[Items I & II]
          [00:00:04]
          MORE READING. ARE YOU GUYS READY TO GO? OKAY. TALKING THIS WORD OF HEALTH AGENDA. JANUARY 11TH 0.23. OKAY IT IS THE INTENTION OF THE BOARD TO CONCLUDE THIS MEETING BY 12:30. PM WHAT QUESTIONS 9 30. I KNOW WHO'S KIDDING. ANY AGENDA ITEM NOT CONSIDERED BY 9:30 P.M. TABLED UNTIL THE NEXT REGULARLY SCHEDULED MEETING. BILLING STATEMENT. AN ADEQUATE NOTICE OF THE MEETING IS AS REQUIRED BY SECTIONS THREE D AND FOUR. A OF THE OPEN PUBLIC MEETING ACT HAS BEEN PROVIDED TO THE PUBLIC AND FILED WITH THE TOWNSHIP CLERK. MEMBERS, DR SORAYA YES. THE REASON YES. YES, DR FAISAL. DR SHERMAN. DR NEWMAN. YES, DOCTOR AMARA. AND DR MOCHA HEALTH OFFICER DEVANEY PATEL. YES SECRETARY JENNIFER FOSTER. YES COMMUNITY LIAISON. NINA THING ADVISOR, DR MANDELBAUM. OKAY? DO WE HAVE ANY PUBLIC COMMENTS? MINUTE. I WANT TO GO OUR OPENING STATEMENT FOR PUBLIC COMMENTS IF WE HAVE NO PUBLIC COMMENTS. THAT'S OKAY. IT'S REALLY GOOD. 
          IT'S REALLY GOOD. IS IT OKAY IF SHE DOESN'T READ THE OPENING STATEMENT FOR PUBLIC COMMENT, OKAY, I'LL WAIT HERE FROM NO, THAT'S PART OKAY. CONVINCE AGENDA ALL MATTERS LISTED HERE 
          [IV. Consent Agenda]
UNDER ARE CONSIDERED ROUTINE IN NATURE AND WILL BE APPROVED IN ONE ANY MEMBER MAY REQUEST THAT AN ITEM MAY BE REMOVED FOR SEPARATE CONSIDERATION, SO WE HAVE THREE MONTHLY REPORTS. THE HEALTH DEPARTMENT MONTHLY REPORT FROM DECEMBER 20. 2 22 2022 COMMUNICABLE DISEASE REPORT FOR 2022 DECEMBER THE ANIMAL CONTROL REPORT FROM DECEMBER 2022. FOR YOU. BINNING MINUTE, UPDATES THE MINUTES OF THE REGULAR MEETINGS OF THE BOARD OF HEALTH. HOW ON DECEMBER 14TH 2020 22. ANYTHING THEY'D LIKE TO REMOVE FOR SEPARATE CONSIDERATION PATH. 
          MOTION TO APPROVE THE CONSENT AGENDA. YES. FUNNY. HELP OFFICER COMMENTS. BECAUSE YOU MA'AM, AND 
          [V. Health Officers Comments]
I ACTUALLY HAVE PROVIDED FOR YOU HARD COPIES OF OUR BUDGET JUSTIFICATION, ALONG WITH SOME OF OUR, UM, BUDGET FOR OUR MAJOR GRANTS, ALONG WITH JUST BACK UP INFORMATION FOR YOU SO YOU CAN HOLD ONTO THAT WILL SEND YOU ELECTRONIC COPIES AS WELL. BUT IF YOU LOOK AT THE BUDGET JUSTIFICATION MEMBER ON THE FIRST PAGE I LIST. YOU KNOW THE REASONS AND, UM THE COST INCREASES THAT WE HAVE SEEN, UM , IN 2022 LEADING UP TO 2022. MOST OF THEM HAVE TO DO WITH AH. 
          FIRST IS FOR OUR FLU VACCINES. WE HAVE BEEN NOTICING A DEMAND AN INCREASED DEMAND FOR FLU VACCINE. I'VE BEEN INCLUDED SOME NUMBERS FOR YOU THAT OUTLINED BOTH OF OUR FLU AND COVID VACCINATION NUMBERS. UM AND IF YOU IF YOU LOOK SINCE 2020 WE'VE DONE OVER 9366 UM COVID AND FULL VACCINATIONS, WHICH IS EXTRAORDINARY, CONSIDERING WE ONLY HAVE ONE FULL TIME NURSE, SO IT'S ALSO REALLY KUDOS TO, UM , VERY BUSY OR OUR PUBLIC HEALTH NURSE, OUR SURGE NURSING TEAM AND OUR COUNTY. UM COUNTY HEALTH DEPARTMENT FOR THEIR SUPPORT THE MEDICAL RESERVE CORPS FOLKS UM THE OTHER JUSTIFICATION IS WE'VE BEEN SEEING LITTLE PIT LICENSING NUMBERS. WE, UM NOBODY WHILE ALSO SEEING INCREASES IN AND BITE INCIDENCES. SO OUR GOAL IS TO, YOU KNOW, REALLY BRING UP OUR PET LICENSING NUMBERS AND, UM SO I'LL KEEP YOU UPDATED ON ON STATISTICS OF PET LICENSING THROUGHOUT THE YEAR. SO FAR WE HAVE ABOUT YOU KNOW AROUND 200 LICENSES SO FAR, OUR GOAL IS TO GET TO OVER 3000 PSI. UM HOW DO WE HOW MUCH DO WE USUALLY GET? WE WE'VE AVERAGED. WE GENERALLY HAVE HAD OVER 2000 AT A POINT RIGHT, LICENSED. SO YOU KNOW, THAT'S 3000 IS OUR GOAL, SO WE'LL SEE. UM SOME 2022 GRAND SUCCESS STORIES. WE THE N J D O H COVID GRANTS THAT WE RECEIVED 
          [00:05:01]
THROUGHOUT THE PANDEMIC REALLY HELPED US SIGNIFICANTLY AND OFFSETTING OUR COSTS AND OFFSETTING THE TOWNSHIPS COSTS IN HELPING US RESPOND TO THE COVID PANDEMIC, SO WE HAD, UM, WE HAD A LARGER GRANT FOR COVID. IN THE LAST TWO YEARS. UM IN 2022 THAT THAT FUNDING DROPPED TO 274,000 BUT WE DID HAVE AN ADDITIONAL $50,000 GRANT FOR VACCINE FOR VACCINE SUPPLEMENTAL FUNDING AGAIN THROUGH THE STATE HEALTH DEPARTMENT AND WE THE GOOD NEWS IS THAT THE STATE PLANS ON CONTINUING THOSE TWO GRANTS, SO HAVE INCLUDED THEIR BUDGETS FOR YOU IN THAT PACKAGE THAT YOU HAVE IN FRONT OF YOU. BUT WE ALSO WILL BE RECEIVING AN ADDITIONAL 132,000 IN PUBLIC HEALTH INFRASTRUCTURE FUNDING. AND I KNOW I'VE MENTIONED THAT AT THE DECEMBER MEETING, SO THE APPLICATIONS ARE DUE NEXT WEEK FOR THIS GRANT, AND THE GOAL IS TO OFFSET AS MUCH OF OUR COSTS USING THAT ADDITIONAL GRANT MONEY AND AGAIN THAT 132,000 IS ONLY AROUND ONE. THERE THERE WILL BE AROUND TWO BEGINNING IN JULY. SO THE GOAL IS TO, UM OFFSET AS MUCH OF OUR SALARIES. 
          UM AS POSSIBLE, WHILE UM ALSO PUTTING MONEY TOWARDS TRAININGS , AND WE JUST NEED TO RE OUTFIT OUR NURSE'S OFFICE BECAUSE IT'S THE WAY THAT THE WAY WE HAVE IT RIGHT NOW. IT'S A MEDICAL EXAM ROOM. IT'S NOT AN OFFICE. UM AND YOU GUYS ARE WELCOME TO YOU KNOW, I CAN SHOW YOU THE OUR SPACE UPSTAIRS IF YOU'RE INTERESTED AFTER THE MEETING. UM AND IN TERMS OF BUDGET REQUESTS, SO WE. FOR 2023. WE HAVE OUR FULL TIME PUBLIC HEALTH NURSE, BUT WE STILL WANT TO MAINTAIN OUR PART TIME PUBLIC HEALTH NURSE, WHICH THE POSITION HAS BEEN VACANT, UM SINCE ALL OF LAST YEAR. IT'S JUST BEEN VERY CHALLENGING TO FILL THAT POSITION. BUT THE GOOD NEWS IS THAT WE HAVE BEEN ABLE TO RELY, UM, ON OUR SURGE NURSES FOR HOME VISITS AND OTHER YOU KNOW, MINOR SMALL ACTIVITIES TO HELP TO HELP OUR FULL TIME NOUS. BUT THE GOAL IS TO CONTINUE THAT SEARCH AND TO HAVE SOMEBODY IN PLACE BECAUSE WE REALLY DO NEED SOMEONE. AH THE OVERTIME REQUEST IS THE SAME AS LAST YEAR. WE HAD BUDGETED $25,000 IN IN OVERTIME LAST YEAR, AS WELL AS THIS YEAR . LAST YEAR'S EXPENDITURES WERE 24,000. SO WE JUST BARELY MADE IT UNDER WHAT WAS BUDGETED AND UM AGAIN, MOST OF THE OVERTIME IS ALSO OFFSET BY GRANT FUNDING. WHICH IS GOOD. AS FAR AS UH, OUR LICENSING AND PERMITTING SYSTEMS . WE'VE TRANSITIONED THEM TO THE GODPARENTS SYSTEM, EXCEPT WE'RE STILL WORKING ON TRANSITIONING OR SEPTIC MANAGEMENT SYSTEM AND OUR RETAIL FOOD LICENSING TO GOD PILOT. IT'S BEEN A VERY SLOW PROCESS, BUT WE'RE YOU KNOW, WE'RE WORKING THROUGH. UM, ANY BARRIERS THERE? SO SALARIES AND WAGES, PUBLIC HEALTH SALARIES AND WAGES. YOU HAVE THAT IN FRONT OF YOU, ALONG WITH THE WITH THE OT AGAIN THE GLOBAL BE TO OFFSET THIS AMOUNT, USING THE TWO ROUNDS OF FUNDING THAT WE WILL BE RECEIVING THIS YEAR. UM, FOR ANIMAL CONTROL. WE HAVE WE HAVE OUR FULL TIME ANIMAL CONTROL OFFICER THAT WE HAD IN PLACE SINCE JULY. WE'RE STILL LOOKING FOR A PART TIME ANIMAL CONTROL OFFICER. IT HAS BEEN CHALLENGING AGAIN RECRUITING FOR THIS POSITION, BECAUSE THE WAY IT IS IT'S A WEEKENDS ONLY POSITION WITH NO BENEFITS, SO WE DEPENDING ON HOW YOU KNOW HIRING AND RECRUITING GOALS. WE MIGHT BE CONSIDER RESTRUCTURING THIS POSITION. UM POSSIBLY A SHARED POSITION WITH ANOTHER TOWN WHO IS ALSO IN THE SAME IN THE SAME BOAT AS US SO NOW WE'RE KEEPING OUR OPTIONS OPEN. AND I JUST WANTED TO LET YOU KNOW THAT THIS IS WHAT WE'RE LOOKING TOWARDS IF WE'RE UNABLE TO FILL THE POSITION, UM AND I WILL KEEP YOU UPDATED AS THINGS CHANGE WE FOR ANIMAL CONTROL. WE HAVE A TRUST ACCOUNT, WHICH FUNDS MANY OF OUR ACTIVITIES BECAUSE THE TRUST ACCOUNT IS FUNDED THROUGH OUR LICENSING FEES AND OUR ANIMAL CONTROL SHARED SERVICES REVENUE. NOW THE GOOD NEWS IS THAT WE HAVEN'T HAD A PART TIME ANIMAL CONTROL OFFICER FOR MONTHS, SO THERE'S BEEN THAT UNSPENT MONEY, WHICH IS WHAT WE WERE ABLE TO USE TO GET THE POSTCARDS OUT, SO WE DON'T HAVE TO WORRY ABOUT USING OUR TOWNSHIP BUDGET FOR THAT PURPOSE. UM BUT WITH ANIMAL CONTROL. WHAT WE'VE SEEN IS WITH OUR ANIMAL SHELTER. THEIR FEES ARE GOING UP. THAT'S GOING TO CAUSE AT A MINIMUM, AN INCREASE OF A LITTLE OVER $4000 JUST FOR 2023. WE'VE ALSO NOTICED THAT OUR DEAD DEER REMOVAL REQUESTS HAVE GONE UP SIGNIFICANTLY, UM EACH YEAR, SO IF YOU NOTICE I PROVIDED SOME DATA FOR YOU HERE. AND IF YOU NOTICE THE BIG BUMP IN 21, THAT'S THAT'S REALLY FROM ALL OF THE REQUESTS WE RECEIVED AFTER HURRICANE IDA HAS MANY, 
          [00:10:04]
MANY OF THEM HAD DROWNED. UM. AND THEN I HAVE OUR OPERATING BUDGET FOR YOU HERE. EVERYTHING THAT'S HIGHLIGHTED AND YELLOW ARE ITEMS LINE ITEMS THAT CAN BE OFFSET AGAIN BY THE BY THE GRANTS THAT WE WILL BE RECEIVING THE PUBLIC HEALTH INFRASTRUCTURE GRANT. SO THAT'S THE GOOD NEWS THERE AND I'LL BE WORKING WITH MY CFO TO MAXIMIZE THAT BENEFIT OF THE GRANT SO THAT IT'S LESS UM, LESS STRAIN ON THE TOWNSHIP BUDGET. AND THERE'S ALSO THE LAST PAGE. UM THE LEGAL 1000 SIZED DOCUMENT THAT'S THE CAPITAL BUDGET, 10 YEAR CAPITAL BUDGET IN FRONT OF YOU. SO THIS IS HOW WE PLAN OUT OUR 10 YEAR. UM EXPENDITURES, THE GOAL IS TO SPREAD OUT THE MONEY AND TO MAKE SURE THAT YOU KNOW THE REQUESTS ARE REVIEWED. AND IF YOU HAVE ANY QUESTIONS, YOU KNOW, PLEASE LET ME KNOW. MOST OF THE CAPITAL BUDGET HAS IS THE SAME AS IT'S ALWAYS BEEN. THE ONLY INCREASES ARE FOR, UM FOR PAINTING OF A RETIRED POLICE VEHICLE. MM HMM. AND. I THINK WE ALSO HAVE UM. 
          ANYWAY, YOU PAINT THE RETIRED VEHICLE, SO WE ARE NOT ASKING FOR NOT ASKING FOR A NEW VEHICLE. SO WE AND WE HAVE BEEN. YOU KNOW, THIS IS WHAT WE'VE DONE IN THE PAST WHERE WE JUST ASKED FOR A RETIRED POLICE VEHICLE. WE HAVE TO HEALTH INSPECTOR, UM, VEHICLES THAT ARE IN THE CAPITAL BUDGET. SO WE GET THOSE NEW AFTER IT'S BEEN 10 YEARS OR SO, AND WE HAVE AN ANIMAL CONTROL VEHICLE THAT THOSE ARE VEHICLES THAT WE ABSOLUTELY NEED FOR ENFORCEMENT AND INSPECTION PURPOSES. BUT THERE'S ALSO, YOU KNOW, OUTREACH , IMMUNIZATION AUDITS, ALL THESE OTHER THINGS THAT WE DO. WHERE YOU KNOW, IN ORDER TO MINIMIZE STRAIN ON THE BUDGET. WE'VE BEEN RELYING ON RETIRED POLICE VEHICLES. SO UM I ONLY WANT TO COME ASKING FOR MONEY IF WE REALLY NEED IT, SO THAT'S BEEN A STRATEGY OF OURS TO, YOU KNOW, TO BE ABLE TO GIVE STAFF THE RESOURCES THEY NEED IN ORDER TO DO THEIR WORK. SO FOR NOW, WE ARE WAITING ON AN ADDITIONAL VEHICLE BECAUSE WE HAVE FIVE EMPLOYEES SHARING TWO VEHICLES RIGHT NOW. SO WE JUST HAVE TO WAIT UNTIL THE VEHICLE BECOMES AVAILABLE FROM THE POLICE DEPARTMENT BEFORE WE CAN, IF YOU KNOW IF WE DO GET IT, AND SO THAT'S HOW WE MAKE IT WORK, AND THEN WE JUST PLAY MUSICAL VEHICLES. UM THREE. PAINT IT AND DRIVE AROUND WITH IT AS A POLICEMAN. YEAH NO. LET HIM KNOW HE MIGHT BE PAINTED BLACK BECAUSE IT'S NOTHING. IT'S THE CHEAPEST WAY FOR US TO GET IT REPAINTED. IT'S GREAT. THIS IS IN A IN A NUTSHELL. EVERYTHING MONEY WISE NOT, YOU KNOW, BUDGET WISE THAT YOU NEED TO KNOW. BUT IF YOU HAVE ANY QUESTIONS, OR, YOU KNOW, THERE'S ANY ADDITIONAL INFORMATION THAT YOU WOULD LIKE TO GET FROM ME. PLEASE LET ME KNOW. YOU CAN ASK A QUESTION. SO BY LOOKING AT THIS INFORMATION SOUNDS LIKE THE REVENUE IS LIKE HALF A MILLION DOLLARS AND EXPENSES ARE PRIMARILY SALARIES AND SUPPLIES A LITTLE MORE THAN HALF A MILLION DOLLARS. SO I GUESS THE VARIANTS WOULD BE NEGATIVE, RIGHT? BUT YOU MENTIONED IS GOING TO BE OFFSET BY SOME ADDITIONAL GRANTS. CORRECT. SO ONCE THEY GET PUT IN ON THAT RED CHEAT. IS IT POSSIBLE TO SHARE THAT TO SEE ACTUALLY WHAT IS THE RADIANT LIKE IT IS POSITIVE. IS IT NEGATIVE? FROM MINISTER AFTER THE GRANT FUNDING. JUST TO LOOK AT, YOU KNOW DATA AT ONE POINT IN TIME TO UNDERSTAND WHICH WHICH WAY WE'RE GOING. IS IT POSITIVE? IS IT NEGATIVE? ALRIGHT? I DON'T KNOW IF YOU ALREADY DONE THAT. NO SO YOU WOULD LIKE TO SEE A SNAPSHOT OF THE BUDGET. WHAT'S THE NET, RIGHT? YEAH THE NET. I MEAN, I GUESS IT DEPENDS ON HOW YOU WANT TO CALCULATE THE NET. IF WE COUNT SHARED SERVICE REVENUE GRANTS, LICENSING FEES, PERMITTING THESE ALL OF THAT TOGETHER AS REVENUE. AND I CAN I CAN SHOW YOU PRESENT THOSE NUMBERS. OKAY THAT'D BE GREAT. YOU KNOW, AND ANY DATA, I THINK, JUST DO COMPARED BOTH REVENUE AND EXPENSE. I THINK BE HELPFUL , AT LEAST TO ME. AND MY SECOND QUESTION IS REGARDING EXPENSES WILL CONTINUE TO GO UP. I THINK RIGHT SALARIES STATIONARY, ETCETERA. BUT FOR REVENUES, YOU KNOW WHAT SHOULD WE AS A GROUP CONSIDERED THINKING ABOUT OPPORTUNITIES? DO INCREASE THE REVENUE YOU MENTIONED. PET LICENSING RIGHTS FEES AROUND THAT, YOU KNOW IT SHOULD BE BECAUSE IT'S CALLED EXPENSES, WHATEVER RETAIL FOOD INSPECTION. CHARGES WERE EX DOLLARS SHOULD BE UP IN HEAVY CONSIDERED THOSE ABSOLUTELY WE'RE REVIEWING OUR LICENSING AND PERMITTING FEEDS RIGHT NOW, BECAUSE, FOR EXAMPLE FOR OUR PET LICENSING, THE LATE FEE IS $1 A MONTH. UM, SO YOU KNOW, ANY, YOU KNOW, I THINK IT MAKES SENSE FOR US TO MAYBE UPDATE TO $10. AND I KNOW WE HAD 
          [00:15:05]
DISCUSSED THAT IN THE PAST. UM BUT SOME OF OUR FEES ARE VERY OUTDATED. SO YOU KNOW, A DOLLAR LATE FEE IS NOT VERY ENCOURAGING AND GETTING PEOPLE TO COME OUT AND LICENSURE CUTS BECAUSE THAT'S THE FLU WAS A BIG HIT. I THINK IN WHO KNOWS WHAT'S GONNA HAPPEN NEXT YEAR? PERHAPS SOME KIND OF STRATEGY YOU KNOW TO PROBABLY CONSIDERED MORE VACCINES, YOU KNOW, ETCETERA. 
          USE OF THE NURSING THAT WE HAVE YOU KNOW IS THERE ARE ANY BILLABLE SERVICES THAT HE COULD CONSIDER? I'M NOT SURE YOU KNOW SOMETHING TO THINK OUTSIDE THE BOX TO SEE HOW WE CAN IMPROVE THE REVENUE. I DON'T KNOW. MAYBE I'M THINKING CRAZY, BUT THERE IS AN OPPORTUNITY TO HAVE INSURANCE REIMBURSEMENT MODEL. BUT THE PROBLEM WITH THAT IS THAT MOST OF THESE COMPANIES THEY WANT TO. 
          THEY DON'T WANT TO WORK WITH HEALTH, HEALTH DEPARTMENTS AND ADMINISTRATIVE COSTS, SIR, JUST SO HIGH, SO WE'RE WORKING THROUGH A GOOD MODEL RIGHT NOW, BUT WE DON'T HAVE SOMETHING YOU KNOW TO PRESENT TO YOU GUYS RIGHT NOW. BECAUSE RIGHT NOW, THE WAY IT IS AND WHAT WE FOUND IT IN THE PAST, SO WE WOULD ONLY PROVIDE FREE FLU VACCINES TO SENIORS BECAUSE WE CAN BUILD MEDICARE. UM. BUT WHAT HAPPENED IS WHEN WE CHARGE $25 TO NON MEDICARE PEOPLE. BECAUSE WE'RE LEGALLY WE CANNOT OFFER FREE VACCINES FOR NON MEDICARE FOLKS IS MOST PEOPLE, YOU KNOW, THEY SAY, WELL, I DON'T WANT TO PAY THE $25. I WOULD RATHER JUST GO TO THE PHARMACY, BUT THEN THEY DON'T ALWAYS FOLLOW THROUGH AND GO TO THE PHARMACY. SO YOU KNOW WHAT OTHER HEALTH DEPARTMENTS HAVE HAD SUCCESS WITH THIS JUST HAVING A FREE OFFERING FREE VACCINES FREE FLU VACCINES. TO GET PEOPLE TO COME OUT TO GET THE VACCINES. BUT AGAIN, MOST OF THEM ARE POPULATION HERE IS INSURED, SO IT JUST MAKES SENSE TO WORK WITH, YOU KNOW, AN INTERMEDIARY WHO CAN BUILD INSURANCE COMPANIES, UM, SO THAT AT LEAST VACCINE ADMIN FEE RIGHT AT LEAST SOMETHING ESPECIALLY WITH COVID, TOO. I THINK YOU CAN BUILD ACTUALLY THE ADMIN FEE, RIGHT? SO WHY YEAH, I THINK WE WOULD HAVE TO EXPAND OUR MEDICAL DIRECTOR, UM, SERVICES TO FOR THAT, BECAUSE MOST OF THESE PLACES THEY NEED AN NP NUMBER AND THEN HE'S LIKE A SO THAT'S SOMETHING THAT WE WOULD HAVE TO, YOU KNOW. TALK ABOUT TWO. YEAH. I THINK WE SHOULD DISCUSS THAT AS MAYBE AS A SMALLER SUBGROUP TO SEE WHO'S WILLING TO DO THAT. PERHAPS YOU KNOW, TAKEN RISK INTO CONSIDERATION FOR THAT PROVIDER. THE TOWNSHIP CAN SUPPORT IT. I'M SURE OUT OF 10 OF US, SOMEBODY SHOULD BE ABLE TO HELP. OR MAYBE AN OUTSIDE. I'M NOT SURE, BUT I THINK YOU NEED TO THINK IT THROUGH RIGHT BUT HAVING A FEE FOR VACCINES AS A TOWNSHIP. WOULD BE HARDER BECAUSE YOU KNOW, AS A TOWNSHIP COMMITTEE. I DON'T KNOW IF HE WOULD BE ON BOARD WITH THAT. BUT IF THERE'S A WAY TO DO THAT, WITHOUT THE RESIDENTS FEELING THAT THEY ARE PAYING TAXES, AND NOW WE ARE CHARGING THEM FOR STUFF AS WELL. WHICH IS PUBLIC HEALTH MAY BE HARDER FOR US. BUT YES, IF THERE IS A WAY TO DO IT WITHOUT GETTING THE RESIDENTS TO COME TO A TOWNSHIP COMMITTEE MEETING AND BEING UPSET, BECAUSE HONESTLY, THEY'RE PAYING TAXES. SO THAT WAY. WE ARE LOOKING AT IT THIS WAY. BUT I SEE THAT I SEE VALUE IN THE, UM FOR THE ATTACK, YOU KNOW, HAVING A HIGHER FEE FOR THE RESTAURANT AND THE FOOD. I THINK THAT ALSO IS A VERY MINIMUM. BUT THE QUESTION IS HOW MANY OF THESE PLACES DO WE HAVE IN MONTGOMERY? RIGHT HOW MANY OF THE YOU KNOW FOOD ESTABLISHMENTS? DO WE HAVE ? DEFINITELY THE PET LICENSING IS RIDICULOUS. I MEAN, THE DOLLAR IS NOT EVEN A FINE FOR A BOOK. SO YOU KNOW FOR A PET LICENSE. CHRISTINE MAY BE ABLE TO SHED MORE LIGHT DONATED MORE ON IT. WOULD THAT BE A PROBLEM, AND I THINK IT'S FINE TO RATES OF $10. BUT I DON'T THINK THAT'S GONNA GIVE YOU ALL THE MONEY YOU NEED, RIGHT. BUT I ALSO THINK THAT IT'S YOUR POINT ABOUT CHARGING PEOPLE FEELING DIRTY PAYING TAXES, BUT YOU CAN MAKE THE REVERSE ARGUMENT THAT AS A PERCENTAGE OF THE POPULATION, A SMALL NUMBER OF PEOPLE GOT BACK DONATED. SO THAT ARE WE SUBSIDIZING VACCINES FOR RESIDENTS. THAT'S THE FLIP SIDE OF THAT. SO THAT'S A DISCUSSION . AND IF WE HAVE IT AT THE HEALTH BOARD AND ONE OF YOU PRESENTED AT THE TOWNSHIP COMMITTEE, MAYBE WE CAN GET SOME LEGS TO IT. BUT IT WOULD HAVE TO BE SOMETHING THAT THE HEALTH BOARD PUTS TOGETHER AND THEN COMES AND PRESENTS AT THE TOWNSHIP COMMITTEE MEETING JUSTIFYING IT, SO THE RESIDENTS GET TO KNOW WHY. SO YOU KNOW, YOU CAN HAVE AN INTERNAL MEETING AND COME TO ONE OF THE TOWNSHIP COMMITTEE MEETINGS OR HAVE PRESENTED TO GIVE PERMISSION TO DO THAT. YEAH, WE CAN. THAT'S NOT A PROBLEM IS IT REQUIRED? IF YOU PUT SOMETHING TOGETHER AS A TOWNSHIP COMMITTEE, YES, WE STILL WOULD WANT TO BE PART OF IT, EVEN THOUGH YOU'RE AN INDEPENDENT ORGANIZATION, SO TO SPEAK ON INDEPENDENT BOARD, BUT YES, YOU STILL WOULDN'T BECAUSE ULTIMATELY, THE TOWNSHIP COMMITTEE IS RESPONSIBLE TO THE RESIDENTS. WE HAVE HAD A CONVERSATION WITH THE BLUE CROSS BLUE SHIELD KIND OF LIKE A PLAN REGARDING THE FLU VACCINE, AND BUT ARE THEY WILLING TO WORK WITH HEALTH OR NO? I THINK THEY WOULD JUST PREFER THAT PEOPLE GO 
          [00:20:04]
TO THE PHARMACIES. SO YOU KNOW, IN ORDER FOR THE HEALTH DEPARTMENT TO BE SET UP TO BUILD INSURANCE COMPANIES, THERE'S A LOT INVOLVED THERE. AND THERE'S ALSO YOU KNOW THESE ADMINISTRATIVE COSTS ON THE FRONT END, SO YOU KNOW, WE WOULD HAVE TO GET YOU KNOW WE WOULD HAVE TO GET OURSELVES SET UP FOR THAT BEFORE WE CAN EVEN TALK ABOUT DOING OKAY, SO WE DON'T HAVE THE STAFF. YOU DON'T HAVE THE INFRASTRUCTURE TO DO THAT. OKAY PHARMACIES IN TOWN THAT ARE NOT PART OF A BIG NATIONAL CHANGE. YES JUST OPENED. SO WE PUBLIC SKILLS SOMETHING PHARMACY I SAW NOT TRYING TO OFFER THEM. WILL PROVIDE THE STAFF THEY PROVIDE THE VACCINES THEY BUILT. 
          WE CALL IT THAT'S ACCORDING. TOWNSHIP SPONSORED CLINIC, BUT YEAH, WE'RE NOT ACCIDENTALLY. 
          BUT WE'RE NOT RIGHT. WE'RE NOT SPENDING MONEY ON THE VACCINE ITSELF. I MEAN, WE CAN CERTAINLY ASK WE WHAT WE LIKE TO PLAY ALONG THAN A LARGE CHICK NATIONAL CHAIN WE HAVE PARTNERED WITH, UM, YOU KNOW, MOM AND PLATFORM PHARMACIES IN THE AREA . SO THE FLU NUMBERS THAT YOU HAVEN'T ON HERE DON'T REFLECT THOSE NUMBERS THAT WHERE WE BROUGHT IN MOM AND POP PHARMACIES TO PARTNER WITH THEM. WHILE SO WHEN WE'RE DOING COVID VACCINES, THEY JUST COME OUT AND THEY DO THE FLU VACCINES. BUT THAT WE, YOU KNOW, WE DIDN'T CONSIDER HAVING DONE DURING THE VACCINE. PAPER. YOU KNOW AS SOON $15. DOSE OF VACCINE IF WE'RE FEELING SO, THAT'S 25 GRAND, RIGHT? THERE IS A COST TO THE TOWN. NEVER MIND THE LOSS TO REIMBURSEMENT OF MAKING UP THE COST, PLUS THE ADMINISTRATIVE FOR THAT. COVID VACCINES ARE DIFFERENT. THEY'RE DONATED BY THE RIGHT. BUT THAT'S ABOUT TO CHANGE TO THINK. I YEAH, IT'S JUST IT JUST SEEMS TO ME THAT THAT'S PROBABLY NOT UNDER THE. THE ROLE OF THE HEALTH DEPARTMENT IS PROBABLY NOT TO PROVIDE. SERVICES THAT WE HAVE TO PAY FOR, LIKE WE'RE BUYING SUPPLIES. MHM YOU CAN MAKE AN ARGUMENT THAT THERE SHOULD BE A REIMBURSEMENT. FROM SOMEBODY FOR THE SUPPLIES THAT WERE PROVIDED FOR THE DOWNSTREAM. ABSOLUTELY. I AGREE. ALL RIGHT. THESE EXPENSES WILL JUST CONTINUE TO GO UP AND UP RIGHT TODAY. NEEDLE IS SPICE ENDS TOMORROW BE AT A LOSS TALKING TO THIS BUDGET TIMES, TWO FOR EXPENSES RIGHT NEXT YEAR, REWRAPPED. SOMETHING TO PUT TOGETHER AND CALM AND TALK ABOUT IT. AND ULTIMATELY, OUR TAX DOLLARS. RIGHT? SO I THINK, YEAH. I DON'T KNOW WAS. 
          CAN WE SURVEY OTHER HEALTH DEPARTMENTS TO ASK HOW THEY MAKE REVENUE OR WHAT DO THEY DO IN THERE? MOST OF THE COSTS. SOMERSET COUNTY HILLSBOROUGH. YEP. REACH OUT TO SOMEBODY MENTIONED BLUE CROSS BLUE SHIELD . CAN THERE BE A DIALOGUE BETWEEN BETWEEN THE HEALTH DEPARTMENT AND H INSURANCE COMPANY TO SEE YOU KNOW IF YOU'RE COVERING X LIVES FROM MONTGOMERY UTILIZING BLUE CROSS BLUE SHIELD. WHAT ARE THEIR CONCERNS FROM MONTGOMERY TOWNSHIP? CAN WE TARGET THOSE IN PARTNERSHIP WITH THE INSURANCE COMPANY FOR THE POPULATION HEALTH CONCEPT. TO MAKE MONTGOMERY POPULATION. IS THAT A POSSIBILITY? I DON'T KNOW. I THINK WE SHOULD HAVE A LITTLE GIRL CONVERSATION I WORK FOR AN INSURANCE COMPANY CAN PROBABLY LIKE, YOU KNOW, CHECK OUT AND THEN I CAN GET BACK TO YOU. THING AND SOMETIMES YOU KNOW, YOU NEVER KNOW. ONCE YOU'VE YOU KNOW, BECAUSE YOU KNOW FROM FROM THE BEAR STANDPOINT, WE ARE LOOKING AT LIKE, HOW DO WE IMPROVE AND HOW WE WANT TO PARTNERSHIP WITH THE COMMUNITY AND WE WANT TO WORK IN THE FORUM BARRIER WEEKEND OVERALL, IMPROVE THE HEALTH SO THAT YOU KNOW, THINKING ABOUT IT, THE MORE COMMUNITIES VACCINATED THAT'S GOING TO HAVE THIS HOSPITALIZATION UNLESS YOU KNOW, SICKNESS AND SO FORTH. SO UM, BUT I THINK WE SHOULD WE SHOULD LOOK INTO THOSE OPTIONS SUBCOMMITTEE OR SOMETHING AND PUT SOMETHING TOGETHER AND REACH OUT TO BE GREAT, DOCTOR. THANK YOU. ANYTHING TO HELP THE TOWNSHIP FOR IT. BEST THING YOU SEE, ARE ALREADY LIKE REGARDING THE ANIMAL LICENSING LIKE THIS. DO THEY RENEW IT EVERY YEAR? YES. EVERY YEAR. THE CATCH IS GETTING THEM TO ADMIT THE FIRST TIME THEY HAD THE PATTERN COMPLETELY VOLUNTARY. DO WE GIVE THEM THE REMINDERS? BECAUSE ONE POINT IN TIME IN THE HEAD 3000 LIKE WHY DID WE DID WE DROP TO LIKE 200 LIKE WELL BECAUSE IT'S ONLY JANUARY 11TH THE WHOLE MONTH OF JANUARY AND THERE'S A RABIES PLACE COMING UP. YOU HAVE TO BE CURRENT. SO ALL THOSE PEOPLE ARE COMING TO THE CLINIC WON'T GET THEIR LICENSE TO LAUGH. SO YEAH, BUT IT'S A UBI. 
          EXPECT THE NUMBER TO GO UP. GO UP. DON'T KNOW. YOU KNOW HOW I WILL GO UP. BUT, YEAH. ANYBODY WHO HAS ALREADY LICENSED GETS A REMINDER THE NEXT YEAR, OKAY? THEY SAW THE REMINDER OF THE 
          [00:25:03]
BILLBOARD. YES THAT WAS GOOD. BELIEVE ME, THEY REMINDED US A LOT THIS YEAR OUTSIDE. YEAH IT WAS EASY. I DID MINE ONLINE. SO EASY. WE DID OUR DOLLAR. GOOD TO GOOD TO KNOW, BECAUSE WE'VE BEEN TRYING TO FIGURE OUT HOW EASY IS IT BECAUSE THE TOWN IS MUCH EASIER. OKAY SEEMS MUCH EASIER THAN THE WAY IT WAS BEFORE. INCIDENTAL, YOU KNOW THAT. THAT WAS A LOT OF CONVERSATION IN A IN A MEETING TO FIND OUT CONVERSATION THAT THE BIG CONVERSATION BECAUSE WE WANT TO BE MORE AUTOMATED. SO THIS IS HELPING PEOPLE. I WILL DEFINITELY GET BACK FROM THAT. 
          THAT'S GREAT TERRIBLY ENOUGH. SANDTON. OKAY PILLS NOT TO DO. THAT'S GREAT NEWS, GUYS. I WILL MAKE SURE THAT THE POSITIVE GOES BACK. THAT'S GOOD. IT IS TO GET CAUGHT. YOU GET NOT GONNA GET CAUGHT, YOU KNOW, SO. OKAY SO WE HAVE DISCUSSED FINANCING. FOR CABINET GENERATION AND COST COVERING FOR VACCINES. WE'VE TALKED A LITTLE BIT ABOUT THE OPPORTUNITY TO INCREASE THE LEAD. DO WE NEED TO HAVE A MOTION TO INCREASE? THE FEAR CAN NOT YET OKAY? NOT YET. YEAH. AND I THINK THAT WAS IT FOR THE HEALTH OFFICERS COMMENTS. ALL RIGHT. DO YOU HAVE ANYTHING ELSE ? ALSO, COMMUNICATION PROCEDURES . OKAY, SO WE'RE GONNA HAVE FOR ONE. BUDGET COMMUNICATION GRANTS AND STEPHANIE COMMUNICATIONS COMPUTER PROCEDURES. WORK IS NEXT. UM COMMUNICATIONS PROCEDURES ONLY BECAUSE WE HAVE SO MANY NEW PEOPLE IN LEADERSHIP. THERE ARE A LOT OF QUESTIONS THERE MIGHT BE MORE QUESTIONS FOR THE HEALTH DEPARTMENT AS WELL AS THE BOARD OF HEALTH, SO I ALSO PROVIDED A COPY OF OUR ORGANIZATIONAL CHART IN THE PACKET, AND THAT'S JUST, YOU KNOW, I JUST WANTED AH, A QUICK REMINDER, YOU KNOW, SORT OF THE MINI ORIENTATION ABOUT THE HEALTH DEPARTMENT. SO THE HEALTH OFFICER, I HAVE THREE MAIN BOSSES, THE BOARD OF HEALTH WHICH ARE YOU? YOU ALL THE NEW JERSEY STATE OF DEPARTMENT OF HEALTH COMMISSIONER OF HEALTH AND THE TOWNSHIP ADMINISTRATOR. UM, SO I HAVE MORE BOSSES AND I DO EMPLOYEES. SO UM, AND THEN EVERYBODY, EVERYONE THAT YOU SEE LISTING HERE, OUR CURRENT EMPLOYEES OF THE HEALTH DEPARTMENT AND ONE OF THE THINGS THAT WE FOLLOW IS CHAIN OF COMMAND. WHEN IT COMES TO COMMUNICATIONS, SO SOMETIMES WE MIGHT GET REQUESTS FOR CERTAIN INFORMATION OR EVEN JUST A MEETING TO DESCRIBE HOW HOW WE DO CERTAIN THINGS. SO WHEN WE HAVE THOSE TYPES OF MEETINGS, I IF I AM COMMUNICATING WITH ANY OF MY THREE BOSSES, I MAKE SURE THAT YOU KNOW THAT THE BOARD OF HEALTH IS ALWAYS INFORMED. SO IF I'M MEETING WITH THE TOWNSHIP ADMINISTRATOR AND LET'S SAY, TOWNSHIP COMMITTEE, I WOULD I WOULD HAVE TO MAKE SURE THAT YOU ARE AWARE AND THAT YOU KNOW WHAT IT IS THAT IS BEING DISCUSSED. IF I'M MEETING WITH, UM WITH THE MAYOR, THE TOWNSHIP COMMITTEE OR BOARD OF HEALTH LIAISON WOULD WANT TO MAKE SURE THAT THE BOARD OF HEALTH PRESIDENT IS AWAY. SO THE WAY THE CHAIN OF COMMAND WORKS IS ALWAYS REACH OUT TO THE BOARD OF HEALTH PRESIDENT. AND THEN IT'S UP TO THE PRESIDENT TO DECIDE HOW THEY WOULD WANT TO, YOU KNOW, DISPERSE OR DISTRIBUTE INFORMATION TO THE BOARD. UM, AND AGAIN, THE PRESIDENT CAN ALWAYS ASKED ME TO SEND IT OUT TO THE GROUP OR THE PRESIDENT CAN FORWARD ON THE INFORMATION TO THE REST OF THE BOARD AND AT ANY POINT DURING THE YEAR IF THERE ARE ANY QUESTIONS OR CONCERNS THAT YOU WOULD LIKE TO BRING UP, UM EITHER TO ME OR TO THE TO THE BOARD. YOUR YOUR BEST BET WOULD BE TO GO THROUGH YOUR BOARD OF HEALTH PRESIDENT FIRST AND THEN YOU'RE ALSO ALWAYS WELCOME TO REACH OUT TO ME. SO UM, JUST KNOW THAT THERE ARE MANY CONVERSATIONS THAT OCCUR BEHIND THE SCENES BETWEEN YOU KNOW THE HEALTH OFFICER. THE BOARD OF HEALTH PRESIDENT, BORDER HEALTH LIAISON TO TANTRIC COMMITTEE AND THE TOWNSHIP ADMINISTRATOR. UM SO THAT THAT'S REALLY IT FOR COMMUNICATION PROCEDURES. AND THEN GRANTED AND INCLUDED THE GRANT BUDGETS IN THIS PACKET. I WILL UPDATE YOU WITH THE PUBLIC HEALTH INFRASTRUCTURE GRANT FUNDING ONCE THAT HAS BEEN SUBMITTED AND APPROVED. AND I JUST WANTED TO MAKE SURE THAT YOU ARE ALL AWARE OF ALL THE EMPLOYEES THAT ARE CURRENTLY PART OF THE HEALTH DEPARTMENT. SO THAT WAS IT FOR STAFFING. OKAY? COVERED UPDATES. 
          [VI. Covid Updates]
COMING UPDATES. WE'RE YOU KNOW, WE'RE JUST CONTINUING WITH OUR VACCINE CLINICS WERE TRYING TO DO AT LEAST TWO FRIDAYS A MONTH. UM RIGHT HERE IN THE MUNICIPAL COUNCIL CHAMBERS, AND THEN WE'RE PLANNING TO GO OUT AND DO MORE POP UP CLINICS AS REQUESTS. COME IN, UM, FOR THOSE COVID VACCINE CLINICS. WE ARE ALSO MONITORING AND KEEPING TRACK OF ANY OUTBREAKS IN ANY OF OUR HEALTHCARE FACILITIES AND SCHOOLS. AND YOU KNOW THE REQUIREMENT IS IF YOU NOTICE MORE THAN THREE K THREE CASES IN A COHORT OR SETTING YOU NOTIFY THE HEALTH DEPARTMENT WE GET 
          [00:30:01]
INVOLVED TO MITIGATE AND TO PREVENT FURTHER SPREAD. UM. SO I MEAN FOR COVID. AND THEN WE'RE CONTINUING OUR COVID TESTING RIGHT HERE IN THE BUILDING. SO THAT'S UM MONDAY THROUGH FRIDAY . 8 TO 5 MOSTLY. FOR PCR TESTING. WE ALSO HAVE, UM WE HAVE LOTS OF RAPID ANTIGEN TEST KIDS, SO IF YOU KNOW OF ANY INDIVIDUALS OR POPULATIONS THAT ARE IN NEED OF THESE TEST KITS, LET US KNOW WE'LL GO OUT AND DISTRIBUTE. UM THOSE ARE YOU NEED THEM. YEAH. GET OUT OF TOWN WIDE EMAIL. YEAH, WE'RE GONNA PUT IT IN THE BULLETIN. AND ANIMAL CONTROL UPDATES. WE HAVE 
          [VII. Animal Control Updates]
STARTED OUR PET LICENSING FOR THE YEAR WE SENT OUT POSTCARDS. UM TO REMIND EVERYBODY TO LICENSE THEIR PETS AND WE HAVE OUR BABIES CLINIC. THIS WEEKEND , SATURDAY AND SUNDAY AT FIRE COMPANY NUMBER ONE OF BRICKS TOWN ROAD FROM NINE TO NOON FOR CATS AND DOGS. MUNICIPAL LINES. 
          [VIII. Municipal Alliance Updates]
UPDATES. UM, WE. I JUST WANT TO ACKNOWLEDGE LAURIE HUFF, THE MUNICIPAL CHAIRPERSON, FOR UM, FOR THE ALLIANCE. SHE WAS AWARDED, UM, VOLUNTEER OF THE YEAR AWARD BY THE GOVERNOR'S COUNCIL ON ALCOHOLISM AND DRUG ABUSE PREVENTION. AND UM, WE'RE HOPING TO, UH, TO GIVE HER SOME RECOGNITION AT THE TOWNSHIP COMMITTEE MEETING. LORI HAS BEEN PHENOMENAL IN HELPING SEND OUT MESSAGING ABOUT MENTAL HEALTH, SUBSTANCE USE PREVENTION. SHE ALSO ADVOCATED FOR PRESCRIPTION MEDICATION DROPBOX ON YOUR WAY OUT. MAKE SURE YOU YOU SEE THE NEW, UM DROPBOX OUTSIDE BY THE POLICE STATION. SO UM, WE WILL SEND OUT MESSAGING AND COMMUNICATION ONCE EVERYTHING'S FINALIZED WOULD LIKE TO DO YOU KNOW, A PHOTO OP WITH ALL OF THE KEY STAKEHOLDERS THAT WERE INVOLVED, UM, YOU KNOW, INCLUDING LENA LAURIE. AND UM, AND OUR MUNICIPAL ALLIANCE MEMBERS WHO ADVOCATED SO STRONGLY FOR HAVING THE 19TH. WE JUST HAVE A BIG AGENDA ON THE 19TH BUT WILL WILL CIRCLE BACK AND YOU CAN LET EVERYBODY KNOWS WANTED TO ATTEND. SOUNDS GOOD, AND THEN OUR GOAL IS TO CONTINUE PROVIDING COMMUNICATION, EDUCATION AND PROGRAMMING AS IT RELATES TO, UM, SUBSTANCE USE PREVENTION AGAINST MARIJUANA. OPIOIDS, UM. NICOTINE TOBACCO AND ALCOHOL, SO WE WILL SUBMIT OUR AN OUTREACH PLAN OR A WORK PLAN TO YOU ONCE WE HAVE THAT FINALIZED. IN THE FIRST QUARTER. AND I THINK THAT'S IT. THE NEW BUSINESS. OKAY? HERE WE GO. SO HAVING NO FURTHER BUSINESS TO DISCUSS THE MEETING WILL NOW ADJOURN MOTION TO ADJOURN, PLEASE? MOTION. RIGHT? IT IS ADJOURNED AT. ANYONE
* This transcript was compiled from uncorrected Closed Captioning.