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<br />B. Organizational Capability
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<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.
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