Clinton County Health Department

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Clinton County Health Department ANNUAL REPORT FY 2017 It is the mission of the Clinton County Health Department to provide services to protect the public s health, and to enhance the quality of human life through health education, health promotion, and prevention. Through responsible use of resources, the department will provide those services identified as needed through the community health needs assessment and also provide those services mandated in its role as a unit of government.

To Our Citizens STRATEGIC HIGHLIGHTS Updated health codes Improved operational standards Health Department designated agency to conduct liquor inspections Strategic plans to provide new services HEALTH PRIORITIES Prevention of Illness and Disease Dental Health Mental Health OPERATIONAL CHANGES In order to better serve the citizens of Clinton County, the Health Department continues the hours of operation of 8:00-4:30. Laboratory services continue to be open on Fridays at 6:30 a.m. In addition, collaborative efforts have been instituted with health care services throughout the county to promote emergency preparedness to keep our residents as safe as possible in the event of an emergency and provide health services to promote healthy living for our residents. Regular in-services, cross-training, quality improvement, and staff meetings are conducted to improve the systems and processes within the organization to promote coordination of services and increase the efficiency of the programming. LOOKING AHEAD The Clinton County Health Department is looking to build a new building to accommodate current services and add additional services to meet the needs of the citizens of Clinton County and fill gaps in services. The health department continues to increase collaboration with community members and continues to improve efforts to meet the health, safety and wellbeing of the citizens of Clinton County. Cheryl Lee, M.S. Administrator January 19, 2018 Clinton County Board of Health 1

Stephanie Pitt, MS, MPH, RDN, CDE, MCHES....President David Munz, Ph.D....... Secretary Kathie Heimann RN.... Treasurer Dr. Deanna Ducomb... Board Member Dr. Chris Rivera.....Board Member Michelle Scott, DVM.....Board Member Robert Hyten, III, DMD.Board Member Rafael Him. County Board Member Bob Netemeyer.......County Board Member Jim Homer Rakers County Board Member The Health Department wishes to thank the board members for their dedicated service to the health department and the citizens of Clinton County. Clinton County Health Department Staff 2

Cheryl Lee, M.S.......Administrator Marian Voss.......Assistant Administrator Aggie Becker, M.A., B.S Prevention and Preparedness Coordinator Jennifer Boyd.... Public Health Nurse Kaitlin Fuller... Peer Counselor Michelle Hawes RN.......Public Health Nurse Bev Krieger......Deputy Diane Kuhl, M.S., B.S.N..Clinic/Health Educator September McAdoo MA,MPA......Emergency Response Coordinator Louise McMinn..........Peer Counselor Robert Rehkemper. WNV Kris Tebbe........Deputy Jennifer Steinkamp, RN. Public Health Nurse Holly Timmermann LEHP....Licensed Environmental Health Practitioner 3

Clinic Programs Adhering to our mission, the Clinton County Health Department strives to provide services to protect the public s health and to enhance the quality of health through health education, health promotion, and activities to focus on the prevention of disease. Programming is designed to address the health needs of the community based on a comprehensive community health assessment called the IPLAN. Based on the findings of the 2016 IPLAN the priorities for our county are Prevention of Disease and Illness, Dental health, and Mental Health. SERVICES Immunizations (Adult/Child/Infant) Communicable Disease Control TB Screening and Treatment Venipunctures for Laboratory Analysis Free Blood Pressure Screening Allergy and Medical Injections Women, Infant, and Children (WIC) Health and Nutrition Program Family Case Management/Referral Services Developmental Screenings High Risk Infant Follow-up/Adverse Pregnancy Outcome Reporting System (APORS) Health Works Lead Screening/Follow-up Breastfeeding Support DNA Testing Drug Screening COMMUNICABLE DISEASE/IMMUNIZATION/OTHER SERVICE OVERVIEW 2017 COMMUNICABLE DISEASE CONTROL CHLAMYDIA...87 CRYPTOSPORIDIOSIS... 5 ECOLI 0157:H7.... 1 EHRLICHIOSIS.. 0 GONORRHEA...11 Haemophilus Influenza..1 HEPATITIS B...4 4

HEPATITIS C Acute...0 HEPATITIS C Chronic or Resolved...33 INFLUENZA with ICU Hospitalization....5 INVASIVE STREP A 2 LYME DISEASE. 1 PERTUSSIS. 2 ROCKY MOUNTAIN SPOTTED FEVER..1 SALMONELLA...7 SHIGELLOSIS 1 SYPHILIS...0 TYPHUS..1 VARICELLA.0 YERSINIOSIS......0 IMMUNIZATIONS TOTAL IMMUNIZATIONS...418 DTAP.. 5 GARDICIL...12 HEPATITIS A...35 HEPATITIS B...34 HIB...16 MENACTRA...38 MMR...17 PEDIARIX...15 PENTACEL.....0 PREVNAR...22 PROQUAD.....10 5

PNEUMONIA 3 ROTARIX/KINRIX....53 TDAP...100 TYPHOID..18 VARICELLA...17 ZOSTAVAX...6 OTHER MEDICAL SHOTS...182 TB SKIN TESTS.....260 FLU SHOTS.....675 OTHER SERVICES JAIL PRISONERS HEALTH SCREEN......286 BLOOD PRESSURE SCREEN...362 LEAD TESTS...16 ALLERGY INJECTIONS...17 BLOOD LAB TESTS...829 MATERNAL AND CHILD HEALTH OVERVIEW 2017 WIC is a supplemental food nutrition program, counseling and education services for pregnant and nursing women and children up to age 5, who show nutritional and financial need. Number of Clients...367* Number of Food Instruments Issued...20563 Educational Contacts....351 Certifications...557 Follow-up....328 Internet Education......378 Lead Screening....133 6

FAMILY CASE MANAGEMENT Case Management services, including home visits, are available to pregnant women, infants and children who meet financial and age eligibility. Family Case Management staff also provides services for high risk infants through the Illinois Perinatal Tracking program entitled Adverse Pregnancy Outcome Reporting System (APORS) and Medical Case Management for Department of Children and Family Services (DCFS) wards. Clients...170* DCFS Clients...12 APORS Clients...22 *Monthly Average ENVIRONMENTAL HEALTH PROGRAMS OVERVIEW 2017 ENVIRONMENTAL HEALTH PROGRAMS The Clinton County Health Department inspects all retail food establishments, private sewage systems and private water wells within Clinton County. The Clinton County Retail Food Ordinance was adopted December 1, 2002. Food Permit Fees are High Classification $150.00, Medium Classification $90.00 and Low Classification $75, and Temporary Classification $30.00. Food Permits are rated based on the most recent establishment s inspection score: Certified AA (100-97), Certified A (96-92), Certified (91-89) and Passed (87-73). All food establishments are required to post their permit in plain view. Currently there are 38 High, 137 Medium and 41 Low Classification food establishments in Clinton County. Food Sanitation Program: Number of Food Service Establishments 231 Inspections and Re-inspections 133 Potable Water Program: State Water Well Permit $200.00 Well Permits Issued 11 Closed Loop 12 Well Inspections 12 7

Old Wells Sealed 10 Private Sewage Program: County Sewage Permits $125.00 Permits Issued 63 Inspections/Consultations 57 Complaints 14 Nuisance/Solid Waste Program: Complaints Investigated 42 Inspections 61 West Nile Virus Surveillance Samples 410 Viable Samples Tested 320 Positive Mosquito Tests 1 Positive Bird Tests 0 Reported Human Cases 0 PUBLIC HEALTH EMERGENCY PREPAREDNESS 2015 Making sure the public is safe and ready for an emergency is a priority of the Clinton County Health Department. The Clinton County Health Department has an Emergency Preparedness Program and oversees the Emergency Public Health Preparedness activities, Cities Readiness Initiative and the Medical Reserve Corp. The Program works closely with community partners to address and prepare for emergency preparedness. There are over 150 volunteers who work with the program that contributed over 800 hours that equates to over $18,000 worth of time. 8

FINANCIAL OVERVIEW 2017 Revenues Miscellaneous 24% Medicaid 7% Federal 25% Taxes 22% State 22% Taxes State Federal Medicaid Miscellaneous Revenues $748,394 Taxes $164,647 22% State $167,517 22% Federal $184,962 25% Medicaid $53,083 7% Miscellaneous $179,615 24% 9

Commodities, 3% Expenditures Grants, 7% Contracts, 12% Salaries, 78% Salaries Contracts Commodities Grants Expenditures $613,552 Salaries $479,247 78% Contracts $75,907 12% Commodities $14,934 3% Grants $43,464 7% (not audited) 10