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In collaboration with SmartGov and key staff, we are planning on implementing automated permit renewal notifications. These notifications will be sent directly to establishments, streamlining the renewal process, and improving compliance. Cistern Program Development We are further developing the cistern program, designed to provide an alternative water source in areas where traditional water systems are not feasible. We are currently working with a developer to launch the first cistern project in the county. Tick Surveillance Plans Environmental Health is planning to conduct tick surveillance in the coming year to monitor tick populations. We are coordinating with state officials to secure funding for this important work. Communicable Disease Harm Reduction ■ From September 1- November 30, the Harm Reduction team has distributed 496 naloxone kits through the Syringe Service Program (SSP) and community naloxone trainings. • Participants reported 41 opioid overdose reversals using SSP distributed naloxone during that time period. • 5 SSP participants have been tested with rapid Hep C testing at SSP and referred for treatment as appropriate. • 34 SSP participants were referred to medications for opioid use disorder and SUD treatment, and 378 referrals to other social support services. Providing care navigation for 5 participants. • Worked with partners to increase the hours to be open during lunch, aligning with other programs that clients may be attending on site such as recovery meetings. • Organize visits with BOH members. Communicable Disease: ■ Offered COVID and Influenza vaccines at our county jail. • Hosted two DOH Care -A -Van events offering all childhood immunization, COVID-19 vaccines, and Mpox vaccines. • Staff continue to manage outbreaks. Pertussis information is coming up later in the agenda. CYSHCN: Whitney Wheelock is doing outreach to providers to educate them on how to refer CYSHCN to resources, and she was featured on Dr. Merrill-Steskal's radio show. PH Infrastructure • Assessment Coordinator, MacKenzie Carter, continues to work on strategic planning, building out objectives, and workgroups. • She is planning community presentations on the CHA and the CHIP. She is also working on the CHIP monitoring and evaluation plan and collecting data from the first year's activities. • Epi, Lianne Bradshaw, just finished a project around overdose deaths with a pilot cohort with DOH. We are working on a department data policy. Data utilization and stewardship are hot topics within the public health system. • Emergency management is updating our emergency plans including Emergency Operations Plan, Integrated Preparedness Plan, Flu Clinic AAR, as well as working on increasing activities for the Medical Reserve Corps. Kelly Bacon was just accepted to attend a training at Texas A&M in June where they have a "Disaster City. They are an Emergency Management training campus that has as real as it gets scenarios (real airplanes, collapsed buildings, train derailments, etc.). This is a unique opportunity, and Ms. Bacon was selected out of many applicants. • Communications Coordinator has hit the ground running and is working hard on a department Communications Plan that aims to increase engagement and trust with the community as well as streamline internal communications processes such as social media and brand guidelines. 0