Loading...
HomeMy WebLinkAboutAnnual Health Report 2010 City of Oshkosh Health Department • ,.a § `JS • i ���„ �_ rte. ,,.ItXt 2010 ANNUAL REPORT C1[HKOJH Public Health Prevent. Promote. Protect. This report fulfills chapter 251.06(3)(h) Wis. Stats. Message from the Director / Health Officer Public health improves the conditions and behaviors that affect the health of each and every one of us. The 2010 Annual Report for the City of Oshkosh Health Department provides an overview of the many ways in which department staff touches the lives of City of Oshkosh residents each and every day and provides insight for those who ask us, "What does Public Health do?" Although public health programs and activities may not often be visible, public health staff can frequently be found working behind the scenes on our mission to assure the health of the public, prevent disease and injury, promote healthy behaviors, and protect against environmental hazards. The 10 Essential Services of Public Health provides a basic description as to "What does Public Health do?" and the services provided by our department. With the support and encouragement of the Board of Health, staff maintained a Level II designation for our department from the Wisconsin Department of Health Services. We continued to maintain high quality public health services through the transition of personnel and the consideration of a health department consolidation with Winnebago County. It is important to remember we can not do it alone. Providing Essential Services of Public Health requires community partnerships. While strengthening our commitment to provide essential public health services, we continue to develop and engage community partners to provide a healthy and safe place to live for all residents of the City of Oshkosh. Respectfully yours, cc�� // lkid 4erner Thenise J`rue yer Mark Ziemer Denise Krueger PHN Administrative Manager Interim Health Officer 10 Essential Services of Public Health 1. Monitor health status and understand health issues facing the community. 2. Protect people from health problems and health hazards. 3. Give people information they need to make healthy choices. 4. Engage the community to identify and solve health problems. 5. Develop public health policies and plans. 6. Enforce public health laws and regulations. 7. Help people receive health services. 8. Maintain a competent public health workforce. 9. Evaluate and improve programs and interventions. 10. Contribute to and apply the evidence based public health "best practices." City of Oshkosh Health Department 2010 Annual Report Page 2 of 22 2010 Revenue & Expenses Fund Balance 91,329 REVENUES Net Levy Required 352,100 Weights & Measures 122,745 Lab Fees 12,520 Water Services - Water Utility 81,000 Retail Food 26,440 Hotel & Restaurant 220,134 Nurse Fees/Donations 5,390 Aids 0 Surplus applied 0 TOTAL SOURCES: 820,329 EXPENSES: Personnel 721,386 Contractual Services 24,372 Utilities 2,292 Fixed Charges 7,435 Materials & Supplies 12,239 Capital Outlay 0 TOTAL USES: 767,724 CURRENT NET SURPLUS/(DEFICIT) 52,605 Ending Fund Balance 143,934 City of Oshkosh Health Department 2010 Annual Report Page 4 of 22 entails doing an inspection of all rooms in the home, advising parent/caretakers of changes they can make immediately and assisting them with making those changes during the first visit when appropriate. Some safety items were applied or installed immediately and some were left with parents to be installed at the appropriate time. A visual inspection was done for chipped paint in homes built before 1978 to determine if lead based paint was likely to be a hazard. Education in lead poisoning prevention was available for many of these parents through an additional grant funded program. A second home visit was made at a later date to evaluate the effectiveness of the teaching and progress made in removing hazards to make the home safer. Teaching was reinforced and parents were encouraged to correct hazards that had not yet been corrected. This safety education was done with the hope that knowledge gained would be applied to other settings in which their children would be involved. This program was available to parents living in the city of Oshkosh and having a child three years old or younger. Wisconsin Department of Health provided funding in the amount of$14,480 for this program. Child Passenger Safety Inspections and education were provided to families on proper positioning of their child's vehicle safety seat. Focus was on children eight years of age and younger. Community need has grown in this area with the heightened awareness on the benefits of correct installation. One staff member is a certified technician and senior checker. The senior checker provides final inspection for each car seat installed. Safe Sleep / Crib Program Safe Infant Sleep Practices/Crib program was implemented as a new objective by the Oshkosh Health Department in 2010. Upon analyzing the results of our Home Safety Assessment program, data indicated that many parents were not using safe sleep practices for their infants. Many infants had unsafe sleeping practices. Our response to these indentified unsafe sleep practices was the development of our Safe Infant Sleep/Crib Program. In 2010, the Oshkosh Health Department implemented this program and identified community partners who referred clients to us. Our community partners/referral sources are Parent Connection, Mercy Medical Center, Aurora Hospital, WIC, Bella Medical Clinic, Living Healthy Community Clinic, Father Carr's St. Francis Community Clinic and Place 2B. A brochure was developed and distributed to our referral sources and they were educated on the eligibility criteria for the program. The focus of our program was to educate parent/caregivers on safe sleep practices in order to decrease the incidence of injury or death to infants. As a result of this program, six infants had a safer sleep environment in 2010. Wisconsin Department of Health provided Grant funding in the amount of$4,500 for this program. City of Oshkosh Health Department 2010 Annual Report Page 6 of 22 • lead in the home, our HEPA vacuum loan program, and how to limit their children's exposure to lead. A copy of the lead inspection results and the recommendations to correct the lead hazard was sent to the property owner when requested by the tenant. Many older homes with probable lead paint were identified at the time a parent received a Home Safety Assessment Visit by health department staff Environmental Lead Hazard Investigations The Oshkosh Health department follows up on children with elevated blood lead levels of 10 micrograms per deciliter or higher. Referrals come from providers or the State Lead Poison Prevention program. During 2010 there were 3 children who required follow-up. Follow-up included a lead hazard investigation of the property, orders to correct the lead hazards, and case management of the child until the blood lead level falls below 10 micrograms per deciliter. Wisconsin Department of Health Services provided grant funding in the amount of$4,500 for this program. Elevated Blood Lead 2008 2009 2010 # of Children 10 8 3 # of Households 9 8 3 Case Mgmt Follow-up 42 57 33 Lead-Safe Renovation The Oshkosh Health Department has a State certified Lead-Safe Renovator trainer on staff who conducted classes throughout the year to contractors, rental property owners or maintenance staff Wisconsin Department of Health Services provided grant funding in the amount of$1,359 for this program. Community Health Improvement Process (CHIP) Community Health Improvement Process (CHIP) is designed to identify health conditions impacting local residents, then develop and implement local health plans to address them. This process is required to be completed by health departments every 5 years. In 2009, the Oshkosh Health Department and the Winnebago County Health Department began this process. In 2010, the departments finalized the process and developed the plan that will be implemented over the next 5 years. Throughout the process, the Oshkosh Health Department was involved in: leadership, planning, committee participation, and community collaboration. City of Oshkosh Health Department 2010 Annual Report Page 8 of 22 • Conducted an After Action Evaluation for City of Oshkosh H1N1 Vaccination Clinics for Public and Private Schools and posted an After Action Report/Improvement Plan (AAR/IP). • Conducted internal Continuity of Operations Plan(COOP) Tabletop Exercise. • Completed 14 performance measures. • Collaborated with partners to address At-Risk Populations. • Collaboratively worked with regional partners to develop a toolkit for assisting faith communities to prevent the spread of communicable disease and prepare for public health emergencies. • Updated the Public Health Emergency Plan (PHEP). This update resulted in consistent PHEP resources being incorporated into local plans throughout the region. Child Death Review The mission of the group was to better understand how and why children die through a comprehensive and multidisciplinary review of child deaths. Through these findings, action can take place to prevent other deaths and improve the health and safety of our children. The group focused on preventing vehicle related deaths with child drivers and worked on establishing a Parent-Teen Driving Agreement. The "Parents are the Key" program will be promoted in 2011 in the community by the re:TH!NK organization. Back to School Fair This annual event helps needy families get prepared for the start of the school year. Over thirty community partners gathered to support this cause. A public health nurse (PAN) from the Oshkosh Health Department was at this event checking children's immunization records on the Wisconsin Immunization Registry (WIR), educating parents on the new school law, promoting immunizations needed, and answering parent questions. Handouts, brochures, and other agency information was distributed that promoted safe sleep, home safety, food safety, and lead poisoning safety. This event reached approximately 800 children. City of Oshkosh Health Department 2010 Annual Report Page 10 of 22 Disease 2007 2008 2009 2010 Blastomycosis 2 0 1 1 Campylobacteriosis 5 10 12 9 Chlamydia Trachomatis Infection 228 184 224 221 Cryptosporidiosis 6 7 5 11 E.Coli 0157:H7 1 0 1 0 E.Coli, Other Shiga Toxin-Producing 4 1 0 0 Ehrlichiosis/Anaplasmosis 0 0 1 0 Giardiasis 3 3 3 8 Gonorrhea 34 24 24 21 Haemophilus Influenzae Invasive Disease 1 1 2 1 Hemolytic Uremic Syndrome, Other 0 0 1 0 Hepatitis A 0 1 0 0 Hepatitis B 0 12 6 4 Hepatitis C 17 15 25 17 Herpes, Genital (1st Episode) 31 7 0 0 Influenza A Virus Infection,Novel Subtypes (H1N1) 0 0 96 2 Invasive Streptococcal Disease (Groups A And B) 1 8 7 8 Kawasaki Disease 1 0 0 0 Legionellosis 0 1 0 0 Listeriosis 0 0 0 2 Lyme Disease 7 4 10 6 Meningitis, Aseptic (Viral) 1 0 1 1 Mumps 18 0 0 0 Mycobacterial Disease (Nontuberculous) 7 30 42 38 Not Reportable 0 0 0 1 Pertussis (Whooping Cough) 0 14 1 5 Salmonellosis 17 9 12 6 Shigellosis 0 2 1 1 Streptococcus Pneumoniae Invasive Disease 2 3 5 7 Syphilis 2 0 0 1 Tuberculosis 1 0 1 1 Tuberculosis, Latent Infection (LTBI) 7 2 4 3 Varicella(Chickenpox) 0 5 13 3 Total 396 343 498 378 WI Public Health Information Network—Analysis,Visualization and Reporting(AVR) data is provided as PROVISIONAL information and may not represent final counts of cases. City of Oshkosh Health Department 2010 Annual Report Page 12 of 22 Immunizations Immunization clinics were by appointment and were held the third Thursday of each month with additional clinics scheduled based on need. Clinics were held at the high schools during registration in order make it convenient for the students to receive their required vaccinations prior to the start of school. A total of 166 students received 278 vaccines. Vaccines were provided for the general public with an emphasis on vaccinating all children according to the American Council of Immunization Practice's recommendations. Changes to recommendations and state statutes regarding childhood vaccinations occurred at the start of the 2008/2009 school year and are being phased in during a three year period. It is anticipated that the number of vaccines provided will stabilize as that requirement completes the phase-in period with the start of the 2010/2011 school year. The Wisconsin Department of Health Services provided $12,501 to the Health Department through the American Recovery & Reinvestment Act (ARRA) for immunizations and vaccines for children and adults. Through this program adults were offered vaccine for Hepatitis A, Hepatitis B, and Chickenpox (Varicella). Additionally, vaccine for Human Papillomavirus (HPV) was offered to males and females through the age of 26 years. City of Oshkosh Health Department 2010 Annual Report Page 14 of 22 Employee Health The nurses provided 260 doses of seasonal influenza vaccine to City employees and spouses, and City retirees. For the convenience of employees, clinics were held at City Hall, the Fire department and the Street/ Sanitation department. Fire department personnel were offered Tuberculosis (TB) skin testing and Tdap vaccines at the Fire Station to accommodate their varied shifts. Almeda Fisk-Gallup Trust Fund The Almeda Fisk-Gallup Trust Fund was created in 1928. Staff administers the interest earned on this fund to City of Oshkosh residents that meet established eligibility criteria. The four areas covered by the trust include prescriptions, medical, vision, and dental. The amount available for utilization in 2010 was $10,626.48. Fisk-Gallup Trust Fund 2007 2008 2009 2010 # of... Patients 31 14 36 28 Households 29 14 30 28 Over-the-Counter Medication 7 1 1 0 Prescriptions 47 12 41 18 Medical (exam, tests) 42 3 4 13 Vision (exam, glasses) 19 11 38 25 Dental 0 1 6 10 Communicable Disease related expenses 0 0 1 25 $ spent... Over-the-Counter Medication 259.85 19.18 37.00 0.00 Prescriptions 2,074.56 549.82 1,702.10 424.97 Medical (exam, tests) 3,839.60 548.42 765.73 1,751.62 Vision (exam, glasses) 2,115.00 1,298.00 4,398.50 2,942.00 Dental 0.00 170.01 951.00 2,733.00 Communicable Disease related expenses 0.00 0.00 115.71 2,315.77 $ available 8,432.02 13,184.38 13,801.30 10,626.48 $ spent 8,289.01 2,585.43 7,970.04 10,167.36 % spent 98.30% 19.61% 57.75% 95.68% City of Oshkosh Health Department 2010 Annual Report Page 16 of 22 Establishments 2008 2009 2010 Restaurants 229 227 203 Hotels/Motels/BB 15 13 11 Campgrounds & Mobile Home Parks 11 13 5 Swimming/Whirlpools 51 47 46 DATCP Retail Establishments 76 64 69 Animal Establishments 9 8 11 Local Licenses 2008 2009 2010 Food Processing Establishments 3 2 1 Food Sanitation Permits 129 119 122 High Risk Adult Establishments 4 1 2 Nursing Homes 6 4 2 Retail Food Establishments (non perishable) 3 6 3 School & Church Kitchens 54 54 54 Senior Centers 1 1 2 Soup Kitchens 3 3 3 Taverns (not serving food) 12 11 11 Temporary Restaurants 164 176 169 Temporary Retail Food 71 44 55 Complaint Investigation/Resolution Environmental problems/issues may not affect a large number of citizens but can cause an immediate concern to the affected resident. Staff investigated complaints and took the necessary steps for compliance. Area of Complaint 2008 2009 2010 Animal 29 20 16 Health Hazard/ Garbage 45 31 25 Noise 1 4 6 Total 75 55 47 Rabies / Animal Control The health department worked cooperatively with the police department to monitor animal bites within the city. When notified of animal bites, the health department contacted the individual who was bitten and the animal owner to ensure that proper follow-up was taken for both the animal and the victim. City of Oshkosh Health Department 2010 Annual Report Page 18 of 22 Protecting the Consumer Laboratory Services Laboratory services provide testing, technical assistance, and referral related to: the municipal water distribution system, private wells, swimming pools, whirlpools, therapy pools, and municipal water samples from citizens' residences. The Department of Natural Resources mandates collecting and testing of the municipal water distribution system. One hundred samples were collected monthly from sites throughout the city. The collected distribution samples were then tested for: coliform bacteria, general bacteria count, pH, chlorine, fluoride, monochloramine, free ammonia, and orthophosphates. The laboratory is a State Certified drinking water laboratory, testing private well water samples brought in by city and non-city residents. The tests offered included coliform bacteria, nitrate screening, fluoride, and hardness. Staff collected and tested public swimming pools, whirlpools, and therapy pools monthly for coliform bacteria. City Water Distribution System Samples 2008 2009 2010 Coliform bacteria 1286 1313 1374 General Bacteria Count 2400 2400 2404 Fluoride 366 363 365 Chlorine 1366 1451 1453 pH 772 820 837 Monochloramine 232 N/A N/A Free Ammonia 232 N/A N/A Orthophosphate 232 N/A N/A Other 3 0 0 State License Related Testing 2008 2009 2010 Swimming Pools 492 . 552 529 Private Wells 2008 2009 2010 Bacteriology 477 450 476 Nitrate Screening 60 71 77 Fluoride/Hardness 2 1 2 City of Oshkosh Health Department 2010 Annual Report Page 20 of 22 Community Involvement The Oshkosh Health Department could not provide the essential services illustrated in this report without community collaboration. Working together to create a healthier Oshkosh is one of the most cost-effective investments a community can make. Thankyou The Oshkosh Health Department serves the community by participating in the following organizations: American Public Health Association Oshkosh Area School District (OASD) Advisory Board Best for Kids Child Death Review Team City of Oshkosh Bike & Pedestrian Committee Community Health Improvement Plan (CHIP) Emergency Preparedness Collaborative Operations Team (EPCOT) Fox Valley Lead Task Force Fox Valley Public Health Preparedness Consortium Fox Valley SafeKids Head Start Advisory Board Health Care Forum Medication Take Back Northeast Region Nursing Supervisors/Policy & Procedure Working Group Northeast Wisconsin Immunization coalition (NEWIC) OB Unit/Local Health Departments Coordination committee Oshkosh Planning Commission Safety City of Oshkosh Walk to Win Campaign Wisconsin Association of Local Health Departments and Boards (WALHDAB) Wisconsin Department of Agriculture, Trade and Consumer Protection (DATCP) Wisconsin Department of Commerce Wisconsin Department of Health Services Wisconsin Environmental Health Association Wisconsin Public Health Association Wisconsin Weights & Measures Association /1 K0f1 I Public Health `)N °H"r WAFFt{ Prevent. Promote. Protect. City of Oshkosh Health Department 2010 Annual Report Page 22 of 22