THURSTON COUNTY

BOARD OF HEALTH

Meeting Minutes
December 6, 1999

Members Present

Chairman Judy Wilson
Commissioner Diane Oberquell
Commissioner Kevin O'Sullivan

Approval of the Agenda

There being no changes, the agenda was approved as submitted.

Approval of the Minutes of November 15, 1999

Commissioner O’Sullivan MOVED TO APPROVE THE MINUTES AS SUBMITTED. Commissioner Wilson SECONDED THE MOTION. THE MOTION CARRIED.

Audience Reports and Requests

Mr. Joseph Hattersley was present and spoke against childhood immunizations. Mr. Hattersley distributed two written articles.

Pat Libbey indicated he will have Dr. Diana Yu, Health Officer, respond to the Board concerning the efficacy of vaccinations.

Correspondence

There was no correspondence.

Establish A Fee for Reissuance of Death Certificates

It was explained that the purpose of this item is to request a fee be established for reissuing certified copies of death certificates due to errors, omissions and typographical errors on information provided by the funeral home or mortuary supplying the necessary information. When discussion was complete Commissioner Oberquell MOVED TO

ESTABLISH THE FOLLOWING FEE FOR REISSUING CERTIFIED DEATH CERTIFICATES: $8.00 FOR THE FIRST COPY AND $3.00 FOR EACH ADDITIONAL COPY, EFFECTIVE JANUARY 1, 2000. Commissioner O’Sullivan SECONDED THE MOTION. THE MOTION CARRIED. Commissioner Oberquell expressed concern with the possibility of the cost being passed on to the families.

Drinking Water System Inspection Contract

Art Starry presented a contract with the State Department of Health to provide $10,000 for program development, inspections, and completion of reports on water systems that serve facilities licensed or permitted by the County, generally food service, schools and day care centers. Chairman Wilson indicated concern with the standards contained in the program and flexibility for non-conforming water systems. Commissioner Oberquell expressed concern with the delay in processing this contract. When discussion was complete, Commissioner Oberquell MOVED TO APPROVE AND EXECUTE THE CONTRACT AS AMENDED AND AUTHORIZED THE PUBLIC HEALTH AND SOCIAL SERVICES DIRECTOR TO EXECUTE THE ASSOCIATED DOCUMENTS. Commissioner O’Sullivan SECONDED THE MOTION. THE MOTION CARRIED.

Access To Care Report

Sherri McDonald explained that the Board of Health reconvened the Community Health Task force in January 1999 to examine the issue of access to primary medical and dental care. The Task Force has identified barriers from many aspects of the health care system and has looked at a variety of types of data to describe the access issues. An implementation plan has been created that includes three important areas to improve access: 1) increase children’s dental access, 2) increase insurance access, and 3) increase clinical capacity. A report entitled Strategies to Improve Access to Care was created and distributed. The implementation of these recommendations is projected to take place during the next calendar year. Ms. McDonald introduced Gail Stewart, with Providence St. Peter, who was instrumental in the task force work. Scott Bond, with Providence St. Peter, thanked the Board for commissioning this work and acknowledged Pat Libbey and Sherri McDonald for the leadership they provided. Dave Bjornson, pointed out the additional need for mental health and chemical dependency services, and also acknowledged the work of Gail Stewart and Sherri McDonald. Ron Williams, with Group Health Cooperative, also spoke regarding the work completed by the Task Force. Mary Looker, with the State Department of Health, indicated the Task Force is a model in the state. Pat Libbey provided comments as a Task Force member. Dr. Charles Keck, spoke briefly. Chairman Wilson stated that she was impressed by the commitment of everyone on the Task Force. The Board thanked everyone on the Task Force. When discussion was complete, Commissioner Oberquell MOVED TO CONVEY THE REPORT

STRATEGIES TO IMPROVE ACCESS TO CARE TO ALL THREE LEGISLATIVE DISTRICTS AND FURTHER REQUEST COPIES BE SENT TO FEDERAL LEGISLATORS IN ORDER TO CALL ATTENTION TO THE PROBLEMS OF ACCESS TO PRIMARY MEDICAL AND DENTAL CARE. Commissioner O’Sullivan SECONDED THE MOTION. THE MOTION CARRIED.

In regards to the issue of continued staffing, the Department will continue as resources will allow.

Director's Report

Pat Libbey reported the following:

1. A Consolidated Contract amendment is forthcoming modifying the Breast and Cervical Health Program.

2. The Department is working with the City of Olympia on follow-up inspections of the Forest Glen apartment complex.

3. A Salmon Creek Basin workshop will be held on 12/13/99 with its principal focus being steps to take to protect wells in flooded areas and issues around septic tanks.

4. The Local Health Officials Association will likely be opposing use of tobacco settlement funds for I695 recovery. The Association will be encouraging the use of the funds for its original purpose of tobacco prevention.

5. Department staff is doing follow up work with the City of Olympia regarding the possibility of Olympia withdrawing from the Regional Ground Water Program.

Art Starry, Environmental Health Director, provided an update on the Beagles Monitoring Results. Mr. Starry was instructed to send the Beagles a letter identifying options and indicating a short time frame for completion.

Health Officer's Report

There was no Health Officer’s Report.

Commissioner Oberquell initiated discussion concerning the possibility of legislatively creating funding for tuberculosis and communicable diseased control.

Adjournment

There being no further business, the meeting was adjourned.

ATTEST

THURSTON COUNTY BOARD OF HEALTH

Clerk of the Board of Health
Date: December 6, 1999 

JUDY WILSON, Chairman
DIANE OBERQUELL, Commissioner
KEVIN J. O'SULLIVAN, Commissioner