REGULAR MEETING 12:00 NOON June 19, 2003

MEETING HELD AT: Scott County Bicentennial Building
428 Western Avenue 6^th Floor
Room 605 A & B
Davenport, Iowa 52801

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

STAFF: Larry Barker, Al Moore, Mary Helfrich, Janice Colburn, Amy Thoreson, Brian Panke, Stuart Scott, Larry Linnenbrink, Denny Coon,
JaNan Less, Karen Payne, Carol Schnyder

OTHERS: Sandra Potter Marquardt, members of F.I.S.T.

Dr. Keppy, Chairman, called the meeting to order at 12:00 Noon. The Recording Secretary took the roll call. Only two members were present; Dr. Keppy and Dr. Sunderbruch. Since a quorum wasn't present, the Chairman went to the Report section of the Agenda.

The following reports were reviewed and discussed by the Board:

Larry Barker reported that the Iowa Association of Local Public Health Agencies (I-ALPHA) had the opportunity to meet with Dr. Mary Hansen, Director of the Iowa Department of Public Health, who is working to assure that the State works with the local health departments. She will attend the August meeting of the Scott County Board of Health. She will also be meeting with community leaders that day.

Larry Barker reported that, as a member of the United Way Board, there were some difficult funding decisions to make this year because their goal was not met and a number of United Way supported programs had their funding cut.

Larry Barker reported that the Board of Supervisors had their annual meeting with Community Health Care Board of Directors, who gave a presentation on their expansion and the accreditation process they are going through.

Larry Barker reported that the State-wide immunization audit results are out. Scott County Health Department did very well. Information will be disseminated at the July Board of Health Meeting.

Amy Thoreson gave the Board an update of the activities as they relate to the Health Department's plan for the Scott County Board of Supervisors to deal with the West Nile Virus issue.

• Dead Bird Monitoring – Part of our monitoring network includes testing dead cardinals, crows, and blue jays, until a positive is found for the West Nile Virus. We feel, as does the University Hygienic Laboratory and the Iowa Department of Public Health, that it is important to track the location of reported dead birds. The public may and has called us to report these dead birds and we now have in place, as of May 30, 2003, another mechanism for the public to report, and which is now on our website. This information is retrieved and forwarded to the Iowa Department of Public Health.

The Policy Planning and Surveillance Workgroup met with representatives of Bettendorf and Scott County. It was the consensus of the group that they should reinforce the messages of prevention and where possible, elimination of breeding areas on private property. Communities do not have the resources at this time to pay for a community-wide mosquito control program.

• Surveillance – We began collecting mosquitoes earlier this year than previous years (May 6, 2003). We have additional traps to do live collections in areas other than those that have been previously established. Another change is that we will be running our traps seven days a week instead of five. Most of the people we speak with complain that the number of mosquitoes appear high this year. The first month of our collection has shown a lot of Aedes Vexans (the aggressive biter).
• Education – Listed below is a brief description of our efforts to educate the public on how they can protect themselves:
• We provided posters and brochures to garden centers, parks and sporting goods stores.
• An article was submitted to the Red Ribbon Leader, (a newsletter distributed by the Red Ribbon Coalition) on personal protection and environmental controls for the prevention of West Nile Virus.
• We have contacted a rural electric company, who will be placing an article in their monthly newsletter to customers.
• We have developed a list of feed dealers, farm equipment dealers, and places that sell fertilizer and plan to contact them to place posters and brochures.
• Contact has been made with Mid American Energy to place a short article in their newsletter.
• Bettendorf and Pleasant Valley School Districts requested information that they could distribute to their students on West Nile Virus. A letter, co-authored by Dr. Katz and I, was prepared for distribution. Contact was made with the other two school districts, along with the Non-Public Schools. Davenport didn't feel that there was enough time to distribute any information to their students before the end of the school year. However, they did indicate that they would distribute this information during their summer programs. Our Public Health Nurse is working with the Non-Public Schools for distribution of these materials to their students.
• Media – The KWQC-TV News Director was very receptive to working with us and promoting the message of personal protection and the elimination of artificial standing water on one's property. They will also be provided with materials for their website, which will link to ours "for more information on West Nile Virus". There is also a possibility of producing Public Service Announcements featuring their anchors who would stress "personal protection".

Jackie Hall, Environmental Health Specialist, taped a segment on the West Nile Virus for the Bettendorf NOW Television program that airs on the City of Bettendorf's cable channel. It should be running now through July.

The City of Davenport, through their Public Information Officer (PIO), has been working with us and will provide similar messages on the City of Davenport's cable channel.

JaNan Less introduced students from area high schools who are members of F.I.S.T. (Future in Stopping Tobacco). They introduced themselves to the Board and spoke of what their group has and is doing to stop tobacco use.

Larry Barker reported that the attended the Community Jail Summit Meeting.

At 12:12 p.m., Mrs. Coiner and Dr. Garvin arrived, now giving the Board Meeting a quorum.

Dr. Sunderbruch moved to approve the amended agenda. Motion seconded by Dr. Garvin. Motion carried unanimously.

Mrs. Coiner moved to approve the Minutes of the May 15, 2003, Board Meeting as received. Motion seconded by Dr. Garvin. Motion carried unanimously.

2. Core Public Health Activity Report for the month of May, 2003.

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

Larry Barker reported that the State is in the process of preparing the FY'04 application.

Sandra Potter Marquardt was present to update the Board on Empowerment activities. She reported that funding allocations from the state have increased in both the Early Childhood program and the School Ready program.

Stuart Scott, Disease Prevention Specialist and Janice Colburn, Public Health Nurse, presented this month's Board of Health program orientation, which was the Chlamydia Project. Scott County's response to the growing infection rates of Chlamydia is:

• Public awareness campaign that includes community presentations and health alert posters
• Free STD testing and treatment on Tuesdays, Thursdays, and Fridays.
• Disease Surveillance within the community

In August of 2002, the Health Department, in cooperation with the University of Iowa Hygienic Laboratory, agreed to participate in a pilot project, involving a new test for Chlamydia. This pilot project is a voluntary testing program conducted at the Scott County Jail. Individuals are counseled regarding test results. Medication is given if needed. Contact tracing is initiated on all positive Chlamydia clients.

Mrs. Coiner moved to approve all the reports. Motion seconded by Dr. Garvin. Motion carried unanimously.

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

Following discussion, Dr. Garvin moved to approve and authorize the Director to sign the FY'04 Application and subsequent Contract with the Iowa Department of Public Health for the Tobacco Use Prevention & Contract Grant. Motion seconded by Dr. Sunderbruch. Motion carried unanimously.

Following discussion, Dr. Garvin moved to approve and authorize the Chairman to sign the FY'04 Breast & Cervical Cancer Early Detection Program Contract with the Iowa Department of Public Health. Motion seconded by Mrs. Coiner. Motion carried unanimously.

Following discussion, Mrs. Coiner moved to approve and authorize the Chairman to sign the Health Department Medical Director Agreement for FY'04. Motion seconded by Dr. Garvin. Motion carried unanimously.

Following discussion, Dr. Garvin moved to approve and authorize the Chairman to sign the EMS Physicians' Advisory Board Medical Director Agreement for FY'04. Motion seconded by Mrs. Coiner. Motion carried unanimously.

Following discussion, Dr. Garvin moved to approve and authorize the Chairman to sign the Correctional Health Services, Chief Medical Officer Agreement for FY'04 through FY'06. Motion seconded by Dr. Sunderbruch. Motion carried unanimously.

Following discussion, Dr. Garvin moved to approve and authorize the Director to sign the Correctional Health Services, Hospital Agreement for FY'04 through FY'05. Motion seconded by Mrs. Coiner. Motion carried unanimously.

Following discussion, Mrs. Coiner moved to approve the Chairman to sign the Authorized Agency Agreements for FY'04, with Buffalo Voluntary Ambulance Service, Durant Volunteer Ambulance, Scott County Humane Society, and Genesis Visiting Nurse Association. Motion seconded by Dr. Garvin. Motion carried unanimously.

Following discussion, Dr. Garvin moved to approve and authorize the Director to sign the Agreement with the Scott County Humane Society for the FY'04 Animal Bite Control Program. Motion seconded by Mrs. Coiner. Motion carried unanimously.

Following discussion, Dr. Garvin moved to approve and authorize the Director to sign the Summer Youth Feeding Program Contract. Motion seconded by Dr. Sunderbruch. Motion carried unanimously.

Following discussion, Dr. Garvin moved to approve and authorize the Director to sign the Memorandum of Understanding with the Iowa Department of Public Health for mosquito surveillance for the FY'03 season. Motion seconded by Dr. Sunderbruch. Motion carried unanimously.

Following discussion, Dr. Garvin moved to approve and authorize the Chairman to sign Amendment # 2 to the Breast & Cervical Cancer Early Detection Grant with the Iowa Department of Public Health and subcontract with Genesis Cancer Program. Motion seconded by Mrs. Coiner. Motion carried unanimously.

Following discussion, Dr. Garvin moved to approve and authorize the Chairman to sign the FY'04 Childhood Lead Poisoning Prevention Grant Contract with the Iowa Department of Public Health. Motion seconded by Mrs. Coiner. Motion carried unanimously.

Following discussion, Dr. Sunderbruch moved to approve the staff educational requests. Motion seconded by Mrs. Coiner. Motion carried unanimously.

There being no further business before the Board, the meeting adjourned at 1:04 p.m.

Respectfully submitted,

Mary Helfrich

Recording Secretary