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TABLE OF CONTENTS BOARD OF HEALTH LAKE COUNTY .pdf

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					                                   TABLE OF CONTENTS
                                    BOARD OF HEALTH
                          LAKE COUNTY GENERAL HEALTH DISTRICT
                                      October 17, 2011




1.0      Call Meeting to Order, James Pegoraro, President

2.0      Opening of Meeting

         2.01      Declaration of Quorum
         2.02      Citizen’s Remarks
         2.03      Certification of Delivery of Official Notices of Meeting

3.0      Board of Health

         3.01      Minutes, September 19, 2011

4.0      Health District Staff Reports

         4.01      Community Health Services Report - Ron Graham
         4.02      Environmental Health Report - Nancy Niehus
         4.03      Manager’s Report - Jeffrey Campbell
         4.04      Health Commissioner’s Report – Frank Kellogg

5.0      Committee Reports

         None

6.0      Old Business

         None




October 17, 2011                               -1-
7.0      New Business

         7.01      Resolutions
                   7.01.01 Certification of Monies, Resolution 11-10-07-01-01-100
                   7.01.02 Increase/Decrease Appropriations, Resolution 11-10-07-01-02-100

         7.02      Permission to Contract with Around the Clock Home Care, Inc. (ATC) for ―As
                   Needed‖ Help Me Grow Program Evaluators, Translation and Intake staffing, not
                   to Exceed $15,000

         7.03      Permission to Submit Cities Readiness Initiative (CRI) Grant, $44,096

         7.04      Permission to Submit Dental Sealant Grant, $32,183.31

         7.05      Permission to Accept WIC Nutrition Grant, $698,190

         7.06      Permission to Submit Healthy Lifestyles Capacity Building Grant, $45,000

         7.07      Permission to Submit Ohio EPA Grant, PM 2.5, $33,559

         7.08      Permission to Submit Ohio EPA Grant, Air Pollution Control, $283,400

         7.09      Permission to Submit Ohio EPA Grant, Rotary Fund $2,000

8.0      Adjournment




October 17, 2011                              -2-
1.0      Call to Order

The regular meeting of the Board of Health of the Lake County General Health District was
called to order at 3:00 p.m. on Monday, October 17, 2011 by James Pegoraro, President. The
meeting was held at the Health District Offices located at 33 Mill Street, Painesville, Ohio.

2.0      Opening of Meeting

2.01     Declaration of Quorum

The following members were present constituting a quorum:

Roger Anderson                        Patricia Fowler                    Patricia Murphy
Tim Brennan                           Marc Garland                       James Pegoraro
Alvin Brown, VMD                      Dr. Juan Hernandez                 Lynn Smith, MD
William Catania                       Brian Katz                         Anthony Vitolo


Minutes were recorded by Vicki Estep, Administrative Secretary/Registrar.

Board Members Edward Currier and Randy Owoc were absent with prior notification.

Also present from the Health District staff:


Jeff Campbell                        Laura Kuns
Ron Graham                           Nancy Niehus
Frank Kellogg                        Cherise Stabler


Other guests present:

None


2.02     Citizens’ Remarks

There were no Citizens’ Remarks.

2.03     Certification of Delivery of Official Notices

Certification of delivery of the official notices of the regular meeting of the Board of Health on
October 12, 2011 was made by Health Commissioner Frank Kellogg.




October 17, 2011                               1
3.0      Board of Health

3.01     Approval of Minutes

       Brian Katz moved and Patricia Murphy seconded a motion that Minutes of the August
15, 2011 Board of Health meeting be approved as written; motion carried with Patricia Fowler
abstaining.

4.0      Health District Staff Reports

4.01     Community Health Services Report

4.01.01
       Division Director’s Report

4.01.01.01
       New Business/Updates/Special Topics

The Healthy Lifestyles Initiative
The Healthy Lifestyles Clinic accepted its first client, a 14 year old female, on September 30th,
2011. The clinic is focused on treating children and families as a ―whole‖. Families will be
educated on how to create wholesome meals and given ideas to engage in physical activity.
Often times obesity programs are put in place, but the "how to's" are not covered and it is
difficult to apply to daily choices. People receive educational materials and handouts on
consuming a healthy diet or living out an active lifestyle, but are not told how to do it. Some
people work best if they are told what to do and shown specifically how to do it. Precise
instruction will be offered on eating healthy, being active, and taking a proactive role in disease
prevention. As a society, we have been forced to navigate through the overwhelming amount of
information available and guide our community down the right path. Plenty of information is
available about childhood obesity, yet very few people are using that information to make
informed decisions. Families will be served by both a Registered/Licensed Dietitian and a
Health Educator.

The counseling that the Dietitian will provide will include: working with the family to assess
their diet, modification of their diet to include nutrient dense foods, encouragement to stay away
from foods that promote disease, create exercise schedules, help to establish short term and long
term goals, and to provide ongoing support. The focus will be on reducing and preventing
obesity due to the frightening rise in numbers of obese children. Medical conditions associated
with obesity, such as high blood pressure, high cholesterol, and Type II diabetes, will be covered
during counseling.

The Health Educator will be expected to provide detailed information about obesity. They will
develop, plan, coordinate, and implement health education programs for the population that is
being served, identify resources and make referrals, encourage healthy behavior, and develop
audio, visual, print, and electronic health related material. The focus of the health educator will



October 17, 2011                             2
be to prevent and reduce rates of childhood obesity in Lake County by way of knowledge,
behavior change, and encouragement.

Lake County Childhood Obesity Prevention Initiative
The Lake County Childhood Obesity Prevention Initiative will be the first family capacity
building system created in Lake County to increase the number of individuals who are guided to
the appropriate resources. Families will be welcomed to the Lake County General Health
District, their needs will be assessed, and the family wellness system will take appropriate action
to find the best community programs available that are most reasonable.

The specific purpose for requesting funds for The Lake County Childhood Obesity Prevention
Initiative is to systematically organize county resources to educate children and their families on
childhood obesity. Based on the Community Needs Assessment that was conducted in 2010 in
Lake County, childhood obesity was the third main concern (with adult obesity being number 1).
It is important to take a step in the right direction to address the needs of the community. By
taking that step, a county-wide system needs to be put in place to help obese families overcome
this epidemic. This county-wide system will depend on community partners to work with the
Lake County General Health District to identify proper resources for families who need them the
most.

The funds will be used to bring children and their families into the Lake County General Health
District, via walk-ins and referrals, to address risk factors for obesity. The full application will
be submitted by the end of October.

Public Health Accreditation
The Public Health Accreditation Board (PHAB) launched in September at the National Press
Club in Washington, D.C. This is the first national accreditation program for all public health
departments. The goal of PHAB’s accreditation program, initiated and supported by the Robert
Wood Johnson Foundation and the Centers for Disease Control and Prevention, is to protect and
improve Americans’ health by advancing the quality and performance of all of the nation’s
public health departments—state, local, territorial, and tribal.

Accreditation through PHAB provides a means for a department to identify performance
improvement opportunities, to improve management, develop leadership, and improve
relationships with the community. The process is one that will challenge the health department
to think about what business it does and how it does that business. It will encourage and
stimulate quality and performance improvement in the health department. It will also stimulate
greater accountability and transparency. Furthermore, accreditation documents the capacity of
the public health department to deliver the three core functions of public health and the Ten
Essential Public Health Services. Thus, accreditation gives reasonable assurance of the range of
public health services a department should provide. Accreditation declares that the health
department has an appropriate mission and purpose and can demonstrate that it will continue to
accomplish its mission and purpose.

Previously, Health Commissioner Frank Kellogg appointed the Director of Community Health
Services, Mr. Ron Graham, as the PHAB Coordinator for the Lake County General Health

October 17, 2011                              3
District. In this capacity Mr. Graham will lead the Administrative and Health District staff
through an 18 month intensive preparation plan.

Lake County Board of Health members are welcomed and are encouraged to participate in the
planning meetings. Interested members can contact Mr. Graham at 440-350-2358 or
rgraham@lcghd.org for more details.

4.01.02
       Clinical Services Unit Report

4.01.02.01
       Unit Supervisor’s Report

Program Highlights
In keeping with Essential Services of Public Health # 10; ―Research for New Insights and
Innovative Solutions to Health Problems,‖ this month the Lake County General Health District
Nurses participated in a study to learn about public health nursing practice competency and
different activities of public health nursing practice. This study examines the extent to which
position descriptions for public health nurse positions in Ohio health departments reflect the
national standards for public health nursing practice. This study is conducted by The Ohio State
University School of Nursing was funded by the Robert Wood Johnson Foundation, and is
supported by RAPHI, the Research Association for Public Health Improvement of Ohio, the
Ohio Public Health Association Director of Nursing Section and the Ohio Department of Health.
The results of the study will be used to plan and provide continuing education programs to
address specific areas that have been identified by practicing public health nurses. A smaller but
similar study was done in Illinois and Washington and the study results helped the health
departments align their position descriptions with these national standard.

Additionally, we welcomed Maria Sorin RN, and Mike Weber RN, Lake County residents
pursuing their Bachelor of Science in Nursing Degree through the University of Toledo. Each
will spend 30 hours in our facility learning issues in population health.

Community Education
Nurses have been asked by Lake County Jobs and Family Services to provide a 6 hour course,
―Health and Safety in Family Child Care to local Type B Home Providers. Staff are reviewing
curriculum and developing lesson plans to accommodate the current licensed providers in Lake
County. We anticipate this course will be available by early 2012. Additionally, public health
nurses continue to provide the required Cardiopulmonary resuscitation (CPR), Pediatric First Aid
and Communicable Disease courses to local childcare providers.

4.01.02.02
       Communicable and Environmental Disease Report

Based on Class A reportable disease by physicians, clinic and other service providers, the
following types and numbers of cases were noted during the past month.



October 17, 2011                            4
            2011
                                                                                                       2011
      COMMUNICABLE                          Jan   Feb       Mar   Apr   May   June July   Aug   Sept
                                                                                                       YTD
      DISEASE REPORT
   Campylobacter                             1    0         1     3     0     7     6      5     1     24
   Chlamydia                                52    35        37    45    38    46   42     59    40     394
   Cryptosporidiosis                         0    0         0     0     0     1     0      3     2      6
   E. Coli Not O157:H7                       0    0         1     0     0     0     0      1     1      3
   Giardia                                   0    0         1     2     2     0     0      0     1      6
   Gonorrhea                                13    10        6     2     8     20   11      9    15     94
   Haemophilus Influenza                     0    1         0     1     1     0     0      0     0      3
   Hepatitis A                               1    1         1     1     0     0     0      1     2      7
   Hepatitis B                               2    2         1     0     2     1     2      1     1     12
   Hepatitis C                              17    13        13    10    15    8    14     14    12     116
   Influenza- Hospitalized                   4    12        16    2     0     0     0      0     0     34
   Legionnaires Disease                      1    0         0     0     0     0     0      1     2      4
   Lyme Disease                              0    1         0     0     0     0     2      2     2      7
   Meningitis – Aseptic/Viral                1    1         1     0     0     0     0      2     4      9
   Meningitis - Bacterial (not Neisseria)    0    1         0     0     0     0     0      0     0      1
   Mumps                                     1    1         0     0     0     0     0      0     0      2
   Mycobacterium – Avium                     0    1         0     3     3     3     0      1     0     11
   Mycobacterium – Gordonae                  0    0         0     2     0     2     1      0     1      6
   Mycobacterium – Fortuitum                 0    0         0     0     1     0     0      0     1      2
   Mycobacterium – Other than TB             0    0         0     1     0     0     0      0     0      1
   Mycobacterium – Tuberculosis              0    0         1     1     0     0     0      0     0      2
   Pertussis                                 0    2         1     1     1     0     0      0     0      5
   Salmonella                                2    1         5     1     3     2     5      6     1     26
   Shigella                                  0    0         0     0     1     1     0      1     0      3
   Streptococcal Group A                     2    0         2     1     4     0     0      1     1     11
   Streptococcal Pneumonai                   0    0         0     0     2     1     0      1     1      5
   Syphilis                                  2    1         0     3     3     0     2      3     1     14
   Varicella                                 6    3         4     4     0     1     1      2     7     28
   TOTALS                                   105   86        91    83    84    93   85     113   96     836


4.01.03
       Health Promotion and Planning Unit Report

4.01.03.01
       Unit Supervisor's Report


October 17, 2011                                        5
Program Highlights:

Safe Communities
The Health Educator staffed a table at the Pink Heals Tour hosted by the Concord Township Fire
Department. Attendees spun the prize wheel for Health District backpacks or grocery totes.

The Health Educator hosted a meeting of the Crash Fatality Review Board. To date there have
been six fatal crashes and nine fatalities on Lake County’s roads in 2011. Each accident was
discussed by the ten board members attending the meeting. Excessive speed was a contributing
factor in several of the crashes.

The Health Educator met with John Bowers, president of the Downtown Willoughby Bar and
Restaurant Association to discuss working with the Safe Communities Coalition on a Halloween
impaired driving campaign. The members of his association will offer designated drivers who
identify themselves free pop during the Halloween weekend of October 28-31st.

The Health Educator attended a meeting of the Lake County Suicide Prevention Coalition and
updated the group on the latest statistics. In 2011 to date, 18 suicides occurred in the county.

The Health Educator, Health Promotion and Planning (HPP) Supervisor, and Community Health
Services Director took part in a meeting with a representative of the Western Reserve Junior
Service League to review the agency’s grant application to support the booster seat program.
The Health Educator sent out information to local day care centers about the Health District’s
Child Safety Seat Program. The Health Educator and HPP Supervisor attended The Greater
Cleveland SafeKids Coalition’s Child Safety Seat Check-Up event on September 25th. The
Health Educator and the HPP Supervisor have met all requirements for recertification in 2012.

Action Communities for Health, Innovation, and EnVironmental ChangE (ACHIEVE)
Bike Day Lake County was canceled this month due to rain. It has been rescheduled for the
spring and renamed ―Bike Days Lake County‖. All seven communities are going to hold an
event between May 18 and June 24, 2012. A six-month progress report was submitted to the
National Association of Chronic Disease Directors on behalf of the ACHIEVE Initiative. A
grant was submitted to Kaiser Permanente for $21,850 to implement community gardens in
Concord Township and City of Mentor.

Medical Reserve Corps (MRC)
An application for a renewal of Capacity Building Award funds from the National Association of
County and City Health Officials was submitted in the amount of $5,000 to continue to support
the MRC program. A Lake Health Employee Health Fair was attended for the purpose of
recruiting medical volunteers for the MRC; 27 employees signed up for an orientation. Two
advanced trainings were held this month at the Red Cross for MRC volunteers; 11 out of 28
eligible volunteers attended.

Smoking Enforcement
The Health District/Ohio Department of Health (ODH) received two requests for Administrative
Reviews; one from Sammy K’s in Perry and the other from Safe Crackers in Mentor.

October 17, 2011                             6
Appropriate documentation has been compiled for ODH. The Health District is waiting to hear
back from them regarding if and when the dates for hearings will be scheduled.

Two presentations were given this month; one to Kent State University students on the topic of
Health Education and the other to employees at Transfer Express on ACHIEVE and chronic
disease trends. The Food Nutrition Program classes continue to be popular; 38 people attended
and 57 $5 vouchers were provided this month.

Emergency Preparedness
The Preparedness Specialist prepared a display and staffed a 9/11 Memorial/Public Safety Open
House at the Willoughby Fire Department on September 11, 2011. From September 12-15 the
Preparedness Specialist participated in the Full-Scale/Functional Exercise for the Cleveland
Metropolitan Statistical Area of the Cities Readiness Initiative as the Public Information Officer
for Operation Rat Pack.

The Preparedness Specialist coordinated advertising for the Healthy Lifestyles Initiative in the
publication Today’s Family and the online version of the News-Herald. The Preparedness
Specialist created a YouTube Channel for ACHIEVE Wellness Lake County to satisfy grant
requirements for that program.

The Preparedness Specialist attended a meeting with the Visiting Nurses Association to start
conversations for the creation of a memorandum of understanding/memorandum of agreement
for a closed Points of Dispensing (medication centers).

HIV Prevention/Education

This month the HIV team tested 41 people throughout Lake, Geauga, and Ashtabula counties.
These numbers also include Turning Point, a drug rehabilitation center in Ashtabula. The Health
Educator met with Lisa Anaya, Director of Home Instead Senior Care, to discuss education and
testing opportunities for our senior population.

HIV Case Management and Prevention
The Lake County Health District provides medical case management services and support to
HIV positive individuals and their families in the tri-county region. Individual client contacts for
the month of September were approximately 108, via face to face or phone conversations.

September also brought the enrollment and identification of two new case management clients
who will now be linked with medical care, medications, and individualized services.

4.01.04
       Help Me Grow (HMG) Healthy Families Unit Report

Program Highlights:




October 17, 2011                             7
The Healthy Families Division is in the process of developing a comprehensive service
provider’s booklet for families to make informed decisions on the services they want to secure
for their families, including natural environment options.

The role of the County Central Intake for Help Me Grow and Service Coordination is to ensure
that families are fully informed of the services available locally, regionally and beyond. This
includes cost, insurance options and accessibility of medical, social, educational and support
services for all developmental domains and family priorities identified through the intake and
assessment process.

The Division is hosting a professional development opportunity this month. Fusion Training;
The Gravity Sense. This event offers information on sensory-motor-reflex and the interacting
brain/body system that supports and shapes mental, emotional and physical development and
functioning. The presenter, Janet Oliver is a neurodevelopment specialist trained through the
Handle Institute of Seattle. Parents, Therapists, Social Workers and Teachers are welcome to
attend.

The Healthy Families Division will be kicking off a skill acquisition program that will include
Parents As Teachers evidence based curriculum to teach families how to reinforce learning
through everyday activities and routines. Families will be offered a system of services including
a socialization group, Ready Set Grow parent education, parent coaching and possible individual
therapy sessions linked through community providers. This program will be built around the
family’s needs and priorities.

The annual Family Fall Festival is October 14, 2011. At this event we provide families dinner,
pumpkin decorating, make-it-take it activities, family photos and a socialization opportunity.

4.01.05
       Women, Infants and Children (WIC) Unit Report

4.01.05.01
       Unit Supervisor’s Report

Program Highlights:

During the month of September two WIC team members had the opportunity to receive their
Certified Lactation Counselor training. This program provides education on how to better assist
our moms with breastfeeding complications, and may lead to increased breastfeeding rates in
Lake County.

On September 12th, the mobile dentists teamed up with WIC and came to the Health Department
to perform dental screenings, including examinations, cleanings, fluoride treatments, sealants and
radiographs. Forty-six participants showed for this event. The dentists performed 21 dental
sealants and 55 x-rays. Children 12 months to 18 years of age were able to attend. It was so
well received that the mobile dentists are looking to schedule again in 6 months.



October 17, 2011                            8
This month, after several months of dropped caseload, our team's hard work and dedication paid
off! With a combined effort of additional appointment allowances, calling and rescheduling
missed appointments, it has been the first time since December that our county has met caseload!

Clinic Caseload-August

CLINIC                       Assigned Caseload       Caseload       % of Assigned Caseload
Central                             2133               2171                   102%
Willoughby                          1517               1474                    97%
Madison                              451                479                   106%
TOTAL CASELOAD                      4101               4124                  101%

Clinic Activity –August

Activity                        Scheduled           Attended           Show Rate %
Certifications                      250                 231                  71%
Re-certifications                   744                 530                  92%
Individual Educations               341                 265                  78%
Group Educations                    409                 290                  71%
High Risk Clients                   155                 111                  72%




Ron Graham, Community Health Services Director provided a brief update on the following
items:
    - Mr. Graham distributed copies of Health District’s Continuous Quality Improvement
       Project for the Board to review. $10,000 grants were awarded to ten pilot health
       districts to work on the CQI Project. The participating health districts presented at last
       month’s AOHC Fall Conference in Columbus.
    - Mr. Graham commented on the Plague Drill, staged by Medina for the tri-county area,
       stating that it did not go well. Health District staff will meet with State representatives to
       discuss what could have been done better.
    - Help Me Grow has brought back April Frazier, who was previously laid off, to fill in for
       Julie Gembus during her leave of absence to care for her family.
    - The Health District will be working with LakeTran as a beta test site for dropping off our
       customers and clients. Frank Kellogg and Ron Graham will meet with LakeTran to
       finalize the agreement.
    - Mr. Graham brought copies of the Community Health Assessment for Board Members to
       take and review. The Community Health Assessment is the first step to become
       accredited. The Health District with the aid of LHS spent $30,000 to survey

October 17, 2011                              9
         approximately 3,000 people on numerous data points. Different community agencies
         were able to provide input on the survey questions. This plan will be released to the
         community agencies within the next few weeks.
    -    Mr. Graham also had several articles on the Adult Obesity program and Opinion Poll for
         Board Members to take and review.

4.02
         Environmental Health

4.02.01            Ohio Department of Health Marina Law Repealed

Effective September 29, 2011 the Ohio Revised Code 3733.21 through 3733.30 was repealed,
effectively eliminating Ohio Marina law. The rules in the Ohio Administrative Code 3701-35
will also be rescinded. The Ohio Department of Health will no longer provide any oversight or
assistance in this program as of the effective date of this change. LCGHD licensed 23 marinas
and received just under $6000 in local license fees to operate the program. At this time it
appears there is no mechanism to allow local health departments to enact and enforce their own
local regulations. In addition, the marinas will no longer have a representative on the LCGHD
licensing council.

4.02.02            Mosquito Borne Disease Update

The mosquito surveillance, larval and adult control programs are likely finished for the season
due to the onset of cool, rainy weather. The last spray night was September 20th and the last
larval treatment occurred on September22nd. The first frost will significantly reduce the number
of nuisance mosquitoes once that occurs. The Centers for Disease Control and Prevention
released the following update regarding the status of Ohio mosquito borne disease, effective
October 2, 2011. Lake County remains with three mosquito pools positive for West Nile Virus.
We have had no incidence of equine or human disease to date.

WNV Ohio Human Cases
Cuyahoga                            Montgomery                       Trumbull
             6                                 1                                 1
County                              County                           County

Lorain                              Putnam
             1                                    1
County                              County

Lucas                               Summit
             4                                    2
County                              County




October 17, 2011                             10
WNV Ohio Positive Mosquito Pools
Ashtabula County   3                         Licking County     31                Richland County   1

Cuyahoga County 52                                                                Stark County      16
                                             Lorain County      12
Delaware County    6                                                              Summit County     104
                                             Lucas County       49
Franklin County    237                                                            Wayne County      9
                                             Mahoning County    3
Greene County      8
                                             Medina County      1
Hamilton County    14
                                             Montgomery
                                                                28
                                             County
Lake County        3



WNV Ohio Veterinary Cases

Delaware County 1

Lorain County      1

Wayne County       2




LaCrosse Ohio Human Disease Cases

Cuyahoga County        1   Medina County           1      Stark County        1
Delaware County        1   Miami County            1      Summit County       1
Franklin County        1   Morrow County           3      Trumbull County     2
Hamilton County        1   Muskingum County        3      Tuscarawas County   1
Jackson County         1   Pike County             1      Union County        2
Licking County         1   Richland County         2      Vinton County       1
Marion County          1   Ross County             1      Wayne County        1

4.02.03            Three Additional Rabid Skunks Reported in Lake County

The Ohio Department of Health and USDA Wildlife Services have confirmed that 3 Lake
County skunks have recently tested positive for rabies, bringing the 2011 total to 5 positive
skunks (see chart and map below). These recent skunks were collected and tested between Sept.
28 and Oct. 3, 2011. Positive skunks were found in Painesville, Mentor-on-the-Lake and
Mentor. A total of three dogs were potentially exposed to the rabid skunks, and they were all
current on their rabies vaccines. The dogs will undergo a 45 day quarantine for observation.

With the addition of these three skunks, 10 RSR animals have been found in NE Ohio in 2011,
18 since 2008 and 141 since the outbreak began in 2004. Additional rabid raccoons in 2011 have
been found in Ashtabula (3), Mahoning (1) and Trumbull (1) counties, all near the Pennsylvania
border. Lake County has not had as many rabid animals since 2008 when we had 4 positive

October 17, 2011                                       11
raccoons and 3 positive skunks. Lake County has not had this many positive skunks since 2007
when 9 positive skunks were found. In 2011, almost 7% (5 out of 72) of all Lake County skunks
tested have been found to be rabid.

A news release was issued with this and additional information that created significant interest
among the media. Newspapers covered the story, along with radio stations and three television
stations. It is hoped the news piece will raise awareness among Lake County residents and in
turn, increase rabies vaccination rates in dogs and cats.




4.02.04            Cantaloupe and Bagged Salad Recalls Due to Listeriosis

Listeria-tainted cantaloupes from Colorado have now sickened 109 people and claimed 21 lives
in 23 states, according to CDC. The number of illnesses and deaths is expected to rise, as
symptoms of listeriosis (fever and muscle aches, often with gastrointestinal symptoms) can take
up to two months to show up. CDC said it was also aware of one miscarriage associated with the
outbreak. Officials said they were looking at the farm's water supply and possible animal
intrusions among other things. Listeria bacteria grow in moist, muddy conditions and are often
carried by animals.

Listeria is rare but more deadly than well-known pathogens like salmonella and E. coli. Most
healthy adults can consume Listeria with no ill effects, but it can kill the elderly and those with



October 17, 2011                             - 12 -
compromised immune systems. It is also dangerous to pregnant women because it easily passes
through to the fetus.

The outbreak has now claimed as many lives as a 1998 outbreak of Listeria in hot dogs and
possibly deli meats made by Bil Mar Foods, a subsidiary of Sara Lee Corp. That outbreak was
also linked to 21 deaths. The deadliest outbreak in the U.S. before that is believed to have been
Listeria in Mexican-style soft cheese in 1985. That outbreak was linked to 52 deaths.

Jensen Farms in Holly, Colo., recalled the tainted cantaloupes earlier this month after they were
linked to Listeria illnesses. They were shipped all over the U.S. but should be off store shelves
by now. The last cases of cantaloupes were shipped Sept. 10, and its shelf life is about two
weeks. The FDA has said state health officials found Listeria in cantaloupes taken from
Colorado grocery stores and from a victim's home that were grown at Jensen Farms. Matching
strains of the bacteria were found on equipment and cantaloupe samples at Jensen Farms'
packing facility in Granada, Colo. The company said the cantaloupes were shipped to about half
of U.S. states, but added that it wasn't clear just where they went because the produce has been
sold and resold. Thus, many companies may not know if they bought or distributed the fruit.
Fruit Fresh Up, Inc. of Depew, N.Y., issued a recall Thursday of 4,800 individual packages of
cut cantaloupes, three weeks after the original recall and several days after the melons surpassed
their freshness date.

CDC and FDA officials said that any cantaloupes not from Jensen Farms are safe to eat. The
recalled cantaloupes may be labeled "Colorado Grown," "Distributed by Frontera Produce,"
"Jensenfarms.com" or "Sweet Rocky Fords." Not all of the recalled cantaloupes are labeled with
a sticker, the FDA said.

The lettuce recall over Listeria concerns may be bigger than originally thought, with the
California farm, True Leaf, issuing a recall saying its notice covered 19 states and Canada. The
company recalled the 33,000 pounds of lettuce after a check by federal officials found Listeria in
a sample from one bag. No illnesses have been reported.

States affected by the recall include Alaska, Alabama, Arizona, California, Colorado,
Connecticut, Florida, Illinois, Kentucky, Maryland, Minnesota, Missouri, Nevada, New York,
Ohio, Oregon, Pennsylvania, Tennessee and Vermont. Anyone who has the lettuce in their
possession should not eat it, and should destroy it.

The FDA has not yet identified the source of Listeria. The lettuce recall is unrelated to the recall
of cantaloupes due to Listeria. Unlike many pathogens, Listeria bacteria can grow at room
temperatures and even refrigerator temperatures - and can linger long after the source of the
contamination is gone.

The health district closely monitors food recalls and keeps these in mind when investigating any
potential foodborne illness, whether from eating out at a restaurant or in at home. When the
recalled foods are believed to have been distributed locally, calls are made to the stores or
restaurants to make sure they have been removed from sales. The health district then works




October 17, 2011                            - 13 -
  closely with the epidemiologists at the Ohio Department of Health on any necessary
  investigations.

  4.02.05             Ohio Department of Health Food Service Operation Program Survey Results

  The Ohio Department of Health conducted a thorough review of the administrative and
  programmatic aspects of the food service operation programs, including risk, temporary, mobile
  and vending. The survey was conducted from July 11, 2011 through August 3, 2011. Results
  were discussed with the administration and field staff, and a response was forwarded from
  LCGHD acknowledging their minimal findings along with a proposal for correction. There were
  no findings with the inspection frequency or inspection process among the field staff. Minor cost
  methodology errors, licensing procedures, and food service employee training tracking
  procedures were addressed in the report. The environmental health staff has already
  implemented the recommended changes, and it appreciative of the opportunity to improve this
  very large program. The program remains in good standing with the Ohio Department of Health.

  4.02.06             Update on the lawsuit regarding 38070 Rogers Rd., Willoughby Hills

  Abe Cantor, Counsel for the Health District has filed the official Health District answer in Lake
  County Common Pleas Court in response to this lawsuit concerning a site evaluation for a
  household sewage treatment system. Other defendants in the case Susan & Martin Mandel have
  asked for an additional 30 days to formulate a response in order to fully vet potential counter and
  cross claims. Jim Fincham, another defendant in the suit has filed an answer to the complaint
  September 27th, 2011. Abe Cantor has served combined interrogatories on behalf of the Health
  District as part of the Discovery process.

  4.02.7 Board Action Status

  Note: New entries are bold faced

Program              Name             Pol. Sub.            BOH Ref.   Status
                                                           Date
Sewer Tie-In DiVincenzo               Willoughby           1/22/07    House is connected waiting for ST
                                      Hills                           abandonment and internal plumbing
                                                                      corrections. The City of Willoughby
                                                                      Hills is behind with their internal
                                                                      plumbing inspections and dye testing
                                                                      for infiltration/exfiltration issues.
Sewer Tie-in         Milosevic        Willoughby           3/17/08    House is vacant. House is going back
                                      Hills                           for sheriff sale in 3-4 months.
Sewer Tie-in         Kazandjieff      Willoughby           08/17/09   Kazandjieff was required to obtain
                                      Hills                           permit by March 31st., no permit
                                                                      obtained, Prosecutor to make contact.
                                                                      Prosecutor filed motion to show cause
                                                                      and served papers week of August 29,
                                                                      2011.



  October 17, 2011                                - 14 -
Program              Name           Pol. Sub.            BOH Ref.   Status
                                                         Date
Sewer Tie-In Mack                   Willoughby           7/19/10    Prosecutor says it has been 4 years
                                    Hills                           since original orders. Prosecutor sent
                                                                    letter to Mack’s in April giving them
                                                                    until June 30th to obtain permit or legal
                                                                    process will begin. No progress made,
                                                                    Prosecutor has been asked to require
                                                                    permit to show intent to comply or file
                                                                    suit.
Solid Waste          Duane Lester   Madison              1/18/11    Prosecutor filed suit against Mr. Lester
                                                                    July 27, 2011.
Sewer Tie-in         O’Connor       Willoughby           9/19/11    Referred to Prosecutor’s office
                                    Hills
Well Sealing         Cesan          Painesville          9/19/11    Referred to Prosecutor’s office
                                    Twp.



  Nancy Niehus, Environmental Health Director updated the Board on the following items, after
  stating that everything from her report is old news:
      - West Nile Virus – Late Friday, October 14th, the Health District was informed of a human
          case of West Nile Virus in Lake County. A woman from Willoughby Hills gave blood and
          the screening process showed West Nile Virus infection. The woman recalled that
          sometime around Labor Day she had flu like symptoms with a headache; she went to her
          doctor and he ran several tests that were all negative. Her case is considered a non-
          neuroinvasive case of West Nile Virus.

           Cherise Stabler, RN stated that this woman must wait 180 days before she can give blood
           again. The Red Cross uses NAT (Nucleic Acid Test) to screen all blood donations. This
           is the test that confirmed this donor has West Nile Virus. The Red Cross is hoping to use
           this case to see how long the blood continues to test positive for West Nile Virus.

           Ms. Niehus then passed around a map that shows the locations of Human cases of West
           Nile Virus for the last few years.
      -    Rabies – Ms. Niehus is grateful for the amount of media coverage recently concerning
           rabid skunks; she hopes everyone knows how important it is to vaccinate their pets. Ms.
           Niehus updated the Board on the rabid dog case from Summit County. The dog was
           rabid with raccoon strain rabies, the first case Summit County has ever had. Lake
           County has never had a rabies positive dog, only some suspicious cat cases that were not
           confirmed. In this case, two Huskies had the run of a 5-acre property. They had a habit
           of frequently killing raccoons and groundhogs. The animals were vaccinated when they
           were young but never received further vaccinations against rabies. The subject dog was
           reported to have a bite wound and became ill several days later. It did receive veterinary



  October 17, 2011                              - 15 -
         treatment for distemper but died. Fortunately, the head was decapitated and sent to the
         Ohio Department of Health laboratory for rabies testing. It was found to be positive, and
         when forwarded to the Centers for Disease Control and Prevention in Atlanta where it
         was confirmed as raccoon variant rabies.

         For the surviving dog, the family had the option of euthanasia (preferred) or strict 6-
         month isolation for observation of onset of rabies symptoms. The dog and uninvolved
         cats were immediately vaccinated, the dog was confined, and all humans involved were
         interviewed to assess their risk of non-bite rabies exposure. Reportedly, the family and
         six members of the veterinary staff began post exposure rabies prophylaxis. Summit
         County put out a news release and is offering low cost rabies vaccination clinics.
    -    Listeria in Cantaloupe - Ms. Niehus briefly discussed Listeria-tainted cantaloupes that
         were grown in Colorado and have sickened more than 109 people and claimed 21 lives.
         Listeria bacteria grow in moist, muddy conditions and are often carried by animals.
         There was also a shredded iceberg lettuce recall due to Listeria concerns. True Leaf, a
         California farm, issued a recall covering 19 states for 33,000 pounds of lettuce.




October 17, 2011                            - 16 -
4.03
             Manager’s Report

  Lake County General Health District
  MONTHLY FINANCIAL REPORT                         Sep-11



                                                                                %
  RECEIPTS                                  YTD                 BUDGET          RECD     YTD LESS BUDGET
  Environmental Health Receipts             $       678,620     $     852,299    80%     $   (173,679)
  Public Health Nursing                     $        99,904     $     123,181    81%     $    (23,277)
  Federal Grants                            $     1,129,859     $   1,669,136    68%     $   (539,277)
  State Grants                              $       545,025     $     577,994    94%     $    (32,969)
  Local Contracts                           $       151,168     $     224,286    67%     $    (73,118)
  Vital Statistics                          $       241,225     $     290,000    83%     $    (48,775)
  Family and Children First                 $       130,667     $     151,955    86%     $    (21,288)
  Miscellaneous                             $        59,175     $      80,964    73%     $    (21,789)
  Tax Dollars                               $     2,154,088     $   2,154,088   100%     $          (0)
  TOTAL RECEIPTS                            $     5,189,730     $   6,123,903    85%     $   (934,173)
  Beginning Cash Balance                    $     2,193,326     $   2,193,326   100%     $          -
  TOTAL - ALL FUNDS                         $     7,383,056     $   8,317,229    89%     $   (934,173)




  DISBURSEMENTS
  Salaries                                  $     2,317,106     $   3,276,149    71%     $   (959,043)
  Fringe Benefits                           $       835,315     $   1,290,569    65%     $   (455,254)
  Contract Services                         $       253,764     $     514,177    49%     $   (260,413)
  Program Supplies, Marketing, Health Ed.   $       240,037     $     519,840    46%     $   (279,803)
  Office Supplies and Postage               $        60,081     $     118,494    51%     $    (58,413)
  Transportation and Travel                 $        77,780     $     124,025    63%     $    (46,245)
  Building Expense                          $       145,598     $     226,886    64%     $    (81,287)
  Equipment                                 $        30,621     $      90,813    34%     $    (60,192)
  Returns                                   $         3,683     $      17,249    21%     $    (13,566)
  Operating Expenses                        $       243,404     $     395,623    62%     $   (152,218)
  Contingency                               $               -   $     139,497    0%      $   (139,497)
  SUB TOTAL                                 $     4,207,389     $   6,713,320    63%     $ (2,505,931)
  Obligations from previous year            $       332,081     $   1,603,909    21%     $ (1,271,827)
  TOTAL DISBURSEMENTS                       $     4,539,471     $   8,317,229    55%     $ (3,777,758)


  # MONTHS & % OF YEAR                               9               12         75.00%




Jeff Campbell, Senior Manager stated that the Cost Analysis is complete. Mr. Campbell needs to
review his report with Frank Kellogg, Nancy Niehus and Ron Graham, prior to the Policy
Review Committee meeting. We have to adjust the appropriations whenever we have grant
revisions or receive new funds. There is a request to Decrease/Increase Appropriations under
New Business this month. Mr. Campbell will now begin working on the 2013 Annual Budget.




October 17, 2011                                     - 17 -
4.04
          Health Commissioner’s Report

4.04.01            Remodeling of Main Entrance

On entry, Board members will notice a significant change to the main entrance foyer. Under the
leadership of Vicki Estep and Tim Snell, the main entrance has been transformed from a drab,
cluttered, and confusing mass of signs to a professional appearing entranceway with modern
signage, Health District name and video monitor that demonstrates required policies and
important information. Some minor touch ups are still required that will be completed in the
coming months.


4.04.02            Committee Assignments

Included in your monthly packet is the list of committee assignments as approved by Board of
Health President Jim Pegoraro. Members of the Board were asked in September to indicate the
committees on which they wanted to serve and these requests were taken into consideration
when making committee assignments.


4.04.03            Health Commissioner Re-Appointed as AOHC District Director

On September 21, Frank Kellogg was elected as NE District Director for the AOHC (Association
of Ohio Health Commissioners). The Health Commissioner was first appointed to an unexpired
term in October, 2010 and will now complete a full two-year term.


4.04.04            Policy Review Committee Meeting

A meeting of the Policy Review Committee will be likely be held between the October and
November meetings of the Board of Health. Senior Manager Jeff Campbell will soon be
completing the LCGHD 2010 Cost Report which requires review by the Directors, the Policy
Review Committee and the full Board of Health as it pertains to fees charged by the LCGHD for
various services. Having a meeting soon after the October Board meeting will allow a sufficient
amount of time to implement the approved recommendations.


4.04.05            Board of Health Seasonal Influenza Immunizations

Members of the Board of Health will be offered seasonal influenza immunizations prior to the
scheduled 3:00 p.m. Board of Health meeting. Please call Vicki Estep if you are planning on
participating in the influenza program. Plan to arrive no later than 2:30 p.m. if you intend to
receive an immunization.




October 17, 2011                           - 18 -
4.04.06            LCGHD Program Highlight

Water, Liquid & Solid Waste Supervisor Laura Kuns and Ohio EPA Sit Coordinator Teri Heer
will give an update on recent activities concerning the Mentor Salt Fill. Board members may
recall that sampling was performed last October as a result of meetings with Mentor City
officials, the Ohio EPA, Ohio Attorney General’s office and State Rep Mark Schneider. The
purpose of the sampling was to delineate the boundaries of the fill site and to determine the
composition of the fill materials. Teri and Laura will discuss the results and analysis of the
sampling and likely next steps.

4.04.07            Vital Statistics Sales and Services Rendered – September

                                                        September     YTD
                   Birth Certificates Issued               384        4559
                   Birth Certificates – Out of County      105        1089
                   Death Certificates Issued               581        6301
                   Fetal Death Certificates Issued           0          1
                   Burial Permits Issued                    55         557
                   Birth Certificates Filed                246        1490
                   Death Certificates Filed                127        1308
                   Fetal Death Certificates Filed            1          7




Health Commissioner Frank Kellogg provided highlights of his monthly report:
    The main entryway has been remodeled at a cost of approximately $5,000 – thanks to
       Vicki Estep and Tim Snell.
    The Cost Analysis may show the need for some fee increases; if this is the case then we
       will schedule a Policy Review Committee meeting.

The program highlight for this month was Laura Kuns presenting on the Mentor Salt Fill. Terri
Heer of Ohio EPA was unavailable for today’s meeting.

The Osborne Salt Landfill was purchased by Jerome Osborne in 1965 and is currently owned by
a trust with a component of Osborne family members. The site was originally set up to dispose
of salt mine tailings from Morton Salt (1966). In 1972, as negotiated with the Ohio EPA and the
Health District, the Osborne Concrete and Stone Co. agreed to try to stop salt leaching from the
landfill and into Mentor Marsh by covering the salt tailings with fly ash. The fly ash did not
solve the problem and in 1980 Blackbrook Creek was culverted across the property to eliminate
contact between surface water and the tailings. The landfill was covered with alternating layers
of lime kiln dust and clay and topped with 1’ – 2’ of clay fill, topsoil and grass seed. In the mid-
1980’s Blackbrook Creek was relocated to the eastern side of the property, outside of the area of
salt tailing placement. From 1965 to the present there have been multiple ownership changes;
Deer Creek Development was initiated in the 1990’s and a number of parcels were transferred to
the developers in the late 1990’s and early 2000’s.


October 17, 2011                              - 19 -
Phase I of the Targeted Brownfields Assessment (TBA) involved Ohio EPA performing the
following:
             Chain-of-title investigation
             Review of current & historical aerial photographs
             Review of historical and current topographic maps
             Determination of historical use of adjacent properties
             Identification of prior property assessments
             Review of regulatory databases
             Review of site-specific geological information
             Property inspection

Ohio EPA Conclusions: Confirmed evidence of releases; could not rule out presence of
hazardous substances; additional investigation is necessary to determine contents and boundaries
of the landfill.

Phase II of the TBA actions:
    Originally scheduled for 2008
    Property owner withdrew permission to access
    Reinitiated activities in 2010
    Access granted to part of landfill by property owner, but remainder gained through an
       administrative search warrant
    Sampling performed during week of October 25, 2010

Ohio EPA collected:
    30 soil samples from 18 soil borings on the property
    16 soil samples from 8 soil borings off the property
    sediment samples from 5 locations
    groundwater samples from 7 locations
    surface water samples from 6 locations
And analyzed for VOCs, SVOCs, Pesticides, PCBs, Metals, Mercury, and Total Cyanide (no
VOCs or PCBs in surface water).

Sampling results were compared to human health and ecological screening standards. Human
health screening standards exceeded for: Soils – arsenic & manganese; Sediments – arsenic,
antimony, cobalt, copper, magnesium, nickel, zinc, Arochlor-1248, and PAHs; Groundwater –
barium, nickel, copper, and bis(2-ethylhexyl)phthalate; Surface Water – nothing detected above
screening standards.

Ecological screening standards exceeded for: Soils – antimony, arsenic, cadmium, chromium,
cobalt, nickel, selenium, and thallium; Sediments – arsenic, cobalt, and magnesium;
Groundwater – manganese & bis(2-ethylhexyl)phthalate; Surface Water – nothing detected
above screening standards.

Contaminants without screening standards: Calcium, Potassium, Sodium




October 17, 2011                          - 20 -
Human Health Risk
         Soils:
             Arsenic – within the range of arsenic found in the area
             Manganese – only one hit at 4-8’ bgs
         Sediments:
             Metals – only slightly above screening standards
             Manganese – detected, but less than one order of magnitude
         Groundwater:
             Only one metal and one organic compound
             Groundwater not used for potable purposes


Ecological Risk
            Soils:
              Metals – only slightly above screening standards
              Selenium & thallium > one order of magnitude above standards
            Sediments:
              Organics – found at 2 locations & only slightly above standards
              Metals – only slightly above screening standards
            Groundwater:
              Screened against water quality standards
              Organics – Bis(2-ethylhexyl)phthalate found at 2 locations, one order of
              magnitude above standards
              Metals – only slightly above screening standards
            Calcium
              Above background in 22 of 30 soil samples
              Above background in all sediment samples
              Above background in 3 of 5 surface water samples
              No background comparison for ground water, but found in the 1,000,000 ppb
              range
            Potassium
              Above background in 13 of 30 soil samples
              Above background in all sediment samples
              Above background in all surface water samples
              Found in groundwater in the 100,000 ppb range
            Sodium
              Above background in 19 of 30 soil samples
              Above background in all sediment samples
              Above background in all surface water samples
              Ground water samples contained up to 3.96% sodium

Ms. Kuns then showed several maps with waste delineation, area of salt outlined and area of fly
ash and precipitated lime dust outlined. The salt tailings go deeper than 35 feet.

TBA conclusions:
   Landfill extends onto residential properties



October 17, 2011                          - 21 -
       Landfill consists of fly ash/lime kiln dust & salt
       Landfill does not appear to pose a risk to human health
       Landfill does appear to impact Blackbrook Creek and Mentor Marsh

Terry Heer of the Ohio EPA provided this presentation to residents a couple of weeks ago in a
meeting at the County Engineer’s office. Those residents are very upset about this issue and will
probably check to see what legal recourse they have. Since there is no human health risk the
Health District cannot force the owners to do anything about this landfill. This data was shared
with the Ohio Attorney General’s office. There will be another meeting to try to get the Attorney
General’s office to move on this issue. Paul Anderson is the lead EPA person.


5.0      Committee Reports

         None

6.0      Old Business

         There was no Old Business to discuss.

7.0      New Business

7.01     Resolutions

7.01.01
       Certification of Monies, Resolution 11-10-07-01-01-100

       Patricia Fowler moved and Roger Anderson seconded a motion to adopt Resolution 11-
10-07-01-01-100 to approve payment of bills, as listed in the recapitulation sheets attached to
these minutes; motion carried.

7.01.02
       Increase/Decrease Appropriations in Health District Funds, Resolution 11-10-07-01-
       02-100

       Brian Katz moved and Patricia Fowler seconded a motion to adopt Resolution 11-10-
07-01-02-100 to Increase/Decrease Appropriations in Health District Funds, as listed in the
recapitulation sheets attached to these minutes; motion carried.

7.02
         Permission to Contract with Around the Clock Home Care, Inc. (ATC) for “As
         Needed” Help Me Grow Program Evaluators, Translation and Intake staffing, not
         to Exceed $15,000

       Patricia Murphy moved and Dr. Juan Hernandez seconded a motion to contract with
Around the Clock Home Care, Inc. for “as needed” Help Me Grow Program Evaluators,
Translation and Intake staffing, at a cost not to exceed $15,000.


October 17, 2011                           - 22 -
The Ohio Department of Health (ODH) Help Me Grow (HMG) Program is undergoing several
changes during the fiscal years of 2012 and 2013. Due to the rapidly changing HMG policies,
lack of long term funding commitment, ATC provides ―as needed‖ staff to ensure program
compliance and cost containment while retaining limited financial liability
7.03
        Permission to Submit Cities Readiness Initiative (CRI) Grant, $44,096

      Patricia Fowler moved and Brian Katz seconded a motion to submit to the Cuyahoga
County Board of Health the Cities Readiness Initiative (CRI) Grant in the amount of $44,096;
motion carried.

The Grant period is August 10, 2011 to August 09, 2012. The Cities Readiness Initiative is a
program to assist cities in increasing their capacity to deliver medicines and medical supplies
during a large-scale public health emergency. Cleveland (Cleveland Department of Public
Health and Cuyahoga County Board of Health) was one of the initial 26 CRI cities to be funded.
Regional CRI money is distributed to each county to build out local CRI plans.

7.04
         Permission to Submit Dental Sealant Grant, $32,183.31

       Dr. Juan Hernandez moved and Dr. Alvin Brown seconded a motion to submit to the
Ohio Department of Health the Dental Sealant Grant in the amount of $32,183.31; motion
carried.

The Grant period is January 1, 2012 to December 31, 2012. The Ohio Department of Health
Dental Sealant Grant provides education, referral and dental sealants to 2nd and 6th grade students
enrolled in schools, located in Lake and Ashtabula Counties, with a Free and Reduced Lunch
program participation rate of 40% or higher. The program seeks to serve over 1,200 children in
approximately 28 schools for the 2012 fiscal year. The Lake County Free Clinic will be
contracted with in the amount of $24,623.31 to provide the direct services.

7.05
         Permission to Accept WIC Nutrition Grant, $698,190

      Patricia Fowler moved and Dr. Juan Hernandez seconded a motion to accept from the
Ohio Department of Health the Special Supplemental Nutrition Program for Women, Infants
and Children (WIC) Grant in the amount of $698,190; motion carried.

The Grant period is October 1, 2011 through September 31, 2012. The WIC Program grant
provides WIC nutritional services to women, infants and children up until the age of five with
nutritional risk.




October 17, 2011                           - 23 -
7.06
         Permission to Submit Healthy Lifestyles Capacity Building Grant, $45,000

      Anthony Vitolo moved and Brian Katz seconded a motion to submit to the Lake-
Geauga Fund/Cleveland Foundation the Healthy Lifestyles Capacity Building Grant in the
amount of $45,000; motion carried.

The Grant period is to be determined. The specific purpose for requesting funds for the Lake
County Childhood Obesity Prevention Initiative is to systematically educate children and their
families on childhood obesity. Based upon the Community Needs Assessment that was
conducted in 2010 in Lake County, childhood obesity was the 3rd main concern. It is important
to take a step in the right direction to address the needs of the community. By taking that step, a
countywide system needs to be put in place to help obese families overcome this epidemic. This
countywide system will depend upon community partners to work with the Lake County General
Health District to identify proper resources for families who need them the most.

The funds will be used to bring children and their families into the Lake County General Health
District, via walk-ins and referrals, to address risk factors for obesity. Prevention and reduction
strategies will be the main focus including nutrition guide and information, suggestions for
physical activity, cholesterol information and blood pressure information. It is imperative that
children become aware of and understand their risk factors for chronic disease before it is too
late. Services the family needs that cannot be covered at the Lake County General Health
District will be referred to community partners.

7.07
         Permission to Submit Ohio EPA Grant, PM 2.5, $33,559

       Roger Anderson moved and Dr. Juan Hernandez seconded a motion to submit to the
Ohio EPA the following grant totaling $33,559 (without carryover funds) for the period April
1, 2011 through March 31, 2012 for activities concerning the monitoring of Particulate Matter
2.5; motion carried.

The amount is totally comprised of federal pass thru dollars. Funds will be administered through
a contractual agreement between the LCGHD and the Ohio EPA. See chart.

7.08
         Permission to Submit Ohio EPA Grant, Air Pollution Control, $283,400

       Patricia Fowler moved and Anthony Vitolo seconded a motion to submit to the Ohio
EPA the following grant totaling $283,400 (without carryover funds) for the period October 1,
2011 through September 30, 2012 for Air Pollution Control activities; motion carried.

The federal pass through moneys and state funds will be received via a contractual agreement
between the LCGHD and Ohio EPA. See chart.




October 17, 2011                            - 24 -
7.09
         Permission to Submit Ohio EPA Grant, Rotary Fund $2,000

       Dr. Juan Hernandez moved and Dr. Alvin Brown seconded a motion to submit to the
Ohio EPA a grant application totaling $2,000 (without carryover funds) for the period October
1, 2011 through September 30, 2012; motion carried.

The $2000 funding total is comprised of state fine monies and will fund routing local Air
Pollution Control activities. See chart.


                                                   10-1-2011 through 9-30-2012
Funding Source
                                                       $                  %
Ohio EPA (Title V, 2.5 and Rotary)                 83,115.00             26.1
Federal EPA                                        139,899.00            43.9
Lake County Commissioners                           8500.00               2.7
Open Burning (est.)                                  5600.00              1.7
Local                                              81,845.00             25.6
Total                                              318,959.00           100.0


8.0
         Adjournment

      Brian Katz moved and Patricia Fowler seconded a motion to adjourn the meeting at
approximately 4:07 p.m.; motion carried.

________________________________            _______________________________
Secretary                                   President




October 17, 2011                          - 25 -

				
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