BOH minutes 092906 - Laserfiche WebLink

Browse Search

MINUTES ORANGE COUNTY BOARD OF HEALTH September 28, 2006 Board of Health Minutes Transcription completed by Anne Miles Cassell 5 September 28, 2006 Motion to approve the grant application was made by Tim Carey, seconded by Chris Harlan, and carried without dissent. B. Approval of New Fees Gardacil: Human Papillomavirus (HPV) is the most common sexually transmitted disease in the U.S. Certain HPV strains can cause cervical cancer and genital warts. Gardacil, a new vaccine from Merck and Company, was licensed in June. It protects against 4 strains of HPV that are responsible for approximately 70% of all cervical cancers and 90% of all cases of genital warts. The vaccine is administered as a series of 3 intramuscular injections over a period of 6 months. The State Immunization Branch will be supplying Gardacil only to clients eligible for the Vaccines for Children Program (VFC), leaving many of our clients without access to this vaccine. Since June, we have had three women call to inquire about the availability of the vaccine and they have stated that access to the vaccine has been very difficult to find through their regular medical providers. Orange County Health Department is proposing to offer Gardacil to our non-VFC clients in the Family Planning, Child and Adolescent Health, and Immunization programs. The vaccine is licensed for females from 9 to 26 years of age. Guidelines from the ACIP, the national committee that develops immunization guidelines, are expected next week. The cost for the Health Department to purchase the vaccine is $120.00/dose. We propose to offer it to our non- VFC eligible clients for a flat fee of $130.00/dose, which includes a $10 administration fee ($390 for the full series of 3 doses). The cost of the vaccine is covered by many health insurance providers, so a receipt will be provided for the client to submit to their insurance carrier for reimbursement. Tim Carey requested an educational presentation on this topic at a future Board of Health meeting. He commended the staff for bringing forward this service that will significantly prevent cervical cancer. Mouthguards: Angela Cooke reported on the Mouthguard Project, a collaborate effort between UNC School of Dentistry students, private dentists, high school and middle school athletic departments and the health department. Through the grant from Strowd-Roses most of the cost of this initial project is covered. The staff recommends a flat fee of $10 per student for the mouthguard for this community project. This will help defray the ongoing cost of supplies and encourage students to be responsible in caring for their custom-made mouthguard. It is anticipated that this $10 fee may bring in approximately $4,000-5,000 in revenue that would return to the project for additional supplies. Jessica Lee, Board dentist representative, commented that out of 120 trauma cases involving mouth injuries, only one was wearing a mouthguard. Motion to approve the new fees and forward to the Board of Commissioners for approval was made by Sharon Freeland, seconded by Anissa Vines, and carried without dissent. C. Nominating Committee Report The current engineer's (Alan Rimer) term on the Board of Health expired June 30, 2006. Members serve until a replacement is appointed. Matt Vizithum reported on the current status of the search for a replacement. There has only been one applicant for the position. The committee has spoken with the applicant and explained the scope of the issues the position