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The Health Department is also in the process of setting up a walk-in clinic for October <br />30th and possibly adrive-through option. There are no additional sources of vaccine, but they <br />are redistributing it in several ways across the country. There are no confirmed flu cases yet in <br />North Carolina. They are still emphasizing prevention measures. <br />Commissioner Gordon asked for clarification on whether long-term health care <br />facilities rely on the Health Department for their supply, and therefore have not given flu shots <br />to their residents. Rosemary Summers said that long-term care facilities usually have a <br />medical contract with a private provider. They either order their own vaccine or order it through <br />the private provider. The Health Department vaccinates rest homes rather than nursing <br />homes. The rest homes are on the list and the Health Department is proceeding with these <br />vaccinations. <br />Commissioner Gordon said that a private practice could have been unfortunate in their <br />choice of supplier and she asked if there was any long-term care facility that does not have <br />enough vaccines. Rosemary Summers said that they have gotten calls from two facilities and <br />they are trying to determine what kind of distribution the facilities will get in the next round, <br />which should be in the next week. <br />Commissioner Gordon said that this does show a problem with the distribution system. <br />She is surprised at how ad hoc the process has been. Rosemary Summers said that it is a <br />national problem and will only be solved by a national policy on vaccine manufacturing and <br />distribution. A local department cannot have much affect on it, other than to raise the issue. <br />Commissioner Gordon suggested coming up with a resolution to initiate this and send <br />it on to the State and to the national governments. Rosemary Summers and Commissioner <br />Halkiotis volunteered to work on this. <br />Chair Jacobs asked if Rosemary Summers had a chance to talk to other health <br />departments in other states. Rosemary Summers said that she talked to the North Carolina <br />State Health Department about the other state programs, and they are not using flu vaccine <br />from other countries, but only pharmaceuticals. There are many liability issues with vaccine <br />usage that is not FDA regulated. <br />Rosemary Summers said that the flu line is updated daily, and the number is 245- <br />2479. The website is also updated daily on vaccine availability. <br />Commissioner Halkiotis asked about client groups that are eligible and Rosemary <br />Summers said children ages 6-23 months and household contacts with that group, adults with <br />a chronic condition, children on long-term aspirin therapy or with a high-risk chronic condition, <br />adults over the age of 65, and pregnant women and their household contacts. <br />5. Items for Decision--Consent Agenda <br />A motion was made by Commissioner Halkiotis, seconded by Commissioner Carey to <br />approve those items on the consent agenda as stated below: <br />a. Minutes <br />The Board approved the minutes from meetings on September 9, 21, and 27 as <br />submitted by the Clerk to the Board. <br />b. Appointments -None <br />c. Motor Vehicle Property Tax Release/Refunds <br />The Board approved a refund resolution, which is incorporated by reference, related to <br />82 requests for motor vehicle property tax releases or refunds in accordance with North <br />Carolina General Statutes. <br />d. Property Tax Refunds <br />