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BOARD OF HEALTH 2 SEPTEMBER 26, 1996 enforcement tools the Board is comfortable with. Pending final resolution of the authority question, Mr. Gledhill sees no reason why site visits can’t occur, particularly those related to establishing smoke free areas in qualifying restaurants. 6. ANIMAL CONTROL REPORT - John Sauls 6.1 Proposed Changes in Animal Control Ordinance Mr. Sauls reviewed the proposed changes in the Animal Control Ordinance that were developed in consultation with the Animal Control Director, the Animal Shelter Director and the Director of the Animal Protection Society. Also, on hand were Pat Sanford, APS Director and Cynthia Wise, APS Board member. Dr. Cammarata motioned to endorse the changes in the Animal Control Ordinance and recommend them to the Orange County Board of Commissioners. The motion was seconded by Dr. Adler and was unanimously approved. Rabies Announcement Mr. Reimer announced that on the evening of September 24, 1996, the State Public Health Laboratory confirmed (2) two additional cases of rabies from Orange County. Both cases were found in raccoons from the northern portion of the county. This bring the county’s total number of cases to (4) four. In each incident, the family’s pet dogs were involved in capturing or killing raccoons on the owner’s properties. There was no exposure to humans. Both dogs had been vaccinated against the rabies virus and were re-vaccinated following the exposure. 7. Personal Health Services Report - Eileen Kugler 7.1 Reduction in Maternal and Child Health Funds from DEHNR Ms. Kugler informed the Board that the Health Department has received notification of cuts in Federal funding which affects the family planning and maternal and child health programs. The cuts are in two categories: 1) North Carolina’s Title X funding for family planning. 2) Federal funding for the Social Services Block Grant for North Carolina was cut by 15%. In addition, federal funding for the Maternal and Child Health Block Grant was reduced by 1%. These cuts coupled with the reduction in Title X funds mentioned above result in reductions for local providers of maternal, child and family planning services of approximately $1.8 million. Orange County Health Department’s share of the cut is $28,910. Mr. Reimer has met with Marti Pryor-Cooke, DSS Director and Jerry Passmore, Aging Director earlier this week to discuss the possibility of using local funding previously allocated in the current year’s budget for the Home Health Agency. Upon not getting support from these groups, Mr. Reimer withdrew the recommended action. Mr. Reimer handed out a Revenue Summary from the previous year and summarized the revenue that was generated in excess of budgeted outcomes. Rather than cutting services at this time, the Health Director recommended that the Board of Health request that the Federal cuts be restored using local funding of Medicaid revenue from the previous year in excess of what was budgeted. Ms. Chavious motioned that the Board of Health requests to the County Manager that the Federal cuts be restored by using local funding of Medicaid revenue from the previous year in excess of what was budgeted. The motion was seconded by Dr. Klein and was unanimously approved. 8.1 HEALTH DIRECTOR’S REPORT - Daniel B. Reimer 8.1 Report of Activities Mr. Reimer reviewed the report that had been distributed with the Board packet. He also amplified the report on Hurricane Fran. Mr. Reimer reported that the Multi-Hazard Plan developed by Department Heads does have a debriefing. There are several phases to the plan: the immediate response, damage assessment and the recovery period. Once the recovery period is over, there is a debriefing of all the people involved to see what lessons are learned and what things can be set in place to improve the response for the next time. Nothing this widespread has occurred or been anticipated. Dr. Gordon questioned who was in charge of getting out water to people during the hurricane and whether there is a systematic plan for making water available in future disasters. The Health Director informed the board that both Nick Waters, EMS Director, and Bob Lockwood, Red Cross Director, were seeking “water buffalo”, steel tanks that could have provided water during the storm, but they were slow in coming. They will be looking at how this can be lined up in advance