2014 Annual Report

118 Cross Creek Boulevard 1013 North Poplar Street Salem, Illinois 62881 Centralia, Illinois 62801 618.548.3878 telephone 618.532-6518 telephone 618.548.3866 facsimile 618.532-6543 facsimile

To the Citizens of Marion County

Mission Statement

Our mission is to improve the quality of life for citizens in Marion County through preventing disease and preventative health maintenance.

Marion County Board of Health 11/30/2014

Marion County Health Department Staff 11/30/2014 Administration Lori Ryan, BSN .. Public Health Administrator Mary Williams, RN, BSN .... Health Educator Cathy Hays ............ Administrative Secretary Bill Thouvenin.......Emergency Preparedness Coordinator Nursing Staff Shelley Yoder, RN, BA ..... Director of Clinical Services Melinda Williams, RN, BSN ............. Public ................................................... Health Nurse Dena Kemp, RN .. Director of Family Services Terri Adams, RN ....................... MCH Nurse Diana Freeman, RN .................. MCH Nurse Kristie Carter, RN ...................... MCH Nurse Pamela Snyder, RN ................... MCH Nurse Cathy Jourdan, RN .................... MCH Nurse

Environmental Health Melissa Mallow, BA, LEHP ........ Director of ......................................Environmental Health Daniel Tahtinen, MBA....... Health Inspector Michelle Slater ..................... Environmental

.............................................. Health Secretary Support Staff Cheryl Back, AAS .......... Computer Specialist Artina Fogerson .......................... WIC Clerk Betty Sligar ................................. WIC Clerk Pam Farmer ................ Front Desk Secretary Deb Spencer ............... Front Desk Secretary Gina Phillips ................ Front Desk Secretary Judy Jones................ .....Front Desk Secretary Linda Hawkins, RN .............. Peer Counselor Judith Meeks-Hakim, BA, MS......In-Person Counselor

Services Offered Blood Pressure Screening

Blood Sugar Screenings

Communicable Disease Control

Dental Sealant Program/Dental Varnish

Family Case Management

Food, Water, Sewer,

Tanning Inspection and Body Art

Genetics Screenings

HIV Counseling & Testing

Immunizations

Influenza & Pneumonia Vaccinations

International Travel Immunizations

Lab Draws

Lead Screenings

Sexually Transmitted Diseases Testing

Titers

Tobacco Prevention Programs

Vision & Hearing Screenings

WIC Program

Salem Office 118 Cross Creek Boulevard (618) 548-3878 Immunizations Every Monday, 9 a.m.—5 p.m. By Appointment Blood Pressure / Blood Sugar Testing Every Monday, 8 a.m.—9 a.m. Walk-ins Welcome

Centralia Office 1013 North Poplar (618) 532-6518 Immunizations Every Wednesday, 9 a.m.—5 p.m. By Appointment Blood Pressure / Blood Sugar Testing Every Wednesday, 8 a.m.—9 a.m. Walk-ins Welcome

Other Clinics Available WIC (Women, Infants & Children) Family Case Management Cholesterol Testing HIV Testing & Counseling Lab Draws STD Testing Titers By Appointments

Annual Report: 2014

118 Cross Creek Boulevard, Salem

On behalf of the Marion County Board of Health, I present to you the 2014 Annual Report of the Marion County Health Department. This report is a statistical picture of the activities of the Marion County Health Department for the fiscal year December 1, 2013 through November 30, 2014, as we continue our efforts to promote and protect the health of the Marion County residents.

This year marks the 21st year of the continued commitment to the residents of Marion County. The Health Department has an important role in every resident’s daily life, by providing food safety, sewer compliance, immunizations, health screenings, labs, disease surveillance, and preventative health services to mothers and children.

This Annual Report summarizes the services we provide and the occurrence of the specific diseases.

I would like to thank the Board of Health, the Marion County Board, and the residence of Marion County for your support.

Lori Ryan, RN, BSN Public Health Administrator

1013 North Poplar, Centralia

PRESIDENT Elizabeth Franczyk, MD Aziz Rahman, MD Tom Turner, MS Richard Haney, BS, MS, EDS Paula Strother, RN SECRETARY Stanley Morrison, DDS Creighton Engel, DC, MS Keith Kessler, BS, JD Mike Morton, RPh

In September the Ebola epidemic in Western Africa forced the preparedness community to gather information and develop strategies to respond to the possibilities of Ebola invading the United States. This preparation has not only benefited health departments in preparing for Ebola, but the strategies developed are transferable to many other possible outbreaks. The Marion County Health Department convened two meetings with our Community Partner’s to look at preparation efforts for containing a possible Ebola outbreak. The Community Partner’s were Salem Township Hospital, St. Mary’s Hospital, 911, EMS, ESDA, Coroner’s Office, Sheriff, Police, Rural Health Centers Managers. The group will be working as a team in the event that a traveler from an Ebola infected country visits or resides in Marion County. The Marion County Health Department’s Emergency Preparedness Coordinator continues to maintain contact with the various government agencies and gather information to assist response efforts. Further meetings will be held as preparation efforts continue.

www. ma r io nco u nt yh ea l th de p t .o r g

Beginning January 1, 2014 through December 12, 2014 there were over 20,000 pieces of written material on Health Care Coverage distributed by mail, handed out, through an agency, elementary/high school or college within Marion County to consumers. Each month through Facebook approximately 500 social media contacts were made, 600 in-person contacts, 3-4 new stake-holders, at least 2 Marion County Health Department web-site contacts, 1,500 Centralia Sentinel customers are contacted monthly, (news briefs are placed in the Centralia Sentinel and the Salem Times Commoner). There were 242 Illinois Medicaid applications completed; 35 SNAP, food applications completed; 140 Federal Marketplace applications completed and 1,000 plus phone calls were made. Federal Marketplace new Open enrollment began November 15, 2014 and ends February 15, 2015. From November 17-December 9, I have completed 25 applications and all 25 enrolled in health coverage plans and received tax credits and/or low cost-sharing plans. On October 12 and 13, recertification has been completed with State and Federal in order to serve consumers. At this time, Marion County Health Department is the only organization in Marion County that provides ACA services to consumers.

Emergency Preparedness

Ebola By: Bill Thouvenin

Immunizations Immunization Clinics ............................................ 99 Persons Immunized.......................................... 2264 Vaccines Administered .................................... 2697 Hepatitis A (Pediatric) Started ........................... 140 Hepatitis A (Adult) Started ................................... 76 Hepatitis B (Adult) Started ................................... 98 Menomune .......................................................... 30 Influenza— Adult persons Immunized ............. 1708 Influenza— Pediatric persons Immunized..........445 Varicella ............................................................. 236 Pneumonia—Persons Immunized ........................ 28 Yellow Fever ......................................................... 21 Typhoid ................................................................ 27 Lead Screenings Persons Tested ................................................... 629 HIV Testing Persons Tested ..................................................... 61 Paternity Testing Persons Tested ..................................................... 66 Vision & Hearing Screening Vision Tested ...................................................... 173 Hearing Tested ................................................... 221

Immunizations

& Screenings

Tuberculosis Control Skin Tests Administered ..................................... 532 Prophylactic Patients .............................................. 3 Active Cases ............................................................ 0

Chronic Disease Control Blood Pressure Clinics .......................................... 96 Persons Tested ................................................... 158 Blood Sugar Clinics ............................................... 96 Persons Tested ..................................................... 76

Communicable Disease Sexually Transmitted Disease: Chlamydia ........................................................... 170 Gonorrhea ............................................................ 16 Syphilis ................................................................... 1

Communicable Disease Active Cases Salmonella ............................................................ 14 Hepatitis B .............................................................. 5 Hepatitis C ............................................................ 54

Nursing

Services

Affordable Care Act By: Judith Meeks-Hakim

WIC, Family Case Management (FCM), Healthworks, Apors, Farmer’s Market, Breastfeeding Peer Counseling, Hearing and Vision, and Genetics are programs which fall under the umbrella title of “Maternal Child Health Programs” at Marion County Health Department (MCHD). Along with other client services such as immunizations, well child exams, developmental and social-emotional screenings and referrals, fluoride varnish applications, and perinatal depression screenings, these programs have much to offer clients. Through these programs and services, RN’s seek to assist clients in taking charge of the health and well-being of themselves and their family members. Marion County Health Department seeks to support the health and well being of mothers and their families. Through the collective maternal and child health programs, the goals are to increase full term healthy birth outcomes, assist clients in obtaining early and regular prenatal and pediatric health care, and decrease overall infant and child morbidity and mortality. Through RN assessments, anticipatory guidance, education, provision of services, referrals, and setting life goals, families find the support they need to lead them to healthier lifestyles, safe home environments, and independence from relying on others for their day to day needs. In the past 1-2 years, three birthing hospitals in and

around Marion County, are working toward the designation of “Baby Friendly”. As part of that initiative to improve hospital policies and practices which encourage and support breastfeeding as the gold standard of infant feeding in baby’s first year of life, our agency’s Breastfeeding Peer Counselor is now meeting regularly with hospital staff as well as making routine hospital visits to check on patients who may need a little extra help in getting breastfeeding off to a good start. New to our agency’s WIC program this year is “WIC Walk-In Clinic”. The walk-in clinics have been added in each office location one day per week and have been quite successful in meeting the needs of clients who have ongoing transportation problems or irregular working hours. 2014 Maternal/Child Nursing Services Pediatric Health Exams....................................................578 Developmental Screenings...........................................1,297 Perinatal Depression Screenings.....................................863 Pediatric Fluoride Varnish Application............................416 Breast Pumps Provided...................................................120 WIC Nutritional Education Sessions.............................2,427

Revenue State & Federal Grants ............................... $645,960.34

State & Federal Billing .................................. 233,969.25

Local Taxes ................................................... 194,029.16

Interest............................................................. 1,577.04

Permits ........................................................... 15,990.00

Fees .............................................................. 134,075.71

Miscellaneous .................................................. 2,701.95

Total Revenue ............................................ $1,228,303.45

Expenditures Salaries ....................................................... $706,279.55

Fringe Benefits ............................................. 252,852.26

Travel / Training ............................................. 21,971.72

Contractual..................................................... 82,067.87

Commodities .................................................. 38,511.25

Vaccine ........................................................... 75,793.39

Fees ................................................................ 42,405.70

Contingencies ................................................. 13,529.12

Equipment ........................................................ 7,693.90

Total Expenditures ..................................... $1,241,104.76

Balance As of November 30, 2014 .............................. $796,004.94

Building Fund .................................................... $7,282.81

56% - Grants

28% - Fees

15% - Taxes

1% - Other

Financial Statement

Maternal and Child Health

By: Dena Kemp

The ultimate goal of the Marion County Health Department is the prevention of the occurrence of infectious diseases in Marion County. In order to protect the people within the county from contracting and transmitting infectious diseases, the Division of Environmental Health performs a comprehensive food protection program and several environmental programs. The Division of Environmental Health permits and performs inspections on all permanent, mobile and temporary food service establishments in Marion County. A food service establishment is a restaurant, school, daycare, nursing home, hospital, grocery store or convenience store. A temporary food service establishment is any food vendor at a temporary event (such as Balloon Fest and Marion County Fair). It is the purpose and intent of these inspections and regulations to promote safe food handling practices and to prevent the outbreak of foodborne illness. Many citizens of Marion County rely on private water wells for their water supply. To protect these citizens from contracting or transmitting waterborne diseases, the Division of Environmental Health, upon request, collects and submits private water well samples to a state lab for both bacterial and chemical analysis. Procedures and literature for treating or correcting any deficiencies of an existing water well are supplied to an owner when an unsatisfactory analysis is received. The private sewage program is performed in accordance to the Illinois Department of Public Health’s Private Sewage Disposal Licensing Act and Code to prevent the transmission of disease-causing organisms, environmental contamination and nuisances resulting from improper handling, storage, transportation and disposal from private sewage systems. Any new or renovated system must be installed by an Illinois licensed private sewage contractor or the homeowner and permitted through the Marion County Health Department. In 2014, the Illinois Private Sewage Code was amended. The new codes dealt with many issues, such as effluent discharges and NPDES compliance. The Division of Environmental Health performs annual inspections at each tanning facility in Marion County. At each inspection, the health department will check customer records and each tanning bed to ensure the public’s safety.

The tanning facility can only allow a customer to tan once every 24 hours. The tanning facility must sanitize the eyewear and tanning unit after each use. In 2014, the State of Illinois passed a new law stating that no one under the age of 18 may use a tanning bed. The Division of Environmental Health performs annual inspections at each body art facility in Marion County. Body art is considered to be body piercing and tattoos. The purpose of this program is to provide a safe blood supply. At each inspection, the health department will check customer records, verify that all artists have had blood borne pathogen training, watch artist hygiene and glove use, verify that sharp containers are used and serviced by a regulated waste hauler, verify that single use items have not been compromised, check the cleaning and sterilization of all non-single use items, inspect their autoclave and verify its monthly spore tests.

Food Sanitation Routine Inspections ............................................... 280 Complaint Inspections ............................................... 8 Follow-Up Inspections ............................................. 15 Temporary Food Inspections....................................59 Pre-Operational Inspections .................................... 10 Permits Issued ....................................................... 278

Private Sewage Routine Inspections ................................................. 64 Complaint Inspections ............................................. 20 Realty Inspections .................................................... 23 Permits Issued ......................................................... 74

Private Water New Well Inspections ................................................ 1 Existing Well Inspections............................................2 Complaint Inspections ............................................... 2 Permits Issued ........................................................... 0

Tanning Routine Inspections ................................................... 8 Follow-up Inspections ................................................ 1 Complaint Inspections................................................0

Body Art Routine Inspections ................................................... 8 Follow-up Inspections ................................................ 0 Complaint Inspections................................................0

Environmental Health

By: Melissa Mallow

Administration and Staff of the Marion County Health Department