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The minutes of December 14, 1976, were reviewed and corrections ~~ were pointed out. Upon motion of Commissioner Pinney, seconded by Commissioner Gustaveson, it was moved and adopted that the minutes of December 14, 1976, be approved. The Chairman referred to Item 3: A request to appropriate $6,000 from the current District Health Department's budget will be presented by Susan Spault. Mr. Spault, Coordinator of Health Services in the Chapel Hill- Carrboro Scheols, along with Dr. RobeYt Hanes and Dr. Corodon Fuller will explain.a request to appropriate $6,000 from the current District Health Department's budget to provide an additional full time nurse to serve in the Chapel Hill-Carrboro School System. Mr. Spault spoke of the need for an additional school nurse and the potential of a nurse working with the schools and the Health Depart- . ment. She stated that an additional nurse would allow expanded nursing within the elementary schools as outlined in the job description and alse allow the inclusion within the secondary schools of nursing service care. With another nurse, Mr. Spault would be free to coordinate health servics in the elementary and secondary schools. Dr. Fuller, District Health Director, stated that the need for another nurse was because of an overload crested by the swine flu program and because of the manifestation of head lice throughout the school system. Dr. Hanes, Superindendent of the Chapel Hi11-Carrboro School System, informed the Board of a Health Task Force working in the Chapel Hill- .. Carrboro School area. One area the task force has concentrated upon is to identify on-going services which a professional nurse would provide. The need for a health nurse coordinated through the Health Department has become more prevalent. Chairman Whitted stated that Dr. Fuller had indicated to the Board of Commissioners that the $6,000 request would be appropriated by the District Health Department from their curxent budget instead of a supple- mental request. Dr. Fuller stated that this was correct, however, there would be a need to continue the program at the end of the fiscal year. Commissioner Gustaveson questioned Dr. Fuller of the vacancies which existed in the Health Department. Dr. Fuller stated that he f~1t a business manager was needed instead of a health administrator. Mr. Gustaveson asked Dr. Fuller of his rationale for changing from a health administrator to a business manager. Commissioner Gustaveson stated that a health administrator was a high priority when Dr. Fuller met with the Commissioners and the Health Task Force last October, 1975, and again in June, 1976, at the Commissioners' budget meeting. He stated that it was felt the position would take some responsibility off of Dr. Fuller to free him to work in the clinic as presented in the School of Public Health's proposal. Dr. Fuller stated that the thought of a business manager had just occurred and that he felt with the funding, and the ramifications of handling funds for the five counties, he had decided to expl6re this area. He added that there was room for both a business manager and a health administrator in the District Health Department. He stated that he felt a health administrator should function between the Health Department and the School of Public Health. Commissioner Gustaveson stated that he was concerned about the sur- plus within the Health Department and that he was deeply disturbed by the slowness of the Health Department in moving on the high priorities cited in October of 1975. Commissioner Gustaveson requested that an in-depth discussion of this question be included on the agenda far the first Tuesday in January and that a serious study be made of the feasi- bility of Orange County developing its own Public Health Program.