Cirque Meadows by Adam Johnson




The Larimer County Board of Health convened its regular meeting at 7:00 PM at the Larimer County Department of Health and Environment, 1525 Blue Spruce Drive, Fort Collins, CO.


            MEMBERS PRESENT:                                 Lee Thielen, M.P.A., via telephone

                                                                                    Teri Olson, R.N., M.S.N.                   

                                                                                    Dr. Mark Richards, M.D., M.P.H.

                                                                                    Blair Trautwein, J.D.

                                                                                    Judy Robinson, B.S.N., M.P.H.


      Executive Secretary                                        Adrienne LeBailly, M.D., M.P.H.


OTHERS PRESENT:                                       Marie Macpherson, Gerald Blehm, Edward Schemm,                      Averil Strand, and Amy Smith                                  



     1.   Call to order


            The Board of Health meeting was called to order at 7:10 P.M.



    2.     Approval of minutes of the April 9, 2009 Board of Health meeting


The minutes of the April 9, 2009 meeting were unanimously approved.



3.   Discussion of Nominations for the Joseph Jabaily Public Health Hero Award – Board of Health


The members of the Board discussed the eight nominees they received for the Joseph Jabaily Award, focusing on the criteria the Board had established for the award. 


        **Motion was made to select Lupe Harbison for the Public Health Award

        **Motion was voted upon and unanimously approved



4.   Brief update on the H1N1 situation – Dr. LeBailly


Dr. LeBailly distributed a recent update summary of the H1N1 cases in Colorado.  She reviewed the pandemic severity index which was to be used to trigger the community mitigation measures (such as closing schools).  However the index is based on case-fatality rates which—we’ve seen in this outbreak—are largely unknowable at the time it would be most important to implement these actions.  Dr. LeBailly mentioned that part of the difference in numbers of cases being confirmed by different states was a function of more lab testing being done in some states compared to others.  Colorado provides very limited testing – only for hospitalized patients. 


There remain many unanswered questions about why the clinical cases in Mexico appeared to be more severe than what’s been seen in the U.S.  The Board discussed the potential persistence of novel H1N1 disease through the spring and summer and the possible impact of this virus in the fall when conditions are more conducive to influenza spread.  The southern hemisphere, which is just going in to flu season, may give us an idea of what might occur here in the fall. 


Dr. LeBailly informed the Board that 25% of Larimer County’s share of the antiviral medications in the Strategic National Stockpile had been received, and some of the medications had been shared with our hospitals and more would be shared with safety net health clinics serving low-income patients.  There are currently adequate commercial supplies of Tamiflu and Relenza available for high-risk patients who have prescription coverage.  The National Stockpile supplies are currently restricted to high-risk patients who are unable to access the drugs in other ways, and its use must be tracked to be sure it is not used inappropriately. 


Dr. LeBailly discussed the difficulties of having to communicate to the public and administer both seasonal flu vaccine and additional novel H1N1 vaccine this fall, especially since two shots might be needed just for the novel strain.  Dr. LeBailly mentioned a survey of the public that showed that over 80% were satisfied with how public health authorities had handled the H1N1 outbreak and with the information public health had provided. Ms. Thielen expressed that the public health messaging had been consistent in this outbreak, which helped to reduce confusion.  Dr. LeBailly invited the Board to e-mail her with any flu questions that weren’t answered at this meeting.    



5.   Review and Discussion of Septic Permit fees for 2009 – Marie Macpherson


Marie Macpherson distributed a draft of options for septic fee changes, along with the fees of other local Health Departments.  She requested the members review the options and she explained the cost recovery implications.  The members discussed the options and agreed upon several the following new fees:  remodel permit - $400.00, mortgage loan inspection -$265.00, minor repair permit-$275.00, major repair permit-$525.00, and vault permit-$375.00. An additional state surcharge of $23 will be added to the new, repair, and remodel permits to comply with state statutes.


**Motion was made to increase the septic permit fees

**Motion was unanimously approved



  6.       Information about County Budget process for 2009 – Dr. LeBailly


            Dr. LeBailly distributed information about the 2009 county budget process to the Board and described what is known about the process so far. She updated the members regarding the one budget meeting she has attended so far.  She described the “Health and Well-being” group’s efforts to come up with a single health indicator to share with the public, and the creation of a strategy map to achieve the end of a healthy population.  More training will occur in June, and the Board will be updated as we learn more about this year’s budget process.




7.         Plan for the Joint BOH-BCC meeting, July 9, 2009-BOH and Dr. LeBailly


            The members of the Board discussed topics to present to the County Commissioners and handouts that might be appropriate, including the state statute restructuring local public health, the state/local public health improvement plans, novel H1N1 flu and what the fall may hold, and other issues.


8.         Director’s Report –Dr. LeBailly


            Dr. LeBailly distributed a handout to update the members on the new open-source clinical and public health management system implementation.  She described the development process and the modular structure of the software.


            Dr. LeBailly mentioned that 10 applications had been received for the upcoming open position on the Board of Health, and asked if they would like to suggest any interview questions to the County Commissioners.


            Dr. Mark Richards, Vice-President of the Board agreed to join the interview process at the Commissioners’ office with the applicants.


            Dr. LeBailly also advised the members of the Board, the Food Safety Bill was signed today by the speaker of the House, and should go to the governor soon.



9.         Next meeting will be held on June 11, 2009



10.       Meeting was adjourned at 9:03 pm












__________________________                     ____________________________________

Amy Smith, Recording Secretary                    Adrienne LeBailly, MD, Executive Secretary

Background Image: Cirque Meadows by Adam Johnson. All rights reserved.