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Page of <br /> FY -T—_f <br /> N.C. Deoartment of Environment, Health, and Natural Resources <br /> Division of Eoidemioloav <br /> CONTRACT ADDENDUM <br /> :ommunicable Disease Control Section 95 45100 068 <br /> =ice, Section, or Branch Contract Number <br /> Orange Communicable Disease <br /> :tractor activity <br /> I. Negotiable Objectives: <br /> 1) Between April 1, 1994 and March 31, 1995, your health department will administer- <br /> 197 DTP #4 doses. <br /> 2) By March 30, 1995, the percentage of children who have one or more missed opportunities for <br /> immunizations will be no more than 10 percent. (State goal <10%) <br /> 3) By June 30, 1995, 9 5 % of household contacts of and infants bom to known chronic hepatitis <br /> B carriers complete prophylaxis within 9 months. (State goal=95%) <br /> 4) By June 30, 1995, 90% of persons tested for HIV return for results within 3 weeks. (State <br /> goal=90%) <br /> 5) By June 30, 1995, 100% of staff providing STD service shall be trained to conduct STD <br /> evaluations including physical examinations and laboratory work (gram stain, wet prep, urinalysis, <br /> stat RPR, and "stat" or "dry" darkfield) and provide treatment under standing orders. (State <br /> goal=100%) <br /> 6) By June 30, 1995, _U% of persons requiring STD services will be seen within 1 working day <br /> of request. (State goal=99%) <br /> 7) By June 30, 1995, 90% of TB cases complete treatment within 9 months. (State objective = <br /> 90%) <br /> 8) By June 30, 1995, 75% of TB cases are on directly-observed therapy. (State goal=90%) <br /> 9) By June 30, 1995, 90% of persons eligible for (under American Thoracic Society Guidelines) <br /> TB preventive treatment will complete treatment. (State goal=90%) <br /> II. Basic Local Communicable Disease Control Services include: <br /> 1) Provision of required communicable disease services at no cost to the patient AND regardless <br /> of the patient's county of residence. <br /> 2) Provision of walk-in immunizations during all hours the health department and satellite locations <br /> are open, including lunch time. <br /> 3) Make on-site immunization appointment time in all immunization clinic locations and give clients <br /> appointment time within one week of their request. <br /> 4) Local physician backup, knowledgeable about public health communicable disease control needs <br /> for each facet of the communicable disease program. <br /> Reviewed by <br />