCEMENT CO-
RESPONDER PROGRAM
PE, WA
/ \j
OVERDOSE PREVENTION
Total
EDUCATION AND NALOXONE Quarter clients #caseload Cl ents
Enrolled Carryover Served
DISTRIBUTION (OPEND)
1 Jan-Mar 134 38 172
LNARCAN,__ / 2 Apr-Jun 118 31 149
Successful Overdose
Reversals with Naloxone S Jul- 141 26 167
p
• 557 Naloxone Kits distributed
• 40 new people trained on overdose Total YTD 393 95 488
prevention, recognition, and response
• Re-engaged with 84 participants to give refills
fi MASON COUNTY
Public Health & Human Services
COMMUNITY HEALTH
July - September 2024
---------------------------------------------------
......................................................................................................
WOMEN, INFANT AND, CHILDREN (WIC) 1\'
Current Caseload: 436 (Goal from the WA State WIC Program is 300)
We participated in the YMCA Family Fun Day and had discussions on healthy eating and
physical activity; we also participated in the Shelton Back to School Fair. We hosted a
celebration for World Breastfeeding Day with our breastfeeding participants. This celebration
sparked the idea for our upcoming breastfeeding classes and support group beginning in
October.
HEALTH EDUCATION AND OUTREACH
In the months of July - September, there was a total of 92 social media posts with an average
3.89% engagement rate.
We attended the PUD 3 Employee Wellness Fair, The Bite of Shelton, and the Overdose
Awareness events. We also promoted our move to the new building on Kati Court.
r'1 We are Moving!
MASON COUNTY
fi MASON COUNTY
Public Health St Human Services
COMMUNITY HEALTH
July - September 2024
----------------------------------------------------
HOUSING AND HOMELESSNESS
�[B n
January 1 - September 30, 2024
Adult Emergency Shelter
Number of persons that exited within date 278
range
Number of clients who exited to permanent 27
housing
Mental Illness 44.84%
Drug Use Disorder 32.38%
Domestic Violence 29.54%
Physical Disability 25.98%
Chronic Health Condition 20.64%
Alcohol Use Disorder 14.95%
Developmental Disability 13.52%
•of HH meet any one of the above criteria 78.29%
•of HH meet any two of the above criteria 55.87%
•of HH meet any three of the above criteria 31.67%
fi MASON COUNTY
Public Health & Human Services
COMMUNITY HEALTH
July - September 2024
---------------------------------------
SUBSTANCE ABUSE PREVENTION COALITION
Panex Ewu PI.....
$RRfIIR([IRU$f
IRFVFRiI WEABUSECOA-M The Mason County Substance Abuse Prevention Coalition
�VV participated in the first-ever Mason County Bike Rodeo and Annual
Overdose Awareness events in Shelton and Belfair. Ben Johnson
participated in organizing and implementing the Bi-Annual
Washington State Rural Communities Substance Abuse Prevention
Conference in Yakima. Over 100 participants from rural communities
throughout the state participated. Our Prevention Coalition's training
included information from Washington State Liquor and Cannabis,
new laws, and policy updates.
We also have two significant events upcoming: The yearly Coalition
Fundraiser at Oysterfest and our very first Mason County Latinx
Substance Abuse Prevention Summit on November 14th .
~ MATERNAL AND IMMUNIZATION
IMPROVEMENT
CHILD HEALTH
• Ongoing partnership with the DOH
• Individual case Immunization Team, Health Care Authority
management was provided (HCA), and community providers/agencies
for 31 families from July to increase immunization rates for Mason
through September County children under 3 years of age. In
• Communicated the September, HCA sent a letter to all Mason
updated requirements for County children whose immunizations
the Developmental were incomplete
Disabilities Administration • Connected with another childcare facility
to families of children with and HeadStart to assist them in getting
special needs and agencies access to the WA Immunization
serving them Information System
• Provided support and outreach for 3
immunization clinics