Wood County Health District 2014 Annual Report 1

WOOD COUNTY HEALTH DISTRICT

2014 ANNUAL REPORT

Our Mission

We will take the

initiative to facilitate

opportunities for

Wood County

residents to lead

healthy lives.

In This Report

Community Health and

Wellness Center

Expansion

WIC Turns 40

Financial Report

The Water Crisis and

Ebola Preparedness

Combating Obesity in

Wood County

County Health

Rankings

Community Health

Assessment

From the Health Commissioner

I am very proud to present our Annual Report that highlights some of the

outstanding Public Health work our agency has accomplished in 2014.

The last year brought many transitions for us at WCHD and it provided

many opportunities for growth and positive changes in our programs and

services. We updated our organization’s strategic plan in 2014 and we

see these positive changes continuing into the future. Through the re-

ceipt of new federal funding, we were able to complete a full renovation

of our Community Health and Wellness Center. This funding has also led

to an increase in staff and healthcare services offered. As we continue to

grow, plans are in place for a building expansion to be completed in 2015

that will allow us to enhance and improve our programs even further.

These are exciting times for us in Public Health and this report is only a

snapshot of all that we do to facilitate opportunities for Wood County

residents to lead healthy lives. Please give us a call for more information

about our services or visit our website at woodcountyhealth.org to learn

more about our many programs. I wish you the best of health!

Sincerely,

Ben Batey, RN, MPH

Prevent. Promote. Protect.

Health Commissioner Ben Batey (right) addressing the BG Chamber of Commerce at WCHD In January 2015.

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News from the Community Health and Wellness Center

The Wood County Community Health and Wellness Center continues to

strive toward our mission of improving the health of residents in Wood

County. 2014 has been an exceptionally eventful time for the Health and

Wellness Center with renovations and expansion of services offered to

the community. We thank everyone for allowing us to inspire our

community members to lead healthy lives.

2014 HIGHLIGHTS

In-house pharmacy nearing completion

Clinical Pharmacy Services

Electronic Health Records

Increase Physician Time

Increase Reproductive Health Services

Late night appointments (11-7)

Behavioral Health Services

Outreach and Enrollment Services

Social Worker Services

New waiting room

3 New exam rooms

Increase Outreach in the community

Increase accepted Health Care Insurances

HRSA Site Visit

In December, the Health

Center had an operational Site

Visit from HRSA. The site

visitors were with us for 3 days

asking questions of staff,

managers, and Health and

Wellness Center Board

members along with reviewing

over 400 documents we

submitted that outline our

policies, procedures, meeting

minutes, and operations. They

stated that they were very

impressed with how far our

Health and Wellness Center

has come in such a short

period of time and they

highlighted the dedication and

commitment of the Health and

Wellness Center Board

Members. They also praised

the experience and skill of our

clinical providers and staff.

Nurse Practitioners Caroline and Katie and Dr. Dood

The Health Center now offers behavioral health services.

Wood County Health District 2014 Annual Report 3

The WIC Program turned 40 this year!

The Special Supplemental Nutrition Program for Women, Infants and

Children (WIC) is a public health nutrition program under the USDA

providing nutrition education, nutritious foods, breastfeeding support,

and healthcare referrals for income-eligible women who are pregnant or

post-partum, infants, and children up to age 5 who are at nutritional risk.

WIC has been strengthening families for 40 years! WIC clinics provide:

Nutrition education; Breastfeeding promotion & support; Healthy foods;

and Screenings and referrals for healthcare and social services.

Did you know?

Participation in WIC reduces the risk of child abuse or neglect.

Children who drop out of WIC are less likely to be immunized compared to children who participate in WIC.

WIC children at ages 1 to 2 have less dental related Medicaid costs compared to children who do not participate in WIC.

WIC infants are in better health than eligible infants not participating in WIC.

For more information: http://www.wicturns40.org/

By fall of 2015, the WIC program will no longer provide client benefits

on paper vouchers but will roll the system over to an EBT card. Hand

held equipment will be used to download food items onto the card

from the WIC computers.

WIC provides screenings for clients.

Celebrating World Breastfeeding Month

2014 Women Infants and Children (WIC)

Program Data

5,448

Visits

1,401

average monthly caseload of participants

$929,238 WIC food benefits redeemed at

area grocery stores in 2014

Clinic service assistants Terri Schauweker (L), Molly Pierce (C) and Kami Wildman (R).

4

The Wood County Health District operates on

revenues provided mostly by our tax levy,

government grants, contracts, and user fees.

About two-thirds of our expenses support the

District’s greatest asset, the personnel that

provide much needed public health services to

the residents of Wood County.

2014 Revenues Administration Environmental Health & Wellness Center Community Nursing All

Intergovernmental - Federal $117,277.00 $0.00 $886,037.55 $414,508.61 $1,417,823.16

Intergovernmental - Local $0.00 $65,000.00 $0.00 $415,826.16 $480,826.16

Intergovernmental - State $33,582.21 $3,370.00 $13,118.50 $209,823.61 $259,894.32

Levies $1,446,493.86 $146,250.00 $1,592,743.86

Fees/Licenses/Permits $200,890.00 $358,895.40 $87,879.26 $121,186.55 $768,851.21

Other Receipts $19,531.16 $24,065.16 $42,373.82 $25,115.78 $111,085.92

Total $1,817,774.23 $597,580.56 $1,029,409.13 $1,186,460.71 $4,631,224.63

Levy Funded Program Support $22,000.00 $110,500.00 $350,000.00 $305,000.00 $787,500.00

Total $1,839,774.23 $708,080.56 $1,379,409.13 $1,491,460.71 $5,418,724.63

2014 Expenditures Administration Environmental Health & Wellness Center Community Nursing All

Salaries $382,514.72 $579,755.30 $645,734.03 $909,930.59 $2,517,934.64

Supplies $19,579.16 $9,327.58 $46,537.42 $106,939.18 $182,383.34

Remittances to State $113,281.66 $32,169.00 $0.00 $145,450.66

Equipment $13,080.30 $463.41 $12,644.80 $2,435.20 $28,623.71

Contract - Services $39,490.69 $24,519.19 $122,953.94 $86,125.21 $273,089.03

Building Payment $98,887.50 $0.00 $98,887.50

Travel $6,851.63 $23,260.42 $1,548.45 $35,060.84 $66,721.34

Advertising and Printing $2,434.40 $1,836.08 $5,111.60 $1,995.81 $11,377.89

Capital Projects $93,986.33 $93,986.33

OPERS $46,298.33 $79,975.74 $86,983.53 $126,606.21 $339,863.81

Health Insurance $88,138.10 $71,549.70 $120,588.12 $121,275.74 $401,551.66

Medicare $5,648.91 $8,064.17 $9,099.04 $12,761.66 $35,573.78

Other $139,366.15 $26,687.63 $95,417.83 $93,090.67 $354,562.28

Sub Total $955,571.55 $857,608.22 $1,240,605.09 $1,496,221.11 $4,550,005.97

Levy Funded Program Expense $787,500.00 $0.00 $0.00 $0.00 $787,500.00

Total $1,743,071.55 $857,608.22 $1,240,605.09 $1,496,221.11 $5,337,505.97

Health & Wellness Center

44%

Community Nursing

39%

Environmental14%

Administration3%

Levy Funds at Work

Wood County Health District 2014 Annual Report 5

Kelly Bechstein, a Registered Sanitarian, conducts a food safety presentation for approximately 250 NW Ohio cafeteria workers at Penta Career Center

Programs and Services

Drinking Water

Residential water

Water haulers

Water system contractors

Emergency Preparedness

Dangerous animals

Clandestine drug labs

Mercury spills

Public Health Emergency Response

Food Safety

Food safety education

Restaurant & Retail Food inspections

Licensing

Foodborne illness investigation

Food recalls

Clean Plate Award

Food Safety Handouts

Healthy Homes

Indoor air quality

Real Estate inspections

Housing standards enforcement

Healthy Living

Smoke Free Ohio

Tattoo & Body piercing

School Inspections

Recreational Activities

Public pools & spas

Campgrounds & RV parks

Beaches / Public bathing areas

Septic Program

Residential systems

Sewage systems contractors

Sewage haulers

Operation and Maintenance Program

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Private Home Sewage System Program

On January 1, 2015, the first new uniform statewide sewage rules

became effective. These are the first uniform statewide rules that

have been adopted and the first revision since first adopted in 1977.

Some highlights include:

The rules require a comprehensive operation and maintenance

program for all systems in Wood County. This program will be

phased in over a period of several years.

The rules do not mandate automatic system upgrades and all

existing systems will be deemed approved unless they fail or

need replaced.

The rules establish new standards for system construction,

alteration and maintenance when a system fails, is altered,

replaced or newly installed.

System owners can request a timeline for incremental repair or

replacement of a system to spread costs out over time.

A wide range of design choices and technologies for new and

replacement systems will be available.

Lower cost, low maintenance systems such as septic tanks to

leaching trenches that use natural soil for treatment will continue

to be the primary system installed. New technologies will be

available for use where soils present greater challenges for

sewage treatment.

The new rules combine state standards with options for local

flexibility. For example, local health districts can establish a local

vertical separation distance between 6 and 18 inches to the

seasonal water table which is the most limiting condition for soils

in the state. The Health District will set the distance at 6 inches,

this will help lower costs where local conditions can allow more

basic designs.

Residents are currently required by statute to tap into a sanitary

sewer once it becomes available regardless of the status or age of

their current system and this requirement will not change in the

new rules. The Health District currently has and will continue to

have a mandatory duty to enforce the rules adopted by the Ohio

Department of Health (ORC 3701.56 and OAC 3701-29-02(l) (M).

Clean Plate Awards

The 2014 Clean Plate Award were

presented to thirty-two (32) licensed

food service operations out of more

than 700 food service operations in

Wood County.

These restaurants and other food

service operations have been dedicated

to upholding excellent sanitation and

food safety knowledge within their

facility.

The recipients will receive a certificate

of excellence and recognition of

excellent performance in food safety

from the Wood County Health District.

The winners of the Clean Plate Award

will also receive a Clean Plate Award

decal to display.

This is the fourth year that the Wood

County Board of Health will hand out

the awards. “Food service operations

that receive this award meet pretty

stringent criteria,” said Brad Espen,

Director of Environmental Health at the

Wood County Health District.

Wood County Health District 2014 Annual Report 7

Housing and Demolition Program

In 2014, the Health District partnered with the Wood County Planning

Commission utilizing over $600,000.00 from the Moving Ohio Forward

Grant to demolish 65 structures in the Wood County. This is the most

demolitions in a single year since the program began in 1996.The

locations are as follows:

2014 Environmental Health Program Data Private Water and Household Sewage Treatment System (HSTS) Program 40 new private water system permits 30 new HSTS permits 7 HSTS alteration permits 66 site evaluations 231 water tests 20 licensed septic tank cleaning

vehicles 45 licensed HSTS installers 7 licensed septic service providers

Food Program 699 licenses issued 50 mobile licenses issued 151 temporary licenses 125 vending locations 8 micro-markets

Body Art Program 6 tattoo licenses

Rabies Program 215 animal bite or exposure reports 177 dog bites or exposures 24 cat bites or exposures 13 bat bites or exposures 1 raccoon bite 1 positive rabies test (bat)

Recreation Program 7 campgrounds, permanent 3 campgrounds, temporary 89 swimming pools and spas 4 bathing beaches

Bloomdale 2624 Emerson 7065 Robbins Bowling Green 18150 Brim 8501 Devil’s Hole 1167 Napoleon 11064 Sugar Ridge 225 Manville Custar 22797 Defiance Pike Cygnet 7917 Mears 6628 Solether Deshler 2997 Custar Fostoria 5049 Eagleville Hoytville 20204 W. Church Jerry City 410 Leffler (garage) Millbury 1623 Millicent 29478 Mabel 29314 Kearsley North Baltimore 3017 Mitchell 900 Water Northwood 550 E. Florence # 224 Pemberville 810 W Front

Perry Township North Pointe Park Lots 60 & 64 Perrysburg 3561 Truman #133 958 Hickory 26852 W. River Road Friendly Village Lots 115, 121, 227,

264, 283, 286, 301, 324, 385, 421, 518, 644, 701, 706, 708, 836, & 840

6204 Hanley Perrysburg Estates Lots 3, 5, 25, 31,

36, 76 &, 153 Portage 10410 South Dixie Hwy Risingsun 409 Main Rossford 202 Jennings 204 Oak 249 Osborne 1115 Schreier Rudolph 9046 Potter Stony Ridge 5701 Fremont Pike Troy Township 3561 Truman # 195 Walbridge Walnut Hills Park Lots 10, 351 & 405 Wayne 10746 Pemberville 12012 McCutcheonville

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2014 Community Nursing

Program Data

Bureau for Children with Medical

Handicaps

404 Number of children helped

354 Number of families contacted

Immunization Program

2,155 Number of adults and children

receiving immunizations

3,839 Number of immunizations given

Personal Care Program

73 Clients served in 2014

3,396 Home Health Aide Visits

607 Medication Set-up Visits

77 RN Case Management Visits

Community outbreaks and

diseases are followed up on by our

communicable disease nurse and

epidemiologist o protect the

citizens of Wood County. There

are over 80 diseases that are

required to be reported to the

Wood County Health District per

the Ohio Administrative Code

Chapter 3701-3. These diseases

are reportable due to the potential

for epidemic spread and/or are

diseases of significant public

health concern.

Infectious Disease Reports 2014 711 2013 730 2012 768

Most Commonly Reported Infectious Diseases in Wood

County in 2014 Chlamydia (359) Hepatitis C (70)

Influenza (Hospitalizations) (61) Gonorrhea (44)

Campylobacter (26)

Why Should We Immunize?

Sometimes we are confused by the messages in the media. While it is

true that some diseases are becoming very rare in the U.S., it is only

because we have been vaccinating against them. It is important to keep

immunizing, even if there are only a few cases of disease today. If we

take away the protection given by vaccination, more and more people

will become infected and diseases will spread to others and we soon

will undo the progress we have made over the years. We would see

epidemics of diseases that are nearly under control today.

If we keep vaccinating now, parents in the future will be able to ensure

that diseases like polio and meningitis won’t infect, cripple or kill their

children. Vaccinations are one of the best ways to put an end to the

serious effects of certain diseases. We need to continue to vaccinate in

order to protect ourselves, our children and future generations.

Administering a flu shot during the Immunization Clinic

Infectious Disease Program

Wood County Health District 2014 Annual Report 9

Community Nursing Division Programs and Services Bureau for Children with Medical Handicaps (BCMH)

Evaluation of program eligibility

Referral for diagnostic and treatment services

Home visits by a public health nurse

Help families locate medical services

Link families with quality health care and BCMH providers

Assistance with medical bills pending qualification

Communicable Disease Control

Communicable disease investigation

Infection control consultation

Communicable disease education

Tuberculosis control unit

Immunization

Childhood, adolescent vaccines

Adult vaccines

TB testing

Travel vaccines

Personal Care

Personal grooming assistance by home health aides

Assessment and referral for other services

Medication set-up program

Women, Infants and Children (WIC)

Supplemental food for pregnant, breastfeeding, and post-

partum women, infants and children

Nutrition counseling

Supplemental food

Breastfeeding support

Home Health Aide Nikki Errett (left) and Public Health Nurse Janet Monteith (right) at an Alzheimer’s Association Conference.

The Health Center now includes in-house pharmacy services for our clients.

County Health Rankings

The 2014 County Health Rankings report was released and

Wood County was ranked 6th out of 88 counties in Ohio for

health outcomes. This represents an improvement for the

3rd year in a row. In 2011, Wood County was ranked 11th,

in 2012 it went up to 9th, in 2013 it rose to 7th and now in

2014, Wood County was ranked at 6th in the state of Ohio.

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Wood County Affected by Water Crisis

The Toledo area including several Wood County communities was

affected by a "Do not use. Do not boil." water alert in August. The

Wood County EMA and the Northwest Ohio Water and Sewer District

set up a command post at the Northwest and Sewer District

Headquarters. They held several briefings over the weekend and early

in the week and representatives from our agency attended those

briefings. We provided guidance to them regarding food service

operations in the affected areas. We posted messages on Facebook

and shared messages posted by our partners. We also updated our

website Saturday morning to direct people to websites and Facebook

pages to stay on top of the situation. We were in contact with the

local Emergency rooms and there was nothing of concern. The

environmental division sent out sanitarians to check in with affected

restaurants.

Residents of affected areas were stocking up on bottled water in the

early hours of Saturday morning, many driving up to an hour away,

and clearing out stores of bottled water. The EMA and NWWSD did a

great job at getting water and working with the affected communities

to set up water distribution sites. Numerous volunteers, agencies, and

local officials worked together for many long hours during the water

emergency to provide support to our community! Proof once again

this is a great community!

Ebola Cases in US are an

Eye-opener

Ebola was big news in

2014; spurring health

departments across

the country to review

their plans in case they

are affected. In Wood

County, we met with

Wood Co. Emergency

Management Agency,

Wood Co. Hospital and

other healthcare &

emergency partners to

ensure we were on the

same page. One of the

gaps we identified was

the lack of supplies for

EMS responders if they

needed to care for a

patient with confirmed

or suspected Ebola. To

address this, we

applied for and

received a grant to

purchase a cache of

supplies for EMS

responders. In 2015,

we expect to continue

to meet to work to

improve our planning

and preparedness. Congressman Bob Latta (left) met with Health Commissioner Ben Batey (right) to discuss the impact of the Toledo water crisis, Ebola, and other issues affecting public health.

Wood County Health District 2014 Annual Report 11

Obesity Task

Force

Representatives from

various agencies and

organizations came

together in April 2014

to form the Obesity

Task Force and discuss

the problem in Wood

County, what is

currently being done in

Wood County to

combat this epidemic,

examine areas of

opportunity, and come

up with solutions to fill

the gaps. The OTF is

awaiting the results of

a grant proposal that

was submitted to start

a physical activity club

in elementary schools

and also a physical

activity and nutrition

event for elementary

students and their

parents. The Obesity

Task Force was

organized as part of

the Community Health

Improvement Plan. The

group meets quarterly.

Combating Obesity with Veggie U Through a grant from the Ohio Department of Health, WCHD launched the

Veggie U program in 3rd grade classrooms. Over 1,000 students participated.

Veggie U, is a 5-week program for elementary and special needs classrooms

that teaches how plants grow, as well as the importance of good nutrition. It

is a hands-on opportunity for students to learn where their food comes from

and how to make healthy choices. Veggie U incorporates journal activities,

mathematics, language arts and fine arts into science lessons, providing an

interactive and enjoyable way for students to study these core concepts. It

allows the students to fully experience planting, growing, harvesting – and

tasting the results.

The Veggie U Classroom Garden Program includes a newly revised teacher

guide with five weeks of daily lesson plans and an instructional DVD, seeds,

soil, planter and propagation flats, grow light and root view boxes (included

with new kits), and live worms and a box of fresh, unique tasting vegetables.

Students completed pre– and post surveys to measure attitude change.

According to Susan Fain, Veggie U Program Coordinator and Veggitudes

Monitor, this shows that “that Wood County is right in line with our national

averages with an average attitude improvement of 9% and 28% improvement

of children choosing the most positive answer to each question.” She added,

“We do see a consistent shift in a positive direction. We realize it can be

difficult to change vegetable eating attitudes overnight, so this is the kind of

awakening Veggie U aims for – sparking curiosity and excitement to nurture

children's attitudes in a healthy direction.”

Students in a

Veggie U lesson on “Tasting

Day”

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Social Media

Social media is a way to get our message out immediately and for it to be

spread quickly in the event of a public health emergency. As of 7/23/14,

there were approximately 1.35 billion monthly active users on Facebook,

and 864 million people who use Facebook daily. The average person

checks Facebook 4 times per day for a total of 40 minutes per day! There

are approximately 284 million monthly active Twitter users, and there

are 100 million daily active users of Twitter. Forty-four percent of

Americans reported getting their news from social media.

Social media has been helpful during the water crisis, the Ebola scare,

during various infectious disease outbreaks and in getting our message

out regarding other topics such health education information, health

observances, job opportunities and information on the services we offer.

We have been able to reach nearly 4,000 people with a single Facebook

posting, and as we expand our presence on social media our reach will

continue to grow.

Building Expansion Planned for 2015

Federal funding received to

expand services provided at

the Health and Wellness

Center led to some necessary

renovations. This led to the

temporary relocation of the

WIC program into meeting

rooms. Since the Board of

Health is committed to

keeping the WIC program co-

located with other health

district services, it is necessary

to add an addition onto the

health district building.

After considering several

options, the Board of Health

approved to construct a $1.9

million 6,900 sq ft expansion

which includes a community

meeting room and the

necessary space for the

Women, Infant and Children

(WIC) program.

Construction is expected to be

completed in 2015.

National Wear Red Day during American Heart Month

Board of Health

The 11 member Board of Health, in addition to appointing the Health

Commissioner, assumes the responsibility of overseeing the Wood

County General Health District’s activities to provide for the protection

and promotion of health for those living in and visiting Wood County.

The Wood County Board of Health meets the second Thursday of each

month at 7:00 pm in the Board Room of the Wood County Health District.

For a current list of Board of Health members, go to:

www.woodcountyhealth.org/boh/board.html

@WCHDOhio

Wood County Health District 2014 Annual Report 13

2014 Vital

Statistics

Program

Data

352 Births

1,356 Deaths

2,173 Copies of birth

certificates issued

6,390 Copies of death

certificates issued

388 Burial permits issued

Health District in the Community

We had numerous outreach activities over the past year. We hosted a

booth at 10 festivals, fairs and community events. We offered

presentations to several community groups and organizations regarding

our services and health education topics. Press releases were sent out

consistently throughout the year regarding various topics, which resulted

in many articles being printed in newspapers, as well as television

interviews and radio interviews. We had advertisements in local

newspapers and had several billboards in Wood County regarding health

education topics and to bring awareness in the community of the services

we provide. We also regularly utilize social media to reach out to the

community.

WCHD also participates in numerous community groups and coalitions

building bridges between community organizations and agencies.

WCHD is PHAB-ulous!

What is PHAB? The Public Health Accreditation Board (PHAB) is a

nonprofit organization dedicated to improving and protecting the health

of the public by advancing the quality and performance of Tribal, state,

local, and territorial public health departments.

The Wood County Health District has applied for and is currently working

toward accreditation with the Public Health Accreditation Board, because

of the desire to advance and performance of the Health District, and to

improve service, value, and accountability to stakeholders.

Health District Hosts Leadership Training

On April 22 and 23rd, the Wood County Health District hosted the

Leadership Essentials for Health District Success (LEHDS) training. There

were participants from 7 counties. It was started in 2007 by Melissa

Howell, Health Commissioner, Greene County Combined Health District

and Shelia Hiddleson, Health Commissioner, Delaware General Health

District to “improve and strengthen management in local public health”

according to Howell. The training is offered through the Association of

Ohio Health Commissioners. Various leadership and management topics

were discussed as well as accreditation, workforce development and

quality improvement. Thirteen managers and staff of WCHD have gone

through this training.

14

Veg Heads

Several Health Center and Health District staff members got together and decided to start a community garden

as a way to help our clients and to use the opportunity for nutrition education for WIC clients. Staff members

donated supplies and used their lunch hour to work on the garden. Some even volunteered to come in on

weekends to water the plants or come before or stay after work to harvest the plants. The picture above was

the start of the project—planting and covering the beds with plastic, to form a greenhouse. This kept the beds

warm, helping the plants grow and protecting them from frost. The picture next to it was only several weeks

later! When the plants were ready, they were harvested and packed into zip lock bags and placed into the

refrigerator in the entrance of the building.

Veg Heads planting in the community garden. Just a few weeks later, the plants had grown!

Flu in the News

There was a spike in flu cases early on in the flu season that caused concern in

the community. Several walk-in flu clinics were held. At the October 2 flu

clinic, 307 flu shots were administered! There was also a flu clinic on

December 9th to coincide with National Influenza Vaccination Week. Clients

were also able to schedule appointments for the flu shot if they were unable

to attend the flu clinics.

Information was shared with the public via print media, radio and television

interviews and social media. This information included what the flu is,

symptoms of the flu, ways to protect yourself and prevent the flu, and what

to do if you suspect you have the flu.

Wood County Health District 2014 Annual Report 15

What Do Public

Health Officials Do?

Monitor the health status

of a community to identify

potential problems

Diagnose and investigate

health problems and

hazards in the community

Inform, educate, and

empower people about

health issues, particularly

the underserved and those

at risk

Mobilize community

partnerships to identify

and solve health problems

Develop policies and plans

that support individual and

community health efforts

Enforce laws and

regulations that protect

health and ensure safety

Link people to needed

personal health services

and ensure the provision

of health care when

otherwise unavailable

Ensure a competent public

health and personal health

care workforce

Evaluate effectiveness,

accessibility, and quality of

personal and population-

based health services

Research new insights and

innovative solutions to

health problems.

Role of Local Health Districts as Delegated Authorities of State Agencies

Ohio’s local health districts (LHDs) throughout the state share the statutory

obligation to assure the preservation and improvement of public health in

Ohio. This authority is shared primarily with three state agencies: the Ohio

Department of Health (ODH), the Ohio Department of Agriculture (ODAg),

and the Ohio Environmental Protection Agency (OEPA). Here are examples of

programs governed by both state law and rule, where the local health

districts are responsible for day-to-day oversight and enforcement on behalf

of the state:

For a complete list including applicable laws and rules, contact Pat Snyder,

Communications Manager at psnyder@co.wood.oh.us.

*For the programs asterisked above, there is no statutory authority to charge a state or local fee for program implementation. **The Solid Waste Facility statute provides optional authority for funding local health districts for oversight and enforcement activities. Some solid waste districts do not adequately fund their local health districts for these purposes; some do not fund local health at all, but still require LHDs to handle solid waste nuisance complaints.

The 10 Essential Services of Public Health

Rabies/Vector Control*

Nuisance Abatement*

Communicable Disease Control*, including

investigation, quarantine, and reporting

Food Service Operations, e.g., restaurants

Retail Food Establishments, e.g., grocery

stores

Campgrounds

Home Sewage Treatment Systems

Maternity Units

Pools/Spas

Private Water Systems, e.g, wells

Residential Camps

Tattoo Parlors

Schools*

Smokefree Workplace Act*

Solid Waste Facilities**

Construction and Demolition Debris Facilities

Small Flow Commercial Sewage Systems

Vital Statistics

Child Fatality Review

16

Contact Us

Give us a call for more

information about our

services

Wood County Health District 1840 E. Gypsy Lane Rd. Bowling Green, OH 43402 419-352-8402 866-861-9338 Email us at: healthdept@co.wood.oh.us Visit us on the web at

www.woodcountyhealth.org

Like us on Facebook: www.facebook.com/WCHDOhio Follow us on Twitter: twitter.com/WCHDOhio

Comments from Clients

“I’ve enjoyed not only the help I receive, but the conversations we have. Thank each of you for the help I get!” - Personal Care Program Client.

“Everyone was very helpful and friendly! It was convenient and I was in and out quickly. It was very organized and clean. I was very satisfied.” - Immunization Clinic Client

“We were having a rough day after the passing of my husband’s mother and this was our last stop. You were very pleasant and helpful and we were grateful for the assistance! “ - Vital Statistics Client

“Thank you for the outstanding job you do! You always go the extra mile for us and take the proper time to see our needs are taken care of. Katherine has done more for me than all of my previous primary care providers combined! You’re number one in our opinion!“ - Community Health and Wellness Center Patient

“I have never had a pharmacist take as much time with me before. She explained things to me in such detail and in such simple terms that I really truly understood. She was very kind and patient. She made me feel important and that she truly cared about my health!” - Pharmacy Patient

"Thank you for everything you do. This is the best program ever!" - WIC Client

Community Health Assessment

In the fall of 2014, the Wood County Health Partners came together to plan for the 2015 Community Health

Assessment and develop the surveys that would be used. The Wood County Health Partners is made up of

representatives from many different agencies and organizations in Wood County. The community health

assessment is done every 3 years and is one of the core functions of public health. The first wave of surveys was

mailed out in early 2015. The goals of the project are to determine the state of health and well-being in Wood

County, identify health needs, develop recommendations to address identified health needs, and to produce a

report to serve as a guide to Wood County agencies, organizations, and professionals responsible for protecting

and improving health. The result will be a community that will focus on wellness, improve the general health

status, increase access to services and address unmet needs.

Stay Connected

On the Web

WCHDOhio www.woodcountyhealth.org

WCHealthCenter www.wchealthcenter.org @WCHDOhio