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• Next Steps/Needs <br /> • Fund permanent staff to support two full-time clinics <br /> • Add interpreter to staff to reduced contract interpreter costs <br /> • Preventive dental package for local small businesses <br /> Medical <br /> o 10,000 clinical visits in 2007-08 not counting flu shots <br /> o Primary Care medical home for over 400 residents; 75% of sliding scale pts at 0- <br /> 40% <br /> o Primary Care services supplemented by grants <br /> • Next Steps/Needs <br /> • Stabilize staffing by transitioning grant funded temporaries to <br /> permanent <br /> • Collaborate with Piedmont Health Services for preventive service <br /> package for small local employers <br /> 2) Chronic Disease Prevention <br /> o 11,930 children (38.5%) who are obese; 2-4 year olds higher than state average <br /> o Diabetes rates are growing in children and adults across the state <br /> o Uncoordinated activities throughout county on obesity reduction <br /> o Concentrated focus area for all funders both public and private <br /> • Next steps/Needs <br /> • Collaborate with medical providers to sponsor diabetes self- <br /> management programs through Statewide Diabetes Umbrella and <br /> on tools for obesity prevention <br /> • Work with Health Carolinians to adopt and promote a coordinated <br /> county-wide plan and messages for obesity reduction using Eat <br /> Smart and Move More Tools <br /> • Seek funding resources to increase part-time nutritionist to full- <br /> time <br /> 3) Protecting Orange County Water Resources <br /> o Continues to address a Board of Health Initiative proposed in the early 1990's <br /> o Addresses directly human health impacts of water resources <br /> • Next steps/Needs <br /> • Septic system repair fund for low-income residents <br /> • Pursuit of a pilot project to expand WTMP septic system <br /> monitoring in critical watershed areas through Clean Water <br /> Management Trust Fund grant. <br /> Rosemary Summers said that, in looking for grants for building septic systems, <br /> sometimes there can be tags on grants for repairing failing septic systems. She asked that the <br /> County Commissioners keep an eye out for these grants for septic systems. <br /> Clarifying questions were asked by the County Commissioners and answered by <br /> Rosemary Summers. <br /> Chair Jacobs asked how Orange County works with undocumented people. Rosemary <br /> Summers said that she thinks the Health Department does a good job of helping people feel <br /> safe. The Latino population really trusts the Health Department to provide services <br />