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MINUTES ORANGE COUNTY BOARD OF HEALTH June 22, 2000 Board of Health Minutes Transcription completed by V. Anne Miles 3 June 22, 2000 C. Executive Committee 1. September Work Session The Board approved a fall work session to be held on Saturday, September 16, at the Southern Human Resources Center from 8:30 am until noon. The agenda will consist of examining current services and the strengths and weaknesses of the department in meeting state mandates, county mandates, and county desired services. 2. July Board of Health Meeting The Board of Health chose not to meet in July to facilitate summer vacations for staff and Board members. Motion to cancel the July meeting was made by Martha Stucker, seconded by Janet Southerland and carried without dissent. 3. Process for Health Director’s Annual Review A review will take place in August instead of July due to the cancellation of the July Board of Health meeting. The same procedure will be followed as last year. D. Nominating Committee Update There are still insufficient applications for the at-large candidate to take action. The committee will be sending letters to all state licensed veterinarians in Orange County to solicit applications to fill the vacancy created by Ron Cammarata’s resignation. Thirty letters have been sent out to professional engineers in Orange County to encourage applicants for the seat that will be vacated by Rick Marinshaw. E. Update on School Health The Health Director pulled one of the school nurses into the health department in April in order to provide better coverage for communicable disease and for clinical services. The Board was presented with a four year overview of the increase of communicable diseases that was used to make this decision. The continuing need through the end of the calendar year for increased rubella surveillance and action also indicated a need to continue this arrangement. The director made a decision to reallocate school nursing services to make this a permanent change. The full-time school nurse assigned to Orange County Schools will continue to be an internal health department staff nurse assigned half-time to communicable disease and half-time to clinic coverage. The nurse assigned to the Hepatitis B program (50-60%) time had been assigned for the remaining time to a Chapel Hill-Carrboro School. That nurse was reassigned for her remaining time (40-50%) to the Orange County system. The net loss to each school system was approximately the same. This negatively affects both school system’s student/nurse ratio, however the reallocation was necessary to adequately cover mandated services. The health department has offered to explore with each school system the development of school-based health centers where the department may play a more active, productive role.