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HomeMy WebLinkAboutMINUTES - 01102012 - C.164RECOMMENDATION(S): ACCEPT report from the Health Services Department, Public Health Division, on their efforts to prevent the spread of HIV infections and other diseases and the Needle Exchange Program, as recommended by the Family and Human Services Committee. FISCAL IMPACT: None. BACKGROUND: On December 12, 2011 the Family and Human Services Committee received a report from the Health Services Department, Public Health Division on their efforts to prevent HIV infections and other infectious diseases through the efforts of the Needle Exchange Program. The Committee accepted the report and asked that it be forwarded to the Board of Supervisors for their review and acceptance. CONSEQUENCE OF NEGATIVE ACTION: None APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 01/10/2012 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, District I Supervisor Mary N. Piepho, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:Gayle B. Uilkema, District II Supervisor Contact: Dorothy Sansoe, 925-335-1009 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: January 10, 2012 David Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C.164 To:Board of Supervisors From:Family and Human Services Committee Date:January 10, 2012 Contra Costa County Subject:Update on the County's HIV Prevention Efforts and the Needle Exchange Program CHILDREN'S IMPACT STATEMENT: None ATTACHMENTS Memo PowerPoint 1 CONTRA COSTA COUNTY DEPARTMENT OF CONSERVATION AND DEVELOPMENT 2530 Arnold Drive, Suite 190 Martinez, CA 94553 Telephone: (925) 335-7200 FAX: (925) 335-7201 DATE: December 12, 2011 TO: Family and Human Services Committee Supervisor Gayle Uilkema, Chairperson Supervisor Federal Glover, Vice Chairperson FROM: Brenda Kain, ESG Project Manager SUBJECT: Transition of Emergency Shelter Grant Program to Emergency Solutions Grant and Proposed Allocation of Additional Funds __________________ RECOMMENDATIONS 1. APPROVE staff recommendation to allocate $73,797 in additional funds from the Emergency Solutions Grant for FY 2011/12 to Shelter, Inc. to provide Rapid Rehousing services to Urban County clients and $11,366 to the Department of Conservation and Development for administrative costs. 2. DIRECT staff to prepare a report on the Committee’s actions to be considered by the Board of Supervisors at its meeting on January 10, 2012. BACKGROUND The Homeless Emergency Assistance and Rapid Transition to Housing Act of 2009 (HEARTH Act), enacted into law on May 20, 2009, consolidates three of the separate homeless assistance programs administered by the U.S. Department of Housing and Urban Development (HUD) under the McKinney-Vento Homeless Assistance Act into a single grant program, and revises the Emergency Shelter Grants program and renames it as the Emergency Solutions Grants (ESG) program. The HEARTH Act also codifies into law the Continuum of Care planning process, a longstanding part of HUD’s application process to assist homeless persons by providing greater coordination in responding to their needs. This ruling revises the regulations for the Emergency Shelter Grants program by establishing the regulations for the Emergency Solutions Grants program, which replaces the Emergency Shelter 2 Grants program. The change in the program’s name, from Emergency Shelter Grants to Emergency Solutions Grants, reflects the change in the program’s focus from addressing the needs of homeless people in emergency or transitional shelters to assisting people to quickly regain stability in permanent housing after experiencing a housing crisis and/or homelessness. Consequently, the intent of the new ESG program is to build upon those services developed through the Homeless Prevention/Rapid Rehousing (HPRP) program that was funded as part of the 2009 American Recovery and Reinvestment Act (ARRA). The County received $1,421,551 in funding for the HPRP program and contracted with Shelter, Inc. as the lead agency. Shelter, Inc. in turn contracted with several partner agencies countywide to ensure that services were provided throughout the Urban County. Under their direction the program has far exceeded the original goals for number of households served and it is anticipated that all funds will be expended well before the August, 2012, deadline. HUD has notified the County it is eligible to receive an additional $85,163 in ESG funding for the current fiscal year. Proposed Allocation of Additional ESG Funds: The new ESG regulations limit the amount to be allocated to street outreach and emergency shelter activities to 60 percent of the grant amount or the amount allocated in FY 2010/11, whichever is greater. Because the County allocated its entire ESG grant this year for emergency shelter activities (see Exhibit 1), the additional ESG funding must be used for the new services outlined in the regulations - specifically homeless prevention and rapid rehousing activities. Therefore, staff recommends $73,797 be allocated to Shelter, Inc. to provide additional rapid re- housing services to assist approximately 21 homeless households move into permanent housing. In addition, staff recommends allocating $11,366 to the Department of Conservation and Development to cover administrative costs. In response to the new requirement for greater coordination among homeless assistance providers, staff recommendations were presented to the Contra Costa Interjurisdictional Council on Homelessness (”CCICH”) on December 9, 2011. CCICH is charged with providing a forum for communication and coordination about the overall implementation of the Ten Year Plan to End Homelessness and providing advice and input on the operations of homeless services. Staff will provide an oral update on the action taken by CCICH. Attachment: FY 2011/12 ESG Project Spreadsheet cc: Catherine Kutsuris, Director, Department of Conservation and Development Robert Calkins, CDBG Program Manager November 2011Prepared for the Contra Costa Board of Supervisors by Contra Costa Health DepartmentNeedle Exchange Update NEEDLE EXCHANGE In 1999, the Contra Costa Board of Supervisors endorsed a State of Emergency with respect to HIV and AIDS to allow for the provision of needle exchange services. A major interest was to reduce transmission in women and to their unborn children. Since 2006, a State of Emergency declaration is not needed. New 2012 LegislationyAB 604 Skinner. State Office of AIDS may authorize syringe exchange services in any location where conditions exist for the spread of infections through the sharing of used hypodermic needles and syringes. ySB 41 Yee.Individuals 18 years of age and up may purchase and possess up to 30 syringes for personal use when acquired from an authorized source. Specifies that pharmacists, physicians and syringe exchange programs are authorized sources of nonprescription syringes. Requires pharmacies which offer NPSS to provide options for safe syringe disposal. HIV/AIDS in Contra Costa County yAs of December 31 2010, 1,875 individuals were reported living with AIDS or HIV in Contra Costa. yApproximately 80% are male and 19% are female. African Americans are 30% of those living with HIV or AIDS, Whites 47% and Hispanics nearly 19%. yPredominant transmission among those living with HIV or AIDS remains men who have sex with other men (MSM). Injection Drug Use is about 17% of the caseload HIV/AIDS Attributed to Injection Drug Use (IDU)21223418 189971219996910983583405101520253035402000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010Year of DiagnosisMale IDUFemale IDU Children with HIV and AIDSInfant Exposure is no longer tracked by Stanford University. Contra Costa has 3 children under the age of 12 with HIV and 6 children 13-17 years of age living with HIV or AIDS. Reported Chronic Hepatitis C Cases Over Time1200900680600 600575680550810610153020040060080010001200140001/02 02/03 03/04 04/05 05/06 06/07 07/08 08/09 09/10 10/11Note: reporting processes changed in 2010/2011 and data is not complete. Law Enforcement and First Responder Exposures02040608010012014004/05 05/06 06/07 07/08 08/09 09/10 10/11All ExposuresNeedlestick Needle Exchange and CHEyOne-for-one exchange offered in East and West County: roughly 60% of those served are at East County sites.yApproximately 52% of participants are White, 33% African American, and 14% Latino.yMen are 65% of those served.yApproximately 3% accept referrals. Reported Contacts (Individuals) at Needle Exchange Sites Over Time05001000150020002500300035000405 0506 0607 0708 0809 0910 1011 Number of Syringes Distributed By CHE Over Time0500001000001500002000002500003000003500004000000405 0506 0607 0708 0809 0910 1011 Secondary Exchanges Reported By CHE Over Time0100020003000400050006000700080000405 0506 0607 0708 0809 0910 1011 AODS Service Enrollment AODS Service Enrollment AODS Service Enrollment Other Prevention Strategies to Reduce Transmission of HIV in IDUsAnonymous Partner notification and counseling services;Prevention with positives program;HIV and STD testing services in community and in Alcohol and Other Drugs Services programs;Pharmacy syringe sales (State DPDP)in two chains and a few other stores. Syringe Disposal OptionsWest CountyHousehold Hazardous Waste facility101 Pittsburg Ave., Richmond, CA 94801 1-888-412-9277East CountyDelta Household Hazardous Waste Collection Facility2550 Pittsburg/Antioch Highway, Antioch, CA 94509 925-756-1990All Contra Costa County residentsSutter Regional Medical Foundation4053 Lone Tree Way, Antioch, CA 94509 925-756-3400John Muir Pharmacy1220 Rossmoor Pkwy, Walnut Creek, CA 94598List of State-sanctioned mail in options CONCLUSIONS1. Access to clean needles through needle exchange and pharmacy syringe services is making a difference in Contra Costa and remains a critical component of the overall strategy to reduce transmission of blood borne diseases. Overall infections attributed to injection drug use have declined over time and the availability of needle exchange and pharmacy syringe sales has played a role in this trend. 2. Reported local law enforcement exposure to potential blood borne pathogens via needle stick injury has not increased since needle exchange and pharmacy sales have been implemented. Materials for Law Enforcement to document potential exposure and request assistance remain available on the website. 3. New legislation removes the requirement for the Health Department to certify pharmacies to dispense syringes and replaces the requirement for an annual report on Syringe Exchange to a biennial report. No major impact is anticipated in Contra Costa at this time.