The Henry County Health Department"To Protect and Improve the Health of the Community"

Henry & Stark County Health Depts.4424 US Hwy 34Kewanee, IL 61443

2009 - 2010 ANNUAL REPORT

For more information on any of our programs, please call our office:

Home Health NursingEnvironmental Health 852-0197Administration

Clinic Services 852-5272

Homemaker Services 852-0492

Colona Office 792-4011

Office Hours: 8:00 am to 4:00 pm - Monday thru Friday

BOARD OF HEALTH

Jan Berghult PresidentJames Golby Vice PresidentDuward Inch SecretaryKaren Urick TreasurerVan DeVilder Art Cajigal, M.D.Crystal Snider, M.D.Thomas VanVooren, DMD

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HENRY COUNTY HEALTH DEPARTMENTFiscal Year 2010 12/01/09 - 11/30/10

ANNUAL FINANCIAL REPORT *

RECEIPTS EXPENDITURESMedicare ........................................$ 494,604.24 Salaries ....................................... $ 2,749,795.46Fees for Service ..............................1,038,975.56 Life and Health Insurances ................. 203,525.66IL Dept. Public Health .....................1,172,062.23 Employers FICA and IMRF ................. 390,686.31IL Dept. on Aging ..............................950,897.55 Commodities ...................................... 257,045.63IL Dept. of Public Aid .........................176,600.99 Contractual Service ............................ 109,527.45Miscellaneous ........................................8,317.73 Personal Service ................................ 157,888.14Taxes ..................................................189,609.24 Travel Expense ..................................... 88,834.68Interest .................................................14,033.10 Meeting and Staff Education Expense .. 25,787.08 X-Ray, Clinical, Labs, Meds., etc. ....... 100,097.22TOTAL RECEIPTS ..........................$4,045,100.64 Other Insurances .................................. 20,753.00 Equipment / Hardware / Software ........ 56,977.06 Contingencies ........................................ 2,400.99 Petty Cash ................................................. 300.00 Building Expense .................................. 46,083.75 TOTAL EXPENDITURES................ $ 4,209,702.43

YEAR ENDING BALANCE 11/30/09..............................$ 1,030,769.43

CASH BALANCE 11/30/10..............................$ 866,167.64 * unaudited

Fiscal Year Local Taxes Total Revenue % Total Revenue 1990 $196,006 $1,486,113 13.19% 1991 $185,819 $1,582,984 11.74% 1992 $185,866 $2,044,008 9.09% 1993 $181,164 $2,395,177 7.56% 1994 $100,098 $2,909,190 3.44% 1995 $100,299 $3,062,962 3.27% 1996 $ 99,936 $3,163,468 3.16% 1997 $ 99,254 $3,251,140 3.05% 1998 $100,286 $2,840,208 3.53% 1999 $145,545 $2,855,522 5.10% 2000 $224,771 $3,212,319 7.00% 2001 $228,223 $3,339,837 6.83% 2002 $181,082 $3,480,516 5.20% 2003 $179,487 $3,449,061 5.20% 2004 $179,700 $3,477,362 5.17% 2005 $180,587 $3,897,544 4.63% 2006 $179,479 $3,804,330 4.72% 2007 $180,749 $4,018,873 4.50% 2008 $179,723 $3,970,177 4.50% 2009 $179,982 $3,948,922 4.50% 2010 $189,609 $4,045,101 4.70%

HENRY COUNTY HEALTH DEPARTMENTANNUAL REPORT (includes Stark Co. Statistics)2009

ENVIRONMENTALHEALTH

VITAL STATISTICS(HenryCountyOccurrences)

BIRTH DATA % of TotalTotal Births 261

Out of Wedlock ............135.......... 52%To Teens .........................30.......... 11%< 5.5 lbs ...........................8............ 3%Delivered outside HC ....350

DEATHS BY CAUSE

Total Deaths 425

Cardiovascular .............110.......... 26%Cancer ..........................100.......... 24%Pulmonary disease .........61.......... 14%Genitourinary .................20............ 5%Neurological ...................45.......... 11%Gastrointestinal ..............10............ 2%Trauma ...........................17............ 4%Other ..............................62.......... 14 %

Environmental Health services protect the health and environment of all residents by enforcement of State codes and county ordinances. Compliance is achieved by inspection and issuance of permits for: food service establishments; private sewage disposal systems; and potable water supplies.

FOOD SERVICE SAFETYInspections .........................................694Recheck inspections .............................81Complaints investigated ........................17Plan Reviews ...........................................2

POTABLE WATER SUPPLIESInspections ...........................................47Sample results reported ......................290Complaints investigated ..........................4NCPWS inspections ..............................13

GEOTHERMAL SYSTEMSRegistrations .........................................19Inspections ...........................................38

PRIVATE SEWAGE SYSTEMSPrecover Inspections ..........................111Water & Sewer evaluations ...................73Complaints investigated ........................12Contractor registrations ........................48Pump Truck Inspections .........................5

BODY ART INSPECTIONS .......................3 TANNING FACILITY INSPECTIONS .......13SOLID WASTE INVESTIGATIONS ............2

COMMUNICABLEDISEASE

TUBERCULOSISTuberculin testing, consultation and medication are available to all Henry County residents.

Class II positive reactors .......................... 1Class III active TB .................................... 0TB tests ................................................ 370

COMMUNICABLE DISEASES INVESTIGATED

Animal bites ............................................. 5Chicken Pox ........................................... 28Campylobacteriosis .................................. 1Cryptosporidiosis ..................................... 3E Coli ........................................................ 0Giardia ..................................................... 4Group A Strep .......................................... 1Hepatitis A ................................................ 0Hepatitis B ................................................ 3Hepatitis C .............................................. 11Histoplasmosis ........................................ 0Lyme Disease ........................................... 3Meningitis: Aseptic ................................... 0 Bacterial ................................ 0Mumps ..................................................... 0Pertussis .................................................. 6Salmonella ............................................. 11Shigellosis ............................................... 1West Nile Virus ........................................ 0Novel Influenza ........................................ 1

SEXUALLY TRANSMITTED DISEASES INVESTIGATED & CONFIRMED

Chlamydia ............................................ 113Gonorrhea ................................................ 6Syphilis .................................................... 0STD Exams .......................................... 139

IMMUNIZATIONSLow cost childhood immunizations may be obtained at the Health Department by appointment, Monday - Friday during regular office hours.

Adacel (Tdap) ....................................... 754DTap ....................................................... 29Hep A (adult & child) ............................. 34Hep B (adult & child) ........................... 491Hib ....................................................... 109HPV (human papillomavirus) ............... 108IPV ......................................................... 17Kinrix (DTap/IPV) ................................. 163Menactra (meningococcal) .................. 452MMR (273) Proquad (0) ...................... 320Pediarix (DTap/Hep B/Polio) ................... 53Pentacel (DTap/IPV/Hib)....................... 368Prevnar (pneumococcal) ...................... 449Rotavirus ............................................. 140Td (adult & child) ................................... 27Varicella (chickenpox) .......................... 375Zostavax ................................................... 4

HOME SERVICES

HOME HEALTH VISITSHome health care enables patients, under the care of a physician, to recover from an illness, injury or surgery in the comfort of their own homes. Services include skilled nursing, home health aide, speech therapy, physical therapy and occupational therapy.

HOME HEALTH VISITS Medicare 3,535 Total Visits: Non-Medicare 2,924 6,459

HOME HEALTH PATIENTS Medicare 178 Total Patients: Non-Medicare 113 291

Admissions: 209 Discharges: 197

HOMEMAKER SERVICESHome services are provided to persons needing assistance with the activities of daily living which include housekeeping, laundry, meal preparation, errands, personal care or companionship. Hours of Clients Service

Private Pay ................153 ...........27,252.75

CCP ...........................274 ...........54,721.50

Title IIIE Respite ..........11 ................497.75

DORS ..........................53 ...........14,871.00

TOTALS .....................491 ...........97,343.00HEALTH EDUCATION

AND AWARENESSA broad selection of presentations is available to community groups, clubs, churches and organizations. Topics include healthy eating, fitness & exercise, handwashing & hygiene, diabetes, childhood obesity, Healthy Hearts, and the Faces of Home Care.

PresentationsDental Health .......................................... 43Emergency Preparedness ........................ 3Fitness/Exercise ..................................... 20Handwashing/Hygiene ........................... 63Heart & Lung Health .............................. 17Health & Wellness .................................. 10Home Care Services ................................. 6Mental Health ......................................... 15Nutrition ............................................... 107Safety ..................................................... 19STD & Birth Control ................................. 9

Information Booths .................................. 6

% ofTotal

2010PAGE3

Established 1825

Area(square miles) ............................... 823Total Acreage ................................ 529,920

Population, 2010 50,486 Under 20 years of age .................11,540 20-65 years .................................29,440 65 & over ......................................8,334

Median Age ........................................ 39.1

Largest Cities: Kewanee ............... 12,916 Geneseo ................. 6,586 Colona .................... 5,099

Average unemployment rate 2010 .....9.6%

School Enrollment, 2010-2011 8,829 Public School ................................ 8,601 Private School .................................. 228 High School Enrollment ................. 2,503

MATERNAL & CHILD HEALTH

HENRY COUNTY HEALTH DEPARTMENTANNUAL REPORT (includes Stark Co. Statistics)2009

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MATERNAL & CHILD HEALTH (Cont'd)

DISEASE PREVENTION

WOMEN, INFANTS, CHILDREN (W.I.C.)* SUPPLEMENTAL NUTRITION PROGRAM The W.I.C. program teaches pregnant women, new mothers and young children how to eat well and stay healthy. New foods added to the WIC food package include whole wheat bread, corn tortillas, brown rice, baby foods, fresh, frozen and canned fruits and vegetables. Reductions in juice, milk, cheese and eggs were made to align with the Dietary Guidelines for Americans.

Total client certifications: ...................2,439

New Clients: Women .............................................210 Infants ...............................................309 Children ............................................110 Number of clients receiving food coupons (average per month) ......................1,127

Attendance at Nurtrition Education classes: Women (Pregnant/Breastfeeding) .....670 Infants (Parents) ...............................848 Children (1 - 5 yrs.) ...........................879

FAMILY PLANNINGThe Family Planning Program provides basic family planning services to all Henry and Stark County residents. Pregnancy testing, Pap smears and contraceptives are provided. The clinic emphasizes education, personal responsibility and prevention as the means for good family health. Total client visits ............................... 2,564

EDINBURGH SCREENINGSScreenings for post partum depression Screenings .................................... 1,504

FAMILY CASE MANAGEMENTFamilies of eligible women, infants and children may receive preventative care and health care services which include development of a care plan, face-to-face contacts, and home visits.

New client admissions Women ........................................450 Infants & Children ........................415Home visits ..........................................493

Preventive medicine is the key to good health, and health screenings are an essential part of staying healthy. Our primary goal is to prevent chronic diseases or to detect them in their early stages when they are most treatable.

BLOOD PRESSURE SCREENINGSBlood pressure screenings are important to monitor your blood pressure, which should always be less than 140/90.

Community Clinics ..................................10Screenings provided .............................388

BLOOD DRAWSLow cost blood draws for fasting blood profiles, such as CBC, Chem Screen, Thyroid, & PSA are available M-F beginning at 7:30 a.m. A wide range of blood tests may be obtained with a physician order.

Basic Profiles ........................................442CBC .......................................................477Thyroid ..................................................113PSA .......................................................295Physician ordered labs .......................2,508

INFLUENZA VACCINATIONSThe seasonal flu vaccine is a trivalent vaccine (a three component vaccine) with each component selected to protect against one of the three main groups of influenza viruses circulating in humans. Last year, 2 separate vaccines were required for seasonal flu and for H1N1 prophylaxis. The H1N1 virus was included in the 2010-2011 sesasonal influenza vaccine.

Seasonal flu ......................................3,107Pediatric flu ...........................................684Pneumonia .............................................94

2010

PROFILE OF HENRY COUNTY

MCH HIGH RISK VISITSPublic health nurses make periodic home visits to expectant mothers and to premature and other high risk infants and their mothers. High Risk Infant Births ...........................28High Risk Infant Visits .............................42

HEALTHY KIDSThis program provides children ages birth to 21 with periodic well child screenings to detect potential developmental or physical problems. Children are referred to their family physician or other medical specialist when problems are detected.

Well child screenings ........................ 181 School physicals .............................. 306 Blood lead screenings ...................... 792 Denver Screenings ........................ 1,044

HEALTH CARE ENROLLMENT ASSISTANCE

Illinois Healthy Women ........................ 120Medicaid Presumptive Eligibility .......... 142All Kids ................................................... 30Pediatric Primary Care ............................. 4

HEALTHWORKSMedical Case Management for Foster Children .......................... 34

SMOKE FREE ILLINOIS ACT (SFI)

The intent of the Smoke Free Illinois Act which went into effect January, 2008, is to protect the public from the harmful effects of exposure to tobacco smoke by prohibiting smoking in public places and places of employment and within 15 feet of any entrance. The person who owns, operates, or otherwise controls a public place or place of employment must make a reasonable effort to prevent smoking. In addition, "No Smoking" signs that comply with the law must be posted at all entrances and exits. The Health Department enforces the provisions of the Smoke Free Illinois Act through inspections for compliance, issuance of citations, and assessment of fines.

Complaints received ................................22Compliance checks .................................39Warning letters..........................................8Citations issued .......................................15Violation letters .......................................15

Administrator's Message Haveyoueverheardthephrase,"whenpublichealthworks,nothinghappens?"Thisconceptappliestoallpreventionactivities.Whenpublichealthworks,wedon'thaveoutbreaksoffoodandwaterborneillness.Wedon'tseepreventablecommunicable diseases like polio, measles or smallpox. We are able toidentifydiseaseintheearlystagestopreventcomplications.Itisextremelyimportantthatpublichealthremainsstronginourcommunity.

Continuing toprovidepublichealthservices in2010waschallengingandwillcontinuetobechallengingin2011.ManyofourprogramsrelyonStatefunding.BecauseofthefinancialcrisisinIllinois,Statepaymentsarebeingdelayedsixmonthsormore.Fortunately,soundfiscalpracticesattheHealthDepartmenthaveallowedustoremainstrong.

TheSmokeFreeIllinoisActprohibitssmoking inanybuildingopentothepublic.IffallsupontheHealthDepartmenttoenforcethislaw.Mostrestaurantsandbarsareabidingbythelaw.Thosethatdonotfacefinesandthepotentialoflosingtheiroperatingpermit.

EmergencyPreparednessremainsanimportantpartofpublichealth.Whileweexercisetheprevention/treatmentofalargediseaseoutbreak,themostimportant message to the community is personal preparedness. Everyhouseholdshouldhaveanemergencykitwithenoughsuppliestotakecareofthemselvesforatleast72hours.Ifeveryonedidthis,ourfirstresponderscouldfocusonthemorecriticalissues.

Thepublicworld iseverchangingbutone thing remainsconstant, "whenpublichealthworks,nothinghappens."

IwanttoexpressmysincerethankstothestaffoftheHealthDepartment,theHenryCountyHealthBoard,theHenryCountyBoard,andallthepeopleofthecommunityforallowingustofulfillourmission,"Toprotectandimprovethehealthofthecommunity."

Gail Ripka, MHAPublic Health Administrator

Administrator's Message Haveyoueverheardthephrase,"whenpublichealthworks,nothinghappens?"Thisconceptappliestoallpreventionactivities.Whenpublichealthworks,wedon'thaveoutbreaksoffoodandwaterborneillness.Wedon'tseepreventablecommunicable diseases like polio, measles or smallpox. We are able toidentifydiseaseintheearlystagestopreventcomplications.Itisextremelyimportantthatpublichealthremainsstronginourcommunity.

Continuing toprovidepublichealthservices in2010waschallengingandwillcontinuetobechallengingin2011.ManyofourprogramsrelyonStatefunding.BecauseofthefinancialcrisisinIllinois,Statepaymentsarebeingdelayedsixmonthsormore.Fortunately,soundfiscalpracticesattheHealthDepartmenthaveallowedustoremainstrong.

TheSmokeFreeIllinoisActprohibitssmoking inanybuildingopentothepublic.IffallsupontheHealthDepartmenttoenforcethislaw.Mostrestaurantsandbarsareabidingbythelaw.Thosethatdonotfacefinesandthepotentialoflosingtheiroperatingpermit.

EmergencyPreparednessremainsanimportantpartofpublichealth.Whileweexercisetheprevention/treatmentofalargediseaseoutbreak,themostimportant message to the community is personal preparedness. Everyhouseholdshouldhaveanemergencykitwithenoughsuppliestotakecareofthemselvesforatleast72hours.Ifeveryonedidthis,ourfirstresponderscouldfocusonthemorecriticalissues.

Thepublicworld iseverchangingbutone thing remainsconstant, "whenpublichealthworks,nothinghappens."

IwanttoexpressmysincerethankstothestaffoftheHealthDepartment,theHenryCountyHealthBoard,theHenryCountyBoard,andallthepeopleofthecommunityforallowingustofulfillourmission,"Toprotectandimprovethehealthofthecommunity."

Gail Ripka, MHAPublic Health Administrator