HomeMy WebLinkAboutMINUTES - 07132004 - C.137-C.139 D OF SUPERVISORS _ fes: CONTRA COSTA
To: BOAR � ,.
r _
COUNTY
From: William B.Walker, M.D.
Health Services Director "47
Date: June 22, 2004
Subj ect: 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 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 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: I-HTV/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.
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CONTINUED ON ATTACHMENT: YES SIGNATURE:
Z--'RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
jAPPRO�E, OTHER
f
SIGNATURE(S):
ACTION OF BO*ION $_ >,z '' €' APPROVED AS RECOMMENDED -
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
yUNANIMOUS (ABSENT ,_ 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: c
ATTESTED—
JOHN
TTESTED JOHN SWEETEN,RK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Wendel Brunner, M.D. 313-6712
CC: Health Services Director
Public Health Administration
DEPUTY
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 EMERGENCYDECLARATfON ONDECEMBER 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 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 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)r contract term 9/1/03 — 8/31/04.
Bo:bos needle exchange update 304
To: BOARD OF SUPERVISORS : .: CONTRA COSTA
.. COUNTY
From: William B.Walker, M.D. v�
Health Services Director
Date: July 13, 2004
Subject: Extension of Emergency Declaration Regarding Homelessness
SPECIFIC REQUESTS)OR RECOMMENUATION(S)&BACKGROUND AND JUSTIFICATION
Recommendation:
CONTINUE with the emergency action originally taken by the Board on November 16, 1999 regarding
the issue of homelessness in Contra Costa County.
Backsround:
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 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 July 13, 2004.
C,C}XTUE T: NO SIGNATURE
,.,-"RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
,o-APPROVE OTHER
SIGNATURE(S)'
r
ACTION OF E( DON s_ APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENTi=r sem_) 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 2-- � . '
CC: Health Services Administration JOH7 SWE EN, CLERK OF THE BOARD OF
Public Health Administration SUPERVI RS AND COUNTY ADMINISTRATOR
BY DEPUTY
TO: BOARD OF SUPERVISORS
FROM: MAURICE M. SHIU, PUBLIC WORKS DIRECTOR
DATE: JULY 13, 2004
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. 95043020 (Contra Costa Transportation
Authority Funds, 100%) (District ll) 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:
t�
r.-'RECOMMENDATION OF COUNTY ADMINISTRATOR
_RECOMMENDATION OF BOARD COMMITTEE
PROVE OTHER
SIGNATURES ,
ACTION OF BOA ON Yi :%;�2< APPROVED AS RECOMMENDED
;b/
I hereby certify that this is a true and correct copy of an
VOTF OF SUPERVISORS action taken and entered on the minutes of the Board
UNANIMOUS {ABSENT,� } of Supervisors on the date shown.
AYES: NOES:_
ABSENT: ABSTAIN:
n�
ATTESTED:
G:\GrpData\Const\BO\2004\AsburyLeachfleld-Emergency.doc JOHN SWEEP .r Ielf f the Board of Supervisors
Orig.Div:Public Works(construction) and County A mistrator
Contact: M.Carlson 313-2321
c: M.Hollingsworth,Design
K.Laws,Real Property 'f �
By � :�'t����%_. � �� �� ' ...�-�,. Deputy
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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 il) Project No.: 4560-6X4152.
DATE: JULY 13, 2004
PACE: 2
ll. 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 Background:
A. Can 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.
IV. Consequences of Negative 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, which would cause effluent contamination of the
surrounding area and off-hauling up to 750 gallons per day of effluent to an
appropriate disposal facility.