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MINUTES ORANGE COUNTY BOARD OF HEALTH October 25, 2001 Board of Health Minutes Transcription completed by V. Anne Miles 2 October 25, 2000 Mel Hurston explained that it is required under North Carolina law that public agencies, such as health departments, obtain approval of the State Health Director, or designee, to operate a non-profit public dental practice. Once State approval is obtained, final approval is granted by the North Carolina State Board of Dental Examiners, as per statute. The mission statement from the OCHD Dental Health Service was presented for Board approval as part of this process. Martha Stucker recommended a change in wording from "populations in Orange County" to "residents in Orange County." Motion to approve the mission statement as amended and forward it to the State Health Director designee, Rick Mumford, DMD, MPH, CPM Chief of NC Oral Health Section, for approval was made by Mel Hurston, seconded by Lee Werley, and carried without dissent. 2. Influenza Vaccine Distribution Plan Mel Hurston reported that the Health Department is not due to receive its first vaccine shipment until the end of October, with a graduated delivery schedule thereafter. This year the Department chose to purchase its vaccine from the state contract vendor because the cost was the lowest among the suppliers. There is great concern across the state that private for-profit health care providers seem to receive vaccine before public agencies and clinics although many vulnerable populations utilize public agencies and clinics for their care. Some then contract with local venues such as grocery stores, pharmacies, and discount stores for flu vaccinations that are provided to anyone that requests them. The National Association of City and County Health Officials (NACCHO) has worked for the past several years with the CDC and pharmaceutical companies to alleviate this problem. NACCHO would like to have a federal policy in place that requires manufacturers to provide vaccine to public clinics for vaccinating high-risk individuals prior to for-profit providers receiving supplies for the general public. This service has grown over the years in Orange County. This year the department ordered 5,000 doses, but it is unclear how many of those will actually be received. The cost for vaccinations and pneumonia are covered by Medicare Part B reimbursement for individuals that participate in Medicare Part B. For those not covered by Medicare Part B, influenza shots are $12 and pneumonia shots are $15. VI. Topical Briefings A. Breast and Cervical Cancer Control Program - Wayne Sherman The goal of the program is to dramatically reduce mortality from breast and cervical