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MINUTES ORANGE COUNTY BOARD OF HEALTH December 20, 2007 Board of Health Minutes Transcription completed by Anne Miles Cassell 3 December 20, 2007 The operating procedures of the Board call for the Chair and Vice-Chair to be elected annually. The Nominating Committee presented the slate of Chris Harlan as Chair and Anissa Vines as Vice Chair. There were no additions or changes offered. The elections are required to be by roll call of the members present at the meeting for each position. A simple majority of those present is required for election. An individual voice vote was taken and recorded for each candidate and position. The results were unanimous for Chris Harlan as Chair and Anissa Vines for Vice-Chair with no dissenting votes. B. Position Requests for FY 2008-09 Rosemary Summers reported that the Department requests the Board consider approving the following positions for county consideration, one for the remainder of this fiscal year and the rest for FY 08-09. The position request for immediate consideration is due to the arrival of over 107 refugees from Burma since July 1, 2007 and an additional 200 refugees are expected from Burma, Iraq and other countries in 2008. Wayne Sherman reported that there are several refugee resettlement agencies in the area that are planning to resettle at least another 200 refugees in Orange County through September 2008. All refugees qualify for 8 months of Medicaid when they arrive and must be screened for communicable diseases and TB. An initial physical assessment screening is done by the health department and many refugees have significant healthcare needs due to their past lack of health services. Moses Carey asked how the department was notified of new refugees and what the time limit is for the CD and TB screening. Mr. Sherman replied that the refugee resettlement agencies notify the department and that there is a 30-day time requirement for the initial screening. Dr. Carey inquired about translation/interpreter needs for the refugee community. Chris Harlan commented that many different languages are used in Burma, not all Karan. 1) Beginning February 1, 2008 and continuing thereafter, Office Assistant II for Refugee Health, Health Promotion and Quality Improvement support. ($41,578) Dr. Summers reported that new recurring aid to county funds and recurring funds earned through Medicaid administration match would fund the majority of this position. 2) Full-time dental hygienist position for preschool screening project coordination and for serving prenatal patients and other adults. ($98,945) This position is partially grant funded through Smart Start. 3) Half-time nurse practitioner to provide comprehensive health assessments at SHSC on arriving refugees within 30 days. ($12,248 county cost) 4) Public Health Nurse II to meet increased demands in the communicable disease and refugee health programs ($67,718) 5) Renewed request for permanent funding for Volunteer Coordinator position for the Medical Reserve Corps (need an additional $22,000 in permanent program support). Motion to approve position requests as presented was made by Anissa Vines, seconded by Ernie Dodson, and carried without dissent.