HomeMy WebLinkAboutMINUTES - 03092004 - C.100 da BOARD OF SUPERVISORS .:�,. : CONI COSTA
COUNTI TY
F'm� a Wiffiim B.WaLker, MD,
Health Services Director �
Date: March 9, 2004
Subject. EX'S-E SIO OF EMERGENCY DECLARATION AND AUTHORIZATION OF THE COUNTY
HEALTH DEPARTMENT IN SLTPORT FOR NEEDLE EXCHANGE PROGRAMS
SPECIFICREQUEST(S)ORRECOMMENDATION(s)&BACKGROUND AND J STMCATI£:3N
Recommendation.
CONTINTLIE with the emergency a.-tion origin,ally taken by The Board or, December 14, 999 based on
the creas ng/epfd-IC number of A-IDS/FUV and Hepatitis C cases among jection drjg sers
Contra Costa County.
_ Lkg d°
Con tin u ed Need for Em ergency
The spread of disease, particularly HW and Hepatitis C, though the sharing of needles continues to be
a grave concern ffi Contra Costa County. 30% of all people living with AIDS in Contra Costa were
:^f` Qted by iniection dl-cg use with. the hi g est number of AIDS cases in Mast County. As of December
1997, Ricbmond had the highest cumulative incidence of AIDS (4.8 per 1000 population) a o:ng
Contra Costa -cities, with at least 50 cases. Ikectlon drag use was the estimated mode of irZection
amo-'g 40% o all indimiduals diagnosed w-Ah AIDS ind-u-pond. Tong scan Americans, diagnosed
-with AiDS in Richmond 1982- 998 53%were most likely infected through ect on d--rug use.
Contra Costa Health Services does not currently provide needle vexchane services (it is;prohibited f"cm
doing so absent a declared public health emergency), CCHS does provide serrices focused on injection
dmg users includ g: 1-AADS Outreach and Education, 2411V antibody testing, 3-Substance
Abse treatment, 4-Health on Wheels Van, and 5-Substance Abuse Counseling and Treatment for
1 -infeaed clients.
CONTIN7 i-D ON A.'-"ACtNT: YES
R7tt--'—,V2' NDAiC3N Caw CC3b-N rY A.Dh TISs s?- ORGONNA NDA ION., OF BOA_ C TE_E
` APPROVE, OTIMR
NAT rR-(S)
AC TION OF BOAT"ON lqardh 9, 2004 APPROVED AS R .CON NDF_D X 071iER
VO—E OF SUPERVISORS
HEREBY C ERTIUY 711Am 7FI S IS A TRUE
JNAIN US X (ABSENT Via' IVAND CORRECT COPY OF AN ACTION'-A:k,E\T
AYES: N. S: AND ENTERED ON -ME UTES Ob B�`ADID
AYES: NOES: OF SUPERVISORS ON THE DA's SHOWN.
ABSENT: A S'€A_7L :
A'TSS FED. mach 9, 200,4
JOTITN'SWEETEN, CLE. -R:K OF THE BOARD OF
SUPERVISORS AND CCRJ?NTY AD, 1VUN_--STRA?0R
Cantae,Pelson: -Wer-de-J., BnKnnar, M.D. 313-671.2
cc: Health Senfices Director
P�_ri c eatb Ad-nnistra. ^n
BY / :.� E'i1 Y
.S
Board of Svpervisors
Page
Exchange Works, a co ty-based needle exchange seerv"'ce currently in oper°atioi in Contra Costa
cu ent y distributes clean needles on a oae-to-ones bas=s. weir volunteer sta c,-arfently exchange 5,0010
eedles per week at two sites. 'rher.°e are no established needle exc„ange rogram in East or Central
Com Y.
PR 0 R ESS SPC VERGE TCY D E CL A RA TION ON D E CE-41BER 14. 19 9 9
At the Board of Supen sors Decenroer. 14, 999 meeting, CCHS was directed to take four actions. As
of January 7, 200 the bbHowiug has beer— colleted;
s CCIHS ' as entered into dlscrussions with Exchange Worts in Asst Coumnty.
Supplies f----r the ongoing provision of the services have been i'dientifled.
CCHS staff have been identified to assist with the provislon of information and referrals.
Documentation forms are being reviewed and revised as necessary to ellisure drat specific
'M n is ava able to the:hoard.
Ian g for an East Gouty process vi begin later this quarter a it rlr��r� nary y�r°�c�ss
West County is completed.