WC CWF Health District Board Minutes - 03/21/2025 WICHITA FALLS-WICHITA COUNTY PUBLIC HEALTH BOARD MINUTES
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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
Terri Farabee, RN Registered Nurse—City Appointment
BOARD MEMBERS EXCUSED ABSENCE:
Ray Forsythe Citizen At-Large—County Appointment
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
Dr. Robert McBroom Health Authority
Whitney Flack City Councilor
Jeff Tatum City Prosecutor
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 & Absences •
Dr. Williamson stated that Ray Forsythe and Dr. Harlan should be coming. Dr. Tonya Egloff is excused.
Dr. Williamson called for a review and approval of the January 10, 2025 minutes.
Dr. Williamson asked for a motion to approve the minutes. Melissa Plowman made a motion to approve
and Rachel Reitan seconded. The minutes were approved unanimously.
III. Election of Officers
Dr. Williamson spoke about the different positions the Board needs to elect.
Dr. Williamson asked for nominations for Chair. Rachel nominated Dr. Williamson and Melissa
seconded. He stated he would be happy to serve and was grateful for the nomination.
Next will be the Vice Chair, Dr. Egloff is currently the Vice Chair, but she is no longer a practicing
Dentist and we need to have a practicing Dentist on the Board. Nominations for Vice Chair are Rachel
Reitan. She asked about the responsibilities. Dr. Williamson said that the Vice Chair would take his
place at the meeting if he was not able to attend. There were no other nominations and by acclamation
Rachel agreed and is the Vice Chair.
Dr. Williamson said we need a Secretary. Melissa nominated herself and the Board agreed. The
nominations are complete.
IV. Body Art Ordinance Revisions
Dr. Williamson introduced Samantha Blair, Environmental Health Administrator. Samantha talked
about the new Body Art Ordinance revision. Why the revisions?
Last local ordinance update was 2017. We need to have a better flow and reflect changes in the
industry.
Samantha stated they had a process and many steps.
1) Sent out surveys to all body art stakeholders.
2) Two Board of Health Presentations.
a. Local regulations overview
b. State vs local comparison
3) Draft ordinance
4) Stakeholders Meetings
5) Revised Draft
They hand delivered an Ordinance Survey with a QR code and letter to every Body Art studio.
They had a 3 week response time and received 24 responses. The top complaints were the test, they
are already permitted by the state and the price.
The Stakeholder meeting with 11 artists representing 4 shops, feedback was as follows:
1) They wanted stronger consequences for violations
2) They wanted to keep the program but lower fees.
3) There was varied feelings regarding the apprenticeship program.
Following the stakeholder's feedback we reworked the draft ordinance to no longer permit studios, but
continue to permit individuals. The apprentice program would be removed.
Dr. Williamson asked for any questions on the draft proposed ordinance and then asked for a motion
to support the ordinance. Motion was made by Dr. Harlan and seconded by Melissa Plowman. The
motion carried unanimously and will be forward with our endorsement to the City Council.
V. Epidemiology Team Brief— Measles
Amy introduced Brandi Smith, Assistant Director of Health, who was the Epidemiologist. Brandi spoke
about the Measles outbreak.
Measles spreads directly from person to person by inhalation of droplets or contact with infectious
secretions. It can be transmitted indirectly by objects contaminated with nasopharyngeal secretions.
The incubation period from exposure to onset of symptoms ranges from 7 to 21 days. It is most
communicable during the 3-4 days preceding the onset. Persons with measles have been shown to
shed the virus 4 days prior to rash onset.
There is an outbreak of measles in the South Plains and Panhandle regions of Texas. At this time,
309 cases have been identified since late January. Forty of the patients have been hospitalized.
There has been one fatality in a school-aged child who lived in the outbreak area. The child was not
vaccinated and had no known underlying conditions. DSHS updates its information for the public on
Tuesdays and Fridays.
There have been 8 Texas cases not associated with the outbreak in West Texas and 38 cases in New
Mexico and 4 in Oklahoma associated with the outbreak in West Texas.
Most of the cases are associated with international travel to a country where measles regularly spreads.
Vaccine: 2 doses: 1st dose at 12-15 months, 2nd dose 4-6 years.
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Brandi said we have a plan. We will be able to handle an outbreak if it comes to our Community.
We have everything ready from investigations, contact tracing, mass vaccination drive through, mass
flyers are ready, and a press release is ready. Everything is ready if needed.
Amy spoke about the vaccination rate in school age kids. The rate is going down and we need to go
out and speak to the schools and preschools. We started an ambassador program for immunizations.
We go out and ask them to be vaccine ambassadors. They are the daycares, schools and the Boys
and Girls Club. We do a lot of outreach. When we call them they know us and it makes a big difference.
Dr. Williamson stated very good information and conversation.
VI. Next Meeting Date
May 9, 2025.
VII. Adjourn
Dr. Williamson adjourned the meeting at 12:50 pm.
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Signatur
Keith Williamson, MD, Chair, Tonya Egloff, D.D.S., Vice-Chair
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