Approved Minutes of June 28, 2023

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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH June 28, 2023 o LHDs should continue to report outbreaks in congregate living settings, which include: • Long-term care facilities • Correctional facilities • Housing facilities for migrant workers • Shelters o Currently, OCHD Communicable Disease continues to investigate and report clusters in schools. ■ Clusters are defined as 5+ confirmed cases epidemiologically linked or 15+ confirmed cases affiliated with an institution. Monkeypox (mpox)— • As of May 2023, there were 3 cases that the OCHD CD Team investigated and worked up. • In NC, there have been 26,173 vaccines administered. OCHD has administered 751 mpox vaccines as June 2023. • Jynneos is the vaccine, administered both subcutaneously (SC) as well as Intradermally (ID). It is now being offered at the OCHD Medical Clinic if the NCDHHS vaccine eligibility criteria are met, which can be found at the link below. https://www.ncdhhs.gov/mpox • Testing has become more widely available and continues to require the presentation of a rash as a symptom of MPDX for testing to occur. • The antiviral drug tecovirimat (TPDXX) has been approved by the FDA to treat smallpox in adults and children. Drugs developed to treat smallpox may be used to treat mpox. VII. Reports and Discussion with Possible Action A. Media Items Lena Wegner, Communications Manager, briefly summarized the articles. Some of the articles' topics included Governor Cooper launching a safe gun storage campaign; a legislative bill approved by the state House, and headed to Governor Cooper's desk, that would prohibit anyone entering a state government workplace, such as a private contractor or a diversity trainer, from compelling employees to believe they should feel guilty or responsible for past actions committed by people of the same race or sex; the approval of a bill that allows Blue Cross and Blue Shield of NC and a dental insurance provider to transfer assets into a parent holding company with little oversight; and a federal lawsuit filed by abortion providers challenging several provisions of the state's law banning most abortions after 12 weeks of pregnancy. - In response to Dr. Stuebe, Ms. Stewart stated that the OCHD is awaiting final guidance from DHHS on this subject, our providers are aware, and that the OCHD provides optimal care in optimal timespan. Media items were in the packet, which focused on Orange County's events, our involvement in various efforts, and various public health topics. B. Health Directors Report Ms. Stewart presented her report to the Board. Below are brief highlights of her report. S:\Managers Working Files\BOH\Agenda&Abstracts\2023 Agenda&Abstracts/ June Page 5