Monthly Report. Narrative: Subject: Administration Report March I. Core Activity A. Administration

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1 Subject: Administration Report March 2015 I. Core Activity A. Administration Health Promotion Alcohol Tobacco Heart health, Exercise Influenza Skin Cancer Prevention Healthy aging Poison Prevention Blood borne pathogen training. Nutrition Education, Diabetes Narrative:

2 B. Environmental Health Recreational Bathing Plan Review Youth Camps Bloomingdale Total facilities licensed Facilities inspected Facilities reinspected Enforcement action Preoperational inspections Reinspections Florham Food Surveillance Plan reviews Total licensed Establishments inspected Requiring reinspections Complaints Enforcement action Vending machines licensed

3 Enforcement Actions and Complaints Bloomingdale Complaints: - Garbage piled in driveway on Ryerson Ave. Abated Florham : No complaints Kinnelon Complaints: No complaints Pequannock Complaints: - Chatfield Drive- Hoarding situation - Plains Plaza- Oil & Grease exceedance at treatment plant - No hot water (renter) Newark Pompton Tpk. - Debris along fence in dumpster area at 166 Turnpike strip mall Ongoing - Debris in dumpster area at 574 Turnpike strip mall Ongoing - Garbage and debris behind building at 481 Route 23 Ongoing - Debris around compactor behind building at 500 Route 23 Ongoing - Garbage in the rear of the property at 600 Route 23 Ongoing Riverdale: - Garbage blowing onto neighbor s property on Evans Rd Class Number of Attendees Pequannock 14 (3 Florham, 4 Pequannock, 7 Kinnelon) Florham Spanish Class 3/17/ registered Increase in Pretesst & Posttest Scores 13% No test administered Florham Spanish Class 3/31/ registered No test administered

4 Public Health Nuisance Complaints Investigations Enforcement actions Water and Wastewater Well permits Septic permits Septic construction inspections Sewage site inspections Complaints Body Art Massage salon inspections Tanning salon inspections Body art inspections Bloomingdale Florham Narrative

5 C. Communicable Diseases Reportable Disease Gastrointestinal Diseases Hepatitis B Hepatitis C Lyme Disease Vaccine Preventable Diseases Other Reportable Diseases Narrative: Communicable Disease Section- Florham Other - case of Q fever - closed as not a case VPD - case of Mumps- closed as possible Kinnelon Other 2 cases Babesiosis 1 case erlichiosis Pequannock VPD Influenza confirmed closed

6 Immunizations School Program Bloomingdale Florham Total schools Schools Audited Enforcement Total preschools i. Preschools Audited ii. Preschools Reinspected Total Elementary Schools K-5 i. Elementary School K-5 Audited ii. Elementary School K-5 Reinspected Total Middle Schools 6-8 i. Middle School 6-8 Audited ii. Middle School 6-8 Reinspected Total High Schools 9-12 i. High School 9-12 Audited ii. High School 9-12 Reinspected Narrative School audits---8 total schools audited this month. All immunization audits are now completed, deficiencies should be complete and required paperwork submission to the state will be finished by mid-april

7 Rabies & Zoonosis Control Dog licenses issued Cat licenses issued Pet shops, kennels inspected Animal bite investigations Unlicensed dogs found on canvass Dogs impounded Cats impounded Dogs redeemed Cats redeemed Dogs adopted Cats adopted Dogs euthanized Cats euthanized Dogs vaccinated in free clinic Cats vaccinated in free clinic

8 D. Maternal and Child Health Infant & Preschool Children 6 months to 18 years Children served annually <200% federal poverty level (unduplicated) Total visits Referred Children immunized (unduplicated) Total immunizations Influenza Vaccinations Community influenza Childhood Lead Poisoning Risk assessments Age appropriate children referred for screening Initial positives Confirmed positive by venous Residences abated Narrative

9 F. Adult Health 1. Cancer Services Bloomingdale Individuals screened for skin cancer Referrals for skin cancer Male prostate screening Referrals for prostate cancer Referrals diagnosed with prostate cancer Florham 2. Cardiovascular Disease Hypertension screenings Referred for medical evaluation Educational programs Educational program participants Newly diagnosed hypertensive Cholesterol screening Referred for medical evaluation

10 3. Adults (18-59) Adult Health Services/PHN Visits Table 1 Adults screened (unduplicated) Referred All PHN visits Table 2 Adult Immunizations (doses) years of age Seasonal influenza Zostavax Pneumococcal Tetanus 0 4. Older Adults (60+ years of age) Adult Health Services/PHN Visits Table 1 Adults screened (unduplicated) Referred All PHN visits Table 2 Adult Immunizations (doses) 60 + years of age Seasonal influenza Zostavax Pneumococcal Tetanus

11 II Elective Activity A. Vision Vision Bloomingdale Total adult vision screening Total preschool vision screening Glaucoma screening Florham Vision acuity referred Narrative Pre School Vision Screening- Pequannock Holy spirit School- Total screened 28 Referrals 3 Pompton Plains Preschool Total screened 9 Referrals 6 **The nurses are currently working on a survey to be sent to the schools for feedback on the program and additional data.

12 III. Vital Statistics I. Records Accepted Marriages: Resident Non-resident Domestic Partnership: Resident Non-resident Civil Union: Resident Non-resident Births: Resident Non-resident Deaths: Resident Non-resident Fetal Death: Resident Non-resident II. Residential Deaths by Cause Heart Disease Cancer Stroke Respiratory Disease Accidents Suicides All others

13 IV. Revenues Licenses $0.00 $1, $0.00 $ $0.00 Permit fees $0.00 $0.00 $ $ $0.00 Personal Health Programs $0.00 $0.00 $0.00 $20.00 $0.00 Animal control $3, $1, $2, $2, $ Vital Statistics $20.00 $1, $ $6, $ Total Revenues $3, $4, $2, $9, $1, Educational Programs: Jean, Pete and Sue participated in a CDC conference call- Ebola Updates Jean and Sue attended the Epidemiology and Prevention of Vaccine Preventable Diseases Conference March 17 & Rutgers State University Jean and Sue attended the [NJDOH] Foodborne Disease Outbreak Training for Local Public Health Departments; March 26 in New Brunswick Jean and Sue participated in a meeting for NJIIS [New Jersey Immunization Information Registry] user groups; they are in the process of obtaining input from users to update the system. The process will take a few years to complete. ****Jean and Sue visited 3 Long-term care facilities in Florham 1. St. Ann s villa 2. Cheshire Home 3. Wynwood Met with the Directors and provided them with Outbreak Training this toolkit of information was created to educate and assist them in the event of an outbreak within their facility. *** All Long-term care facilities within our jurisdiction have been visited Child Health Conference CHC held 3/12/15 2 children seen 1 for physical exam/immunizations: 1 immunizations only

14 Outbreak Investigation Summaries Summaries completed and sent to NJ DOH for Outbreaks at Bloomingdale Health Center (GI & Respiratory) and Brighton Gardens (Respiratory) Pre School Asthma Intervention Training Manual Completed and presented to London Day School for their review and implementation as appropriate. (done 2/25/15) Community Training Assisted a Pequannock Boy Scout to obtain a Medicine Merit Badge by allowing him to accompany the PHN to Riverdale Senior Center BP Screening. The nurses instructed him on how to take a BP, the significance of the values, and basic cardiovascular disease principals.