1. Sussex County Department of Environmental and Public Health Services Who We Are What We Do

2. What’s so important about Public Health?

3. Our mission is to protect, promote, maintain and improve the health and quality of life for Sussex County residents and visitors through a responsive, well-managed, organized community effort Herbert J. Yardley Administrator/ Health Officer

4. Department of Environmental and Public Health Services Administrative Services Administrative Services Office of Environmental Health Office of Environmental Health County Environmental Health Act (CEHA ) County Environmental Health Act (CEHA ) Hazardous Materials (HAZ-MAT) program Hazardous Materials (HAZ-MAT) program Emergency Preparedness Program Emergency Preparedness Program Office of Public Health Nursing Office of Public Health Nursing NJCEED NJCEED Special Child Health Services Special Child Health Services Office of Mosquito Control Office of Mosquito Control Office of Weights and Measures Office of Weights and Measures

5. Registered Environmental Health Specialist Also known as a Health Inspector or Sanitarian Also known as a Health Inspector or Sanitarian What do they do? What do they do? Inspections to ensure health and safety Inspections to ensure health and safety Enforcement of public health related laws Enforcement of public health related laws

6. Review Plans, Issue Permits & Perform Inspections Nuisance Complaints & Violations Food Protection & Inspections Office of Environmental Health

7. Environmental Services & Programs Monitors lakes, streams and drinking water for pollutants Monitors lakes, streams and drinking water for pollutants Rabies & Zoonosis Control Rabies & Zoonosis Control Childhood Lead Poisoning Childhood Lead Poisoning Environmental surveillance Environmental surveillance Body Art Body Art Tattoos & body piercing Tattoos & body piercing Campgrounds Campgrounds Youth Camps Youth Camps

8. Environmental Services & Programs County Environmental Health Act (CEHA) N.J.S.A. 26:3A-21 Ground Water Pollution Control Ground Water Pollution Control Private Well Testing Act Private Well Testing Act Noise Control Program Noise Control Program Air Pollution Control Program Air Pollution Control Program Hazardous Substance Control Hazardous Substance Control Solid Waste Control Program Solid Waste Control Program Community Right to Know Community Right to Know

9. HAZ-MAT: Our Team Emergency Response to contain and control hazardous materials in the community 24/7 Emergency Response to contain and control hazardous materials in the community 24/7 Recognized by NJDEP as a Model Program Recognized by NJDEP as a Model Program Air monitoring instruments Air monitoring instruments Decontamination units Decontamination units

10. Emergency Preparedness Team The team is committed to enhancing the County's preparedness and response to public health emergencies. The team is committed to enhancing the County's preparedness and response to public health emergencies. Perform various preparedness activities in accordance with federal and state requirements, Perform various preparedness activities in accordance with federal and state requirements, including communications, planning, and surveillance.

11. Local Information Network & Communications System (LINCS) A network of 21 agencies located throughout New Jersey (20 counties and 1 city) NJ State Health Department & CDC Communicates Public Health Alerts, Advisories and Information to Local Health Department Communicates those messages to Community Partners & Stakeholders

12. Emergency Preparedness Program Activities Pandemic Flu Response (such as H1N1) Pandemic Flu Response (such as H1N1) Medical Reserve Corps volunteers Medical Reserve Corps volunteers Medical Needs Shelter Planning Medical Needs Shelter Planning Provide various preparedness education and training to community and staff Provide various preparedness education and training to community and staff Respiratory Protection Program (fit-testing for first responders) Respiratory Protection Program (fit-testing for first responders)

13. Sussex/Warren Chronic Disease Coalition (formerly Sussex County Cancer Coalition) The Sussex Warren County Regional Chronic Disease Coalition is committed to maintaining a diverse partnership of community members and agencies. This Coalition will be dedicated to the implementation of evidence/practice based policy, environmental, and system change intervention for chronic disease prevention and control with a focus on cancer.

14. Chronic Disease Coalition Goals for 2013-2014 1. Increase Smoke Free Parks and Recreation Areas 2. Increase Colorectal Screenings in Primary Care Practices 3. Decrease Late-Stage Breast Cancer Diagnosis 4. Provide Education and Awareness to Decrease Melanoma Statistics 5. Implement Comp lete Streets

15. Clean Communities Litter Cleanup and Removal Litter Cleanup and Removal Enforcement of Litter Related Laws and Ordinances Enforcement of Litter Related Laws and Ordinances Litter/Graffiti Abatement Public Education and Information Litter/Graffiti Abatement Public Education and Information Sponsorship of “Adopt a County Road” Sponsorship of “Adopt a County Road” Community Education and Programs Community Education and Programs

16. Office of Public Health Nursing: Hepatitis B Vaccination Clinic Hepatitis B Vaccination Clinic Flu, Pneumococcal, and Tetanus Vaccination Flu, Pneumococcal, and Tetanus Vaccination Health Check Clinic Health Check Clinic Well Baby Clinic Well Baby Clinic School Immunization Audits School Immunization Audits Communicable Disease Control Communicable Disease Control “Take it to the Streets” Community Education Blood Pressure Screenings Male & Female Cancer Screening Skin Cancer Screening SMA Blood Screening Childhood Lead Poisoning Prevention Program

17. Public Health Nursing Activities Clinics available to all residents. Clinics available to all residents. A. Flu, Pneumonia, and Tetanus vaccine clinics in the Fall of each year open to all residents. Rotate sites for the flu clinics and would be able to have a clinic in Byram next year if they could handle a large group of people (250-350 people). Rotate sites for the flu clinics and would be able to have a clinic in Byram next year if they could handle a large group of people (250-350 people). B. Health Check clinics for adults and school aged children to receive vaccines for low cost or free (depending on income). Can also receive blood pressure checks free of charge. Can also receive blood pressure checks free of charge.

18. Public Health Nursing Activities Clinics available to residents with low income or no insurance. Clinics available to residents with low income or no insurance. A. NJCEED clinics for cancer screening B. Well-Baby clinics for exams and immunizations for children birth through 5 years old C. Skin Cancer screening clinics D. Chem 18 blood screening clinics

19. Public Health Nursing Activities Public Health Nurses began using SKYPE “virtual” methods for conducting Directly Observed Therapy (DOT) DOT – observation of medication compliance for persons diagnosed with confirmed or suspected active tuberculosis until their treatment is completed DOT – observation of medication compliance for persons diagnosed with confirmed or suspected active tuberculosis until their treatment is completed

20. Special Child Health Services Case Management For any family in Sussex County who has a child under the age of 22 with special health needs. Conduct assessment of the family's and child's needs Conduct assessment of the family's and child's needs Kathleen Baklarz, RN, BSN Unit Coordinator Special Child Health Services

21. Special Child Health Services Activities Case managers assist with obtaining: Hearing aids and orthotics Payment of catastrophic bills Support groups Information on new programs and seminars for parents Home nursing care Family support programs such as respite Advocacy Referrals to programs such as WIC (Women, Infant and Children Supplemental Nutrition), heating assistance, DDD (Division of Developmental Disabilities), and the Board of Social Services Insurance issues Transition to adulthood services Emotional support for parents/guardians

22. Mosquito Control Services Surveillance Surveillance Education Education Source Reduction Source Reduction Biological Control Biological Control

23. Mosquito Control Services Activities Uses an Integrated Pest Management approach to controlling mosquitoes. Uses an Integrated Pest Management approach to controlling mosquitoes. Source reduction, or the elimination of larval habitat Source reduction, or the elimination of larval habitat Fish Program - specific breeds of fish are stocked in breeding sites to provide 24 hour larval control. Fish Program - specific breeds of fish are stocked in breeding sites to provide 24 hour larval control. Biorational larvicides Biorational larvicides Truck-mounted sprayer Truck-mounted sprayer Airspray Program Airspray Program

24. Weights and Measures: Working to protect both the consumer and the business At least once a year, inspectors check every weighing and measuring device used in commercial transactions that measure length, time or amount.

25. It all fits together!

26. When It Comes to Your Health: We’re Local Continuous communication with the communities we serve Continuous communication with the communities we serve Customer Oriented Response & Service Customer Oriented Response & Service Evaluation & Feedback Evaluation & Feedback Thank you for your time. Questions?