Skokie Health DepartmentFY18 Annual Report

EDUCATING - PROMOTING - RESPONSIVE - SUPPORTIVE

A MESSAGE FROM THE DIRECTOR 2 To the Skokie Community -

Each day the staff of the Skokie Health Department work tirelessly to serve the community. I am grateful for their dedication, and think that you will be equally impressed with what we have accomplished during the past year. Whether helping lost pets, preventing infectious diseases, or preparing for emergencies, we strive to achieve our vision of creating a healthy, equitable community.

An important highlight from this report in the new drinking water pipe map that is available online and shows whether a property's system is connected to the water main with lead or copper pipes. Another is our ongoing work to prevent rat infestations. Please take a moment to read about both of these initiatives and how you can help.

Turning to the wider community, we are so fortunate to have many highly engaged partners, who share our vision and work together to address identified needs. Major projects underway include the Erie Family Health Center plans to double the capacity of the Evanston/Skokie clinic, and the South Asian Healthy Lifestyle Initiative (SAHELI) partnership with Northwestern University. Both of these projects are priorities of the 2017 Skokie Community Health Plan.

Looking forward, I am excited about the coming year as we focus on raisingawareness about the lifelong impact of Adverse Childhood Experiences, working closely with the Skokie Public Library and Board of Health.

Congratulations and many thanks to all!

Sincerely,

Catherine A. Counard, MD, MPHDirector of Health

CONTENTS:

Board of Health..................................................................................3Professional Staff .............................................................................4South Asian Healthy Lifestyle....................................................5Animal Control ..................................................................................6Environmental Health ...................................................................7Personal Health/Communicable Disease.........................8Skokie Medical Reserve Corps ...............................................9Administration .................................................................................10FY19 Goals: Plans for the Future ............................................11

VISION: Create a healthy, equitable community.

MISSION: Work together with community members to promote and protect human, animal, and environmental health in a fair and compassionate manner.

CORE VALUES:• Team Work• Prevention• Best Practices• Innovation• Education• Stewardship• Customer Service

BOARD OF HEALTH 3

ACTIVITIES SUPPORTED BY THE BOARD of HEALTH

• 2017 Skokie Community Health Plan• Medical Reserve Corps• Public Health Partners of Excellence Awards• Community Flu Shot Clinics• “SkokieCares” Initiatives• IPLAN Committee• Improved Access to Care• Skokie Festival of Cultures• South Asian Healthy Lifestyle Initiative

Back Row L-RHeidi Nickisch Duggan, MS, MATrustee Michele L. BrombergHabib Abbasi, RPTJuliet Haido, BSN, RNPatricia Urbanus, MSN, CNMNancy Topuzian, PhD, RN

Adverse Childhood Experiences (ACEs) Presentation to NorthShore Physicians An initiative of the 2017 Skokie Community Health Plan is to raise awareness of how ACEs negatively affect people throughout life. We are encouraging area healthcare systems to incorporate ACE training into residency and medical school educational programs. To further this goal, Dr. A. Michael Drachler arranged for Dr. Stan Sonu, an expert on Adverse Childhood Experiences, to speak to pediatricians, obstetricians and family physicians at NorthShore University HealthSystem.

Middle Row L-RDavid Clough, MPA Rohit Pandya, RPHA. Michael Drachler, MD (Chair)William Werner, MD, MPHIrtaza Usman, PGDMMClifford Prince, DDS

Front Row L-RRomil Sood, DPT, MSMCatherine Counard, MD, MPH Larry Williams, Jr. DDS, MPH

Not PicturedJessica Jones, MANina Black, BSN, MEd, RNMichael Vernon, DrPHSwapna Dave, MPH, MBBSBruce Gaynes, OD, PharmDBruce Jones, MS, LEHP Sue Reisberg, RNC, MSN, FNP Kyungran Shim, MD

Back Row L-R Bruce Jones Sue Reisberg Cindy Starks Lori Kaplan

Middle Row L-R Zohrab Mirza David Clough Ryan Reconnu

Bill Kok

Front Row L-R Marianne Maggi Darlene Codd Lillian LaSanta Penny Staffney Dwayne McLin

Maricar Fernandez Claudia Braden

Shelley Wax Dr. Catherine Counard

Employee Service AwardsNurse Claudia Braden was recognized for 15 years of dedicated service. In 2017 Claudia was also honored during the annual Illinois Public Health & Healthcare System Preparedness Summit with the “Creative Drill/Exercise Award”.

Claudia handles Communicable Disease Control and is the Health Department Emergency Response Coordinator.

Susan Reisberg Promoted to Personal Health Supervisor Nurse Susan Reisberg earned a well-deserved promotion to Personal Health Supervisor!

Ms. Reisberg oversees Nursing Home and Day Care inspections, Clinical Services, Vital Records, Maternal/Child Health programs and the SAHELI project among other duties.

PROFESSIONAL STAFF 4

SOUTH ASIAN HEALTHY LIFESTYLE INITIATIVE 5

The SAHELI initiative is a five-year National Institutes of Health funded-study being led by Northwestern University, the Skokie Health Department and Metropolitan Asian Family Services. South Asians are four times more likely than the general population to develop early heart disease and die young. We hope the results of this study will contribute to creating national standards for minimizing this risk.

ZOHRAB MIRZA, MPH, JOINS THE SAHELI TEAM!

We are delighted to announce that Zohrab Mirza has been hired as a Community Health Specialist dedicated to the SAHELI study. Zohrab has responsibility for community outreach, recruiting participants, and coordinating health screenings to reach study goals. A warm welcome Zohrab; we're glad you joined the team! For more information about the SAHELI study please visit: www.sahelistudy.org or e-mail southasianhealth@skokie.org

Mr. David Clough *Mrs. Satosh Kumar, Director ‡Dr. Swapna Dave †

* Skokie Health Department

Dr. Namratha Kandula, Lead Investigator †Mrs. Promila Metha ‡Ms. Himali Bharucha ‡

‡ Metropolitan Asian Family Services

Dr. Catherine Counard *Mrs. Susan Reisberg *Mr. Shrenick Dalal ‡

† Northwestern University

Skokie Stray Finds a Happy HomeACO Ryan Reconnu collected an eight-month- old puppy wandering in Harms Woods. After efforts to locate an owner were unsuccessful, the puppy was brought to Chicago Pet Rescue, where it was quickly adopted. The happy pup is thriving in its new home.

ANIMAL CONTROL ACTIVITIES FY18

Animal Bite Investigations 36

Animals to Rehabilitators 77

Animals Returned to Owner 111

Animals Relocated for Adoption 25

Traps Issued 95

Warnings Issued 643

Citations Issued 53

Wildlife Activities 812

Domestic Animal Activities 661

Dead Animal Removed 1,095

TOP WARNINGS No Dog or Cat License 330

Dog Off Leash 123

Failure to Pick Up Dog Feces 42

Excessive Barking 28

Cruelty 27

Rose-Breasted Cockatoo RescuedWhen Animal Control Officer (ACO) Lori Kaplan investigated the report of an exotic-looking bird standing on a home's roof, the bird approached her in friendly curiosity.

ACO Kaplan was able to capture the bird, a Rose-Breasted Cockatoo, and transport it to Chicago Exotics. Fortunately, the bird's worried owners were soon located and reunited with their missing pet.

DANGEROUS AND VICIOUS ANIMAL ORDINANCE At the request of the Animal Control Officers, a new category, "menacing", was added to the Dangerous and Viscous Animal Ordinance. This category is for animals that behave in a threatening manner without provocation, but do not cause significant injury. Our goal is for these animals and their owners to have training, and prevent their behavior from escalating into something more serious.

For more information on the Skokie Village Codes pertaining to animals, please visit: www.skokie.org

ANIMAL CONTROL 6

New Map Created of Skokie Drinking Water PipesBased upon existing data, more than 90% of Skokie drinking water pipes connecting properties to water mains are made from lead, and were put in place when the system was built nearly 100 years ago. Although Skokie's drinking water is treated to coat the pipes and prevent lead from leaching into the water, the best way to protect drinking water from lead is to replace the lead pipes with copper pipes. A Village team has created a map showing the composition of drinking water pipes.

To view the map, or for more information about lead in drinking water please visit: www.skokie.org

ENVIRONMENTAL HEALTH ACTIVITIES FY18

Construction PlanReviews 157

Institutional Inspections(Includes Nursing) 74

Pool Inspections/Re-Inspections 111

Solid Waste Inspections/Re-Inspections 244

Drinking Water SamplesTaken 940

Food Service Inspection/Re-Inspections 1,828

Rat Sites 281

Citations Issued 79

WNV Positive MosquitoSamples 140

Rat Control Program in the Village Requires a Collective EffortThe multi-disciplinary Skokie Rat Control team has established many policies and procedures to systematically prevent, identify and eliminate rat infestations. To succeed, this effort requires residents, businesses, and visitors to work together. Ensuring properties are maintained in good repair is especially important to the process.

New Environmental Health Vehicle Hits the Streets!We are pleased with our new environmental health vehicle specifically designed for rat control. Many thanks to Public Works for outfitting the vehicle with built-in storage!

ENVIRONMENTAL HEALTH 7

TOP CONTRIBUTORSTO RAT ACTIVITY

Yard Waste 58

Garbage 29

Bird Feeding 27

Fruits/Vegetables 26

Dog Feces 15

VILLAGE OF SKOKIEDRINKING WATER

SYSTEM

PERSONAL HEALTH/COMMUNICABLE DISEASE 8

Measles Exposure at Skokie Pediatrics Office and Multiple Area Emergency RoomsA ten-month-old infant became ill with a fever, cough and rash shortly before returning home from India with her family. The baby's concerned parents brought her to their pediatrician's office and the emergency rooms of Skokie, Evanston and Lutheran General Hospitals before she was diagnosed with measles. There were 127 patients, family members and staff exposed to measles at the four healthcare facilities, including several infants too young to have been immunized. The exposed individuals were closely monitored daily for three weeks, and luckily no one else became ill. The measles virus is highly infectious, and the best means of protection in immunization. Measles is rare in the United States due to our high vaccination rates, which led to the difficulty in diagnosis.

Reach Out and ReadThe Skokie Health Department is one of 126 “Reach Out and Read” locations in Illinois. This national program builds on the supportive relationship between parents and medical providers to develop reading skills in children, beginning at age 6 months. Families reading together helps build the vocabularies and language skills of young children. And it’s a lot of fun!!

COMMUNICABLE DISEASESCALENDAR YEAR 2017

Sexually Transmitted Vaccine PreventableChlamydia 60 Influenza 14

Gonorrhea 13 Hep B. Chronic 20

Syphilis 3 Pertussis 12

Food Related Meningitis 1

Campylobactor 9 Mumps 2

Salmonella 6 OtherShigella 1 Hep C. Chronic 32

Travel Related Legionella 3

Dengue 1 Tuberculosis 1

Lyme 2TOTAL 183Typhoid 1

Zika 2

A young reader is encouragedduring a well-child clinic.

SKOKIE MEDICAL RESERVE CORPS 9Strengthening Public Health, Emergency Response and Community Resiliency.The Medical Reserve Corps is a nation-wide network of volunteers who have prepared to serve their communities during times of need. Medical Reserve Corps members are nurses, physicians, dentists, pharmacists, veterinarians, and epidemiologists. These professionals receive specialized emergency response training and are certified.

Support for the Annual Skokie Community Flu Shot ClinicsEach year the Health Department leads a team that provides flu shots for 3,000 community members. The Skokie MRC members have vital roles: giving flu shots, assisting with operations, and conducting a test of our emergency preparedness capabilities.

Human Trafficking Presentation Given To Area MRC Members And Police Officers Human trafficking, also termed "modern day slavery", is a serious global epidemic that impacts Skokie and tens of thousands of Chicago-area children annually. It is essential that healthcare providers recognize the risk and know how to intervene. Approximately 100 regional MRC members and police officers attended an educational program last year, lead by Skokie MRC member Janet Kenny RN, MA - Skokie District 72 school nurse and Co-Founder of Stepping Stones Network.

ACTIVITIES SUPPORTED BY THE MEDICAL RESERVE CORPS

• Community Flu Shot Clinics• Chicago Marathon • National Night Out • School and Corporate Health Fairs• Assisted Lake County Flood Victims • State-wide Emergency Pharmacy Program• Boomers and Beyond

To learn more please visit: www.skokie.org

Erie Evanston/Skokie Clinic CelebrationCommunity leaders and Elected Officials from Skokie and Evanston celebrated National Health Center week and the 60th Anniversary of the founding of Erie Family Health Center. Dr. Lee Francis, Erie President and CEO, announced plans to double the capacity of the clinic in the next year, increasing by 7,000 the number of patients that can be served by the clinic annually. The clinic serves people regardless of their insurance status or ability to pay.

ADMINISTRATION 10

Through an innovative partnership with Northwestern University for the SAHELI project, the Health Department has increased its grant funding by 5% which is being used for this Community Health initiative.

FY19 Goals

Community Health Plan Initiatives

Support SAHELI

Ensure Staff Training

Adopt FDA Food Code

Seek Grant Funds

Finalize Policies and Procedures

Use Data Analytics

Support Board of Health

LOOKING AHEAD TO FY19 11

CREATING A HEALTHIER COMMUNITY!

TRUSTEES Michele L. Bromberg MAYOR Karen Gray Keeler George Van Dusen Ralph Klein Randall E. Roberts Edie Sue Sutker Ilonka Ulrich CLERK Pramod C. Shah MANAGER John T. Lockerby COUNSEL Michael M. Lorge