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Home My WebLink AboutMINUTES - 03152005 - C99-C101 TO. BOARD OF SUPERVISORS .•- �1=-'-L-,.��, Contra FROM: JOHN SWEETENCosta COUNTY ADMINISTRATOR ♦ ♦ ILO ♦ ♦ DATE: March 15 2005 `'°s;._ -- � caur� County SUBJECT: CONTINUATION OF EMERGENCY RELATIVE TO JUVENILE HALL ADDITION PROJECT (WH228F) Coln 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 11/18/03 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. a CONTINUED ON ATTACHMENT: Y SIGNATURE: --------------------------- -------------- -------------------------------------------------------- ------- ----- ---------------------- 40- ECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEN ION OF ARD CO T BOARD z---OPROV E OTHER SIGNATURE(S): ---------------------- ---- ---------------- ---- ------ --------_-------_-__------------------------------------------------------------------------------AC"TION OF BOARD ON APPROVE AS RECOMMENDED 441ER-- VOTE OF SUPERVISORS 1 HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF AN ACTION TAKEN UNANIMOUS(ABSENT _� ) AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE AYES: NOES: SHOWN. ABSENT: ABSTAIN: A17ESTED � CONTACT: JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR CC: County Administrator/Capital Facilities County Probation Officer County Counsel URS—Mark Gaul(via CAO) BY D DUTY To: BOARD OF SUPERVISORS r:: '- ••; CONTRA COSTA .. ... COUNTY From: William B. Walker, M.D. Health Services Director Date: March 15,2005 Subject: Extension of Emergency Declaration Regarding Homelessness SPECIFIC REQUEST(S)OR RECOMMENDATION(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. Backiyound: 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 M, 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 March 15, 20050 =Wft� 4N ?5 CONTINUED ON ATTACHMENT: SIGNATUREC u/RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE &oo'o-APPROVE OTHER SIGNATURE(S): ACTION OF BO ON APPROVED AS RECOMMENDED VOTE OF SUPERVISORS X . 1 HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT 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 CC: Health Services Administration i—OPFN SWEETEN,CLERK OF THE BOARD OF Public Health Administration SUPERVISORS AND COUNTY ADMINISTRATOR BY DEPUTY C000e w TO: BOARD OF SUPERVISORS Contra FROM: William B. Walker, M.D., Director Costa Contra Costa Health Services County '�' r DATE: March 15, 2005 C 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 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 injec- tion 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 1,000 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 between 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 Van; and 5-Substance Abuse Counseling and Treatment for HIV-infected clients. Exchange Works, a community-based needle exchange service currently in operation in Contra Costa cur- rently distributes clean needles on a one-to-one basis. Their volunteer staff currently exchanges 5,000 needles per week at two sites. There are no established needle exchange programs in East or Central County. 40,4)y4l' aoeod CONTINUED ON ATTACHMENT x Yes No SIGNATURE:. RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE PPROVE OTHER SIGNATURE(S): t ACTION OF B D ON . '`� APPROVED AS RECOMMENDED X-GTH:R VOTE OF SUPERVISORS UNANIMOUS I ABSENT C ) HEREBY CERTIFY THAT THIS IS A TRUE AND AYES: NOES: CORRECT COPY OF AN ACTION TAKEN AND ABSENT: ABSTAIN: ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON T DATE SHOWN. ATTESTED Contact Person: William Walker, M.D. JOHN SWEETEN,CLERK OF THE BOARD OF S ERVISORS AND COUNTY ADMINISTRATOR cc: Health Services Department Admin.(20 Allen St.,Martinez) Public Health Admin. (597 Center Ave.,Martinez) 01 DEPUTY Board of Supervisors Emergency Declaration for Support of Needle Exchange Programs Page 2 Progress Since Emergency Declaration on December 14, 1999 At the Board of Supervisors meeting on December 14, 1999, CCHS was directed to take four ac- tions. 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. 9 Documentation forms are being reviewed and revised as necessary to ensure that specific in- formation 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 for Continuous Emergency Declaration for Support of Needle Ex- change 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, "Op- tions 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 Ex- change." ■ April 16, 2003 —Report submitted to the Family and Human Services Committee, "Activi- ties 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/l/03—8/31/04. ■ As of December 22, 2004, 27%of the 957 individuals living with AIDS in Contra Costa County attribute their infection to injection drug use. This figure is inclusive of men who have sex with men and also inject drugs (approximately 4%of the total). Among women living with AIDS, 44%identify injection drug use as their mode of infection. Approxi- mately 54%of men living with AIDS and 74%of women living with AIDS who identify injection drug use as the cause of their infection are African American. Regionally, 38%of people living with AIDS reside in West County, 38%in Central County and 24%in East County.