CLINTON OFFICE GRATIOT OFFICE MONTCALM OFFICE 1307 E. … · 2020-06-24 · CLINTON OFFICE 1307 E....

CLINTON OFFICE 1307 E. Townsend Rd. Saint Johns, MI 48879-9036 (989) 224-2195

GRATIOT OFFICE 151 Commerce Dr. Ithaca, MI 48847-1627 (989) 875-3681

MONTCALM OFFICE 615 N. State St. Stanton, MI 48888-9702 (989) 831-5237

BOARD OF HEALTH: Bruce DeLong George Bailey Betty Kellenberger

Dwight Washington, Ph.D. Chuck Murphy Adam Petersen

WWW.MMDHD.ORG –––––––– MARK W. (MARCUS) CHEATHAM, PH.D. Health Officer

JENNIFER MORSE, MD, MPH, FAAFP Medical Director

BOARD OF HEALTH REGULAR MEETING

Wednesday, June 24, 2020 9:00 a.m.

Gratiot Branch Office 151 Commerce Dr., Ithaca, Michigan

Board of Health and staff are invited to participate in person with the public participating virtually due to the highly-contagious COVID-19 virus. Instructions to participate virtually in the June 24th Finance and Regular Board of Health Meetings by video are: https://join.freeconferencecall.com/mcheatham5, or by phone call (978) 990-5135; the online meeting ID is mcheatham5 and the Access Code is 6086585#.

AGENDA We take action to protect, maintain, and improve the health of our community.

Pledge of Allegiance

A. AGENDA NOTES, REVIEW, AND REVISIONS:

1.

B. CONSENT ITEMS:

1. Meeting Minutes

a. Mid-Michigan District BOH Regular Meeting held May 27, 2020 – Included.

b.

2. Communications

a.

C. PUBLIC COMMENTS:

D. BRANCH OFFICE EMPLOYEES:

E. COMMITTEE REPORTS:

1. Finance Committee – Bruce DeLong, Chair

a. MMDHD’s Expenses for May 9 through June 19, 2020 – Included.

b. MMDHD’s Monthly Balance Sheet, Revenue and Expenditure Report for May 2020 – Included.

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https://join.freeconferencecall.com/

c. MMDHD FY 20/21 Budget Development; Schedule Special Finance Committee Meeting

d. Update on Food Service Licenses

e.

2. Personnel Committee – Betty Kellenberger, Chair a. Health Officer’s Appraisal and Employment Agreement

b. Teamsters Local 214 Contract

c.

3. Program Committee – Dwight Washington, Chair

a.

4. Mid-Central Coordinating Committee – Dwight Washington

a.

F. MEDICAL DIRECTOR'S REPORT: Jennifer E. Morse, M.D. – Included.

1. COVID-19 Testing

2.

G. HEALTH OFFICER'S REPORT: Mark W. (Marcus) Cheatham, Ph.D.

1. Update on Health Department Actions – Handout.

2. Agreements Signed, May 22 through June 17, 2020 – Included.

3.

H. OLD BUSINESS:

1.

I. NEW BUSINESS:

1. Emerging Issues

a.

J. LEGISLATIVE ACTION:

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K. INFORMATIONAL ITEMS: – Included.

1. Mid-Michigan District BOH Action Items, May 2020

2. Staffing Report

L. RELATED NEWS ARTICLES AND LINKS:

1. 7 Cases Total Reported At Masonic Pathways, Morning Sun, May 20, 2020 2. An ACE Employee, Daily News, May 21, 2020 3. Cleanup Work Carries On At Contaminated Velsicol Site, Morning Sun, May 26, 2020 4. ‘County Lines Don’t Stop A Virus’, Gratiot County Herald, May 27, 2020 5. Local Health Experts Weigh In On Mid-Michigan Spread, Gratiot County Herald, May 27, 2020 6. Health Officer Offers Advice To Businesses Looking To Reopen During Coronavirus Pandemic, Daily

News, May 27, 2020 7. Mid-Michigan District Health Department Set To Reopen Monday, Will Resume Vaccinations, Daily

News, May 28, 2020 8. Health Department Purchases New Fleet Of Copiers, Printers, Daily News, May 29, 2020 9. Mid-Michigan District Health Department Receives Clean Audit Report, Daily News, May 30, 2020 10. Vaccination Rates Drop, Outbreak Risk A Concern, Morning Sun, June 1, 2020 11. 9 Of Gratiot’s 11 COVID-19 Victims From Nursing Homes, Morning Sun, June 2, 2020 12. Montcalm County Offices Open To Public Again, But Many Doors Remain Locked, Daily News,

June 2, 2020 13. 2 More Virus Cases, At Least 1 Likely At Pathways, Morning Sun, June 3, 2020 14. Gratiot COVID-19 Deaths Surpass Isabella, Midland, Gratiot County Herald, June 4, 2020 15. No New Deaths Reported In Gratiot As COVID-19 Cases Slow, Gratiot County Herald, June 11, 2020 16. Take Precautions To Avoid Getting Bitten By Mosquitoes, Lakeview Area News, June 11, 2020 17. Public Health Workers Fighting Virus Face Growing Threats, Traverse City Record Eagle, June 12,

2020; 18.

M. AGENCY NEWSLETTERS: None.

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Board of Health (BOH) Synopsis of Actions Needed June 24, 2020 Meeting

Item A. 1. AGENDA NOTES, REVIEW, AND REVISIONS

Motion to approve the Agenda as presented.

Item B. 1. & 2. CONSENT ITEMS (MEETING MINUTES & COMMUNICATIONS)

Motion to accept and place on file Meeting Minutes B. 1. a.

Item E. 1. a. EXPENSES FOR MAY 9 THROUGH JUNE 19, 2020

Motion to approve payment of the Mid-Michigan District Health Department’s (MMDHD) Expenses for May 9 through June 19, 2020, totaling $785,314.70.

Item E. 1. b. BALANCE SHEET, REVENUE AND EXPENDITURE REPORT FOR MAY 2020

Motion to approve and place the Balance Sheet, Revenue and Expenditure Report for May 2020 on file.

Item E. 1. c. FY 20/21 BUDGET DEVELOPMENT; SCHEDULE SPECIAL FINANCE COMMITTEE MEETING

Motion to schedule a Special Finance Committee Meeting for _________, 2020.

Item F. 1. MEDICAL DIRECTORS REPORT-COVID-19 TESTING

Motion to adopt the BOH Monthly Healthy Living Recommendation for July as proposed and accept and place the Medical Director’s Report on file.

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BOARD OF HEALTH REGULAR MEETING

At Mid-Michigan District Health Department (MMDHD)

Saint Johns, Michigan

Meeting held electronically through https://join.freeconferencecall.com due to COVID-19.

Wednesday, May 27, 2020 at 9 a.m.

MINUTES We take action to protect, maintain, and improve the health of our community.

Members Present: George Bailey, Chairperson; Bruce DeLong; Chuck Murphy; Dwight Washington; Adam Petersen; and Betty Kellenberger, Vice Chairperson

Members Absent: None Staff Present: Mark W. (Marcus) Cheatham, Ph.D., Health Officer; Melissa Selby, Director of

Administrative Services; Cynthia M. Partlo, Board Secretary; Jennifer E. Morse, MD, MPH, FAAFP, Medical Director; Liz Braddock, Director of Environmental Health (EH); and Sarah Doak, Director of Community Health and Education

Staff Absent: None Guests: Ali Barnes, CPA, Yeo & Yeo; and Elisabeth Waldon, Reporter, Daily News George Bailey, Chairperson called the Regular Meeting of the Mid-Michigan District Board of Health (BOH) to order at 9:00 a.m. on Wednesday, May 27, 2020, virtually through https://join.freeconferencecall.com due to the highly contagious COVID-19 and to assure compliance with federal, state, and local health guidance and requirements relating to the Governor’s Executive Order 2020-75. The Pledge of Allegiance was led by G. Bailey. A. AGENDA NOTES, REVIEW, AND REVISIONS:

G. Bailey requested that all votes be taken by roll call. Motion made by B. DeLong and seconded by B. Kellenberger to approve the Agenda as presented. C. Partlo called the roll:

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Board Member Yes No

B. DeLong ✓

B. Kellenberger ✓

C. Murphy ✓

A. Petersen ✓

D. Washington ✓

G. Bailey ✓

Motion carried 6-0.

B. CONSENT ITEMS: 1. Meeting Minutes

a. Michigan Association for Local Public Health (MALPH) Draft Board of Directors Meeting held

March 9, 2020

b. Mid-Michigan District Board of Health (BOH) Regular Meeting held April 22, 2020 c. Mid-Michigan District BOH Special Meeting held May 6, 2020

2. Communications

a. Letter dated May 11, 2020 from Jay Fiedler, MS, Director, Division of Emergency Preparedness and

Response, Michigan Department of Health and Human Services (MDHHS) regarding Public Health Crisis Response funding

C. Murphy requested a correction to the April 22, 2020 BOH Minutes on page 4, third paragraph to read: “C. Murphy asked why Michigan has more than twice as many deaths compared to several States with about the same number of cases but fewer deaths.”

Motion made by B. Kellenberger and seconded by D. Washington to accept the Meeting Minutes B. 1. a., b. (corrected Minutes) and c., as well as Communications B. 2. a. and place on file. C. Partlo called the roll:

Board Member Yes No

B. DeLong ✓

B. Kellenberger ✓

C. Murphy ✓

A. Petersen ✓

D. Washington ✓

G. Bailey ✓

Motion carried 6-0.

C. PUBLIC COMMENTS: None.

D. BRANCH OFFICE EMPLOYEES: None.

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E. COMMITTEE REPORTS:

1. Finance Committee – Bruce DeLong, Chairperson

a. MMDHD’s Expenses for April 11 through May 8, 2020

Motion made by B. DeLong and seconded by B. Kellenberger to approve payment of the MMDHD’s expenses for April 11 through May 8, 2020 in the amount of $425,468.98. C. Partlo called the roll:

Board Member Yes No

B. DeLong ✓

B. Kellenberger ✓

C. Murphy ✓

A. Petersen ✓

D. Washington ✓

G. Bailey ✓

Motion carried 6-0.

b. MMDHD’s Monthly Balance Sheets, Revenue and Expenditure Reports for February, March, and April 2020

Motion made by B. DeLong and seconded by B. Kellenberger to approve and place the Balance Sheets, Revenue and Expenditure Reports for February, March, and April 2020 on file. C. Partlo called the roll:

Board Member Yes No

B. DeLong ✓

B. Kellenberger ✓

C. Murphy ✓

A. Petersen ✓

D. Washington ✓

G. Bailey ✓

Motion carried 6-0.

c. MMDHD FY 19/20 Budget Forecast M. Selby commented that the agency was unsure regarding upcoming revenues once the agency’s full operations have been restored; however, she anticipated a loss of some revenue for FY 19/20. M. Cheatham added that in FY 20/21, there might be additional work for the agency to do regarding COVID-19; however, local demand for public health services could increase as well. He also stated that there could be an opportunity for the agency to obtain additional staff for contact tracing and public education regarding COVID-19. The agency will continue to follow developments and update the BOH.

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D. Washington stated that he understands that COVID-19 is a big undertaking; however, he is wondering if there are other services that the agency could be looking at to provide in the future. M. Cheatham stated that the agency has been looking at new, innovative services and began providing the services of Community Health Workers. During this pandemic, staff have been busy and have not had an opportunity to focus on other services. A. Peterson asked for clarification that the agency would be adding staff next year. M. Cheatham indicated that local public health departments were approached by the State regarding potential funding to add additional staff. M. Cheatham said he told the State that the agency could add staff for contact tracing and public information if funding was provided.

d. FY 18/19 Audit, Yeo & Yeo

Ali Barnes, CPA from Yeo & Yeo reviewed the FY 18/19 Audited Financial Statements, including the Single Audit Report. She reviewed portions of the Financial Statements noting that the opinion given to MMDHD was an unmodified, clean audit opinion and there were no Federal findings in the Women, Infant, and Children’s (WIC) Program and the Family Planning (FP) Program reported in the Single Audit Report. She indicated that this year, she was required to test two programs, which is different than what had been done in the past. Ali Barnes discussed a few recommendations for management for improved operational processes. Ali indicated that the agency had healthy cash balances when compared to liabilities. M. Selby added that she believed that the State would take back some of the agency’s Medicaid full cost reimbursement and was planning for that. Ali indicated that agency revenues were $6.9 million, and expenditures were $6.8 million; therefore, the agency was able to apply $100,000 to fund balance. She indicated that was positive given that the agency’s future funding was uncertain. She reviewed the agency’s committed funds, noting that because the agency has several committed funds for specific purposes, that it showed forward thinking and planning for future expenses. Motion made by B. DeLong and seconded by A. Petersen to accept the FY 18/19 Audited Financial Statements as proposed and place them on file. C. Partlo called the roll:

Board Member Yes No

B. DeLong x

B. Kellenberger x

C. Murphy x

A. Petersen x

D. Washington x

G. Bailey x

Motion carried 6-0.

e. Quotes for New Office Equipment

B. DeLong mentioned that after discussion, the Finance Committee recommended purchasing the fleet with light production equipment from Ricoh USA. M. Cheatham added that the agency would be saving over $36,000 by switching vendors to Ricoh USA through the MiDeal Program and purchasing rather than leasing the equipment. The agency would also gain the ability to print their own brochures, publications, and business cards through the light production machine rather than outsourcing that work to a commercial printer. A. Petersen asked what the agency would have to

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spend to obtain the savings. C. Partlo added that the savings with Ricoh USA is different than the agency’s previous lease arrangements. With Ricoh USA, the agency pays for copies as used at the rate per machine. In the past, a specific quantity for copies was included, and the agency went over in color copies every year for the past five years. Additionally, C. Partlo indicated that the annual cost does not include the rebate amount of $14,000 from Ricoh USA, which could be applied to anything. C. Partlo clarified that the purchase price would be amortized over 8 years. B. DeLong suggested adding the rebate amount to fund balance to be used for new equipment in 8 years. A. Petersen asked if the agency has a half-million in fund balance for equipment. M. Cheatham confirmed that there was currently a $489,000 fund balance for equipment. A. Petersen asked if the fund balance for equipment could be used for other things. M. Selby added that the equipment fund balance is designated to be used for significant expenses such as computers, servers, and new software. She indicated that the Board has the right to decide to move some of the funding if they choose. M. Selby suggested that maybe the fund should be renamed to technology fund. Additionally, M. Selby indicated that the agency has a total fund balance of $2 million between committed and general which is one-third of the agency’s $6 million budget. Motion made by B. DeLong and seconded by B. Kellenberger to authorize MMDHD to purchase the fleet equipment with the light production machine from Ricoh USA as proposed through the MiDeal Program. C. Partlo called the roll:

Board Member Yes No

B. DeLong ✓

B. Kellenberger ✓

C. Murphy ✓

A. Petersen ✓

D. Washington ✓

G. Bailey ✓

Motion carried 6-0.

2. Personnel Committee – Betty Kellenberger, Chairperson – No Report.

3. Program Committee – Dwight Washington, Chairperson – No Report.

4. Mid-Central Coordinating Committee – Dwight Washington, Chairperson – No Report.

F. MEDICAL DIRECTOR’S REPORT: Jennifer E. Morse, MD, MPH, FAAFP

1. Future of the COVID-19 Pandemic

Dr. Morse reported on the future of the COVID-19 Pandemic stating that the Centers for Infectious Disease Research and Policy (CIDRAP) looked at eight pandemics since the 1700s and compared them to COVID-19. She said that coronavirus has never caused a global pandemic before. She described some of the differences between pandemics, noting that seven of them had an early peak followed by a second peak around six months later, with some of the peaks being larger than the first peak. She indicated that some of the pandemics had smaller waves of cases over two years after the first wave. Only the H1N1 pandemic had a vaccine available about six months after the beginning of the

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pandemic, which prevented many more cases. Dr. Morse reported than it could be about 18 to 24 months before the pandemic would end and about 60% to 70% of the worldwide population would need to be immune. A vaccine, when and if it becomes available, might help achieve the needed levels of immunity; however, would not be available for widespread use until next year. She noted that mass production of the vaccine was an issue and might delay availability. Dr. Morse reported that CIDRAP proposes three possible scenarios: Scenario 1 – a first wave in the spring of 2020 followed by smaller waves for one to two years, gradually ending in 2022. Scenario 2 – a first wave in the spring of 2020, followed by a larger wave in fall/winter of 2020, which would require reinstitution of mitigation efforts. Scenario 3 – a first wave in the spring of 2020, followed by a slow burn of cases, varying by location for the next one to two years. She reported that it was likely that SARS-CoV-2 would join other seasonal coronaviruses and continue to circulate. Dr. Morse stated that her BOH Monthly Healthy Living Recommendations for June were taken from the CIDRAP report; noting that communities should plan for the worse – which is Scenario 2. D. Washington commented that he believed that this pandemic was different than the others because of the availability of social media and the ability to get messaging to the public. He encouraged the health department to keep its website up to date with current messaging to connect with the public. He suggested using a warning system to help the public know their level of risk so that they can modify their behaviors. He also stated that the Clinton County courthouse had an exposure of COVID-19; as a result, he said there could be asymptomatic carriers for the next 11 days. Therefore, the courthouse needed to be on a higher level of warning than before the exposure. Dr. Morse replied that not everyone in the building was at risk for illness as not everyone in the building was a contact. G. Bailey stated that he was hearing that the testing reveals carriers; if we have enough tests, people in the courthouse could be tested. Dr. Morse added that testing is not foolproof – people can be infected and test negative, people can test negative today and be infected tomorrow, and people can test positive for up to 60 days after being infected when they are really only contagious for about 10 days past symptom onset because the ribonucleic acid (RNA) is continuously present in their system. So, Dr. Morse indicated that testing positive does not necessarily mean a person is contagious. She said testing was helpful, but by testing negative, does not mean that a person was safe to return to work. She said the issue was a long and difficult discussion. B. Kellenberger commented that she had heard that the Centers for Disease Control and Prevention (CDC) indicated that testing was only accurate about 50% of the time. Dr. Morse reported that antibody testing with a low prevalence in the community caused false-positive results about 50% of the time. In summary, she recommended people incorporate COVID-19 into their daily lives by wearing face masks, spatial distancing, and staying home whenever possible. C. Murphy proposed that the agency explore using interns or medical students for contact tracing, or additional duties relating to COVID-19 response. M. Cheatham replied that the agency has used interns and medical students in the past, but currently was not using them. Dr. Morse reviewed the BOH Monthly Healthy Living Recommendation for June:

1. States, territories, and tribal health authorities should plan for the worst-case scenario (Scenario 2), including no vaccine availability or herd immunity.

2. Government agencies and healthcare delivery organizations should develop strategies to ensure adequate protection for healthcare workers when disease incidence surges.

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3. Government officials should develop concrete plans, including triggers for reinstituting

mitigation measures, for dealing with disease peaks when they occur.

4. Risk communication messaging from government officials should incorporate the concept that this pandemic will not be over soon, and that people need to be prepared for possible periodic resurgences of disease over the next 2 years. (See COVID-19: The CIDRAP Viewpoint Part 2: Effective COVID-19 Crisis Communication https://www.cidrap.umn.edu/sites/default/files/public/downloads/cidrap-covid19-viewpoint-part2.pdf)

Motion made by B. Kellenberger and seconded by D. Washington to approve the BOH Monthly Healthy Living Recommendation for June as proposed and approve the Medical Director’s Report as presented. C. Partlo called the roll:

Board Member Yes No

B. DeLong ✓

B. Kellenberger ✓

C. Murphy ✓

A. Petersen ✓

D. Washington ✓

G. Bailey ✓

Motion carried 6-0.

G. HEALTH OFFICER’S REPORT: 1. COVID-19 and the Impact on Immunizations

M. Cheatham stated that the document, The Impact of Covid-19 on Immunization Coverage in Michigan, came from the MDHHS. He indicated that MMDHD stopped doing almost all immunizations at the end of March, along with most other health departments. He reported that:

➢ Administration of non-influenza immunizations decreased 17% between January and April 2020;

➢ Orders to purchase vaccines were down 78%; and

➢ Overall vaccine coverage dropped from 59% to 57% with coverage dropping for 7-month old infants from 55% to 47% and only 37% of children on Medicaid have adequate coverage at this time.

He said that the State has asked the local health departments to restart their immunization programs on June 1, 2020. He reported that MMDHD was in the process of fit testing staff with N-95 masks to protect them as they begin providing immunizations.

2. MMDHD COVID-19 Activities for May

M. Cheatham reviewed activities that the agency has been doing for COVID-19 such as: 1) providing case investigation and contact tracing, 2) encouraging the public cooperate with emergency orders, 3)

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participating in MDHHS’s testing moonshot, 4) supporting long-term care and adult foster care facilities; 5) providing public outreach and housing for people impacted by COVID-19. He reported that for contact tracing, MMDHD has processed 1,884 cases, and was currently monitoring 273 cases with 17 deaths across the district. He said contact tracing was a key activity in the State’s plan for managing COVID-19. Regarding encouraging the public to follow emergency orders, M. Cheatham stated that the agency has been heavily tested. He said that the agency continues to encourage the public to follow the Governor’s emergency orders as new ones are introduced frequently. For reopening, businesses should follow the detailed guidance from the Michigan Economic Recovery Commission (MERC). He provided examples of requests received from the public to endorse the opening of community events and how the agency has responded. He commented that the agency has received complaints and law enforcement had been responding; however, in the future, law enforcement involvement would become less. M. Cheatham provided an overview of the MDHHS’s testing moonshot program directed by the Michigan State Police and National Guard, stating that it was the State’s effort to get as many people tested for COVID-19 as possible, prioritizing long-term care facilities and jails. He reported that Rite Aid and Walmart were asked to launch drive-through testing sites in the district and they declined; however, he indicated Meijer was interested, so the agency would be working with them to set that up in Gratiot County as there are currently no drive-through testing sites there. He indicated that Sparrow Carson City has established drive-through testing. Additionally, MMDHD has provided support to long-term care facilities by:

➢ Assisting them with access to testing and personal protective equipment (PPE);

➢ Providing models of how they can communicate proactively with the public about their facility; and

➢ Helping them get access to the regional hub if they have lost the ability to care for their patients.

M. Cheatham reported that the agency assisted Schnepp’s with housing and testing of eight individuals relocated due to the recent flooding in Saginaw. Furthermore, he reported that MMDHD has also established sheltering; however, to date have not used those facilities. In Montcalm County, another group has been utilized for housing individuals impacted by COVID-19. M. Cheatham reported that MMDHD received $148,000 from the Federal Emergency Management Agency (FEMA), and that the MMDHD was successful in re-directing $28,000 from a cross-jurisdictional sharing grant for improving statewide medical direction that had met its goals to now be used for learning how to reintroduce Immunization Programs during the COVID-19 pandemic. Additionally, the redirected funding would be used to assist health departments in preparing to administer a new COVID-19 vaccine once it becomes available. C. Murphy asked what type of testing that Meijer would be doing. M. Cheatham replied that Meijer would be performing the Polymerase Chain Reaction (PCR) diagnostic test, not the serology (antibody) test. C. Murphy also asked if there had been any progress toward providing an antibody test within the district. M. Cheatham discussed the value of serology testing, stating that there were too many

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unknowns regarding the testing, noting that the data was not helpful because immunity to COVID-19 was uncertain. He said that companies continue to push antibody tests; however, the results of those tests were being reported with PCR test results skewing the data and causing problems with the Michigan Disease Surveillance System (MDSS). He added there was no evidence that because you have had a positive serology test that you are immune to COVID-19 or how long immunity lasted. Dr. Morse mentioned that Clinton County has been conducting antibody testing along with the prison systems. She also stated that there were people who positively had COVID-19, but after receiving an antibody test, the results showed that they had not had it. She reported that manufacturers were releasing antibody testing without authorization, but the Food and Drug Administration (FDA) had now stopped that to control unauthorized tests; requiring manufacturers to show evidence of effectiveness and to obtain licensing.

3. Agreements Signed, April 17 through May 20, 2020

The topic was for information only.

4. Preparations for Reopening MMDHD Services

M. Cheatham provided an overview for reopening services at MMDHD stating that the agency planned to begin administering vaccines on Monday, June 1st following a model from the Counties using MERC guidance. He said that the agency’s goal was to keep as many staff working from home as long as possible. The agency’s WIC and Children’s Special Health Care Services Programs were being offered remotely, and it was anticipated this would continue through July. He explained how the agency would now operate the Family Planning and Immunization Programs in the branch offices. M. Cheatham reported that Environmental Health (EH) Specialists have been providing services since May 7th from their homes. He said that sneeze guards were being installed in the branch offices to protect EH staff when customers begin to purchase permits in person. Hand sanitizer was also made available at a few locations in each branch office. Emergency Order 2020-92 was written after the Board packet was completed; requiring a written plan before reopening that provides training to staff on COVID-19 and that a COVID-19 responsible supervisor be physically present at all times in the branch offices. M. Cheatham mentioned that the agency’s budget process has been delayed due to COVID-19; however, the management staff would now begin working on the agency’s proposed budget for FY 20/21. He noted that he would begin meeting with County Administrators virtually to discuss the budgeting process. In summary, he added that good communication with the Counties was needed to minimize surprises.

5. Preparations for Availability of COVID-19 Vaccine

M. Cheatham mentioned that the State has indicated that the earliest the vaccine could arrive would be around the New Year. He mentioned that the vaccine was expected to be administered initially as a two-dose vaccine separated by 28 days. The vaccine would be rolled out in priority groups before the general public with local public health departments administering the vaccinations. D. Washington asked how MMDHD would be working with the schools to reopen. M. Cheatham mentioned that the State has established a committee to address the reopening of schools. If the State requested involvement from local public health, MMDHD would get involved. As always, MMDHD stands ready to assist local intermediate school districts, if requested.

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M. Cheatham provided an overview of the recently released website called the MI Safe Start Map (https://mistartmap.info/), an effort by the State to provide quantitative data to local jurisdictions on indicators of risk within their communities so decisions could be made on reopening. He mentioned that for rural counties, there was insufficient data points to use the dashboard quantitatively to make decisions on reopening. Motion made by D. Washington and seconded by B. Kellenberger to approve the Health Officer’s report and place it on file. C. Partlo called the roll:

Board Member Yes No

B. DeLong ✓

B. Kellenberger ✓

C. Murphy ✓

A. Petersen ✓

D. Washington ✓

G. Bailey ✓

Motion carried 6-0.

H. OLD BUSINESS: None

I. NEW BUSINESS:

1. Emerging Issues – None

J. LEGISLATIVE ACTION: None

K. INFORMATIONAL ITEMS:

1. Mid-Michigan District BOH Action Items, April 2020

2. MMDHD Staffing Report L. RELATED NEWS ARTICLES AND LINKS: – https://www.mmdhd.org/2020-board-of-health/

1. County Adheres To Restrictions While Preparing For Candidate Filings, Gratiot County Herald, April 15, 2020

2. No Deaths Yet In Gratiot As COVID-19 Continues To Spread, Gratiot County Herald, April 15, 2020 3. Interview With Pat Carr, Lakeview Area News, April 16, 2020 4. 4 Deaths At Senior Facility Reported, Lansing State Journal, April 16, 2020 5. COVID-19 Outbreaks Reported At 4 Area Care Facilities, Lansing State Journal, April 22, 2020 6. First COVID-19 Death Reported In Gratiot As Cases Slow, Gratiot County Herald, April 22, 2020 7. Kent County Revokes Court Order Which Said Possible COVID-19 Carriers Who Refuse To Isolate Can

Be Detained, Daily News, April 22, 2020 8. 3 New Deaths Push Area Total To 23, Lansing State Journal, April 24, 2020 9. Local Medical Director: Michigan To Start Reporting ‘Probable’ Cases And Deaths Related To COVID-

19, Daily News, April 24, 2020 10. 8 New COVID-19 Cases Reported In Greater Lansing, Lansing State Journal, April 26, 2020 11. COVID-19 Cases Hit Double-Digits In Gratiot County, Gratiot County Herald, April 30,2020

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https://www.mmdhd.org/2020-board-of-health/

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12. Health Department Provides Briefing, Gratiot County Herald, April 29, 2020 13. Michigan is Flattening The Curve, But It’s Not Business As Usual, Daily News, May 1, 2020 14. Virus Claims 3 More Lives In Lansing, Lansing State Journal, May 2, 2020 15. Greater Lansing Sees 1 More Case Of COVID-19, Lansing State Journal, May 4, 2020 16. 4 More COVID-19 Cases In Area, Lansing State Journal, May 5, 2020 17. Ingham: 14 Have Died From COVID-19, Lansing State Journal, May 6, 2020 18. Virus Linked To Death At Nursing Home, Lansing State Journal, May 6, 2020 19. Outbreak At Care Facility Doubles Gratiot’s COVID-19 Cases, Gratiot County Herald, May 6, 2020 20. Political Messages? Daily News, May 7, 2020 21. COVID-19: Ingham Reports Toll Climbs To 37, Lansing State Journal, May 16, 2020 22. 7 Cases Total Reported At Masonic Pathways, Morning Sun, May 20, 2020

M. AGENCY NEWSLETTERS: None In summary, G. Bailey mentioned that the meeting was positive and provided good information and feedback. He recommended as businesses decide to reopen that they abide by the guidance from the health department, the CDC, and MERC.

There being no further business to come before the Board, the meeting was adjourned at 10:56 a.m. Respectfully Submitted, Cynthia M. Partlo, Board Secretary For George Bailey, Chairperson Mid-Michigan District Board of Health

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EV 1925 311,862.59$

EV 1926 204,979.40$

EV 1927 268,472.71$

TOTAL 785,314.70$

MONTHLY EXPENSES FORMay 9, 2020 - June 19, 2020

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EV 1925 5/22/2020

Check #

106017 to Quantum Checks & AP Direct Deposits 129,010.10$

106055

AFLAC Employee Deduction 587.34$ MERS Employee Electronic Transfer 3,893.94$ Chemical Bank Payroll-Ameriprise NBS 185.00$ Chemical Bank Payroll-Nationwide 1,570.00$ Chemical Bank Payroll-MERS 457 870.00$ Chemical Bank Payroll Tax EFT

Federal 32,897.80$ State 5,066.07$

MERS Employer Electronic Transfer Apr-20 29,504.53$ Direct Deposit Payroll 108,174.07$

Chemical E-Banking fee May-20 107.20$ Chemical Bank Interest Apr-20 (3.46)$

311,862.59$

Payables

Payroll

Bank Fees

TOTAL

of 41

OF 5RUN DATE: MAY 19, 2020 - 14:25 Mid Michigan District Health Department

ACCOUNTS PAYABLE CHECK REGISTER

CHECK CHECK\VOID REMIT-TO NAME INVOICE INVOICE VOUCH# P.O.-NO AMOUNT DISCOUNT CHECKNO DATE VENDOR-# NO DATE PAID TAKEN AMOUNT--------------------------------------------------------------------------------- ---------------------------------------------------- -------------- ------------- ------------

106017 05/22/20 ALPH83 ALPHA FAMILY CENTER 060120 06/01/20 20297 300.00$ -$ 300.00$ JUNE RENT

COMPUTER CHECKCHECK TOTALS: 300.00$ -$ 300.00$

106018 05/22/20 BLU008 BLUE CROSS BLUE SHIELD OF MI 101826 05/06/20 20301 2,705.45$ -$ 2,705.45$ 0003 JUNE HEALTH INSURANCE

COMPUTER CHECK101827 05/06/20 20302 3,507.07$ -$ 3,507.07$ 0005 JUNE HEALTH INSURANCE

CHECK TOTALS: 6,212.52$ -$ 6,212.52$

106019 05/22/20 BLU034 BLUE CARE NETWORK 201290020557 05/08/20 20304 10,708.82$ -$ 10,708.82$ 0003 JUNE HEALTH INSURANCE

COMPUTER CHECKCHECK TOTALS: 10,708.82$ -$ 10,708.82$





106022 05/22/20 BRO117 BROMBERG & ASSOCIATES 14742 05/07/20 20261 4.77$ -$ 4.77$ APRIL TRANSLATION SVCS


106023 05/22/20 CAP095 CAPITAL AREA UNITED WAY 101825 05/19/20 20289 16.26$ -$ 16.26$ 5/22/20 EMPLOYEE DONATION


106024 05/22/20 CLI092 CLINTON COUNTY ADMIN/ACCT AC-2020-015 05/04/20 20296 1,966.67$ -$ 1,966.67$ JUNE RENT


106025 05/22/20 COO141 COOPER MECHANICAL LLL 20518 03/24/20 20282 396.16$ -$ 396.16$ MBO IMMS FRIDGE LABOR/PARTS


106026 05/22/20 COR212 CORPORATE TECHNOLOGIES 667112 05/15/20 20299 1,040.00$ -$ 1,040.00$ JUNE TA PLUS/MIS HELP


106027 05/22/20 DEL007 DELTA DENTAL OF MICHIGAN RIS0002830067 05/12/20 20305 140.88$ -$ 140.88$ JUNE DENTAL INSURANCE


106028 05/22/20 ELRA37 EL RANCHO MEXICAN RESTAURANT 010027 05/11/20 20259 138.00$ -$ 138.00$ REFUND LATE FEE


of 41




106029 05/22/20 FRIE59 FRIEDLAND INDUSTRIES, INC 3200 05/04/20 20262 270.00$ -$ 270.00$ SHREDDING PICKUPS


106030 05/22/20 GRAT92 GRATIOT INTEGRATED HLTH NETWORK 060120 06/01/20 20298 100.00$ -$ 100.00$ JUNE RENT


106031 05/22/20 HAL124 HALFMAN JOSEPH 010037 05/13/20 20281 247.00$ -$ 247.00$ REFUND PERMIT


106032 05/22/20 HOS101 HOSPITAL NETWORK HEALTHCARE 66353 04/30/20 20269 59.00$ -$ 59.00$ CLINTON SHARPS


106033 05/22/20 INSP25 INSPIRATION STUDIO DESIGN 2199 02/05/20 20260 1,161.88$ -$ 1,161.88$ 1000 MMDHD FOLDERS

COMPUTER CHECK2262 04/15/20 20270 500.00$ -$ 500.00$ COVID-19 INTERNET UPDATES

CHECK TOTALS: 1,661.88$ -$ 1,661.88$

106034 05/22/20 KEN014 KENT COUNTY HEALTH DEPARTMENT EH033120-555555 04/07/20 20272 728.00$ -$ 728.00$ MARCH LABS

COMPUTER CHECK EH033120-5637 04/07/20 20271 1.00$ -$ 1.00$

LAB

CHECK TOTALS: 729.00$ -$ 729.00$

106035 05/22/20 LIN061 LINCOLN FINANCIAL GROUP 101828 05/08/20 20306 2,676.24$ -$ 2,676.24$ JUNE LIFE/LTD/AD&D


106036 05/22/20 MCK032 MCKESSON MEDICAL 03615245 05/04/20 20307 096441-00 253.39$ -$ 253.39$ DRAPES,GAUZE,GLOVES,KLEENEX


106037 05/22/20 MIL189 MILLER MARK 043020 04/28/20 20256 8,985.36$ -$ 8,985.36$ 2Q2020 CJS


106038 05/22/20 MIS004 MiSDU - FRIEND OF COURT 101825 05/19/20 20288 262.76$ -$ 262.76$ 5/22/20 EMPLOYEE DEDUCTION


106039 05/22/20 MNA004 MICHIGAN NURSES ASSOCIATION 101825 05/19/20 20287 470.80$ -$ 470.80$ MAY DUES


of 41




106040 05/22/20 NAT033 NATIONAL WIC ASSOCIATION 101824 05/19/20 20273 50.00$ -$ 50.00$ 2020 WIC MEMBERSHIP


106041 05/22/20 PAT091 PATAGONIA HEALTH INC 5778 04/30/20 20274 40,411.68$ -$ 40,411.68$ 6/28-6/27/21 SOFTWARE/EPCF


106042 05/22/20 STA194 STAPLES 3445444084 04/21/20 20286 096433-00 230.94$ -$ 230.94$ 6 COLOR INK

COMPUTER CHECK3445492226 04/22/20 20285 096433-00 288.08$ -$ 288.08$ INK,BATTERIES,MARKERS,FOLDERS

3445589385 04/24/20 20284 096437-00 57.02$ -$ 57.02$ STAPLER,ENVELOPES,STICKY NOTES

3445937968 04/30/20 20283 096438-00 280.11$ -$ 280.11$ ADMIN SUPPLIES

CHECK TOTALS: 856.15$ -$ 856.15$

106043 05/22/20 STA225 STATCOURIER 1019-1806 04/30/20 20275 1,930.50$ -$ 1,930.50$ APRIL LAB COURIER


106044 05/22/20 TEA001 TEAMSTERS LOCAL 214 101825 05/19/20 20292 1,713.40$ -$ 1,713.40$ MAY DUES


106045 05/22/20 TEA031 TEAM FINANCIAL GROUP, INC 00030367 05/11/20 20295 240.92$ -$ 240.92$ 513018-B CONTRACT

COMPUTER CHECK00030368 05/11/20 20294 1,558.72$ -$ 1,558.72$ 513018-C CONTRACT

00030369 05/11/20 20293 2,459.37$ -$ 2,459.37$ 513018-A CONTRACT

CHECK TOTALS: 4,259.01$ -$ 4,259.01$

106046 05/22/20 UNI001 UNITED WAY OF MONTCALM CO 101825 05/19/20 20291 42.52$ -$ 42.52$ 5/22/20 EMPLOYEE DONATION


106047 05/22/20 UNI009 UNITED WAY OF GRATIOT CO 101825 05/19/20 20290 71.00$ -$ 71.00$ 5/22/20 EMPLOYEE DONATION


106048 05/22/20 UNIT19 UNITED HEALTHCARE 14053152 05/05/20 20277 158.65$ -$ 158.65$ REFUND OVERPAYMENTS


106049 05/22/20 UPPE17 UPPER PENINSULA HEALTH CARE 222 05/04/20 20276 150.00$ -$ 150.00$ 2020 UPHIE SERVICE FEE


of 41




106050 05/22/20 VOGE31 VOGEL HARLE LAUREN, D.O. 051620 05/16/20 20258 227.50$ -$ 227.50$ MAY 2020 CJS/FINAL


106051 05/22/20 WGLM93 WGLM AM-FM 20040107 04/30/20 20257 1,300.00$ -$ 1,300.00$ COVID-19 ADS


106052 05/22/20 WJSZ92 WJSZ-FM 19396 04/30/20 20279 1,200.00$ -$ 1,200.00$ COVID-19 ADS


106053 05/22/20 WMLM91 WMLM-AM 9932 04/30/20 20278 1,000.00$ -$ 1,000.00$ COVID-19 ADS


106054 05/22/20 YEO010 YEO & YEO PC CPA 516211 04/30/20 20280 2,200.00$ -$ 2,200.00$ FINAL AUDIT/NONPROFIT TAX FORM


106055 05/22/20 FIR003 FIRST NATIONAL BANK OMAHA 101821 05/04/20 20263 498.85$ -$ 498.85$ STAMPED ENVEL, STAMPS.COM, DFG ADS

COMPUTER CHECK101822 05/04/20 20267 55.62$ -$ 55.62$ PAGER

101823 05/04/20 20268 14.00$ -$ 14.00$ MCIR GOTOMEETING

101821-1 05/04/20 20264 096429-00 1,308.15$ -$ 1,308.15$ 4 STAMPED ENVELOPES

101821-2 05/04/20 20265 096436-00 44.26$ -$ 44.26$ ERGONOMIC KEYBOARD

101821-3 05/04/20 20266 094640-00 62.44$ -$ 62.44$ SENSAPHONE BATTERY BACKUP

CHECK TOTALS: 1,983.32$ -$ 1,983.32$

BANK CODE TOTALS: 129,010.10$ -$ 129,010.10$

39 COMPUTER CHECKS0 MANUAL PAYMENT CHECKS0 VOID CHECKS - TRX0 VOID CHECKS - STUBS0 VOID CHECKS - ERROR0 VOID CHECKS - FORM ALIGNMENT0 DIRECT DEPOSITS39 CHECKS TOTAL

COMPANY TOTALS: 129,010.10$ -$ 129,010.10$

of 41

EV 1926 6/5/2020

Check #


106073


Federal 32,550.82$ State 5,024.73$

MERS Employer Electronic Transfer May-20 29,164.30$ Direct Deposit Payroll 109,749.57$

Chemical Bank Interest May-20 (3.34)$

204,979.40$

Payables

Payroll

Bank Fees

TOTAL

of 41

OF 3RUN DATE: JUN 02, 2020 - 15:33 Mid Michigan District Health Department


CHECK CHECK\VOID REMIT-TO NAME INVOICE INVOICE VOUCH# P.O.-NO AMOUNT DISCOUNT CHECKNO DATE VENDOR-# NO DATE PAID TAKEN AMOUNT---------------------------------------------------------------------------- ---------------------------------------------------------- -------------- ------------- ------------

291 06/05/20 DEL057 DELONG BRUCE 101831 05/31/20 20325 35.00$ -$ 35.00$ MAY PER DIEM

DIRECT DEPOSITCHECK TOTALS: 35.00$ -$ 35.00$

292 06/05/20 KEL038 KELLENBERGER BETTY 101830 05/31/20 20324 70.00$ -$ 70.00$ MAY PER DIEM

DIRECT DEPOSITCHECK TOTALS: 70.00$ -$ 70.00$

106056 06/05/20 BAI014 BAILEY'S 20.10505 05/15/20 20313 096446-00 285.00$ -$ 285.00$ 3 INFRA-RED THERMOMETERS




106058 06/05/20 CDW016 CDW GOVERNMENT, INC. XST9779 05/06/20 20311 096403-00 46.86$ -$ 46.86$ HDMI ADAPTER

COMPUTER CHECKXTQ9512 05/12/20 20312 096355-00 2,820.08$ -$ 2,820.08$ HEDGEHOG WINDOWS SERVER

CHECK TOTALS: 2,866.94$ -$ 2,866.94$

106059 06/05/20 CEN021 CENTRAL MI DIST HEALTH DEPT 04302020 05/26/20 20315 4,551.34$ -$ 4,551.34$ APRIL MD


106060 06/05/20 COH003 COHL, STOKER & TOSKEY 51386 05/19/20 20314 2,184.00$ -$ 2,184.00$ APRIL LEGAL


106061 06/05/20 CRY023 CASAIR 585553 06/01/20 20323 850.00$ -$ 850.00$ JUNE INTERNET/LIST SERV/FIBER


106062 06/05/20 ELJA38 EL JALAPENO TAQUERIA 010095 05/19/20 20316 138.00$ -$ 138.00$ REFUND PERMIT LATE FEE


106063 06/05/20 GODD96 GODDARD GEORGE & CATHEY 010138 05/26/20 20317 250.00$ -$ 250.00$ REUND PERMIT


106064 06/05/20 KEN014 KENT COUNTY HEALTH DEPT EH043020-555555 05/06/20 20318 407.00$ -$ 407.00$ APRIL WATER LABS


106065 06/05/20 MCK032 MCKESSON MEDICAL 04026154 05/07/20 20309 096441-00 50.03$ -$ 50.03$ CLOROX WIPES


of 41



CHECK CHECK\VOID REMIT-TO NAME INVOICE INVOICE VOUCH# P.O.-NO AMOUNT DISCOUNT CHECKNO DATE VENDOR-# NO DATE PAID TAKEN AMOUNT---------------------------------------------------------------------------- ---------------------------------------------------------- -------------- ------------- ------------

106066 06/05/20 MIC006 MICHIGAN DEPT OF AGRICULTURE 791-10509804 04/23/20 20319 75.00$ -$ 75.00$ FOOD FEES

COMPUTER CHECK791-10511398 05/21/20 20326 2,572.00$ -$ 2,572.00$ MAY FOOD FEES

CHECK TOTALS: 2,647.00$ -$ 2,647.00$



106068 06/05/20 STA194 STAPLES 3446567128 05/07/20 20308 096443-00 598.11$ -$ 598.11$ COPY PAPER,ENVELOPES,PADS

COMPUTER CHECK3446888594 05/14/20 20310 096445-00 12.39$ -$ 12.39$ 9X12 ENVELOPES

CHECK TOTALS: 610.50$ -$ 610.50$





106071 06/05/20 UPS002 UNITED PARCEL SERVICE 423867220 05/30/20 20322 16.88$ -$ 16.88$ 2 PACKAGES


106072 06/05/20 VER004 VERIZON 9855307870 05/23/20 20321 3,886.78$ -$ 3,886.78$ 5/24-6/23 CELL PHONES/HOT SPOTS


106073 06/05/20 WINN73 WINN TELECOM 101829 06/01/20 20320 2,125.04$ -$ 2,125.04$ TELEPHONES/INTERNET


BANK CODE TOTALS: 21,366.05$ -$ 21,366.05$ 18 COMPUTER CHECKS0 MANUAL PAYMENT CHECKS0 VOID CHECKS - TRX0 VOID CHECKS - STUBS0 VOID CHECKS - ERROR0 VOID CHECKS - FORM ALIGNMENT2 DIRECT DEPOSITS20 CHECKS TOTAL

COMPANY TOTALS: 21,366.05$ -$ 21,366.05$

of 41

EV 1927 6/19/2020

Check #


106105


Federal 32,568.30$ State 5,035.77$

MERS Employer Electronic Transfer May correction (11.61)$ Direct Deposit Payroll 108,301.84$

Chemical E-Banking fee Jun-20 108.20$

268,472.71$

Payables

Payroll

Bank Fees

TOTAL

of 41



CHECK CHECK\VOID REMIT-TO NAME INVOICE INVOICE VOUCH# P.O.-NO AMOUNT DISCOUNT CHECKNO DATE VENDOR-# NO DATE PAID TAKEN AMOUNT------------------------------------------------------------------------ ---------------------------------------------------- -------------- ------------- ------------

106074 06/19/20 BLU008 BLUE CROSS BLUE SHIELD OF MICH 107782502 06/07/20 20366 3,507.07$ -$ 3,507.07$ 0005 JULY HEALTH INSURANCE

COMPUTER CHECK007013890710 06/07/20 20367 2,705.45$ -$ 2,705.45$ 0003 JULY HEALTH INSURANCE

CHECK TOTALS: 6,212.52$ -$ 6,212.52$

106075 06/19/20 BLU034 BLUE CARE NETWORK 201610030873 06/09/20 20365 22,755.70$ -$ 22,755.70$ 0002 JULY HEALTH INSURANCE








106079 06/19/20 CDW016 CDW GOVERNMENT, INC. XXN6247 05/28/20 20347 096447-00 663.10$ -$ 663.10$ 2 EPSON SCANNERS

COMPUTER CHECKXXW0885 05/29/20 20350 096454-00 7,069.87$ -$ 7,069.87$ COMPUTER EQUIP-IMMS,CHED,ADMIN

gr2000605 06/03/20 20331 67.50$ -$ 67.50$ 5/11 INTERNAL STATUS UPDATE

CHECK TOTALS: 7,800.47$ -$ 7,800.47$

106080 06/19/20 CLI092 CLINTON COUNTY ADMIN/ACCT AC-2020-018 06/01/20 20340 1,966.67$ -$ 1,966.67$ JULY DENTAL RENT


106081 06/19/20 COH003 COHL, STOKER & TOSKEY 51420 06/10/20 20355 175.50$ -$ 175.50$ MAY LEGAL


106082 06/19/20 COR212 CORPORATE TECHNOLOGIES 670582 06/15/20 20368 1,040.00$ -$ 1,040.00$ JULY TA PLUS LEVEL1-MIS CONTRACT


106083 06/19/20 DES011 DES MOINES STAMP MFG CO 1164115 05/28/20 20349 096450-00 198.00$ -$ 198.00$ 6 FAMILY PLANNING INKED STAMPS


106084 06/19/20 ENVI34 ENVIRO-MASTER M66722 05/22/20 20344 177.80$ -$ 177.80$ 2 HAND SANITIZERS & INSTALL

COMPUTER CHECKCHECK TOTALS: 177.80$ -$ 177.80$ of 41




106085 06/19/20 HED103 HEDGEROW SOFTWARE LTD. 1085 06/01/20 20332 6,000.00$ -$ 6,000.00$ 3Q2020 LICENSE FEES


106086 06/19/20 IMP002 IMPREST CASH-MONTCALM 101833 06/10/20 20334 66.51$ -$ 66.51$ POSTAGE,KEYS,TOTES,MCIR SUPPLY


106087 06/19/20 JETS37 JETS SPEED PRINTING 43684 06/08/20 20333 174.00$ -$ 174.00$ 2020 GRADUTE CARDS


106088 06/19/20 LIN061 LINCOLN FINANCIAL GROUP 4096977982 06/10/20 20362 2,694.74$ -$ 2,694.74$ JULY LIFE/LTD/AD&D


106089 06/19/20 MCK032 MCKESSON MEDICAL 05882114 05/29/20 20346 096448-00 908.48$ -$ 908.48$ 3 QUANTIFY CONTROLS

COMPUTER CHECK06210745 06/03/20 20348 096456-00 18.52$ -$ 18.52$ GLOVES FOR FOOD INSPECTORS

CHECK TOTALS: 927.00$ -$ 927.00$

106090 06/19/20 MIC116 MICHIGAN GRAPHICS & SIGNS 17641 06/01/20 20342 096449-00 405.00$ -$ 405.00$ 30 2-SIDED SIGNS & STAKES




106092 06/19/20 MNA004 MICHIGAN NURSES ASSOCIATION 101836 06/16/20 20356 470.80$ -$ 470.80$ JUNE DUES


106093 06/19/20 ODYS27 ODYSSEY SOFTWARE I0016419 06/02/20 20335 16,596.00$ -$ 16,596.00$ FINANCE SOFTWARE


106094 06/19/20 PIT107 PITCHER PERFECT EXCAVATING 010131 05/22/20 20336 215.00$ -$ 215.00$ REFUND PERMIT


106095 06/19/20 RENT70 RENT-RITE, INC 272290-1 06/12/20 20372 140.44$ -$ 140.44$ 67537 COVID RENTAL/SATURDAY TESTING


106096 06/19/20 RENT71 RENT-RITE OF SAGINAW 272288-3 06/12/20 20373 1,166.40$ -$ 1,166.40$ 67537 COVID RENTAL/SATURDAY TESTING


of 41




106097 06/19/20 ROER69 ROERSMA & WURN BUILDERS 010231 06/04/20 20337 30.00$ -$ 30.00$ REFUND PERMIT OVERPAYMENT


106098 06/19/20 STA194 STAPLES 3447634783 05/28/20 20343 096451-00 68.96$ -$ 68.96$ 2 BOXES COPY PAPER

COMPUTER CHECK3447634784 05/28/20 20345 096452-00 32.58$ -$ 32.58$ POCKET FOLDERS/LABLES/PAPER

3447690318 05/29/20 20341 096453-00 4.98$ -$ 4.98$ CARDSTOCK

CHECK TOTALS: 106.52$ -$ 106.52$

106099 06/19/20 STA225 STATCOURIER 1019-1866 05/31/20 20353 1,989.00$ -$ 1,989.00$ MAY LAB COURIER


106100 06/19/20 TEA001 TEAMSTERS LOCAL 214 101836 06/16/20 20361 1,664.40$ -$ 1,664.40$ JUNE DUES


106101 06/19/20 TEA031 TEAM FINANCIAL GROUP, INC 00032133 06/11/20 20369 4,336.56$ -$ 4,336.56$ CONTRACT 513018-B BUYOUT

COMPUTER CHECK00032134 06/11/20 20370 1,107.00$ -$ 1,107.00$ CONTRACT 513018-C BUYOUT

00032135 06/11/20 20371 9,812.56$ -$ 9,812.56$ CONTRACT 513018-A BUYOUT

CHECK TOTALS: 15,256.12$ -$ 15,256.12$





106104 06/19/20 UPS002 UNITED PARCEL SERVICE 423867240 06/13/20 20354 32.92$ -$ 32.92$ 4 PACKAGES


106105 06/19/20 FIR003 FIRST NATIONAL BANK OMAHA 101834 06/04/20 20338 5.00$ -$ 5.00$ PAGER

COMPUTER CHECK101835 06/04/20 20339 14.00$ -$ 14.00$ GOTOMEETING-MCIR

101837 06/04/20 20351 1,875.97$ -$ 1,875.97$ POSTAGE, 3 HAND SANITIZER STATION

of 41




106105 06/19/20 FIR003 FIRST NATIONAL BANK OMAHA 101837-1 06/04/20 20352 096457-00 17.97$ -$ 17.97$ X-LARGE GLOVES FOR FOOD PROGRAM

CHECK TOTALS: 1,912.94$ -$ 1,912.94$

BANK CODE TOTALS: 115,294.94$ -$ 115,294.94$ 32 COMPUTER CHECKS0 MANUAL PAYMENT CHECKS0 VOID CHECKS - TRX0 VOID CHECKS - STUBS0 VOID CHECKS - ERROR0 VOID CHECKS - FORM ALIGNMENT0 DIRECT DEPOSITS32 CHECKS TOTAL

COMPANY TOTALS: 115,294.94$ -$ 115,294.94$

of 41

1/4 6/19/2020

Mid-Michigan District Health Department MAY 67% FY 2020 AP: 8

Revenue

Account Budget Current Month Year-to-Date Budget BalanceYTD% of Budget

1 Onsite Sewage 184,000.00 21,734.00 97,927.00 86,073.00 53%

2 Groundwater Quality 165,000.00 15,960.00 82,016.00 82,984.00 50%

3 Food Service 318,000.00 -1,710.00 264,471.00 53,529.00 83%

4 Body Art Fees 1,500.00 0.00 3,724.00 -2,224.00 248%

5 EH Misc Fees 43,285.00 5,989.45 42,823.64 461.36 99%

6 Vision Fees 20,000.00 -781.20 6,411.20 13,588.80 32%

7 Hearing Fees 20,000.00 -567.25 8,256.80 11,743.20 41%

8 Communicable Disease Fees 2,500.00 0.00 600.00 1,900.00 24%

9 Immunization Fees 136,000.00 -6,449.02 48,776.27 87,223.73 36%

10 Family Planning/STD Fees 107,200.00 33,750.73 69,808.91 37,391.09 65%

11 Breast Cancer Fees 1,000.00 407.85 1,232.80 -232.80 123%

12 Lead Fees 15,000.00 2,317.58 7,609.44 7,390.56 51%

13 Varnish Fees 15,000.00 2,863.00 9,684.00 5,316.00 65%

14 Breastfeeding Fees 15,000.00 0.00 3,677.31 11,322.69 25%

15 Ched Miscellaneous Fees 210.00 0.00 0.00 210.00 0%

16 Miscellaneous Other Fees 100.00 0.00 0.00 100.00 0%

17 Deferred Revenues - Billing 0.00 0.00 0.00 0.00 0%

18 VFC/317 Vaccine Revenue 300,000.00 0.00 71,969.55 228,030.45 24%

19 MDHHS Grants 1,682,392.00 239,902.00 1,268,807.00 413,585.00 75%

20 Essential Local Public Health Services 885,000.00 72,761.00 778,634.00 106,366.00 88%

21 MDHHS Fee For Service Revenue 62,000.00 0.00 22,323.16 39,676.84 36%

22 DEQ Grants 77,255.00 4,927.00 40,240.00 37,015.00 52%

of 41

2/4 6/19/2020

23 Other Grants/Community Support 435,000.00 25,087.13 90,936.37 344,063.63 21%

24 Medicaid Outreach 153,283.00 0.00 201,827.90 -48,544.90 132%

25 Medicaid Full Cost Reimbursement 145,000.00 0.00 22,883.60 122,116.40 16%

26 Interest 3,300.00 872.19 18,664.11 -15,364.11 566%

27 Misc Revenue 0.00 0.00 0.00 0.00 0%

28 Donations 5,000.00 0.00 1,628.75 3,371.25 33%

29 Cash Over/Short 0.00 0.00 0.00 0.00 0%

30 Clinton Co - Appropriation 430,679.00 35,889.92 279,484.84 151,194.16 65%

31 Gratiot Co - Appropriation 326,895.00 27,241.58 211,806.66 115,088.34 65%

32 Montcalm Co - Appropriation 427,904.00 35,658.67 285,269.36 142,634.64 67%

33 Prior Year Adjustments 0.00 0.00 -33.50 33.50 0%

34 Space Occupancy 270,950.00 22,836.00 182,593.00 88,357.00 67%

35 Deferred Revenues/Fund Balance- Other 61,000.0 0.00 61,000.00 0%

TOTAL REVENUE: 6,309,453.00 538,690.63 4,124,053.17 2,185,399.83 65%

W/O SPACE & VFC 5,738,503.00 515,854.63 3,869,490.62 1,869,012.38 67%

of 41

3/4 6/19/2020

Mid-Michigan District Health Department MAY FY 2020 AP: 8

Expenditure

Account Budget Year-to-Date Budget BalanceYTD% of Budget

1 Board of Health Per Diem 6,000.00 105.00 1,318.00 4,682.00 22%

2 Salaries 3,424,844.00 290,917.24 2,289,476.31 1,135,367.69 67%

3 FICA 262,000.00 21,767.63 169,621.55 92,378.45 65%

4 Health Insurance 681,548.00 61,261.37 460,390.72 221,157.28 68%

5 Dental Insurance 48,529.00 4,486.82 29,210.68 19,318.32 60%

6 Retirement 406,541.00 29,164.30 236,278.45 170,262.55 58%

7 Work Comp 39,796.00 745.58 8,879.15 30,916.85 22%

8 Unemployment Comp 5,200.00 0.00 0.00 5,200.00 0%

9 Life Insurance 6,945.00 530.83 3,854.34 3,090.66 55%

10 Physicals/memberships 0.00 0.00 697.36 -697.36 0%

11 Printed Materials 6,500.00 0.00 1,895.98 4,604.02 29%

12 Postage 18,100.00 1,667.89 10,334.43 7,765.57 57%

13 Office Supplies 44,300.00 2,629.16 27,041.84 17,258.16 61%

14 Computer/Printer Supplies 40,800.00 2,973.64 50,186.20 -9,386.20 123%

15 Medical Supplies 76,300.00 1,244.46 32,780.55 43,519.45 43%

16 CD Meds Biologics 77,000.00 0.00 50,005.02 26,994.98 65%

17 VFC Supplies 300,000.00 0.00 71,969.55 228,030.45 24%

18 Contractual Services 100,500.00 19,918.47 135,774.29 -35,274.29 135%

19 Legal Expenses 7,500.00 2,184.00 15,186.78 -7,686.78 202%

20 Communications 66,000.00 9,733.21 50,952.33 15,047.67 77%

21 Travel 150,900.00 3,182.06 81,759.55 69,140.45 54%

22 Advertising & Recruitment 14,000.00 3,538.15 11,127.94 2,872.06 79% of 41

4/4 6/19/2020

23 Liability Insurance 32,000.00 3,023.00 24,184.50 7,815.50 76%

24 Equipment Maintenance/Lease 42,900.00 4,655.17 41,435.75 1,464.25 97%

25 Rent 8,500.00 2,166.67 7,951.09 548.91 94%

26 Space Occupancy 269,950.00 22,836.00 182,593.00 87,357.00 68%

27 Training 32,100.00 0.00 23,083.32 9,016.68 72%

28 Memberships/Certifications/Subscriptions 19,500.00 -1.90 18,429.96 1,070.04 95%

29 Tuition Reimbursement 0.00 0.00 660.00 -660.00 0%

30 Laboratory 8,000.00 0.00 1,102.16 6,897.84 14%

31 Behavioral Risk Factor Survey 22,000.00 0.00 0.00 22,000.00 0%

32 Misc Other Expense 0.00 0.00 1,000.00 -1,000.00 0%

33 Computer Support 81,700.00 40,395.52 63,039.56 18,660.44 77%

34 Service Charges/Credit Card Fees 9,500.00 655.81 4,257.61 5,242.39 45%

35 Equipment 0.00 0.00 11,418.00 -11,418.00 0%

36 BOH approved capital expenses 0.00 0.00 0.00 0.00 0%

TOTAL EXPENSES 6,309,453.00 529,780.08 4,117,895.97 2,191,557.03 65%

W/O SPACE & VFC 5,739,503.00 506,944.08 3,863,333.42 1,876,169.58 67%

Revenue Over Expenditures (Deficit) 0.00 8,910.55 6,157.20 -6,157.20 0%

Revenue Over Expenditures (Deficit) without BOH approved capital expense 0.00 8,910.55 6,157.20 -7,157.20 0%

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MMDHD BALANCE SHEET AS OF 5/31/2020 5/31/2019

CURRENT ASSETS

CASH TO TREASURER $2,999,263.49 $3,017,531.45

CASH ON DEPOSIT/IMPREST CASH 3,120.00 3,240.00

ACCOUNTS RECEIVABLE/CASH IN TRANSIT 62,592.88 39,351.03

DUE FROM GOVERNMENTAL AGENCIES 388,746.59 464,278.19

INVENTORY - VFC IMMS 70,086.60 63,547.79

PREPAIDS 11,525.35 25,662.54

TOTAL ASSETS $3,535,334.91 $3,613,611.00

LIABILITIES AND FUND BALANCE

ACCOUNTS PAYABLE ($39,799.83) $10,123.11

PAYROLL DEDUCTIONS 452.75 728.80

PAYROLL PAYABLES 254,073.46 238,930.56

OTHER ACCRUED PAYABLES -

ADVANCES 666,013.80 154,382.00

TRUST FUNDS 17,986.86 18,062.86

DEFERRED REVENUE PRIOR YEAR 0.00 12,412.64

DEFERRED REV DENTAL OUTREACH 57,033.00 167,413.00

DEFERRED REVENUE MCDC 29,000.00 105,000.00

DEFERRED REVENUE-VFC IMMS 70,086.60 63,547.79

DEFERRED REVENUE-MEDICAID FULL COST 0.00 250,000.00

FUND BALANCE RESTRICTED DENTAL 105,963.53 104,062.94

FUND BALANCE END OF YEAR 67,829.31 88,319.97

FUND BALANCE 249,661.28 324,449.90

FUND BALANCE - COMMUNITY PATHWAYS 400,000.00 0.00

FUND BALANCE - OPEB LIABILITY 57,778.12 -

FUND BALANCE EQUIPMENT 489,494.46 489,494.46

FUND BALANCE FACILITY DEV 124,580.00 124,580.00

FUND BALANCE SELF INS BONDS 13,949.72 13,949.72

FUND BALANCE-FUTURE RETIREMENT 323,829.80 608,829.80

FUND BALANCE-COMPENSATED LEAVES 285,988.76 285,988.76

FUND BALANCE-UNEMPLOYMENT 55,000.00 55,000.00

FUND BALANCE-TRAINING 35,000.00 35,000.00

FUND BALANCE/BRFS 11,522.00 11,522.00

FUND BALANCE-HEALTH INSURANCE 160,000.00 160,000.00

FUND BALANCE-POTENTIAL CLAIMS 93,734.00 93,734.00

BALANCE SHEET NET INCOME 6,157.29 198,078.69

TOTAL LIABILITIES 3,535,334.91$ 3,613,611.00$

TOTAL NET INCOME 0.00 0.00

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Report to the Boards of Health Jennifer Morse, MD, MPH, FAAFP, Medical Director

Mid-Michigan District Health Department, Wednesday, June 24, 2020

Central Michigan District Health Department, Wednesday, June 24, 2020 District Health Department 10, Friday, June 26, 2020

Testing for COVID-19

There are two main kinds of tests available for COVID-19. One type is considered diagnostic, and tests for the actual virus to find out if you are infected. This type of test looks for either genetic material (Polymerase Chain Reaction [PCR] test) or proteins from the virus (antigen test). Another type tests to see if you have developed antibodies to COVID-19, which is a sign of a past infection. Easy access to tests that diagnose COVID-19 is very important for patient care, protection of healthcare providers, and for controlling the pandemic. It has been very hard to secure the tests that are needed. Ability to test depends on availability of testing materials, supplies, instrument capacity, technician capacity, and PPE availability. On May 24th, U.S. Department of Health and Human Services (HHS) submitted a report to Congress regarding a strategic testing plan for COVID-19. It charges the states, territories, and tribes with the responsibility of determining and implementing testing plans, with the role of the federal government listed as enabling innovation, helping to scale supplies, and providing strategic guidance. Citing recommendations of the World Health Organization and other major public health organizations, the report mentioned a testing goal of keeping the proportion of positive test results (or percent positive) at 10% or less. If a higher percentage of tests are positive, it is likely you are not testing a wide enough group of the population and may be missing infected people. As of June 15, the percent positive for Michigan is 2.43%. Initial testing plans from states for May and June were due to HHS on May 30 and were due June 15 for the remainder of 2020. HHS has provided states with technical assistance and feedback regarding their plan. State goals ranged from 2% to 14.9% of the population tested each month. The goal for Michigan was set at 4.5% of the population per month. Knowing that increasing testing this amount is difficult, the federal government recommends states initially aim for testing 2% of the population in May and June. As of April 21, 1.2% of Michiganders had been tested since the beginning of the pandemic. The testing numbers for Michigan have increased dramatically; from May 15 to June 15, 460,705 PCR tests were done, accounting for 4.6% of the population. These plans to test large numbers of people must keep in consideration that testing capacity is still limited and testing should be devoted to the those that will most impact the reduction and prevention of COVID-19 illness and death. Those to be tested should be guided by local COVID-19 disease activity as well as testing resources. Some of the important people to test include:

• Anyone with symptoms and suspected of having COVID-19, even if the suspicion of COVID-19 is low. ➢ This is important to identify cases of COVID-19 because diagnosing COVID-19 on just clinical

evaluation has been found to be difficult and inaccurate. ➢ It is important to identify cases so that they can be properly investigated, and contacts can be put

into quarantine.

• Close contacts to COVID-19 cases.

• People in high-risk congregate settings, such as nursing homes, assisted living facilities, jails, prisons, homeless shelters, if there has been a case of COVID-19 in the facility or if there are high levels of COVID-19 in the community.

• Workers in high-density, critical infrastructure settings with known exposures to cases of COVID-19, especially those with other risks for exposures, such as migrant workers or others living in crowded housing.

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When you are contagious (from a couple days before illness until about 10 days after start of illness)

When your PCR test will

be positive (can stay positive for months), means you are or have been infected with COVID-19, doesn’t always mean you are contagious

When your body starts to

make antibodies (IgM first, followed by IgG), and when antibody tests would start to be positive

We also need to strive to have accurate testing. Currently, there are no COVID-19 tests fully approved by the U.S. Food and Drug Administration (FDA). The tests being used have been issued an Emergency Use Authorization (EUA) which only required the test developers to establish “acceptable” accuracy. These types of authorizations are allowed during an emergency when there are no other approved or available options and does not require the evidence needed for a full approval. Initially, some antibody tests were being sold without even an EUA; however, the FDA did stop this and has ordered all tests without an EUA off the market. The accuracy of a test is measured by its sensitivity and specificity. The sensitivity and specificity help define how well a test can provide accurate negative or positive results. Sensitivity is a measure of how often the test is positive when the person being tested actually has the disease, which is also called a true positive result. As an example, if a test for COVID-19 has a sensitivity of 70%, then 70% of people that are truly sick with COVID-19 will test positive. The other 30% would test negative, referred to as false negative. Specificity is a measure of how often the test is negative when the person being tested does not have the disease, also called a true negative. As an example, if a test for COVID-19 has a specificity of 90%, then 90% of people that were not actually sick with COVID-19 would test negative, also called a true negative. The other 10% would test positive, referred to as false positive. When most of the current COVID-19 PCR tests evaluated their sensitivity and specificity, they used samples of pure SARS-CoV-2 virus. In these perfect conditions, most of the tests did very well. In reality, many other things factor in to how a test does, such as how much virus a person is shedding when the test is done, how well the sample is taken, how the test is packaged and shipped, and so on. While it is more difficult to determine the sensitivity and specificity of a test as it is being used in the real world, many have been evaluating COVID-19 PCR tests. A large review of thousands of tests done in New York estimated that the sensitivity of PCR testing ranges from 57.9% to 94.6% and specificity ranges from 99% to 100%. That means that a negative PCR test is a false negative 5.4% to 42.1% of the time. This is very important to know, as it means a negative test does not guarantee that you are not infected with COVID-19. However, a positive test result has only a 1% chance of being a false positive. This means if it is positive, you have evidence of COVID-19 in your system. This does not always mean you have living, contagious virus in your system, and people have been found to be positive by PCR for many, many weeks after they have recovered from illness.

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Antibody tests, also called serology tests, are not helpful in controlling the spread of COVID-19 because antibodies against COVID-19 don’t form until after a person is no longer contagious. A recent review of antibody tests found that the sensitivity of these tests ranged from 46.37% to 93.11% and the specificity ranged from 96.93% to 99.48%. We don’t yet know if having antibodies means you are immune to COVID-19 and if you are, how long it might last. Antibody tests can be helpful in some situations. If a patient has no symptoms of COVID-19, the PCR test is positive and the diagnosis is in question, testing for and finding antibodies might help confirm if they were infected. If someone is later in their illness and the PCR is negative, positive antibodies can help add to the evidence they did have COVID-19. Antibody testing is used to help identify those recovered from COVID-19 illness that are suitable for donating plasma which is used experimentally to treat those with severe COVID-19. Antibody testing is also used as part of vaccine trial studies and to help study the general population to see the prevalence of COVID-19 illness. The sensitivity and specificity of the test, along with the amount of people in the community that are sick with COVID-19, or the prevalence of illness, can help to calculate how likely a test result is to be accurate. The positive predictive value (PPV) is the probability that a person with a positive test result truly has the illness that is being tested for. When there is lower prevalence of illness in the community, then the positive predictive value will be lower, i.e., it is less likely a positive test result is a true positive. Our counties currently have a low prevalence of COVID-19, ranging from 1% to 4%. Based on the most recent reviews of the sensitivity and specificity of PCR and antibody testing, the positive predictive value (PPV) of these tests for different levels of COVID-19 in the community are shown in the tables below.

Positive Predictive Value (PPV) of PCR testing (worst/best case scenario)

Prevalence of COVID-19 in Community

PPV with Sens 57.9% Spec 99% (lowest)

PPV with Sens 94.6% Spec 100% (highest)

2% 54% 100%

5% 75% 100%

10% 86.5% 100%

Positive Predictive Value (PPV) of Antibody testing (worst/best case scenario)

Prevalence of COVID-19 in Community

PPV with Sens 46.37% Spec 96.93% (lowest)

PPV with Sens 93.11% Spec 99.48% (highest)

2% 23.3% 78.5%

5% 44.3% 90.4%

20% 79.1% 97.8%

60% 95.8% 99.6%

Recommendations

1. The approach for testing for COVID-19 illness should not be focused solely on getting numbers of testing up, but should be strategic to ensure that the right people are getting the right test so that the right action can be taken.

2. We need to have unified guidelines and messaging about testing for COVID-19. 3. Supply chain issues must be identified, and specific plans must be made to address them.

References

• Ulrich, A., Batkus, J., Moore, K., Hansen, G., Mathieson, M., Osterholm, M., (2020). Center for Infectious Disease Research and Policy (CIDRAP). COVID-19: The CIDRAP Viewpoint. Part 3: Smart Testing for COVID-19 Virus and Antibodies. https://www.cidrap.umn.edu/sites/default/files/public/downloads/cidrap-covid19-viewpoint-part3.pdf

• U.S Department of Health and Human Services. (2020). Report to Congress. COVID-19 Strategic Testing Plan. https://www.democrats.senate.gov/imo/media/doc/COVID%20National%20Diagnostics%20Strategy%2005%2024%202020%20v%20FINAL.pdf

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https://www.democrats.senate.gov/imo/media/doc/COVID%20National%20Diagnostics%20Strategy%2005%2024%202020%20v%20FINAL.pdf

https://www.democrats.senate.gov/imo/media/doc/COVID%20National%20Diagnostics%20Strategy%2005%2024%202020%20v%20FINAL.pdf

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• Michigan Department of Health and Human Services (MDHHS). Coronavirus. Michigan Data. https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173---,00.html

• Green, D. A., Zucker, J., Westblade, L. F., Whittier, S., Rennert, H., Velu, P., ... & Boehme, A. K. (2020). Clinical Performance of SARS-CoV-2 Molecular Testing. Journal of Clinical Microbiology.

• Hanson, K., et al., (2020). Infectious Diseases Society of America Guidelines on the Diagnosis of COVID-19

• Sethuraman, N., Jeremiah, S. S., & Ryo, A. (2020). Interpreting diagnostic tests for SARS-CoV-2. Jama.

• Vengesai A, Midzi H, Kasambala M, et al. A Systematic and Meta-Analysis Review on the Diagnostic Accuracy of Antibodies in the Serological Diagnosis of COVID-19. Research Square; 2020. DOI: 10.21203/rs.3.rs-34638/v1.

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https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173---,00.html

Agreements Signed 5/22/20 – 6/17/20

Date Signed Organization Purpose Amount Signed By

6/4/20 Emory University

Subcontract Commitment Form, Year 5 of

grant to assist Emory University with testing

(blood draws) of individuals exposed to

Polybrominated Biphenyl (PBB)

$20,000 Marcus Cheatham

6/5/20 Odyssey Software

Software Service Subscription Agreement

with Odyssey Software to provide Kronos

Workforce Ready® Software; Acumatica

Software and License, Fixed Assets package;

Inventory Control package; Order

Management package; monthly commercial

transactions; maintenance, service and

support

$16,596

(plus

additional

monthly

costs of

$863)

Marcus Cheatham

6/17/20 Casair

Business Service Orders (Agreements) for

wireless internet services serving Clinton,

Gratiot, and Montcalm County Offices

$250 per

month (x 3

offices)

Marcus Cheatham

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MID-MICHIGAN DISTRICT BOARD OF HEALTH

ACTION ITEMS

MAY 2020

• The Board of Health (BOH) accepted the FY 18/19 Audited Financial Statements as proposed and placed them on file.

• The BOH authorized the Mid-Michigan District Health Department (MMDHD) to purchase new office equipment, including a light production machine from Ricoh USA as proposed through the MiDeal Program.

• The BOH adopted the following Monthly Healthy Living Recommendation for June 2020:

1. States, territories, and tribal health authorities should plan for the worst-case scenario regarding COVID-19, including no vaccine availability or herd immunity.

2. Government agencies and healthcare delivery organizations should develop strategies to ensure adequate protection for healthcare workers when disease incidence surges.

3. Government officials should develop concrete plans, including triggers for reinstituting mitigation measures, for dealing with disease peaks when they occur.

4. Risk communication messaging from government officials should incorporate the concept

that this pandemic will not be over soon, and that people need to be prepared for possible periodic resurgences of disease over the next 2 years. (See COVID-19: The CIDRAP Viewpoint Part 2: Effective COVID-19 Crisis Communication https://www.cidrap.umn.edu/sites/default/files/public/downloads/cidrap-covid19-viewpoint-part2.pdf)

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STAFFING REPORT – JUNE 2020

AS

STATUS POSITION BRANCH OFFICE

No changes

CHED


VACANCY FT P.H. Nurse I/II, Gratiot Branch Office, effective February 25, 2020 Gratiot

LAYOFF Mary Wallen, PT (0.7 FTE) Hearing/Vision Technician, Clinton Branch Office effective April 26, 2020 with recall date yet to be determined

Clinton

LAYOFF Jeannette Sternhagen, PT (0.7 FTE) Hearing/Vision Technician, Gratiot Branch Office effective April 26, 2020 with recall date yet to be determined

Gratiot

LAYOFF Stacey Peterman, PT (0.7 FTE) Hearing/Vision Technician, Montcalm Branch Office effective April 26, 2020 with recall date yet to be determined

Montcalm

SEPARATION OF EMPLOYMENT

Ann Jones, FT P.H. Representative, Gratiot Branch Office, effective June 19, 2020

Gratiot

VACANCY FT P.H. Representative, Gratiot Branch Office, effective June 20, 2020 Gratiot


Michelle Hardman, FT Community Health Worker, Clinton Branch Office, effective June 26, 2020

Clinton

VACANCY FT Community Health Worker, Clinton Branch Office, effective June 27, 2020 Clinton

RETIREMENT Cheryl Thelen, FT Health Educator II, Montcalm Branch Office, effective July 31, 2020

Montcalm

VACANCY FT Health Educator I/II, Montcalm Branch Office, effective August 1, 2020 Montcalm

EH


VACANCY FT E.H. Specialist I/II, Montcalm Branch Office/Clinton Branch Office, effective February 25, 2020

Montcalm/Clinton


Kennedy Kohler, PT (0.6 FTE) P.H. Representative, Gratiot Branch Office, effective June 5, 2020

Gratiot

VACANCY PT (0.6 FTE) P.H. Representative, Gratiot Branch Office, effective June 6, 2020 Gratiot

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