WOODFORD COUNTY HEALTH DEPARTMENT ANNUAL REPORT. DEC. 1, 2010 Nov. 30, 2011

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WOODFORD COUNTY HEALTH DEPARTMENT ANNUAL REPORT DEC. 1, 2010 Nov. 30, 2011 1831 South Main Street Eureka, IL 61530 Phone: (309) 467-3064 FAX: (309) 467-5104 www.woodfordhealth.org

Woodford County Board of Health The Health Department is governed by the Board of Health. These members are appointed by the County Board for a three year term. Health Department Board Members serve without compensation and are empowered with general and specific duties and responsibilities as outlined in Chapter III 1/2 of the Illinois Statutes. Term Ending Bernard Bucher, Jr., DMD President 11/30/13 Susan Cole, MD Vice-President 11/30/11 Tom Evans County Board Representative 11/30/11 Gary Schaer 11/30/11 Mary Jean Peterson, RN, MSN Secretary 11/30/11 Charles Tanton 11/30/11 Lynn Manning 11/30/13 Health Department Staff Laurie Schierer, MS Eric Lane, BS, LEHP Lynda McKeown, RN, CHP Hillary Aggertt, BS Tricia Gillespie, BS Erin Luckey Crystal Remmert, RN, CHP Cindy Thompson, RN Paul Wilkins, BA Administrator Director of Environmental Health Director of Nursing WIC Coordinator Communicable Disease Coordinator Health Educator Bookkeeper/Grants Manager Receptionist MCH Nurse MCH Nurse Environmental Health Inspector, Tobacco Grant Coordinator MISSION STATEMENT The mission of the Woodford County Health Department is to improve the health and well-being of our community through health education, health promotion, and preventive health services.

Environmental Health Food Protection Program: The Woodford County Health Department Food Sanitation Program promotes food safety through education. The Health Department offers a variety of educational opportunities through free in-service programs, IL Food Service Sanitation Manager Certification courses, consultations, and informational quarterly newsletters. The Woodford County Health Department also provides specialized training and plan design consulting for new establishments. In addition, the Health Department regularly inspects/monitors food activities in Woodford County food establishments. There are on average 194 retail foodservice establishments licensed & operating in Woodford County. Statistics 2011 2010 2009 Retail Food Establishments active at fiscal year end 193 193 197 Total food establishment permits issued for year 202 199 206 Routine Inspections 224 263 247 Re-inspections 2 6 5 Pre-Operational Inspections 25 15 25 New Establishments 18 10 19 Temporary Food Establishment Inspections 145 134 139 Food Sanitation Classes 3 3 3 HACCP Trained Operators 34 29 33 Consultations 729 832 724 Complaint Investigations 17 19 31 Number of Compliance Proceedings 0 0 0 Number of Holds/Embargoes Placed 0 0 0 Tanning Facilities Inspections Statistics 2011 2010 2009 Indoor Tanning Facilities Inspections 9 11 10

Septic and Water Well Programs: The sewage disposal and drinking water programs work together to protect the drinking water supplies for residents outside city water treatment areas and to prevent pollution by overseeing standards for proper on-site sewage disposal. Services include: permitting and inspection of all newly constructed or renovated wells and sewage disposal systems; inspection of well and sewage systems during real estate transactions; interpret and report water sample results; oversee safe drinking water systems for all non-community wells from which more than 25 persons are served; investigation and resolution of complaints; and provide educational materials/presentations upon request. SEWAGE: Sewage Permits Issued: 2011 2010 2009 2008 New: 54 49 50 61 Renovated: 46 50 66 48 Sewage Systems Inspected: New: 37 52 47 5 Renovated: 46 52 56 47 Sewage Complaints: 12 4 9 12 WELL: Well Permits Issued: 53 36 56 59 Wells Inspected: 43 40 50 58 Real Estate Inspections: 76 64 51 57 Non-Community Wells: 16 14 12 14 Water Sample Results: 423 412 544 (flood) 585 (flood) Water Complaints: 2 4 1 6 Body Art Program: All establishments providing body art services such as tattooing, piercing, branding or scarification are required to be registered with the Department. Upon receipt of a completed application, an inspection is conducted to monitor compliance with the program. 2011 2010 2009 Number of Body Art Establishments: 1 1 1

Vector Program: West Nile Virus is a major public health concern. In 2011, WNV impacted Illinois with 34 human cases and 3 deaths. Woodford County had no human cases. No birds or mosquito pools tested positive for the West Nile Virus. St. Louis Encephalitis is also a mosquito-borne infection of the brain caused by the SLE Virus. Woodford County reported no cases of St. Louis Encephalitis. The Vector Program for WNV included surveillance and education. Below is a summary of the surveillance and education activity. 2011 2010 2009 2008 WNV educational events/displays at community events: 2 3 4 6 Number of bird Specimens collected and tested 6 10 9 2 Number of bird specimens positive for WNV: 0 0 0 0 Mosquito traps set to test mosquitoes for WNV: 25 43 35 53 Number of Mosquito pools positive for WNV: 0 0 0 0 Number of humans positive for WNV: 0 0 0 0 Number of used tires collections: 1 1 0 1 Radon Program: The Woodford County Health Department encourages residents to check the radon levels of their homes. The best time to check for radon is during cold weather when windows and doors are closed. Test kits are available through the Health Department for $10.00. The cost includes: short-term charcoal envelope, laboratory analysis, and shipping. 2011 2010 2009 2008 Radon test kits sold: 86 38 40 58

Tobacco Prevention & Cessation Community Health The WCHD offers tobacco prevention education, cessation support, and monitors compliance with the Smoke Free Illinois Act. WCHD distributed over 150 quitsmoking bags which contained materials to assist county residents in their efforts to quit smoking. WCHD also promoted use of the IL Tobacco Quitline, a toll-free service that provides counseling and assistance to smokers while they are in the process of quitting. The WCHD collaborates with the IL Tobacco Quitline to provide vouchers to those who can not afford to purchase nicotine replacement patches or Chantix medication. The Break the Habit program provides this assistance at a reduced cost that is affordable for those without adequate insurance coverage. The Woodford County Tobacco Coalition is part of a larger group known as Citizens Against Substance Abuse (CASA). The community has been invited to participate in this coalition. The Smoke Free Illinois Act was monitored by complaints received from residents who observed customers smoking in county establishments. Follow-up with those establishments occurred either by letter or in person to facilitate compliance with the law.

Alcohol and Other Drug Prevention The Strategic Prevention Framework, State Incentive Grant (SPF/SIG) was awarded to the Woodford County Health Department (WCHD) and Citizens Against Substance Abuse (CASA) Coalition in 2008. Each fiscal year, action is taken to produce a successful partnership between the coalition and the community. Creating environmental change within the county is also a focus of the Partnerships for Success (PFS) grant. We are continuing the SPF/SIG process through the PFS grant. Responsible Beverage Service Training (RBS) was the first of the environmental strategies offered in 2009 through WCHD and CASA. RBS training was offered in April and July of the 2011 fiscal year. The first training had three participants attend and the second training had eleven participants. This class will continue to be offered twice a year in correlation with routine compliance checks that are conducted by the Sheriff s Department. The second strategy implemented in 2011 was the CASA Communication Campaign. This is a media campaign which carries alcohol prevention messages throughout the Woodford County. The campaign has two main target populations: teens and parents of teens. Each message in the media is based on results of the Illinois Youth Survey (IYS) conducted in the schools every two years. The students see the billboards more than the parents, and the parents see the commercials more frequently than the students. The media for Prom campaign was designed to target teens through the usage of billboards and parents through the usage of commercials. The teen billboards read Please Return On Monday, Choose NOT to Drink with a picture of the local teachers in each of the three communities. The commercial encouraged parents to know what their child is doing during the Prom events. The second media campaign in September targeted Homecoming. The media campaign commercial targeted parents to keep their child safe and know where their child is. Billboards were displayed in Eureka, Germantown Hills and Washburn for eight weeks. The commercial ran on cable and network television for six weeks. Another campaign was in conjunction with policy change. For three weeks billboards displayed Those Who Host Lose the Most. The media campaign will be based on the IYS data collected by the local schools, as well as the needs of the community in 2012. CASA has also been working to promote the Drunkstopper.com website and hotline through the Illinois State Police. Drunkstopper allows people to anonymously report underage drinking parties or establishments that are selling alcohol to youth. CASA provides magnets, posters and information on underage drinking parties in this county, as well as many other communities in surrounding areas. CASA has been actively seeking members for the youth coalition. CASA is an organization offered through the six high schools in the county. The individual schools have formed their own CASA Youth coalitions. The participation has increased drastically from 9 students in 2009 to 106 students in 2010 and 116 in 2011. The purpose of the youth coalition is to help students build positive relationships with their peers concerning underage drinking and substance abuse. The CASA coalition is attempting to pass a social hosting ordinance in each individual municipality. As of November 2011, the coalition has worked with key stakeholders in Eureka, Germantown Hills, Minonk, Metamora, and Washburn. The coalition will be working with Roanoke and El Paso in the near future. There are individuals over the age of 21 hosting underage drinking parties in Woodford County. The intent of the social hosting ordinance is to support efforts in the reduction of underage drinking parties.

Maternal and Child Health Women, Infants, and Children (WIC) Program WIC is a federally funded, supplemental food program that provides nutritional information and free foods to help mothers, infants, and children get the nutrients they need for proper growth and development. The Woodford County WIC clinic is conducted on Monday, Tuesday and Thursday by appointment. Clients Certified 675 Clients Attending Nutrition Education including Internet Education 748 Lead Poisoning Program Clients Screened at WCHD 191 Woodford County with Elevated Blood Lead Levels 4 Immunizations The immunization clinic is open each Wednesday from 7:30 a.m. to 11:30 a.m. and 1:00 p.m. to 3:30 p.m., as well as other days by appointment. Clinic services are available to children and adults. Minimal administrative fees are assessed. Services are not denied, however, due to lack of payment. 2011 Adult Immunization Doses Administered 69 Childhood Immunization Doses Administered 1184 Seasonal Influenza Adult Doses Administered 168 Seasonal Influenza Infant/Child Doses Administered 112

Communicable Disease The Communicable Disease, Sexually Transmitted Disease, and HIV/AIDS Coordinator is available Monday through Thursday 7:30 a.m. to 4:00 p.m. and Friday 8:00 a.m. to 12 noon. This department s services help to control the spread of specific communicable diseases as determined by the Rules and Regulations for Control of Communicable Disease. The Coordinator investigates reports of cases of disease and educates those involved in control measures to prevent the spread of the disease, reviews the case for appropriate treatment, and is a resource to the physician for care and treatment measures. Annually this department participates in surveillance in the community for influenza. The department also serves as a resource to the community, day cares, schools, nursing homes, etc. 2011 2010 Chlamydia 56 33* Creutzfeldt-Jacob Disease 0 1 Cryptosporidiosis 1 2 Giardiasis 1 7 Gonorrhea 8 6 Haemophilus influenza 1 0 Hepatitis B (chronic) 5 0 Hepatitis C Virus Infection Chronic or Resolved 4 4 Lyme Disease 0 1 MRSA in infant less than 61 days 0 1 Pertussis (Whooping Cough) 1 2 Salmonella 3 5 Shigellosis 2 0 Strep A Invasive Disease 3 0 Syphilis 1 0 Varicella (Chicken Pox) 1 0 *This number was adjusted from the previously reported number of 30 for 2010. The WCHD offers Tuberculosis (TB) testing on Monday and Tuesday from 7:30 a.m. to 3:30 p.m., Wednesday mornings from 7:30 a.m. to 11:30 a.m., and Friday mornings from 8:00 noon. Woodford County has had a total of 4 active cases of TB and 8 cases of Latent TB Infection in 2011.

Health Department Fiscal Report REVENUES Property Tax $ 142,126 Interest Received $ 3,720 Childhood Lead Grant $ 1,000 Susan G. Komen Peoria Memorial $ 844 Lead, Health Department $ 350 Local Health Protection Grant $ 63,201 Immunizations, Health Dept. $ 16,700 Illinois Tobacco Free Grant $ 23,600 Immunizations, State of IL $ 450 Water Grant $ 1,525 Immunizations, County Employees $ 435 Village of Goodfield - TIF Settlement $ 215 Health Dept. TB $ 2,930 Vector Control Grant, State of IL $ 1,500 Food Operations Permits $ 30,081 Radon Kits $ 786 Summer Food Fac. Inspections, IL $ 150 Other Revenues $ 91 Tanning Facility Inspections $ 850 Water & Septic Fees $ 28,060 Miscellaneous $ 24 Family Case Management/Public Aid $ 9,763 WIC Program $ 64,131 Body Art $ 413 Family Case Management $ 30,980 Cities Readiness Initiative $ 62,609 Partnership for Success $ 73,126 Public Health Em Response $ 24,164 HBG, Health Department $ 30 Public Health Em Preparedness $ 61,436 Medicaid, State of IL $ 33,714 Medical Reserve Corp. $ 5,000 Medicare, State of IL $ 1,140 Smoke Free IL Citations $ 500 TOTAL REVENUES $ 685,643 EXPENDITURES Department Head Salary $ 64,033 Full Time $ 278,756 Part Time $ 23,224 New Equipment $ 37,922 TB Services $ 3,087 Contract $ 166,734 PTO $ 2,319 TOTAL EXPENSES $ 576,074 Fund Balance 11/30/2011 $ 531,406