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• <br />j <br />B. Organizational Capability <br />I <br />1. Description of the countvwide purpose the funds will be used for: <br />The health department continues to reach all parts of the county for environmental health, communicable disease control, community <br />health education, outreach, comprehensive school health programs in the five county schools, basic school health in the remaining <br />schools, and the WIC and nutrition program. The health department's communicable disease and epidemiology team has responded <br />to TB, rabies exposures, GI illnesses, Hepatitis A, and meningitis this past year. <br />In 2018, we had a large-scale rabies exposure investigation in response to a rabid cat. The health department provided community <br />education in multiple forums for outdoor cats and the risk of rabies as well as other diseases and leveraged GIS mapping to detail the <br />full impact of this problem. In late 2018 and 2019, we were heavily involved in Hepatitis A outbreak response. From late 2019 and <br />throughout 2020, many of our personnel were assigned to COVID-19 pandemic response. <br />We work in partnership with multiple agencies to maximize resources. Domestic security, preparedness, and response activities have <br />permeated every aspect of public health, never more obvious than the health department's response to the pandemic and hurricanes. <br />Our partnerships have enhanced our Wabasso satellite site, which is being developed according to resident identified priorities from <br />the recent PACE -EH survey. <br />The health department maintains core health department services such as immunizations, family planning, and communicable <br />disease control. This includes sexually transmitted diseases, HIV/AIDS primary care, and Tuberculosis treatment. We continue all <br />our community health improvement activities including PACE -EH. In addition, Environmental Health, School Health, Epidemiology, <br />Vital Statistics, Preparedness, WIC, and Health Education and promotion all are important services to the residents of Indian River <br />County. <br />By Florida Statute 154.01, the county health department performs three main functions to the extent funds are available. These <br />include: <br />(a) "Disease prevention and control services" - those services that protect the health of the public through the detection, control and <br />eradication of diseases that affect humans. Such services include, but are not limited to, epidemiology (disease tracing), sexually <br />transmitted disease detection and control, HIV/AIDS education and treatment, immunization, tuberculosis control and treatment, <br />chronic disease prevention and control, and maintenance of vital statistics (birth and death) and community health statistics. In <br />addition, lead community groups in population based health planning and evaluation. <br />(b) "Environmental health services" - those services that are organized and operated to protect the health of the general public by <br />monitoring and regulating activities in the environment that may contribute to the occurrence or transmission of disease. Examples of <br />environmental health services include, but are not limited to: assuring a safe drinking water supply, occupational health, <br />epidemiology, toxic material control; inspection of: sewage and solid waste disposal, swimming pools, group care facilities, migrant <br />labor camps, indoor air quality and radiological health. <br />(c) "Primary care services" - preventive services and medical care that are made available to well and sick persons who are unable to <br />obtain such services due to lack of income or other barriers beyond their control. These services are provided to benefit individuals, <br />2. Listina of specific programs vour aaencv offers to our communitv. <br />The county health department is the only agency charged by Florida Statute with control of communicable disease, the provision and <br />regulation of environmental health services, and primary care, primarily to those who are uninsured or underinsured. We are <br />responsible for protecting the public health of the community. By Florida Statute 154.01, county health departments operate in <br />partnership with the county. This relationship is solidified each year in the state and county contract, signed by both agencies. <br />We are in the process of our PACE -EH project in Wabasso. We have completed the survey and are working with Wabasso residents <br />on their identified community improvements. Our outreach efforts for COVID-19 in our most vulnerable areas were enhanced through <br />many of our partners formed through PACE -EH. <br />The health department no longer provides primary care or dental care as of August 2019, as this was not financially sustainable. We <br />do continue to provide HIV/AIDS primary care through our medical director, who is an HIV specialist. The health department <br />maintains core health department services such as immunizations, family planning, and communicable disease control. This includes <br />sexually transmitted diseases, HIV/AIDS services, and Tuberculosis treatment. We will continue all our community health <br />improvement activities including PACE -EH. In addition, Environmental Health, School Health, Epidemiology, Vital Statistics, <br />Preparedness, WIC, and Health Education and promotion all are important services to the residents of Indian River County. <br />120 <br />