100 Years of Public Health
I am very pleased to present the 2018 Medina County Health Department Annual Report. This year, in recognition of the 100th anniversary of local public health, we are highlighting current work along with a historical perspective. The idea of then & now is meant to show how your health department met the needs of the community decades ago, and is continually evolving to respond to current issues. Who could have imagined the concept of vaping, or the impact of harmful algal blooms on our lakes? Nobody likely could have, but that is why the Health Department has staff highly trained in human behavior, epidemiology, and biology who continually monitor the environment, assess health impacts, and connect through a network of laboratories and researchers throughout the United States. All of this occurs in the background of everyday life.
You may have noticed that we changed our logo this past year. The font was freshened up and a tagline was added that reflects our mission statement. The Health Department also launched an updated website that is more mobile friendly and designed around the way a citizen would look for information rather than the way the agency is functionally organized. Making it easier for residents to use our services, access our information, and provide feedback is important to everyone at the Health Department.
If you have not stopped by the office lately, I encourage you to do so. The renovation that started in 2017 and concluded in 2018 provided expanded clinical space and improved the patient experience. Walk-in clinics have been added and long wait times eliminated with the expansion of providers. You can see our medical and dental staff on the front of the annual report, along with many of our clinic support staff. I am proud of both the preventive and restorative work being done through our Health Center, and the care that is offered to residents of all ages and incomes.
As always, I welcome your feedback and encourage you to learn more about all that your local health department is doing for you. www.medinahealth.org.
Krista R. Wasowski, LSW, MPH
Federally Qualified Health Center (FQHC)
On August 1, 2018, the Medina County Health Department (MCHD) received Federally Qualified Health Center (FQHC) Look-Alike status, meeting the requirements of the federal Human Resources and Services Administration (HRSA) Health Center Program.
- In 1951, a children’s mobile dental clinic provided care for 4,511 county children.
- In 2003, a dental clinic was established, with one full-time dentist, to provide care to uninsured and low income families in the county.
- A full-time family practice physician, a full-time family nurse practitioner, a part-time certified nurse midwife, and two full-time dentists provide comprehensive health care in one location, including:
- 5,000+ medical visits and an additional 5,000 dental visits each year.
- Services provided on a sliding fee scale based on income.
- The governing board includes patients.
Tobacco and Electronic Cigarette Education Program
Reducing adult and youth tobacco use is a goal in the Medina County Community Health Improvement Plan (CHIP).
- Ohio first received federal funding for tobacco control programming in 1988.
- More than 20 presentations were delivered to approximately 1,800 students and individuals in the community.
- Effective October 2018, we partnered with the Medina County Juvenile Court quarterly classes for juveniles who have received tobacco citations.
We provide community clinics throughout the county in Brunswick, Lodi, Spencer, and Wadsworth. This past year we have offered both immunizations and Women, Infants, and Children (WIC) services in Wadsworth in a combined clinic.
- In 1920, community nurse offers a clinic for mothers and expectant mothers at AI Root’s employee restaurant.
- In Ohio, the first WIC clinic was opened in 1980.
- 122 immunizations were provided at community clinics.
- 5,779 total appointments with 513 WIC participants served in Wadsworth.
- $1,985,308.00 went back into local businesses through WIC benefit redemption.
- Facebook: 290,500 Impressions and 260 followers gained.
- Twitter: 78,000 Impressions and 75 followers gained.
- Updated website to make it mobile friendly.
- Printed materials: 17,628 pieces distributed to the public.
- Educational presentations: 5,554 individuals reached.
- Medina County Safe Communities Coalition (community partners that promote traffic safety) reached 450,595 people through events, material distribution, and social media campaigns.
Living Well Medina County
MCHD was one of five health departments in the nation to pilot a new community planning tool. It is a digital meeting space for all county residents to share opinions, perspective, and needs to change and shape the future of our community in a positive way. You can join the conversation at livingwellmedinacounty.com.
New Data Reports
In 2018, MCHD began publicizing quarterly drug related emergency room (ER) visits data briefs and published, for the first time, the Medina County Suicide Report for years 2013 to 2017. These reports and others can be found on the MCHD website under the community tab and the “Data Reports” section.
Communicable Disease Investigations
Our staff monitor and investigate diseases that are required by Ohio law to be reported to local health departments. Disease control and prevention measures help protect the public’s health through this ongoing monitoring and surveillance. This is a 24/7/365 service by your local health department.
- In 1951, 266 cases of measles were reported in the county.
- In 1959, tetanus shots were administered to football players in all school districts in the county.
- 958 cases of communicable diseases were investigated in 2018.
- 38.1% of cases investigated were for chlamydia.
- 25.9% of cases investigated were for influenza-associated hospitalizations.
- 9.3% of cases investigated were for chronic hepatitis C.
Food Safety Program
The Environmental Health Division is responsible for licensing and inspecting Food Service Operations in restaurants, bars, daycare centers, hospitals, nursing homes, grocery stores, convenience stores, gas stations, fairs, festival trailers, and vending machine locations.
- 998 total licenses were issued for all forms of inspections (Food Service Operations, Retail Food Establishments, Mobile Food Service Operations/Mobile Retail Food Establishments, and temporary food service operations).
- 2,235 total inspections were completed.
- 86 Food Service Operations/Retail Food Establishments complaints were reported and investigated.
- 44 plan reviews were conducted for new or remodeled food operations.
- 27 people were trained in person in food safety; and we provided exam proctoring 5 times for 30 people.
Sewage, Water, and Plumbing Program
- MCHD established its first sanitation/environmental program in 1958, and discussion about increased awareness for septic tank inspections occurred in 1970.
- The Environmental Health Division scanned all documents and incorporated them as a MCHD layer in the County Geographic Information System (GIS). The public is able to view program documents and data such as date installed, final approval, and system design in almost real time. Instructions on how to access this information were developed and is being shared with contractors, realtors, and homeowners.
- Water Pollution Control Loan Fund: Since 2012, $1,006,000 has been received and 90 homeowners were awarded some type of funding; 88 systems replaced, and 2 sanitary sewer connections completed.