The Larimer County Board of Health (BOH) convened its regular meeting at 7:25 PM at the Larimer County Department of Health and Environment (LCDHE), 1525 Blue Spruce Drive, Fort Collins, CO


         Members Present:                     C.J. McKinney, Ph.D.

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

Lee Thielen, M.P.A.

Steve Yurash

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

Staff:                                         Marie Macpherson, Paula Lady, Averil Strand, Gerry Blehm,

                                                            Ed Schemm

          Commissioner:                          Steve Johnson


1.   The Board of Health meeting was called to order at 7:25 PM.  Approval of the minutes of the April 11, 2013 meeting was tabled until the June 2013 meeting.

2.   Onsite Wastewater Treatment System - proposed fees for 2013 – Ms. Macpherson presented to the BOH information regarding proposed fees for 2013 and a proposed  increase in the Minor Residential Repair fee of $75.  She reported that in 2012 the department recovered 91% of our costs without implementing the fee increase which was approved March 2012.  This was possible because of an increase in the number of permits issued and a reduction in costs due to a staff member’s unexpected retirement and refill of the position with at a lower level on the position’s range.   The approved increase was not implemented due to competing demands on staff time (implementation of ADP, High Park Fire) and difficulty defining a clear policy regarding fee waivers should the approved fees prove an obstacle to septic system repairs or replacement.

       Mr. Yurash made a motion that for 2013 the BOH approve the $75 increase for the minor residential repair.  Dr. Richards seconded the motion.

After some discussion, Ms. Thielen said she would not support the increase for minor residential repairs since the 2012 increase had not yet been implemented. Ms. Macpherson indicated that fee waivers in the state of Colorado are rare and some health departments handle this internally.  The Board indicated they did not want to delegate a decision to waive septic system fees to the department, and wanted such requests to be reviewed by the Board on a case-by-case basis.       

            Mr. McKinney asked for a vote on the motion regarding the fee increase of $75 for minor repairs.  Motion passed 3-1.


3.   Update on County vision, mission, goals – Dr. LeBailly shared with the BOH the Vision and Goals the Commissioners’ office  is currently updating.  Commissioner Johnson said that it has been about 5 years since any updates have been made to the County’s mission statement and goals.  Commissioner Johnson said that the priorities and goals outlined in the handout will be what the Senior Management Team will be looking at over the next several months as they develop a strategic plan. 


4.   Topics for discussion at June joint meeting with the BCC – The June 13th  meeting with the BOH will begin at 6:00 pm and include Commissioners Tom Donnelly and Lew Gaiter.  Commissioner Steve Johnson will be unable to attend.  Items suggested that the BOH might like to discuss with the Commissioners include: Amendment 64 and the Board of Health Resolution on retail sales of edible cannabis; an update on NCAP’s Syringe Exchange Program; the Community Health Improvement Plan’s two priorities: Raising Healthy Children, and Mental and Emotional Well-Being; Tax Increment Financing issues, such as the expected demand for restaurant plan reviews, openings, and ongoing inspections at the “revitalized” mall in Fort Collins, while property tax revenues for this location are frozen for the next 25 years; the effect of base budget reductions on the department and the effects of further cuts in 2014 and 2015; $200 million in County fund balance;  the Colorado Health Benefits Exchange grant (if funded); the Commissioners’ 2014 budget prioritization process. Dr. LeBailly will put together some issues and talking points to send out to the BOH for review before that meeting. 

5.   Review of draft statement on edible cannabis products – In follow-up of the Board’s direction at the April meeting, Dr. LeBailly presented a draft resolution related to potential retail sales of edible marijuana products in Larimer County. Board members suggested changes to some bullet points and some specific language in the draft.  Ms. Thielen asked that, in addition to the resolution, the Board also write a letter to the editors of area newspapers.  Dr. LeBailly will incorporate the suggested changes in the draft resolution and send it to the Board for final review and for the President’s signature.  Mr. McKinney will use the points in the resolution to develop a letter to the editor. 

Mr. Yurash made a motion to approve the resolution as amended per the discussion.  Ms. Thielen seconded the motion.
 Motion passed 4-0.  

6.   Director’s report
●  Dr. LeBailly updated the Board on the Community Health Improvement Plan (CHIP) progress and the two priority areas: Raising Healthy Children, and the Mental and Emotional Well-Being.  For the first topic, some of the priorities and goals of the Early Childhood Council and the Partnership for Healthy Youth will be incorporated in the plan.  For the second, the Mental Health Partnership’s goals will incorporated.  For both priorities, goals focusing on primary prevention and reducing health disparities will be included.  Meetings of task forces will begin in early June and be completed in October. 

●  Agricultural animals in urban areas – the City of Fort Collins has a plan to encourage urban agriculture.  The City has allowed chickens and want to add ducks and miniature goats.  Dr. LeBailly is concerned about a disease called Q fever which is shed by a variety of livestock including goats and can cause serious disease in high-risk people.  Q fever is very hardy in the soil and can last for months to years and cannot be decontaminated.  Dr. LeBailly says there are a lot of unknowns about Q fever,  and it is difficult to diagnose.  Outbreaks have occurred in neighbors of goat farms and raising them in an urban area is not desirable.   She indicated she would like to hold off until more information can be reviewed.  Most emerging infectious diseases come from animal sources.

●  Board of Health Education plan – This topic will be discussed at the June meeting.

●  Other – Dr. LeBailly expressed her appreciation to Ms. Thielen and presented her with a card and an appreciation gift as this was Ms. Thielen’s last meeting.

7.   Next meeting: June 13, 2013 - Joint meeting with BCC at 6 PM, regular meeting at 7 PM.

8.   Adjourn – The meeting was adjourned at  9:10 PM.



_____________________________    _____________________________________________

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