MEETING OF THE WACO-McLENNAN COUNTY PUBLIC HEALTH …

MEETING OF THE WACO-McLENNAN COUNTY PUBLIC HEALTH DISTRICT BOARD

AND/OR A MEETING OF THE EXECUTIVE COMMITTEE OF THE WACO-

McLENNAN COUNTY PUBLIC HEALTH DISTRICT BOARD (IN THE EVENT A QUORUM OF THE HEALTH DISTRICT BOARD IS NOT PRESENT, THE POSTED MEETING FOR THE WACO-McLENNAN COUNTY PUBLIC HEALTH DISTRICT BOARD WILL NOT BE HELD, HOWEVER, A MEETING OF THE BOARD’S EXECUTIVE COMMITTEE WILL BE HELD TO HEAR AND DISCUSS THE APPLICABLE AGENDA ITEMS LISTED IN THIS PUBLIC NOTICE)

Wednesday, January 15, 2020 at 10:00 AM in the Preparedness Training Room 225 West Waco Drive in Waco, Texas 76707

I. Approval of MinutesFrom the October 16, 2019 Health District Board Meeting

II. Election of OfficersA. Chair, Vice Chair, and Secretary

III. Reports and Recommendations from Director of Public Health and/or Other Health District Staff– Discussion / Questions & Answers

A. Director’s Report including information on Health District Operations (staff)B. Financial ReportsC. Activity Reports/Calendar of Events

IV. Presentations & DiscussionsA. Community Health and Wellness update on the Community Health Worker Initiative by

Laurel Churchman, Program ManagerB. Maternal, Child, & Adolescent Health Update on the WIC Mobile Units by Linda Rains,

Program Manager

V. Set date, time, and location for the next Board meetingNext regular meeting date and time: April 15, 2020 at 10:00 a.m. in the Preparedness TrainingRoom located in the Waco-McLennan County Public Health District Building

VI. Requests from Board for future agenda items

VII. Adjourn

2

I hereby certify that this notice is being posted at the _______________on the ____ of January, 2020 at _________ a.m. / p.m.

Brenda C. Gray, PhD, MPH Director of Public Health

EXECUTIVE SESSION Notice is hereby given that the Health District Board or the Executive Committee will go into Executive Session in accordance with the following provisions of the Government Code: Sec. 551.071(1)(A) pending or contemplated litigation; 551.071(1)(B) a settlement offer; Sec. 551.071(2) an attorney-client privilege/relationship; Sec. 551.072 the purchase, exchange, lease, or value of real property; Sec. 551.073 a gift and/or donation; 551.074(a)(1) the appointment, employment, evaluation, reassignment, duties, discipline, or dismissal of a District officer or employee; Sec. 551.074 (a)(2) to hear a complaint against an officer or employee; and Sec. 551.076 the deployment or specific occasions for implementation of security personnel or devices; 551.087(1) to discuss commercial or financial information that the District has received from a business prospect that the District seeks to have locate, stay, or expand in or near the District with which the District is conducting economic development negotiations; Sec. 551.087(2) to discuss the offer of a financial or other incentive to a business prospect that the District seeks to have locate, stay, or expand in or near the District. The District may go into Executive Session on any item listed on the Agenda in accordance with Chapter 551 of the Government Code.

Persons with disabilities who plan to attend this meeting and who may need auxiliary aides or services should contact April Snyder at (254) 750-5486 at least twenty-four (24) hours before this meeting so that appropriate arrangements can be made.

It is the opinion of the City Attorney’s Office that this agenda complies with the requirements of Chapter 551 of the Texas Government Code.

________________________________ Jennifer Richie, City Attorney, City of Waco

Waco-McLennan County Public Health District Board Minutes October 16, 2019

10:01 a.m. to 10:53 a.m. Preparedness Training Room

225 W. Waco Drive Waco, Texas 76707

Voting Representatives Present: Council Member John Kinnaird Eva Cruz-Hamby Monica Hendrix Destiny DeLillo Al Pollard Lydia Lopez Dr. James Morrison Dr. Jackson Griggs Dr. Shawn Oubre Chief William Hlavenka Commissioner Pat Miller

Voting Representatives Absent: Mayor Kyle Deaver Kevin Evans Deidra Emerson Rhiannon Settles Michelle Hicks Mary Jo Jaska

Health District Staff: Brenda C. Gray Margaret Cowart April Snyder Laurel Churchman Mona Farley Stephanie Lefthand Kelly Craine Ashley Williams Stephanie Alvey Courtney Wollard Teresa Howell Haley Love

Others Present: John Patterson Asmita Ghimire Afreen Momin

I. Approval of MinutesFrom the July 17, 2019 Health District Board MeetingApproved as submitted with corrections

II. Reports and Recommendations from Director of Public Health and/or Other Health District Staff –Discussion/ Questions and Answers.

A. Director’s Report including information on Health District Operations (staff)Dr. Brenda Gray gave an update on the implementation of the Strategic Plan including re-organizingthe Health District in order to go beyond direct services. Dr. Gray then called upon Ashley Williams,Health Education Specialist, to give an overview of the Worksite Wellness campaign in which 14local business were recognized at the City Council Meeting.

B. Financial ReportsMs. Mona Farley gave a brief overview of the financial report of the Health District’s budget forboth the general fund and grants as shown on handouts.

C. Activity Reports/Calendar of EventsMs. Kelly Craine, Health Information/Communication Specialist, informed the board that the City ofWaco and the Health District received the Texas Healthy Communities Gold Level recognition basedon activity levels, access to health care and heart health, work out opportunities, access to fruit and

3

veggies. The Health District participated in a Point of Dispensing (POD) exercise with the McLennan Community College Emergency Management office on October 31, 2019.

III. Presentations and DiscussionsA. Community Health Worker Initiative 1.5 Update by Margaret Cowart, Public Health Nursing

Program ManagerMrs. Cowart updated the board on the status of the CHW program including the resignation of two key staff members and the follow up with community partners to receive feedback on the program to date. Domonique Corsey, CHW, organized a half-day event on September 21, 2019, Unapologetically You, focusing on personal growth, hygiene, etiquette, and peer pressure for females in grades 6-12. Emily Green, Health Education Specialist, organized a CHW Symposium held at McLennan Community College with CHW attendance from across the state offering networking, continuing education, and motivational speakers.

B. Project Public Health Ready by Stephanie Alvey, Preparedness CoordinatorMs. Alvey informed the board of the plan to have the Health District certified under ProjectPublic Health Ready through the Centers for Disease Control and Prevention. The PPHR acriteria-based training and recognition program that assesses local health department capacityand capability to plan for, respond to, and recover from public health emergencies.

IV. Public Hearings & PresentationsA. Hearing of any visitors concerning Board business

None

V. Set date, time, and location for the next Board meetingA. Next regular meeting date and time: January 15, 2020 at 10:00 a.m. in the Preparedness

Training Room located in the Waco-McLennan County Public Health District Building.

VI. Requests from Board for future agenda itemsNo requests were made.

VII. AdjournThe meeting was adjourned at 11:04 am.

PASSED AND APPROVED this 15th of January 2020.

John Kinnaird, Chair Waco-McLennan County Public Health District Board

APPROVED:

Brenda C. Gray, PhD, MPH, Director Waco-McLennan County Public Health District

4

January 2020 September 2019-November 2019

Reportable Disease Counts McLennan County, September 2019—November 2019

If you suspect any of the following diseases or have any questions Anthrax Botulism Controlled substance overdose Coronavirus, novel Diphtheria Influenza, novel

Lead, child blood & adult blood, any level Measles (rubeola) Meningococcal infection, Invasive (Neisseria meningitides) Plague (Yersinia pestis) Poliomyelitis, acute paralysis

Rabies, human Smallpox Staphylococcal aureus, VISA and VRSA Tularemia Viral Hemorrhagic fever (including Ebola) Yellow Fever

Call us IMMEDIATELY on 24/7 Disease Reporting Line 254-750-5411

Condition

March 2019-May

2019 June 2019-Aug 2019

September 2019-

November 2019

Amebiasis 0 0 1

Campylobacteriosis 24 35 11

Carbapenem-resistant Enterobacteriaceae (CRE) 1 2 0

Cryptosporidiosis 3 8 5

Cyclosporiasis 0 4 1

Malaria 0 0 1

Haemophilus influenza, invasive 1 0 1

Hepatitis A, acute 2 2 0

Influenza-associated pediatric mortality 0 0 0

Legionellosis 2 1 0

Lyme 0 0 1

Multidrug– Resistant Acinetobacter (MDR-A) 0 1 2

Meningococcal infections, invasive 0 0 0

Mumps 0 0 0

Pertussis 3 14 1

Salmonellosis 12 28 20

Shiga toxin-producing Escherichia coli (STEC) 2 6 5

Shigellosis 3 3 15

Streptococcal Pneumoniae, invasive disease

(IPD) 6 1 6

Streptococcus, invasive Group A 5 3 2

Streptococcus, invasive Group B 7 7 7

Varicella (Chicken Pox) 0 0 2

Yersiniosis 0 1 2

Grand Total 74 119 83

5

January 2020 September 2019-November 2019 2

2019-2020 Influenza Activity in McLennan County

6


Case Investigation of a positive Neisseria meningitidis

Meningococcal disease refers to any illness caused by bacteria called Neisseria meningitidis, also known as

meningococcus [muh-ning-goh-KOK-us]. These illnesses are often severe and can be deadly. They include in-

fections of the lining of the brain and spinal cord (meningitis) and blood-

stream infections (bacteremia or septicemia). These bacteria spread

through the exchange of respiratory and throat secretions like spit (e.g.,

by living in close quarters, kissing). Doctors treat meningococcal disease

with antibiotics, but quick medical attention is extremely important.

Keeping up to date with recommended vaccines is the best defense

against meningococcal disease. Symptoms of meningococcal disease

can first appear as a flu-like illness and rapidly worsen. The two most

common types of meningococcal infections are meningitis and septicemia. Both of these types of infections

are very serious and can be deadly in a matter of hours.

On the early morning hours of 12/30/2019, Waco-McLennan County Public health District (WMCPHD) re-

ceived a report on its disease reporting line about a suspect Neisseria meningitides. The 51-year old female

was seen at the emergency room (ER) of a local hospital on 12/29/2019 with complaints of chest and ab-

dominal pain, and altered mental status. Case quickly deteriorated at the ER, and died later in the day on

12/29/2019. A blood culture collected post mortem on 12/29/2019 tested positive for Neisseria meningiti-

des.

Close contacts of a person with meningococcal disease should receive antibiotics to prevent them from

getting sick. Examples of close contacts include: People in the same household, roommates and anyone with

direct contact with a patient’s oral secretions (saliva or spit), such as a boyfriend or girlfriend or healthcare

providers. Antibiotic prophylaxis was provided to twenty-six medical personnel and family members that

came in close contact with the reported case.

Keeping up to date with recommended vaccines is the best defense against meningococcal disease. Main-

taining healthy habits, like getting plenty of rest and not having close contact with people who are sick, also

helps. Vaccines help protect against all three serogroups (B, C, and Y) of Neisseria meningitidis bacteria most

commonly seen in the United States. Like with any vaccine, meningococcal vaccines are not 100% effective.

This means there is still a chance you can develop meningococcal disease after vaccination. CDC recommends

meningococcal vaccination for all preteens and teens. In certain situations, CDC also recommends other chil-

dren and adults get a meningococcal vaccine. Information about which meningococcal vaccines CDC recom-

mends for people by age can be found here.

For any additional questions, please contact us at our 24/7 Disease reporting Line 254-750-5411 or Waco-

[email protected]

7

https://www.cdc.gov/vaccines/vpd/mening/public/index.html

mailto:[email protected]

mailto:[email protected]


As we head into storm season and expect severe weather, learn about what to do when severe weather hits below. When

you know what to do, you can plan with your household and prepare in advance to be ready.

Lightning & Thunderstorms:

Lightning is a major cause of storm related deaths in the U.S. and can result in cardiac arrest.

Within our region, most thunderstorms occur in the afternoon or late evening.

By counting the seconds between a flash of lightning and the sound of thunder, then dividing by 5, you can estimate

your distance from the strike in miles.

What to do during a thunderstorm:

Get inside of a building or hard top vehicle.

Avoid showering or bathing during thunderstorms as plumbing and bathroom fixtures conduct electricity.

Steer clear of bodies of water, isolated trees, metal objects, and elevated land areas as these places are susceptible

to lightning strikes.

Stay away from windows.

Do not lie on concrete floors or lean against concrete walls.

Hail Storms:

According to the National Oceanic and Atmospheric Administration, approximately 24 people are injured each year by

hail.

Hailstones can vary in size, from pea sized to softball sized and can fall at speeds of 100 mph.

What to do during a hail storm:

○ Be sure to move cars, boats, RVs, lawn and patio furniture to a covered area, but do not try to move these items dur-

ing the storm.

○ Seek immediate shelter.

○ Use caution if outside. Hailstones can cause roadways and sidewalks to become slick.

Flooding:

Flooding is dangerous and causes 140 deaths each year.

Flood waters are powerful, just 6 inches of water can knock over an adult and stall most vehicles, while 12 inches float

most vehicles and 24 inches can carry away truck and SUVs.

What to do during flooding:

○ Follow detour signs as flooding can hide road hazards such as missing and washed out pieces of road.

○ Adjust your driving on flooded roads by not making sharp turns, avoiding sudden braking, not speeding, and not us-

ing cruise control.

○ When you encounter high water, remember to Turn Around, Don’t Drown.

8

NAME Oct. 2019 Jan. 2020 April 2020 July 2020Al Pollard PChief Billy Hlavenka PCommissioner Pat Miller PCouncilman John Kinnaird PDeidra Emerson ADestiny DeLillo PDr. Jackson Griggs PDr. Jim Morrison PEva Cruz-Hamby PKevin Evans ALydia Lopez PMary Jo Jaska AMayor Kyle Deaver AMichelle Hicks AMonica Hendrix PRhiannon Settles AShawn Oubre P

A = AbsentP = PresentO = Off Board-Time ExpiredN/A = Not Assigned at time of meeting

Waco-McLennan County Public Health District Board Attendance Report

9

Funding & Non Funding Cities / Amounts / Representatives FY 19-20

Funding Cities Annual Amount Due Amount Paid to Date Board Member RepresentativeBellmead 21,661.50 5,415.38 Chief Billy HlavenkaBeverly Hills 4,798.50 1,199.63 Mary Jo Jaska & Monica HendrixBruceville-Eddy 3,861.90 965.48 Mary Jo Jaska & Monica HendrixCrawford 1,507.80 1,507.80 Mary Jo Jaska & Monica HendrixGholson 2,093.70 523.43 Mary Jo Jaska & Monica HendrixGolinda 283.50 283.50 Mary Jo Jaska & Monica HendrixHewitt 29,931.30 7,482.83 Lydia LopezLacy Lakeview 13,836.90 6,586.85 Michelle HicksLorena 3,817.80 3,817.80 Mary Jo Jaska & Monica HendrixMcGregor 10,617.60 2,654.40 Kevin EvansMcLennan County 368,580.00 92,145.00 Commissioner Pat Miller & Eva Cruz-HambyMart 3,983.70 995.93 Mary Jo Jaska & Monica HendrixMoody 3,231.90 807.98 Mary Jo Jaska & Monica HendrixRiesel 2,110.50 527.63 Mary Jo Jaska & Monica HendrixRobinson 24,051.30 6,012.83 Destiny DeLilloRoss 564.90 141.23 Mary Jo Jaska & Monica HendrixWaco 277,191.60 963,643.75 Deidra EmersonWest 5,959.80 1,489.95 Mary Jo Jaska & Monica HendrixWoodway 18,309.90 4,577.48 Shawn OubreTotal 796,394.10 1,100,778.88

City of WacoPaid Year in Full Board Member Representative$1.50 per capita Deidra EmersonNo Payment Rec- 4TH QRTR Mayor Kyle Deaver

Council Member John KinnairdDr. Jackson Griggs

Non Funding Cities Annual AmountHallsburg 1,033.20 Comunity RepresentativesLeroy 804.30 Rhiannon Settles - WISDTotal $1,837.50 Dr. Jim Morrison

Hospital Representative UPDATED 1/13/2020 Al Pollard - MCC

10

GRANT ACTIVITY AS OF 11/30/2019

FOR INFORMATIONAL PURPOSES ONLY

ProgramBALANCE AVAILABLE

AS OF 11/30/2019

AMOUNT OF GRANT SPENT

AS OF 12/31/19Percentage of

grant spent

PROGRAM INCOME TO

DATE BEGINNING BAL.

WIC TOTAL10/1/19-9/30/2020 1,641,884$ 1,424,412$ 217,472$ 13%

9% OF GRANT HAS LAPSED

CPS/Bioterrorism7/1/2019-6/30/2020 189,324.00$ 121,487.84 67,836$ 36%

IMM/locals -$ 9/1/19-8/31/2020 325,635$ 203,748.34 121,887$ 37% 8,450.40$

17% OF GRANT HAS LAPSEDTB - State

9/1/19-8/31/2020 46,188$ 31,656.65 14,531$ 31% 554.29$ 17% OF GRANT HAS LAPSED

TB - Federal 1/1/19-12/31/2020 33,065$ 4,471.90 28,593$ 86% 1,236.34$


HIV/HOPWA 2/1/2019-1/31/2020 71,127$ 13,413.83 57,713$ 81%


HIV/State Services-Supp4/1/2019-3/31/2020 65,000$ 44,250.88 20,749$ 32%


HIV/STATE SERVICES9/1/19-8/31/2020 90,908$ 72,946.90 17,961$ 20%


HIV/RYAN WHITE4/1/19-3/31/2020 319,577$ 134,353.72 185,223$ 58%


HIV/PREVENTION 1/1/2019-12/31/2019 182,995$ 20,781.95 162,213$ 89%


RLSS/LPHS9/1/19-8/31/2020 175,007$ 127,842.37 47,165$ 27% 36,859.76$


Healthy Babies 9/1/19-8/31/2020 117,500$ 97,911.33 19,589$ 17%


Texas Health Community10/1/19-8/31/2020 100,000$ 98,251.60 1,748$ 2%

9% OF GRANT LAPSEDEPI Infectious Disease

9/1/19-8/31/2020 82,164$ 63,575.73 18,588$ 23%17% OF GRANT HAS LAPSED

total 3,440,374.00$ 2,459,104.74$ 981,269.26$ 47,100.79$

11

City of WacoHealth Services Fund Comparative Statement of Income and Expenses

For the three months ending December 31, 2019 and 2018

FY19 FY 20 FY19 FY20 FY 2025% of budget year lapsed ACTUALS

TOTAL BUDGET

YTD ACTUAL AS OF 12/31/18

YTD ACTUAL AS OF 12/31/19

BALANCE AVAILABLE

OPERATIONS

OperatingCharges for Services 838,411 666,209 171,432 188,840 477,369 Interest on Investments 50,252 22,669 17,503 (411) 23,080Contributions 544,358 556,033 127,836 136,265 419,768Other 10,748 12,100 4,719 2,145 9,955 Intergovermental 215,997 273,267 15,171 4,393 268,874 Licenses and Permits 242,835 210,910 57,049 65,461 145,449

Operating Total 1,902,601 1,741,188 393,710 396,693 1,344,495 Non‐Operating

21% 23%

Transfer from Surplus 0 0 0General Fund Contribution 3,837,160 3,863,148 959289 965,787Non‐Operating Total 3,837,160 3,863,148 959,289 965,787Revenue Total 5,739,761 5,604,336 1,352,999 1,362,480

ExpenditureOperating

Salaries and Wages 1,972,662 2,159,074 404,191 421,413 1,737,661 Employee Benefits 663,502 767,350 141,897 146,332 621,018 Purchased Professional Technical 151,977 124,194 20,608 22,135 102,059 Purchased Property Services 2,671 2,676 445 735 1,941 Maintenance 51,799 21,984 38,678 5,263 16,721 Other Purchased Services 128,400 211,786 59,451 55,645 156,141 Supplies 340,812 418,823 42,382 35,081 383,742 Other 951,338 671,400 237,634 1,554 669,846 Contracts with Others 1,129,942 1,155,930 - 1,155,930

Operating Total 5,393,103 5,533,217 945,287 688,158 4,845,059 Non‐Operating

18% 12%

Capital Expenditures - 25,000 0 20967Transfers to Facilities 250,000 0 0Non Operating Total 250,000 25,000 0 20,967Expenditure Total 5,643,103 5,558,217 945,287 709,125Net Income 96,658 46,119 407,713 653,354

As of December 31, 2019 the Health Fund Operating revenue was 23% of Budget andthe Operating Expenses were 12% of Budget. This time last year Operating Revenue was 21% of the Budget and Operating Expenses were 18% of Budget. At this time no transfers from the General Fund have been made. Once the transfer has been posted in the amount of $965,787, Revenue over expenses will be $ 653,354.

FOR DISCUSSION PURPOSES ONLY

12

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WIC

15

MEETING OF THE WACO-McLENNAN COUNTY PUBLIC HEALTH …

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Transcript of MEETING OF THE WACO-McLENNAN COUNTY PUBLIC HEALTH …