Page 1
January 20, 2015
AGENDA
BOARD OF HEALTH
LAKE COUNTY GENERAL HEALTH DISTRICT
January 20, 2015
1.0 Call Meeting to Order, President Dr. Lynn Smith
2.0 Opening of Meeting
2.01 Declaration of Quorum
2.02 Citizen’s Remarks
2.03 Certification of Delivery of Official Notices of Meeting
3.0 Board of Health
3.01 Minutes, December 15, 2014
4.0 Health District Staff Reports
4.01 Community Health Services Report – Kathy Durchik
4.02 Environmental Health Report - Nancy Niehus
4.03 Health Promotion & Planning – Kathy Milo
4.04 Manager’s Report – Adam Litke
4.05 Health Commissioner’s Report – Ron Graham
5.0 Committee Reports
No Committee Reports
6.0 Old Business
No Old Business
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January 20, 2015
7.0 New Business
7.01 Resolutions
7.01.01 Certification of Monies, Resolution 15-01-07-01-01-100
7.02 Resolution Establishing Day, Time and Place of Monthly Board of Health
Meetings for 2015 and January/February 2016
7.03 Permission to Allow the Board’s Finance Committee Authority to Submit the
2016 Budget to Political Subdivisions
7.04 Permission to Accept Immunization Action Plan Grant, $98,839
7.05 Permission to Accept the FY2014-2015 Medical Reserve Corps Capacity
Building Award, $3,500
7.06 Permission to Accept the FY2014-2015 Medical Reserve Corps Challenge
Award, $15,000
7.07 Permission to Submit Commission on Minority Health Grant, $140,000
7.08 Resolution of Appreciation, Thanks and Gratitude Painesville City
8.0 Adjournment
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1 January 20, 2015
1.0 Call to Order
The regular meeting of the Board of Health of the Lake County General Health District was
called to order at 3:00 p.m. on Tuesday, January 20, 2015, by President Dr. Lynn Smith. The
meeting was held at the Lake County Health District temporary offices located at One Victoria
Square, Suite 170, Painesville, Ohio.
2.0 Opening of Meeting
2.01 Declaration of Quorum
The following members were present constituting a quorum:
Roger Anderson
Tim Brennan
Dr. Alvin Brown
Dr. Susan Culotta
Marc Garland
Brian Katz
Patricia Murphy
Randy Owoc
Dr. Lynn Smith
Anthony Vitolo
Patricia Fowler, Rich Harvey, Dr. Juan Hernandez and Steve Karns
were absent.
Minutes were recorded by Mariann Rusnak, Administrative Secretary/Registrar
Also present from the Health District staff:
Kathy Bevan
Kathy Durchik
Ron Graham
Lauren Henderson
Also in attendance:
Doug Lewis
Laura Kuns
Adam Litke
Kathy Milo
Bert Mechenbier
Nancy Niehus
Ed Piatek
Dr. Rodway
Mariann Rusnak
Tim Snell
2.02 Citizens’ Remarks
There were no Citizens’ Remarks.
2.03 Certification of Delivery of Official Notices
Certification of delivery of the official notices of the regular meeting of the Board of Health on
January 14, 2015 was made by Health Commissioner Ron Graham.
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2 January 20, 2015
3.0 Board of Health
3.01 Approval of Minutes
Roger Anderson moved and Tim Brennan seconded a motion that minutes of the
December 15, 2014 Board of Health meeting be approved as written; motion carried.
4.0 Health District Staff Reports
4.01
Community Health Services
4.01.01
Division Director’s Report
4.01.01.01
New Business/Updates/Special Topics
Influenza Surveillance
By the end of December, influenza has reached epidemic level across the U.S. with
widespread activity in 47 states. H3N2 is the predominant strain circulating at this time causing
more severe illness. Influenza activity in Northeast Ohio is high and widespread. A total of 58
residents were hospitalized with influenza like illness. This past month, there were reports of the
closing of 1 school due to illness and spot shortages of antivirals by pharmacies.
Influenza Immunization
As of December 31, 2014, public health nurses have immunized 1075 adults and 138
children against influenza.
Ebola Outbreak
There have been 20,712 confirmed, suspected and probable Ebola cases in the West
African outbreak since March, including 8,220 deaths. Recent data is showing that case rates
have dwindled in Liberia to about four new infections per day and the country plans to reopen its
schools in February.
The U.S. Department of Homeland Security and the CDC are ceasing mandatory airport
entry screening and 21-day monitoring periods for people entering the United States whose
travel began in the country of Mali. There are no active Ebola cases in Mali and 42 days have
passed since the last known Ebola patient. Mandatory screenings and monitoring remain in place
for travelers from Liberia, Guinea and Sierra Leone.
A U.S. health worker who experienced high risk of exposure to the Ebola virus while
working in Sierra Leone was flown to the University of Nebraska Medical Center in early
January for 21 days of monitoring and possible treatment.
As of December 31, there are 21 travelers (vast majority are permanent U.S. residents) being
monitored in Ohio from the following counties: Cuyahoga County, Franklin County, Greene
County, and Hamilton.
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3 January 20, 2015
Multistate outbreak of salmonella serotype enteritidis
A Lake County case is linked to a multistate outbreak of Salmonella serotype Enteritidis
that appears to be associated with consumption of bean sprouts. This is Ohio’s second case.
There are about 70 cases nationwide, mostly from the northeastern United States. During the
initial interview this case did not report eating any bean sprouts or at Asian restaurants. When
this case was linked to the outbreak, the interviewers re-contacted her and she remembered
eating bean sprouts 4 days prior to illness onset at a Thai restaurant in Cleveland. The bean
sprouts eaten by some cases in Massachusetts and Rhode Island traced back to a distributor in
New York, Wanton Foods. The Ohio Department of Agriculture (ODA) and the FDA received
trace forward information on sprouts received in Ohio from Wanton Foods. ODA’s Food Safety
program plans to follow up with the restaurant to gather invoices and do a trace back
investigation on the source of the sprouts used for the Lake County case’s meal.
http://www.cdc.gov/salmonella/enteritidis-11-14/index.ht
4.01.01.02
Meeting Highlights
The Ohio Department of Health hosted a statewide Epidemiologist meeting. The meeting
highlight included a panel presentation by Cuyahoga, Columbus and Summit County boards of health on
the Ebola response. This was an opportunity to share lessons learned with disease investigators across the
state.
4.01.02
Clinical Services Unit Report
4.01.02.01
Unit Nursing Supervisor’s Report
The following is a 2014 year-end summary of Clinical Services Program activities:
Well Child has conducted 15 clinics providing 73 complete child physicals. One third
of these children were referred on to physicians, dentists, social and nutritional
services. This program had receipts of $2,044.78.
Forty-six Children’s Immunization Clinics were conducted seeing 730 children and
providing 1581 vaccinations. This program has receipts of $ 18,300.00.
Seventeen Adult Immunization clinics were conducted seeing 287 adults; providing
371 vaccinations. This program has receipts of $ 30,398.00.
Newborn Home Visiting has made 116 visits, making 40 referrals to community
services. This program was awarded $10,000 Lake County Community Development
Block Grant.
Assured access to Infant Metabolic Screening and Hearing for 1infant born at home.
Bureau for Children with Medical Handicaps (BCMH) has coordinated care for 205-
222 families including 14 home visits. This program was reimbursed $24,511.32 for
nursing services in 2014.
Communicable Disease Surveillance and Investigation has investigated 1372
reportable diseases, 67 EPI Centers and 4 outbreaks.
Tuberculosis Control has conducted 521 skin tests (135 for homeless shelter) at 36
testing clinics and coordinated monthly preventive medication for 11-20 individuals
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4 January 20, 2015
each month. Nurse coordinated care for 1 suspect TB case and one carryover case
from 2013. This program had receipts of $5,540.00 in 2014.
Community Education has provided Communicable Disease and Bloodborne Pathogen
awareness classes for community agencies (Department on Aging, Lake Geauga,
Pathways, Neighboring, Hannah’s Home, Lake Health OB staff, and Lake County
General Health District (LCGHD) staff. Additionally, childcare providers have
attended training in CPR, First Aid or Communicable Disease. In 2014, this program
has receipted $6,288.90.
For Cardio Health, nurses conducted monthly blood pressure screenings for staff and
cholesterol screening for staff and residents.
Nurses conducted 8 physician office trainings and 8 immunization assessments and follow-
up visits to encourage evidence based immunization practices with pediatric staff.
By December 31, 2014, the Flu program has vaccinated 1075 adults and 138 children.
The Director of Nursing submitted press releases, developed radio commercials and
participated in television and radio interviews.
Public Health Nurses are participating members of the following committees: Early
Childhood Coordinating Committee, Child and Family Health Services Advisory,
Regional and State Public Health Epidemiology, Regional Infection Control, Head
Start Health Advisory, Auburn Career Center Health Service Program Advisory,
Regional Data User Committee, School Nurse Consortium, Child Fatality Review,
Family Children’s First Council –Wrap-Around Committee, Bio-watch Epidemiology
workgroup, Northeast Ohio Family Planning Advisory, State TB Coalition, and the
Ohio Public Health Association (OPHA) Nursing Section.
Staff utilizes eClinical Works electronic health record for Well Child Clinics. We are
currently working to completed all requirements to meet Stage 2 meaningful use and
obtain CMS incentives funding.
The fire of August 2014 devastated all Clinical Services programs. By December
2014, 90% of the programs were up and running and serving the community.
4.01.02.02
Communicable Disease Surveillance Report
Based on Class A reportable disease by physicians, clinic and other service providers, the
following types and numbers of cases were noted during the past month.
COMMUNICABLE
DISEASE REPORT Jan Feb Mar Apr May Jun July Aug Sept Oct Nov Dec
2014
YTD
2013
YTD
Campylobacter 0 2 2 2 3 6 3 6 7 7 4 5 47 48
Chlamydia 60 65 63 44 46 54 72 40 69 48 30 48 639 672
Coccidioidomycosis 0 0 0 0 0 1 0 0 0 0 0 0 1 0
Creutzfeldt Jakob Disease 0 0 1 0 0 0 0 0 0 0 0 0 1 0
Cryptosporidiosis 0 0 1 1 0 0 0 1 0 0 1 0 4 2
E. Coli 0 0 0 0 1 1 1 0 0 1 1 1 6 3
Giardia 2 0 0 0 2 0 1 0 2 0 0 0 7 9
Gonorrhea 17 23 19 15 12 11 15 7 10 6 11 22 168 143
Haemophilus Influenza 0 0 0 0 1 0 0 0 1 0 0 0 2 2
Hepatitis A 0 0 0 0 0 0 0 0 0 0 0 0 0 8
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5 January 20, 2015
COMMUNICABLE
DISEASE REPORT Jan Feb Mar Apr May Jun July Aug Sept Oct Nov Dec
2014
YTD
2013
YTD
Hepatitis B 1 1 2 2 0 1 2 2 2 4 2 3 22 25
Hepatitis C 16 19 10 12 12 18 23 21 27 33 12 27 230 185
Influenza-Hospitalized 17 4 1 4 0 0 0 0 0 3 3 58 90 87
LaCrosse Virus Disease 0 0 0 0 0 0 0 0 1 0 0 0 1 0
Legionnaires Disease 2 0 0 0 0 0 0 0 1 0 1 0 4 9
Listeriosis 0 0 1 0 1 0 0 0 0 0 0 0 2 0
Lyme Disease 0 0 4 1 1 4 2 2 1 1 0 0 16 2
Meningitis-Aseptic/Viral 0 0 0 0 0 1 1 1 1 2 1 0 7 9
Meningitis-Bacterial (Not Neisseria) 0 0 0 0 0 0 0 0 1 0 0 0 1 0
Mumps 0 0 0 0 1 0 0 0 1 1 0 0 3 2
Mycobacterium Abcessus 0 0 0 0 0 0 0 0 0 0 1 0 1 1
Mycobacterium Avium 2 0 0 1 1 1 0 0 0 2 0 0 7 5
Mycobacterium Avium Intracellulare 1 0 2 2 2 0 1 0 2 0 0 1 11 6
Mycobacterium Chelonei Abcessus 0 1 0 2 0 1 0 0 0 0 0 0 4 0
Mycobacterium Fortuitum 0 0 0 0 1 1 0 0 0 0 0 0 2 2
Mycobacterium Gordonae 0 0 0 0 0 0 1 1 2 0 1 1 6 6
Mycobacterium Mucogenicum 0 0 0 0 0 0 0 0 0 0 0 0 0 1
Mycobacterium Simiae 1 0 0 0 0 0 0 0 0 0 0 0 1 0
Mycobacterium Szulgai 0 0 0 0 0 0 0 1 0 0 0 0 1 0
Mycobacterium Tuberculosis
Complex
0 0 0 0 0 0 0 0 0 0 0 0 0 3
Mycobacterium Tuberculosis-Suspect 0 0 0 0 0 0 0 0 1 0 0 0 1 0
Mycobacterium other than TB 0 0 0 0 0 0 0 0 1 0 0 0 1 4
Pertussis 2 1 0 1 1 0 3 2 2 2 0 0 14 16
Salmonella 1 2 2 2 1 1 2 0 3 2 2 0 18 41
Shigellosis 0 1 3 1 0 1 5 1 2 0 1 1 16 5
Staphylococcus Aureus Vrsa 0 0 0 0 0 0 0 0 1 0 0 0 1 0
Streptococcal Group A 1 0 2 1 1 0 0 0 0 0 0 1 6 5
Streptococcal Group B (newborn) 0 0 0 0 0 0 0 0 0 0 0 0 0 1
Streptococcus Pneumonai 0 2 0 4 1 0 0 0 0 2 1 3 13 13
Syphilis 1 0 0 2 0 0 1 0 0 2 2 0 8 5
Varicella 1 1 1 0 2 2 1 0 0 1 0 0 9 8
West Nile Virus 0 0 0 0 0 0 0 0 1 0 0 0 1 1
Yersinia 0 0 0 0 0 0 0 0 0 0 0 0 0 1
TOTALS 125 122 114 97 90 104 134 85 139 117 74 171 1372 1330
4.01.03
Public Health Social Work (PHSW) Unit Report
4.01.03.01
HIV Report
Case Management
HIV Client Totals -December
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6 January 20, 2015
HIV Medical Nutrition
HIV Testing and Prevention
HIV Food Bank
Food Pantry Number of Clients served by Age Group
Seniors (60 & older) 0
Adults (18-59) 0
Children (birth to 17) 0
Total for Month 0
Total YTD Served 238
4.01.03.02
Affordable Care Act (ACA) Marketplace Assistance
The Health Educator shares a story of assisting a couple who stated they bought the book,
“A Dummies Guide to Understanding the ACA” and still required assistance. They were very
grateful for having the resource in Lake County to assist them. Open Enrollment began in mid-
December.
Case Management Outreach Clients Early Intervention
78 10 5
Month Number
Served
Number
Improved BMI
Number Updated
Nutritional Plans
Number Signed
Nutritional Plans
December 4 2 4 4
HIV Test Site Participants
Month Tested YTD
December 24 322
HIV Test Site Positives
Month Positive YTD
December 0 3
HIV Prevention Education Participants
Month Participants YTD
December 3 20
Month Phone Email In-person Monthly Total
of Clients
Outreach
Events
December 30 6 27 63 2
YTD 266 36 324 586 51
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4.01.03.03
Lake County Fatherhood Collaborative
4.01.03.04
Project DAWN (Death Avoided with Naloxone)
Lake County General Health District Project DAWN Prevention Specialist and Dr.
Nancy Rodway trained approximately 10 Mentor firefiighters in December who will go on to train
the Mentor police officers to carry Nasal Naloxone.
Kathy Durchik provided the following highlights:
The current vaccine is 23% effective- generally it is ~60% This is thought to be due to
DRIFTING in H3N2 strain which is not in current vaccine. When the vaccine viruses for
2014-2015 were selected, A/Texas/50/2012 was the most common circulating influenza
H3N2 virus, so it was chosen to be included in the vaccine. The drifted H3N2 viruses that
are circulating this season were first detected during routine surveillance testing during
late March 2014, after World Health Organization (WHO) recommendations for the
vaccine composition for the Northern Hemisphere for the 2014-2015 season had been
made (in mid-February). At that time, just a very small number of these viruses had been
found among the thousands of specimens that had been collected and tested and there
was no way to predict that they would circulate widely. While the vaccine is not working
as well as usual against some H3N2 viruses, vaccination can still protect some people
and reduce hospitalizations and deaths, and will protect against other flu viruses
Over 21,000 people have been affected with Ebola. The “hot spot” is in Sierra Leone.
Over 800 health care providers have been affected with 493 deaths in this group.
Metro Health Medical Center in Cleveland is the first Ebola treatment center. They join
49 others across the country that have been evaluated by the CDC’s rapid Ebola
Preparedness Team. University Hospital and Cleveland Clinic have signed into
agreement with Metro Health.
K. Durchik is the co-chair on the Ebola task Force for Lake County.
The State of Ohio Pharmacy has agreed to sell the Naloxone, atomizer and face shield to
the Lake County Police force. The police will need to show that they have had the
necessary training. The Police Chief or Sheriff needs to email Ms. Buchanan at
[email protected] . Her phone number is 614.752.0134.
2014
Month Fathers
Served
Information
Distributed
Events
Held
December 0 0
YTD 21 190 5
Distribution of Naloxone
December 0
YTD 70
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4.02
Environmental Health
4.02.01 Division Director’s Report
4.02.01.01
Updates and Special Topics
December proved to be both exciting and challenging as we completed the move to our interim
office location and tried to organize our limited records and resources. We also took the
opportunity to spend a little time reminiscing and honoring the successes of Frank and our
department under his leadership. In addition, the EH unit provided assistance to the Health
Promotions and Planning unit to assemble KI (potassium iodide) packets for public distribution.
Further, due to Christmas and New Year’s holidays, staff members took time off to be with their
families, which worked well with our intermittent computer access.
December In-service
Outgoing Health Commissioner Frank Kellogg presented a December in-service program for our
staff sanitarians that he had previously written and presented at the fall 2014 OEHA conference.
This program was titled Parting words from our leader: Advice from a 40+year sanitarian about
how to have a successful career as a public health sanitarian. His guidance included general
tips and behavior rules, use of mentors, dealing with change, irate people and the media, risk
communication, the importance of Accreditation, and Ohio’s public health system. This
presentation was a snapshot of four decades of public health practice with a little bit of humor
interspersed, as is often required in our demanding profession.
4.02.02 Air Pollution Control Programs
4.02.02.01
Unit Supervisor’s Report
Meetings
On December 1st B. Mechenbier participated on an OLAPCAO conference call with the
other local air agencies and Ohio EPA. The main topics were State budget and the
USEPA Ozone proposal. There is no update on this since last month.
On December 9th
B. Mechenbier attended a pre demolition meeting for the partially
collapsed building on Liberty Street in Painesville. The USEPA and Ohio EPA asbestos
regulations need to be followed for the delicate removal of the debris from a large
collection of cars and motorcycles stored in the building.
On December 11th
B. Mechenbier attended the LEPC meeting at the Lake County EOC.
The committee had a presentation by a Willoughby fire fighter/ HAZMAT officer about
the potential use of drones for reconnaissance at the scene of a spill. The group is still
exploring the regulations as to the use of these tools.
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On December 16th
B. Mechenbier assisted Ohio EPA with an inspection of the DeNora
Tech facility in Chardon. This inspection was the result of an odor complaint from a
citizen who noticed the odor while in the parking lot to the north of the facility.
HAZMAT INCIDENT
On December 17th
B. Mechenbier responded to an off hours HAZMAT call at Expert
Refrigeration. On December 17, 2014 at 20:15 hours, the Lake County Hazardous Intervention
Team was called to assist the Lake County Narcotic Agency, the Bureau of Criminal
Investigation and the Willoughby Police Department at 38323 Apollo Parkway in Willoughby
Ohio. MABAS Box 1477 was initiated to support the hazmat response. This remains an active
criminal investigation. Through a complaint, the Lake County Narcotics Agency sought and
received a search warrant to search the above listed address. With further assistance from the
State's BCI and the Willoughby Police Department, the Agency was on scene for a considerable
time interviewing and accessing what appeared to be a form of a drug lab. Investigators believed
they had uncovered a methadone lab but in the course of the investigation found what they
believed to be almond extract. Through both State and Federal resources, a concern was
developed of the existence of possible Fentanyl production.
Due to exposure of investigators for a prolonged period to the substances found, the hazmat team
was called to help identify the unknown materials. Hazmat Team personnel made entry along
with police personnel to for the purposes of identifying the substances. They entered using level
"B" protection and utilized the Hazmat ID unit it to determine if the materials sought to be
identified was Fentanyl or some other know substance. It was determined that the unknown
substances and liquids did not present a hazard to personnel or the building. Additional sampling
was completed and the material could not be identified. Assistance was provided to law
enforcement personnel in securing the materials involved. Those materials were eventually sent
to the Lake County crime lab for further identification. Results are still pending. At 00:08 hours,
all Hazmat personnel and vehicles had cleared the scene while law enforcement personnel
remained for further investigation. A final report will be completed by the Incident Commander
once the substance is identified by the Lake County Crime Lab. Personnel will be advised of any
exposure issue if it is warranted.
OEPA Audits
The Air Pollution Control unit passed the following Ohio EPA monitor audits On December 11,
2014:
Pm 10
PM 2.5
Eastlake SO2
4.02.03 General Environmental Health and Plumbing Programs
4.02.03.01
Unit Supervisor’s Report
Plumbing
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10 January 20, 2015
R. Graham, B. Mechenbier and N. Niehus met with officials from the Lake County Building
Department to discuss two very large construction projects that are underway. One is a nursing
home facility in Concord and the other is a residence for seniors located in Willoughby Hills.
The purpose of the meeting was to discuss communication between the agencies, nomenclature,
coordination and phasing inspections as not to hold up construction waiting on inspections or
inspection results. Revenue from permits in the plumbing program was up just under $30,000
over 2013, and it is expected this trend will continue this year.
Food Protection
A. Miller attended an Ohio Department of Agriculture-sponsored meat processing
training program in Canton.
P. Stromp and C. Hutchinson attended the Northeast Ohio Food Protection
Roundtable/Voluntary Standards Workgroup meeting in Medina. This information and
experience sharing among sanitarians and regulatory staff from ODH and ODA is
essential to uniform inspections throughout this part of the state.
Five food protection staff members attended a three-day FDA-sponsored HACCP
training program. HACCP is Hazard Analysis Critical Control Point, which is a
proactive method of food safety inspection that evaluates the entire food process from
storage to cooking, then cooling, reheating, holding, etc. It looks for key points in an
operation where there could be opportunity for contamination or bacterial growth, and
addresses them hopefully prior to any potential problems that may cause foodborne
illness.
4.02.04 Vector-borne Disease Program
4.02.04.01
Unit Supervisor’s Report
On December 18, 2014 the Health District received from Clarke Mosquito Control Products six
55 gallon drums of Duet®
Adulticide material plus four cases (220 tablets per case) of Natular
XRT Larviciding material.
Our 2014 NPDES Report to Ohio EPA has been written and has been submitted before the
February 15, 2015 deadline.
The Health District is currently looking to fill the 4th
larval position for 2015.
2014 Rabies Recap
As seems to occur every at every December warmup, we had a flurry of bat calls just prior to
Christmas. The warm weather prompts bat activity, and then the bats find their way to human
and per interaction. Although we discussed potential bat exposure with three families, it was only
necessary to test one bat, which was negative for rabies.
LCGHD had a little scare with a case of human encephalitis-like illness in which the physician
had concerns of rabies in a patient. This is the second time in the past 10 years that there was
concern of a case of human rabies. In that same period of time there have been several suspect
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11 January 20, 2015
domestic animal rabies concerns, with none proving positive. With the threat of rabies always
present, it is encouraging to know that where appropriate, physicians and veterinarians consider
rabies in their differential diagnosis.
Final rabies numbers have been reported by the Ohio Department of Health for 2014. Lake
County did not experience any known rabies cases, despite the continuation of a USDA
surveillance program. As far as terrestrial rabies cases are concerned, there were 4 positive
raccoons, two each in Trumbull and Mahoning Counties. Columbiana County had the lone case
of raccoon rabies in a skunk this year. It is no coincidence these counties are Ohio-Pennsylvania
border counties. Since Pennsylvania is an ongoing rabies threat, it is expected that these counties
would be subject to an occasional rabies occurrence.
As far as bat rabies is concerned, there were 19 positive bats identified in Ohio last year. This is
less than half of what is normally experienced. It is too early to tell if the presence of White Nose
Syndrome in bats is the explanation, but it is suspected that this disease is significantly reducing
the bat population in areas where it is prevalent.
4.02.05 Water and Waste Programs
4.02.05.01
Unit Supervisor’s Report
Storm Water
As reported last month the staff has developed a new poster theme for the public education
program that address the proper handling of salt in winter. We had hoped to place our poster
display near the main entrance to the building on the 2nd
level, however the building management
will not permit it, and they said we could put it outside the environmental health reception
doorway. With each new poster, we develop a coordinating brochure, please see the attached.
Sewage Treatment
Sewage Rule Update
The Staff is still working on contractor registrations which have not gone smoothly since the
state rules now require a state test and state bond and certificate of insurance. The state health
department is developing state forms and placing them on their website prior to vetting them
among the local health departments and this is causing much confusion and frustration. The
health district uses HDIS to generate our applications and permits so we will be contacting Joe
Napavar to see about possible revisions to the HDIS software.
The state held a conference call on January 12th
to attempt to answer the flood of questions they
have been receiving concerning the new rules and the implementation process. Our
implementation process has been slow due to the large volume of documents, forms and
procedures that need to be changed and the continuous, daily server outages.
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12 January 20, 2015
A sewage rule training has been scheduled for February 4th
at the Utilities Training Facility on
Blase Nemeth Road for the sewage treatment contractors and designers. The training will focus
on the rule changes that will affect them and the Lake County General Health District Rule
Supplement.
HB 490
As reported last month, this bill was a multi-topic piece of legislation with some controversial
issues. At the end of the year, the senate decided to delay the bill admitting it was too complex
for a lame duck session. The Senate President indicated the bill would be revisited early in the
new legislative session.
Solid Waste
The annual Ohio EPA survey (audit) of our solid waste regulatory program occurred on
December 9th
and 10th
, 2014. Our Ohio EPA representative verbally indicated that our survey
went well and we are in substantial compliance despite the displacement of all of our files.
LCSWF Vertical Expansion PTI
The Lake County Solid Waste Facility (LCSWF) submitted a Permit to Install (PTI) application
for a vertical and horizontal expansion of the facility to the Ohio EPA on December 22, 2014.
The Health District received our copy of the CD on January 8, 2015. The CD contains one
volume with the plan drawings of 69 pages and the six volumes of narrative and additional
illustrations, tables, charts, graphs and financial data totaling 2011 pages. It will take a
considerable amount of time to review the documents, especially considering our continuing IT
issues. After a very cursory review of the CD, the PTI application includes the following
information:
Plans for the expansion construction, explosive gas monitoring, QA/QC, Groundwater
detection monitoring, groundwater quality assessment, and closure/post closure
Information on the gross volume/anticipated life, soil liner thickness, leachate control,
pumps/pipe sizing, pipe strength/deflection, soil erosion, slope stability, surface water
control structures
Variance/exemption request
A Hydrogeological site investigation
This application does not request an increase in the authorized maximum daily waste receipt but
it does propose a volume expansion of 7,432,213 cubic yards of waste. The current air space for
the site is estimated to provide approximately 27 more years of waste disposal and the expansion
request would increase that by an additional 67 years. The Ohio EPA is responsible for the
review and approval of the PTI submittal and the health district staff will need to be very familiar
with the PTI from an operational perspective once it is approved.
Water Supply
A water main break on Mentor Avenue near Old Johnnycake Ridge on Friday, January 9th
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13 January 20, 2015
4.02.06 Board Action Status
Note: New entries are bold faced
Program Name Pol. Sub. BOH
Ref.
Date
Status
Sewer Tie-In Mack Willoughby
Hills
7/19/10 Prosecutor has filed suit. Mack’s have been
asked to sign a consent agreement to be
connected by 11/30/12. Mack’s connected to the
sanitary sewer on November 21, 2012 internal
plumbing inspection to be scheduled.
Willoughby Hills sent a mailing out to 57
property owners regarding internal inspections
on sewer connections. Health District sent an
enclosure letter with their mailing.
Sewer Tie-In Nagy Willoughby
Hills
1/22/13 Nagy connected to sewer January 15, 2014.
Internal inspection by Willoughby Hills pending.
Willoughby Hills sent a mailing out to 57
property owners regarding internal inspections
on sewer connections. Health District sent an
enclosure letter with their mailing.
Sewer Tie-In Montani Willoughby
Hills
12/13 Ms. Montani signed an Agreed Judgment
entry to be connected by November 1, 2014.
Ms. Montani is on a payment plan with
Willoughby Hills.
Sewer Tie-In Monteiro Willoughby
Hills
12/13 Referred to Prosecutor, letter sent to owner
asking them to contact prosecutor within 14 days
to avoid future legal action. Mr. Monteiro has
agreed to a connection schedule. Prosecutor
is working with Mr. Monteiro to establish a
connection date, all fees are paid. Scheduled
to be done by end of November. Prosecutor
granted Mr. Monteiro an exception until
March 2015 to connect.
Sewer Tie-In Brettrager Willoughby
Hills
7/14 Referred to Prosecutor. Have paid fees, tenant
evicted and will contact Prosecutor to discuss
connection deadline. Prosecutor is working
with the Bettragers on a plan for connection.
caused reduced water pressure or no water flow at several food service operations in the
immediate area. Staff contacted Aqua Ohio to obtain information on the break and called all the
restaurants to determine whether they had the resources to remain open. Additionally we emailed
all the locations a list of recommendations for proper food/beverage handling during the water
loss. We contacted them later that day when Aqua Ohio notified us that the break was repaired
and water would be restored. Aqua did not believe that a boil advisory would need to be issued
because the water pressure in the system was reduced due to the company shutting off flow with
several valves in the immediate area. This explained why the water pressure was so varied at the
food locations in the area.
Page 16
14 January 20, 2015
Nancy Niehus provided the following highlights
B. Mechenbier provided information and photos on an after-hours Hazmat call he
received and responded to. Hazmat was contacted by Lake County Narcotic Agency to
respond. A refrigeration business located in Willoughby appeared to be a form of a drug
manufacturing lab. After Lake County Narcotics cleared the area, B. Mechenbier and
the Hazmat team inspected the facility for evidence of manufacturing illegal drugs. It
was determined that the unknown substances and liquids did not present a hazard to the
building. Many materials were purchased and shipped to the business. A final report
has not been completed from Lake County Narcotic Agency.
Ohio has had its first reported rabies case for 2015 in Trumbull County.
4.03
Health Promotion & Planning
4.03
Division of Health Promotion and Planning
4.03.01
Division Director’s Report
The Lighten Up 2015, a 6-month weight loss contest will take place this year. The News-
Herald, the Health District, LEAN Living, the YMCA, and Second Sole in Mentor are on board.
The main changes this year are no blogging requirements and no partnership with Aladdin’s
Eatery. The contest will be limited to 50 participants. Applications are due on January 12.
The Health Education Unit has applied for the American Planning Association grant in
conjunction with the Lake County Planning Commission and Development. This grant will
address physical activity, nutritious foods, access to care, and tobacco policies and
environmental change. Also, the Kick Butts Day mini grant will be pursued in Lake, Geauga,
and Ashtabula counties.
4.03.02
Health Education Unit Report
4.03.02.01
Safe Communities/Child Passenger Seats
During December, the Health Educator assisted in coordinating the Protect and Serve
Tavern, held on Saturday, December 13th
at Great Lakes Mall in Mentor. During this event,
local police chiefs and special invited guests served non-alcoholic drinks and snacks to mall
patrons to remind them to drive safely and designate a sober driver during their holiday
celebrations. Special guest bartenders included Ohio House Representative John Rogers, Lake
County Commissioner Judy Moran and NewsChannel5’s Danita Harris and Mark Johnson. Mall
shoppers also had the opportunity to try the fatal vision goggle demonstration and receive
Page 17
15 January 20, 2015
mocktail recipes provided by Lake County police departments. A news release was issued and
The News Herald provided pre-event coverage and both NewsChannel5 and The Mentor
Channel stopped by to film the event.
4.03.02.02
Emergency Preparedness
The Preparedness Specialist taught the American Lung Association’s Freedom from
Smoking classes on December 1, 8, 15, 22, and 26 at Nevaeh Ridge in Mentor. On December 3
the Preparedness Specialist was interviewed on 1330 AM WINT about the flu, Lake County
General Health District relocation, and the Chronic Disease Self-Management Program.
Social Media Statistics:
Social Media Type Number of New
Fans/Followers
*Number of
Community
Interactions
Number of
Followers/Fans
Twitter 11 107 910
Facebook 14 89 (5933) 575
*Community Interactions include other agencies/individuals re-tweeting or sharing LCGHD’s
information, “favoriting” or “liking” LCGHD’s information, requests for information,
commenting/responding to information LCGHD presents, etc. The number in parentheses
represents the actual number of Facebook followers that were “served” with the information.
4.03.02.03
Healthy Lifestyle Initiative
The Dietitian attended a two-day Diabetes Self-Management cross training of the
Chronic Disease Self-Management Program at Fairhill Partners. There she met the Health
Promotion Coordinator who later came to the Health District to discuss outreach and workshops
in Lake County. Two workshops are scheduled for February and March at the Fairport Harbor
Senior Center and Mentor Senior Center, respectively.
Health Works: There have been no nutrition appointments for Health Works since the
fire. The Dietitian is starting to schedule clients for January.
Wellness Clinic at Crossroads: Caseload has been steady, with a low no-
show/cancellation rate this month. In January, the dietitian will begin brainstorming ideas for an
activity table in the lobby to celebrate Heart Month during February.
A JUST RUN Lake County workshop will be scheduled for the beginning of February.
This gives current and future site coordinators an opportunity to learn more about JUST RUN
and what is needed to start-up a program. Current site coordinators share practices that have
worked/not worked which potential site coordinators find helpful. Information is also shared
about the JUST RUN Lake County 5K including date, time, etc.
Page 18
16 January 20, 2015
Veggie U will be implemented in up to six 3rd
grade or special education classrooms in
Lake County thanks to the Child and Family Health Services grant. The Health Educator will
identify six classrooms that are Veggie U will be implemented in up to six 3rd grade or special
education classrooms in Lake County, thanks to the Child and Family Health Services grant.
The Health Educator will identify six classrooms interested in implementing Veggie U. Veggie
U, a 501(c)3 non-profit organization, is a 5-week program for elementary and special needs
classrooms that teaches how plants grow, as well as the importance of good nutrition. It is a
hands-on opportunity for students to learn where their food comes from and how to make healthy
choices. Veggie U incorporates journal activities, mathematics, and fine arts into standards-
based science lessons, providing an interactive and enjoyable way for students to study these
core concepts. It allows the students to fully experience planting, growing, harvesting – and
tasting the results. Veggie U culminates with a Feast Day celebration at the end of the 5 weeks.
The Veggie U curriculum is designed to address the plant science standards for 3rd
graders.
4.03.02.04
Carol M. White Grant
SOFIT (System for Observing Fitness Instruction Time) observations took place in the
month of December. Several Health District employees observed physical education classes in
24 elementary schools. SOFIT observations determine the number of minutes and percentage of
lesson time students spend in moderate-to-vigorous physical activity, minutes and percentage of
lesson time spent in management, instruction, fitness, skill drills, and game play and determines
the percentage of lesson intervals spent promoting physical activity and fitness during and out-
of-class time. SOFIT observations will occur again in the spring. Results from SOFIT
observations will be sent to Artie Kamiya, the outside evaluator, and will be included in the
Annual Performance Report.
Both Health Educators have been planning for the winter assessments with the next set of
students. The students will be randomly selected and the assessment spreadsheet given to the
teachers by the end of December. This is the second set of testing for the schools. Two new
schools were added: Buckeye Elementary and Hadden Elementary, which replaced Hale Road
Elementary and Leroy Elementary.
Both Health Educators notified the Physical Education (PE) teachers that there is a
conference opportunity in March. PE teachers, who are interested, are required to write a letter
of consideration to attend the conference, have someone in Administration (their building
Principal or district Superintendent) sign the letter, and submit the letter of consideration before
January 9. Two teachers will be chosen to join the Health Educators in Seattle, Washington.
Page 19
17 January 20, 2015
4.03.03
Women, Infants, and Children (WIC) Unit Report
Four young women and their significant others attended the Infant Feeding Session at the
beginning of the month. All exit surveys showed that each participant left knowing at least two
new facts about breastfeeding.
For the sixth year in a row the Lake County WIC program received generous donations
from both the Lubrizol Retirees and the 50 and Over Club. The donated gifts made our holiday
gift class possible in our central office. Fourteen families attended for our Holiday Gifts Session.
We had a wonderful setting for our program allowing the children to spread out, color, and ring
jingle bell bracelets given to them for a holiday sing-a-long. Check out our website for
wonderful pictures.
Clinic Caseload DECEMBER:
CLINIC Assigned
Caseload Caseload
%
Caseload
%
Assigned
Caseload
Central 2075 1751 49% 84%
Willoughby 1310 1329 37% 101%
Madison 455 471 13% 104%
TOTAL CASELOAD 3840 3551 -289 92%
Clinic Activity DECEMBER:
Activity Scheduled Attended Show Rate %
Re-certifications 665 485 73%
Certifications 235 190 81%
Individual Educations 332 243 73%
Group Educations 341 244 72%
High Risk Clients 172 124 72%
Average show rates 1745 1286 74%
Kathy Milo provided highlights of her report:
The Lighten Up program has started for 2015. We have 37 participants for the Biggest
Looser 6-month weight loss program. The News Herald, LCGHD, LEAN Living and the
YMCA are also involved in this event.
Child Safety Seat program has been operating since December and has classes
scheduled.
Page 20
18 January 20, 2015
Carol White Grant is well received in the schools. Communication is being conducted in
all schools with sharing of information. A newsletter has been created to provide
additional communication efforts.
Additional submissions of Grants have been applied for to increase education and
awareness in physical education, tobacco, etc. for our communities.
The Just Run event is scheduled for May 30th
. A letter to request sponsors for this event
is attached. A Just Run workshop will be held on February 4th
for new coordinators.
LCGHD received a Medical Reserve Corps competitive grant for $15,000 to promote the
Chronic Disease Self-Management and we will incorporate the MRC volunteers to
promote the program.
4.04
Manaager’s Report
4.04 Managers Update and Highlights
1. We are diligently working on the 2016 budget and ensuring that we stretch every
dollar that we have available while still providing the services the community
deserves.
2. We continue to monitor our insurance claims and progress on not only receiving
bids for the reconstruction of our building but also looking at other options.
3. We continue to monitor our receipts and expenditures to ensure that we are
fiscally sound.
Page 21
19 January 20, 2015
Adam Litke provided the following highlights for his report:
Budget should be completed this week
The due date for construction bids has been delayed by the Insurance Adjuster. Bids are
due February 6, 2015
On the financial report for December the County did not take out the fringe benefits.
This will be paid in January.
Federal dollars for the Carol White grant allowed for additional monies to be carried
over. The Wickliffe and Perry Schools had already committed to the grant prior to
LCGHD.
Page 22
20 January 20, 2015
Ron indicated that LCGHD will be asking for a 10% increase for the 2016 budget. It is
difficult to estimate any short falls due to the fire. At this time there are too many
variables that come into play to make solid decisions.
4.05
Health Commissioner’s Report
4.05.01 Thank You
I wanted to take the time to thank the Board of Health for providing me with opportunity to serve
in the role of Health Commissioner for the Lake County General Health District; the position has
truly been my ultimate goal since entering public health in 1999.
Furthermore, I want to acknowledge how much respect I have for the Board of Health and I
consider each of you both colleagues and friends. Over the last eight years the Board has
supported numerous new efforts; efforts that have continued to make the Lake County General
Health District a leader in its field. I have no doubts, with the talented and energetic staff
currently in place that it will continue to pioneer new and improved ways to practice public
health and improve the lives of those we serve.
As we move into 2015, there will be challenges that we have never faced before, from recovering
from the devastating fire on August 20, 2014, to the completion of the historical processes such
as Public Health Accreditation. Despite these challenges, we have learned much about
ourselves, as we have each other and gained invaluable lessons about teamwork. The staff is,
and will continue to be the best a person could hope for as I take over the role of and attempt to
fill the shoes of talented individuals like those of Mr. Joel Lucia and Mr. Frank Kellogg. Their
impact on public health can be seen on a daily basis locally and across the State. I hope that at
the end of my career, I will be able to look back and see that I have left a similar impact in the
field of public health. A quote always comes to mind when I think of my successes to date and
recognize that my success has truly been dependent upon others;
“If I have seen further than others, it is by standing upon the shoulders of giants.” –Isaac
Newton
There are several goals that have been set for the agency over the 2015/2016 years, including but
not limited to;
Identify, acquire, and transition the LCGHD to a permanent facility within the City of
Painesville
Complete the Public Health Accreditation Board’s Action Plan requirements for
achieving Accreditation.
Maintain and/or increase the ability of the LCGHD to competitively acquire local, state,
and federal grants
Implement an agency-wide Customer Satisfaction Program focusing on both
external/internal customers.
Page 23
21 January 20, 2015
Review/Revise/Update agency-wide policies (Fiscal/Administrative/Personnel) as
appropriate.
Ensure approval of the amended 2015 and projected 2016 LCGHD Operational and
Capital budgets with the Senior Manager.
Explore funding and grant opportunities acquire comprehensive fiscal management
software in conjunction with the Senior Manager.
Establish an electronic LCGHD Newsletter with a minimum of 1,000 user contact
database.
A monthly performance dashboard will be provided to help inform the Board of Health, as well
as staff, in an effort to both monitor and share the associated progress.
4.05.02 Board of Health Committees to Meet
The Lake County General Health District Board of Health’s Finance Committee will have a
meeting on Monday January 26th
, 2015 at 3:00 PM Victoria Place Offices to review the draft
LCGHD 2015 Amended and 2016 Project budget and allow for distribution to the political
subdivisions. Permission to allow the Finance Committee to authorize the budget for distribution
on behalf of the Board of Health is located in this month’s new business.
The Lake County General Health District Board of Health’s Building Committee will have a
meeting on Tuesday February 17th, 2015 at 2:00 PM Victoria Place Offices to review the
results of the bidders conference quotes and Public Entities Pool (PEP) information. The
meeting will be critical in identifying the next steps in identifying a permanent location for the
Health District’s offices.
4.05.03 Fire Update
Victoria Place—The Health District, and its staff, continue to struggle with the loss of data and
internet connectivity since its relocation to One Victoria Square (Victoria Place) since December
1, 2014. Continued thanks to the staff and LCGHD IT Manager Tim Snell for making the best of
a very difficult situation with our move into Victoria Place. The County now believes the VoIP
phone installation will be delayed until mid-January, a significant delay from the anticipated
target of December 15, 2014. In the meanwhile, the LCGHD utilizes minimal phone lines and
cellular phones to maintain operations.
Building Settlement- On December 17th
, LCGHD staff met with a George Rittel of Public Entity
Pool (PEP) to conduct the bidder’s conference. Coldharbor, BMS Cat, and Belfor were in
attendance. Bids will be due on or before January 23, 2015 unless the contractors identify an
issue that would justify an extension. They will include costs for each discipline (i.e. plumbing,
electrical) as well as demolition, code compliance, etc. in the bids in order to maximize our
insurance coverage and its various “pots” of funding. All bids will be detailed to avoid
supplements or change orders to prevent cost overrun. This does not apply to “hidden” damage
that can be documented by PEP.
Page 24
22 January 20, 2015
George, our PEP representative, continues to help ensure we maximize our coverage and is
extremely knowledgeable and transparent with the process. He will need 2 weeks to review the
bids and ensure that our interests are protected from incomplete or unrealistically low bids.
Unfortunately, this means we will not have a definitive building/settlement cost until sometime
in February 2015
Coe St. Bldg (Port Authority)— Port Authority has been approach to provide more detailed
information on the specifics included in the estimated 2.6 million Coe building renovation.
Additionally, Mr. Mike Crislip, President of Herschman Architects met with the Health District
and the Port Authority offering to provide some assistance. Mr. Crislip was later contacted to
assist in providing an initial independent assessment and will provide a preliminary report of the
Coe building to the LCGHD. Based on the initial findings an additional assessment may be
required and the cost for the services will be discussed at that time.
The Health District has discussed with Andy Altenweg of Laketran the potential of re-
establishing a Laketran shelter/stop at the Coe location. Mr. Altenweg is agreeable to this new
stop.
Senior Manager Adam Litke has requested a quote for insurance coverage based on the values
below (complete rebuild costs at $175 sq. ft.)
Coe Manufacturing (built 1955), 609 Bank Street Painesville Ohio 44077 (31,162 sq. ft.)
Building 5.5 Million, Contents 1 Million, IT $250,000
LCGHD (built 1964), 33 Mill Street Painesville Ohio 44077 (~24,000 sq. feet)
Building 4.2 Million, Contents 1 Million, IT $250,000
Record Digitization—Strategic Solutions continues to work on the over 600 boxes of files for
digitization. The entire process may take up to 6 months to finalize.
Loss of Revenue— Our insurance provides for $100,000 coverage for loss of revenue. LCGHD
submitted an itemized list for $47,483.50 in program loses. No update as of this report.
4.05.04 Deputy Health Commissioner/Deputy Environmental Health Director
As has been the practice, since originally approved by the Board of Health in January, 2007, it
is noted that the Board of Health affirmed the Health Commissioner’s choice of Nancy Niehus
as Deputy Health Commissioner effective January 1, 2015 through December 31, 2015 as part
of the transition plan previously approved. The purpose of the position is to assure the proper
management of the LCGHD in the absence of the Health Commissioner as
necessary. Additionally, Laura Kuns’ title has been changed to that of Deputy Environmental
Health Director to ensure continuity should there be a prolonged absence of the Health
Commissioner.
Page 25
23 January 20, 2015
4.05.05 Naloxone (Project DAWN) /Law Enforcement Update
Licensed Social Worker Jennifer Vittek and Dr. Nancy Rodway trained approximately 10
Mentor Firefighters who will go on to train the Mentor Police Officers who will be the first
police department in Lake County to carry nasal Naloxone. The training went really well. –Dr.
Rodway’s presentation was perfectly succinct and informative (A fun-Pop Pop, Screw Screw,
Spray Spray was a fun way for them to teach the police to remember what to do with the
Naloxone). The information was well received and the firefighters seem well-prepared to move
forward with the training.
The firefighters have been given resource information for contacting Lorain Police Department
with further logistical questions as Lorain is the first police department in the State of Ohio to
carry the Naloxone. They have had 40 saves to date. The firefighters plan to obtain their own
demonstration kits. We did not supply any kit materials at the time of training.
According to Captain Gunsch from Mentor PD, the other police departments in Lake County are
choosing to hold off on beginning their Naloxone programs until they see how the model works
for Mentor.
Kirtland Police Department recently posted the following statement on their Facebook page;
“We had an incident recently where a driver under the influence of heroin was slumped over the
wheel of his car. A passing motorist called the situation in to our dispatch. When our firefighters/
paramedics arrived they immediately noticed he wasn't breathing and that it was a possible
overdose of heroin. They administered "narcan" to counteract the effects of the heroin. The
subject began to breathe on his own. We extend our thanks to Kristine, the passerby, who saved
this man's life. We also wish to acknowledge our fine fire department on their quick response
that saved this individual. Another few minutes and the outcome may have been darker. We will
once again be grateful to our fire department when they train our police in the use of "narcan" as
we add this to our officer's tools to help save lives.” Thank you to Board Member Brian Katz for
catching this post.
Update: New Guidance on Extended-Release Injectable Naltrexone
The Substance Abuse and Mental Health Services Administration (SAMHSA) has issued
guidance based on a review of the current evidence on the effectiveness of available medications
for the treatment of opioid use disorders. The guide, Clinical Use of Extended-Release Injectable
Naltrexone in the Treatment of Opioid Use Disorders: A Brief Guide provides key information
on assessing the patient's need for treatment and initiating medication-assisted treatment (MAT).
It also advises on how to monitor patient progress, adjust the treatment plan, and decide whether
and when to end MAT. Finally, the guide includes a summary of the key differences between
extended-release injectable naltrexone, methadone, and buprenorphine. The guide is available at:
http://store.samhsa.gov/shin/content/SMA14-4892/SMA14-4892.pdf
4.05.06 District Advisory Council
Page 26
24 January 20, 2015
This is a reminder that the 2015 LCGHD District Advisory Council (DAC) meeting will be held
on Monday, March 2, 2015. The meeting will begin at 7:00 p.m. Refreshments will be available
at 6:30 p.m. The meeting will be held at Emergency Management Agency (EMA), 8505
Garfield Road, Mentor. The DAC is made up of representatives from the Board of County
Commissioners and each village and township within the Health District. Representatives from
the nine contracting cities are also invited to attend the meeting. The purpose of the meeting is
to hear the Annual Report and make recommendations to the Board of Health. Each year the
townships and villages are also given an opportunity to comment on the ensuing year’s proposed
budget.
4.04.07 Vital Statistics Sales and Services Rendered –December
December YTD
Birth Certificates Issued 268 4149
Birth Certificates – Out of County 71 1675
Death Certificates Issued 858 8139
Fetal Death Certificates Issued 0 1
Burial Permits Issued 70 647
Birth Certificates Filed 131 1773
Death Certificates Filed 193 1787
Fetal Death Certificates Filed 2 13
4.05.08 Vital Statistics Kiosk Update:
The LCGHD signed into agreement with the Ohio Department of Health Vital Statistic to utilize
the States electronic index of birth and death records. The electronic database allows the public
to search and access limited birth and death data. LCGHD Vital Statistics can only issue birth
certificates from the States IPHIS system after signing this agreement. The staff no longer will
need to retain new birth records, or update copies of older birth records that have been altered
due to affidavit, legal name change, paternity or court ordered corrections.
4.05.09 LCGHD Web Page Analytics
April May June July August September October November December
4,424 3,885 3,450 3,693 4,023 3,037 2,905 3,007 2,310
3,213 2,777 2,465 2,715 3,095 2,299 2,106 2,164 1,778
18,563 16,438 14,327 14,193 14,604 11,836 12,341 12,492 8,842
4.2 4.23 4.15 3.84 3.61 3.90 4.25 4.15 3.83
64.51% 62.63% 61.71% 64.77% 67.85% 67.27% 63.82% 63.95% 68.18%
43.96% 41.80% 39.68% 41.48% 43.98% 43.33% 39.79% 46.92% 43.03%
354 379 379 355 351 355 322 301 301
2:56 2:43 2:26 2:22 2:16 2:25 2:43 3:05 2:29
Vital Stats Vital Stats Vital Stats Vital Stats Vital Stats Vital Vital Stats Vital Stats Vital Stats
OpportunitiesOppportunities Oppportunities Opportunities Contact US Opportunities Ebola Virus Opportunities Opportunities
food Safety Just Run Beaches Beaches Opportunities Mosquito Opportunities Contact Us Sewage
Contact US Food Safety Food Safety Contact Us Health District Closed Contact US Contact us Sewage Health Services
Sewage Sewage Mosquito Food Safety Beaches WIC Food Safety Food Safety Contact Us
Page 27
25 January 20, 2015
4.05.10 BOH Continuing Education 2014/2015
Ohio Revised Code, ORC 3701.342, requires that each BOH member must annually complete 2
hours of CEU’s pertaining to public health, ethics and BOH member responsibilities. CEU’s
otherwise earned by licensed health professionals (LHP’s) may be counted to fulfill the 2-hour
continuing education requirement. A summary is listed below;
1) Completion of 2 hours of CEU’s by each BOH member each calendar year.
2) CEU credits shall pertain to one or more of the following topics: ethics, public health
principles, and a BOH member's responsibilities.
3) CEU’s earned for the purpose of license renewal or certification by licensed health
professionals (LHP) serving on BOH’s may be counted to fulfill the 2-hour CEU
requirement.
4) The smallest credit increment is 15 minutes.
5) The health commissioner shall keep all BOH members' CEU records containing the
date, topic, number of credits earned, location and presenter's name or copies of
certificates of CEU’s earned for the purpose of license renewal or certification by a
LHP serving on the BOH. Compliance with the rule will be reported through a check
box on the Annual Financial Report submitted each March to ODH.
6) If a BOH member fails to comply with the CEU requirements the director of health
may provide 1 calendar year for the BOH member to correct the deficiencies or
provide the health commissioner an opportunity to request an in-person meeting,
telephone or video conference with an ODH representative to show good cause for
the deficiencies.
BOH Member Name
01
/21
/20
14
Nu
trit
ion
& D
iet
02
/18
/20
14
FSO
Hea
lth
spac
e P
rogr
am
03
/17
/20
14
Plu
mb
ing
Pro
gram
04
/21
/20
14
N
o P
rogr
am
05
/19
/20
14
Vib
ran
t N
E O
H
06
/16
/20
14
B
each
Mo
nit
ori
ng
07
/21
/20
14
L
CG
HD
His
tory
08
/18
/20
14
B
arri
ers
to
Hea
lth
care
09
/15
/20
14
No
Hig
hlig
ht
10
/27
/20
14
No
Hig
hlig
ht
11
/17
/20
14
Daw
n C
ole
Elec
tro
nic
Cig
arre
ts
12
/1 /
20
14
No
Pro
gram
Tota
l To
Dat
eRoger Anderson 0.50 0.25 0.5 0 0.75 0.50 0.50 0.25 0 0 0.5 3.75
Tim Brennan 0.50 0 0.5 0 0.75 0.50 0.50 0.25 0 0 0.5 3.50
Dr. Alvin Brown 0.50 0.25 0.5 0 0.75 0.50 0.50 0.25 0 0 0.5 3.75
Dr. Susan Culotta 0.50 0.25 0.5 0 0.75 0.50 0.50 0.25 0 0 0.5 3.75
Patricia Fowler 0.50 0.25 0.5 0 0.75 0.50 0.50 0 0 0 0.5 3.50
Marc Garland 0.50 0.25 0.5 0 0.75 0.50 0.50 0.25 0 0 0.5 3.75
Dr. Juan Hernandez 0.50 0.25 0.5 0 0 0.50 0.50 0 0 0 0.5 2.75
Steve Karns 0 0 0.5 0 0 0 0 0 0 0 0.5 2.5 3.50
Brian Katz 0.50 0.25 0.5 0 0.75 0.50 0.50 0.25 0 0 0.5 3.75
Patricia Murphy 0.50 0.25 0.5 0 0.75 0.50 0.50 0.25 0 0 0.5 3.75
Randy Owoc 0.50 0.25 0.5 0 0.75 0.50 0.50 0.25 0 0 0.5 3.75
James Pegoraro/Rich Harvey 0.50 0.25 0.5 0 0.75 0.50 0.50 0.25 0 0 0.5 3.75
Dr. Lynn Smith 0.50 0.25 0.5 0 0.75 0.50 0.50 0.25 0 0 0.5 3.75
Anthony Vitolo 0.50 0.25 0.5 0 0.75 0.50 0.50 0.25 0 0 0.5 3.75
Start Time 3:56 PM 3:34 PM 3:28 PM 3:40 PM 3:52 PM 4:00 PM 3:25 PM 3:24 PM
End Time 4:32 PM 3:54 PM 4:08 PM 4:26 PM 4:22 PM 4:25 PM 3:40 PM 3:54 PM
Page 28
26 January 20, 2015
4.05.11 Ohio’s 2014-15 Flu Season To Date By The Numbers
The U.S. Centers for Disease Control and Prevention (CDC) says that the 2014-15 flu season
may be severe because Influenza A (H3N2) is the predominant virus strain, leading to more
severe illness and mortality, especially in older people and young children. Also, this year’s flu
vaccine isn’t well-matched to two-thirds of H3N2 viruses circulating, reducing its effectiveness.
During Week 51 (Dec. 14-20), Ohio had 935 new confirmed influenza-associated
hospitalizations – a dramatic increase over the previous week’s 529 new hospitalizations.
Ohio has had 1,919 such hospitalizations thus far during the 2014-15 flu season.
Ohio had 331 such hospitalizations through Week 51 of last year’s flu season (when the
H3N2 influenza strain was NOT predominant).
Ohio had 851 such hospitalizations through Week 51 of the 2012-13 flu season when
H3N2 was also predominant. The number of such hospitalizations for that entire flu
season exceeded 5,000.
Among Ohio’s confirmed influenza-associated hospitalizations this year, 177 have been
children age 4 or younger, and 929 have been adults age 65 or older. This graph shows
the distribution of such hospitalizations by age group.
By far, Cuyahoga County has the highest percentage (33.6%) of Ohio’s confirmed
influenza-associated hospitalizations. This chart shows the number of such
hospitalizations by county and its rate of hospitalization per 100,000 residents.
During past seasons when influenza A (H3N2) viruses have predominated, higher overall and
age-specific hospitalization rates and more mortality have been observed, especially among older
people, very young children, and persons with certain chronic medical conditions compared with
seasons during which influenza A (H1N1) or influenza B viruses have predominated.
Influenza viral characterization data indicates that 48% of the influenza A (H3N2) viruses
collected and analyzed in the United States from October 1 through November 22, 2014 were
antigenically "like" the 2014-2015 influenza A (H3N2) vaccine component, but that 52% were
antigenically different (drifted) from the H3N2 vaccine virus. In past seasons during which
predominant circulating influenza viruses have been antigenically drifted, decreased vaccine
effectiveness has been observed. However, vaccination has been found to provide some
protection against drifted viruses. Though reduced, this cross-protection might reduce the
likelihood of severe outcomes such as hospitalization and death. In addition, vaccination will
offer protection against circulating influenza strains that have not undergone significant antigenic
drift from the vaccine viruses (such as influenza A (H1N1) and B viruses).
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27 January 20, 2015
Note:
Lake County influenza activity will be reported in the Director of Community Health Services
Report.
Anti-Virals:
CDC recommends antiviral medications for treatment of influenza as an important adjunct to
annual influenza vaccination. Treatment with neuraminidase inhibitors has been shown to have
clinical and public health benefit in reducing illness and severe outcomes of influenza, as
evidenced from randomized controlled trials, meta-analyses of randomized controlled trials, and
observational studies of oral oseltamivir, inhaled zanamivir, or parenteral peramivir treatment
during past influenza seasons and during the 2009 H1N1 pandemic.
Clinical benefit is greatest when antiviral treatment is administered early in the illness course.
When indicated, antiviral treatment should be started as soon as possible after illness onset and
should not be delayed even for a few hours to wait for the results of testing. Ideally, treatment
should be initiated within 48 hours of symptom onset. However, antiviral treatment initiated later
than 48 hours after illness onset can still be beneficial for some patients.
4.05.12 Voice over Internet Protocol (VoIP)
In August the Health District committed to continue with the County for its phone service which
meant switching to a Voice over Internet Protocol or more commonly known as VoIP System.
This commitment was anticipated to cost approximately $125,000 for new equipment, labor, and
wiring to be paid over a five (5) year period. However, the LCGHD will be asking for a revised
cost estimate due to:
1. The City of Painesville’s in-kind costs to wire/network Victoria Place
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28 January 20, 2015
2. The reduced labor/materials necessary for VoIP which will be covered under building or
contents when renovating Coe Manufacturing or the 33 Mill St. locations.
It estimated that transition to VoIP will reduce the cost of annual telephone services by
approximately $10,000 per year as compared to the old system.
Voice over Internet Protocol (VoIP) is a technology that allows you to make voice calls using a
broadband Internet connection instead of a regular (or analog) phone line. Some VoIP services
may only allow you to call other people using the same service, but others may allow you to call
anyone who has a telephone number - including local, long distance, mobile, and international
numbers. Also, while some VoIP services only work over your computer or a special VoIP
phone, other services allow you to use a traditional phone connected to a VoIP adapter.
4.05.13 America’s Health Rankings Released
The recently released report from America’s Health Rankings places Ohio 40th
for overall health
indicators as compared nationally.
The rankings, which are issued annually by the United Health Foundation, the American Public
Health Association and Partnership for Prevention, are the longest-running state-by-state analysis
of the nation's health.
Hawaii came out on top for the third year in a row. Vermont came in second and Massachusetts
was third. Mississippi ranked last, preceded by Arkansas at 49 and Louisiana at 48.
Obesity
The national obesity rate increased from 27.6% to 29.4% of adults, Nearly a quarter of people
report doing no physical activity or exercise in the last 30 days, which may be partly to blame.
That number increased from 22.9% in the 2013 report to 23.5% in this year's report.
Obesity, a leading contributor to death in the USA, has more than doubled over the last 25 years,
the report shows. Obesity is also closely tied to chronic, costly diseases including diabetes and
high blood pressure, which are bedeviling the health care system.
Diabetes
Nationally, nearly 10% of adults now say they have diabetes, which is more than double the
number from 20 years ago when the rankings started tracking the disease.
Positive Trends
The number of Americans who smoke continued its downward trend, dropping 3%.
Immunization coverage for adolescents was also up 5% and infant mortality rates dropped 4%
compared with last year's report.
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29 January 20, 2015
Ohio Data
Ohio’s overall rank has been declining steadily over the last 24 years as seen in the graph below;
Strengths:
High rate of high school graduation
Low incidence of infectious disease
Small disparity in health status by educational attainment
Challenges:
Low immunization coverage among children
High rate of preventable hospitalizations
High infant mortality rate
Highlights:
In the past 2 years, immunization coverage among children decreased by 17 percent from
74.7 percent to 61.7 percent of children aged 19 to 35 months.
In the past 5 years, children in poverty decreased by 20 percent from 21.0 percent to 16.9
percent of children.
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30 January 20, 2015
In the past 10 years, preventable hospitalizations decreased by 21 percent from 91.3 to
71.7 per 1,000 Medicare beneficiaries.
In the past year, drug deaths increased by 25 percent from 14.0 to 17.5 deaths per
100,000 population.
Since 1990, infant mortality decreased by 22 percent from 9.9 to 7.7 deaths per 1,000 live
births. Ohio now ranks 46th among the states.
Special Considerations
The 2014 report uses data from 2012 and 2013 so it does not include people who became insured
under the Affordable Care Act starting Jan. 1st, 2014. For more information visit,
http://www.americashealthrankings.org/reports/Annual
4.05.14 Employee of the Quarter
Now that the dust has settled a bit from the fire and Ebola response; the Health District will again
choose one staff nominated employee to be recognized as employee of the quarter. The
employee will be present at this month’s Board Meeting.
The EOQ program was first launched by the LCGHD staff Health and Safety Committee and is
meant to recognize outstanding full-time and/or part time/casual employees embodying the
organization’s standards for excellence & customer service. Further, the program’s goal is to
acknowledge employee efforts that inspire and support the performance and achievement of
others and to place focus on quality service delivery. Nominations may be made by any LCGHD
staff member and the final choice is determined by the Health and Safety Committee members.
Besides recognition at the BOH meeting, the employee will also receive a preferred employee
parking space, an award certification, recognition within their Unit or Division staff, their name
and brief biographical sketch on the staff intranet, and $50.00 (courtesy of the Health District
Fund) towards a purchase of a LCGHD logo item from Land’s End.
4.05.15 Intent to Reappoint Mr. Anthony Vitolo
Mayor Richard Bonde was contacted by the Health District to ensure Board of Health
Representation for the City of Willowick. The Mayor responded by e-mail on December 5,
2014, that it was his intent to have Mr. Anthony Vitolo re-appointed to the Lake County General
Health District Board. Specifically, Mayor Bonde wrote “He [Anthony Vitolo] has done an
outstanding job representing Willowick and reporting back to us on Health Department issues. I
would be honored to have him back”. LCGHD would like thank Mr. Vitolo for his service to the
Board of Health.
4.05.16 Cost of Foodborne Illness
An early released version of a Risk Analysis paper by U.S. FDA (Minor et al.) estimates the cost
of foodborne illnesses (including some that have been omitted by others in previous models) at
$36 billion, and the average cost burden per illness of $3,630. The total cost of a foodborne
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31 January 20, 2015
illness combines mortality costs with the value of lost *QALYs and medical costs for acute
illnesses and sequelae. Each element in the measure is weighted by its frequency. For each
known agent or disease that causes foodborne illness we estimate the full monetary cost of
illness based on the expected severity of the acute illness, the expected severity of any sequelae,
and the probability of premature death.
The limitations of the public health cost estimates are that they do not attempt to include the
costs to industry (things like management, loss of business, sales, reputation and others).
*The quality-adjusted life year or quality-adjusted life-year (QALY) is a measure of disease
burden, including both the quality and the quantity of life lived.
4.05.17 Board of Health Highlight
This month’s educational highlight will be provided by Health Educator Cathy Bevan. Her
presentation will focus on the recently acquired Tobacco Prevention, Policy, System &
Environmental Change grant. The grantees are required to form at least one “stand team” in their
county. Stand is an integrated youth-led campaign that relies on young voices to lead and carry
the anti-tobacco brand messaging across both traditional and non-traditional marketing channels
using different promotional methods to reinforce each other. The goal of stand is to eliminate the
cultural acceptance of tobacco use in Ohio and to counter-market tobacco advertising. Strategies
and activities in the grant include; promoting membership via social media, engaging the stand
team members in events, promoting the anti-tobacco message through activities, and holding a
press conference with stand team members. Another provision of the grant is to develop a
presentation for local businesses to promote a smoke free work place.
4.05.18 LCGHD in the News
Ron H. Graham prepares to take over new role as Lake County Health Commissioner
http://www.news-herald.com/general-news/20141224/ron-h-graham-prepares-to-take-over-new-
role-as-lake-county-health-commissioner
Lake Health limiting visitors during flu season
http://www.news-herald.com/general-news/20141216/lake-health-limiting-visitors-during-flu-
season
Local experts weigh in on state's premature birth rate
http://www.news-herald.com/general-news/20141216/local-experts-weigh-in-on-states-
premature-birth-rate
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32 January 20, 2015
Viruses cause closure of All Saints School of St. John Vianney in Wickliffe
http://www.news-herald.com/general-news/20141212/viruses-cause-closure-of-all-saints-school-
of-st-john-vianney-in-wickliffe
Health District moves over temporarily to Victoria Place office building in Painesville
http://www.news-herald.com/general-news/20141203/health-district-moves-over-temporarily-to-
victoria-place-office-building-in-painesville
Health Commissioner Ron Graham provided highlights of his monthly report:
Introduced Lauren Henderson who just graduated from a MPH program. She has taken
over as PHAB Coordinator.
Introduced Ed Piatek who is the Maintenance Coordinator. He has worked with the
health district for many years thru sub-contracting and recently has been employed by
the LCGHD. He has also received the Employee of the Quarter award.
Committees meetings are scheduled: Finance Committee is tentatively scheduled to meet
January 26 at 3:00 p.m. This meeting may need to be rescheduled if needed. The
Building Committee is scheduled to meet prior to the February Board meeting (February
17th
) at 2:00 p.m.
LCGHD staff are still on limited phones. The VOIP phone system installation continues
to be delayed.
A cell phone booster located in the basement may have been the source of our computer
issues that we have had since we have relocated to Victoria Place. The booster has been
disconnected and our computer issues seem to be resolved.
District Advisory will be on March 2, 2015 and will be located at the EMA on Garfield
Road in Mentor. More information will be forth coming.
Mr. Anthony Vitolo has been re-appointed by the City of Willowick at their January 6th
meeting.
Herschman Architects provided a “pro bono” assessment of the Coe building in order to
gain a better estimate of costs and potential areas of concern. Their report will be
completed by month’s end. A presentation will be made at the February 17th
Building
Committee meeting.
Cathy Bevan presented the monthly highlight on Tobacco Prevention, Policy, System &
Environmental Change grant. Kathy’s presentation began at approximately 3:52.
In the late 1990’s CDC began a “counter-market” campaign against the tobacco industry
2000 Ohio General Assembly, with monies from the Master Settlement Agreement (MSA),
launched the original stand brand/campaign in February of 2002
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33 January 20, 2015
STAND Teams: Ashtabula City, Crossroads, Lake Geauga
Recovery Centers
ODH grant of $30,000
$5,000 for each grantee to cover personnel and travel
expenses
$15,000 for LCGHD personnel, travel and educational
material
STAND uses peer-to-peer youth outreach to counter the influence of tobacco and the use
of traditional media and an interactive website were used to get the word out.
Youth Tobacco Problem statistics
U.S. high school smoking rate: 18.1%
Ohio high school smoking rate: 21.1%
Lake County high school smoking rate
12 to 13 smoking rate 8%
14 to 16 smoking rate 12%
Over 17 smoking rate 19%
The percentage of U.S. middle and high school students who use e-cigarettes has more
than doubled between 2011 and 2012
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STAND is an integrated youth-led campaign that relies on young voices to lead and carry the
anti-tobacco brand messaging across both traditional and non-traditional marketing channels
using different promotional methods to reinforce each other
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34 January 20, 2015
Future STAND events scheduled for 2015
National Drugs fact week – January 26
National Heart Month - February
Kick Butts Day – March 18
World No Tobacco Day – May 31
Great American Smoke Out – November 19
Second Hand Smoke:
There is no risk free level of second hand smoke exposure; even brief exposure can be
harmful to health
Smoke-free laws can reduce the risk of heart disease and lung cancer among non-smokers
Third Hand Smoke
Third hand smoke is a relatively new concept
Third hand smoke clings to hair, skin, clothes, furniture, drapes, walls, bedding,
carpets, dust, vehicles and other surfaces, even long after smoking has stopped
Residue nicotine can possibly react with common indoor pollutants to create a toxic
mix
The only way to protect nonsmokers from third hand smoke is to create a smoke-
free environment, whether that's your private home, vehicle, or in public places
Ms. Bevan ended her presentation at approximately 4:23 p.m.
5.0 Committee Reports
No Committee Reports
6.0 Old Business
No Old Business
7.01 Resolutions
7.01.01
Certification of Monies, Resolution 15-01-07-01-01-100
Tim Brennan moved and Randy Owoc seconded a motion to adopt Resolution 15-01-
07-01-01-100 to approve payment of bills, as listed in the recapitulation sheets attached to
these minutes; motion carried.
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35 January 20, 2015
7.02
Resolution Establishing Day, Time and Place of Monthly Board of Health Meetings
for 2015 and January/February 2016
Tim Brennan moved and Dr. Alvin Brown seconded a motion to adopt the following
Resolution Establishing Day, Time and Place of Monthly Board of Health Meetings for 2015
and January/February 2016; motion carried with Marc Garland opposing.
Resolution
Establishing Day, Time and Place
Of Monthly Board of Health Meetings for 2015 and January/February 2016
WHEREAS: in accordance with Section 4 B. of the By-Laws of the Board of the Lake County
General Health District the Board is to establish the time, date and place of
regularly scheduled meetings for the ensuing year.
NOW THEREFORE
BE IT RESOLVED:
That the regularly scheduled meetings of the Board of the Lake County General
Health District will be held at 3:00 p.m. in the Board of Health Meeting Room
located at the temporary Health District offices at One Victoria Square,
Painesville, Ohio on the following dates:
January 20, 2015 (Tuesday) May 18, 2015 (Monday) September 21, 2015 (Monday)
February 17, 2015 (Tuesday) June 15, 2015 (Monday) October 19, 2015 (Monday)
March 16, 2015 (Monday) July 20, 2015 (Monday) November 16, 2015 (Monday)
April 20, 2015 (Monday) August 17, 2015 (Monday) December 21, 2015 (Monday)
(2:00 p.m.)
AND BE IT FURTHER RESOLVED:
That in the year 2016 the following dates are established as the dates for the
meeting of the Board of the Lake County General Health District, January 19, 2016
(third Tuesday due to Martin Luther King Day) and February 16, 2016 (third
Tuesday due to Presidents Day).
Adopted this 20th day of January 2015.
_________________________________ ________________________________ Ron H. Graham RD/RDN, LD, MPH Lynn Smith
Health Commissioner President
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36 January 20, 2015
7.03
Permission to Allow the Board’s Finance Committee Authority to Submit the 2016
Budget to Political Subdivisions
Tim Brennan moved and Roger Anderson seconded a motion to empower the Board of
Health’s Finance Committee to approve a draft version of the amended 2015 budget and new
2016 budget to send to the political subdivisions for their review, prior to the March 2, 2015
District Advisory Council meeting, and in time for final Board of Health approval on March
16, and submission to the Lake County Auditor on or before April 1 as per ORC 3709.28;
motion carried.
The draft budget will also be presented to the Board of Health at their February 17, 2015
meeting. The budget cannot be completed until the year end income, expense and property tax
data has been finalized. The final budget must include the 2014 year-end figures as well as
reallocating property tax data in a manner that is sensitive to local political subdivision financial
concerns. This information has just recently been finalized. This additional time gained in
allowing the Finance Committee to approve a draft budget (tentative meeting scheduled for
January 26, 2015) will allow staff an extra week to develop a more accurate budget and to
incorporate known or forecast state and federal budget changes.
7.04
Permission to Accept Immunization Action Plan Grant, $98,839
Dr. Alvin Brown moved and Randy Owoc seconded a motion to accept from
Ohio Department of Health the Immunization Action Plan Grant in the amount of $98,839.
The Grant period is January 2015 through December 2015; motion carried.
Immunization Action Plan Grant funds are designed to raise and maintain immunization rates in
Ohio – that 90% of all children under age 2 years, will be up-to-date on immunizations. This
goal will be accomplished primarily through immunization assessment and education activities
and secondarily through reminder and recall efforts. We are making a joint application of Lake,
Geauga and Ashtabula County public health agencies. Lake County General Health District acts
as the lead/fiscal agent for this grant. A contract will be made with Ashtabula County Health
Department and Geauga County Health Departments to complete this project in their respective
counties.
Maximum funds to be awarded: $98,839
Lake County $45,587
Ashtabula County $27,444
Geauga County $25,808
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37 January 20, 2015
7.05
Permission to Accept the FY2014-2015 Medical Reserve Corps Capacity Building
Award, $3,500
Dr. Alvin Brown moved and Anthony Vitolo seconded a motion to accept from
the NACCHO (National Association of County and City Health Officials) the FY2014-2015
Medical Reserve Corps Capacity Building Award in the amount of $3,500; motion carried.
The Office of the Surgeon General (OSG), Division of the Civilian Volunteer Medical Reserve
Corps (DCVMRC), in conjunction with the National Association of County and City Health
Officials (NACCHO), is offering the NACCHO’S MRCC Capacity Building Award available to
all MRC units that meet basic eligibility and application requirements. This award is designed to
provide funding for all eligible MRC units to enhance their unit capacity.
7.06
Permission to Accept the FY2014-2015 Medical Reserve Corps Challenge Award,
$15,000
Patricia Murphy moved and Randy Owoc seconded a motion to accept from
NACCHO (National Association of County and City Health Officials) the FY2014-2015
Medical Reserve Corps Challenge Award in the amount of $15,000; motion carried.
The Office of the Surgeon General (OSG), Division of the Civilian Volunteer Medical Reserve
Corps (DCVMRC), in conjunction with the National Association of County and City Health
Officials (NACCHO), is offering the NACCHO’S MRC Challenge Award, an evolution of last
year’s Competitive Capacity Building Award. It aims to focus on innovation towards areas that
are aligned with national health initiatives and that are significant at the local level. NACCHO
challenges units to address the community needs in an innovative way. NACCHO will issue
twenty-five MRC Challenge Awards.
7.07
Permission to Submit Commission on Minority Health Grant, $140,000
Roger Anderson moved and Randy Owoc seconded a motion to submit a grant
application for Minority Health Demonstration Grant from the Ohio Commission in the
amount of $140,000;motion carried.
Amended Substitute House Bill 171 established Commission grants for the purpose of health
promotion and prevention of disease among minority Ohioans who are economically
disadvantaged. Minority groups are defined as African Americans, Hispanics, Native American
Indians and Asians. These projects must address a specific community with a methodology
yielding measurable outcomes for behavior change. Grants must identify one or more of the six
diseases and conditions, or risk factors, responsible for excess, premature deaths in the
community. They promote behavior change by tapping into the attitudes, values and beliefs of
the target populations. A goal of this grant program is the institutionalization of culturally
appropriate projects into the healthcare delivery system.
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38 January 20, 2015
7.08
Resolution of Appreciation, Thanks and Gratitude
Tim Brennan moved and Randy Owoc seconded a motion to adopt the following
Resolution of Appreciation, Thanks and Gratitude, motion carried:
RESOLUTION OF APPRECIATION,
THANKS AND GRATITUDE
WHEREAS, On August 20, 2014, a devastating fire occurred at the 33 Mill St. location of the
LCGHD; and
WHEREAS, The LCGHD remained at the basement of the Lake County Administration
Building for over 3 months serving the public until the LCGHD moved to its
temporary location within One Victoria Place on December 1, 2014; and
WHEREAS, The City of Painesville, its’ elected officials and its staff, through their generous
support, helped establish critical information technology infrastructure, secure an
affordable lease agreement, and parking amenities to both the LCGHD staff and
public; and
WHEREAS, The LCGHD Board of Health would like to sincerely demonstrate its sincere and
heartfelt appreciation, thanks and gratitude for all of the extraordinary services
and kindnesses shown to the LCGHD and its employees during that time period.
NOW THEREFORE BE IT RESOLVED,
That, the LCGHD Board of Health would like to thank and recognize the City of
Painesville and their respective staff for their many efforts that have enabled the
LCGHD to continue serving the public as follows:
Anthony Carson Doug Lewis
Paul Morton Evan Pastor
Brian Biafore Cathy Beitterman
Adopted and Signed this 20th
day of January, 2015.
________________________________ ________________________________ Ron H. Graham R.D., L.D., M.P.H. Dr. Lynn Smith Health Commissioner President
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39 January 20, 2015
8.0
Adjournment
Dr. Alvin Brown moved and Anthony Vitolo seconded a motion to adjourn the meeting
at approximately 4:30 p.m.; motion carried.
Secretary President
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40 January 20, 2015
