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MINUTES ORANGE COUNTY BOARD OF HEALTH August 28, 2008 Board of Health Minutes Transcription completed by Anne Miles Cassell 3 August 28, 2008 B. Approval of New Fee for Adult Measles, Mumps and Rubella Vaccination The Orange County Health Department (OCHD) provides a variety of vaccinations to adults and children. The measles, mumps, and rubella (MMR) vaccination is typically provided to children as part of their routine childhood immunizations. Since North Carolina is a universal vaccine provider, the State of North Carolina provides funding to providers to ensure that all children receive required vaccinations. The State prohibits charging for vaccine provided through this program. OCHD has provided adult MMR vaccinations subsequent to an identified outbreak of measles or rubella; however there is no charge for this because typically the state supplies the vaccine for prevention of further cases. In recent years, a requirement of a second dose of the vaccine components was implemented in certain situations. One of those situations is health care providers who may interact with pregnant women. Exposure to the unborn fetus to these diseases can cause serious effects. Adults who are providers of health related services are now required to provide proof of either immunity or two MMR vaccinations before they may provide services in a health care setting. OCHD requires employees, contract staff, students, and volunteers who have direct patient or client contact on behalf of the health department to meet this clinical standard. This prevents any inadvertent exposure to our patients or clients from these three diseases, especially young children that may not yet be vaccinated or pregnant women that could expose their unborn child. OCHD has not previously provided this vaccination to adults for a fee; however a number of volunteers and contractors, especially contract interpreters need a second vaccination before they can provide services for OCHD. It is anticipated that 15-20 persons will require or request this service from us. The vaccine costs are $48.00 per dose. A flat fee of $55 per vaccination covers the cost of the vaccine to OCHD, plus $7 for administration costs. C. Accept New State Funds for FY 08-09 The North Carolina Department of Health & Human Services (NCDHHS), State Division of Public Health (DPH) sent notification that OCHD would receive an additional $48,000 in Aid-to-County funding. These funds are unrestricted, and may be used for any locally determined need, or for the 10 Essential Services of public health. These funds may not be used to supplant current state, federal or local funding to the agency. The funding period is June 1, 2008 through May 31, 2009. NCDHHS-DPH notified certified Healthy Carolinian partnerships of newly appropriated funds for local health departments. OCHD is eligible to receive $5,727 of non- recurring, non-competitive funds. Funding can only be used for salary for coordinator, training & skill development, sustainability plan, and/or implementing Health Carolinians programs. An application for funding will be submitted by OCHD’s Healthy Carolinian program coordinator. D. Early Head Start Agreement Renewal The Early Head Start contract has represented a collaborative relationship to provide family service coordination services to families eligible for and enrolled in Orange County Early Head Start and Orange County Health Department’s Child Service Coordination Program. The collaboration for one social worker position presents parents with one, unified program case coordinator who provides regularly contacts