WC CWF Health District Board Minutes - 01/22/2010WICHITA FALLS - WICHITA COUNTY PUBLIC HEALTH BOARD MINUTES
January 22, 2010
Wichita Falls - Wichita County Public Health District
1700 Third Street - Parker Conference Room
Wichita Falls, Texas
MEMBERS PRESENT:
Richard Sutton, M.D., Chair
Bryan Press, Vice Chair
Kathy Sultemeier, D.V.M., Secretary
David Carlston, Ph.D.
Robin Moreno, M.T.
MEMBERS ABSENCE EXCUSED:
Tracy Hill, D.D.S.
Lauren Jansen, R.N.C.
Lou Franklin, R.N., B.S.N.
Amy Cone, M. P.A.
Ahmed Mattar, M.D.
Not Present
Dorothy Roberts -Burns
Woodrow "Woody" Gossom
Board Members
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Director of Health
Assistant Director of Health
Health Authority
Assistant City Manager
Council Liaison
County Judge
I. CALL TO ORDER & INTRODUCTIONS
Chair Dr. Sutton called the Board of Health meeting to order at 12:15 pm after a quorum of members
was attained.
II. APPROVAL OF OCTOBER 2009 MEETING MINUTES AND ABSENCES
Dr. Sutton called for the review and approval of minutes from the last meeting held on October 23,
2009. Dr. Sultemeier introduced a motion to approve the minutes as presented and Robin Moreno
seconded the motion. Motion passed unanimously.
At this time it was noted the excused absence of Dr. Hill and Lauren Jansen.
III. NURSING PROGRAM UPDATE
Kerry Kea, Nursing Administrator, presented the Board with an overview of the Health District's
Infectious Disease Programs that consist of a Tuberculosis (TB) program, Sexually Transmitted
Diseases (STD) program, Epidemiology (EPI) program, HIV Prevention and HIV Early Intervention
(EIP) program.
The TB clinic treats active cases as well as those individuals with the latent tuberculosis infection where
they have the germ but it has not yet created an active infection. Treatment enables a wall to be built
around the germ to insure they do not come down with an active case of TB. Services offered include
skin testing, medical evaluation, counseling, pharmacy, and lab services. In the last year, the TB
program treated 156 clients; of those, 3 were TB cases and 5 were suspects that later were identified
as a different strain of TB.
The STD clinic is on a walk -in bases that tests for syphilis, gonorrhea, chlamydia, HIV, and can offer
treatment to those with HPV. In the last year, the STD clinic tested 1,418 clients, of those 72 were
positive for gonorrhea, 130 were positive for chlamydia, and 9 were positive for syphilis.
The protocol -based counseling (PBC), also referred to as the HIV Prevention Program, tested 816
clients and identified 10 new cases of HIV during the last year. Testing is confidential; counseling is
performed at the initial testing visit as well as during the results session. Counseling focuses on risk
reduction. Educational services are also available.
The Early Intervention Program (EIP) for HIV positive clients currently has 129 clients enrolled in
services. Twenty new clients enrolled during the year; of those, 10 were new cases identified through
the PBC program and 10 were previously diagnosed individuals who relocated here from other service
areas. The program offers direct medical, dental, and case management services as well as social
services such as housing, transportation, and food pantry assistance.
Epidemiology (EPI) program performs disease investigation and receives reports of notifiable
conditions, investigations for 2009 are as follows:
Campylobacteriosis (a GI infection transmitted through pools): 5 confirmed cases out of 7 investigated
Cryptosporidiosis (transmitted through pools, found mainly in water parks): 2 confirmed cases
Ehrtichiosis /Anaplasmosis: 1 confirmed case
Hep A: 2 investigated and ruled out
Hep B: 23 chronic, 6 acute, 5 ruled out of the 34 investigated
Hep C: 228 chronic, 9 acute out of the 237 investigated
Lyme Disease: 2 investigated and ruled out
Measles and Mumps: 1 each investigated both ruled out
Viral Meningitis: 9 confirmed out of the 10 investigated
Bacterial Meningitis: 4 confirmed out of the 5 investigated
Pertussis: 2 confirmed out of the 4 investigated
Salmonellosis: 13 confirmed out of 15 investigated
St. Louis Encephalitis: 1 confirmed case
Strep Pneumoniae: 2 investigated 1 confirmed case
Strep -Beta Hemolytic: 1 investigated case ruled out
West Nile Virus: 1 investigated case ruled out
Ms. Franklin added the reviewed report lists all the reportable diseases in Wichita County for 2009. All
reporting physicians and labs are required to report diseases as identified by the state to the Health
District. They can report directly to the Department of State Health Services, but the report still comes
to the Health District for investigation.
Ms. Kea responded to Dr. Sutton that positive mosquitoes had been identified in the area but no
identified cases of West Nile in humans were identified this year; there was one case investigated, but
ruled out. A press release that West Nile was in the area was sent out notifying physicians about the
presence and reminding them of the symptoms. She went on to state that not a lot of the seasonal flu
and H1N1 activity had been seen recently. The second wave never died down in the summer; the
numbers increased and peaked very high in the fall, now the possibility of a third wave is anticipated.
The majority of individuals hospitalized with H1N1 were children. The adults hospitalized had
underlining health conditions. In 2009, Wichita County only had one reported H1 N1 death; that
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individual was a 22 year old with underlining respiratory conditions
Ms. Franklin stated that the Health District had given a total of 2,140 doses of the H1N1 and 518 doses
of the injectable and 487 of the mist remain. No serious reactions had been reported locally. The main
complaint was from pain at the injection site of the seasonal flu shot rather than with H1 N1 which is
now offered to everyone.
Ms. Kea remarked that the Health District's goal is to have everyone immunized and vaccinated.
IV. PRESENTATION OF PLAQUE
Lou Franklin presented Dr. Sultemeier with a plaque in appreciation of her seven years of service as a
representative on the Board from February 5, 2002 to December 31, 2009.
Clay Clark, D.V.M. of All Pets Animal Hospital will be appointed to the Board at the February meeting.
Ms. Franklin advised that Council passed the Food Ordinance. The food establishment score posting is
projected to go live to the public on February 15t ", and a press release will be issued with the details.
V. NEXT MEETING DATE
February 26, 2010
VI. ADJOURN
Dr. Sutton requested a motion to adjourn. The motion was made by Dr. Sultemeier and seconded by
Robin Moreno. The motion carried and the meeting was adjourned at 12:50 p.m.
Richard Sutton, M.D., Chair, Bryan Press, Vice Chair, or Kathy Sultemeier, D.V.M., Secretary
Public Health Board
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