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MINUTES ORANGE COUNTY BOARD OF HEALTH March 25, 2009 Board of Health Minutes Transcription completed by Anne Miles Cassell 5 March 25, 2009 Nutrition Therapy. Renee Kemske, Barbara Pringle, Bobbie Jo Munson, Wayne Sherman and Donna King submitted a grant application to Kate B. Reynolds. Requested amount: Year 1; $98,351 and Year 2; $85,769. Notification is expected in May. Motion to accept items on the Consent Agenda was made by Jim Stefanadis, seconded by Anissa Vines, and carried without dissent. VI. Reports and Discussion with Possible Action A. Child Fatality and Child Protection Task Force Annual Report The North Carolina Juvenile Code established a Child Fatality Prevention Team (CFPT) in every county of the state charging each team to review the records of all child fatalities in the county. Community Child Protection Teams (CCPT) were established by Executive Order in May of 1991 and the duties and responsibilities of the CCPT were adopted as North Carolina Administrative Code 411.0400 and was further formalized and expanded in 1993. The mandate to the CCPT is to review selected active cases in which children are being served by child protective services. Both teams are required by statute to submit reports annually to the State of North Carolina and to the local Board of Health and Board of County Commissioners containing any recommendations, and advocacy for system improvements and needed resources where deficiencies and gaps may exist. Rebekah Hermann, Family Home Visiting Coordinator, reported the Team’s findings to the Board. The CFPT reviewed a total of 22 fatalities a significant increase from 8 the prior year. Findings determined that 18 of the 22 deaths reviewed appeared to be not preventable at the time of death. • Thirteen of the deaths were premature infants of less than 38 weeks gestation. Of these 6 were born at less than 23 weeks gestation, 3 at 19 weeks, 1 at 21 weeks and 2 at 22 weeks. Eight of the infants had mothers with identified risks. • Five of the deaths were teenagers, three of which may have been preventable; 1 possibly gang-related, 1 a suicide, and 1 was a result of a drug overdose. • Four families had documented histories of extensive psychosocial issues and involvement with community support agencies. • One infant died co-sleeping with an adult. • Ten children had Medicaid. • Three mothers of infants dying soon after birth had no insurance during their pregnancies. Ms. Hermann stated that several potential system problems had been identified as a result of this study: • Barriers exist for high risk women of childbearing age to access pregnancy prevention services. • Access to prenatal care/education for women with limited or no medical