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MINUTES ORANGE COUNTY BOARD OF HEALTH September 25, 2003 Board of Health Minutes Transcription completed by V. Anne Miles 2 September 25, 2003 procedures in place for having a dog declared dangerous that do not allow for extenuating circumstances or exceptions. Motion to accept the committee determination was made by Lee Werley, seconded by Matt Vizithum, and carried without dissent. B. Bottled Water Reimbursement for Quarry Area Residents The No Fault Well Repair Fund (NFWRF) policy was adopted last year by both the Board of Health and County Commissioners. It provides for well replacements and water treatment systems for only those citizens with wells within 3,000 feet of the American Stone Quarry perimeter. Last year the State lowered the level of arsenic in groundwater that necessitates an advisory issuance by the department. The advisory recommends that persons with arsenic in their well water either treat the water or drink bottled water to reduce the amount of arsenic ingested by intake of the water. Several of the homes in the area affected by the NFWRF have arsenic levels that exceed the advisory level. Because of the limited experience to date with treatment systems, staff is not comfortable recommending use of the NFWRF to install them at this time. Several of the residents with elevated arsenic levels have asked that they be reimbursed for buying bottled water to reduce their risk of long-term health effects from drinking water with elevated arsenic levels. The reimbursement would be offered only to those citizens in the prescribed vicinity of the quarry with arsenic levels above advisory limits. A price quote from a bottled water supplier and spreadsheet developed by Alan Rimer of costs for a two-year period were presented to the Board. Motion to approve as part of the overall NFWRF policy the reimbursement of bottled water for residents with elevated arsenic levels for a maximum two-year period, subject to re-evaluation at the end of that time, that otherwise meet the requirements of the adopted policy was made by Alan Rimer, seconded by Sharon Van Horn, and carried without dissent. C. Bodyworks, Weight Management Program for Adolescents & Teens BodyWorks is a 10-week family-based weight management program developed by a group of health professionals to combat the increasing incidence of adolescent obesity. Unlike programs based on diet and exercise, BodyWorks identifies and treats the underlying contributors to obesity and provides families with the skills needed to succeed at long-term weight management. Since BodyWorks is both an educational program and a clinical treatment for adolescent obesity, it is implemented by a mental health clinician and an registered/licensed dietitian. Each adolescent is assessed to identify contributors to obesity and to determine if BodyWorks is an appropriate program. Eight sessions follow on varying topics and include nutrition and exercise components in each session. Body mapping, role-playing and food/activity records are some of the tools used to teach weight management skills. These skills enable the adolescents to make behavior changes that enhance their physical and emotional well- being and help them accept their body size. Options for follow-up include individual