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WC CWF Health District Board Minutes - 11/08/2024 WICHITA FALLS-WICHITA COUNTY PUBLIC HEALTH BOARD MINUTES 4530 couHrrptBGc November 8, 2024 Wichita Falls-Wichita County Public Health District 1700 Third Street — Clements Conference Room Wichita Falls. Texas Public Health BOARD MEMBERS PRESENT: Keith Williamson, M.D., Chair Physician — City Appointment Rachel Reitan, DNP, FNP-c Citizen At-Large— City Appointment Melissa Plowman Restaurant Association — City Appointment Jered Harlan, DVM Veterinarian —City Appointment Ray Forsythe Citizen At-Large—County Appointment BOARD MEMBERS EXCUSED ABSENCE: Tonya Egloff D D.S Dentist—County Appointment OTHERS PRESENT: Amy K. Fagan. M.P A. Director of Health Brandi Smith, BS. RN Assistant Director of Health Michael Smith City Liaison I. CALL TO ORDER Dr. Williamson, Chair, called the meeting to order at 12:00 pm after a quorum of members was attained. II. APPROVAL OF MINUTES AND ABSENCES Dr. Williamson called for the review and approval of the September 13. 2024 minutes. Dr. Williamson asked for a motion to approve the minutes after 2 corrections. Ray Forsythe made a motion to approve and Dr. Harlan seconded. The minutes were approved unanimously. Dr. Williamson noted that Dr. Tonya Egloff was absent today. III. DIS Program Overview Dr. Williamson introduced Zoe Lindstrom, Program Manager. Zoe spoke about the Disease Intervention Specialist (DIS) Program and what the 2 other employees in the program do. She stated from January 1, 2024 to October 22, 2024 there have been 162 total cases of syphilis or HIV. Out of those cases, 79 were positive, 83 were named as partners; 71 were treated and 38 were not located or refused services. Everyone received copies of the Texas Notifiable Conditions for 2024, the Texas Administrative Code, STD-27 form and Zoe's business card. Amy spoke about the increased number of cases of syphilis and that we try to prevent future cases. We have received 5 and possibly 6 new HIV cases in the past 2 months. We normally see that in a year and are concerned. We requested the assistance of the DSHS rapid response team, but they said it did not meet their requirements and they would continue to run the numbers. Rachel Reitan spoke and said that it is a national trend and the theory is that people did not go to their primary care providers during COVID and now we are seeing the wave of the cases that would have been diagnosed during that 2 year period. She said it isn't just a Wichita Falls trend it is national. Michael Smith asked how DIS is funded. Amy said that during COVID the State of Texas decided to use some of the money for DIS intervention in the State of Texas. Ten agencies received money for the services. We have five years of funding and are hoping more money will be available. We will also be going after additional Immunization and TB funding. We have had to make adjustments in immunization due to funding. Rachel asked about when we get the permission from the patient about disclosing names and permission to contact them. Zoe said during the interview process when they call the patient into the room they introduce themselves and their positions. They tell them the purpose of the interview and explain HIPAA and how important confidentiality is. They tell the patient that anything discussed in the meeting is confidential and will not be disclose. The names that are given to them are told that the HIPAA law does not allow them to disclose the person who gave them the information. IV. Body Art Ordinance Discussion Dr. Williamson introduced Samantha Blair, Environmental Health Administrator. She spoke about the Body Art Ordinance revision. Samantha said the last update was in 2017 and it was a minor update. The foundation of our ordinance is on the 2006 ordinance. We want to make sure our ordinance has better flow, is easy to reference and we are keeping up with updates and changes in the industry. Samantha discussed what regulates Body Art. to include the following: 1. There are two references in Health and Safety Code: Chapter 146. Tattoo and Certain Body Piercing Studios Chapter 431. Texas Food, Drug and Cosmetics Act 2. Two in Texas Administrative Code: 229,261: Assessment of Administrative or Civil Penalties 229.401-413: Minimum Standards for Licensure of Tattoo and Certain Body Piercing Studios 3. One in Code of Federal Regulations Part 1910.1030: Bloodborne Pathogens: Occupational Safety and Health Standards Samantha said the very first part of our local ordinance is "to protect the health of the public by establishing standards for the prevention of disease that may be associated with body art procedures. These rules shall be interpreted and applied to protect the public health" "The city adopts by reference the provisions of the current rules or the rules as amended by the State Board of Health found in 25 TAC secs. 229 401 - 229.413." Environmental hand delivered a survey to every Body Art individual to get feedback on concerns with the current Body Art Ordinance. It had a QR code for their response. They gave them over 3 weeks to complete and had 24 responses. The top three answers were the test. the state already does this and it is too expensive. Samantha said we want to talk about the future of our Body Art Ordinance, what is the public health benefit, and be sure we are making the appropriate changes based on that answer. Amy spoke and said if the state licenses and inspects and we licenses and inspects why are we doing it? She went over all the different information with walking the ordinance back. Dr. Harlan asked about bigger cities not having enough staff to have an ordinance. Michael Smith asked about the test and who takes the test. Samantha stated it is the individual artist. 2 Melissa Plowman said there is no state test. The state licenses the studios not the artist. Melissa also asked if the ordinance is walked back, whether the state would give us time to rewrite it. Michael Smith asked if there had been any cases that a person got a tattoo and had to get medical help. Amy stated that we do not have that data, but that may happen when the person is not taking care of the tattoo and it gets infected. Samantha said that she has investigated a couple cases and from what they could tell it was from improper aftercare. Rachel Reitan stated that they have seen cases of cellulitis from tattoos and it hard to say if it was from the needle or improper care. Dr. Williamson asked if we are asking for an endorsement from the committee? Amy said she is requesting feedback on walking or not walking the ordinance back. Dr. Williamson stated that because our rate is so high compared to the state that walking it back would be better. Dr. Harlan said he agreed. If we walk it back there would be more shops to open up and that would be better. He asked about the sales tax. Samantha said sales tax is collected on the jewelry sold only. The committee agreed that lessing regulations would be acceptable. Dr. Williamson asked if there was any more questions. None were asked. Dr. Williamson announced that this is the last meeting for Councilor Michael Smith. He is stepping down and will be missed. He has been on the Council for a long time and always ask good questions. We appreciate his service and he was thanked. V. Next Meeting Date January 10, 2025. VI. Adjourn Dr. Williamson adjourned the meeting at 1:00 pm. 44607:4 /h, �" Sig ture A1,7/G .nSdtt. Keith Williamson, MD. Chair, Tonya Egloff, D.D.S., Vice-Chair 3