Transcription
April 2017 (1st Qtr.)Quarterly Report to the Crawford District Advisory CouncilSUMMARY OF BOARD OF HEALTH ACTIVITIESBOARD OF HEALTH ACTIVITIESType of Board ActionsDuring the months of January,7February, and March the6Board of Health took action 255times. The day to day4activities are delegated to the3Administrator but there are2certain matters only the Board1of Health can approve or0disapprove. The Board ofHealth consists of seven (7)PersonnelMattersAgencyPolicies116311213members (four from thetownships, two from BucyrusJanuaryCity and one from the HealthFebruaryDistrict Licensing Council). TheMarchApprovalApprovalFinancialof GrantofApprovalsAppicatioContractsns14IssueBoard ofHealthOrder(Nuisance)11DAC is responsible forapproving the four membersfrom the townships and therepresentatives appointed toLicensing Council. (LicensingCouncil then chooses amongstthemselves who will sit on theBoard.) The Mayor of the Cityof Bucyrus selects onerepresentative for Bucyrus Cityand Bucyrus City Councilselects the otherBOARD OF HEALTH MEMBERS: Dr. Amanda Kovolyan, Board President (DAC appointed),term ends March 2019 Dean Sipe (DAC appointed), term ends March 2019 Bill Scott (DAC appointed), term ends March 2020 Zach Wolfe (DAC appointed), term ends March 2021 Scott Woodworth (Licensing Council Rep.), term ends March2022 Phyllis Crall, Bucyrus City Representative Dan Wirebaugh, Bucyrus City Representativerepresentative for Bucyrus City.APRIL 2017 DAC QUARTERLY REPORTPAGE 1 OF 20
COMMUNITY HEALTH UPDATESWork continues with the CrawfordCounty Health Partners towards thefour priorities identified in theCommunity Health Improvement Plan (CHIP): Reducing Adult Cardiovascular Disease, ReducingObesity, Decreasing Youth Substance Abuse, and Improving Prenatal Outcomes. These foursubcommittees meet regularly and the complete group (all representatives) meet quarterly toprovide progess updates.PUBLIC HEALTH ACCREDITATION BOARD (PHAB)The goal for Crawford County Public Health is to apply PHAB Accreditation by July 2018! Currentprojects being worked on for accreditation purposes includes our workforce development plan andour strategic plan. Ohio remains the only state to mandate PHAB Accreditation for local healthdepartments and there are currently 17 Ohio health departments that have accomplished PHABAccreditation (out of 178 total nationwide).ENVIRONMENTAL HEALTH DIVISION REPORT:Crawford County Public Health EH Division continues to complete the final requirements for theprocurement of the 2017 OEPA grant award to repair and/or replace failing home sewage systemscountywide with emphasis on the villages of Chatfield, Tiro and North Robinson. Grant monies in theamount of 300,000 will be awarded to Crawford County for this project and it appears ourdepartment already has several homes that may be eligible for these grant monies.The 2016 grant continues in Oceola with 8systems eligible for grant monies. Four ofthese systems are currently undercontract for installation, however nosystems have officially been installed asof this date. Cindy Brookes, administratorof our sewage grants, is keeping usinformed of the remaining monies in the2016 grant and if no more homes areeligible in Oceola, the remaining moniesmay be opened up for use countywide.This photo captures the installation of an NPDES (treated discharging) septic system in Oceolathrough funds provided through the 2016 OEPA Grant. Funds remain available from the 2016 grantin addition to the availability of the 300,000 2017 grant.APRIL 2017 DAC QUARTERLY REPORTPAGE 2 OF 20
APRIL 2017 DAC QUARTERLY REPORTPAGE 3 OF 20
APRIL 2017 DAC QUARTERLY REPORTPAGE 4 OF 20
FOOD SAFETY AWARD WINNERSIn final review of the violation statistics for licensed food operations within our jurisdiction, theEnvironmental Health Division determined the winners for the 2016 Food Safety Award. Eligibility forthis award is only open to Class 3 and Class 4 food operations who meet the following criteria:(1) O Critical Violations during the 2016 inspection year.(2) 3 or fewer Standard Violations during the 2016 inspection year.We ended with 35 winners of the food award with a two tier award system. Those facilities having 0critical and 0 non-critical violations will receive a superior award. Those facilities having 0 critical and3 or fewer non-critical violations will receive an excellent award.APRIL 2017 DAC QUARTERLY REPORTPAGE 5 OF 20
HELP ME GROW DIVISION (STATE FY 2017 FUNDING - JULY 1, 2016 TO JUNE 30, 2017)Help Me Grow offers three voluntary programs toprenatal women, children and families:(HMG) Early Intervention provides family-centeredservices for infants and toddlers to age 3 with adevelopmental delay, disability, or medical conditionlikely to result in a delay or disability.HMG Home Visiting provides first time expectant ornew parents the information and support they need to be prepared for the birth of their child andprovides ongoing education and support for families to maximize their child’s health anddevelopment to age 3.HMG Healthy Families of Crawford County is an expansion of our Home Visiting Program. It is fundedthrough the Maternal Infant Early Childhood Home Visiting (MIECHV) grant which provides evidencedbased parenting education and support for children up to age 5.In addition to the services that we provide every day, we are pleased to be a part of some broaderinitiatives aimed to improve the lives of young families. One such project is “Crawford Reads 20.” Ayear ago I met with a family that has a son with many health concerns including Cerebral Palsy. Theyhad been receiving Early Intervention services in Marion County. When I gave them a board booksharing the importance of reading to their young son twenty minutes each day, the young Momresponded that she knew all about the importance of reading to him and was reading him severalbooks each day. She said the “Let’s Read 20” program was huge in Marion County.Since then a Crawford County committee has formed, funding is being sought, a director search isunderway, Pioneer commercial art students have submitted logos, and the committee is collectingbooks-you may have seen some of the collection boxes in town. Crawford County Public Health hasagreed to store the books to be distributed county wide to families at summer free lunch programs,literacy events at schools, free meal programs at area churches and so forth. If you would like to be apart of the committee or contribute books or financially, please contact us. If you are able, pleasedine at Galion Pizza Hut on July 18th from 5:30 p.m.to 8 p.m. If fifty peopleattend, Crawford Reads 20 will receive 150.00. Please help us improveliteracy! We hope to raise young readers and leaders one child at a time.Help Me Grow continues to work with CCPH and other child serving agenciesto improve prenatal outcomes for all of Crawford County. Ohio remains 45thin Infant Mortality, approximately 35% percent higher than other states. InMarch, HMG received grant funds to purchase a SAFE SLEEP interactivedisplay board from the BABY 1st NETWORK. The display is pictured at right withtwo soon to be parents at the GRADS Kid’s Fair at PJVS.APRIL 2017 DAC QUARTERLY REPORTPAGE 6 OF 20
We are also seeing momentum in bringing more access for child care in our community. HMG seesfamilies struggle with finding adequate child care every day. We have also witnessed theramifications of child injury, abuse and neglect by family’s leaving their children in unsafeenvironments. The Crawford County Partnership For Education and Economic Development hastaken the lead to coordinate the effort with area businesses to formulate a plan for an expansion ofa much needed service.Look for Help Me Grow billboards as youenjoy spring in Crawford County!Total Number of Children Served Januarythrough March, 2017Early Intervention: 60Home Visiting: 74MIECHV/ Healthy Families: 28TOTAL AMOUNT OF REFERRALS RECEIVED: 79APRIL 2017 DAC QUARTERLY REPORTPAGE 7 OF 20
COMMUNICABLE DISEASE TRACKING & SURVEILLANCEAPRIL 2017 DAC QUARTERLY REPORTPAGE 8 OF 20
VITAL STATISTICSFrom January to March, 2017 our office has reported the following:JanuaryFebruaryMarchYTD TotalDeaths within our Jurisdiction32342793Burial Permits Issued19291765Births within our Jurisdiction0000Death Certificates requested10513986330Birth Certificates requested89731362982017 Causes of Death (January - March)PENDING, 3DEMENTIA, 2SEPSIS, 3RESPIRATORYFAILURE, 8OTHER, 5HEART DISEASE- MALES, 17PULMONARYEMBOLISM, 1HEART DISEASE- FEMALES, 14PNEUMONIA, 4FAILURE TOTHRIVE, 3G. I. BLEEDING,1CVA/STROKE, 3COPD,5CANCER, 18CIRRHOSIS, 1ALZHEIMER'S, 5APRIL 2017 DAC QUARTERLY REPORTPAGE 9 OF 20
EMERGENCY PREPAREDNESSIn response to the shootings last June in Orlando, FL, grants were established to provide tourniquettraining in communities focused on areas where mass gatherings may occur (schools, churches,etc.). Our agency participates in this funding and established three Stop the Bleed training sessions:March 6th, March 27th, and May 24th. Both trainings in March had over 20 people in attendance andwe are currently taking reservations for the May 24th session (see flyer below). Each session lastsabout 1 ½ hours and each participant receives a tourniquet to keep at their place or work or home.These sessions are free and we encourage all those interested to attend.APRIL 2017 DAC QUARTERLY REPORTPAGE 10 OF 20
NURSING DIVISION - 1ST QUARTER HIGHLIGHTSImmunization Program A total of 261 clients/580 vaccines weregiven in the 1st quarter.We have recently added Typhoid andYellow Fever Vaccines to our list of travelvaccines.seen, and 29 inmates seen for drug andalcohol withdrawals.School Nursing CMH (Children with Medical Handicaps)CMH links families of children with specialhealth care needs to a network of qualityproviders and helps families obtain paymentfor the services their children need. CMHpromotes early identification of children withhandicapping conditions and treatment ofthose children by appropriate health careproviders. We currently have 109 children we assistwith this program. We billed 10,050.00 in the 1st quarter ofthis year.Communicable Disease Investigation The law requires specific diseases to bereported to local health departments inan effort to control the incidence andspread of communicable disease.The Nursing Department hasinvestigated 107 communicablediseases the 1st quarter of the year. 37Hepatitis C; 5 Hepatitis B; 30 Chlamydia;20 Hospitalized Influenza A;9Hospitalized Influenza B; and 6miscellaneous diseases.Nurses go to Maryhaven (drug andalcohol treatment center) every 6weeks for communicable diseaseeducation and testing. This quarter wetested 16 clients for STD’s and 14 clientsfor HIV.Jail Nursing Nurses worked 445.75 hours at theCrawford County Justice Center.Statistics: 328 inmates booked in, 182physicals completed, 265 sick inmatesAPRIL 2017 DAC QUARTERLY REPORT Nursing provides services for six schoolsin our county: Buckeye Central,Bucyrus, Colonel Crawford, Crestline,Crestline St. Joes and Wynford. We alsofill in for the nurse at Fairway/Waycraftas needed.The nurses at the schools have beenvery busy seeing students for: accidents,illnesses, head lice checks, blood sugarchecks and insulin administration,administration of medications, visionand hearing screenings, phone calls toparents and Doctors, reviewing records,blood pressures, mandated reporting inabuse cases, referrals and whateverelse may happen during school hours.Sexual Health Clinic We are part of a grant with UnionCounty Health Department to provideservices for a Reproductive Health andWellness Clinic twice a month. This clinicprovides affordable reproductivehealthcare for men and women ages13 and up.Miscellaneous Head checksOverseeing services done by the HomeHealth Aides do at Council on AgingBlood pressure checksTB skin testsVisual exams for foster child placementChild Passenger Safety EducationalClassesGerm Presentations for Preschoolers andKindergarten students at our localschoolsCPR and Stop the Bleed Training andSchool Nurse ConferencePAGE 11 OF 20
WIC DIVISION (FEDERAL FY 2016 – OCTOBER-SEPTEMBER)Show Rates for January, February and MarchAppointmentTypeScheduledScheduledwho showedShowRateWalk –insseenTotal #SeenShow RateincludingWalk- 943269%1744971%Total86263073%2765776%Nutrition Ed. Show RateMid-certappointmenttypeScheduledScheduledwho showedShowRateWalk –insseenTotal #SeenShow RateincludingWalk-insHigh l64957789%5262997%This is my 2nd Quarter for FY17 For FY17 our Grant is 299,552. The Grant is from 10/01/2016-09/30/2017. At the end of March,we have spent approximately 43% of the Grant.I have attended Crawford Community Council, Crawford Childhood Initiative, Family andChildren First, Prenatal Outcomes, Dream Child Conference, Monthly Board meetings,Directors meeting, NW District Director meeting and had 2 staff meetings. Help Me Growjoined us at 2 of our clinics for outreach.What is going on at WIC? We continue to educate participants on Nutrition andBreastfeeding, along with being a referral program to the many different agencies in thecommunity. We continue to work with the Health Department to make sure our participantsare up to date on all of the immunizations that they need and lead screenings. We work withHelp Me Grow by referring many of our new pregnant moms to their program for theguidance they may need as a new parent, or a parent of many, or referrals to agencies thatmay help them in their journey as a parent.Vendor Redemption Report for January 1, 2017- March 31, 2017. We have 5 stores in theCrawford County area that are registered Vendors with the State WIC program.Redeem 118245876APRIL 2017 DAC QUARTERLY REPORTAmount Redeemed 50,716.9647,806.2046,529.58 145,529.58Amount Paid 49,372.7746,747.3845,456.99 141,577.13PAGE 12 OF 20
Below are Participants we served the last 3 months broke down into pregnant women, breastfeeding women,post-partum women, infants and children, which is total number of Crawford County residents served thisquarter.JanuaryFebruaryMarchTotalsCase LoadFY 17 - 308120511661100115012001250130013501400Who is Eligible for WIC?Who is eligible: Women who are pregnant, breastfeeding or have a baby less than 6 months old, and infantsand children up to age 5. To qualify for services you must: live in Ohio, meet WIC income guidelines, havecertain nutritional or health risks.USDA is an equal opportunity provider and employer.APRIL 2017 DAC QUARTERLY REPORTPAGE 13 OF 20
WELCOME TO TICK SEASONHere in Ohio, we have three ticks that cantransmit diseases to humans: the AmericanDog Tick, the Lone Star Tick, and theBlacklegged Tick (also known as the Deer Tick).Cases of Lyme disease have steadily increasedin Ohio over the past four years (93 cases in2013, 119 cases in 2014, 154 in 2015, and 160 in2016). This increase in cases coincides with theincrease in Ohio of the principal vector, Ixodesscapularis (the blacklegged tick). Prior to 2010,there were no known established populationsof blacklegged ticks in Ohio. Since then, thistick has spread into Ohio and has been found in at least 60 counties.REMOVING TICKSIf you find a tick attached to your skin, there are severaltick removal devices available on the market, but aplain set of fine-tipped tweezers will remove a tickeffectively. Use fine-tipped tweezers to grasp thetick as close to the skin's surface aspossible. Pull upward with steady, evenpressure. Don't twist or jerk the tick; thiscan cause the mouth parts to break offand remain in the skin. If this happens,remove the mouth parts withtweezers. If you are unable to remove the mouth easilywith clean tweezers, leave it alone and let the skin heal. After removing the tick, thoroughly clean the bite area and your. Dispose of a live tick by submersing it in alcohol, placing it in a sealed bag/container,wrapping it tightly in tape or flushing it down the toilet. Never crush a tick with your fingers.Avoid folklore remedies such as "painting" a tick with nail polish or petroleum jelly or using heat tomake the tick detach from your skin. Your goal is to remove the tick as quickly as possible - do notwait for it to detach.If you develop a rash or fever within several weeks of removing a tick, see your healthcareprovider. Be sure to tell your healthcare provider about your recent tick bite, when the bite occurredand where you most likely acquired the tick.APRIL 2017 DAC QUARTERLY REPORTPAGE 14 OF 20
FIRST QUARTER FISCAL REPORT FOR ALL PUBLIC HEALTH FUNDSPlease note that grant funds and environmental health funds are required to be tracked separately. Moniesfrom those programs are to be utilized only for the purposes of those programs.District Health (E064)RevenueState SubsidyBucyrus SubsidySubdivision SettlementMAC RevenueVital StatisticsMOHO Park Inspection FeesOther RevenueAdvance (Cash from IAP 5.4833.521.80-556,416.01 40,931.51(112,489.18) (35,635.58)22,514.00(9,468.45)TTL 608.40ProjectedTotalAPRIL 2017 DAC QUARTERLY REPORT6,277.00-Salaries/FringeState RemittanceTransfer Out-Reserve BalanceTransfer Out-Support GrantsSuppliesEquipmentContract ServicesTravel and ExpenseContingency AccountAccreditation ExpenseAdvertising and PrintingOther ExpenseMOHO Salaries/FringeMOHO Contract ServicesMOHO Travel And ExpensesMOHO Supplies/Other ExpensesMOHO EquipmentMOHO Transfer-Reserve BalanceTotal 67.06112.47792.2544.8992.094.7944,723.57 108,169.08137,543.3592,439.32PAGE 15 OF 20
Reserve Balance Fund (B025)ProjectedJanFebMarTTL .430.000.000.000.000.050.000.000.00Total Revenue-ExpensesNursing Fund (E064)ProjectedJanFebMarTTL .07130,760.06Total .56)7,322.58Food Service Fund (E064)ProjectedJanFebMarTTL al Revenue-ExpensesWater System Fund (E064)ProjectedJanFebMarTTL otal 047.15C&DD Fund (B028)ProjectedJanFebMarTTL 9Total 22Solid Waste Fund (E068)ProjectedJanFebMarTTL 6.17)(428.47)2,157.945,647.607,377.07Total Revenue-ExpensesRV Park (EE069)ProjectedJanFebMarTTL 614.3729.8538.2082.42Total 2)APRIL 2017 DAC QUARTERLY REPORTPAGE 16 OF 20
Swimming Pool Fund (E065)RevenueExpensesTotal Revenue-ExpensesSewage Fund (E066)RevenueExpensesTotal Revenue-Expenses
Feb 01, 2017 · Phyllis Crall, Bucyrus City Representative Dan Wirebaugh, Bucyrus City Representative BOARD OF HEALTH ACTIVITIES During the months of January, February, and March the Board of Health took action 25 times. The day to day activities are delegated to the Administrator but there ar
