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S C O T T C O U N T Y B O A R D O F H E A L T H REGULAR MEETING 12:00 NOON March 22, 2001 MEETING HELD AT: Scott County Health Department ROLL CALL:
Mrs. Mohr, Dr. Keppy, Dr. Sunderbruch, Mrs. Coiner, STAFF:
Larry Barker, Al Moore, Mary Helfrich, Jim OTHERS:
Dr. Paul Beckman, Cheri Bustos, Priscilla Smith, Deb Mrs. Mohr, Chairman, called the meeting to order at 12:00 Noon. The Recording Secretary took the roll call. All members were present with the exception of Dr.Garvin, who arrived at 12:11 p.m. Dr. Keppy moved to approve the Agenda as amended. Motion seconded by Mrs. Coiner. Motion carried unanimously. Dr. Keppy moved to approve the minutes of the February 15, 2001, Board Meeting as received. Motion seconded by Mrs. Coiner. Motion carried unanimously. The following reports were reviewed and discussed by the Board: 1. Director’s Report of February - March '01 activities. Larry Barker reported that the EMS Technical Advisory Committee has formed two subcommittees: one to look at improving volunteers and the other is looking at the system and how to make it as seamless as possible. Both meetings have been very productive. The goal is to have a report out within the next 60 to 90 days. Larry Barker reported that he and staff met with seven representatives from the Iowa Department of Public Health regarding the coordination of the Maternal & Child Health Grant. Roma Taylor informed the Board of a diagnosed case of whooping cough in a thirteen year old, eighth grade student in Bettendorf. The school nurse and the doctor were contacted. The Department, along with the school, took an aggressive approach to identify close contacts to the student. Communicable Disease follow-up determined that 45 students had close contact and Roma recommended that they be put on medication. No other cases have been identified. Larry Barker reported that pursuant to the letter he had written, he and staff will be meeting with the Iowa Department of Inspections and Appeals on March 27, 2001, to discuss the Scott County Health Department's Food Service Rating System. At 12:20 p.m., Mrs. Mohr moved to New Business, "Overview and Discussion on Role and Responsibility of County Medical Examiner", and welcomed Dr. Paul Beckman to the Board Meeting. Larry Barker prefaced the discussion by informing the Board that the County put the Medical Examiner Program under the auspices of the Health Department a number of years ago. The Health Department monitors the activities, budget, and statistics of the Program. Dr. Beckman has been the Medical Examiner for the last thirteen years. Dr. Barbara Harre is assistant Medical Examiner. Dr. Beckman explained to the Board the criteria that require investigation of a death by the Medical Examiner. He further explained the criteria that require the Medical Examiner to order an autopsy. Currently, we have to transport bodies to Rockford or Des Moines for the performance of an autopsy. Dr. Sunderbruch explained that performing forensic autopsies is a specialty area that local pathologists don't feel they are qualified to perform. There is no short term fix to have them done locally, but efforts to obtain local autopsy services will continue. The Board thanked Dr. Beckman for his many years of service to the citizens of the County, and for meeting with them to discuss the Medical Examiner Program. 2. Core Public Health Activity Report for the month of February, 2001. 3. Budget Report for the month of February, 2001. Following discussion, Dr. Garvin moved to approve the claims. Motion seconded by Dr. Sunderbruch. Motion carried unanimously. Priscilla Smith was present to update the Board on Empowerment activities. She reported that they have completed training for caregivers in infant and toddler settings. Fourteen centers, caring for 167 babies under 18 months of age, participated. Priscilla also reported that they are working closely with Health Department staff to prepare a public service announcement on childhood lead poisoning. Dr. Keppy moved to approve all the reports. Motion seconded by Mrs. Coiner. Motion carried unanimously. Mrs. Mohr asked Deb Smith from LeClaire Ambulance Service if she had anything to report to the Board on the status of their Service. She said she had nothing new to report; they have prepared all requested material from Gary Ireland and sent to the State. They haven't addressed any questions yet from Dr. Kandis' letter. Dr. Sunderbruch questioned what is LeClaire's concern about meeting the demands in their area. Would they have to rely upon MEDIC for backup? Deb Smith said they would. Larry Barker reported that the subcommittee meeting he attended the previous evening is looking at the volunteer issue. Something has to change in the future relative to getting volunteers and keeping them current and proficient. Larry Barker reported that the County passed the FY'02 budget in March. The Board then moved to New Business, "Discussion on Scott County Code, Chapter 24, Governing Water Wells. Al Moore reported that following discussions with well contractors, it is apparent that we need to revisit our Code as it relates to water well construction. Our current Code does not allow for consideration for varying construction methods. Also, one of our responsibilities to the Board of Supervisors is to evaluate our fees for services, including water well activities. This obviously will take some time to complete. A proposed timetable for these activities is as follows:
In order to permit well contractors to do business in Scott County without violating the Code, Al Moore recommended that the Board of Health grant a variance effective immediately, as follows: Scott County Board of Health hereby issues a variance to Scott County Code, Chapter 24. This variance states, "for all unconsolidated and consolidated constructed water wells, the borehole shall be drilled three (3) inches greater than the outside diameter of the well casing for the first forty (40) feet. In the event the depth of the casing exceeds forty (40) feet, the annular space shall be sized and filled with grout per accepted industry standards. For all constructed water wells, full length grouting of the casing is required." Following discussion, Dr. Sunderbruch moved to approve the request for the variance as stated above and make it effective this 22nd day of March, 2001. Motion seconded by Dr. Keppy. Motion carried unanimously. Following discussion, Dr. Garvin moved to approve and authorize the Director to sign the SFY'02 Childhood Lead Poisoning Prevention Program Grant Application to the Iowa Department of Public Health in the amount of $51,131.00. Motion seconded by Dr. Keppy. Motion carried unanimously. The Board discussed proposed legislation to create "Local Child Protection Teams" and a "County Child Abuse Community Review Committee". Larry Barker requested that the Board consider moving the May 17, 2001, Board Meeting date. Following discussion, the Meeting was moved to May 16, 2001 at noon. There being no further business before the Board, the meeting adjourned at 1:27 p.m. Respectfully submitted, Mary Helfrich
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