Approved Minutes of May 24, 2023

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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH May 24, 2023 • The highest method of self-inflicted injury seen by the emergency department by youth ages 10-17 during the years 2017-2021 was poisoning. Tony Whitaker asked if the information was based on 5 years of cumulative data. Ms. Rawlinson confirmed. Health Equity • Ms. Rawlinson provided the number of equity trainings provided over the past 5 years. There was a decline between 2020 and 2022 due to COVID. Rachel Royce spoke about an article on structural racism, which she sent that she believes would be beneficial to OCHD staff. In response to Tony Whitaker question regarding the accuracy of metrics, Ms. Stewart mentioned that the Health Equity Subcommittee could tackle that task. Emerging Issues • The OCHD, along with other governmental agencies, have experienced significant staff turnover and vacancies. Currently, the vacancy rate is 10.4%. • Vaping is increasing amongst OC middle and high school students. The greatest risk of harmful substances among the students is prescription drugs. 2023 CHA • Ms. Rawlinson reviewed the 8 phases of the CHA assessment process. • The benefits of the CHA are gaining a basic understanding of the demographics of OC, health status, major health risks/problems, and how health status and health risk findings support, contradict, and relate to residents' perceptions. • The incentives to data collection include internal analysis with public health professionals, knowing the community, tailoring it to our community, and creating a descriptive and simple analysis. • Obtaining more community engagement is key. The data will be collected during various community events, surveys, and door-to-door. There will be a call for volunteers to assist with data collection. The Board of Health was also encouraged to be present at the focus groups helping to facilitate conversations with the community. - Rachel Royce mentioned that the purpose is to get statistical samples according to census block and attempting to oversample those areas where the response rate has been low. - In response to Mr. Bagby's concern about safety and going into certain neighborhoods, Ms. Rawlinson stated that volunteer shifts occur during daylight, they work in teams of 2 in mapped out areas, and training is provided. Ms. Crews added that it's important to go into all communities, especially the ones that don't trust us or feel that they're not being heard. B. Child Fatality Task Force Report Dana Crews, Community Health Services Director, gave the highlights of the Child Fatality Prevention Team (CFPT) Annual Report. Before she began, Ms. Crews stated that they met 6 times; although, they're only required to do so quarterly. She briefly explained the team's goals and purpose which include reviewing medical records, discussing outcomes, identifying deficiencies and carrying out recommendations to prevent further child deaths. The CFPT S:\Managers Working Files\BOH\Agenda&Abstracts\2023 Agenda&Abstracts/ May Page 4