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Galveston County Health District - Providing Credible Service since 1971

 

1207 Oak Street La Marque, Texas 77568 - Phone - 409-938-7221

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Mailing Address:
P.O. Box 939
La Marque, TX 77568
Monthly
Executive Report
Phone: 409-938-2401
Fax:
409-938-2243
The Executive Report is a monthly summary of key activities and significant happenings in the Health District overall.  This summary of activities and/or happenings may involve: one of many different public health programs, the Galveston Area Ambulance Authority (GAAA), the 4C's federally-funded community health clinics (CHC's), and/or collaborate efforts among community health partners. 

If you have any questions or comments, please contact: Pisa Lewis , Executive Assistant,
at 409 938-2401, by email:plewis@gchd.org; or Kurt Koopmann, Public Information Officer,
at 409-938-2211, by email:kkoopman@gchd.org.

August 26, 2004
Archives
red diamond pic Court-Ordered Treatment for Tuberculosis
red diamond pic Exercising Public Health Readiness
red diamond pic Strategic Health Plan Presented at National Conference
red diamond pic Animal Services Adoptathon
red diamond pic Other News Releases and Press Stories
   
red diamond pic 4C’s Clinic Updates
  Governing Board Chair Resigns
  Clinic redesign project
  HRSA Performance Review
  Fiscal Year 2005 Competitive Grant Renewal
  Nurseline pilot project
  Automated Referral System
  Mid-level Provider Vacancy
   
red diamond pic Office of Environmental Health Services Updates
  Air Investigations Complete
  High Island Sewer Issues
  Beach Watch Signs
  Environmental Crimes Unit
   
red diamond pic Office of Community Health Programs Updates
  Kid's Health Fest
  Robert Wood Johnson Community Supports for Diabetes Self- Management Project
   
red diamond pic Office of Emergency Medical Services Updates
  Response to Shark Bite
  Galveston City Council workshop
  982 requests for service
   
red diamond pic Operational Updates
  Volunteer Program
  Galveston County Emergency Response Collaborative (GCERC)
   
red diamond pic Contracts Executed
  a memorandum of understanding (MOU) with Gulf Coast Center
  Texas Department of State Health Service (TDSHS), Office of Public Health Practice
  TDSHS STD/HIV
  Biowatch Program grant
  TDSHS for the provision of WIC services
   
 Court-Ordered Treatment for Tuberculosis
red diamond pic In his role as county health authority, Dr. Guidry utilized laws of the state and county for court-ordered treatment of a homeless man on Galveston Island who was determined to be a threat to the public’s health. State and county officials and the man’s treating physician at UTMB concurred with the determination made through an affidavit of medical evaluation by the local health authority. County attorneys initiated local legal steps leading to the court order for long-term treatment in a state TB hospital in San Antonio. Health District staff, with the assistance of a county deputy, transported the man to the hospital where he will be treated until he is cured of TB. Most persons with TB are fully compliant with necessary treatment and precautions to prevent spread to others. The last time a court order was necessary was five years prior. For more information please contact Harlan “Mark” Guidry, MD, MPH, Chief Executive Officer at 409-938-2401 or mguidry@gchd.org
 Exercising Public Health Readiness 
red diamond pic The Health District will be participating in three exercises/drills to test its emergency response protocols. On August 23rd the Health District had its first internal staff exercise which helped to review emergency plans and identify areas for future improvements. On September 24th, in collaboration with the UT School of Public Health and a company called AudioNet, the Health District will participate in an exercise involving response partners including UTMB, Mainland Medical Center, the Galveston County Office of Emergency Management, the Galveston County Sheriff's Department, Gulf Coast Center (MHMR), Red Cross, etc. Participants will take part in an innovative the two hour exercise via the internet and audio-conference. The Health District will be the first public health entity in the state to use this technology to test its readiness. In addition, the Health District will participate in a countywide readiness exercise lead by the Texas Engineering and Extension Service in summer or fall of 2005. For more information contact Brian Rutherford, Health District Planner, 409.938.2275 or brutherford@gchd.org
 Strategic Health Plan Presented at National Conference
red diamond pic On July 31, 2004, Board Member, Mary Anne Holcomb; Chief Executive Officer, Dr. Mark Guidry; and Health District Planner, Brian Rutherford presented information about effectively conducting a strategic planning process to attendees of the National Association of Local Boards of Health (NALBOH) in Denver, Colorado. They discussed planning philosophies, the importance of having a health plan, how to facilitate the planning process, and shared the eight priorities developed through the health district's planning activities. For more information contact Brian Rutherford, Health District Planner, 409.938.2275 or brutherford@gchd.org
Animal Services Adoptathon
  The first ever Galveston County Animal Shelter Adoptathon brought over 100 people to the shelter from noon to 7:00 pm on Saturday, August 21, 2004 to view the animals for adoption. The event was sponsored by the Friends of the Galveston County Animal Shelter, a non-profit volunteer organization dedicated to assisting in assuring a safe place for animals at the shelter. Twenty-three (23) animals were adopted during the event. Several booths were set up and provided information from spays and neuter to the ethical treatment of all animals. Door prizes and a silent auction were incentives to attendees. The Health District appreciates the support of the Friends of the Galveston County Animal Shelter and of board member, Mary Anne Holcomb who attended the event, and of the Animal services employees who worked hard to make the event successful one. For more information contact Ronnie Schultz, Director of Environmental Health Services, 409.938.2214 or rschultz@gchd.org.
News Releases and Press Stories For more information on any news release or press story, please contact Kurt Koopmann, Public Information Officer, at 409.938.2211 or email kkoopman@gchd.org
red diamond pic On July 26, 2004 the Galveston County Mosquito Control office notified the District that West Nile Virus had been detected in a pool of mosquitoes on Galveston Island. This was the first positive identification of WNV in the county. A Public Health Advisory was issued urging all residents to follow the 4 D’s to reduce the risk of acquiring WNV. The Advisory with attached press links can be found at (http://www.gchd.org/press/2004/07WNV.htm). This information was reported in the Galveston Daily News, the Texas City Sun, Guidry E-News, and the Clear Lake Citizen.
red diamond pic On July 29, 2004 Galveston County Mosquito Control notified the District that a second positive West Nile Virus mosquito pool had been identified in League City. A Public Health Advisory was issued once again urging people to follow the precautions contained in the 4D’s. The Advisory can be viewed at http://www.gchd.org/press/2004/07WNVUpdate.htm with attached press links. The information was reported in the Galveston Daily News, the Texas City Sun, Guidry E-News, the Clear Lake Citizen, and the League City News. The Galveston Daily News also published an editorial urging all residents to follow the precautionary guidelines issued by the Health District to decrease the incidence of West Nile Virus. The editorial urging the use of DEET can be found at: http://www.gchd.org/press/2004/07WNVUpdatedEditDailyNews.htm
red diamond pic The Texas City Sun contacted the Public Information Office on July 13, 2004 for information on a story they were preparing advising citizens how to deal with the extreme heat that was forecast for that week. Kurt Koopmann, Public Information Officer was quoted in the story giving tips on how to beat-the-heat. This story can be viewed at http://www.gchd.org/press/2004/07HeatAdvice.htm. On that same day the editor of the Sun also ran an editorial that greatly utilized information provided by the District http://www.gchd.org/press/2004/07HeatAdviceEditTCSun.htm.
red diamond pic July 29, 2004 the District issued a press release recognizing the employees selected to receive “Senior Health Improvement” awards and bonuses. These employees were selected for having made significant contributions to the improvement of senior health in Galveston County. The release with attached press links can be read at: http://www.gchd.org/press/2004/07SeniorAwards.htm. The information was reported in Guidry E-News.
red diamond pic

July 30, 2004 the District received notice from the Bolivar Peninsula Special Utilities District that their water system had been compromised by a main line break. Residents were to boil water for safety until further notice. The Galveston County Health District issued a Public Health Advisory urging people to boil drinking water and provided tips on how to successfully do such. The Advisory with attached press links can be viewed at: http://www.gchd.org/press/2004/07BoliverBoilWtrAdv.htm.

red diamond pic In recognition of National Community Health Center Week the District focused activities on Diabetes Self-Management. Community activities were conducted at both the Texas City and Galveston 4 C’s Clinics with information valuable to those living with Diabetes. A press release was issued urging diabetics to attend the activities and can be found at: http://www.gchd.org/press/2004/08HealthWk.htm.
red diamond pic On August 10, 2004 a reporter from the Corpus Christi Caller Times who was preparing a story on the Texas Beach Watch Program contacted Kurt Koopmann. Questions centered around the Galveston County Health District’s posting of advisories on the actual beaches with high bacteria levels, and the posting of information on the District’s web site. The story as published can be found at: http://www.gchd.org/press/2004/08BeachWatchCallerTimes.htm.
red diamond pic August 12, 2004 a press release was issued that announced the upcoming Diseases and Disasters conference. The press release was also an opportunity to inform the public that the Galveston County Emergency Response Collaborative has been meeting and will be key participants in the conference to be held September 1, 2004 in League City. The press release with attached press links can be found at: http://www.gchd.org/press/2004/08BTConference.htm
red diamond pic A press release was issued on August 13, 2004 recognizing United Board of Health member Mary Anne Holcomb, Chief Executive Officer Mark Guidry, M.D., MPH, and Public Health Planner Brian Rutherford for presenting the District’s Strategic Health Plan to a national conference. At a conference of the National Association of Local Boards of Health held in Denver the three representatives outlined the steps taken in the development of the plan, and shared the final product with attendees. The release can be found at: http://www.gchd.org/press/2004/08BoardConf.htm
red diamond pic The Friends of the Galveston County Animal Shelter issued a press release promoting an Animal Adoptathon to be held at the Joe Vickery Animal Shelter on August 21st. The press release was a collaborative effort between the District’s Public Information office and the Friends group. The story as reported in the Galveston County Daily News can be found at: http://www.gchd.org/press/2004/08AdoptathonDNews.htm More information on the Friends of the Galveston County Animal Shelter can be found at: http://www.friendsoftheshelter.org
red diamond pic The Texas City Sun contacted Kurt Koopmann on August 18, 2004 for a story being written on the changes to back-to-school immunization requirements. Information was provided on the number of immunizations provided during the three week “Kids Health Fest” conducted in La Marque. The story as published can be found at: http://www.gchd.org/press/2004/08ImmSuccessTxCtySun.htm
4C’s Clinic Updates
red diamond pic Governing Board Chair Resigns - Thelma Logan, a 4C’s Governing board member and former Health District employee, resigned from the board on August 25, 2004. She has been a member since 1996 and served as Chair from 1999-2004. She will be remembered as an active and supportive member and board chair and she will be missed. Ms. Logan is relocating to Florida. For more information please contact Harlan “Mark” Guidry, MD, MPH, Chief Executive Officer at 409-938-2401 or mguidry@gchd.org
red diamond pic The Clinic redesign project is moving forward. On 8/16/04 Dr. Guidry and Jay Holland participated in a conference call with Roger Coleman of Coleman Associates Redesign Training Programs to discuss the 4C’s redesign proposals. Coleman Associates had proposed two approaches to the redesign process: one proposal was to train, over a six months period, a redesign team(s) who then would test and implement redesign changes; a second approach was to take a site and over a 6 weeks period work with all staff at that site to develop and implement change. At the next meeting of the Clinic Leadership Team, after the conference call, Dr. Guidry and Jay reported to the CLT that they would recommend the six (6) month approach to redesign. The reasons for this recommendation included such items as: teams from both clinics could be trained at the same time thus insuring that redesign processes in both clinics would be the same; this method of redesign would insure sustainability of changes; and that this approach was the least expensive. This recommendation will be forwarded to the Governing Board at their September 2004 meeting. For additional information please contact W. Jay Holland, III, Chief Operating Officer, 409-938-2401, or jholland@gchd.org.
red diamond pic Two surveyors from the Health Resources and Services Administration (HRSA), the agency that oversees our federal 4 C's grant, will be conducting a HRSA Performance Review of the clinic from September 21-23. This review, focusing on organizational performance, is a new process for the agency and we are one of the first community health centers to be surveyed. At a minimum the reviewers will be looking at our senior health initiative and our dental clinical services. We are currently gathering data to send to the surveyors on these programs. For more information contact Pam Jahnke, Strategic Health Evaluator, 409.938.2256, pjahnke@gchd.org or W. Jay Holland, Chief Operating Officer, 409-938-2401 or jholland@gchd.org.
red diamond pic Fiscal Year 2005 Competitive Grant Renewal - The 4C's grant for Fiscal year '05 is a competitive renewal grant, meaning that other interested parties in the area may submit a grant to compete with the 4C's for funding. To assure that our grant application is the best possible, and with the Governing Board’s approval of $12,000, the 4C's has hired The Grant Writing Team, Inc., to assist in the production of the grant. Jo Carcedo, President of the company has extensive experience in grant writing and has recently submitted several successful grant proposals for new access point Community Health Centers in the Houston area. The goal is to have the body of the document and budget ready for the September Governing Board meeting for review and approval. For more information, contact W. J. Holland, III, Chief Operating Officer, 409-938-2401 or jholland@gchd.org.
red diamond pic Nurseline pilot project - the Nurseline pilot is completing its second month of operation. Calls continue to increase to the Nurseline. Patient comments indicate that the Nurseline is a valuable addition to 4C's services. It is expected that the Nurseline pilot will be continued for another month, pending approval of the Governing Board at the August meeting. For more information contact Mike Carr, 4C's Business Manager, 409. 949.3406 or mcarr@gchd.org.
red diamond pic Vacant Clinic Positions - Tonya Kane, NP, resigned effective July 21, 2004, to accept a position near her residence in Houston. The vacant mid-level position has been posted on the District's internet site, distributed to contacts in the community by email, and listed with Texas Practice Sites. The posting can be found at http://www.gchd.org/hr/job.htm. A Dental position is also posted given the resignation of Dr. Bao Hoang on August 11, 2004. The posting can be found at http://www.gchd.org/hr/job.htm. For more information about the midlevel position, contact Abdul-Aziz Alhassan, MD, 4C’s Medical Director at 409.949.3406 or by e-mail: aalhassan@gchd.org. For more information about the dental vacancy, contact Beverly Foster, DDS, Dental Director at 409.949.3445 or by e-mail: bfoster@gchd.org
red diamond pic Automated Referral System - The 4C's has instituted an automated referral tracking system effective August 1, 2004. The system is designed to allow 4C's staff to track referrals from their initial entry, through return of medical records and results. Referral staff received training in use of the system during the last week of July. The system is still being monitored for accuracy and proper use so that data will be accurate, meaningful, and regularly monitored to assure that 4C’s patients receive timely referrals and subsequent medical records. For more information contact Mike Carr, 4C's Business Manager, 409.949.3406 or mcarr@gchd.org.
  Mid-level Provider Vacancy - The vacancy left by the departure of Tonya Kane, FNP in mid-July has just been filled. Ernst Etienne, PA, has accepted the position. He will begin working in the clinics in a few weeks, as soon as credentialing is completed. For more information contact Abdul-Aziz Alhassan, MD, Medical Director, 409.949.3406 or aalhassan@gchd.org.
 Office of Environmental Health Services Updates  
red diamond pic Air Investigations Complete - The Air Pollution Services Section has completed all of the objectives included in their air compliance contract with the Texas Commission on Environmental Quality (TCEQ). Air Pollution Services contracts with TCEQ to fund the majority of the air pollution investigative activities in Galveston County. Under this agreement, investigations are conducted to determine compliance with state and federal air rules and regulations and air permit provisions. In the FY 2004 contract investigations were conducted at petrochemical facilities, shipbuilding and ship repair facilities, gasoline stations and bulk tank terminals. Facilities found to be not in compliance with the regulations were given notice to comply and in some cases, referred to the TCEQ for formal enforcement. For more information contact Ronnie Schultz, Director of Environmental Health Services, 409.938.2214 or rschultz@gchd.org.
red diamond pic High Island Sewer Issues - Work continues on the Health District’s effort to resolve the sewage disposal issues in High Island. Representatives of the Texas Commission on Environmental Quality (TCEQ) along with Health District staff collected wastewater samples from the sewage treatment device currently located in High Island. Laboratory analysis data suggests that the discharge coming from the outfall of the device is similar to raw sewage that is received at public wastewater treatment plants. An attorney with the Houston-Galveston Area Council has taken the lead in researching funding alternatives to assist this community with paying for a collection system and treatment plant designed to meet today’s standard. One of the next steps includes assembling community leaders, government officials, and the peninsula utility district to decide on the most feasible solution to this problem. In the meantime, Health District officials will continue work on identifying all of the residences in the community, investigate current sewage disposal methods (i.e. septic system), locate sewage lines that connect homes to the current sewage disposal device and continue to communicate with the citizens as we proceed. For more information contact Marty Entringer, Chief Sanitarian, 409.938.2458 or mentringer@gchd.org
red diamond pic Beach Watch Signs - In mid August, the long-awaited Texas Beach Watch signs were delivered to the Health District from the Texas General Land Office (GLO). This beach water monitoring and notification program under the GLO requires the posting of signs during periods of elevated bacterial contamination. There are currently 46 sample stations along Galveston Island, Bolivar Peninsula and the Texas Dike. The Beach Watch program was developed in response to the Beaches Environmental Assessment and Coastal Health Act of 2000. Signs are currently being installed on the beaches. For more information contact Ronnie Schultz, Director of Environmental Health Services, 409.938.2214 or rschultz@gchd.org.
red diamond pic Environmental Crimes Unit -The Environmental Crimes Unit, a collaborative effort of law enforcement and public health, tested their skills at identifying, securing and removing an illegally disposed boat. The boat was disposed near the shoreline of Moody Gardens in Offats Bayou. Once it was determined by Garret Foskit that the vessel was not discharging any fuel or fuel products, the hull was lifted with newly acquired swim bladders purchased with grant funds and removed. The boat was transported to and secured at a local marina until the owner was notified, served with citations for improper disposal and required to properly dispose. As one of its objectives, the environmental crimes unit will continue to address the growing problem of derelict boats in Galveston County waterways. For more information contact Garret Foskit, Nusiance Abatement Officer at 409.938.2411 or gfoskit@gchd.org  or Ronnie Schultz, Director of Environmental Health Services, 409.938.2214 or rschultz@gchd.org.
Office of Community Health Programs Updates
red diamond pic Kid's Health Fest: Our second annual back-to-school Immunization Clinic, Kid's Health Fest, was held between July 26 and August 17 at the La Marque site. 3,089 immunizations and 122 tuberculosis skin tests were given during this period, compared to 3,212 immunizations in 2003. A report of total immunizations given in August will be available at the next board meeting. Immunization Program staff and Community Health Nurses were assisted by volunteers who did everything from dressing as a clown or tooth fairy and face painting to translating and helping parents complete required paperwork. The First Presbyterian Church donated children’s books. Other community partners included AmeriGroup, Mainland Medical Center, and Coastal AHEC. For more information, contact June Gonzales @ (409) 938- 2244 or jgonzales@gchd.org.
red diamond pic Robert Wood Johnson Community Supports for Diabetes Self- Management Project: In celebration of National Community Health Centers Week, “Diabetes Day” was held on August 11, 2004. Clinical activities such as foot, dental, and vision screening, testing for Hemoglobin A1c, and education on a variety of topics were provided at both clinic sites. A total of eighty- four (84) people attended this event. In the afternoon, educational presentations were held at the Island Community Center and Mainland Medical Center; twenty- four (24) people participated in these events. Community partners that assisted with Diabetes Day included Mainland Medical Center, UTMB, Jesse Tree, Coastal Area Health Education Center, Housing Authority of Galveston, Galveston County Agricultural Extension Service, Robert Wood Johnson Foundation, and various Diabetes Class and Support Group members. For more information, call Susan Studebaker @ (409) 938-2457 or sstudebaker@gchd.org.
Office of Emergency Medical Services
red diamond pic Response to Shark Bite - July 27th at 4:40 p.m. Galveston EMS's Medic 5 responded to a reported shark attack on Seawall Blvd. near 53rd Street on the beach. Paramedic Richard Chernosky and EMT Jerry Clark found a 19-year-old female with a large animal bite wound on her right foot. She was in severe pain, bleeding, and had severe damage to that foot. After a four-minute scene time, the patient was transported to the UTMB Emergency Department with appropriate advanced life support measures. For more information contact Greg Kunkel, Chief of Operations, 409.621.3141 or gkunkel@gchd.org.
  Greg Kunkel, Chief of Operations of GAAA, attended a Galveston City council workshop on August 17th. The City agreed to continue its $215,000 subsidy for FY2005. They will also continue to support the Water Bill Donation Fund as it currently stands. They would like to gradually decrease the dollar amount it requests from the water bill customers starting in FY2006 and increase the subsidy to augment the loss of revenue that causes. They requested more information from the City Attorney on forming an Emergency Services District, realizing that additional ambulances will be needed for the future for the Island. Council member Cole requested that GAAA re-look at an EMS subscription service to add additional revenue to GAAA. A subscription service is a plan that would allow household to purchase an annual subscription for EMS. The subscription discounts the co pay should anyone in the household use EMS that year. One problem is that Medicare (our largest payer group) has some limiting regulations on this program that may make it costly. GAAA will look into this program and report back to Council in December. For more information contact Greg Kunkel, Chief of Operations, 409.621.3141 or gkunkel@gchd.org
  GAAA responded to 982 requests for service in July, increasing the total YTD requests to 7,571. This is almost 400 requests more than the last year's record pace. For more information contact Greg Kunkel, Chief of Operations, 409.621.3141 or gkunkel@gchd.org.
Operational Updates
red diamond pic Volunteer Program - Nine new volunteers joined the Health District. Four (4) were assigned to the Animal shelter, one (1) to Community Health Nursing and special events, and four to the 4c's clinic (County Indigent Health Care - 1; Lab - l; Patients Assistance Program -1; Medical -1). On July 24, 2004, at the Nessler Center in Texas City, Shirley Carr made a presentation about the volunteer program to the Search Your Heart program. For more information contact Shirley Carr at 409.938.2298 or scarr@gchd.org
red diamond pic On August 12, 2004, the Galveston County Medical Response Collaborative met and established vision and mission statements for the group. The vision is, "To prevent or minimize adverse consequences of community health emergencies". The mission statement adopted by the group is, "To ensure an effective and comprehensive response to community health emergencies through collaboration among member institutions". The group also decided to change its name to the Galveston County Emergency Response Collaborative (GCERC) to better reflect the comprehensive nature of the group that is represented by the Health District, Emergency Management, UTMB, Mainland Medical, the Sheriff's Department, Red Cross, and the Gulf Coast Center. For more information, contact Brian Rutherford, Public Health Planner, at 409-938-2275 or by at brutherford@gchd.org.
red diamond pic The Health District has submitted an application to be part of a project called "Public Health Ready". To successfully complete the program and receive recognition as being public health ready, the health district will need to meet criteria in three areas: emergency preparedness planning, workforce competency training, and demonstration of readiness through exercises and simulations. Selected sites will be notified the week of September 6th. For more information, contact Brian Rutherford, Public Health Planner, at 409-938-2275 or by at brutherford@gchd.org.
Contracts Executed
red diamond pic On August 3, 2004, the Health District signed a memorandum of understanding (MOU) with Gulf Coast Center to coordinate resources, training and technical assistance to assist adults and youths who are at risk for HIV and in need of mental and substance abuse counseling. For additional information contact W. Jay Holland, III, Chief Operating Officer, 409-938-2401 or jholland@gchd.org.
red diamond pic On August 6, 2004, the Health District signed a contract for $344,972 with Texas Department of State Health Service (TDSHS), Office of Public Health Practice for State General Revenue and Federal pass through monies to fund local public health activities. There is no change in total dollars from the previous year. The one change is that state assigned positions are now included in the budget as direct assistance. This is a result of consolidation of HHS agencies and associated state mandated “retirements” and RIF’s. For additional information please contact W. Jay Holland, III, Chief Operating Officer, 409-938-2401 or jholland@gchd.org or Kathy Barroso, Chief Financial Officer, 409.938.2257 or kbarroso@gchd.org.
red diamond pic On August 16, 2004, the Health District signed a contract amendment with TDSHS STD/HIV to transfer four (4) months of the STD/HIV Program Manager’s salary from direct assistance to financial assistance. The amount transferred will fund the salary through the end of the contact term and is a result of state mandated “retirements” and reduction in forces (RIFs). For additional information please contact W. Jay Holland, III, Chief Operating Officer, 409-938-2401 or jholland@gchd.org or Kathy Barroso, Chief Financial Officer, 409.938.2257 or kbarroso@gchd.org
red diamond pic On August 23, 2004, the Health District signed contract amendment #3 for $40,963 with Texas Commission on Environmental Quality (TCEQ) for the Biowatch Program grant. This amendment increases the total dollars allocated to the District without a change in the Scope of Services. The grant period impacted by this amendment runs through August 31, 2004. For more information contact Ronnie Schultz, Director of Environmental Health Services, 409.938.2214 or rschultz@gchd.org
red diamond pic On August 23, 2004, the Health District signed a contract with TDSHS for the provision of WIC services to eligible Galveston County residents. The District will be paid $9.28 per participant. There was no change to the contract requirements from the previous year. For more information, call Susan Studebaker @ (409) 938-2457 or sstudebaker@gchd.org.