HomeMy WebLinkAboutMINUTES - 07182000 - C164-C165 Contra
TO: BOARD OF SUPERVISORS . Costa
FROM: William Walker,M.D.,Health Services Director County
DATE- JULY 18,2000
suEu m EXTENSION OF EMERGENCY DECLARATION AND AUTHORIZATION OF COUNTY HEALTH DEPARTMENT IN SUPPORT
FOR NEEDLE EXCHANGE PROGRAMS.
SPECIFIC REQUESTS)OR RECOMMENDATION(S)i BACKGROUNO 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.3096 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.
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.
CONTINUED ON PAGE TWO SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR MM.RECOMMENDATION OF BOARD COMMITTEE
APPROVE ----OTHER
SIGNATURE(S1:
ACTION OF BOARD ON J 011 VY-18 , 2 0 0 0 APPROVED AS RECOMMENDED XX OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
.X Y, UNANIMOUS (ABSENT—LI—) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES:-—-- AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
Contact Person: Wendel Brunner MD 313-6712
CC: Health Services Administration ATTESTED July 18, 2000
PHIS.BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND FOUNTY ADMINISTRATOR
BY ,DEPUTY
PROGRESS SINCE EMERGENCYDECLARAT'ION CSN DECEMBER 14, 1999
At the Board of Supervisors December 14, 1999 meeting,CCHS was directed to take four actions.As
ofJanuary 7, 2000 the following has been completed:
* CCHS has entered into discussions with Exchange Works in Nest 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, 2004,January 25, 2000,
February 15,2000,March 7,2000,March 21,2000,April 11,2040,May 16,2000, June 6,2000,and
July 19, 2000.
Contra
TOs BOARD OF SUPERVISORS Costa
FROIAt William Walker,M.D.,Health Services Director County
DATES July 18,2000
suencT, EXTENSION Of EMERGENCY DECLARATION REGARDING HOMELESSNESS
SPECIFIC RIQUIST(S)01 RIC01111AINDATION(S)&11ACKGROUND AND JUSTIFICATION
RF,V-0MMNDA1T0N:
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.
IR A C K G R 01 IhM..
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, and July 18,2000.
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:None SIGNATURE.
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOAR D CaM—WITTEE
APPROVE -OTHER
SIGNATURE(S):
ACTION OF BOARD ON July 18, 2000 APPROVED AS RECOMMENDED XX OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
X)L— UNANIMOUS (ABSENT—IJ—) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES; AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: --ABSTAIN;— OF SUPERVISORS ON THE DATE SHOWN.
Contact Person: Wendel Brunner MD 313-6712
CC: Health Services Administration ATTESTED. JU 1-Y 18. 2000
PHIL BATCHELOR, CLERK OF THE BOARD OF
SUPERVISOR SAJID CPUNTY ADMINISTRATOR
DEPUTY