ECHD Annual Reports

This has been a challenging and productive year at ECHD!  On a Friday night in April 2009 we were informed that a child in Elyria was suspected of having contracted H1N1.  This diagnosis was confirmed on the next day.  Because it was the first diagnosed case in Ohio, we were the focus of much local (and some national & international) media attention.  The Ohio Department of Health and the Centers For Disease Control provided us with guidance as we instituted procedures for emergency response.  With the support of: the Lorain City Health Department, the Lorain County General Health District, the Lorain County Emergency Management Agency and the Elyria City Schools Administration, we responded quickly and appropriately.

By mid-summer it was clear that the next phase of H1N1 response would be provision of a vaccine that was being developed.  We began our planning for public clinics to provide the vaccine.  Our first clinic was held in October, and by December 31st, we had held 25 clinics and provided immunizations to 7219 people.  Concurrently, the tireless staff continued to provide the many needed programs and services, barely missing a beat in any of them.  Food service, public pool and school inspections were conducted by the environmental health division.  The Nursing Division continued to provide nurse home visits in the Help Me Grow, BCMH and Bridge programs, prenatal care coordination was maintained as well as our adult and child immunization clinics.  And of course - the seasonal flu clinics!  I have described our response and continued program implementation as, "We landed on our feet!!"

We look forward to another year focusing on keeping Elyria healthy.  We appreciate the collaborative environment that was generated by the H1N1 response (positive outcomes are often generated by negative events) - and look forward to another year of service to the citizens of Elyria by the professionals here at ECHD.

Kathryn Boylan, R.N. M.Ed, Health Commissioner

Public Health Nursing:

The Elyria City Health District Nursing Division provides many services to the public, focusing especially on services to families and children.  Informational and supportive home visiting services are provided through the following programs:

Help Me Grow - Service coordination from prenatal through the child's 3rd birthday

Prenatal Intake/case management - Prenatal case management services in collaboration with private OB practices.

Bureau for Children with Medical Handicaps (BCMH) - Case management services to the families of children birth to age 21 with medical and developmental challenges.

Birthing Readiness: Individualized Development and Growth through Education (BRIDGE) - Home visiting curriculum for pregnant teenagers.

Ohio Infant Mortality Reduction Initiative (OIMRI) - Home visiting outreach services targeting pregnant African-American women.

Clinic services are provided at the Health District and other locations for children and adults through the following:

Children's immunization clinics - held twice each month at ECHD on a walk in basis

Adult immunization clinics - held twice each month at ECHD on a walk in basis

Travel immunization clinics - available by appointment at ECHD for those who may be traveling abroad and in need of vaccinations to protect against specific communicable diseases

Seasonal/Pandemic Flu clinics - held at various locations during the traditional flu season or as needed in response to a pandemic

Adult blood pressure clinics - Nursing service in collaboration with Elyria Parks & Recreation to provide blood pressure screenings and education to senior citizens.

2009 Nursing Division Statistics:

Help Me Grow home visits                                           1836

BCMH home visits                                                       156

BRIDGE home visits                                                      83

Prenatal Intake Screenings                                          314

Prenatal case management home visits                        191

OIMRI home visits                                                      730

Blood pressure screenings                                          1433

Lead Screenings/follow up                                              29

Adult Immunizations provided                                       867

Children's immunizations provided                               2246

Travel immunizations provided                                    1221

Seasonal flu shots provided                                         3121

H1N1 flu shots provided                                              7219

Environmental Health:

The Environmental Health Division provides many services that touch all corners of the community.  Program areas include:  Inspection of food operations, public pools, schools, manufactured home parks, home daycares, tattoo operations and infectious waste generators.  The division also investigates non-housing related nuisance complaints, animal bites and incidents of illegal dumping.  Since 2000 the division has also collected mosquitoes for West Nile Virus surveillance.  Beginning in 2006, the division has also been responsible for investigating possible violations of Ohio's ban of smoking in workplaces.  The division is also a valuable resource of information, and handles well over 1000 phone calls per year in these and other environmental health areas. 

2011 Environmental Health Statistics:

Home daycares inspected                                             6

Public pool/spas licenses issued                                   27

Public pools/spas inspections                                     163

Mosquitoes submitted for WNV testing                         515

Food Service operations licensed  (all types)                 368

Inspections of food service operations                         832

Foodborne Illness outbreak investigations                       1

School inspections                                                      40

Tattoo operations licensed/inspected                             7

Animal bites investigated                                            99 

Smoking complaints investigated                                 28

Nuisance complaints investigated                                183

Manufactured Home Parks licensed/inspected                 5

2009 Financial Information:

Revenues:                                       Amount                    Percent

General Fund                                         $522,680                     28.80%

Grants                                                   $409,934                     22.59%

Contracts                                               $402,961                     22.20%

Medicare/Medicaid Reimbursement           $165,926                       9.14%

Fees - Adult & Pediatric Immunizations     $149,985                       8.26%

Fees - Environmental Health                    $  77,371                       4.26%

Solid Waste Allocation                             $  50,300                       2.77%

Miscellaneous                                         $  19,610                      1.08%

State Subsidy                                         $  16,059                         .88%

Interest Income                                      $      174                         .01%

                                                            ___________                     ______

Total Income                                         $1,815,000                       100%

Expenses:                                        Amount                      Percent

Personnel Costs                                     $1,555,907                    85.72%

Immunization Costs                                $    92,892                      5.12%

Professional Services                               $    48,514                      2.67%

Supplies                                                 $    34,273                      1.89%

Maintenance                                           $    20,144                      1.11%

Mileage/Training/Travel                            $    15,115                        .83%

Utilities                                                   $    14,356                        .79%

Telephone                                              $     14,077                        .78%

Liability Insurance                                    $    11,196                         .62%

Capital Outlays                                        $      8,525                         .47%

                                                              ___________                    __________

Total Expenses                                        $1,815,000                      100.0%