HomeMy WebLinkAboutMINUTES - 02052002 - C95 To, BOARD OF SUPERVISORS r. CONTRA COSTA
OUNTY
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From: William B. s't'alker., N.D.
Health Services Director
Bate: February 5, 2002
Subject. EXTENSION OF EMERGENCYDECLARATION'AND AUTHORIZATION OF THE COUNTY
HEALTH DEPARTMENT IN SUPPORT FOR NEEDLE EXCHANGE PROGRAMS
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
Recommendations
CONTINUE with the emergency action originally taken by the Burd on December,14, 1999 based on
the increasinglepidemic number of AIDS/HIV and Hepatitis C cases among injection drug users in
Contra Costa County.
Bac g ou ads
Confinued Needfor Emergency
The spread of disease, particularly IRV and Hepatitis C, through the sharing of needles continues to be
a grave concern`in Contra Costa County. 30% of all people wing with AIDS;in Contra Costa were
in ected by in,ection 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 Aficican Americans diagnosed
vvith AIDS'in Richmond 1982-1998 53%were most likely infected through injection drug use.
Centra.Costa.Health Services does not currently provide needle exchange services(itis prohibited from
doing so absent a declared public health emergency). CCHS acres provide services focused on injection
drug users including: 1-IAV/AIDS Outreach and.Education, 2-1-11V antibody testing,
3-Substance Abuse Treatment, 4-Health on Wheels Van, and 5-Substance Abuse Counseling and
Treatment for HIV-infected clients.
CONTINUED ON ATTACH ENT: YES �
SIONAT'URE:
_&!!�'RECOMMENAAVON OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER.
SIGNATURE S):
ACTION OF BO ON February 5, 2002 APPROVED AS RECOMMENDED XX OTHER
VO'T'E OF SUPERVISORS
I HEREBY'CERTIFY THAT THIS IS A TRUE
UNANIMOUS XX (ABSENTI+Tone AND CORRECT COPY OF AN ACTION TAKEN`
AYES: NOES: AND ENTERED ON THE MINUTES OF TBI:BOARD
AYES': NOES: OF SUPERVISORS ON THE DATE SHOWN.
ABSENT: ABSTAIN:
ATTESTED Fghlzjlary 5, 2002
JOIN SWEETEN, CLERK OF TIM BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person.: Wendel Brunner,M,D. 313-6712
CC: Health Services Director
Public HwJth Adffunistration
BY ,DEPUTY
Board of,Supervisors Page 2
-Needle Exchange Emergency Declaration
February 5, 2002
Exchange Works, a community-based needle exchange service currently in operation in Contra Costa
currently distributes clean needles on aone-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 S17VCE EMERGENCY DECLARATION ON DECEMBER 14, 1999
At the Sward'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, 2400, May 16 2000, June 6, 2000, July
18, 2000, August 8, 2000, September 12, 2000, September 26, 2040, October 14, 2000, October 24,
2000, November 14, 2000, December 5, 2000, December 19, 2000, January 9, '2001,' January 23,
2001, 'February 6,',2041, February 27 2001, March 13,'2001, March 27, 2001, April 10, 2001, April
24, 2001, May 8, 2041, May 22, 2401, June 5, 2001, June 19, 2001, July 10, 2001, July 24, 2001,
August 7, 2001, September 11, 2001, September 25, :2001 October 9, '2401, 'October 23 2001,
November 6,'2001,'December 4 2001, December 18, 2001, January 8, 2002,'and January 22, 2002.