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WC CWF Health District Board Minutes - 02/22/2008WICHITA FALLS - WICHITA COUNTY PUBLIC HEALTH BOARD PLACE: Wichita Falls - Wichita County Public Health District =— TIME: 12:00 p.m. DATE: February 22, 2008 BOARD MEMBERS PRESENT: BOARD MEMBERS ABSENT: HEALTH DISTRICT REPRESENTATIVES: David Carlston, Ph.D. Tracy Hill, D.D.S. Lauren Jansen, R.N.C. Bryan Press Robin Moreno, M.T. Kathy Sultemeier, D.V.M. Richard Sutton, M.D. Lou Franklin, Director of Health Amy Cone, Assistant Director of Health WICHITA CO. REPRESENTATIVE: Not Present WICHITA FALLS CITY COUNCIL: Councilor Ray Gonzales WICHITA FALLS CITY MANAGER'S OFFICE: Not Present MINUTES: I. Call to Order Bryan Press called the meeting to order at 12:05 p.m. II. Approval of Minutes Bryan Press requested a motion to approve the minutes of the January 22, 2008 meeting. Lauren Jansen made a motion to approve the minutes. Dr. David Carlston seconded the motion. The motion carried. At this time it was noted of the unexcused absence of Dr. Richard Sutton and excused absences of Robin Moreno and Dr. Kathy Sultemeier. III. Wild Animal Ordinance Update - Lou Franklin, Director of Health A City Councilor asked to change the ordinance to allow monkeys and wild animals under 15 pounds within the City limits. The issue was presented to the Animal Shelter Committee and the Board of Health and both boards gave a unanimous recommendation not to allow monkeys inside the city limits due to health and behavior concerns of the animals. The information was taken to the City Council; they wanted to proceed and asked for an ordinance to be drawn up to bring before them for consideration. Near completion of the ordinance revision, the City Councilor who proposed the issue asked us to wait and further action is still pending. As the veterinarian on the board, Dr. Sultemeier has been contacted and has offered to attend the council session when the issue is addressed. Page 1 of 3 IV. ARC Update - Lou Franklin, Director of Health The Humane Society runs our Animal Reclaim Center (ARC) under contract with the Health District. The Humane Society issued a letter to the Health District in May 2007 regarding the termination of that contract after over 30 years. We entered into negotiations for a one year extension until September 1, 2008 for a considerable amount of additional money. A feasibility study was conducted by Staley Baker & Monson to analyze needs of the City of Wichita Falls and the Humane Society. The report documented that the current facilities are old, outdated and would need to be significantly updated. An estimated cost for construction of a new facility was included in the report issued by the firm. The estimate included the potential shared or joint costs of both entities as well as separate costs. To build a facility jointly with both the Humane Society and ARC would cost approximately 4.4 million dollars versus 5 million dollars for separate facilities. It was noted that the current ARC is on probation with the State of Texas for signage, overcrowding, pitted floor and facility issues that are not corrected by remodeling. A meeting is set for next Friday, February 29th to discuss with the Humane Society how we proceed, including whether they will be able to have the campaign and funds to go into it as a joint venture. We are moving forward in the process and will eventually come to some decision as to what our recommendation to the City Council will be. It will be brought to the Animal Shelter Advisory Committee and the Board of Health for both boards recommendation to take forward to the City Council as well. V. HIV Services — DeWayne Robertson, Program Manager HIV services have been at the Health District since the early 90's. We were one of the first to receive federal dollars established under Ryan White for HIV. Our program sees approximately 130 -140 clients, one fourth of who are women, which reiterates that HIV is not limited to the gay male population, as is often the stigma. HIV positive individuals are from all walks of life and circumstances. Here at the Health District, primary healthcare is provided on Monday afternoons with either Dr. McBroom or Dr. Padakandla, Infectious Disease doctors, and doctors from the residency program. On non - clinic days, clients are referred to the Family Health Center. Our program has two RN's on staff to perform active case management functions for members of the program. Approximately 60,000 dollars has been allocated within the program budget for medication costs, not including the HIV /AIDS cocktail. The minimum cocktail is three medications, the cheap one being 1,500 a month up to 3 or 4,000 dollars, which our program could not pay so we have to substantiate another way. Dental services are provided in our dental clinic every Wednesday by Dr. Jackson and Dr. Neal, who occasionally performs periodontal work. We have two dental hygienist scheduled on different days and, due to the caseload, we are in need of another dentist to work half a day once a month. The program has a contract with Rose Street clinic for client psychological counseling, clients can also be seen at Helen Farabee. Many mental health issues are attached with HIV and some have behavioral issues that put them at risk becoming infected. Our HOPWA (Housing Opportunities for Persons with AIDS) program works along with City Housing and has been able to help 55 clients. The program helps with utilities five months out of the year and long -term rental assistance. We want to get the client in housing quickly to keep them off the Page 2 of 3 street and from being homeless. They are required to enroll in Section 8 and once the transition is made it enables someone else the help. The primary goal of the Early Intervention me Eby)offe�ing a variety V positive servicesfto thosels to help keep them healthier over a longer period of t entered into the program. There are often individuals who we do not find until they are further along in the disease progression, which is termed "late to care," and is unfortunate in that sirup in services may be less effective. Clients come to the program through other physicians, show the ER where they are first diagnosed, jail in arks, anywhere el c ted sex may be Counseling) program does active testing bars, p going on an outreach worker goes out does testing anyone field can (walk! n pay a fee (receive an D HIV clinic, clients are encouraged to have HIV testing; y test. This is a preventable disease, not airborne. if we can save 1 or 2 people from becoming infected through better education and practices in daily life, then the overall health of the public is improved. VI. Next Meeting Date It was noted the next scheduled meeting is to be held on April 25, 2008. VII. Adjourn Lauren Jansen requested a motion to adjourn. The motion was made by Bryan Press and seconded by Dr. David Carlson. The motion carried and the meeting was adjourned at 1:00 p.m. Chair, or Secretary th Board Page 3 of 3