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Contra
TO: BOARD OF SUPERVISORSt7Sta
County
FROM: JOHN SWEETEN rra tau
County Administrator
DATE: March 26, 2002
SUBJECT: EMERGENCY UPGRADE OF COUNTY TELECOMMUNICATIONS INFRASTRUCTURE
Specific Request(s) or Recommendation(s) & Background &Justification
RECOMMENDATIONS:
DETERMINE there is a need to continue with the emergency action originally taken by the Board on October
26, 1999 on the Emergency Upgrade of County Telecommunications Infrastructure*.
FISCAL IMPACT
The financial impact remains as stated to the Board on 10/26/99.
REASONS FOR RECOMMENDATIONIBACKGROUND:
On 10/26/99 the Board acknowledged that an emergency exists related to the seismic safety of the County
telecommunications infrastructure and that the emergency will not permit a delay resulting from competitive
solicitation of bids, and delegated to the County Administrator, or designee, authority to immediately proceed
with implementation of the "high' priority actions" recommended by C.S.I. Telecommunications, Inc.' The
County Administrator's Office in conjunction with the County Telecommunications Division is currently
proceeding with the delineation of specifications for the required work, as well as the identification of
appropriate vendors to complete the work. This item was last noticed 3/12/02.
Continued on Attachment: YES Signature:
-Recommendation of County Administrator
Recommendation of Board Committee
`�'Approve' Other
Signature(s):
Action of Bo on: March 26 2002 Approved as Recommended: x Other:
Vote of Supervisors: I HEREBY CERTIFY THAT THIS IS A TRUE
AND CORRECT COPY OF AN ACTION TAKEN
X Unanimous(Absent IV ) AND ENTERED ON THE MINUTES OF THE
Ayes: Noes: ) BOARD OF SUPERVISORS ON DATE SHOWN.
Contact: George Roemer(925-335-1055) Attested March 26, 2n{,�7z
cc County Administrator John Sweeten,Clerk of
DOIT'-County Telecommunications the Board of Supervisors
C.S.I.Telecommunications,Inc:(Via CAO) and County Administrator
By: 'A, n ( [ , DEPUTY
r To. BOARD OF SUPERVISORS X11/! CONTRA COSTA
COUNTY
From: William B.Walker M.D.
Health Services Director
Date: March 26 2002'
Subjects 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.
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.
Backerouiad:
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 in West County. As of December
1997, Richmond had the highest cumulative incidence of AIDS (4.8 per 1000population) 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 dares 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-IIV antibody testing, 3-Substance
Abuse Treatment, 4-Health on Wheels Van, and 5-Substance Abuse Counseling; and Treatment for
IRV-infected clients.
CONTINUED ON ATTACIRv ENT: YES SIGNATURE:
'RECOMMENDATION OF COUNTY'ADMTNISTRATOR RECOMMENDATION OF BOARD COMMITTEE
✓APPROVE OTHER
SIGNATURE(S):
ACTION OF BO�;' March 26, 2002 APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS. X SENTIV 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:
ATTESTED March 26, 2002
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
BY ,DEPUTY
Board,of Supervisors Page 2
�4edle Exchange Emergency Declaration
March26, 2002
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, 199
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, November 14, 2000, December 5, 2000, December 19 2000, January 9, 2001; January 23,
2001, February 6, 2001, February 27, 2001, March 13 2001, March 27, 2001, April 10, 2001, April
24, 2001, May 8, 2001, May 22, 2001, June 5, 2001, June 19, 2001, July 10, 2001, July 24, 2001,
August 7, 2001, September 1„1, 2001, September 25, 2001 October 9 2001, October 23, 2001,
November 6, 2001, December 4, 2001, December 18 2001, January 8 2002, January 22, 2002,
February 5, 2002, February 26, 2002, and March 12, 2002.
To: BOARD OF SUPERVISORS CONTRA COSTA
.. COUNTY
Prom: William B.Walker,M.D.
Health Services Director
Date: March 26,2002
Subject: Extension of Emergency Declaration Regarding Homelessness'
SPECIFIC REQUESTS)OR RECOMMENDATION(S)&$ACKGROUND AND JUMUICATION''
Recommendation:
CONTINUE with the emergency action originally taken by the Board on November 16, 1999 regarding
the issue of homelessness in Contra Costa County.
Backaround:
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, 2400, January 25,
2000, February 15, 2000, March 7, 2000, March 21, 2000, April 11, 2000, May 16, 2000, June 6,
2000, July18, 2000, August 'S, 2000, September 12, 2000, September 26, 2000, October 10, 2000,
October 24, 2000, November 14, 2000, December 5, °,2000, December 19, 2000, January 9, 2001,
January 23,'2001,''February 6,',2001, February 27, 2001, March 13, '2001, March 27, 2001, April 10,
2001, April 24, 2001, May 8, 2001, May 22, 2001, June 5, 2001, June 19 2001, July,10, 2001, July
24, 2001, August 7, 2001, September 11, 2001, September 25, 2001 October 9, 2001, October 23,
2001, November 6, 2001, December 4, 2001, December 18, 2001, January 8, 2002, January 22, 2002,
February 5, 2002, February 26, 2002,and March 12, 2002.
Government Code Section 8634 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
APPROVE OTHER
SIGNATURE(2RD
ACTION OF B March 26, 2002 APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS'
HEREBY CERTIFY THAT THIS IS A TRUE
X UNANIMOUS (ABSENT Ty ) 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 March 26, 2002
CC: Health Services Administration JOHN SWEETEN, CLERIC OF THE BOARD OF
Public Health Administration' SUPERVISORS AND COUNTY ADMINISTRATOR
BY I a
L :' DEPUTY