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Another critical issue facing the department is the need to come into compliance with the new Health Insurance Portability and Accountability requirements by October 2002. The continued ability to receive federal funds is dependent upon the department being compliant in this area. Other issues include the need for planning for the new County animal shelter, problems with grossly inadequate space for environmental health and clinical functions, and the personal health and dental health clinic space in the Whiffed building is inefficient and shabby. He also spoke about the previous goal, which is the Wastewater Treatment Management Program Expansion Goal. The County Commissioners supported and adopted this goal in 1999. Unfortunately, na substantial progress has been made an implementing the program because of a lack of staff resources. It was decided to propose a research study to formulate recommendations on further implementation of the project. The study is scheduled to be completed in December 2002. Commissioner Carey made reference to the education and information plan that we did not implement because we did not have the resources available and asked what are we doing now. Health Director Rosemary Summers said that they picked three Saturdays and posted flyers in three neighbors and went on site for information sessions with homeowners. The staff will help locate the septic systems and talk with the owners individually about maintaining their systems. This has been limited to three and a half days. This is a small way of getting started on this. Also, inserts with tax bills have been provided to our citizens. Commissioner Halkiotis said that the education would never end because of the turnover in housing in this community. We have come a long way and we have a long way to go. He would like to get some periodic updates on the ultra shallow trench systems we have approved the last couple of years and how they are holding up. We seem to be seeing more of these. Chair Jacobs asked if the Health Department has thought about mailing information with area water provider bills like Hillsborough, Orange-Alamance, and OWASA. The Health Department will consider this suggestion for outreach. He also made reference to the number of people that still do not have indoor plumbing in the County. He would like to include this in the Wastewater Treatment Management Program goal to identify these people. Commissioner Gordon asked about the educational efforts and if these were pilot programs. Dr. Klein said that the Board of Health had decided which areas to target and decisions for outreach were made on that basis. The goal of the pilot project is to figure out where to target first. Chair Jacobs suggested requiring each new home built to have afive-year sewer inspection. d. Human Services Advisory Commission Rosetta Wash, Co-chair of the Human Services Advisory Commission, said that she wants to report on the results and recommendations from two previous community-wide forums. In 1999, the topic was focused on the Latino community. In 2000, the topic was mental health. The focus in 1999 was building trust and improving access to service for the Hispanic/Latino community in Orange County. A common theme of the guest speakers and panelists was barriers to access. Some of the barriers are as follows: 1}Orange County's HispaniclLatino citizens continue to have the lowest rates of health insurance and home ownership while paying the highest rent for substandard housing. 2) Latinos need schools, affordable housing, and work; but also time for their children and opportunities to play and rest. Many cultural differences and language barriers were impacting the delivery of human services. 3) There are dangers in the workplace because of lack of training. The participants in the forum looked at strategies in the areas of housing, health services, childcare, education, and the court system. A lot has happened to address these issues since 1999.