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3 <br /> 1 Communicable Disease (not STDs) <br /> 2 *25 patients with latent TB infections beginning 6 mo. directly observed therapy <br /> 3 *38 refugee communicable disease screenings <br /> 4 94375 seasonal influenza vaccinations (3x the usual number!) <br /> 5 *2256 H 1 N 1 vaccines given; 1 600 doses redistributed to other practices <br /> 6 *6 outbreaks; 1 product recall; H 1 N 1 response continues <br /> 7 *Cited by state for not having functional negative pressure room for collecting sputum samples <br /> 8 safely <br /> 9 <br /> 10 <br /> 11 Statistics-Environmental Health <br /> 12 *Food & Lodging software allowed better tracking of inspection of establishments <br /> 13 Achieving only 35% of inspections on time <br /> 14 -New or"changing" restaurants continue to require plan reviews <br /> 15 *Public swimming pool inspections <br /> 16 -New federal rules that required most pool owners to fix/install new drains and intakes <br /> 17 -Need to increase inspection frequency during the "season" <br /> 18 <br /> 19 Statistics-Environmental Health <br /> 20 *Well and Septic Program <br /> 21 -Permits for all program areas were flat until October 2009 when the numbers started to <br /> 22 climb <br /> 23 -December numbers were at the 7-year average <br /> 24 -Wastewater treatment management program inspections still increasing <br /> 25 -Water testing requests remains stable over time <br /> 26 <br /> 27 Any "Good News?" <br /> 28 •Received over$500,000 in grant funds already this year <br /> 29 *Teen Tobacco grant renewed until June 30, 2013 <br /> 30 *Management Academy team completing business plan for diabetes self-management program <br /> 31 *Staff team selected to be trained in quality improvement techniques and apply to internal <br /> 32 project <br /> 33 *Healthy Carolinians received re-certification <br /> 34 *Staff members continue to win professional awards <br /> 35 *Orange County ranked 2nd healthiest county in state <br /> 36 <br /> 37 Challenges <br /> 38 •More demand for services than can be provided with current staff in dental and personal health <br /> 39 *Reductions in Medicaid reimbursement required service consolidation for home visiting <br /> 40 services and re-assignment of staff <br /> 41 *Reductions in Medicaid reimbursement for dental services and for some medical services will <br /> 42 impact some revenues <br /> 43 *New Smoke Free Restaurant and Bar Law requires additional staff time <br /> 44 <br /> 45 <br /> 45 4. Issues Discussion for 2010-2011 <br /> 47 a. Two-Service Center Model <br /> 48 b. Future Planninq for Facilities <br /> 49 <br /> 50 Rosemary Summers said that the Board of County Commissioners has talked about the <br /> 51 two-service center model. She thinks that the intention was to have an open discussion. <br />