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Refugee and immigrant health surge <br />Increases in communicable disease tracking and follow up <br />Commissioner Foushee asked about active TB cases, and the number since July 1St has <br />doubled. Rosemary Summers said that there were eight confirmed or suspected cases since <br />July 1St <br />Chair Carey asked about the 44 cases on preventative therapy and Rosemary Summers <br />said that the Health Department follows up with these on a regular basis. <br />Commissioner Jacobs asked about sexually transmitted disease cases. Rosemary <br />Summers said that STD services are available to any Health Department regardless of where a <br />person lives in the State. Orange County Health Department does not track the location, but <br />there are people from Durham and Alamance, and there are students. <br />Commissioner Jacobs asked if student health does outreach and Rosemary Summers <br />said that the schools do some, but there is not enough outreach and education. <br />Commissioner Nelson said that at the Commission for Women meeting they were given <br />rates for women with STD's and HIV, and the numbers for minorities were much higher than for <br />white women. He asked if Orange County had programs aimed at African American women <br />and Rosemary Summers said not at this time. <br />Commissioner Nelson asked about rapid HIV testing and Rosemary Summers said that <br />there are a couple of beauty and barbershops that are testing and there was one in a bar last <br />year. She said that the HIV Counselor set this program up for HIV training in these locales to be <br />creative to be able to reach more people. <br />III. Topics for Discussion (Attachments included) <br />Matthew Vizithum thanked the Board of County Commissioners for meeting with them. <br />He said that the Board of Health's goal is to have a healthy community with the core functions. <br />• Core Services Dr. Tim Carey <br />Selected Core Health Services <br />Orange County Health Department <br />November 13, 2007 <br />The Orange County Health Department (OCHD) is charged with providing services as listed in <br />North Carolina General Statute 130A and in North Carolina Administrative Code 10A. In <br />addition, there are a number of local rules and ordinances that impact service delivery to <br />residents. <br />There are two overarching responsibilities for OCHD. First is to prevent disease and the spread <br />of disease. These are primary functions that cannot be delegated. Second is to act as a safety <br />net for the provision of certain specific clinical services for community residents in the event that <br />adequate services are not provided within the community. <br />Health Statistics for Orange County <br />- 36% of all 2-4 year olds seen in WIC and health department clinics are obese (NC is <br />28%); 39% of kids 2-18 are obese (NC is 36%) <br />- Orange County continues to be in the lower percentile of the state for lead screening <br />rates among children <br />- 15% of Orange County residents are uninsured <br />