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•25 patients with latent TB infections beginning 6 mo. directly observed therapy <br /> •38 refugee communicable disease screenings <br /> •4376 seasonal influenza vaccinations (3x the usual number!) <br /> •2256 H1 N1 vaccines given; 1600 doses redistributed to other practices <br /> •6 outbreaks; 1 product recall; H1N1 response continues <br /> •Cited by state for not having functional negative pressure room for collecting sputum samples <br /> safely <br /> Statistics-Environmental Health <br /> •Food & Lodging software allowed better tracking of inspection of establishments <br /> -Achieving only 35% of inspections on time <br /> -New or"changing" restaurants continue to require plan reviews <br /> •Public swimming pool inspections <br /> -New federal rules that required most pool owners to fix/install new drains and intakes <br /> -Need to increase inspection frequency during the "season" <br /> Statistics- Environmental Health <br /> •Well and Septic Program <br /> -Permits for all program areas were flat until October 2009 when the numbers started to <br /> climb <br /> -December numbers were at the 7-year average <br /> -Wastewater treatment management program inspections still increasing <br /> -Water testing requests remains stable over time <br /> Any "Good News?" <br /> •Received over$500,000 in grant funds already this year <br /> •Teen Tobacco grant renewed until June 30, 2013 <br /> •Management Academy team completing business plan for diabetes self-management program <br /> •Staff team selected to be trained in quality improvement techniques and apply to internal <br /> project <br /> *Healthy Carolinians received re-certification <br /> •Staff members continue to win professional awards <br /> •Orange County ranked 2nd healthiest county in state <br /> Challenges <br /> •More demand for services than can be provided with current staff in dental and personal health <br /> •Reductions in Medicaid reimbursement required service consolidation for home visiting <br /> services and re-assignment of staff <br /> •Reductions in Medicaid reimbursement for dental services and for some medical services will <br /> impact some revenues <br /> •New Smoke Free Restaurant and Bar Law requires additional staff time <br /> 4. Issues Discussion for 2010-2011 <br /> a. Two-Service Center Model <br /> b. Future Planning for Facilities <br /> Rosemary Summers said that the Board of County Commissioners has talked about the <br /> two-service center model. She thinks that the intention was to have an open discussion. <br />