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25 patients with latent TB infections beginning 6 mo directly observed therapy <br />38 refugee communicable disease screenings <br />4376 seasonal influenza vaccinations 3x the usual number <br />2256 H1 N1 vaccines given 1600 doses redistributed to other practices <br />6 outbreaks 1 product recall H1N1 response continues <br />Cited by state for not having functional negative pressure room for collecting sputum samples <br />safely <br />StatisticsEnvironmental Health <br />Food Lodging software allowed better tracking of inspection of establishments <br />Achieving only 35 of inspections on time <br />New or changing restaurants continue to require plan reviews <br />Public swimming pool inspections <br />New federal rules that required most pool owners to fix install new drains and intakes <br />Need to increase inspection frequency during the season <br />Statistics Environmental Health <br />Well and Septic Program <br />Permits for all program areas were flat until October 2009 when the numbers started to <br />climb <br />December numbers were at the 7year average <br />Wastewater treatment management program inspections still increasing <br />Water testing requests remains stable over time <br />Any Good News <br />Received over 500000 in grant funds already this year <br />Teen Tobacco grant renewed until June 30 2013 <br />Management Academy team completing business plan for diabetes selfmanagement program <br />Staff team selected to be trained in quality improvement techniques and apply to internal <br />project <br />Healthy Carolinians received recertification <br />Staff members continue to win professional awards <br />Orange County ranked 2nd healthiest county in state <br />Challenges <br />More demand for services than can be provided with current staff in dental and personal health <br />Reductions in Medicaid reimbursement required service consolidation for home visiting <br />services and reassignmentof staff <br />Reductions in Medicaid reimbursement for dental services and for some medical services will <br />impact some revenues <br />New Smoke Free Restaurant and Bar Law requires additional staff time <br />4 <br />a TwoService Center Model <br />b Future Planning for Facilities <br />Issues Discussion for 20102011 <br />Rosemary Summers said that the Board of County Commissioners has talked about the <br />twoservice center model She thinks that the intention was to have an open discussion