Kendall County Times

Kendall County Board of Health met May 15.

Here is the minutes provided by the Board:

I.Call To Order

Ms. Cooper called the meeting to order at 6:03 p.m.

II. Roll Call

A quorum was declared by roll call. Members present, Christina Cooper, Dr. Joseph Gruber, Dr. Thomas Liske, Dr. Mukhtar Nandra, Dr. John Palmer and Brenda Ulrich.

Members absent: Tony Giles and Jim Jensen

Staff present: Dr. Amaal Tokars, Executive Director/Public Health Administrator; RaeAnn VanGundy, Operations Administrator; Steve Curatti, Program Administrator; Becki Rudolph, Executive Assistant.

Guest: Scott Gryder, Kendall County Board Chair

III. Approval Of Agenda

Dr. Palmer moved to approve the agenda as presented. Ms. Ulrich seconded the motion. The motion approved unanimously by voice vote.

IV. Approval Of Minutes

Dr. Gruber moved to approve the April 17, 2018 minutes as presented. Ms. Ulrich seconded the motion. The motion approved unanimously by voice vote.

V. Introduction Of Guests & Visitors

Ms. Cooper welcomed Mr. Gryder.

A. Public Comment

None

VI. Executive Director Comments

A power point presentation reviewed.

−National trends – Center for Disease Control 2017

-64,000 drug overdose deaths; a 21% increase over prior year.

-66% of overdose deaths involved prescription and/or illicit opioids; a 28% increase of opioid overdose.

−Persons diagnosed with mood or anxiety disorders are about twice as likely to suffer from a drug use disorder. Similarly, persons diagnosed with drug disorders are about twice as likely to suffer from mood and anxiety disorders.

−Illinois Trends & Relevance of Adverse Childhood Experiences (ACES).

-Over 2000 drug-induced deaths increased over 44% in three years.

-80% of drug deaths were opioid related; 70% increase in three years.

- ACES are strongly related to prevalence of a wide range of health problems throughout a person’s lifespan including: emotional abuse, emotional neglect, household incarceration, household mental illness, household substance abuse, household violence, parental separation, physical abuse, physical neglect, and sexual abuse.

−Local 2017 drug death data

-302 Kendall County deaths; 14 drug-induced deaths (5% of Kendall deaths are drug-induced).

-24 accidental Kendall deaths; 13 accidental drug deaths (54% of accidental deaths are drug-induced).

−Local 2017 addiction assessment trends, starting with number one:

-Marijuana

-Opioid

-Alcohol

-Cocaine

-Benzodiazepine

−Reviewed map showing number of opioid deaths by county and rate per 100,000. Kendall County is in the 5-19 range and 20 or more per 100,000.

−Praxis from reflection to action

-Prevention

•Three types of prevention: Primary, Secondary and Tertiary

•Examples of Prevention Actions:

•Community engagement •Cultural equity

•Community partnerships •Epidemiological surveillance

•Illinois educational/action forums •Local educational/action forums

•Situational assessment •Universal/primary prevention

•Targeted/secondary prevention, •Indicated/tertiary prevention

-Treatment

•Accredited treatment

•Cultural competence

•Adult treatment

•Youth treatment

•Care Coordination

•Early intervention

•Psychiatric treatment

•Integrated treatment – KCHD is an accredited integrated treatment facility

-Recovery (authentic)

•Adverse live experiences-informed

•Criminal justice-involved

•Drug Court

•Post-treatment surveillance

•Stages of change

•Veteran support

−Implications for partners

-Illinois Action Priorities

•Safe prescribing and dispensing

•Education and stigma reduction

•Monitoring and communication

•Access to care

•Supporting Justice-involved populations

•Rescue and response

-Community Action Priorities

•Medication use

•Medication disposal

•Amplify prevention

•Data analysis

•Access to information

•Diversion and deflection

•Naloxone training

•Post-release support

•Citizen referral

•Strategic Dialogue

−Reviewed the Opioid Repository on KCHD web site

VII. Discussion With Scott Gryder, County Board Chair

Discussion on annual contribution requests from County Board from KCHD.

Mr. Gryder thanked the Board of Health for this opportunity.

−County Finance Committee works with all departments on balancing the budget. The formula for the Health Department contribution is based on number of grant employees versus levy employees.

− Since serving on County Board have seen first hand services offered by the health department and consider it a “hidden gem”. The Board of Health does a good job with fiscal management and the department is well managed.

−The County Board has tried to not raise the levy’s and at the same time not harm any departments, every department is equally important.

−The County is looking at declining revenues from the State.

Board of Health concerns – the Board hopes Mr. Gryder will share these concerns with the County Board:

−This is not just about dollars but relationships with County Board partners. Goal of Board of Health is a strong health department, well run/using resources wisely and meeting current and future needs of residents.

−Appreciate Mr. Gryder coming tonight, the Board of Health respects the County Board and their job dealing with the county budget.

−Amount of request has increased over the years. FY2018 contribution is approximately 10% of total budget. If this continues to increase, it is not sustainable for the department.

−Department has continued to provide services throughout the county population growth without increasing number of FTE’s.

−Would like to have a six month fund balance, currently that is $2.5 million. Right now the fund balance is about four months.

−Would like to point out that some of grants received are primarily pass through to community. For example LIHEAP – approximately $1 million and this is largely distributed to residents for energy assistance. If the dollars are not spent on client assistance, must be paid back.

−The department does not have grant or levy funded employees – employees are cross trained in all unit programs.

−Concern that the rationale for the contribution has changed over the years – at first was to help the County Board balance the budget, recently it has been for benefits.

−Board members stated they would welcome the opportunity to further discuss this with Mr. Gryder and Mr. Purcell.

VIII. New Business

A. Community Action Advisory Board Appointment

Dr. Tokars reviewed bio for Pastor Matt Conrad. Dr. Palmer moved to appoint Pastor Conrad to the Community Action Advisory board. Ms. Ulrich seconded the motion. The motion approved unanimously by voice vote.

IX. Committee & Advisory Board Reports

A. Finance Committee

Dr. Palmer reviewed minutes of the May 2, 2018 meeting.

Dr. Palmer moved to approve vouchers for April totaling $131,306.30. Dr. Gruber seconded the motion. The motion approved unanimously by roll call vote.

Board members shared thoughts on earlier discussion with Mr. Gryder.

B. Environmental Health Advisory Board 04/10/18 & Mental Health Advisory Board 04/11/18 Minutes

Minutes briefly reviewed.

C. Approval of Finance Committee Minutes & Accept Advisory Board Minutes

Dr. Gruber moved to approve the May 2, 2018 Finance Committee minutes and accept the April 10, 2018 Environmental Health Advisory and April 11, 2018 Mental Health Advisory Board minutes. Dr. Nandra seconded the motion. The motion approved unanimously by voice vote.

X. Old Business

None

XI. Items For Board Discussion

A. Board of Health May Communication

B. Opioid Information: Opioid Community Partners Update Flyer; Combating the Heroin Epidemic: Annual Review; IDPH Opioid Questions; flyer for Community Leadership Forum on the Opioid Epidemic

C. Flyer(s): DUI & Substance Abuse Evaluation Services; Cultural Understanding

D. Help, Sorry, Love Foundation Update; Help Sorry Love NFP Updates & the Latest News E. Waubonsee Thank you

F. Office of Minority Health Calendar Email & Information

G. 2018 County Health Rankings: Gaps Due to Race, Ethnicity

H. Minutes: TB Board 01/30/2018; Systems Improvement 04/20/2018; All Staff Meeting 04/27/2018

I. IDPH-CDC-DASA memo(s): Synthetic Cannabinoids; Investigation of Severe Bleeding among Synthetic Cannabinoids (‘K2/Spice’) Users; Update on Synthetic Cannabinoid (SC) (K2/spice) outbreak; Outbreak of E. coli O157:H7 Possibly Linked to Consumption of romaine lettuce from Yuma, Arizona; Child and Student Health Examination and Immunization Code Meningococcal Disease Immunization Requirements

XII. Board Member Announcements/Updates

Dr. Gruber stated Jim Smiley, Facilities Management Director and been to his office to discuss installation of dental equipment and to see how things were hooked up. Dr. Gruber invited him to come back any time with questions and also gave him some names/suggestions on who to talk to about installing the equipment. Mr. Smiley indicated this will be added to next year’s budget.

XIII. Executive Session For The Purpose Of Meetings Lawfully Closed Under The Open Meetings Act (5 Ilcs 120/2) Section 2 C Item (1)

Dr. Gruber moved to go into Executive Session for the purpose of meetings lawfully closed under the Open Meetings Act (5 ILCS 120/2) Section 2 C Item (1) at 8:08 p.m. Dr. Liske seconded the motion. The motion approved unanimously by roll call vote.

Dr. Palmer moved to come out of executive session at 8:15 p.m. Dr. Liske seconded the motion. The motion approved unanimously by voice vote

Ms. Ulrich moved to approve and retain as closed executive session minutes from August 88, 2017 and January 16, 2018. Dr. Liske seconded the motion. The motion approved unanimously by voice vote.

Ms. Ulrich moved to approve and release executive session minutes from May 16, 2017. Dr. Liske seconded the motion. The motion approved unanimously by voice vote.

Ms. Ulrich moved to retain as closed executive session minutes from March 22, 1994, April 26, 1994, May 17, 1994, February 13, 1996, June 11, 1996, August 19, 1997, September 16, 1997, October 21, 1997, November 18, 1997, July 19, 2005, August 16, 2005, September 20, 2005, January 16, 2007, February 19, 2008, January 4, 2010, January 19, 2010, February 2, 2010 (Board of Health) February 2, 2010 (Personnel Minutes), February 16, 2010, March 11, 2010, April 20, 2010, April 27, 2010, May 5, 2010, May 13, 2010, May 18, 2010, October 18, 2011, November 2, 2011, March 20, 2013, April 17, 2012, February 19, 2013, March 19, 2013, April 16, 2013, July 16, 2013, October 15, 2013, February 19, 2014, May 13, 2014, June 12, 2014 (Personnel), June 17, 2014, July 2, 2014 (Finance), October 21, 2014, March 17,2 016, May 19, 2015, June 16, 2015, August 5, 2015 (Finance), August 13, 2015 (Personnel) and September 20, 2015 (Finance) and destroy recordings from April 15, 2014, May 13, 2014, June 12, 2014, June 17, 2014, July 2, 2014, August 19, 2014, October 21, 2014, March 17, 2015, May 19, 2015, June 16, 2015, August 5, 2015, August 13, 2015, September 2, 2015, February 16, 2016, February 11, 2016, February 23, 2016, July 19, 2016, August 16, 2016, September 20, 2016, November 17, 2017, and February 21, 2017. Dr. Nandra seconded the motion. The motion approved unanimously by voice vote.

Ms. Ulrich moved to destroy recordings from February 3, 2016, February 11, 2016, February 23, 2016, July 19, 2016, August 16, 2016 and September 20, 2016. Dr. Palmer seconded the motion. The motion approved unanimously by voice vote

XIV. Adjournment

Dr. Liske moved to adjourn the meeting at 8:21 p.m. Dr. Nandra seconded the motion. The motion approved unanimously by voice vote. The next meeting is Tuesday, June 19, 2018 at 6:00 p.m.

http://www.kendallhealth.org/wp-content/uploads/2018/06/ad_BOH_Minutes_05-15-18.pdf