Item Coversheet

REPORT TO SHASTA COUNTY BOARD OF SUPERVISORS


BOARD MEETING DATE:  December  5, 2017
CATEGORY:  Consent - Health and Human Services-18.

SUBJECT:

Agreement with California Department of Public Health for Childhood Lead Poisoning Prevention

DEPARTMENT: Health and Human Services Agency-Public Health

Supervisorial District No. :  ALL

DEPARTMENT CONTACT:  Brandy Isola, MPH, HHSA – Public Health Deputy Branch Director, (530) 245-6861

STAFF REPORT APPROVED BY:  Terri Fields Hosler, MPH, RD, Public Health Branch Director

Vote Required?

Simple Majority Vote
General Fund Impact?

No Additional General Fund Impact 

RECOMMENDATION

Take the following actions regarding the California Department of Public Health Childhood Lead Poisoning Prevention Program (CLPPP) grant:  (1) Approve and authorize the Chairman to sign: (a) a retroactive renewal revenue agreement with the California Department of Public Health, Agreement No. 17-10260, for Shasta County to receive funding in an amount not to exceed $299,556 for CLPPP activities for the period July 1, 2017 through June 30, 2020; and (b) the Certification Regarding Lobbying, and; (2) approve and authorize the Health and Human Services Agency (HHSA) Director or any HHSA Branch Director to sign minor prospective and retroactive amendments and other documents that result in a net change in compensation not to exceed $59,000 as long as they otherwise comply with Administrative Policy 6-101, Shasta County Contracts Manual.

SUMMARY

The California Department of Public Health (CDPH) requires that a local Childhood Lead Poisoning Prevention Program (CLPPP) be established and successfully maintained in the jurisdiction of each local health department throughout California. Approval of this agreement will allow HHSA Public Health to continue providing coordination of childhood lead poisoning prevention and education activities in Shasta County through June 30, 2020.


DISCUSSION

While childhood lead poisoning has declined in the United States over the past 20 years, it continues to be an important health problem. Lead is most harmful to children under age six because it is easily absorbed into their growing bodies and interferes with the developing brain and other organs and systems. Lead-exposed children tend to display learning and behavior problems. High lead levels may cause developmental delays and even death.  Pregnant women and women of childbearing age are also at increased risk because lead ingested by the mother can transfer to the fetus.

 

California Health and Safety Codes established the CLPPP several years ago, to prevent and mitigate the impact of childhood lead poisoning.  CDPH has provided funding to Shasta County since FY 1999-00 to reduce childhood lead exposure by gathering and analyzing information, providing outreach and education, coordinating medical follow-up, and identifying potential lead sources in an exposed child's environment. During the next three years, local strategies for decreasing exposure and incidence of childhood lead poisoning will include:

 

Improved detection of lead-poisoned children by assuring that at-risk children receive blood lead screening tests at an appropriate age;

 

Maintenance of a surveillance system for lead levels in children;Providing outreach and education to families of high risk children in conjunction with other Public Health Programs such as Maternal, Child and Adolescent Health (MCAH), Supplemental Nutrition Program for Women, Infants, and Children (WIC), and Child Health and Disability Prevention Program (CHDP), and through community agencies such as Shasta Head Start and other caregivers;

 

Providing lead education materials to agencies that enforce housing and building standards in an effort to support lead reduction in older housing; and

 

Providing case management activities to families of children identified as having elevated blood lead levels.

 

Additionally, the agreement authorizes, with prior approval of the state, without amendment, budget line item shifts up to 15 percent of the annual agreement total, as long as the annual agreement total does not change.


ALTERNATIVES

Alternatives include not approving the agreement and related documents.  The Board can also choose not to authorize the HHSA Director or HHSA Branch Director to sign related documents or amendments.


OTHER AGENCY INVOLVEMENT

HHSA-Public Health will continue collaboration with Environmental Health, local health care providers, City of Redding Housing Authority, Shasta County Housing Authority, Shasta Head Start, as well as public and private social services agencies to carry out local childhood lead poisoning prevention activities. County Counsel has approved the agreement as to form. Risk Management has reviewed and approved the agreement. The recommendation has been reviewed by the County Administrative Office.

 


FINANCING

HHSA Public Health’s FY 2017-18 Adopted Budget includes the anticipated expenditures and revenue associated with this agreement. Revenue and related expenditures for future fiscal years will be included in subsequent budget requests. There is no additional General Fund impact with approval of the recommendation.


ATTACHMENTS:
DescriptionUpload DateDescription
CDPH Childhood Lead Poisoning Prevention11/16/2017CDPH Childhood Lead Poisoning Prevention