From the Health Commissioner…

In 2013 The Massillon City Health Department began its journey toward Public Health Accreditation. Accreditation documents the capacity for the Health Department to carry out the core functions required by the State and assures that the Health Department has an appropriate mission and purpose and is able to carry out those functions. Two of the steps required for pre-application have been completed – a Community Health Assessment and a Community Health Improvement Plan. The third and final step, a strategic plan, is in progress by our newly-formed SPARC (Strategic Planning and Resource Committee) group. The entire staff of the Massillon City Health Department is committed to the extensive work involved to become fully accredited.

Terri Argent, RS, REHS Health Commissioner

Administration and Staff

Top: Ryan David, RS, REHS, Environmental Health Director; Denaye Hagi, RN, Public

Health Nurse; Terri Argent, RS, REHS, Health Commissioner; Standing: Diana Martin, RN,

Director of Nursing; Vicki Theis, Registrar, Notary; Vicki Porter, WIC Clinical Assistant;

Patsy Neff, Mature Services WIC Assistant; Kneeling: Erin Wise, RD, LD, WIC Supervisor and

Penni Roderick, Deputy Registrar

Massillon City Health Department

2013 Annual Report

Health Department Terri D. Argent

Health Commissioner/Administrator Phone: 330-830-1712 Fax: 330-830-1798

www.massillonohio.com/health

The Supplemental Nutrition Program for Women, Infants and Children (WIC) helps income-eligible pregnant, postpartum and breastfeeding women, infants, and children up to five years of age who are at health risk due to inadequate nutrition. The program improves pregnancy outcomes and reduces infant mortality by reducing the incidence of low birth weight and provides infants and

children with a healthy start in life by improving poor or inadequate diets.

Applicants to the program must live within the city limits, possess a medical or nutritional risk, and be within income guidelines.

WIC provides nutrition education in the form of classes and individual one-on-one support by a registered

dietitian; breastfeeding education and support; and supplemental, highly nutritious foods, such as milk, eggs, juice, cereal, beans, peanut butter, whole grains, fruits and vegetables.

Our WIC Division runs a farmers market program during the summer months, which helps participants access seasonal fresh fruits and vegetables at our local farmers markets, which, in turn, also helps our local farmers with revenue. WIC works with other community agencies to provide appropriate referrals to prenatal and pediatric health care and other maternal and child health and human service programs. In 2013 the average monthly caseload was 850 participants. WIC has continued to be a place for locals to come, not only to receive food assistance, but to empower themselves as individuals to serve better and more nutritious meals to their families. WIC continues to change lives in the community by working as a partnership with parents to build strong and healthy children.

The Environmental Division enforces the Ohio Food Code, Ohio Revised Code, and local Massillon City Ordinance.

We enforce the Ohio Food Code by issuing and selling yearly licenses to new and existing food service facilities. These facilities must meet the requirements set forth in the code in order to operate and sell product to the public. Inspections are conducted periodically to determine compliance with all laws. The frequency of inspection varies, depending on the level of classification. For example, levels range from I to IV, with a Level I

conducting basic services such as selling prepackaged foods like chips and candy. In contrast, a Level IV, which is considered a full-service restaurant, prepares foods from a raw state and serves and holds such hot or cold products throughout the day.

In addition to food service inspections, we also license and inspect public and semi-public swimming pools, mobile food service operations, temporary food service operations (such as booths at a festival), and tattoo and body piercing facilities. All are subject to compliance with State codes.

The Environmental Division also helps to enforce local and state nuisance laws. This means that city residents are required to live by set standards that are enforceable by law. These standards include such things as grass height limitation, required garbage service, restrictions on littering and illegal dumping, and the prohibiting of junk, rubbish and non-functional autos from accumulating on city lots. This division governs all instances in which a situation or scenario may be deemed a “public health nuisance”.

Lastly, we are required to be participants, if need be, to respond and fill various roles in the event of a local crisis or natural disaster.

Massillon City Health

Department

Environmental Health Statistics for 2013

Licensed Programs – Licenses Sold

Food Service/

Food Establishment Operations...193

Mobile Unit Food Service.……....……..22

Temporary Food Service.……....…....…24

Vending Locations.……..…...….…....…..48

Swimming Pools.……………..…..………….8

Food Protection Inspections Made

Food Service Operations/Retail

Food Establishments.……...……......…294

Mobile/Temporary.…………………..……62

Vending Machine Inspections….....…51

Food Complaints Received .……....….21

Consultations …………………..……..…….25

Plan Reviews (new or remodeled) …......9

Nuisance Control

Residential Complaints..…….….....….493

Commercial Complaints...….….....……17

Inspections Made.……….….....…...…...597

Orders Issued.……………….…..….….....377

Orders in Compliance …...........…..…190

Other Environmental Inspections

Swimming Pools.…………..…..….….....…39

Mobile Home Parks.……...….…..…….......8

School Environment Inspections......15

Smoking in Public Places Investigation...13

2013 Revenue

General Fund Monies……....…$328,660

Nursing/WIC……………..……..……180,025

Vital Statistics Fees……..…....….….67,027

State Subsidy………………....….……. 7,157

Environmental Health……..….…..75,505

Total Revenue……....….…..$658,374

2013 Expenditures

General Administration........... $29,573

Nursing/WIC/Lab Fees………..$247,233

Environmental Health…...…..….171,053

Vital Statistics……………...…...…..163,016

State Fee Remittances…..….....….47,499

Total Expenditures…....…..$658,374

Environmental Health

WIC

Public Health Nursing

Child Immunizations

149 Act HiB 95 Menveo 2 DT 105 Pediarix 108 DTap 34 Pentacel 205 HPV 75 Polio 298 Hepatitis A 198 Prevnar 13 54 Hepatitis B 65 Rotovirus 338 Influenza 3 Td 55 Kinrix 139 Tdap 105 MMR 166 Varicella 66 MMRV

2,260 Vaccines Administred

Adult Immunizations

32 Hepatitis B 29 Influenza 6 Td 6 Tdap

73 Vaccines Administered

Tuberculosis Clinics

TB Tests Administered 61 Positive Reactors 1 Direct Observation Therapy 0

The Massillon City Nursing staff delivers a variety of services to the community which include:

Childhood Immunizations Adult Immunizations (limited selection) Tuberculosis Testing Communicable Disease Control and Investigation Bureau for Children with Medical Handicaps (BCMH) Program Childhood Lead Poisoning Case Management Perinatal Hepatitis B Case Management Hepatitis B Case Management Sudden Infant Death home visits and follow-up with the family Assistance with Lions Club applications for eye glasses

Communicable Disease Investigation helps to improve the quality of life for all Massillon City residents. A communicable disease is an illness caused by an infectious agent or its toxins that occur through the direct or indirect transmission of the infectious agent or its products from an infected individual or via an animal, vector, or the inanimate environment to a susceptible animal or human host.

The State of Ohio has mandated that certain communicable diseases be reported to the local Health Departments. Depending on the type of disease reported, Public Health Nurses conduct follow-up investigations which include interviewing persons affected by communicable disease, providing education on the disease, and how to prevent transmission in order to minimize or stop the spread of the specific illness. Depending on the illness, these recommendations may include vaccination, treatment of other individuals exposed to the illness, or temporary restriction from work or school.

A specific trend that was noted in 2013 was the increase of Shigella cases in our local population. Shigella, a diarrheal illness, spreads easily from person to person, particularly

in the young child or toddler population. The cyclical increase was first noted in October. Over the next several months the illness spread to numerous daycares and other facilities throughout Stark County.

Our Public Health Nursing and Environmental staff made site visits, provided recommendations to each facility on how to prevent the spread of Shigella, and offered printed educational material. Our staff followed up with each facility for several weeks after the cases were identified. No additional cases were reported after the site visits were made.

Disease Statistics (These diseases are reportable by Ohio Revised Code)

2012 2013 Campylobacteriosis 2 1 Chlamydia 144 121 Cryptosporidiosis 2 - Giardiasis - 4 Gonorrhea 67 45 Hepatitis B, Chronic 3 1 Hepatitis C, Acute 1 - Hepatitis C, Chronic 33 24 Legionellosis - 1 Lyme Disease 1 - Meningitis, Aseptic 4 3 Mycobacterial disease (other than tuberculosis) 1 2 Salmonellosis 1 3 Shigellosis 1 13 Varicella 6 - Influenza associated hospitalization 9 32

BCMH (Bureau of Children with Medical Handicaps)

Active Clients ............................................................. 86 BCMH Phone Consultations/Home Visits ……............. 61 Help Me Grow Referrals .............................................. 7

Childhood Lead Case Management

Reported elevated lead levels .................................. 1

Lead levels requiring case management ………………. 0 Lead home visits ...................................................... 1

2013 Board of Health

Board terms are staggered and expire on December 31

Rob Church, 2017; Jeffrey Thornberry, President Pro-tem, 2018; Kathy Catazaro-Perry, President; Howard Kemp, 2015 Beverly Lewis, 2014; Dr. Louis Schaner, DO, Medical Director; Jo-Ann Ryder, 2017

2013 City Council Health & Welfare Committee

Nancy Halter, Chairperson Andrea Scassa Quenessa Hampton

Board meetings are held in the Health Department Conference Room at 3:30 pm on the third Tuesday of each month

Meetings are open to the public

Vital Statistics

10 Leading Causes of Death In 2013

Cardiac/Heart disease….......…….……158

Cancers………………………………..………....…...85

Alzheimers/Dementia….………………….56

Pulmonary/Emphysema/COPD.....53

Stroke/Cerebrovascular Accident.....23

Sepsis…………………………..………………..….….21

Pneumonia…………………………………....……16

Renal/Kidney disease……...……...…...….13

Accidental (3 vehicular, 9 other)....12

Cirrhosis/Liver disease…......................…..9

All Other Causes………………………..……..53

Total………………...........……....499

2013 Vital Statistics

Births filed ………………...................…….7 1,313 certified copies were issued

Deaths filed………………………......…….499 Fetal Deaths filed..................... 1

1,904 certified copies were issued

2013 Animal Bite/Exposure Reports

Dogs…………………….……....……85

Cats…………………….……...…..….32

Bat Exposures……….….....…...….0

Other Animals…………....……..…2

Total………………....………..119

There were no positive tests for rabies

The Vital Statistics Division monitors all births and deaths for the City of Massillon. Birth and Death Certificates are required for drivers’ licenses, passports, marriages, retirement benefits, burials, title transfers, and other circumstances, and are available for purchase from this Division. The statistics that are taken from birth and death records are necessary for medical research, infant mortality studies, cause of death tables and other important research and studies.

This division also monitors health concerns such as animal bites, providing information which is vital for rabies prevention in the community. Finally, the busy employees in “Vital Stats” process the payroll, pay the bills, and keep the budget balanced for the entire Health Department.

The only births that now occur in Massillon are home births. We had seven home births in Massillon this year, and we congratulate those proud parents.