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MINUTES - Draft <br />ORANGE COUNTY BOARD OF HEALTH <br />January 30, 2019 <br />S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ January Page 4 <br />• Environmental Health Earned Revenue by Source: Environmental Health earned <br />revenue is currently below the budgeted projection for FY 18-19 ($53k/month) at <br />$44.1k/month although this is a seasonal trend and has been affected by office closings <br />and wet weather, which resulted in an inability to perform as many onsite well and septic <br />inspections. We typically see an increase in revenue during the spring with public pool <br />and septic inspections and the division is working on a strategy to quickly decrease the <br />number of pending weather-delayed inspections. <br /> <br />• Grants Fund Revenue: FSA has drawn $100k of the multi-year Kenan grant. We will <br />receive the second allocation of $100k in third quarter FY 18-19. Expenditures are <br />steadily increasing as the new Social Work Supervisor II position has been filled and is <br />implementing her program strategies. <br /> <br />The BOH members had questions that were addressed by Ms. Crawford. <br /> <br />C. Immigration Updates <br /> <br />Susan Clifford, Immigrant and Refugee Health (IRH) Program Manager, shared updates on <br />data, research, OCHD & community activities, and new policies and practices affecting our <br />community and clients. Below are highlights. <br /> <br />• The IRH Program has many tasks including language services policies & coordination, <br />2.5 Staff Spanish/English medical interpreters, 15 contract interpreters, ASL, telephonic <br />& video interpreters, OC Interagency Coalitions (Latino & Refugee Health). <br />• Non or limited-English speaking patients seen in each clinic: 31% Medical, 39% Dental <br />with the top languages being Spanish, Karen, Burmese, Chinese, Arabic <br />• Refugee Arrivals to OC: 102 people in FY16-17; 22 people in FY17-18; 8 people in the <br />1st half of FY18-19 <br />• I-693 Process changes – <br />o Form needs to be signed within 2 months of when Refugee Patient submits <br />Adjustment of Status (I-485: Green Card) Application to USCIS <br />o Form is only valid when Health Department Doctor signs form no more than 60 <br />days before the date the Refugee Patient files the complete application package <br />• Some activities that occurred in 2017-2018 include: <br />o Termination of Deferred Action for Children Arrivals (DACA) and Deferred Action <br />for Parents of Americans and Lawful Permanent Residents (DAPA) <br />o End of Temporary Protected Status Designations <br />o Refugee Admissions Reduction <br />o Travel Ban & Extreme Vetting <br />o Expansion of Enforcement Priorities <br />o Proposed Public Charge Rule Changes (Public Comment – Dec 2018) <br />o Citizenship question proposed for Census <br /> <br />The BOH members had questions that were addressed by Ms. Clifford. <br /> <br />D. 474 CLAS Standards Advancing Health Equity AA <br /> <br />Beverly Scurry, BOH Strategic Manager, and Donna King, Health Promotion & Education <br />Services Director, provided an update on the funding received from the NC Office of Minority <br />Health and Health Disparities (OMHHD) to address the health status gap between racial/ethnic