Agenda - 03-05-2009 - Attachment 2

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It has been documented that pregnant women who have periodontal disease maybe as much as seven times more likely to have a baby that is premature. "Pre-existing gum disease or gum disease that increases in severity during pregnancy can also increase a woman's chances of a pre-term or low birth-weight baby. Because gum disease is often "silent" many women don't know they have it, so a dental evaluation is definitely encouraged." In addition to providing dental clinical treatment services, the program was going to educate new mothers about the importance of their oral health and how it is related to their baby's health, infant oral health prevention for their child, and establishing early dental homes for families. There also have been studies linking the spread of dental disease from parent and/or caregiver. In 2005, Orange County had an 8.1 low birth weight, 8.7 rate of perinatal deaths, 5.1 fetal deaths, 3.5 neonatal (under 28 days) deaths, 2.9 post neonatal (28 days-1 year) deaths and 6.5 rates of infant (under 1 year) deaths. In 2004 there were 2.1% of pregnant mothers that received late or no prenatal care. Standards of Care, recommendations and studies are through the American Dental Association and American Academy of Pediatric Dentistry. The Smart Start Dental Screening, Education and Referral Program will continue in FY 09- 10 with grant funds of$33,850 through contract services and a small amount in temporary personnel. The grant funds were distributed in project codes in the dental budget. Approximately 1,800 preschool children receive screening and education services including follow up for identified problems. The reduction in revenue ($36,687) in the dental program for 09-10 is revenue that would have been earned by this vacant dental hygienist position. S-5 * DHS -- Proposal (Provide a brief description of the service change) Return Funding for Smart Start Dental Screening, Education and Referral Project to Grant Funds Only Reallocates only grant resources to dental budget. Related to S-4 *DHS • S-5 * DHS -- Fiscal Impact (This number should correspond to the amount included on the department's budget request excel spreadsheet) (0) Return funding of Smart Start Dental Screening, Education and Referral Project to grant funds only. S-5 * DHS -- Description — Describe, in detail, the service delivery impact of the proposed reduction/change. The Orange County Partnership for Young Children (the local Smart Start agency) has funded the Preschool Dental Screening and Treatment Project since the early 90s. This reallocation returns grant funds to line items that have been used to accomplish the grant outcomes in previous years. These funds are used to conduct only grant authorized services that include dental screenings and education to children age 0-5 in childcare facilities in Orange County and follow-up services for those children that were found to have dental needs. Approximately 1,800 children receive services through this ( program each year. The program operates with a temporary dental hygienist funded for $8,200 to provide dental screenings and education to children and education workshops to 34