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MINUTES-Draft <br />ORANGE COUNTY BOARD OF HEALTH <br /> March 27, 2019 <br />S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ March Page 3 <br />o Keratoconus <br />o Eye traumas <br /> Some surgical procedures/devices that aid in correcting vision problems <br />o Cornea replaced with implanted telescope <br />o Scleral lenses can improve vision (pair ranges in cost from $1300 to $3000) <br />o Bandage contact lens <br /> Some visual aids/Prosthetics <br />o Handheld telescopes, handheld magnifiers [range in price from $4 (low quality) to <br />$100 (good quality)], desktop video magnifiers (can range in price from a few <br />hundred dollars to $3000) <br />o Custom molded scleral lens (retail $7,000/pair) <br />o Hand painted prosthetic tint soft lens (range in cost from $400 to $1000) <br /> Some funding sources <br />o NC Services for the Blind <br />o Medicaid (doesn’t cover cosmetic/prosthetic lenses) <br />o Some Lions Clubs <br />o There is a strong need for funding as most insurances don’t cover visual <br />aids/prosthetics. <br /> Some resources <br />o NC DHHS Division of the Services for the Blind <br />• Kim Tyler, Social Worker for the Blind for Durham and Orange Counties <br />• Rehabilitation agency that can provide magnifiers and sometimes monoscopes to <br />the low vision population. <br /> <br />The BOH members had questions that were addressed by Dr. Baldwin. <br /> <br />C. SOTCH Review/CHA Process Update <br />Ashley Rawlinson, Healthy Carolinians of Orange County (HCOC) Coordinator, presented the <br />2018 State of the County Health Report (SOTCH). The SOTCH is a report that is produced <br />every year in between the Community Health Assessment (CHA). Social Determinants of <br />Health, Physical Activity & Nutrition and Mental Health & Substance Abuse are the three areas <br />that are focused on in the report. Below are highlights from Ms. Rawlinson’s presentation. <br /> <br /> The top 3 leading causes of death (cancer, heart disease and cerebrovascular disease) <br />hasn’t changed over the last couple of years. <br /> In Orange County, people of color have higher death rates, when compared to whites, <br />in relation to cancer, heart disease and diabetes. <br /> Social Determinants of Health <br />• Poverty <br />o 14% of OC population lives in poverty with 6.5% of all families living below the <br />poverty level. <br />o 9.5% of children in OC live in poverty despite a county-wide median income of <br />$69,940. <br />• Although rich in resources, Orange County has one of the highest measures of <br />income inequality in NC. <br />• In 2017, the first Try Transit Week was held October 23rd-28th to bring awareness to <br />public transportation and encourage use. In 2018, Orange County Public <br />Transportation (OCPT) held 3 community meetings to discuss proposed transit <br />changes and to gather community input on OCPT priorities. In 2019, the OCPT <br />plans to host a Try Transit month with different activities occuring each week of the <br />month.