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New Animal Services Manager |
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Meeting with Local Governments |
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JCAHO Unannounced Survey |
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City of Galveston Emergency Management Planning |
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Pandemic Flu Readiness |
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Beach Party Weekend (April 22-23, 2006) |
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Probable Mumps |
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|
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Office of Public Information
Updates
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Mammogram screenings |
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Texas
Public Health Association Convention |
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Gold
Ribbon Awards |
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Microchip
scanner |
|
Animals seized |
| |
Beach Watch Program |
| | Lake Madeline |
|
National Infant Immunization
Week |
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National Cover the Uninsured Week |
| |
|
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Office of Community Health
Programs |
|
Community Outreach Activities |
| |
Senior Health |
| |
Robert Wood Johnson Building Community Supports
for Diabetes |
| |
Women, Infants, and Children (WIC |
| |
STD/HIV Services |
| |
|
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Office of
Environmental Health Services |
| |
Animal Seizure |
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Gold Ribbon Awards |
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Air Pollution Services State Audit |
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4C’s Clinic Updates |
|
4C’S Counselor
Vacancy |
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Electronic
Medical Records (EMR/CMS) |
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Dental Clinic |
|
Medical Records Pilot
Project |
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Texas City Renovations |
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TACHC Credentialing Web cast |
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Grant Award
|
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How Understanding Culture Can
Reduce Health Disparities |
|
|
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Office of Emergency Medical
Services |
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GAAA Transfers |
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EMS expansion update |
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Nursing Home Contact |
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West End Tele-health |
|
|
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Public Health Preparedness Activities |
| |
Houston-Galveston Area Council (H-GAC) |
| |
Time studies of mass antibiotic or
antiviral dispensing clinics |
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Galveston County Animal Issues Committee |
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Galveston Community Network |
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Galveston County Emergency Response
Collaborative (GCERC)
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National Medical Reserve Corps Conference
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Other Executive Updates |
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Influenza Update |
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Meetings |
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Volunteers |
| |
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Contracts Executed |
| |
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| New
Animal Services Manager |
 |
After the resignation of Michelle Reynolds, the Health District is pleased to
announce the selection of Kim Schoolcraft as the New Animal Services Manager.
Kim is a former police officer for the City of Galveston and served as Chief of
Police from 1997-2000. Later, she served as manager of the City of Galveston's
Animal Shelter. Kim loves pets and has volunteered at local shelters including
the Health District’s Joe Vickery Animal Shelter. Kim has a strong desire to
reduce the number of unwanted pets in Galveston County through adoptions, public
education, spay & neuter programs, and compliance with local and state
regulations. She assumed her new position on Monday, April 24th, and reports to
Ronnie Schultz, Director of Environmental Health Programs. Kim may be reached
at 409.948.2485. For more information,
please contact Ronnie Schultz, Director of Environmental Health Programs, at
(409) 938-2314 or email rschultz@gchd.org |
|
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Meeting with Local Governments |
 |
Dr. Mark
Guidry and Ronnie Schultz presented the latest data from the ongoing
investigation in the Lake Madeline area at a City of Galveston council
workshop on April 13, 2006. The City of Galveston decided to form a committee
to explore solutions as well as decided to post warnings in the area. District
anticipates participating on the committee and continuing its efforts to assess
and identify pollution sources. On April 26, 2006, Dr. Guidry presented the Strategic Health Plan’s 2005 Progress
Report to a Galveston County Commissioners Court workshop. The Judge
thanked Dr. Guidry for the presentation and also for the leadership of moving
forward with the Health Plan. The Judge also sent congratulations to all staff
that assisted in implementing the Plan. For
more information, please contact Harlan “Mark” Guidry, MD, MPH, Chief Executive
Officer, at (409) 938-2401 or email
mguidry@gchd.org
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|
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Joint Commission on Accreditation of Healthcare
Organizations (JCAHO)
Unannounced Survey |
 |
On Monday, April 17th, the surveyors appeared, unannounced, to assess
us and began their two day process. Staff made significant and necessary
adjustments in their schedules to accommodate the surveyors. At the exit
interview we were informed of continued accreditation! The surveyors mentioned
that the 4C's clinics remain in the minority of healthcare organizations and
community health clinics who are JCAHO accredited. Because of our commitment to
healthcare quality and safety, we will continue to welcome and actively
participate in the JCAHO process.
|
|
City of Galveston Emergency
Management Planning |
|
|
In preparation for hurricane season, EMS staff members have been meeting with
the City of Galveston to address the evacuation of special needs persons in the
event of a mandatory evacuation. There are an estimated 100+ persons in
Galveston who have special needs. The City of Galveston is undertaking outreach
efforts to identify these persons in advance of any declared evacuation. There
have been nearly 75 persons identified as of April 20, 2006. Those persons
identified, have provided information to surveyors and the 8 to 10 that may have
a mobility related special need are being referred to EMS staff for evaluation
of their need. EMS is also involved in coordinating and cooperating in the
evacuation of stretcher patients from local long term care facilities and
hospitals as needed in a mandatory evacuation situation.
For more information, please contact Mike Carr,
JD, Director of Emergency Medical Services at (409) 765-2524 or
mcarr@gchd.org.
|
|
Pandemic Flu Readiness |
|
|
On April 6th,
Dr. Mark Guidry and Planner, Brian Rutherford, met with Galveston Independent
School District officials to discuss collaboration in two mass dispensing
exercises. The exercises would involve using a school facility to simulate a
scenario where antivirals are dispensed to the community. The first exercise,
taking place in the late summer, would involve setting up a mass clinic site in
the facility’s gymnasium. The second exercise would consist of setting up the
clinic and having staff and trained volunteers man the clinic as volunteers from
the community walk through as patients. School officials and Health District
staff will work through the details of the exercise in the coming days. For
more information, please contact Brian Rutherford, Public Health Planner, at
(409) 938-2275 or email
brutherford@gchd.org.
|
|
Beach Party
Weekend (April 22-23, 2006) |
|
|
During Beach Party Weekend
2006, Environmental staff issued 40 temporary permits to food service vendors,
STD/HIV staff provided information about testing and distributed prevention
packets; and GAAA EMS was ready on the scene and responded to 6 event related
calls during the weekend. For more information,
please contact Pisa Lewis, Executive Assistant, at (409)938-2401 or email
plewis@gchd.org.
|
|
Probable Mumps |
|
|
During the month of April, Epidemiology Services received 2 reports of probable
mumps in a 5 year old child and a 1 ½ year old toddler. Both cases were
unrelated and had symptoms compatible with mumps (fever and swelling of the
parotid gland). Serological testing for mumps was performed on the 1 ½ year old
and yielded a negative result. Toddler was current on immunization. No
serological testing was performed on the 5 year old and child was not current on
immunizations. Mumps is a vaccine preventable disease that is transmitted
through airborne, droplet spread or direct contact with the saliva of an
infected person. Last documented cases of mumps in Galveston County was in 1993
– 3 cases. For more information, please contact Dana Wiltz-Beckham, DVM,
Chief Epidemiologist, at (409) 938-2322 or email dbeckham@gchd.org
|
| Office of Public
Information
For more information please
contact Kurt Koopmann, Public Information Officer, at
409.938.2211, email
kkoopman@gchd.org
|
 |
Dates for upcoming mammogram screenings
were submitted to the Community Bulletin Board in the
Galveston Daily News with
eligibility guidelines. These sites are submitted to the newspaper on a monthly
basis. Additional information on the availability of mammograms can be found on
the District’s web site at
http://www.gchd.orgchn/dfeet.htm.
The
District will be hosting the 2007 Texas
Public Health Association convention in Galveston and Public
Information staff developed a flyer promoting the event. It will be distributed
this month at TPHA’s convention in Plano. To view the flyers please visit
http://www.gchd.org/bt/tpha02071.pdf.
Food
service establishments that received Gold
Ribbon awards this year were recognized in the Applause section of
the Galveston Daily News on April
3rd.
The
District’s Joe Vickery Animal Shelter recently received a donation from the
Whiskerville Animal Sanctuary of a microchip
scanner. The scanner will be used to help reunite lost animals with
their owners. A photograph of Ronnie Schultz receiving the donation was issued
to local media on April 13th and can be seen at
http://www.gchd.org/press/2006/04Whiskrville.htm.
District
Animal Control Officers seized 20
dogs, two cats, one goat, and one pig from a home in Santa Fe on April 11th.
The Galveston Daily News was on
the scene and filed the following report that was published in the April 12th
Police Beat
http://www.gchd.org/press/2006/04womancited.htm.
An update to the seizure was published on April 18th.
Ronnie Schultz and Kurt Koopmann contributed to the story which can be found at
http://www.gchd.org/press/2006/04womancitedupdt.htm. After the case was
heard in municipal court the owner was allowed to keep four of the animals along
with the goat and pig. The other animals were being offered for adoption or
redemption to former owners at the Joe Vickery Animal Shelter. An additional
update following the hearing was published in the April 21st edition
of the News and can be accessed
at
http://www.gchd.org/press/2006/04womancitedupdt1.htm.
With a
change in the seasons we are beginning to see some of the years first advisories
posted under the Beach
Watch program. When advisories are posted staff notifies
community leaders and posts them on the District’s web site at
http://www.gchd.org/pollution/BeachAdvisory.htm.
Staff
attended a City of Galveston workshop to address the ongoing assessment of water
quality in Lake Madeline on April
13th. Information was presented to council members and public in
attendance. The Galveston Daily News
ran a story on the Lake which can be found at
http://www.gchd.org/press/2006/04LakeMadelineDNews.htm.
National Infant Immunization
Week will be observed April 22-29th. A guest column
by Galveston County United Board of Health vice chair Dr. Ben Raimer was
submitted to the Galveston Daily News
and published on April 20th. The column can be found at
http://www.gchd.org/press/2006/04ImmEncouraged.htm.
Galveston
Daily News reporter Kelly Hawes interviewed Dr. Mark Guidry, Dr.
Abdul-Aziz Alhasson, and Governing Board member Mr. Willie Tolliver for an
upcoming series on the health care challenges faced by the uninsured and
underinsured. The series is scheduled to run during
National Cover the Uninsured Week in
May. After the interviews the reporter and a photographer were escorted to the
Texas City 4C’s clinic where two patients agreed to speak with them concerning
challenges they personally faced and how the 4C’s clinic help them meet their
healthcare needs. |
Office of Community
Health Programs
For more information please contact Susan Studebaker, RNC,
Director of Community Health Programs at
409.938.2456, email
sstudebaker@gchd.org
|
 |
Community
Outreach Activities:
Community Health Services staff participated in four health fairs this quarter,
reaching approximately 150 people with immunizations, 41 blood sugar checks, and
145 with health information. A presentation was made to over 100 nursing
students at the UTMB School of Nursing about Community Health Nursing. STD
services provided educational presentations to 344 persons during the month
April.
Senior Health:
At the April 11 Senior Health Advisory Council meeting, it was announced that
the Galveston County Commissioner’s Court proclaimed May as Older American’s
Month. The council is currently working on three projects: the 50+ Expo at Mall
of the Mainland on 5/4/06, Walk Across Texas, and GCHD Volunteer Recognition
Week events. Walk Across Texas will kick-off with the Senior Health Walk at
Carbide Park on 5/31/09 and conclude with the Recognition Ceremony at the Doyle
Convention Center on 8/8/06.
Robert Wood Johnson Building
Community Supports for Diabetes:
The diabetes group developed a new pamphlet which describes the eight on-going
diabetes education classes and the three on-going support groups. On April 20-
21, the Diabetes Program staff presented a Coach Training class for both the
Take Action (diabetes education) and Whisking Your Way to Health programs for 19
Area Health Education Center (AHEC) volunteers from across the state. One of
our RWJ project staff has been invited to serve as a member of a panel of three
people to speak on the topic Models for the
Use of Community Health Workers in Diabetes Self Management at the
American Association of Diabetes Educators conference in August 2006.
Women, Infants, and Children
(WIC): WIC had
and seized the opportunity to apply for childhood obesity prevention funding
from DSHS. The proposal is to implement a series of childhood obesity prevention
sessions to inform/educate the Galveston community and WIC participants about
this issue. As part of this project, WIC staff would provide obesity prevention
educational sessions that focuses specifically on making healthy food choices
and forming new coalitions with schools to assist in creating a school
environment that promotes healthy nutrition and encourage physical activity
habits. There is an additional proposal to implement a series of yoga
demonstrations and yoga health education sessions. If funded, both programs
would begin mid-May 2006 and end September 30, 2006.
STD/HIV Services:
The HIV/AIDS Surveillance Program was placed on Level I Sanctions after the site
review in February 2006. Findings mainly are related to incomplete data or data
not received in a timely manner. Progress has included changes in systems
(having GCHD staff pick up lab work rather than waiting for it to be mailed,
cross-training, using the TXHAN system), examining time management (workload
analysis), and requesting clarification from the Texas Department of State
Health Services (DSHS). Further assistance may be needed from DSHS with regard
to coordination between other reporting entities. Currently, the backlog is
expected to be eliminated by April 26.
|
Office of
Environmental Health Services Updates
For more
information, contact Ronnie Schultz, Director of Environmental
Health Services, at 409.938.2214 or email:
rschultz@gchd.org
|
 |
Animal Seizure – Responding to a citizen complaint, County Animal Control
Officers armed with a court approved seizure warrant removed
20 dogs and other animals and issued a Santa Fe woman 41
citations. The citations issued were for being over the
legal limit, not having proof of rabies vaccinations or
county registration. The case was heard on Wednesday, April
19th in the local Justice of the Peace court.
The presiding judge ruled in favor of the Health District
and awarded possession of all but four of the dogs to the
District. The District was ordered to redeem the dogs to
the rightful owners or adopt them to responsible families.
As of today, all of the animals
with the exception of 4 dogs and 2 cats
have been redeemed or adopted.
Gold Ribbon Awards -
On April 5 our Gold Ribbon Awards for 2006 were presented at
the Wayne Johnson Community Center in La Marque. This year,
62 establishments were recognized for their cooperation in
maintaining high sanitation standards in these
establishments. County Judge Jim Yarbrough and Harlan “Mark”
Guidry, MD, MPH, CEO, presented the awards. The function was
well attended and a good time was had by all.
Air Pollution Services State
Audit – The Texas Commission on Environmental
Quality (TCEQ) conducted an annual audit on April 4th
of our Air Pollution Services Division. The audit is
mandated by the current TCEQ contract held by the division
of which selected air services are provided. Auditors
reviewed the program’s filing system, record keeping system,
enforcement policy and procedures, air investigation reports
documenting compliance with air rules and regulations, and
compliance with established TCEQ procedures. The initial
findings are all favorable. A written report will follow.
The Air Pollution Services Division provides citizen
complaint response, comprehensive compliance inspections,
vapor recovery equipment inspections and permit review
services under this contract.
|
4C’s
Clinic Updates
For more information, please contact Patrick
Butler, Interim 4C’s Business Manager at
(409) 949-3406 or email
pbutler@gchd.org or Pam Jahnke,
RN, Strategic Plan Evaluator at (409) 938-2256 or email pjahnke@gchd.org.
|
 |
4C’S Counselor Vacancy-
The 4C’S Counselor position is now posted. The Medical
Director and Business Director are aggressively reviewing
applicants; interviews are underway for this position.
Electronic Medical Records
(EMR/CMS) - An evaluation team as been assembled
to review & assess clinic needs. The EMR Evaluation Team is
drafting and preparing a functional packet to present for
future contract bids. Electronic Medical Records will aid
continued efforts to provide the best possible service to
Galveston County Residents.
Dental Clinic –
The Dental Clinic is gearing up for a new contract dentist.
The dentist will provide 2 days of service to the dental
clinic (one day at each site) once the credentialing process
is completed. Medical Records Pilot
Project: Preliminary construction is in
progress. The projected target date is early May to
implement project completion. The Medical Records Pilot
Project will include redesigning the flow of medical records
and centralizing the location of records and data entry
clerks.
Texas City Renovations
– The next step with architectural contractors are to
finalize drawings, evaluate contractors and construction
timelines. The Electronic Medical Records System will
follow soon after the completion of the clinic renovation.
TACHC Credentialing Web cast
– Texas Association of Community Health Centers presented a
web cast on credentialing & privileging medical providers.
Credentialing Coordinators & Human Resources were in
attendance for the broadcast. The Texas Association of
Community Health Centers (TACHC) is a private, non-profit
membership association that represents safety-net health
care providers in the state of Texas.
Grant Award – On March 26, 2006, the
4C’s Clinics received its Notice of
Grant Award (NGA) for the period 4/01/06
to 3/31/07. The award of $1,609,268, a
reduction on 1% from FY05, is a result
of a reduction in Congressional
appropriations. The good news is that
the Clinics have been redeemed under the
Federal Tort Claims Act and there are no
conditions associated with the Notice of
Grant Award.
How Understanding Culture Can Reduce
Health Disparities –
In an effort to improve communications
with Healthcare Providers and 4C’S
Patients, TMF Health Quality Institute
provided our Medical and Administrative
staff with training to better understand
diverse cultures and how health
disparities can be reduced. One of the
benefits of cultural competency training
is to improve the quality of service as
well as responding to current and
projected demographic changes. Cultural
competency adds awareness, knowledge and
skills to better treat our increasingly
diverse patient population. To providers
attending the training session, 1.2
contact hours were given for CME credit.
|
|
Office of Emergency Medical Services:
For more information, please contact Michael E. Carr, JD,
Director of Emergency Medical Services, Galveston Area Ambulance Authority
at 409-765-2512 or email mcarr@gchd.org |
 |
·GAAA
Transfers - Total ambulance transfer calls were 347 in February and
401 in March. Mainland transfers accounted for approximately 55% of the
total calls, while Galveston transfers accounted for approximately 45% of the
total. In February (79%) and March (76%) of the Mainland transfer calls were
turned over to other services. In Galveston, 2 transfers were given away
from UTMB during this time. Once all ambulances have been placed in
service on the mainland, the number of transfers being turned over to outside
agencies should decrease. We will continue to monitor these numbers
monthly.
EMS expansion update –
Expanded EMS operations continue on the
mainland. In addition to current emergency operations, an
additional transfer unit (Medic 12) has been placed in
service on a 24 hour basis, as of April 1, 2006. This unit
is dedicated to mainland transfers and is operated from the
vicinity of Mainland Medical Center during the day and
housed in our Bacliff EMS facility at night. An additional
daytime transfer unit is planned for deployment as soon as
staff can be acquired and trained. Three new Type II
transfer ambulances have been received in the last two weeks
along with a Type I Ambulance that will be stationed in the
Bacliff area as soon as it is commissioned and ready for
service. Two new Cardiac monitors and four Semi-automatic
External Defibrillators have been received and made ready
for use in the expansion.
Nursing Home Contact –
EMS Director Michael Carr has continued to meet
with representatives of local nursing homes to discuss
issues involving EMS that directly affect these facilities.
He recently met with the interim management staff of
Seabreeze Nursing and Rehabilitation Center to inform them
of the changes to EMS operations that have occurred in the
last year. Another meeting will be arranged when the new
permanent administrator reports to work in May.
West End Tele-health –
On April 17, 2006 Michael Carr, EMS Director and Russell K.
Miller, MD, EMS Medical Director, met with representatives
of the City of Jamaica Beach, the Pirates Beach Homeowner’s
Association, the West Island Resident’s Association, and
UTMB, to discuss a proposed pilot program implementing a
Tele-health Clinic to be located in the Jamaica Beach
municipal facility. As proposed the clinic would operate
for four hours each Saturday and Sunday and Holiday from May
27, 2006 to September 4, 2006. The participants agreed that
they would seek funding for the pilot from their respective
organizations. These meetings are scheduled for early May,
and if successful, the group will meet to determine the
details of putting the pilot in operation on the Memorial
Day weekend. |
|
Public Health Preparedness:
For additional information on any of these topics, contact the Public Health Planner at 409-938-2475
or
email brutherford@gchd.org |
 |
On April 4th
and 10th, the Public Health Planner attended
meetings at the Houston-Galveston Area Council (H-GAC) to discuss
possible recommendations for a regional evacuation plan. The
recommendations specify the roles and responsibilities of
various local and state agencies in the event an evacuation
is needed. The recommendations come in response to the State
of Texas Governor's Executive Order mandating regional
planning for evacuations. On April 6th, the Public Health
Preparedness Program hosted a satellite broadcast on conducting
time studies of mass antibiotic or antiviral dispensing
clinics. The purpose of these studies is to
evaluate through exercises a community’s ability to rapidly
dispense needed medications to their residents. The goal is
to use this information to improve performance and
efficiency of a mass dispensing operation. Community Health
Nursing and Public Health Preparedness staff viewed the
broadcast.
On Friday, April 7th,
the Galveston County
Animal Issues Committee consisting of Health
District staff along with representatives from the Galveston
County Office of Emergency Management, League City Animal
Control, the Texas Agricultural Extension Office in
Galveston, City of Galveston Animal Control, and Habitat for
Horses, met to identify possible resources to address animal
needs in the event of a hurricane. Committee members will be
working to develop a resource list to assist livestock and
pet owners and emergency responders to prepare for and
respond to animal issues that might arise as a result of a
disaster in Galveston County.
On Saturday, April 8th, The Senior Health Coordinator, Public Health
Planner, as well as staff from the Case Management Program participated in an
event at the Island Community Center to educate and register seniors in the new
Medicare Part D prescription benefit. 130 seniors were provided assistance. The
event was organized by the Galveston
Community Network; an organization consisting of the Health District,
churches, social service organizations and local agencies that provide services
to Galveston Island residents. Besides providing assistance on the day of the
event, the Health District also provided support by printing flyers and signage
for the event.
The
Galveston County Emergency
Response Collaborative (GCERC) met on Thursday,
April 13th. The Public Health Planner and
Strategic National Stockpile (SNS) Coordinator provided a
presentation to orient members to the SNS and how
medications would be received and dispensed to residents and
hospitals in the county. There was also discussion about the
command and control structure and the various roles and
responsibilities of member agencies.Also on April 13th
there was a meeting of the
Galveston County Medical
Reserve Corps. Members were provided a brief
overview about pandemic flu planning in the county and
possible roles of the Medical Reserve Corps in a SNS
deployment in Galveston County. From April 18th
to April 21st the Public Health Planner, who also
functions as the Galveston County Medical Reserve Corps
Coordinator, attended the
National Medical Reserve
Corps Conference in Dallas. The purpose of the
conference was to share best practices on volunteer
recruitment, retention, training, and community
collaboration. Approximately 500 local and regional
coordinators from throughout the country attended the
conference. |
|
Other
Executive Updates: For additional
information on any of these topics, contact the Health District’s Executive
Assistant at 409-938-2401 or
email plewis@gchd.org |
 |
Influenza Update - There have been 42 laboratory confirmed Influenza cases reported to
the Health District in Galveston County for the year 2006. Overall, flu
activity level for Texas is sporadic and continues to decrease across the
state.
Meetings -
Epidemiology staff attended the “Bugs,
Drugs and Vaccine: Securing our Future symposium on April 5 and 6 designed
to attract young investigators to interact with their peers and Texas science
community. On April 5, 2006, staff attended an Environmental Health for
Public Health Department Epidemiologists Training at The University of Texas
School of Public Health in Houston and represented the Health District at a
meeting about Texas Pandemic Influenza Supplemental Funds meeting to
explore ways all areas of their region will become prepared to address a
pandemic influenza. The Health District anticipated additional funding specific
to pandemic fund planning.
Volunteers - During the month of April, 34 EMS volunteers were processed, one
medical student was assigned to WIC, and a phlebotomy extern was placed in the
clinic lab. The volunteer coordinator attended the following meetings this
month: Volunteer Management presented by the Houston Area Volunteer
Administrators, and on April 13 she participated in the Texas City Healthy City
Assessment project and the monthly Galveston County Medical Reserve Corp
meeting. She also assisted ten seniors at McKinney Memorial Methodist Church
with enrollment for the new Medicare Prescription Program. |
|
Contracts Executed:
For more information, please contact Kathy
Barroso, Chief Financial Officer, at (409) 938-2258 or email
kbarroso@gchd.org |
 |
Contacts for providing services under the Ryan White grant with Gulf Coast
Connect Transportation, AIDS Coalition of Coastal Texas and Bering Omega Dental.
Contract with Laboratory Corporation of America for
specimen processor services agreement for a full time employee in our lab to
process only LabCorp paperwork.
Ready Provider Contract with Dr. Arceneaux |