HomeMy WebLinkAboutMINUTES - 02242004 - C97-C98 To: BOARD OF SUPERVISORS CONTRA COSTA
r
COUNTY
From: William ll.Walker, M.D.
Health Services Director �.
Date: February 24,2004
Subject: Extension of Emergency Declaration Regarding Homelessness
SPECIFIC REQUEST(S)OR RECOMME"ATION(S)&BACKGROU"AND JUSTIFICATION
Recommendation:
CONTINUE with the emergency action originally taken by the Beard. on November 16, 1999 regarding
the issue of homelessness.in. Contra Costa County.
Sack round:
Government Code Section 8630 required that, for a body that 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 he
to assist in sheltering homeless individuals and families, it is appropriate for the Board to continue the
declaration of a local emergency regarding homelessness.
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 February 24, 2004.
CONTINUED ON ATTACHMENT: NO SIGNATURE **"
✓RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S
ACTION OF BO ON Febrtsary 24, 2OD4 APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
X UNANIMOUS (ABSENT None } 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:
Contact Person: Wendel Brunner, M.D.313-6712
ATTESTED February 24, 2004
CC: Health Services Administration JOHN SWEETEN, CLERK OF THE BOARD OF
Public Health Administration SUPERVISORS AND COUNTY ADMINISTRATOR
'1 n
BY DEPUTY
To: BOARD OF SUPERVISORSems. CONTRA COSTA
rt COUNTY
From: William B.Walker, M.D. =. l
Health Services Director
Date: February 24, 2004
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:
CONTIN-LJE 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 Needfor 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 Affican 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, 2-1-HV 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
-----APPROVE OTHER
SIGNATURE(S): a'ot��
ACTION OF BO N February 24, 2004 APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS X (ABSENT AND CORRECT COPY OF AN ACTION TAKEN
AYES: _ NOES: AND ENTERED ON THE MINUTES OF THE BOARD
AYES: NOES: OF SUPERVISORS ON THE DA'Z'E SHOWN.
ABSENT: ABSTAIN:
ATTESTED Febrtiary 24, 2004
JOHN SWEETEN, CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Wendel Brunner,M.D. 313-6712
CC: Health Services Director
Public Health Administration
n
BY 1 �
' , DEPUTY
Board of Supervisors Page 2 �Y
Emergency 17eclaration,for Support o,f`.Needle E:Ychange Programs
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 EMERGENCY DECLARATION 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.