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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH June 24, 2015 S:\Managers Working Files\BOH\Agenda & Abstracts\2015 Agenda & Abstracts/ June Page 3 • Incoming kindergarteners must have the Chickenpox (Varicella) vaccination. • Rising 7th graders are required to have Meningococcal vaccination. Ms. Butler expressed that getting the word out regarding these new requirements is priority in hopes that children will get the correct immunizations when they get their physicals (e.g. sports and school). Stacy Shelp, Communications manager, stated that $9,000 of State money has been spent for this purpose. There have been print ads and media (e.g. banners, posters, brochures, public service announcements) produced. Ms. Shelp showed the commercial developed for online usage by schools and the OCHD as well as communication via social media. Prior to showing the showing the commercial, Ms. Shelp thanked the Chapel Hill- Carrboro schools that assisted as well as the OCHD staff and their children that participated in the commercial. The BOH members had several questions that were addressed by Ms. Butler and Ms. Shelp. C. Communicable Disease Annual Report Judy Butler gave an overview of the communicable disease data for the year 2014. She also referred to the NC Communicable Disease Branch website for those who wanted more in depth information such as county rates on various diseases. Ms. Butler noted other communicable disease-related activities performed by her staff including documenting health law violators, quarantine orders, control measure orders, pregnant Hepatitis B positive women and treating their newborns and bloodborne pathogens exposure. Some of the highlights from the information she gave during her presentation include: • Pertussis aka whooping cough/100 day cough is a disease that affects the respiratory system. DT aP is now used for children as it’s safer with fewer side effects but doesn’t last as long. Tdap is recommended for the adolescent and adult population. • There hasn’t been a human rabies case in NC since 1940-50s. However, there were 523 referrals involving human contact to potentially rabid animals in 2014 in Orange County. Standard recommendation from the CDC is that anyone sleeping in the room with a bat should be treated with post-exposure prophylaxis which costs range from $1,500-$2,500. Treatment should be given within 48 hours of exposure to a bat or wild animal and within 72 hours of exposure to a domestic animal. • Outbreaks involving diarrheal disease were discussed. Norovirus in long-term care facilities was the most prevalent outbreak as it spreads quickly. • Sexually transmitted diseases such as syphilis and HIV have different stages; therefore, when reporting, more research has to be completed to determine if it is a new case. Syphilis cases are on the rise. In 2015, the OCHD already has 11 syphilis cases; although, they’re still preliminary. • Ebola was also briefly mentioned. Any person travelling into Orange County from an infected country has to be monitored for 21 days after their last contact. Nurses perform home visits and phone calls. There were 6 people monitored in 2014 and 20 people monitored in 2015. The BOH members had questions and comments that were addressed by Ms. Butler. VII. Reports and Discussion with Possible Action