STORY COUNTY BOARD OF HEALTH TENTATIVE AGENDA TUESDAY, April 6, 2021 2:00 PM
Originating via Zoom from - Story County Administration (900 6th Street)– Nevada, Iowa SPECIAL NOTE TO THE PUBLIC: Due to recommendations to social distance in order to help slow the spread of the COVID-19 virus, the capacity of our meeting room is significantly limited. Therefore public access to the meeting will be provided via Zoom. Members of the public can participate by using the information located at the bottom of this agenda.
1. CALL TO ORDER
2. APPROVAL OF AGENDA
3. APPROVAL OF MINUTES
Documents:
020221.PDF 031121.PDF
4. CONSENT AGENDA All items listed under the consent agenda will be enacted by one motion. There will be no separate discussion of these items unless a request is made prior to the time the Board votes on the motion.
5. PUBLIC FORUM This is the time for members of the public to offer comments concerning matters not scheduled to be heard before the Board of Health.
6. ADDITIONAL ITEMS
6.I. Recognition Of Cathy Bazylinski For Her 16 Years Of Service
6.II. Discussion And Consideration Of Recruitment Process For Environmental Health Director - Alissa Wignall
Documents:
DIRECTOR OF ENVIRONMENTAL HEALTH VACANCY.PDF ENVIRONMENTAL HEALTH DIRECTOR JOB DESCRIPTION.PDF
6.III. COVID-19 Update On Current Cases And Vaccine Distribution - Les White
Documents:
PUBLIC HEALTH UPDATE.PDF
6.IV. Discussion Of Face Covering Regulation - Importance Of Wearing A Face Covering And Criteria For Recommending Removal Of Regulation
6.V. Arsenic In Private Water Wells - Cathy Bazylinski
Documents:
ARSENIC FACT SHEET.PDF
6.VI. Discussion And Consideration Of Proposed Tanning Ordinance - Margaret Jaynes
Documents:
PROPOSED TANNING REGULATIONS FOR STORY COUNTY.PDF
7. AGENCY AND DEPARTMENTAL REPORTS
7.I. Story County Public Health; Les White, Treasa Ferrari
Documents:
PUBLIC HEALTH REPORT.PDF
7.II. Story County Environmental Health; Margaret Jaynes
Documents:
ENVIRONMENTAL HEALTH REPORT.PDF
7.III. YSS; Ryan Doyle, Chelce Carter
Documents:
BOH REPORT.PDF KRATOM FLYER.PDF OXFORD MS CITY CODE BANNING KRATOM.PDF
8. COMMENTS Staff Board
9. ADJOURNMENT
10. INSTRUCTIONS TO PARTICIPATE IN ZOOM MEETINGS Join Zoom Meeting https://us02web.zoom.us/j/7737180067? pwd=L3B5L2RNUzdsNjBldUtqV2R0UDdaZz09
Meeting ID: 773 718 0067 Passcode: 1DR5Wg
One tap mobile +19292056099,,7737180067#,,,,,,0#,,540442# US (New York) +13017158592,,7737180067#,,,,,,0#,,540442# US (Germantown)
Dial by your location +1 929 205 6099 US (New York) +1 301 715 8592 US (Germantown) +1 312 626 6799 US (Chicago) +1 669 900 6833 US (San Jose) +1 253 215 8782 US (Tacoma) +1 346 248 7799 US (Houston) Meeting ID: 773 718 0067 Passcode: 540442 Find your local number: https://us02web.zoom.us/u/kr2gBYKBf
l We ask that you mute your phone to help eliminate background noise. l Audio recordings of all Board meetings will be posted on the STORY COUNTY WEBSITE l How to Participate in Meeting Discussions ¡ If you would like to watch a meeting as it happens and participate in the discussion, you can do so via Zoom (www.zoom.us). Zoom is a videoconferencing platform that works across different internet-enabled devices and standard telephones. Meetings that are being held via Zoom will have information on each agenda regarding how to access the meeting in Zoom. Each meeting is assigned a meeting ID (sometimes called a “webinar ID”) that you will need to use to access the meeting. l Zoom video conferencing – You can access the meeting by either clicking the link found on the agenda, or by opening the Zoom application and entering the meeting ID number on the agenda. ¡ Meeting participants will be able to watch and hear the meeting as it takes place. ¡ For portions of the meeting where public input is accepted, you will need to press the “unmute” button to speak, provide your name, address and your comments. Can also press the "raise hand button" to request to speak. l Zoom phone conferencing – As an alternative to video conferencing, participants may call in to a phone conference using their touch-tone phone. Several call-in telephone numbers are provided on each meeting agenda. Unless otherwise indicated, the number is a long-distance phone number; charges may apply depending on your telephone provider. ¡ Once you have dialed the telephone number provided, you will be prompted to enter the Meeting ID number (found on the agenda). During the meeting, you will be able to hear the discussion live, but will not be able to see any content. ¡ For portions of the meeting where public input is accepted, you will need to "unmute" to speak, provide your name, address and your comments. Press *6 on phone to "unmute." Can also press *9 to "raise hand" to request to speak.
Story County strives to ensure that its programs and activities do not discriminate on the basis of race, color, national origin, sex, age or disability. Persons requiring assistance, auxiliary aids or services, or accommodation because of a disability may contact the county's ADA coordinator at (515)382-7204. STORY COUNTY BOARD OF HEALTH TENTATIVE AGENDA TUESDAY, April 6, 2021 2:00 PM
Originating via Zoom from - Story County Administration (900 6th Street)– Nevada, Iowa SPECIAL NOTE TO THE PUBLIC: Due to recommendations to social distance in order to help slow the spread of the COVID-19 virus, the capacity of our meeting room is significantly limited. Therefore public access to the meeting will be provided via Zoom. Members of the public can participate by using the information located at the bottom of this agenda.
1. CALL TO ORDER
2. APPROVAL OF AGENDA
3. APPROVAL OF MINUTES
Documents:
020221.PDF 031121.PDF
4. CONSENT AGENDA All items listed under the consent agenda will be enacted by one motion. There will be no separate discussion of these items unless a request is made prior to the time the Board votes on the motion.
5. PUBLIC FORUM This is the time for members of the public to offer comments concerning matters not scheduled to be heard before the Board of Health.
6. ADDITIONAL ITEMS
6.I. Recognition Of Cathy Bazylinski For Her 16 Years Of Service
6.II. Discussion And Consideration Of Recruitment Process For Environmental Health Director - Alissa Wignall
Documents:
DIRECTOR OF ENVIRONMENTAL HEALTH VACANCY.PDF ENVIRONMENTAL HEALTH DIRECTOR JOB DESCRIPTION.PDF
6.III. COVID-19 Update On Current Cases And Vaccine Distribution - Les White
Documents:
PUBLIC HEALTH UPDATE.PDF
6.IV. Discussion Of Face Covering Regulation - Importance Of Wearing A Face Covering And Criteria For Recommending Removal Of Regulation
6.V. Arsenic In Private Water Wells - Cathy Bazylinski
Documents:
ARSENIC FACT SHEET.PDF
6.VI. Discussion And Consideration Of Proposed Tanning Ordinance - Margaret Jaynes
Documents:
PROPOSED TANNING REGULATIONS FOR STORY COUNTY.PDF
7. AGENCY AND DEPARTMENTAL REPORTS
7.I. Story County Public Health; Les White, Treasa Ferrari
Documents:
PUBLIC HEALTH REPORT.PDF
7.II. Story County Environmental Health; Margaret Jaynes
Documents:
ENVIRONMENTAL HEALTH REPORT.PDF
7.III. YSS; Ryan Doyle, Chelce Carter
Documents:
BOH REPORT.PDF KRATOM FLYER.PDF OXFORD MS CITY CODE BANNING KRATOM.PDF
8. COMMENTS Staff Board
9. ADJOURNMENT
10. INSTRUCTIONS TO PARTICIPATE IN ZOOM MEETINGS Join Zoom Meeting https://us02web.zoom.us/j/7737180067? pwd=L3B5L2RNUzdsNjBldUtqV2R0UDdaZz09
Meeting ID: 773 718 0067 Passcode: 1DR5Wg
One tap mobile +19292056099,,7737180067#,,,,,,0#,,540442# US (New York) +13017158592,,7737180067#,,,,,,0#,,540442# US (Germantown)
Dial by your location +1 929 205 6099 US (New York) +1 301 715 8592 US (Germantown) +1 312 626 6799 US (Chicago) +1 669 900 6833 US (San Jose) +1 253 215 8782 US (Tacoma) +1 346 248 7799 US (Houston) Meeting ID: 773 718 0067 Passcode: 540442 Find your local number: https://us02web.zoom.us/u/kr2gBYKBf
l We ask that you mute your phone to help eliminate background noise. l Audio recordings of all Board meetings will be posted on the STORY COUNTY WEBSITE l How to Participate in Meeting Discussions ¡ If you would like to watch a meeting as it happens and participate in the discussion, you can do so via Zoom (www.zoom.us). Zoom is a videoconferencing platform that works across different internet-enabled devices and standard telephones. Meetings that are being held via Zoom will have information on each agenda regarding how to access the meeting in Zoom. Each meeting is assigned a meeting ID (sometimes called a “webinar ID”) that you will need to use to access the meeting. l Zoom video conferencing – You can access the meeting by either clicking the link found on the agenda, or by opening the Zoom application and entering the meeting ID number on the agenda. ¡ Meeting participants will be able to watch and hear the meeting as it takes place. ¡ For portions of the meeting where public input is accepted, you will need to press the “unmute” button to speak, provide your name, address and your comments. Can also press the "raise hand button" to request to speak. l Zoom phone conferencing – As an alternative to video conferencing, participants may call in to a phone conference using their touch-tone phone. Several call-in telephone numbers are provided on each meeting agenda. Unless otherwise indicated, the number is a long-distance phone number; charges may apply depending on your telephone provider. ¡ Once you have dialed the telephone number provided, you will be prompted to enter the Meeting ID number (found on the agenda). During the meeting, you will be able to hear the discussion live, but will not be able to see any content. ¡ For portions of the meeting where public input is accepted, you will need to "unmute" to speak, provide your name, address and your comments. Press *6 on phone to "unmute." Can also press *9 to "raise hand" to request to speak.
Story County strives to ensure that its programs and activities do not discriminate on the basis of race, color, national origin, sex, age or disability. Persons requiring assistance, auxiliary aids or services, or accommodation because of a disability may contact the county's ADA coordinator at (515)382-7204. STORY COUNTY BOARD OF HEALTH TENTATIVE AGENDA TUESDAY, April 6, 2021 2:00 PM
Originating via Zoom from - Story County Administration (900 6th Street)– Nevada, Iowa SPECIAL NOTE TO THE PUBLIC: Due to recommendations to social distance in order to help slow the spread of the COVID-19 virus, the capacity of our meeting room is significantly limited. Therefore public access to the meeting will be provided via Zoom. Members of the public can participate by using the information located at the bottom of this agenda.
1. CALL TO ORDER
2. APPROVAL OF AGENDA
3. APPROVAL OF MINUTES
Documents:
020221.PDF 031121.PDF
4. CONSENT AGENDA All items listed under the consent agenda will be enacted by one motion. There will be no separate discussion of these items unless a request is made prior to the time the Board votes on the motion.
5. PUBLIC FORUM This is the time for members of the public to offer comments concerning matters not scheduled to be heard before the Board of Health.
6. ADDITIONAL ITEMS
6.I. Recognition Of Cathy Bazylinski For Her 16 Years Of Service
6.II. Discussion And Consideration Of Recruitment Process For Environmental Health Director - Alissa Wignall
Documents:
DIRECTOR OF ENVIRONMENTAL HEALTH VACANCY.PDF ENVIRONMENTAL HEALTH DIRECTOR JOB DESCRIPTION.PDF
6.III. COVID-19 Update On Current Cases And Vaccine Distribution - Les White
Documents:
PUBLIC HEALTH UPDATE.PDF
6.IV. Discussion Of Face Covering Regulation - Importance Of Wearing A Face Covering And Criteria For Recommending Removal Of Regulation
6.V. Arsenic In Private Water Wells - Cathy Bazylinski
Documents:
ARSENIC FACT SHEET.PDF
6.VI. Discussion And Consideration Of Proposed Tanning Ordinance - Margaret Jaynes
Documents:
PROPOSED TANNING REGULATIONS FOR STORY COUNTY.PDF
7. AGENCY AND DEPARTMENTAL REPORTS
7.I. Story County Public Health; Les White, Treasa Ferrari
Documents:
PUBLIC HEALTH REPORT.PDF
7.II. Story County Environmental Health; Margaret Jaynes
Documents:
ENVIRONMENTAL HEALTH REPORT.PDF
7.III. YSS; Ryan Doyle, Chelce Carter
Documents:
BOH REPORT.PDF KRATOM FLYER.PDF OXFORD MS CITY CODE BANNING KRATOM.PDF
8. COMMENTS Staff Board
9. ADJOURNMENT
10. INSTRUCTIONS TO PARTICIPATE IN ZOOM MEETINGS Join Zoom Meeting https://us02web.zoom.us/j/7737180067? pwd=L3B5L2RNUzdsNjBldUtqV2R0UDdaZz09
Meeting ID: 773 718 0067 Passcode: 1DR5Wg
One tap mobile +19292056099,,7737180067#,,,,,,0#,,540442# US (New York) +13017158592,,7737180067#,,,,,,0#,,540442# US (Germantown)
Dial by your location +1 929 205 6099 US (New York) +1 301 715 8592 US (Germantown) +1 312 626 6799 US (Chicago) +1 669 900 6833 US (San Jose) +1 253 215 8782 US (Tacoma) +1 346 248 7799 US (Houston) Meeting ID: 773 718 0067 Passcode: 540442 Find your local number: https://us02web.zoom.us/u/kr2gBYKBf
l We ask that you mute your phone to help eliminate background noise. l Audio recordings of all Board meetings will be posted on the STORY COUNTY WEBSITE l How to Participate in Meeting Discussions ¡ If you would like to watch a meeting as it happens and participate in the discussion, you can do so via Zoom (www.zoom.us). Zoom is a videoconferencing platform that works across different internet-enabled devices and standard telephones. Meetings that are being held via Zoom will have information on each agenda regarding how to access the meeting in Zoom. Each meeting is assigned a meeting ID (sometimes called a “webinar ID”) that you will need to use to access the meeting. l Zoom video conferencing – You can access the meeting by either clicking the link found on the agenda, or by opening the Zoom application and entering the meeting ID number on the agenda. ¡ Meeting participants will be able to watch and hear the meeting as it takes place. ¡ For portions of the meeting where public input is accepted, you will need to press the “unmute” button to speak, provide your name, address and your comments. Can also press the "raise hand button" to request to speak. l Zoom phone conferencing – As an alternative to video conferencing, participants may call in to a phone conference using their touch-tone phone. Several call-in telephone numbers are provided on each meeting agenda. Unless otherwise indicated, the number is a long-distance phone number; charges may apply depending on your telephone provider. ¡ Once you have dialed the telephone number provided, you will be prompted to enter the Meeting ID number (found on the agenda). During the meeting, you will be able to hear the discussion live, but will not be able to see any content. ¡ For portions of the meeting where public input is accepted, you will need to "unmute" to speak, provide your name, address and your comments. Press *6 on phone to "unmute." Can also press *9 to "raise hand" to request to speak.
Story County strives to ensure that its programs and activities do not discriminate on the basis of race, color, national origin, sex, age or disability. Persons requiring assistance, auxiliary aids or services, or accommodation because of a disability may contact the county's ADA coordinator at (515)382-7204.
STORY COUNTY BOARD OF HEALTH STORY COUNTY ADMINISTRATION 900 6TH STREET NEVADA, IOWA 50201
Minutes
AN AUDIO RECORDING OF THE FULL MEETING MAY BE FOUND IN THE ENVIRONMENTAL HEALTH DEPARTMENT, OR BY VISITING WWW.STORYCOUNTYIOWA.GOV
DATE: February 2, 2021 Dr. John Paschen, Chair Mark Speck, Vice-Chair CALL TO ORDER: 2:00 p.m. *Dr. John Kluge PLACE: Zoom Meeting Dr. Louisa Tabatabai Dr. Molly Lee Lisa Heddens (Ex-officio) *Absent
STAFF PRESENT: Margaret Jaynes, Environmental Health Director; Cathy Bazylinski, Environmental Specialist; Matt Cory, Environmental Specialist; Stephanie Jones, Recording Secretary
OTHER PEOPLE PRESENT: Ethan Anderson, Les White, Treasa Ferrari, Roxy Strike, Ruth Buckels
1. CALL TO ORDER Dr. John Paschen called the meeting to order at 2:00 p.m. Paschen read the special note to public: Due to recommendations to social distance in order to help slow the spread of the COVID-19 virus, the capacity of our meeting room is significantly limited. Therefore, public access to the meeting is being provided via Zoom. Members of the public can participate by using the information at the bottom of agenda. Board of Health members are also present via Zoom.
2. APPROVAL OF AGENDA MCU Motion by Speck, Second by Tabatabai to approve agenda (MCU)
3. APPROVAL OF MINUTES Motion by Tabatabai, Second by Speck to approve the December 1, 2020, December 17, 2020 and January 20, 2021 minutes. MCU
4. PUBLIC FORUM Roxy Strike stated she is concerned about the lack of communication from the county and health care providers on COVID immunization services. She was interested in knowing what is being done to communicate information with people that do not have internet access. In addition, she would like to see agencies coordinate together a plan for distribution of the vaccine and do a quicker & better job updating information on websites and social media so that current information is available to the public.
Page 1 of 5
STORY COUNTY BOARD OF HEALTH STORY COUNTY ADMINISTRATION 900 6TH STREET NEVADA, IOWA 50201 Discussion took place about a variety of ways to get information about COVID vaccinations out to the public. Stephanie Jones stated that there is a link on the county website that goes to the Mary Greeley website for COVID vaccine updates. Information has also been posted to social media. Heddens stated that there is a mailing that will be going out soon about mask usage, as well as vaccine information.
5. ADDITIONAL ITEMS:
Community and Family Resources Presentation
Todd Anderson provided information about mental health first aid trainings that are being offered regarding recognizing signs and symptoms of mental health disorders. The trainings are open to anyone in Iowa at no cost. Heddens asked if the training is an 8-hour course or if it can be broken up into different time frames. Anderson stated that the first 2 hours is a self-paced course and then the additional training is completed on Zoom, which is 5-6 hours.
COVID-19 Vaccination Update
Les White provided a COVID-19 update and provided the following information on current positivity rates and vaccine distribution:
9,044 total cases in the county, 8,188 have recovered. 14-day average positivity rate is down to 5.4%, which has remained stable for the past week. 40 deaths in the county. One long-term care facility currently has an outbreak. 6,663 have been vaccinated, 1,567 have completed the vaccine. Providers in the county have given 8,826 vaccines, with 2,062 completed. White stated the reason the number is higher is that some may work in Story County, but live in a different county. Test Iowa site has been relatively slow. Overall positivity rate for the site 11.3%. COVID mailing should be sent out in about a week. White provided information about the vaccine clinics. Public Health is working with McFarland Clinic, Story County Medical Center, Unity Point, Primary Health Care, and NESCO. Allocations have been provided to them and they are contacting their clients. If there are individuals not associated with a primary care provider at any of the clinics, they can contact Public Health who will connect them with one of the clinics to be vaccinated. The larger clinics are starting with the oldest and working backwards to the youngest. The smaller clinics are reaching out to those at higher risk first. Public Health will continue to provide vaccine immunizations to the clinics. Public Health is immunizing the 1B Tier I group, which includes first responders, Pre K-12 staff, early childhood education, and childcare workers. Immunization clinics are beginning to be set up with school districts and first responders. Immunization allocations are still not routine and some have not been received at all. Planning the clinics is difficult because there is not a consistent amount of vaccine being received, nor is the day
Page 2 of 5
STORY COUNTY BOARD OF HEALTH STORY COUNTY ADMINISTRATION 900 6TH STREET NEVADA, IOWA 50201 vaccines are received on a consistent day. Additional funding for $205,369.00 was received which will mostly be used for salaries. Eight additional nurses have been hired and they will be going out to schools to do vaccinations. When Tier 2 is started, there will be enough staff available to start vaccinations at manufactures. The B117 Variant from the United Kingdom has now been detected in Iowa. Monitoring will continue to be done. IDPH feels the current vaccines will cover that variant.
Speck asked how many vaccine allocations are being received. White stated this week that 1,400 doses were received and distributed between all clinics, and approximately 300 doses kept back by Public Health to start vaccinations with schools and first responders. Speck asked how much is coming in each week. White stated 975 should be coming this week, but they have not yet been received. Speck asked how many doses are in a bottle. Pfizer contains six doses per bottle and Moderna contains 10 doses, with an occasional bottle that has 11 doses. Paschen asked for clarification about the original plan for half of the vaccine allocation would go to those 65 and older and the other half to teachers and first responders. White stated that recommendation was changed by IDPH, and the goal is to allocate the best they can between the groups.
White stated there have been questions about how Polk County is working with pharmacies. White stated that there has not been enough vaccine to be able to provide to the pharmacies. However, there is talk about a federal pharmacy program where pharmacies could receive vaccines direct from the Federal Government.
Lee asked if the 1,400 doses received this week is just for primary doses for the 1B group or if that number also includes second doses for the 1A group. White stated those are primary doses, and the second doses are booster doses which are sent separately.
Paschen stated that Remivir is being used at Mary Greeley as treatment, but they are discouraged by it. Monoclonal antibodies are being used for outpatient treatment for COVID positive and persons with high risk factors but not sick enough to be admitted to the hospital.
Environmental Health Department’s Fee Schedule
Margaret Jaynes stated that each year the fee table is presented to set fees and provided the current fees. No changes are being recommended.
Motion by Speck, Second by Lee to approve the 2021 Environmental Health Department’s Fee Schedule as presented. MCU
Proposed Tanning Ordinance
Jaynes stated that about a year ago the Board of Health discussed the tanning ordinance when IDPH was no longer able to continue the tanning program. IDPH continues to permit the tanning facilities, but dropped the inspection contracts. Jaynes stated that the state regulations would be adopted, with the addition of prohibiting minors from tanning.
Page 3 of 5
STORY COUNTY BOARD OF HEALTH STORY COUNTY ADMINISTRATION 900 6TH STREET NEVADA, IOWA 50201 Heddens asked if there are other counties with an age restriction. Jaynes stated she is not aware of any counties in Iowa.
Heddens had some concern that there may not have been enough of an opportunity for the public to provide comments. Paschen suggested tabling the item until the next meeting to allow time for feedback from tanning facilities. Heddens stated that the legislature has attempted addressing this issue in the past statewide. Cathy Bazylinski stated that Scott County does not allow minors under 18 years of age to tan without parental permission. Paschen stated it should be ran by Ethan Anderson to be sure the proposed ordinance is not overly restrictive.
Agency and Departmental Reports
Environmental Health – Jaynes provided an update on 10 well permits, six well pluggings, two well rehabs, and 68 water samples. Grants to Counties has $21,100 remaining. Complaints were received on burning, landlord tenant issues, and mobile home trailer storage on a rural property. 82 septic permits. Conceptual reviews for a minor subdivision and alley vacation were completed, as well as, interagency reviews for a trucking company, triathlon, subdivision and an Ames Urban Fringe amendment. Meeting/trainings have been virtual. The new Septic ordinance was effective January 1, 2021. Mail inserts are going to be included in Planning and Development’s zoning notifications as well as the Assessor’s tax mail out. January is Radon Awareness Month and free test kits are available to anyone interested. Paschen stated that when the final plan of water monitoring is available he would like that brought to the BOH.
Public Health – Treasa Ferrari stated that they would soon be starting COVID vaccinations at schools. The VA announced they would be vaccinating all veterans. Those 65 and older that do not have a local physician can call public health to be placed on a vaccination list. COVID related issues continue to take up most of the time, with other diseases remaining low. No new TB clients and no reported influenza cases.
YSS – Ryan Doyle provided information from the January Prevention Services Report. Topics in the report included: Sexual Resistance Avoidance Education Grant, Community Adolescent Pregnancy Prevention Grant, Child Safety Programming, Mentoring Month (school-based mentoring, community-based mentoring). Human Trafficking Prevention program, Tobacco Grant. The Story County Prevention Policy Board met recently and it was reported that Kratom advertising signage had been seen near the Ames Public Library. Kratom is a leafy substance that can be smoked or ingested and works as a stimulant or depressant. It is currently a drug of concern, but not currently restricted.
6. COMMENTS:
Staff: None
Board: Lee stated that the morning radio talks with KHOI are going well. A report is given on case statuses and questions from the host, which are typically related to what is popular in the media at that time. Paschen stated thought should begin to be given for a timeframe on a vaccination mailing so it will be ready to go when the vaccine is more readily available. Heddens and Paschen thanked Roxy Strike for Page 4 of 5
STORY COUNTY BOARD OF HEALTH STORY COUNTY ADMINISTRATION 900 6TH STREET NEVADA, IOWA 50201 the communication comments and the importance of getting information to the public about vaccinations.
ADJOURNMENT 3:29 p.m.
______Approval of Minutes
______Title and Date
Page 5 of 5
STORY COUNTY BOARD OF HEALTH STORY COUNTY ADMINISTRATION 900 6TH STREET NEVADA, IOWA 50201
Minutes
AN AUDIO RECORDING OF THE FULL MEETING MAY BE FOUND IN THE ENVIRONMENTAL HEALTH DEPARTMENT, OR BY VISITING WWW.STORYCOUNTYIOWA.GOV
DATE: March 11, 2021 Dr. John Paschen, Chair Mark Speck, (Arrived at 6:13 p.m.) CALL TO ORDER: 6:01 p.m. Dr. John Kluge PLACE: Zoom Meeting Dr. Louisa Tabatabai Dr. Molly Lee Vice-Chair Lisa Heddens (Ex-officio) *Absent
STAFF PRESENT: Margaret Jaynes, Environmental Health Director; Matt Cory, Environmental Specialist; Stephanie Jones, Recording Secretary
OTHER PEOPLE PRESENT: Les White
1. CALL TO ORDER Dr. John Paschen called the meeting to order at 6:01 p.m. Paschen read the special note to public: Due to recommendations to social distance in order to help slow the spread of the COVID-19 virus, the capacity of our meeting room is significantly limited. Therefore, public access to the meeting is being provided via Zoom. Members of the public can participate by using the information at the bottom of agenda. Board of Health members are also present via Zoom.
2. APPROVAL OF AGENDA MCU Motion by Kluge, Second by Tabatabai to approve agenda (MCU)
3. PUBLIC FORUM Kristin Grandon stated that the Collins-Maxwell school announced this week that the kids no longer are required to wear masks if more than 6’ apart. Grandon was concerned about students in small classrooms having to wear masks and asked the Board why it is not acceptable to allow the students to remove masks while sitting at desks. Paschen stated that the recommendation from the CDC is that kids should wear masks in school. The Story County Face Covering Regulation is also still in effect which suggests face coverings be worn in schools. Grandon asked if there would be a fine given if students do not wear masks in school. Heddens stated that there could be confusion because the regulation does mention a fine; however, a fine would not become effective until such time that the Governor allowed.
Page 1 of 3
STORY COUNTY BOARD OF HEALTH STORY COUNTY ADMINISTRATION 900 6TH STREET NEVADA, IOWA 50201
4. CONSENT AGENDA: Amended contract between Iowa Department of Public Health and Story County Board of Health for Emergency Response Vaccine Program, effective January 18, 2021 – March 31, 2022
Motion by Kluge, Second by Speck to approve consent agenda (MCU)
5. ADDITIONAL ITEMS:
Story County’s Vaccination Plan And The Addition Of Those 64 And Under With Underlying Health Conditions
Les White provided a COVID-19 update and provided the following information on current positivity rates and vaccine distribution:
Amended Phase 1B, which includes individuals 64 years and younger that are or might be at an increased risk of severe illness from COVID-19 due to medical conditions.
Paschen stated the Pfizer vaccine has been approved down to age 16 and Johnson and Johnson and Moderna vaccines are approved for ages 18 and older. Paschen asked if there is any Johnson and Johnson vaccine available yet. White stated that the state would not be able to order any additional Johnson and Johnson vaccine until March 25.
Discussed the progression on clinics with vaccinations and stated that most clinics will be ready to begin the age 64 and younger with underlying health conditions group next week.
Heddens asked where the 1,200 doses are being allocated each week. White stated that some of the vaccines are held back by Story County Public Health and the remainder are being split between the clinics. Speck asked if the clinics are able to give vaccinations to patients that may be there for a different reason. White stated that all the vaccines are multi-dose, which once opened have to be used within 6 hours. White stated that she is hopeful that eventually there will be one-dose vials available, but at this time they are not available which makes it difficult to give patients vaccinations that are not scheduled ahead of time so that vaccine is not wasted.
Tabatabai asked about individuals that live in rural areas that are not associated with a medical clinic. White stated they could check with pharmacies to be vaccinated or call public health to be directed to a clinic.
Paschen asked about the possibility of setting up vaccination clinics. White stated that McFarland has held a clinic, which went well, and Story County Medical is considering working with NuCara Pharmacy to set up a clinic. White stated that there are plans to set up a drive through clinic once allocations are increased.
Page 2 of 3
STORY COUNTY BOARD OF HEALTH STORY COUNTY ADMINISTRATION 900 6TH STREET NEVADA, IOWA 50201 The majority of teachers have been vaccinated, with a few having second doses by March 30.
Next week Tier 2 will be starting with group home settings and manufacturers.
Tabatabai asked if there is an idea of how many individuals would be in Tier 3, 4, 5. White does not feel there will be as many, making it possible to combine the tiers.
Allocations will be increasing by 400 the week of March 22. Counties must distribute 80% of their allocations weekly or will not be able to receive allocations the following week.
Public Health is able to vaccinate homebound individuals. CDC recently released new guidance about masks for vaccinated individuals.
Kluge would like it to be easier to schedule a second dose in the county for those that received the first dose out of the county.
6. COMMENTS:
Staff: None
Board: Heddens was contacted by an individual asking why Story County seems to receive less vaccine allocation than other counties. White is not aware of how the state determines allocation other than by population. Lee stated that work on the vaccine mailer is in progress and she is trying to obtain the mailing list from the printer so addresses can be checked.
ADJOURNMENT 7:12 p.m.
______Approval of Minutes
______Title and Date
Page 3 of 3
Director of Environmental Health Vacancy
Interim Plan
Job Description
Recruitment/Selection Process – timeline and interview committee
Tentative Timeline 4/12-5/8/21 - Job Posting 5/10-5/14/21 - Review of applicants 5/17-5/28/21 - Interviews 6/1-6/11/21 - Final review, offer and background screening 6/14/21 – Recommendation to Board of Health Early to mid-July start date
Position: Environmental Health Director Dept: Environmental Health
FLSA Status: Exempt General Definition of Work Performs complex professional work managing department staff and operations, serving as administrative officer for the department, performing public health and environmental health work in administering, promoting, monitoring and/or enforcing environmental and health laws, maintaining the environmental health emergency response plan, assuring administration of environmental health services and compliance with state standards, assessing and planning a community environmental health improvement plan, drafting the budget for the department and any proposed health regulations for the Board of Health, administering enacted rules, laws, regulations or ordinances, ensuring staff and operational duties and responsibilities are performed properly, and related work as apparent or assigned. Work is performed under the general direction of the Board of Health. Position manages a department, including all personnel within the department.
Qualification Requirements To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential Functions 1) Plans, organizes, directs, promotes and controls department functions, consistent with county policies, procedures and government regulations, solicits and manages grant programs contributing to the overall effectiveness of the department. 2) Selects, orients, directs, motivates, trains, and retains staff capable of meeting current and projected human resources needs; makes decisions/recommendations in matters such as pay, performance reviews, corrective action, and terminations. 3) Interprets and implements department goals, objectives and policies to ensure the delivery of quality environmental health program services; manages databases. 4) Visits sites; inspects and conducts technical environmental investigations of private water supplies, sewage treatment and disposal systems, swimming pools, and other facilities to ensure compliance with applicable laws, rules, or regulations and to determine whether public health is potentially endangered. 5) Writes reports of investigations, documents findings and recommends appropriate action to appropriate parties such as property owners, buyers, and state agencies; issues notices of violation and citations to property owners for violations of the County Code of Ordinances; develops plan of action for abatement. 6) Collects samples of groundwater and surface water, wastes, and other materials for laboratory testing and analysis. 7) Provides advice related to the County's zoning program; examines plans for new or modified land holdings, subdivisions, mobile home parks, swimming pools, waste disposal systems and non-public water wells to determine if sanitation facilities are adequate; prepares and maintains the environmental health emergency response plan, assures staff's required training, provides advice to the County's emergency management director, and participates in response operations as needed. 8) Consults with local officials, the business community, and the general public and advises on the resolution of environmental health and sanitation problems to ensure compliance with established laws, rules and regulations; engages in collaborative relationships to develop and maintain a community public/environmental health improvement plan. 9) Develops and submits proposals to appropriate board(s) regarding additions or changes in programs, sanitation laws, rules, and regulations to remedy problems, to maintain compliance and/or to conform to changes in equipment and facilities. 10) Drafts the budget for the department.
SAFE System © 6-28-2017 Story County, State of Iowa 11) Performs site and soil evaluations of proposed new and existing construction project sites to determine limitations for design, placement and sizing by doing soil study by coring and interpreting soil morphology principles in order to guide, consult, direct or deny the permitting or construction of facilities delagated to be managed by the Board of Health of County by Federal or State law or regulation, or 28E agreement; oversees the County's review of proposed animal feeding operations, conducts site reviews with state officials, presents finding to the Board of Supervisors applicant and general public. 12) Provides/oversees the inspections program over existing property facilities, either for general information, refinancing needs or at the time prior to property sale or transfer of any land in the County or its communities and provides formal reports for use as "disclosure statements" over the condition of services relative to health and environmental protection. 13) Interprets laboratory findings from various samples or submissions gathered when performing environmental inspection/evaluations; provides explanation of results, as well as any needed direction for remedial action or written or formal reports defining status or order for compliance. 14) Develops programs to promote healthy homes initiatives, such as lead poisoning prevention, radon, etc; attends professional training and conferences. 15) Communicates with the Board of Health and County Board of Supervisors, attorneys, department heads, and/or consultants, and travels to other agency meetings; communicates with the media; gives presentations to public groups. 16) Prepares reports to and updates for the Board of Health and the Board of Supervisors. Knowledge, Skills and Abilities Comprehensive knowledge of applicable health laws, rules, regulations and ordinances; comprehensive knowledge of the theory, principles and practices of general and preventive environmental programs; comprehensive knowledge of the principles, practices and methods of environmental health administration; comprehensive knowledge of organization, staffing, directing, budgeting and evaluating program operations; thorough knowledge of soil science and the engineering practices of design, application, construction and installation of water well supply and on-site wastewater treatment facilities; ability to deal with policy makers and associates; ability to operate standard office equipment and related hardware and software; ability to learn specialized software, tools or equipment related to agency needs; ability to direct and evaluate the work of others; ability to solve problems within scope of responsibility; ability to establish and maintain effective working relationships with elected officials, similar professionals and the general public. Education and Experience Bachelor's degree in natural or environmental science or related field and considerable experience working in environmental health with some supervisory experience, or equivalent combination of education and experience. Special Requirements Applicable position, department, organization and professional training will be provided and must be completed upon hire and on an ongoing basis. Registered Sanitarian (RS) or Registered Environmental Health Specialist (REHS) with the National Environmental Health Association (NEHA) Valid driver's license in the State of Iowa. Physical Requirements This work requires the occasional exertion of up to 25 pounds of force; work regularly requires sitting, speaking or hearing, using hands to finger, handle or feel and repetitive motions, frequently requires reaching with hands and arms and pushing or pulling and occasionally requires standing, walking, climbing or balancing, stooping, kneeling, crouching or crawling and lifting; no special vision is required; vocal communication is required for expressing or exchanging ideas by means of the spoken word; hearing is required to perceive information at normal spoken word levels; work requires preparing and analyzing written or computer data, visual inspection involving small defects and/or small parts, operating machines, operating motor vehicles or equipment and observing general surroundings and activities.
SAFE System © 6-28-2017 Story County, State of Iowa Environmental Conditions This work occasionally requires exposure to wet, humid conditions (non-weather), exposure to fumes or airborne particles, exposure to outdoor weather conditions, exposure to extreme cold (non-weather), exposure to extreme heat (non-weather) and exposure to blood-borne pathogens which may require specialized personal protective equipment; work is generally in a moderately noisy location (e.g. business office, light traffic).
Last Revised: 7/1/2017
SAFE System © 6-28-2017 Story County, State of Iowa STORY COUNTY PUBLIC HEALTH UPDATE Les White STORY COUNTY STATS ◦ TOTAL NUMBER OF CASES – 10,089 ◦ TOTAL NUMBER OF RECOVERED CASES – 9,550 ◦ 46 DEATHS ◦ 0 LONG TERM CARE FACILITY WITH OUTBREAK ◦ 14 DAY POSITIVITY RATE IS 5.0% OR 273 CASES ◦ 7 DAY POSITIVITY RATE IS 5.1%OR 151 CASES ◦ PATIENTS AT MARY GREELEY MEDICAL CENTER HAD STABLIZED ◦ UPPER RESPIRATORY CLINICS IN THE COUNTY HAVE STABLIZED ◦ TEST IOWA SITE SEEING ON THE AVERAGE LESS THAN 50 PEOPLE PER DAY – OVERALL POSITIVITY RATE IS 10.8 %
(Data from iowa-gov/domo and coronavirus.iowa.gov 4/1/2021 at 4:05 p.m.)
. Story County % Positive Tests 14 day -5.0% 7 day – 5.1%
Updated 4/1/2021 at 4:00 p.m. VACCINATION RATES ◦ STORY COUNTY CENSUS (2019 Census Data) ◦ 97,117 ◦ 12.6% or 12,236 Over the age of 65 (data from census.gov 3/10/2021) VACCINE COMPLETE RATES TOTAL DOSES ADMINISTERED AT STORY CO. FACILITIES 45,895 TOTAL DOSES ADMINISTERED TO STORY CO. RESIDENTS 41,563 SERIES COMPLETED 15,218 TOTAL DOSES ADMINISTERED TO THOSE 65 AND OLDER IN STORY COUNTY 1ST DOSES - 2,372, 2ND DOSES - 8,555, 1 DOSE SERIES – 19 TOTAL FULLY VACCINATED 8,574
(Data from iowa-gov.domo.com 4/1/2021 at 4:10 p.m. ) Where do I get my vaccine? McFarland Clinic Story County Medical Center NESCO Family Medical Clinic Primary Health Care Iowa State University No Affiliation with Medical Clinic in Story County Call 1-800-945- 8563 and we will connect them with a clinic. Pharmacies NuCara Medicap Hy-Vee CVS OTHER INFORMATION
◦ With the new information from the Governor that the state may make vaccines available to everyone on April 5th, Story County Public Health will be continuing to monitor the allocations that will be received to accomplish this goal. ◦ Story County Public Health continues to work with community partners to provide vaccines to those 65 and older and those 64 and with underlying health conditions. Those with disabilities and the manufacturing sector are also being addressed during this time by Story County Public Health and the pharmacy partners. Story County Public Health is working with the immigrant population through churches and the coalition. We are planning a clinic for the clients that may live or be associated with shelters in Story County at the end of the week. We are also working closely with ISU to accomplish vaccinating students before they return home. PATIENCE IS KEY!! Arsenic Fact Sheet
What is arsenic? Arsenic is a naturally occurring element widely distributed in the earth’s crust. It is found in combination with either inorganic or organic substances to form many different compounds. According to the CDC:
“Inorganic arsenic compounds are found in soils, sediments, and groundwater. These compounds occur either naturally or as a result of mining, ore smelting, and industrial use of arsenic. Organic arsenic compounds are found mainly in fish and shellfish. In the past, inorganic forms of arsenic were used in pesticides and paint pigments. They were also used as wood preservatives and as a treatment for a variety of ailments. Today, usage of arsenic- containing pesticides and wood preservatives is restricted.”
Where is arsenic found in Iowa? Arsenic is prevalent in the north central region of Iowa but it can be found anywhere in the state due to natural geologic formations. For private well owners or others testing for arsenic, the depth of the well and the well design can affect the presence of arsenic in the well water.
Can arsenic make you sick? Studies have shown that chronic or repeated ingestion of water with arsenic over a person’s lifetime is associated with increased risk of cancer (of the skin, bladder, lung, kidney, nasal passages, liver or prostate) and non-cancerous effects (diabetes, cardiovascular, immunological and neurological disorders).
Should I test my well for arsenic? If you have never tested your well for arsenic before, you are strongly encouraged to test at least once. Because arsenic originates in the geologic formations of Iowa, it is not expected to change drastically with the seasons. It is recommended that all new wells be tested at least initially, and existing wells be tested at least once or whenever something changes that could affect the well such as your well is rehabilitated, or new irrigation or construction is in proximity to the well. Retesting for arsenic should be repeated every five years.
Is there a drinking water standard for arsenic? Yes, there is for public water supplies. In 2006 the Environmental Protection Agency lowered the arsenic standard for drinking water to .010 parts per million (10 parts per billion) to protect consumers served by public water systems from the effects of long-term, chronic exposure to arsenic. While private wells are not regulated for arsenic or required to treat water containing arsenic, the EPA standard is still used for guidance. (Sources of info: water.epa.gov/lawsregs/rulesregs/sdwa/arsenic/index.cfm)
Can I boil my water to remove arsenic? No. Arsenic cannot be removed from water by boiling. Arsenic removal from water requires special adsorption media. If arsenic removal is required, it is important to determine the type of arsenic present in the water using the arsenic speciation test. The State Hygienic Laboratory performs this test.
State Hygienic Laboratory at the University of Iowa Iowa’s Environmental and Public Health Laboratory shl.uiowa.edu Is it safe to take a shower or brush my teeth if arsenic is found in my water? Bathing with water that contains arsenic is not a significant health risk because arsenic is not readily absorbed through the skin. Some ingestion of arsenic may occur when brushing your teeth. Although the amount ingested is minimal, using a clean source of water for brushing your teeth is advisable.
What’s the difference between total arsenic and arsenic speciation? Total arsenic refers to a test that determines concentration of all forms of arsenic in the sample. Arsenic speciation separates the different forms of arsenic and reports the individual concentration of each form of arsenic in the sample. Because natural arsenic exists most commonly in the inorganic form, the sum of the concentrations of arsenic species should closely equal the total arsenic result within experimental error.
What treatment options are available to remove arsenic? Arsenic can be removed by treatments such as distillation, reverse osmosis, activated alumina and anionic resin. If you have total arsenic present in your well water, you may also want to test for arsenic speciation. The speciation of arsenic determines how easily it can be removed, and what will be the most effective treatment option. SHL can provide this testing service and also has a booklet describing general information on home treatment devices and contaminants. If a home treatment device is installed, you will want to have your drinking water retested for arsenic to ensure it’s working properly. (Booklet: shl.uiowa.edu/env/privatewell/homewater.pdf)
Where can I get my well tested for arsenic? You can have your well tested for total arsenic or arsenic speciation by contacting SHL at 800-421-4692. There also may be funds available to cover the costs for total arsenic testing by contacting your local health department.
Coralville Lab 2490 Crosspark Road Coralville, IA 52241 Ankeny Lab Phone: 319-335-4500 • Toll-Free: 800-421-4692 Lakeside Lab 2220 S. Ankeny Blvd 8:00 AM – 5:00 PM, Monday through Friday 1838 Highway 86 Ankeny, IA 50023 9:00 AM – 12:00 PM, Saturday (Coralville only) Milford, IA 51351 Proposed Tanning Regulations for Story County
Stakeholders meeting was held on 2/2/2021, attended by dermatologists and industry, elected officials, and staff. Two options came from the meeting: 1. Adopt state regulations and add the rule prohibiting people under the age of 18 from using a tanning device.
2. Adopt state regulations and add the rule prohibiting people under the age of 16 from using a tanning device, but allowing people age 16 and 17 to use a tanning device if they have a parent’s or guardian’s consent.
The Board is asked to make a recommendation to the Board of Supervisors for consideration. CHAPTER 58
58.01 PURPOSE. This ordinance provides for regulation of tanning facilities and devices used for the purpose of tanning human skin through the application of ultraviolet radiation. These rules stipulate minimum safety requirements relating to the operation of tanning devices; qualifications for tanning facility operators; and procedures for the inspection of tanning facilities and enforcement of these rules.
58.02 APPLICABILITY. The provisions contained herein apply to, but are not limited to, public and private businesses, hotels, motels, apartments, condominiums, and health and country clubs located within incorporated and unincorporated Story County, Iowa.
58.03 DESIGNATED AGENCY. Pursuant to the Code of Iowa, Chapter 137, Local Boards of Health, the Story County Environmental Health Department is the designated agency to interpret, monitor, and enforce the rules contained in Public Health (641) IAC Chapter 46, Minimum Requirements for Tanning Facilities, and Story County Ordinance Chapter 58, Minimum Requirements for Tanning Facilities.
58.04 ADOPTION OF STATE CODE. The Board of Supervisors, adopts, in its entirety, by reference, Public Health (641) IAC Chapter 46, Minimum Requirements for Tanning Facilities.
58.05 ADDITIONAL RULES. In addition to rules set forth in Public Health (641) IAC Chapter 46, Minimum Requirements for Tanning Facilities, the Board of Supervisors adopts the additional rules contained in this ordinance. 58.06 TANNING DEVICE USE BY MINORS PROHIBITED. A person under age 18 shall not use any type of tanning device, as defined in Public Health (641) IAC Chapter 46, Minimum Requirements for Tanning Facilities. Operators are responsible for determining if an individual is eligible to use a tanning device. To verify the age of a patron, operators should rely on currently valid government agency issued identification cards containing the name, picture, and date of birth of the patron.
58.06 TANNING DEVICE USE BY MINORS LIMITED. 1. A tanning facility shall not allow a consumer under sixteen years of age to use a tanning device, as defined in Public Health (641) IAC Chapter 46, Minimum Requirements for Tanning Facilities. 2. A tanning facility may allow a consumer who is sixteen or seventeen years of age to use a tanning device, as defined in Public Health (641) IAC Chapter 46, Minimum Requirements for Tanning Facilities if: a. The consumer’s parent is present on the initial visit to sign a parental permission form. The parent must return to the facility to sign the parental permission form annually until the person turns eighteen. b. The facility will make a photocopy or electronic scan of each consumer’s driver’s license or state ID and keep on file. c. The facility will make a photocopy or electronic scan of the consumer’s parent’s driver’s license or state ID (if the consumer is 16 or 17) and keep on file with the consumer’s driver’s license and the signed parental permission form. MARY GREELEY HOME HEALTH SERVICES AND STORY COUNTY PUBLIC HEALTH LOCAL BOARD OF HEALTH REPORT 07/01/20 - 02/28/21 County: Story MARY GREELEY HOME HEALTH SERVICES 3/31/2021
Number Story County Clients COMMENTS Grant $ Served FUNDING Grant $ Grant $ % Specific Utilizing State SOURCE Programs Funded Spent Spent Program Grant Funds ESSENTIAL Skilled 208,768 102,908.67 49% SN 20 Mary Greeley Home Health Services provided PUBLIC Nursing, skilled nursing visits to 187 Story County residents HEALTH Health 07/01/20 through 02/28/21. 23 (8.13%) clients SERVICES Promotion, received a full or partial discount for 1 or more of Homemaker, their skilled nursing visits. We accessed LPHS Collaborative funds and other non-LPHS funding sources to Relationships cover Skilled Nursing visits provided at a discount. and Disease Outbreak Investigation, Reportable Disease Follow-up, & Surveillance HP 225 MG Home Health Services provided Health Promotion Nursing visits to 225 Story County clients 07/01/20 - 02/28/21. COLLABOR - Collaborative Relationships includes activities ATIVE which involve community partners to assist with RELATION- identifying and addressing public health issues. SHIPS We used LPHS funding for Collaborative Relationships. July 2020 through February 2021 we were engaged in more than 115 hours of collaborative relationship activities. ESSENTIAL Skilled 208,768 102,908.67 49% PUBLIC Nursing, HEALTH Health SERVICES Promotion, Homemaker, Collaborative Relationships and Disease Outbreak Investigation, Reportable Disease Follow-up, & Surveillance
MARY GREELEY HOME HEALTH SERVICES AND STORY COUNTY PUBLIC HEALTH LOCAL BOARD OF HEALTH REPORT 07/01/20 - 02/28/21
Number Story County Clients COMMENTS Grant $ Served FUNDING Grant $ Grant $ % Specific Utilizing State SOURCE Programs Funded Spent Spent Program Grant Funds Home - 21 Mary Greeley Home Health Services provided maker Homemaker service to 135 Story County residents 07/01/20 through 02/28/21. 17 (12.6%) of the Story Co. Homemaker clients paid full fee, 5 (3.7%) clients were paid by the MCO program (previously waiver), 10 (7.4%) clients were paid by VA and 103 (76.3%) paid according to our sliding fee scale. In addition to the LPHSC we used a variety of other funding sources to cover discounted Homemaker service. Disease 20 Referrals 20 communicable disease cases were referred to Outbreak MGMC Home Health Services from IDPH for the Investiga - period 07/01/20 - 02/28/2021. The PH nurses tion, Report- provided more than 453 hours of service for able Disease Disease Investigation, Surveillance and Follow-up Follow-up, of the TB and communicable disease referrals Surveillance reported in Story County. There is one COVID booster vaccine clinic left with Ames schools and then all schools will be done. Clinics with manufacturing facilities clinics will begin April 1, 2021.
TOTALS 204,030 102,908.67 49% Environmental Health Department Report to the Board of Health April 6, 2021
Margaret Jaynes, Director Well Activity FY 2021
Grants to counties award: $30,300 Remaining: $19,500 28E agreement for well permitting
• Nevada Middle School is putting in a large geothermal loop system, with 169 holes.. • Concerned citizen contacted DNR, and DNR contacted us. • DNR informed us that we are required to inform them when anything with more than 10 loops. This was news to us. • Pulled out 28E agreement (with BOS), which had expired in 2008. • Working with DNR and Story County legal to determine the best way to approach this • New draft received, but institutional controls and cleanup site issues have not been resolved. Septics for calendar year 2021
The information on the pumping requirement was mailed out as an insert in property owner’s assessment the last week of March. Pumpers are getting record numbers of requests for tank pumping. Environmental Health is also getting a lot of calls, mostly positive. HF728, now SJ727
Section 1. Section 331.301,Code 2021, is amended by adding the following new subsection: NEWSUBSECTION. 18. A county shall not require the payment of a penalty, fine, or fee due to a resident’s noncompliance with rules adopted by the county sanitarian regarding periodic septic tank pumping as part of routine maintenance.
Introduced, placed on calendar. H.J. 573. March 23, 2021 Passed House, yeas 83 nays 13. H.J. 774. March 23, 2021 Immediate message. H.J. 776. March 24, 2021 Message from House. S.J. 675. March 24, 2021 Read first time, referred to Local Government. S.J. 675. March 25, 2021 Subcommittee: Driscoll, J. Smith, and Williams. S.J. 683. March 27, 2021 Subcommittee Meeting: 03/29/2021 April 01, 2021 Rereferred to Ways and Means. S.J. 727. Pools inspections 14 Pools still closed 4 Compliance needed 8 Tattoo inspections
•7 inspections •5 violations Water monitoring/Assessment Groups •Reviewed proposals and interviewed consultants for conducting a watershed assessment of the headwaters of the Skunk River Watershed for $100,000. •Met with the county working group for water quality to update and prioritize task assignments. Applications/Proposal Reviews:
•35 zoning permits •1 demolition •1 interagency review for YSS (36 bed group home) MISCELLANY
•Issued a NOV to a contractor for inaccurate TOT report. •Issued two NOVs for failure to treat wastewater. •Interviews for Environmental Specialist to begin this week. •Matt is on the county website review committee •Letter went out to septic installers, pumpers, maintenance contractors regarding pumping requirements, change in staff, reminders for installation final inspections. •ACS and County IT continue working on department software data management support. •Updated COOPCOG document •CCMT meetings Six more weeks of winter! Story County Board of Health Report Quarter 3 Report 2020-2021 YSS Prevention Services
Adolescent Pregnancy Prevention (APP):
Sexual Resistance Avoidance Education Grant – We have served 26 participants at Collins Maxwell and Colo-NESCO with our Teen Outreach Program, through YSS IMPACT groups. Through this program students get to participate in lessons learning about themselves, the community and learning different skills. Participants also get to choose and complete community service-learning projects throughout the year!
Community Adolescent Pregnancy Prevention Grant – We have served students at Ames Middle School focusing on peer pressure and what that can look like in relationships. We have served 13 students at YSS Residential Treatment facilities focusing on healthy relationships, communication and other sexual health topics.
Child Safety Programming – Programming was started and completed at Roland Story (1st grade), Collins Maxwell (Kindergarten and 1st grade) and Colo NESCO (Kindergarten, 1st and 2nd grade) in the last quarter. Through these programs we served 215 students in Story County.
Mentoring:
School-Based Mentoring (Ames, Ballard, Gilbert, Nevada, and Collins-Maxwell)
• 113 school-based youth matched in Story County. 22 youth waiting • 30 mentee/mentors attend a virtual game night on Feb 11. Matches enjoyed playing several virtual games including a prevention themed jeopardy with questions focused on making healthy decisions. • On-going mentor trainings provided: NAMI – Ending the Silence and Social Emotional Learning presented by Ames Behavioral Coordinator
Site-Based Mentoring (Rosedale Shelter, Seven-12 House Residential Treatment Facility, Youth Recovery House (YRH) Residential Treatment Facility, YSS Transitional Living Programs)
• 4 youth matched. • • Expansion of Community-Based Mentoring Program • YSS is subgrantee of a multi-state mentoring grant awarded to Youth Collaboratory - funded by OJJDP. This is a two-year grant serving 80 youth ages 6-17 years old. 30% of the matches will focus on youth ages 13-17. We will be implementing the Mentoring+ Model that will focus on youth experiencing at-risk and high-risk situations. In addition to including enhanced program practices including more parent/caregiver engagement.
Iowa Department of Public Health Grant – Improving Tomorrow: Prevention Focused Mentoring grant to support 91 mentee/mentor pairs in Boone and Story Counties
• Currently looking for organizations and groups interested in learning more about Your Life Iowa. Mentoring staff are available to do presentations about this resource.
Story County Board of Health Report Quarter 3 Report 2020-2021 YSS Prevention Services • Partnered with YSS Prevention staff to provide the following presentations: ▪ Youth Drug Trends, Know the Risks About Tobacco, Human Trafficking Awareness • One resource newsletter was provided to mentors and parent/guardians.
Substance Abuse Prevention and Community Outreach:
Prevention Education
In this quarter, staff have presented to:
Middle School:
• Project ALERT (substance abuse prevention curricula) to Collin-Maxwell Middle School 7th grade • Three sessions of substance abuse education to all Ballard Middle School 7th and 8th grade students. • Ames Middle School 8th grade presentations on Vaping and Peer Pressure
Elementary School:
• Too Good For Drugs to Colo-NESCO Elementary grades 3 and 4.
College:
• ISU UST 101 presentation on Healthy Choices and Drinking • Theta Chi presentation on alcohol and impacts on health
Community
• Education sessions via Zoom for Story County parents of youth in adolescent substance abuse treatment. • Two substance misuse webinars to mentors and the community on youth substance abuse trends. • Staff appeared on WeAreIowa Local 5 news promoting Talking with youth regarding substance abuse.
Human Trafficking Prevention
• January was National Slavery and Human Trafficking Awareness Month. Our program was featured on YSS Let’s Talk and generated a record-breaking number of views.
Story County Board of Health Report Quarter 3 Report 2020-2021 YSS Prevention Services ▪ One of our trainers presented to the Iowa Freedom Summit Online on January 12th. 156 individuals attended this training and it was emailed to more individuals post training. ▪ After the January 16th Community Coffee Conversation, there were a number of requests emailed into YSS for human trafficking training. YSS set up 3 – 2 hour, free, training events for community people to select from/attend via Zoom. YSS has a goal of 40 trainings by June 15th, 2021. • YSS offers a Frontlines Training written by survivors for medical personnel to view/learn from free of charge to any medically involved professionals. In Person or Zoom options available. • YSS offer a Community Training session – Human Trafficking is Here and Thriving in Iowa - for school personnel, professionals, civic organizations, churches or anyone who requests it. The trainings are free and can be virtual or in person. • Contact [email protected] to schedule. • Mike Ferjak – retired law enforcement officer also is available for HT trainings if groups request a law enforcement background in their trainer. • In March, our program has successfully implemented a link on our website which allows individuals to register for scheduled trainings. If you are interested in upcoming trainings tailored to FRONTLINE professionals or in one of our Community Training sessions, upcoming trainings can be found at www.yss.org/hta. • From January through March, 17 in person or virtual trainings were given. Over 10,000 individuals were reached.
Circle of Champions -
Eastern Story County (Nevada, Collins-Maxwell and Colo-Nesco)
• Organizer Bambi Schrader is looking for more community involved people to join this quarterly meeting. The goal is to identify community and school needs of youth that YSS may respond to and plan actions to meet the needs. • Several needs were brought up this quarter including a family who is currently living in the garage due to damage
Roland-Story
• A Circle of Champions was started in the Roland-Story community and school district. An introductory meeting was held to address strengths and needs this quarter. There were several needs addresses and YSS is looking into programming to help meet these needs.
Ballard-Huxley
• A Circle of Champions for Ballard-Huxley community and school district is in the planning stage with a first call schedule in the 4th quarter. Again, we will look to assess
Story County Board of Health Report Quarter 3 Report 2020-2021 YSS Prevention Services strengths and needs in the school district as well as the community and work to meet these needs. • If interested in serving and sharing needs youth currently have, please contact Bambi Schrader – [email protected]
Tobacco – Community Partnership Grant
• Staff are working with Ames PRIDE to assist them in adopting a Tobacco/Nicotine Free policy for their events • Staff successfully created a Teen Maze Tobacco Room video and partnered with Story County Medical Center staff in the making of the video. Tobacco Prevention will present the video at Ames Middle School at the end of April. • In March, Tobacco Prevention gave several presentations in person and virtually at Story County schools, including Gilbert High School, Iowa State University, Collins-Maxwell Middle School, and virtually via YSS Let's Talk, in collaboration with Iowa Department of Public Health. • Tobacco Prevention is also continuing to work on the final half of the Community Partnership Grant.
KRATOM
W H A T I S I T ?
PER THE NATIONAL INSTITUTE ON DRUG ABUSE: EFFECTS AND RISKS "Kratom is a tropical tree (Mitragyna Depending on the dosage, Kratom speciosa) native to Southeast Asia, with can act like a stimulant or an opioid leaves that contain compounds that can on the brain have psychotropic (mind-altering)
effects." ACCORDING THE MAYO CLINIC: Kratom's side effects include: It can be ingested as a powder, capsule, or brewed and drank as a tea. Weight loss Dry mouth There are currently no federal or Iowa Chills laws restricting the sale or use of Kratom. nausea and vomiting Any person of any age can legally buy and Changes in urine and use it. constipation K R A T O M I S B E I N G A D V E R T I S E D Liver damage A N D S O L D I N S T O R Y C O U N T Y Muscle pain
There are multiple stores in Story County that Kratom also affects the mind and are currently selling Kratom in both pill and loose leaf form. nervous system, causing: Dizziness Drowsiness Hallucinations and delusion Depression and delusion Breathing suppression Seizure, coma, and death
REFERENCES: T H E S E P H O T O S S H O W 1. NIDA - P R O D U C T S A N D S I G N A G E https://www.drugabuse.gov/publ I N S T O R Y C O U N T Y ications/drugfacts/kratom
2. MAYO CLINIC: https://www.mayoclinic.org/heal thy-lifestyle/consumer-health/in- depth/kratom/art-20402171
V I S I T Y S S . O R G O R R E A C H I N P A R T N E R S H I P W I T H O U T T O Y S S P R E V E N T I O N S T O R Y C O U N T Y A T 5 1 5 - 2 3 3 - 3 1 4 1 F O R M O R E P R E V E N T I O N P O L I C Y B O A R D I N F O R M A T I O N Sec. 74-13. - Use, purchase, possession, distribution, sale or offering for sale of synthetic cocaine, other synthetic products, or kratom; prohibited.
(a) No person shall use, possess, purchase, distribute, manufacture, sell or attempt to use, possess, purchase, distribute or sale or publicly display for sale any one or more of the following within the city: (1) Products sold as "bath salts" under the trade names: Ivory wave, bliss, white lightning, hurricane Charlie, super coke, cloud 9, peevee, ocean magic, white dove, and other trade names, and/or containing one or more of the following compounds or chemicals: a. u3,4-Mehtylene-dioxymethcathinone (Methylone); b. u3,4-Methyenedioxy-pyrovalerone (MDPV); c. u4-Methylmeth-cathinone (Mephedrone); d. u4-Methoxymeth-cathinone; e. u4-Fluorometh-cathinone. (2) Products sold as "kratom", or any part of the plant Mitragyna Speciosa, Mitragyna Speciosa Korth, Mitragyna speciosa leaf extract, Mitragyna speciosa extract, whether growing or not, and any compound, manufacture, salt, derivative, capsule, tablet, caplet, gelcap, pill, powder, liquid, vegetative material, mixture, or preparation of the plant, including but not limited to any product containing mitragynine, or 7-hydroxymitragynine. (3) This includes any Mitragyna speciose specific alkaloids, isomers, esters, ethers, salts, and salts of isomers, and ethers, including but not limited to synthetics or natural products which include the active ingredients in kratom, such as: a. Ajmalicine (raubasine); b. Mitraphylline; c. Rhynchophylline; d. Mitragynine pseudoindoxyl; e. Or other similar product(s) with the active ingredients or with similar structural analogs commonly found in kratom, including: 1. Corynantheidine, 7-Acetoxymitragynine, corynoxein A and B, 3- dehydromitragynin, 3-isocorynantheidin, 3-isopaynanthein, isomitraphyllin, isospeciofolin, isospecionoxein, mitraciliatin, mitrafolin, mitragynalin, mitraphylin, mitraspecin, paynanthein, speciociliatin, speciofolin, speciogynine, specionoxein, speciophylline, and stipulatin. f. This shall include every variation of products sold using the trade name Kratom or similar trade names or descriptors, including, but not limited to: Krathom, Kakuam, Ketum, Kratum, Ithang, Thang, Thom, Biak, Biak-Biak, Mambog, Super K, Life Force K, K-Chill, Herbal Speedball, or K-shot. (b) If any of the aforementioned substances shall be found in the possession of any person, unless specifically excluded herein, the substances shall be confiscated by law enforcement officials. (c) It shall not be an offense under subsection (a) above of this section if a person shall be acting at the direction of an authorized agent of the city to enforce or ensure compliance with this law prohibiting the use, possession, purchase, distribution or sale or the attempt to use, possess, purchase, distribute or sale or publicly display for sale the aforementioned substances. (d) This section shall not apply to any person who shall commit any act described in this section pursuant to the direction or prescription of a duly licensed physician or dentist authorized to direct or prescribe such act. This section shall not apply to the inhalation of anesthesia for a medical or dental purpose which inhalation or anesthesia shall be administered by or under the supervision of a duly licensed physician or dentist. (e) Any person found to be guilty of violating this section shall be deemed guilty of a misdemeanor and shall be punished by a fine not to exceed $1,000.00 or imprisoned in the county jail not to exceed six months or both. (Ord. No. 2011-3, 4-5-2011; Ord. No. 2019-11, § I, 8-6-2019)