The Stark County Health Department"To Protect and Improve the Health of the Community"

Stark County Health Dept.4424 US Hwy 34Kewanee, IL 61443

2011 - 2012 ANNUAL REPORT

Administrator's Message Public health keeps our community strong, saves lives, and saves money. Did you know that every $1.00 spent on prevention saves $6.50 on health spending? The Stark County Health Department is all about prevention; prevention of food and water borne illness, prevention of communicable disease, and prevention of chronic illness like heart disease, diabetes, and hypertension.

In addition to a focus on prevention, the Health Department fosters partnerships in the community. Partnering with our local hospitals has led to a very successful smoking cessation program. Partnering with schools, we've implemented wellness programs for both students and staff. Partnering with community agencies has made us all much more prepared to deal with widespread disaster.

Looking back, highlights of 2012 that come to my mind include: • The implementation of the We Choose Health Initiative

to develop and support proactive health programs including Coordinated School Health and Smoke Free Multi-Housing Units. This grant deals with system changes, particularly in rural communities. We thank the Stark County School District, the Cambridge School District, and the Housing Authority of Henry County for becoming partners in this initiative.

• Our Home Health program was named as a Home Care Elite Agency. Through extensive analysis of performance measures, the top 500 home health agencies in the nation are identified. The HCHD Home Health program fell into the even more prestigious top 100 home health agencies in the nation.

• Our Homemakers program saw a 16.5% increase in hours of service provided compared to 2011. Homemaker services are utilized most frequently by seniors and play a huge role in allowing people to remain in their own homes. Remaining at home is not only the safest and most comfortable place to be, it inadvertently contributes to the local economy as people continue to shop and utilize services in the community.

I firmly believe that Stark County is blessed to have a Health Department that provides such a vast array of health care services at low cost. This is made possible by a devoted public health staff, a strong Health Board, and a supportive County Board.

Gail Ripka, MHAPublic Health Administrator

If you would like information on any of the following programs, please phone:

HOME HEALTH SERVICES - 852-3115ENVIRONMENTAL HEALTH SERVICES - 852-3115

HEALTH EDUCATION PROGRAMS - 852-3115ADMINISTRATION - 852-3115

CLINIC SERVICES - 852-5272FAMILY PLANNING - WELL CHILD EXAMS - SCHOOL/SPORTS PHYSICALS

LEAD SCREENING - IMMUNIZATION - T.B. TESTING - BLOOD DRAWSW.I.C. SUPPLEMENTAL FOOD PROGRAM

PEDIATRIC/ADULT SICK VISITS - FAMILY CASE MANAGEMENTWOMEN'S HEALTH SERVICES

HOME SERVICES - 852-0492

STARK COUNTY BOARD OF HEALTH

Sharon Sager, PresidentTimothy Haas, D.D.S., Vice President

Don Schmidt, TreasurerDoris Bogner

Nancy EagelstonLee Hager

Glenn Miller, M.D.Remi Satkauskas, M.D.

FINANCIAL STATEMENT

RECEIPTSINTEREST ON CD/Savings ........................ $ 590.92INTEREST (Checking) ................................ $ 46.02TAXES ......................................................... $ 12,175.62IDPH ............................................................ $ 63,281.50OTHER ........................................................ $ 1,310.00ENVIRONMENTAL HEALTH ....................... $ 7,099.00

TOTAL RECEIPTS ..........................................$ 84,503.06

EXPENDITURESHENRY COUNTY HEALTH DEPT-Environmental Health Services .................. $ 21,847.11-Nursing Services ........................................ $ 30,445.66-Administration ............................................. $ 16,200.93-Grant & Other Expenses ............................ $ 1,596.88-Family Planning .......................................... $ 1,263.00-Homemaker Supplement ............................ $ 541.50CONTRACTUAL .......................................... $ 609.57PERSONAL SERVICES .............................. $ 8,811.00PRINTING/ADVERTISING .......................... $ 1,634.58HEALTH BD EXPENSE ............................... $ 750.62JAIL NURSING ............................................ $ 2,010.00

TOTAL EXPENDITURES ...............................$ 85,710.85

RECEIPTS MINUS EXPENDITURES ............... $ (1,207.79)

YEAR ENDING BALANCE 11/30/11 .................. $ 117,322.02

CASH BALANCE 11/30/12 .............................. $ 116,114.23 www.henrystarkhealth.com

STARK COUNTY HEALTH DEPARTMENT22ND ANNUAL REPORT • DECEMBER 1, 2011 TO NOVEMBER 30, 2012

FAMILY PLANNINGTitle X Family Planning provides access to contraceptive services & supplies to all who want and need them. Services include breast & pelvic exams; cervical cancer screening; STD & HIV screening & prevention education and pregnancy tests. Client education, counseling, and medical services allow individuals to achieve desired birth spacing and contribute to improved health outcomes for infants, children, women, & families.Initial exams ............................................24Annual exams .........................................63Total client visits ....................................268

EDINBURGH SCREENINGSfor postpartum depression ......................173

CLINIC SERVICESDNA testing ................................................0Ill visits ......................................................13Employment physicals ..............................10

HEALTH EDUCATION & AWARENESSA wide variety of presentations are available to community groups, clubs, churches and organizations. Topics include nutrition, physical activity, hygiene and health habits, heart health, childhood obesity, & home health care services. To schedule for your organization, please call 309-852-3115.

Presentations Dental Health ............................................ 27Physical Activity .......................................... 9Hygiene & Healthy Habits ......................... 39Health & Wellness ...................................... 4Nutrition .................................................. 100Information Booths ..................................... 3Safety ....................................................... 20Mental Health ............................................. 7Smoking Cess ............................................ 8 Total Participants ............................ 3,961

PROFILE OF STARK COUNTY

Established 1839

Area (square miles) ............................ 288Total Acreage ..................... 184,320Acreage, agricultural ................... 173,392

Population (2010) ............................ 5,994

Median Age ....................................... 43.8

Largest Cities: Wyoming ............. 1,429 Toulon ................. 1,292 Bradford .............. 768

Average unemployment rate 2012 8.75%

School Enrollment 2011-2012 ........ 1,150High School Enrollment ...................... 372

ENVIRONMENTAL HEALTH SERVICES

Environmental Health services protect, preserve, and improve the health and environment of the community through education, collaboration, and enforcement of county ordinances and state codes. Compliance is achieved by review, inspection and issuance of permits for: food service establishments; private sewage disposal systems; potable water supplies; and tanning and body art establishments.

FOOD PROTECTIONPermits issued ...................................... 39Inspections ........................................... 52Recheck inspections ............................. 12Complaints investigated......................... 0Consultations ........................................ 35Plan reviews ........................................... 2

POTABLE WATER SUPPLIESPermits issued ...................................... 10Inspections ............................................. 2TNCPWS inspections ............................. 1Complaints investigated.......................... 1Sample results reported ..................... 53

GEOTHERMAL SYSTEMSPermits issued ........................................ 4Inspections ............................................. 3

PRIVATE SEWAGE SYSTEMSPermits issued ...................................... 14Inspections ........................................... 13Pump Truck Inspections .......................... 3Water & sewage evaluations ................. 5Complaints investigated.......................... 2Consultations ........................................ 62Contractor registrations ........................ 12

SOLID WASTE INVESTIGATIONS ........ 7TANNING FACILITY INSPECTIONS ..... 3

SMOKE FREE ILLINOIS ACTThe Smoke Free Illinois Act prohibits smoking in public places, places of employment and within 15 feet of any entrance. The Health Department enforces the Smoke Free Illinois Act through education, inspections for compliance, issuance of citations, and assessment of fines.

Complaints received ...............................0Education letters .....................................1Compliance checks ................................2Warning letters .......................................0Citations issued ......................................0Prehearing Conferences .........................0Administrative Hearings ..........................2

MATERNAL & CHILD HEALTHWOMEN, INFANTS AND CHILDREN (WIC)SUPPLEMENTAL NUTRITION PROGRAM

The WIC program teaches pregnant women, new mothers and young children how to eat well and stay healthy. Foods in the WIC food package include whole wheat bread, corn tortillas, brown rice, baby foods, fresh, frozen and canned fruits and vegetables. Reductions in juice, milk, cheese and eggs were made to align with the Dietary Guidelines for Americans.

New Clients enrolled (Stark) Women ................................... 21 Infants ..................................... 33 Children ................................... 12

Total client certifications (Stark & Henry) ................. 2111Average Client Caseload ................... 1034

FAMILY CASE MANAGEMENTThe families of eligible women, infants & children may receive preventative educaiton and health care services which include devel-opmental screenings, development of a care plan, face-to-face contacts and home visits.

Clients served: Women ................................... 48 Infants & Children ................... 45 Home visits ............................. 65

BREASTFEEDING PEER COUNSELORBreastfeeding peer counselors help new mothers who are beginning to breastfeed learn what to expect the first days and weeks.Face-to-face counseling ...................... 14Phone contacts .................................... 52

MCH HIGH RISK VISITSPublic health nurses make periodic visits to high risk infants and their mothers, and provde education and developmental screenings.High risk infant births ........................... 10High risk infant visits ............................ 12

HEALTHY KIDSChildren ages birth to 21 receive periodic screenings to detect potential developmental or physical problems. Blood lead screenings ...................... 100Genetic screenings ............................. 44Denver Developmental ...................... 86

School physicals .................................. 45Well Child exams ................................. 15

HEALTH CARE ENROLLMENT ASSISTANCE

Medicaid Presumptive Eligibility ............ 21All Kids .................................................. 2

SEXUALLY TRANSMITTED DISEASES INVESTIGATED AND TREATED

STD screenings are available for males & females. Follow up & treatment for positive results are provided to the client and their partner(s).Chlamydia ......................................................8Gonorrhea .....................................................0Syphilis ..........................................................0

DISEASE PREVENTIONPrevention is the key to good health; health screenings help to prevent chronic diseases or to detect them in their early stages when they are most treatable. Blood pressure screenings are important to monitor your blood pressure, which should always be less than 140/90.

Community Clinics .....................................3Screenings provided ..............................126

The Senior Expo held at Bradford Courtyard Estates featured health screenings and booths offering services for area seniors.

Participants ..............................................87 Flu Shots ...............................................55 Blood Glucose Testing ..........................18

The Senior Living Series is held June through September at Bradford Courtyard Estates. Topics included Family History, Gardening Trends, Medical Advocacy, Parkinson's Disease, Laughter, Building a Better Memory, and Local History.

Total participants ......................................74

An employee wellness program, My Simple 7, was offered to employees of Stark County School District #100. Based on American Heart Association criteria, this program encourages participants to make 7 simple changes to improve their overall health and add years to their lives: get active, eat better, lose weight, stop smoking, control cholesterol, manage blood pressure and reduce blood sugar. Funding was provided by the Irene Eagleston Farm Foundation.

Total participants ......................................60

BLOOD DRAWSLow cost blood draws for fasting blood profiles, such as CBC, Chem Screen, Thyroid, & PSA are available M-F beginning at 7:30 a.m. A wide range of blood tests may be obtained with a physician order.

INFLUENZA VACCINATIONSAnnual vaccination is the most effective method to prevent infection, reduce symptom severity (if you do get sick) and prevent the spread of virus to others.

Seasonal flu .......................................... 352Pneumonia ............................................. 19Pediatric flu .............................................. 71

JAIL HEALTH CARE SERVICES

Medical service contacts provided to inmatesof the Stark County Jail ....................... 92

HOME CARE SERVICESHOME HEALTH SERVICES

The Home Health Program enables patients, under the care of a physician , to recover from an illness, injury or surgery in the comfort of their own homes. Home health care includes skilled nursing, home health aide, speech therapy, physical therapy and occupational therapy.

Medicare: Patients ........................................ 14 Visits ........................................... 247

Non-Medicare: Patients .........................................20 Visits ............................................322Total Patients: 35 Total visits: 569

HOME SERVICESHome services are provided to persons needing assistance with the activities of daily living which include housekeeping, laundry, meal preparation, errands, personal care or companionship.

Clients .................................................. 43Hours of service provided ........ 14,831.25

VITAL STATISTICSBirth Data

(Occurrences in Henry, Peoria, Bureau & Knox Counties)

Total Births: 49 # (% of total) Births to teens ......................... 4 (8%) Births to unmarried women .. 27 (55%) Births under 5.5 lbs ................. 2 (4%)

Death by Cause

Total Deaths: 48 # (% of total) Cardiovascular ........................ 7 (15%) Cancer .................................. 10 (21%) Pulmonary Disease .................. 3 (6%) Genitourinary ............................ 1 (2%) Neurological .......................... 15 (31%) Gastrointestinal .................................. 0 Suicide ............................................... 0 Trauma ............................................... 0 Other ..................................... 12 (25%)

COMMUNICABLE DISEASEInfectious diseases pose a significant threat to public health and mortality. The Communicable Disease program strives to decrease the spread of infectious diseases through surveillance, investigation, screening, education and follow-up.

IMMUNIZATIONEligible participants may receive low cost childhood immunizations available at the Health Department by appointment during regular office hours.

Tdap (adult & child) ................................41DTap .........................................................0Hep A ........................................................2Hep B (adult & child) ...............................25Hib ............................................................6HPV (human papillomavirus) ..................27IPV ............................................................1Kinrix (DTap/IPV) ....................................13Menactra (meningococcal) .....................17MMR .......................................................24Pediarix (DTap/HepB/Polio) ......................6Pentacel (DTap/IPV/Hib) .........................22Prevnar (pneumococcal) ........................30Rotavirus ..................................................8Td (adult) ..................................................2Varicella (chickenpox) .............................27

TUBERCULOSISTuberculin testing, consultation, chest x-rays and medication are provided when indicated.

T.B. tests administered ...........................30Class II Positive Reactors .........................0

COMMUNICABLE DISEASES REPORTED

Animal Bites ..............................................0Campylobacteriosis ..................................0Cryptosporidiosis ......................................0E Coli ........................................................0Giardia ......................................................0Hepatitis A ................................................0Hepatitis B ................................................0Hepatitis C ................................................0Histoplasmosis .........................................0Listeriosis .................................................1Lyme Disease ...........................................0Meningitis ................................................0MRSA (child < 61 days old) ......................0Mumps ......................................................0Pertussis ...................................................0Salmonella ................................................0Shigellosis ................................................0Strep Group A ...........................................0Strep Pneumonia ......................................0West Nile Virus .........................................0