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Since the continuation funds are available for four additional years, the health department is <br />requesting that a permanent, full-time outreach worker position be established to carry out this <br />project, subject to progress in achieving the program objectives outlined in the attachment and <br />subject to the continuation of grant funds. The new position's duties will include: <br />• Identifying and locating individuals and communities that are at highest risk of intervention and <br />outreach. <br />• Visiting jails, drug rehabilitation centers, homeless shelters, etc. to conduct educational <br />presentations and one-on-one counseling on prevention, diagnosis and treatment of syphilis. <br />• Collaborating with other public and private agencies in an effort to share disease intervention <br />activities and identify areas for outreach, screenings and cluster activities in the County. <br />The primary outcome of this program is to decrease the rate of syphilis to .4 cases per 100,000 <br />population. Orange County's syphilis rate for CY 98 was 24.8 per 100,000 population. <br />Personnel has reviewed the proposed duties for the new position and determined it should be <br />classified as Public Health Educator at Salary Grade 66 with a hiring range of $27,787 - $33,774. <br />The position will report to the Adult Health Section Nursing Supervisor. <br />Identification, treatment, and follow-up of sexually transmitted diseases is one of the core functions <br />of the Orange County Health Department. Current staff is not sufficient to be able to address this <br />emerging problem. <br />FINANCIAL IMPACT: <br />The continuation of grant funds in the amount of $43,000 are sufficient to cover the cost of the <br />Public Health Educator's salary and benefits, as well as some program costs. No County general <br />funds are required for this project. <br />RECOMMENDATION(S): <br />The Manager recommends the Board accept the continuation of grant funds in the amount of <br />$43,000 and establish a permanent, full-time Public Health Educator at Salary Grade 66, subject to <br />the continuation of grant funds. <br />