M I N U T E S Southern Nevada District Board of Health Meeting 495 S. Main Street Las Vegas, Nevada 89101 Las Vegas City Hall, Council Chambers Thursday, May 24, 2012 – 8:30 A.M. Chair Jones called the meeting of the Southern Nevada District Board of Health to order at 8:46 a.m. and led the Pledge of Allegiance. Annette Bradley, legal counsel, confirmed the meeting had been noticed in accordance with Nevada’s Open Meeting Law. Chair Jones noted a quorum was present at the start of the meeting with Members Bateman, Beers, Christensen, Crowley, Litman, Menzel, Noonan, Onyema, Scow, Tarkanian and Woodbury seated. Chair Jones noted the following: 1) Agenda items may be taken out of order at the discretion of the Chair; 2) the Board may combine two or more agenda items for consideration; and 3) the Board may remove an item from the agenda or delay discussion relating to an item on the agenda at any time Board Members Present: Tim Jones Chair, At-Large Member, Regulated Business/Industry Sam Bateman Councilman, Henderson Bob Beers Councilman, Las Vegas Jim Christensen, MD At-Large Member, Physician Susan Crowley Alternate At-Large Member, Environmental Specialist Chris Giunchigliani Commissioner, Clark County Allan Litman Councilman, Mesquite Nancy Menzel, RN At-Large Member, Registered Nurse Bill Noonan At-Large Member, Gaming John Onyema, MD At-Large Member, Physician Mary Beth Scow Commissioner, Clark County Lois Tarkanian Councilwoman, Las Vegas Anita Wood Councilwoman, North Las Vegas Rod Woodbury Councilman, Boulder City Absent: Jimmy Vigilante Secretary, At-Large Member, Environmental Specialist Executive Secretary: Lawrence Sands, DO, MPH Legal Counsel: Annette L. Bradley, Esq. Terry Coffing, Esq. Marquis, Aurbach & Coffing Other SNHD Board of Health Members/Alternates Present: Michael Collins, RN Alternate At-Large Member, Registered Nurse Other SNHD Board of Health Members/Alternates Not Present: Kam Brian Alternate At-Large Member, Regulated Business/Industry Pamela Goynes-Brown Alternate Councilman, North Las Vegas Karl Gustaveson Alternate Councilman, Mesquite Joseph Hardy, MD Alternate At-Large Member, Physician Peggy Leavitt Alternate Councilwoman, Boulder City John Marz Alternate Councilman, Henderson Frank Nemec, MD Alternate At-Large Member, Physician Steven Ross Alternate Councilman, Las Vegas Stan Smith Alternate At-Large Member, Gaming Lawrence Weekly Alternate Commissioner, Clark County Staff: Rory Chetelat; Eddie Larsen; Angus MacEachern; John Middaugh; Glenn Savage; Jennifer Sizemore; Bonnie Sorenson; Kara Bennis; Stephanie Bethel; Phil Bondurant; Jerry Boyd; Mary Ellen Britt; Dennis Campbell; Mee Kee Chong-Dao; Alice Costello; Margarita DeSantos; Joanne Engler; Steve Goode; Forrest Hasselbauer; Amy Irani; Susan LaBay; Eric Lahr; John Lewis; Veronica Morata-Nichols; Michelle Nath; Robert Newton; Patricia O’Rourke-Langston; Jim Osti; Mars Patricio; Rick Reich; Jan Richardson; Jane Shunney; Chris Strickland; Marlo Tonge; Robert Urzi; Deborah Williams; Lourdes Yapjoco; Diana Lindquist and recording secretary, Shelli Clark CAP-OM ATTENDANCE: NAME REPRESENTING Alisha Barrett Clark County Social Service Brendan Bussmann UMC Jeff Gerber PGAL LLC Sharie Harvin 8 News Now Kaitlin Klein Roseman University student Paul Maffey Tiberti Company Ann Markle Self Carl Markle Self Patricia Martin Nevada State Health Division Al Martinez SEIU Jordan Miyamoto Self Jorge Montes KSNV CH-3 Rob Munoz News 3 Candice Nichols Gay & Lesbian Community Center Alfonso Noyola City of North Las Vegas Ozkar Palomo KTNV Kathleen Peterson ESH Manager, Adjunct Instructor Orlando Sanchez City of Las Vegas Larry Singer Grubb & Ellis Darcy Spears KTNV Mike Tabeek Grubb & Ellis Henry Takai KLAS-TV Diana Taylor Clark County School District Renaldo U. Tiberti The Tiberti Company Ken Zarembski Walter P Moore Beverly Zimmerman Rape Crisis Center Board of Health Minutes Page 3 of 38 May 24, 2012 Norine Clark SNHD / SEIU Nancy Barry SNHD / Self Thomas Coleman, MD SNHD / Self Nancy Gerken SNHD / Self Gail Gholson SNHD / Self Kay Godby SNHD / Self John Hammond SNHD / Self Jane Kopczak SNHD / Self Linda Newton SNHD / Self Jeff Quinn SNHD / Self Shannon Randolph SNHD / Self Margo Slater SNHD / Self Leo Vega SNHD / Self Dennis Wu SNHD / Self I. PUBLIC COMMENT Public comment is a period devoted to comments by the general public on items listed on the Agenda. All comments are limited to five (5) minutes. Chair Jones asked if anyone wished to address the Board pertaining to items listed on the Agenda. (Member Giunchigliani arrived and was seated at 8:47am) Kathleen Peterson, addressed the board. She noted she had applied for an at-large member position in the past, was selected and received orientation, then was replaced by another person. She has continued to follow the proceedings of the Board. She noted on several occasions the Board was made aware of problems with the facility, as was she in her Board Orientation. (Member Beers left the meeting at 8:48am) She stressed that public health is a branch of the National Incident Management System, and as such is deemed a first responder. She said that employees must be co-located in order to deliver services and respond to emergencies as they occur. (Member Wood arrived and was seated at 8:50am) She questioned the reduction in funding to the district and why monies set aside for a building were to be used for operational expenses when a new building is desperately needed. (Member Beers rejoined the meeting and was seated at 8:51am) Candice Nichols, the executive director of the Gay & Lesbian Community Center of Southern Nevada addressed the Board. She expressed the center’s support for the district and its HIV/AIDS and STD clinics. She described the unique partnership between the district and the Center, and the comfort clients have in obtaining services at the district. She referenced the valuable testing services offered by the clinics and the need to continue these vital services to prevent further spread of sexually transmitted infections. She feels the district needs a permanent home in the medical corridor where clients have access to transportation and other medical services. Alisha Barrett, grant administrator for the Ryan White Part A program addressed the Board. She expressed her support for the proposed lease for clinical space at 400 Shadow Lane. She also Board of Health Minutes Page 4 of 38 May 24, 2012 believes the district needs a home in the medical corridor as the community is familiar with this location and feel comfortable coming to the district for services. Rick Reich, district employee, read a letter into the record addressed to the Southern Nevada District Board of Health dated May 23, 2012 from a local physician, Jerry Cade (attachment #1). Dear Board: I apologize for not being able to personally express to you the importance of having the Southern Nevada Health District HIV program located closely to UMC’s Wellness Center. Despite the fact that Nevada has been hard hit by the AIDS crisis, we have been able to do an incredible job of ensuring that patients have access to care and access to therapy. The linchpin of that has been the relationship between the Clark County health district HIV program and UMC. Over the twenty-five plus years that I have been taking care of patients with HIV, I’ve had the opportunity to look at a number of communities throughout the country and see how they are providing HIV care. Unfortunately, in many of these communities across the country the care is fragmented; and therefore not efficient. That has never been the case here in Las Vegas! Since the beginning of the epidemic the Southern Nevada Health District and UMC have worked closely together to ensure that southern Nevada residents have access to the care they need and the support they deserve. Part of the reason for this has been a close location of Southern Nevada Health District Early Intervention Clinic with UMC’s Wellness Center. This has obvious advantages for patients for multiple reasons. Physical access to care has been complemented by the close collaboration between the health care staff at the Southern Nevada Health District and the Wellness Center. I will be happy to answer any questions that anyone might have. Please feel free to call me on my cell phone at 203-8022 or email me at [email protected]. I encourage you to support keeping the Early Intervention Clinic in the space in which it currently resides. Sincerely, Jerry Cade. At the request of Chair Jones, Mrs. Clark read into the record a written comment submitted earlier in the week (attachment #2): Chair Jones and members of the Board of Health, my name is Michael Lacy, 198 East Alma Overton, NV. I am currently a non-union employee of the Southern Nevada Health District with the Immunizations Project Team. Our team is currently housed in the Alternate District Operations Center (ADOC) at the Henderson Public Health Center. I am sending in my comments via email as I have a heavy workload and am unable to break away from my work location here in Henderson. I would first like to thank Dr. Sands, Environmental Health Director Glenn Savage, and Board Member Woodbury for coming through the Henderson Public Health Center to observe our working situation. Mr. Savage did a great job explaining to Member Woodbury what is normally in the space where we are located and all three had good questions and took the time to find out what we needed here and what is lacking. We are by no means comfortable here and hopefully the observations of those board members that have been kind enough to travel and view the situation can be beneficial in helping us to at the very least find a better temporary space. I am writing in regards to the search for a permanent replacement facility.