1 00:05:05,160 --> 00:05:11,640 Welcome to the Custer County Board of Health. 2 00:05:08,240 --> 00:05:16,480 Today is Wednesday, August 26, 2026. It is 1 p.m. 3 00:05:14,240 --> 00:05:21,080 We're at Allboard, Westcliffe. I'm Lucas Epp, chair of the Board of Health. 4 00:05:19,000 --> 00:05:27,280 I'll call this meeting to order. Uh please silence all your cell phones. 5 00:05:24,560 --> 00:05:27,280 Um 6 00:05:28,000 --> 00:05:33,600 and we'll stand for the Pledge of Allegiance. 7 00:05:31,120 --> 00:05:37,640 Right hand on your right. Pledge allegiance to the flag of the 8 00:05:35,360 --> 00:05:43,160 United States of America, and to the republic for which it stands, one nation 9 00:05:40,440 --> 00:05:46,280 under God, indivisible, with liberty and justice for all. 10 00:05:48,480 --> 00:05:51,240 Roll call. 11 00:05:51,320 --> 00:05:55,320 » For the health administrator, I am >> Present. 12 00:05:54,000 --> 00:05:57,240 » For the health administrator, I am >> Here. 13 00:05:56,000 --> 00:05:58,560 » For the health and environmental health director, 14 00:05:57,760 --> 00:06:00,720 » Here. >> For the environmental health director, I 15 00:06:00,120 --> 00:06:02,600 am Crawford. >> Here. 16 00:06:01,560 --> 00:06:04,080 » For the environmental health director, I am Burleson. 17 00:06:03,280 --> 00:06:08,360 » Present. >> And for the health secretary, Jeff the 18 00:06:05,880 --> 00:06:12,560 North Press. >> Present. 19 00:06:09,080 --> 00:06:18,600 » All right. Any amendments to the agenda? I want to introduce Elliot. 20 00:06:15,800 --> 00:06:23,120 » I want to check the executive director. >> Welcome again. You are a favored guest 21 00:06:22,040 --> 00:06:26,960 here and usually our only guest. 22 00:06:25,960 --> 00:06:30,840 » Thank you, Lord. So much for the wonderful meetings, people people should 23 00:06:29,440 --> 00:06:33,840 know. >> And that's why she's here. All right. 24 00:06:32,680 --> 00:06:36,080 Any other amendments? >> I have none. 25 00:06:34,840 --> 00:06:41,880 » Okay. Uh approval of the minutes from May 27, 26 00:06:38,880 --> 00:06:41,880 2026. 27 00:06:44,560 --> 00:06:49,680 » I make a motion that we accept. >> Thank you. 28 00:06:48,200 --> 00:06:52,320 » Okay. Is there a second? >> I will second. 29 00:06:53,000 --> 00:06:59,160 » All right. Uh 30 00:06:56,640 --> 00:07:02,240 Any additional comments on those? >> I didn't see any. 31 00:07:01,280 --> 00:07:05,400 » Okay. >> All right, John. 32 00:07:02,919 --> 00:07:07,360 » I'll call for the vote. Paul. >> I. 33 00:07:06,520 --> 00:07:10,560 » Bill. >> And I. 34 00:07:09,360 --> 00:07:13,160 » Yep. >> I. 35 00:07:14,680 --> 00:07:23,120 » The minutes have passed. Okay, reports. 36 00:07:20,160 --> 00:07:26,080 Sanitary and report. Elena on this. 37 00:07:24,080 --> 00:07:30,200 » Okay. >> Elena. 38 00:07:27,560 --> 00:07:30,200 » I'm seeing 39 00:07:35,680 --> 00:07:42,600 » For our sanitation report, we have done 42 septic inspections this 40 00:07:41,080 --> 00:07:48,160 last quarter, And we had 32 septic permits including 41 00:07:45,320 --> 00:07:53,560 eight repairs and three modifications. We had one vault variance. 42 00:07:50,080 --> 00:07:57,720 Um we're down 38 septic permits compared with the second quarter of last year. 43 00:07:56,440 --> 00:07:59,400 That's that's a lot. >> Yeah. 44 00:07:58,880 --> 00:08:01,840 » Um >> Huge. 45 00:08:00,200 --> 00:08:04,760 » We've uh finalized and updated the outs 46 00:08:03,320 --> 00:08:09,640 regulation. Um we actually got our complete approval 47 00:08:07,160 --> 00:08:13,520 letter from the state, so now we are issuing and using those regulations in 48 00:08:12,280 --> 00:08:18,600 the county. Um 49 00:08:16,040 --> 00:08:22,000 One of the things uh that I 50 00:08:19,560 --> 00:08:27,760 have on here is uh our septic contractor tests will also be 51 00:08:24,760 --> 00:08:33,080 um updated because it is very outdated to align with regulation 43. So, we need 52 00:08:31,480 --> 00:08:37,719 them to be able to answer questions that are in the new regulation. 53 00:08:34,760 --> 00:08:41,719 » You guys have any uh change pages so people can see what have been changed 54 00:08:39,520 --> 00:08:46,720 after that? I mean, you think of that doing be a good thing to compare it to? 55 00:08:43,599 --> 00:08:49,880 » So, we have been asked um whether Custer County would be 56 00:08:47,920 --> 00:08:54,080 interested in becoming a hub for the state septic contractor testing. 57 00:08:52,720 --> 00:09:00,520 So, um this this is an option that I was 58 00:08:57,200 --> 00:09:04,800 currently considering because they they give you the test that you issue. So, it 59 00:09:02,920 --> 00:09:09,200 would align completely with the regulation 43. And if there's ever any 60 00:09:07,560 --> 00:09:12,600 updates, then the test would be updated by them and given to us. 61 00:09:10,880 --> 00:09:15,200 » What's the hub mean then you >> It means that you can give it to anybody 62 00:09:14,520 --> 00:09:18,960 in the area. >> So, it would be the same as a contractor 63 00:09:17,560 --> 00:09:24,240 or somebody coming in and saying, "How do I get licensed in your county?" 64 00:09:21,160 --> 00:09:28,560 Um at this point, if we were a hub, then I would say, "Are you Do you already 65 00:09:26,480 --> 00:09:32,960 have um the part A exam certificate?" 66 00:09:31,760 --> 00:09:37,480 Which means they're already state certified. So, if they were, then and 67 00:09:35,160 --> 00:09:41,520 would just register with us. They would pay the $50 registration fee and just 68 00:09:39,920 --> 00:09:44,640 renew everything every year in our office as a licensed contractor. 69 00:09:44,200 --> 00:09:49,640 » Yes. >> Um if they're not, then they would pay 70 00:09:47,280 --> 00:09:54,800 the $75 for the test, um which gives them the books, the state 71 00:09:51,760 --> 00:10:01,760 books, our book, and then um if they pass the test, which would be the state 72 00:09:56,680 --> 00:10:06,120 test, then the certificate wouldn't say Custer County certified septic 73 00:10:03,480 --> 00:10:08,920 contractor. It would then say part A and Custer County. 74 00:10:07,400 --> 00:10:12,560 » So you could do it in Fremont County. >> And so then I would uh me or Cheyenne 75 00:10:11,360 --> 00:10:16,480 would just put them in the state website. We'd have access to that. And 76 00:10:14,720 --> 00:10:20,120 then that's how it would be kept held out. So that's something that we're 77 00:10:18,000 --> 00:10:23,600 considering. I know that we probably have to vote on that, so we'll do that 78 00:10:22,000 --> 00:10:25,160 in another meeting, but I wanted to let you guys know that. 79 00:10:24,480 --> 00:10:29,280 » Good. >> Um 80 00:10:26,760 --> 00:10:32,680 as far as the Aspen Acres fires, um Custer County Sanitation continues to 81 00:10:30,920 --> 00:10:38,000 provide the water testing kits to properties affected to the Aspen Acres. 82 00:10:35,320 --> 00:10:43,160 Um I will continue assessing septic systems within the Aspen Acres fire area 83 00:10:40,800 --> 00:10:46,520 as the need arises. At first we were thinking that we needed to just jump in 84 00:10:45,040 --> 00:10:52,040 and get out there and inspect all these systems, um but after talking um 85 00:10:50,280 --> 00:10:58,480 with Ed Lyons from Mountain Valley Excavating, um who had offered 86 00:10:53,880 --> 00:11:03,480 volunteered to help me um in that um he made mention that 87 00:11:01,360 --> 00:11:08,800 the issue with doing that is one, all the flooding that's going on, um 88 00:11:06,120 --> 00:11:13,880 and two, once we get down there and we tell them, "Okay, your septic system is 89 00:11:10,520 --> 00:11:18,400 good." then the floods continue or with all of the debris removal, you've got 90 00:11:16,400 --> 00:11:22,120 big trucks, you've got all these things driving over the leach fields and and 91 00:11:20,240 --> 00:11:27,800 everything, then we've already told them everything was good. So um 92 00:11:24,760 --> 00:11:31,160 his recommendation um to me was to think about um 93 00:11:29,560 --> 00:11:34,280 just doing it on a case-by-case. If they're ready to build, then we go out. 94 00:11:32,880 --> 00:11:38,160 It's cleaned up, the property is cleaned out, and then it's safe to actually 95 00:11:36,280 --> 00:11:39,440 enter in anyways. Um 96 00:11:39,120 --> 00:11:43,800 with it >> before they get their CE 97 00:11:42,160 --> 00:11:45,920 or their CO or whatever you want to call it. 98 00:11:44,240 --> 00:11:50,200 » Yes, I would go out there and and inspect um actually before we even give 99 00:11:48,240 --> 00:11:54,400 them a building permit because we need to know that they even have a septic 100 00:11:51,600 --> 00:11:58,160 system. Um but in that aspect, the property would be safe for me or whoever 101 00:11:56,480 --> 00:12:01,600 the inspector is to go out onto the property. 102 00:11:59,640 --> 00:12:05,400 Um So, as far as the fire debris removal, 103 00:12:04,800 --> 00:12:10,080 um we've been working with CDPHE um as far 104 00:12:08,480 --> 00:12:14,480 as like um their permit requirements, the removal, 105 00:12:12,560 --> 00:12:18,120 and all of that. So, people have been sending in permits, but they've been 106 00:12:15,720 --> 00:12:22,160 sending me the state permits, and so I just been forwarding them to the right 107 00:12:20,600 --> 00:12:26,320 person over there. Um 108 00:12:23,760 --> 00:12:31,000 We're also going to be interviewing um next week for a joint field inspector to 109 00:12:28,520 --> 00:12:36,080 both assist the um assessors and the sanitation portion of 110 00:12:33,280 --> 00:12:41,120 our office. So, um I will be training and testing someone 111 00:12:38,600 --> 00:12:45,240 on getting qualified to inspect septic systems to help our office. 112 00:12:45,600 --> 00:12:50,960 Um and then just looking ahead for the next 113 00:12:49,839 --> 00:12:52,800 quarter, um 114 00:12:51,520 --> 00:12:57,520 we just plan on continuing implementing the 115 00:12:55,240 --> 00:13:00,120 updated OWTS regulations um 116 00:12:58,280 --> 00:13:03,440 and then updating the septic contractor re-examination, 117 00:13:01,800 --> 00:13:08,160 um evaluating the possibility of becoming the state hub, and responding 118 00:13:05,720 --> 00:13:12,080 to Aspen Acres fire recovery needs, and then just preparing for the new 119 00:13:09,920 --> 00:13:17,160 joint field inspector to assist with septic septic construction inspections. 120 00:13:14,839 --> 00:13:20,680 » Do you have many applicants? >> Um we had five. 121 00:13:18,520 --> 00:13:20,680 » Really? 122 00:13:23,040 --> 00:13:25,280 Good. 123 00:13:25,560 --> 00:13:28,040 » Does anyone have 124 00:13:40,320 --> 00:13:46,280 » How are things looking already for septic 125 00:13:44,000 --> 00:13:48,280 going into third quarter? >> Um, we've been busier this month. 126 00:13:47,760 --> 00:13:51,360 » Okay. >> So, 127 00:13:49,840 --> 00:13:54,880 that's a good sign. We're not only septic, we're building permits. 128 00:13:52,720 --> 00:13:57,080 » Okay. Good. 129 00:13:58,040 --> 00:14:01,120 Good. Good. Thanks. Thank you. 130 00:14:00,280 --> 00:14:04,360 » That's actually very good. >> No, thank you very much. 131 00:14:05,840 --> 00:14:10,320 » Public health. >> Sarah Bertelson. 132 00:14:08,680 --> 00:14:15,840 » Welcome. Welcome. >> Oh, she's bringing brought ice cubes. 133 00:14:12,800 --> 00:14:18,480 » She's got another picnic basket. >> You just like that. 134 00:14:19,160 --> 00:14:22,760 » Should I put them in the freezer in your office? 135 00:14:30,680 --> 00:14:33,480 » Thank you, Jean. 136 00:14:34,880 --> 00:14:39,640 So, I brought back the pictures. Um, figured that might be a little more 137 00:14:38,720 --> 00:14:42,920 helpful, but >> A picture's worth 1,000 138 00:14:41,520 --> 00:14:46,400 » Exactly. Yes. Uh, tried to keep those condensed, too. So, 139 00:14:45,000 --> 00:14:50,120 uh, I figured we'd start off with our mission statement cuz I don't know if 140 00:14:48,560 --> 00:14:54,520 it's been presented in a while, so I just wanted to revisit that and say 141 00:14:53,080 --> 00:14:58,120 that, you know, Custer County Public Health Agency promotes healthy 142 00:14:56,280 --> 00:15:03,080 lifestyles, prevents disease, protects our health and environment. So, um, 143 00:15:01,560 --> 00:15:07,440 that is what we do. In case people didn't know that that is 144 00:15:05,080 --> 00:15:11,560 our mission. So, we'll start off with, um, 145 00:15:09,320 --> 00:15:17,640 epidemiology and communicable disease. So, if you haven't heard, this will be 146 00:15:14,280 --> 00:15:24,200 news to you. Uh, positive rabies, um, was found in a bat by Valley View Road 147 00:15:20,240 --> 00:15:28,480 on 7 27 26, and a PSA was put out in the newspaper on the radio station and other 148 00:15:26,600 --> 00:15:34,000 various social media platforms. And since then we have tested eight bats 149 00:15:30,200 --> 00:15:38,520 this entire season. Still coming in. So >> No other positives? 150 00:15:35,280 --> 00:15:43,640 » No other positives, thankfully. So, what I thought I would review today and 151 00:15:41,480 --> 00:15:44,920 why this bat is sitting in front of me and I will 152 00:15:43,880 --> 00:15:49,280 » There's a bat in there. >> I'll be very quick, right? Exactly. 153 00:15:46,880 --> 00:15:52,120 There is actually. So, this is the testing kits that we keep at public 154 00:15:51,040 --> 00:15:55,040 health. I kind of just wanted to since we've had 155 00:15:53,640 --> 00:16:00,280 the opportunity to kind of review in case people didn't know what to do with 156 00:15:57,680 --> 00:16:05,200 that. This is much larger to scale. So What is he thinking? 157 00:16:01,520 --> 00:16:05,200 It's very similar to the species. 158 00:16:06,640 --> 00:16:14,200 Yeah, no, no. >> Bats in our belfry. 159 00:16:10,800 --> 00:16:18,280 That would be an Australian bamboo. That's our bat. 160 00:16:15,320 --> 00:16:23,040 » Okay. All right, so when an individual finds a bat, if it's 161 00:16:21,160 --> 00:16:27,160 alive and people do not feel comfortable, they can try to call Justin 162 00:16:25,480 --> 00:16:32,040 Crowl Wildlife, but he's been very busy with the bears. So we have encouraged 163 00:16:29,040 --> 00:16:37,280 people to either you know, shoo the bat away unless it's been found in a livable 164 00:16:35,120 --> 00:16:41,520 space or has had contact with a person or a pet. So 165 00:16:40,040 --> 00:16:46,720 we're going to pretend that my bat is dead. We find him, he's just in again, 166 00:16:44,800 --> 00:16:52,680 we test what's in a livable space again or if it's had contact with domestical 167 00:16:48,960 --> 00:16:57,280 domestic animals. Oops. Oh. So, before I touch the bat, I want to put on 168 00:16:54,680 --> 00:17:01,120 protective equipment. So, gloves, work gloves work great. Again, anything to 169 00:16:59,560 --> 00:17:05,760 keep you from physically touching the bat. Then 170 00:17:03,240 --> 00:17:11,520 we're going to take our handy-dandy container or where's the ziplock bag? 171 00:17:08,880 --> 00:17:17,360 Whatever people prefer, dealer's choice. And then I like to say collect the 172 00:17:13,800 --> 00:17:21,000 specimen with tongs, tweezers, anything. I would not recommend any you know, any 173 00:17:19,400 --> 00:17:25,920 eating utensils. Please dispose of them after you have contact with the 174 00:17:23,600 --> 00:17:29,240 bat. So, when you pick up the bat and you shove them in the bag. 175 00:17:29,560 --> 00:17:37,000 Then you create a seal and you call us at public health. So, our main line 176 00:17:33,720 --> 00:17:42,160 number is 719-783-3369. Or you can call my cell phone if it's on 177 00:17:39,240 --> 00:17:47,200 an off hour and we will come into the office and collect the bat. So, my cell 178 00:17:44,000 --> 00:17:51,680 phone is 719-371-7515. So, when you bring it to public health, 179 00:17:49,560 --> 00:17:55,800 we also glove up. We collect the bat, we collect general 180 00:17:53,800 --> 00:17:59,600 information, you know, where the bat was found, who it had contact with, pet or 181 00:17:58,320 --> 00:18:04,240 person, and what day you collected it. We 182 00:18:02,160 --> 00:18:08,760 inspect it. We really try to encourage people if, you know, they can't deposit 183 00:18:06,240 --> 00:18:12,080 the pet or the bat to us, put it in the fridge, not the freezer. 184 00:18:10,520 --> 00:18:16,280 The freezer will damage the brain tissue which will then alter the test results. 185 00:18:14,280 --> 00:18:19,360 So, put the bat in the fridge if you can't get it to us immediately. 186 00:18:18,360 --> 00:18:22,320 Um then when we collect the information, 187 00:18:21,000 --> 00:18:25,200 we'll let you know and give you a call when we get test results. 188 00:18:24,000 --> 00:18:30,240 We then take our little friend and we 189 00:18:27,040 --> 00:18:33,560 double bag it in bio hazard labeled baggies. 190 00:18:31,680 --> 00:18:39,360 And then we put a lot of these lovely little rabies stickers. 191 00:18:37,080 --> 00:18:44,560 It goes into the cooler and we ship it off to Denver. And then we usually get 192 00:18:41,680 --> 00:18:48,120 test results within, depending on how everything times out, about a day or 193 00:18:46,160 --> 00:18:51,880 two. So, and then we can give you advisement from there. So, any 194 00:18:50,080 --> 00:18:54,800 questions, we are the bat people. Please call us. 195 00:18:53,360 --> 00:18:57,960 Any questions on obtaining >> If there's time between when you mail it 196 00:18:56,400 --> 00:19:04,920 and you get it back, it react probably with a person who 197 00:19:01,480 --> 00:19:08,840 dreading the shots. Yeah, it would be a animal that 198 00:19:07,160 --> 00:19:13,520 » So, That's a really great. So, if the pet is 199 00:19:11,200 --> 00:19:18,480 vaccinated, we usually recommend um and in this case with the positive bat it 200 00:19:16,000 --> 00:19:23,160 had contact with a pet. And so, we got that pet a booster. So, that is the 201 00:19:21,880 --> 00:19:25,920 um the advice, you know, if if they don't want to wait, they can boost. It's 202 00:19:24,360 --> 00:19:30,640 not going to hurt the animal. It's actually a better protective measure. 203 00:19:27,560 --> 00:19:34,000 So, um and then with people, we have a a chart that kind of guides us through 204 00:19:32,680 --> 00:19:37,600 like, okay, do you know if it had contact or not? 205 00:19:35,880 --> 00:19:41,960 Because they may not know and it can carry a it fun fact, bats lick 206 00:19:40,200 --> 00:19:48,000 themselves and the rabies can be transmitted through saliva. 207 00:19:44,320 --> 00:19:52,680 So, again, anytime there is contact, we just want to test. So, don't touch it. 208 00:19:50,680 --> 00:19:56,600 No petting, no touching. >> Who brought you the first bat? Who 209 00:19:54,520 --> 00:19:59,800 brought the bat? I'm not who, but how did they bring it to you? 210 00:19:57,760 --> 00:20:02,600 » So, they they give us a call. We say, "Okay, here's our office. Do you know 211 00:20:01,120 --> 00:20:04,560 where it's at?" You know, "Have you collected it? Do they need further 212 00:20:03,880 --> 00:20:07,160 instructions?" >> Told not to touch it, probably. 213 00:20:05,640 --> 00:20:10,960 » Yeah, we we guide them through it if they if they haven't 214 00:20:09,160 --> 00:20:14,920 you know, collected a bat before. And most people that do bring us bats, it's 215 00:20:12,640 --> 00:20:17,760 not their first bat. So, but we do give step-by-step instructions if needed. So, 216 00:20:17,280 --> 00:20:19,400 happy to >> first for real. 217 00:20:18,800 --> 00:20:22,320 » Correct. >> Do the bats like one 218 00:20:21,280 --> 00:20:25,920 um just putting one on the other? 219 00:20:25,040 --> 00:20:29,120 Paul. >> Um they are attracted to insects. So, if 220 00:20:28,920 --> 00:20:34,400 you >> They're all down on your dish. 221 00:20:32,240 --> 00:20:37,920 » anywhere. Um they like the trees, they like the water, they follow bugs. So, 222 00:20:36,400 --> 00:20:41,680 any heavy concentration of insects, you're going to find more bats. Um you 223 00:20:39,880 --> 00:20:45,880 can spray for bats. There are a couple pest control companies that will do if 224 00:20:44,000 --> 00:20:49,800 you know your regular again, seal up any cracks, crevices in your homes cuz they 225 00:20:48,080 --> 00:20:53,680 like to crawl into small, tiny places where it's warm. 226 00:20:51,240 --> 00:20:56,760 Um and call us if you have any additional 227 00:20:54,720 --> 00:21:00,120 questions. We have probably answered most of them. 228 00:20:58,040 --> 00:21:03,600 So, thank you for my bat demonstration. Thought that would be kind of fun. So. 229 00:21:04,560 --> 00:21:06,840 So. 230 00:21:08,880 --> 00:21:16,080 All right. Uh Um we did have a salmonella case here in June, just one. 231 00:21:13,680 --> 00:21:20,160 Um but statewide there has been quite a salmonella outbreak. Uh the state 232 00:21:18,240 --> 00:21:23,640 performs these investigations. We are not sure of what the cause is yet. 233 00:21:21,880 --> 00:21:26,560 They're It's pretty extensive cuz salmonella can live in many, many places 234 00:21:25,560 --> 00:21:29,960 though. Um when we hear back, I will let you 235 00:21:28,280 --> 00:21:34,040 guys know. And then of course our measles are still prominent and um 236 00:21:32,760 --> 00:21:36,800 you know, with back to school we're a little keeping an eye on things to make 237 00:21:35,960 --> 00:21:41,360 sure nothing happens. >> mean 15, 14? 238 00:21:39,400 --> 00:21:45,400 » Nationwide you're still over a thousand cases. So it's just it's here. It's 239 00:21:44,040 --> 00:21:48,400 going to be here for a while. >> How many rather you do? 240 00:21:46,960 --> 00:21:51,400 » Um I haven't >> I'm not putting you on the spot. 241 00:21:49,240 --> 00:21:54,520 » No, you're good. I would have to check. >> enough to say we got a terrible thing 242 00:21:53,800 --> 00:21:58,520 going? >> Um 243 00:21:56,240 --> 00:22:02,840 I haven't heard of any recent outbreaks in our counties. The last outbreak was 244 00:22:00,280 --> 00:22:05,520 in Lake County. And that one was before the fire. So 245 00:22:04,000 --> 00:22:07,120 » Yeah, I haven't heard anything. I just want to make sure I wasn't missing 246 00:22:06,680 --> 00:22:11,200 something. >> Correct. And if anything happens, you 247 00:22:08,920 --> 00:22:13,400 will be some of the first to know. >> I'm sure. 248 00:22:11,680 --> 00:22:17,800 » Hopefully not. We're working on getting our back to school vaccinations 249 00:22:14,880 --> 00:22:20,720 completed for our kiddos. So Oh, hopefully not. Um 250 00:22:19,360 --> 00:22:24,960 » Did you get it narrowed down to the shots or normally three or four instead 251 00:22:23,160 --> 00:22:26,360 of 15 or whatever the deal is? >> So 252 00:22:25,520 --> 00:22:31,760 » What kind of dance is it? >> That's that's a good question. So we we 253 00:22:29,240 --> 00:22:35,760 still have the combined shots. Um but what we do for our citizens that you 254 00:22:33,560 --> 00:22:40,040 know, may not want all of those previously recommended vaccines is you 255 00:22:38,160 --> 00:22:42,880 can do them one at a time at public health. Whatever you feel safe and 256 00:22:41,520 --> 00:22:48,360 comfortable is what we want to do for you and your family. So and we actually 257 00:22:45,000 --> 00:22:52,920 see quite a bit more of vaccines because people like that approach um here in our 258 00:22:50,920 --> 00:22:56,600 community. Uh you know, they get to talk with us and we get to you know, talk 259 00:22:54,800 --> 00:22:59,760 about our other services and things like that. Uh because we're not a doctor's 260 00:22:58,520 --> 00:23:02,960 office, we usually have a little bit more time to dedicate on that 261 00:23:01,080 --> 00:23:08,040 one-on-one. Um and people come back and continue to do 262 00:23:04,920 --> 00:23:11,880 their series just a little little less at a time. And truly too, especially if 263 00:23:10,400 --> 00:23:14,760 it's a child's like first vaccine, if they haven't had one, we like to do them 264 00:23:13,640 --> 00:23:17,640 one at a time in case they have a reaction because we're so far from 265 00:23:16,240 --> 00:23:21,160 health care. You know, it's it's not a bad approach 266 00:23:19,280 --> 00:23:24,760 and people seem to to like our customization. 267 00:23:22,840 --> 00:23:29,160 » Is there a rule on shingles? Shingles be a good thing to get into. 268 00:23:26,000 --> 00:23:33,400 » Uh yes, we have shingles. So we have Shingrix is the brand that we use. It's 269 00:23:30,880 --> 00:23:36,720 a two-step vaccine process. So anybody that has had the chickenpox, please come 270 00:23:35,360 --> 00:23:40,480 and see us. It's usually recommended over the age of 271 00:23:38,320 --> 00:23:43,520 55 unless you're immunocompromised, then talk to your doctor. 272 00:23:41,960 --> 00:23:47,720 And then it's a two-step shots. You get one and then another booster dose 273 00:23:45,720 --> 00:23:51,440 between I believe it's 4 and 6 months. So and then you're good. 274 00:23:49,720 --> 00:23:54,320 So please come and see us. That is that is a very prominent especially in times 275 00:23:52,880 --> 00:23:58,920 of high stress whenever your immunization, you know, your immune 276 00:23:56,120 --> 00:24:01,640 system is compromised, shingles can rear its ugly head and it is 277 00:24:00,520 --> 00:24:03,280 not fun. No. 278 00:24:02,280 --> 00:24:07,680 So I've got some horror stories if anybody 279 00:24:04,720 --> 00:24:13,200 wants to send me those. So Awesome. Which great topic, way to roll 280 00:24:10,080 --> 00:24:17,200 in to our vaccination. So every year we have a VFC audit. So that's our vaccines 281 00:24:15,600 --> 00:24:22,440 for children. That's what that abbreviation stands for 282 00:24:19,200 --> 00:24:26,840 program and we passed with no additional follow-up. So we were perfect, which was 283 00:24:24,520 --> 00:24:30,640 pretty excellent. So I think that is one of the first time since I've been there 284 00:24:28,120 --> 00:24:35,200 that, you know, that is it has been so well polished. We have it down to such a 285 00:24:32,440 --> 00:24:41,600 science that we they had no remarks. Everything is great. So 286 00:24:36,960 --> 00:24:46,640 we vaccinated 107 total clients with 138 total vaccines since May. 287 00:24:43,640 --> 00:24:51,160 46 Tdaps were given free to the As Needed Fire Evacuees, which is really 288 00:24:48,760 --> 00:24:54,960 impressive. And we still have a few additional in stock in case we have some 289 00:24:52,840 --> 00:24:58,920 remainders that need. So please send them to public health and we can get 290 00:24:56,840 --> 00:25:02,080 them all done. And then we've started with our back to 291 00:25:00,080 --> 00:25:06,320 school vaccination efforts. We've seen quite a few children recently. 292 00:25:04,880 --> 00:25:10,520 And then of course we're preparing for our annual flu clinic coming up. We have 293 00:25:08,400 --> 00:25:15,680 several. Which I will tell more 294 00:25:12,320 --> 00:25:15,680 about later on. 295 00:25:15,880 --> 00:25:18,120 All right. 296 00:25:18,520 --> 00:25:26,440 Okay. And then I did this little chart because we're still in this. But our 297 00:25:24,640 --> 00:25:30,520 emergency preparedness and readiness is what EPR stands for. 298 00:25:28,720 --> 00:25:34,520 And our participation in the Aspen Acres fire. So I broke it down to response, 299 00:25:32,000 --> 00:25:38,400 recovery, and future preparedness. So you know, in first responding we've been 300 00:25:36,120 --> 00:25:43,720 present and assisted in the shelter and the disaster assistance center. 301 00:25:40,840 --> 00:25:47,840 We provided Tdap vaccinations, water testing kits, personal protective 302 00:25:45,280 --> 00:25:51,960 equipment, and air purifiers. I believe we gave away over 695 303 00:25:50,760 --> 00:25:57,600 masks. We gave over We gave 60 air purifiers 304 00:25:55,200 --> 00:26:02,080 away. And I did not count the water test kits cuz we still had a few left over, 305 00:25:59,240 --> 00:26:06,560 but it was quite a few. So very, very wonderful distribution on that. And then 306 00:26:04,080 --> 00:26:11,240 I wanted to brag about my staff because every one of my staff participated in 307 00:26:09,240 --> 00:26:16,280 response efforts as well as kept everyday operations going. And we are a 308 00:26:13,520 --> 00:26:20,280 very small team. So it's myself, Deb, and Patrick who are full-time. And then 309 00:26:18,040 --> 00:26:25,080 Barb is part-time. But she went above and beyond and volunteered on top of her 310 00:26:22,960 --> 00:26:30,800 work hours. So I just wanted to give really good kudos that our team at such 311 00:26:28,320 --> 00:26:34,560 limited capacity could function at such a high quality of care. So 312 00:26:34,320 --> 00:26:37,880 » Good. >> Great team. 313 00:26:36,080 --> 00:26:40,760 And then we are still assisting, you know, OEM and planning and zoning and 314 00:26:39,320 --> 00:26:46,520 whatever, you know, they need in the recovery plans and efforts. And we 315 00:26:43,200 --> 00:26:51,720 attended a county and state after action report on the 19th, which was good. We 316 00:26:48,960 --> 00:26:54,880 could strategize in a the forum. And then of course we're here to help 317 00:26:52,800 --> 00:26:58,840 residents if there's still questions. I've gotten a couple calls about, you 318 00:26:56,320 --> 00:27:02,680 know, repeated water testing and and things of that nature. Air quality is 319 00:27:01,200 --> 00:27:06,360 much better now. Happy to report on that. Um and then, of 320 00:27:05,000 --> 00:27:09,520 course, you know, during this recovery period, we were trying to attend, you 321 00:27:07,840 --> 00:27:14,240 know, different disaster trainings and educations to improve our team. I went 322 00:27:11,640 --> 00:27:17,800 to one from the Purdue University. It was a school for engineers, but they 323 00:27:16,000 --> 00:27:21,160 covered uh disaster topics. It was learning about different recovery 324 00:27:19,280 --> 00:27:24,640 efforts, what works, what doesn't work. So, that was a pretty good one. I think 325 00:27:23,240 --> 00:27:28,760 Elena went to that one as well. I thought it was a really nice free 326 00:27:26,320 --> 00:27:33,440 training. So, virtual. And then, we of course created this 327 00:27:30,760 --> 00:27:38,080 lovely re-entry guide. I brought a copy in case anybody has not seen this lovely 328 00:27:35,920 --> 00:27:41,240 document, but it was very thorough and we had really good response from the 329 00:27:39,680 --> 00:27:45,320 evacuees that they were very appreciative to have it both in printed 330 00:27:43,200 --> 00:27:49,400 copy as well as a digital QR code if they wanted it in a digital format. 331 00:27:48,000 --> 00:27:53,720 All right. And then, um of course, we're trying to 332 00:27:51,000 --> 00:27:58,400 grow our team in this area. Um you know, we're we're looking to, you know, always 333 00:27:55,680 --> 00:28:02,640 look for further resources. Uh I do have to give us a shout-out to the CCKC 334 00:28:00,480 --> 00:28:06,600 director, Stacy Terrell, who coordinated a lot of like the air purifiers were 335 00:28:05,160 --> 00:28:10,120 obtained through a state resource of hers. Um you know, she's coordinated and 336 00:28:08,920 --> 00:28:13,440 continues to coordinate a lot of resources. So, she's been very integral 337 00:28:12,200 --> 00:28:16,280 and I wanted to give her a special shout-out as well. 338 00:28:15,160 --> 00:28:21,760 So. Awesome. Thank you. 339 00:28:19,440 --> 00:28:27,200 Um as for our substance abuse prevention block grant, it has ended officially. 340 00:28:23,960 --> 00:28:31,440 So, uh we did place equipment at uh Hermit Park Field. So, there are uh free 341 00:28:29,640 --> 00:28:36,600 tennis and soccer equipment, very well used. Um I can definitely speak to the 342 00:28:33,920 --> 00:28:40,600 latter uh because we play a pickup game every Thursday evening and um all our 343 00:28:39,000 --> 00:28:44,840 kids like to use it. But, outside of that, I see kids playing in the park all 344 00:28:42,320 --> 00:28:47,960 the time. So, it's there, um available. There's um 345 00:28:46,080 --> 00:28:51,920 information about our Positive Pathways program and you know, it has a good 346 00:28:49,560 --> 00:28:56,520 count and inventory of all our supplies and of course we still have free rental 347 00:28:54,560 --> 00:29:00,520 equipment at our office and the library so hiking bird watching things like 348 00:28:58,360 --> 00:29:04,360 that. Please come and see us. We can rent that out to you at no cost 349 00:29:03,120 --> 00:29:08,240 and then even though this grant has concluded we are still continuing with 350 00:29:06,360 --> 00:29:12,040 these programs with our regional funding so I thought 351 00:29:10,880 --> 00:29:14,440 that was pretty cool. >> Stuff get walked away with lose 352 00:29:14,240 --> 00:29:18,840 anything? >> Surprisingly not some damage just 353 00:29:16,680 --> 00:29:21,680 because like uh pickleball rackets we're going to have 354 00:29:20,400 --> 00:29:26,480 to order a couple more of those but they're pretty they're pretty 355 00:29:23,720 --> 00:29:30,480 not as expensive of so but surprise 356 00:29:28,280 --> 00:29:33,920 I think it says it really speaks to our community because it it doesn't walk 357 00:29:32,920 --> 00:29:39,080 away. So and it does get used. I I couldn't 358 00:29:37,520 --> 00:29:44,680 ask for better so if anybody has any questions just let us know. Um 359 00:29:42,400 --> 00:29:49,080 so been a great program. Helped a lot of youth which and still 360 00:29:46,600 --> 00:29:51,880 helps youth is really wonderful happy to be part of that. 361 00:29:53,560 --> 00:29:58,400 Okay. >> It's not hot. 362 00:29:56,520 --> 00:30:01,800 » That's okay. The other side isn't as fun cuz it 363 00:30:00,040 --> 00:30:06,520 doesn't have a partner. I can I can just read it. So in our step 364 00:30:04,480 --> 00:30:10,960 efforts that's our tobacco grant from the tobacco fund so 365 00:30:09,080 --> 00:30:16,560 we are working on new strategic planning for 2027. We have received our increased 366 00:30:14,160 --> 00:30:21,040 funding so it about doubled from last year which is wonderful so it's about 20 367 00:30:18,720 --> 00:30:25,000 a little over $23,000 this year which is excellent 368 00:30:22,800 --> 00:30:29,600 and then we are implementing the second chance policy 369 00:30:26,600 --> 00:30:33,040 for the school this fall so that is if a um 370 00:30:30,400 --> 00:30:36,720 a child gets caught with any tobacco or vaping related progress they get put 371 00:30:34,760 --> 00:30:41,120 through an educational program um instead of punitive punishment. If it 372 00:30:39,080 --> 00:30:46,280 becomes a habit then it's so there's there's a hierarchy to this policy, but 373 00:30:43,240 --> 00:30:50,800 that it's really trying to focus on why smoking is so dangerous. So, 374 00:30:48,520 --> 00:30:53,800 uh that will go in this fall, which is really exciting. And then at least two 375 00:30:52,160 --> 00:30:57,880 community members are going to be trained in Strong Start program. So, 376 00:30:55,720 --> 00:31:02,480 this is a program for pregnant women and their families. So, it's focused on 377 00:30:59,840 --> 00:31:06,480 tobacco and marijuana. So, we are trying to educate folks that there's this 378 00:31:04,600 --> 00:31:10,000 program. They have incentives to really try to get them, you know, off to a 379 00:31:08,040 --> 00:31:13,360 healthier start when they're growing their families. So, 380 00:31:11,400 --> 00:31:20,280 very exciting. Okay. Oh, look at that. Perfect. 381 00:31:17,280 --> 00:31:20,280 Okay. 382 00:31:22,200 --> 00:31:28,560 Mhm. >> This is a gram. And my guess it came 383 00:31:25,400 --> 00:31:32,080 from Louisiana due to federal prohibition down there. 384 00:31:30,240 --> 00:31:37,960 » Thank you. Okay. And then CPR remains one of our 385 00:31:34,840 --> 00:31:42,400 most popular programs. So, we have an upcoming course, which I believe is 386 00:31:39,520 --> 00:31:46,920 already full on the 12th, which is a Saturday. Uh that's one of our heart 387 00:31:44,640 --> 00:31:50,320 savers, so for the community members at large. 388 00:31:48,120 --> 00:31:56,040 Uh I believe there's nine or 10 signed up. So, um EMS is on standby in case we 389 00:31:53,560 --> 00:32:00,280 get more folks. Um they have two or three instructors that are going to 390 00:31:57,960 --> 00:32:04,640 co-teach with us if we need it. So, that is really exciting. We've had 20 391 00:32:02,240 --> 00:32:09,560 people certified since May. Um and a few of us were recertified as 392 00:32:06,400 --> 00:32:14,160 instructors, so that was exciting. Um we have since uh our last meeting written a 393 00:32:12,440 --> 00:32:19,960 letter of support for AEDs in the county in collaboration with EMS. So, there is 394 00:32:17,480 --> 00:32:25,080 56 requested uh units, 30 of which we requested for 395 00:32:23,080 --> 00:32:29,040 uh some county buildings. So, that's really exciting. 396 00:32:26,520 --> 00:32:34,800 Um and then we've loaned out our loaner AED to two of the bigger festivals 397 00:32:32,800 --> 00:32:39,760 and events, which was the High Mountain Hay Fever Festival and Airfest. So, in 398 00:32:37,600 --> 00:32:43,320 case a, you know, that we're happy to do so. So, if anybody knows of any upcoming 399 00:32:41,560 --> 00:32:46,800 events and they would like to use our loaner AED, please call us and we can 400 00:32:44,960 --> 00:32:51,320 coordinate that. So, that that was really cool to see that getting used in 401 00:32:48,840 --> 00:32:54,960 the community. All right. 402 00:32:53,160 --> 00:33:01,640 Right. Yeah, and I have a flyer if anybody's interested in the CPR course. 403 00:32:58,080 --> 00:33:01,640 It is very pretty. 404 00:33:02,400 --> 00:33:06,080 Right. >> Oh, sorry. Was that a question? 405 00:33:04,640 --> 00:33:09,120 » Yes. >> So, if the course is already full, 406 00:33:07,480 --> 00:33:11,560 should we keep running it? >> We do that. 407 00:33:10,360 --> 00:33:15,920 » The flyer? >> Yes, cuz then we call and email us and 408 00:33:13,640 --> 00:33:19,800 see if we can get another so yeah. Patrick Fury is our coordinator for that 409 00:33:17,680 --> 00:33:24,040 program. So, we we just call Patrick. Patrick tells us, "Okay, too full." And 410 00:33:22,240 --> 00:33:27,200 then we work on scheduling another date. So, we've really been trying to stick to 411 00:33:25,400 --> 00:33:31,200 a monthly schedule to really provide the opportunities for our community. With 412 00:33:29,960 --> 00:33:35,680 the fires, it's become a little more challenging, but I have solution down 413 00:33:33,000 --> 00:33:40,320 the road that I will ask for at the end of this presentation. 414 00:33:36,800 --> 00:33:40,320 » Honestly, there's no money involved. 415 00:33:40,760 --> 00:33:45,560 » Maybe minimal. But cost-benefit, you'll know. 416 00:33:43,440 --> 00:33:49,560 » Okay. >> Um as for our Maternal Child Health 417 00:33:47,280 --> 00:33:55,040 Program, we attended Family Fun Day. Um we gave a presentation of all things uh 418 00:33:53,040 --> 00:33:59,560 vector-borne illness. So, ticks, we had kids pick off uh 419 00:33:56,560 --> 00:34:03,200 or learn to pick out a tick with big tweezers and a plush tick. It was really 420 00:34:01,320 --> 00:34:08,480 fun. And then, of course, collecting the bats and then um dog bites. So, those 421 00:34:06,560 --> 00:34:11,800 are our three equally most affected that had affected children in the previous 422 00:34:10,360 --> 00:34:15,240 year. So, we did some education and it went over very well. We had some great 423 00:34:13,320 --> 00:34:20,240 goodies and giveaways that were much appreciated. Um we have completed 82 424 00:34:18,040 --> 00:34:24,760 sports physicals. So, that's pretty awesome. And this was all during and 425 00:34:22,440 --> 00:34:27,399 after the fires. So, I think that's a pretty impressive 426 00:34:26,040 --> 00:34:31,639 number. Uh thank you to Amelioration Health for 427 00:34:29,200 --> 00:34:35,879 being our provider for those. Uh we have started our Impact BH grant work. So, 428 00:34:34,520 --> 00:34:39,960 for those that don't know, that is our perinatal mental health grant work. Uh 429 00:34:38,399 --> 00:34:46,760 we have started getting together with our home birthing um providers to try to 430 00:34:43,919 --> 00:34:51,800 set goals in how we're going to approach uh screening for depression and anxiety. 431 00:34:49,720 --> 00:34:57,240 So, we're trying to get everybody using the same tool so that um anybody can go 432 00:34:55,280 --> 00:35:03,680 almost anywhere to get screened in real time with the most accurate screen tool. 433 00:35:00,320 --> 00:35:07,160 So, very exciting work. Um and then we are preparing for our Traveling Smiles 434 00:35:05,480 --> 00:35:11,320 event in November. So, that's where kiddos can get uh free cleanings and 435 00:35:09,400 --> 00:35:15,520 screenings from our dental hygienist from Traveling Smiles. Uh that will be 436 00:35:13,360 --> 00:35:20,120 at the school and we're choosing dates. So, I will keep you guys updated. And 437 00:35:17,880 --> 00:35:24,720 then we are offering our free birth and breastfeeding classes taught by myself 438 00:35:22,400 --> 00:35:30,240 and Brittany Burke um from Root and Flow Doula Services. Uh we had an August date 439 00:35:28,400 --> 00:35:33,720 picked, but we didn't have many moms that signed up. So, we moved it to 440 00:35:32,320 --> 00:35:37,840 October to try to catch some more of those fall winter moms. Um 441 00:35:36,440 --> 00:35:40,760 and that will be hosted at the Lighthouse Pregnancy Center. They're 442 00:35:39,160 --> 00:35:44,520 going to let us host our whole classes there, which is great. Um really 443 00:35:42,800 --> 00:35:49,160 collaborating and exploring other services and making sure folks know 444 00:35:47,000 --> 00:35:52,720 where they are and what they do. Um so, we're excited to be partnered 445 00:35:51,000 --> 00:35:57,840 with them. And they're not charging us for their facilities. It's really nice. 446 00:35:56,560 --> 00:36:02,240 And then onward and upward to our lovely 447 00:36:00,120 --> 00:36:07,400 community outreach and upcoming events, which we have a very full calendar 448 00:36:04,720 --> 00:36:11,720 coming up. Uh so, Silver Cliff Family Fun Day, I will be in attendance with my 449 00:36:09,560 --> 00:36:16,600 little tiny human. Uh we will be giving away first aid kits. I have some really 450 00:36:14,400 --> 00:36:20,920 cute ones um that have my business card inside. So, uh hopefully that will 451 00:36:18,680 --> 00:36:25,320 promote all of our services including, you know, getting youth exposed to the 452 00:36:22,640 --> 00:36:31,920 idea of CPR training. So, comes with like Band-Aids and basic things in the 453 00:36:28,080 --> 00:36:35,320 in the little kit. Um we are working on our animal flu clinic, which will be at 454 00:36:33,440 --> 00:36:40,400 the school. So, we just secured our date at 9:25. So, I will be making a pretty 455 00:36:37,600 --> 00:36:44,400 flyer for that and sending that out. Um we are participating in the senior fair, 456 00:36:42,240 --> 00:36:49,880 which we will be doing flu vaccines on-site. Um that'll be the 2nd at Length 457 00:36:47,200 --> 00:36:53,440 Hall. Very excited to be a part of that. Um I'm on the Aging Consortium that 458 00:36:51,800 --> 00:36:58,680 organizes that event, and they're going to have a specific focus focus on 459 00:36:55,800 --> 00:37:02,880 disaster preparedness for seniors. So, very very exciting. Hope you guys can 460 00:37:00,400 --> 00:37:05,640 make it. It's going to be wonderful. Uh then we're also doing a separate 461 00:37:04,240 --> 00:37:08,880 off-site flu clinic for the senior center, which will be on 10:15. And then 462 00:37:07,760 --> 00:37:12,560 of course our birth and breastfeeding classes that I mentioned on the previous 463 00:37:10,240 --> 00:37:16,840 slide. And then as uh public health staff, we are going to So, myself and 464 00:37:15,040 --> 00:37:22,080 Patrick are going to Public Health in the Rockies. So, this is the first time 465 00:37:18,720 --> 00:37:28,040 that we've been able to go in the past 5 6 years. So, this will be wonderful to 466 00:37:24,520 --> 00:37:33,600 go gain insight on new programs and um all things statewide public health and 467 00:37:31,480 --> 00:37:39,880 bring it back to here um for Custer County. And then Patrick is going to be 468 00:37:37,360 --> 00:37:45,560 a panelist at the CEO the So, the Colorado Opioid Abatement Conference in 469 00:37:42,120 --> 00:37:50,760 October. So, that was really exciting. All right. 470 00:37:47,200 --> 00:37:52,920 » Is it that Is it the 30th the fun day? I thought it was 471 00:37:51,360 --> 00:37:54,520 » Oh, it's the 28th. Sorry. >> Or the 29th? 472 00:37:53,880 --> 00:37:57,400 » 29th. >> Okay. 473 00:37:54,960 --> 00:38:00,640 » Yeah. No, I filled this out. >> Nope. Nope, you're right. Discard that. 474 00:37:59,640 --> 00:38:04,480 » Okay. 29th. >> Okay. It's the 29th, day before. 475 00:38:03,080 --> 00:38:06,080 » Okay. >> We'll we'll change that. 476 00:38:05,640 --> 00:38:09,080 » That's fine. >> Thank you for catching that. 477 00:38:07,080 --> 00:38:09,080 » Yeah. 478 00:38:09,320 --> 00:38:13,080 » See all the fun stuff? It just gets thrown out. 479 00:38:11,120 --> 00:38:16,920 » time keeping up with dates the way it is without somebody changing them on me. 480 00:38:14,880 --> 00:38:19,480 » Right. Hey, just checking to make sure everybody's paying attention. This is 481 00:38:18,160 --> 00:38:21,160 good. >> There's a test. 482 00:38:20,360 --> 00:38:23,680 » There is. There is passed. I should 483 00:38:22,480 --> 00:38:25,840 » started that at the end. >> Should have. 484 00:38:24,160 --> 00:38:30,000 » There's a test. Question and >> eggs in there. That maybe come November 485 00:38:28,680 --> 00:38:34,120 Sarah's going to keep that in mind. I like that. So, we completed our portion 486 00:38:32,440 --> 00:38:39,480 of the county audit in July. So, everything looks really really good. Um 487 00:38:36,920 --> 00:38:44,320 the big exciting news is that we have officially applied for the rural 488 00:38:41,000 --> 00:38:48,600 transformation health funding um with the hospital district. So, we submitted 489 00:38:46,560 --> 00:38:54,160 um our portion of the application is for $42,000 for a part-time nurse case 490 00:38:51,080 --> 00:38:58,480 management position. So, something that we really want to focus on and this is 491 00:38:55,720 --> 00:39:03,200 not age specific. This nurse would be for everybody. So, 492 00:39:01,120 --> 00:39:07,800 the cool part is that EMS will do some case management. What we're here is more 493 00:39:05,360 --> 00:39:11,360 of a supportive role so that the um community paramedics do not get too 494 00:39:09,960 --> 00:39:15,040 bogged down cuz there's only going to be two of them and they're going to be busy 495 00:39:13,640 --> 00:39:20,040 enough. So, we're we're here in a supportive capacity to really try to, 496 00:39:17,320 --> 00:39:23,960 you know, bring more, you know, those higher needs clients that really need 497 00:39:22,040 --> 00:39:27,680 focused education, chronic disease management, and things of that nature is 498 00:39:25,960 --> 00:39:31,640 is where public health is going to come in. So, we're really really hoping we're 499 00:39:29,840 --> 00:39:36,640 supposed to hear, I believe, at the end of September. I do have 500 00:39:36,800 --> 00:39:43,960 a highlight of the grant's uh entirety. It's a 5-year grant. Um 501 00:39:41,320 --> 00:39:47,240 they applied for over a million dollars from the hospital district. Again, very 502 00:39:45,480 --> 00:39:50,240 small portion from us um and they're going to be managing 503 00:39:48,640 --> 00:39:53,240 those funds. So, um if you guys wanted to see the 504 00:39:51,560 --> 00:39:58,800 highlights because I believe the actual grant application was over 40 505 00:39:54,960 --> 00:40:04,280 pages. So, it's a It was a very heavy lift, a lot of collaboration, but this 506 00:40:01,160 --> 00:40:10,440 is a pretty robust program that um has elements of sustainability in it so that 507 00:40:07,400 --> 00:40:15,080 when the grant money goes away that this um can remain. So, I'm personally very 508 00:40:13,240 --> 00:40:17,680 excited. So. >> Okay. you. 509 00:40:15,880 --> 00:40:21,760 » All right. And it will provide a lot more a stronger approach to our health 510 00:40:20,120 --> 00:40:24,320 care infrastructure here in Custer County. So, 511 00:40:23,120 --> 00:40:27,800 glad we got to be a part of it. Thank you guys for granting the permission to 512 00:40:25,680 --> 00:40:31,560 help pursue those dollars. So, uh we are preparing for our county 513 00:40:29,480 --> 00:40:35,360 budget hearing um and we've started to include fringe benefits in all allowable 514 00:40:33,560 --> 00:40:40,560 grants to increase our county savings. So, we're giving back. 515 00:40:38,040 --> 00:40:46,440 We're doing all the things. Um and then 516 00:40:43,680 --> 00:40:52,120 my current age Let this last deposit up. 517 00:40:50,120 --> 00:40:56,800 So, we've had this part-time nursing 518 00:40:53,720 --> 00:41:00,280 position out for quite some time now. I've had one applicant, they were 519 00:40:58,240 --> 00:41:06,760 overqualified. So, what we're hoping to do is to ask 520 00:41:04,120 --> 00:41:10,920 the board to off be able to offer a full-time 521 00:41:09,080 --> 00:41:17,280 position if we find the correct candidate. So, to offset costs, I have 522 00:41:15,000 --> 00:41:23,560 additional grant funding and on the previous slide, more grant funding to 523 00:41:19,960 --> 00:41:29,280 come to support the transition from a part-time to a full-time. So, we're just 524 00:41:26,720 --> 00:41:33,920 we're trying to cast a wider net. We're also proposing that So, the part-time 525 00:41:31,760 --> 00:41:38,720 request was for a maternal child health nurse. We're wondering if it's too 526 00:41:36,600 --> 00:41:44,200 specialized and we need to go for a general public health nurse to broaden 527 00:41:41,560 --> 00:41:48,000 our scope for um a greater amount of applicants because we can train that 528 00:41:46,320 --> 00:41:51,480 specialization. We we don't deal with like premature NICU. So, we're not 529 00:41:49,600 --> 00:41:55,200 dealing with like sick sick babies. Um and if we do have sick sick babies, 530 00:41:53,600 --> 00:41:59,760 my background is in maternal child health. So, they have me. Um so, we're 531 00:41:58,040 --> 00:42:05,960 really just again, we want to bring that overall service to our citizens and 532 00:42:03,240 --> 00:42:11,240 you know, right now it's myself and Deb. We have not replaced um our previous 533 00:42:08,920 --> 00:42:14,400 nurses for 2 years um and we've unfortunately lost a few 534 00:42:13,120 --> 00:42:19,480 along the way. Beth Green and of course Peggy Martin. 535 00:42:16,680 --> 00:42:23,080 And so I think it is now time with all the grant money that we have and have 536 00:42:21,320 --> 00:42:28,960 rearranged that we obtain a full-time nurse. So I 537 00:42:25,840 --> 00:42:33,480 have also kept our previous applicant. So we have the EPR coordinator. I've 538 00:42:31,600 --> 00:42:38,000 kept that in an admin and a part-time capacity. We thought about maybe going 539 00:42:36,360 --> 00:42:42,960 to full-time for that, but we're going to get better use out of a nurse. 540 00:42:40,240 --> 00:42:47,800 Um and we have found a potential applicant. So 541 00:42:45,200 --> 00:42:51,280 that's my request. And again, it's grant funded 542 00:42:49,400 --> 00:42:56,120 and we're giving back fringe which is increasing the savings to the county. 543 00:42:53,480 --> 00:42:59,400 And with the season coming up and all that we've been through, 544 00:42:57,640 --> 00:43:04,240 you know, I know one one of the concerns was not having Tdap vaccinations on 545 00:43:01,320 --> 00:43:08,520 site. With another nurse I can do that. So 546 00:43:05,960 --> 00:43:11,600 that is my proposal. I will await your answer. 547 00:43:09,920 --> 00:43:15,640 Um and let me know if you have any additional questions. 548 00:43:14,200 --> 00:43:18,480 I've got money. I have money. 549 00:43:18,880 --> 00:43:25,320 » A lot of businesses are saying they're tired of smoking around their buildings 550 00:43:23,480 --> 00:43:29,640 and they don't know what the law is. 551 00:43:26,880 --> 00:43:34,120 And all of Main Street, based upon what I have seen, all of Main Street should 552 00:43:31,440 --> 00:43:40,080 be smoke free. That also means vape. You can't vape. 553 00:43:35,880 --> 00:43:43,720 But I think it's it's starting to I'm getting more complaints about it. Um 554 00:43:42,400 --> 00:43:47,880 and I don't know if they just don't know what the law is, they don't you know, 555 00:43:45,840 --> 00:43:52,560 business owners are struggling just to keep businesses open much less know what 556 00:43:50,600 --> 00:43:57,760 everything. So I don't know if we can do our own sort 557 00:43:55,400 --> 00:44:01,200 of campaign and and maybe find some money for some signs that we need to 558 00:43:59,440 --> 00:44:05,640 post uh especially downtown, maybe along the 559 00:44:03,440 --> 00:44:09,440 country store, places where people congregate more so. 560 00:44:07,840 --> 00:44:13,360 » We actually printed off some updated signs. We're waiting to 561 00:44:11,320 --> 00:44:16,360 There's a place shop like an online shop that you can 562 00:44:14,760 --> 00:44:20,520 purchase signs from. And that goes with our staff program. 563 00:44:18,760 --> 00:44:24,000 And Fremont County is also working on improving theirs as well. So, they're 564 00:44:21,960 --> 00:44:28,760 our partner in that. And so, we are working with them to kind of 565 00:44:25,520 --> 00:44:33,040 universalize hey, very clear signage, people understand what that means, how 566 00:44:31,560 --> 00:44:37,120 do we enforce it and things like that. So, yes. And 567 00:44:35,240 --> 00:44:41,480 bringing back to the nurse question, I would like So, Patrick really heads the 568 00:44:39,560 --> 00:44:45,920 staff program right now. But I would like to pay with some staff 569 00:44:43,720 --> 00:44:50,400 dollars for that nurse because then she can focus on or he can focus on 570 00:44:48,840 --> 00:44:54,640 going into the schools and educating our youth from a health care standpoint with 571 00:44:53,040 --> 00:44:57,760 that backing. You know, helping with some chronic 572 00:44:55,880 --> 00:45:03,880 disease management at the blood pressure clinic, tying all of that into 573 00:45:00,600 --> 00:45:09,320 one health care bundle. So, just thoughts and using again differential 574 00:45:06,520 --> 00:45:14,200 funding that that staff funding has been there every year. So, something that 575 00:45:11,360 --> 00:45:17,040 will sustain throughout time. But yes, 576 00:45:15,240 --> 00:45:20,480 we do I've I've received I've worked with 577 00:45:18,200 --> 00:45:24,640 Buck the mayor of Silver Cliff on one complaint. We followed up on it. And we 578 00:45:22,280 --> 00:45:30,120 are getting that business additional signage. So, absolutely. Please and if 579 00:45:28,480 --> 00:45:35,120 anybody has those complaints, have them call our office so we can navigate them 580 00:45:31,840 --> 00:45:38,200 to resources and help educate and and things like that. So. 581 00:45:39,840 --> 00:45:47,400 » Awesome. And then I wanted to ask you in addition. So, let me know if you want to 582 00:45:44,080 --> 00:45:52,560 like come back to the request for staffing and we proceed with this second 583 00:45:49,960 --> 00:45:57,000 question or So, I just wanted to ask the Board of 584 00:45:55,200 --> 00:46:00,960 Health if there was any other sites that you guys would like us to do an offsite 585 00:45:58,840 --> 00:46:05,280 flu clinic for that we missed. So, we're doing the senior center, the school, 586 00:46:03,160 --> 00:46:09,680 senior fair, we do one in Wetmore, and then we do uh Valley. So, those are our 587 00:46:07,760 --> 00:46:14,440 five. So, if you guys think of any additional ones, please let us know so 588 00:46:11,080 --> 00:46:17,840 we can plan those out appropriately. And then let me know if there's anything 589 00:46:16,440 --> 00:46:23,200 I can do to improve our presentation format besides 590 00:46:20,000 --> 00:46:26,760 getting the day right on one thing. >> The air quality monitor, we have that 591 00:46:24,880 --> 00:46:29,800 from Wetmore, it's in the annex. I think that's the one that goes 592 00:46:28,640 --> 00:46:31,840 That's the one that's been >> Oh, yeah, it needed 593 00:46:31,280 --> 00:46:36,840 » Okay, yeah. >> And we still have the one internal, it's 594 00:46:33,960 --> 00:46:40,200 in our office, that indoor air monitor. We haven't sent it back yet. We still 595 00:46:38,120 --> 00:46:44,280 have it. So, when they do, we'll send it back. Um 596 00:46:42,080 --> 00:46:48,760 and that's another one too that that's a project I know we had visited as a Board 597 00:46:46,360 --> 00:46:53,800 of Health to purchase those, but with budget being tight, we'll have to 598 00:46:51,000 --> 00:46:56,960 see where priorities end up lying and um if there's any additional grants that we 599 00:46:55,080 --> 00:47:00,600 can apply for that we can we can do things of that nature, 600 00:46:59,440 --> 00:47:05,640 so. >> And then the airport does need a new 601 00:47:02,840 --> 00:47:09,040 AED. Theirs is out of date. So, do you want to send me the information 602 00:47:08,120 --> 00:47:13,240 and uh JC and Kim 603 00:47:11,640 --> 00:47:16,680 the information so they can put that in their budget and what that cost is. 604 00:47:15,200 --> 00:47:20,720 » Sounds good. If they want to go with the AED unit 605 00:47:17,560 --> 00:47:25,680 » Um it's just as well. We just as well keep it the same throughout the years. 606 00:47:23,920 --> 00:47:29,160 » Good. Yeah, I believe those are up to $1,000, but I'll get you an exact quote. 607 00:47:27,320 --> 00:47:32,160 I think Patrick has been talking with 608 00:47:30,880 --> 00:47:37,480 somebody here, but I'll make sure. >> Okay, perfect. 609 00:47:35,040 --> 00:47:37,480 » Awesome. 610 00:47:39,880 --> 00:47:45,560 » Okay. >> If they have 611 00:47:43,480 --> 00:47:48,480 One thing I'll mention cuz you mentioned uh 612 00:47:46,840 --> 00:47:51,320 the the environment and what that's doing with rabies and all that, bears 613 00:47:50,480 --> 00:47:53,840 are a problem. >> Yes, they are. 614 00:47:52,120 --> 00:47:57,920 » And um and I can tell you firsthand that 615 00:47:55,880 --> 00:48:02,040 we were massacred, all our chickens got it yesterday the day before. 616 00:48:00,080 --> 00:48:04,520 And then I talked to Justin Kroll, so you know, and you can pass this along to 617 00:48:03,520 --> 00:48:08,680 you. Uh the ants the reason it is is because 618 00:48:07,360 --> 00:48:12,040 of the drought. They're coming for water, but more 619 00:48:09,920 --> 00:48:17,040 importantly, the drought caused and remember how hot it got in February and 620 00:48:13,880 --> 00:48:21,920 January? So the scrub oak didn't make any acorns this year 621 00:48:19,040 --> 00:48:26,920 and other berries. And the bear needs 200,000 622 00:48:23,520 --> 00:48:30,920 calories a day in order to get ready for hibernation. 623 00:48:28,520 --> 00:48:34,320 And so their answer is that they can't control them. They've had 1,100 calls. 624 00:48:32,440 --> 00:48:37,480 They know all about the bear. And this was a 625 00:48:35,760 --> 00:48:40,640 I call it a baby bear, but it was big enough to go rip the door off chicken 626 00:48:39,240 --> 00:48:44,640 coop, meat everything inside, and just leave a few feathers. 627 00:48:42,120 --> 00:48:48,960 Um and the answer he's got right now is he's issuing hunting tickets. Who I'm 628 00:48:47,320 --> 00:48:52,920 going to shoot them. And control populations a hell of a 629 00:48:50,920 --> 00:48:56,040 little bit too much anyway. So they're going to give uh 630 00:48:54,680 --> 00:49:00,080 the land owner people that are having problems that where it is an issue and 631 00:48:58,400 --> 00:49:03,480 we have we have to shoot them. >> That's good to know. We actually had our 632 00:49:01,520 --> 00:49:07,840 first bear in the entire time I've lived in our neighborhood, just like 6 7 633 00:49:05,200 --> 00:49:11,280 years. Um um which was quite surprising. And luckily I I live next to a wonderful 634 00:49:09,760 --> 00:49:14,240 dedicated posse member who's >> Okay. Took care. 635 00:49:12,240 --> 00:49:17,400 » Very good. So >> They'll They'll give you a They'll you 636 00:49:15,560 --> 00:49:20,360 have We still have to buy it just like anything else, but we're not going to 637 00:49:18,880 --> 00:49:22,520 have to wait in the pool for a hunting license to go hunting. 638 00:49:21,920 --> 00:49:26,040 » Good to know. >> So pass that on. 639 00:49:24,080 --> 00:49:31,080 » Well, thank you, Commissioner. Oh, and then one last thing. Um 640 00:49:28,960 --> 00:49:34,680 I was asked by the Aging Consortium to give you guys They are moving forward 641 00:49:32,960 --> 00:49:39,200 with the launching of the Neighbors Helping Neighbors program. And so this 642 00:49:37,160 --> 00:49:43,120 is for seniors and for anybody who wants to volunteer to help seniors. Uh Yukon 643 00:49:41,600 --> 00:49:47,920 is heading this up. It's going to be a very very cool system which then in turn 644 00:49:46,480 --> 00:49:52,960 will help us with our next disaster because they will know if folks are in 645 00:49:50,640 --> 00:49:57,240 need and what their needs are because they will be connected with the 646 00:49:54,240 --> 00:50:01,000 neighbor. So, um these pamphlets are great. I have lots more if you know of 647 00:49:59,760 --> 00:50:05,280 places to you know to distribute and we'll get you 648 00:50:03,920 --> 00:50:09,240 going. But this is very exciting and they did a really really good job on 649 00:50:06,520 --> 00:50:11,960 this pamphlet. >> Is Is Cheryl's going to repeat this? 650 00:50:11,480 --> 00:50:14,120 » Yes. >> From your copy of it? 651 00:50:12,880 --> 00:50:17,120 » Yes. >> Okay. Okay. 652 00:50:15,840 --> 00:50:20,120 Oh, thank you Sarah. Good job. >> Thank you very much. 653 00:50:22,120 --> 00:50:29,520 » All right. Any unfinished business? None here. 654 00:50:26,960 --> 00:50:32,960 And I don't think there's any new business. 655 00:50:33,680 --> 00:50:37,040 I don't know. Public comment? 656 00:50:37,400 --> 00:50:40,200 Is anybody online? 657 00:50:40,320 --> 00:50:46,640 » There was an incident in Pennsylvania recently where a mom shot her husband in 658 00:50:44,520 --> 00:50:51,800 the backyard or something. That's what Justin News responded to cuz 659 00:50:49,560 --> 00:50:54,600 the deputy was investigating. This might be an attempt Sounds like 660 00:50:53,400 --> 00:50:58,280 it's an attempt to get ahead of problems. 661 00:50:56,120 --> 00:51:01,640 » Oh, bears in there. That is a problem. >> Yeah. 662 00:50:59,960 --> 00:51:05,040 » Yeah, they That's what they decided to do to like 663 00:51:03,440 --> 00:51:07,760 Like this this guy is like I said 1,100 things. 664 00:51:07,120 --> 00:51:11,760 » Shrink the population. >> He can't trap him quick enough to do 665 00:51:09,920 --> 00:51:14,400 anything with him if he did. It didn't do him any good cuz they're going to 666 00:51:12,760 --> 00:51:17,200 come right back. They're hungry. Yeah, they got to eat. 667 00:51:15,760 --> 00:51:20,160 » Well, there's no berry I mean it's not just the It's not just the acorn that's 668 00:51:19,200 --> 00:51:24,600 in the berries. >> Oh, yeah, there's lots more than that. 669 00:51:22,480 --> 00:51:25,720 » I don't know. I mean there's nothing. >> Mhm. 670 00:51:25,040 --> 00:51:27,920 » For anything. >> Mhm. 671 00:51:29,440 --> 00:51:36,280 » Yeah, what more they eat? The choke cherries. 672 00:51:32,560 --> 00:51:36,280 I haven't seen those. 673 00:51:36,960 --> 00:51:41,640 » All right. Anybody online for public comment? 674 00:51:39,920 --> 00:51:46,000 Okay. All 675 00:51:44,320 --> 00:51:49,280 All for adjournment. Thanks, gents. Thanks,