S C O T T C O U N T Y B O A R D O F H E A L T H

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 November 15, 2001

MEETING HELD AT: Scott County Health Department

Bicentennial Building

428 Western Avenue

5^th Floor

Davenport, Iowa 52801

ROLL CALL: Mrs. Mohr, Dr. Keppy, Dr. Sunderbruch, Mrs. Coiner, Dr. Garvin

STAFF: Larry Barker, Al Moore, Mary Helfrich, Suzanne Davis, Jackie Hall, Roma Taylor, Amy Thoreson, Lindsay Krbavac, Jim Hagerman, Larry Linnenbrink, Karen Payne, Carol Schnyder, Denny Coon, Dr. Katz

OTHERS: Priscilla Smith, Klint Gingerich, Mark Latta, Joel Johnson

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 12:06 p.m.

Dr. Keppy moved to approve the Agenda as amended. Motion seconded by Mrs. Coiner. Motion carried unanimously.

Dr. Sunderbruch moved to approve the minutes of the October 18, 2001, Board Meeting as received. Motion seconded by Dr. Keppy. Motion carried unanimously.

The following reports were reviewed and discussed by the Board:

1. Director’s Report of October - November, 2001 activities.

Larry Linnenbrink introduced the Department's new Environmental Health Specialist, Lindsay Krbavac, to the Board.

Larry Barker discussed state budget cuts with the Board.

Larry Barker reported that the County budget is due Friday, November 16, 2001. Budget Analysts will begin the analyzing process the following week, to be completed by the end of January.

Larry Barker reported that the American Public Health Association Annual Meeting in Atlanta was very interesting. Dr. Koplin from CDC and Tommy Thompson from Washington, D.C., were among the speakers.

Larry Barker reported that the EMS System Development Subcommittee of the EMS Technical Advisory Committee submitted their recommendations of top, high, and low priorities to focus on the next 12-18 months.

The top priorities are:

1. Increase involvement of the Physicians Advisory Board in all aspects of the Emergency Medical System.

2. Evaluate implementation of priority dispatch.

3. Promote greater understanding and buy-in by government bodies of the comprehensive multi-tiered system.

4. Develop inter-governmental agreement to coordinate EMS Service.

5. Institute periodic meeting of ambulance directors and fire chiefs.

6. Develop a uniform system of QA which includes quality indicators, data collection, and evaluation.

7. Promote EMT-B/FR for High School (must be 17 years of age to enroll).

Larry Barker reported that the Department's laboratory passed the CLIA inspection with no deficiences.

2. Core Public Health Activity Report for the month of October, 2001.

3. Budget Report for the month of October, 2001.

Following discussion, Dr. Sunderbruch moved to approve the claims. Motion seconded by Dr. Garvin. Motion carried unanimously.

4. Maternal & Child Health Program report of October, 2001.

Dr. Keppy moved to approve all the reports. Motion seconded by Dr. Sunderbruch. Motion carried unanimously.

At 12:30 p.m., Mrs. Mohr, Chairman, opened the Public Hearing on proposed amendments to Scott County Code, Chapter 24. The minutes of the Public Hearing are separate from these minutes.

Following the Public Hearing, Dr. Sunderbruch moved to table action on the proposed amendments to Scott County Code, Chapter 24 pending revision of the amendments as originally submitted. Motion seconded by Dr. Garvin. Motion carried unanimously.

Priscilla Smith was present to report on Empowerment activities. The recent focus has been on two special training programs brought to Scott County:

Dr. Ruby Payne conference on Poverty.
Dr. Chesnov conference on the effects of pre-natal exposure to drugs and alcohol.

Mrs. Mohr asked for Public Comment. There was no one present who wished to make any comments.

Dr. Katz was present to give a presentation to the Board on Bioterrorism and Anthrax.

Dr. Garvin moved to approve and authorize the Chairman to sign the FFY'02 Breast & Cervical Cancer Program Grant with the Iowa Department of Public Health and subcontract with Genesis Cancer Center for a base amount of $10,940, plus $80 per woman screened, plus $120 per woman with diagnostic work-up planned. Motion seconded by Dr. Keppy. Motion carried unanimously.

Dr. Garvin moved to approve and authorize the Director to sign Amendment # 6 to the FFY'01 Maternal & Child Health and WIC Grant Contract with the Iowa Department of Public Health, re-distributing Dental Health funding to include $28.00 for Dental Survey. Motion seconded by Dr. Keppy. Motion carried unanimously.

Dr. Garvin moved to approve and authorize the Director to sign the Amendment to the 2001 I-4 Grant, increasing appropriation by $2,000.00. Motion seconded by Mrs. Coiner. Motion carried unanimously.

Dr. Keppy moved to approve and authorize the Chairman to sign Amendment # 2 to the FY'02 Community Services Contract with the Iowa Department of Public Health, identifying the allocation decreases per the Executive Order by the Governor requiring a 4.3% reduction of state funds. Motion seconded by Dr. Garvin. Motion carried unanimously.

There being no further business before the Board, the meeting adjourned at 1:28 p.m.

Respectfully submitted,

Mary Helfrich

Recording Secretary

S C O T T C O U N T Y B O A R D O F H E A L T H

PUBLIC HEARING 12:30 P.M. November 15, 2001

PUBLIC HEARING

HELD AT: Scott County Health Department

Bicentennial Building

428 Western Avenue

5^th Floor

Davenport, Iowa 52801

ROLL CALL: Mrs. Mohr, Dr. Keppy, Dr. Sunderbruch, Mrs. Coiner, Dr. Garvin

OTHERS: Priscilla Smith, Klint Gingerich, Mark Latta, Joel Johnson

At 12:30 p.m., Mrs. Mohr, Chairman, opened the Public Hearing on the proposed amendments to the Scott County Code, Chapter 24.

Mrs. Mohr stated that, "anyone wishing to comment is to fill out a form and give it to the Recording Secretary, who will then record the information and forward it to me. You will then be called upon to make your comments. Please keep your comments to five minutes".

Al Moore prefaced the discussion by stating that in March, 2001, he reported to the Board that following discussions with well contractors, it was apparent that we needed to revisit our Code as it relates to water well construction. The code did not allow for consideration for varying construction methods. Also, one of the Health Department's responsibilities to the Board of Supervisors was to evaluate fees for services, including water well activities. A proposed timetable for these activities was developed. At the March, 2001, Board of Health Meeting, 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, the Board of Health acted to approve the request for the variance as stated above and made it effective on March 22, 2001.

Suzanne Davis, Environmental Health Specialist, gave a presentation to the Board on the proposed amendments to Scott County Code, Chapter 24.

Mrs. Mohr asked if any written comments had been submitted prior to this hearing. Al Moore reported that written comments had been submitted by Gary R. Shawver, President of Shawver Well Company, Inc., and by John H. Berry, Hydrogeologist with CETCO Drilling Products, via Joel H. Johnson of Johnson H2O Equipment.

Mrs. Mohr asked if anyone wished to submit written comments at this time. Mark Latta with Latta Well & Pump Corporation responded in the affirmative and submitted his written comments in a letter.

When called upon by Mrs. Mohr to make verbal comments, Mr. Latta read his letter to the Board.

When called upon by Mrs. Mohr to make verbal comments, Klint Gingerich stated that he represented four certified well drillers. They felt the amendments were pretty well written and they can live with them.

When called upon by Mrs. Mohr to make verbal comments, Joel Johnson stated that he was in agreement with Klint Gingerich on the code, and that the amendments address some issues that have come to light in the past.

Al Moore read both letters, that had been submitted prior to the hearing, into the record of this Public Hearing.

Dr. Sunderbruch asked Mr. Latta if overall he supported the code changes. Mr. Latta agreed that he did, but was opposed to the methodology.

Following discussion with the well drillers present who agreed that there is no neat way to grout a well; that it is a difficult process; and there are times when they need the freedom to do something a different way, Al Moore recommended to the Board that staff could try to find some supporting data; could look at eliminating the flexible tremie pipe option; and revise the language in the proposed amendments, to which the Board agreed.

Mrs. Mohr asked for final comments. None were forthcoming.

Dr. Garvin moved to close the Public Hearing. Motion seconded by Dr. Keppy. Motion carried unanimously.

All written comments received prior to and during the Public Hearing are part of this record and will be filed with the official minutes of this Public Hearing.

Respectfully submitted,

Mary Helfrich

Recording Secretary