HomeMy WebLinkAbout09-2020 SEPT 26 2018 MINUTES
Deschutes County Health Services
Public Health Advisory Board
MINUTES
MINUTES
September 26, 2018
12:00 – 1:30pm
Stan Owen, DCHS Building
2577 NE Courtney Drive, Bend
Facilitator Keith Winsor, Vice Chair
Staff Coordinator Tom Kuhn, Community Health Manager
Scribe Lisa Michael
Next Meeting October 24, 2018 – Annual Retreat – Deschutes County Road Dept. –
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61150 SE 27 St, Bend
Topic and Lead
Introductions & Approval of August Meeting Minutes
Introductions were made and Jim motioned to approve the August minutes, which were
seconded by Rob. The Board unanimously approved the minutes as submitted.
Brief Announcements & Unfinished Business
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Tom announced that Kate’s term will end as of December 31 and Keith can assume the
position of Chair provided that the Board approves. Rob motioned to elect Keith as Chair, while
Steve seconded the motion. The Board unanimously approved Keith as Chair starting in
January 2019. Tom asked if there were any nominations for Vice Chair. Since there were no
nominations at the meeting, Tom will email the Board for suggestions so we can discuss at the
retreat. There was a brief discussion about recruiting minority members, which will also be
revisited next month.
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Tom reminded the Board that the annual retreat will be October 24 from 9 am to 1 pm at the
Deschutes County Road Department. He will send out an email with more details and
directions.
Kate, Keith and Tom will solidify the agenda for the retreat in the coming weeks.
Brief Priority Work Group updates:
No updates this month.
Organization Health Hero winner – PEDAL Clinic
Dr. Marshall is a licensed psychologist who works for the SCMC PEDAL program. In 2010, the
first clinic opened up to diagnosing and evaluating youth with special health needs who live in
Central and Eastern Oregon. They recently moved to a dedicated space on campus in the
same building as the Family Care Clinic. At this time they are only able to conduct evaluations
and check youth 0 to 26 for disorders affecting a youth’s development such as autism, cardiac
and eating disorders, concussions, etc. and also conduct follow-up exams and track the health
“To promote and protect the health and safety of our community.” Updated 8/4/20
progress of premature babies. They meet several times a month to discuss complex
neurological and mental health cases and partner with all the area schools and DCBH. Dr.
Marshall said the clinic is searching for a developmental pediatrician, which has been a difficult
task being it is such a specialized field. Hillary asked if the program was involved with the ELH,
at which time Dr. Marshall replied that PEDAL is somewhat embedded by way of developmental
screening, but would like to be more proactive in early intervention and meeting with families
at the point of entry. They would also like to partner with Pacific Source for early intervention.
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As of January 1, the DOE wants to realign autism with medical diagnoses, along with
increasing educational competency across the entire school system. Dr. Marshall said that
currently families end up having to travel around for care and her wish is to have all services
available under one roof including navigating the financial piece.
Statewide Prevention Campaign: Opioids & Pain
Julie Spackman, DCHS Substance Abuse Prevention Coordinator and staff lead on the statewide
grant funded opioids prevention campaign, gave a brief update on the communications
development project. She is the only member east of the Cascades on this state run board,
which is in the process of designing a consumer outreach campaign preventing the use of
opioids for pain management. With the opioid crisis in the limelight, the board is focusing on
educating consumers about their non-opioid options and preventing consumers from even
starting on prescribed opioids for pain. The main audience this campaign will concentrate on
are those who have never taken opioids but may. A great deal of research is being done and
focus groups formed to combat this crisis. The plan is to roll out the campaign in the spring
and will be geared more towards marketing as opposed to education at this point. The grant
to launch this campaign originated more than a year ago by the state multi-disciplinary team.
Julie noted that a few months ago, SCMC Madras approved a new program for opioid
treatment. PCP treatment was approved through Mosaic with a $200k grant. Julie also
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announced there is a Pain 101 conference scheduled on the 12. Julie can provide more
information at a later date as the campaign progresses and would like to provide the state
board with some feedback from PHAB.
Two Simple Proofs of Global Warming
Brian Dunning, author/science writer/podcaster and filmmaker, gave a PowerPoint presentation
on the two proofs of global warming. For 12 years now, Brian has owned a bend based non-
profit media company and hosts a weekly podcast about science skeptism. He also produces at
least one documentary film each year for teacher use in the classrooms regarding actual
science and reality. Brian spoke about global warming being a hard science meaning science
based on facts and hard evidence. He does not lecture about the myths, urban legends,
models or predictions; only the facts. Brian mentioned two of his friends and colleagues
Michael Mann (Climatologist from Penn State), and Tim Ball, PhD (Professor of Geography,
University of Winnipeg), whom he consults with on occasion. He also spoke of the IPCC,
established in the late 80’s, which is a scientific and intergovernmental body specifically
dedicated to providing the world with an objective, scientific view of climate change and its
political and economic impacts. Brian explained the science of spectroscopy and how humans
are burning too many fossil fuels that are causing excess solar heat in the atmosphere caused
by Co2 gases. Co2 concentrations have continually increased from 300 ppm over millions of
years ago to over 407 ppm today. Co2 behaves as a greenhouse gas that absorbs infrared
radiation emitted from the earth’s surface, then radiates it back to the surface.
“To promote and protect the health and safety of our community.” Updated 8/4/20
The significant Co2 increase in the atmosphere is a major contributing factor to human-induced
global warming. Coal is the dirtiest fossil fuel being used today and China, India and the east
coast are the biggest offenders of burning coal.
Carbon 12 and Carbon 14 are both isotopes of Carbon, but differ in number of neutrons.
Carbon 12 is also lighter than Carbon 14. Carbon 14 is created by cosmic rays and combines
with oxygen to form carbon dioxide. Plants naturally absorb this and incorporate into plant
fibers by photosynthesis. The human body contains a certain percentage of Carbon 14 and
carbon dioxide gas is expelled from the body through such activities as respiration, eating and
drinking. Carbon 12 is also an isotope of carbon and can be expelled through such natural
disasters as fires and volcanoes. The burning of fossil fuels results in the emission of more
than 34 billion tons of carbon dioxide per year worldwide, which is 100 times more than a
maximum estimated volcanic discharge. Twenty nine billion tons of carbon are added to the
earth’s atmosphere annually with 750 billion circulating through the air, land and sea. Most is
burned off; however, approximately 15 billion tons stay floating around. The NOAA in Colorado
confirmed the spectrum showing 300 ppm millions of years ago and the consistent growth to
407 ppm now.
Brian has about 150,000 followers listening to the podcasts each week. He mainly hears more
from teachers than students. Kids are likely to believe what their parents believe, which tends
to be a hard sell for the actual facts. He also has a feature documentary film coming out this
year that is being funded through donations (www.sciencefriction.tv). Brian’s podcasts can be
viewed through his website at skeptoid.com.
Adjourn at 1:30 p.m.
Action Items:
Retreat Planning
Tom to email the Board for Vice Chair nominations
Tom to email the Board with retreat details/directions.
Board Members Present: Keith Winsor, Sharity Ludwig, Charles Frazier, Jim Powell,
Steve Strang, Rebeckah Berry, Robert Ross, David Huntley and Peter Boehm
Staff Present: Dr. George Conway, Tom Kuhn, Hillary Saraceno, Heather Kaisner and
Lisa Michael
Guest Speakers: Dr. Sondra Marshall, Julie Spackman (staff), Brian Dunning and
Linda Orcelletto
SCMC – St. Charles Medical Center PEDAL – Programs of Evaluation Development & Learning
DCBH – Deschutes County Behavioral Health ELH – Early Learning Hub
DOE – Department of Education DCHS – Deschutes County Health Services
PCP - Phencyclidine PhD – Doctor of Philosophy
IPCC – Intergovernmental Panel on Climate Change
PPM – parts per million NOAA – National Oceanic & Atmospheric Admin
“To promote and protect the health and safety of our community.” Updated 8/4/20