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Dan Martindale, MPA Public Health Director Date: January 27, 2016

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Dan Martindale, MPA Public Health Director Date: January 27, 2016 To: Board of Health From: Dan Martindale, M.P.A. Public Health Director Office of the Director Date: January 27, 2016 (reflects December 2015) Re: Director’s Report Acronyms EPCPH – El Paso County Public Health CDPHE – Colorado Department of Public Health and Environment Office of Communication (OOC): Television News Media Media value dollar figures reflect equivalent costs for 30-second spot advertising during the respective newscasts and times. There are other stories, as well as coverage and video on local news media outlets’ websites that are not included in this news media value report. Topic Date Media Outlet Number Estimated Value of viewers First Confirmed Flu Case In 12/15/15 KKTV (CBS) 12,303 $1,616.99 Pueblo Reported Confirmed Flu in El Paso 12/29/15 KKTV (CBS) 15,814 $1,087.24 County Flu in El Paso County 12/29/15 KOAA (NBC) 7,927 $613.97 Flu in El Paso County 12/29/15 KRDO (ABC) 28,281 $4,224.84 First Flu Hospitalization 12/29/15 KXRM (Fox) 21,862 $3,186.45 First Reported Flu Case 12/30/15 KRDO (ABC) 4,472 $221.94 First Flu Hospitalization 12/30/15 KXRM (Fox) 6,605 $417.60 TOTAL 97,264 $11,369.03 Print 12.7.15- The New Falcon Herald, “Wind farm: health controversy continues.” By Lindsey Harrison. Interview provided by Dan Martindale, M.P.A., Public Health Director. 12.29.15- The Gazette, “El Paso County sees first flu hospitalization of the season.” By Jakob Rodgers. Interview provided by Shannon Rowe, M.P.H., Communicable Disease Program Manager. Online 12.29.15- KOAA.com, “First flu case confirmed for El Paso County.” Information provided by the Office of Communication. 12.30.15 – KKTV.com, “First flu hospitalization of the season reported in El Paso County.” Information provided by the Office of Communication. 1 12.16.15- KKTV.com, “First confirmed flu case in Pueblo reported.” By Alyssa Chin. Interview provided by Robyn Espy, M.P.H., Epidemiologist. 12.29.15 – KRDO.com, “El Paso County Public Health reports first flu hospitalization of the season.” By Chris Loveless. Interview provided by Shannon Rowe, M.P.H., Communicable Disease Program Manager. Radio 12.9.15 KRDO 105.5 FM News Radio. Robyn Espy, M.P.H., Epidemiologist, was interviewed about the Communicable Disease Program at El Paso County Public Health and provided updates on the 2015- 2016 flu season, and provided flu prevention messages. Communication Support News Releases: 12.29.15 – “First confirmed flu hospitalization reported in El Paso County.” 12.31.15 – “Public Health offering walk-in flu vaccine clinics.” Created and posted social media content on World AIDS Day, safe toys and gifts for children during the holidays, National Influenza Vaccination Week, the Colorado Quitline, winter weather preparedness, and healthy eating tips during the holidays. Assisted with vaccination clinic and Public Health marketing outreach for Feed the Children Holiday event. Tobacco Targets Youth Campaign: The Office of Communication solicited a strategic media buy bid that include both radio and digital media to begin in October to run through December to continue the Tobacco Targets Youth campaign. The top three radio stations reaching the target demographic of Adults 40+ in the Colorado Springs Designated Market Area were chosen: KVOR, KKPK, and KRDO. The media buy included value-added digital components and earned media opportunities. The flight schedule for December includes: 36 (30-second) spots aired on KVOR, 81 (30-second spots) aired on KKPK (estimated reach of 121,764 individuals), and 161 (30-second spots) on KRDO radio (estimated reach of 69,929). Provided communication materials (sign, letter template, website update) for the laboratory water test price change notice. Created a one-page flyer for the Crisis Recovery Center for first responders. Attended the National Association of Counties (NACo) Safe & Secure Symposium, including plenary session on crisis communication. Development and Strategic Initiatives: Received notification of award from Colorado Department of Public Health and Environment (CDPHE) of funding from the State Innovation Model (SIM) program to implement a three-year youth suicide prevention strategy beginning February 1, 2016. Award is $300,000 over three year timeline. Executed Memorandum of Understanding (MOU) with El Paso County Sheriff’s Office to co-locate community resource navigators in the release area of the Criminal Justice Center (CJC). Navigators will work with releasing clients to connect to social services, physical health resources, and behavioral health resources to improve health outcomes and reduce recidivism. While at the CJC, they have the potential to interact with up to 5,000 clients. DHS is onsite and enrolling eligible clients in Medicaid. Public Health Planner started. Mina Liebert has a master’s degree in Community Health Education, has worked previously for CDPHE, and for the past seven years led LiveWell Colorado Springs. She will lead the Healthy Community Collaborative and the next community health assessment planning process and re-accreditation efforts. 2 Initiated partnership with National Association of City & County Health Officials (NACCHO) Health and Disability Project to receive technical assistance regarding serving persons with disabilities in the Title X clinic. NACCHO staff and interns will create a plan for EPCPH that outlines best practices in public health that promote cultural competency and compliance with the Americans with Disabilities Act. The plan will also include suggested strategies for including persons with disabilities in advisory committees and community outreach. Resource navigators participated in the Feed the Children event and Development and Strategic Initiatives Officer participated in community flu clinic/health fair at Sierra High School on same day. Communicable Disease (CD): Disease Dec 2015 2015 Totals 2014 Totals Botulism, Infant 0 1 2 Campylobacter 5 79 59 Carbapenem Nonsusceptible Enterobacteriaceae (CRE) 1 13 4 Cholera 0 0 1 Creutzfeldt-Jakob Disease (CJD) 0 2 2 Cryptosporidiosis 1 7 6 Dengue Fever 0 1 1 Giardia 7 41 52 Haemophilus Influenzae 1 10 6 Hemolytic Uremic Syndrome 0 0 2 Hepatitis A 0 2 0 Hepatitis B (Acute) 1 7 0 Hepatitis B (Chronic) 4 78 58 Hepatitis C (Acute) 1 5 3 Hepatitis C (Chronic) 41 447 399 Influenza (Hospitalized)* 1 1 191 Legionellosis 1 2 3 Listeriosis 0 0 2 Malaria 0 0 3 Measles 0 0 0 Meningococcal Disease 0 0 2 Mumps 0 0 0 Pertussis 10 68 54 Q Fever (Acute) 0 1 0 Q Fever (Chronic) 0 0 1 Relapsing Fever 0 1 1 Rocky Mountain Spotted Fever 0 2 2 Rubella 0 0 0 Salmonella 3 47 64 Shigellosis 4 17 4 Shiga Toxin Producing E. coli 0 7 16 Invasive Strep Pneumo 7 69 47 Toxic Shock 0 2 0 Tularemia 1 2 0 3 Typhoid Fever 0 0 1 Varicella (Chicken Pox) 1 44 42 Vibriosis 0 2 0 West Nile Virus 0 1 2 Total 90 959 1030 *The influenza season began October 4, 2015 and will run until May 28, 2016. In 2014-15 it ran from September 28, 2014 until May 23, 2015. Possible foodborne illness complaints: 20. Outbreaks investigated: 7; four at long term care facilities – three suspected norovirus, one unknown gastrointestinal illness, three at retail food establishments – one confirmed norovirus, two unknown gastrointestinal illness. Responded to eight calls regarding human or pet exposures to potentially rabid animals, or other rabies- related concerns. From those inquiries one animal was tested for rabies (cat); it tested negative. Persons recommended for rabies post-exposure prophylaxis (PEP): 0 Total rabid animals for 2015: 6 (five bats, one cat) Total presentations facilitated by CD/TB Staff: 8; one presentation at Adult Grand Rounds at Evans Army Community Hospital about the CD/TB programs at EPCPH. Tuberculosis (TB) activities for December: New active TB cases investigated: 0 New suspect TB cases investigated: 1 Cases on direct observed therapy (DOT): 2 Cases on directly observed preventive therapy (DOPT): 0 Total DOT/DOPT visits: 12 General TB skin tests done: TB - 25, IZ – 20 TB blood tests (Quantiferon) done related to contact investigations: 1 TB skin tests done related to contact investigations: 0 Contact investigations ongoing: 0 Contacts evaluated/tested: 0 Refugee and/or class B immigrant TB evaluations: 4 Latent TB infection (LTBI) cases under treatment: 10 LTBI cases completing treatment this month: 2 Environmental Health (EH): Laboratory Performed 420 bacteriological well water tests, 273 public water systems and 147 private wells. There were 48 tests performed for inorganic anions (Nitrates and Nitrites). Totals for 2015: 6,328 bacteriological well water tests, 2,613 private wells and 3,715 public water systems. The laboratory performed 396 total tests for inorganic anions in 2015. The Laboratory went live with the new Stan-Bio Hemoglobin Analyzers on December 1, 2015 to facilitate testing for the Women, Infant, Child Program (WIC). Retail Food Safety Environmental Health, in conjunction with Communicable Disease, conducted foodborne illness outbreak investigations at four retail food establishments. One of the four investigations resulted in the confirmation of norovirus. 4 School Safety Two training sessions for school personnel were held at different locations in El Paso County. The sessions are intended to provide information related to the recently revised Rules and Regulations Governing Schools in the State of Colorado. Land-Use and Planning Ten El Paso County Development Services Division projects were submitted for review and comment. One proposed project that is being considered called Vertical
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