2010 ANNUAL REPORT

 

                                                                              

Director’s Message

                                                       from Cheryl Mazmanian, Director/Health Officer

 

Text Box: As we step back and review the challenges and successes of the past year, it is incredible to see how Public Health continues to adapt to meet the ever changing needs of the community.    In fall of 2008, the Wisconsin Student Immunization Law requirement began a phase in of an additional dose of tetanus, diphtheria, and acellular pertussis (Tdap) and a second dose of varicella (chickenpox) vaccine.  In 2008, our health department encountered a 76 percent increase in immunization clients, with the clinics remaining strong in 2009.  Now in 2010, immunization clinics are beginning to level off with a 19 percent decline in clients from 2009.  The Wisconsin Student Immunization Law phase in will continue to include all grades by 2013.  In 2010, a special limited time only adult immunization promotion was initiated featuring measles, mumps, rubella (MMR), varicella, Tdap, hepatitis A, hepatitis B, and human papillomavirus (HPV) vaccines.   Prior to this promotion only hepatitis B and Tdap were offered to adults through the Health Department.     WEDSS (Wisconsin Epidemiological Disease Surveillance System) has been implemented with great success, improving efficiency and communication between primary care providers and public health.  We are seeing a concerning rise in chlamydia which is also reflected in nationwide trends.  Hepatitis C, which is a chronic liver disease transmitted through blood and body fluids, continues to be prevalent.  Typically follow up with these clients includes extensive education on methods to prevent transmission and progression of the disease.   To help promote a healthy environment, the Health Department conducted two medication collections collecting 368 lbs of uncontrolled medications, 23 lbs of controlled substances; 232 residents were served.  Health Department staff also participated in a Clean Sweep for the Villages of Waterford and Rochester, and Towns of Burlington and Dover where 13 pounds of narcotics and 150 pounds of uncontrolled substances were collected.  Also on July 5, 2010 the Smoke Free Air in Public Places law went into effect.  A first annual, low cost, Pet Vaccination Clinic was held at Western Racine County Health Department in conjunction with Country Side Humane Society with 68 animals receiving immunizations and 21 dogs licensed.    A Racine County Childhood Death Review Team became firmly established in 2010, using reports and data to advocate for actions to prevent child deaths and to keep children healthy, safe and protected.  The top three leading causes of death in western Racine county are malignant neoplasms (cancer), followed by diseases of the heart, and influenza/pneumonia.      The Health Department’s 25th Anniversary was celebrated on September 25, 2010 with an open house health fair, prizes, and refreshments.  Our community was invited to have free blood pressure, vision, hearing, BMI (body mass index), bone density, glucose, and AARP car fit testing completed.  We feel privileged to serve the communities throughout the years and look forward to the future!      

 

 

 


 

 

 

We did stuff-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  2010 Communicable Diseases by Municipality  - 719 Reported Total

State Reported Communicable Diseases

 

 

 

 

 

2010

2009

2008

2007

Disease

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Cases

Cases

Cases

Cases

Blastomycosis

 

 

 

 

 

 

 

 

 

 

 

 

0

0

0

2

Campylobacteriosis

1

 

 

 

 

1

 

 

1

2

 

 

5

16

8

5

Chlamydia

7

2

7

6

7

9

8

12

17

7

4

4

90

69

63

59

Cryptosporidiosis

 

 

1

 

 

 

 

 

 

 

 

 

1

1

4

3

E.Coli O157:H7

 

 

 

 

 

 

 

 

 

 

 

 

0

1

0

0

E.Coli (EHEC, STEC)

 

 

 

 

1

 

 

 

 

 

 

 

1

2

2

0

Giardiasis

 

 

1

1

1

1

1

 

 

 

 

 

5

0

3

5

Gonorrhea

 

1

 

1

1

 

1

 

1

 

 

1

6

5

4

6

Haemophilus Influenzae, Invasive

 

 

 

 

 

 

 

 

 

 

 

 

0

0

1

0

Hepatitis A

 

 

 

 

 

 

 

 

 

 

 

 

0

0

0

1

Hepatitis B

 

 

 

 

1

3

 

 

1

1

 

 

6

6

8

3

Hepatitis C – New Cases

2

1

1

2

 

1

 

1

 

1

2

1

12

14

13

4

Hepatitis C  – Previous Diagnosis/Chronic

3

1

1

 

3

1

1

 

 

4

2

 

16

--

--

--

Histoplasmosis

 

 

 

 

 

 

 

 

 

 

 

 

0

1

0

1

Kawasaki Syndrome

 

 

 

 

 

 

 

 

 

 

 

 

0

0

0

2

Legionellosis

 

 

 

 

 

 

 

 

 

 

 

 

0

0

0

2

Listeriosis

 

 

 

 

 

 

1

 

 

 

 

 

1

0

0

0

Lyme Disease

 

 

3

3

3

1

1

1

 

1

 

1

14

9

1

1

Meningitis (Meningococcal)

 

 

 

 

 

 

 

 

 

 

 

 

0

1

1

0

Mumps

 

 

 

 

 

 

 

 

 

 

 

 

0

1

0

0

Mycobacteria Disease (non TB)

 

 

 

 

1

 

1

 

1

 

 

1

4

4

8

4

Pertussis

 

1

 

 

 

2

1

 

1

 

1

 

6

1

0

0

Salmonellosis

1

1

1

1

 

1

2

1

 

 

1

 

9

9

5

11

Shigellosis

 

 

 

 

 

 

 

 

 

 

 

 

0

1

0

4

Strep A Invasive Disease

1

 

 

 

 

1

 

 

 

 

 

 

2

4

0

1

Strep B Invasive Disease

 

 

1

 

 

 

 

1

 

1

 

2

5

1

3

3

Strep Pneumoniae, Invasive Disease

 

 

2

 

 

1

 

 

 

 

2

 

5

4

7

5

Syphilis

 

 

 

 

 

1

 

 

 

 

1

 

2

0

3

2

Toxoplasmosis

 

 

 

 

 

1

 

 

 

 

 

 

1

0

0

0

Tuberculosis (Pulmonary)

 

 

 

 

 

 

 

 

 

 

 

 

0

1

1

0

Varicella

5

1

1

 

 

 

1

 

 

 

2

1

11

12

23

11

Yersiniosis

 

 

 

 

 

 

 

 

1

 

 

 

1

1

0

0

Total

20

8

19

14

18

24

18

16

23

17

15

11

203

164

166

165

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Locally Reportable Communicable Diseases

 

 

 

 

 

 

 

2010

2009

2008

2007

Disease

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Cases

Cases

Cases

Cases

Fifth's Disease

 

 

 

1

1

 

 

 

 

 

 

 

2

5

13

8

Haemophilus influenzae (non-invasive)

 

 

 

 

 

 

 

 

 

 

 

 

0

0

1

0

Hand, Foot, & Mouth

 

 

 

 

 

1

 

 

 

 

1

 

2

0

5

0

Impetigo

3

 

1

 

 

 

 

 

 

 

3

 

7

3

15

7

Influenza

 

 

 

 

 

 

 

 

 

 

 

 

0

4

2

1

Latent TB Infection (LTBI)

 

 

 

 

 

 

 

 

 

1

2

 

3

11

5

0

Lice

3

2

5

2

1

3

 

3

7

2

13

1

42

66

94

50

Mononucleosis

6

5

2

 

3

 

 

 

9

7

1

3

36

15

34

30

MRSA

 

 

1

 

 

 

 

 

 

 

1

1

3

4

4

3

Pink Eye

18

10

6

14

6

1

 

 

10

5

10

18

98

118

87

101

Pneumonia

 

1

1

 

 

 

 

 

1

 

1

6

10

7

14

20

Ringworm

 

 

 

2

1

 

 

 

 

 

1

2

6

6

4

1

Scabies

 

2

1

1

 

 

 

 

 

 

1

 

5

6

9

9

Shingles

1

1

 

1

 

 

 

 

1

 

 

 

4

1

4

4

Strep, Scarlet Fever

33

28

27

19

27

7

 

 

23

39

55

38

296

350

254

278

Total

64

49

44

40

39

12

0

3

51

54

89

69

514

596

545

512

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Outbreaks

 

 

 

 

 

 

 

2010

2009

2008

2007

Disease

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Cases

Cases

Cases

Cases

Norovirus

 

 

 

 

 

 

 

 

 

1

 

 

1

2

0

0

H1N1 Confirmed/probable/suspect

1

 

 

 

 

 

 

 

 

 

 

 

1

174

0

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

   2010 Environmental Complaints    ---  164 Total

 

 

 

Jan.

Feb.

March

April

May

June

July

August

Sept.

Oct.

Nov.

Dec.

Total

Animal Nuisance

 

5

8

9

9

5

8

9

5

3

7

7

 

75

Refuse              

 

 

 

2

1

1

 

1

1

 

 

 

 

6

Vector/Rodents

 

1

 

1

1

 

 

 

 

 

 

1

 

4

Housing

 

1

 

1

3

3

1

1

1

 

1

2

1

15

Water/Sewer

 

 

1

 

 

 

2

2

 

1

3

1

1

11

Food Services

 

 

2

2

3

4

2

1

1

2

2

4

 

23

Other

 

 

 

1

2

 

1

1

 

 

 

 

 

5

Radon

 

 

 

 

 

 

 

 

 

 

1

 

 

1

Lead

 

1

 

 

 

2

 

 

 

 

 

 

 

3

Bioterrorism

 

 

 

 

 

 

 

 

 

 

 

 

 

0

Mold

 

 

 

1

1

2

2

2

1

5

2

1

1

18

Beach Water

 

 

 

 

 

 

 

 

 

 

 

 

 

0

Kennel Inspection               

 

 

 

 

 

 

1

1

1

 

 

 

 

3

Flooding

 

 

 

 

 

 

 

 

 

 

 

 

 

0

Animal Permits

 

 

 

 

 

 

 

 

 

 

 

 

 

0

Total

 

8

11

17

20

17

17

18

10

11

16

16

3

164

 

Text Box:   Births of Municipality:  

 

Text Box:               Age of Mothers:

 

2010 Births ---  537 Total

 

 

 

 

 

 

 

 

 

2010 Performance Management Highlights

 

 

2010

2009

2008

2007

 

Comments

Pregnancy Tests

 

 

 

 

 

 

 

 

36

36

36

32

 

Free pregnancy tests are available either by appointment or walk in pending RN availability.  Presumptive eligibility paperwork is completed if the client is determined to be pregnant, allowing immediate access to free prenatal care.  Early Identification of Pregnancy (EIDP) Grant Dollars fund this service. 

TB Skin Tests

 

 

 

 

 

 

 

171

216

137

157

 

TB Skin Tests are administered routinely for health care, day care, fire and police personnel, refugees or any individual who may be at risk of the disease.  $20 fee for residents, $25 fee for non-residents, free for fire and police personnel.

Car Seat Checks

 

 

 

 

 

 

 

Seats Installed/Education

84

96

114

94

 

39 free or low cost car seats were distributed in 2010.  These car seats were obtained through a grant from WI Department of Transportation.   

WIC   (Women, Infants & Children Nutrition Program)

 

Appointments Scheduled

2156

2437

1926

1624

 

Children’s lead tests, free immunizations, and nutritional information, are offered to all participants.  WIC is held at the Health Department the first three Tuesdays of each month. 

Blood Pressures

 

 

 

 

 

 

 

# of Clients

7

270

396

515

 

Due to decreasing usage, as of September 2009 immunization and blood pressure clinics were combined.   Blood Pressures are also available for walk-in clients.   

Immunizations

 

 

 

 

 

 

 

# of Clients

  1353

1671

1693

959

 

A $10 administration fee is charged to residents and a $15 administration fee to non-residents for as many immunizations needed.  Quarterly, municipalities receive a credit for these fees.  The 2010 total credits was $7,384.00.  

 

Vaccinations

2741

3038

3274

1925

 

The value of free CDC vaccine given to residents in western Racine was $121,550.52.  Private Sector vaccine cost would be approximately $170,401.90.

 

Adult Flu

120

102

26

131

 

Adult flu vaccine is offered to homebound individuals.  In addition, some businesses have contracted to have the flu vaccine administered to their employees on site. 

 

H1N1

448

3076

0

0

 

The 448 H1N1 immunizations were administered in January, February and March of 2010.   The H1N1 strain was included in the Fall of 2010 regular flu immunization negating the necessity for two separate immunizations. 

 

 

 

 

 

 

 

 

 

 

 

2010 Grant Dollars

 

*Funding for July,2010 – June,2011 fiscal year

 

A total of $438,211 grant dollars were obtained in 2010.  The grant based dollars supported 3 full-time and

2 part-time employees. 

 

PHER Public Health Emergency Response ($138,022), PHEP Public Health Emergency Preparedness ($42,702),  CRI City Readiness Initiative ($9,629), and ARRA American Recovery & Reinvestment Act ($9,385) comprise our bioterrorism/preparedness dollars.  A part-time employee, shared with Central Racine Health Department, constructs emergency plans, organizes exercises, trainings and specialty clinics.   

 

Our Home Visitation ($132,532) & Teen Pregnancy Prevention ($33,000) grants are funded by Racine County United Way & Racine County Human Services.  Two full-time employees conduct home visits providing families of children ages prenatal to five with education & support that increases their knowledge & skills regarding parenting.  In 2010, a total of 65 families or 168 clients enrolled with 830 visits completed.  Club ABC, formed in 2009 for pregnant & parenting teens, focusing on positive parenting skills & serving as a support group for as many as13 girls per meeting, continues to meet on the first Thursday of each month from 5:30-7:30pm.  Mamás Activas Unidas was created in May 2010 to create an environment for Spanish-speaking moms to come together & bridge the culture gap.  Meetings are scheduled on the first Friday of the month from 10:30am to noon, Spring through Fall, with as many as 8 moms attending per meeting.  Teen Pregnancy Prevention dollars provided abstinence based pregnancy prevention classes for 826 high school

students & Choices and Values classes for 628 grade school students.         

 

MCH/Prevention ($24,473) grant supported a part-time employee who conducted the Fitness Challenge, 35

organizations participated forming 135 teams, bringing the total number of participants to 540.  Self-reported

participant evaluations revealed that: 9 people either quit smoking or reduced the number of cigarettes they

smoked per day; the percentage of participants who drank more than 6 glasses of water per day before the Fitness Challenge was 22% - this rose to 36%; the percentage of participants who consumed 5 or more portions of fruit and vegetables before the Challenge was 32.7% compared to 54.8% after the Challenge.  81.9% of participants reported adding a new health behavior to their lifestyle as a result of the fitness challenge, such as drinking water instead of soda.  

 

The Immunization ($11,218), Family Support Worker ($23,294) and Health Care Network ($4,000) grants help

support another part-time employee.  The Immunization grant provides dollars to follow up on children’s immunizations to assure they are up to date with the recommended childhood vaccines.  This is completed collaboratively with the other Racine County health departments.  Using funds from the Family Support Worker grant, 2156 Women, Infant & Children (WIC) clients were seen throughout 2010.  Parents and Day Care Providers were given monthly health topics/resources to support them in creating a healthy, nurturing & safe home environment.  Through the Health Care Network grant, we had contact with 527 community members, providing 102 free primary MD appointments,  24 free specialty MD appointments & 94 vouchers for free prescriptions for uninsured residents.

 

The Lead ($3,497) grant provided follow up for 4 children with a blood lead level over 10 ug/dl requiring intervention, which includes home assessment, evaluation and education.  Early Identification of Pregnancy ($4,459) grant provided 36 confidential pregnancy tests.  Clients were provided with information regarding health department services as well as family planning & reproductive/pregnancy related health education.  The DOT Department of Transportation Car Seat ($2,000) grant provided 39 car seats free for low income families.      

 

2010 Financial Highlights

 

              2010

2009

2010

2009

2008

 

Billed

 Population

 Per Capita Cost

 Per Capita Cost

 Per Capita Cost

C. Burlington

82,770.83

10,500

7.88

$7.23

$6.28

T. Burlington

39,519.25

6,514

6.07

$6.70

$5.99

T. Dover

25,107.47

4,120

6.09

$5.94

$6.25

T. Norway

48,284.25

8,058

5.99

$6.44

$5.81

T. Raymond

24,851.35

3,804

6.53

$6.86

$5.71

T. Waterford

36,845.91

6,578

5.60

$5.64

$5.26

T. Yorkville 

19,775.35

3,394

5.83

$5.77

$5.32

V. Rochester

20,383.47

3,731

5.46

$5.43

$5.22

V. Union Grove

30,259.98

4,549

6.65

$6.71

$6.05

V. Waterford

29,321.52

4,854

6.04

$6.51

$5.09

 

357,119.38

56,102

$6.37

$6.44

$5.74

Avg. 2008 WI HD per capita

$77,387,269.00

5,675,156

 

$13.64

 

The 2010 per capita costs has decreased (1.1%) compared to last year: from $6.44 per person to $6.37. This is attributed to a $21,358.59 H1N1 credit that all municipalities received and a $2,054.00 FEMA federal flood dollars credit that the Towns of Norway, Raymond and Waterford and the Village of Waterford received.  If these credits were not received the resulting per capita rate ($6.78) would be comparable to the 2010 Central Racine Health Department per capita rate of $6.68.  The average health department per capita for Wisconsin was $13.64 according to a survey done in 2008.

 

 

 

Text Box:   RN/Health Aid Contracted School Services highlights include: Hearing Screenings 485 Hepatitis B Vaccines 8 Individual Health Conferences 387 Lice Checks 738 Maturation Education 110 Others 516 Scoliosis Brochures Distributed 203 Treatment/Procedures 3,683 Vision Screenings 481  

 

2010 School Services

 

 

Kansasville Grade

1,680.00

Raymond Elementary

2,838.00

UG Consortium

31,772.85

Union Grove Graded

18,296.64

Union Grove High

18,022.00

Yorkville Elementary

7,225.00

total

$79,834.49

 

2011 Endeavors

 

In addition to Health Department’s required recertification every five years, an additional step will be added requiring Health Departments to be nationally accredited.  In conjunction with UW Parkside’s Advanced Strategic Management class, we will begin compiling our Strategic Plan, which is one of the three components required.  This will take place on April 20th from 5:30-9pm at Parkside’s Talent Hall; all are welcome to participate, as this session will evaluate the department services, performance and future community/environmental concerns.

 

Beginning in April 2011 WIC (Women, Infant & Children) low income clients (such as Badger Care or Medicaid clients) will be able to have wellness checks completed at the Health Department, for children age 5 and under, by an Aurora Health Care Nurse Practitioner.  The goal is to make it more convenient for patients to get their medical needs addressed in one visit, reducing transportation issues, and increasing the number of children actually current with their physicals.   

 

At our 25th Anniversary Open House the public attending conveyed a need for foot care.  As

a result Dr. Eric Bruns will be offering nail, foot, callus, and diabetic foot care at the Health

Department on Mondays from 1:30-3:30pm.  The first foot evaluation is free.

 

To help protect our environment by providing a safe alternative to disposing of medication

into our sewer systems, two medication collections are scheduled for April 16 and October 15

at the Health Department location from 9am-1pm.

 

Grant opportunities such as MCH/Prevention (Fitness Challenge) and Early Identification of

Pregnancy (free pregnancy tests & presumptive eligibility) funding is no longer available.  As in past

years we intend to continue to utilize resources optimally for disease prevention and health promotion

throughout the community.