Annual Report 2012 FULTON COUNTY HEALTH DEPARTMENT HEALTHY RESIDENTS SAFE ENVIRONMENT BETTER QUALITY OF LIFE OUR MISSION: SERVING OUR COMMUNITY

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1 Annual Report 2012 FULTON COUNTY HEALTH DEPARTMENT HEALTHY RESIDENTS SAFE ENVIRONMENT BETTER QUALITY OF LIFE OUR MISSION: SERVING OUR COMMUNITY BY IMPROVING HEALTH THROUGH: DISEASE PREVENTION EDUCATION ENVIRONMENTAL SAFETY What is Public Health? The science of protecting and improving the health of communities through education, promotion of healthy lifestyles, and research for disease and injury prevention. Actions that help improve the health and well being of people in local communities and around the globe. Actions that prevent health problems before they occur.

2 HEALTH COMMISSIONER S MESSAGE MICHAEL P. ORICKO, MSEPH Welcome to the 2012 Fulton County Health Department Annual Report. We hope you will be able to spend a few minutes exploring its content. We believe that there is something of interest to everyone on these pages or available at our new website ( You may be surprised by the range of services and information we provide. In 2012, we took a number of steps to assure our ability to continue providing balanced services. One of those undertakings was working with the Fulton County Partners for Health to provide a Community Health Assessment. The assessment provides all of us with information on the health status and health issues of our community. During this time of limited funding, the assessment will help us focus our efforts in those areas of greatest concern to county residents. The next step will be to again work with our county health partners to develop a plan to address those issues found. The final assessment report is available on our website. The assessment will also assist your Health Department in becoming accredited. Health Department accreditation is a new concept in Ohio. This process will further our efforts to continue providing the best services possible while keeping taxes down. Being proactive, we did not wait for the recent economic downturn to affect our budget. Using good business practices, we started reducing staffing levels, looking for savings and alternative funding to prevent additional costs to the community. We have continued our cost savings policies, while taking steps to maintain programs and services in such a way that those we serve are minimally affected. We wish you good health. Jana Bourn, MD Medical Director Board of Health Members Kerry Vandock, Keith Lehman, MD, Dave Nafziger, David Pelok, DDS, Jane Sauber, Denise Heban Judy Murtiff served 19+ years as a board member for the Fulton County Health Department. April 1993 through September 2012 Visit us on the web: Leadership Team Sandy Heising, Kim Cupp, Mike Oricko, LuAnne Stanley Jane Sauder, Cindy Rose

3 VITAL STATISTICS GENERAL BUSINESS HOURS Monday - Friday 8:30 a.m. to 4:30 p.m. The first Thursday of each month until 6:00 p.m. Fulton County Health Department is the place to go to purchase a birth certificate for anyone born in the State of Ohio. Statewide issuing of birth certificates began mid-december of Since its inception, issuing of birth certificates in Fulton County increased 15% the first year (2011) and in 2012, we increased 23%. Birth certificates issued in 2010 = 1211 Birth certificates issued in 2011 = 1427 Birth certificates issued in 2012 = 1565 Death certificates are only issued in the county in which the person died, not necessarily in the county where they lived. Ohio Department of Health is diligently working to expand statewide issuance access to death certificates from 2007 to the present, by late Top names of boys in 2012 for Fulton County: Ethan, Lucas, Noah and Carson Administrative Support Staff Jeannie Hamilton, Jane Sauder, Sandy Heising, Jill Precht Other Interesting Stats Fulton County Deaths Burial vs Cremation: % were cremation % were cremation % were cremation 2012 Fulton County Birth & Death Statistics** BCCP The Breast and Cervical Cancer Project (BCCP) is a multicounty project that is housed right here in Fulton County at your Health Department. BCCP funds screening services such as: pap/pelvic Top names of girls in 2012 for Fulton County: Brooklyn, Kaydence, Brinleigh and Rylee Breast & Cervical Cancer Project Staff Lisa Grime, Christa Bickel, Jaime Fogarty, Tammy Bialorucki, Becky Schermond exam, clinical breast exams, mammograms, and, when necessary, diagnostic services for women 40 and over who have no health insurance. BCCP is made possible through funding from the CDC and the Ohio Department of Health. Just last year, BCCP was able to offer 1,740 women life saving screenings who would otherwise not have access. BCCP currently serves the counties of Defiance, Erie, Fulton, Henry, Lucas, Ottawa, Paulding, Sandusky, Williams, and Wood. In County Births 274 In County Deaths 302 Causes of Death 152 Males 137 Males 122 Females 165 Females Accident 16 Alzheimer s/dementia 21 Cancer 57 Heart / CVA 85 Other Natural 63 Pulmonary / Pneumonia 44 Suicide 9 Pending Investigation 5 Homicide 2 **These numbers do not reflect the number of births or deaths of Fulton County residents occurring in neighboring counties. 60% of women age 40 and over had a mammogram in the past year. Fulton County Community Health Assessment Find us on Facebook

4 Our Reproductive Health & Wellness Clinic Provides Affordable Care To Women AND Men Our clinic helps our residents by helping women and men: Prepare for pregnancy by encouraging physical and mental well-being. Consider whether they are financially prepared to have a baby. Receive life saving screenings to promote early diagnosis and treatment for cervical and breast cancer (pap tests and breast exams for women). Receive STD testing and treatment to prevent the spread of disease. To have access to care if they are uninsured or under insured by providing services on a sliding fee scale (no one is ever turned away if unable to pay). IMMUNIZATION HIGHLIGHTS 5 important reasons to vaccinate your child Vaccines prevent serious childhood diseases and can save your child s life. Vaccines are very safe and effective. Vaccines save your family time you don t miss work or school. Vaccines save you money fewer medical expenses and hospitalizations. Vaccines protect future generations by eradicating diseases like polio. Did you know that immunizations protect infants from 14 serious childhood diseases? To have full protection, these vaccines should be given by age two. Vaccines not only protect your small child, but they protect others you care about, like your grandparent who has a chronic disease or another child who has cancer and cannot receive vaccines. Although diseases like polio and diphtheria are not common here, these diseases don t stop at our borders they are only a plane ride away! If every American child was fully vaccinated this year, it would: Save 33,000 lives. Prevent 14,000,000 in infections. Save 10 billion dollars. Visit us on the web: Family First & Healthy Choices Caring Communities Staff Lou Moody, Karen Pennington, Beth Thomas PUBLIC HEALTH EPIDEMIOLOGIST Antibiotics have been used for the past 70 years to treat diseases caused by bacteria. Antibiotics are very beneficial when prescribed and taken correctly. However, many of these drugs are losing their effectiveness in fighting disease. Some bacteria have become resistant to EPIDEMIOLOGIST MARK ECKHART antibiotic treatments over the past decade. According to the Centers for Disease Control and Prevention (CDC), repeated and improper uses of antibiotics are primary causes of the increase in drug-resistant bacteria. Misuse of antibiotics jeopardizes the usefulness of these essential drugs. We need to decrease inappropriate antibiotic use to control these resistant organisms. You can help by understanding that antibiotics cure bacterial infections like Tuberculosis (TB) or Methicillin-resistant Staphylococcus aureus (MRSA), not viral infections like colds or flu. Always take antibiotics exactly as prescribed by your doctor and complete the entire course of antibiotics even if you are feeling better. If treatment stops too soon, some bacteria may survive and re-infect you. According to CDC, antibiotic resistance is becoming one of the world s most pressing public health problems. Be Wise. Immunize!!!

5 COMMUNITY HEALTH SERVICES Free Clinic of Fulton County The mission is to provide free medical care to uninsured adults of Fulton County using volunteer health care professionals. Eligibility: 18 to 64 years of age, no insurance of any kind, and meet income criteria. For more information or to schedule an appointment, call your Fulton County Health Department at Our Prenatal Clinic Provides Quality Care to Fulton County Residents BCMH Bureau for Children with Medical Handicaps BCMH is a program of the Ohio Department of Health and can benefit families of children with a qualifying chronic medical condition or a suspected medical condition. Your Fulton County Public Health Nurses assist families with the referral and application process as well as health education, advocacy and linking the family with useful resources in our community. Our clinic: Provides access to care for women who would not have prenatal care unless they went to another county. Provides early entry into prenatal care which is so important for healthy birth outcomes. Provides patients with physical assessments at each visit. Provides nutrition and parenting education. HELP ME GROW Fulton County Help Me Grow is a program of the Fulton County Family and Children First Council. The program is designed to provide services for families and their children age zero to three. The Help Me Grow program serves Ohio s families of expectant parents, newborns, infants and toddlers. The program is designed with your family s concerns and needs in mind. Its goal is to ensure newborns, infants and toddlers have the best possible start in life by providing support and empowering families to meet daily challenges. Community Health Services Staff Rachel Kinsman, Deb Roth, Mary Apodaca, Amy McVey, Stefanie Johnson, Linda Burkholder, Karen King, Andrea Schwiebert, Cindy Rose, Heather Johnson, Deb Weirauch The Fulton County Health Department collaborates with Help Me Grow to provide developmental screenings and evaluations for children whose parents have concerns about their child s development. A Public Health Nurse also provides a home visit with Help Me Grow for children with a qualifying medical diagnosis. NURSING HOURS Monday, Wednesday & Friday 8:30 a.m. to 4:00 p.m. IMMUNIZATION HOURS Friday mornings 8:30 a.m. 12:00 noon First & Third Thursdays 2:00 p.m. 6:00 p.m. Find us on Facebook

6 WIC (Women, Infants and Children) WIC Promotes Health and Health Care Savings WIC Provides nutrition education and healthy foods to help families make healthier lifestyle choices. WIC provides nutritious food which helps to combat hunger and reduce obesity. Obesity rate for children enrolled in WIC declined between 2003 and 2010 from 15.2% to 14.9%. WIC helps pregnant women receive timely prenatal care. WIC lowers infant deaths by reducing the incidence of low birth weight and pre-term births. WIC promotes breastfeeding through breastfeeding support, Breastfeeding Peer Helpers, and a monthly breastfeeding support group. WIC lowers Medicaid costs. WIC lowers medical costs by improving prenatal care, improving length of pregnancy and increasing birth weight. WIC children are better immunized and are more likely to have a regular source of health care. WIC OFFICE HOURS Monday - Friday 8:30 a.m. to 4:30 p.m. First & Third Thursdays 8:30 a.m. to 6:00 p.m. Phone: (419) or In 2012, Fulton County ranked 4th in the state of Ohio with a breastfeeding initiation rate of 67%. WIC Staff Amy Clark, Erica Miller, Gina Gruber, Lisa Johnson, Jessica Hernandez Kelley Hester, LuAnne Stanley, Maureen Lammy Health Commissioner Michael P. Oricko, MSEPH Administrative Support Staff Jeannie Hamilton, Account Clerk Sandy Heising, Adm. Assistant/Registrar Jill Precht, Nursing Clerk Jane Sauder, Fiscal Supervisor BCCP Jaime Fogarty, LSW, Project Coordinator Tammy Bialorucki, BCCP, CM Christa Bickel, BCCP Clerk Lisa Grime, LPN, CM Becky Schermond, BA, CM Environmental Kim Cupp, RS, BS, Environmental Director Sandy Burkholder, Environmental Clerk STAFF MEMBERS Jeff Crisenbery, RS, BS Pat Wiemken, RS, BS Community Health Services Cindy Rose, RN, BSN, Nursing Director Mary Apodaca, RN, BSN Linda Burkholder, RN, BSN Heather Johnson, RN, BSN Karen King, RN, BSN Rachel Kinsman, BS Amy McVey, RN, BA Deb Roth, RNC, OGNP Andrea Schwiebert, RN, BSN Stefanie Johnson, RN, BSN Deb Weirauch, RN Epidemiologist Mark Eckhart, MPH Family First Council Initiatives Lou Moody, MSN Karen Pennington, BS Beth Thomas, MSW, LSW WIC LuAnne Stanley, RDLD, WIC Project Director Gina Gruber, DTR Jessica Hernandez, Clerk Kelley Hester, Clerk Maureen Lammy, RDLD Erica Miller, DTR Breastfeeding Peer Helpers: Amy Clark Lisa Johnson Visit us on the web:

7 ENVIRONMENTAL HEALTH DIVISION The Environmental Public Health Staff of your Fulton County Health Department inspect, consult, and educate to limit the spread of diseases. Below are several of the ways they are engaged in assuring a healthier environment for us all. Retail Food Facilities 413 Licensed 1098 Consults and Inspections Water Supply Systems 45 Installation Permits Issued and Inspected 312 Water Samples Collected for Testing Sewage Treatment Systems 60 Installation Permits Issued and Inspected Campgrounds 5 Licensed and Inspected Public Swimming Pools 16 Licensed and Inspected Housing and Nuisance Investigations 606 Consults & Inspections Due to Complaints Schools 64 Building Facility Inspections Rabies Prevention 90 Animal Bite Investigations 10 Specimens Tested Solid, Infectious, and Composting Waste 75 Consults & Inspections 13 Home Sale Certifications 97 Subdivision/Lot Split Inspections & Consultations 4 Tattoo and Body Piercing Inspections & Consultations 6 Smoke Free Workplace Inspections & Consultations Environmental Staff Jeff Crisenbery, Kim Cupp, Oscar Hernandez Pat Wiemken, Sandy Burkholder Find us on Facebook

8 FULTON COUNTY HEALTH DEPARTMENT 606 S SHOOP AVENUE WAUSEON OH Phone: (419) Fax: (419) fultcohd@odh.ohio.gov PRSRT STD ECRWSS U.S. POSTAGE PAID EDDM RETAIL VISIT US ON THE WEB: Local Postal Customer Find us on Facebook PLEASE REMEMBER TO VOTE ON TUESDAY, MAY 7, 2013 HEALTH DEPARTMENT FUNDING COMES FROM VARIOUS SOURCES COMMUNITY HEALTH SERVICES Personal Health Service Fees $365,692 15% Income in 2012 $2,384,214 Environmental Program Fees $150,303 6% Clinic Related Contacts 11,249 Nursing Hour Coverage (Individuals served) 2,984 Blood Pressure Clinics (individuals served) 539 Persons Immunized (Childhood and Adult Immunizations) 2,962 Local Health Levies $734,542 31% Grants $1,133,677 48% Adults Immunized Against Flu 1,388 Prenatal Clinic Visits (25 patients served) 188 Reproductive Health Clinic Visits (serving women and men of all ages) 3,263 Personal Health Service Expenses $912,856 36% Expenses in 2012 $2,552,649 Environmental Program Expenses $347,442 13% Case Management Contacts & Services (for Help Me Grow, BCMH, BCCP, Child & Family Health, Communicable Diseases, General Public Health, Lead Screening) Individuals Screened by School Nurses (Delta, Evergreen, Fayette, Holy Trinity & Pettisville Schools) 327 children referred for further evaluation; case management services provided to 40 school children. Additional School-Related Services (all schools in the county including Baby Think It Over, teen pregnancy prevention efforts & tobacco education) 3,055 5,568 1,856 Health Education and Outreach Contacts (180 sessions including: After School Program, Early Childhood & Preschool Evaluations, HMG Community Screenings, car seat education & preschool nutrition programs) 1,513 Grant Expenses $1,292,351 51% Community Health Education Contacts (228 sessions/events conducted) 5,158 WIC Clinic Visits 4,308