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MINUTES ORANGE COUNTY BOARD OF HEALTH November 19, 1998 Board of Health Minutes Transcription completed by Patsy L. Bateman 2 November 19, 1998 The ad-hoc WTMP Expansion Committee met at the Southern Human Services Center on September 30, 1998 to forge details for the proposal. The most difficult aspect of the proposal is to define how often the gravity flow systems should be inspected. The committee debated extensively whether to set the review frequency at 3 or five years. It was finally decided that 5 years would be a more reasonable approach. It is important to remember that expansion will require a commitment to significant resources, especially personnel, in the coming years, if re-inspections are part of the framework. Other issues included the Water and Sewer Boundary Task Force Document and space for housing personnel. The committee reached no agreement on whether a security plan was necessary for all systems, which method would be better or how any plan would be implemented. The county attorney will provide guidance on this matter before plans are finalized. The motion to accept the Watershed Outward Option (Option 3) for entering into the program to develop an educational plan in the first year in order to target high-risk areas; and Hybrid Funding Option as the preferred option was made by Beverly Foster, seconded by Brenda Crowder-Gaines and carried without dissent. B. ITEMS FOR BOCC GOALS Healthy Carolinians The commissioner goals included in the Board of Health packet are the current goals that have been adopted. Revisions to these goals were handed out at the Board meeting. The first one is the Healthy Carolinians goal that previously has been labeled as human service involvement. This proposes to change this to “Healthy Carolinians of Orange County” as the goal title. The wording has changed somewhat in the goal section to include the development of a coordinated agency approach to meeting human service needs. Since July 1998, the two Health Educators working in the coordination and implementation of the activities have put in 250 hours of overtime in addition to their other duties. Dr. Klein asked how Orange County compares to other counties as far as the number of health educators. That data is still in the process of being gathered for counties that are of comparable size. Durham has 21 health educators. Included in the Board packet is a chart listing the new milestones for Healthy Carolinians. This includes a direct request to the Commissioners to consider staffing for the Healthy Carolinians effort. Public Health Emergency Preparedness Plan This is a re-drafted goal. The original goal says that this was originally created at the June 2, 1997 meeting of the Board of Commissioners, where the Health Director was asked to establish this as a goal. The plan prior to this time has been to hire consultants to prepare this plan. All the literature says that the staff must be intimately involved in the development of emergency plans for the plans to be effective, therefore the approach to accomplishing this goal has changed. The staff has formed an “EPI Team” to plan for responses to outbreak and disaster situations. The team has already developed a list of response scenarios based on actual Orange County situations.