Board of Health

City of Columbia, Missouri Meeting Minutes Board of Health Thursday, October 13, 2016 Public Health and Regular Human Services 5:30 PM 1005 W. Worley I. CALL TO ORDER The Columbia/Boone County Board of Health met for a regularly scheduled meeting at 5:30 p.m., Thursday, October 13, 2016. The meeting was held at the Columbia/Boone County Department of Public Health and Human Services. Public Health & Human Services Assistant Director Scott Clardy represented the staff. Dianna Ledgerwood, Administrative Support Assistant, recorded the minutes of the meeting. After determining there was a quorum, Dr. Szewczyk called the meeting to order at 5:37 p.m. Present: 8- Cynthia Boley, Sally Lyon, Colin Malaker, Lynelle Phillips, Jean Sax, David Sohl, Denise Stillson and Michael Szewczyk Excused: 3- Harry Feirman, Elizabeth Hussey and Mahree Skala II. APPROVAL OF AGENDA Dr. Szewczyk requested attendance at Board Meetings be added to New Business. A motion was made, seconded, and carried for the approval of the amended Agenda. III. APPROVAL OF MINUTES Jean Sax advised the committee she and Mahree Skala are serving on is the Board of Health and Boone County Commission for the Legal Judicial Task Force. Dr. Lyon reported the minutes indicated Dr. Malaker was both present and absent. They should be changed to indicate he had an excused absence. A motion was made, seconded, and carried for the approval of the minutes with stated changes. IV. REPORTS Director's Report Scott Clardy reported the Flu Clinics have been extremely busy. Initially there was concern that there might not be enough vaccine available due to the flu mist not being used, but that has not been the case. The City of Columbia, Missouri Page 1 Printed on 1/6/2017 Board of Health Meeting Minutes October 13, 2016 Department recently had three staff members, Andrea Waner, Carrie Utterback, and Dominique King, recognized for their contributions related to city’s initiative for diversity. The North Central Community Advisory Group (NCCAG) is aware of our efforts toward establishing a prescription drug monitoring program in the City and Boone County. They asked that we share their brochure on Hepatitis C as growing evidence suggests that abusers of prescription opioids are shifting to heroin as prescription drugs become less available. An increased use of heroin means an increase in Hepatitis C rates and heroin-related overdose deaths. County Commissioner Report Janet Thompson was not at the meeting. Jean Sax advised the Judicial Review Task Force is focusing on mapping to see what is available in areas of housing, mental health first aid, training, etc. V. OLD BUSINESS Discussion of Tobacco Retailer Licensure Attachments: North Central Community Advisory Group (NCCAG), overview related to Hepatitis C Columbia/Boone County Board of Health Subcommittee Meeting Minutes for 9-12-16 ChangeLab Solutions brochure "Tobacco Retailer Licensing, An Effective Tool for Public Health, September 2012" The Center for Tobacco Policy & Organizing brochure "Matrix of Strong Local Tobacco Retailer Licensing Ordinances, September 2016" The Center for Tobacco Policy & Organizing brochure, "Matrix of Local Ordinances Restricting Tobacco Retailers Near Schools, July 2013" FDA Law and Penalties/Columbia Law and Penalty Dr. Szewczyk provided a copy of the minutes from the Subcommittee Meeting held September 12, 2016. Members attending were Dr. Szewczyk, Lynelle Phillips, Cynthia Boley, and David Sohl. He also provided several brochures related to tobacco retail licensing (see Presentation Handouts). A lengthy discussion followed. The Board recommended the City Council start a licensing program. Revenue from the licensing would be used to cover the expense of two annual compliance checks including education of merchants. However, the Board did not recommend any fee amounts. Their recommendation will include using a fee calculator to set licensing fees. Further discussion focused on fines for violations. The Board voted to recommend a license be revoked for 30 days if a seller accumulates five or more violations within a two-year period. Members agreed revenues from noncompliance fines should go to the health department for tobacco retailer education. City of Columbia, Missouri Page 2 Printed on 1/6/2017 Board of Health Meeting Minutes October 13, 2016 The board was unanimous in all its recommendations except for the amount of the fines levied for non-compliance. Regarding the fines, the board heard testimony from James Greer, representing a business that owns multiple gas station/convenience stores. He indicated that he was not against licensing but felt that the current fine structure should be left in place He noted that since the City does not do compliance checks, there is no evidence that it will not work as an effective deterrent. He felt that before fines are raised, it should be seen whether or not the current fine structure is effective. There was considerable discussion and the board voted 6 to 2 to keep the current fine structure. Ms. Boley and Ms. Phillips felt that the fines should be higher, consistent with best practices, the fine structure recommended by the Tobacco Control Legal Consortium, and voted against the measure. Dr. Szewczyk will prepare a letter for the Council and will send it to all Board Members for comments prior to submitting. VI. GENERAL COMMENTS BY PUBLIC, MEMBERS AND STAFF James Greer presented comments on behalf of tobacco retailers. VII. NEW BUSINESS Dr. Malaker advised he will be resigning from the Board at the end of the year. He knows of a dentist who may be interested in serving on the board. He feels they would do a good job and will encourage them to apply. Dr. Szewczyk feels there should be a protocol for attendance at the Board Meetings. Business cannot be conducted without a quorum. There was discussion about meeting reminder notices and it was determined meetings should be cancelled 24 hours in advance if there is not a quorum. Board members were reminded that when they receive the agenda and draft minutes for review prior to a Board meeting, they should respond at that time as to whether or not they will be attending the meeting. VIII. NEXT MEETING DATE November 10, 2016 IX. ADJOURNMENT The motion was made to adjourn at 7:45 p.m., seconded, and carried. City of Columbia, Missouri Page 3 Printed on 1/6/2017 Board of Health Meeting Minutes October 13, 2016 Members of the public may attend any open meeting. For requests for accommodations related to disability, please call 573-874-7214. In order to assist staff in making the appropriate arrangements for your accommodation, please make your request as far in advance of the posted meeting date as possible. City of Columbia, Missouri Page 4 Printed on 1/6/2017