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- Cannot provide sufficient levels of uniforms. <br /> - Communications service levels will be pushed to unacceptable levels. <br /> - Medical supplies and patient treatment equipment will be in short supply. <br /> - Patient safety equipment will not be purchased. <br /> - Personnel Protective Equipment (PPE) will not be provided. <br /> - EMS and Communications training will be reduced. <br /> - Vehicle maintenance, gas and oil may be in short supply. <br /> - Disaster planning capabilities will be limited. <br /> - Aging ambulance fleet will not be replaced. <br /> - EMT, Paramedic and Telecommunicator slots cannot be filled. <br /> - OCRS monthly payment will have to be used for rent elsewhere. <br /> - Fire/Rescue Study: funds must be encumbered to a vendor this FY. <br /> - Public education and outreach programs will be cut. <br /> - Hazardous materials spills will be charged to companies or not recouped. <br /> Chair Foushee said that to not be able to provide personal protective equipment is a <br /> danger. Frank Montes de Oca said that many employees buy their own uniforms and protective <br /> gear because the County cannot afford it. <br /> Health Department (p. 30): <br /> Health Director Rosemary Summers reviewed the performance highlights. The following <br /> are the 2009-2010 Budget Impacts: <br /> - Eliminate student stipend for Community Health Assessment ($9,000) <br /> - Eliminate development of new "Tim Study" ($5,000) <br /> - Reduce information on community health needs and policymaking to community <br /> ($1,000) <br /> - Suspend hiring for the Dental Hygienist/Community Dental Care Coordinator <br /> position for the 09-10 year ($10,170) <br /> - Discontinue recruitment of participants for the mouthguard project ($2,195) <br /> - Reduce dental services operating expenses ($3,805) <br /> - Eliminate student stipends for administrative projects in dental health services <br /> ($2,325) <br /> - Reduction in certification and licensure allocations for clinical dental staff <br /> ($1,489) <br /> - Eliminate access to dental clinical services at Carr Mill Mall ($67,641) <br /> - Reduction in staff training, continuing education, and professional development <br /> for health promotion and education services ($3,437) <br />