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2010 Cudahy Health Department Annual report Cudahy Health Department PO Box 100510 5050 South Lake Drive Cudahy, WI 53110-6108 Phone: 414-769-2239 Fax: 414-769-2291 Email: email@example.com The Cudahy Health Department’s mission is to help the citizens of our community achieve their highest level of well-being. We envision: strong families in safe neighborhoods with access to affordable health care. Our goal is to prevent injury, disease and premature death through health education and the promotion of healthy lifestyles. 2010 CUDAHY HEALTH DEPARTMENT ORGANIZATION CHART BOARD OF HEALTH Gerald Ponec, Chairman Neil White, Secretary Michael Johnson, DVM Lynn Damitz Rebecca Owen Ald. Mary Schissel Robert Grams, School District Liaison David Sherman, MD Carol Wantuch, Health Officer HEALTH DEPARTMENT STAFF Medical Advisor: Health Officer: David Sherman, MD Carol Wantuch, RN, BSN, MS Public Health Nurses: Annette Schmidt, RN, BSN Mary Juleen, RN, BSN Cheryl Orlando, RN, BSN Health Department Clerk: Linda Lindsey Grant Coordinator: Environmental Health Specialist: Edward Wrench, RN, BSN Martin Zabkowicz, RS WIC STAFF WIC Director: Breast-Feeding Coordinator: Heidi Zimmer, RD, CD Debi Coon, DTR, IBCLC Nutritionists: Health Screener: Laura Diamond, RD Itaska Wright Nicole Weeks, RD Project Assistants: Breast-Feeding Peer Counselor: Sally Severson Michelle Cummings, IBCLC Abeer Bazar Volunteers: Our volunteers willingly give of their time and talents to our Health Department. Their devotion to us is truly a gift. A sincere thank you to each of them! Thank You for Your Help! Richard Haske Tillie Jost Camille Prodzinski AND ESPECIALLY: Barbara Wegner Health Officer’s Report to the City of Cudahy: 2010 was a challenging year for the Cudahy Health Department. Early in 2010, our Department was again formally recognized as a Level III Public Health Department by the Wisconsin State Department of Health. The presentation was held during the February 18, 2010 Cudahy Common Council meeting. The Cudahy Health Department is acknowledged as being one of the best local health departments in the State. Georgia Cameron, Southeastern Regional Office & Carol Wantuch Early in March 2010, the Health Department was notified about the possibility of an outbreak of Legionnaire’s Disease. The source of this infection that impacted eight (8) patients from five suburban communities was a decorative water feature at Aurora St. Luke’s South Shore. Over 68.8 hours of Public Health Nursing and Health Officer time was spent investigating this outbreak and coordinating efforts with St. Luke’s South Shore, Aurora Health Care, the Wisconsin Division of Health, our Environmental Health Specialist and the Wisconsin Laboratory of Hygiene. June 17, 2010, I was honored to receive the WPHA’s (Wisconsin Public Health Association) Distinguished Service to Public Health Award. The nomination came from other Milwaukee County Health Officers as well as from the Cudahy Health Department staff. The Health Department staff organized a reception for the presentation at the Cudahy Family Library on June 17th. This award came as a complete surprise to me and I will treasure this recognition. And of course, no year would be complete without some type of emergency management situation. This year it was the July 22 & 23 floods that caused Milwaukee County to be declared a federal disaster area. Once again, it was time to collect flood data, issue safety warnings about clean up of debris and offer flood clean-up kits. By fall of 2010, the Health Department was attempting to put together a 2011 budget that kept the Department staff intact and services available to our residents. An unexpected opportunity arose to provide Public Health Nursing services for the School District of Cudahy for which the Department would be reimbursed. It was an option that could not be ignored and was approved by the Cudahy Board of Health. Fortunately, with this change in staff budgeting, the Health Department remained intact and our budget was passed. 2011 is going to be a time to up-date our policies and procedures and plan for the possibility of grant funding decreases and possible municipal budget changes in the Department. It is also going to be a time to start succession planning for my position. As of this writing, I have spent almost 23 years at the Cudahy Health Department. I have loved almost every moment of my time here but it is time for my retirement which I hope to take by the middle of 2012. Carol Wantuch, Health Officer Medical Advisor’s Report to the Community It is clear from the events in Madison and Congress that we will all have to make do with less help from the government. While medical costs increase, insurance coverages do not. Each of us will have to take a greater stake in our own health and well being. Preventing common health problems is cheap and simple. Treating them is complex and expensive, and you will pay more of the costs yourself. The most common cause of death in adults is heart disease. This is followed by cancer and strokes. You know how to prevent it: eat smarter, exercise, control your blood pressure and stop smoking. Eat smarter: This doesn’t always mean less. A healthy diet is high in fiber and low in fat. Each day, try to eat six to 11 servings of bread, rice and pasta, two to four servings of fresh fruit, three to five servings of vegetables, two to three servings of non-fat milk, low-fat yogurt and low-fat or non-fat cheese, and two to three servings of lean meat, poultry, fish, dry beans and egg whites. Buy fresh produce from the farmer’s market. Avoid fast foods. Exercise: The heart is a muscle and needs regular exercise to stay healthy. Aerobic exercise, such as brisk walking, jogging or biking, gives the heart the best workout. Start small. Walk to the corner twice a day. Park in the back of the parking lot. Use the stairs if you are able. Increase your activity weekly. Try to exercise with a friend. Blood pressure: Diet and exercise are often effective. Your doctor may recommend other measures. Quit smoking: Smoking doubles your chance of a heart attack and greatly increases your risk of cancer. If you’re not ready to quit, try smoking half as much. Ask your doctor for help. Quitting isn’t easy, but new medications have made it much easier than it was. See the Quit Plan below. These measures will reduce your chance of developing cancer. Cancers found early are often treatable. It’s much harder if they are found late. If you are over 50, get your colonoscopy. If you are a woman, get your mammogram. If you are a man, ask your doctor about prostate cancer. One of the most common causes of death for all ages is motor vehicle accidents. Again, the changes are simple. Wear your seat belt. Do not have more than one drink and then drive. Drive at the speed limit. Don’t tailgate. Keep your car in good repair. As you get older, plan your trips ahead of time. Take a driver safety class, some are listed below. You might even get a discount on your insurance. Information on these topics and more are available from your health department. With a little smarts, a little effort, and a little help from your doctor, you can give yourself a longer, healthier life. Take a driver safety class. To learn how to drive more safely, try taking a class. In a driver safety class, the instructor teaches you skills that you can use when you are driving. To find a class near you, call one of the following programs: AAFP 55 Alive Driver Safety Program 1-888-227-7669 National Safety Council Defensive Driving Course 1-800-621-7619 Driving School Association of the Americas, Inc. 1-800-270-3722 AAA Safe Driving for Mature Operators Program Call your local AAA club to find a class near you Prescription: Quit Smoking Quit Date: ________________________ Just before your quit date: • Write down your personal reasons for quitting. • Look at your list often. • • Keep a diary of when and why you smoke. • Get rid of all of your cigarettes, matches, lighters and ashtrays. • Tell friends and family that you’re going to quit and what your quit date is. • Get the medication you plan to use. • Begin taking your medication. • Practice going without cigarettes in places where you spend a lot of time, such as your home or car • Call 1-800-QUIT-NOW for free materials and counseling. On your quit date: • Stop smoking! • Take your medication. • Ask your friends, co-workers and family for support. • Change your daily routine. • Avoid situations where you’d typically smoke. • Drink plenty of water. • Stay busy. • Do something special to celebrate. Right after you quit: • Develop a clean, fresh non smoking environment around yourself, at work and at home. • Try to avoid drinking alcohol, coffee or other beverages you associate with smoking • If you miss the sensation of having a cigarette in your mouth, try carrot or celery sticks, flavored tooth-picks or a straw. • Chew sugarless gum or mints to help with cravings. • Stay away from people who smoke. • Reward yourself for successes—one hour, one day or one week without smoking. • Start an exercise program David Sherman, MD Medical Consultant Cudahy Health Department Public Health Is Everywhere in Cudahy The Health Department has 3 full-time public health nurses, 1 full-time Health Officer, 1 full-time secretary, 1 full-time grant nurse, 1 part-time sanitarian and 7 WIC staff. .In 2010, the Cudahy Health Department: Investigated 349 cases of communicable diseases in Cudahy. Spent 68.8 hours investigating and controlling the Legionnaire’s disease outbreak. Offered 660 doses of routine immunizations and 57 TB skin tests to Cudahy residents. Collaborated with private providers, schools & childcare providers and improved Cudahy children’s immunization status by 5%. Offered 419 doses of seasonal flu and 3 doses of pneumonia vaccine. Offered 194 doses H1N1 vaccine and spent 122.4 hours in H1N1 management and control. Spent 493.3 hours of active participation in Cudahy Emergency Management activities & response as well as in public health emergency response. Spent 55.85 hours responding to the July flood. Provided health education through 13 classes for 185 participants, City of Cudahy newsletter & display boards. Provided nursing clinics for 90 residents in 3 of the Cudahy senior housing complexes. Spent 29.5 hours providing breast cancer screening services to women who do not have health insurance coverage through the Wisconsin Well Woman Program. Investigated several cases of human health hazards and works to abate those hazards. Collected 441 “sharps” from Cudahy residents through a DNR program and properly disposed of them. Oversaw the Cudahy/St. Francis Kiwanis hospital equipment lending service. Offered refugee screening for new Cudahy residents. Applied larvicide to all Cudahy catch basins to help prevent West Nile Virus. Investigated 40 animal bites. Inspected and licensed 232 Cudahy food service businesses. Inspected and licensed all Cudahy rooming houses. Inspected and licensed 25 scales, 181 gasoline pumps and 22 scanners in Cudahy. Provided inspection & replacement if necessary, of 230 child passenger safety seats. Provided pedestrian safety classes to all Cudahy elementary schools in conjunction with Safe Kids of Wisconsin’s “Walk This Way to School” program with 247 participating in the walk. Offered 200 bicycle helmets with appropriate fitting in conjunction with Cudahy Police. Partnered with the Cudahy Fire Department to “Deliver Fire Prevention”. Provided WIC (Women, Infants & Children) Program to 4,774 residents in southeastern Milwaukee County. Offered pregnancy-related services which include pregnancy testing, referrals for health insurance and Prenatal Care Coordination to pregnant 17 Cudahy residents. Offered blood lead testing to 229 age-appropriate children and did follow-up on 9 children with elevated blood lead results. Provided lead dust testing for 5 homes built before 1957 in which infants, preschool children or pregnant women live. Offered free lead-safe work practice classes to 7 Cudahy homeowners, contractors & rental property owners. Housed outreach workers who assist residents in applying for BadgerCare. Offered public health nursing services to 13 families of children with special health care needs. Offered annual respiratory testing for Cudahy Fire & Police Departments as well as any other City employee who needs to use a respirator. Spent 134.6 hours as the District Nurse for the School District of Cudahy. In 2010: The municipal expenditures for the Cudahy Health Department were $407,251.00. The Health Department generated $117,577.00 in revenue. The Health Department oversaw $875,580.00 in grant funding to provide services for our residents that we could not otherwise provide. Public Health Nursing Visits: In 2010, three Cudahy Public Health Nurses (PHN’s) made a total of 716 visits to 281 clients. This is comparable to the number of visits made in 2009. However, the number of clients who received services in 2010 decreased by 9% from the number who received services the prior year. As this graph illustrates there are a number of increases and decreases in the types of visits that were made but this also relates to the unknown variety of situations that the Health Department faces daily. During 2010, illness and emergency family leave situations decreased our public health nursing staff by 547.9 hours (68.5 days) or 0.263 FTE’s. These situations were unavoidable and unplanned but as illustrated, they unfortunately impacted service delivery in all of our activities. Maternal and Child Health (MCH) again decreased by almost 22%. Health Department PHN’s, however, spent 116 hours working with high – risk pregnant clients to assure healthy birth outcomes. 216 babies were born to Cudahy mothers in 2010. 55.09% of those infants were females and 44.91% were males. Five (5) sets of twins were born in 2010. 82% of pregnant women received medical care in their first trimester. Almost 57% of the pregnant mothers were married. 18 Cudahy babies were born prematurely with 16 of those infants having low birth weights. Three (3) of the mothers were under 17 years of age which is a slight decrease from 2009. Fifty (50) hours were spent assisting families of children with special health care needs. Seven children needed our services to help coordinate their health needs care. This year, the City had the greatest Comparison of Animal Bites amount of animal bites since the Health Department began tracking 40 them. Eleven of the bites were 35 caused by dogs. Six of those dogs were Pit Bulls. The rest of the dogs 30 were a variety of breeds from 25 Chihuahuas to German Shepherds. There was also a bite from a coyote 20 on the bicycle trail at Warnimont Park. 15 The Health Department staff 10 continues to work closely with the Cudahy Police Department, the 5 Emergency Department at St. Luke’s 0 South Shore Hospital and the # of Bites 2004 32 2005 25 2006 35 2007 26 2008 31 2009 25 2010 40 Cudahy Environmental Health Specialist to assure that the offending animal is quarantined, immunized and licensed. The Health Department also works with the individuals who were bitten to assure that they have needed medical care. The table below illustrates the variety of sources of referrals for public health follow-up. Referral Sources 2006 2007 2008 2009 2010 Self 193 119 111 104 92 Family/Friend 97 114 92 78 40 Case-Finding 2 7 4 8 7 Physician 6 3 2 5 8 Hospital 27 16 35 17 20 Community Agency 8 3 5 7 8 School/Daycare 3 4 4 6 12 Public Health 79 71 62 89 77 WIC 0 21 9 11 7 Lab 0 14 20 26 3 Other 103 76 52 40 63 The Health Department may discontinue services for a variety of reasons. The table below illustrates those reasons. Closure Reasons 2006 2007 2008 2009 2010 Expired 0 0 3 1 0 Moved Out of Area 13 16 14 11 19 Moved, Not Found 9 12 6 10 9 Goal Obtained 256 222 137 214 165 Services Refused 36 45 24 13 18 Single Visit 89 82 86 61 56 Other Assuming Care 57 50 47 61 49 Outcome Incomplete 25 15 3 11 12 Other 6 3 3 11 6 Acute Communicable Disease: Wisconsin State Statute 252.03 states that a local health department “upon the appearance of any communicable disease in his or her territory shall immediately investigate all circumstances and do what is reasonable for the prevention and suppression of disease.” Chapter DHS 141 lists ninety-one reportable diseases in the State of Wisconsin. In 2010 Cudahy PHN’s spent 171.6 hours investigating and controlling communicable diseases. Diseases 2006 2007 2008 2009 2010 Babieosis 0 0 1 0 0 Campylobacter 3 2 1 3 1 Chlamydia 0 0 53 45 47 Cryptosporidium 2 1 0 0 0 Dengue Fever 0 1 0 0 0 E-Coli 0 2 0 1 0 Ehrlichiosis 0 0 0 0 1 Giardiasis 0 0 1 0 0 Gonorrhea 0 0 7 5 6 Haemophilius Influenzae, Invasive Disease 0 1 0 0 0 Hepatitis A 1 0 1 1 0 Hepatitis B 0 2 2 4 0 Hepatitis C 8 19 12 6 12 Influenza – Novel Influenza A 0 0 0 80 0 Legionnaires 1 0 0 1 4 Lyme Disease 1 0 2 3 4 Measles 0 0 1 0 1 Meningitis, Viral 2 1 1 0 0 Meningitis, Bacterial 0 0 1 0 0 Mumps 4 0 1 0 0 Mycobacterial Disease (Non-TB) 0 1 8 15 0 Norovirus 0 0 0 0 1 Pertussis 0 3 1 1 9 Salmonella 3 0 1 3 2 Shigella 1 3 1 3 0 Streptococcus Pneumoniae 3 3 9 6 5 Syphilis 0 2 1 2 0 TB – Latent 1 2 0 5 9 Varicella 0 0 2 3 3 Vibriosis 0 0 0 0 1 Novel H1N1 Influenza Virus: Although the H1N1 virus outbreak was waning in 2010, the Cudahy Health Department did conduct two additional H1N1 immunization clinics as well as offer the vaccine in our routine immunization clinics. In total, an additional 201 doses of this vaccine was administered. Health Department staff did continue our H1N1 surveillance until mid-summer of 2010. 122.4 hours of staff time were spent coordinating H1N1 activities. Sexually Transmitted Infections: Comparison of Incidences of Sexually Transmitted Infections In 2010, there was an almost 43% increase in 50 the incidences of Sexually Transmitted 45 Infections (STI’s). The largest increase was a 40 jump in the number of cases of Chlamydia. 35 Some of this increase can be attributed to 30 better detection. Unfortunately many of our 25 clients with Chlamydia have had it multiple 20 times despite Health Department instructions 15 on how to avoid this disease. 7.2 hours were 10 spent investigating cases of Gonorrhea and 5 59.7 hours were spent investigating cases of 0 2003 2004 2005 2006 2007 2008 2009 2010 Chlamydia. Chlamydia 19 27 21 24 32 41 32 47 Gonorrhea 6 2 4 2 12 7 5 6 Syphillis 0 0 0 0 1 1 0 0 Legionnaires Disease Outbreak: On March 9, 2010 the Cudahy Health Department was notified of an increased number of reported laboratory confirmed cases of Legionnaires Disease among residents of southern Milwaukee County. Using epidemiological methods, one common link between all of the patients with this disease was identified. Most of them had visited St. Luke’s South Shore Hospital during their incubation periods. Our Environmental Health Specialist and an epidemiologist from the Wisconsin Department of Public Health went to the hospital to obtain multiple water samples in an attempt to identify the source of the infection. Two potential sources were identified: the decorative wall fountain in the hospital lobby or a water source in the hospital’s cancer clinic. St. Luke’s South Shore voluntarily shut the water fountain off on March 10, 2010. As of March 12th, there were eight (8) cases of laboratory confirmed Legionnaires infection. Two patients were from Cudahy, 3 were from Oak Creek, 1 was from Greenfield, 1 was from South Milwaukee and 1 was from Franklin. All of these individuals were hospitalized as a result of this disease with five patients admitted to the Intensive Care Unit. Cudahy Health Department staff worked with St. Luke’s South Shore, Aurora Health Care, the Wisconsin State Health Officer and other State Department of Health personnel to identify other potentially exposed individuals. By March 17, 2010, the Wisconsin State Laboratory of Hygiene identified Legionella pneumophilia in the water samples from the decorative water fountain in the hospital lobby. Aurora Health Care did voluntarily shut down decorative water features at all of their facilities. From 3/9/3010 to 4/5/2010, Cudahy Health Department personnel spent 68.8 hours managing this outbreak. Of this time, one PHN spent 22.2 hours managing Cudahy infected individuals and the Health Officer spent 36 hours coordinating with St. Luke’s South Shore, the Wisconsin Department of Health, the other involved communities and the media. Telephone Information Calls: Comparison of Telephone Information Calls Information calls continue to be one 1600 of the ways that Cudahy residents 1400 obtain health-related information. 1200 In 2010, information calls decreased 1000 only by 1% from 2009 calls. Many 800 of the calls related to H1N1, the 2010 flood clean-up and the 600 Legionnaire’s Disease outbreak. 400 200 0 2006 2007 2008 2009 2010 # of Calls 1074 1232 1299 1518 1500 Amt of PHN Time in Hrs. 197.8 222.1 209.7 225.5 220.7 Clinics: Clinic settings continue to be the most efficient means of delivering public health services to our community. There was an almost 55% decrease in the 2010 clinics compared to the 2009 clinics. However, this discrepancy can be attributed to the large number of clients who were seen in the 2009 H1N1 immunization clinics. Also there was a decrease in the number of residents seen in Nursing Clinics which was attributable to a medical leave of one of our PHN’s. Immunization Clinics: Abbreviations: DTaP (Diphtheria-Tetanus-Acellular-Pertussis); Tdap (Tetanus-Diphtheria –Acellular Pertussis); Td (Tetanus- Diphtheria); MMR (Measles-Mumps-Rubella); IPV (Inactivated Polio Vaccine); Hib (Haemophilius Influenza); HBV (Hepatitis B Vaccine); HAV (Hepatitis A Vaccine); PVC (Pneumococcal Vaccine); VAR (Varicella Vaccine); MCV (Meningococcal Vaccine); HPV (Human Papillomavirus Vaccine); RV (Rotavirus Vaccine) If one discounts the number of H1N1 Virus Vaccine given in 2009 and 2010, there is only an 8 dose difference between those years. Because of how the vaccine is supplied to local public health agencies through the State of Wisconsin, clients who attend Cudahy Health Department Immunization Clinics are asked a brief summary of what type of health insurance coverage they have. Disregarding H1N1 vaccine administration for 2009 and 2010 during the outbreak, the next chart illustrates the insurance coverage of our immunization clients. The Health Department charges a $15.00 vaccine administration fee for each client seen, regardless of the number of vaccines that they receive. If a parent or client indicates that they cannot afford this administrative fee, it is waived. The chart below illustrates the changes in a client’s ability to pay. This seems to be reflective of the present economy. NUMBER 60 50 40 30 20 10 0 2005 2006 TB Skin Tests Given Clients 8 22 # of Shots 15 46 100 90 TB Skin testing is done to 80 70 60 50 identify individuals who may 40 have been in contact with 30 20 10 0 2006 2007 2008 2009 2010 # of Tests 66 91 84 62 57 someone with active TB disease. Tests are normally given to employees, healthcare workers, EMT’s and police personnel. Flu Clinics: The 2010 flu clinic was held on October 12th. The Health Department contracted with Wheaton Franciscan Home Health Services for the delivery of our community clinic as well as clinics at each of the Cudahy senior housing complexes. The Health Department concentrated on administering flu vaccine to children, City employees, local CBRF’s (Community Based Residential Facility) as well as any homebound residents and their caregivers. Unfortunately 2010 clinics followed Flu & Pneumonia Vaccine Statistics the trend with less people attending 1400 our clinics. There was almost a 15% decrease in attendance. 1200 This trend is probably due to the 1000 number of private agencies and stores that are offering flu vaccines Number of Doses Given 800 to people grocery shopping or picking up prescriptions, etc. 600 As a result of this decrease, the Health Department will be cutting 400 clinic hours again in 2011. 200 Despite the low clinic attendance, the Cudahy Health Department did 0 collect a fairly large amount of non- 2004 2005 2006 2007 2008 2009 2010 perishable food and toiletry items Flu 491 1314 919 753 498 491 419 for Project Concern. Pneumonia 16 21 6 15 14 4 3 Nursing Clinics: Comparison of Nursing Clinic Visits Nursing Clinics are held at three of 160 Cudahy senior housing complexes: 140 Washington Square, Evergreen Square and Williamstown Bay. A PHN visits the 120 residents of each of these properties 100 once every three months to provide 80 nursing assessments and health education for the residents on an 60 appointment basis. 40 20 Although most of these residents have private physicians, they have questions 0 2006 2007 2008 2009 2010 about their medications, diet or even # Seen 145 147 145 140 90 when to contact their doctors. Health Education: The Cudahy Health Department has a statutory obligation to educate the general public about emerging or current health issues. One of the best and most eye- catching ways of informing our residents about health topics is with display boards that are normally found in City Hall hallways. In addition to the display boards, Health Department staff author articles for the City newsletter which is delivered to every Cudahy household twice yearly. Health information is also posted on the City’s website at www.cudahy-wi.gov. In 2010, Cudahy Health Department staff conducted 13 classes for 185 individuals. Topics for these classes included communicable disease control and prevention, wellness and health promotion as well as emergency preparedness. 2010 Flood: It seems that no year would be complete without some sort of disaster and this year it occurred on July 22 & July 23, 2010. This flooding resulted in a federal disaster declaration. The Cudahy Health Officer donned her “other hat” as Emergency Management Coordinator and worked with the Mayor, City Department and FEMA to assess municipal damages and apply for financial assistance. 85+ Cudahy households were impacted by the July 2010 flooding with an estimated $164,000 in losses. A total of 63,640 pounds of flood debris were picked up and disposed of by the Cudahy DPW. For more than a week after the flood, Cudahy Health Department helped to distribute flood clean-up kits that were obtained from the Salvation Army at City Hall as well as at the Fire Stations. In addition, staff provided instruction to residents on proper clean-up of flood water and sewage. In all, the Health Department staff devoted 55.85 hours to this effort. Sharps Disposal: Sharps Collection 500 470 450 441 The Health Department continues to dispose 400 403 of household sharps and syringes for Cudahy 350 residents only. Our Department has been 300 291 312 designated as a “Drop Off Site” by the 250 230 Wisconsin Department of Natural Resources. 200 Sharps are only accepted in DNR-approved 150 containers during normal Health Department 100 hours. They are sent for incineration with 50 the Health Department’s needles and 0 2005 2006 2007 2008 2009 2010 syringes on a monthly basis. Cudahy/St. Francis Hospital Lending Service: The Cudahy Health Cudahy/St. Francis Kiwanis Hospital Lending Service Department has been 200 administering this Hospital Lending 180 160 140 Service for the 120 100 Cudahy/St. Francis 80 60 Kiwanis since the 40 1950’s. This service lends a variety of 20 0 New 2006 194 2007 172 2008 133 2009 146 2010 121 hospital equipment Renewed 46 41 17 29 20 such as wheelchairs, commodes and walkers to Cudahy and St. Francis residents on a short term basis. The Kiwanis maintain the equipment which is occasionally donated by Cudahy residents. Delivering Fire Prevention: The Cudahy Health Department, in collaboration with the Cudahy Fire Department, Safe Kids of Southeastern Wisconsin and the South Milwaukee Pizza Hut has been participating in this event for a number of years. On a specific day in October which is National Fire Prevention month, Cudahy families who order a pizza from Pizza Hut receive a visit from Cudahy firefighters in a fire truck. The firefighters teach the family about fire safety and evacuation plans. If the family’s smoke detector is in working order, the family’s pizza is free. Environmental Health: For over ten years, the Cudahy Health Department has been a member of the Environmental Health Consortium with the Health Departments of South Milwaukee and St. Francis. The Consortium members share one full-time and one part-time Environmental Health Specialists who are Registered Sanitarians. In addition to inspecting and licensing a variety of food establishments, rooming houses and investigating other environmental health complaints, the Environmental Health Specialist also oversees the Cudahy Weights and Measures program. In 2010 our Environmental Health Specialist: Did 232 food-related inspections Assured that 38 animals that bit were properly quarantined and evaluated for rabies prevention Oversaw the application of over 5600 larvicide packets in Cudahy catch basins Investigated one home of a child with lead poisoning Inspected 15 farmer’s market and/or temporary events Inspected 25 scales in Cudahy businesses Tested 63 timing devices in City Laundromats Inspected 181 gasoline pumps at Cudahy gas stations. All pumps passed measured correctly. Verified that 22 scanners in Cudahy businesses were scanning correctly. 2010 Block Grants: Grants: Grant Funds for All Consortium 2009 Roll-Over Total Grant Cudahy Health Grants Managed by Funds Funding Managed Dept. Only Cudahy Health by Cudahy Health Dept. Department Public Health $26,332 $26,332 Preparedness Children with Special $3,437 $3,437 Health Care Needs Cities Readiness $6,313 $6,313 Initiative Early Detection & $501 $1,598 $2,099 Diagnosis of Pregnancy H1N1 $53,997 $53,997 Immunization Action $9,096 $1,582 $10,678 Plan Lead Poisoning $5,018 $1,405 $713 $7,136 Prevention Maternal & Child $10,966 $1,228 $12,194 Health PH Preparedness $287,681 $287,681 Consortium Prevention $5,325 $1,527 $6,852 Radon $3,000 $1,617 $5,117 WIC $446,972 $446,972 ARRA $6,772 $6,772 DOT Car Seats $4,000 $4,000 TOTAL: $588,229 $290,684 $6,667 $875,580 Public Health Preparedness Grants: Cudahy Health Department participated in a number of public health preparedness grants in 2010: Cities Readiness Initiative (CRI), Public Health Emergency Preparedness (PHEP), American Recovery and Reinvestment Act (ARRA), H1N1 and acted as the Fiscal Agent for the Milwaukee/Waukesha County Consortium for Emergency Public Health Preparedness. Each of these grant programs have specific negotiated objectives and activities. For example, the CRI grant has objectives that relate to identifying and opening mass clinics for medication and vaccine delivery. As a direct result of the H1N1 clinic that was held at the Cudahy High School in 2009, the Health Department has now identified new mass clinic site. The PHEP grant focuses on general areas of public health preparedness using an all-hazards approach with training on use of personal protective equipment, applications of NIMS (National Incident Management System), etc. ARRA and H1N1 grants dealt specifically with the investigation, control and vaccine administration related to the H1N1 outbreak. The larger PHEP Consortium grant afforded a number of trainings such as MAC (Multiple Agency Coordination) and Zoonotic and Vector-Borne Diseases, media relations and use of communication equipment such as satellite phones, HAM radios and 800 MHz radios. In addition the PHEP Consortium looked at special needs populations and their needs in an emergency. As a result of this project, the Cudahy Health Officer, a Cudahy PHN and a member of the Cudahy Fire Department began working with two senior housing complexes that had no written all-hazards emergency plans. A Homeland Security grant application was filed to allow resident education and actual drills with the residents. In 2010, Cudahy Health Department staff spent 694.65 hours on preparedness activities which included the final report of the 2009 Patrick Cudahy fire as well activities related to the 2010 flood. Early Intervention & Diagnosis of Pregnancy (EIDP): The EIDP grant is a consortium grant with the Health Departments of Greendale, Greenfield and South Milwaukee with the Cudahy Health Department acting as the fiscal agent for this grant. During 2010, 17 women were provided services through this grant. 11 women confirmed their pregnancy and were referred to the appropriate health department for further public health nursing follow-up, WIC and healthcare providers. The Cudahy Health Department was informed that this grant will not be available to local health departments in 2011. Cudahy Health Department will continue to provide pregnancy screening and referrals to Cudahy clients only. Immunization Action Plan (IAP): The IAP grant is a consortium grant with the Health Departments of Cudahy and Greenfield. The purpose of this grant is to raise immunization rates within these two communities. In 2009, the immunization rate of Cudahy children who were 24 months of age was only 64%. In 2010 the Cudahy Health Department planned to increase this number to 69%. Cudahy children obtain their vaccinations from a number of places including their physicians and their local health department. The Health Department sent postcards to all Cudahy children who were overdue for their immunizations as well as working with the Cudahy WIC Project. By the end of 2010, 70% of Cudahy children who were 24 months of age were up-to-date on their immunizations. Lead Poisoning Prevention: With almost 63% of Cudahy housing build prior to 1955, blood lead poisoning in children is a concern for the Health Department. The Health Department functioned as the fiscal agent for a Lead Poisoning Prevention Consortium with Franklin, Greenfield and South Milwaukee. The grant worked with the Cudahy WIC Project to screen appropriate children for blood lead poisoning during their WIC appointment. In 2010, 89 Cudahy children, 26 Franklin children, 56 Greenfield children and 58 South Milwaukee children were screened. Of those children, 4 had elevated blood lead levels. The Health Department also followed 9 Cudahy children with elevated leads. Another lead grant objective was to provide Lead Safe classes for Cudahy home owners and contractors. 7 individuals attended the class that was taught by Milwaukee Lead & Asbestos Information Center. The final objective was to identify families who live in homes built prior to 1955 and offer simple lead cleaning techniques to prevent children from becoming blood lead poisoned. In 2010, 5 Cudahy families agreed to participate. The presence of lead was identified through wipe sampling in each of these homes. After testing either appropriate cleaning or in one case, window replacement decreased the possibility of lead poisoning. Maternal & Child Health (MCH): The MCH objective continues to center around assuring that Cudahy children as well as children attending the Cudahy WIC Project are properly placed in a child passenger safety seat. The Cudahy Grant Coordinator is certified as a Child Passenger Safety Seat Technician through Safe Kids of Southeast Wisconsin Coalition. During 2010, our Grant Coordinator inspected 230 child passenger safety seats. 80 car seats were destroyed because they were old or damaged or recalled. 93 new car seats were provided to parents. Some of these seats were obtained through a DOT grant. Only 5 child passenger safety seats were used correctly and installed in vehicles properly. Radon: Radon is a cancer-causing radioactive gas that cannot be seen, smelled or tasted. It is the second leading of cancer in the US and claims about 20,000 lives annually. In 2010, the Health Department distributed 111 radon test kits to City residents. 46 of those tests were completed with 13 households demonstrating an elevated radon measurement. Those homeowners were contacted about how to mitigate the elevated radon levels. In addition there were two classes held for local realtors on radon testing. This grant will not be available in 2011. Prevention: The Cudahy Health Department partnered with the Cudahy Police Department at the Cudahy National Night Out on August 5, 2010 to hold a bicycle helmet fitting event. This event not only met one of the Department’s Prevention Block Grant objectives but it also met one of the needs identified during the last Cudahy Health Assessment. Only 33% of our residents use helmets when biking or skating. Our Grant Coordinator, Ed Wrench and one of our summer employees, Kyle Martel to help meet those needs by giving out 200 free bicycle helmets to children aged 3 years and older. Each helmet was properly sized and fitted to the child. Parents were instructed on how to properly fit and use the helmet. Bicycle safety information was also shared. In addition, the Grant Coordinator worked with the five elementary schools in the Cudahy School District to instruct students on pedestrian safety. On October 6, 2010, each school had a walk to school practicing the safety lessons that they had learned. In all there were 247 participants – 173 children, 32 teachers, 58 parents, 1 Safe Kids Coalition member and 1 alderman. Children & Youth With Special Health Care Needs (CYSHCN): The CYSHCN grant is provided through Children’s Hospital of Wisconsin to provide referrals, follow-up and care coordination when necessary for Cudahy children who have special health needs. 13 children were offered services involving multiple agencies. This grant will not be available in 2011. WIC (Women, Infants & Children Project: The Cudahy Health Department has been the fiscal agent for the Cudahy WIC Project Recipients Cudahy WIC Project since 2006. 3500 WIC provides nutrition and 3000 breast-feeding services for families who qualify financially. 2500 As illustrated, the WIC caseload continues to grow. 2000 The WIC Breast-Feeding 1500 Coordinator and the Peer Breast- Feeding Counselor both just 1000 received their IBCLC 500 (International Board Certified Lactation Consultant) 0 certifications. These two staff 2006 2007 2008 2009 2010 Women 1134 1243 1313 1448 1345 members will enhance breast- Children 2498 2634 2887 3351 3429 feeding education for our WIC clients. School District of Cudahy Nursing: October 25, 2010, the School District of Cudahy and the Cudahy Health Department entered into an agreement “to provide cost effective school nursing services to the School District of Cudahy as well as further the collaborative relationship that is mutually beneficial to both entities.” What this means is that a Cudahy Public Health Nurse (PHN) will work approximately 15 hours/week during the school year to provide health education and coordinate necessary services that will benefit the School District’s students with special health care needs. In return, the School District will reimburse the Health Department for the PHN’s time in the schools. This collaboration is a positive solution to meet both the needs of the School District of Cudahy and of the Cudahy Health Department.
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