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Home My WebLink AboutMINUTES - 12052000 - C131-C133 C 13Y To: BOARD OF SUPERVISORS CONTRA COST COUNTY From: William B. Walker,M.D. Health Services Director Date: December 5,2000 Subject: EXTENSION OF EMERGENCY DECLARATION AND AUTHORIZATION OF THE COUNTY HEALTH DEPARTMENT IN SUPPORT FOR NEEDLE EXCHANGE PROGRAMS SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION Recommendation: DETERMINE that there is a need to continue with the emergency action originally taken by the Board on December 14, 1999 based on the increasing/epidemic number of AIDS/HIV and Hepatitis C cases among injection drug users in Contra Costa County. Background: Continued Need for Emergency The spread of disease, particularly HIV and Hepatitis C, through the sharing of needles continues to be a grave concern in Contra Costa County. 30% of all people living with AIDS in Contra Costa were infected by injection drug use with the highest number of AIDS cases in West County. As of December 1997, Richmond had the highest cumulative incidence of AIDS (4.8 per 1000 population) among Contra Costa cities, with at least 50 cases. Injection drug use was the estimated mode of infection among 40% of all individuals diagnosed with AIDS in Richmond. Among African Americans diagnosed with AIDS in Richmond 1982-1998 53% were most likely infected through injection drug use. Contra Costa Health Services does not currently provide needle exchange services (it is prohibited from doing so absent a declared public health emergency). CCHS does provide services focused on injection drug users including: 1-HIV/AIDS Outreach and Education, 2-HIV antibody testing, 3-Substance Abuse Treatment, 4-Health on Wheels Van, and 5-Substance Abuse Counseling and Treatment for HIV-infected clients. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE G✓lAPPROVE OTHER SIGNATURE(S): ACTION OF BO N npresmber 5, 2000 APPROVED AS RECOMMENDED ACX OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS XX (ABSENT ** AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN. ABSENT: ABSTAIN: ** Supervisor V seat is vacant ATTESTED De ember 5, 2000 PHIL BATCHELOR, CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Wendell Brunner,M.D. 313-6712 CC: Health Services Director Public Health Administration BY , DEPUTY Board of Supervisors Page 2 Aedle Exchange Emergency Declaration December S, 2000 Exchange Works, a community-based needle exchange service currently in operation in Contra Costa currently distributes clean needles on a one-to-one basis. Their volunteer staff currently exchange 5,000 needles per week at two sites. There are no established needle exchange program in East or Central County. PROGRESS SINCE EMERGENCYDECZARATION ON DECEMBER 14, 1999 At the Board of Supervisors December 14, 1999 meeting, CCHS was directed to take four actions. As of January 7, 2000 the following has been completed: • CCHS has entered into discussions with Exchange Works in West County. + Supplies for the ongoing provision of the services have been identified. • CCHS staff have been identified to assist with the provision of information and referrals. • Documentation forms are being reviewed and revised as necessary to ensure that specific information is available to the Board. + Planning for an East County process will begin later this quarter after the preliminary process in West County is completed. This emergency action was renewed on December 20,1999, January 11, 2000, January 25, 2000, February 15, 2000, March 7, 2000, March 21, 2000, April 11, 2000, May 16, 2000, June 6, 2000, July 18, 2000, August 8, 2000, September 12, 2000, September 26, 2000, October 10, 2000, October 24, 2000, and November 14, 2000. ~ . f � - CONTRA 1..��1 t3 To: BOARD OF SUPERVISORS ; .,....r . COUNTY From: William B.Walker,M.D. _ Health Services Director Date: December 5,2000 Subject: Extension of Emergency Declaration Regarding Homelessness SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION Recommendation: DETERMINE that there is a need to continue with the emergency action originally taken by the Board on November 16, 1999 regarding the issue of homelessness in Contra Costa County. Background: On November 16, 1999, the Board of Supervisors declared a local emergency, pursuant to the provisions of Government Code Section 8630, on homelessness in Contra Costa County. This local emergency was extended on December 1, 1999, December 20, 1999, January 11, 2000, January 25, 2000, February 15, 2000,March 7, 2000,March 21,2000,April 11, 2000,May 16, 2000, June 6, 2000, July 18, 2000, August 8, 2000, September 12, 2000, September 26, 2000, October 10, 2000, October 24,2000, and November 14,2000. Government Code Section 8630 required that, for a body which meets weekly that the need to continue the emergency declaration be reviewed at least every 14 days until the local emergency is terminated. In no event is the review to take place more than 21 days after the previous review. With the continuing inclement weather and no additional resources having been able to be placed on line to assist in sheltering homeless individuals and families, it is appropriate for the Board to continue the declaration of a local emergency regarding homelessness. CONTINUED ON ATTACHMENT: NO SIGNATURE ` ---RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE .PROVE OTHER SIGNATURE(S): ACTION OF BO?D ON December 5„ 2000 APPROVED AS RECOMMENDED XX OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE XX UNANIMOUS (ABSENT ** ) AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON THE MINUTES OF THE BOARD AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN. ABSENT: ABSTAIN: ** Supervisor V seat is vacant: Contact Person: Wendel Brunner,M.D.3136712 ATTESTED December 5. 2000 CC: Health Service&Administration PHIL BATCHELOR, CLERK OF THE BOARD OF Public Health Administration SUPERVISORS AND COUNTY ADMINISTRATOR BY DEPUTY AID File No.: 135-01048.4.1 TO: BOARD OF SUPERVISORS FROM: BARTON J. GILBERT, DIRECTOR OF GENERAL SERVICES Centra Costa DATE: December 5, 2000 County SUBJECT: REPLACEMENT OF HVAC SYSTEM AT RICHMOND HEALTH CENTER, 100-38TH STREET,RICHMOND SPECIFIC REQUESTS OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION I. RECOMMENDATION_ DETERMINE that there is a need to continue the Board action taken by the Board on October 3, 2000 pursuant to Public Contract Code Sections 20134 and 22050 to replace the HVAC system at the Richmond Health Center, 100 - 38th Street,Richmond for Health Services. II. F.NNCIAI L] ACT Funding will be identified once the scope of work is determined. III. ACK ttROLI D A. On Tuesday, September 19, 2000 the Kathabar dehumidification system at the Richmond Health Center failed, causing Kathene solution and condensation to drip from the ceilings and the HVAC system to be shut down. This resulted in the facility having to close until temporary repairs could be made. B. The existing system was originally installed in 1966 and is an unconventional system which is difficult to maintain and repair, and does not provide adequate ventilation in a significant portion of the building. A complete new modern energy efficient HVAC system needs to be installed since the system can now only operate at 50%capacity and may fail again. C. It will be necessary to relocate all, or at least a portion of, the operations of the facility to temporary space in order to accomplish the work in an efficient manner and to avoid disruption during construction. CONTINUED ON ATTACHMENT:_, ,_YES SIGNATURE: &&Jwuf ECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE 4,'' ''APPROVE OTHER SIGNATURE(S): ACTION OF BOAR O December 5. 2000 APPROVED AS RECOMMENDED XX OTHER VOTE OF SUPERVISORS XX UNANIMOUS(ABSENT AYES: _NOES: ABSENTS: ABSTAIN: MEDIA CONTACT' BARTON J.GILBERT(313-7100) CC. General Services Department 1 HEREBY CERTIFY THAT THIS IS A TRUE Architectural Division AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON THE MINUTES OF THE BOARD Accounting OF SUPERVISORS ON THE DATE SHOWN. Fife: 135-01004/A.5 County Administrator's Office ATTESTED December 5, 2000 County Counsel PHIL.BATCHELCLERK OF THE BOARD OF Auditor-Controller SUPERVISORS ND OUNTY A I TRATOR Supervisor V seat is vAcant BY DEPUTY H:\2001\1350104\01100408bAoc Page 1 of 2 M382(10/88) LDR:amc REPLACEMENT OF HVAC SYSTEM AT RICHMOND HEALTH A/D File No.:135-0104/13.4.1 CENTER, 100-38TH STREET, RICHMOND (WW0087) December 5, 2000 D. The replacement of the HVAC system is vital to Health Services' ability to deliver health care and treatment services to their patients, and is therefore necessary for the life, health, welfare, and safety of the citizens who rely on Health Services for critical health care services and medical treatment. E. To reduce the remodeling construction schedule so that the work can be completed before spring, the County Administrator and Health Services recommend a finding that an emergency exists that will not permit the delay resulting from a competitive solicitation for bids, and that Board action is necessary to respond to the emergency. F. Consequently, on October 3, 2000 (Agenda Item D.3), the Board 1) found that an emergency exists, 2) delegated authority to the General Services Director to proceed in the most expeditious manner with the replacement of the defective HVAC system at the Richmond Health Center, 100 — 38th St., Richmond for Health Services, 3) directed the General Services Director to make reports to enable the Board to review the emergency actions and to determine that there is a need to continue the action, and 4) declared that the project, as an emergency, is exempt from the provisions of the California Environmental Quality Act. G. The condition that the Board found to be an emergency on October 3, 2000 continues to exist. Therefore, it is necessary to continue the emergency action previously taken by the Board so that the work can be completed in the shortest time possible. H. Contracts for the emergency work are being negotiated and will be reported to the Board after the scope of work and schedules have been confirmed. 1. Work is continuing on engineering,procurement and schedule coordination. H.A2001\1350104\01100408b.doc Page 2 of 2 M382(10/88) LDR:amc