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HomeMy WebLinkAboutMINUTES - 05071991 - IO.6 I.O.-6 TO: BOARD OF SUPERVISORS Contra 1. Y..., FROM: INTERNAL OPERATIONS COMMITTEE ~� Count CQSta_ April 22, 1991 -- -�4�'` Y DATE: s'q couN- STATUS REPORT ON COMMUNICABLE DISEASES SUBJECT: SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS: 1. Acknowledge receipt of the attached quarterly report from the Public Health Director on the status of communicable diseases in this County and steps which are being taken to address the problem. 2. Request the Public Health Director to make a further progress report to our Committee on September 23, 1991 updating us on the status of various communicable diseases and steps which are being taken by the Health Services Department to address those problems. BACKGROUND: For some time the Internal Operations Committees have been receiving and sharing with the Board of Supervisors the status of various communicable diseases. Initially, this was limited to reports on the spread of AIDS cases in the County. More recently we have broadened this reporting to other communicable diseases because of thetroubling upswing we have observed in measles, tuberculosis, . and a variety of sexually transmitted diseases. This is the most recent of these periodic reports. On April 22, 1991 our Committee met with the Public Health Director, Dr. .Wendel Brunner and Francine Wise, R.N. , of our CONTINUED ON ATTACHMENIXeS YES SIGNATURE: RECOMMENDATION OF COUNT D R OR RECOMMENDATION OF BOARD COMMITTEE APPROVE T � SIGNATURE(S): SCHROD SUNNE WRIGHT McPEAK ACTION OF BOARD ON Ma 19 91 APPROVED AS RECOMMENDED X OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS(ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS/ A�- 11ON jTHEE DATE SHOWN. CC: ATTESTED �^ • /7QQ/ PHIL BATCH OR,CLERK OF THE BOARD OF County Administrator SUPERVISORS AND COUNTY ADMINISTRATOR Health Services Director Public Health Director County Counsel BY ,DEPUTY M382 (10/88) Public Health Nursing staff. Dr. Brunner and Ms. Wise reviewed -the attached report with us. Among the highlights are the following: * Additional tuberculosis clinics have been added in Richmond. * New communicable disease clinics will soon be opening in both Richmond and Pittsburg. * As of April 2, 1991 there have been 584 cases of AIDS reported since the initial identification of the disease in 1983 . * As many as 1 of every 150 residents of Richmond test positive for the AIDS virus. * New AIDS funding will be available to the County soon from the Ryan White Comprehensive AIDS Resources Emergency Act of 1990. Contra Costa County should receive about $200,000 from Title I of this source plus perhaps $130,000 from Title II of this source of funds. * A highly successful forum on AIDS was held March 23, 1991 for religious leaders in West County. We will continue to monitor developments in the area of communicable diseases and will report to the Board again following our September 23, 1991 progress report from Dr. Brunner. Contra The Board of Supervisors Costa Health Services Department Tom Powers,1st District County Nancy C.Fanden,,3rd District �J OFFICE OF THE DIRECTOR Robert I.Schroder,3rd District c e L Sunne Wright McPeak,4th District 4�` -� :• Mark Finucane, Director Tom Torlakson,5th District . '_. `,,�- �► Administrative Offices _x " County Administrator i;. -=; 20Allen Street Martinez,California 94553 Phil Batchelor ,.,_ (415)646-4416 County Administrator r'c� T April 18, 1991 To: Internal Operations Committee From: Mark Finucane, Director, Health Services Department by Wendel Brunner, M. D� Subject: Quarterly Report on Communicable Disease As a result of the action of the Board of Supervisors on February 26, 1991, to increase the funding for communicable disease control including AIDS prevention activities, the Health Services Department is proceeding to enhance communicable disease clinical services and AIDS education activities, particularly AIDS programs directed at the Spanish-speaking community. The Board action will have a significant and important impact on the ability of this county to effectively address the rising rates of communicable disease. Tuberculosis Clinics In response to unprecedented rates of tuberculosis in West County, the Public Health Division, together with the Hospital and Clinics division, have added tuberculosis clinics in Richmond. The clinics are being held on the second and fourth Fridays of each month in the Richmond Health Center. Approximately 18-20 patients who are being treated for active TB or are being treated prophylactically are seen at each clinic. The clinics are staffed by a physician, a public health nurse, a communicable disease technician and a registered nurse. During each clinic, the public health nurse is able to provide intensive education to the patients about.the importance of complying with the medical regime, possible signs of medical complications, and how to take the medica- tions. The communicable disease technician provides transportation, patient education, physician assistance and follow-up for patients who do not keep their appointments. . e 2 With this more intense patient assistance and follow-up, we are already seeing more compliance in these patients and fewer broken appointments. Communicable Disease Clinics We will soon be opening new Communicable Disease Clinics in the Pittsburg and Richmond Health Centers. Based on past experience, the early evening hours (5:30 - 8:30) are the most popular for our clients and space is available at both centers during those times. We plan to open on Wednesday evenings in Pittsburg and Thursday evenings in Richmond. Diagnosis and treatment for sexually transmitted diseases, HIV testing, TB testing, immunizations for clinic patients and family planning will all be offered at these new evening clinics. Discussions between the Administrative staff at Hospital and Clinics Division and Public Health about space are ongoing. No problem areas have yet been identified and plans should be finalized very soon. Just prior to the clinics opening, we will be planning publicity which will include community flyers, posters and press notices. 3 AIDS Cases As of April 2, 1991, there were 584 cases of AIDS reported in Contra Costa County. Of the cases among adults, 71010 (411) were homosexual or bisexual men, 10% (60) are among injection drug users and six percent (32) have both injection drug use and homosexuality as risk factors. To date, 32 women and five children under 12 years of age have been diagnosed with AIDS in Contra Costa County. CONTRA COSTA COUNTY AIDS CASES BY AGE: (As of April 2, 1991) 300 250 ............._........................ ........ ............,..... ....................245........... 200 ..._............................................. ... .................. ..__....... 156 150 ._...._......._........................._........ ................ ....__... _. 100 .._............................................. .. .__........7J._ ......... _....lit 50 0 1 Under 12 13-19 20-29 30-39 40-19 Over 49 ®Years CONTRA COSTA COUNTY AIDS CASES BY TRANSMISSION CATEGORY (As of April 2, 1991) Gay/Bisexual men 71% None/Other 5% Transfusion 4%O / \ Heterosexual contact 2% Hemophilia 27o Gay/Bi/IVDU 65o IV drug users 10% 4 AIDS Testing In a recent analysis of HIV testing data for 1990, we found that last year 169 individuals who were tested for HIV antibodies were found to be seropositive. Of these people 56 were homosexual or bisexual, five of whom also had a history of intravenous drug use. There were 69 heterosexuals who had a history of intravenous drug use. Three of the persons found to be HIV antibody positive were blood recipients, six were heterosexual partners of people at risk, twelve were heterosexuals with no other risk reported and 23 had no reported risk. Of the men found HIV antibody positive, 55 were White, 52 African American, ten Latino, one Asian, one Native American and ten did not report race. Of the females who tested HIV antibody positive, five were White, 24 were African American, one was Latina, one was Native American and five did not report race. Four persons did not have gender reported. Of the 36 antibody positive females, 33 were of reproductive age, one was a newborn and two had no age reported. Of the 169 testing positive in 1990, 134 were known to reside in Contra Costa County. Of those, (21.6%) 29 were residents of East county, 33.6% (45) were residents of Central County and 44.8% (60) reside in West County. Twenty-three were residents of neighboring counties and 12 did not report their city of residence. Ryan White Comprehensive AIDS Resources Emergena Act of 1990 We continue to meet with staff from the Alameda County Health Care Services Agency and the City of Berkeley to work through issues raised by the Ryan White Comprehensive AIDS Resources Emergency Act (CARE) of 1990 which will bring new funding for AIDS services into our county. Title I of this new funding will be coming into the Oakland Metropolitan Statistical Area which includes Alameda and Contra Costa counties. In order to assure clear understanding between the jurisdictions about funding allocations and other interjurisdictional issues, as well as to lay the foundation for the appropriate community participation in the joint planning committees, we are preparing resolutions to be presented to both Boards of Supervisors and the Berkeley City Council. Those should be before you within the next few weeks. Contra Costa's portion of Title I funding should be at least $200,000 per year. Also in response to the Ryan White CARE monies, the former Contra Costa County AIDS Advisory Committee is being reconstituted to meet the requirements of Title II of the CARE Act which mandates an HIV/AIDS Consortium. We are currently working with community-based organizations in the county to set guidelines for member- ship on the Consortium. We can expect funding of approximately $130,000 annually from Title II for services in Contra Costa. 5 West County Forum On Saturday, March 23, the Public Health Division AIDS Program and the West County Coalition Against AIDS (staffed by the AIDS Program), sponsored a forum for West County Religious Leaders on AIDS. Of the more than 65 people who attended the forum, many were clergy and religious leaders from many faiths, service providers in the county, community-based organizations such as Familias Unidas, the AIDS Task Force, the AIDS Community Network and Planned Parenthood and county providers from the Home Health Agency, Public Health Nursing, Healthy Tomorrows, Born Free, the Communicable Disease Program and the Probation Department. The forum was held at Easter Hill Methodist Church in Richmond. The purpose of the forum was to give religious leaders an overall view of the epidemic of AIDS in the county and specifically in the African American community in West County. We wanted to encourage them to explore ways in which their churches could become involved in the fight against the further spread of the virus and for comprehensive services to the infected community and their loved ones. Among those who spoke at the forum were Pastor Dorothy Williams, Mayor George Livingston, Pastor I C. Thomas, Dr. Robert Scott from the AIDS Project of the East Bay and Dr. Wendel Brunner, Public Health Director, Health Services Department. A survey was given to those attending the forum. Most stated that more forums on the subject of AIDS are needed.