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Home My WebLink AboutMINUTES - 05042004 - C64-C66 To: ' BOARD OF SUPERVISORS ` z: CONTRA COS'T'A " ' ' COUNTY From: William B.Walker, M.D. by Health Services Director Date: May 4, 2044 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/I V and Hepatitis C cases among injection drug users in Contra Costa County. Backeround• Continued Need far 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 cases in West County. As of December 1997, Richmond had the highest cumulative incidence of AIDS (4.8 per 1040 population) among Centra 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-HlV/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. CONTINUED ON ATTACHNTEN'T: YES SIGNATURE: ✓' RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMNII'ITEE ,--APPROVE OTHER SIGNATURE ACTION OF 1 O ON may 4, 2004 APPROVED AS RECOMNIENDED X OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS X (ABSENT_ICT 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 ft 4. 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 Administration j 3 „ t BY s 'V ' EPUTY' µms; Board of Supervisors Page 2 Emergency Declaration for Support of 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 week at two sites. There are no established needle exchange program in East or Central County. PROGRESS SINCE EMERGENCYDECLARA TION 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. • Docurnentation 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 Sun-port of Needle Exchange Programs Public Health Division,AIDS Program Contact: Christine Leivermann,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 Costs of Needle Exchange". • April 16, 2003 —report submitted to the Family and Human Services Cominittee, "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#22977 with Opportunity West (fiscal agent for CHE); contract term 9/1/03 —8/31/04. Bo:bos needle exchange update 304 To: BOARD OF SUPERVISORS �� « CONTRA COSTA COUNTY 7Y From: William B Walker, M.D. Health Services Director Date: May 4, 2004 Subject: Extension of Emergency Declaration Regarding Homelessness SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND ANU JUSTIFICATIOri Recommendation: CONTINUE with the emergency action originally taken by the Board on November 16, 1999 regarding the issue of homelessness in Contra Costa County. Backeround: 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. 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. On November lb, 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 May 4, 2004. CONTINUED ON ATTACHMENT: NO SIGNATURE . . RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE r/ APPROVE OTHER 11-1 SIGNATURE(S): Cc_ ' - L ACTION OF B D ON MaY 4, 2004 APPROVED AS RECOMMENDED X OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS (ABSENT NOW ) AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON THE MINU'T'ES OF THE BOARD AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN. ABSENT: ABSTAIN: Contact Person: Wendel Brunner, M.D. 313-6712 ATTESTED May 4, 2004 CC: Health Services Administration JOHN SWEETEN, CLERK OF THE BOARD OF Public Health Administration SUPERVISORS AND COUNTY ADMINISTRATOR BY DEPUTY TO: BOARD OF SUPERVISORS y=., Contra FROM: JOHN SWEETEN, •� s COUNTY ADMINISTRATORV.: '� �� 1 Costa DATE: May 4, 2004 ` ....... ` Counly SUBJECT: CONTINUATION OF EMERGENCY RELATIVE TO JUVENILE HALL ADDITION PROJECT (WH228F) SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS: DETERMINE there is a need to continue with the emergency action originally taken by the Board on November 18, 2003 on the Juvenile Hall Addition Project (WH228F). FISCAL IMPACT: The financial impact remains as stated to the Board on November 18, 2003. BACKGROUND: On 11118/03 the Board acknowledged that an emergency exists related to the completion of the Juvenile Hall Addition Project (WH228F) and that the emergency will not permit a delay resulting from competitive re-solicitation of bids, and delegated to the County Administrator, or designee, the authority to proceed in the most expeditious manner to complete the project and to enter into one or more contracts therefor, without the need to re-solicit competitive bids. CONTINUED ON ATTACHMENT: ,YES SIGNATURE: - - - ------------------------------------------------------------------------------------------- - RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE _- -AsPPROVE OTHER SIGNATURE(S). t --------------- - - - t=om � .rae...-- ---------------------------------------------- -------------------------------ACTION OF BOARD ON ME 4 APPROVE AS RECOMMENDED X OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS(ABSENT Norirr AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE BATE AYES: NOES: SHOWN. ABSENT: ABSTAIN: ATTESTED May 4, $,OOta CONTACT: JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR CC: County Administrator County Probation Officer County Counsel URS-Mark Tortorich(via CAO) s" ) -6 BY, TY