FULTON COUNTY HEALTH DEPARTMENT HEALTHY RESIDENTS … SAFE ENVIRONMENT … BETTER QUALITY OF LIFE

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OUR MISSION: SERVING OUR COMMUNITY

BY IMPROVING HEALTH THROUGH:

DISEASE PREVENTION EDUCATION

ENVIRONMENTAL SAFETY

What is Public Health?

The science of protecting and improving the health of communities through education, promotion of healthy lifestyles, and research for disease and injury prevention.

Actions that help improve the health and well being of people in local communities and around the globe.

Actions that prevent health problems before they occur.

HEALTH COMMISSIONER’S MESSAGE MICHAEL P. ORICKO, MSEPH

Welcome to the 2012 Fulton County Health Depart-ment Annual Report. We hope you will be able to spend a few minutes exploring its content. We be-lieve that there is something of interest to everyone on these pages or available at our new website (www.fultoncountyhealthdept.com). You may be surprised by the range of services and information we provide.

In 2012, we took a number of steps to assure our ability to continue providing balanced services. One of those undertakings was working with the Fulton County Partners for Health to provide a Community Health Assessment. The assessment provides all of us with information on the health status and health issues of our community. During this time of limited funding, the assessment will help us focus our efforts in those areas of greatest concern to county resi-dents. The next step will be to again work with our county health partners to develop a plan to address those issues found. The final assessment report is available on our website.

The assessment will also assist your Health Depart-ment in becoming ac-credited. Health Depart-ment accreditation is a new concept in Ohio. This process will further our efforts to continue providing the best ser-vices possible while keep-ing taxes down.

Being proactive, we did not wait for the recent economic downturn to affect our budget. Using good business practices, we started reducing staffing levels, looking for savings and alternative funding to prevent additional costs to the community. We have continued our cost savings policies, while taking steps to maintain programs and services in such a way that those we serve are minimally affected.

We wish you good health.

Visit us on the web: www.fultoncountyhealthdept.com

Jana Bourn, MD Medical Director

Leadership Team Sandy Heising, Kim Cupp, Mike Oricko, LuAnne Stanley

Jane Sauder, Cindy Rose

Board of Health Members

Kerry Vandock, Keith Lehman, MD, Dave Nafziger, David Pelok, DDS,

Jane Sauber, Denise Heban

Judy Murtiff served 19+ years as a board member for the Fulton County Health Department.

April 1993 through September 2012

VITAL STATISTICS

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Fulton County Health Depart-ment is the place to go to pur-chase a birth certificate for anyone born in the State of Ohio.

Statewide issuing of birth cer-tificates began mid-December of 2010. Since its inception,

issuing of birth certificates in Fulton County increased 15% the first year (2011) and in 2012, we increased 23%.

Birth certificates issued in 2010 = 1211 Birth certificates issued in 2011 = 1427 Birth certificates issued in 2012 = 1565

Death certificates are only issued in the county in which the person died, not necessarily in the county where they lived. Ohio Department of Health is diligently working to expand statewide issuance access to death certificates from 2007 to the present, by late 2013.

GENERAL BUSINESS HOURS

Monday - Friday 8:30 a.m. to 4:30 p.m.

The first Thursday of each month until 6:00 p.m.

BCCP The Breast and Cer-

vical Cancer Project

(BCCP) is a multi-

county project that

is housed right here

in Fulton County at

your Health Depart-

ment. BCCP funds

screening services

such as: pap/pelvic

exam, clinical breast

exams, mammograms, and, when necessary, diagnostic services

for women 40 and over who have no health insurance. BCCP is

made possible through funding from the CDC and the Ohio De-

partment of Health. Just last year, BCCP was able to offer 1,740

women life saving screenings who would otherwise not have

access. BCCP currently serves the counties of Defiance, Erie, Ful-

ton, Henry, Lucas, Ottawa, Paulding, Sandusky, Williams, and

Wood.

Causes of Death

Accident 16

Alzheimer’s/Dementia 21

Cancer 57

Heart / CVA 85

Other Natural 63

Pulmonary / Pneumonia 44

Suicide 9

Pending Investigation 5

Homicide 2

**These numbers do not reflect the number of births or deaths of Fulton County residents occurring in neighboring counties.

2012 Fulton County Birth & Death Statistics**

In County Births 274 152

Males 122

Females

In County Deaths 302 137

Males 165

Females

Top names of boys in 2012 for Fulton County: Ethan, Lucas, Noah and Carson

Top names of girls in 2012 for Fulton County: Brooklyn, Kaydence, Brinleigh and Rylee

Other Interesting Stats Fulton County Deaths

Burial vs Cremation:

2002—18% were cremation 2007—23% were cremation 2012—35% were cremation

Administrative Support Staff Jeannie Hamilton, Jane Sauder, Sandy Heising, Jill Precht

60% of women age 40 and over had a

mammogram in the past year.

Fulton County Community Health Assessment

Breast & Cervical Cancer Project Staff Lisa Grime, Christa Bickel, Jaime Fogarty,

Tammy Bialorucki, Becky Schermond

PUBLIC HEALTH EPIDEMIOLOGIST

Antibiotics have been used for the past 70 years to treat diseases caused by bacteria. Anti-biotics are very beneficial when prescribed and taken correctly. How-ever, many of these drugs are losing their effectiveness in fighting disease. Some bacteria have become resistant to antibiotic treatments over the past decade. According to the Centers for Disease Control and Prevention (CDC), repeated and improper uses of antibiotics are primary causes of the increase in drug-resistant bacteria. Misuse of antibiot-ics jeopardizes the usefulness of these essential drugs. We need to decrease inappropriate antibiotic use to control these resistant organisms. You can help by understanding that antibiotics cure bacterial infections like Tuberculosis (TB) or Methicillin-resistant Staphylococcus aureus (MRSA), not viral infections like colds or flu. Always take antibiotics exactly as pre-scribed by your doctor and complete the entire course of antibiotics even if you are feeling better. If treatment stops too soon, some bacteria may survive and re-infect you. According to CDC, antibiotic resis-tance is becoming one of the world’s most pressing public health problems.

EPIDEMIOLOGIST MARK ECKHART

Visit us on the web: www.fultoncountyhealthdept.com

Family First & Healthy Choices Caring Communities Staff Lou Moody, Karen Pennington, Beth Thomas

Our Reproductive Health & Wellness Clinic Provides Affordable Care To Women AND Men

Our clinic helps our residents by helping women and men:

Prepare for pregnancy by encouraging physical and mental well-being.

Consider whether they are financially prepared to have a baby.

Receive life saving screenings to promote early diagnosis and treatment for cervical and breast cancer (pap tests and breast exams for women).

Receive STD testing and treatment to prevent the spread of disease.

To have access to care if they are uninsured or “under” insured by providing services on a sliding fee scale (no one is ever turned away if unable to pay).

IMMUNIZATION HIGHLIGHTS

5 important reasons to vaccinate your child…

Vaccines prevent serious childhood diseases and can save your child’s life.

Vaccines are very safe and effective.

Vaccines save your family time—you don’t miss work or school.

Vaccines save you money—fewer medical ex-penses and hospitalizations.

Vaccines protect future generations by eradicat-ing diseases—like polio.

Did you know that immunizations protect infants from 14 serious childhood diseases? To have full pro-tection, these vaccines should be given by age two.

Vaccines not only protect your small child, but they protect others you care about, like your grandparent who has a chronic disease or another child who has cancer and cannot receive vaccines. Although dis-eases like polio and diphtheria are not common here, these diseases don’t stop at our borders—they are only a plane ride away!

If every American child was fully vaccinated this year, it would:

Save 33,000 lives.

Prevent 14,000,000 in infections.

Save 10 billion dollars.

Be Wise …. Immunize!!!

HELP ME GROW

Fulton County Help Me Grow is a program of the Ful-ton County Family and Children First Council. The program is designed to provide services for families and their children age zero to three.

The Help Me Grow program serves Ohio’s families of expectant parents, newborns, infants and toddlers. The program is designed with your family’s concerns and needs in mind. Its goal is to ensure newborns, infants and toddlers have the best possible start in life by providing support and empowering families to meet daily challenges.

The Fulton County Health Department collaborates with Help Me Grow to pro-vide developmental screenings and evaluations for children whose parents have concerns about their child’s devel-opment. A Public Health Nurse also provides a home visit with Help Me Grow for children with a qualifying medical diagnosis.

COMMUNITY HEALTH SERVICES

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Community Health Services Staff Rachel Kinsman, Deb Roth,

Mary Apodaca, Amy McVey, Stefanie Johnson, Linda Burkholder, Karen King, Andrea Schwiebert,

Cindy Rose, Heather Johnson, Deb Weirauch

BCMH

Bureau for Children with Medical Handicaps

BCMH is a program of the Ohio Department of

Health and can benefit families of children with a

qualifying chronic medical condition or a suspected

medical condition. Your Fulton County Public

Health Nurses assist families with the referral and

application process as well as health education, ad-

vocacy and linking the family with useful resources

in our community.

Free Clinic of Fulton County

The mission is to provide free medical care to uninsured adults of Fulton County using volun-teer health care professionals.

Eligibility: 18 to 64 years of age, no insurance of any kind, and meet income criteria.

For more information or to schedule an appoint-ment, call your Fulton County Health Depart-ment at 419-337-0915.

NURSING HOURS

Monday, Wednesday & Friday 8:30 a.m. to 4:00 p.m.

IMMUNIZATION HOURS Friday mornings

8:30 a.m.—12:00 noon

First & Third Thursdays 2:00 p.m.—6:00 p.m.

Our Prenatal Clinic Provides Quality Care to Fulton County Residents

Our clinic:

Provides access to care for women who would not have prenatal care unless they went to an-other county.

Provides early entry into prenatal care which is so important for healthy birth outcomes.

Provides patients with physical assessments at each visit.

Provides nutrition and parenting education.

Health Commissioner Michael P. Oricko, MSEPH

Administrative Support Staff

Jeannie Hamilton, Account Clerk Sandy Heising, Adm. Assistant/Registrar Jill Precht, Nursing Clerk Jane Sauder, Fiscal Supervisor

BCCP

Jaime Fogarty, LSW, Project Coordinator Tammy Bialorucki, BCCP, CM Christa Bickel, BCCP Clerk Lisa Grime, LPN, CM Becky Schermond, BA, CM

Environmental

Kim Cupp, RS, BS, Environmental Director Sandy Burkholder, Environmental Clerk

Jeff Crisenbery, RS, BS Pat Wiemken, RS, BS

Community Health

Services Cindy Rose, RN, BSN, Nursing Director Mary Apodaca, RN, BSN Linda Burkholder, RN, BSN Heather Johnson, RN, BSN Karen King, RN, BSN Rachel Kinsman, BS Amy McVey, RN, BA Deb Roth, RNC, OGNP Andrea Schwiebert, RN, BSN Stefanie Johnson, RN, BSN Deb Weirauch, RN

Epidemiologist

Mark Eckhart, MPH

Family First Council Initiatives

Lou Moody, MSN Karen Pennington, BS Beth Thomas, MSW, LSW

WIC

LuAnne Stanley, RDLD, WIC Project Director Gina Gruber, DTR Jessica Hernandez, Clerk Kelley Hester, Clerk Maureen Lammy, RDLD Erica Miller, DTR

Breastfeeding Peer Helpers: Amy Clark Lisa Johnson

STAFF MEMBERS

WIC

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WIC Promotes Health and Health Care Savings WIC Provides nutrition education and healthy foods to

help families make healthier lifestyle choices. WIC provides nutritious food which helps to combat

hunger and reduce obesity. Obesity rate for children enrolled in WIC declined between 2003 and 2010 from 15.2% to 14.9%.

WIC helps pregnant women receive timely prenatal care.

WIC lowers infant deaths by reducing the incidence of low birth weight and pre-term births.

WIC promotes breastfeeding through breastfeeding support, Breastfeeding Peer Helpers, and a monthly breastfeeding support group.

WIC lowers Medicaid costs. WIC lowers medical costs by improving prenatal care, improving length of pregnancy and increasing birth weight.

WIC children are better immunized and are more likely to have a regu-lar source of health care.

Visit us on the web: www.fultoncountyhealthdept.com

WIC OFFICE HOURS

Monday - Friday 8:30 a.m. to 4:30 p.m.

First & Third Thursdays 8:30 a.m. to 6:00 p.m.

Phone: (419) 337-6979 or 1-800-888-4808

In 2012, Fulton County ranked 4th in the state of Ohio with a breastfeeding

initiation rate of 67%. WIC Staff

Amy Clark, Erica Miller, Gina Gruber, Lisa Johnson, Jessica Hernandez Kelley Hester, LuAnne Stanley, Maureen Lammy

The Environmental Public Health Staff of your Fulton County Health Department inspect, consult, and edu-cate to limit the spread of diseases. Below are several of the ways they are engaged in assuring a healthier environment for us all.

ENVIRONMENTAL HEALTH DIVISION

Environmental Staff Jeff Crisenbery, Kim Cupp, Oscar Hernandez

Pat Wiemken, Sandy Burkholder

Retail Food Facilities

413 Licensed

1098 Consults and Inspections

Water Supply Systems

45 Installation Permits Issued and Inspected

312 Water Samples Collected for Testing

Sewage Treatment Systems

60 Installation Permits Issued and Inspected

Campgrounds

5 Licensed and Inspected

Public Swimming Pools

16 Licensed and Inspected

Housing and Nuisance Investigations

606 Consults & Inspections

Due to Complaints

Schools

64 Building Facility Inspections

Rabies Prevention

90 Animal Bite Investigations

10 Specimens Tested

Solid, Infectious, and Composting Waste

75 Consults & Inspections

13 Home Sale Certifications

97 Subdivision/Lot Split Inspections & Consultations

4 Tattoo and Body Piercing Inspections & Consultations

6 Smoke Free Workplace Inspections & Consultations

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PRSRT STD ECRWSS

U.S. POSTAGE PAID

EDDM RETAIL 606 S SHOOP AVENUE WAUSEON OH 43567 Phone: (419) 337-0915

Fax: (419) 337-0561 E-Mail: fultcohd@odh.ohio.gov

FULTON COUNTY HEALTH DEPARTMENT

VISIT US ON THE WEB:

www.fultoncountyhealthdept.com

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Local Postal Customer

PLEASE REMEMBER TO VOTE ON

TUESDAY, MAY 7, 2013

COMMUNITY HEALTH SERVICES HEALTH DEPARTMENT FUNDING COMES

FROM VARIOUS SOURCES

Clinic Related Contacts 11,249

Nursing Hour Coverage

(Individuals served) 2,984

Blood Pressure Clinics (individuals served) 539

Persons Immunized

(Childhood and Adult Immunizations) 2,962

Adults Immunized Against Flu 1,388

Prenatal Clinic Visits

(25 patients served) 188

Reproductive Health Clinic Visits

(serving women and men of all ages) 3,263

Case Management Contacts & Services

(for Help Me Grow, BCMH, BCCP, Child & Family Health,

Communicable Diseases, General Public Health, Lead Screening)

3,055

Individuals Screened by School Nurses (Delta, Evergreen, Fayette, Holy Trinity & Pettisville Schools)

327 children referred for further evaluation; case management

services provided to 40 school children.

5,568

Additional School-Related Services

(all schools in the county—including Baby Think It Over,

teen pregnancy prevention efforts & tobacco education)

1,856

Health Education and Outreach Contacts (180 sessions including: After School Program, Early Childhood &

Preschool Evaluations, HMG Community Screenings, car seat

education & preschool nutrition programs)

1,513

Community Health Education Contacts

(228 sessions/events conducted) 5,158

WIC Clinic Visits 4,308

Environmental Program Expenses

$347,44213%

Grant Expenses $1,292,351

51%

Personal Health Service Expenses

$912,85636%

Expenses in 2012$2,552,649

Environmental Program Fees

$150,3036%

Grants$1,133,677

48%

Local Health Levies $734,542

31%

Personal Health Service Fees

$365,69215%

Income in 2012$2,384,214