Public Health Impact Chlamydia, Gonorrhea, and Syphilis Rates Are Skyrocketing in Clackamas County Volume 1

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2 Public Health Impact Chlamydia, Gonorrhea, and Syphilis Rates are Skyrocketing in Clackamas County Volume 1 | August 2018

The silent epidemic Each year, thousands of Clackamas County residents contract 400 Gonorrhea trend in bacterial sexually transmitted infections (STIs), such as syphilis, 350 Clackamas County gonorrhea, and chlamydia. In just over five years, rates of syphilis, 300 2013-2017 Figure a gonorrhea, and chlamydia have peaked. The rise of STIs in 250

Clackamas County mirrors national, statewide, and regional trends. 200 In 2016, the Centers for Disease Control and Prevention (CDC) 150 identified approximately 2 million cases of chlamydia, gonorrhea, Number of cases 100 and syphilis in the United States – the highest number ever recorded (Centers for Disease Control and Prevention, 2017b). In 50 0 Oregon, diagnosed chlamydia infections have spiked in the last 20 2013 2014 2015 2016 2017 years to nearly 18,000 cases in 2016. From 2007 to 2014, Oregon’s Year rate of gonorrhea increased 78%. From 2014 to 2016, that rate increased another 85%. Between 2007 and 2014, Oregon’s syphilis Chlamydia trend in rate increased over 1,300%. The syphilis rate increased another 36% Clackamas County in the subsequent two years (Oregon Health Authority, 2015b, 2017, 1500 2018b). 2013-2017 Figure b 1200 Bacterial STIs are frequently preventable and, at this point, treatable. However, when left untreated or improperly treated, STIs can cause 900 serious reproductive health problems and produce drug-resistant 600 bacteria, making first-line antibiotics less effective (Office of Disease Number of cases

Prevention and Health Promotion, 2018). 300

While rates of STIs are increasing across all populations in 0 2013 2014 2015 2016 2017 Clackamas County, certain groups, such as young people (ages 15 Year – 24), women, people of color, and LGBTQ+ individuals – particularly gay, bisexual, and other men who have sex with men (MSM) – are 60 disproportionately impacted by STIs. The sexual health of these Syphilis trend in communities is largely influenced by the social conditions that 50 Clackamas County unjustly affect non-dominate groups. Factors such as racism, 2008-2017 Figure c 40 homophobia, and sexism are shown to negatively affect sexual health outcomes (Centers for Disease Control and Prevention, 2017d; 30 Unemo et al., 2017). 20 Number of cases Clackamas County Public Health and our partners have a role to play 10 to stop the transmission of STIs. This report outlines our initial steps. 0 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 STI Facts for Clackamas County Year

• In five years (2012—2016), chlamydia rates increased 26% and gonorrhea rates increased 162%. Numbers rising • The chlamydia rate for Black/African American populations is 75% Over the last five years, the number of chlamydia, higher than the county average. gonorrhea, and syphilis cases has increased dramatically in Clackamas County. In 2017, there • American Indian/Alaska Native populations experience 23% were 1,441 cases of chlamydia, 340 cases of higher rates of gonorrhea than the county average. gonorrhea, and 56 cases of syphilis (figures a – c). • 55% of male syphilis cases occur in the MSM population. The highest concentrations of known chlamydia • Over a quarter of chlamydia cases occur among teenagers cases occur in the northern, urban areas of the county between 15-19 years old. – North Clackamas and Gladstone Health Equity • Almost 70% of all chlamydia cases occur in women. Zones*. The lowest rates of chlamydia occur in Lake Oswego and Colton Health Equity Zones (figure d). 1 3 Two cases of congenital syphilis have been reported in Clackamas County since the beginning of 2018. There were zero cases in the previous decade.

Chlamydia incidence rates 3500 Chlamydia rates by Health Equity Zone 3000 by age and gender 2013-2017, Figure d 2012-2016, Figure e Clackamas County Age-specific rate per 100,000 2500

2000

1500 Female Male Rates per 100,000 Rates 1000

500

0 10-14 15-17 18-19 20-24 25-29 30-34 35-3940-44 45-49 50-54 55-59 60-64 65+ Age group Age group

Gonorrhea rates by age and gender 2012-2016, Figure f

250 Disparities examined 200 Young people, racial and ethnic minorities, the LGBTQ+ 150 community, and women are more affected by STIs than Female Male other groups in Clackamas County. Nearly half of all new per 100,000 Rates cases of gonorrhea and chlamydia in Clackamas County 100 are reported in young people (figures e and f), although 50 nationally they represent just 25% of the sexually active population (Centers for Disease Control and Prevention, 0 2013; Unemo et al., 2017). The Black/African American 10-14 15-17 18-19 20-24 25-29 30-34 35-3940-44 45-49 50-54 55-59 60-64 65+ population in Clackamas County experiences disparately Age group high rates of chlamydia and gonorrhea, followed by American Indian and Hispanic populations (figures g and Nationally, gonorrhea and syphilis rates are accelerating among h). Approximately 70% of chlamydia cases in Clackamas men, particularly gay and bisexual men. In 2016, gay, bisexual, County occur in women (figure e). and other MSM accounted for 81% of male syphilis cases where the sex of the partner was known (Centers for Disease Control Syphilis cases among Clackamas County women and Prevention, 2017c). The same is true in Clackamas County. remain lower than men; however, syphilis in women of Since 2014, MSM represent 55% of all male syphilis cases and childbearing age is particularly concerning (Centers for 24% of male gonorrhea cases; however, 63% of men diagnosed Disease Control and Prevention, 2011). Pregnant women with gonorrhea did not report the sex of their partner, so the can pass the infection to their babies, which can cause proportion of MSM who test positive for gonorrhea is likely severe physical and cognitive problems. Up to 40% of higher than reported. If left untreated, syphilis can affect multiple babies born to women with untreated syphilis may be organ systems, including the brain, nerves, eyes, heart, blood stillborn or die from the infection as a newborn (Centers vessels, liver, bones, and joints (Centers for Disease Control and for Disease Control and Prevention, 2017a). In the first Prevention, 2017b, 2017e). half of 2018, two cases of congenital syphilis have been reported in Clackamas County.

* Clackamas County is diverse and health outcomes vary widely across the county. Because of this, CCPH has developed Health Equity Zones (HEZ). HEZs are 10 distinct geographic regions in the county where we can examine the specific factors that impact the health of those living within the zone. HEZs allow us to identify health inequities so community members can take action to strengthen the social conditions that influence their health.

2 4 Gonorrhea rates There are four critical steps to stop the transmission of STIs in Clackamas County: per 100,000 by 1. Strengthen community prevention activities, Race/Ethnicity including surveillance; enhanced screening; focused testing for populations engaging in high-risk 2012 - 2016, Figure g behavior; and public education and engagement about safer sex practices. Race/Ethnicity Clackamas Oregon 2. Educate and support people who test positive to seek American Indian/ 56 99 medical treatment. Alaska Native 3. Expand case investigation, partner notification, and Asian 12 20 treatment services. Black/African American 196 303 4. Develop a county-wide coalition that is grounded Hispanic 39 52 in health equity, unites community leaders and community-based organizations, and aligns efforts White 32 54 within and across the Health Equity Zones.

• A decrease in public health spending can lead to higher Chlamydia rates per transmission rates of gonorrhea and syphilis (Gallet, 100,000 by Race/ 2017). Reduced capacity and infrastructure in local public health departments reduces the ability to investigate and Ethnicity provide follow-up for positive cases; notify, test, and treat 2012 - 2016, Figure h people who have had sex with infected partners; provide sexual education services; and conduct comprehensive Race/Ethnicity Clackamas Oregon STI surveillance. American Indian/ 266 443 Alaska Native • Technology has changed the frequency and availability Asian 57 118 of sex. Researchers in Oregon cite that internet meet- up sites and mobile dating apps were associated with Black/African American 531 763 a 2014 syphilis outbreak in Multnomah County (DeSilva Hispanic 219 333 et al., 2016). A 2015 study also found that MSM who Pacific Islander 199 271 use social media sites to meet sexual partners are more likely to have unprotected sex (Holloway, Pulsipher, Gibbs, White 156 267 Barman-Adhikari, & Rice, 2015).

Why are STI rates soaring? • Condom use is inconsistent. Among sexually active youth in Clackamas County, only 62% of 11th graders used a Similar to other patterns of disease, there is not a single condom the last time they had intercourse (Oregon Health direct cause for the growing number of STIs or the Authority, 2018a). Nationally, among 15 to 44 year olds disproportionate burden some populations face (Oregon who use condoms and no other prevention method, only Health Authority, 2018b). Rather, it is a combination of the 60% of women and 56% of men used a condom the last many social, cultural, and structural factors that influence time they had vaginal intercourse (Copen, 2017). The use sexual behavior, risk, and transmission of STIs (Unemo et of long-acting reversible contraceptives might decrease al., 2017). condom use because their efficacy at preventing unintended pregnancies (Abma & Martinez, 2017; • Racism, stigma, and poverty all increase the risk of McNicholas, Klugman, Zhao, & Peipert, 2017). Similarly, STIs. Low-income populations face a combination of pre-exposure prophylaxis (PrEP) – a course of anti-HIV social, epidemiologic, and individual risk factors that can drugs taken by HIV-negative people to prevent infection – increase STI rates. Systemic factors such as institutional might decrease condom use within the MSM population discrimination, health care provider bias, or distrust in (Nguyen et al., 2018). health systems and health care providers all impact STI risk for people of color (Centers for Disease Control and Prevention, 2017d).

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Taking action in Clackamas County to reduce which involve safer sex practices, including the use of STI rates condoms, abstinence from sex, and routine testing for Clackamas County Public Health and our partners must STIs. Community partners have a direct link with those lead the way to prevent STIs. For long-term success, all who are most affected by the STI epidemic. Clackamas partners need to strengthen and integrate our current County Public Health plans to convene a coalition of efforts, and reimagine our approach to STI prevention. A community organizations in the future. vision for the future includes all of the work below. • Policymakers – Advocate for STI prevention funding • Clackamas County Public Health – Provides STI and ensure that services are free or affordable, promote surveillance and monitoring, health education, and the use of evidence-based STI prevention and treatment partner notification services. Beginning in January methods, leverage public and private sector resources, 2018, Clackamas County, along with Multnomah and and have the ability to improve the structural barriers that Washington counties, received funding to enhance and put certain populations at higher-risk of contracting STIs. expand HIV and STI investigation, testing, treatment, and prevention services for the region. Through this Methods work, Clackamas County will deepen connections with By law, Oregon clinicians and laboratories must report diagnoses community partners to identify, test, and treat those who of bacterial STIs, including gonorrhea, syphilis, and chlamydia are most at-risk of getting STIs. to local health departments. These data are entered into the Oregon Public Health Epidemiologists’ User System (ORPHEUS). • Health care clinics – Health clinics make STI testing The data included in this report represent individuals who test and timely treatment a standard part of medical care, positive for gonorrhea, syphilis, or chlamydia and reside in especially for women of childbearing age, pregnant Clackamas County. All rates that are not age specific have been women, and MSM. Providers collect sexual histories of age-adjusted, unless otherwise noted. patients and report positive cases of STIs. Clinics that Limitations receive Title X funds – like the Clackamas County Health Centers – primarily serve women, low-income, and young Data at the local level regarding demographics (race/ethnicity), people. Health clinics play a critical role in reducing substance use, number of sexual partners, and the sex of the number of STIs through evidence-based treatment partners is incomplete. There are inconsistent data collection methods like Expedited Partner Therapy – a practice of methods and inherent challenges in underreporting. We can draw treating sex partners of persons who test positive for conclusions from data that is reported; however, the relative either chlamydia or gonorrhea with antibiotics, even if the proportion of unknown or unanswered questions makes any partner has not undergone a medical evaluation (Mmeje, correlations tenuous. Additionally, herpes, human papillomavirus Wallett, Kolenic, & Bell, 2017; Oregon Health Authority, (HPV), HIV, and viral hepatitis were excluded from this report 2015a). Three HEZs (Canby, North Clackamas, Oregon either because they are not reportable diseases (herpes and City) currently have clinics that provide free or low-cost HPV) or have a low incidence (HIV and sexually transmitted viral STI prevention, testing, and treatment services. hepatides). To cite this article, use the following: Clackamas County Public • Schools – Teach comprehensive sexual health education Health Division. (2018). Chlamydia, Gonorrhea, and Syphilis Rates that focuses on STI prevention practices, participate in are Skyrocketing in Clackamas County. Public Health Impact (1), 1-4. the Oregon Healthy Teens Survey, and provide access You can get this document in other languages and formats. to a full spectrum of reproductive health care services Contact the Public Health Division at 503-742-5300. in school based health centers (SBHC), including STI testing, treatment, sexual health education, and condoms. SBHCs are proven to have a positive impact About Health, Housing & Human Services on youth sexual health (Bersamin, Paschall, & Fisher, 2017). Clackamas County presently has four SBHCs operating in the Estacada, North Clackamas, Oregon Mission statement City, and Oregon Trail HEZs. All provide different levels The mission of the Health, Housing, and Human of reproductive health care services. Half of the HEZs Services Department is to remove barriers for currently participate in the Oregon Healthy Teens Survey, vulnerable individuals and families on their path to including Gladstone, North Clackamas, Oregon City, improved health, wellness, prosperity, and inclusion. Canby, and Estacada. To obtain a complete list of cited references, join our • Community organizations – Conduct community-based mailing list, or learn more about what Public Health STI testing. Community organizations also provide does, please visit www.clackamas.us/publichealth. culturally-appropriate sexual health education services,

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Oregon City School Board

Sexual and Reproductive Health at Oregon City High School

October 28, 2019

Adolescence is a time of major transformation that requires a unique set of supports for parents and students. This presentation provides the Oregon City School Board-  Science based Objectives information on adolescent health  The current state of sexual and reproductive health at Oregon City High School

Health and Education are deeply connected-  A healthy adolescent population provides longstanding social and Healthy Kids economic benefits. Learn Better  Supporting quality school health efforts improves academic achievement.  Decreased unhealthy/early sexual behaviors, pregnancy  Controlled infectious disease (STIs)

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Sexually Transmitted Infections are Increasing

 Sexually Transmitted Infections (STI) can lead to cancer, infertility and pelvic inflammatory Untreated disease Sexually  STIs can be cured but drug-resistant strains of Transmitted gonorrhea are becoming more common Infections  HPV, the virus that causes genital warts, is currently the most common STI  one in five Americans infected.

Have you Ever had Sexual Intercourse? Percent that Answered "Yes" in Clackamas County 45

40 Oregon 35 30

Healthy 25 Teens, 2017 20 15

0 Grade 8 Grade 11 Clackamas County State Average

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2018 Oregon Adolescent 13-17 HPV UTD Rates

Chlamydia, Gonorrhea and Syphilis rates are skyrocketing

 Increase access to barrier methods  Among sexually active youth in Clackamas County, only 62% of 11 graders used a condom the last time they had intercourse Prevention  Condoms are not offered onsite at OC High School  Educate and support students who test positive to seek of Sexually medical treatment at SBHC for themselves and partners. Transmitted  Promote STI testing and offer treatment. Infections  Increase education and engagement about safer sex practices

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Teen Pregnancy

Percent of Clackamas County 11 Graders Using Contraceptive 70

60 Oregon 50 Healthy 40

Teens, 2017 30

0 IUD/Implant Depo, Pill, Condoms or Some other No Emergency Patch, Ring Withdrawal method methods/Not Contraception sure 11

 41% of pregnancies are unintended in the U.S. Unintended  Women with incomes below the federal poverty level were 5 times more likely to report an unintended Pregnancies pregnancy and Access to  Problems accessing/using a method is a common reasons for gaps in use Contraception  Expanding ways to access contraception methods could reduce unintended pregnancy

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 Only about half of teen mothers earn a high school diploma by age 22, compared to 90 percent of women Teen without a teen birth.  Teenage mothers are also more likely to live in poverty Pregnancy: and need public assistance. Disruption to  Children born to teen parents are more likely to have lower school achievement, enter the child welfare and Education correctional systems, drop out of high school and become teen parents themselves, compared to children born to older parents.

National Teen Rates Trending Down

Oregon Teen Pregnancy is Declining

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 Primarily related to more and better contraceptive  No significant change in # of youth who are sexually Reasons for active during the decline.  Increased use of highly effective contraceptive methods the Decline such as LARCs  Oregon has increased access to all RH services through in Teen regulation such as Reproductive Health Equity Act. Pregnancy  Comprehensive sex education programs alone cannot prevent pregnancy or abortion.

 Out of the ten health equity zones, Oregon Teen City ranks 5th in rate of teen pregnancy Pregnancy  2016-2017 27 babies born to mothers between Rates by the ages of 15-19 in Oregon City HEZ Health  70% of teenagers who received abortions In Clackamas County were not using any form of Equity Zone contraception

 As of 2018, 60% (46 of 76) of Oregon’s certified SBHCs reported dispensing at least one type of contraceptive on-site. Condoms and contraceptive pills are the most common forms. Access to  Sites that dispense are in 17 counties, in both urban and rural areas. Contraception  For reproductive health services among school-age at Oregon clients: 31% were Hispanic 45% were White, non- Hispanic. SBHCs  34% (26 out of 76) of SBHCs are providing Long-Acting Reversible Contraception (LARC) on-site, which is an increase of eight SBHCs from the previous year.

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Clackamas County SBHCs Range of Contraceptives

Clackamas Age STI Implant, Contraceptive Cervical Injectable Patch Ring Condoms Emergency County Appropriate Screening IUD Medication Barriers Contraception SBHCs Reproductive /Testing (LARC) Health Counseling

Oregon City High School SBHCs in Sandy High School Oregon CityRex Putnam High School Estacada High School Milwaukie High School

Dispensed/Available on site

Prescription to pharmacy

Not available on site/Refer to other clinic or provider 19

Schools, Birth Control, and Parental Consent A debate over whether School-Based Health Centers should be able to offer Easier IUDs JACOBA URIST access = SEP 8, 2015

fewer By expanding access to reliable and affordable contraception, school clinics may help reduce the number of teenagers who become pregnant. A unintended 2011 study in the Journal of Applied Research on Children compared two school clinics located in a large urban Southwestern school district; one of the pregnancies clinics dispensed contraception onsite, while the other did not, instead referring girls to an off-campus family-planning clinic. Researchers discovered that the school with the referral policy had a significantly lower “appointment keeping rate” for contraceptive services—and a higher pregnancy rate—than the school with on-site contraception.

 According to the CDC:  Being physically forced to have sex (18% LGB vs. 5% Disparities heterosexual)  Experiencing sexual dating violence (23% LGB vs. 9% Between LGB heterosexual) and  Experiencing physical dating violence (18% LGB vs. 8% heterosexual) Heterosexual  Being bullied at school or online (at school: 34% LGB vs. 19% heterosexual; online: 28% LGB vs. 14% Students heterosexual)

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 Improve School Environment for LGBTQ Youth  Develop and implement policies that protect from Foster Safe, discrimination, violence, and bullying Supportive  Build the capacity of teachers and other school staff to create more supportive environments for School LGBT youth  Establish organizations and clubs that expand Environment school-based supports for LGBT youth

Access to Health Services: SBHCs

Oregon City High School School-Based Health Center

• Clinic team includes a Pediatrician, Licensed Professional Counselor, and a Certified Medical Assistant

• We provide primary care and mental health services, including Sports Physicals, Well-Child Visits, sports injury follow-up, & mental health counseling.

• We serve district K-12 students, regardless of their ability to pay or bill insurance when possible. Students and families are never charged for services.

• In the 2018-2019 School Year, we provided care through 1,822 completed medical and mental health visits.

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School-Based Health Centers Core Framework

• Evidence-based Practice • Abstinence-First Model • Follow Oregon Consent Laws and Medical Ethics Standards • Transparent communication with parents is our goal • Meets students where they are, convenient for student and parents • State-certified Health Centers

Percent of Clients with Adolescent Well Visits (12-21 yrs), Service Year July 1, 2017 to June 30, 2018 80%

70% Adolescent 60% Well Visits 50% 45% 40%

30%

20%

10%

49% 46% 70% 50% 0% Estacada High School Milwaukie High School Sandy High School Oregon City High School Statewide SBHC's 26

• Adopt policies that support and equip young people with knowledge, skills and services to stay healthy. What Can • Stay abreast of trends in adolescent health • Engage youth, parents and the school community the OC about sexual and reproductive health needs School • Promote use of SBHC services, especially adolescent well visits that address physical, behavioral and Board Do? social and emotional well-being. • Offer contraception and STI prevention on site at Oregon City SBHC • Foster supportive environments for LGBTQ youth

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Questions?

 Public Health Impact. Chlamydia, Gonorrhea, and Syphilis Rates are Skyrocketing in Clackamas County. August 2018. https://www.clackamas.us/publichealth/stireport  Center for Disease Control and Prevention. Sexually Transmitted Disease Surveillance 2018. https://www.hhs.gov/programs/topic-sites/sexually- transmitted-infections/index.html  Oregon Health Authority, Oregon Healthy Teens Report 2017. https://www.oregon.gov/oha/PH/BIRTHDEATHCERTIFICATES/SURVEYS/OREGONH EALTHYTEENS/Documents/2017/2017_OHT_State_Report.pdf  Finer, L. B., & Zolna, M. R. (2014). Shifts in intended and unintended pregnancies in the United States, 2001–2008. American Journal of Public Health, 104(S1), S43- References S48.  Guttmacher Policy Review. What is Behind the declines in teen pregnancy rates? August 2014. https://www.guttmacher.org/gpr?issue=3%3A17&volume=17&language=en  Oregon Health Authority, SBHC Status Report. 2019. https://apps.state.or.us/Forms/Served/le8962_19.pdf  Center for Disease Control and Prevention. LQBTQ Youth Experience. https://youth.gov/youth-topics/lgbtq-youth/school-experiences  Oregon Vital Statistics Report. County Data Report 2014. https://www.oregon.gov/oha/PH/BIRTHDEATHCERTIFICATES/VITALSTATISTICS/ANN UALREPORTS/COUNTYDATABOOK/Pages/cdb.aspx

 Kim La Croix, MPH, RD  Access to Care Program Manager  Clackamas County Public Health Division  [email protected] or 971-806-0004 Thank you!  Dr. Lisa Sullivan, MD  Pediatric Medical Director  Clackamas County Health Centers  [email protected]

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DISTRICT SPECIFIC INSURANCE PROGRAM (DSIP)

WHAT IS A DSIP

• Certain insurance products available to Owners that are designed to provide primary insurance to protect the interests of the Owner and its Contractors (parties) • Coverages often used to cover specific construction projects: • General Liability/Excess • Contractors Pollution Liability (CPL) • Builders Risk • Owner’s Protective Professional Indemnity (OPPI)

COVERAGE 1: GENERAL LIABILITY/EXCESS

• Protects parties from third party bodily injury and property damage when the parties are legally liable • Produced to cover claims during the construction period and additional 10 years from substantial completion • Statutory period of repose in the state of Oregon – the time in which claims can be made against the parties • Advantages: • Known coverage and limits • Joint defense, eliminating multiple attorneys • Better coverage than traditional annual programs • Allows smaller contractor participation (MWESB)

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COVERAGE 2: CONTRACTORS POLLUTION LIABILITY (CPL)

• BBNW often recommends adding CPL coverage to the DSIP • Works in the same manner as General Liability/Excess program – covers parties for claims during construction and the 10 year period of repose • Some of the exposures covered: • Lead • Asbestos • Silica • Mold • Transportation • Wrongful disposal

COVERAGE 3: BUILDERS RISK

• Property damage coverage to the project while its in the course of construction that protects the parties from fire, theft, collapse, earth movement, flood, vandalism, etc. • Protects the interests of the owner and contractors • Three primary elements: • Hard costs • Soft costs • Delay in opening/start up

COVERAGE 4: OWNER’S PROTECTIVE PROFESSIONAL INDEMNITY (OPPI)

• Product that solely benefits the owner • Excess professional liability (errors and omissions) coverage for the owner over the coverage provided by the hired design teams and their sub consultants • Covers claims arising during construction and offers an extended reporting period to cover claims post-completion • Primary advantage is larger limits to protect the owner from under insured design professionals

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OREGON CITY SCHOOL DISTRICT No. 62

Student Success Act Planning

Timeline

• October 15-October 31, 2019 – ThoughtExchange (Online Forum) How can we ensure our students develop traits of the district’s Portrait of a Graduate? Where are we doing well and where do we need to improve?

• October 22-January 30, 2019 – Selected Focus Groups Including representatives of populations who have historically experienced academic disparities.

• November 1, 2019 – Submit Continuous Improvement Plan (CIP) to ODE

• January 27, 2020 – School Board Work Session Needs Assessment/Initial Priorities for Student Investment Account (SIA) Plan

• January 27-February 10, 2020 – ThoughtExchange (Online Forum) What Should OCSD prioritize in its Student Investment Account (SIA) Plan?

• February 10, 2020 – School Board Work Session Review ThoughtExchange feedback on Student Investment Account (SIA)

• February 24, 2020 – School Board Work Session Student Investment Account (SIA) Draft Plan

• March 2, 2020 – Post SIA Draft Plan on District Website

• March 9, 2020 – School Board Meeting SIA Plan — Discussion Item/Public Comment

• March 16, 2020 – School Board Meeting SIA Plan — Action Item/Public Comment

• March 31, 2020 – Submit SIA Application to ODE 38 39 40 41 42 43 44 48 49 50 51 52 53 54 55