1. Columbia/Boone County Public Health & Human Services
Trina Teacutter, RN, BSN
Nursing Supervisor

2. Columbia/Boone County Public Health & Human Services
69 FTEs
$7.5 million budget
City/County Health Department
Nationally accredited
56% of budget from outside sources
We prevent the spread of disease. We provide flu shots, STD testing, and we are ready to respond to any disease outbreak.
We protect against environmental hazards. We make sure daycares, lodging facilities, and restaurants are all clean and safe environments.
We promote health behaviors. Our staff can provide you with the health information you need to make healthy decisions about exercise, eating right, quitting smoking, and safe sex.
We prevent injuries and illness. We work to keep animals and people safe and healthy. We protect people from loose or wild animals.
We help you get the health services you need. Our social services staff can help you find the services needed to live a healthy life. Our WIC program provides nutrition support for local women, infants, and children.

3. Columbia/Boone County
Columbia Population-116,906
Boone County Population-172,717
Boone County- 691 square miles
Other Boone County communities include: Hallsville, Harrisburg, Rocheport, Centralia, Sturgeon and Ashland

4. Columbia/Boone County Public Health and Human Services
Administration
Epidemiology, Planning and Evaluation
Environmental Health
Animal Control
Community Health Promotion
WIC
Human Services
Community Health
Communicable Disease Prevention and Control
Public Health Nursing
Clinical Preventive Services

5. Administration Vital Records Public Information
Birth certificates
Death certificates – 6994
Domestic Partnerships Registered - 25
Public Information
198 media interactions (2016)
Responsible for the overall administration of the department. Responsible for the interface between city and county governments, state and federal public health agencies, and providing the staff support to the Board of Health. Our Public Information Specialist is housed in administration and responsible for assisting in communicating health messages through a variety of channels across the department.

6. Epidemiology, Planning and Evaluation
Community health assessment and program evaluation
Epidemiology and disease outbreak coordination and response
Public Health emergency preparedness
Quality improvement
Grant writing
This unit works hand in hand with administration to monitor diseases and conditions in the community, to lead disease outbreak coordination, and to assist every unit in the department with quality improvement and evaluation activities.

7. Environmental Public Health
Regulatory Inspections:
Food Establishments – 900
Daycares – 155
Lodging – 41
Pools – 159
Tattoo Establishments – 12
County Nuisance Ordinance Enforcement
Mosquito Prevention and Control
County On-Site Sewage -244 permits
Environmental Health is the regulatory arm of the department. Inspections of food facilities, daycares, lodging, and pools are a major focus. The Environmental Public Health Specialists really focus on prevention. Working with the facilities we inspect to help them improve. Mosquito prevention and control is a hot topic right now with Zika, which I plan to cover towards the end. We have had a robust vector control program in place since 2003.

8. Animal Control Calls for Service – 3004
Human Bites -189
Dangerous/Aggressive Animals – 69
Wildlife – 392
Cruelty Investigations – 406
Dogs Impounded - 519
Animal Control is a public safety related function in city and county government. AC Officers enforce the ordinances and the Central Missouri Humane Society houses and cares for the animals for a 5 day holding period by law through an annual contract. Unclaimed animals are turned over to CMHS for adoption.

9. Community Health Promotion
HIV Testing and Education
Live Well Restaurants 
Stock Healthy Shop Healthy 
Community Gardens
Worksite Wellness Program
Teen Outreach Program (TOP)
Fit-Tastic
Cooking Matters Program
HIV Testing and Education 37 counties- this year we have added rapid Hep C testing and trained 5 new local public health agencies to do rapid HIV/HCV in their own county.
Added 5 new restaurants, bringing the total to 24 in Boone County 
4 corner stores throughout the county have worked with us and are increasing the amount of healthy foods they have to offer 
Worksite wellness – partner with the City and CPS. CPS had 389 employees in their first walking challenge. We trained three worksites to offer smoking cessation to their employees. 
TOP is in 9 schools with 10 after school clubs
Fit-tastic 124 kids and their families. Key partners are WIC South Providence Peds, MU Family and Community Medicine, Centro Latino

10. WIC (Women, Infants and Children)
29,976 visits in 2016
74.5% of our mothers breastfeed  
Lunch in the Park – 4,193 lunches last summer at Douglass Park
Partnered with Project LAUNCH to provide 108 developmental screenings and refer the children with delays to occupational therapy assessments, hearing evaluations and mental health assessments
Pregnant and postpartum women and their infants and children through age 5. This is a nutrition education and supplementation program. All participants have a nutrition risk factor and have income under 185% of federal poverty levels. Educational classes are required monthly to be a participant. Our agency has one of the highest rates of breastfeeding moms. This group also coordinate the summer food program funded by the USDA to offer lunch daily in the summer for young people under 18. This program has strong partnership with other agencies to make it happen. Rotarians volunteer their time to help serve lunch. We contract with CPS to make the healthy lunches, Parks and Rec, the Daniel Boone Regional Library are just a few examples of outside groups who come in to create events and learning opportunities for the youth over the lunch hour.

11. Human Services 68 families/851 home visits - Healthy Families America
641 -Rx/copay assistance clients
100 - medical supplies clients
397 – clients counseled during pregnancy tests
392 – clients pregnancy support services
982 – applicants for utility assistance
Annually coordinates the heating /cooling shelters
Administers the City Social Services Contracts

12. Community Health 8 full-time RNs 2 full-time NPs
1 full-time communicable disease specialist/lab analyst
1 full-time nursing supervisor (RN)
1 full-time community health manager (NP)
2 part-time NPs
Nurses are generalists, but also specialize in an area. All nurses cycle through walk-in and clinical services (immunizations, pregnancy testing, BP/BG screening, birth control method pick up/administration, STD treatment, TB testing and treatment, blood draws, phone calls, results, walk-in questions). Staff Refugee Clinic, Immigration Clinic/Lead Testing, Smoking Cessation Counseling. Each nurse also has a program/project they lead/manage: TB/CD, CCHC & Other Health Education, Smoking Cessation/Prevention, Refugee Services, Immunizations, Health Literacy, Quality Improvement, Lead Case Mgmt.

13. Communicable Disease Prevention and Control
Children/Adult Immunizations – 19,349
Reportable Disease & Conditions
Sexually Transmitted Infections –1,397
Influenza – 782
TB Infection – 132
Active TB Cases – 2
Other Reportable Conditions - 698
This unit is part of our community health division and responsible for the investigation and control of communicable diseases. This is done through coordinating with the health care community and local labs to make sure that cases are reported. Doing contact investigations as needed to make sure that diseases are not spread, and completing state and federal requirements to make sure all reportable diseases are investigated thoroughly and completely. An important part of our communicable disease prevention work focuses on influenza vaccinations. We are really proud of the partnership we have with the Lichtenstein Foundation and MU Health Care to provide free flu shots in the school setting to all children in Boone County schools K-12 both public and private.

14. Public Health Nursing Services
On-Call Nursing/Education
1,717 tuberculin skin tests placed and read
686 pregnancy tests
70 training hours to childcare facilities
Smoking Cessation counseling and patches
Nurse taught well baby classes
Public Health Nursing Services is a section in our Community Health Division. These highlight just a few of the activities of the staff in addition to immunization activities in the office. There is always a nurse on call available to field calls from the public. They also do a lot of teaching too.

15. Clinical Preventive Services
2,317 STD clinical visits
238 Refugee Visits
282 Women’s Health Exams
Finally, our Clinical Preventive Services, also in our Community Health Division uses nurse practitioners to diagnose and treat sexually transmitted infections, conduct refugee screening exams, a limited amount of women’s health services (including some breast and cervical cancer screening), and exams for our dental pain relief program. We have 2 full time nurse practitioners on staff in the department.

17. Trina Teacutter, RN, BSN Nursing Supervisor Columbia/Boone County Public Health & Human Services 1005 W. Worley, Columbia, MO