Board of Health - Regular Meeting

All right. We're going to call the meeting of the Board of Health to order. If we could all rise and do the Pledge of Allegiance. I pledge allegiance to the flag of The United States Of America and to the republic for which it stands, one nation under God, indivisible, with liberty and justice for all. Okay.

Let the record show that all members except for doctor Vogel are here and present. We are waiting. She may come later. So I'm seeking a motion to approve the minutes, or twenty five fifteen thirty eight. I'm seeking a motion to approve the minutes of the November 12 meeting. Move to approve. K. Is there a second? Second. Thank you, Deb. Any comments, questions, changes? All in favor, say aye. Aye. Opposed? Abstentions? Passes unanimously. Action item twenty six zero zero two five. At this time, I'd like I'm seeking a motion to hold this until the February 11 meeting.

Move to hold.

Second. Second. Okay. We attorney Gladstone, did you wanna add anything in on that? And what's your number?

I'm on.

Okay. Good.

Yeah. I think Friday, we received a communication from the attorney representing, Stateview Commons, Keystone Futures LLC, requesting this due to I think it's included in his request, but due to, professional and personal, emergency that he couldn't get out of. I was able to speak with doctor Seepers. Neither of us, I mean, sort of reluctantly have no reason to object, not objecting to the one time adjournment, with the understanding that barring something really extraordinary, this will go at the next month's hearing.

Okay. Great. Any other comments or questions? Colin I have a Okay. Ahead. Sorry.

I'm just wondering, do we know are they continuing to operate this as a temporary rooming house despite having received a cease and desist order? Yes. Okay. So I think it's just worth noting on the public record that this property is operating effectively illegally as an Airbnb, as a temporary rooming house. This temporary rooming house does not meet our code requirements for life safety.

So important to make a note of that for the public record. Again, this is at 532 West College Avenue, which is known as State View Commons. So I just public record, even as we consider holding off on this hearing until our next meeting of the Board of Health. So thank you. I just wanted to make that clear.

Great. Thank you very much, Mayor Woodford. All right. We're going to group some of these together. So 26

Chair, we, just a point of order. I think we still need to we have a motion and a second

to hold, but we need to hold. Oh, yeah. You're right. I'm sorry. Thank you so much. It's too early in the morning. Are there any other comments or questions? Sorry about that. All in favor of the hold, say aye. Aye. Opposed? Abstentions? Passes unanimously. Sorry. Thank you very much, Mayor Woodford. 26002 o and 260022. I'm seeking a motion to approve to get it on the table. Move to approve. Second. Okay. Doctor. Sievers.

Yeah. And so on an annual basis, we review each and every policy. As you know, we've begun to move through quite a few. This marks the one year mark, if you will, for the sort of seminal policy policy procedure policy. And so just a couple of changes here just to make clear in terms of what was happening in practice, just sort of codifying.

So you'll see that on Page 33 of the packet, the legal approval date is when legal services notifies the health officer or designee of the approval of the final version. And that's prior to going to the Board of Health. And then on page 34, just making it clear that all subsequent changes to each policy are then made in track changes for clarity. And those are the substantive changes for those two policies. Very similar on the AHD 102, the creation and maintenance of procedures, talking about track changes and legal services.

I like the templates. They're very nice. Easy to read. Any comments or questions? I just have one question. Have we considered, like, utilization of an AI program that would keep all of our procedures into one software and someone could type in what they needed and it would pop up to make it more efficient?

Yeah. There's a lot of different products that handle that. In fact, I had a conversation with a colleague yesterday. A FRAP accredited health department typically will maintain about 30 to 40 policies. Given that lower number, I don't know if the expense or manpower, you know, would be worth the ROI on that. Don't know. We do have a spreadsheet where we sort of have a dashboard to track But I think that works for us. Think that will work moving forward. Okay.

Say more broadly on this subject, our information technology department, in collaboration with the mayor's office, is evaluating some tools that may be available to do exactly what you're describing for things like the municipal code and other policies. But we're in the early goings of testing out those products. There are many AI tools that rely on information that's scraped from the internet as opposed to, specific documents that are inputted into a system. So that's one of the things we're testing out and trying to sort through is what products are available. Is there anything within the Microsoft suite?

Because we already hold licenses for those products before we move on to other options. So that is in the works.

Okay. Just something that I heard, so I thought it was anybody else? Any comments or questions? All in favor, aye. Aye. Opposed? Abstentions? Passes. 20 fivefifteenforty, approve the communicable disease reporting and investigating policy as identified on the attached document. I'm seeking a motion to approve.

Move to

approve. Second.

Alright. Doctor. Seekers, I assume or is it Sonya?

We're gonna we're gonna kick this over to deputy director Jansen.

And if I may, can I modify the would you like, Sonya, would you like to do the next two at the same time?

Sure. I can do that.

Okay. So I'm asking the for 26006 and 26007 to be also included in that motion. Is that agreeable to the first? Yes. Is that agreeable to the second? Okay. So all three are on the table, so it makes more sense.

Okay. Yeah. That does make sense to me. Okay. So this would be the nursing communicable disease reporting and investigation policy and corresponding procedures.

This covers the nursing program of communicable disease. So it is how we take measures to prevent and control communicable diseases in the community. So it talks about guiding nursing staff in the timely investigation and prevention of communicable diseases and conditions. Covers disease reporting, investigation, and follow-up, and also talks about the roles of nursing intake, which is a rotating role from day to day, including communicable disease, but then also connecting the public with resources the

to

that.

Requirements. Okay. And Any comments or questions for Sonya? Okay. Seeing none, all in favor say aye.

Aye.

Opposed? Abstentions? Passes. So now we'll go to 26004. I'm seeking a motion to approve it. Move to approve. Second. All right. Deb. All right. Sonya again, I believe.

Yes, that's correct. This one is very brief. It is the Vital Signs Policy. Just the policy and the purpose is to provide consistent and accurate measurement of vital signs that we do as public health nurses. And this basically is saying that we will measure client vital signs in accordance with professional training, education, and licensure.

Okay. Any comments or questions? All in favor say aye. Aye. Opposed? Assets. Thank you. And then one that's near and dear to Sonya's heart. Twenty six-eleven and twenty six-eight. Can we have a motion to approve the Milk Depot? Move to. So all right.

Thank you. So this is a new policy for a newer program that we have at the health department. We serve as a milk depot for the get this right, it's the Mother's Milk Bank of the Western Great Lakes. So they are the milk bank. We are the depot. So this guides staff in how we assist with the collection from preapproved donors of human milk. We hold it in our freezer and then they come and pick it up. And this is

to

help vulnerable infants in our community and throughout Wisconsin.

All right. Any comments or questions? It's really excellent that we're involved in this.

Yes. We collect quite a bit of milk. I don't have the number like, the ounces or gallons with me, but we've been doing very well.

Okay. Alderperson Wolf, are you trying to say something?

I just didn't know this was a thing. I think that it's pretty cool, but I didn't have any particular comment. Okay.

Oh, you looked like you were waving, so I didn't know. Okay. Sorry. I was

just scratching my head.

Okay. So all in favor, say aye. Aye. Opposed? Abstentions passes. We're under 26009 and 2600 10, Seeking a motion to approve the overdose education and naloxone distribution program. Move to approve. Alright. Is there a second? Alright, Deb. Thank you. I assume this is Doctor. Sievers.

This will also be Sonia.

Oh, okay. Thank you. Sonia, you're on again. Thank you.

Great. Yeah. So this is the last it's a nursing program, program but it's also community health. It's a harm reduction program so it crosses the lines. So this policy and the procedure covers our naloxone distribution program and overdose education which are both part of our department's harm reduction efforts.

And also the naloxone distribution program, also called Narcan Direct, we partner with the Wisconsin Department of Health Services program. And this is to help stop overdose deaths and save lives in our community. It is a new ish program, so this is a new policy procedure for our department.

All right. Any comments or questions? All in favor say aye. Aye. Opposed? Abstentions? Passes. All right. Information item 26,002, dangerous animal declaration. Doctor. Sievers.

Yeah. I'll just say that we only have one this period. And can say that Tufour is no longer with us. Declared a dangerous animal on December 4. I believe the owner had dispatched animal that week.

Okay. Any comments or questions? Okay. Moving on twenty fivefifteenthirty nine, Respiratory Virus Surveillance and Waste Water Report Or Climon.

Yes. Yep, absolutely. And just to have you focus on page 70, the wastewater data support the COVID-nineteen data in the influenza like illness data. But as you can see, our influenza numbers mimic what we're seeing nationally and statewide. Very, very high activity there.

COVID-nineteen is also very prevalent. It's moderate in the Northeast Region, but if we look locally it is high. So we are seeing a local concentration which makes sense given the population. So strongly recommend that everyone do what they can to get their flu vaccine and COVID-nineteen vaccine if it makes sense for their medical history.

Okay. Any other comments or questions? Okay. Number eight. What? Oh, yes. How do the current vaccination rates compare with, say, a year ago at

this time?

Direct comparison, I don't have those data immediately, but it's from an influenza standpoint, we are looking at a similar pattern. COVID-nineteen is similar in high. So we are in respiratory virus season. So it is we are going to expect to see those elevated rates. Where they compare, I don't have that off the top of my head, but we'll have those data.

Also the vaccination rates?

Vaccination rates. Deputy Director Jensen, do you currently have the latest vaccine rates at the tip of your fingers. We were looking at that maybe a couple weeks ago. Don't remember. Not

enough where I can I don't remember them at the tip of my fingers? You know that the the state is saying that we are a little lower in our rates in both those categories this year. But I don't know exactly what we are in our community or the region.

Yes. Influenza, I just I can't recall. I can't recall influenza. I want to say high 70s, but that sticks out to me. But I don't I would have to look at it.

Doctor. Oh. Great. Maybe next time we can give an update on

that. Okay.

Any other comments or questions? Number eight. I'm seeking motion to adjourn. So moved. Second. All right. All in favor, aye. Aye. Opposed? We are adjourned. Thank you all.

Have a good day, everyone. Take care.