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Agenda - 06-20-1978
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Agenda - 06-20-1978
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7/13/2015 3:14:35 PM
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BOCC
Date
6/20/1978
Meeting Type
Work Session
Document Type
Agenda
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C9 age (,ouo� cMeaffi ('-Depatctwea <br /> 144 G MARGARET LANE <br /> HILLSBOROUGH, N. C- 27278 19 EA67GATE SHOPPING CENTER <br /> PHONE' 792-eTB7 EXT, 2" CHAPEL HILL. N. C 27514 <br /> (FROM CHAPEL HILL 967-9251) PHONE: 942.41G0 <br /> Mac <br /> TO: County GAmissioners <br /> FROM: William Mayes , D.D.S. ,V)_K. <br /> Chairman Orange County Board of Health <br /> DATE: June 19, 1978 <br /> E: New Pro am Efforts <br /> At our meeting with you on Monday, June 12, our Director told you that by <br /> a strict definition of hold-the-line management he could rim the Health Department <br /> on the Manager's proposed budget. However, that new efforts were constantly forth- <br /> coming (mostly from the State) without funding that we should respond to. <br /> Our Dire tr has referred to me to schedule for the next Board of Health <br /> meeting new heal; program iniatives that have arrived just before or since June 12th. <br /> He can not respon� t0 these for lack of staff resources. I will take these to our <br /> Board, however, tie Board of Health is incapable of generating new resources. There- <br /> fore, this being he appropriate time, place and public body, I .� also referring <br /> these to you. <br /> On June 9, the Division of Health Services asked us to provide public health <br /> services to Orange County migrant workers. The State will pay for all primary care <br /> and hospitalization. We are asked to provide the nursing time and local staff support <br /> costs necessary t� locate, screen , refer and follow-up. Based on conversations betweet <br /> our Director and lr. Pierce of the Agriculture Department and the Employment Security <br /> Office, we will n?t know what size problem we have until we go out and find the migrant <br /> In order to respond, we presently estimate that we need one nurse for two months. <br /> On June 9 the Division of Health Services asked us to follow-up on all home <br /> delivered infants" in Orange County in an effort to reduce infant mortality and morbi- <br /> dity. The State provides many specialized services but we should do the basic home <br /> nursing. and coordl n,ate/advocate for the infant. Such infants may stiffer reversable <br /> damage that we ma be able to correct and pi-event them from becoming public charges. <br /> Over one years time we estimate we need 2 months nursing time for this. <br /> On June l , the Division of Health Services asked us to be the lead agency for <br /> all S.S.1.(Supplemsntal Security Income) disabled children supported by the Social Se- <br /> curity program in Orange County. These are children who are blind , deaf, profr;��-Inds <br /> retarded or have cther severe handicap . We <br /> dinate services t them on a plan that we are oecreattee and monitor. We�are to beothe <br /> skilled profession s who care for these children as they grow. Social Security will <br /> pay all the costs hand even reimburse us $20 for the first visit we make to a family. <br /> However, our costs for the basic nursing service will greatly exceed this. On a yearly <br /> basis we estimate hat we need approsimately 3 months nursing time for this effort. <br />
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