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S:\MANAGERS WORKING FILES\BOH\MINUTES\1990s Minutes\Minutes 1996\596MIN.DOC 2 MAY 23, 1996 Following questions and discussion, the Board recommended the following: A motion was made by Dr. Klein to approve chemical toilets with the provision of hot and cold water for hand washing adequate for 100 people with handicap accessibility. The motion was seconded by Ms. Crowder-Gaines and passed unanimously. A motion was made by Dr. Foster to give the Tripodi’s three options acceptable for the septic system. The Tripodi’s can negotiate with Mr. Holdway which option they choose. The options are: 1. Negotiate with Mr. Holdway to install a water meter and monitor the flow rate of water consumption with spot checks by the department to verify that they are not exceeding the limit or; 2. Expand the system or; 3. They can decide, based on Mr. Holdway’s calculation to have a fewer number of maximum participants at events to not exceed the recommended water usage. The motion was seconded by Dr. Klein and passed unanimously. The Board would like a report on next month’s agenda regarding the final decision of the Tripodi’s. 5. DENTAL HEALTH SERVICES 5.1 Increase in Dental Fees Mr. Reimer informed the Board that the last review and increase in dental fees was July 1, 1993. He reviewed a spreadsheet of dental fees that included the following: OCHD current and proposed dental fees; The American Dental Association 1993 Survey of Dental Fees; UNC School of Dentistry current fees for dental services; Medicaid current fees for dental services and Dental fees from three private dental practitioners. The scale shows a steady increase in fees over the past few years. Dr. Klein recommended that no charge be under what Medicaid pays. The staff will investigate the charge for Biopsy Oral Tissue. A motion was made by Ms. Crowder-Gaines to approve the proposed increase in dental fees with a check on the charge for Biopsy Oral Tissue fee and to forward the increase in fees to the Board of Commissioners for approval. The motion was seconded by Dr. Klein and passed unanimously. 6. RABIES CONTROL REPORT Due to the lateness of time, attachments to this item were handed out and Board members were asked to call John Sauls, Animal Control Director, if they had further questions. Handouts included: Letters to Physicians; Letters to Veterinarians; Division Standard Operating Procedures for Response to Rabies Exposure; and a plan to notify Health and County Officials and Media. 7. PERSONAL HEALTH SERVICES REPORT - Linnea Larson 7.1 Nutrition and Worksite Wellness Grant Proposals Ms. Larson informed the Board that the Nutrition Branch and Cancer Control Program of the Division of Health Promotion, Department of Environment, Health and Natural Resources is offering funding, on a competitive basis, for up to 10 mini-grants for Community Nutrition Promotion Projects. The focus of these projects is to foster changes in organizations, worksites, and/or the community at large that support healthy nutritional choices and behaviors to prevent cancer. The maximum funding is $25,000 for any one health department. Funding above this amount will be considered for proposals that demonstrate collaboration between health departments. The funding period is July 1, 1996 through June 30, 1997, and renewal may be available for the following fiscal year. Preliminary plans include possibly collaborating with the Chatham County Health Department, the Durham/Chapel Hill Dietetic Association and the area Nutrition Coalition which consists of representatives of the Cooperative Extension Services of Orange and Chatham counties, the Chatham County Health Department, both school systems, the Department on Aging, UNC Hospitals and Piedmont Health Services on a community outreach project. The Board would like county and city employees added to the list. A motion was made by Mr. Currie to authorize the Orange County Health Department, Personal Health Services Division to submit a proposal for a Community Nutrition Promotion Project Mini-Grant. The motion was seconded by Dr. Cammarata and was passed unanimously. 8. HEALTH DIRECTOR’S REPORT - Daniel B. Reimer 8.1 Budget Update.