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Kittitas County
Public Health
Dprmnt
To Protect and Promote the Health and the Environment of the People of Kittitas County
KITTITAS COUNTY BOARD OF HEALTH(BOH)
Meeting Minutes
March 29,2019
Commissioners'Auditorium
2:00 pm
Present
Board of Health (BOH):
Cory Wright,Rich Elliott,Laura Osiadacz,John Asriel M.D.
Absent:Brett Wachsmith
Board of Health Advisory Committee (BOHAC):
None
Public Health:Katie Odiaga,Tristen Lamb,Amy Fuller,Jesse Cox,Zac Bales,Tina Rowan,Liz Whitaker
Meeting called to order at 2:00 pm
Introductions
Introductions were completed.
Minutes
Motion to approve the February 21,2019 Board of Health meeting minutes
Motion 03-01:Motion to the February 21,2019 Board of Health meeting minutes.Rich Elliott
moved to approve the February 21,2019 Board of Health meeting minutes.Laura Osiadacz
second.All approved.Motion 03-01 carried to approve the February 21,2019 Board of Health
meeting minutes.
Public Comment
Public Comment open at 2:02 pm
Public Comment closed at 2:02 pm
BOHAC update
Tristen Lamb informed the board that APOYO had been selected as the Annual Public Health Champion
Award recipient.Ms.Lamb also noted that Dr.John Merrill-Steskal will also be presented with an
honorary Public Health Champion award,based on his continued nominations,and his declining of a
monetary award.Both awards will be presented at the April Board of Health meeting.Ms.Lamb
reviewed the Kittitas County Public Health 2019 budget with BOHAC and discussed the original
intention of the admissions tax.
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March 29,2019
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Department updates
Administrator update
Tristen Lamb stepped to the microphone and stated the departments support for the county and all those
involved with the recent tragedy last week.Ms.Lamb thanked staff for stepping up to help at the
Emergency Operations Center.Ms.Lamb then updated the board members on the following:
Contracts and Agreements:
Ms.Lamb mentioned a foundational public health services bill which was going through legislation;it
has currently passed in the house and the senate.
Staffing updates:
•Zac Bales started as an Environmental Health Specialist on March 4*,2019.
Program updates:
•Liz Whitaker provided overdose prevention training and distributed naloxone at the Adult
Activity Center in Ellensburg.
•Ellensburg Police Department requested Adverse Childhood Experiences (ACEs)and Resiliency
training,which was provided by Chelsey Loeffers.
•The On-Site Sewage program increased the use of SmartGov permitting software to improve
efficiency between KCPHD and other county departments.
Admin updates:
•The 2019 fee schedule update has received its annual review,and changes to the cost-recovery
method have been incorporated.
•Public Health management team had a retreat on February 25th,to discuss succession planning
after supervisor retirement,updates to the strategic plan which are due this year,and creating and
implementing an anonymous customer service survey.
Health Officer Update
Liz Whitaker provided the update on Dr.Mark Larson's behalf.She gave an update regarding the measles
outbreak;there are no confirmed cases in Kittitas County,and the last confirmed case in Clark County
was 11 days ago.Ms.Whitaker stated that this hopefully indicates it is winding down,and noted that
there has been a lot of discussion and planning regarding what would happen in the future if a measles
case/outbreak occurred in Kittitas County.
•There were no updated flu statistics this week;however the first 2 weeks of March had a spike in
both flu tests and positive results.
•Ms.Whitaker noted that it has been an unusually late flu season.
Financial Update
Tina Rowan stepped to the microphone and stated that she had been busy finalizing the December
accounts,accruals and billings.Ms.Rowan noted that some of the numbers on her financial handout will
change once accrual funding for January and February comes in from 2018.
Business
Naloxone and Overdose Prevention discussion
Tristen Lamb and Liz Whitaker briefly discussed what public health does for overdose prevention and
naloxone.Public health will provide training about naloxone to anyone who requests it,for use on others.
Rich Elliot provided information about the EMS side of naloxone use,noting that data shows a majority
of people using naloxone are not calling emergency services after administration,or are refusing transport
to a medical facility.Mr.Elliot also noted that EMS in Kittitas County is transporting roughly the same
amount of people for alcohol overdoses as drug overdoses.There was extensive discussion regarding the
problem of addiction,and working to break the addiction cycle.Mr.Elliot also stated that naloxone does
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March 29,2019
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not reverse overdose,it only reverses the effects of overdose,and that 2018 overdose numbers were
primarily for overdosesof prescription drugs.
National Public Health Week Resolution
Tristen Lamb asked for approval for the resolution the recognize April lst through April 5th,2019 as
National Public Health Week.
Motion to approve Resolution 2019-001 to recognize April 16'through April 5 ,2019 as National Public
Health Week.
Motion 03-02:Motion to approve Resolution2019-0001 to recognize April 1"through April 5th,2019
as National Public Health Week.Dr.Asriel moved to approve Resolution to recognize April 1"*
through April 5th,2019 as National Public Health Week.Rich Elliot second.All approved.Motion
03-02 carried to approve to approve Resolution 2019-001 to recognize April 1'*through April 5th
2019 as National Public Health Week
Health Youth SurveY
Amy Fuller stepped to the microphone to give a brief background on the health youth survey,and why it
is performed.She then presented data on for the following four categories of the survey:
•Alcohol,Tobacco and Other Drug Use
•Health and Health Related Behaviors
•Safety and Violence Behaviors
•Risk and Protective Factors
There was some discussion about the data and possible ways to improve some of the problem areas.There
was a request for more specific breakdowns of data in certain categories.
DD Update
Tristen Lamb briefly reviewed some developmental disabilities program updates.Monitoring dates have
been set for all employment and day service agencies.Bright Beginnings is officially now under Yakima
Children's hospital.Kittitas Valley Opportunities/Parent to Parent has lost United Way funding,and it is
likely KCPHD will be able to support the deficit.Yakima Specialties is re-evaluating their ability to
provide services in Kittitas County,and will be providing us with a number of clients they would need to
maintain services here.
Request for ioint BOCC/BOH Public Hearing for Water Resources Program Updates
Tristen Lamb asked the board for approval for a joint BOCC/BOH public hearing to approve changes to
the Water Resources Program,which are mostly language changes.
Motion 03-03:Motion to approve request for joint BOCC/BOH public hearing on Thursday April
18,2019 for Water Resources Program Updates.Rich Elliott moved to request for joint
BOCC/BOH public hearing on Thursday April 18,2019for Water Resources Program Updates.
Laura Osiadacz second.All approved.Motion 03-03 carried to approve request for joint
BOCC/BOH public hearing on Thursday April 18,2019 for Water Resources Program Updates.
Request for joint BOCC/BOH Publie Hearing for 2019 Fee Schedule Updates
Tristen Lamb asked the board for approval for a joint BOCC/BOH public hearing to approve the 2019
Kittitas County Public Health Fee Schedule.
Motion 03-04:Motion to approve request for joint BOCC/BOH public hearing on Thursday April
18,2019to approve the2019 Kittitas County Public Health Fee Schedule.Rich Elliott moved to
request for joint BOCC/BOH public hearing on Thursday April 18,2019 to approve the 2019
Kittitas County Public Health Fee Schedule.Laura Osiadacz second.All approved.Motion 03-04
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carried to approve request for joint BOCC/BOH public hearing on Thursday April 18,2019 to
approve the 2019 Kittitas County Public Health Fee Schedule.
Other
Dr.Asriel asked a couple questions about preparations for fire season this year.Tristen Lamb stated there
will be an update regarding this information at the April meeting.
Meeting adjourned at 03:30 pm
Cory Wright,Chair of the Board lealth
Trist n Lamb,Ad nistrator
Kitti s County blic Health
Katic Odiaga,Clerk the Board o t