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Home My WebLink AboutMINUTES - 04062004 - C109-C111 To: BOARD OF SUPERVISORS ' ..,: CONTRA COSTA COUNTY fir` f j� From: William B.Walker, M.D. Health Services Director Date: April 6, 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: 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 IRV 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 anode 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 Vary, and 5-Substance Abuse Counseling and Treatment for HIV-infected clients. CONTINUED ON ATTACHMEIv"T: YES SIGNATURE: • ,. "' i,- RECOMMENDATION OF COUNTY ADMINISTRATOR. _^RECOMMENDATION OF BOARD COMMTITBE 11--1-'APPROVE OTHER SIGNATURE(S}, y' ACTION OF BC 01/ ON -�- a 2(D4 AS RECOMMENDED X �OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS X (ABSENT_,�N AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUrEhS OF THE BOARD AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN. ABSENT: ABSTAIN: ATTESTED April 6., 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 Adrninistration - r� BY DEPUTY Lr� Board of Supervisors Page 2 Emergency Declaration for Support ofNeedle needle Exchange 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 weep 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. Additional Background Text for Continuous Emergency Declaration for Support of Needle Exchange Programs .Public Health Division,AIDS Program Contact: Christine Leivern-►ann, 5-6786 • February 11, 2003 -Board order submitted to recommend and accept"The Status of HIV Prevention Efforts in Contra Costa County"report to the Board of Supervisors. • February 26, 2003 - report submitted to the Family and Human Services Committee, "Options for Continuing Needle Exchange for HIV Prevention" . • March 3, 2003 ---report submitted to the Family and Human Services Committee, "Needle Exchange Follow-up Report--Strategies to Support the Non-Direct Costsof Needle Exchange". • April 16, 2003 -report submitted to the Family and Human Services Committee, "Activities to Maintain Threshold Needle Exchange Services in Contra Costa County"(4/21/03). • July 28, 2003 -report submitted to the Family and Human Services Committee, "Further Options for Continuing Needle Exchange for HIV Prevention". • September 9, 2003-Board of Supervisors accepted Health Services reports of April 16 and July 28, and approved a one-year contract with Community Health Empowerment(CHE) to provide needle exchange and HIV prevention services, Contract#22877 with Opportunity West (fiscal agent for CHE); contract term 9/1/03 -8/31/04. So:bos needle exchange update 304 To: $C1ARD'GIF SUPERVISORS ,. f ': .� CONTRA COSTA r ,rY Y COUNTY Z From: William B.Walker, M.D. /"'1 /�0 Health Services Director t!. f/ Date: April 6, 2004 Subject: Extension of Emergency Declaration Regarding Homelessness SPECIFIC REQUEST{S}OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION Recommendation: CONTIWE with the emergency action originally taken by the Board on November 16, 1999 regarding the issue of homelessness in Contra Costa County. Background: Government Code Section 8630 required that, for a body that meets weekly that the need to continue the emergency declaration be reviewed at least every 14 days until the local emergency is terminated. I no event is the review to take place more than. 21 days after the previous review. With the continuing inclement weather and no additional resources having been able to be placed on line to assist in sheltering homeless individuals and families, it is appropriate for the Beard to continue the declaration of a local emergency regarding homelessness. On November 16, 1999, the Board of Supervisors declared a local emergency, pursuant to the;, provisions of Government Code Section 8630, on homelessness in Contra Cosa County. This local emergency was extended on April 6,2004. CONTINUED ON ATTACHMENT: NO SIGNATURE &,---'RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE($): ACTION OF B D ON Aril 6, 2{104 APPROVED AS RECOMMENDED X OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS €S 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 April 6, 2004 ATTESTED � CC: Health Services Administration JOHN SWEETEN, CLERK OF THE BOARD OF Public Health Administration SUPERVISORS AND COUNTY ADMINISTRATOR BY . -, DEPUTY TO: BOARD OF SUPERVISORS FROM: MAURICE M. SHIU, PUBLIC WORKS DIRECTOR DATE: April 6, 2004 SUBJECT: CONTINUE the emergency action originally taken by the Beard of Supervisors on August 5, 2003, regarding the construction of the Asbury Graphite Wastewater System as recommended by the Public Works Director, Hercules area. [SCH No. 950430291(Contra Costa Transportation Authority Funds, 100%) (District 11) Project No.: 4660.6X4152. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION 1. Recommended Action: DETERMINE that there is a need to continue the emergency action taken by the Board of Supervisors on August 5, 2003, pursuant to Public Contract Code Sections 22035 and 22050, to construct a wastewater system for Asbury Graphite, Hercules area. Continued on Attachment: X SIGNATURE: i EkOMMENDATION OF COUNTY ADMINISTRATOR _RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIG NATURE(S) — ACTION OF BO ON April':O, 2004 APPROVED AS RECOMMENDED X OTHER ;.r 1 hereby certify that this is a true and Correct copy of an VOTE OF SUPERVISORS action taken and entered on the minutes of the Board of x UNANIMOUS(ABSENT Mw i Supervisors on the date shown. AYES: NOES: ABSENT: ABSTAIN: ATTESTED:_ April 6, 20€l4 G:kGrp at JOHN SWEETEN, Clerk of the Board of Supervisors G.1GrpDatalDeslgnlBOARD ORDER5120t#41Asbury Emergency6.doc and County Administrator Orig.Div*Public Works(Design) Contact: J.Pulliam 343-2165 c: M.Hollingsworth,Design g K.Laws,Real Property By Vl�C ` Deputy SUBJECT: CONTINUE the emergency action originally taken by the Board of Supervisors on August 5, 2003 regarding the construction of the Asbury Graphite Wastewater System as recommended by the Public Works Director, Hercules area [SCH No. 95043029] (Contra Costa Transportation Authority Funds, 100%) (District 11) Project No.: 4660-6X4152 DATE: April 6, 2004 PAGE: TWO CI. Fiscal Impact: The total estimated contract cost is$400,000,which is 100% reimbursable from the Contra Costa Transportation Authority. Ill. Reasons for Recommendations and Back-ground: A. On August '5, 2003, the Board of Supervisors declared an emergency and authorized the Public Works Director to proceed in the most expeditious manner to construct the Asbury Graphite Wastewater System. B. Repair status: Construction of Phase 1 by Sebastopol Construction is completed. The design for the final phase, Phase 2, is currently being reviewed and prepared for advertising. Advertising is scheduled for April 2004. IV. Consequences of„Nenative-Action: Non-concurrence of the above recommendation will delay replacement of the wastewater system until the later half of 2004 resulting in the increased potential for the failure of the existing system. This would cause effluent contamination of the surrounding area and off-hauling up to 750 gallons per day of effluent to an appropriate disposal facility.