Agenda - 06-12-1978 - Laserfiche WebLink

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Page '3 Health Department Request 619,734 403,868* Difference Between Manager's Proposal and Department Request 1247,428 990428 IMPACT OF MANAGER'S PROP0SED BUDGET The Manager's dget by my analysis would allow us to 'hold-the-line' in all respects , if cautiously used. In Environmental Health, since we did receive a mid-year staff increase, we are staffed only one--h .f person short of Standards and we will be able to meet all required minimal work loads .and activities. I would recommend we delay until sometime into the next fiscal year any attempt to regulate private and semi-private water supplies. This would represent a large work load increase and I am presently uncertain as to.attempting this without additional staff. Not doing wells cuts our fee revenue potential approxi- mately in half. in Family Plarning we will continue as at present. We could not expand our load as our clinics are filled up and we would not have funds to hire staff (part-time) to hold additional clinics as proposed. We will continue to be concerned abo).t. teen pregnancy and provide health education time as at present. The proposed teen pregnancy prevention special effort could not be .instituted as sufficient health educator, nurse and clinic time will not exist . This is an interesting example of not doing one thing Leading to additional costs elsewhere. It is highly predictable that some youth we do not get to will end up with a child on A.F.D.C. The generalized preventative health education effort for the community could not be implemented as we could not hire the necessary health educator We.ideh.tified a V.D. epidemic in our narrative. We would continue to not act on this problan exeep as incidental to the Family Planning Program. We would not e able to give attention to tuberculosis as proposed. However , we have to expand our present service level here even if by reducing some other area or areas slightly. We would be urwise to attempt any solo-rectal cancer screening as we would not be able to follow Lp. Secondly, in terms of other chronic disease screening, we would be able to ,expand cur present level (but not as much as proposed) as we are better or- ganized and trained now. Our Maternal ealth and Child Health patient loads are, when compared to community need, quite inade ate. We would not be able to do significantly more than at present. Regards Schoo. Health: I cannot recommend continuing to provide more aid to Chapel Hill/Carrboro than Orange County. I do not value either set of students more. At the proposed budget le el we would not have the option of expanding the Orange County School Health services. he present pattern of inadequate (when compared to need) school healt services will bec e worse as the schools mainstream children with little help from thiE department and wit the impact of inflation on parent's ability to obtain care for their children. Our request suggested increasing staff in Environmental. Health by one; taking on well regulation (ap roximately same size task as septic work); charging full cost recove fees at $73,000 per annum estimated rate, rather than partial fees of $25,000.