WA - Thurston: Board of Health

Get alerted when your passions are being discussed in Bucoda, East Olympia, Lacey and more for free

Issues discussed this meeting include:

Get Alerts On New Meetings
Sign Up
When and Where is the Next Meeting?
[ See More ]

Board of Health

Board of Health John Hutchings , District 1 w Gary Edwards , District 2 w Bud Blake , District 3

The Thurston Board of Health has responsibility and authority

Tagged Passions:health

for public health in both incorporated and unincorporated

No additional detail provided

Tagged Passions:health

areas of the County.

Agenda of Thursday, June 14, 2018

Summary of Timed Items

10:00 a.m.) Call Meeting to Order 1) 10:00 a.m.) Call Meeting to Order l Approval of the Agenda l Approval of the meeting minutes from: April 10, 2018 and acceptance of the Work Session Summaries from April 3 and April 10, 2018 and May 1, May 7, May 8, and May 14, 2018 Attach Minutes: Minutes 041018.pdf PDF File 471 KB

BoH agenda planning - work session summary 040318.pdf PDF File 277 KB

No additional detail provided

Tagged Passions:planning

BoH agenda planning - work session summary 041018.pdf PDF File 273 KB

No additional detail provided

Tagged Passions:planning

BoH agenda planning - work session summary 050118.pdf PDF File 334 KB

Thurston County - Board of Health Agenda Page 1 of 4 Special Meeting BoH Briefing - Work Session Summary Tobacco and Vaping Product Prevention 050718.pdf PDF File 173 KB

Tagged Passions:health, tobacco, and planning

BoH agenda planning - work session summary 050818.pdf PDF File 328 KB

BoH Briefing - Work Session Summary Group B Water System Requirements 051418.pdf PDF File 234 KB 2)

Tagged Passions:Utility, utility, planning, and water

Opportunity for the Public to Address the Board of Health

Tagged Passions:health

3
minutes per citizen

3) Department Items

5
minutes Descriptio

n: Tobacco and Vapor Product Prevention in
Tagged Passions:tobacco

Thurston County and Beyond

Contact: Chris Hawkins, Program Manager Kateri Wimsett, Education and Outreach Specialist II

Tagged Passions:education, manager, and program

Action: No motion - information only

BoH-AIS-2018-06-12- ChrisHawkins-1131.pdf PDF File 277 KB Thurston County - Board of Health Agenda Page 2 of 4

Tagged Passions:health

4) Department Items

15
minutes Descriptio

n:

Approval of the Aquatic Nuisance Weed

Control Prescription for Parrotfeather
Tagged Passions:drugs

Contact: Art Starry, Environmental Health Division

Director Timothy Wilson, Noxious Weed and Lakes Management Manager - Public Works
Tagged Passions:Public Works, public works, health, arts, manager, and environment

Action: Move to approve the Aquatic Nuisance

Weed Control Prescription for Parrotfeather

Tagged Passions:drugs

BoH-AIS-2018-06-14- LydiaHodgkinson- 1101.pdf PDF File 2.25 MB

No additional detail provided

5) Department Items

5
minutes Descriptio

n:

Shannie Jenkins' Story

Contact: Bud Blake, Commissioner District 3

Action: No motion - information only

No additional detail provided

BoH-AIS-2018-06-14- LydiaHodgkinson- 1641.pdf PDF File 89.8 KB

No additional detail provided

6) Department Items

20
minutes Descriptio

n:

Resolution No. H-1-2018 declaring the

opioid epidemic a public health crisis in Thurston County

Tagged Passions:health and opioid abuse

Contact: Schelli Slaughter, Director

No additional detail provided

Action: Move to adopt Resolution No. H-1-

No additional detail provided

2018 declaring the opioid epidemic a Public

Health Crisis in Thurston County, and direct the Director of the Thurston Public Health and Social Services Department to convene a Thurston County Opioid Response Task Force that will create a response plan for approval by the Thurston County Board of Health.
Tagged Passions:services, health, opioid abuse, and social services

BoH-AIS-2018-06-14- LydiaHodgkinson- 1440.pdf PDF File 90.9 KB

Thurston County - Board of Health Agenda Page 3 of 4

Tagged Passions:health

7) Department Items

20
minutes Descriptio

n: Resolution No. H-2-2018 declaring Homelessness a Public Health Crisis in Thurston County

Tagged Passions:health

Contact: Schelli Slaughter, Director

No additional detail provided

Action: Move to adopt the Resolution H-2-2018

declaring Homelessness a Public Health Crisis.

Tagged Passions:health

BoH-AIS-2018-06-14- LydiaHodgkinson- 1008.pdf PDF File 89.6 KB

8) Board of Health Members' Health Related Activities (OPTIONAL ITEM)

Tagged Passions:health

10
minutes

Board Members will report on public health and social services involvement since the last Board of Health meeting. 9) Director's Report 10 minutes Schelli Slaughter will report on various items. 10) Health Officer's Report 10 minutes Dr. Rachel Wood will report on various items. 11) 11:30 a.m. Adjournment Motion: Move to adjourn the Board of Health special meeting of June 14, 2018. Disability Accommodations: Room 280 is equipped with an assistive listening system and is wheelchair accessible. To request disability accommodations call the Reasonable Accommodation Coordinator at 360-786-5440. Persons with speech or hearing disabilities may call via Washington Relay: 711 or 800-833-6388. Thurston County - Board of Health Agenda Page 4 of 4
Tagged Passions:services, disability, health, hearing, and social services

Board of Health

AGENDA ITEM SUMMARY Agenda Date: Date Created: Agenda Item : Item Title: Action Needed: Class of Item: List of Exhibits Recommended Action: Item Description: 06/14/2018 5/15/2018 3 Created by: Chris Hawkins, Program Manager - Public Health and Social Services - 360-867-2513 Presenter:

Tagged Passions:services, health, manager, social services, and program

Chris Hawkins, Program Manager - Public Health and Social Services - 360-

867-2513 Presenter 2: Kateri Wimsett, Education and Outreach Specialist II - Public Health and Social Services - 360-867-2516 Tobacco and Vapor Product Prevention in Thurston County and Beyond

Tagged Passions:services, health, education, manager, social services, tobacco, and program

Other Department

BOH June2018 TVPP- Slideshow.pdf PDF File 182 KB No motion - information only Thurston County Public Health Social Services delivers Tobacco Vapor Product Prevention (TVPPP)
Tagged Passions:services, health, social services, and tobacco

programming for Thurston County and coordinates with other counties to ensure reduction of the

impact of tobacco and vapor products on the health of residents, particularly youth and young

Tagged Passions:health, youth, and tobacco

adults. Tobacco use remains the leading cause of disease and early death in our communities. Thurston

County was awarded the contract from Washington State Department of Health ( 106,000 in year 1 - 2017-2018) to serve as regional lead agency for the Cascade Pacific Action Alliance, and is coordinating

Tagged Passions:health, contract, and tobacco

TVPPP across the 7 counties of our region. The region has identified youth at higher risk for use due to

Adverse Childhood Experiences (ACES) as a key population on which to focus. There is interest in the region in increasing local awareness of the impacts of vaping and strengthening local protections
Tagged Passions:youth, risk, and tobacco

against exposure to secondhand smoke and vapor, an evidence-based prevention approach. Over the

past few weeks we have been making a communications push to the region's residents about the health

Tagged Passions:health, Communications, and communications

impacts of tobacco and vaping. There are additional prevention actions that Thurston County and

partners are taking that will be described in this presentation. Date Submitted: 5/29/2018
Tagged Passions:tobacco

Public Health and Social Services Department http://www.co.thurston.wa.us/health

Tobacco Vapor Product Prevention Project Chris Hawkins Kateri Wimsett Community Engagement, Evidence Partnerships Tobacco Use

Tagged Passions:services, health, social services, and tobacco

Public Health and Social Services Department http://www.co.thurston.wa.us/health

Thurston County 14 of TC adults smoke cigarettes 18 of TC adults vape ( 2016, Behavioral Risk Factor Surv. Survey)

Tagged Passions:services, health, risk, social services, and tobacco

14
- TC 12th graders smoke cigarettes 23 - TC 12th graders vape 26 - TC 12th graders use one or both

(2016, Healthy Youth Survey)

Tagged Passions:youth and tobacco

Public Health and Social Services Department http://www.co.thurston.wa.us/health

Cascade-Pacific Regional Partnership

Tagged Passions:services, health, and social services

Public Health and Social Services Department http://www.co.thurston.wa.us/health

Regional Projects

Tagged Passions:services, health, and social services

Public Health and Social Services Department http://www.co.thurston.wa.us/health

Regional Projects

Tagged Passions:services, health, and social services

Public Health and Social Services Department http://www.co.thurston.wa.us/health

Thurston County Smoke/Vape Free Parks, Preserves Trails policy work

Tagged Passions:parks, services, health, policy, social services, trails, and tobacco

Research: Strengthening SIPP (vaping)

No additional detail provided

Tagged Passions:tobacco

Public Health and Social Services Department http://www.co.thurston.wa.us/health

Thank you

Tagged Passions:services, health, and social services

Public Health and Social Services Department http://www.co.thurston.wa.us/health

No additional detail provided

Tagged Passions:services, health, and social services

Board of Health

AGENDA ITEM SUMMARY Agenda Date: Date Created: Agenda Item : Item Title: Action Needed: Class of Item: List of Exhibits Recommended Action: Item Description: 06/14/2018 5/25/2018 4 Created by:

Tagged Passions:health

Lydia Hodgkinson, Administrative Assistant II - Public Health and Social Services - 360-

867-2503 Presenter: Art Starry, Environmental Health Division Director - Public Health and Social Services - 360-867-2587 Presenter 2: Timothy Wilson, Noxious Weed and Lakes Management Manager - Public Works - 360-786-5831

Tagged Passions:services, health, arts, manager, social services, and environment

Additional Presenters: Patrick Soderberg, Hazardous Waste Specialist III - Public Health and

Social Services
Tagged Passions:services, health, and social services

Approval of the Aquatic Nuisance Weed Control Prescription for Parrotfeather

Tagged Passions:drugs

Pass Motion Department

Parrotfeather prescription 061418 special meeting.pdf PDF File 2.12 MB Move to approve the Aquatic Nuisance Weed Control Prescription for Parrotfeather The Board of County Commissioners adopted the Thurston County Pesticide Use Policy in 1989. The policy was revised in 1993 and 2014 and renamed the Thurston County Pest and Vegetation

Tagged Passions:policy, pesticide, and drugs

Management Policy. The policy establishes a mandate for all county departments to set an example by

Tagged Passions:policy

implementing integrated pest and vegetation management programs that minimize the use of

pesticides and are least disruptive to human health and the environment. Proposals to apply pesticides to lakes or other sensitive areas, or to use pesticides that do not pass review by the Environmental Health Division, require approval from the Thurston County Board of
Tagged Passions:health, pesticide, agriculture, Conservation, program, and environment

Health. Site and/or pest-specific pest management plans (prescriptions) must be submitted along with

the recommended pesticide are reviewed by the Vegetation Management Coordinator and the Pest and Vegetation Management Advisory Committee (PVMAC) before going to the Board of Health for approval. The prescription coming before the Board today is for Parrotfeather. Parrotfeather is a native of South

Tagged Passions:health, pesticide, and drugs

America that is widely distributed in North America as an ornamental aquatic plant. When introduced

into natural systems parrotfeather forms dense stands that can dominate the flora of shallow lakes and streams. Large infestations are in southwestern Washington counties, including the Chehalis River. Parrotfeather infestations can dramatically alter an aquatic ecosystem by lowering dissolved oxygen and pH. These changes in water chemistry, as well as the physical effect of the dense plant beds, degrade the habitat value for fish and other organisms. Parrotfeather also creates an ideal breeding ground for mosquitoes.

Tagged Passions:Utility, plant, utility, insect, watershed, and water

Control of parrotfeather in Thurston County is mandated by the Washington State Noxious Weed

Control Board as a Class B designate species. The presence of the species is considered the injury level, and control of the species will occur if found. The Aquatic Nuisance Weed Control Prescription for Parrotfeather (attached) guides how Noxious Weeds staff will control Parrotfeather to protect beneficial uses and the natural environment. The prescription
Tagged Passions:Conservation, drugs, and environment

goal is to eradicate Parrotfeather and preserve a healthy ecosystem. The PVMAC reviewed the

prescription and recommends approval. The Thurston County Pest and Vegetation Management Policy includes the following criteria that must be used by the Board of Heath when reviewing pest management prescriptions: 1. The pest and vegetation problem has been assessed, and control is deemed necessary; 2. The use of the pesticide is a necessary element of the integrated pest and vegetation

Tagged Passions:policy, pesticide, and drugs

management prescription; and

No additional detail provided

Tagged Passions:drugs

3.
The risk to public health, ground water, and the environment is determined to be minimal.

The Vegetation Management Policy and the work of the PVMAC help advance the Thurston Thrives
Tagged Passions:Utility, utility, health, policy, risk, Conservation, water, and environment

Environment Action Team goal of helping assure that the environment of our community contributes to

the health of all residents. It helps promote safer ways to do things, reduce the use of harmful products, and reduce exposures to harmful materials. It is consistent with the County Mission to create a community that promotes health, commerce and environmental protection with transparency and accountability. Date Submitted: 5/29/2018 Description and Impacts: Parrotfeather, a native of South America, has been distributed widely in North America because of its popularity as an orna- mental aquatic plant. When introduced into natural systems parrotfeather forms dense stands that can dominate the flora of shallow lakes and streams. Parrotfeather is currently wide- spread in coastal areas along the west coast from San Francis- co to Western Washington. In Washington, large infestations are found in southwestern counties, including the Chehalis Riv- er, and scattered populations in Puget Sound lowland lakes, rivers and streams, canals, drainage and irrigation ditches. Easily identified by its bright green, emergent foliage growing above the water surface, parrotfeather s stems are typically unbranched, with whorls of finely dissected leaves. In crowded stands, the emergent stems can be up to 25 cm (10 inches) long. Small white, inconspicuous flowers are typically produced in the spring. Male and female flowers are produced on sepa- rate plants, however, only female plants are present in North America. Even in its native South American range, male flowers are exceptionally rare. Parrotfeather reproduces and is dispersed readily by both stem and rhizome fragments There is also a submersed growth form of parrotfeather which is typically reddish in color, and more finely dissected than the emergent leaves. Submersed leaves are most commonly present in winter months, when freezing kills emergent stems. After emergent growth is established, submersed leaves are quickly shed. Parrotfeather infestations can dramatically alter an aquatic ecosystem by lowering dissolved oxygen and pH. These changes in water chemistry, as well as the physical effect of the dense plant beds, degrade the habitat value for fish and other organisms. In addition, parrotfeather creates an ideal breeding ground for mosquitoes.
Tagged Passions:Utility, plant, utility, materials, health, insect, STEM, accountability, watershed, growth, Conservation, water, stormwater, and environment

Control of parrotfeather in Thurston County is mandated by the Washington State Noxious Weed Control Board as a Class B designate species in all of Region 2 of Washington State. As with all Class A and Class B designate species, the presence of the species is considered the injury level, and control of the species will occur if found.

Effective Control Methods: Thurston County s Integrated Pest Management Policy emphasizes cultural, biological, and manual control methods to keep pests and vegetation problems low enough to prevent damage. The strategy of Thurston County s IPM policy is to minimize the use of pesticides. Cultural / Habitat: Preventing new infestations is a major component in effective parrotfeather control. All equip- ment, boats and trailers should be thoroughly inspected and cleaned after entering water bodies infested with parrot- feather. Fragmentation is the primary source for new infestations, followed by intentional planting.
Tagged Passions:Utility, plant, utility, strategic, pets, policy, boating, pesticide, agriculture, and water

Tarping can be used with varying degrees of success, but must be left in place for several seasons as parrotfeather rhizomes can lie dormant for more than a year. Tarping also re- quires anchoring and can only be used where water levels are fairly static. It is impractical for most sites and is not suited to any moving stream that is subject to seasonal flooding.

Tagged Passions:Utility, flooding, utility, sites, and water

Manual / Mechanical: Small infestations and isolated patches of parrotfeather can be controlled manually, but this practice is only recommended for small, contained waterbodies where there is no outflow due to the high likelihood of fragmentation during removal. Even small patches (3ft x 3 ft) are difficult to remove. All plant parts including emergent or sub- mersed stems and leaves, roots and rhizomes must be removed, bagged and disposed of off-site.

Tagged Passions:plant and STEM

All manual and mechanical control methods that disturb lake bottoms, wetland or streambeds require at a minimum an HPA pamphlet permit from the Washington De- partment of Fish and Wildlife https://wdfw.wa.gov/publications/01728/wdfw01728.pdf.

A Q U A T I C N O X I O U S W E E D C O N T R O L P R E S C R I P T I O N Parrotfeather (Myriophyllum aquaticum)

Aquatic herbicides are restricted for purchase and use in Washington State to licensed applicators only.

Imazapyr (Habitat ) is effective in controlling parrotfeather and is a first choice for parrot- feather applications. It is non-selective and may damage or kill any other plants that it con- tacts. This can be minimized by using only as directed, spraying at the recommended strength and no more than necessary to wet the surface of the leaves. Controlling Parrot- feather with imazapyr is considered low in hazard. Glyphosate (Aquamaster ) is also effective in controlling parrotfeather and may be a better choice in some circumstances, for instance, avoiding herbicide resistance, where faster ob- servable results are desirable, or where more than one species is treated simultaneously in close proximity to another and glyphosate is the more effective treatment. Thurston County recognizes that some scientific studies have concluded that glyphosate has carcinogenic po- tential, although the risk of spot spraying Parrotfeather with these products is considered low.
Tagged Passions:plant, pets, license, purchasing, recognition, risk, and herbicide

Triclopyr (Element 3A ) has also shown good reduction in parrotfeather biomass. Spot spraying triclopyr products for Parrotfeather control is considered low in hazard.

No additional detail provided

Tagged Passions:biomass

Imazamox (Clearcast ) is another choice that shows good efficacy when used on parrot- feather. Imazamox is considerably more expensive to use than other products, but may be a preferred choice, particularly where applications coincide with nuisance aquatic weed treat- ments. Controlling Parrotfeather with imazamox is considered low in hazard.

No additional detail provided

Tagged Passions:pets

Emergent Foliar applications (licensed applicator only):

Prepare herbicide by following label instructions at rates listed below. Spray emergent foliage, enough to be barely wet but not dripping.

Tagged Passions:license, rates, herbicide, and instruction

Where emergent parrotfeather foliage grows away from the bank and extends out over water, use the lightest spray application possible, as the weight of the spray mix may cause the stems to fall over into the water, diluting spray to ineffective levels.

Parrotfeather leaves have a tough, waxy cuticle, requiring the addition of a non-ionic surfactant approved for aquatic applications to increase the effectiveness of most products. Consult with the product label for recommendation. Timing: Apply to actively growing, emergent foliage. Single treatments will show varying degrees of suppression, while repeated applications through the growing season may be necessary for eradication efforts. READ AND FOLLOW ALL LABEL DIRECTIONS AND RESTRICTIONS. Obey all label precautions including site specific and safety measures. Always use personal protective equipment that includes coveralls, chemical resistant gloves, shoes plus socks, and pro- tective eyewear. Use of brand names does not connote endorsement and is for reference only; other formulations of the same herbi-
Tagged Passions:Utility, utility, STEM, equipment, and water

cides may be available under other names. Information provided is current as of the date of the fact sheet. Pesticide product regis- tration is renewed annually. Product names and formulations may vary from year to year.

Tagged Passions:pesticide

Efficacy Monitoring and Herbicide Selection Rationale: Herbicide efficacy trials will be conducted during the 2018 growing sea- son. These trials, along with annual efficacy monitoring, will be utilized to continually evaluate the best management approach for controlling parrotfeather. As consistent with IPM policy, the least toxic, most effective herbicide will be utilized.

REFERENCES:

Tagged Passions:policy, selection, and herbicide

Nelson, E.N. and R.W. Couch, 1985. History of the introduction and distribution of Myriophyllum aquaticum in North America. pp. 19-26. In: Proceed- ings of the First International Symposium on Watermilfoil (Myriophyllum spicatum) and Related Haloragaceae Species. 23-24 July, Vancouver, B.C.

No additional detail provided

Tagged Passions:history

Washington State Department of Ecology. 2011. Non-native invasive freshwater plants: Parrotfeather (Myriophyllum aquaticum), Technical Infor- mation. Washington State Department of Ecology, Olympia, WA. Available http://www.ecy.wa.gov/programs/wq/plants/weeds/aqua003.html.

No additional detail provided

Tagged Passions:plant and program

Wersal, R.M. and J.D. Madsen. 2007. Comparison of Imazapyr and Imazamox for Control of Parrotfeather (Myriophyllum aquaticum (Vell.) Verdc.). Journal of Aquatic Plant Management 45:132-136

Written Findings of the Washington State Noxious Weed Control Board, October, 1994. https://www.nwcb.wa.gov/images/weeds/Myriophyllum- aquaticum.pdf DiTomaso, J.M., G.B Kyser et al. 2013. Weed Control in Natural Areas in the Western United States. Weed Research and Information Center, Univer- sity of California. 544 pp. Active Ingredient (Trade Name Example) Rates Mix (For larger volumes, refer to label rates) Aquatic applications (Licensed applicators only) Imazapyr (Habitat ) 1 Add 1.3oz. (2.6 Tablespoons) concentrated product per gallon of water. Glyphosate (Aquamaster ) 1.75 Add 2.3 oz (3.5 Tablespoons) concentrated product per gallon of water. Triclopyr (Element 3A ) 1 1.5 Add 1.25 1.9 oz (2.5 3.8 Tablespoons) concentrated product per gallon of water. Imazamox (Clearcast ) 1 Add .75 oz (1.5 Tablespoons) concentrated product per gall of water. Thurston County Public Works

Tagged Passions:Utility, Public Works, public works, plant, utility, license, trade, rates, and water

Noxious Weed and Lakes Management Division

No additional detail provided

9605 Tilley Road S.

Olympia, WA 98512

Tagged Passions:streets

Phone: 360-786-5576

TTY/T.D.D. Call 711 or 1-800-833-6388 tcweeds@co.thurston.wa.us www.co.thurston.wa.us/tcweeds Andr Karwath (commons.wikimedia.org)

Board of Health

AGENDA ITEM SUMMARY Agenda Date: Date Created: Agenda Item : Item Title: Action Needed: Class of Item: List of Exhibits Recommended Action: Item Description: 06/14/2018 6/12/2018 5 Created by:

Tagged Passions:health

Lydia Hodgkinson, Administrative Assistant II - Public Health and Social Services - 360-

867-2503

Tagged Passions:services, health, and social services

Presenter: Bud Blake, Commissioner District 3 - Commissioners - 360-786-5414

Shannie Jenkins' Story

Other Department

File Attachment No motion - information only

Shannie Jenkins will share the story of her son's death to opioids.

Date Submitted: 6/12/2018

Tagged Passions:opioid abuse

Board of Health

AGENDA ITEM SUMMARY Agenda Date: Date Created: Agenda Item : Item Title: Action Needed: Class of Item: List of Exhibits Recommended Action: Item Description: 06/14/2018 5/29/2018 6 Created by:

Tagged Passions:health

Lydia Hodgkinson, Administrative Assistant II - Public Health and Social Services - 360-

867-2503 Presenter:

Tagged Passions:services, health, and social services

Schelli Slaughter, Director - Public Health and Social Services - 360-867-

2502

Tagged Passions:services, health, and social services

Resolution No. H-1-2018 declaring the opioid epidemic a public health crisis in

Thurston County

Tagged Passions:health and opioid abuse

Pass Motion Department

File Attachment Move to adopt Resolution No. H-1-2018 declaring the opioid epidemic a Public Health Crisis in

Tagged Passions:health and opioid abuse

Thurston County, and direct the Director of the Thurston Public Health and Social Services

Department to convene a Thurston County Opioid Response Task Force that will create a response

Tagged Passions:services, health, opioid abuse, and social services

plan for approval by the Thurston County Board of Health.

The Board of Health shall adopt Resolution No. H-1-2018 declaring the opioid epidemic a public health crisis in Thurston County, and directing the Director of the Thurston Public Health and Social Services Department to convene a Thurston County Opioid Response Task Force that will create a response plan for approval by the Thurston County Board of Health. Date Submitted: 5/29/2018

Tagged Passions:services, health, opioid abuse, and social services

Board of Health

AGENDA ITEM SUMMARY Agenda Date: Date Created: Agenda Item : Item Title: Action Needed: Class of Item: List of Exhibits Recommended Action: Item Description: 06/14/2018 6/4/2018 7 Created by:

Tagged Passions:health

Lydia Hodgkinson, Administrative Assistant II - Public Health and Social Services - 360-

867-2503 Presenter:

Tagged Passions:services, health, and social services

Schelli Slaughter, Director - Public Health and Social Services - 360-867-

2502 Resolution No. H-2-2018 declaring Homelessness a Public Health Crisis in Thurston County

Tagged Passions:services, health, and social services

Pass Motion Department

File Attachment Move to adopt the Resolution H-2-2018 declaring Homelessness a Public Health Crisis in Thurston County. The Board of Health shall declare homelessness a county wide public health crisis in Thurston County. Date Submitted: 6/4/2018 Page 1 of 7

Tagged Passions:health

BOARD OF HEALTH

The Thurston County Board of Health has responsibility and authority for public health in both incorporated and unincorporated areas of the County. Minutes for April 10, 2018 1) Call Meeting to Order
Tagged Passions:health

Chair Bud Blake called the meeting to order.

In Attendance: Bud Blake, Chair; Vice Chair Hutchings; Gary Edwards, Commissioner; Ramiro Chavez, County

Manager; Schelli Slaughter, Public Health and Social Services Department Director; Dr. Rachel Wood,

Tagged Passions:services, health, manager, and social services

Health Officer; and Lydia Hodgkinson, Clerk of the Board of Health.

No additional detail provided

Tagged Passions:health

Approval of the Board of Health Agenda:

Vice Chair Hutchings moved to approve the meeting agenda. Commissioner Edwards seconded the
Tagged Passions:health

motion. The Board unanimously voted. The motion carried.

Approval of Board of Health Meeting Minutes: Vice Chair Hutchings moved to approve the meeting minutes from the March 13, 2018 regular meeting
Tagged Passions:health

and accept the Work Session Summaries from March 6, 2018 and March 13, 2018. Commissioner

Edwards seconded the motion. The Board unanimously voted. The motion carried. 2) Proclamation
Tagged Passions:recognition

Description: Child Abuse Prevention Awareness Month Schelli Slaughter, Public Health and Social Services Director, spoke on behalf of PHSS, Thurston Thrives

and the many community partners asking the Board of Health to join the US Department of Health and
Tagged Passions:services, health, child abuse, and social services

Human Services and many others to proclaim April Child Abuse Prevention and Awareness Month. She

then provided information regarding child abuse nationally and in our community. Ms. Slaughter introduced two members of the Thurston Thrives Child Youth Resilience Action Team, Natalie Skovran, Deputy Director of Family Support Center of South Sound (FSCSS) and Shelly Willis, Executive Director of Family Education and Support Services (FESS), both present to accept the

Tagged Passions:services, education, child abuse, and youth

Proclamation. Ms. Skovran addressed the Board thanking them and the community for the support of the

No additional detail provided

Tagged Passions:recognition

FSCSS programs and services which are continuously working to strengthen all families in our

No additional detail provided

Tagged Passions:services and program

community. Ms. Willis addressed the Board speaking on behalf of FESS, and the many families served

by FESS, for recognizing Child Abuse Prevention and Awareness Month. FESS in partnership with South Puget Sound Community College will hold a free Parenting Tools Lecture on April 24th from 6:30-8:00

Tagged Passions:university, recognition, and child abuse

pm at the SPSCC Lacey Campus. Ms. Willis invited everyone to a Pinwheels for Prevention event on the

State Capitol lawn on April 31, 2018 at 2:00 PM. She then presented each of the Board members with a pinwheel in support of Child Abuse Prevention Month. Commissioner Edwards and Vice Chair Hutchings both spoke on the importance of protecting our children. Chair Blake asked Gretchen Thaller, Supervisor of the PHSS Nurse Family Partnership (NFP) and the Maternal Child Health (MCH) Programs, and Liz Davis, the Child, Family Community Wellness Division Director, to speak. Ms. Thaller thanked the
Tagged Passions:health, child abuse, program, and events

Board for the Proclamation which supports the ongoing work of the NFP and MCH programs in our

Thurston County
Tagged Passions:recognition and program

Board of Health

No additional detail provided

Tagged Passions:health

Minutes of April 10, 2018

Page 2 of 7 community. Chair Blake thanked Ms. Skovran, Ms. Willis and Ms. Thaller for their important work in

our community. Vice Chair Hutchings read the Proclamation proclaiming April 2018 as Child Abuse

Prevention and Awareness Month in Thurston County and called upon all citizens, communities, state agencies, faith groups, medical facilities, elected leaders, and businesses to increase their participation in efforts to support families, thereby preventing child abuse and strengthening the community in which we live. A photograph was taken of the speakers and others in the audience present in support of Child Abuse Prevention and Awareness.
Tagged Passions:recognition, child abuse, and business

Description: Sexual Assault Awareness Month

Tagged Passions:sexual harassment and sexual assault

Ms. Slaughter asked the Board to proclaim April Sexual Assault Awareness Month and to join others

across the country in observing this month to raise public awareness about sexual violence. She noted this

Tagged Passions:sexual harassment and sexual assault

year is the 17th anniversary of observing this cause with this year s theme of Embrace Your Voice and shared local sexual assault statistics. Ms. Slaughter then introduced partners and community providers

present to accept the proclamation and share the services they provide to stop sexual violence: Sarah Lloyd, Executive Director of Safeplace; April Spaulding, Program Director of Safeplace; Joyce Gilbert, M.D., Medical Director Sexual Assault Clinic and Child Maltreatment Center of Providence St. Peter Hospital; and Tina Olson also of Providence St. Peter Hospital Sexual Assault Clinic. Ms. Lloyd, Ms. Spaulding and Ms. Olson addressed the Board and spoke on behalf of sexual assault awareness and shared
Tagged Passions:services, recognition, sexual harassment, sexual assault, hospital, program, and healthcare

local statistics. Vice Chair Hutchings read the Proclamation proclaiming April 2018 Sexual Assault

Tagged Passions:recognition, sexual harassment, and sexual assault

Awareness Month and urged all citizens of Thurston County to respond to sexual assault by creating

policies in their workplaces, by addressing oppression and sexual harassment when confronted by it, by engaging in discussions with family and friends, and by making the prevention of sexual assault a priority

Tagged Passions:sexual harassment and sexual assault

in their community. The Board members thanked the speakers for their hard work and dedication. A

photograph was taken of the speakers and others in the audience present in support of Sexual Assault Awareness Month.

Tagged Passions:sexual harassment and sexual assault

Description: Public Health Month

Chair Blake introduced the Proclamation noting the Thurston Thrives Initiative and Coordinating

Tagged Passions:health and recognition

introduced David Schaffert, President/CEO of the Thurston County Chamber Foundation which is the

backbone support of the Thurston Thrives Public Private partnership working on health improvement in
Tagged Passions:health

our community and responsible for many of the good results we are seeing in our County s National Health rankings. Mr. Hawkins also introduced Joanna West, Chair of the Chamber Foundation and the

Chamber Board of Trustees. Mr. Schaffert addressed the Board thanking the County and staff for their commitment to looking at health differently in our community with the Thurston Thrives Initiative. He acknowledged the improved County Health Ranking score for Thurston County. Ms. West addressed the
Tagged Passions:health

Board thanking them for the Thurston Thrives Initiative and their support in working towards making our

community a healthier place to live, work and play. Ms. Schaffert expressed his appreciation of the opportunity to Chair the Coordinating Council for the past several years and noted the community should be proud of their efforts and commitment. Vice Chair Hutchings thanked the Chamber for their behind the scenes work done by the community. Chair Blake expressed his love of the Thurston Thrives Initiative and noted other counties are now following the work of Thurston Thrives in their communities.

Tagged Passions:council

Vice Chair Hutchings read the Proclamation proclaiming April 2018 as Public Health Month in Thurston

County and urges all citizens to join in this special observance to take action toward a goal of making our

Tagged Passions:health and recognition

community, state and nation the healthiest we can be; and inviting all County residents to volunteer -

taking care of people and places, and shaping the plans and policies, in our community - so that Thurston Thurston County

Tagged Passions:volunteer

Board of Health

No additional detail provided

Tagged Passions:health

Minutes of April 10, 2018

Page 3 of 7 thrives. A photograph was taken of the speakers and others in the audience present in support of Public Health Month. 3) Opportunity for the Public to Address the Board Citizen: Sue Beal, Manager of Providence Behavioral Health Outpatient Services
Tagged Passions:services, health, and manager

Issue: Providence Community Care Center

Ms. Beal provided an update for the Center including statistics of clients served, the services provided,

acknowledged the many partners that have helped to make the Center a success; discussed the many challenges the center has faced since opening seven months ago; and shared a success story of one of the

Tagged Passions:services

clients. The Board members thanked Ms. Beal and expressed their appreciation for the services

provided by the Center. DEPARTMENT ITEMS
Tagged Passions:services

4) Washington State Prescription Monitoring Program

No additional detail provided

Tagged Passions:drugs and program

Chris Baumgartner, the Drug Systems Director for the Washington State Department of Health (DOH),

Tagged Passions:health and drugs

presented on the DOH Prescription Monitoring Program (PMP) regarding the prescription drug abuse

Tagged Passions:drugs and program

epidemic. He shared statistics for 2016 age-adjusted rates of drug overdose deaths by state; rates of o

pioid-related overdose deaths by type of opioid from 1999-2016; the opioid-related disease burden in Washington for 2014; and 2000-2016 rates of babies born in Washington with Neonatal Abstinence Syndrome (NAS). Mr. Baumgartner then provided information on PMP data collection and access by pharmacists, dispensers, prescribers, law enforcement and licensing; and discussed who is not required to submit data. He discussed PMP s Goal which is to prevent prescription drug overdose and then described their mechanisms to work towards that goal. Mr. Baumgartner discussed the Program s access to information as authorized by legislation; shared the data collected by PMP; and how the data is utilized. He then explained how PMP assists providers; described the mechanisms they use; discussed the four
Tagged Passions:public safety, opioid abuse, rates, drugs, and program

goals of the State Opioid Response Plan; and provided the following resources:

www.stopoverdose.org
Tagged Passions:opioid abuse

www.AgencyMedDirector.Wa.Gov/Guidelines.asp

UW TelePain Case Conference information email telepain@uw.edu www.TakeBackYourMeds.org WA Secure Drug Take-Back Act HB 1047 passes this session: http://lawfilesext.leg.wa.gov/biennium/2017 18/Pdf/Bills/House 20Passed 20Legislature/1047 S.PL.pdf Mr. Baumgartner explained the process of getting collected PMP data into the providers electronic records for medication reconciliation. He discussed Collective Medical Technologies (CMT) and an
Tagged Passions:drugs

Emergency Department Information Exchange system (EDIE). Mr. Baumgartner discussed and explained

the passing of House Bill (HB) 1427 concerning opioid treatment programs. He then discussed local Health Officers access for prescription monitoring including their statutory authority; their discussion or actions regarding making overdose a reportable condition; their use of the PMP data to follow up on
Tagged Passions:health, opioid abuse, drugs, program, and emergency

overdose victims; and follow up actions with providers involved and surviving patients. Mr. Baumgartner

shared and discussed the DOH Washington State Opioid Prescriber Feedback Report. He then addressed

Tagged Passions:opioid abuse

the questions and provided additional information on: pros and cons of making prescription overdoses a

No additional detail provided

Tagged Passions:drugs

reportable condition; the legislation making Take Back Your Meds mandatory; the requirements of HB

1427 going into effect by the end of 2018. He then provided the PMP contact information:

Thurston County

Board of Health

No additional detail provided

Tagged Passions:health

Minutes of April 10, 2018

Page 4 of 7

prescriptionmonitoring@doh.wa.gov (360) 236-4806. The Board members thanked Mr. Baumgartner for

the informative presentation. 5) The Role of the WSDA and State Veterinarian in Food Safety

Dr. Brian Joseph, State Veterinarian with the Washington State Department of Agriculture (WSDA) since

November 2016, addressed the Board thanking them for the opportunity to present. He shared his background and pictures of his travels. He then gave a presentation on his work as the State Veterinarian and the work of the Department of Agriculture to assure food safety and protect public health for Washington State (WA) and Thurston County. The broad goals of the State Veterinarian s Office and the WSDA Animal Services Division are to protect and enhance animal health and animal wellbeing, promote the economic vitality of the livestock industry, and safeguard residents by identifying and limiting

Tagged Passions:services, health, animal control, agriculture, livestock, and travel

exposure to zoonotic diseases that could affect humans. Dr. Joseph discussed food and agricultural

products produced in Washington and exported through Washington ports in 2016; and the market value

Tagged Passions:ports, agriculture, and market

of crops and livestock in 2015 produced by WA farmers and ranchers. He then discussed 2014-2015

Avian Influenza (AI) outbreak. Dr. Joseph explained the large number of annual US hospitalizations due to consumption of raw milk and cheese made from raw milk. He noted the consumption of unpasteurized milk and cheese substantially increases the risk of experiencing illness and possible hospitalization; and

Tagged Passions:risk, agriculture, and livestock

highly recommends not drinking unpasteurized milk or unpasteurized cheese. Dr. Joseph shared the

No additional detail provided

Animal Health Mission Statement - Protect and enhance animal health and animal well-being; Promote

the economic vitality of the livestock industry by minimizing exposure to animal diseases; Safeguard WA citizens by identifying and limiting the exposure to zoonotic diseases which are diseases transferred from animal to human. He then shared a map showing the four field veterinarian regions in Washington and discussed the core business of Animal Health which includes, but is not limited to, animal import regulations, licensing, permits and epidemiology; disease surveillance; investigations disposal; and education and outreach. Dr. Joseph acknowledged the many collaborative partners across the State such as the USDA Animal and Plant Health Inspection Service (APHIS) Veterinary Services; USDA Wildlife Services, Departments of Ecology, Fish Wildlife, Health and Emergency Response; the Military; US State Veterinarian Offices; industry and producers; law enforcement agencies; WA Veterinary Medical Association; and elected officials. He discussed the Animal Disease Traceability and their Goal - Have Traceability information available within 4-hours so the epidemiological investigation may begin. Dr.

Tagged Passions:services, plant, health, public safety, education, military, livestock, surveillance, regulation, business, and emergency

Joseph described the Reserve Veterinary Corp (RVC), which consists of 134 veterinary practitioners with

Dr. Minden Buswell the RVC Coordinator. The RVC provides surge capacity to manage adverse animal health events. He noted Animal Health Services is restructuring with a focus on animal health, animal
Tagged Passions:services, health, and events

disease traceability, building relationships with collaborators and focusing on internal/external customer

service. The Board thanked Dr. Joseph for the presentation. Dr. Rachel Wood thanked Dr. Joseph for his

assistance back in 2017 when she was in a new Health Officer role. Dr. Joseph thanked the Board for the opportunity to present. 6) Food Safety Presentation: A Tale of Three Closures
Tagged Passions:health

Sammy Berg, the PHSS Food Service Program Supervisor, gave a presentation on food safety inspection

enforcement and reporting. Food Program staff conduct routine and unannounced inspections of
Tagged Passions:program

approximately 1,000 retail food establishments in the county. Mr. Berg explained the inspectors are trying

new ways to help restaurant owners make any needed improvements to prepare their food safely, then

No additional detail provided

Tagged Passions:restaurants

ensuring that the improvements are maintained and in turn helping the restaurant succeed. He explained

Tagged Passions:restaurants

there are two types of safety violations - red and blue. Red violations are those most likely to cause food-

Thurston County

Board of Health

No additional detail provided

Tagged Passions:health

Minutes of April 10, 2018

Page 5 of 7 borne illness and must be fixed immediately if feasible or by a set amount of time. Each violation can have a range of points from 25 to 2. Blue violations relate to the overall cleanliness and condition of the establishment and must be fixed by a set timeframe. Blue violations are between 2 and 5 points each. The

25
point violations are the most serious and are most likely to lead to illness and include: poor

handwashing, bare hand contact, and an ill worker. Other serious violations include not keeping food hot or cold enough, not cooling food in the proper way, or keeping foods setting out at room temperature. If the violations exceed either 45 red points or 65 total points, a re-inspection must be done. An additional
Tagged Passions:poverty

fee of 200 is charged and an inspector re-inspects around 7-10 days later. After the re-inspection, if

violations are not corrected or they recur, further enforcement action may include additional visits at additional costs; being called in for an administrative hearing; or ultimately being closed until the problem(s) is fixed. A closure may be for just a few hours, or it may last several days if there are many
Tagged Passions:hearing

violations to correct. Examples of closure violations: a refrigerator needing repairs, a sewer back-up, or

Tagged Passions:Utility, utility, and sewer

staff needing to be re-trained in food safety techniques. Mr. Berg discussed three restaurant closures in

February, two involuntary closures and one voluntary, due to over 100 violation points each. The

Tagged Passions:restaurants

violations included the need for extensive cleaning, correction of poor practices and staff retraining. All

three restaurants made good efforts to correct the violations. Mr. Berg noted a Board Briefing has been scheduled to discuss possible revisions to procedures and processes to deal with closures which would include better definition of closure policies. He then explained the public can view the inspection results online, reports are updated daily, they are listed alphabetically by name, and the recent inspections for the last 90 days are listed separately for convenience. Mr. Berg noted inspection results read in The Olympian
Tagged Passions:restaurants, poverty, and procedure

newspaper only include some of the inspection reports and these are trimmed to fit. He acknowledged the

program needs to improve on sharing enforcement information with the public to ensure they know the

listed violations are followed up on. The Food Service Inspection Program s goal is to help restaurant owners keep their food safe, in turn ensuring their customers are safe from foodborne illness and their

Tagged Passions:restaurants and program

businesses succeed. Mr. Berg then shared the inspection information website:

http://www.co.thurston.wa.us/health/ehfood/fsinspections.asp For additional information Mr. Berg can be reached at (360)867-2568 or bergs@co.thurston.wa.us
Tagged Passions:health and business

The Board thanked Sammy for the presentation. Chair Blake thanks Sammy and program staff,

recognizing the challenges they have to face to keep us all safe. 7) Aquatic Nuisance Weed Control Prescription for Lawrence Lake
Tagged Passions:recognition, drugs, and program

Art Starry, PHSS Environmental Health Division Director, addressed the Board explaining the Board of

County Commissioners adopted the Thurston County Pesticide Use Policy in 1989 and the revised Pest and Vegetation Management Policy in 1993, which was again updated in 2014. These policies establish a mandate for all county departments to set an example by implementing integrated pest and vegetation

Tagged Passions:health, arts, policy, pesticide, and environment

management programs that minimize the use of pesticides and are least disruptive to human health and the

No additional detail provided

Tagged Passions:health, pesticide, agriculture, and program

environment. Proposals to apply pesticides to lakes with a pest-specific Integrated Pest Management

No additional detail provided

Tagged Passions:pesticide, agriculture, Conservation, and environment

(IPM) Plans must be submitted along with the recommended pesticide to the Vegetation

Management Coordinator Patrick Soderberg, PHSS Solid and Hazardous Waste Program Supervisor; the Pest and Vegetation Management Advisory Committee (PVMAC); and then be approved by the Board of Health. The PVMAC has reviewed this prescription and recommends approval. Mr. Starry provided the criteria used to approve a prescription: 1. The pest and vegetation problem has been assessed, and control is deemed necessary; 2. The use of the pesticide is a necessary element of the Integrated Pest and Vegetation Management Prescription; and Thurston County
Tagged Passions:health, pesticide, drugs, and program

Board of Health

No additional detail provided

Tagged Passions:health

Minutes of April 10, 2018

Page 6 of 7

3.
The risk to public health, ground water, and the environment is determined to be minimal.

Tagged Passions:Utility, utility, health, risk, Conservation, water, and environment

Mr. Tim Wilson, Public Works Noxious Weed and Lakes Management Manager, provided additional

No additional detail provided

Tagged Passions:Public Works, public works, and manager

information, noting the prescription is similar to the prescription used on Long Lake last year. Mr. Wilson

Tagged Passions:drugs

addressed Commissioner Edwards question regarding who else regulates these types of prescriptions, stating the Washington State Department of Ecology also regulates and has approved/permitted this

prescription. Vice Chair Hutchings moved to approve the Aquatic Nuisance Weed Control Prescription for Lawrence Lake. Commissioner Edwards seconded the motion. The Board

Tagged Passions:drugs

unanimously voted. The motion carried.

8) Board of Health Members Health Related Activities none 9) Director s Report Schelli Slaughter, PHSS Director, reported on: Thanked everyone who presented on public health, and their continued efforts to keep our community healthy.
Tagged Passions:health

Thurston County now ranks the 6th healthiest among Washington State counties in the nationwide County Health Rankings. The County Health Rankings grade counties across the state, as well as at

a national level, based on how healthy people are today. Also, Aetna Foundation and the US News World Report shows Thurston County is in the top 500 counties in the nation, out of approximately 3,000 counties, putting us in the top 8 . Ms. Slaughter noted we should all be proud of this accomplishment due to our focus, and great work, around improving Public Health. PHSS participated in the Thurston Thrives Action Team Summit on March 22 all teams, including Climate Clean Energy, participated; ideas were discussed for collaboration and continuing the

Tagged Passions:health insurance, health, clean energy, energy, and environment

advancement of the public-private partnership for community health improvement.

Tagged Passions:health

Thurston County is taking the opioid epidemic very seriously; she expressed her support of Thurston County making the decision to file a lawsuit against the makers of OxyContin and their exploration

No additional detail provided

Tagged Passions:legal and opioid abuse

of other ways to reduce opioid miss use in our community in coordination with the Governor s opioid response plan and align with the Cascade Pacific Action Alliance (CPAA) work; Thurston

County is convening a Opioid Response Work Group which will meet for the first time on May 9th; she will keep the Board updated. PHSS has begun to serve as Coalition Coordinator for the Bucoda -Tenino Healthy Action Team, as part of the Community Prevention Wellness Initiative supported by a contract with the
Tagged Passions:contract and opioid abuse

Washington State Department of Social Health Services, Behavioral Health Resources; this

No additional detail provided

Tagged Passions:services and health

contract was approved by the Board of County Commissioners that afternoon; this effort supports

No additional detail provided

Tagged Passions:contract

those communities to work on substance use prevention for youth.

No additional detail provided

Tagged Passions:youth

Results are in from the Point in Time (PIT) Count of Homeless People; in partnership with the City of Olympia the PIT count was completed in January; the results show 828 people were identified as

No additional detail provided

Tagged Passions:homeless

homeless on the day of the PIT with 324 of those identified as living unsheltered; this represents a

43 increase since last year all; all existing shelters were at 110 occupancy on that day.
Tagged Passions:homeless

Influenza activity continues in Thurston County and Washington State but appears to be starting to decrease; in March Thurston County had 2 influenza deaths, 1 lab confirmed and 1 suspect in

individuals over the age of 65 with pre-disposing conditions.

The Maternal Child Health (MCH) and Nurse Family Partnership (NFP) continues to do great work in three counties; the NFP team delivered 329 visits to mothers and babies in March; the programs Thurston County
Tagged Passions:health and program

Board of Health

No additional detail provided

Tagged Passions:health

Minutes of April 10, 2018

Page 7 of 7

have received State and National recognition and have been awarded an Incentive Fund grant from

the NFP National Service Office. During the month of March Vital Records issued 422 birth certificates and 921 death certificates; Vital records has been experiencing high volumes of birth certificate requests due to the start of kindergarten this spring, and state regulations on travel effective October 2018; birth certificates are required for an enhanced driver s license and passports; she encouraged everyone to obtain their enhanced driver s license or passport as soon as possible, to not wait until October. The Board commended Ms. Slaughter for her leadership. 10) Health Officer s Report

Tagged Passions:health, license, recognition, travel, regulation, incentive, and grant

Dr. Rachel Wood reported on:

Tuberculosis (TB) case management and administering Directly Observed Therapy (DOT) continues. The PHSS Emergency Preparedness Team, along with regional partners, is hosting a work shop on Ebola and other pathogens on April 26th.

Tagged Passions:emergency

11) Adjournment Vice Chair Hutchings moved to adjourn the meeting of April 10, 2018. Commissioner Edwards seconded the motion. The motion carried.

BOARD OF HEALTH

Thurston County, Washington ATTEST: ________________________________
Tagged Passions:health

BUD BLAKE, Chair Lydia Hodgkinson, Clerk of the Board

__________________________________ Date: ___________________________

JOHN HUTCHINGS, Vice Chair

__________________________________ GARY EDWARDS, Commissioner

Thurston Community Television (TCTV) - The Board of Health meetings are aired on TCTV each week on Sundays at

No additional detail provided

Tagged Passions:health

3:30 p.m., Mondays at 8:00 p.m., Tuesdays at 12:30 p.m., Wednesdays at 10:00 a.m., and Fridays at 6:30 a.m. and at 5:00

p.m. Page 1 of 2 Thurston County Board of Health Work Session Summary Date of Work Session: April 3, 2018 Time: 10:10 am Office/Department: Board of Health Subject: Review April 10, 2018 3:30 PM regular meeting agenda Staff Contact/Author: Name: Lydia Hodgkinson, Clerk of the Board of Health Phone: (360) 867-2503

Tagged Passions:health

Attendees: Commissioners Present: Chair Bud Blake, Commissioner Gary Edwards

County Manager: Ramiro Chavez Assistant CM: Robin Campbell
Tagged Passions:administrator and manager

Other Staff: Lydia Hodgkinson, Clerk of the Board of Health Schelli Slaughter, Public Health Social Services (PHSS) Director Art Starry, PHSS EH Division Director Patrick Soderberg, PHSS Solid Hazardous Waste Supervisor Timothy Wilson, Public Works Noxious Weed and Lakes Management Manager Whitney Pearsall, Commissioners Office, Administrative Assistant Kelli Kennedy, Commissioner s Assistant Vickie Larkin, Commissioner s Assistant

Discussion Points: The April 10, 2018 3:30 PM Board of Health agenda was discussed as follows: Item 2 Proclamations: The three proclamations were discussed with no revisions needed. o Child Abuse Prevention Awareness Month o Sexual Assault Awareness Month o Public Health Month - Ms. Slaughter noted David Schaffert, Thurston County Chamber, would be present to accept the proclamation.
Tagged Passions:Public Works, services, public works, health, arts, manager, recognition, sexual harassment, sexual assault, child abuse, and social services

Item 3 Opportunity for the public to address the Board: Chair Blake noted he has invited representatives from the Hazardous Weather Task Force to speak.

No additional detail provided

Item 4 Washington State Prescription Monitoring Program (PMP): Ms. Slaughter stated Chris Baumgartner, the DOH Drug Systems Director, would be presenting on PMP. The Board questioned the status of discussions regarding the Opioid Crisis issue and Notice of Notifiable Conditions. Ms. Slaughter noted there is an upcoming meeting for additional discussion and Dr. Rachel Wood would be providing the Board an update.

No additional detail provided

Tagged Passions:opioid abuse, drugs, and program

Item 5 The Role of the WSDA and the State Veterinarian in Food Safety: The topic was discussed; Chair Blake noted Dr. Brian Joseph with Dept of Agriculture would be giving an entertaining and informative presentation.

(CONTINUED) Page 2 of 2 Item 6 Food Safety Presentation: A Tale of Three Closures: Ms. Slaughter noted the draft slide show presentation is to be modified to remove restaurant names; Art Starry addressed the Board s questions and provided additional information on restaurant closures and what will be presented. Item 7 Aquatic Nuisance Weed Control Prescription for Lawrence Lake: Mr. Starry, Patrick Soderberg and Timothy Wilson described the topic and discussed the weed control prescription, the timing of application, noting the prescription is almost identical to last year s; Mr. Wilson explained the differences between the Aquatic Nuisance Board and the Noxious Weed Board. Agenda to be revised as follows:
Tagged Passions:restaurants, arts, agriculture, and drugs

o
Item 5 The Role of WSDA slide show to be added o Item 6 Food Safety topic slide show to be revised

Page 1 of 1 Thurston County Board of Health Work Session Summary Date of Work Session: April 10, 2018 Time: 9:47 am Office/Department: Board of Health Subject: Review April 10, 2018 3:30 PM regular meeting agenda Staff Contact/Author: Name: Lydia Hodgkinson, Clerk of the Board of Health Phone: (360) 867-2503

Tagged Passions:health

Attendees: Commissioners Present: Chair Bud Blake, Vice Chair John Hutchings, Commissioner Gary Edwards

County Manager: Ramiro Chavez Assistant CM: Robin Campbell
Tagged Passions:administrator and manager

Other Staff: Lydia Hodgkinson, Clerk of the Board of Health Schelli Slaughter, Public Health Social Services (PHSS) Director Whitney Pearsall, Commissioners Office, Administrative Assistant Kelli Kennedy, Commissioner s Assistant Vickie Larkin, Commissioner s Assistant

Discussion Points: The April 10, 2018 3:30 PM Board of Health agenda was discussed as follows: Item 2 Proclamations: The three proclamations were discussed with no revisions needed. o Child Abuse Prevention Awareness Month o Sexual Assault Awareness Month o Public Health Month - Ms. Slaughter will provide a brief introduction
Tagged Passions:services, health, recognition, sexual harassment, sexual assault, child abuse, and social services

of proclamation; David Schaffert, Thurston County Chamber, will be present to accept the proclamation.

Tagged Passions:recognition

Item 3 Opportunity for the public to address the Board: no comments Item 4 Washington State Prescription Monitoring Program (PMP):

No additional detail provided

Tagged Passions:drugs and program

Ms. Slaughter stated Chris Baumgartner, the DOH Drug Systems Director, presenting on PMP has reduced the number of slides in his presentation.

No additional detail provided

Tagged Passions:drugs

Item 5 The Role of the WSDA and the State Veterinarian in Food Safety: Dr. Brian Joseph, State Veterinarian with Dept of Agriculture, is confirmed to present.

Item 6 Food Safety Presentation: A Tale of Three Closures: Ms. Slaughter noted the draft slide show presentation has been modified removing restaurant names; the presentation focus is closures and re- openings. Item 7 Aquatic Nuisance Weed Control Prescription for Lawrence Lake: Patrick Soderberg and Timothy Wilson will present.
Tagged Passions:restaurants, agriculture, and drugs

Item 10 Health Officers Report: Ms. Slaughter noted Dr. Wood would be providing updates for Tuberculosis (TB) in our community and Emergency Preparedness.

Agenda to be revised as follows: none Page 1 of 2 Thurston County Board of Health Work Session Summary

Tagged Passions:health and emergency

Date of Work Session: May 1, 2018

Time: 10:16 am Office/Department: Board of Health Subject: Review May 8, 2018 3:30 PM regular meeting agenda Staff Contact/Author: Name: Lydia Hodgkinson, Clerk of the Board of Health Phone: (360) 867-2503
Tagged Passions:health

Attendees: Commissioners Present: Chair Bud Blake, Vice Chair John Hutchings, Commissioner Gary Edwards

County Manager: Ramiro Chavez Assistant CM: Robin Campbell
Tagged Passions:administrator and manager

Other Staff: Schelli Slaughter, Public Health Social Services (PHSS) Director Art Starry, PHSS Environmental Health (EH) Division Director Vickie Larkin, Commissioner s Assistant Lydia Hodgkinson, Clerk of the Board of Health

Discussion Points: The May 8, 2018 3:30 PM Board of Health agenda was discussed as follows: Item 2 Proclamations: The two proclamations were discussed with no revisions needed. o Drinking Water Week May 6 12, 2018 o Nurses Week May 6 12, 2018: nurses will attend to accept Noted: Mental Health month will be proclaimed later in May by the BoCC

Tagged Passions:Utility, services, utility, health, arts, recognition, mental health, social services, water, and environment

Item 3 Opportunity for the public to address the Board: no one was aware of any public members planning to speak

Item 4 Providence Community Care Center Update: Ms. Slaughter noted Sue Beal was present at the April 10th meeting to provide an update; this month TJ LaRocque will present.

Tagged Passions:planning

Item 5 Thurston Thrives Action Team Update: Community Hope Initiative: Prosecuting Attorney Jon Tunheim will present.

Item 6 Drinking Water Program Update: no comments Item 7 Surface Water Monitoring and Safety: o Commissioner Blake explained he wanted information to be

Tagged Passions:Utility, utility, legal, program, and water

presented on swimming in lakes, with a focus on pre-swimming activities.

No additional detail provided

o
Commissioner Edwards requested information on the history of toxic algae blooms in lakes; the science behind the county and state research of toxic algae blooms explaining no one knows what causes toxic algae blooms; where the public can go for additional information; and what s going on around the state swimming areas.

Page 2 of 2

Tagged Passions:history

o
Mr. Starry explained the content of the presentation which will include the Board members requests.

Ms. Slaughter noted she and County Manager Ramiro Chavez are working on a resolution addressing the opioid crisis. The Board members requested action be taken as soon as possible. Mr. Chavez stated a draft resolution will be created for the Board s review and hope to bring it to the Board at the June Board of Health regular meeting. Ms. Slaughter noted a planning session is taking place on May 2nd to plan Opioid Task Force meeting the following week. It was noted the proposed resolution will include the Task Force s input. Ms. Slaughter shared the plan to reduce Dr. Rachel Wood s Health Officer hours by .2 FTE and to hire a Deputy Health Officer. She noted having a Deputy Health Officer will be new for Thurston County as there has not been one in the past. She will schedule either a Board Briefing to discuss and provide more information or bring back to the Board during a Tuesday morning agenda setting meeting. Item 8 Board of Health Members Health Related Activities: no comments. Item 9 Director s Report: No comments

Tagged Passions:health, administrator, manager, opioid abuse, and planning

Item 10 Health Officer s Report: No comments

No revisions to the agenda were requested. Page 1 of 2 Thurston County Board of Health Work Session Summary

Tagged Passions:health

Date of Work Session: May 7, 2018

Time: 11:00 AM

Office/Department: PHSS

Subject: Tobacco and Vaping Product Prevention

Staff Contact/Author: Name/Title: Kateri Wimsett (2516) and Chris Hawkins (2513) Attendees: Commissioners Present: Bud Blake, Gary Edwards and John Hutchings County Manager: Ramiro Chavez and Robin Campbell

Tagged Passions:administrator, manager, and tobacco

Other Staff: Kateri Wimsett (presenter), Schelli Slaughter, Mary Ann O Garro, Chis Hawkins, Bryan Dominique (PIO) Art Starry (note taker)

Discussion Points: Two topics:
Tagged Passions:arts

1.
Expanding the county smoke/vape free policy to include parks and trails. 2. Research and develop options for further discussion with the Board, to

strengthen the Smoking In Public Places law with the inclusion of vaping. Discussion points:

Tagged Passions:parks, policy, Smoking, trails, tobacco, and smoking

Tobacco is leading cause of preventable death in the US and in WA.

Tagged Passions:tobacco

14
of Thurston County adults smoke.

26
of 12th graders smoke or vape.

Teens more likely to vape than smoke. For teens vaping leads to smoking.
Tagged Passions:Smoking, tobacco, and smoking

Limitations of smoking in public places law

Vaping fluid usually contains nicotine often at very high concentrations. Vaping products appeal to youth. Flavors, smell, product names and design appeal to youth. Policy goals: Reduce exposure. Establish community norms that smoking is not acceptable in public places. Be consistent across county Olympia prohibits smoking and vaping in parks and Lacey is considering a similar policy. Implementation (expand to parks and trails): Education and outreach Signage Need to determine best way to enforce (when needed). May need additional resources. Thurston County Parks Operations Manager of the Public Works Department supports Board questions: What are legal ramifications and precedent? How do cities implement? Page 2 of 2 Results/Board Direction: Board interested in both issues Board indicated staff will need to work with Prosecutor to evaluate legal issues Board will consider at future Agenda Setting Session (tentatively May 15) Page 1 of 1 Thurston County Board of Health Work Session Summary
Tagged Passions:signage, Public Works, parks, public works, health, legal, education, manager, policy, Smoking, advertising, youth, trails, tobacco, and smoking

Date of Work Session: May 8, 2018

Time: 10:33 am Office/Department: Board of Health Subject: Review May 8, 2018 3:30 PM regular meeting agenda Staff Contact/Author: Name: Lydia Hodgkinson, Clerk of the Board of Health Phone: (360) 867-2503
Tagged Passions:health

Attendees: Commissioners Present: Chair Bud Blake, Vice Chair John Hutchings

County Manager: Ramiro Chavez
Tagged Passions:administrator and manager

Other Staff: Schelli Slaughter, Public Health Social Services (PHSS) Director Art Starry, PHSS Environmental Health (EH) Division Director La Bonita Bowmar, Clerk of the Board of County Commissioners Lydia Hodgkinson, Clerk of the Board of Health

Discussion Points: The May 8, 2018 3:30 PM Board of Health agenda was discussed as follows: Item 2 Proclamations: The two proclamations were discussed with no revisions needed. o Drinking Water Week May 6 12, 2018 o Nurses Week May 6 12, 2018: nurses will attend to accept; Liz Davis, Child, Family Community Wellness Division Director, will present.

Tagged Passions:Utility, services, utility, health, arts, recognition, social services, water, and environment

Item 3 Opportunity for the public to address the Board: it was noted

No additional detail provided

someone from the public could potentially be present regarding the Summit Lake algae issue.

Item 4 Providence Community Care Center Update: Commissioner Blake will introduce TJ LaRocque.

Item 5 Thurston Thrives Action Team Update: Community Hope Initiative: Prosecuting Attorney Jon Tunheim will present on Hope Thurston and provide survey information.

Item 6 Drinking Water Program Update: Art Starry noted Erik Iverson, EH Biologist, will present in place of Steve Petersen, EH Program Manager. Item 7 Surface Water Monitoring and Safety: no comments Item 8 Board of Health Members Health Related Activities: The Board members will share health related activities since last month. Item 9 Director s Report: No comments

Tagged Passions:Utility, utility, health, legal, arts, manager, program, and water

Item 10 Health Officer s Report: No comments

No revisions to the agenda were requested. Page 1 of 2 Thurston County Board of Health Work Session Summary

Tagged Passions:health

Date of Work Session: Monday May 14, 2018


[ See More ]
Council Map

Welcome!

Monitor up to five cities and counties and get alerts when they plan to vote on topics you're passionate about.