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Home My WebLink About2015-04 April 22 PHAB Meeting Minutes“To promote and protect the health and safety of our community.” MMIINNUUTTEESS April 22, 2015 12:00 – 1:30 p.m. Stan Owen, Deschutes County Health Services Item Facilitator Jock Pribnow, Chair Meeting Coordinator Tom Kuhn Scribe Lisa Michael Next Meeting May 27, 2015 Health Services, Stan Owen Agenda Items/Discussion/Motions Topic and Lead 1 Introductions & Approval of February and March Meeting Minutes Kim moved to approve both the February and March minutes as submitted. The motion was seconded by Katrina. Unanimously approved. The Board and guests went around the room and everyone introduced themselves. 2 Brief Announcements & Unfinished Business Charla announced that the Community Health Center received 2 more years of funding and that a new clinic will open on June 19th on Fridays at High Desert Medical in Sunriver. Katrina noted that Governor Brown signed into law a new bill that eliminates the reduced fees for school lunches and makes them either completely free or paid. Legislative updates: Jock spoke about Senator Steiner-Hayward who, due to rabid opposition, dropped her stance on the non-medical exemption (SB 442). However, she is sponsoring SB 895, which states that schools must publicize the vaccine rates by disease. So far, this bill has been recommended to pass with amendments and has been referred to the Ways and Means Committee. Senator Knopp led the opposition on this bill. Jock also noted that a study of 96,000 children showed no link between vaccinations and Autism. SB 417 and 663 require that retailers of tobacco products and inhalant delivery devices be licensed by the Oregon Liquor Control Commission. Both bills are still in process. SB 945 creates a crime of endangering a minor by allowing access to a firearm. A public hearing was held April 16th. SB 941 is related to private firearm sales and required background checks. This bill has recently passed the senate with 3 recall petitions. HB 2300 creates a method by which a health care practitioner may offer to treat a terminally ill patient with an investigational product not approved by the USFDA. The House voted unanimously in approval of this bill. Deschutes County Health Services Public Health Advisory Board “To promote and protect the health and safety of our community.” HB 202A as amended allows expanded practice by pharmacists to prescribe patients 18 and older birth control pills. The House Care Committee will be voting on Friday. SB 920 pertains to the use of antibiotics in farm animals and the relationship to public health (still in progress). HB 2546 defines an “inhaled delivery device” and amends the laws concerning the sale of tobacco products to, and the use of these products by minors. Tom mentioned a work session was taking place today. SB 5526 appropriates money from the general fund to OHA for certain biennial expenses. Tom testified on April 2nd in Salem and is still moving. HB 3100 modernization of public health. The House Health Care Committee approved with amendments and the bill is now on its way to the Ways and Means Committee. Kim suggested the Board email local legislators to invite them to speak at one of our monthly meetings so we can express our viewpoint. 3 2015 Health Heroes Group Award presentation Susan introduced the members of the DC CIT and presented them with the Health Heroes Group award. Eilene Flory, Bend PD Crisis Intervention Coordinator, gave a short speech and explained their function and purpose in helping the community. 4 Intimate Partner Violence Kathy Christensen gave a PowerPoint presentation on intimate partner violence. A small 3-year grant was awarded to Project Connect to work with Saving Grace on health and domestic violence. Kathy attended a national “Futures Without Violence” conference in Washington DC and several keynote speakers were there to present on health care and domestic violence, which is rapidly becoming a major cause for concern worldwide. While 25,000 cases of Ebola have been reported to date, 1 billion children and 1.5 billion women have experienced some kind of violence. Violence across the lifespan is connected and we need to take advantage of the interconnection s in prevention work. On a global level, 35% of women have either experienced physical and/or sexual violence from a partner or non-partner sexual violence. Almost 1/3 of all women who have been in a relationship, experience physical and/or sexual violence by their partner. Globally, nearly 38% of all women murdered are committed by intimate partners. Women who have been physically or sexually abused by partners have reported higher rates of a number of health issues, e.g. alcohol/drug abuse, abortion, depression/anxiety, etc. In a 2010 summary report of the National Intimate Partner and Sexual Violence Survey, roughly 24 people a minute were raped, physically assaulted or stalked by an intimate partner. Oregon has a higher rate of IPV than the national average. Almost 50% of those who experience their first IPV incident were between ages 18 to 24. The physical and psychological impact tends to cause lifetime health consequences. President Obama signed the VAWA Act into federal law in March 2013 and a government website was created to provide resources to students who need help (notalong.gov). 5 Central Oregon Oral Health Coalition Update Suzanne Browning, Executive Director of the Kemple Children’s Dental Clinic, presented some background information on the coalition and what’s been going on. Suzanne recently sent out an email to the members in regards to emergency room use and is trying to get clarification on what services are being provided. There has been no significant drop in oral health visits to the ER. She also spoke about non-traditional dental settings that are providing more work outside the office offering such services such as screenings and sealant procedures. Virtual dental homes are starting to pop up where a hygienist “To promote and protect the health and safety of our community.” performs a broad scope of procedures with the dentist making recommendations. Suzanne questioned where the integration will come from between medical and dental professionals. Will doctors confer with each other and how? SCMC is opening a new women’s center that will have the opportunity to integrate services. Kemple Clinic has now expanded their services to include young adults and those who are uninsured, underinsured and underserved. They are working with VIM on eligibility requirements . Suzanne also spoke about the lack of senior oral health care. Medicare does not provide dental insurance for seniors and there are no non-profit agencies addressing this problem. More screenings and sealant procedures are taking place in the schools; however, many children are still not visiting the dentist for routine care. The RHA is working on incorporating oral health care data into the plan, which will be compiled by an epidemiologist. The next coalition meeting will be held sometime during the first two weeks of May and a summit meeting is scheduled for May 1st. 6 Pertussis and Immunization Update Heather spoke about Pertussis and the increase in cases reported here in Deschutes County. So far in 2015, 20 cases have been identified. Sixty cases were reported la st year representing the highest number of annual cases reported in the last two decades. Heather said there was a press release yesterday and she will be speaking with the local news later today about the increase in these cases. Clark County also ran a press release yesterday as they have reported 40 cases so far this year. Most of the Deschutes County cases were being passes around in two local area schools. Pertussis is a highly contagious respiratory disease that is transmitted through sneezing or coughing where others can become infected. TDAP vaccinations are only 70 to 80% effective; however, the risk is still fairly low for contracting Pertussis. Jill spoke about SB 895, which requires that all schools and children’s facilities make available certain information related to immunizations. This bill will help in cleaning up records and non-medical religious exemptions, and require those who were previously grandfathered to go through vaccine education either by talking with their health care provider or watching the online video module, if they want to continue their nonmedical exemption status. By keeping better records at the school level, this information will help the public health departments accurately determine at-risk schools in the event of an outbreak. 7 Adjourn at 1:28 p.m. Board Members Present: Jock Pribnow, Susan Keys, Charles Frazier, Katrina Wiest, Kim Curley Reynolds, Holly Remer, Charla DeHate Staff Members Present: Tom Kuhn, Pamela Ferguson, Lisa Michael Guest(s): Kathy Christensen (staff), Suzanne Browning (COOHC), Heather Kaisner (staff), Jill Johnson (staff), MaCayla Claver (COHC), Eilene Flory (Bend PD), Roger Olson (CIT), Brandon Wyllie (CIT), Molly Wells (CIT), Holly McCown (CIT) and Capt. Cory Darling (Bend PD) SB – Senate Bill HB – House Bill USFDA – United States Food & Drug Administration OHA – Oregon Health Authority DC CIT – Deschutes County Crisis Intervention Team PD – Police Department DC – District of Columbia IPV – Intimate Partner Violence VAWA- Violence Against Women Act ER – Emergency Room SCMC – St Charles Medical Center VIM – Volunteers in Medicine RHA – Regional Health Assessment TDAP – Tetanus-Diphtheria Pertussis