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2019ANNUAL REPORT
Working with our community to prevent disease and injury,protect the environment and promote health.
2019 IN REVIEW
A Message from the Administrator
Lisa Gonzalez, MPH
Page 1
To the Residents of DeKalb County:
We are pleased to present our Fifty-Third Annual Report which highlights the ways in which the DeKalbCounty Health Department works each and every day to improve health outcomes in our community.
Our most recent Community Health Improvement Plan was adopted by the Board of Health at the end of2018 and in 2019 we moved to the action phase of the Mobilizing for Action through Planning andPartnership (MAPP) process. Throughout the year, we worked collaboratively with our partners toimplement strategies identified in the Community Health Improvement Plan which aligned with ourestablished health priorities. We have highlighted some of our successes within this report and look forwardto continued collaboration with our valued partners.
At the beginning of this year, DeKalb County joined the Intergovernmental Personnel Benefit Cooperative(IPBC) for employee health and dental insurance. One of the benefits of joining the Cooperative is that theCounty became eligible to receive incentives for the development of a county-wide wellness program.Beginning in June of this year, the Health Department kicked off the DeKalb County Wellness Initiative byconvening the DeKalb County Wellness Committee. Over the course of six months, the Committee workedto plan and implement the annual biometric screening event, implement an employee wellness interestassessment and develop an action plan for wellness activities moving forward.
We continued our focus on improving operational efficiencies this year by implementing a new electronictimekeeping system. With the new system, we have been successful in eliminating paper time sheets aswell as several other spreadsheets used for payroll. In addition, we were able to streamline the tracking ofaccruals and upgrade our employee badging procedure. The Health Department, as the pilot site, went livein December of this year, with the remaining County Departments to follow suit in 2020.
In November 2019, we initiated the first phase of strategic planning which included a review and update ofour current mission statement and the development of a new vision statement. We believe that the revisedmission statement emphasizes our focus on community collaboration and the newly developed visionstatement articulates our focus on the health of the entire community. Moving forward, our Department willcontinue to work with our community partners to prevent disease and injury, protect the environment andpromote health and towards our vision of a community where all can achieve optimal health where they live,work and play.
We hope this report not only highlights the achievements in 2019, but also demonstrates our commitmentto improving outcomes in our community. We would like to thank our Health Department staff, ourcommunity partners, the elected and appointed officials and the residents of DeKalb County for theirongoing support and commitment to public health.
Sincerely,
Lisa Gonzalez, MPH Christina Jones, RN, MSAdministrator PresidentDeKalb County Health Department DeKalb County Board of Health
Christina Jones, RN, MS - President Heather Breuer, DMD Lizy Garcia LeAnn Gruber, DVM - Vice President Rukisha Crawford Jessica Harrill, JD Celeste Latham - Secretary Erik Englehart, MD Mayuri Morker, MD
Derryl Block, RN, PhD Patricia Faivre
DeKalb County Board of Health 2019
HEALTH PROTECTION
Page 2
Food Service Sanitation Program
Potable Water & Sewage Disposal
40WELL PERMITS
ISSUED
12NEW WELL
INSPECTIONS
158WATER SAMPLESOBTAINED AND
TESTED
33SEWAGE
DISPOSALPERMITS
19SEWAGE
DISPOSALINSPECTIONS
60REAL
ESTATEINSPECTIONS
Licenses and inspects food establishments, includingtemporary food vendors. Educates the public aboutsafe food handling, preparation and storage.
Solid Waste ProgramRecycling CollectionsAn Electronic Waste Collection was held May 4th,2019 with over 300 vehicles served, filling 3 semi-trailers with almost 29 tons of electronic waste. The Household Hazardous Waste Collection washeld in conjunction with the Illinois EnvironmentalProtection Agency and the DeKalb County FarmBureau on June 8th, 2019.
5,593DOGS
REGISTERED FOR ONE
YEAR
3,271DOGS
REGISTERED FOR THREE
YEARS
SICK/INJUREDWILDLIFEHANDLED
186
ANIMAL BITESREPORTED ANDINVESTIGATED
234 90
DOGS/CATSHANDLED
Animal Control Program
570FOOD
ESTABLISHMENTSLICENSED
1,189FOOD
ESTABLISHMENTSINSPECTED
Ensures proper installation and repair of privatelyowned wells and sewage disposal systems. Preventsthe transmission of disease caused by exposure tosewage and contaminated drinking water.
33BATS REMOVED
FDA Food CodeImplementationOn January 1, 2019 the Health Departmentimplemented the 2017 FDA Food Code to meet Staterequirements. Most food safety guidance andrequirements remained the same, but there werenoticeable changes including:
The old inspection form was a simple 45-pointchecklist, the new form is a 58-point checklist thathas two main sections "Foodborne Illness RiskFactors/ Public Health Interventions" and "GoodRetail Practices".Establishments used to receive a score based onhow many violations they had, now there is noscore and each item (violation) is simply marked asIn/Out of Compliance.Each item(violation) is broken into three groups:Priority Item, Priority Foundation Item, and a CoreItem. Each group has a different time frame forcorrection.Inspections are taking about 30% longer and theperson in charge during the inspection is requiredto engage in more dialogue consisting of food flow,allergens, HACCP concepts, etc.
Approximately 300 carswere served during theevent.A second ElectronicWaste Collection eventheld on September 7,2019, served over350 residents recycling45,000 pounds ofelectronic waste.
Page 3
COMMUNITY HEALTH & PREVENTION
3,695 HOME & OFFICEFCM VISITS
Family Case Management Program Women, Infants and Children(WIC) Supplemental Food &Nutrition ProgramHelps meet the nutritional needs of income-eligible women who are pregnant, breastfeedingand infants and children under 5 years oldthrough health and nutrition assessments andeducation, food vouchers to participating storesand breastfeeding support. Many working familiesand those who receive SNAP benefits also qualifyfor WIC services. Walk-ins are welcome.
16,101 FOOD PACKAGES ISSUED
Assists income eligible pregnant women, infants andyoung children to obtain the healthcare services andother assistance they may need to have a healthypregnancy and promote the child's healthydevelopment. We continue to encourage pregnantwomen to seek our services early in their pregnancy.
Adult & Travel ImmunizationsProvides vaccines for preventable diseases toadults, including flu vaccines. Travelimmunizations visits include a nurseconsultation for recommended vaccines andcountry specific information.
2,272ADULT VACCINESADMINISTERED
Childhood Immunizations Provides vaccines for preventable diseases tochildren, including flu vaccines. DCHD is a stateapproved Vaccine for Children (VFC) Program andprovides free or low-cost vaccines to eligiblechildren through 18 years. DCHD also provideimmunizations to children who are covered byprivate health insurance which is then submittedelectronically to their health insurance plan.
2,476CHILDREN
IMMUNIZEDVACCINES
ADMINISTERED
5,742
Emergency Preparedness
Communicable Disease ProgramThe mission of the Communicable Disease Program is topromote a healthy community and prevent the spread ofdisease.
756REPORTABLE
DISEASES
1,008CASE
INVESTIGATIONS
Tuberculosis Program
956TUBERCULIN SKIN
TESTS ADMINISTEREDAND INTERPRETED
Provides TB testing and screening for adults andchildren.
On February 22, 2019, DeKalb County Health Departmentconducted an emergency preparedness drill by having aPersonal Hygiene Collection Exercise. The exercise allowedstaff to simulate receiving supplies from the StrategicNational Stockpile (SNS). When SNS is requested for aDisaster in a real situation, the Health Department has to beprepared to receive, sort, inventory, and push out to setlocations. from the SNS. The exercisenot only to prepared staff for a publichealth emergency, but also helped tostock DeKalb County food pantrieswith personal hygiene necessities.
Total items sorted, inventoried,and distributed:
6,488 items2,083 travel sized items
Page 4
Vision & Hearing Screening Program
Drug Testing ServicesImproves access for affordable urine drug screening forcollege programs, employers and the public.
234 TESTS PERFORMED
972 729BIRTHS
REGISTEREDDEATHS
REGISTERED
As the DeKalb County Registrar, the DeKalb CountyHealth Department has the responsibility ofregistering birth and death records in DeKalb County.Certified copies of certificates are issued by request.
Medical Cannabis PatientProgram (MCPP)
CLIENTS ASSISTED
248Provides assistance with applications for the MedicalCannabis Patient Registry Program.
Ryan White CaseManagement Program
45NUMBER OF CLIENTS
ENROLLED (MONTHLY AVERAGE)
Vital Records ProgramScreens children to identify and refer those who are inneed of follow-up care.
VISION SCREENINGS
3,2773,897HEARING
SCREENINGS
Community Lab DrawThe Community Lab Draw (CLD) program launchedon August 5, 2019. CLD provides discounted labservices with a healthcare provider's prescription forages 18 and up. Laboratory testing services areprovided by the University of Illinois HospitalReference Laboratory. This is a cost effectiveprogram that is perfect for uninsured, under-insured and high deductible insurance plans.
Healthcare Enrollment Assistance Program
Provides assistance with enrollment in the HealthInsurance Marketplace and Medicaid. Funding for thisprogram is made possible by the DeKalb CountyCommunity Mental Health Board.
216 150MEDICAID
ENROLLMENTSMARKETPLACEAPPLICATIONS
Family Planning ProgramOffers confidential non-nonjudgmental medical,educational and social services to males and females
2,045VISITS
of childbearing age tosupport reproductivehealth and positive birthoutcomes. All forms ofbirth control methods,including Long-ActingReversible Contraceptive(LARC) are available.Testing and treatmentfor sexually transmittedinfections including HIVtesting.
Provides Medical Case Management services to HIV+individuals and their families.
.Community Health Needs Assessment
Maternal Child Health
Adolescent Health
Behavioral Health
Initiative: Basics DeKalb CountyDCHD applied for and was awarded funding from the Northwestern Medicine Community Benefit Grant todirectly support activities under the Maternal and Child Health Priority area of the Community HealthImprovement Plan. A portion of the funding was allocated to create an interactive wall that promotes Basics
Initiative: Vaping Education
Early in 2019, DCHD adopted a Trauma-Informed Care Organizational Framework and began taking stepstowards becoming a trauma informed organization. The ultimate goal of this initiative is to evolve ourpractices to promote a culture of safety, empowerment, and healing. In June, DCHD staff attended their firsttrauma informed training and participated in several other trauma-informed trainings throughout the courseof the year. In August, DCHD convened an internal Trauma Action Team that focused on gaining a workingunderstanding and knowledge of the Substance Abuse and Mental Health Services Administration's traumacomponents and principles and on assisting Health Department programs with the implementation oftrauma-informed practices. We were fortunate to have received support from the DeKalb County MentalHealth Board to secure consultation in the development of trauma specific training for staff and supportthrough observations and coaching for Community Health and Prevention staff.
Initiative: Trauma Informed System of Care
DeKalb County. Basics DeKalb County, based on theBoston Basics, is a set of five evidence-basednurturing practices that help all infants and toddlersthrive cognitively, socially and emotionally. The wallincorporates all five Basics with interactive elementsincluding sensory wall panels and book shelves withboard books that clients are able to take home.Remaining funding was utilized to promote safesleep and care seat safety for infants througheducation during home and office visits.
Priority Highlights
DCHD responded to the e-cigarette or vapingproduct use-associated lung injury (EVALI) outbreakthat was first recognized in August 2019 by theCenters for Disease Control (CDC). In light of thesevere respiratory illnesses seen in many teensacross the nation, DCHD staff promoted theadoptions of the MD Anderson ASPIRE program toeducate youth and targeted populations aboutvaping. DCHD collaborated with regional healthdepartments to create an anti-vaping campaignthat ran in 2019 to educate on the dangers ofvaping.
Fees (16%)
5%)
FINANCIAL STATEMENT
We aim to reach out in the lessdeveloped markets and countrieswhere SunnyMoney doesn't yetoperate. We'll also channel thevoices of African consumers andentrepreneurs into the decision-making processes of governments,aid agencies, companies and NGO'sin order to contribute to the planningof energy access developmentinitiatives that can be both effectiveand sustainable.
Page 7
%)
%)
2019 2018 2017
Taxes
Grants
Other
EnvironmentalFees
Clinical Fees
Revenue2017-2019 Expenditures
2017-2019
2019 2018 2017
Personnel
ContracturalServices
Commodities
CapitalOutlay
Revenue
Grants 1,728,108.15 44%
Taxes 708,271.20 18%
Environmental Fees 635,662.20 16% Clinical Fees 574,457.38 15%
Total 3,904,491.08 100%
Other 257,991.78 7%
Expenditures
Personnel 2,914,115.29 75%
Capital 12,925.40 0% Total 3,910,213.04 100%
Contractual 716,061.17 18%
Commodities 267,111.18 7%
(unaudited)
THANK YOU TO OUR DEDICATED STAFF
Page 8
(815) 758-6673 2550 N. Annie Glidden Rd.DeKalb, IL 60115
@DeKalbCoHD @DeKalbCoHD @DeKalbCoHD
Patty ChiltonSecretary25 years
Laura NicolettiLicensed EnvironmentalHealth Practitioner5 years
Dawn NanceEnvironmental HealthPractitioner5 years
A community where all can achieve optimalhealth where they live, work and play.
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