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April 2019 Report to the Board of Health

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April 2019 Report to the Board of Health April 2019 Report to the Board of Health Winnebago County Health Department Leadership Team Cheryl Floyd, MSEd – Center Director, Health Promotion and Wellness Cynthia Hall, MPH – Director, Strategic Initiatives Melinda Idell, RN, MSN – Center Director, Personal Health Services Theresa James, CHEC III – Center Director, Public Health Preparedness Todd Kisner, MPH – Center Director, Health Protection Patrick Madigan, BA – Finance Director Todd Marshall, BS, LEHP – Center Director, Environmental Health Improvement Katherine O’Toole, MPH, CPH – Center Director, Communication Peter Lopatin, MBA – Director, Data and Quality Domain I – Monitor Health Environmental Health Improvement (EHI) continues to monitor for critical violations for all EHI programs to identify areas where more education is needed for food operators, contractors, landlords, and the general public. Indoor Air Monitoring - Month of April 2019 April Fiscal Year April Last Fiscal 2019 to Date Last Year Year to Date Air Quality Inspections Performed 0 10 5 22 CO₂ (PPM) Average 0 798 563 710 Max 0 1461 820 1579 Temperature (F) Average 0 70.5 73.7 70.6 Max 0 78.9 79.5 83 Humidity (%RH) Average 0 38.8 27.6 33.2 Max 0 78.4 49.9 67.5 CO (PPM) Average 0 0.5 0.4 0.5 Max 0 1 0.9 1.5 Homes with at least one reading CO 0 7 0 4 Exceeding guideline: 0 0 0 0 Homes with at least one reading CO₂: 0 1 0 1 Exceeding guideline CO₂: 0 0 0 0 Table 1.0 Board of Health Report April 2019 - Page 2 of 23 Radon Winnebago County Health Department (WCHD) sold more than 30 radon test kits during the Radon Contest period. A total of six (6) test results were at or above the EPA recommended action level and qualify for entry into the drawing. WCHD staff continue to promote radon awareness and the test kits at outreach events. Fiscal Year April Last Fiscal Year April 2019 to Date Year to Date Radon Screenings 0 15 2 22 Average (pCi/L) 0 3.7 11.3 4.5 Max (pCi/L) 0 11.9 15.3 15.3 Radon Test Kits Purchased 10 56 1 22 Average (pCi/L) 5.5 4.3 - 5.7 Max (pCi/L) 10.3 10.9 - 17 Phone Calls 5 41 8 45 Units Reported as mitigated 0 1 0 7 Table 1.1 Vector Surveillance (West Nile Virus) WCHD held its annual larvicide training on April 19, 2019 for WCHD staff and other municipal public works staff. Due to the Good Friday holiday, not all municipalities were able to be represented. WCHD will host a 2nd training session in the near future so all municipalities have the opportunity to apply larvicide. WCHD obtained supplies and inventoried all equipment to prepare for placing mosquito traps. Staff have made the “mosquito soup” and will begin surveillance activities in early May. WCHD also participated in an interview with WREX regarding the upcoming mosquito season. WCHD sent out a press release regarding the “3 R’s” and promoting the involvement of neighborhood “Mosquito Captains.” The Illinois Youth Survey (IYS) Outreach will continue with the superintendents about the importance of monitoring current trends in youth substance abuse, violence, school experiences and climate, and mental, social, and physical health. Substance Abuse Prevention Specialists (SAPS) will meet in June with each Superintendent or identified School District personnel to discuss current substance abuse prevention and student health services in the school district and identify potential dates for the IYS 2020 survey. Retail Licensing for Tobacco & Nicotine Products The Standardized Tobacco Assessment for Retail Settings (STARS) assessments will be continued through June 30, 2019. STARS is a tool to gather information among tobacco retailers including electronic delivery systems or E cigarettes. Results will provide information on product, placement Board of Health Report April 2019 - Page 3 of 23 of advertisement and product in the store, and price of product. Results will be used to promote development and evaluation of local tobacco control ordinances within each municipality. Restricting Indoor E-cigarette Use The Tobacco Control Specialist has been gathering data on current municipality ordinances outside Winnebago County that have implemented a restriction on indoor e-cigarette use. A survey of local businesses in Winnebago County will be conducted regarding their current e-cigarette policy. Information will be compiled and provided to local stakeholders when preparing for policy/ordinance changes. Domain 2 – Diagnose and Investigate Creating a Lead Safe Rockford (CLSR) 2016 Objectives Creating a Lead Safe Rockford (CLSR) staff continue to have difficulties with the results of Historic Reviews for properties enrolled in the program. Increasing wait times and an increasing number of homes being deemed historic have resulted in more homes being denied (for being over budget) or dropping out of the program. WCHD Administration has reached out to other communities who are having similar issues, as well as to Illinois Department of Public Health (IDPH) Environmental Health (EH) Division Chief to assist with communicating these concerns to the Department Head for the Historic Preservation Agency. Goal Actual Percent Units Enrolled 175 153 87% Inspections 165 146 88% Mitigated Units 150 112 75% Table 2.0 Testing Lead in Water April FY 2019 Samples Taken & Analyzed 5 20 Number Exceeding EPA/IL Lead Hazard Level 0 0 Average Lead Content 2.4 2.3 Maximum Lead Content 5 5 Table 2.1 Food Complaints April FY 2019 Last Fiscal YTD # of Foodborne Illness Complaints 3 13 17 # of Foodborne Illness Investigations 3 13 17 # of Non-foodborne Illness Complaints 15 107 112 Table 2.2 Board of Health Report April 2019 - Page 4 of 23 Housing Complaints April FY 2019 Last Fiscal YTD # of Housing Complaints 66 373 454 # of Nuisance Complaints 50 165 148 # of Survey Complaints 30 299 210 # of Received Complaints 160 920 882 # of Re-check on Complaints 648 3967 2736 Table 2.3 Wells & Septic Complaints April April FY19 FY19 FY18 FY18 Original Recheck Original Recheck Original Recheck Complaints Complaints Complaints Complaints Complaints Complaints Wells 2 2 12 23 8 6 Septic 7 6 18 38 14 5 Table 2.4 Communicable Diseases Reported in Winnebago County 2019 YTD Vaccine Preventable April Investigated & 2018 Year 2017 Year 2019 YTD 2019 Determined Total Total Diseases Cases * (Reporting timeframe) Cases "Not a Case" Cases Cases ** Chickenpox (Varicella) (24h) 1 4 5 4 4 Diphtheria (immediate) 0 0 0 0 0 Haemophilus influenzae, invasive (24h) 1 3 2 8 9 Hepatitis A (24h) 0 3 0 2 1 Hepatitis B-Acute Infection (7d) 0 1 0 1 1 Hepatitis B-Chronic (7d) 0 18 2 24 39 Hepatitis D (7d) 0 0 0 0 0 Influenza deaths in < 18 yrs old (7d) 0 0 0 0 0 Influenza A, variant (immediate) 0 0 0 0 0 Influenza, ICU admissions (24h) 2 3 25 64 36 Measles (rubeola) (24h) 0 3 0 0 0 Mumps (24h) 0 1 0 0 1 Neisseria meningitidis, invasive (24h) 0 0 0 1 0 Pertussis (whooping cough) (24h) 0 1 5 18 38 Poliomyelitis (immediate) 0 0 0 0 0 Rubella (24h) 0 0 0 0 0 S. pneumoniae - non-drug resistant invasive disease (<5yrs) 0 0 0 1 3 Board of Health Report April 2019 - Page 5 of 23 Tetanus (7d) 0 0 0 0 0 Sexually Transmitted Infections AIDS (7d) 0 0 0 7 12 Chancroid (7d) 0 0 0 0 0 Chlamydia (7d) 174 17 763 2108 1980 Gonorrhea (7d) 65 6 247 743 659 HIV infection (7d) 2 0 3 27 21 Syphilis (7d) 7 0 11 14 15 Other Communicable Diseases Anaplasmosis (7d) 0 0 0 0 0 Any suspected bioterrorist threat (immediate) 0 0 0 0 0 Any unusual case or cluster of cases that may indicate a public health hazard (immediate) 0 0 0 0 0 Anthrax (immediate) 0 0 0 0 0 Arboviruses (7d) 0 0 0 0 0 Babesiosis (7d) 0 0 0 0 0 Botulism, foodborne (immediate) 0 0 0 0 0 Botulism, infant, wound, other (24h) 0 0 0 0 0 Brucellosis (24h unless bioterrorism suspected, then immediate) 0 0 0 0 0 Campylobacteriosis (Became Reportable in 2016) 3 0 15 88 70 Chikungunya Non-neuroinvasive Disease (7d) 0 0 0 0 0 Chikungunya Neuroinvasive Disease (7d) 0 0 0 0 0 Cholera (24h) 0 0 0 0 0 Cryptosporidiosis (7d) 0 0 6 21 22 Cyclosporiasis (7d) 0 0 0 13 3 Dengue (7d) 0 0 0 0 0 Ehrlichiosis (7d) 0 0 0 0 0 Enteric E. coli infections (STEC,O157:H7) (24h) 1 0 7 29 12 Foodborne or waterborne outbreaks (24h) 0 0 0 0 0 Hantavirus pulmonary syndrome (24h) 0 0 0 0 0 Board of Health Report April 2019 - Page 6 of 23 Hemolytic uremic syndrome, post diarrheal (24h) 0 0 0 0 0 Hepatitis C-Acute (7d) 0 0 0 7 1 Hepatitis C-Chronic (7d) 10 400 49 200 198 Histoplasmosis (7d) 0 2 0 2 5 Legionellosis (7d) 0 0 2 11 9 Leptospirosis (7d) 0 0 0 0 0 Listeriosis (7d) 0 0 0 1 0 Lyme disease (7d) 1 6 2 10 6 Malaria (7d) 0 0 0 0 0 Ophthalmia neonatorum (gonococcal) (7d) 0 0 0 0 0 Outbreaks of public health significance (24h) 0 0 0 0 0 Plague (immediate) 0 0 0 0 0 Psittacosis (7d) 0 0 0 0 0 Q fever (24h unless bioterrorism suspected then immediate) 0 0 0 0 0 Rabies, animal case (24h) 0 0 1 1 1 Rabies, human case (24h) 0 0 0 0 0 Rabies, potential human exposure (24h) 1 0 6 36 19 Reye syndrome (7d) 0 0 0 0 0 Salmonellosis, other than typhoid (7d) 1 1 3 68 44 Severe Acute Respiratory Syndrome (SARS) (immediate) 0 0 0 0 0 Shigellosis (7d) 0 0 3 9 3 Smallpox (immediate) 0 0 0 0 0 Smallpox vaccination, complications of (24h) 0 0 0 0 0 Spotted fever rickettsioses (7d) 0 0 0 0 1 S.
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