Final Minutes of January 26, 2022

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MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH January 26, 2022 • Grants Fund Revenue: Last fiscal year FSA was given the final installment of the $300k for the multi-year Kenan grant. The Foundation has allowed us to roll the remaining $53k to this fiscal year where it will be used towards sub-grants and community-based events promoting health and well-being, interpreter costs, and printing materials. • Additionally, we have been awarded approximately$26k for NC Integrated Care for Kids (NCInCK) program which will be used towards staff personnel costs to implement the InCK model in Orange County. The BOH had questions and comments that were addressed by Ms. Guindon and Ms. Quatrone. C. Salmonella Outbreak Victoria Hudson, Environmental Health Director, provided a brief summary about the investigation and monitoring process of the Salmonella outbreak that occurred at the UNC Hospital Main Campus. Below are some highlights. • This was a coordinated effort involving approximately 50 people including the OCHD EPI team, UNC Occupational Health, UNC Nutrition, and NCDHHS staff. • Salmonella is a foodborne illness associated with gastroenteritis. • Salmonella Javiana is a Salmonella serotype that is restricted to the Southeastern US. • Symptoms develop 12-72 hours after the contaminated item has been consumed and include diarrhea, fever, abdominal cramps, and headaches. • For most people, symptoms generally last for 4-7 days. • On November 51", a case of salmonella was reported to the OCHD CD team. The CD team then contacted Ms. Hudson. A patient at UNC Medical, who had been an in- patient since October 18t", became symptomatic on November 2nd. The hospital knew it was Salmonella due to a culture; however, they were unaware of the subspecies at that time. • By November 6t", there were 7 suspected cases. • On November 6t", the OCHD Epi Team, which consists of certain administrative, Environmental Health, CD and clinical staff, was activated. They reviewed policies, notified the state epidemiologist and along with the assistance of Dr. Pettigrew, notices were sent to the providers. • By November 71", there were 9 suspected cases. • The patients' food diaries were requested. Directives were given to stop serving the fruit cups. • By November 16t", there were up to 15 suspected cases. • On November 16t", the Department of Agriculture performed environmental swabs of the area in which the fruit cups were made. All of the environmental samples were negative. The exact source of the outbreak had not been determined. • Lessons learned included to not make assumptions and the understand traceability. Companies need to know where their food is outsourced from when their vendor runs out. The BOH had questions and comments that were addressed by Ms. Hudson. S:\Managers Working Files\BOH\Agenda &Abstracts\2022 Agenda &Abstracts/ January Page 3