2011 ANNUAL REPORT Fort Wayne-Allen County Department of Health
Deborah McMahan, MD, Health Officer
Mindy Waldron, BS, REHS, CFSP, Administrator
Fort Wayne-Allen County Department of Health Administrative Office 200 E. Berry St., Suite 360 Fort Wayne, IN 46802 (260) 449-7561
Vector Control & Environmental Services 2242 Carroll Road Fort Wayne, IN 46818 (260) 449-7459
Medical Annex 4813 New Haven Ave. Fort Wayne, IN 46803 (260) 449-7504
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Fort Wayne-Allen County Dept. of Health
ANNUAL REPORT 2011
Table of Contents OVERVIEW Message from the Health Commissioner....................................................................................................................... Message from the Department Administrator.............................................................................................................. Executive Board of Health..................................................................................................................................................... About the Department.......................................................................................................................................................... Executive Summary.................................................................................................................................................................
4 5 6 7 8
DIVISION REPORTS Clinical Services.........................................................................................................................................................................12 Communications......................................................................................................................................................................15 Community Health & Case Management Services.......................................................................................................16 Emergency Preparedness..................................................................................................................................................... 19 Medical Reserve Corps............................................................................................................................................................20 Food & Consumer Protection.............................................................................................................................................. 21 Healthy Homes..........................................................................................................................................................................24 HIV/STD Prevention.................................................................................................................................................................26 Immunization Services...........................................................................................................................................................29 Informatics..................................................................................................................................................................................32 Pollution Control.......................................................................................................................................................................34 Vector Control & Environmental Services........................................................................................................................36 Vital Records...............................................................................................................................................................................39 FINANCIAL SUMMARY Revenues and Disbursements............................................................................................................................................ 43 Fund Report............................................................................................................................................................................... 44 ACKNOWLEDGEMENTS Department of Health Staff.................................................................................................................................................. 47 Interns ........................................................................................................................................................................................ 48 Elected Officials....................................................................................................................................................................... 49 Community Partners.............................................................................................................................................................. 50 Councils & Committees........................................................................................................................................................ 51
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Fort F Wayne-Allen County Dept. of Health
A Message from the Health Commissioner...
Deborah McMahan, MD Health Commissioner
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Fort Wayne-Allen County Dept. of Health
Change has become an integral part of our daily lives. Social media, video games, continuous access to the Internet; all of this in turn influences the decisions we make, the behaviors we adopt and the health outcomes we see individually and as a community. This year, we continue to see opportunities to improve our rankings in the Robert Wood Johnson County Health Rankings. This is the second year that the data has been provided at the county level, which allows us to begin to identify long-term trends and see the impact that the economy and other important issues have had on the well-being of our community. The rankings incorporate data that assesses both health outcomes (length and quality of life) and health factors (health behaviors, access to and quality of clinical care, social and economic factors, and the physical environment). Our Health Outcomes ranking, which represents the length and quality of our life, decreased to 35th out of 92 counties as compared to 33rd last year. Our Health Behaviors ranking dropped to 65th out of 92 counties. This includes issues such as alcohol and tobacco use, rates of sexually transmitted diseases (STDs) and diet and exercise. We did see a positive improvement in our environmental score due to fewer ozone days in 2011 than in 2010. In 2011, we started the process of collecting local data and establishing collaborations that we will use to develop a Community Health Improvement Plan for our community. Over the next year, we will also continue to work with our partners and stakeholders to develop a more thorough understanding of how our residents are living and working in the 21st century so that our plan reflects and accommodates the influences and issues that we face as individuals and as a community. Because of the complexity of the social and economic landscape, to significantly change the direction we are going from a health and wellness perspective will require collaboration and integration between disciplines and professions. I look forward to sharing our accomplishments with you in the 2012 annual report.
ANNUAL REPORT 2011
Overview
A Message from the Department Administrator... It was another amazing year for public health! Despite depleting funding streams coupled with increasing responsibilities, the department was able to accomplish many things and proactively engage in some exciting community projects. This year saw half of the department move from the City-County Building to a new home in the Citizens Square location at 200 East Berry Street. Although all moves come with issues and challenges, overall we are pleased with our new space and are very thankful for a bit more room to provide for a more efficient and safe working environment. We endeavored again this year to strengthen our enforcement methods within the environmental divisions and worked toward streamlining the flow and service provision in our medical environments. Both initiatives proved fruitful and have resulted in more efficiency and better compliance overall. As we move into 2012, we must continue in our ongoing efforts to ensure the utmost of productivity in an environment of shrinking budgets. This takes staff members who possess the traits of flexibility, cooperation, and open minds – and we are blessed with just those kinds of staff members! Change is never easy or quick, but it is a necessary evil in our line of work. We exist to serve the citizens of Allen County and must do so within the constraints of a governmental arena. Therefore, we continue to appreciate the understanding and assistance of the elected officials and community partners who complement the important services we provide. We also appreciate the staff’s willingness to adapt to changing needs and services as we strive to improve our service delivery. I’m ready for an exciting, sustainable, and productive 2012 in public health!
Overview
Mindy Waldron, BS, REHS, CFSP Administrator
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Fort F Wayne-Allen County Dept. of Health
Executive Board of Health Joseph Steensma, Ed.D., MPH, CIH (P) Term expires Dec. 31, 2014 Todd C. Rumsey, MD, FACOG, (VP) Term expires Dec. 31, 2014 Terri Y. Farr, RN Term Expires Dec. 31, 2011 Mary Hess, RN, BSN, NCSN Term expires Dec. 31, 2011 Rick Regadanz Term expires Dec. 31, 2013 Patricia Hays Term expires Dec. 31, 2013 William Pond, MD Term expires Dec. 31, 2012 Board Attorney Laura Maser Allen County Council Liaison Larry Brown
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Fort Wayne-Allen County Dept. of Health
A Message from the Board President... Dear Citizen of Allen County, Within these pages you will find a great deal of information about the health status of our community. Of course there is a great deal of data within this report related to immunizations, diseases, conditions, and agents (such as lead and radon), but I hope that beyond all the facts and numbers, you will see the vast amount of work and effort that goes into making our community as healthy and safe as it can be. The professionals within the Fort WayneAllen County Department of Health and on the Executive Board of Health remain vigilant and determined to protect the health of our community for the good of us all. There is no question that there are many public health issues that will continue to be challenges for our community. It seems as if we are made aware of a new challenge on a near daily basis, yet within the Department of Health we remain convinced that the work that we do is making a difference in the lives of our fellow citizens. We are proud to serve as sometimes the first — and sometimes the last — line of defense against disease and sickness. We believe it is our mission to make our community as healthy as possible for the benefit of all citizens. We believe a healthy community is a productive community. A productive community is an economically vital and socially vibrant community. As president of the board, I can tell you that this vision is one that motivates me on a daily basis as an advocate for your health. I believe I can speak for the other members of the board and for all the people who are on the front lines of public health in our community that this is a shared vision of us all. I hope you find this annual report informative and useful. I believe it is reflective of the professionalism and diligence of the department’s staff. I encourage you to get involved in our public health initiatives and to engage the Department of Health when you believe we can be of service. Stay Safe…and Healthy! Joe Steensma, Ed.D., MPH, CIH
ANNUAL REPORT 2011
Overview
About the Department Our Programs and Services
Our Vision
Investigate, monitor, prevent and treat: Communicable disease Sexually transmitted disease Insect and animal-borne disease Food-borne illness Water-borne disease Childhood lead poisoning
To be a center of excellence for public health by preventing disease, promoting health, protecting the environment and preserving vital records in our community.
Review, license and inspect: Retail food establishments Tattoo & Body-piercing establishments Private sewage disposal systems Public and semi-public pools and spas Railroad camp cars Collect, issue and preserve: Certified birth and death records Affidavits of paternity Provide: Child and adult immunizations Health screenings for refugees Case management for lead poisoned children Confidential STD and HIV testing/counseling Communicable disease investigation
Overview
Our Mission In support of Allen County and its municipalities, the Fort Wayne-Allen County Department of Health strives to promote the health, safety, and wellbeing of all residents. With guidance from the Indiana State Department of Health and support from our many partnering agencies, we endeavor to have a model public health infrastructure that provides professional, responsive, and cost-effective services to the community.
Our Values Pride Performance Professionalism Teamwork Flexibility Commitment to Service
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Fort F Wayne-Allen County Dept. of Health
Executive Summary
2 The department’s administrative and environmental health divisions moved from the City-County Building to Citizens Square in 2011.
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Fort Wayne-Allen County Dept. of Health
011 will go down as a year of significant change in the Department of Health. Not only did the department complete its second physical relocation in two years, but it also began charging patients and billing Medicaid for medical services provided in its clinic. These are but two examples of the policy initiatives, programmatic issues and staffing changes that impacted public health in 2011. Starting with National Radon Action Month in January and ending with World AIDS Day in December, the department built on many of the successes of last year’s public health outreach efforts. The department gave out 2,056 radon test kits to residents in 2011 as part of its effort to raise awareness of the second leading cause of lung cancer. Bed bugs also emerged as a significant public health nuisance as there has been a 15 percent increase in complaint inspections since 2007. Dealing with this issue can be expensive and challenging, so the Vector Control & Environmental Services Division put additional emphasis on low-cost measures to control the pest through inspection and ANNUAL REPORT 2011
Sources of Revenue 2% 1% 2% 0%
22% 55% 13% 0%
0% 5% General Property Taxes Excise Tax Commercial Vehicle Excise Tax Clinical Fees
Grants Financial Institution Tax Permit Fees Medicaid Reimbursement
education. Beginning in 2011, all death records in Indiana were required to be filed electronically using the Indiana Death Registration System (IDRS). The transition from paper to electronic filing was a major change and required the Vital Records division to invest significant time in awareness and training efforts for area physicians. As one chapter was beginning, another was ending in Vital Records. The department said goodbye to Director Janet Westendorf who retired in January after 37 years of service. February was the official start of charging
2011
By the numbers... t 9, 917 clinical office visits t 12,368 doses of vaccine given to children t 146 tattoo & body piercing inspections conducted t 275 cases of Hepatitis C reported t 4 cases of active Tuberculosis reported t 3, 174 children screened for lead poisoning t 899 mosquito breeding sites treated t 2,056 radon test kits provided t 123 onsite sewage construction permits issued t 6,764 births in Allen County Executive Summary
fees for services in the medical clinics. Dwindling tax revenue and loss of grant money helped spur on the decision. The fee schedule went into effect for the STD, Infectious Disease and Immunization clinics. In the run-up to the official start, the Annex staff had a “pep rally” complete with cheerleaders, pom poms and team building exercises. March again saw the release of the annual County Health Rankings Report by the University of Wisconsin and the Robert Wood Johnson Foundation. Allen County Health Commissioner Dr. Deborah McMahan also co-chaired a committee that helped write a health improvement plan for the state of Indiana, which focused on assuring food safety, reducing healthcare associated infections, reducing the burden of HIV, sexually transmitted diseases and viral hepatitis, as well as addressing infant mortality, obesity, and tobacco use. April marked the start of a satellite WIC (Women, Infants & Children) clinic at the Annex. WIC is a federal grant program which provides supplemental foods, health care referrals, and nutrition education for lowincome pregnant, breastfeeding, and nonbreastfeeding postpartum women, and to infants and children up to age five who are found to be at nutritional risk. Although the WIC clinic was shortlived, it did represent the department’s ongoing efforts to collaborate with other community agencies to provide the best patient care possible.
Kathy Thornson received the Bill Leisman Award at the annual Vive Le Rouge event in May 2011. The award is given to a volunteer who has demonstrated a tireless dedication to making a difference for those living with HIV/AIDS.
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Fort F Wayne-Allen County Dept. of Health
Dave Fiess discusses the role of the Vector Control & Environmental Services division to nursing students from Huntington University who visited the Medical Annex in August of 2011.
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Fort Wayne-Allen County Dept. of Health
That same month the department conducted a POD, or Point of Dispensing, drill to test its ability to set up a medication center to give antibiotics in response to an anthrax event. Department of Health staff and a number of medical and non-medical volunteers, including members of the Allen County Medical Reserve Corps (MRC) and ncy Response the Community Emergency Team (CERT) participated in the exercise ounty School olss ol at the Southwest Allen County Schools llllpo poxx po transportation building. At a Small Smallpox nation ccla lass la ss iin n Ma May, y, “Train the Trainers” vaccination class on Servi vices, vi s, C Cli lilini nica ni call ca nurses from Immunization Services, Clinical nity Hea ealt ea lth lt h & Ca Case se Services and the Community Health visionss were were trained ttra rain ra ined in ed Management Services divisions dministe ter sm te smal allp al lpox lp to teach others how to administer smallpox expo posu po sure su re.. re vaccinations in the event of an ex exposure. ions of the Later in May, the divisions ed Department of Health thatt were located g mo move ved to ve in the City-County Building moved ns SSquare. Tho hose ho their new home in Citizens Those offices — including Administration, Finance, Communications, Informatics, Vital Records, Food & Consumer Protection, Pollution Control and Lead/Healthy Homes — were closed for two days so items could be moved and phones and computers could be connected. Nearly 40 years after the CityCounty Building was dedicated, a similar event was held for the opening of Citizens Square in June. City and county officials marked the occasion with a ribbon-cuttting ceremony. Guests were invited to take self-guided tours around the building, making note of historic ANNUAL REPORT 2011
artifacts located on each floor. At the same time the Clinical Services division was making significant changes to its scheduling process to try to accommodate more appointment requests. By adjusting staff schedules and coverage levels and doubling its walk-in appointment times, unaccommodated STD client calls decreased by 75 percent in 2011. 201 Later in the year, the department began experimenting with even ev enin en ing in g clinic hours hou twice a month to better evening acco ac comm co mmod mm odate the needs of patients. od accommodate uly, ul y, the the Lead/Healthy Lead/ In JJul July, Homes division rece re ceiv ce ived iv ed major maj m ajor rec aj received recognition when the results of 2 200 009’ 00 9’ss lead 9’ lead study of Burmese refugee 2009’s chil ch ilildr dren dr en were wer w ere er e published publ children in the journal Clin Cl inic in ical ic al P Ped edia ed iatrics. Al ia Clinical Pediatrics. Also in 2011, the Healthy Home Ho mess program me prog ogram started og st Homes a multidisciplinary lead le ad clini nicc for its lead ni le poisoned children and clinic thei th eirr fa ei families. Under Unde the guidance of a case their manager, a care plan is developed for each family. Children are given tests to assess their blood lead levels as well as the Vitamin D and iron levels. In turn, the parents meet with a risk assessor to discuss lead hazards in the home and with a public health nurse to get more information about nutrition and to complete a pediatric intake assessment. Many of those same children were enrolled in an enriched summer preschool program called “Little Plumbs” at Turnstone designed specifically for lead poisoned children. Children in the eight-week program received both group and individual therapy and meals and transportation were provided. Although Executive Summary
attendance was high and the program was deemed a great success, it was discontinued due to lack of funding. Just as the Immunization Clinic was gearing up for its annual back-to-school vaccination rush, ISDH announced it was postponing a policy that would have required local health departments to charge for vaccines if a child was insured. The policy, ct in July, originally scheduled to take effect nded to was delayed until 2012. It is intended ents w wit itho it hout ho ut reserve free vaccinations for patients without clud cl ude ud e insurance or whose plans do not incl include h fe federa rall ra immunizations, in accordance with federal acci cine ci nes. ne s. guidelines for publicly-funded vaccines. The Community Health & Case ondu ducted du ed Management Services Division conducted nclu ludi lu ding di ng several outreach efforts in 2011, including th wit ith it h assisting ISDH and Parkview Health with a possible measles exposure eventt by nd Rubella providing the Measles, Mumps and d (MMR) vaccine to those possibly exposed and conducting a pilot study at Miami Middle School to screen students for latent tuberculosis (TB) infection. Twenty-eight secondary refugees were also screened for TB, hepatitis, lead poisoning and Vitamin D deficiency as part of an outreach event at Autumn Woods Apartments in July. In September, the department began offering civil surgeon exams under the direction of Dr. McMahan. These exams, a requirement of those seeking adjustments to immigration status, involve a complete health history and physical exam. A total of Executive Summary
15 exams were given in 2011. Two ordinances impacting public health underwent significant revisions in 2011. A new Tattoo & Body Piercing ordinance went into effect in November and included the prohibition of certain acts such as dermal punching and suspension piercing, as well as the provision that tattoo artists receive a Hepatitis B vaccination. Also in 2011, the th e Po Pollution Cont Control division rewrote the ordi or dina di nanc na nce nc e fo for onsi ordinance onsite sewage systems to incl in clude cl e a re requ quirem qu include requirement that a disclosure form be p pro rovi ro vide vi ded de d to a p provided prospective buyer whenever a pr prop oper op erty er ty being ng o property offered for sale is serviced by an o ons nsit ns ite e se sept ptic pt ic ssys onsite septic system. Training of inspectors and d re real al e est stat st ate pr at prof estate professionals was to occur in earl ea rlyy 20 rl 2012 12. A fe 12 fee e st early 2012. study was also conducted and an d so some me ccha hang ha nges were made to permit fees ng changes in tthe he FFoo ood oo d an and Po Food Pollution Control divisions. TThr hrou hr ough ou ghou gh out 20 ou Throughout 2011, the department part pa rtic rt icip ic ipat ip ated iin at n va participated various health events, includin including Fo Focus on Health in April; “Don’t Miss A Beat” CPR trainings in May, July and September; National HIV Testing Day in June; the Fort-4-Fitness race in September; and Healthy Cities in October. At the end of 2011, the department was preparing for new initiatives, such as providing travel vaccines in its Immunization Clinic, conducting a radiological disaster training event and an anthrax exposure drill, developing an educational curriculum to address the rise in STD infection rates, and completing a community-wide public health assessment and improvement plan.
Mark Herber and Sarah Osterfeld prepare to perform a dye test on a septic system. A new Onsite Sewage System ordinance was adopted in 2011.
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Fort F Wayne-Allen County Dept. of Health
Programs & Services: *OGFDUJPVTEJTFBTFUFTUJOH DPVOTFMJOHBOEUSFBUNFOUt%JTFBTFJOWFTUJHBUJPOBOEFEVDBUJPO Director: Melanie Koch, BSN, RN tHours of operation: .'tContact info: 449-7504 (ph) 449-3913 (fax)
Clinical Services
The department implemented a fee-forservice policy in its clinics beginning in February 2011. Joanna Baker and Audrey Burton are seen here.
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Fort Wayne-Allen County Dept. of Health
Highlights for 2011 2011 was a year of change within the Clinical Services division focusing on providing quality health care services to the most clients possible, in a costefficient manner. The availability of STD Clinic appointments improved greatly in order to accommodate the demand. This was achieved by on-going revisions to the scheduling process as well as by increasing provider availability and services. While the no-show rate did increase by 7 percent from 2010 to 2011, the number of unaccommodated calls (defined as clients calling for an appointment and their need not being met at that time due to lack of appointment availability) decreased from 5,379 in 2010 to 1,326 in 2011. This was a welcome change for both clients and staff. Also in 2011, the department implemented a fee-for-services program in all clinics. While this was a learning curve for both staff and clients, the process was smooth and fruitful as funds collected have been critical to sustaining the vital health care services provided. TB skin testing, a popular service ANNUAL REPORT 2011
which had been available to the community prior to 2004, was reinstated in 2011 as a feefor-service option. More than 500 voluntary TB skin tests were administered to meet the educational and occupational needs within the community. Refugee health care continues to be provided with the introduction of new, innovative processes. While face-to-face interpretation continues to be utilized, the use of virtual interpretation has been a very effective and complimentary means of communicating with the refugee population. This became available to us through a generous community partnership. Likewise, a partnership with a pharmacy provider allowed us to provide medication to refugees in individual doses, as opposed to monthly supplies, in an effort to increase compliance and decrease medication errors in the home setting. Unfortunately, due to decreased funding for refugee services in the community, transportation became a major obstacle in ensuring refugee health care services were completed. The no-show
Division Report
Clinical Services
STD Services
2010 2011 Sexually Transmitted Disease (STD) Services STD Appointments Completed 5,527 4,430 No Shows 1,285 1,571 STD Total Appointment No Show Rates 19% 26% STD Calls Unaccommodated 5,379 1,326 Infectious Disease (ID) Services ID Physician Visits 2,307 2,732 No Shows 668 1,380 ID Non-Physician Visits 706 1,389 ID Nurse/MA Appointment No Shows 233 708 ID Total Appointment No Show Rates 23% 34% Miscellaneous Services ID Phlebotomy Draws 621 721 Lab Tests Drawn
923
1,400
Tuberculosis Skin Tests in Clinic
0
521
!"#$%&'(")&*+$,-".)&/"-
n/a
3
Referrals to Department of Child Services n/a
4
Total Encounters
9,161 9,917
n/a=not available or not applicable
rate for the refugee population increased by 10 percent during the 2011 year. Efforts will continue in 2012 to remedy this issue in collaboration with community partners. Lastly, the division has worked closely with eight colleges and universities in the region to provide clinical experiences in the public health clinic setting to more than 80 students in excess of 1,500 hours. The Clinical Clinical Services
6,000 5,000 4,000 3,000 2,000 1,000 0 2010 STD Appointments Completed
2011 STD Calls Unaccommodated
Services Division is passionate about meeting the demand for the unique public health needs of the community, as well as mentoring future health care workers to desire to do the same. Goals for 2012 A major goal for 2012 is to streamline refugee services to facilitate improved continuity of care within the department’s clinics as well as ensure refugee health referrals within the community are completed. We would also like to collaborate with leadership and staff to implement upgrades to electronic health records which will allow for a more efficient clinic flow and improved data collection. Enhanced data collection may also help us target services to at-risk clients in the most efficient manner possible. We also want to work collaboratively with outside agencies to increase mutual awareness of the community resources available to clients. To that end, we hope to implement an efficient referral service and provide some education and field trips for staff. —Melanie Koch, director
Using the new VSee system, clinic staff can access interpreters online when faceto-face interpretation is not available. LaQuisha Stapleton demonstrates how it works.
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Fort F Wayne-Allen County Dept. of Health
STD Services
STD Services
2010 2011 Sex of Client (percentage) Male 56% 44% Female Unknown
42%
53%
2%
3%
Race of Client (percentage) White
39%
39%
Black
39%
37%
Other
22%
24%
Age of Client (percentage) 45
13%
12% Age of Client
2010 Chlamydia Total Tests 2,571 Total Positives 300 Positivity Rate 12% Gonorrhea Total Tests 2,574 Total Positives 105 Positivity Rate 4% Syphilis RPR Total Tests 964 RPR Reactive 17 Herpes Simplex Virus Total Tests 63 Total Positives 14 Hepatitis B Total Tests 260 Total Positives 22 Hepatitis C Total Tests 368 Total Positives 7
STD Services 2011 2,899 523 18% 2,901 121 4% 1,237 14 122 47 130 5
2010 HIV 985
Total Tests Total Positives
2011 1,534
11
9
Trichomonas Total Tests n/a 1,290 Total Positives n/a 149 Bacterial Vaginosis Total Tests
n/a
1,250
Total Positives
n/a
465
Trichomonas and Bacterial Vaginosis Combined Rapid Testing Total 2,519 2,540 Wart Treatment Cryotherapy 449
325
TCA
317
436
Total Treatments
820
761
n/a=not available or not applicable
347 10 Sex of Client
1% 12%
8%
3%
14% 30%
44%
14%
53%
21%
45
Male
Female
Unknown
Clinical Services
Programs & Services.FEJBBOEQVCMJDSFMBUJPOTt$SJTJTDPNNVOJDBUJPOTt)*1""$PNQMJBODF Director: John Silcox, BA tHours of operation: .'tContact info: 449-7395 (ph) 427-1391 (fax)
Communications Highlights for 2011 It was another busy year for the Communications Division as several projects were completed in 2011. After a thorough effort of documenting and classifying its records, the Communications Division formalized a records retention policy and provided staff training. At the request of the Health Commissioner and the HIV/STD Prevention director, the Communications Division created some new STD prevention materials, including educational posters and brochures for both clinicians and clients. Two public health educational videos — one on hygiene and one on nutrition — were also created by students from Anthis Career Center for use with refugee clients. Working with the department Administrator and the Informatics director, the Communications director helped create an orientation program for new employees called “DOH 101.” Fifteen staff members were trained in Health Insurance Portability and Accountability Act (HIPAA) compliance in 2011. Public health issues provided plenty of story ideas for the news media again in 2011 as the department responded to more than Division Report
160 media requests. There was a total of 28 news releases issued and more than 100 interviews given by staff in 2011. In his role as internship coordinator, the Communications director helped place 7 interns in the department in 2011. He also recruited at career/internship fairs at Indiana Tech and Ivy Tech State College. As part of on-going professional development, the Communications director attended the National Conference on Health Communication, Marketing and Media in Atlanta, Georgia in August. Goals for 2012 As always, there are projects both large and small on the horizon. The Communications director is working with the department Administrator in conducting a systematic review of all documents used by the department to ensure clarity, accuracy and completeness using the new Style Guide as a reference. The division is currently researching the possibility of a Department of Health Facebook page with hopes of launching it by mid-year. More public health videos are also in the works. —John Silcox, director
After-Hours Calls 2010 Food-Related Issues 10 Infectious Disease/Medical Issues 21 Animal Bite/Vector Control Issues 4 Environmental (General) 3
2011 20 20 5 4
Methamphetamine Lab Response ISDH Facility Response Miscellaneous Issues Total
14 0 12 75
4 1 6 49
After Hours Calls 2011 0%
16%
27%
19% 6%
27%
5% Food-Related Issues
Infectious Disease/Medical Issues
Animal Bite/Vector Control Issues
Environmental (General) Issues
Miscellaneous Issues
ISDH Facility Responses
Methamphetamine Lab Responses
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Fort F Wayne-Allen County Dept. of Health
Programs & Services5VCFSDVMPTJTQSFWFOUJPOBOEDPOUSPMt$PNNVOJDBCMFEJTFBTFJOWFTUJHBUJPOPVUSFBDI Director: /JLLJ)BSUNBO #4/ 3/tHours of operation: .'tContact info: 449-4838 (ph) 449-8731 (fax)
Community Health & Case Management Services Highlights for 2011
The department provides tuberculosis (TB) skin testing to residents who may be at high risk. There were 4 cases of active TB in 2011. Laura Sanchez gives one such test.
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Fort Wayne-Allen County Dept. of Health
In 2011, the Community Health & Case Management Services (CHCMS) Division collaborated with a variety of community agencies on several public health projects and outreach efforts. One of the most important goals of the CHCMS division is to quickly identify, isolate, and treat all cases of infectious pulmonary tuberculosis (TB,) but to also assist with identifying those people who may have latent TB infection and to provide treatment to avoid becoming TB disease. The CHCMS staff worked with Healthy Cities and Veterans event to provide free tuberculosis (TB) skin testing for 64 participants. Staff also conducted a TB study with an Allen County Middle School. The department offered testing to every student in the school, but its focus was on those with risk factors such as being from a country that had high TB rates. The study showed a 16 percent positivity rate for latent TB and has led to further school studies being planned for Allen County. CHCMS staff assisted with a pilot project
ANNUAL REPORT 2011
at Charis House to provide blood lead level testing as well as Vitamin D testing for the children who reside there. Blood lead level testing was also done for 30 children at Martin Luther King Montessori School, in conjunction with staff from the Healthy Homes program and Immunization Services. The CHCMS division also restructured the way it provides lead case management to better serve its children and their families. Several divisions also assisted CHCMS staff with various outreach programs in the Burmese refugee community to ensure that children had received all of the initial health screening testing that was needed, specifically TB testing; blood testing to identify vitamin D deficiencies; elevated blood lead levels; infections; as well as testing for various parasites. There was great success with the various outreach efforts which helped identify and provide treatment for a large number of children who may have gone undiagnosed otherwise.
Division Report
DOT Visits in the Field
Tuberculosis Cases 6,000
25 5,000
20 4,000
15 3,000
10
2,000
5
1,000 0
0 New TB cases Cases Transferred
2004 24
2005 20
2006 10
2007 17
2008 16
2009 14
2010 10
2011 4
1
2
1
0
0
0
1
0
`
2004
2005
2006
2007
2008
2009
2010
2011
DOT Visits in the Field 3,361
4,623
2,287
3,399
5,405
5,654
3,356
3,272
Animal Bite Reports
The CHCMS division along with the Immunization Services division assisted the Indiana State Department of Health (ISDH) with testing of approximately 84 people in Allen County who were part of the northern Indiana measles outbreak. Goals for 2012 As part of this goal of identifying latent TB infection, in 2012 the CHCMS division will expand its TB study project to more schools. The study will continue this spring and will give our community a better understanding of latent TB in Allen County children and hopefully lead to discussions on ways to better identify and treat these children. The CHCMS division would also like to expand its Fall/Injury Risk Program in collaboration with the Healthy Homes and Vector Control and Environmental Services divisions. According to the CDC, emergency departments treated more than 2 million nonfatal fall injuries among older adults in 2009. The new Fall/Injury Risk Program would Community Health & Case Mgt. Svcs.
1000 900 800 700 600 500 `
400 300 200 100 0
Animal Bite Reports Cases Requiring Follow-up
200 4 910
200 5 716
200 6 774
200 7 841
200 8 900
200 9 905
201 0 755
201 1 694
8
6
10
65
86
54
18
12
help the elderly in Allen County by providing an assessment of living spaces; education on fall risks, including environmental, physical and medication related risks; and possible interventions to reduce the risks. As always, the CHCMS division will strive to provide timely and thorough case investigation of reportable communicable diseases, while also assessing for local trends and implementing strategies to decrease disease transmission such as providing education to individuals and groups in the community. Emergency preparedness and mass contact investigation preparedness as it relates to communicable disease is an ongoing
Staff from the CHCMS division used a puppet show to teach proper handwashing and hygiene to children at St. Patrick’s Summer Clubhouse.
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Fort F Wayne-Allen County Dept. of Health
Reportable Communicable Diseases
Staff from the CHCMS division and Medical Assistant students provided health screenings to refugees at an outreach event at Autumn Woods apartments in July 2011.
18
Fort Wayne-Allen County Dept. of Health
2010 Brucellosis 0 Camplyobacter 35 Cryptosporidium 14 Dengue Fever 1 E.Coli 0157 (+ other) 10 Encephalitis, West Nile 0 Encephalitis, LaCrosse 0 Giardia 51 !"#$%&'()*+,-./*#.0" 4 Hepatitis A 6 Hepatitis B, Chronic 46 Hepatitis B, Acute 1 Hepatitis B, Window 0 Hepatitis C 374 Hepatitis D 0 Histoplasmosis 2 ,.01".2'$%"')3 1 Legionellosis 4 Listeriosis 1 Lyme Disease 9 Malaria 2 Measles 0 Meningitis, Bacterial (invasive) 1 MRSA 0 Mumps 4 Pertussis 24 Q-Fever 0
ANNUAL REPORT 2011
2011 0 37 19 0 4 1 0 38 7 2 52 2 0 275 0 8 1 2 0 4 1 0 1 n/a 0 10 0
Reportable Communicable Diseases Rocky Mountain Spotted Fever Rubella Salmonella Shigella Strep Group Invasive A Strep Group Invasive B Strep, Pneumococcal, Invasive Strep, Pneumococcal, Invasive (non-resistant) Toxic Shock Syndrome Varicella Yersinosis
2010 0 3 42 0 7 24 6 42 2 11 0
2011 0 0 35 19 10 22 0 35 0 7 1
n/a=not available or not applicable
Outbreak Investigations 2011 2010
1 1
goal of the CHCMS division. In 2012, the CHCMS division and Immunization Services will be working closely with community partners to revise the Allen County Small Pox Vaccination Preparedness Plan, including training approximately 400 medical persons to vaccinate in case of a bioterrorism event. —Nikki Hartman, director
Community Health & Case Mgt. Svcs.
Programs & Services&NFSHFODZQMBOOJOHt&RVJQNFOUBOETVQQMZNBOBHFNFOUt%SJMMBOEFYFSDJTFDPPSEJOBUJPO Director: Brad Witte tHours of operation: .'t Contact info: 449-7151 (ph) 449-8359 (fax)
Emergency Preparedness Highlights for 2011 As part of its preparedness efforts in 2011, the division updated the department’s Emergency Response Plans and Procedures. The division also purchased additional preparedness supplies and equipment with available grants for field operations. Director Brad Witte was a member of the ISDH Public Health Emergency Preparedness Advisory Committee and assisted in crafting the preparedness requirements for local health departments for the next five years. The division also met or exceeded the requirements from the Indiana State Department of Health for the 2011 grant year, which included preparedness training, drills and exercises. The department achieved a score of 89 on the Local Technical Assistance Review for 2011. This success allowed for additional purchases of emergency preparedness supplies and equipment and improved training and readiness to respond to public health emergencies. We continue to play an active part in setting the training and direction of public health emergency preparedness for local health departments in Indiana. Division Report
During 2011, the Emergency Preparedness Division also assisted with the school vaccine program with 6,254 doses given.
Goals for 2012 The goals for 2012 are to complete the activities and requirements for this year’s ISDH emergency preparedness grant while continuing to build on the department’s capacity to respond to all public health threats. Another goal for 2012 will be to acquire additional emergency preparedness supplies and equipment and to fully implement an Internet-based program for tracking and managing the inventory. As always, we will continue to train department staff in emergency response and remain active in state and local disaster planning, training and activities.
Director Brad Witte manages supplies at a Point of Dispensing operations drill in June 2011. The purpose of the drill is to test the department’s ability to respond to a public health emergency like a bioterrorism event.
—Brad Witte, director
19 ANNUAL REPORT 2011
Fort F Wayne-Allen County Dept. of Health
Programs & Services: Medical volunteer recruitment and training Director: Matt Brokaw tHours of operation: .'t Contact info: 449-3243 (ph) 427-1391 (fax)
Medical Reserve Corps (MRC) Medical Reserve Corps Highlights for 2011
Medical Reserve Corps volunteers play an important role in disaster response activities and exercises.
20
Fort Wayne-Allen County Dept. of Health
2011 Program Reporting One of the highlights of 2011 was acquiring Rostered Volunteers 160 mass casualty and sheltering supplies for the Volunteer Hours 44 MRC response trailer. 2011 Recruitment/Training Reporting Participants Hours Goals for 2012 Disaster Response for RNs-Med Tech 30 4 The consistent challenge with the MRC is Disaster Response for RNs-Med Tech 25 4 volunteer participation in non-emergency 27 4 operations such as training and recruitment. Disaster Response for RNs-Ivy Tech The MRC has always been a dependable POD Drill-Homestead High School 3 6 resource when disasters occur. The focus Fire Safety- ONE and MRC 4 4 of 2012 will be finding that balance and Childhood Obesity Project 8 10 engaging the program with more inviting American Red Cross MOU and Shel8 4 opportunities such as the Biohazard Detection tering System Drill with the Fort Wayne Post Office 29 4 and advanced training, including hazardous Recruitment and Course at IPFW Total 134 40 materials and radiological response. The 2011 Exercise Reporting process of developing an on-line training curriculum is also in the works. POD Drill-Homestead 3 6 One Call Now - Call Down Drills n/a all —Matt Brokaw, coordinator 2011 Response Reporting Dates 45&22'6-78)'.-$49 2/2/2011 Heat-Stand By for 7/19/2011 Cooling Centers n/a = not available or not applicable ANNUAL REPORT 2011
Emergency Preparedness
Programs & Services'PPEFTUBCMJTINFOUMJDFOTJOHBOEJOTQFDUJPOt5BUUPPCPEZQJFSDJOHQFSNJUBOEJOTQFDUJPO Director: Ann Applegate, BS tHours of operation: .'tContact info: 449-7562 (ph) 449-3010 (fax)
Food & Consumer Protection Highlights for 2011 Looking back at 2011, it is hard to believe how much has changed in the Food & Consumer Protection Division. The cast of characters may have changed, but the result is the same: a team of individuals who are eager to make their mark with regard to food safety and its effect on public health. As part of those staff changes, Ann Applegate was promoted to director and three new food inspectors were hired. Staff is not the only thing that has changed in our division. In 2011, the division began enforcing a new Tattoo & Body Piercing ordinance and held a training session that highlighted the changes for local tattoo facility owners and artists. The division is also developing a Tattoo Task Force consisting of members of the department as well as local tattoo artists. The Food division was involved in providing training courses to the public, including the ServSafe Food Protection Manager Certification Course which is taught in collaboration with the Allen County Extension Office. The division also worked with the event coordinator at Salomon Farms to Division Report
provide training to farmers market and home-based vendors on legislation changes. Staff members also attended the yearly Indiana Environmental Health Association Conference in September. The Food division has begun the process of tackling the language barrier that is present at a number of the establishments we regulate. With the help of an intern from Indiana University, the division identified local licensed establishments where communication has been a challenge and identified the primary language that is spoken at each establishment. The intent is to provide an interpreter to help when conducting inspections. We have developed surveys which we will encourage the establishment to use to provide us feedback on whether or not the use of an interpreter is beneficial. The goal is to improve communication so there is a better understanding of food safety practices and principles.
Ann Applegate was promoted to Director of Food & Consumer Protection in 2011.
Goals for 2012 Looking ahead to 2012, the Food division has already begun planning ways to help
21 ANNUAL REPORT 2011
Fort F Wayne-Allen County Dept. of Health
Inspection Activity 2010 Food Service Inspections Food Service (Mobile & Fixed) 2,258 Food Market (Mobile & Fixed) 558 Temporary Food Establishment 1,318 Follow-up Inspections/ Recalls 234 Consumer Complaints 363 Preliminary Inspections 239 Opening Inspections 197 Plan Reviews Conducted 104 Investigations :/6";$6" Balance Jan. 1 Donations Received Disbursements Balance Dec. 31
$15,724.15 4,703.81 $20,427.96 -2,373.72 $18,054.24
$18,054.24 396.42 18,450.66 -12.00 $18,438.66
STD Clinic Donation Fund Balance Jan. 1
$13,621.31
$13,664.39
Donations Received
3,603.01 211.00 $13,875.39 $17,224.32 Disbursements -3,559.93 -354.54 Balance Dec. 31 $13,664.39 $13,520.85 Clinical Services Donation Fund Balance, Jan. 1 $ $ Donations Received 0 .00 32,305.51* $ $32,305.51 Disbursements 0.00 - 6,635.35 $ $25,670.16 Balance Dec. 31
44
Fort Wayne-Allen County Dept. of Health
2010 2011 Allen County Onsite Wastewater Management $59,496.62 $69,168.36 Balance Jan. 1 Receipts 54,700.00 55,800.00 Interest 146.66 218.19 $114,343.28 $125,186.55 -45,174.92 -64,324.98 Disbursements Balance Dec. 31 $69,168.36 60,861.57 Indiana Local Health Dept. Trust Account Fund (TMP) $235,153.55 $230,889.06 Balance Jan. 1 Receipts 122,121.39 122,085.57 $357,274.94 352,974,63 -126,385.88 -119,567.12 Disbursements Balance Dec. 31 $230,889.06 $233,407.51 Onsite Septic System Fund $46,220.01 $48,541.20 Balance Jan. 1 Receipts 35,175.00 54,338.43 112.78 194.77 $81,507.79 $103,074.40 -32,966.59 45,681.77 Disbursements Balance Dec. 31 $48,541.20 $57,392.63 Public Health/Bioterrorism Coordinator Grant $ $ 0.40 Balance Jan. 1 9,292.71 9,005.49 Receipts 9,292.71 9,0005.89 Disbursements -9,292.31 -9,005.89 Balance Dec. 31 $ .40 $ -
Fund Report 2010 HIV/AIDS Program Fund Balance Jan. 1
2011
$(32,577.72)
$(15,342.78)
Receipts
84,493.07 $51,915.35
55,501.64 $40,158.86
Disbursements Balance Dec. 31
-67,258.13 $15,342.78
-54,499.14 $(14,340.28)
Refugee Interpreter Grant/SJCHF Balance Jan. 1
$30,691.72
$27,191.59
Receipts
44,000.00 $74,691.72
44,000.00 $71,191.59
Disbursements Balance Dec. 31
-47,500.13 $27,191.59
-50,696.20 $20,495.39
Refugee Health Assistance/FSSA Balance Jan. 1 Receipts Disbursements Balance Dec. 31
$ —
$ —
27,626.76 $27,626.76
55,510.65 $55,510.65
-27,626.76 $ —
0.00 $55,510.65
:%3%.#3D+,9#"5',:#35(=;"5(%.,7*.> Balance Jan. 1
$2, 906.75
$2,831.50
Receipts
37,156.00 $40,062.75
39,905.25 $42,736.75
Disbursements Balance Dec. 31
-37,231.25 $2,831.50
39,191.25 $3,545.50
* This amount simply denotes the amount as a result of combining multiple current donation accounts with balances. These were not the donation amounts received in 2011.
ANNUAL REPORT 2011
Financial Summary
Fund Report
Fund Report
2010 2011 TB Emergency/Cooperative Grant Balance Jan. 1
$(7,787.12)
$(10,768.15)
37,430.24
40,702.97
$29,643.12
$ 29,934.82
Disbursements
-40,411.27
-41,056.79
Balance Dec. 31
$(10,768.15)
Receipts
$(11,121.97)
STD Program Fund $(30,762.61)
$(51,172.56)
Receipts
127,618.57
128,831.77
$96,855.96
$77,659.21
Disbursements
-148,028.52
-152,067.83
Balance Dec. 31
$(51,172.56)
$(74,408.62)
Substance Abuse Prevention & Treatment Program Receipts Disbursements Balance Dec. 31
$(25,519.43)
$(12,220.26)
77,387.96
44,399.66
$51,868.53
$32,179.40
-64,088.79
-44,021.58
$(12,220.26)
$(11,842.18)
Financial Summary
344,168.60
Receipts
Disbursements Balance Dec. 31
Balance Jan. 1
Balance Jan. 1
2010 2011 Public Health Preparedness Response E!FCF,-./*#.0"G $85,018.81 $2,181.42 Balance Jan. 1 0.00
$429,187.41
$2,181.42
-427,005.99
-2,181.42
$2,181.42
$—
Bioterrorism Hospital Planning Fund Balance Jan. 1 Receipts
$ — 4,975.00 $4,975.00
Disbursements
-9,970.00
Balance Dec. 31 $(4,995.00)
$(4,995.00) 4,995.00 $— 0.00 $—
45 ANNUAL REPORT 2011
Fort F Wayne-Allen County Dept. of Health
Department of Health Staff Deb McMahan, MD, Health Commissioner Mindy Waldron, Department Administrator Joanna Baker, Administration
John Silcox, Dir. of Communications
Gary Chapple, Dir. of Pollution Control Mark Herber, Asst. Dir. Pollution Control Kathy Doseck, Pollution Control/Laboratory Jack Gensic, Pollution Control Mike Jones, Pollution Control Josh Blauvelt, Pollution Control/Healthy Homes John McCue, Pollution Control Sarah Osterfeld, Pollution Control
Jennifer Gregory, Support Staff Supv. Ruby Bates, Support Staff Amanda Woenker, Support Staff Darlene Swanson, Support Staff
David Fiess, Dir. of Vector Control & Env. Services Tom McCue, Asst. Dir. Vector Control & Env. Services Francis Koch, Vector Control & Env. Services Pat DeHaven, Vector Control & Env. Services
Jana Sanders, Dir. of Informatics
Amy Hesting, Dir. of Healthy Homes Program Loaine Hagerty, Healthy Homes Program Janet Mitchell, Healthy Homes Program Trina Riecke, Healthy Homes Program Cindy Wable, Healthy Homes Program/GPS
Carol Gigli, Dir. of Finance Loretta Foy, Administration Penni Moran, Administration
Brad Witte, Dir. of Emergency Prep. Matt Brokaw, CERT/MRC Coordinator Sarah Castillo, Dir. of Vital Records Kristi Gephart, Asst. Dir. of Vital Records Shannon Ramos, Vital Records Jennifer Walker,Vital Records Samantha Janes, Vital Records Ann Applegate, Dir. of Food & Consumer Protection Steve Schumm, Asst. Dir. Food & Consumer Protection Alicia Whittaker, Food & Consumer Protection Audrey Wendling, Food & Consumer Protection Jason McKown, Food & Consumer Protection Rob Dent, Food & Consumer Protection
Acknowledgements
Nikki Hartman, Dir. of Community Health & Case Mgt. Laura Brown, Community Health & Case Mgt. Tonya Arnold, Community Health & Case Mgt. Laura Sanchez, Comunity Health & Case Mgt. Phil Steigerwald, Community Health & Case Mgt. Tin Moe Tun, Community Health & Case Mgt.
Melanie Koch, Clinical Dir. of Nursing Julie Reece, Clinical Services Deb Trabel, Clinical Services Michelle Eck, Clinical Services Ami Cook, Clinical Services Felicia Nino, Clinical Services Hannah Opliger, Clinical Services Audrey Burton, Clinical Services LaQuisha Stapleton, Clinical Services Lisa Little, Clinical Services Tom Hayhurst, MD, Clinical Services Candy Staadt, Supv. of Immunization Services Jenifer Swanson, Immunization Services Lucinda Cress, Immunization Services Tamar Brewer, Immunization Services Patty Easterday, Immunization Services Rebekah Gonser, Immunization Services Kathy Thornson, Dir. of HIV/STD Prevention Rochelle Feldheiser-Keyes, HIV/STD Prevention Pamela Budzon, HIV/STD Prevention Jennifer Myers, HIV/STD Prevention Korrin Taylor, HIV/STD Prevention
Saw Lincoln, Interpreter Daffodil Aye, Interpreter
47 ANNUAL REPORT 2011
Fort F Wayne-Allen County Dept. of Health
Interns We are pleased to provide opportunities for students who are interested in gaining on-site practical work experience to enhance their knowledge and understanding of public health. Our interns for 2011 were: Trina Manalo & Leah Miller, Midwest Alliance for Health Education Student Research Fellows Trina and Leah completed a descriptive study of iron and Vitamin D deficiencies in the Burmese refugee population, using research, blood work and nutritional surveys of 54 children. Department of Health intern Leah Miller helps conduct surveys to identify levels of Vitamin D deficiency in refugee children.
Diana Nguyen, Midwest Alliance for Health Education Student Research Fellow Diana interviewed 50 female patients in the STD Clinic to determine the need for Papanicolaou (Pap) tests, identify barriers for patients, and offer recommendations on future steps. Anna Menze, Health Education Anna developed a health education curriculum for students at the Primetime Center in Fort Wayne. She also analyzed Allen County suicide data and did research on the Republic of Congo.
48
Fort Wayne-Allen County Dept. of Health
ANNUAL REPORT 2011
Chloe Anderson, Vector Control & Env. Svcs. Chloe conducted an experiment to test mosquitoes for resistance to sumithrin, an active ingredient in the adulticide AquaAnvil used to control adult mosquitoes. Laura Hendrickson, Food & Cons. Protection Laura studied the issue of language barriers and food safety compliance and created a means for evaluating the effectiveness of using translators when doing food establishment inspections. In addition, Laura developed educational posters on Methicillin Resistant Staphylococcus Aureus (MRSA) and temperature control. Jermal Prestwood, Communications Jermal researched the use of Facebook and other social media sites as a marketing and public relations tool for public health and developed a marketing plan for how the department could develop its own Facebook profile.
Acknowledgements
Elected Officials ALLEN COUNTY COMMISSIONERS F. Nelson Peters (P) Linda K. Bloom (VP) Therese Brown (Sec) ALLEN COUNTY COUNCIL Kevin M. Howell, 1st District Tom A. Harris, 2nd District Darren E. Vogt, 3rd District (P) Larry L. Brown, 4th District Paul G. Moss, At-large Robert A. Armstrong, At-large Roy A. Buskirk, At-large (VP)
Acknowledgements
MAYOR OF THE CITY OF FORT WAYNE The Honorable Tom Henry
FORT WAYNE CITY COUNCIL Tom Smith, 1st District Karen Goldner, 2nd District Thomas F. Didier, 3rd District Mitch V. Harper, 4th District (P) Timothy M. Pape, 5th District Glynn A. Hines, 6th District Marty Bender, At-large John H. Shoaff, At-large (VP) Liz Brown, At-large
City and County officials helped celebrate the opening of Citizens Square at a ribbon-cutting event on June 27. Photo courtesy of Mike Green.
49 ANNUAL REPORT 2011
Fort F Wayne-Allen County Dept. of Health
Community Partners
Teacher Maria Rondot works with children in the Little Plumbs preschool. Photo courtesy of Turnstone.
50
Fort Wayne-Allen County Dept. of Health
Social Service Agencies AIDS Task Force Allen County Extension Office American Red Cross Associated Churches of Fort Wayne and Allen County Catherine Kasper Place Catholic Charities Center for Behavioral Health Center for Nonviolence Community Action of Northeast Indiana Community Harvest Food Bank Crime Victims Care Euell A. Wilson Center Community Center. First Steps of Allen County Forensic Nursing Specialists, Inc. Fort Wayne African-American Cancer Alliance Fort Wayne Downtown Rotary Club Fort Wayne Housing Authority Fort Wayne Medical Education Program Fort Wayne Medical Society Fort Wayne Rescue Mission Fort Wayne Urban League Fort Wayne Women’s Bureau Habitat for Humanity Health Vision Midwest Healthier Moms and Babies Lutheran Social Services of Indiana March of Dimes McMillen Center for Health Education Planned Parenthood of Greater Indiana Prime Time Youth Center St. Joseph Community Health Foundation Turnstone United Way of Allen County Veterans Center Volunteer Center YMCA Women’s Shelter
ANNUAL REPORT 2011
Hospitals/Health Clinics Daily Med RX Lafayette Street Family Health Clinic Lutheran Health Network Matthew 25 Health and Dental Clinic Neighborhood Health Clinics Park Center Parkview Health Parkview Pediatric Outpatient Rehab Center RediMed Super Shot, Inc. Schools/Universities Anthis Career Center Ball State University Brown Mackie College East Allen County Schools Fort Wayne Community Schools Harrison College Huntington University Indiana University-Purdue University, Fort Wayne Indiana Wesleyan University International Business College Ivy Tech Community College Med Tech College Northwest Allen County Schools Southwest Allen County Schools University of Saint Francis Government/Miscellaneous Allen County Government Citilink City of Fort Wayne City of New Haven High Performance Government Network Three Rivers Ambulance Authority Wayne Township Trustee
Acknowledgements
Councils & Committees Local/Regional Allen County Air Quality Task Force Allen County Amateur Radio Emergency Service (ARES) Allen County Asthma Coalition Allen County Behavioral Health Response Team Allen County Childcare Facilities Board Allen County Community Emergency Response Team (CERT) Allen County Community Organizations Active in Disaster (COAD) Allen County Data Board Allen County Flu Task Force Allen County Health Disparity Coalition Allen County Human Resources Safety Committee Allen County Medical Reserve Corps (MRC) Allen County Pandemic Flu Task Force Allen County Partnership for Water Quality Board (ACPWQ) Allen County Regional Water and Sewer District Board (ACRWSD) Allen County School Safety Committee Allen County TB Consortium Alllen County TRIAD Area Funeral Directors Group Community Infectious Disease Network of Allen County (CIDNAC) Connect @ 8 Core Refugee Services meeting Covering Kids Task Force District 3 Hospital/Health Department Planning Committee First Steps Council Focus on Health Committee Girl Scouts of Limberlost Council Great Kids Make Great Communities Habitat for Humanity Family Selection Committee Health Advisory Board (Head Start) Healthcare Access Program (HAP) Committee Healthy Cities Health Fair Homeless Task Force Interagency Council on Housing and Homeless Issues Multicultural Council of Fort Wayne
Acknowledgements
Northeast Indiana AIDS Memorial Northeast Indiana AIDS Walk Steering Committee Northeast Indiana Area Health Education Center Northeast Indiana Environmental Health Association Public Health Disaster Response Team Safe Kids Allen County Sexual Assault Treatment Center board Sickle Cell Advisory Council St. Joseph Hospital Ethics Committee Three Rivers CPR Task Force Watershed Team meetings WebChart Development Team World AIDS Day Planning Committee State Children and Hoosiers Immunization Registry Program (CHIRP) Indiana Environmental Health Association (IEHA) Indiana Family Health Council Indiana Immunization Coalition Indiana Lead and Healthy Homes Task Force ISDH Bioterrorism Advisory Committee ISDH District 3 Team Indiana Environmental Health Emergency Response Team ISDH Environment and Housing Subcommittee ISDH HIV/STD Prevention ISDH Public Health Emergency Preparedness Cooperative Agreement Advisory Committee ISDH Risk Assessment Format Protocol group Indiana State Hepatitis Advisory Council Indiana Vital Records Association Indiana Vector Control Association Maumee River Basin Partnership of Local Governments (MRBPLG) Rural Wastewater Task Force
The department hosted a luncheon for its volunteers who generously donated their time in 2011 .
51 ANNUAL REPORT 2011
Fort F Wayne-Allen County Dept. of Health
'PSU8BZOF"MMFO$PVOUZ%FQBSUNFOUPG)FBMUIt QI t G tXXXBMMFODPVOUZIFBMUIDPN
