MID-MICHIGAN DISTRICT HEALTH DEPARTMENT BOH...2018/09/26 · MID-MICHIGAN DISTRICT HEALTH DEPARTMENT An Accredited Local Public Health Department CLINTON Branch Office 1307 E. Townsend

MID-MICHIGAN DISTRICT HEALTH DEPARTMENT An Accredited Local Public Health Department www.mmdhd.org

CLINTON

Branch Office 1307 E. Townsend Rd.

St. Johns, MI 48879-9036 (989) 224-2195

GRATIOT Branch Office

151 Commerce Drive Ithaca, MI 48847-1627

(989) 875-3681

MONTCALM Branch Office

615 N. State St., Ste. 1 Stanton, MI 48888-9702

(989) 831-5237

ADMINISTRATIVE OFFICES 615 N. State St. Ste. 2

Stanton, MI 48888-9702 (989) 831-5237

MARK W. (MARCUS) CHEATHAM

Health Officer JENNIFER MORSE, MD, MPH, FAAFP

Medical Director

BOARD OF HEALTH George Bailey Bruce DeLong

Betty Kellenberger Tom Lindeman

Sam Smith Dwight Washington, Ph.D.

Advancing Innovative Solutions to Achieve Healthier Outcomes.

BOARD OF HEALTH

REGULAR MEETING

At

Mid-Michigan District Health Department (MMDHD)

Gratiot County Branch Office

Ithaca, Michigan

Wednesday, September 26, 2018

9:00 a.m.

AGENDA

We take action to protect, maintain, and improve the health of our community.

Pledge of Allegiance

A. AGENDA NOTES, REVIEW, AND REVISIONS:

1.

B. CONSENT ITEMS:

1. Meeting Minutes

a. Michigan Association for Local Public Health (MALPH) Board of Directors Meeting held

August 13, 2018 – Included.

b. Mid-Michigan District Board of Health Regular Meeting held August 22, 2018 – Included.

c.

2. Communications

a. Letter dated September 10, 2018 to Ms. Sara Thelen from U.S. Representative, John R.

Moolenaar regarding national grant award received and recognition of substance abuse

prevention efforts – Included.

b.

C. PUBLIC COMMENTS:

D. BRANCH OFFICE EMPLOYEES: Page 1 of 76

http://www.mmdhd.org/

E. COMMITTEE REPORTS:

1. Finance Committee - Tom Lindeman, Chair

a. MMDHD’s Expenses for August 18 through September 14, 2018 – Included.

b. MMDHD’s Monthly Balance Sheet, Revenue and Expenditure Report for August 2018 –

Handout.

c. Transfer of Funds from the Ingham Health Plan Corporation – Included.

d. Document Destruction Services – Included.

e. Retirement System Annual Report – Included.

f.

2. Personnel Committee – Betty Kellenberger, Chair

a. Update on Michigan Nurses Association (MNA) Contract Negotiations – Handout.

b. Non-Union Employees’ Wage Proposal – Included. (Tabled from August Meeting)

c. Health Officer’s Employment Agreement – Included. (Tabled from August Meeting)

3. Program Committee – Bruce DeLong, Chair

4. Mid-Central Coordinating Committee – Tom Lindeman, Vice Chair

5. Well and Septic Stakeholders Committee – Marcus Cheatham

a. Public Hearing for Septic Management Ordinance, Monday, October 15, 2018, 6 p.m. at the

Ithaca Branch Office

F. MEDICAL DIRECTOR'S REPORT: Jennifer E. Morse, M.D. – Included.

1. Shiga Toxin Producing E.coli (STEC)

2. Flu Shots Offered (wear short sleeves)

3.

G. HEALTH OFFICER'S REPORT: Mark W. (Marcus) Cheatham, Ph.D.

1. Local Public Health Salary Survey – Included.

2. Citizens Research Council of Michigan, An Ounce of Prevention: What Public Health Means for

Michigan, August 2018 – Included.

3.

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H. OLD BUSINESS:

1. PFAS Update – Included.

2. Update on Hepatitis A Outbreak Response

3. MMDHD Rebranding Update; Approval of New Logo – Included.

4. Emory University PBB Reduction Research Study – Handout.

5.

I. NEW BUSINESS:

1. Michigan Breastfeeding Network Award

2.

3. Emerging Issues

a. Type I Water Systems for Rural Villages

b. Marijuana Information – Included.

c.

J. LEGISLATIVE ACTION:

1.

K. INFORMATIONAL ITEMS: – Included.

1. Mid-Michigan District BOH Action Items, August 2018

2. Staffing Report

L. RELATED NEWS ARTICLES AND LINKS:

1. MMDHD News Articles Available Online at: http://www.mmdhd.org/?q=node/144

2.

M. AGENCY NEWSLETTERS: None.

Page 3 of 76

http://www.mmdhd.org/?q=node/144


CLINTON


St. Johns, MI 48879-9036 (989) 224-2195



(989) 875-3681



(989) 831-5237


Stanton, MI 48888-9702 (989) 831-5237



Medical Director





Board of Health Synopsis of Actions Needed

Item A. 1. AGENDA NOTES, REVIEW, AND REVISIONS

Motion to approve the Agenda as presented.

Item B. 1. & 2. CONSENT ITEMS (MEETING MINUTES & COMMUNICATIONS)

Motion to accept and place on file Meeting Minutes B. 1. a. and b.

Item E. 1. a. EXPENSES FOR AUGUST 18 THROUGH SEPTEMBER 14, 2018

Motion to approve payment of the Mid-Michigan District Health Department’s (MMDHD) Expenses for August 18 through September 14, 2018, totaling $460,286.47.

Item E. 1. b. MMDHD’s BALANCE SHEET, REVENUE AND EXPENDITURE REPORT-AUGUST

Motion to approve and place on file the MMDHD’s Monthly Balance Sheet, Revenue and Expenditure Report for August 2018.

Item E. 1. c. TRANSFER OF FUNDS FROM THE INGHAM HEALTH PLAN CORPORATION

Motion to approve acceptance of the transfer of funds from the Ingham Health Plan Corporation for the remaining fund balance that was utilized for the Mid-Michigan Pathways Program. Further, the Board approves restricting the funds for the Mid-Michigan Pathways Program.

Item E. 2. e. RETIREMENT SYSTEM ANNUAL REPORT

Motion to review and approve the Retirement System Annual Report as presented.

Item E. 2. a. UPDATE ON MICHIGAN NURSES ASSOCIATION (MNA) CONTRACT NEGOTIATIONS

Motion to approve the MNA Contract for the period of October 1, 2018 through September 30, 2021 as presented.

Item E. 2. b. NON-UNION EMPLOYEES’ WAGE PROPOSAL

Motion to approve the wage increase for FY 18/19 for the non-union employees as proposed.

Item E. 2. c. HEALTH OFFICER’S EMPLOYMENT AGREEMENT

Motion to approve the Health Officer’s Employment Agreement for FY 18/19 as proposed.

Item F. 1. MEDICAL DIRECTOR’S REPORT, SHIGA TOXIN PRODUCING E.COLI (STEC)

Motion to adopt the BOH Monthly Healthy Living Recommendation for October as proposed.

Motion to accept and place the Medical Director’s Report on file.

Item H. 3. MMDHD REBRANDING UPDATE; APPROVAL OF NEW LOGO

Motion to approve the new agency logo.

Page 4 of 76


MICHIGAN ASSOCIATION FOR LOCAL PUBLIC HEALTH

(MALPH)

Board of Directors

Meeting Minutes

August 13, 2018

I. Call to Order

The meeting was called to order at 9:05am by Annette Mercatante, President.

II. Roll Call

A quorum was present.

Jurisdictions Represented: Barry-Eaton [Colette Scrimger], Bay [Joel Strasz], Benzie-

Leelanau [Lisa Peacock], Berrien [Nicole Britten], Branch-Hillsdale-St. Joseph [Rebecca

Burns], Calhoun [Eric Pessell], Delta-Menominee [Mike Snyder], Detroit [Tim Lawther],

Dickinson-Iron [Daren Deyaert], District 2 [Denise Bryan], District 10 [Kevin Hughes],

District 4 [Denise Bryan], Grand Traverse [Wendy Hirschenberger], Huron [Ann Hepfer],

Ingham [Linda Vail], Jackson [Richard Thoune], Kalamazoo [Jim Rutherford], Kent

[Adam London], Lenawee [Martha Hall], Livingston [Dianne McCormick], Luce-

Mackinaw-Alger-Schoolcraft [Nick Derusha], Macomb [Bill Ridella], Midland [Fred

Yanoski], Mid-Michigan [Dwight Washington], Monroe [Kim Comerzan], Muskegon

[Kathy Moore], Northwest Michigan [Lisa Peacock], Oakland [Leigh-Anne Stafford],

Ottawa [Lisa Stefanovsky], St. Clair [Annette Mercatante],Tuscola [Ann Hepfer],

Washtenaw [Ellen Rabinowitz], Wayne [Carol Austerberry], Western UP [Kate Beer].

Others Present:

Administrative Officers Forum, [Jamie, Dean, Barton Maas], Nurse Administrators Forum,

[Deidre Reed], Physician’s Forum, [Ruta Sharangpani], MAC, [Don Vrablic], MDARD,

[Sean Dunleavy, Tim Slawinski], MDEQ, [Dana DeBruyn, Matt Gamble, Ian Smith],

MDHHS, [Glenn Copeland, Steve Crider, Laura de la Rambelje, Mary MacQueen, Orlando

Todd], PAA, [Ed Dore]

Staff: Meghan Swain, Jodie Shaver

III. Approve Agenda

Motion by K. Comerzan, support by K. Hughes to approve the agenda. Motion

carried.

IV. Approve Meeting Minutes

Motion by K. Hughes, support by L. Vail to approve the July 9, 2018 minutes. Motion

carried.

V. Reports of Officers/Staff/Forums

President

A. Mercatante provided a report on the Public Health Advisory Council including

subcommittee assignments to address funding, health in all policies, and accreditation.

Page 5 of 76

MALPH Board Meeting

August 13, 2018

- Page Two -

Concern has been expressed if the council will remain with a new governor, and there is

consensus that it will remain in place. It will need an executive order to abolish it. She

also discussed issues with PFAS exposures including public health risk assessments,

advisories, orders, etc. There is concern about testing fish and differences in Type I and

Type II water supplies, non-detect, “safe” levels, abandoning wells, sampling, state roles,

etc. A request will be made to have MPART meetings open to other local health

departments (not just those with an active PFAS case) and send weekly updates to all health

officers. There is a webinar on August 21st by the CHECC. Following the webinar, the

board will discuss next steps collectively and share with the state. Support for a letter

requesting a hearing on HB 4736 (a Tobacco 21 initiative) by members. M. Swain will

send out the draft letter along with a survey to support sending it to Representative Brandt

Iden.

Secretary/Treasurer

N. Derusha reported that expenditures are on track for the year. He and M. Swain worked

on a revised budget and came within $1,000. They will begin working on the FY 19 budget.

Motion by K. Hughes to accept the June financial reports, support by D. Washington.

Motion carries.

Executive Director

M. Swain reported that the NALBOH conference was good; however, it was PHAB heavy

and people are waning from national accreditation. She also reported that the MPPHC

registration brochure is ready, distributed, and on the MALPH website. She provided a

summary review of the cross jurisdictional training project (emerging leaders) in

Rochester, citing it was well-received by participants. She stated that the Public Health

Law 2.0 she attended was excellent, and MDHHS would like to have this available every

year as a preconference session at MPPHC. M. Swain reported the results of the amicus

brief letter of support survey. There were 34 respondents, with 1 “no” vote and 33 “yes”

votes. She reminded members that nominations for the Roy Manty, Jean Chabut, and

Community Achievement awards is open. The ballot for the executive committee election

will be coming out this week.

Lobbyist

E. Dore discussed the primary election results and offered suggestions to reach out to both

gubernatorial candidates prior to the general election for thoughts regarding who to appoint

as the MDHHS director. M. Swain will meet with E. Dore and Becky Bechler to discuss

next steps. He also reported on what final session days may look like (lame duck).

Forum Reports

Environmental Health: No report at this time.

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MALPH Board Meeting

August 13, 2018

- Page Three -

Health Education and Promotion: No report at this time.

Management Information System: No report given at this time.

Public Health Financing and Administration: B. Maas reported that the accounting

seminar registration is half this year. They are focused on Essential Local Public Health

Services dollars (how much, funding formula, when can LHDs expect the additional

dollars). Lonnie Barnet is coming to discuss Children’s Special Health Care Services.

Jamie Dean of Monroe County Health Department will be taking over as president of the

administrator’s forum in September.

Public Health Nursing: D. Reed stated that they will be reviewing a hearing and vision

letter and discuss support of such. She will let MALPH know of their support and any

suggestions. She will also send a list of incoming officers.

Public Health Physicians: R. Sharangpani reported that they are discussing Tobacco 21,

a gun control statement, signing on to the Michigan State Medical Society’s resolution, as

well as crafting their own. 3D guns are of concern, and they will be discussing this as well.

Michigan Association of Counties: D. Vrablic reported they have formalized and

approved their legislative agenda for 2019.

VI. Open Discussion

VII. Reports from State Departments

Department of Agriculture and Rural Development (MDARD)

S. Dunleavy reported that they continue to meet with LARA weekly regarding marijuana

including the Cottage Food Law criteria/guidance and shelf stable food and what is needed

to ensure food is shelf stable. There is a memo coming out regarding changes to the

retention schedule (specifically temporary foods). There is an additional memo coming

out regarding fees (no longer tied to Consumer Price Index). He reported that Midland has

done its second year of the fair pilot project and Livingston will be doing its first year. He

reported that the department responded to the Swine Flu in Livingston and Shiawassee

Counties. In addition, they have been working with fishing charters and restaurants in

Houghton Hancock following the flood.

Department of Environmental Quality (MDEQ)

D. Debruyn provided a PFAS report regarding statewide community water supply and

school supplies. They are trying to get information to the local health department before

the water system operator. A letter outlining ways to respond will be drafted including

how to make decisions for support, what resources are available, general sanitarian topics,

and alternative sources that are available.

Page 7 of 76

MALPH Board Meeting

August 13, 2018

- Page Four -

Department of Health and Human Services (MDHHS)

M. MacQueen of the Bureau of Emergency and Trauma Preparedness reported that they

have received the PHEP funding notice, and funding is 100% approved. She also reported

that amendments have been distributed.

O. Todd provided an update on distribution of filters to homes with a PFAS contamination.

He also updated the Hepatitis A outbreak including a money placeholder. With regard to

the Essential Local Public Health Services dollars, he reported that they will use the current

formula but for FY 2020, there will be a new formula. He stated that Sue Moran would be

retiring at the end of September.

G. Copeland of MDHHS’ vital records section provided an update on regarding the

United States Small-Area Life Expectancy Estimates Project (USALEEP) project. The

goal of the project is to produce life expectancy estimates - or the average number of

years a person can expect to live - in each census tract in the United States. These

estimates will complement other measures of health at the county, state, and national

levels, by providing a measure of life expectancy at the community level. This will be the

first-ever nationwide estimation of life expectancy at the census tract level.

VIII. Public Comment / Announcements

No public comments or announcements at this time.

IX. Adjournment

The meeting adjourned at 12:05pm.

Page 8 of 76


CLINTON


St. Johns, MI 48879-9036 (989) 224-2195



(989) 875-3681



(989) 831-5237


Stanton, MI 48888-9702 (989) 831-5237



Medical Director





BOARD OF HEALTH

REGULAR MEETING

at

Mid-Michigan District Health Department

Clinton County Branch Office

St. Johns, Michigan

Wednesday, August 22, 2018

9:00 a.m.

MINUTES We take action to protect, maintain, and improve the health of our community.

Members Present: Bruce DeLong, Chairperson; Tom Lindeman, Vice Chairperson; George Bailey, Betty

Kellenberger; and Dwight Washington

Members Absent: Sam Smith

Staff Present: Mark W. (Marcus) Cheatham, Ph.D., Health Officer; Melissa Bowerman, Director of

Administrative Services; Cindy Partlo, Board Secretary; Liz Braddock, RS, Director of

Environmental Health (EH)

Staff Absent: Jennifer E. Morse, M.D., Medical Director

Guests: Jon Beard, Senior Consultant, Public Sector Consultants (arrived at 9:28 a.m. and left at

10:02 a.m.); Seth Gibson, Clinton Conservation District (arrived at 9:44 a.m. and left at

10:02 a.m.)

B. DeLong, Chairperson called the regular meeting of the Mid-Michigan District Board of Health (BOH) to

order at 9:01 a.m., on Wednesday, August 22, 2018, at the Clinton County Branch Office of the Mid-Michigan

District Health Department (MMDHD), St. Johns, Michigan.

Pledge of Allegiance was led by B. DeLong.

A. AGENDA NOTES, REVIEW, AND REVISIONS:

B. DeLong mentioned that item I. 2., Overview of the International Board Certified Lactation Consultant

(IBCLC) Program needed to be moved to the first order of business and the Montcalm County Resource

Recovery Agreement should be added as item E. 1. d.

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Motion made by B. Kellenberger and seconded by D. Washington to move item I. 2., Overview of

the IBCLC Program to the first order of business, add Montcalm County Resource Recovery

Agreement as item E. 1. d., and approve the Agenda as amended. Motion carried.

B. CONSENT ITEMS:

1. Meeting Minutes

a. Michigan Association for Local Public Health (MALPH) Board of Directors Meeting

held July 9, 2018

b. Mid-Michigan District BOH Regular Meeting held July 25, 2018

Motion made by G. Bailey and seconded by T. Lindeman to accept and place Meeting

Minutes B. 1. a. and b. on file. Motion carried.

2. Communications

a. Letter dated July 20, 2018 to Liz Braddock, MS, RS from Dale Ladouceur, RS,

Environmental Quality Specialist, Onsite Wastewater Program, Michigan Department

of Environmental Quality (MDEQ) regarding MMDHD’s annual self-assessment

report of the Onsite Wastewater Treatment Management Program

b. National Association of Local Boards of Health (NALBOH) NewsBrief, Summer

2018, https://nalboh.site-ym.com/general/custom.asp?page=archived_enews

c. Letter dated August 14, 2018 to Marcus Cheatham Ph.D. from Daniel J. Dettweiler,

Supervisor of the Noncommunity Water Supplies Unit for the Michigan Department

of Environmental Quality (MDEQ) regarding acceptance of the agency’s Corrective

Action Plan (CAP) for the Noncommunity Public Water Supplies Program

L. Braddock stated that she is working with a State Workgroup regarding the Revised Total

Coliform Rule (rTCR) requirement to address some of the burdensome issues with the

program. She continues to meet with Health Officers to develop ideas to correct the issues.

Motion made by B. Kellenberger and seconded by G. Bailey to accept and place

Communications B. 2. a. through c. on file. Motion carried.

I. NEW BUSINESS:

1. Overview of International Board Certified Lactation Consultant (IBCLC) Program, Angie

Martin, RD, IBCLC

M. Cheatham introduced Angie Martin, RD, IBCLC. She provided an overview of her

background and how she became an IBCLC in 2011. She explained the training and the IBCLC

Program stating that there are not a lot of breastfeeding support services available in our district.

She said that outreach to hospitals and clinics announcing our program have occurred; and

referrals are beginning to be received. She talked about the benefits of breastfeeding, including

the money saved. She explained what a baby-friendly hospital is and said that Spectrum Health is

considered a baby-friendly hospital. MidMichigan Health-Gratiot has not taken steps to be baby-

friendly. Sparrow is a baby-friendly hospital and has their own IBCLCs on staff. B. DeLong

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https://nalboh.site-ym.com/general/custom.asp?page=archived_enews

Page 3 of 7

asked about Sparrow Clinton Hospital. She said that she would distribute flyers to Sparrow

Clinton Hospital. G. Bailey suggested visiting hospitals that are out of the area because district

residents are delivering outside of the district. Angie agreed that was a good idea. Additionally,

she said that prenatal education was also being done so that moms know what to expect before

delivering.

M. Bowerman reported that the agency has billed for 11 services and has been paid for 7 of them

so far.

C. PUBLIC COMMENTS: None

D. BRANCH OFFICE EMPLOYEES: None

E. COMMITTEE REPORTS:

1. Finance Committee – Tom Lindeman, Chair

a. MMDHD Expenses for July 21 through August 17, 2018

Motion made by T. Lindeman and seconded by D. Washington to approve MMDHD

expenses for July 21 through August 17, 2018 totaling $384,422.61. Motion carried.

b. Mid-Michigan District Health Department’s Monthly Balance Sheet, Revenue and

Expenditure Report for July 2018

M. Cheatham mentioned that M. Bowerman included the amended budget in the Revenue

and Expenditure Report this month. B. DeLong added that budget adjustments would

now be done quarterly.

Motion made by T. Lindeman and seconded by D. Washington to approve the

MMDHD’s Monthly Balance Sheet, Revenue and Expenditure Report for July 2018.

Motion made by T. Lindeman and seconded by B. Kellenberger to approve the

budget adjustments as presented. Motion carried.

c. MMDHD Marketing Our Services – WNEM Contracts; Website Development

M. Cheatham gave an overview of the social media campaigns for the Family Planning

and Hepatitis A campaign with WNEM noting that the results showed that traffic to the

agency’s website had increased. Family Planning visits have increased; however,

Hepatitis A vaccinations have not increased. WNEM will be modifying the Hepatitis A

campaign in an effort to improve vaccination rates. He stated that funding for the

campaigns came from the State.

M. Cheatham said that WNEM suggested that the agency’s website be improved. The

agency obtained three bids from vendors and selected Inspiration Studio Designs. M.

Bowerman said that the agency’s website needs to be ADA compliant.

Motion made by T. Lindeman and seconded by B. Kellenberger to authorize M.

Cheatham to contract with Inspiration Studio Designs for agency website

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development and logo design at a cost of $10,950, plus $3.00 per month for web

hosting. Motion carried.

c. Montcalm County Resource Recovery Services Agreement

T. Lindeman mentioned that Montcalm County Solid Waste Committee requested a

three-year Agreement.

Motion made by T. Lindeman and seconded by B. Kellenberger to approve the new

three-year Agreement with Montcalm County for Resource Recovery Services and

authorize B. DeLong to sign it. Motion carried.

2. Personnel Committee – Betty Kellenberger, Chair

a. Michigan Nurses Association (MNA) Contract Negotiations

B. Kellenberger commented that the Personnel Committee could not attend the meeting

on August 8, 2018; however, M. Cheatham said a tentative agreement was reached on all

issues except wages. He said that the agency’s attorney suggested bringing in a mediator

to assist with wage negotiations. M. Bowerman reported that the next meeting was

scheduled for August 29, 2018, 8:30 a.m. in Saint Johns.

b. Non-Union Employees’ Wage Proposal

G. Bailey indicated that the non-union wage proposal and Health Officer’s Agreement

should not be decided until the MNA wage has been determined.

c. Health Officer’s Employment Agreement

Motion made by G. Bailey and seconded by T. Lindeman to table the Non-Union

Employee Wage Proposal and Health Officer’s wage adjustment until after the

MNA contract negotiations have been completed. Motion carried.

3. Program Committee – Bruce DeLong, Chair – No topics.

4. Mid-Central Coordinating Committee – Tom Lindeman, Vice Chair

5. Well and Septic Stakeholders Committee: Marcus Cheatham

M. Cheatham said that Jon Beard, Senior Consultant, Public Sector Consultants was attending to

answer any questions from the BOH. M. Cheatham showed a video explaining the Septic

Management Ordinance and mentioned that Leslie Kinnee was attempting to distribute the video

via the agency’s Facebook page and website. T. Lindeman asked if the cities and townships have

seen the ordinance. M. Cheatham agreed that was a good idea and said that staff could attend

their meetings to present the ordinance. T. Lindeman suggested that the townships and cities

could also add the video to their websites.

M. Cheatham reviewed changes to the Septic Management Ordinance and requested BOH

approval. L. Braddock said that she and M. Cheatham presented to Gratiot and Clinton County

Commissioners and were scheduled to present to the Montcalm County Commissioners next

week. G. Bailey suggested that M. Cheatham ensure that the Septic Management Ordinance is

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sent to each County Commissioner marked “draft”. He also reviewed the process for the

ordinance to be enacted, stating that public hearings would be held.

Jon Beard listened to concerns from the BOH and offered advice. D. Washington asked if Jon

Beard had talked with the Michigan Association of Counties (MAC). M. Cheatham and Jon

Beard said that the focus was to keep the issue local with county residents. D. Washington said

that this topic is a focus of the MAC this year.

D. Washington also asked Jon Beard to give an overview of the potential number of discharge

permits the agency could issue. Jon Beard explained that they used data from the U.S. Census

and by calling wastewater treatment facilities and/or townships within the district noting there

are approximately 45,000 septic systems within the district and estimated about 4,000 septic

systems would be issued a discharge permit from MMDHD each year. M. Cheatham said that the

ordinance would take about 10 years to roll out to all homes with septic systems in the district.

After discussion, it was decided that when Jon Beard and M. Cheatham visit the Montcalm

County Board of Commissioners, they would still present the concept; however, would distribute

the “Draft” Septic Management Ordinance approved by the BOH but, would provide the County

Commissioners time to provide feedback. Health Department staff would come back to the

Montcalm County Board of Commissioners in September.

G. Bailey suggested sending the video to the media in an effort to educate the public regarding

the ordinance.

Motion made by G. Bailey and seconded by B. Kellenberger to approve the Septic

Management Ordinance as presented. Motion carried.

F. MEDICAL DIRECTOR’S REPORT: Jennifer E. Morse, M.D. (M. Cheatham presented in her absence)

1. Skin Cancer

M. Cheatham provided an overview of the different types of skin cancer and reviewed

prevention methods.

B. DeLong mentioned that he thought the photos were very beneficial and suggested that they be

incorporated into the posting of the recommendations.

M. Cheatham recommended that the following be adopted as the BOH Monthly Healthy Living

Recommendation for September:

1. Watch your skin for common signs of skin cancer such as new growths, changes in moles, or

sores that don’t heal. See your healthcare provider or dermatologist if you notice anything

concerning.

2. UV rays are the main risk factor for the most common skin cancers. Protect yourself with

sunscreen, covering skin, and avoiding high UV exposure.

3. Indoor tanning is not a safe alternative and should be discouraged, along with sunbathing.

Children and teens should be taught this message early and repeatedly.

a. Michigan allows minors to use tanning devices as long as a parent provides in-person

consent which is then valid for one year. In the U.S., 20 states and the District of

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Columbia have prohibited minors under 18 (17 in some cases) from using tanning

devices, recognizing them as a health threat.

Motion made by B. Kellenberger and seconded by T. Lindeman to adopt the BOH Monthly

Healthy Living Recommendations for September as proposed. Motion carried.

G. HEALTH OFFICER'S REPORT: Mark W. (Marcus) Cheatham, Ph.D.

1. District-Wide In-Service, Friday, November 2, 2018, Agro-Liquid Fertilizers, Saint Johns, 8:30

a.m. to 4:30 p.m.

M. Cheatham invited the BOH members to attend the agency’ District-Wide In-Service meeting.

T. Lindeman, B. Kellenberger, and G. Bailey indicated that they would attend.

2. Michigan’s Premier Public Health Conference, October 9-11, 2018, Bay City, Michigan

M. Cheatham briefly highlighted the sessions for the Michigan’s Premier Public Health

Conference and encouraged BOH members to attend. T. Lindeman, B. Kellenberger, and D.

Washington will attend.

H. OLD BUSINESS:

1. Draft Septic Management Ordinance

Topic covered under E. 5.

2. Results From Statewide PFAS Water Sampling Effort for Community Water Supplies and

Schools

L. Braddock explained the results from the statewide PFAS water sampling conducted by the

MDEQ stating that Montcalm County has been 100% tested. She reported that testing for Gratiot

and Clinton Counties should be completed this week; however, tests results may take up to six

weeks to be received.

a. Tri County Area Schools PFAS Contamination

L. Braddock provided an overview of the PFAS contamination at Tri County Middle

School (Montcalm County) stating that 64 ppt was reported. She said that bottled water

has been provided to them until they can figure out a long-term solution for drinking

water, e.g., drill a new well or convert an irrigation well to a drinking water well.

L. Braddock also mentioned that Central Montcalm High School in Montcalm County

also reported a level of 19 ppt. Both schools have been re-tested and the source of the

PFAS has not been found.

L. Braddock reported that the old Ithaca Sanitary Landfill (Gratiot County) has also been

tested; however, the results have not come back yet.

In summary, she reported that PFAS is taking a lot of time in the EH Division. Test

results are posted on the State’s PFAS website: https://www.michigan.gov/pfasresponse/

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https://www.michigan.gov/pfasresponse/

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T. Lindeman commented that EightCap, Inc. is moving their offices to Orleans (Ionia

County) and PFAS has been detected at Orleans school. He provided background

regarding the Orleans school stating that it was a former charter school. He requested that

L. Braddock get in touch with Dan Petersen, President of EightCap as their offices are

moving to the former charter school in Orleans.

3. Update on Hepatitis A Outbreak Response

M. Cheatham said the topic was informational.

I. NEW BUSINESS:

1. My Community Dental Centers (MCDC) 2017 Annual Report: The Power of Partnerships,

http://www.mydental.org/wp-content/uploads/2018/07/MCDCAnnualReport2017.pdf

M. Cheatham briefly reviewed the 2017 Annual Report from MCDC and indicated that they

have a new CEO, Dr. Deborah Brown.

3. Emerging Issues – None.

J. LEGISLATIVE ACTION: – None.

K. INFORMATIONAL ITEMS:

1. Mid-Michigan District BOH Action Items, July 2018

2. MMDHD Staffing Report

M. Cheatham reported that a new Community Health Worker was hired for Gratiot County and

the Vision/Hearing Techs were returning from their summer break.

L. RELATED NEWS ARTICLES AND LINKS:

1. MMDHD News Articles Available Online at: https://www.mmdhd.org/?q=node/142

M. AGENCY NEWSLETTERS: None

There being no further business to come before the Board, the meeting adjourned at 10:29 a.m.

Respectfully Submitted,

Cynthia M. Partlo

Board Secretary For

Bruce DeLong, Chairperson

Mid-Michigan District Board of Health

Page 15 of 76

http://www.mydental.org/wp-content/uploads/2018/07/MCDCAnnualReport2017.pdf

https://www.mmdhd.org/?q=node/142

Page 16 of 76

EV 1880 235,622.57$

EV 1881 224,663.90$

TOTAL 460,286.47$

MONTHLY EXPENSES FORAugust 18, 2018 - September 14, 2018

Page 17 of 76

CK# EV 1880 8/31/2018

Payables

104459

to Quantum Checks & AP Direct Deposits 99,526.78$

104497

Payroll

MERS Employee Electronic Transfer 3,459.21$

Chemical Bank Payroll‐Ameriprise NBS 200.00$

Chemical Bank Payroll‐Nationwide 1,280.00$

Chemical Bank Payroll‐MERS 457 515.00$

Chemical Bank Payroll Tax EFT

Federal 29,344.92$

State 4,629.96$

Direct Deposit Payroll 96,666.70$

TOTAL $235,622.57

Mid‐Michigan District Health Department615 North State Street, Suite 2

Stanton MI 48888(989) 831‐5237

Page 18 of 76

RUN DATE: AUG 28, 2018 ‐ 11:43 Mid Michigan District Health Department PAGE 0001

ACCOUNTS PAYABLE CHECK REGISTER

CHECK CHECK\VOID REMIT‐TO NAME INVOICE INVOICE VOUCH# P.O.‐NO AMOUNT DISCOUNT CHECK

NO DATE VENDOR‐# NO DATE PAID TAKEN AMOUNT

‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐

238 08/31/18 KEL038 KELLENBERGER BETTY 101260 08/22/18 17614 65.61$ ‐$ 65.61$

AUGUST TRAVEL/PER DIEM

DIRECT DEPOSIT

CHECK TOTALS: 65.61$ ‐$ 65.61$

239 08/31/18 LIN033 LINDEMAN TOM 101259 08/22/18 17613 112.96$ ‐$ 112.96$

AUGUST TRAVEL/PER DIEM

DIRECT DEPOSITCHECK TOTALS: 112.96$ ‐$ 112.96$

104373 08/22/18 LAM67 LAMAR COMPANIES 109264158 06/25/18 17493 (425.00)$ ‐$ (425.00)$

CHECK LOST‐JUNE HEP A GREENVILLE AD

VOID CHECK TRANSACTION

CHECK TOTALS: (425.00)$ ‐$ (425.00)$

104459 08/31/18 ADAM79 ADAMS OUTDOOR ADVERTISING PP08232018 08/23/18 17660 1,250.00$ ‐$ 1,250.00$

DFG ADVERTISING/LANSING 5 POSTERS

COMPUTER CHECKCHECK TOTALS: 1,250.00$ ‐$ 1,250.00$

104460 08/31/18 ALPH83 ALPHA FAMILY CENTER 101273 08/23/18 17653 300.00$ ‐$ 300.00$

SEPTEMBER RENTCOMPUTER CHECK

CHECK TOTALS: 300.00$ ‐$ 300.00$

104461 08/31/18 AQUA87 AQUA‐FLOW 36814 08/13/18 17612 124.50$ ‐$ 124.50$

TRICOUNTY MIDDLE SCHOOL‐WATER

COMPUTER CHECK

CHECK TOTALS: 124.50$ ‐$ 124.50$

104462 08/31/18 BLU008 BLUE CROSS BLUE SHIELD OF MICH 101268 08/09/18 17638 10,459.78$ ‐$ 10,459.78$

0005 HEALTH INSURANCE

COMPUTER CHECK

101269 08/09/18 17639 8,877.62$ ‐$ 8,877.62$


101271 08/09/18 17642 20,304.28$ ‐$ 20,304.28$


CHECK TOTALS: 39,641.68$ ‐$ 39,641.68$

104463 08/31/18 BLU034 BLUE CARE NETWORK 182190035689 08/07/18 17637 6,146.38$ ‐$ 6,146.38$


COMPUTER CHECK

CHECK TOTALS: 6,146.38$ ‐$ 6,146.38$

104464 08/31/18 BLU035 BLUE CARE NETWORK 182190059109 08/07/18 17635 1,707.33$ ‐$ 1,707.33$


COMPUTER CHECK

CHECK TOTALS: 1,707.33$ ‐$ 1,707.33$

104465 08/31/18 CAP095 CAPITAL AREA UNITED WAY 101275 08/28/18 17664 32.00$ ‐$ 32.00$

8/31/18 EMPLOYEE DONATION

COMPUTER CHECK

CHECK TOTALS: 32.00$ ‐$ 32.00$

Page 19 of 76





‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐

104466 08/31/18 CDW016 CDW GOVERNMENT, INC. INSZ1410 08/14/18 17636 095562‐00 994.65$ ‐$ 994.65$

3 EPSON SCANNERS

COMPUTER CHECK

NQF6310 08/02/18 17611 095540‐00 3,278.76$ ‐$ 3,278.76$

X2 SURFACE PRO/DOCK/COVER/PEN

NTF025 08/14/18 17659 095564‐00 1,641.28$ ‐$ 1,641.28$

SURFACEPRO,DOCK,MONITOR

CHECK TOTALS: 5,914.69$ ‐$ 5,914.69$

104467 08/31/18 CEN021 CENTRAL MI DIST HEALTH DEPT 101264 08/16/18 17622 4,146.62$ ‐$ 4,146.62$

DR MORSE FOR JULY

COMPUTER CHECK

CHECK TOTALS: 4,146.62$ ‐$ 4,146.62$

104468 08/31/18 CHA209 CHAPKO TAMARA 003545 08/21/18 17621 8.00$ ‐$ 8.00$

REUFND PERMIT OVERPAYMENT

COMPUTER CHECK

CHECK TOTALS: 8.00$ ‐$ 8.00$

104469 08/31/18 CLI092 CLINTON COUNTY ADMIN/ACCT AC‐2018‐019 08/01/18 17652 1,966.66$ ‐$ 1,966.66$

DENTAL RENT

COMPUTER CHECK

CHECK TOTALS: 1,966.66$ ‐$ 1,966.66$

104470 08/31/18 COV178 COVENANT MEDICAL CENTER 101265 08/05/18 17629 58.60$ ‐$ 58.60$

LABS

COMPUTER CHECK

101266 08/05/18 17630 51.42$ ‐$ 51.42$

LABS

101267 08/05/18 17631 42.84$ ‐$ 42.84$

LABS

CHECK TOTALS: 152.86$ ‐$ 152.86$

104471 08/31/18 DEL007 DELTA DENTAL OF MICHIGAN RIS0001961464 08/14/18 17644 3,948.65$ ‐$ 3,948.65$

DENTAL INSURANCE

COMPUTER CHECK

CHECK TOTALS: 3,948.65$ ‐$ 3,948.65$

104472 08/31/18 GSK052 GLAXO SMITH KLINE 8252474531 07/09/18 17595 095534‐00 1,280.82$ ‐$ 1,280.82$

30 HEP B VACCINE

COMPUTER CHECK

8252474532 07/10/18 17594 095534‐00 1,017.12$ ‐$ 1,017.12$

30 BOOSTRIX

104472 08/31/18 GSK052 GLAXO SMITH KLINE 8252474533 07/10/18 17596 095534‐00 2,876.60$ ‐$ 2,876.60$

30 MEN B VACCINE/BEXSERO

CHECK TOTALS: 5,174.54$ ‐$ 5,174.54$

Page 20 of 76





‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐

104473 08/31/18 INGH29 INGHAM HEALTH PLAN CORP 1307 04/30/18 17661 5,750.00$ ‐$ 5,750.00$

1Q HUB SERVICES

COMPUTER CHECK

1321 06/26/18 17662 5,750.00$ ‐$ 5,750.00$

2Q HUB SERVICES

CHECK TOTALS: 11,500.00$ ‐$ 11,500.00$

104474 08/31/18 INSP25 INSPIRATION STUDIO DESIGN 1718 08/03/18 17626 5,475.00$ ‐$ 5,475.00$

50% DEPOSIT FOR WEB/REBRANDING

COMPUTER CHECK

CHECK TOTALS: 5,475.00$ ‐$ 5,475.00$

104475 08/31/18 KOLE52 PH957101 08/13/18 17628 20.00$ ‐$ 20.00$

REFUND CLIENT

COMPUTER CHECK

CHECK TOTALS: 20.00$ ‐$ 20.00$

104476 08/31/18 LAM67 LAMAR COMPANIES 109264158 06/25/18 17493 425.00$ ‐$ 425.00$

REISSUE CHECK‐JUNE HEP A GREENVILLE AD

COMPUTER CHECK

CHECK TOTALS: 425.00$ ‐$ 425.00$

104477 08/31/18 LIN061 LINCOLN FINANCIAL GROUP 101272 08/10/18 17646 1,963.05$ ‐$ 1,963.05$

LIFE/LTD/AD&D

COMPUTER CHECK

CHECK TOTALS: 1,963.05$ ‐$ 1,963.05$

104478 08/31/18 MCK032 MCKESSON MEDICAL 33013120 08/07/18 17658 095542‐00 255.78$ ‐$ 255.78$

DIAPERS,DRAPE SHEETS,NEEDLES

COMPUTER CHECK

104478 08/31/18 MCK032 MCKESSON MEDICAL 33016446 08/07/18 17657 095542‐00 13.59$ ‐$ 13.59$

DIAPERS

33568613 08/14/18 17618 095560‐00 201.98$ ‐$ 201.98$

MASK,LAB COATS

CHECK TOTALS: 471.35$ ‐$ 471.35$

104479 08/31/18 MED144 MEDIBADGE 787605 08/10/18 17610 095550‐00 102.80$ ‐$ 102.80$

STICKERS

COMPUTER CHECK

CHECK TOTALS: 102.80$ ‐$ 102.80$

104480 08/31/18 MED196 MEDICUS HEALTH 54572 08/10/18 17592 095554‐00 194.89$ ‐$ 194.89$

3 PHLEBOTOMY TRAYS

COMPUTER CHECK

CHECK TOTALS: 194.89$ ‐$ 194.89$

104481 08/31/18 MIS004 MiSDU‐MONTCALM CO FRIEND 101275 08/28/18 17663 197.47$ ‐$ 197.47$

8/31/18 EMPLOYEE DEDUCTION

COMPUTER CHECK

CHECK TOTALS: 197.47$ ‐$ 197.47$

Page 21 of 76





‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐

104482 08/31/18 MOS084 MOS/MICHIGAN OFFICE SOLUTION CM33985 07/16/18 17488 (85.00)$ ‐$ (85.00)$

ONE TIME CREDIT

COMPUTER CHECK

IN1200006 08/13/18 17624 93.19$ ‐$ 93.19$

5/7‐8/6/18 OVERAGE

CHECK TOTALS: 8.19$ ‐$ 8.19$

104483 08/31/18 OFF015 OFFICE DEPOT 170937544001 08/08/18 17607 095547‐00 650.99$ ‐$ 650.99$

PAPER,FOLDERS,BANKER BOXES

COMPUTER CHECK

172097859001 08/08/18 17609 095541‐00 20.75$ ‐$ 20.75$

RUBBERBANDS

176765060001 08/07/18 17599 095545‐00 520.71$ ‐$ 520.71$

PAPER,PROTECTOR SHEETS,STAPLER

176765060002 08/08/18 17600 095545‐00 7.50$ ‐$ 7.50$

SCISSORS

176770471001 08/07/18 17601 095545‐00 21.99$ ‐$ 21.99$

SELF STAMP

104483 08/31/18 OFF015 OFFICE DEPOT 176806993001 08/07/18 17645 095546‐00 25.98$ ‐$ 25.98$

INKJET PAPER

176810746001 08/07/18 17647 095546‐00 130.65$ ‐$ 130.65$

DIVIDERS,FILES,DATE STAMP

CHECK TOTALS: 1,378.57$ ‐$ 1,378.57$

104484 08/31/18 PALM97 PALMER GRACE 101262 07/19/18 17616 60.84$ ‐$ 60.84$

MEALS FOR CADCA TRAINING

COMPUTER CHECK

CHECK TOTALS: 60.84$ ‐$ 60.84$

104485 08/31/18 PER009 PERSPECTIVE ENTERPRISES 57793 08/20/18 17619 095561‐00 122.50$ ‐$ 122.50$

INFANTOMETER SCALE, 2 MEASURE TAPES

COMPUTER CHECK

CHECK TOTALS: 122.50$ ‐$ 122.50$

104486 08/31/18 PLE041 PLEASANT GRAPHICS INC 34729 08/02/18 17656 095572‐00 1,285.10$ ‐$ 1,285.10$

ANNUAL REPORT, MAILING,POSTAGE

COMPUTER CHECK

CHECK TOTALS: 1,285.10$ ‐$ 1,285.10$

104487 08/31/18 QUI003 QUILL CORPORATION 9221299 08/09/18 17605 095551‐00 59.98$ ‐$ 59.98$

LASER WHITE LABELS

COMPUTER CHECK

CHECK TOTALS: 59.98$ ‐$ 59.98$

104488 08/31/18 STA032 STATE OF MICHIGAN‐MDHHS LAB 4008072018 08/07/18 17633 154.16$ ‐$ 154.16$

LABS

COMPUTER CHECK

CHECK TOTALS: 154.16$ ‐$ 154.16$

Page 22 of 76





‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐

104489 08/31/18 STA225 STATCOURIER 1019‐933 07/31/18 17634 888.00$ ‐$ 888.00$

JULY COURIER SERVICE

COMPUTER CHECK

CHECK TOTALS: 888.00$ ‐$ 888.00$

104490 08/31/18 TEA031 TEAM FINANCIAL GROUP, INC 168344 08/12/18 17650 2,459.37$ ‐$ 2,459.37$

XEROX/SUPPLY FEE

COMPUTER CHECK

168345 08/12/18 17651 1,849.33$ ‐$ 1,849.33$

3 XEROX 3260

CHECK TOTALS: 4,308.70$ ‐$ 4,308.70$

104491 08/31/18 TOT008 TOTAL ACCESS GROUP INC TS1023035 08/16/18 17641 095566‐00 132.39$ ‐$ 132.39$

CONDOM CASES FOR AIDS AWARENESS

COMPUTER CHECK

CHECK TOTALS: 132.39$ ‐$ 132.39$

104492 08/31/18 UNI001 UNITED WAY OF MONTCALM CO 101275 08/28/18 17666 93.00$ ‐$ 93.00$


COMPUTER CHECK

CHECK TOTALS: 93.00$ ‐$ 93.00$

104493 08/31/18 UNI009 UNITED WAY OF GRATIOT CO 101275 08/28/18 17665 56.00$ ‐$ 56.00$


COMPUTER CHECK

CHECK TOTALS: 56.00$ ‐$ 56.00$

104494 08/31/18 UPS002 UNITED PARCEL SERVICE 423867338 08/18/18 17623 22.38$ ‐$ 22.38$

3 CD PACKAGES

COMPUTER CHECK

CHECK TOTALS: 22.38$ ‐$ 22.38$

104496 08/31/18 WAL017 WALMART COMMUNITY 101261 08/16/18 17615 21.27$ ‐$ 21.27$

SUPPLIES FOR SIRS MEETING

COMPUTER CHECK

CHECK TOTALS: 21.27$ ‐$ 21.27$

104497 08/31/18 WOOD94 WOOD ANNETTE 101263 07/19/18 17620 218.66$ ‐$ 218.66$

MEALS FOR CADCA TRAINING

COMPUTER CHECK

CHECK TOTALS: 218.66$ ‐$ 218.66$

104495 08/31/18 VALL25 VALLEY FARMS BAPTIST CHURCH 101274 08/23/18 17654 100.00$ ‐$ 100.00$

SEPTEMBER RENT

COMPUTER CHECK

CHECK TOTALS: 100.00$ ‐$ 100.00$

BANK CODE TOTALS: 99,526.78$ ‐$ 99,526.78$

39 COMPUTER CHECKS

0 MANUAL PAYMENT CHECKS

1 VOID CHECKS ‐ TRX

0 VOID CHECKS ‐ STUBS

0 VOID CHECKS ‐ ERROR

0 VOID CHECKS ‐ FORM ALIGNMENT

2 DIRECT DEPOSITS

42 CHECKS TOTAL

COMPANY TOTALS: 99,526.78$ ‐$ 99,526.78$

Page 23 of 76

CK# EV 1881 9/14/2018

Payables

104498

to Quantum Checks & AP Direct Deposits $52,310.36

104527

Payroll

AFLAC Employee Deduction $585.49

MERS Employee Electronic Transfer $3,519.45

Chemical Bank Payroll-Ameriprise NBS $200.00

Chemical Bank Payroll-Nationwide $1,280.00

Chemical Bank Payroll-MERS 457 $515.00

Chemical Bank Payroll Tax EFT

Federal $28,293.82

State $4,499.96

MERS Employer Electronic Transfer 18-Aug $33,954.24

Direct Deposit Payroll $99,388.92

Bank Fees

Chemical E-Banking fee 18-Aug $122.88

Chemical Bank Interest 18-Aug ($6.22)

TOTAL $224,663.90

Mid-Michigan District Health Department615 North State Street, Suite 2

Stanton MI 48888(989) 831-5237

Page 24 of 76

RUN DATE: SEP 11, 2018 - 09:07 Mid Michigan District Health Department PAGE 0001


CHECK CHECK\VOID REMIT-TO NAME INVOICE INVOICE VOUCH# P.O.-NO AMOUNT DISCOUNT CHECK

NO DATE VENDOR-# NO DATE PAID TAKEN AMOUNT

------------------------------------------------- -------------------------------------------- -------------- ------------- ------------

240 09/14/18 WASH83 WASHINGTON DWIGHT 101276 08/22/18 17699 800.74$ -$ 800.74$

TRAVEL/PER DIEM

DIRECT DEPOSIT

CHECK TOTALS: 800.74$ -$ 800.74$

104431 09/07/18 EMPI33 EMPIRE BBQ 003445 08/09/18 17565 (132.00)$ -$ (132.00)$

REFUND PERMIT

VOID CHECK TRANSACTION-CLIENT REQUESTS REFUND IN HER NAME

CHECK TOTALS: (132.00)$ -$ (132.00)$

104498 09/14/18 AHC045 AHC MEDIA 54874976 07/23/18 17718 496.95$ -$ 496.95$

SUBSCRIPTION RENEWAL

COMPUTER CHECK

CHECK TOTALS: 496.95$ -$ 496.95$

104499 09/14/18 CAP095 CAPITAL AREA UNITED WAY 101280 09/10/18 17723 32.00$ -$ 32.00$


COMPUTER CHECK

CHECK TOTALS: 32.00$ -$ 32.00$

104500 09/14/18 CEN161 CENTRAL MONTCALM PUBLIC SCHOOL 60135 09/05/18 17720 50.00$ -$ 50.00$

ROOM RENTAL/FOOD CLASS

COMPUTER CHECK

CHECK TOTALS: 50.00$ -$ 50.00$

104501 09/14/18 COH003 COHL, STOKER & TOSKEY 49096 08/17/18 17700 1,893.90$ -$ 1,893.90$

JULY LEGAL

COMPUTER CHECK

CHECK TOTALS: 1,893.90$ -$ 1,893.90$

104502 09/14/18 CRY023 CASAIR-CRYSTAL AUTO SYSTEM 458340 09/01/18 17717 800.00$ -$ 800.00$

INTERNET/LIST SERV/FIBER

COMPUTER CHECK

CHECK TOTALS: 800.00$ -$ 800.00$

104503 09/14/18 EMPI33 ASHLEY MAYLE 003445 08/09/18 17565 132.00$ -$ 132.00$

REFUND PERMIT

COMPUTER CHECK

CHECK TOTALS: 132.00$ -$ 132.00$

104504 09/14/18 GSK052 GLAXO SMITH KLINE 8252520148 08/16/18 17673 095570-00 719.15$ -$ 719.15$

BEXSERO VACCINE

COMPUTER CHECK

8252520149 08/16/18 17672 095570-00 339.04$ -$ 339.04$

BOOSTRIX

104504 09/14/18 GSK052 GLAXO SMITH KLINE 8252537067 08/28/18 17687 095585-00 7,154.73$ -$ 7,154.73$

BEXSERO,HEP A, HEP B VACCINE

CHECK TOTALS: 8,212.92$ -$ 8,212.92$

104505 09/14/18 HED103 HEDGEROW SOFTWARE LTD. 1029 09/01/18 17719 6,000.00$ -$ 6,000.00$

1Q19 LICENSE FEES

COMPUTER CHECK

CHECK TOTALS: 6,000.00$ -$ 6,000.00$

104506 09/14/18 INGH29 INGHAM HEALTH PLAN CORP. 1342 08/28/18 17698 5,750.00$ -$ 5,750.00$

3Q18 HUB

COMPUTER CHECK

CHECK TOTALS: 5,750.00$ -$ 5,750.00$

Page 25 of 76





------------------------------------------------- -------------------------------------------- -------------- ------------- ------------

104507 09/14/18 MA184 MAGELLAN DIAGNOSTICS 36656 08/23/18 17667 095576-00 2,249.83$ -$ 2,249.83$

BLOOD LEAD TEST KITS

COMPUTER CHECK

CHECK TOTALS: 2,249.83$ -$ 2,249.83$

104508 09/14/18 MCK032 MCKESSON MEDICAL 3307726 08/10/18 17692 095557-00 361.51$ -$ 361.51$

COTAINERS,TABLEPAPER,TOWELS

COMPUTER CHECK

33379052 08/10/18 17691 095542-00 33.54$ -$ 33.54$

DISENFECTANT WIPES

34113816 08/22/18 17679 095577-00 737.86$ -$ 737.86$

CONTAINERS,GLOVES,TISSUE

CHECK TOTALS: 1,132.91$ -$ 1,132.91$

104509 09/14/18 MER016 MERCK & CO INC 7012063019 08/17/18 17675 095568-00 694.78$ -$ 694.78$

MMRII VACCINE

COMPUTER CHECK

7012116339 08/28/18 17689 095584-00 1,889.56$ -$ 1,889.56$

MMR,VARIVAX VACCINE

7012116633 08/28/18 17688 095584-00 7,711.28$ -$ 7,711.28$

GARDASIL VACCINE

CHECK TOTALS: 10,295.62$ -$ 10,295.62$

104510 09/14/18 MIC007 MICHIGAN PUBLIC HEALTH INSTITUTE 1597 08/23/18 17721 25.00$ -$ 25.00$

DENA KENT

COMPUTER CHECK

CHECK TOTALS: 25.00$ -$ 25.00$

104511 09/14/18 MID192 MIDWAY DENTAL 1294957 08/09/18 17670 095558-00 109.90$ -$ 109.90$

KIDS TOOTHBRUSHES

COMPUTER CHECK

CHECK TOTALS: 109.90$ -$ 109.90$

104512 09/14/18 MIS004 MiSDU-MONTCALM CO FRIEND 101280 09/10/18 17722 197.47$ -$ 197.47$

9/14/18 EMPLOYEE DEDUCTION

COMPUTER CHECK

CHECK TOTALS: 197.47$ -$ 197.47$

104513 09/14/18 MON183 MONTCALM CO CONTROLLERS OFFICE 083118 08/31/18 17696 117.25$ -$ 117.25$

AUGUST SOLID WASTE

COMPUTER CHECK

CHECK TOTALS: 117.25$ -$ 117.25$

104514 09/14/18 MOR197 MARK MORELAND 003640 08/31/18 17697 95.00$ -$ 95.00$

REFUND SEPTIC EXAM

COMPUTER CHECK

CHECK TOTALS: 95.00$ -$ 95.00$

104515 09/14/18 OFF015 OFFICE DEPOT 176810747001 08/03/18 17669 095546-00 12.59$ -$ 12.59$

TAPE MEASURE

COMPUTER CHECK

185904604001 08/22/18 17693 095571-00 231.88$ -$ 231.88$

COPY PAPER, BATTERIES

Page 26 of 76





------------------------------------------------- -------------------------------------------- -------------- ------------- ------------

185905007001 08/22/18 17694 095571-00 9.99$ -$ 9.99$

RUBBERBANDS

CHECK TOTALS: 254.46$ -$ 254.46$

104516 09/14/18 QUI003 QUILL CORPORATION 9712644 08/28/18 17685 095578-00 307.92$ -$ 307.92$

8 HP INK 62

COMPUTER CHECK

9712723 08/28/18 17684 095582-00 157.96$ -$ 157.96$

2 HP 95; 2 98 INK

CHECK TOTALS: 465.88$ -$ 465.88$

104517 09/14/18 SAN020 SANOFI PASTEUR INC 910561570 08/14/18 17668 095565-00 263.17$ -$ 263.17$

TUBERSOL CAAS

COMPUTER CHECK

910583259 08/15/18 17680 095569-00 1,308.50$ -$ 1,308.50$

MENACTRA,TUBERSOL VACCINE

CHECK TOTALS: 1,571.67$ -$ 1,571.67$

104518 09/14/18 STA032 STATE OF MICHIGAN-MDHHS LAB 27708212018 08/22/18 17695 77.08$ -$ 77.08$

LABS

COMPUTER CHECK

CHECK TOTALS: 77.08$ -$ 77.08$

104519 09/14/18 TIG047 TIGER MEDICAL M85173 08/13/18 17671 095553-00 619.36$ -$ 619.36$

2 BLOOD DRAWING CHAIRS

COMPUTER CHECK

CHECK TOTALS: 619.36$ -$ 619.36$

104520 09/14/18 ULI014 ULINE 100396764 08/17/18 17674 095573-00 80.14$ -$ 80.14$

ECONO WRAPPER CLEAR

COMPUTER CHECK

CHECK TOTALS: 80.14$ -$ 80.14$

104521 09/14/18 UNI001 UNITED WAY OF MONTCALM CO 101280 09/10/18 17725 93.00$ -$ 93.00$


COMPUTER CHECK

CHECK TOTALS: 93.00$ -$ 93.00$

104522 09/14/18 UNI009 UNITED WAY OF GRATIOT CO 101280 09/10/18 17724 56.00$ -$ 56.00$


COMPUTER CHECK

CHECK TOTALS: 56.00$ -$ 56.00$

104523 09/14/18 UPS002 UNITED PARCEL SERVICE 423867348 08/25/18 17701 14.92$ -$ 14.92$

2 CD PACKAGES

COMPUTER CHECK

CHECK TOTALS: 14.92$ -$ 14.92$

104524 09/14/18 VER004 VERIZON 9813426312 08/23/18 17703 4,816.96$ -$ 4,816.96$

7/24-8/23 DATA/NEW EQUIPMENT

COMPUTER CHECK

CHECK TOTALS: 4,816.96$ -$ 4,816.96$

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------------------------------------------------- -------------------------------------------- -------------- ------------- ------------

104525 09/14/18 WAT077 WATKINS SURGICAL SUPPLY 0000465921 08/17/18 17686 095563-00 58.25$ -$ 58.25$

POTASSIUM HYDROXIDE

COMPUTER CHECK

CHECK TOTALS: 58.25$ -$ 58.25$

104526 09/14/18 WEBE95 LYNN WEBER 1818 08/29/18 17704 50.00$ -$ 50.00$

SCHAFER CPR TRAINING

COMPUTER CHECK

CHECK TOTALS: 50.00$ -$ 50.00$

104527 09/14/18 FIR003 FIRST NATIONAL BANK OMAHA 101277 09/04/18 17705 29.50$ -$ 29.50$

BOTTLED WATER-PFAS EMERGENCY

COMPUTER CHECK

101278 09/04/18 17706 127.44$ -$ 127.44$

PAGER/SHRED-IT

101279 09/04/18 17707 4,562.49$ -$ 4,562.49$

STAMPS.COM/WINN TELECOM/HOTEL

1010279-1 09/04/18 17708 095544-00 169.95$ -$ 169.95$

10X10 CANOPY

101279-2 09/04/18 17709 095549-00 24.37$ -$ 24.37$

LITTLE BUSINESS CARDS-1

101279-3 09/04/18 17710 095552-00 609.15$ -$ 609.15$

2 PRESTAMPED ENVELOPES

101279-4 09/04/18 17711 095556-00 17.90$ -$ 17.90$

HEARING/VISION PLANNER REFILL

101279-5 09/04/18 17712 095555-00 209.70$ -$ 209.70$

30 DRUG FREE HIV MAGNETS

101279-6 09/04/18 17713 095567-00 57.63$ -$ 57.63$

12 BOXES HIV GRIP PENS

101279-7 09/04/18 17714 095575-00 23.71$ -$ 23.71$

EP CLEAR GALLON TOTE

101279-8 09/04/18 17715 095579-00 24.37$ -$ 24.37$

STEC BUSINESS CARDS-1

101279-9 09/04/18 17716 095581-00 36.94$ -$ 36.94$

2 LAMINATION CARRIERS

CHECK TOTALS: 5,893.15$ -$ 5,893.15$

BANK CODE TOTALS: 52,310.36$ -$ 52,310.36$

30 COMPUTER CHECKS

0 MANUAL PAYMENT CHECKS

1 VOID CHECKS - TRX

0 VOID CHECKS - STUBS

0 VOID CHECKS - ERROR

0 VOID CHECKS - FORM ALIGNMENT

1 DIRECT DEPOSITS

32 CHECKS TOTAL

COMPANY TOTALS: 52,310.36$ -$ 52,310.36$

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CLINTON


St. Johns, MI 48879-9036 (989) 224-2195



(989) 875-3681



(989) 831-5237


Stanton, MI 48888-9702 (989) 831-5237



Medical Director





Administrative Offices – Stanton

September 26, 2018

President

Ingham Health Plan Board

c/o Ingham Health Plan Corporation

P O Box 30125

Lansing, MI 48911

Re: Fund Balance for the Mid-Michigan District Health Department

Dear President:

On behalf of the Board of Health, I would like to formally request a check payable to the Mid-Michigan District

Health Department of the remaining health plan fund balance for the Mid-Michigan Pathways to:

Melissa Bowerman, Director of Administrative Services

Mid-Michigan District Health Department

615 N. State St., Ste. 2

Stanton, MI 48888-9702

On September 26, 2018, the Mid-Michigan District Board of Health unanimously voted to recommend these

funds be transferred as specifically designated for the Community Health Worker Program, Mid-Michigan

Pathways (see motion below).

Motion to approve acceptance of the transfer of funds from the Ingham Health Plan Corporation

for the remaining fund balance that was utilized for the Mid-Michigan Pathways Program.

Further, the Board approves restricting the funds for the Mid-Michigan Pathways Program.

Motion carried 6-0.

If you have any questions, please contact Marcus Cheatham at (989) 287-0701 or by email at

[email protected]. Thank you for your prompt attention to this matter.

Sincerely,

Bruce DeLong, Chairperson

Mid-Michigan District Board of Health

Page 33 of 76


mailto:[email protected]


CLINTON


St. Johns, MI 48879-9036 (989) 224-2195



(989) 875-3681



(989) 831-5237


Stanton, MI 48888-9702 (989) 831-5237



Medical Director





Board of Health Action Sheet

Date: September 26, 2018 Administrator: Melissa Bowerman Director of Administrative Services

Subject: Document Destruction Services ☒ Information Only ☐ Action Needed

I. Authority For This Action:

☐ Local Policy

☒ Law or Rule Public Health Code, Act 368 of 1978, MCL 333.2417

II. Summary: (Previous board action relating to this item? Background information and if any future action anticipated.)

The Mid-Michigan District Health Department (MMDHD) has used the services of Shred-It for its document destruction since 2006. In October 2015, Shred-It was purchased by Stericycle.

III. Strategic Objective, Health Issue, or other Need Addressed: (What priority should be given in relation to goals? Include reason for recommending change in priorities and how the need will be introduced into planning process.)

Recently, we decided to compare costs and services offered by other vendors for document destruction services to see if there could be an opportunity to save money and increase the benefit from the service provided. We compared prices with Friedland Industries out of Lansing. They were excited to provide a quote to us as they are interested in expanding their business north of Saint Johns. Their pricing was comparable for normal pickups. Additionally, there would be cost savings for unscheduled pickups and we would not incur fuel charges.

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IV. Fiscal Impact and Cost: (Immediate, ongoing, and future impact.)

Charges from October 2017 through June of 2018 (eight months) for Stericycle were compiled and a comparison was made with Friedland. Stericycle charged us (including fuel charges) $1,750.80 and those same services would have cost us $1,120 with Friedland, which would have resulted in savings of $630.80. The basis for the savings is mostly due to Friedland not charging for fuel and their price per box being $6 less.

V. Alternatives Considered: (Scope of options reviewed. Reasons for rejecting alternatives.)

The agency could have continued working with Stericycle and possibly requested a match in price for what Friedland offered. However, Friedland seemed very eager and willing to work with us, and we decided that we would give them an opportunity to meet the needs of the agency.

VI. Recommendation: (Advantages/benefits of proposal. Expected results. Possible problems or disadvantages of proposal. Effect of action on agency. Consequences of not approving recommendation or taking action.)

Staff met with a representative of Friedland Industries and obtained and verified references. We also learned that Friedland will also pick-up recyclable plastics (#1, #2, and #4) at no additional charge, as well as some electronic waste (keyboards, towers, cords, etc.). Their charges for electronic waste are $.10 per lb. for hard drives, and $3 per LCD monitor. Based on recommendations of the references, the savings to the agency, and the ability to recycle plastics and electronics, the agency has terminated their relationship with Stericycle.

VII. Monitoring and Reporting Time Line: (Evaluation method and timeline. Next report to the Board.)

No report to the BOH is necessary unless requested.

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CLINTON


St. Johns, MI 48879-9036 (989) 224-2195



(989) 875-3681



(989) 831-5237


Stanton, MI 48888-9702 (989) 831-5237



Medical Director






Date: August 22, 2018 Administrator: Melissa Bowerman, Director of Administrative Services

Subject: Non-Union Employees’ Wage Proposal ☐ Information Only ☒ Action Needed


☐ Local Policy ____________________________ ☒ Law or Rule Michigan Public Health Code


The non-union employees wage agreement expires September 30, 2018. There are 15 non-union employees with 8 being salaried and 7 being hourly. Additionally, the Health Officer wage band normally follows the non-union cost of living wage increase as well.

Non-union employees would like to request a one-year agreement with the consideration of the following proposed request:

Requesting a 1.25% wage increase for FY 18/19 (10/1/2018 – 09/30/2019).

The wage increase is consistent to the Teamsters Local 214 bargaining unit agreement and the Board of Health has expressed that they were in agreement with this during the budget process.


Non-union employees would be grateful for your support of this proposal.



Page 53 of 76




None

Page 54 of 76

Page 1 of 5

EMPLOYMENT AGREEMENT This Employment Agreement is made and entered into this 26th day of September, 2018 effective October 1 , 2018, by the MID-MICHIGAN DISTRICT HEALTH DEPARTMENT

BOARD OF HEALTH (“the Board”) and MARK W. (MARCUS) CHEATHAM, PhD (“the

Employee”). 1. Employment

In accordance with the terms of this Employment Agreement, the Board employs the

Employee as the Health Officer for the Mid-Michigan District Health Department. 2. Term of Employment

Both parties recognize that the Employee’s employment in the position of Health Officer

shall be completely at the will and pleasure of the Board. The Employee and this Employment

Agreement may be terminated by a vote of five of the six sitting members of the Board, with or without cause. 3. Education, Training and Certification

The Employee represents that they have all the education, training and certification that may be required for the position of Health Officer. 4. Compensation

The Employee shall be compensated on a bi-weekly basis based upon the wage band

established by the Board of Health (see attached wage band). Any changes in compensation during the term of the contract will be consistent with non-union wage adjustments. A performance review

will be completed by the Board of Health annually. 5. Fringe Benefits The Health Officer shall receive the following fringe benefits:

a) Health, dental, and life insurance equivalent to the benefits provided by the Department to non-unionized personnel;

b) Bereavement leave pay and sick leave pay benefits equivalent to the benefits provided by the Department to non-unionized personnel;

c) Vacation leave equivalent to the benefit provided by the Department to non-

unionized personnel. The accrual of such vacation leave shall be calculated in the same manner as the method used for the Department’s non-unionized personnel and the maximum accumulation of such leave shall also be calculated in the same manner as the method used for the Department’s non-unionized personnel;

d) Personal leave each year equivalent to the benefit provided by the Department to non-

unionized personnel;

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Page 2 of 5

e) Mileage, travel, meals and lodging reimbursement equivalent to the benefits provided

by the Department to non-unionized personnel;

f) Pension:

i) Program: Michigan Employees Retirement System Benefit B-3;

ii) Benefit: 2.25% of the member’s final average compensation multiplied by years and months of credited service, but not to exceed 80% of the member’s final average compensation;

iii) Final Average Compensation: Average of the highest 60 consecutive months

of earnings;

iv) Employee Contribution: 3% of wages;

v) Vesting: 10 years, retirement age 60;

g) Professional dues and subscriptions. The Board agrees, within budget limitations, and

subject to the Board’s approval, to pay for the professional dues and subscriptions of

the Employee necessary for the Employee’s continuation and full participation in national, state, regional, and local associations necessary and desirable for the

Employee’s continued professional participation, growth, and advancement, and for the good of the Department;

h) Professional committees, conferences and trainings. Consistent with the job

description, the Employee may attend professional meetings, conferences, and trainings. Reasonable expenses for such professional in-State travel attended by the Health Officer will be paid by the department. Payment for out-of-state professional

travel is subject to Board approval. A summary of attendance at professional committees, conferences, and trainings shall be included in the Health Officer’s report

to the Board.

6. Notice of Termination

The Board reserves the right to terminate this Employment Agreement and to end the

Employee’s employment with or without cause of any nature to the Employee. If the Board gives

less than sixty (60) days’ notice that it intends to terminate this Employment Agreement and the

Employee’s employment, it will pay to the Employee the difference, if any, between sixty (60) days’

pay at the Employee’s then current salary and the salary amount attributable to the notice actually

given to the Employee. Sixty (60) days of continued health insurance coverage will be granted,

unless the Board terminates for just cause.

In the event termination of this Employment Agreement is initiated by the Employee, the

Employee shall provide sixty (60) days’ written notice to the Board. The Employee’s failure to do so shall result in the forfeiture of any accumulated vacation pay.

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Page 3 of 5

7. Return of Property

Upon termination of employment, the Employee shall immediately return all Department

documents, correspondence, files, papers, or property of any kind which the Employee may have in his possession or control. 8. Supplemental Employment

The Employee must receive written approval of the Board before engaging in outside or supplemental employment. In no case shall outside or supplemental employment conflict with or

impair the Employee’s responsibilities to the Board. 9. Job Duties

The Employee shall perform all duties as required by the Board and outlined in the

Employee’s job description. The Employee agrees that at all times they will, faithfully and to the best of their ability, experience, and talents, perform all the duties that may be required of them. The

Employee shall report to the Board and/or such other representative as may be designated by the

Board. 10. Insurance

The Employee shall be covered by the Board’s existing general liability insurance policy. 11. Compliance With The Law

The Employee shall perform all of their duties and obligations in complete compliance with all applicable Federal, State, and local laws, ordinances, rules, and regulations, and shall adhere to

all of the Board’s policies and procedures. 12. Invalid Provisions If any provision of this Employment Agreement is held to be invalid by a court of competent jurisdiction, the remainder of this Agreement shall not be affected thereby. 13. Modification of Agreement This Employment Agreement may be modified only by the mutual written consent of both parties. 14. Complete Agreement This Employment Agreement shall supercede any and all prior contractual arrangements

between the parties and shall serve as the sole basis for the Employee’s employment. 15. Authorization To Enter Into Agreement

This Employment Agreement has been approved by the Board on September 26, 2018

approving its terms and authorizing the Board’s Chairperson to sign it on the Board’s behalf. A

copy of the Minutes of the Regular Board Meeting held September 26, 2018, is attached and incorporated by reference.

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Page 4 of 5

16. Expiration of Agreement This Employment Agreement shall expire and terminate at 11:59 p.m., September 30, 2019.

MID-MICHIGAN DISTRICT HEALTH DEPARTMENT BOARD OF HEALTH

Dated: September 26, 2018 By:___________________________________ Bruce DeLong, Chairperson

“Board”

Dated:_____________________, 2018 By:___________________________________ Mark W. (Marcus) Cheatham, PhD Health Officer

“Employee”

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Page 5 of 5

Health Officer Wage Band

Current Wage Band Effective October 1, 2018 through September 30, 2019 (1.25% increase-2,088 hours) – Effective October 1, 2018 through September 30, 2019, the following wage schedule shall become effective:

P 1 2 3 4 5 $96,048.00 $99,388.80 $102,729.60 $106,091.28 $109,452.96 $112,793.76

$46.00 $47.60 $49.20 $50.81 $52.42 $54.02

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Report to the Boards of Health Jennifer Morse, MD, MPH, FAAFP, Medical Director

Mid-Michigan District Health Department, Wednesday, September 26, 2018

Central Michigan District Health Department, Wednesday, September 26, 2018 District Health Department 10, Friday, September 28, 2018

Shiga Toxin Producing E. coli (STEC)

E. coli is a bacterium that normally lives in the intestines, or bowels, of both people and animals. Most E. coli strains are harmless and actually help keep our intestinal tract in balance. When E. coli is found someplace, such as in waterways, it is an indicator that human or animal waste is present. Some strains, however, have taken on genes from other bacteria giving them very harmful characteristics. These strains are called pathogenic E. coli, meaning they can cause illness. Special molecular tests must be used to identify these E. coli from normal, harmless E. coli. There are five strains of E. coli that cause illness in humans:

E. coli Strain Type of Illness Shiga toxin-producing E. coli (STEC), or Enterohemorrhagic E. coli (EHEC)

Bloody and/or watery diarrhea, fever, cramps, nausea, vomiting and possible hemolytic uremic syndrome (HUS)

Enterotoxigenic E. coli (ETEC) Watery diarrhea

Enteropathogenic E. coli (EPEC) Diarrhea in infants

Enteroinvasive E. coli (EIEC) Dysentery-severe often bloody diarrhea

Enteroaggregative E. coli (EAEC) Chronic diarrhea in children and people infected with HIV

STEC It is estimated that STEC causes 265,000 cases of illness, 3,600 hospitalizations, and 30 deaths each year in the U.S. Most illness caused by E. coli is caused by a strain of STEC called E. coli O157:H7. This strain was first identified in 1982 and became well known in 1992 when contaminated ground beef not cooked to a high enough temperature at Jack in the Box restaurants caused illness in over 700 people and the death of 4 children. There are other strains of STEC. A large outbreak in Germany was caused by E. coli O104:H4 and illness has been caused in people by E. coli O45, O80, O104, O113, O117, O118, O128 and others. All of these are referred to as STEC as they produce Shiga toxin. STEC is initially diagnosed by testing for the presence of Shiga toxin. If Shiga toxin 1 or 2 is found, it is assumed STEC is present. The sample should then be cultured, or grown, to determine what E. coli is present. Often this is done at the MDHHS Laboratory in Lansing. Genetic fingerprinting is done which can help determine if the E. coli matches E. coli that has been found in any other illnesses in the country. This can help find the source. The treatment for E. coli is typically just treating the symptoms. Antibiotics don’t appear to help people get better any faster and actually increase the risk of developing hemolytic uremic syndrome (HUS). HUS is a serious complication that occurs in about 6% to 9% of all STEC infections and in 15% of all STEC infection in children younger than 10.

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HUS is a combination of sudden kidney failure, hemolytic anemia (anemia caused by the red blood cells breaking apart), and thrombocytopenia (a drop in the number of platelets). About half of people that develop HUS will need dialysis, 4% will suffer neurologic complications (seizures, stroke, coma, etc.), and 3% to 5% will die. STEC is very infectious; it only takes 10 to 100 organisms to make you ill. Foods that have been associated with STEC include:

Ground beef

E. coli usually gets on the surface of meat during processing; when it is ground up, the bacteria get mixed all through the meat. During cooking, the inner part of the meat may not get hot enough to kill the bacteria, which makes ground meat a higher risk.

Any beef, bison, wild game Raw milk Dairy products made from unpasteurized milk Unpasteurized juice or cider Any type of lettuce, leafy greens, spinach Sprouts

Other risks:

Contaminated water

Drinking water

Recreational water, including lakes, rivers, pools, water parks, etc.

Visits to petting zoos Visits to fairs Visits to farms Contact with animals

Animals that can spread E. coli O157:H7 to humans include: Cows, especially calves Goats Sheep Deer Humans (person-to person spread is possible)

The best way to prevent getting E. coli: WASH YOUR HANDS after:

Any contact with animals or anything that animals come in contact with (farms, petting zoos, fairs, pets, outdoors, etc.)

After using the bathroom

After changing diapers

Before preparing or eating food Do not eat or drink around animals at places such as petting zoos, fairs, or farms People who work with animals should keep work clothing and shoes away from other household members Thaw meats in the refrigerator, never on the counter Use separate cutting boards for meats and vegetables and wash cooking equipment well COOK meat thoroughly and properly

Cook ground beef to at least 160 Wash all fruits and vegetables, even prewashed, bagged vegetables, before use DO NOT eat or drink “raw” milk, unpasteurized dairy products, unpasteurized juices

Medical illustration of E. coli bacteria From: CDC

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AVOID swallowing water when swimming or playing in lakes, ponds, streams, swimming pools, and backyard “kiddie” pools.

Recommendations:

1. While most E. coli are normal and harmless residents of our colon, some strains can cause serious, even deadly, illness.

2. Children are very susceptible to serious illness due to STEC and HUS. They also do many things that put them at risk. Teach them the habits that will keep them safe.

Resources: CDC E. coli page: https://www.cdc.gov/ecoli CDC Food Safety Page: https://www.cdc.gov/foodsafety/prevention.html Foodsafety.gov: https://www.foodsafety.gov/index.html CDC Health Pets and E. coli: https://www.cdc.gov/healthypets/diseases/ecoli.html The Center for Food Security and Public Health: http://www.cfsph.iastate.edu/ Sources: Centers for Disease Control and Prevention. E. coli Questions and Answers. https://www.cdc.gov/ecoli/general/index.html Calderwood, S. Microbiology, pathogenesis, epidemiology, and prevention of enterohemorrhagic Escherichia coli (EHEC). In: UpToDate, Sexton, D., Kaplan, S., Bloom, A. (Ed), UpToDate, Waltham, MA. (Accessed on September 13, 2018.) Nataro, J. Pathogenic Escherichia coli associated with diarrhea. In: UpToDate, Calderwood, S., Bloom, A. (Ed), UpToDate, Waltham, MA. (Accessed on September 13, 2018.) The Center for Food Security and Public Health. (2016). Enterohemorrhagic Escherichia coli and Other E. coli Causing Hemolytic Uremic Syndrome.

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https://www.cdc.gov/ecoli

https://www.cdc.gov/foodsafety/prevention.html

https://www.foodsafety.gov/index.html

https://www.cdc.gov/healthypets/diseases/ecoli.html

http://www.cfsph.iastate.edu/

https://www.cdc.gov/ecoli/general/index.html


CLINTON


St. Johns, MI 48879-9036 (989) 224-2195



(989) 875-3681



(989) 831-5237


Stanton, MI 48888-9702 (989) 831-5237



Medical Director






Date: September 21, 2018 Administrator: Marcus Cheatham, Health Officer

Subject: Local Public Health Department Salary Survey

☒ Information Only ☐ Action Needed


☒ Local Policy Intergovernmental Agreement

☐ Law or Rule Public Health Code, Act 368 of 1978, MCL 333.2417


During labor negotiations, the question of whether MMDHD pays wages comparable to other similar employers has come up repeatedly. A bargaining unit will tend to take the position that their members are paid less than the market rate and ask for a raise based on that fact. The MNA in particular asked us to conduct a salary survey of nurses and wanted the fact that we agreed to do that to be in their contract.

Management has responded that it has a fiduciary responsibility to maintain adequate fund balances to operate the Department, and also needs to maintain equity across bargaining units and between different positions. We don’t want to make decisions that could have a large fiscal impact based on a narrow set of facts.

What we said we want to do is to conduct a salary survey of the entire department to assess where all positions stand compared to similar employers and each other, and also whether the vertical structure of wages is sufficiently differentiated to reward career advancement.

We did not agree to put this item in the contract, but we did promise to take it to the Board of Health to declare publically that it is our intention to do such a salary survey.


MMDHD’s objective is to maintain equitable and competitive compensation for employees.

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A professional salary survey could be expensive; however, the agency would need to explore what it would cost. Another option would be to contract with MALPH to do a salary survey for us based on their database information.

I do consider it essential that we have a clear and comprehensive understanding of the salary structure of the Department, and I am committed to getting that done.


There is a potential alternative. The Michigan Association for Local Public Health has a database that includes the salaries of almost all positions in many local health departments. Since the MALPH database is accessible to all MALPH members, we could try to find time to do that work ourselves.

The agency could contract with a professional for a salary survey versus using the MALPH database.


The best way to ensure that Management will get the salary survey done is to add it to our Strategic Plan. The Strategic Plan is reviewed quarterly and progress on key items is noted.


The salary survey should be completed before the Teamsters Local 214 contract negotiations in 2020.

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Public Water Supply PFAS Testing Summary9/13/2018

Supplies Sampled Supply Samples Received

< 10 ppt Total PFAS 10 - 70 ppt PFOA/PFOS (> 10 ppt Total PFAS)

> 70 ppt PFOA/PFOS Letters Sent

CWS 938 464 449 14 1 387

Schools 300 177 166 11 0 168

Total 1,238 641 615 25 1 555

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Antrim(26 / 26)

Benzie(10 / 21)

Branch(8 / 21)

Cheboygan(0 / 19)

Gladwin(0 / 10)

Hillsdale(11 / 20)

Huron(0 / 22)

Ionia(8 / 39)

Lapeer(20 / 20)

Leelanau(24 / 24)

Macomb(0 / 21)

Manistee(0 / 22)

Mecosta(0 / 22)

Oceana(0 / 15)

Ottawa(0 / 25)

Roscommon(0 / 28)

Saginaw(14 / 14)

St. Clair(0 / 18)

St. Joseph(0 / 38)

Sanilac(0 / 22)

Tuscola(0 / 34)

Wexford(0 / 12)

Allegan(90 / 90)

Berrien(51 / 52)

Calhoun(28 / 28)

Eaton(27 / 27)

Genesee(66 / 75)

Ingham(44 / 46)

Jackson(45 / 46)Kalamazoo

(51 / 51)

Kent(66 / 66)

Livingston(73 / 82)

Oakland(161 / 166)

Washtenaw(38 / 38)

Barry(27 / 27)

Cass(16 / 24)

Charlevoix(32 / 32)

Clinton(15 / 19)

Emmet(45 / 46)

Gratiot(12 / 14)

Lenawee(39 / 39)

Montcalm(34 / 34)Muskegon

(39 / 39)

Osceola(0 / 26)

Otsego(16 / 17)

Shiawassee(34 / 34)

Van Buren(25 / 36)

Alcona(0 / 7)

Alpena(0 / 5)

Arenac(0 / 11)

Bay(0 / 2)

Clare(0 / 11)

Crawford(0 / 7)

Grand Traverse(0 / 39)

Iosco(0 / 10)

Isabella(0 / 20)

Kalkaska(0 / 5)

Lake(0 / 8)

Mason(0 / 9)

Midland(0 / 7)

Missaukee(0 / 7)

Monroe(5 / 5)

Montmorency(0 / 6)

Newaygo(12 / 20)

Ogemaw(0 / 11)

Oscoda(0 / 5)

Presque Isle(0 / 9)

Wayne(6 / 6)

Project #: 60570309

Drawn: JS 9/11/2018

0 50 10025Miles

G:\GrandRapids\DCS\GIS\ArcMap_GeoDB_Projects\ENV\GIS_Data\GIS\MDEQ CWS\MXD\CWS_overview_Final_Rank_Samples_Collected.mxdSource: ESRI USA Topo Maps

PFAS SAMPLING OFCOMMUNITY WATER SUPPLIES

SAMPLING PRIORITY

MICHIGAN COUNTIESApproved: DB 9/11/2018

LegendMichigan Counties - County Name (Collected/Sampling Locations)Sampling Priority

LowMediumHighVery High

Alger(9 / 9)

Baraga(3 / 3)

Chippewa(0 / 14)

Delta(12 / 12)

Dickinson(11 / 11)

Gogebic(7 / 7)

Houghton(9 / 9)

Iron(17 / 17)

Keweenaw(4 / 4)

Luce(7 / 7)

Mackinac(1 / 9)

Marquette(30 / 30)

Menominee(9 / 9)

Ontonagon(8 / 8)

Schoolcraft(3 / 3)

Lower Peninsula

Upper Peninsula

*Sampling Locations = Entry Points + Schools*Sampling Priority Rank Determined using a Combination of Potential PFAS Sources, Geologic Sensitivity, and Population

As of September 7, 2018

DRAFT

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Alcona0%

Alpena0%

Arenac0%

Bay0%

Cheboygan0%

Clare0%

Crawford0%

Gladwin0%

GrandTraverse

0%

Huron0%

Iosco0%

Isabella0%

Kalkaska0%

Lake0%

Macomb0%

Manistee0%

Mason0%

Mecosta0%

Midland0%

Missaukee0%

Montmorency0%

Oceana0%

Ogemaw0%

Osceola0%

Oscoda0%

Ottawa0%

PresqueIsle0%

Roscommon0%

St. Clair0%

St.Joseph

0%

Sanilac0%

Tuscola0%

Wexford0%

Allegan100%

Antrim100%

Barry100%

Benzie48%

Berrien98% Branch

38%

Calhoun100%

Cass67%

Charlevoix100%

Clinton79%

Eaton100%

Emmet98%

Genesee88%

Gratiot86%

Hillsdale55%

Ingham96%

Ionia21%

Jackson98%Kalamazoo

100%

Kent100%

Lapeer100%

Leelanau100%

Lenawee100%

Livingston89%

Monroe100%

Montcalm100%Muskegon

100%

Newaygo60%

Oakland97%

Otsego94%

Saginaw100%

Shiawassee100%

Van Buren69%

Washtenaw100%

Wayne100%

Project #: 60570309

Drawn: JS 9/11/2018

0 50 10025Miles

G:\GrandRapids\DCS\GIS\ArcMap_GeoDB_Projects\ENV\GIS_Data\GIS\MDEQ CWS\MXD\CWS_overview_Sampling_Percentage_PercentLabels.mxdSource: ESRI USA Topo Maps

PFAS SAMPLING OFCOMMUNITY WATER SUPPLIES

& SCHOOLS

MICHIGAN COUNTIESApproved: DB 9/11/2018

Chippewa0%

Alger100%

Baraga100%

Delta100%

Dickinson100%

Gogebic100%

Houghton100%

Iron100%

Keweenaw100%

Luce100%

Mackinac11%

Marquette100%

Menominee100%

Ontonagon100%

Schoolcraft100%

Lower Peninsula

Upper Peninsula

DRAFT

Sampling Completion Percentage - County Name, Completion PercentageAs of September 7, 2018

0% (No Samples Taken)>0% - 25%>25% - 50%>50% - 75%>75% - 99.9%

100% (Sampling Completed)* Completion % = Locations Sampled / Total Locations

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9/3 9/10 9/17 9/24 10/1 10/8 10/15 10/22 10/29 11/5 11/12 11/19 11/26

Allegan 100% 90 90 0Alcona 0% 7 7Alpena 0% 5 5Antrim 100% 26 26 0Arenac 0% 11 11Bay 0% 2 2Barry 100% 27 27 0Berrien 98% 52 51 1Benzie 48% 21 10 11Branch 38% 21 8 13Calhoun 100% 28 28 0Cass 71% 24 17 7Charlevoix 100% 32 32 0Cheboygan 0% 19 19Clare 0% 11 11Clinton 79% 19 15 4Crawford 0% 7 7Eaton 100% 27 27 0Emmet 98% 46 45 1Genesee 88% 75 66 9Gladwin 0% 10 10Grand Traverse 0% 39 39Gratiot 86% 14 12 2Hillsdale 55% 20 11 9Huron 0% 22 22Ingham 96% 46 44 2Ionia 21% 39 8 31Iosco 0% 10 10Isabella 0% 20 20Jackson 98% 46 45 1Kalamazoo 100% 51 51 0Kalkaska 0% 5 5Kent 100% 66 66 0Lake 0% 8 8Lapeer 100% 20 20 0Lenawee 100% 39 39 0Leelanau 100% 24 24 0Livingston 89% 82 73 9Macomb 0% 21 21Manistee 0% 22 22Mason 0% 9 9Mecosta 0% 22 22Midland 0% 7 7Missaukee 0% 7 7Monroe 100% 5 5 0Montcalm 100% 34 34 0Montmorency 0% 6 6Muskegon 100% 39 39 0Newaygo 60% 20 12 8Oakland 97% 166 161 5Oceana 0% 15 15Ogemaw 0% 11 11Osceola 0% 26 26Oscoda 0% 5 5Otsego 94% 17 16 1Ottawa 0% 25 25Presque Isle 0% 9 9Roscommon 0% 28 28Saginaw 100% 14 14 0Sanilac 0% 22 22Shiawassee 100% 34 34 0St. Clair 0% 17 17St. Joseph 0% 38 38Tuscola 0% 34 34Van Buren 69% 36 25 11Washtenaw 100% 38 38 0Wayne 100% 6 6 0Wexford 0% 12 12

Alger 100% 9 9 0Baraga 100% 3 3 0Chippewa 0% 14 14Delta 100% 12 12 0Dickinson 100% 11 11 0Gogebic 100% 7 7 0Houghton 100% 9 9 0Iron 100% 17 17 0Keweenaw 100% 4 4 0Luce 100% 7 7 0Mackinac 11% 9 1 8Marquette 100% 30 30 0Menominee 100% 9 9 0Ontonagon 100% 8 8 0Schoolcraft 100% 3 3 0

1349In Progress Projected

Upper Peninsula

Total Locations Completed:

Week of Week ofSeptember October November

Lower Peninsula

Projected Public Water Supply Sampling ScheduleThis schedule is subject to change.

PercentageCompleted

TotalLocations

LocationsCompleted asof 9/7/2018

Remaining

Week of

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Videos: Let’s talk cannabis LA county https://www.youtube.com/channel/UCdYH7aANy1cQLRwOfzbW6DQ Chronic State by DrugFree Idaho https://vimeo.com/280127474?ref=fb-share&1 Facebook posts from https://www.facebook.com/healthandproductivemi/, https://www.facebook.com/thereisnodebatewy/ , https://www.facebook.com/learnaboutsam/

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https://www.youtube.com/channel/UCdYH7aANy1cQLRwOfzbW6DQ

https://vimeo.com/280127474?ref=fb-share&1

https://www.facebook.com/healthandproductivemi/

https://www.facebook.com/thereisnodebatewy/

https://www.facebook.com/learnaboutsam/

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MID-MICHIGAN DISTRICT BOARD OF HEALTH

Action Items August 2018

The Board of Health (BOH) approved an Amended Budget for FY 17/18.

As a result of the agency’s rebranding efforts, the BOH authorized Marcus

Cheatham to contract with Inspiration Studio Designs for agency website development and logo design at a cost of $10,950, plus $3.00 per month for web hosting.

The BOH tabled the non-union employee wage proposal and Health Officer’s wage

adjustment until after the Michigan Nurses Association contract negotiations have been completed.

The BOH adopted the following Monthly Healthy Living Recommendation for

September 2018:

1. Watch your skin for common signs of skin cancer such as new growths, changes in moles, or sores that don’t heal. See your healthcare provider or dermatologist if you notice anything concerning.

2. UV rays are the main risk factor for the most common skin cancers. Protect yourself with sunscreen, covering skin, and avoiding high UV exposure.

3. Indoor tanning is not a safe alternative and should be discouraged, along with sunbathing. Children and teens should be taught this message early and repeatedly. a. Michigan allows minors to use tanning devices as long as a parent

provides in-person consent which is then valid for one year. In the U.S., 20 states and the District of Columbia have prohibited minors under 18 (17 in some cases) from using tanning devices, recognizing them as a health threat.

The BOH approved the Septic Management Ordinance as presented.

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STAFFING CHANGES

SEPTEMBER - 2018

AS

STATUS POSITION BRANCH

OFFICE

No changes

CHED


OFFICE

No changes

EH


OFFICE

No changes

Page 76 of 76

Documents

MID-MICHIGAN DISTRICT HEALTH DEPARTMENT BOH...2018/09/26 · MID-MICHIGAN DISTRICT HEALTH DEPARTMENT An Accredited Local Public Health Department CLINTON Branch Office 1307 E. Townsend