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Clinton County Health Depar tment
2014 Annual Repor t
Prevent……...Promote……...Protect
133 Margaret Street
Pla sburgh, NY 12901
Telephone (518) 565-4840 Fax (518) 565-4717
www.clintonhealth.org www.facebook.com/clintonhealth
1
A message from the Director…
Jerie Reid Director of Public Health
The Clinton County Health Department and the Board of Health is pleased
to present your Health Department’s Annual Report for 2014.
The role of Public Health is dynamic and diverse. From responding to
immediate threats, maintaining safe and healthy environments, and
planning for future public health priori(es, 2014 delivered this diversity.
The department experienced the loss of many valuable, knowledgeable
staff, and the addi(on of new eager-to-learn recruits. The commitment
and passion of the workforce in public health is a constant, however, and
offers many opportuni(es on the horizon for the Health Department. This
includes a dynamic quality improvement plan; systems development linked
to Na(onal Public Health Accredita(on; and ongoing crea(on of programs
and policies to help improve the community’s health. The new challenges,
coupled with our maintenance of immuniza(ons, water quality, food
safety, communicable disease, surveillance and response, and preven(ve
health prac(ces, con(nue to make our Health Department a vibrant,
essen(al part of our community.
We look forward to 2015 and ongoing improvement. This is public health.
2
Board of Health Members…
TABLE OF CONTENTS
Year in Review 4-8
Prevent, Promote, Protect 9-16
2014 Program Sta(s(cs and Support Informa(on 17-20
Fiscal Report 21
Public Health in Clinton County 22, 23
Clinton County Board of Health Members 2014
• Jonathan Beach, D.O., Legisla(ve Liaison
• Kathleen Camelo, M.D.
• Thomas EvereA
• Edward Garrow
• Virginia Hay, R.N.
• Lynn Howard, BSN, President
• Kathleen Kasprzak, PhD, R.N.
• Victor Ludewig, M.D.
• Heidi Moore, M.D. , Vice President
CONTACT Address:
133 Margaret St.
Plattsburgh, NY 12901
Call us:
(518) 565-4840
Visit us-
www.clintonhealth.org
Like us:
www.facebook.com/
clintonhealth
Not pictured: Heidi Moore, M.D.
3
Clinton County Health Depar tment 2014 Year in Review…
January
• Final review of Accredita(on documenta(on is completed and resubmiAed to PHAB.
• WIC reveals its new water boAle sta(on and began promo(on with par(cipants, ini(a(ng a
contest for WIC families who used it.
• The Adirondack Tobacco Free Network works with businesses and organiza(ons to assist in the
development of tobacco free outdoor policies. Paul Smiths College becomes tobacco free
August 1, 2014.
• The winter session of FLASH kicks off the first full week and runs through mid-March. A revised
program schedule was developed to accommodate a smaller class and the staff conducted
weekly check in’s to keep families on track.
February
• The new Quality Coordinator posi(on completes a first full month in the Department, preparing
for Accredita(on and crea(ng workforce development and quality improvement plans.
• The Healthy Neighborhoods Program focus in the Town of PlaAsburgh provides outreach and
educa(on to 156 households, in the comfort of residen(al homes.
• Select staff par(cipates in the Homeland Security Exercise Evalua on Program as part of
ongoing emergency preparedness ac(vi(es.
March
• The Department’s long awaited site visit from PHAB (Public Health Accredita(on Board) review
team occurs during a major snowstorm, tes(ng the Department’s organiza(onal and
preparedness capacity.
• Health Care Services nurses provide Tdap and flu immuniza(ons to families of newborns at
CVPH, offering protec(on to the vulnerable newborns.
• WIC promotes services by offering referral informa(on through pharmacies offering prenatal
vitamin prescrip(ons.
4
Clinton County Health Depar tment 2014 Year in Review…Continued
April
• Emergency Preparedness messages for the public were aired on local television, encouraging
safety and personal preparedness in the community.
• The Healthy Neighborhoods Program receives approval for five addi(onal years of funding
from the NYS Health Department, allowing con(nued services and outreach to Clinton County
neighborhoods.
• Home visi(ng nurses adopt a mental health screening tool to be used with pa(ents to help
iden(fy and refer people who could receive assistance with mental, emo(onal and behavioral
concerns.
• Staff par(cipate in the NACCHO (Annual Na(onal Associa(on of City and County Health
Officials) preparedness summit.
May
• Health Department preparedness staff par(cipate in local emergency planning session to
assess hazard analysis for Clinton County.
• A spring MAPP insert is featured in the local newspaper to highlight areas of ac(vity
surrounding Preven(on Agenda focus areas.
• The Healthy Plates Project meets with five area restaurants interested in par(cipa(ng in a
voluntary effort to offer healthy food choices at local dining facili(es.
• Financially Friendly Healthy Ea ng is presented to three Clinton County Mental Health groups.
Par(cipants reported improvement in self-efficacy in making healthier food decisions.
• The Adirondack Tobacco Free Network provides tobacco free policy informa(on to four
worksites interested in advancing a smoke free campus.
• The Obesity Preven on in Pediatric Health Care Se$ngs project designates two local prac(ces
as “BreasMeeding Friendly”.
5
Clinton County Health Depar tment 2014 Year in Review…Continued
June
• In response to increased alerts from CDC about Middle East Respiratory Syndrome (MERS),
the department coordinates a response to include messaging, risk communica(on and talking
points for aler(ng travelers.
• The Public Health Accredita(on Board (PHAB) no(fies the department that addi(onal
informa(on is needed to receive accredita(on status. This informa(on includes workforce
development enhancements, performance management addi(ons and physical building
security issues.
• A pet rabies vaccina(on clinic in Ellenburg Depot provides protec(on for 136 dogs, 34 cats
and 1 ferret.
• New website design soOware is researched and trialed to move towards a new Health
Department website in 2015.
• The department does not receive con(nued funding for the Adirondack Tobacco Free
Community Partnership, ending a long-term program developed and supported through
public health.
July
• Obesity Preven on in Pediatric Health Care coordinates and opens registra(on for cer(fied
lacta(on counselor training to be held in PlaAsburgh in 2015.
• The department’s Administra(on Division prepares plans needed for re-submission to PHAB
surrounding workforce development and performance management.
• As of July 2014, 92 animal specimens have been tested for rabies. All tested specimens
result in a nega(ve outcome.
August
• The Health Department is chosen as a finalist in the Na onal Way to Wellville contest,
demonstra(ng an impressive turnout for the site visitors. In spite of non-selec(on as a top
five community, the opportunity to showcase efforts is very posi(ve.
6
Clinton County Health Depar tment 2014 Year in Review…Continued
August con3nued
• Ebola virus disease (EVD) impacts the department, requiring planning and prepara(on for
protocols. Clinton County, with its airport and land border crossings must consider these
factors in planning for poten(al exposures. Such ac(vi(es con(nue throughout the fall.
• Nurses gear up for the 2014-2015 flu season, scheduling clinics for at risk popula(ons.
• Farmer’s Market ac(vity through WIC includes taste tes(ng and recipe demonstra(ons at the
PlaAsburgh Farmer’s Market, as well as market availability at temporary WIC sites in Altona
and Champlain.
September
• Ac(on plan required by PHAB is submiAed with all necessary correc(ons requested by the site
visit team.
• Health Care Services holds its annual School Health Professional Workshop, open to all school
districts in the county. The annual event highlights per(nent informa(on relevant to
school- aged children, such as immuniza(ons and communicable diseases.
• The Department develops and implements plans for a large-scale drill to be held in early 2015.
The effort requires many partners and tests the ability of the agency to provide medical
countermeasures in the event of an emergency.
• Staff partner with the Town of PlaAsburgh to develop a Complete Streets Guidebook and
provide training at a Town Supervisors mee(ng, encouraging the concept of complete streets
throughout the county.
October
• Five rabies clinics are held throughout the county, in addi(on to three held in September.
Evalua(on of the rabies clinics during this (me show posi(ve feedback from consumers about
this service. Over 2,025 animals are vaccinated through clinics. One skunk tests posi(ve for
rabies in the Town of Altona.
7
Clinton County Health Depar tment 2014 Year in Review…Continued
October con3nued
• The Early Interven(on Program updates resources for parents. Addi(onally, a training session
is held in mid-October, offering a unique opportunity for parents, providers, and service
coordinators.
• The communicable disease program experiences the highest case count of 2014. This was
linked to increases in the incidence of Chlamydia.
November
• Improved Pregnancy Outcome Program (IPO) is assessed and reviewed for efficiency and
outcomes.
• All flu clinics for at risk residents are completed, assuring some protec(on for the more
vulnerable popula(on.
• Health Planning and Promo(on submits four grant applica(ons. This includes the new five
year funding cycle for the Women, Infants and Children (WIC) Program.
• Staff present on the Public Health Live web-based broadcast, sponsored by the NYSDOH and
Albany School of Public Health. Efforts in the local Built Environment are highlighted.
December
• The Public Transporta on and Food Access Survey collects over 500 responses allowing
analysis of the use of public transport and food access in the community.
• A skunk tests posi(ve for rabies in the Town of Saranac, bringing the total to two posi(ves.
203 animal specimens are submiAed for tes(ng during 2014.
• The WIC Program purchases a new auto dialer system to improve appointment reminders to
par(cipants. The new system includes voice and text messaging capability.
• The Department is awarded a NYS Health Founda(on grant to con(nue work on ac(vity and
food access in Clinton County.
8
Prevent…Promote…Protect
Communicable Disease
In 2015 over 700 communicable disease inves(ga(ons were completed.
The CD staff works closely with the public, local providers and hospital
personnel to quickly iden(fy, treat and prevent the spread of illness.
Sta(s(cal informa(on gathered as part of the inves(ga(on process is used
by the CDC for outbreak inves(ga(ons, designing treatment guidelines and
monitoring for emerging infec(ons. Addi(onally, public educa(on is a main
component of the CD program. This year, metal signage warning about
(cks and Lyme disease were distributed to parks and recrea(onal
areas in the county.
Immunization
Immuniza(ons and their importance were front and center in the
na(onal media at the end of 2014 with the resurgence of measles in the
U.S. The Health Department works to Increase “herd immunity” by
improving immuniza(on rates to prevent outbreaks of disease and save
lives. In October, Early Advantages sponsored an immuniza(on clinic at
their Halloween party, allowing for families to update their influenza
and Tdap vaccines.
Improved Pregnancy Outcome (IPO)
The IPO program focuses on high risk pregnant women to help decrease
risk factors and monitor their pregnancy in collabora(on with the physician.
The nurses make home visits to educate these families to help make choices
for a healthy outcome for their new infant. The nurses partnered with
forty-one expectant mothers in 2014 to monitor the growth and
development of both mother and baby. The partnership also assisted the
mothers in managing pregnancy complica(ons through guidance from their
assigned nurse.
9
Prevent…Promote…Protect
Newborn/Postpar tum Program
The newborn/postpartum program provides home visits to assist new
parents in educa(on about infant care, breasMeeding and postpartum
care. In 2014, there were 694 referrals to this program of which 184
accepted home visits from visi(ng nurses.
Children with Special Health Care Needs (CSHCN)
The CSHCN is a New York State Department of Health program that
provides case management services for informa(on and referral
services to community agencies for their child diagnosed with a
physical, developmental or emo(onal condi(on. In 2014, the CSHCN
nurses assisted 21 families in case management services.
Family Services
The Family Services program provides in-home visits by a nurse for a
variety of other reasons, including postpartum depression, lack of
insurance coverage, paren(ng issues, wellness educa(on, lice educa(on
and breasMeeding guidance. The nurses cared for 21 families in 2014
under the Family Services program.
Community Planning and Par tnerships
Community partnerships increase the CCHD’s capacity to improve the
health of the community and to capture community needs for effec(ve
planning. Many recent sustainable changes have resulted through the
combined efforts of public health partners.
This year was the first full year of implementa(on of the current
Community Health Improvement Plan (CHIP). The Ac(on for Health
Consor(um, facilitated through CCHD’s Division of Health Planning and
Promo(on, monitored and supported the process made in 2014,
highlighted accomplishments and provided direc(on for the year ahead.
The group was also asked to review and accept the objec(ves and tasks
developed to con(nue the work through 2015.
10
Prevent…..Promote…..Protect
Healthy Schools NY
Healthy Schools NY con(nued to support wellness policy development,
revision and implementa(on in twelve school districts across its four
county region. While four new districts were just beginning their
efforts, mul(ple districts received final approval for their policies.
Districts working toward new policies or have approved policies are
showing significant improvement in scores on the WellSAT (Wellness
School Assessment Tool) evalua(on in the areas of strength and
comprehensiveness, showing the benefits of the coordinated technical
assistance provided through the grant program.
WIC
The local WIC program con(nued to capture a large por(on of the
eligible popula(on, placing in the top third of all NYS WIC programs for
this measure. Personalized, family focused service remains a
cornerstone of the local program as it provides nutri(on educa(on and
resources to young families. Outreach efforts through local pharmacies
and pediatric prac(ces also help connect eligible families to the
program’s services.
Obesity Prevention in Pediatric Health Settings
Efforts con(nue to include pediatric prac(ces across three of the four
coun(es served by the regional grant. Throughout the year, staff
worked with provider champions to develop office specific goals and
implement sustainable system changes such as: modifica(on to
electronic medical record templates that beAer capture nutri(on and
physical ac(vity assessment and counseling, crea(ng breasMeeding
friendly spaces for mothers to nurse and ins(tu(ng modifica(on to
office procedures that maximize provider interac(on with families with
a child above the weight recommended for healthy children.
11
Prevent…Promote…Protect
Way to Wellville
The Clinton County Health Department was placed in the top ten finalists
in the Way to Wellville, a na(onal compe((on to select five communi(es
to compete over five years for the greatest improvement in five specified
measures of health and economic vitality. As one of the final ten, the
department rallied community stakeholders, decision makers and
residents. A press event and community forum was held to highlight work
accomplished through community collabora(on and the high level of
commitment to public health improvement that exists at the community
level. Although Clinton County did not make the final five, the energy and
enthusiasm generated by this process has carried forward and support for
public health efforts remains high.
Children’s Developmental Service
Families with children with developmental needs are offered services to
help each child grow and develop. Children under the age of three have
their services coordinated through the County’s Early Interven(on Program
while services for children over the age of three are coordinated through
the Preschool Program overseen by the child’s home school district.
Services may include service coordina(on, developmental evalua(ons,
home visits, family counseling , child development groups, special
instruc(on, speech, physical, and other therapies; some(mes help with
transporta(on is provided. These services are provided at no-cost to
families. Each family is ac(vely engaged every step of the way to ensure
their child receives the services he/she needs within the exis(ng family
structure. In 2014, 335 children received Early Interven(on services, and
279 par(cipated in the Preschool Program.
Healthy Plates Project
The Healthy Plates Project is a free, voluntary program which helps local
eateries offer and promote healthy menu choices. This program engages
local food establishments as public health partners and makes it easier for
residents to eat healthy away from home. Four new local eateries were
cer(fied in 2014, including three establishments outside the city of
12
Prevent…Promote…Protect
Longest Day of Play
Health Planning and Promo(on strives to design
and pilot new and innova(ve approaches to
public health educa(on. In June 2014, the
Division facilitated Clinton County’s second annual
Longest Day of Play. Capitalizing on the summer
sols(ce, the event aims to encourage families
to get out and play to promote healthy physical
ac(vity. This year, 590 children and adults
par(cipated in ac(vi(es hosted by 22 or
organiza(ons and businesses. Scheduled
ac(vi(es provide an opportunity for residents to
be ac(ve together and try new local op(ons they
can con(nue to take advantage of all year.
Climate Change
Public Health sees the results of climate change through vector-related
diseases; health and water impacts. Health Departments staff
par(cipated in a presenta(on on this topic through the NYS Health
Department Office of Environmental Health to gain an overview of the
issue from a public health perspec(ve. Addi(onal staff have received
more in-depth training on vector-borne diseases, such as foodborne out-
break, triple EEE and Lyme disease.
Responding To Outbreaks
A “Team Approach to Foodborne Outbreak Response” was held for over
40 Health Department staff from Clinton, Essex and Franklin Coun(es,
school and hospital personnel, as well as NYS Health Department
Regional Offices. The training, coordinated by the Clinton County Health
Department, was presented by instructors through the Na(onal Center
for Biomedical Research and Training , Louisiana State University. The
training provided a close-to-home, best prac(ce guidance on dealing
with foodborne illnesses and outbreaks.
13
Prevent…Promote…Protect
Food Service Establishment Program
In 2014 the number of food service establishments in the county in-
creased from 441 to 500. The CCHD Environmental Health and Safety
Division (EHS) also completed over 50 inspec(ons on various seasonal
food service opera(ons for church func(ons, volunteer fire depart-
ments and typical not-for-profit events. EHS con(nues to provide
and/or assist with food service trainings for any businesses and/or
not-for-profit groups reques(ng assistance in order to maximize
educa(on regarding food safety for seasonal or special occasion events.
Rabies Prevention Program
The CCHD Rabies program includes the inves(ga(on of animal bite
reports, tes(ng of animal specimens, provides pet vaccina(on clinics
and recommends rabies post exposure prophylaxis for exposed
persons. Ten rabies clinics were held with a total of 2,029 animals
receiving free vaccina(ons in 2014. The United States Department of
Agriculture completed the regional oral rabies vaccina(on bait drop in
August. Eastern and Northern por(ons of Clinton County were treated
as part of the Na(onal Rabies Management Program. Baits were
distributed in a grid paAern via airplane. Approximately one million
baits were distributed for the region.
Seasonal Programs
All children’s and migrant labor camps were switched
over to the New York State safety plan template in 2014.
This move ensured that all children and migrant labor camps
received a pre-opera(onal along with an opera(onal
inspec(on to provide a safer healthier environment.
EHS completed daily inspec(ons of specific fairground
opera(ons; which included inspec(ng water supply, sewage
systems, on-site campground, and trash accommoda(ons. Inspec(ons
also included 15 temporary and mobile food service establishments
opera(ng during fair week.
14
Prevent…Promote…Protect
Public Water Program
EHS staff monitored the opera(on, maintenance and water quality of over
200 municipal, community and non-community water systems which included
mobile home parks, restaurants, campgrounds, schools and businesses.
EHS Division Attendance at the Annual Home Show
In March 2014, staff from the EHS Division aAended the
weekend-long Adirondack Builders Home Show at the Crete Civic
Center. As part of this event, EHS Division staff setup a booth to
provides informa(on regarding specific EHS Division programs,
including; Healthy Neighborhoods, ISTS, Private Water Systems,
Lead Poisoning Preven(on, Rabies, Indoor Air Quality. In
addi(on to providing specific program informa(on to over 100
individuals, EHS staff were available to answer ques(ons form
the public during this event.
USDA Presentation and Seminar, Hosted by EHS Division
On December 17, 2014, EHS Division staff organized and hosted a seminar
and workshop provided by representa(ves from US Department of Agriculture,
Rural Development. During the mee(ng, USDA representa(ves and local grant
writers provided a presenta(on regarding poten(al grants and low interest
loan funding opportuni(es for the construc(on of water, wastewater and
infrastructure (building) improvements, repairs, and upgrades as applicable
for municipal, school, church, veteran’s organiza(on and other not-for-profit
facili(es. A total of 30 en((es aAended the day-long seminar.
2014 Adolescent Tobacco Use Prevention Act (ATUPA)
Even though the EHS Division incurred significant staff turnover in 2014,
including three different ATUPA public health technicians implemen(ng
the ATUPA inspec(ons throughout the year, all of the 111 tobacco vending
facili(es in Clinton County were inspected on two separate occasions, thus
achieving the ATUPA Program specific goals and objec(ves for the year. Three
“Vape” (i.e., E-cigareAe) shops opened in the County. These shops will only be
required to post applicable signage and will not be inspected for compliance.
15
Prevent…Promote…Protect
Public Health Emergency Response and EHS Assistance
In the early spring of 2014, an early snow thaw and significant rain events
occurred, resul(ng in appreciable storm water runoff in much of the
County. During this weather event, residents in the hamlet sub-division
of Eden Lane, Town of Champlain, no(ced their well water becoming
cloudy along with farm manure odors. EHS staff responded to the
complaints received and iden(fied that the storm water and agricultural
runoff from nearby farm fields were causing bacterial contamina(on of
the private water supply wells in that hamlet. As part of EHS Division
inves(ga(ons, it was determined that the adverse weather condi(ons,
combined with agricultural runoff (including manure) and sep(c system
failures, were causing the elevated bacterial contamina(on in the private
water wells. AOer a three to four month period of (me, surface and
groundwater levels in the regional area dissipated, returning the
opera(on of the private wells in the hamlet to safe use. Based on the
poten(al for reoccurrence of this incident, EHS staff worked with the local
Town, Village and their consul(ng engineer to complete the applica(on
process to obtain future grant and loan funding for water system
improvements, including the future extension of water district to homes
in the subject hamlet. In November 2014, the Town and Village of
Champlain were no(fied that they had received from the NYS
Environmental Facili(es Corpora(on, a grant for $2,000,000 and
low-interest loan funding of $10,000,000 for Water System Improvements
in the Village and Town of Champlain.
16
Statistics, Program and Suppor t Information 2014
Health Care Services Division
* For high risk individuals
** Decreased numbers represent reduced numbers covered by Public Health. Change in NYS Law in 2013 allowed
billing to third party insurers for STI services.
*** Includes Pneumococcal 21 and Prevnar 13 vaccines
2012 2013 2014
Immuniza3ons
Influenza
Pneumococcal
1098
62
657
46
721
43***
Tuberculosis
Pa(ents Enrolled
Clinic Visits
Ac(ve TB Cases (Civilian only)
9
41
1
7
57
1
4
21
0
Prenatal Service: (IPO-Improved Pregnancy Outcome)
Par(cipants
81
83
102
Newborn/Postpartum Visits:
Number of Newborns Referred
Numbers Targeted With Completed Home Visit
683
432
653
291
694
184
Family Service
Referrals
Children with Special Health Care Needs (CSHCN)
16
5
22
7
21
21
Lead Poisoning Preven3on Program
CCHD Children Screened
16
1
4
Early Interven3on Program (EIP)
Number of Referrals
Unduplicated Count of Children
Occupa(onal Therapy
Physical Therapy
Speech Therapy
Special Instruc(on
Visually-impaired Services
Counseling
219
326
40
55
178
108
4
1
202
321
29
37
174
99
1
0
218
335
27
26
130
69
1
0
Preschool Educa3on Program
Number of Referrals
Unduplicated Count of Children on June 1st
Number of Preschool Mee(ngs
250
254
708
219
253
684
236
279
739
Sexually Transmi ed Infec3ons (STI Clinic)
Pa(ent Visits
529
288**
139**
17
Statistics, Program and Suppor t Information 2014
Environmental Health and Safety Division
2012 2013 2014
Food Service
Inspec(ons
PermiAed Operators
500
519
430
441
509
500
Motels and Campsites
Inspec(ons
PermiAed Operators
52
52
52
54
52
54
Individual Household Sewage
Systems Approved
141
132
169
Nuisance Complaints
Inves(gated
105
80
93
Rabies Preven3on
Animal Bite Inves(ga(ons
Non-bite Inves(ga(ons
People Receiving Post-Exposure Rabies Shots
Number of Animals Tes(ng Posi(ve for Rabies
Inocula(ons:
Dogs
Cats
Other
Total Inocula(on
250
145
25
7
1,658
969
8
2,635
320
162
24
7
1,455
606
4
2,065
304
239
25
2
1,424
599
6
2,029
Clean Indoor Air Act (Tobacco)
Complaints Inves(gated
Complaints Substan(ated
4
2
1
0
1
0
Water System Inspec3ons
Municipal
Community
Non-community
24
36
148
24
36
155
24
36
116
Migrant Labor Camps
Inspec(ons
PermiAed Operators
13
14
15
14
14
14
Pools and Beaches
Inspec(ons
PermiAed Operators
64
60
59
55
55
55
18
Statistics, Program and Suppor t Information 2014
Environmental Health and Safety Division Con3nued….
Notes:
++ Inspec(ons required only every other year, but CCHD oOen inspects more frequently due to co-inspec(on with
water systems
* Tanning facili(es now require inspec(ons and permits per NYSDOH regula(ons, inspec(ons required every two
years
2012 2013 2014
Mobile Home Parks ++
Inspec(ons
PermiAed Operators
38
39
38
39
37
39
Children’s Camps
Inspec(ons
PermiAed Operators
9
9
8
8
9
9
Tanning*
Facili(es PermiAed
Facili(es Inspected
20
10
20
11
19
12
Adolescent Tobacco Use Preven3on Act (ATUPA)
Compliance Checks:
Environmental Staff Only
Staff and Minor
Re-inspec(ons
Number of Operators
Number of Enforcements
113
141
19
104
9
164
172
15
108
2
116
135
8
111
0
Healthy Neighborhoods Program (HNP)
Dwelling Units Contacted
Referrals Received from Agencies
Referrals to Other Agencies
Home-Safe-Home Packets Distributed
Health and Safety Items Distributed
1,388
271
307
408
7,215
1,468
227
224
426
5,831
1,341
402
342
402
7,656
19
Statistics, Program and Suppor t Information 2014
Health Planning and Promo3on Division
Notes:
* PHN posi(on open from 8/14-12/14
** Changes in tracking mechanisms implemented, reducing likelihood of repeat of the coun(ng
2012 2013 2014
Professional Educa3on Event
27 22 32
Public Educa3on Events
38
82
48
WIC Clinic Visits
Nutri(on and Cer(fica(on
Food Dollars Expended
WIC High Needs Referrals
8,148
$1,249,898
74
8,084
$1,339,153
61
8,226
$1,166,471
59*
Farmers’ Market Ini3a3ve
Coupons Distributed
Dollars Expended
Food Samples Provided at Market
1,130
$27,120
1,200*
1,000
$24,000
1,515
963
23,112
1,600
BreasFeeding Program
Breast Pumps Distributed
Women Enrolled in Peer Program
% of all Women BreasMeeding at Hospital Discharge
% of WIC Women BreasMeeding at Hospital Discharge
Total Trained Peer Counselors
Total Women Provided Services
127
185
74%
71%
9
1,004
98
147
74.3%
65.9%
6
714
76
171
82%
74%
1
553**
Municipality Tobacco Preven3on Policies Implemented***
Tobacco Free Outdoor Policy
Worksite Tobacco Free Grounds Policy
Community Educa(on & Presenta(on
——-
5
14
3
3
15
1
1
2
Healthy Schools NY (New Program in 2011)
Par(cipa(ng School Districts
Approved Policies
Trainings and CommiAee Representa(on
8
2
24
8
1
31
12
2
36
20
2014 Expenditures
15%
66%
19%
2014 Expenditures
EHS HCS HPP EHS Environmental Health & Safety
Divi sion
HCS Health Care Services
Divi sion
HPP Health Planning & Promotion
Divi sion
15%
63%
22%
2014 Revenues
EHS HCS HPP
EHS Environmental Health &
Safety Division
HCS Health Care Services
Division
HPP Health Planning & Promotion
Division
14% 2%
8%0%
NYSDOE
(Preschool) 12.40%
1%13%
43%
2014 County Funding and Revenues by Source
Grant Insurance/Fees Medicaid Medicare
NYSDOE (Preschool) NYSDOH (EIP) Art 6 State Aid County
****2014 CCHD Actual Operating Budget $10,839,700 (includes grants of $1,539,700)****
21
22
23
The 10 Essen3al Public Health Services describe the public health ac(vi(es that all communi(es should
undertake. These are:
1. Monitor health status to iden(fy and solve community health problems.
2. Diagnose and inves(gate health problems and health hazards in the community.
3. Inform, educate, and empower people about health issues.
4. Mobilize community partnerships and ac(on to iden(fy and solve health problems.
5. Develop policies and plans that support individual and community health efforts.
6. Enforce laws and regula(ons that protect health and ensure safety.
7. Link people to needed personal health services and assure the provision of health care when otherwise
unavailable.
8. Assure competent public and personal health care workforce.
9. Evaluate effec(veness, accessibility, and quality of personal and popula(on-based health services.
Research for new insights and innova(ve solu(ons to health problems.
10 Essential Public Health Services
24
The Clinton County Health Department
Helping Clinton County Stay Well Since
1955
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