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MINUTES ORANGE COUNTY BOARD OF HEALTH October 27, 2010 The basis for the Manager’s recommendation for the fund is a 1999 multi-governmental agreement to provide for community improvements within the areas neighboring the existing landfill. The policy is not an attempt to address or to imply a cause-and-effect relationship between the landfill operation and well failures in the area. Attachment 2 is a draft copy of procedures that have been adapted from the NFWRF to be considered for approval by the BOH. Staff met with several other county agency representatives and with the county manager in adapting the procedure to fit the intent of the policy. Since the BOH will be responsible for hearing any appeals, staff feels it is appropriate for the Board to approve the procedures under which the Health Department staff will function. The Manager informed staff that he does not feel that further action is required by the BOCC. The Board raised a question about whether the appeal hearing is rightly in the purview of the Board of Health or whether it should be with the Board of Commissioners or with another body such as the Landfill Enterprise Advisory Board as they would be responsible for any fiduciary commitments made as a result of recommended actions. This question has been referred to the county attorneys for an opinion. No action was taken on this item pending attorney comments. F. Informational Items Informational items are provided to the Board to cover topics that Board members should be aware of or for general interest. Items are not discussed during the meeting unless Board membersask for discussion. No informational items presented were selected for discussion or questions at this meeting. A synopsis of the items follows. a. Committee Reports The only Committee that met this month was the Environment Health/Quality Assurance Committee. b. Renovation Update Staff met with Asset Management Staff members and the architect twice to review plans for the Whitted upfit for clinical services in Building A. Patterson Dental Services is updating a tentative plan that will be submitted in early November for the dental portion of the upfit in Building B. Because of the process that must be followed, the earliest that the renovation can start will be in late January. The conceptual plan for the personal health clinics is attached. Please note that there will be a few minor changes to this plan. Plans that are more detailed are in the process of being prepared for the bid process to begin. c. Carrboro Dental Clinic Communication Plan On September 21, 2010, the Orange County Board of Commissioners voted 5-2 close the Orange County Health Department’s dental clinic at Carr Mill Mall when the lease expires in June 30, 2011. In lieu of operating two clinics, the health department will reconfigure its Hillsborough dental clinic located in Whitted Human Services Center to become an eight-chair clinic. Whitted will then operate five days per week instead of two. This decision will force over 500 clients to have to travel to Hillsborough to continue receiving services dental services from the health department. Over the next nine months (October 1 through June 30), the health department will need to inform clients and other members of the public about the closure and how to access dental care in its Hillsborough location. The decision to close the clinic and concern for low-income clients’ ability to access dental care has already fueled coverage from local news sources. Board of Health Minutes Transcription completed by Lisa Smith 4 October 27, 2010