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Annual Report 2011 Serving the McDonough County Community Since 1975

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Annual Report 2011

Serving the

McDonough County

Community

Since 1975

On behalf of the McDonough County Health Department and the McDonough County Board of Health, we are pleased to submit the 2011 McDonough County Health Department Annual Report. The McDonough County Health Department continues to rise above these challenging times with dedication and devotion to our residents’ health through promotion, protection and prevention. Many of the programs and services performed by public health are behind the scenes and occur without the public even noticing. Each day, public health inspects the food you eat, the water you drink, and the air you breathe. Public health insures women, infants, and children receive adequate nutrition, residents have access to immunizations, clean water, proper waste water facilities, and promotes the health and safety of residents. A good way to understand the importance of public health is to compare it to air. You can’t see air, but you know that it is there and your health and survival depends on it. This is often the case in public health- you can’t always see public health, but it is vital to your survival and much of your health depends on it. In 2011, the McDonough County Health Department and various community organizations, developed a 5 year strategic health plan for the county known as the Illinois Project for Local Assessment of Needs (IPLAN) for McDonough County. The top three health priorities in McDonough County for 2010-2015 are cardiovascular disease, obesity, and respiratory disease. The plan also recognizes the need for access to mental health care in the county. These priorities along with core public health services will help guide us as we strive to promote health, protect health, and prevent health-related issues in McDonough County. Over the years public health has changed dramatically as successes in vaccine preventable diseases, increased food safety, and new emerging public health issues took shape. For over 36 years, the McDonough County Health Department has focused on the ever changing public health needs of the McDonough County residents. The next time you see a public health worker, I hope you will thank them; they may have saved your life. Jon Dively, DDS Lynnette Cale, MS, CHES Board of Health President Administrator

Serving the McDonough County Community Since 1975

From the Board of Health President and the Public Health Administrator

Serving the McDonough County Community Since 1975

2011 Board of Health

Jon Dively, D.D.S. (President) Dentist Cheryl Hoffman, M.S.N. (Vice-President) Dean of Nursing Karen Blakeley, D.V.M. , MPH (Secretary) All-Pets Veterinary Clinic Tom Stites, RPh (Treasurer) Hy-Vee Pharmacy Mary Kathleen Lockard, M.D.

(Medical Adviser) Pediatrician Robert Anstine, RPh (Treasurer) Hy-Vee Pharmacy Scott Schwerer McDonough County Board, Chairman Marcia Moll Community Member Erica Rotondo, D.O. Internal Medicine

Pictured back row from left to right: Karen Blakeley, Mary Kathleen Lockard, Jon Dively and Bob Anstine.

Front Row: Scott Schwerer, Marcia Moll, Erica Rotondo, and Cheryl Hoffman.

Not Pictured: Tom Stites

Serving the McDonough County Community Since 1975

History

On February 3, 1975, the McDonough County Board, by unanimous vote, established the McDonough County Health Department by resolution. The resolution stated “Be it resolved by the County Board of McDonough County, Illinois, that a Health Department is hereby established for the County of McDonough, and that the chairman of the County Board is instructed to appoint a Board of Health consisting of eight members.” On April 17, 1975, the McDonough County Board of Health held their first organizational meeting. The first personnel hired were the county health nurse and her secretary. The Health Depart-ment started operation on July 1, 1975, in a small rented room in the basement of McDonough District Hospital in Macomb. In August of 1976, we moved into the basement of 3 Doctor’s Lane in Macomb. On August 18, 1981, we moved to 303 East Jefferson Street, Macomb. On Janu-ary 15, 1988, we moved to our present location at 505 East Jackson Street, Macomb. On June 6, 1984, the McDonough County Board voted to allow a referendum to be placed before the voters with the purpose of establishing a stable tax base for the Health Department. On No-vember 6, 1984, the voters of McDonough County voted to support the Health Department through referendum.

1975 2011

Board of Health Members 8 Board of Health Members 9

Revenue $96,008 Revenue $ 971,900

Expenses $62,359 Expenses $ 1,004,900

Blood Pressures 10 Blood Pressures 50

Immunizations 20 Immunizations 386

Flu Shots 1,500 Flu Vaccine

704

Water Samples 186 Water Samples 162

TB Tests 1,864 TB Tests

206

Serving the McDonough County Community Since 1975

Vision

An organization dedicated to the protection, promotion, and maintenance of health and wellness in the community

Mission

The Mission of the McDonough County Health Department is to assess the health needs in McDonough County and strive to maximize access to acceptable and ap-propriate health care, health protection, and health education to meet those needs. With its available resources, the McDonough County Health Department will provide services which are necessary to meet the community health needs.

Values

McDonough County Health Department’s Board of Health, management, and staff are committed to uphold these values in our work, relationships, and governance: Respect Trust Open Communication Cooperation Professionalism Quality Service Helpfulness

Serving the McDonough County Community Since 1975

Special Recognition in 2011

5 Years of Service Chris Adams

Employee of the Year Lynnette Cale

5 Years of Service Amy McCallister

Serving the McDonough County Community Since 1975

McDonough County Demographics

McDonough County Illinois

Population, 2010 32,612 12,830,632

Households, 2000 12,360 4,591,779

Persons under 18 years old, percent

17.75 24.0%

Persons 65 years and over, percent

14.1% 12.1%

Per capita money income $15,890 $23,104

Persons below poverty, 2008

20.8% 12.2%

Source: 2000 and 2010 U.S. Census Bureau and Illinois Quickfacts from the U.S. Census Bureau McDonough County Facts: Founded: January 25, 1826 County Seat: Macomb Land area (square miles): 589 Persons per square mile: 55.4 Number of communities : 15

Serving the McDonough County Community Since 1975

Communicable Disease Control

Communicable disease: Immunizations are given to children and adults for vaccine preventable diseases. This program conducts investigations for communicable diseases. TB screening, follow-up, and medications are included in this program. Information, education, and treatment for sexu-ally transmitted diseases are available.

Cases Reported to Health Department

Bacterial Meningitis 0 Legionellosis 0

Chickenpox 6 Lyme Disease 0

Chlamydia 132 Measles 0

Diphtheria 0 MRSA 0

E. Coli 2 Mumps 0

Giardia 2 Pertussis 0

Gonorrhea 23 Polio 0

Hepatitis A 1 Rubella 0

Hepatitis B 4 Salmonella 0

Hepatitis C 12 Shigella 0

HIB 0 Syphilis 1

H1N1 Cases 0 Tetanus 0

Histoplasmosis 2 Tuberculosis 1

HIV/AIDS 0 Tularemia 0

Childhood Immunization Adult Immunizations

Number of Clinics for both child and adult

22 Flu 704

Immunizations Given 208 ARRA 86

Immunization Compliance at age 24 months

50.68% Pneumonia 4 Other 92

TB Skin Testing Investigations

TB Skin Tests Given 206 Sexually Transmitted Disease 156

Patients on TB Meds 2 Other Communicable Disease 2

HIV Testing and Counseling 0

West Nile Virus 0

Serving the McDonough County Community Since 1975

Environmental Health

The Environmental Health Division of the McDonough County Health Department provides health protection programs to prevent or reduce the incidence of disease, death or disability caused by exposure to hazardous or toxic substances; or unsafe food, water air, consumer product

FOOD SANITATION POTABLE WATER

Retail Food Establishment 214 Samples Analyzed 162

- Annual Licenses Issued 214 Abandoned Wells Sealed 9

- Inspections 283 NCPWS Inspections 11

- Re-inspections 60 Water Well Permits 15

Pre-operations Inspections 26 Well Inspections/Realty 17

Temporary Permits Issued 80 Consultations 339

Temporary Registrations 49 Comprehensive Well Inspections 7

Compliance Conferences 1 Boil Order Notifications 57

Closures 0 Presentations Attendance

5 50

Food Sanitation Class Spanish Food Sanitation Class Food Sanitation Class Refresher Attendance

9 22 22

NUISANCE INVESTIGATIONS

HACCP Workshop Attendance 18 Food 31

Public Information 637 Water 1

Presentations Attendance

14 217

Sewage 2

Percentage of Food Facilities under Certified Manager

Solid Waste 8

- Category I 100% Insects/Rodents 4

- Category II 100% Housing 17

Consultations 637

WEST NILE VIRUS

PRIVATE SEWAGE # Birds Submitted for Testing 0

Permits Issued 38 # of Birds Testing Positive 0

Attendance 25 Tanning Facility Inspections 18

Tattoo Establishment Inspec-tions

2

Sewage Checks/Realty 32 Dead Bird Reports 3

Subdivision Plat Review 3 Information to the Public 7

Consultations 209

Presentations 4 OTHER ENVIRONMENTAL

Radon Test Kits Sold Radon Test Results

95 58

Serving the McDonough County Community Since 1975

Health Education and Promotion

Health Education: Programs have been designed to address prevention, early detection, and health mainte-nance of disease. Seminars, health fairs and presentations are provided for schools, agencies and the general public. Education is also done through public service announcements, press releases, and displays. Topics include food safety, asthma, tobacco use pre-vention, oral health, hand washing, blood borne pathogens, and ground-water protection, just to name a few. School presentations: 1 Community presentations: 6

SAFEKIDS Chapter: The focus of SAFEKIDS is to educate the community on how to prevent injuries to children. This program is open to professionals and the public interested in injury prevention. Certified Child Passenger Restraint Technicians: A trained technician is available to instruct parents, family members, and caregivers on the proper installation of children’s car seats on an as needed bases. Community car seat check clinics are also offered.

Car Seats Checked between December 2010 and November 2011: 3

Volunteers Program: Volunteers are a vital part of the health department, and enable us to serve the community more fully. Volunteers are ages 14 through adult. Volunteers contributed 70.75 hours of time in 2011. Internships: Internships are available in a variety of areas. Internship applicants’ needs are matched with available projects and both the intern and the health department benefit. Interns may be from academic institutions, schools of nursing, agencies or others.

Displays 41 News Releases 26 Recalls 102

Serving the McDonough County Community Since 1975

Preventative Screenings

A variety of preventative screenings are available for McDonough County residents. Services for children include: vision and hearing screenings, blood lead screenings and well baby check-ups. A weekly adult Health Check Clinic is available for those 18 years of age and older. Services available include: Ounce of Prevention Screening (OOPS), thyroid panel, blood pressure, blood sugar, lipid panel, and PSA.

ADULT: OOPS Screening 180 OOPS Screening with thyroid panel 177 Blood Pressure 50 Venous Blood Sugar 0 Venous Lipid Panel 14 PSA 63 Thyroid Panel 30 A1C 50 CBC 1

CHILDREN: Blood Leads 208 Hemoglobins 609

Serving the McDonough County Community Since 1975

Women, Infants, & Children (WIC)

Since 1983, the McDonough County Health Department has offered the Women, Infants, and Children (WIC) Program. WIC is a supplemental food program providing nutrition information, counseling, breastfeeding classes, food coupons to help mothers, babies and children through 5 years of age get the nutrition they need for proper growth and development.

Number of Clients Certified in Clinic 584 Educational Contacts 762 Group Education Class Attendance 134 Client Caseload at Year End 505 Certified Lactation Consultants 2

This is the 10th year for WIC Farmer’s Market Coupons in McDonough County. Women and children certified in WIC are is-sued coupons that are used to buy fresh, lo-cally grown fruits, vegetables and herbs. The Macomb Farmer’s Markets participated in 2011.

Serving the McDonough County Community Since 1975

Case Management

Illinois Breast & Cervical Cancer Program (IBCCP): The Health Department has offered IBCCP since 1996 to help eligible women obtain mammograms and Pap tests, and diagnostic tests. Women that are diagnosed with breast cancer through this program have their treatment expense covered under the Illinois Treatment Act. Susan G. Komen Foundation: This program was added in 1997 to provide scholarships to help eligible women obtain mammograms.

Program Caseload Illinois Breast & Cervical Cancer Program 89

Serving the McDonough County Community Since 1975

Revenue & Expenses

CASH BALANCE December 1, 2010 . . . . . . . . . . $404,000

SOURCE OF REVENUE Federal Grants . . . . . . . . . . $172,500 State Grants . . . . . . . . . . 196,700 State Reimbursement . . . . . . . . . 34,600 Local: Fees/Contracts . . . . . . . . . . 195,300 Other . . . . . . . . . . 77,800 Non-Operating Income Interest . . . . . . . . . . 600 Property Tax . . . . . . . . . . 294,400 ___________________________________ TOTAL REVENUE . . . . . . . . . . $971,900

EXPENSES

Personnel Costs . . . . . . . . . . $458,300 Health Insurance/Work Comp . . . . 110,200 Travel/Staff Education. . . . . . . . . . 15,800 Occupancy Costs . . . . . . . . . . 11,200 Communication . . . . . . . . . . 9,400 Materials/Supplies . . . . . . . . . . 62,900 Program Services . . . . . . . . . . 92,400 Other . . . . . . . . . . . . . . . . . . 138,000 Transfer To Misc Contingency. . 76,200 Transfer To Capital Improvement . . 30,500 ———————————————————— TOTAL EXPENDITURES . . . . . .$ 1,004,900

CASH BALANCE November 30, 2011. . . . . . . . . . $371,900

Federal Grants18%

State Grants20%

State Reimburse

ment4%

Property Tax30%

Other Income

28%

REVENUE

Personnel Costs46%

Health Insurance/Work…

Travel/Staff

Education…

Other 41%

EXPENSES