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Home My WebLink About2025/01/28 - BOH Packet MASON COUNTY = COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health MASON COUNTY BOARD OF HEALTH ■ January 28, 2025 : ■ 11:00 A.M. HEALTH Commission Chambers is 411 North 5ch Street ® Shelton, WA 98584 DRAFT AGENDA 1. Welcome and Introductions Randy Neatherlin, Chair 2. Approval of Agenda—ACTION Board Members 3. Resolution to set 2025 Meeting Dates—ACTION Board Members 4. Elect Officer positions—ACTION Board Members 5. Approval of Minutes (August 13, September 17, and Board Members October 22,2024)—ACTION 6. Health Officer Report Dr. Steve Krager 7. Administration Report Dave Windom a. Board of Health positions b. Strategic Plan c. Fiscal d. Pilot Program e. Acting Health Officer Coverage ILA—ACTION 8. Environmental Health Report Ian Tracy 9. Community Health Report Melissa Casey 10. Other Business and Board Discussion Board Members 11. Public Comments 12. Adjourn Mason County Public Health 415 N 6th Street, Bldg. 8,Shelton WA 98584, Phone: (360)427-9670 ext. 869 ❖ Fax: (360)427-7787 If special accommodations are needed, please contact McKenzie Smith at(360)427-9670 ext. 589 or at msmith@masoncountywa.gov. RESOLUTION NO. 25-01 A Resolution setting the 2025 meeting dates for the Mason County Board of Health WHEREAS, the Public Health and Human Services department supports the administrative requirements of the Mason County Board of Health and provides public notice;and, WHEREAS,the Board of Health meets regularly to address the public health needs of Mason County; and, NOW,THEREFORE,BE IT RESOLVED,by the Mason County Board of Health that the meetings for 2025 will be held at 11:00 a.m. on the following dates: January 28,2025 April 22,2025 July 22,2025 October 28,2025 DATED this 28th day of January,2025. ATTEST MASON COUNTY,WASHINGTON BOARD OF HEALTH MASON COUNTY,WASHINGTON McKenzie Smith,Clerk of the Board Darrin Moody,Hospital District#1 Miguel Gutierrez,City Council Pat Tarzwell,Commissioner Randy Neatherlin,Commissioner Sharon Trask,Commissioner Peggy Van Buskirk,Hospital District#2 Rachel Armas,Squaxin Island Health Director Keri Davidson, Shelton School Board MASON COUNTY BOARD OF HEALTH PROCEEDINGS 411 North 511 Street,Shelton,WA August 13,2024 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;McKenzie Smith, Clerk of the Board;Dedrick Allen,MasonWebTV. 1. Chair Neatherlin called the meeting to order at 11:01 a.m. 2. Approval of Agenda Cmmr. Trask/Peggy VanBuskirk moved and seconded to approve the agenda as presented. Motion carried. 3. Environmental Health Report Ian discussed the Basic Sanitation Policy to provide guidance to staff and ensure consistency around non-permitted living conditions i.e. tents,recreational vehicles(RVs),campers, sheds,cars etc. Public Health and Human Services is aware the individuals are living in those conditions. Currently there is no support to prosecute these cases. The goal of this policy is to address these situations and provide guidance on unpermitted living conditions. This includes setting standards with achievable goals. Porta-potties,which are chemical toilets,would be allowed under this policy. Specific setbacks would also be required. If this policy is approved,a Waste Management Plan(WMP)form will be created to lay out sewage solutions and how concerns will be addressed. If the plan is not followed,an infraction will be issued to the property owner. Individuals are given one month to develop a WMP. Dave added that the purpose is to mitigate the risk. An assistance packet will be provided to help individuals as well. RVs are suggested to get an additional holding tank. Owners are receiving notice of violation. Darrin suggested hiring contracted Prosecutors for code enforcement. Cmmr. Shutty/Peggy VanBuskirk moved and seconded to approve the Basic Sanitation Policy and allow the Chair to sign. Motion carried. (Darrin,Cmmr.Neatherlin opposed) 4. Other Business and Board Discussion No other business or board discussion. 5. Public Comments No public comment at this time. 6. Adjourned at 11:55 a.m. 1JAugust 13 , 2024 Special Board of Health Minutes ATTEST MASON COUNTY,WASHINGTON BOARD OF HEALTH MASON COUNTY,WASHINGTON McKenzie Smith,Clerk of the Board Darrin Moody,Hospital District#1 Miguel Gutierrez,City Council Kevin Shutty,Commissioner Randy Neatherlin, Commissioner Sharon Trask,Commissioner Peggy Van Buskirk,Hospital District#2 Rachel Armas, Squaxin Island Health Director Keri Davidson, Shelton School Board 2jAugust 13 , 2024 Special Board of Health Minutes MASON COUNTY BOARD OF HEALTH PROCEEDINGS 411 North 511 Street,Shelton,WA September 17,2024 Attendance: Randy Neatherlin,County Commissioner;Kevin Shutty,County Commissioner; Sharon Trask, County Commissioner;Darrin Moody,Hospital District No. 1;Peggy VanBuskirk,Hospital District No. 2; David Windom,Public Health and Family Services Director;Melissa Casey,Community Health Manager; Christina Muller-Shin,Community Health Program Assistant;McKenzie Smith,Clerk of the Board; and Dedrick Allen,MasonWebTV 1. Chair Shutty called the meeting to order at 10:00 a.m. 2. Approval of Agenda Cmmr. Trask/Peggy VanBuskirk moved and seconded to approve the agenda as presented. Motion carried. 3. Program Expansion for Substance Use Mobile Outreach Melissa Casey shared additional funding was received from the Department of Health(DOH)to expand the current mobile program to add clinical services such as STI,HIV, and Hepatitis C testing and treatment. Transportation and mobility challenges continue to be an issue. Staff have met with legal and risk management to ensure this work is covered under the scope of work. Christina Muller-Shin shared that this program began in November of 2018 and provided a five-year report on participant breakdown,demographics, site usage,risk factors,behaviors,and needs. Christina shared the Substance Use Mobile Outreach Home Service Program Expansion presentation. Topics included a presentation overview,background,proposed service expansion,why home services, safety considerations,next steps,and feedback. This would be a one-year pilot program with the mission to remove barriers for access. Peggy VanBuskirk/Cmmr. Trask moved and seconded to move the Program Expansion for Substance Use Mobile Outreach to the Board of County Commissioners with support from the Board of Health. Motion carried. 4. Other Business and Board Discussion No other business or Board discussion. 5. Public Comments No public comments at this time. 6. Adjourned at 10:43 a.m. 11September 17 , 2024 Special Board of Health Meeting 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 Rachel Armas, Squaxin Island Health Director Keri Davidson, Shelton School Board 21September 17 , 2024 Special Board of Health Meeting MASON COUNTY BOARD OF HEALTH PROCEEDINGS 411 North 511 Street,Shelton,WA October 22,2024 Attendance: Randy Neatherlin,County Commissioner;Kevin Shutty,County Commissioner; Sharon Trask, County Commissioner;Peggy VanBuskirk,Hospital District No. 2;Keri Davidson,Shelton School Board; Rachel Armas, Squaxin Island Health Director,Ian Tracy,Environmental Health Manager;McKenzie Smith, Clerk of the Board; and Dedrick Allen,MasonWebTV 1. Chair Neatherlin called the meeting to order at 1:00 p.m. 2. Approval of Agenda Cmmr. Shutty/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 July 22,2024 minutes as presented. Motion carried. 4. Health Officer Report David Windom shared that Franklin County has set up Incident Command for an outbreak of H5N1 — bird flu;two people are sick. Individuals with chickens are advised to watch for signs of bird flu. Dr.Krager is working with staff on the syndemic grant and how to align spending of those funds and how to do outreach to the community. A lot of this is done around Hepatitis C testing and treatment. The Advanced Registered Nurse Practitioner(ARNP)position was approved last spring and instead of staffing,a contracted position may be requested instead There have been a number of Tuberculosis(TB)case rule outs. 5. Administration Report David discussed the updated Consolidated Contract(CONCON),a claw back provision has been included so that if work is not done to approval the money can be pulled back. The Governor's budget will be released in December. It will be a long session,and results won't be seen until the end of April or early May. November 5 Health Directors and Officers will be meeting with the Secretary of Health to go over topics such as Foundational Public Health Services(FPHS). There will be a meeting with Washington State Association of Counties(WSAC)at the end of November regarding the legislative agenda. Public Health is looking at expanding the Mobile Health Clinic and have been meeting to discuss plans,how to fund the clinic,what type of vehicle,the possibility of leasing the vehicle,ensuring that the mobile clinics are not overlapping but are filling in gaps,and working on prescreening. A request for bids is being put together for two vehicles—a behavioral health vehicle and a mobile health vehicle. An organization out of Pierce County meet with staff to discuss mobile mammograms. A couple of companies are looking at Mason County as a pilot for Washington in regards to syringe exchange and for mental health counseling. The hospital leased a building to Public Health for family planning work. Legislation is changing some family planning aspects under the Affordable Care Act. Some new staff have been hired,the business model still needs decided,and clinic rooms and a lab are being outfitted. Tasso has a device that takes blood samples,and you are able to get results back in the next couple of days and has offered to give Public Health fifty(50)free samples. 6. Environmental Health Report Ian shared general program updates,water quality,onsite septic,food, and solid waste, and provided the 2024 Water Quality Report. 7. Community Health Report David shared Melissa is looking at 2025 goals and life course work(obesity,diabetes,etc.). Jacob is looking at trends for the past ten(10)years to see what has led up to smoking,diabetes,and obesity rates. Smoking rates are rising due to vaping and the obesity rate is at 66%. The County Health rankings have slightly changed from colors to shades of green. 8. Other Business and Board Discussion No other discussion. 9. Public Comments No public comment 10. Adjourned at 1:34 p.m. ATTEST MASON COUNTY,WASHINGTON BOARD OF HEALTH MASON COUNTY,WASHINGTON McKenzie Smith,Clerk of the Board Darrin Moody,Hospital District#1 Miguel Gutierrez,City Council Pat Tarzwell,Commissioner Randy Neatherlin, Commissioner Sharon Trask,Commissioner Peggy Van Buskirk,Hospital District#2 Rachel Armas, Squaxin Island Health Director Keri Davidson, Shelton School Board From the Directors Desk January 2025 Welcome to the New Year! These past two months have been incredibly busy with state and federal elections and transitions with elected and appointed positions. In addition to a new governor and president, we have a new interim Secretary of Health,Jessica Todorovich.Jessica has been the Chief of Staff for the Department of Health for many years and is well known to local public health. We look forward to working with her this coming year. Influenza came back in 2022 but has only been moderate in 2023 and 2024. Among our best accomplishments of 2024 is WIC. We have more than exceeded our required number of 500 active clients.The partnership between Mason Health,YMCA, and Mason County Public Health has been advantageous. It's great to see families being served in our own community again. As you know,we've moved into a new building on the hospital grounds, and our new signage is now in place. We are advertising for an ARNP to help us establish family planning in the clinical spaces in the new building.This will help fill a gap in services in the community that has existed since 2022. Financially, we're looking reasonable, and current graphs are included in the packet. This legislative session has an ask for additional FPHS dollars, but I don't expect much progress on the FPHS front, but I don't expect a decline either.The legislature and the governor will be working on the state budget but our budget is solid until at least June 30. We'll talk more about how public health funding at the Board of Health meeting. David Windom, MSHS Director January 2025 Welcome to the New Year! Trend:Percent of Influenza Hospitalizations for Statewide ---2022-2023----2023-2024-2024-2025 au aw 4% 2% ........ .. ..... ----------------- nn October November December January February March April May June July August September Hoswtal Admission Date 2024 Financials Cash Flow past Five Years 2020 - 2024 Cash Flow 1,500,000 1,000,000 500,000 0 Jan Mar Jul Aug Dec -500,000 -1,000,000 -1,500,000 2020 2021 2022 2023 2024 $4,000,000 Fund Balance Treasurer took May investment $3,500,000 2,205,000 ■2022 ■2023 $3,000,000 ' ■2024 $2,500,000 $2,000,000 $1,500,000 $1,000,000 $500,000 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 Revenue as budgeted Budget vs Received 3,000,000 2,500,000 2,000,000 1,500,000 1,000,000 500,000 0 . . . ■ r Federal State Funding Permits Fees County Transfer in Opioid Misc Revenue Investment Dollars Contribution Mental Health Settlement Earnings ■ Budgeted ■YTD Revenue YTD by Source State Funding Revenue 46% Permits 9% Federal Dollars Fees 2 2% 896 J `�Misc Revenue Investment 0% County Transfer in Mental 0 Earnings Contribution Health l 3% 6% 2% Opiod Settlement 4% Ex ense by Sector p Intergovernmental EXPENDED 0% Internal Charges 6% Services 29% Salary and Wages 44% Supplies 3% Benefits 18% Expense 2024 Budgeted vs Expended $2,500,000 $2,000,000 $1,500,000 $1,000,000 $500,000 $0 Salary and Wages Benefits Supplies Services Intergovernmental Internal Charges 0 Budget 0 Expended Total Expense 2024 Total Expense 3000000 oo 2500000 2000000 1500000 1000000 500000 0 Total Salaries & benefits Operating Internal Capital Outlay ■ Budget total 0 total expense BARS Report from DOH , 3 Years Behind BARs Rep ort 2021 County Gov 3% fftle, Fees&permits 27 DOH FPHS 3% State Assist to County Fed through DOH 6% 37% Other State 5% 0 0 ■County Gov 0 0 Fees&permits 0 0 DOH 0 0 FPHS 0 0 State Assist to County 0 0 Other State 0 0 Fed through DOH 0 0 Fed Other County Contributions 900,000.00 800,000.00 700,000.00 600,000.00 500,000.00 400,000.00 " 300,000.00 --- 200,000.00 - 100,000.00 - 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 Budgeted 719,2 431,3 777,7 563,8 434,7 434,2 438,4 438,2 438,9 451,2 451,2 451,2 376,2 376,2 376,2 376,2 376,2 376,2 376,2 Received 719,2 431,3 777,7 563,8 434,7 434,2 644,E 441,E 451,2 175,0 451,2 195,1 376,2 376,2 376,2 - 376,2 376,2 376,2 Budgeted Received Linear (Received) INTERLOCAL AGREEMENT FOR ACTING HEALTH OFFICER COVERAGE BETWEEN WASHINGTON STATE DEPARTMENT OF HEALTH AND_Mason County Agreement made by and between Washington State Department of Health ("Department") and Mason County ("LHJ") pursuant to RCW 39.34.080. WHEREAS,there may be periods when the position of Local Health Officer ("LHO")for the LHJ is vacant or the incumbent LHO may be absent or incapacitated and unable to fulfill the responsibilities of the LHO, and it is imperative that the responsibilities of the LHO that require timely public health action be fulfilled for the LHJ during these periods; and WHEREAS, in its sole discretion and per its guidelines and process,the Department may agree to the appointment of a Department Regional Medical Officer("RMO") or other qualified Department employee (referred to collectively as "Designee")to serve as acting health officer for the LHJ to fulfill the responsibilities of the LHO during a vacancy or period of absence or incapacity. NOW,THEREFORE, IT IS MUTUALLY AGREED AS FOLLOWS: 1. Designation of Authority. a. Pursuant to RCW 70.05.080, [insert name and title of Designee] will serve as acting health officer for the LHJ as requested by an authorized official for the LHJ, provided that: i. This Agreement has been fully executed by the Department and the LHJ and is in full force and effect; ii. The local board of health or official responsible for appointing the LHO has appointed the Designee to serve as acting health officer for the LHJ; iii. The LHJ has complied with the Department's guidelines and process for requesting LHO coverage; iv. The Department has approved the request for LHO coverage in writing; and v. The Designee has consented to serving as acting health officer as requested. b. This Agreement covers any and all LHJ requests for acting health officer coverage during the term of this Agreement. For acting health officer coverage to be effective,the Department must separately approve each request in writing, including the duration of coverage, and the Designee must separately consent to each request.The local board of health or official responsible for appointing the LHO must ensure that an appointment of the Designee to serve as acting health officer is in effect with respect to each request for coverage. One appointment may apply to multiple requests. c. The Department retains full authority and discretion to approve or deny any request for acting health officer coverage. d. The Designee shall have the same duties, powers, and authority as a regularly appointed LHO while serving as acting health officer and will exercise such duties, powers, and authority in accordance with applicable law and under the direction of the local board of health or, if any, the LHJ's administrative officer. 1 e. Notwithstanding anything to the contrary herein,the Designee shall have the discretion to decline to take any action that the Designee is requested or directed to take, including, but not limited to, actions that, in the Designee's judgment, can be delayed until the appointment of a permanent LHO in the case of a vacancy or return of the incumbent LHO without jeopardizing the public health or do not protect or promote the public health. f. The Designee's authority to serve as acting health officer will terminate when this Agreement expires or is terminated,the Designee's appointment by the local board of health or official responsible for appointing the LHO expires or is terminated, a permanent LHO is appointed in the case of a vacancy, the incumbent LHO is no longer absent or incapacitated and is able to fulfill their responsibilities, when the Designee revokes their consent,the Department rescinds its approval, or when the Department's specified duration of coverage expires. 2. Indemnification/Hold Harmless/Insurance.The LHJ shall defend, indemnify, and hold harmless the Designee and the Department and its officers, officials, employees, and volunteers from any and all claims, injuries, damages, losses, or suits, including attorney fees, arising out of or in connection with the performance of this Agreement, except for injuries and damages caused by the willful and wanton negligence of the Designee or the Department or its officers, officials, employees, or volunteers.The LHJ must provide liability insurance coverage for the Designee that is equivalent to the coverage provided for the LHO. 3. Term.The term of this Agreement shall commence on the date this agreement is executed by all parties and shall remain in effect for one calendar year, unless terminated earlier per the terms of this Agreement. The parties may extend the term of this Agreement by written mutual agreement. 4. Termination. Either Party may terminate the agreement at their sole discretion.Termination shall be effective as provided in written notice provided by the terminating Party,though no earlier than upon receipt of written notice by mail or email, or within three days of the mailing of the notice, whichever occurs first. 5. Extent of Agreement/Modification.This Agreement,together with any attachments or addenda, represents the entire and integrated Agreement between the parties and supersedes all prior negotiations, representations, or agreements, either written or oral.This Agreement may be amended, modified, or added to only by written instrument properly signed by both parties. 6. Notices. Notices to the LHJ shall be sent to: The following mailing address: 415 N. 6th, Shelton WA.98584 Or the following email address: dwindom@masoncountywa.gov 2 Notices to the Department shall be sent to: The following mailing address: Washington State Department of Health 1610 NE 1501h St Shoreline,WA 98155 Or the following email address: Receipt of any notice shall be deemed effective upon actual receipt or three (3) days after deposit of written notice in the U.S. mail with proper postage and address,whichever occurs f i rst. 7. PropertV and Equipment. Upon termination or non-renewal of this agreement, all property purchased by the LHJ in furtherance of this agreement shall remain the property of the LHJ and all property purchased by the Department in furtherance of this agreement shall remain the property of the Department. All property shall be returned to its owner upon termination or non-renewal of this Agreement. 8. Filing. The LHJ shall be responsible for complying with the requirements of RCW 39.34.040 with respect to this agreement. 9. Authority to Bind Parties and Enter Into Agreement.The undersigned represent that they have full authority to enter into this Agreement and to bind the parties for and on behalf of the legal entities set forth below. Mason County Washington State Department of Health Signature Signature Name Name Title Title Date Signed Date Signed 3 Environmental Health (EH) Report - Mason County Board of Health January 28, 2025 From Ian Tracy, Environmental Health Manager General Program Updates We are in the midst of our annual renewal cycle for certified septic professionals, Food Establishments, Pools/Spas, and Solid Waste Facilities. Vector-Borne Disease Since November, the Wild Felid Advocacy Center of Washington (aka The Big Cat Sanctuary) on Harstine Island has experienced an outbreak of H5N 1 Avian Influenza. The facility lost 20 of their cats with 17 remaining who are recovering. Water Quality Our Water Quality program is now fully staffed. Michael Marrs joined the team on January 1 It filling the vacancy left by Vladimir's promotion in October. The Hood Canal Coordinating Council informed us that our National Estuary Program grant application has been fully funded to conduct pollution identification and correction work in the Hood Canal watershed. This grant is expected to fund work in that region for approximately 3 years. Onsite Septic In November we began mailing septic maintenance deficiency letters to 1,1 18 properties. To date, we have had a total of 264 responses. Septic deficiencies are problems with septic systems identified by certified professionals that range from minor issues like broken aerators and missing baffles to active sewage overflows. All septic maintenance rebates have been issued for the current funding period. We expect to have a new batch of funding for rebates in July. Food We started with seven interested applicants for the new Street Vending permit type. To date, only one has chosen to continue and is in the process of being permitted. Our new food inspection software, Inspect2GO, is working well, and staff have conducted over 300 inspections with the new system. The public-facing searchable inspection database is now ready to be incorporated into the County's webpage, and we hope to have it available to the public within the next 2- weeks. Solid Waste Ecology's Waste Tire program has ended and will not be funded in 2025. We had hoped to enroll several properties in our county this year. Attachment: 2024 scats. Environmental Health Work 2024 Data Funding source (+current expense) Water Recreation Permit fees come in first of the year Pools 16 Seasonal Pools 13 Spas 4 Seasonal Spas 2 Total Inspections 18 Drinking Water Paid as fee for service by DOH & ECY Group A Sanitary Survey 44 Special Purpose Investigation 1 Group B Approval 4 Well Construction Inspections 117 2 Party Well inspections 45 Well Decommission Inspections 6 Food Annual and mobile permits come in first of the year Annual Food Service 245 Temp permits as scheduled Mobile Facilities 27 Temporary Event 132 Number of inspections conducted 495 Food Worker Cards 3,459 Vector All County contribution Rabies calls 21 Rabies specimen tested 3 Rabies specimen tested positive 0 Solid Waste CPG, LSWFA, FPHS Tipping Fees and Facility Permits Complaints Received 111 come in throughout year Complaints Closed 34 Civil Infractions Issued 23 Facility Inspections 23 Facilities permitted 9 Professional Certification Fees come in at the first of the year Pumpers Certified 33 _ Installers Certified 110 O&M Specialists Certified 49 Onsite Sewage Systems Permit fees at time of service New System Permits 479 DOH local Mgt. plan funds Tank Only Permits 80 Repair/Replace Permits 82 Preapplication Conferences 35 Environmental Health Reviews 4 Short Plats 6 Large Lot Subdivisions 3 Boundary Line Adjustments 19 Complaints Closed 150 Complaints Received 207 Number of Civil infractions 20 Homeowner workshops 3 Blitz Mailings 25,227 Deficient OSS 938 Overdue Maintenance 18,619 OSS records on file 24,360 Water Quality CWD parcel fee; various grants Water Samples analyzed 983 Water Quality Surveys Closed 70 Water Quality Surveys 353 Mailings 137 Miles of shoreline sampled 4 _ Public Meeting/education 1 Shellfish Consolidated Contract: DOH Bi-weekly Jarrell's Cove 26 Oysterfest Booth 1 • ' • Community Health Report 1 0-..*Iwo r } OCTOBER - DECEMBER 2024 COMMUNICABLE DISEASE AND NOTIFIABLE CONDITIONS r4�t Chlamydia- 66 cases Other STI(Gonorrhea,Herpes,Syphilis,HIV)totals less than io Wild Felids Advocacy Center- MCPHHS was notified in early December of 2 cougars from this cat sanctuary that had tested positive for Avian Influenza at necropsy.A total Of 21 large cats have died or have been euthanized; 16 cats have fully recovered. Monitoring of staff and volunteers will continue until all cages/enclosures have been cleaned per WSDA policy and procedures. No direct cause of what infected the cats has been established despite testing of all food sources. The center remains under quarantine and not open to the public for tours. Continue to have several"Rule-Out"Tuberculosis cases per month. ----------------------------------------------------------------------------------- --------------------------------- OVERDOSE PREVENTION EDUCATION AND NALOXONE DISTRIBUTION (OPEND) • 592 Naloxone Kits distributed • 4o new people trained on overdose prevention, recognition, and response Successful Overdose • Re-engaged with 43 participants to give refills Reversals with Naloxone --------------------------------------------------------------------------------------------------------------------- SUBSTANCE USE MOBILE OUTREACH i •� Participants i 'T� Community Health Report OCTOBER - DECEMBER 2024 SYNDEMIC CLINICAL SERVICES There was significant progress in developing the syndemic clinical services expansion through the Substance Use Mobile Outreach program. During the 4th quarter, staff met with several providers and did in depth research around Hepatitis C testing and treatment and syndemic related street medicine equipment, models,policies and procedures, etc. Public Health also finalized and published the job posting for the ARNP position,which will be revisited at the beginning of 2025. Additionally, MCPHHS was awarded the WA DOH's second iteration of Overdose Data to Action grant(OD2A),which will fund additional staff for the Substance Use Mobile Outreach's program expansion(home service and street/encampment outreach), as well as enhance OPEND programming. There have been significant challenges around implementation for the several planned program expansions with the current staffing capacities,to be addressed in the continuation of program planning in 2025. --------------------------------------------------------------------------------------------------------------------- SUBSTANCE USE PREVENTION COALITION P. -,.E---P We have increased partnerships with Mason County Priority Populations,including SUBSTWE BBUSE YRFVENT10B tO�Umoo Regular Coalition attendance and collaboration. 'V V` In November 2024,we hosted our first Latinx Summit.Over 110 participants, including 6o students from Orcas Island,Washougal, North Mason, and CEDAR High Schools. Primary partners included Family Education Support Services, Mi Chalinta, and Faith Lutheran Church. The event included both youth and adult leaders from across the state. We partnered with CHOICE, North Mason School District, and Shelton School District Leadership Groups to conduct Substance Abuse and Mental Health prevention messaging throughout their schools/peers. The Coalition is currently conducting a Ripple Effects Mapping Project that has provided training and education about"Gas Station Heroin"products, such as Kratom, sold at convenience stores in our community.We have sponsored three training sessions this Fall. Our goal is to work with our community partners and assist leadership with solutions ensuring our youth are safe and cannot easily access these products. i 'T� Community Health Report OCTOBER - DECEMBER 2024 WOMEN INFANT AND CHILDREN (WIC) ri • 5,251 snacks given out in the After School Snack Program.Walmart has agreed to U c donate snacks for 2025 • Began monthly Community Breastfeeding Class and Breastfeeding Support Group in both English and Spanish CASELOAD 554 . 12 dental care bags were distributed to infants celebrating their first birthdays • 5 lockable medication bags were distributed to parents where marijuana is used in the home ------------------------------------------------------------------------------------------------- MATERNAL CHILD HEALTH • Provided case coordination for 47 families in 2024 (an 18%increase since 2023), 30% of whom were children with Autism. However, 14 referrals for CSHCN children did not receive services due to funding limits. • RN was asked by DOH, as one of 8 LHJ representatives in WA,to participate in a 10-month activity via a grant from the National MCH Workforce Development. • Washington State Ranks 49th in the nation in the percentage of CSHCN who needed care coordination but did not receive it(56%). --------------------------------------------------------------------------------------------------------------------- IMMUNIZATION IMPROVEMENT • Outreach to 3 additional childcare facilities and Head Start to apply for access to the WA Immunization Information System for their enrolled children • Organized a vaccine clinic with Care-A-Van, CIELO (Hispanic support agency), and the Faith Lutheran Church food bank to remove barriers and increase vaccination rates in low-income and Hispanic families. go vaccinations were given, and we are planning another vaccine event to assist families that could not receive services due to the high number of attendees i 'T� Community Health Report OCTOBER - DECEMBER 2024 ® HOUSING AND HOMELESSNESS • Annual Expenditures Report: This annual report is required by state statute and is due by the Department of Commerce. It reports on 54 programs listed in the Homeless Management Information Systems (HMIS) database with total expenditures at$8,043,855 from private,local, public, state, and federal funds. It also captures the local public fund revenue as follows: Local SFY 2024 Revenues are $559,349,yielding a fund balance of$1,129,214; Local Affordable Housing is $10,464. Going forward,these two funds have been consolidated in RCW 36.22.179-1791.When we compare the collection before consolidation,the collection is down approximately$75,000. • PIT Count Plan: The annual Point in Time Count is the night of January 3o. The plan calls for two pop-up resource events in Shelton and Belfair on January 31 from to to 2. The plan also discusses the encampment outreach efforts. • Housing Inventory Count:As a HUD requirement,we evaluate the current program inventory each year before the PIT count to ensure it is accurate for all associated projects. • HMIS Data Quality: The Department of Commerce reports data quality to HUD quarterly, and this project identified data entry errors or inconsistencies.We work with local non-profits to correct the issues. • Contract Initiated: There were 6o unlawful detainer cases in 2023 and 79 in 2024. Mason County Public Health executed a contract with the Dispute Resolution Center of Thurston and Mason County to provide conciliation, mediation, and conflict resolution training to our non- profit provider workforce in further efforts to prevent evictions. • Annual Report of the Local 5-year Plan: This plan is in its fifth year and reports on the current conditions of homelessness and any significant changes to the plan. The PIT Count and Coordinated Entry numbers have been reported, and we have not made any substantial changes to the plan. By December 2025, a new 5-year plan must be submitted to Commerce, and this project is in its infancy.We've received guidance from Commerce and there has been a rollout call with the consultant Commerce has contracted with to provide support to local jurisdictions. i 'Ti Community Health Report OCTOBER - DECEMBER 2024 July 1, 2024 - December 31, 2024: 00res• Total admitted into LEAD: 226 new cases LAW ENFORCEMENT ` � ASSISTED DIVERSION • Number of individuals contacted through LE L E A D (LEAD) ponse vs. community referral: o Arrest Diversion: 6 o Social Referrals: 57 d Community: 163 ---- ------------------------------------------------------------------------------------------------- #New #Caseload Total Quarter Clients Carryover Clients Enrolled Served LAW ENFORCEMENT i Jan-Mar 134 38 172 0 CO-RESPONDER PROGRAM 2 Apr-Jun iM 31 149 31ul-Sept 141 26 167 4 Oct-Dec 147 27 174 Total YTD 340 122 662 HEALTH EDUCATION AND OUTREACH In the months of October- December, there was a total of 66 social media posts with an average 6.26% engagement rate. For the 2024 year, there were 315 posts with an average 4.43% engagement rate.