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



Members Present:                  N. Mark Richards, M.D., M.P.H.        C.J. McKinney, Ph.D

Lee Thielen, M.P.A.                            Steve Yurash

Debbie Healy, RN, BHS


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


Staff:                                 Marie Macpherson, Avie Strand, Paula Lady, K.T. Gallagher,

                                                      Christy Bush


Public:                                                               Guests:                                    Dr. Bruce Cooper, Medical Director, Health District of Northern

                                                                                                                                          Larimer County,

                                                                                                                          Jeff Basinger, Northern Colorado AIDS Project


1.   Call to order The Board of Health meeting was called to order at 7:10 PM.


2.   Approval of January 19, 2012 meeting minutes – Minutes of the January 19, 2012 meeting were unanimously approved.


3.   Presentation on the 2010 Community Survey results by the Health District of Northern Larimer County – Dr. Cooper briefly explained to the group the history, responsibilities, and services of the Health District.  He handed out the survey used in the 2010 community survey and led the BOH through the findings.  This survey was done approximately 1¼  years ago.  Surveys have been completed every three years since 1995.  The 2010 survey is a mailed survey sent to a randomly selected number of addresses within the Health District and the County, based on a comprehensive mailing list of those 18 years of age and older.  The survey’s risk factor questions generally match those in the CDC Behavioral Risk Factor Surveillance Survey (BRFSS) compiles, but BRFSS is a telephone survey.   Dr. Cooper reported that an advantage of conducting your own survey is that it enables you to do cross tabulations and look at behavior risk factors by age, gender, income, and insurance status to look at disparities.  The BOH asked numerous questions about the survey.  Discussion centered around the age of the respondents as well as the demographics of northern Larimer County compared to southern Larimer County.  The survey results are shared with the Health Department, the Larimer County COMPASS project, as well as Coloradoan, and others, but most of the data are not accessible on a searchable web site.  The District is looking at ways the data could be made more available to others.  Dr. LeBailly indicated that the data from this survey will be a major component of our Community Health Assessment.  At this time Dr. LeBailly introduced Christy Bush who is our project manager for our Community Health Assessment and Public Health Improvement Plan.


4.   .Review of NCAP Proposal for SEP Stakeholder Feedback – Jeff Basinger – Mr. Basinger presented to the BOH a document with a proposed timeline for moving forward with the Syringe Exchange Program (SEP).  These timelines can be revised to meet the needs of the BOH.  Dr. Richards asked what participation is required from the board.  Mr. Basinger indicated that at least two of the board members should be in attendance at community meetings, but all BOH members are welcome to attend.  Dr. LeBailly will keep members informed of meeting dates and times.  NCAP’s MSW intern will be conducting a convenience survey regarding SEP’s within a two mile radius of NCAP.  Notice of meetings will be posted in numerous places that should have exposure to different areas of the community.   The BOH discussed the timeline of a community meeting and ways to enable the community to respond to the idea of the SEP.  

5.   Update on Commissioners Budget Prioritization Process – Dr. LeBailly shared with the BOH the Commissioners preliminary service prioritization to dealt with the budget shortfall caused by the failure of the jail tax .  The bottom line is the county must reduce the overall budget by $10 million in the next three years.  All our department service areas are likely to be reduced, and our maternal and child health services were even considered for elimination by one commissioner.  Since our MCH services are the ones that research shows are key to preventing child abuse and neglect, the prioritization seems to conflict with their high prioritization for child protection services.  Dr. Richards asked the best way to communicate the Board of Health’s concerns and suggested sending a letter to the Commissioners on the Board’s behalf with the approval of the BOH members.      


6.   Board of Health Self-Evaluation – Dr. LeBailly and the BOH went through the 2012 Board self-evaluation,  giving the average of the scores.  There was discussion among the BOH about the evaluation and what suggestions and improvements the BOH can make based on their responses of the survey.  Consideration was focused on areas where  the BOH rated themselves low and how to go about improving their communication, education, and orientation.  


Ms. Thielen handed out information about Designing Healthy Communities.  This presentation will be available through local PBS television stations. 

7.   Director’s Report – Dr LeBailly reported to the BOH information about cases of pertussis in Fort Collins.  The first case that was at a K-12 school in Fort Collins.  In this school 57% of elementary students and 48% of high school students have immunization exemptions.  The child with the pertussis was most communicable during Christmas break so the exposure was not as great as it could have been and no secondary cases have been confirmed.    There are two cases in an early childhood center  that we are following.  There are about 35 children in the school and we have recommended prophylactic antibiotic treatment for all of them as these are very young children at high risk due to age.  Fortunately this group is more highly vaccinated.  Dr. LeBailly indicated that she will be meeting in March with the Poudre School District to discuss immunization levels and exemptions.    


Dr. LeBailly spoke about CANDO and their efforts to improve health through changes in the built environment.  She and Doug Ryan from Environmental Health will be attending a meeting with CANDO and will keep the BOH informed.


Ms. Healy inquired about the tuberculosis  outbreak in Longmont.  Dr. LeBailly shared with the BOH information of what she knew about the outbreak. This is being handled through Boulder County.


8.   Next meeting – March 8, 2012 at 7:00 pm.

9.   Meeting was adjourned at 9:45 pm.



_________________________________       ___________________________________________________

       Paula Lady, Recording Secretary                               Adrienne LeBailly, MD, Executive Secretary