MESSAGE FRO M THE H E A LT H COMMI S SI O N E R

HANCOCK COUNTY 2010 ANNUAL REPORT www.co.hancock.oh.us/bdhealth Hancock County Health Department Phone: 419-424-7869 Fax:419-424-7872 Email: bdhealth@co.hancock.oh.us 1644 Tiffin Avenue, Suite B Findlay, Ohio 45840 MESSAGE FRO M THE H E A LT H COMMI S SI O N E R This annual report highlights the activities and services provided by the Hancock County Health Department during 2010. Business Hours 8:30AM to 4:30 PM Monday - Thursday Board of Health President Gregg A. Henschen Term Expires 2013 Vice-President Edward James Term Expires 2011 Licensing Council Larry L. Lovell Jr. Term Expires 2012 Michael Lindamood, M.D. Term Expires 2015 Karen Jones, BSN, RN, CEN Term Expires 2014 We have strived to maintain essential services and improve health during a time of financial difficulty. Even though our regular office hours shrank to Monday-Thursday, 8:30 AM - 4:30 PM, we remain available twenty-four hours a day and three hundred sixty-five days a year for public health emergencies. The Hancock County Health Department tries to effectively communicate with our citizens. We have improved our website and strive to keep it current. The Health Department also faxes important information to all local Doctors, Hospitals, and Pharmacies. We use the local newspaper and radio to communicate timely with all in Hancock County. The Hancock County Health department is committed to being prepared for any situation. Our Sanitarians, Nurses, and Medical Director are continually updating their education. We participated in a county-wide Mass Fatality Drill in 2010. The department also had a booth at the Hancock County Fair to provide All Hazard Disaster Preparedness Education. In conclusion, the Hancock County Health Department has been here to protect your health in 2010 and will continue to do so in 2011. H E A L T H D E PA R T M E N T S TA F F Greg A. Arnette, M.D. Health Commissioner Monica Lozier Clerk & Registrar Tom Davis Compliance Officer Frances Meeks, R.N. Director of Nursing Sue Siebeneck, R.N. Public Health Nurse Karen Boner, R.N. Public Health Nurse Jenny Adomanis Immunization Clerk Lindsay Summit, R.S. Director, Environmental Health Kelly Bechstein, R.S. Registered Sanitarian Steve Jozwiak, R.S. Registered Sanitarian 1

2010 Annual Report School Nursing Program The Hancock County Health Department s nursing staff works closely with school administrators in coordinating and providing state mandated screenings. For the second year in a row, the total number of students attending the seven local schools in Hancock County increased slightly from the previous school year and is now 5160. We also provide similar services to Trinity Lutheran School in Jenera. During the school year each school is visited on a regular basis depending on the enrollment and special needs of that school to provide the required health services. These services include vision, hearing, and scoliosis screening as well as immunization review. Student education presentations and staff in-services are also provided. School Enrollment & Student Contacts Arcadia Arlington Cory-Raw son Liberty Benton McComb Trinity Lutheran Van Buren Vanlue Enrollment 587 620 643 1255 764 78 1041 250 Student Contacts 440 403 407 867 554 50 698 174 A Breakdown of How our Nursing Hours are Spent and Other Nursing Data Can be Found on Page 6 Vaccination Program NURSING One of the most important services offered by the Public Health Nursing staff is the monthly immunization clinics. We provide vaccines to children from birth through 18 years of age using state funded vaccine. We also provide certain adult vaccines such as Influenza, Hepatitis A & B, HPV, Tetanus and Shingles. *We have seen an increase in Medicaid clients *Vaccinations administered increased by 21% in 2010 BCMH Bureau for Children with Medical Handicaps The nurses work with the Bureau for Children with Medical Handicaps (BCMH) as advocates for children with special health care needs. This involves making home visits to help determine what the individual needs of that child are. The Public Health Nurses help families locate and then coordinate services for these children. The nurses function as a liaison between the Ohio Department of Health and the families. Time spent working with children on this program is billable at $40.00 per hour. This program brought in $11,610 to the Hancock County Health Department in 2010. Communicable Disease Follow-up When an infectious disease is identified by a laboratory or physician s office they are required by law to report this information to their local health department. The nursing staff then contacts the individuals for the appropriate follow-up investigation. All of this data is reported to the Ohio Department of Health by an online program called the Ohio Disease Reporting System (ODRS). *We currently continue to see a rise in cases of Chlamydia and Hepatitis C in Hancock County SMOKING PROGRAM Smoke Free Ohio On December 7th 2006 Section 3794 of the Ohio Revised Code became law. The Hancock County Health Department has worked for the last three years to help the Ohio Department of Health investigate violations of this law. The amount of complaints and investigations dropped immensely and in June 2010 the Hancock County Board of Health voted not to renew the contract with ODH. Immunization Action Plan Grant IAP grant funds are designed to raise infant immunization rates in Hancock County to reach the 2011 goal that 90% of all children will be up-to-date on vaccinations by 2 years of age. This is done in two ways: A Power Point Presentation is presented in the Physician s office to educate the staff and physician on new vaccine recommendations, schedule changes and ways to improve the immunization rates in their offices. Four presentations were done in 2010. A computer generated assessment of immunization rates is done in the physician s office. The results of the assessment are shared with the office staff and recommendations are made for strategies to raise immunization rates. Five assessments were done in 2010. The IAP Grant contributed $36,690 to the Health Department in 2010 Tobacco Sales To Minors In 2001 the Hancock County Board of Health passed Health Regulation 2002-01. This licensure and compliance program was designed to keep tobacco out of the hands of juveniles. In 2010 Hancock County had 16 vendors obtain this license. Total numbers for this program are shown on page 6. Ohio Buckles Buckeyes This state program provides the Hancock County Health Department with car seats for distribution to qualifying low income families. As certified car seat safety technicians the nursing staff has received in-depth training on car seat installation and work with parents to ensure that their child s car seat is properly installed. This is done by appointment at our office as well as at various community functions. 2

E N V I R O N M E N T A L D I V I S I O N The Hancock County Health Department has three full time sanitarians responsible for inspections. The following programs are state mandated programs which we must enforce: food service, vending, public swimming pools, recreational vehicle camps, manufactured home parks, private water systems, home sewage treatment systems, solid waste, animal bites, tattoo parlors, and school buildings. The environmental division also inspects schools, investigates nuisance complaints, and conducts vector borne disease testing and surveillance. Some of the significant highlights of 2010 are mentioned below. Sewage On July 1, 2010, SB 110 became effective with regards to new state wide sewage rules. SB 110 allows local health departments to continue to use their current sewage rules until the state adopts new rules on or after January 1, 2012. The biggest change that we have had to prepare for with SB 110 is that it requires each Health Department to have a sewage appeals board. The sewage appeals board is made up of members who have been appointed by the health commissioner, the probate court judge, and someone appointed by the director of health. The sewage appeals board will be responsible for hearing concerns from the client who would like to appeal the sanitarians decision with regards to their sewage treatment system. The sewage appeals board members for Hancock County are, Dr. James Jaffe, Polly Sandhu, and Russell Smith. Each member will serve a two year term with that term expiring December 16, 2012. Updates with regards to the sewage rules can be found on the Ohio Department of Health s website at www.odh.ohio.gov. Licenses Issued For the Following: Sewage Disposal System Installers 19 Sewage Tank Cleaners 18 Sewage System Evaluators 6 Sewage Service Providers 9 Animal Bites During 2010, 68 animal bites were reported to the Hancock County Health Department consisting of 59 dogs, 8 cats, and 1 raccoon. The health department is responsible for following up with the animal owners to make sure the dogs and cats have been properly vaccinated for rabies. If a wild animal or stray bites a human, if possible, the animal head will be submitted to the ODH laboratory for testing. Radon Awareness Thanks to a grant received this year, the Hancock County Health Department, in conjunction with Seneca County Health Department, has offered 19 FREE radon detection kits to the citizens of Hancock County. You cannot see, smell, or taste radon gas but it may be a problem in your home. When you breath air containing radon, you increase your risk of developing lung cancer. In fact, the Surgeon General has warned that radon is the second leading cause of lung cancer in the United States today. If you smoke and your home has high radon levels, your risk of lung cancer is especially high. Please contact the environmental division anytime during normal business hours to request your FREE kit! ENVIRONMENTAL DIVISION INSPECTION/INVESTIGATION TOTALS FOR 2010 Park-Camp Programs 7 Temporary Camps 8 Food Programs 314 Manufactured Home Park 5 Pool,Spa,Special Use Pools 42 Private Water Systems 48 School Inspections 23 Household Sewage Disposal 256 TOTAL INSPECTIONS 703 INVESTIGATIONS Nuisance Complaints 54 Animal Bites 37 TOTAL INVESTIGATIONS 91 2010 Annual Report Solid Waste In 2010, 93 trucks were registered to haul solid waste to the Hancock County Landfill. 100 inspections were performed on solid waste hauling trucks, while the landfill was inspected 5 times. We received complaints on 3 different businesses over the year with regards to scrap tires requiring 6 inspections. Hancock County has 4 Compost Facilities and 2 Infectious Waste Facilities which are licensed by the OEPA. Since we are an approved Solid Waste District, we are required to complete the inspections. The compost facilities were inspected 10 times, and the infectious waste facilities were inspected 3 times. A new clean hard fill site was approved in 2010 bringing us to a total of 2, and 4 inspections were completed. As for the C&DD, 4 inspections were performed and the facility has not begun construction. 3

2010 Annual Report S I G N I F I C A N T NUMB E R S & FA C T S FOR 2010 COMMUNICABLE DISEASE TOTALS Campylobactor 2 4 4 Chlamydia 31 42 52 Coccidioidomycosis 1 0 0 Cryptosporidiosis 1 4 0 E-coli 1 0 0 Giardia 1 1 1 Gonorrhea 7 5 2 Hepatitis A 0 3 1 Hepatitis B 3 5 2 Hepatitis C 18 15 16 H1N1 0 3 1 Influenza A 0 3 0 Lyme Disease 1 0 0 Meningitis Viral 0 1 0 Meningitis Bacterial 0 0 0 Pertussis 4 1 1 Salmonella 3 4 2 Shigatoxin 0 1 0 Strep Pneumonia 6 1 1 Syphilis 2 0 0 Varicella 24 0 6 TB Screening Totals for the Previous 3 Years Tuberculosis Screening 215 181 138 BCMH Children on Program 63 58 83 T O B A C C O R E G U L A T I O N 2 0 0 2-0 1 Vendor Locations Licensed 16 Rounds of Compliance Checks 2 Individual compliance Checks 32 Vendors That Sold to Operatives 1 Hearings 1 *Clerks are doing a better job checking for IDs. Many vendors have put in ID card scanners to check age which makes this process easier. Vital Statistics In 2010 there were a total of 2 births in rural Hancock County, one male and one female. Along with these births there were 50 female deaths and 43 male deaths stemming from the causes stated in the chart to the right. Birth and Death Certificates bring $25 dollars a piece to the Health Department and in 2010 there were a total of 47 Birth Certificates issued as well as 409 Death Certificates. The Hancock County Health Department also issued 2 burial permits in 2010. Nursing Breakdown of Working Hours Immunization Grant 8% Emergency Misc * 17% Preparedness 18% BCMH 9% Vaccines 24% Schools 20% Communicable Disease 4% * Misc Includes - Administration - Car Seat Program - Meetings - Community Education Total Immunizations Given during the past 3 years Immunization Child 4247 4062 5215 Adult 276 436 356 Influenza 919 990 1089 TOTAL 5442 5488 6660 Leading Causes of Disease in 2010 Cancer 27 Various Diseases of the Heart 29 Lung Disease 8 Stroke 6 Accidental 6 Suicide 6 Diabetes 3 Renal Failure 3 Homicide 1 Parkinson's 1 Pneumonia 1 Respiratory Failure 1 Other 1 4

From medical and nursing services to active Environmental Health protection, your local Health Department is ready to assist all citizens in rural Hancock County on becoming and staying healthy. Therefore, it shall be the Health Department s aim to continue to strive to provide the highest quality of health care services that are practical and to protect the community s environmental well-being. Our Mission Health Department Programs See where the Hancock County Health Department s revenue comes from! Be Healthy Now Birth & Death Certificates Blood Pressure Checks Bureau for Children with Medical Handicaps Car Seat Safety Checks Communicable Disease Surveillance Emergency Preparedness Health Education 2010 FINANCIAL SUMMARY BEGINNING CASH BALANCE Fiscal Report INCOME $ 366,470 Hearing Screenings Immunizations Lead Program Medical Reserve Corps School Nursing HIV Testing TB Tests Vision Screenings Environmental Health EXPENSES Health Fund #8 530,614 436,788 Food Service #26 42,998 61,255 Swimming Pools #44 3,901 7,453 Mobile Home & Recreation Parks #50 Private Water Systems #51 10,528 7,755 22,044 25,952 Solid Waste Facility #56 60,004 59,071 TOTAL $ 670,088 $ 598,274 ENDING CASH BALANCE $447,284 Tow nship & Village Apportionment Client Fees/Licenses Grants State Subsidy For more information please see our website below: www.co.hancock.oh.us/ bdhealth 2010 Beginning Cash Balance $366,470 Revenue: Township & Village Apportionment 275,000 Client Fees/Licenses 297,339 Grants 92,539 State Subsidy 5,210 Total 2010 Revenues $670,088 Total Funds Available $1,036,558.09 Expenses: Salaries 303,747 Benefits (including health Ins.) 89,430 Supplies 33,208 Fees to State of Ohio (EPA/ODNR) 85,102 Insurance (Liability) 5,675 Advertising & Print 1,879 Contract Services 34,304 Travel (Meetings/Car Lease) 12,147 Equipment 17,620 Other Expenses _15,162 Total 2010 Expenses $589,274 2010 Ending Cash Balance $447,284 5