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Board of Health Minutes <br />May 16, 2019 <br />3of4 <br />Health Officer Update <br />Mark Larson M.D. informed the board that there was good work done by the health department <br />and Kristen Karns, Central Washington University, to quarantine the patient exposed to measles. <br />This took lots of work and time to follow through with the quarantine. The group discussed the <br />measles exemptions and why measles is the only vaccine that is currently able to be non-exempt. <br />Dr. Larson noted that is what could be passed at this time with the outbreaks happening around <br />the state. There was other discussion about other exemptions and how this will look in the future <br />for schools. <br />Dr. Larson also noted that he will be bringing back new slides next month to review what the <br />Wildfire Smoke Group have determined to be the standards for this upcoming fire season. There <br />have been revisions to these and the group has decided to make the guidelines not as strict. Dr. <br />Larson noted that the group would like to get something universal out before the fire season <br />starts. <br />Financial Update <br />Tristen Lamb reported that most of the county's revenue comes in at the end of the year, so it looks like <br />we are overspending, but we are on track with last year's budget. <br />Business <br />Wildfire Smoke Imgacts Workgroup Updates <br />Dr. Larson gave this report in his update above. <br />Aces Conceptual Review <br />Chelsey Loeffers gave a report on Adverse Childhood Experiences (ACES) and briefly reviewed the <br />following topics this month; ACES Study, Health Impacts, Toxic Stress, and Financial Costs. <br />• Three types of ACES: Abuse, Household Dysfunction, and Neglect <br />• Types of ACES in the population study <br />• What we know: Examples of ACE -Attributable problems <br />• Risk Increase: More ACES equate to increased risk with health problems <br />• Toxic Stress: Positive, Tolerable, and Toxic <br />• Preventing ACES in future generations <br />• Average lifetime cost of ACES <br />Ms. Loeffers will be presenting in the future about the more positive side of ACE's; Resilience <br />and Trauma informed care. <br />Hub and Spoke: Opioid Services in Kittitas County <br />Liz Whitaker gave a brief history of Comprehensive Healthcare and then reviewed the Hub and Spoke <br />grant the county received with the board. The Hub and Spoke grant allowed Comprehensive Health to <br />hire a staff member to provide outreach services for those seeking recovery at the Kittitas County Public <br />Health Syringe Exchange. <br />DD Updates <br />Kasey Knutson reported that state monitoring of employment and day services providers is complete. The <br />health department was also monitored and we passed. The department has funds to spend in this program <br />and is working on the coffee stand proposal. <br />Meeting adjourned at 11:32 am <br />