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Report to the Board of Health – January 2016 Winnebago County Health Department Leadership Team • Kyle Auman – Health Equi

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Report to the Board of Health – January 2016 Winnebago County Health Department Leadership Team • Kyle Auman – Health Equi Report to the Board of Health – January 2016 Winnebago County Health Department Leadership Team • Kyle Auman – Health Equity Coordinator • Sue Fuller – Public Information Officer • Lisa Gonzalez, MPH – Center Director, Family Health Services • Theresa James – Emergency Response Coordinator • Todd Kisner, MPH – Interim Center Director Health Protection and Promotion • Todd Marshall, LEHP – Center Director, Environmental Health Improvement • Patrick Madigan – Finance Director • Karalyn Nimmo, MPH – Data and Quality Coordinator • Domain I – Monitor Health Environmental Health Improvement (EHI) continues to monitor for critical violations for all EH programs to identify areas where more education is needed for food operators, contractors, and landlords. Over the holidays, Environmental Health published several educational press releases through social media reminding the public the importance of food safety and handwashing. Indoor Air Monitoring # of CO2 Temp Humidity CO Units Month Average 3 969 69.5 33.2 0.9 Month Max 3 2130 77.8 44.0 1.0 YTD Overall Avg 50 969 ppm 69.5 33.2 0.9 ppm YTD Overall Max 50 2130 ppm 77.8 F 44.0% 1 ppm CO2 CO YTD-CO2 YTD-CO IDPH Guideline (ppm) > 1,000 > 9.0 > 1,000 > 9.0 Homes with at least one reading exceeding guideline 2 0 2 0 % of Homes Monitored 66.7% 0.0% 66.7% 0.0% Homes whose overall average exceeds guideline 1 0 1 0 % of Homes Monitored 33.3% 0.0% 33.3% 0.0% Board of Health Report January 2016 - Page 2 of 21 Radon Phone Number of Radon Average Max Number of Calls Units Screenings (pCi/L) (pCi/L) Mitigation Month 27 7 7 1.4 3.2 1 FY16 to Date 27 7 7 1.4 3.2 1 Program total 68 30 30 4.2 14.0 8 The EPA strongly recommends that homeowners install radon mitigation in homes at or above 4.0 pCi/L, and that homeowners should consider mitigation at levels between 2.0 and 4.0 pCi/L. January was National Radon Awareness Month. To help educate the public about the risks of radon and to promote use of the radon screening tools, the WCHD’s social media accounts pushed out several radon-related messages to its subscribers. Staff were also interviewed and were featured on local television news to promote radon awareness. As a result of these efforts, interest in the screening tools increased significantly. In January, six (6) households utilized the equipment and our waitlist increased to approximately 20 additional households. West Nile Virus Surveillance WCHD has finished its 2016 application for funding from the State for its West Nile/Vector Control grant. The amount allocated for Winnebago County was approximately $34,000—a significant decrease from the $51,489 awarded in 2015. To offset this reduction, the WCHD is planning to utilize up to 40% of an existing staff member’s time for the West Nile Season, rather than hire an additional staff member for the season. All program activities will continue in 2016, however decreased staff time will result in fewer dead bird pickups, less larviciding, and fewer outreach events. Communities will be notified of the changes to assist them with their planning larviciding. The amount of WNV surveillance traps and testing should remain relatively consistent. Sexually Transmitted Infections STI Diagnosed in 2015 Year Total 2014 Year Total YTD 2016 WCHD Clinic Cases Cases Syphilis 0 9 5 Gonorrhea 8 75 117 HPV 1 44 111 Chlamydia 21 197 339 HIV 0 2 0 Board of Health Report January 2016 - Page 3 of 21 Illinois Youth Survey ATOD (Alcohol Tobacco, and Other Drug) specialist has contacted all schools in Winnebago County to advocate for registering for the IYS survey which can be completed by May, 2016. Currently only 5 schools are registered to do the survey. The Health Promotion (HP) Intern will work with ATOD specialist to contact school counselors and Principals via telephone to determine if they would be able to schedule a testing day with 8th, 10th and 12th graders advocating for the schools to complete the survey which can provide valuable information for their school and the county in determining drug perceptions and usage trends and provide documentation of program planning. • Domain 2 – Diagnose and Investigate CLSR (Creating Lead Safe Rockford) 2013 Objectives Note Goal Actual Percent Units Enrolled 300 148 49.3 % Inspections 250 140 56.0 % Mitigated Units 225 98 43.6 % The CLSR 2013 program is entering its last year, and is currently focused on enrolling as many eligible homes as possible. The program has many outreach events on its calendar and will continue to promote the program through existing contacts. CLSR program staff are anticipating HUD’s Notice of Funding Availability and are ready to begin the application process once it’s released. A successful application would allow the CLSR program to continue with little to no gap in service to the community. One (1) staff member has successfully completed the examination for Healthy Homes Specialist certification, and one (1) additional staff member is scheduled to complete it in February. These certifications help the CLSR and WCHD Neighborhoods programs work together more collaboratively and will make WCHD programs more competitive in the upcoming grant applications. Board of Health Report January 2016 - Page 4 of 21 Food Complaints Month FY 2016 FY 2015 # of Foodborne Illness Complaints 1 11 10 # of Foodborne Illness Investigations 1 11 10 # of Non-foodborne Illness Complaints 9 39 46 Housing Complaints Month FY 2016 FY 2015 # of Housing Complaints 63 222 213 # of Nuisance Complaints 6 35 45 # of Survey Complaints 23 146 187 # of Received Complaints 99 416 493 # of Re-check on Complaints 302 1348 1495 The Neighborhood Code Enforcement program continues working with the State’s Attorney’s office to adopt the 2015 International Property Maintenance Code. The program is also preparing to have an in-person meeting with the City of Rockford’s Neighborhood and Property Standards programs to coordinate enforcement activities so that differences between codes and duplication of services are eliminated. Well and Septic Complaints Original Recheck FY16 FY16 Recheck FY15 Original FY15 Recheck complaints complaints Original complaints complaints complaints complaints Wells 2 1 8 8 2 3 Septic 0 0 8 5 1 5 Communicable Diseases 2016 YTD January 2016 YTD 2015 Year 2014 Year Vaccine Preventable Investigated 2016 Total Total Total & Diseases Confirmed Confirmed Confirmed Confirmed Determined (Reporting timeframe) Cases Cases Cases Cases "Not a Case" Chickenpox (Varicella) (24h) 0 0 0 2 3 Diphtheria (immediate) 0 0 0 0 0 Haemophilus influenzae, invasive (24h) 0 0 0 5 7 Hepatitis A (24h) 0 0 0 0 1 Hepatitis B-Acute Infection (7d) 0 0 0 1 2 Hepatitis B-Chronic (7d) 0 0 0 2 28 Board of Health Report January 2016 - Page 5 of 21 Hepatitis C-Acute (7d) 0 0 0 1 0 Hepatitis C-Chronic (7d) 7 1 7 239 235 Hepatitis D (7d) 0 0 0 1 1 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) 0 0 0 6 15 Measles (rubeola) (24h) 0 0 0 0 0 Mumps (24h) 0 0 0 0 0 Neisseria meningitidis, invasive (24h) 0 0 0 0 0 Pertussis (whooping cough) (24h) 0 0 0 9 16 Polomyelitis (immediate) 0 0 0 0 0 Rubella (24h) 0 0 0 0 0 Streptococcus pneumoniae, invasive disease, in those < 5 yrs old (7d) 0 0 0 3 2 Tetanus (7d) 0 0 0 0 0 Sexually Transmitted Infections AIDS (7d) 0 0 0 0 0 Chancroid (7d) 0 0 0 0 0 Chlamydia (7d) 61 0 61 1751 1702 Gonorrhea (7d) 15 0 15 544 443 HIV infection (7d) 0 0 0 0 0 Syphilis (7d) 0 0 0 0 0 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 (including WNV) (7d) 0 0 0 0 0 Babesiosis (7d) 0 0 0 0 0 Botulism, foodborne (immediate) 0 0 0 0 1 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) 1 0 1 n/a n/a Chikungunya Non-neuroinvasive Disease 0 0 0 0 0 Cholera (24h) 0 0 0 0 0 Creutzfeldt-Jakob Disease (7d) 0 0 0 0 0 Board of Health Report January 2016 - Page 6 of 21 Cryptosporidiosis (7d) 0 0 0 5 4 Cyclosporiasis (7d) 0 0 0 0 0 Drug-resistant organism, extensively (7d) 0 0 0 0 0 Ehrlichiosis (7d) 0 0 0 0 0 Enteric E. coli infections (STEC,O157:H7, ETEC, EPEC, EIEC) (24h) 0 0 0 7 5 Foodborne or waterborne outbreaks (24h) 0 0 0 0 0 Hantavirus pulmonary syndrome (24h) 0 0 0 0 0 Hemolytic uremic syndrome, post diarrheal (24h) 0 0 0 0 0 Histoplasmosis (7day) 0 0 0 0 0 Legionellosis (7d) 0 0 0 8 3 Leprosy (7d) 0 0 0 0 0 Leptospirosis (7d) 0 0 0 0 0 Listeriosis (7d) 0 0 0 0 0 Lyme disease (7d) 0 0 0 7 8 Malaria (7d) 0 0 0 1 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 (2 4h unless bioterrorism suspected then immediate) 0 0 0 0 0 Rabies, human and potential human exposure and animal (24h) 0 0 0 16 1 Reye syndrome (7d) 0 0 0 0 0 Salmonellosis, other than typhoid (7d) 1 0 1 57 40 Severe Acute Respiratory Syndrome (SARS) (immediate) 0 0 0 0 0 Shigellosis (7d) 14 0 14 116 21 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 0 S.
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