February 12, 2008
Rice Conference Room
||Dr. Francis Fox; Mr. Brooke Greenhouse (12:18 PM); Dr.
James Macmillan (12:10 PM); Dr. Jeffrey Snedeker, President
(12:14 PM); and Dr. William Tyler
||Mrs. Sylvia Allinger, Director of CSCN; Mrs. Liz Cameron,
Director of Environmental Health; Mrs. Alice Cole, Public
Health Director; Mrs. Sigrid Connors, Director of Patient
Services; Mrs. Brenda Grinnell Crosby, Public Health Administrator;
Dr. William Klepack, Medical Director; Jonathan Wood, County
Attorney; and Mrs. Patty Stamm, Administrative Assistant
||Mr. Frank Proto and Mr. Greg Stevenson
||Mr. Steven Kern, Sr. Public Health Sanitarian, and Mrs.
Carol Chase, Sr. Public Health Sanitarian
Dr. Snedeker called the regular meeting of the Board of Health
to order at 12:18 P.M.
Approval of Minutes:
Mrs. Connors requested that two corrections be made on Page
1 of the Director of Patient Services Report:
- Under “For Your Information” – the last
sentence should read as follows: “Although the brochure
was written specifically for consumers, the payment system
and its less than simple description continues to perplex
consumers and challenge providers.”
- Under “Kudos’” – item #1 should
read as follows: “To CHN Supervisor Melissa Gatch and
her Home Health Care team for their continued peak level of
work serving the community’s home care needs.”
There being no additions or corrections to the minutes of the
January 08, 2008 meeting, they were unanimously approved as
Mrs. Grinnell Crosby reported she had no written financial
summary due to difficulties with the financial system.
She stated the 4th Quarter State Aid Claim has been filed,
as well as adding that the ’07 application has been amended
since they exceeded what they originally requested for State
Aid. They are currently working on the ’08 application.
Mrs. Crosby reviewed a summary of the 2008 Governor’s
proposed budget impact, which was included in the Board of Health
packets. She pointed out currently there is not a lot of information
available and added they are waiting for further guidance from
NYSACHO and various other groups to help figure out the total
In addition to her written report, Mrs. Cole:
- Thanked Board members for their support during her performance
- Reported she received a very nice letter from Dr. Rob Mackenzie
of Cayuga Medical Center, thanking the Home Health Care team
for all of their help during the Visiting Nurse crisis.
- Passed around the Statewide Influenza Surveillance Report,
adding currently all counties in the State have flu activity.
- Passed out a handout, which was a summary of e-mail inquiries
to “Bob”. Mrs. Cole explained that she, or in
her absence Mrs. Grinnell Crosby, is “Bob.” When
anyone writes to the Health Department website, they write
to “Bob” so that no identifying information will
be given out.
- Passed around the application and resume from Leslie Moskowitz,
whom the Mayor had proposed for the vacant seat on the Board
of Health. Mrs. Cole stated she has had additional conversations
with the Mayor’s office regarding the Mayor contacting
the Restaurant and Tavern Association for potential candidates,
however she has heard nothing back from the Mayor regarding
this. Mrs. Cole stated Mrs. Chase from Environmental Health
gave her the names of three gentlemen in the restaurant business
that might be potential candidates. Mrs. Cole stated she contacted
them, however has only heard back from one at this point and
he is still considering whether he is interested in the position.
The decision was made to wait a while longer since there are
still two other potential candidates from the restaurant business
still to be heard from.
Medical Director’s Report:
Dr. Klepack stated he had nothing to add to his written report.
Division for Community Health:
In addition to her written report, Mrs. Connors reported:
- Regarding the Visiting Nurse Service (VNS), the State completed
their final survey this past week and VNS now has the “green
light” to continue service. The Health Department’s
Home Care Management staff met with the current director,
Barbara Campbell, who is acting as Interim DPS for VNS for
six to eight weeks. Jeanne Henderson, Assistant DPS, will
then likely take over the role of DPS when Ms. Campbell leaves.
Currently, VNS is taking three referrals per week. They will
continue with limited services until they are fully staffed
- There was an increase of 73 reports in the 2007 Communicable
Disease Report over the 2006 report. This increase was seen
primarily in the Hepatitis C, Chronic infection reporting
(10 cases), Hepatitis B, Chronic infection reporting (10 cases),
13 additional rabies cases, and the biggest area was in Sexually
Transmitted Diseases with 55 more Chlamydia infections, 13
Gonorrhea, and six Syphilis cases (as opposed to one case
last year). She added there was a significant reduction in
the vaccine preventable diseases with only five cases of Pertussis
in 2007 as opposed to 39 cases in 2006.
Children with Special Care Needs:
Mrs. Allinger reported they welcomed a new nurse, Cindy LaLonde,
to their program in January. Ms. LaLonde will be working as
a Service Coordinator in the Early Intervention Program.
County Attorney’s Report:
Mr. Wood stated he had nothing to report.
Environmental Health Report:
In addition to her written report:
- Mrs. Cameron thanked Mr. Greenhouse for acting as Hearing
Officer at the February 11, 2008 Public Hearing on proposed
changes to Article VII of the Tompkins County Sanitary Code.
She added she hopes to present Mr. Greenhouse’s report
at the March BOH meeting for approval.
- Regarding Lao Village: Mrs. Cameron requested input from
the Board regarding Lao Village’s fulfillment of its
most recent Board of Health order. Mr. Sisombath has taken,
but not passed a Serv-Safe course. Mr. Sisombath’s attorney
has been working with him and is concerned that language difficulties
continue to make it very difficult for Mr. Sisombath to pass
the course. Lao Village passed their inspection at the Apple
Festival, and Mr. Sisombath has demonstrated knowledge of
safe food concepts to Environmental Health staff. Environmental
Health staff recommended these factors be considered as fulfilling
the Board Order requirement for successful completion of a
Serv-Safe course. Dr. Macmillan moved, that in consideration
of the language difficulties with passing the Serv-Safe course
and that Mr. Sisombath has demonstrated competency in the
practical performance of safe food service concepts, the Board
of Health considers this as fulfillment of the intent of the
resolution pertaining to completion of the Serv-Safe course,
seconded by Dr. Tyler, and carried by a unanimous voice vote.
- Mrs. Cameron distributed a report she received from Robert
Howarth, Ph.D. Apparently Dr. Howarth has taken considerable
interest in how the Health Department made the GWUDI determination
at Taughannock Falls State Park. He is also interested in
the proposed Water District #5 and the GWUDI determination
for Taughannock Falls State Park as a factor in funding for
the proposed water district. Dr. Howarth expressed a number
of concerns in his report, including:
- Taughannock Falls State Park being ordered to join the
new water district #5.
- Whether there is a true public health threat from Cryptosporidium
in the lake or in the park’s water system.
- The risks to other households that might be using the
lake and to recreational swimmers.
- That Bolton Point also poses a small but acceptable risk.
- Procedures and documentation of the Environmental Health
Division due to the fact there were not many phone logs,
e-mails, meeting minutes, etc. in the files.
- The potential ethanol production at the Seneca Army Depot.
- The new water district would make water available so there
would be the potential for large animal facilities in the
Ulysses Water District.
Mrs. Cameron went on to say Dr. Howarth said there is not a
threat from Cryptosporidium to the general population. If there
is a threat, it will only affect those with compromised immune
systems, which is true and is what the regulations are based
on. Mrs. Cameron also reported that Dr. Howarth contacted Michael
P. Wilson, Ph.D., a consultant from SUNY Fredonia. Dr. Wilson’s
response is included in the report. Mrs. Cameron noted that
Dr. Wilson does support the GWUDI determination.
Following a lengthy discussion on this issue, Mrs. Cameron
stated she would be preparing a response for Dr. Howarth with
a copy to the Town of Ulysses. She added that her main concern
was the Ulysses Town Board is again considering the water district
and the deadline for any activity to be taken is approaching.
She stated since the Town Board has been supportive of the water
district and since a copy of Dr. Howarth’s letter was
sent to the Town Board, she would like to clarify any points
that might be misinterpreted by the general public.
Presentation - Overview of Governor’s Task Force Recommendations:
Per Mr. Proto’s request, Mrs. Allinger gave a presentation
on the conclusions and recommendations from the Temporary Task
Force on Preschool Special Education (see handout distributed
at BOH meeting).
In conclusion, Mrs. Allinger reported the Governor is recommending
many of the above referenced recommendations. She stated they
anticipate the preschool program will move from County-based
to school district-based over a five to six year period. She
also stated, although it needs to happen, there are a lot of
challenges with regard to how this is going to flow from one
entity to the other.
Mr. Doug Moore, Operator, P&C Food Market #119;
NYS Public Health Law Violation (ATUPA Violation):
Mr. Greenhouse moved to accept the resolution as written, seconded
by Dr. Macmillan, and carried by a unanimous voice vote.
Environmental Health Community Water Supply Fees for 2008:
Mrs. Cameron stated she was proposing a $130 flat fee for community
water system operating fees for 2008 for the following reasons:
- Recent law suit
- Most water systems did not receive a bill for operating
fees for 2006
- 2007 operating fees were not submitted to the community
water systems until the end of 2007
- New requirements for radiological sampling this year that
will cost the water systems about $250 (new cost to water
systems this year)
She added that using a flat fee of $130 per water system would
generate $13,520 in revenue, which will leave an estimated 2008
budget shortfall of $31,230.
Dr. Tyler moved to accept Mrs. Cameron’s proposed Community
Water System Operating Fee for 2008 of $130 per water system,
seconded by Dr. Macmillan.
Following a short discussion regarding the determination of
community water systems, the proposed Community Water System
Operating Fee of $130 per water system for 2008 was carried
Dr. Macmillan moved to go into Executive Session at 1:33 P.M.
for the purpose of discussing contract negotiations, seconded
by Dr. Tyler. Carried.
Out of Executive Session:
Dr. Macmillan moved to go out of Executive Session at 1:45
P.M., seconded by Dr. Tyler. Carried.
Meeting adjourned at 1:45 P.M.