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Home My WebLink About05-2020 MAY 22, 2019 MINUTES Deschutes County Health Services Public Health Advisory Board MINUTES MINUTES May 22, 2019 12:00 – 1:30pm Stan Owen, DCHS Building 2577 NE Courtney Drive, Bend Facilitator Keith Winsor, Chair Staff Coordinator Tom Kuhn, Community Health Manager Scribe Lisa Michael Next Meeting June 26, 2019 – Stan Owen Conference Room Topic and Lead Introductions & Approval of April Meeting Minutes Introductions were made and Steve motioned to approve the minutes as submitted. Rob seconded the motion. The minutes were unanimously approved. Brief Announcement & Unfinished Business Keith and Tom recently met with Jason Jundt, a local vascular surgeon, who is interested in becoming a board member. Dr. Ross has worked with him and said he would make a great addition to PHAB. Tom will send out an email to the Board with his application for feedback. Dr. Conway spoke about natural experiments on how herbs are affecting immunizations. There was a short discussion about the rise in Measles cases and Tom showed a map highlighting the immunization rate statewide, which he will email to the board. Health Hero Award Winners – Tom mentioned there was a hiccup in the nominating process, particularly people nominating others from their own organization. We will discuss the process again at our October retreat. The individual winner is Laurie Slye from Partners in Care. Jessica LeBlanc from Mosaic was the runner-up for the second time now. The organization winner is Pacific Crest Affordable Housing. Both individual and organization winners won by one vote. th June 26 PHAB special meeting – A special meeting with be held to discuss a mini grant on social determinants of public health. DCHS will collaborate with Crook County to meet the required two community meetings before the end of June. The BOCC is being invited to attend this meeting for the Health Hero Awards ceremony. If they are unable to attend, Tom will work on setting up a meeting with them at one of their work sessions. Legislative Updates – Immunizations – Tom heard that it will be coming back to the next short session. Democrats abandoned SB 978 (gun control) and HB 3063 (vaccine bill) in order to get republican senators to come back to the table. “To promote and protect the health and safety of our community.” Updated 8/4/20 th SB 27 Water System fee increase was submitted to the subcommittee on May 17. The modernization bill is at the Ways and Means Committee. HB 2270 (cigarette tax) is at the Revenue Committee with a deadline on Friday for a chamber meeting. Tom mentioned that most of the bills we are tracking are either going through the Ways and Means Committee or the Revenue Committee. Workgroup Updates – Jim announced that he was introduced to a “village” recently. A Village is a group of members in a community who volunteer to provide services such as transportation to medical appointments, shopping, etc., home repairs, social and educational activities, and inspire health and wellness programs. In order to join the Village, one must be at least 55+ years old and be physically intact to start. This organization is a national network and villages are popping up all over the country, with one right here in Bend at High Desert Village. COIC has a little information on this. Tom asked if the president could present at a future PHAB meeting. Jim said he could check into it if the Board wants and mentioned they have a website but doesn’t have the URL. David and Keith have been meeting over the last couple months to discuss homelessness and will give an update in the next few months. COIC and Transportation Update Tammy Baney, Executive Director for COIC, gave a presentation on the inner workings of COIC and their transportation program. She is 4 ½ months into her new position after leaving the County as a Commissioner for 12 years. CET is the transportation piece of COIC and offers services around Central Oregon by way of 7 distinct fixed route buses and the Dial-A-Ride program. CET is also in the process of expanding their services to provide a recreation shuttle. Tammy explained that numerous studies have been conducted that show there is a link between increasing transportation options and health benefits including reduced traffic, crashes and pollution, improved air quality, improved access to medical care, cost savings to families and increased physical activity. Transit users were 81% less likely to become obese over time according to recent research. On average when a family eliminates the use of one car by taking public transportation, the results can be a savings of up to 30% of carbon dioxide emissions. Tammy spoke about funding issues and noted that $6 million is spent annually on regional transit. HB 2017 is helping to fund the expansion of transit through a statewide payroll tax. Additional funds of $8.8 million is coming in region wide from this payroll tax this year; however, each County will vet the funds first and COIC will only receive a portion of those funds. COIC plans to use the funds they do receive on increasing and expanding services by improving and/or replacing capital investments such as vehicles, equipment, bus stops/stations, etc., increasing the frequency of fixed routes in Bend and the Community Connector, providing evening and Saturday service, enhancing the Dial-A-Ride program, Redmond fixed route and services to Redmond Airport and COCC, and providing more outreach and marketing. Their goals and priorities are to utilize new technology, provide more outreach, quality of life and independence, reducing the amount of traffic and poor air quality and enhancing the community and economic development. Tammy asked PHAB to try out the transit system and provide feedback and engage in upcoming planning processes. She also requested that PHAB advocate for public transit and transportation options. “To promote and protect the health and safety of our community.” Updated 8/4/20 Environmental Health Update Eric Mone, Environmental Health Supervisor, gave a Powerpoint presentation explaining the nature of his program. In 2018, there were over 1,200 licensed facilities (restaurants, mobile food units, public pools/spas, hotels, etc.), 75 child cares, and 175 regulated water systems that were inspected by 6 field inspectors. These figures don’t include the 400 temporary restaurant licenses required for events that were also inspected. Since most of these facilities are inspected biannually, inspectors conducted over 3,200 inspections in 2018. Environmental Health (EH) staff responded to over 225 complaints/health concerns related to funded and unfunded work, 85 contacts on the EH website and 205 animal bite reports. The EH team also used to inspect septic systems; however, that area of the program was split off and a new program called Environmental Soils was formed and is housed at the Community Development department downtown. EH staff does not inspect LTCF’s, hair/nail salons, tattoo or massage parlors. How does our department compare with the FDA standards? 4.65 FTE field inspectors averaged 503 inspections per 1.0 FTE in 2018, while the FDA program standards recommends 280-320 inspections per 1.0 FTE. In 2014, EH licensed 107 MFU’s (mobile food units) and 210 in 2019. That’s an increase of 96% in five years! In 2017, there were 34 plan reviews conducted compared to 61 in 2018, resulting in a 79% increase. Eric noted there may be additional funding to expand the EH program through PH modernization. The targeted areas of interest through modernization include the safe drinking water, air quality, improved th immunization rates and preventing disease. On March 16, there was a state budget hearing open to the community at the Fairgrounds, at which time, PH staff and PHAB members gave testimony in support of modernization. Several news stories have been aired through local media about the mass increase in mobile food units and food pods (there are 9 in Deschutes County now, with 3 more on the way), outbreaks at various places, boil water notices, etc. Prevention goes unnoticed by design and definition; our success is a non-event. During the June 2018 work session, a 12% increase in fees was requested. Only 6% was approved leaving a deficit of almost $60k in the EH budget. The BOCC recommended the EH program return in FY 2019 and provide an update if that deficit was still needed to balance the budget. Adjourn at 1:35 p.m. Board Members Present: Keith Winsor, Jim Powell, Steve Strang, Sharity Ludwig, Robert Ross, Tami Pike, Peter Boehm Staff Present: Dr. George Conway, Tom Kuhn, Pamela Ferguson, Heather Kaisner, Lisa Michael Guests and Guest Speakers: Tammy Baney (COIC Executive Director), Eric Mone (DCHS Environmental Health Supervisor) PHAB – Public Health Advisory Board DCHS – Deschutes County Health Services BOCC – Board of County Commissioners SB – Senate Bill HB – House Bill COIC – Central Oregon Intergovernmental Council CET – Cascades East Transit COCC – Central Oregon Community College EH – Environmental Health LTCFs – Long Term Care Facilities FDA – Food & Drug Administration FTE – Full Time Employee MFUs – Mobile Food Unit PH – Public Health “To promote and protect the health and safety of our community.” Updated 8/4/20