Annual Report FY 2008

David A. GarzaCommissioner, Pct. 3

John WoodCommissioner, Pct. 2

Sofia C. BenavidesCommissioner, Pct. 1

Edna TamayoCommissioner, Pct. 4

Carlos H. Cascos, CPACounty Judge

Cameron County

TABLE OF CONTENTS

Cameron County Commissioners’ Court............................................................... i

Quote From Health Administrator......................................................................... i i

Table of Contents................................................................................................ i i i

Leadership...........................................................................................................1

Organizational Chart...........................................................................................2

Environmental Health...........................................................................................3

Public Health Response Program........................................................................10

WIC....................................................................................................................19

Operations.........................................................................................................24

Human Services.................................................................................................28

Clinical Services.................................................................................................42

Fiscal Year 2008 Budgets....................................................................................48

Service Locations...............................................................................................52

Committee Participation and Special Projects...................................................55

Texas Department of State Health Services Selected Health Facts......................59

ii iCameron County Department of Health and Human Services FY 2008

1. Cameron County Department of Health and Human Services FY 2008

112.Cameron County Department of Health and Human Services FY 2008

ENVIRONMENTAL HEALTHPROGRAM

Raquel Castillo

Hurricane Dolly Aftermath

Fiscal year 2008 was a year of change for theEnvironmental Health Program. With the help of a

improved exponentially and like years past, played akey role in carrying out the Cameron County Depart-ment of Health and Human Services’ mission topreserve, protect, and promote the health and well-being of Cameron County residents. Events such asHurricane Dolly and issues such as the increasingunwanted pet population led to changes andimprovements that became major accomplish-ments for the Environmental Health Program.

to Cameron County, with some areas getting as

County was hit by Hurricane Dolly, a Category 2

for Cameron County residents as the disease trans-mission probability of vector borne diseases such asWest Nile Virus and dengue increased. In responseto this threat and as part of Hurricane Dolly recovery

performed ground-based mosquito spraying

supplemented aerial spraying after it was achieved.In addition, the Cameron County Vector ControlDisaster Response Plan was developed in coordina -tion with local vector control programs. This planalong with the Texas Department of State HealthServices Hurricane Dolly Vector Surveillance andControl Response Plan outlines the guidelines anduse of an appropriate surveillance-based applica-tion of adulticides such as ground-based mosquitospraying. The end result to this endeavor were callsfrom the public just to say “Thank you.”

ways possible to better serve the residents ofCameron County.” -Raquel Castillo

The Animal Control Program also experienced

unwanted pet population highlighted the need forimprovements at the animal shelter. Consequently,the Cameron County Animal Shelter CapitalImprovement Plan was developed and changes inlogistics and operations were implemented thatallowed for improved public service and public

from the animal shelter in lieu of reporting to theSan Benito Annex Building. The vacant clerical

calls and daily activities of the shelter. Additional

and internet access was coordinated at the newly

the driveway leading to the animal shelter and aperimeter fence with an automatic gate wasinstalled for added security and safety.

In summary, the Environmental Health Program was-

leadership and perseverance which will continue toguide the program as they try to address futureconcerns within Animal Control, Eating and Drink-ing (Food Service), On-Site Sewage Facilities,General Sanitation, and Vector Control.

“Much has been accomplished this last year butthere is still much to be done. As new environmen-tal health issues emerge and the complexities ofexisting issues grow, we will continue to make every

residents of Cameron County.” - Raquel Castillo,Director of Environmental Health

access. Animal Control Staff was re-assigned to work


Animal Control FY 2008

Financial

Personnel

Performance Measures

Services

Budget: 100-6310

FringeEquipment/SuppliesOtherTotal

58,1709,470

27,650234,478

$$$$

10%2%5%

Animal Control SupervisorAnimal Control Clerk

Director

311

11

Assistant Director of Environmental Health

ActivityPerformance

Measure Compliance

Time to respond to city assistance194

71

Immediately

5 Working Days

100%

100%

Response time to pick up live animals

Response time to pick up dead animals 273 24 Hrs 100%

Full TimeFull Time

Full TimeFull Time

Full Time

25%4%

12%

Salaries 139,188$ 23%59%

40%

% Animal ControlBudget

% Overall EHBudgetTotal $592,493

Live Animals Picked UpDead Animals Picked Up Room and BoardAnimals EuthanizedAnimals RegisteredSweeps

Number of Services

2,316273525

1,7022,579

42

Fees for Service

0.000.006.000.005.000.00

$$$$$$

Fees Generated

0.000.00

3,1500.00

12,8950.00

$$$$$$

Total Fees Generated: $16,045.00


25%

4%

12%

59%

1Administrative Assistant Full Time

100%100%

10.8%100%

100%20%

*During the fiscal year 2008, Director of Environmental Health worked 54% on Environmental Health activities, 26% on ORAS activities and 20% on Pandemic Influenza preparedness activities.

100%

Response time to law enforcement callsregarding dog bites or after hours viciousdog complaint

Eating and Drinking FY 2008

Financial

Personnel


Services

Budget: 100-6310


21,9641,470

14,70892,382

$$$$

Salaries 54,240$4% 0%2%

9%

15%

% EHBudgetTotal $592,493

24%2%

16%

58%

% E&DBudget

Administrative AssistantClerk

2111Director of Environmental Health

Full TimeFull Time

Full TimeFull Time

Health Inspector 1-100%; 1-70%25%

10.8%20%

% TimeSpent on ED Activities

Reinspection of food serviceestablishments

Response time to investigatepublic complaints

Activity

29

857

202

Compliance

100%

100%

100%

Response time to approve or denynew food service applications

PerformanceMeasure

Within 3 working days

362 establishments


Total Fees Generated: $37,020

Restaurants, Cafeterias and Food Vendors

Grocery Stores

Daycares

Tortillerias

Bakeries

Meat Markets

Mobile Vending Units

Temporary Permits

Foster Homes

Fees for Service

$

$

$

$

$

$

$

$

$

100

100

100

100

100

100

100

50

10

Permits Issued

181

94

48

10

4

9

16

8

42

Permit Fees Generated

$

$

$

$

$

$

$

$

$

18,100

9,400

4,800

1,000

400

900

1,600

400

420


24%

16%

58%

2%

100%

General Sanitation FY 2008

Financial

Personnel


Services

Budget: 100-6310


Salaries$$$$

15,3901,470

14,70969,354

37,785$3% 0%

3%

6%

12%


% GSBudget

22%2%

21%

55%


2111Director of Environmental Health

Full TimeFull Time

Full TimeFull Time

Health Inspectors 2-50%25%

10.8%20%

% TimeSpent on GS Activities

Response time to investigatepublic complaints(Rubbish, junk cars, and othernuisances )

Activity

633

Compliance

90%

PerformanceMeasure

72 Hrs

Fees for Service Notices

Notices to Abate Nuisances $ 0 633


22%

21%

55%

2%

100%

Total Fees Generated: $0

On-Site Sewage Facilities FY 2008

Financial

Personnel


Services

Budget: 100-6310


20,5191,470

14,70987,212

$$$$

Salaries 54,514$3%0%3%

9%

15%


24%2%

17%

57%

% OSSFBudget


2111Director Environmental Health

Full TimeFull Time

Full TimeFull Time

Health Inspectors 1%-85; 1%-70%25%

10.8%20%

% TimeSpent on OSSF Activities

Activity CompliancePerformance

Measure

701 100%Response time to reviewcompleted application Within 30 days

Response time for inspection after it has been requested 1,546 100%Within 5 working days

Response time to investigatepublic complaints 26 100%Within 30 days

Total Fees Generated: $40,610

Septic Permits

Probes

Subdivision Plat Reviews

Subdivision Plat Reviews

Permit/Review Fees

$

$

$

$

80

20

50

200

Permits Issued/Plats Reviewed

448

156

13

5

Fees Generated

$

$

$

$

35,840

3,120

650

1,000

24%

17%

57%


2%

100%

Vector Control FY 2008

Financial

Personnel


Services

Budget: 100-6310


$$$$

Salaries19,67810,95913,94392,153

47,573$3%2%2%

8%

16%


100%


5111Director

Full TimeFull Time

Full TimeFull Time

Health Inspectors 2-50%; 2-30%; 1-15%25%

20%20%

% Time Spent onVector Control Activities

Response time to investigatebee call complaints

Response time to investigatetall grass complaints

Activity

1,154

164

532

Compliance

100%

100%

90%

Response time to investigatemosquito complaints

Total Fees Generated: $0

Notices to Abate NuisanceAreas AdulticidedAreas Larvacided

PerformanceMeasure


Within 24 Hrs

Within 72 Hrs

( Weather permitting )

% VCBudget

21%12%15%

52%

Fees for Services

$$$$

0000

$ 0

Number of Services

53242032610163

Fees Generated

$$$$

0000

$ 0

21%

12%

15%

52%


PUBLIC HEALTH RESPONSEPROGRAM

The Cameron County Department of Health andHuman Services Public Health Response Program isthe all-hazard program of the department. Theprogram’s mission is to protect and prepare ourcommunity by developing the capacity of the localpublic health system to respond to a bioterroristevent, infectious disease outbreak, and any otherpublic health emergency, and to sustain a continu-ous preparedness program. Whether natural orman-made, the program responds to emergencies

conventional response methods or through innova-tive, alternative response methods for the well-being and safety of our community.Conventional methods of response such as vaccina-tion campaigns, public education, and regularstandard and enhanced disease surveillance are justsome of the everyday tools used by the program to

the program’s main tools for conveying the caveatsof good public health as was demonstrated during

and Quarantine issues during a pandemic. Theconference was hosted by the Cameron CountyDepartment of Health and Human Services PublicHealth Response Program. Enhanced diseasesurveillance has been the backbone in bioterrorismpreparedness and has been a blueprint in imple-menting the Early Warning Infectious DiseaseSurveillance (EWIDS) Program within the Public

best example of the role disease surveillance played

to the emergent nosocomial Acinetobacterbaumanni.

Program was not above using innovative andalternative methods in responding to unanticipatedchallenges brought on by events such as HurricaneDolly.

Whether assisting at the county’s emergency opera-tions center or carrying out a response activity, thePublic Health Response Program was able toexercise its response capabilities as planned, trained,and exercised. Unanticipated challenges wereaddressed the best way possible and with an open-mind. For example, the Public Health ResponseProgram was able to coordinate the use of ourdecontamination trailer to shower individuals andfamilies housed in shelters located in severalcommunities throughout Cameron County. Assistedin the planning for the deployment of a SpecialNeeds Shelter for individuals with medical specialneeds whose homes were damaged or had noelectrical power; also coordinated transportation forindividuals and families to the Special NeedsShelter.

The Public Health Response Program has been ableto respond to public health emergencies usingtraditional, conventional response methods, and

continue to prepare, plan, and respond to publichealth emergencies the best way possible for thewell-being and safety of our community. During a

and the Governor’s Division of Emergency Manage-ment, Chief Jack Colley stated “Your Department dida great job in planning and preparing your Countyfor a natural disaster. Your response to HurricaneDolly was exceptional and your continuation ofgovernment did not stop. This is the perfectexample for the entire State of Texas to follow. Keep up the good work.”

“The Public Health Response Program will not sparetime or amenities for reaching its goal of maintain-ing our community’s public health.” - Fidel Calvillo,Public Health Response Program Supervisor

“The Public Health Response Program will not spare time or amenities for reaching its goal of maintaining our

community’s public health.” - Fidel Calvillo

Fidel J. Calvillo

Cameron County Decontamination Unit


Public Health Response Program FY 2008

Financial

Personnel


Services

Budget: 240-6368

FringeIndirect CostsOtherTotal

29,95211,09974,769

226,809

$$$$

PHRP SupervisorStrategic National Stockpile Coordinator

Planner

1131

Full Time (70%)

Full Time (70%)Full Time (70%)Full Time (70%)

13%5%

33%

Salaries 110,989$ 49%

% Budget

100%

Incident Command Structure training

ActivityPerformance

Measure Compliance

Update All Hazards Plan components

4

71

Conduct Security Assessments 13

Public Health Information Networkuser recruitment 125

Strategic National Stockpile exercise 1

2

20

9

75

1

100%

100%

100%

100%

100%

Public Health Information Alerts Sent

Coordinated Education and Training Events

Coordinated Exercises and Drills

2008

18

50

9

2007

23

67

10

2006

19

20

2

13%

5%

33%49%


Epidemiology FY 2008

Financial

Personnel


Services

Budget: 240-6368


29,95211,09974,769

226,808

$$$$

LVNEpidemiologist 1

21Public Health Technician

Full Time (70%)

Full Time (70%)Full Time (70%)

13%5%

33%

Salaries 110,988$ 49%

% Budget

100%

Update All Hazards Plan Components

Conduct epidemiology and surveillanceinvestigations

Conduct training and education inIncident Command Structure

Activity

5

555

4

Performance

Measure

5

555

2

Compliance

100%

100%

100%

Public Health Information Alerts Sent



2008

555

18

50

9

2007

824

23

67

10

2006

537

19

20

2

Reportable Disease Investigations

13%

5%

33% 49%


AmebiasisAnthraxArbovirus infectionAseptic meningitisBotulism, foodborne

BrucellosisCampylobacteriosisCat Scratch Fever (Bartonella henselae)Chickenpox (varicella)CholeraCoccidioidomycosisColorado Tick FeverCreutzfeldt-Jakob Disease (CJD)CryptosporidiosisCyclosporiasisCysticercosisDengue FeverDengue Hemorhagic FeverDiphtheriaEbolaEhrlichiosis HGEEhrlichiosis HME

Encephalitis (Arboviral), Cache ValleyEncephalitis/meningitis (Arboviral), California serogroupEncephalitis (Arboviral), Eastern Equine (EEE)Encephalitis (Arboviral), PowassanEncephalitis (Arboviral), St. LouisEncephalitis (Arboviral), Venezuelan Equine (VEE)Encephalitis (Arboviral), West NileEncephalitis (Arboviral), Western Equine (WEE)Encephalitis, NonarboviralEnterohemorrhagic Escherichia coli 0157:H7Enterohemorrhagic Escherichia coli shiga toxin (not serogroup)Enterohemorrhagic Escherichia coli shiga toxin (serogroup)015Escherichia coli, shiga toxin producingGiardiasisGranulomatous amebic meningioencephalitis (GAE)Group A Streptococcus, invasiveGroup B Streptococcus, invasive

Epimediology/Surveillance Disease Report FY 2008

2008 20062007 2005 2004

0000000

260

17300002000000

12006000000000

12000000

0000000

350

202000040010003000000000000

17000000

0000000

180

173000100010008000000000000

11000000

0000000

10080000000100000000000000000000000

000

000

150

570000

000000

0200000000000030000

7

2

6

* Unofficial

*



Hantavirus infectionHantavirus pulmonary syndromeHemolytic uremic Syndrome (HUS) Hepatitis A (acute)

Hepatitis B (acute)Hepatitis B virus infection chronicHepatitis C (acute)Hepatitis C virus infection, chronic (past or present)Hepatitis Delta co-or super-infection, acute (Hepatitis D)Hepatitis E, acuteHepatitis Non-ABC, acute

LegionellosisLeishmaniasisLeptospirosisListeriosisLyme disease MalariaMeasles (rubeola) Meningitis (specify type)Meningococcal diseaseMumpsNorovirusPertussisPlague (Yersinia pestis)Poliomyelitis, acute paralytic Poliovirus infection, nonparalyticPrimary Amebic Meningoencephalitis (PAM/GAE)Psittacosis (Ornithosis)Q feverRabies, human Relapsing feverReye SyndromeRheumatic FeverRocky Mountain spotted feverRubellaRubella congenital syndromeSalmonellosis

2008 20062007 2005 2004

10007

2728000000002002321

81030

140000000000001

117

20009

40203

000000004002201

28090

2100000000000000

1000

114

189600000003001530

12210

570000010000000

136

0000901000000001001010320050000000000000

56

0000300000000000001200001060000000000300

77

(continued)

* Unofficial

*



Scarlet FeverSevere Acute Respiratory Syndrome (SARS) ShigellosisSmallpoxStaph. aureus, coagulase-positive, methicillin-or oxicillin-resistant MRSAStaph. aureus, coagulase-positive, vancomycin-resistant VRSAStaph. aureus, vancomycin-intermediate VISAStreptococcus, Group A, invasiveStreptococcus Group B, invasiveStreptococcus, other, invasive, beta-hemolyticStreptococcal disease, pneumoniae, invasive diseaseStreptococcal Toxic-shock syndrome

TetanusToxic Shock syndrome, StaphylococcalToxoplasmosisTrichinosisTularemiaTyphoid fever (caused by Salmonella Typhi)

Typhus fever,(epidemic louseborne, R. prowazekii)Vancomycin Resistant Entercoccocus (VRE)Vibrio parahaemolyticus

Viral Hemorrhagic Fever, including Ebola West Nile FeverYellow feverYersiniosis

2008 20062007 2005 2004

00

250

070000

13000000000

4402000300

0000

060000

14000000000

3802000400

00

1820

0900004000000000

5303000200

00

670

0000003001000000301000000

00

500

0000002000000003001100000

(continued)

* Unofficial

*


Operation Lone Star FY 2008

Financial

Personnel


Services

Budget: 240-6368

Equipment/Supplies

Total

Equipment Rental

15,241

15,562

$

$

321$

98%

100%

2%% Budget

Increase number of services provided

Increase number of clients

Activity

11,100

2,048

Performance

Measure

4,607

1,999

Compliance

100%

100%

Operation Lone Star VIP Luncheon DonationsH-E-B $4,000 Valley Baptist Foundation $2,500

State employeesCounty Health

VolunteersTexas Military SoldiersTOTAL

34

13

31

91169

Patients Seen

Prescriptions Provided

Dental Patients Seen

Services Provided

Immunizations Given

2008

11,100

2,048

1,044

84

1,519

2007

4,607

1,999

876

99

586

2006

2,607

1,166

670

62

304

2005

4,676

1,824

923

339

624

2004

2,918

1,301

422

182

912

98%

2%


Pandemic Flu FY 2008

Financial

Personnel


Services

Budget: 240-6368


24,2927,260

43,189147,345

$$$$

16%5%

30%

Salaries 72,604$ 49%

% Budget

100%



2008

5

15

1

2007

NA

NA

NA

2006

NA

NA

NA

PHRP Supervisor 1 Full Time (30%)

Planner 1 Full Time (30%)3 Full Time (30%)

Epidemiologist 1 Full Time (30%)

Planner 1 Full Time (30%)3 Full Time (30%)

ActivityPerformance

Measure Compliance

Incident Command Structure training

Update All Hazards Plan components

stnemssessAytiruceStcudnoC

Public Health Information Networkuser recruitment

16%

5%

30% 49%


Influenza Testing by Local Hospitals

Pandemic Influenza SNS exercise

WICPROGRAM

Lety Montiel

Browne WIC Clinic

The objective of the Women, Infants and Children(WIC) Program is to provide optimal nutrition andeducation to our community. The beginning offiscal year 2008 marked a milestone of changes forthe Cameron County Department of Health andHuman Services WIC Program: the implementationof client-centered counseling known as ValueEnhanced Nutrition Assessment (VENA), and the

Value Enhanced Nutrition Assessment (VENA)VENA is a process in which the participant willreceive an appropriate and personalized nutritionintervention session. After the collection of relevantinformation, as provided by the WIC participant

important to the participant and current needs are

tion provided by the participant and through activelistening, critical thinking and nutrition education,together the WIC counselor and participant esta-blish nutrition goals.

(IBCLC) The addition of two IBCLCs to the WICProgram has allowed the expansion of lactation

participants. WIC participants who have a high riskbreastfed infant and have breastfeeding problems

peer counselors are referred to the IBCLC for follow-up. Breastfeeding mothers receive private andpersonalized sessions with the IBCLC to support theoptimal form of infant nutrition, breastmilk.

The close of fiscal year 2008 proved to be anothersuccessful year for the Cameron County Departmentof Health and Human Services WIC Program.

The implementation of VENA and the addition oftwo IBCLCs to the Program have enhanced thequality and level of counseling for the participants.

we receive from some of our participants. After abreastfeeding class presentation a WIC participantwrote on a feedback form under comments asfollows, “ Solo felicitar al programa WIC porque nobatalle para alimentar a mis dos ultimos bebitos,Gracias. y tambien que sigan aconsejando a lospapas. A mi esposo le sirvio mucho y me di cuentapor su cambio sobre mi y mis hijos, es mas amorosoy cariñoso. Gracias.”

“As a community intervention program throughperseverance and compassion we provide theessentials necessary for good nutrition during atime of need.” - Leticia Montiel, WIC Director

“...we provide the essentials necessary for goodnutrition during a time of need.” - Lety Montiel


WIC Program FY 2008

Financial

Personnel


Services

Budget:

Activity

249

7,508

CompliancePerformance

Measure

Number of families receiving nutrition education

Breastfeeding infants (Born-to-WIC)

320-6300 100-6300% Budget% Budget

Fringe

Real Estate Rental

Total

787,967

73,736

3,641,654

$

$

$

Salaries 2,060,194$

21%

2%

57%

100%

Indirect Costs 492,705$

Other 227,052$

14%

6%

17,488

0

131,488

$

$

$

114,000$

13%

0%

87%

100%

0$

0$

0%

0%

0

4Certifying Authority

16

15

Other 5

Community Service Aide

16

31

368

129

144

7,134

368

129

100%

100%

100%

100%

21% 57%

14%

6%


WIC Certification Specialist

2%

WIC Director 0Part Time

1Full Time

23

Pregnant women in their first trimester certified eligible

Individuals without a health care provider referredto a health care source

(Monthly Average)

State approved monthly participation 32,500 Cameron average monthly participation 29,762

19

5,724

7,436

Community Outreach

High Risk Counseling with R.D.

Nutrition Education Classes

Breast Feeding Mothers Served

Postpartum Mothers Served

Infants Served

Children Served

3,193

5,646

4,965

8,815

25,609

Pregnant Women Served

Total Unduplicated Individuals Served 48,228

Breastfeeding Support and Education FY 2008

Financial

Personnel


Services

Budget:% Budget% Budget

Breastfeeding Peer Counselor 3 (100%)

Breastfeeding Peer Dads 3

Part Time

1 (100%)

Full Time

Breastfeeding Peer Coordinator

Number of infants breastfed at or

Activity

96

435

Compliance

22%

73%

Number of infants exclusively breastfedup to one year of age

PerformanceMeasure

20%

75%

Number of Breastfeeding Clients Counseled

Number of Attendants in Breastfeeding Classes

Number of Attendants in Sons to Dads Classes

Number of Dads Counseled by Peer Dads

Breast Pump Issuance (Single User)

Breast Pump Issuance (Multi User)

Breast Pump Issuance (Manual)

7,835

728

3,978

6

11

345

59

336

202

Fringe

Equipment/Supplies

Total

17,629

6,000

203,365

$

$

$

Salaries 179,736$

9%

3%

88%

14%

86%

100%

1,114

8,138

$

$

7,024$

100%

320-6300 100-6300 9%

3%

88%


9

0

0

WIC Vendors FY 2008

Financial

Personnel


Services

Cameron County WIC Food Vendors Reimbursement: $21,141,503

Cameron County Department of Health and Human Services WIC Program does not monitor or provide WIC Vendorassistance. The Cameron County Food Vendors are monitored and assisted by the Texas Department of State Health ServicesWIC Program.

For Cameron County WIC Food Vendor Performance Measures or any other questions regarding food vendors, please contact :

Texas Department of State Health Services WIC Program1(800) 252-9629

Average Cost/Package

The State WIC Program provides foods by the following categories:Women Breastfeeding, Children, Infants, Women Pregnant, & Women Postpartum.

Women BreastfeedingChildrenInfantWomen PregnantWomen Postpartum

Vendor TrainingsFour vendor trainings were held last year in Cameron County.

30.8840.93

120.7637.6142.81


$$$$$

The purchase and reimbursement of WIC approved foods is not a function of the Cameron County Department of Health and Human Services WIC Program. The Cameron County Food Vendors are monitored and assisted by the Texas Department of State Health Sevices WIC Program.


Indigent Burial FY 2008

Financial

Personnel


Services

Budget: 100-6400

Activity

150

9

159

Compliance

100%

100%

100%process all applications

% Budget

Adult Burial $ 115,000 96%

Total $ 120,100 100%

Infant Burial 5,100$ 4%

Approved Burial Applications

Denied Burial Applications

Processed Burial Applications

process all applications

process all applications

Infant Burial $ 300.00 Adult Burial $1000.00

I n f a n t B u r i a l s 1 7 A d u l t B u r i a l s 1 1 5 T o t a l B u r i a l s 1 3 2

Funeral Home Invoices

Compensat ion to Funeral Homes for Indigent Bur ia l Services

Buck AshcraftInfant BurialsAdult Burials 2 25

Infant BurialsAdult Burials

PerformanceMeasure


4%

96%

.

Personnel FY 2008

Financial

Personnel


Services

Budget: 100-6300

Fringe 29,677$ 25%


% Budget

Total 116,622$ 100%

ActivityPerformance

Supervisor’s meeting monthly average attendance

1313dessecorPALMF

Wages and Hour employee interviews

Supervisor’s Meetings

Non-employees

Orientation Attendance

13

262

Incident Reports

Employee Orientations

Safety In-services

Employees

Orientation Sessions

33

15

12

25%

75%


Personnel Specialist Full Time

Full TimePersonnel Safety Specialist

Administrative Assistant Full Time

(100%)

(50%)

(30%)

Compliance

0

HUMAN SERVICESPROGRAM

Pat Sanchez

Children at Family Learning Center

The Human Services Program faced manychallenges during fiscal year 2008. But, with the support

to successfully meet the program’s mission of assist-ing eligible individuals and families to gain access tomedical, social, educational, nutritional andvocational programs and to support and providefamily-centered, culturally sensitive, communitybased strategies for individuals and families ofCameron County. Program accomplishments

ship.

The Valley Morning Star in the Slice of Life article“Meeting a Challenge” acknowledged the manycommunity services provided by Patricia D.Sanchez, Director of Human Services. Also, Salvador Salinas, Cameron County’s Veterans

information from Cameron county to Zapata County. Inaddition, the collaboration with the University ofTexas Health Science Center Mobile Health Clinicreceived the Texas Association of Counties2008 County Best Practice Award for OutstandingAchievement. On October 29, 2008, this prestigiousaward was presented both to the University and the Cameron County Commissioners’ Court for thecoordination of rural healthcare services.

Successful endeavors were also evident at eventsheld throughout the year. The First Annual FamilyLearning Centers Chess Tournament was held onAugust 23, 2008 at the Cameron County San BenitoAnnex Building. The tournament consisted of

“...meeting the challenge means we must doordinary things in an extraordinary way.” -Patricia D.Sanchez, LBSW, Director of Human Services

Child at Family Learning Center

tion from seven Family Learning Centers. Thetournament was very competitive and participantsreceived ribbons and trophies for display at theirrespective center. The Children with Special Health

Department Store to collect donated schoolsupplies for children with special health care needsand their siblings. The project was a great successand approximately thirty-four families were assistedwith school supplies. Also, in November 2007, incollaboration with the University of Texas at Browns-ville and Texas Southmost College, the county’s

Day Memorial Celebration.

The Human Services Program worked together as ateam to overcome barriers and prevailed in theprovision of services to the residents of CameronCounty. “In this present environment of tightenedbudgets and slashed programs, meeting thechallenge means we must do ordinary things in anextraordinary way.” - Patricia D. Sanchez, LBSW,Director of Human Services


Children With Special Health Care Needs FY 2008

Financial

Personnel


Services

Budget: 270-6268

FringeTravelSupplies

Total

43,8693,840

74,769

175,490

$$$

$

25%2%1%

Salaries 122,950$ 70%% Budget

100%

90% of children with special health careneeds will have a primary care provider

90% of children with special health careneeds will be referred to Texas HealthSteps

Activity

136

136

Performance

Measure

125

125

Compliance

100%

100%

Other 2,840$ 2%

Case Managers 3 Full Time (100%)

1Administrative Assistant Full Time (100%)

Clerk 1 Full Time (100%)

Director of Human Services 1

Referrals

474stisiVemoH

114

970

136Active Cases

624snoitanoD

521secivreSNCHSC-noN


1%2%

70%

25%

$

Santa Maria Family Learning Center FY 2008

Financial

Personnel


Services

Budget: 100-6521

FringeSupplies/TravelUtilities

Total

1,2271,1403,084

19,051

$$$

$

7%6%

14%


100%

Individuals enrolled

Activity

28

7

Performance

Measure

40

5

Compliance

70%

100%

Building Maintenance 236$ 1%

Donations

Visitors

82stcejorPlaicepS

$ 560

53

1,246

1%

7%

72%

14%

6%


Family Outreach SpecialistsDirector of Human Services Full Time (4%)

Staff trainings

Santa Rosa Family Learning Center FY 2008

Financial

Personnel


Services

Budget: 100-6522


Total

1,2271,0561,620

17,503

$$$

$

7%6%9%


100%


Activity

39

7

Performance

Measure

40

5

Compliance

98%

100%


Donations

VIsitors

8stcejorPlaicepS

$ 560

54

5,470Attendance


1%

6%

76%

9%

7%


Staff trainings

La Feria Family Learning Center FY 2008

Financial

Personnel


Services

Budget: 100-6523


Total

1,8401,1346,492

29,747

$$$

$

6%4%

22%


100%Building Maintenance 236$ 1%


Activity

28

7

Performance

Measure

40

5

Compliance

70%

100%

Donations

Visitors

79stcejorPlaicepS

$ 930

103

657Attendance


1%

4%

67%

22%

6%


Staff trainings

Rio Hondo Family Learning Center FY 2008

Financial

Personnel


Services

Budget: 100-6524

FringeSupplies/Travel

Total

1,8401,044

24,675

$$

$

8%14%


100%


Activity

40

14

Performance

Measure

40

5

Compliance

100%

100%

Other 1,746$ 7%

Donations

Visitors

69stcejorPlaicepS

1,192

121

7,078Attendance

34Cameron County Department of Health and Human Services FY 2008

7%

81%

14%

8%

Family Outreach Specialists

Director of Human Services Full Time (4%)

Staff trainings

$

Los Indios Family Learning Center FY 2008

Financial

Personnel


Services

Donations

Visitors

482stcejorPlaicepS

$ 555

77

2,155Attendance

Budget: 100-6525


Total

1,2271,0801,800

17,707

$$$

$

7%6%

10%




Activity

28

14

Performance

Measure

40

5

Compliance

70%

100%


1%

6%

75%

10%

7%



Staff trainings

Arroyo City Family Learning Center FY 2008

Financial

Personnel


Services

Budget: 100-6526


Total

6141,128

0

8,424

$$$

$

7%14%

0%




Activity

6

12

Performance

Measure

10

12

Compliance

60%

100%

Donations

Visitors

0stcejorPlaicepS

$ 220

105

525Attendance


7%

79%

14%



Staff trainings

Las Yescas Family Learning Center FY 2008

Financial

Personnel


Services

Budget: 100-6527


Total

614978

0

8,274

$$$

$

7%12%

0%


100%


Activity

231

2

Performance

Measure

20

5

Compliance

100%

40%


Donations

Visitors

0stcejorPlaicepS

0

2

1,381Attendance


7%

81%

12%



Staff trainings

La Paloma Family Learning Center FY 2008

Financial

Personnel


Services

Budget: 100-6528


Total

1,22710802,292

18,199

$$$

$

7%6%

13%

Extra Help 13,364$ 73%% Budget


Family Outreach Specialists 1 Part Time

To be completedNovember 2009!

centeerr

Under

ccoonnsstrt

uctioncen

ter

Under

constr

uction


Combes Family Learning Center FY 2008

Financial

Personnel


Services

Budget: 100-6529


Total

1,227984

0

15,575

$$$

$

8%6%0%




Activity

8

14

Performance

Measure

14

5

Compliance

57%

100%

Donations

Visitors

stcejorPlaicepS 0

$ 240

21

1,005Attendance


6%

86%

8%

Staff trainings

Community Services FY 2008

Financial

Personnel


Services

Budget: 100-6301

Fringe 16,189$ 16%Travel 1,200$ 1%


% Budget

Total 98,452$ 100%

Chess tournament conducted

Activity

7

1

Performance

Measure

5

1

Compliance

100%

100%

Other 35,062$ 34%

Donations

Visitors

335stcejorPlaicepS

$ 4,257

536

19,517Attendance


1%

49%34%

16%

Clerk

Skills Developer

FLC Coordinator

Director of Human Services

Staff trainings provided

Veterans Program FY 2008

Financial

Personnel

Budget: 100-4050

FringeTravelEquipment/Supplies

Total

39,4914,250

12,374

167,756

$$$

$

24%3%7%


100%Other 2,766$ 1%


1%

7%

65%24%

3%

1 Full Time (100%)

Administrative Assistant 1 Full Time (100%)

1 Full Time (100%)

1 Full Time (100%)


CLINICAL SERVICESPROGRAM

Through a shared vision of community well-being,

physicians, and other partnerships including theTexas Department of State Health Services, the

array of preventive health care services that includebut are not limited to: Sexually Transmitted DiseasesTreatment and Counseling, Maternity, FamilyPlanning, Well Child Clinic, Immunizations, andTuberculosis Elimination Program.

The Clinical Services Program’s mission is to promoteand protect the health of the public by providingoptimal clinic health services, education, surveil-lance and outreach for individuals and communitiesin Cameron County. The service to assist individuals,children, and families in maintaining optimum

for all Cameron County residents and not just theperson that received the service. Services are basic,

on program eligibility, most services are providedregardless of an individual’s ability to pay.

The Maternity Program provided services to 1,371women during fiscal year 2008. The purpose of the

through the provision of comprehensive care towomen, before, during and after pregnancy andchildbirth. In addition to the Program’s services, thewomen received care through the assistance ofvolunteer obstetric physicians. The Family Planningservices are subsequently provided primarily towomen who were enrolled in the MaternityProgram. The objective of the Well Child ClinicProgram is to assess children for developmentalneeds and for the provision of needed services such

as immunizations. In addition, services such aspreventive and primary care services for childrenand adolescents with special health care needreferrals are conducted.

The goal of the Tuberculosis Elimination Program isto eliminate the tuberculosis disease. The Programtreats tuberculosis cases and protects non-infectedindividuals from becoming infected. Some of the

tuberculosis infections and containment of tubercu-losis by ensuring treatment through directlyobserved therapy including preventive therapy.The Cameron County Department of Health and

principle to provide quality care in spite of limited

health care limitations.

“The Cameron County Department of Health

driving principle to provide quality care in spite

and other health care limitations.”


Clinical Program FY 2008

Financial

Personnel

Services

Budget: 100-6300 270-6479 2706438

FringeOperationsTotal

334,14672,445

1,381,030

$$

$

Salaries 974,439$24%

5%

71%

% Budget

100%

Sexually Transmitted DiseaseMaternityFamily PlanningChild Health


71%

24%

5%

LVN

Director of Nurses 1 (Full Time)

3 (Full Time)3 (Full Time)Medical Assistant

Community Service AideClerk

5 (Full Time)9 (Full Time)

Other 5 (Full Time)

RN2 (Full Time)2 (Full Time)

Advanced Nurse Practitioner

latoT

Appointments MadeSexually Transmitted Disease 572Maternity 16,692Family Planning 2,954Child Health 2,105

Sexually Transmitted Diseases 267Maternity 6,396Family Planning 1,370Child Health 639

Appointments KeptSexually Transmitted Diseases 271Maternity 7,022Family Planning 292Child Health 608

San Benito Public Health Clinic

04354,3790,1

355

43767,2

356962

061

66

Harlingen Public Health Center

601892,3

477151

1062720456110

retneCoicuL.PyraM

624358,8

676104,1

72185

9652

172600,7

682206

Walk-Ins

0880,1

7040

0702211

0

Father O'Brien Health Clinic

0

45013,0001,6001,200

PerformanceMeasures

100%100%100%100%

Compliance


53813,4181,6621,247

Activity

Director of Human Services 1 (Part Time)

000

0000

Tuberculosis Elimination Program FY 2008

Financial

Personnel


Services

Budget: 260-6358 260-6468 260-6158 100-6300


129,88459,212

540,154

$$

$

Salaries 351,058$24%11%

65%

% Budget

100%

LVNRN

1 (100%)1 (100%)2 (100%)3 (100%)Medical Assistant

Supervisor

Community Service AideClerk

6 (100%)1 (100%)

X-Ray Technician 0.5

PerformanceMeasures

Cases and suspects under treatment on DOT

Eligible TB cases reported in 2007 completed a curativetreatment within 12 months of initiation of treatment

TB patients reported in 2007 with initial positive culturestested with drug susceptibility reports in medical record

Smear Positive TB cases in 2008 have at least one contact

2007 shall be evaluated for TB infected or disease

Infected contacts to smear positive cases reported in 2007evaluated for TB infection or disease

Adults (age>14) with TB disease reported in 2008/ tested for HIV

Adults (age25->) with TB disease reported in 2008 tested for HIV

90%

92%

95%

93%

74%

65%

74%

84%

Outcome

90%

92%

95%

93%

74%

65%

74%

84%

Unduplicated Cases 24Direct Observation Therapy Provided 2,844

748

PPD Tests Given 1,227X-Rays Taken 436TB Presentations 23

65%

24%

11%


Immunization Program FY 2008

Financial

Personnel


Services

Budget: 240-6318 210-6158 100-6300


101,44217,619

379,389

$$

$

Salaries 260,328$27%

5%

68%

% Budget

100%

Immunization SpecialistImmunization Outreach Coordinator

2112Immunization Outreach Specialist

LVN

Medical AssistantClerk

14

erusaeMecnamrofrePseitivitcA ComplianceDay care centers and Head Startaudits 5252

22stidualoohcsetavirpdnacilbuPCo-Casa

Harlingen................................... 80% %07San Benito................................. 69% %07Brownsville............................... 78% %07Port Isabel................................. 46% %07

Immunization RegistryParticipants Enrolled 7,102

Texas Vaccines For ChildrenMedical Providers 84

Health Fairs 113snoitatneirOtratSdaeH9sgniniarT31sgniniarTyrtsigeRnoitazinummI85stisiVetiSecnarussAytilauQ


68%

27%

5%

%001

%001

%001%99%001%66

Vaccines

DTDTaPDTaP/HepB/IPVDTaPIPV/HIBHep A AdultHep A Pedi/Adolescent

Hep B Pedi/AdolescentHep B Adult

HibHib/HebBHPV

IPVMeningococcal Conjugate (MCV4)MMRMMR Varicella SQPneumococcal Conjugate (PCV7)Pneumococcal Polysaccharide (PPV23)RotavirusTdTdapVaricellaZoster

Father Joseph O’BrienHealth Clinic

0341700

970

64250

302

783921610

3110

11719770

713Total

San Benito PublicHealth Clinic

0330258

022

77564

191308

3329149480322380467

037513

13124661543920

5,917

Harlingen PublicHealth Center

0626387

276

1,00510680263422

29722

6821,108478

1,29210170423

132890750

1,72042

11,901

Mary P. LucioHealth Center

0726540

2938

1,1851051218695

01,086411

1,40247758789729198284

383792

1,2571,086153

15,243

TotalNumber Administered

01,7471,205

412703,1051,4161,2881,673

1,891

3,0631,9651,5752,868392

2,113121651

2,8582,3363,322215

36,687

584

25

03130

23443

19513110

1490

42119

109151

02105

813695

00

2,913

Administration

Immunizations Provided FY 2008

Vaccines

DTDTaPDTaP/HepB/IPVDTaPIPV/HIBHep A AdultHep A Pedi/Adolescent

Hep B Pedi/AdolescentHep B Adult

HibHib/HebBHPV

IPVMeningococcal Conjugate (MCV4)MMRMMR Varicella SQPneumococcal Conjugate (PCV7)Pneumococcal Polysaccharide (PPV23)RotavirusTdTdapVaricellaZosterTotal

(2%) (16%) (32%)


8

Cameron County Department of Health and Human Services

Grants

Revenues

100-6310 Environmental Health

General Fund

General Fund $2,796,552

Grants $6,158,552

Revenues $267,801


Donations


$9,291,470.00

100-6521

100-6522

100-6523

100-6524

100-6525

100-6526

100-6529

100-6300 Operation Lone Star

(continued)

Donations $12,959


Employees

Administrative Assistant, Full Time (6)Administrative Technician, Full Time (3)Advanced Nurse Practitioner, Full Time (1)Advanced Nurse Practitioner/Clinic Supervisor (2)Animal Control Officer, Full Time (3)Animal Control Officer/Clerk, Full Time (1)Animal Control Officer/Supervisor, Full Time (1)Assistant Director of Environmental Health (1)Assistant Health Administrator, Full Time (1)Assistant Veterans Service Officer, Full Time (1)Assistant WIC Director, Full Time (1)Billing Clerk, Full Time (1)Billing Specialist, Full Time (1)BreastFeeding Coordinator, Full Time (1)Breastfeeding Peer Counselor, Full Time (3)Breastfeeding Peer Counselor, Part Time (9)Breastfeeding Peer Dad, Part Time (3)Case Manager, Full Time (3)Certifying Authority, Full Time (10)Certifying Authority, Part Time (4)Certifying Authority/Clinic Supervisor, Full Time (5)Certifying Authority/Registerd Dietician, Full Time (4)Clerk, Full Time (17)Clinic Supervisor, Full Time (1)Clinical Coordinator, Full Time (1)Community Service Aide, Full Time (42)Community Service Aide, Part Time (33)Computer Specialist, Full Time (1)Computer Support Specialist, Full Time (2)Computer Technician, Full Time (1)Contact Investigator, Full Time (1)Director of Environmental Health, Full Time (1)Director of Human Services, Full Time (1)Director of Nurses, Full Time (1)Director of Operations, Full Time (1)Epidemiologist, Full Time (1)Family Outreach Specialist, Part Time (14)Family Learning Center Coordinator, Full Time (1)Health Administrator, Full Time (1)Health Authority, Part Time (1)Health Inspector, Full Time (6)Homemaker, Full Time (4)Immunization Clerk, Full Time (4)Immunization Outreach Coordinator, Full Time (1)Immunization Outreach Specialist, Full Time (2)Immunization Specialist, Full Time (1)Janitor, Full Time (2)Janitor, Part Time (3)Legal Liaison, Full Time (1) Licensed Vocational Nurse, Full Time (9)Medical Assistant, Full Time (4)Messenger, Full Time (3)Nutrition Education Coordinator, Full Time (1)Outreach Worker, Full Time (2)Personnel Safety Specialist, Full Time (1)Personnel Specialist, Full Time (1) Phone Bank Receptionist, Full Time (5)

Fiscal year 2008 started with 199 full time and 61 part time employees.

Phone Bank Receptionist, Part Time (2)Planner, Full Time (3)Public Health Response Program Supervisor, Full Time (1)Public Health Technician, Full Time (1)Quality Assurance Coordinator, Full Time (1) Receptionist, Full Time (1)Registered Nurse, Full Time (2)Secretary, Full Time (1)Skills Developer, Part Time (1)Sonographer, Part Time (1)Strategic National Stockpile Coordinator, Full Time (1)Social Worker, Full Time (2)TB Supervisor, Full Time (1)Veterans Service Officer Supervisor, Full Time (1)Warehouse Manager, Full Time (1)WIC Certification Specialist, Full Time (10)WIC Certification Specialist/Clinic Supervisor, Full Time (6)WIC Director, Full Time (1)X-Ray Technician, Part Time (1)

Total 260


Service LocationsFiscal Year 2008

Service Locations



Service Locations

SANTA ROSACOMBS

PRIMERA

PALM VALLEY

HARLINGEN

LA FERIA

RANGERVILLE

SANTA MARIA

LOS INDIOS

RIO HONDO

SAN BENITO

LA PALOMALA PALOMA

OLMITO

BROWNSVILLE

LOZANO

BAYVIEW

INDIAN LAKELOS FRESNOS

LAGUNA VISTA

PORT ISABEL

SOUTH PADRE ISLAND


WIC CLINIC

ANIMAL SHELTER

FAMILY LEARNING CENTER

VETERANS

ADMINISTRATION

PUBLIC HEALTH

ARROYO CITY

Committee Participation&

Special ProjectsFiscal Year 2008

CommitteeParticipation

Animal Shelter Advisory Comittee (ASAC)

Child Fatality Review Team

Community Resource Coordination Group (CRCG)

Dietetic Internship Committee

Evacuation Committee

Family Learning Centers Advisory Committees

Mental Health Task Force Committee

Metropolitan Medical Response System (MMRS)

Pharmacy Committee

Rio Grande Valley Indigent Health Care CorporationCommittee

Texas Association of Local Health Directors (TALHO)

Congressional Committee


The ASAC exists with a purpose of providing for and promoting the welfare, protection and humane treatment of animals; to educate people in the humane treatment of animals; to prompt responsible care and ownership of animals; and to prevent cruelty to animals.

The Child Fatality Review Team is responsible for meetingon a quarterly basis to review and discuss cases of childdeaths. The team discusses the cause of death and makesrecommendations that might have prevented the death ofthe child. This committee meets on a quarterly basis.

The CRCG is a group that meets to discuss cases brought inby the schools or any agency that has exhausted resourcesfor a client. The group may also approve non-educationalfunds for the client. This committee meets on a quarterlybasis.

Meets on as needed basis to discuss claims by localveterans who need assistance with military upgrades, and problems in resolving extreme denials of VA benifits

The purpose of this Dietetic Internship Committee is togive guidance in all aspects of the internship and itsmanagement. The committee meets formally once a yearto discuss proposed changes and to make recommendations.

The committee’s primary responsibility is to developmechanisms to assist special needs population to evacuateduring a hurricane. The committee works with theGoverner’s Division of Emergency Management to exerciseground and air evacuation plans for the Rio Grande Valleyarea.

The Advisory Committees support the Family LearningCenters by coordinating fundraisers to assist in providingsnacks or other special projects for the learning centers.Committees meet on a monthly basis or as needed.

The Mental Health Task Force Committee works inpartnership to pursue solutions ensuring access toappropriate behavioral health services. The committee’sgoal is to increase awareness of behavioral health issuesthrough public education, improve access to behavioralhealth services, recruit behavioral health professionals toour community, advocate for innovative use of technolgyin the area of behavioral health service, and develop a planto address gaps in behavioral health services.

The MMRS’ primary responsiblity is to assist the Lower RioGrande Valley Development Council in the development,implementation, review and updateof a comprehensiveplan to serve the public health needs of the region in theevent of an all hazardous terrorist activity, and to evaluateand make recommendations on grant applications and toassist in decision making on all financial fiscal operations involving MMRS

The Pharmacy Committee consists of the Health Authority,Director of Nurses and Pharmacist-in-Charge. Thecommittee meets at least once a year to review andapprove any changes to the current policy manual.

Valley Baptist partnered with Cameron County beginningSeptember 1, 2007 to administer and manage the servicesof the County Indigent Health Care Program. The Programis established and regulated under Chapter 61 of TexasHealth and Safety Code. Those who qualify can accesscovered healthcare services through a local physiciannetwork beginning with a visit to a gatekeeper physicianwho will manage their healthcare needs.

TALHO is a non-profit organization created to further the members’ common goals, such as promoting health,preventing disease, and protecting the environment.TALHO works in various ways to ensure the public health ofthe State of Texas through leadership, vision and advocacy.TALHO is committed to the principles of public healthpractice in local communities and throughout the greatState of Texas.


The purpose of the Texas Association of Local WIC Directors shall be to act as a vehicle for the expression of ideas on planning, policy, coordination, implementation, and administration of the WIC program on the local, state, and federal level; to foster communication between local WIC programs and the Texas Department of State Health Services with the goal of positively affecting the administration of WIC within the state; to bring together administrators of local agency WIC programs, in order to provide peer support, orientations and/or assistance; and to promote professional, and public awareness of new and existing federal and state legislation.

The purpose of the Legislative Comittee is to participate in the development and implementation of regulatory and legislative policy as it affects the mission and goals of the WIC program.

The TRAC V is responsible for enhancing the ability of participating hospitals and health facilities to improve surge capacity and enhance community and hospital preparedness for public health emergencies by conducting activities at the local/regional level.

The USMBHA is a non-profit organization that was established in 1943 to promote the disseminaton of binational and border-wide research information, formulate and establish binational health and enviromental programs, as well as promote border and binational networks that adress the needs of the border.

This comittee’s focus is to bring a VA hospital to the Rio Grande Valley.

This comittee is involved in the planning and coordination of the Veterans Summit which brings congressional leaders and Washington VA officials to the valley to talk with veterans on various issues. The comittee also coordinates with various county and city departments to display services available to veterans.

This comittee is conducted via video conference with Audie L. Murphy administrative personnel to discuss the latest policies and procedures occuring within the VA health system. This is also used as a problem solving session, should local veterans have problems with the VA clinic. Members include Cameron, Willacy and Hidalgo service officers and service officers from other south Texas counties. This comittee meets tri-quarterly at the VA Harlingen Clinic.

Child Welfare Program – The Child Welfare Program, aprogram created many years ago in response to childwelfare concerns was instrumental in providing support tothe community prior to the existence of the Texas Depart-ment of Family and Protective Services (TDFPS). Subse-quently, the TDFPS was tasked as the primary agency forchild welfare issues and the Child Welfare Programprovided support type services to Cameron Countyfamilies until February 2008.

Department Orientations – The Department provides acomprehensive orientation for new employees andannually thereafter. Such trainings include employee

ment, safety procedures, Department policies, and otherinformation pertinent to the general welfare of the public.

Employee Health Fair – Annually, the Department workswith the Human Resources Department to coordinate anEmployee Health Fair. The Department was tasked withthe San Benito Annex Employee Health Fair of which therewere over 200 employees and their families participated.Services such as immunizations, hemoglobin testing,EKGs, body mass index and many other medical serviceswere provided by the Department and local medicalproviders.

Hurricane Dolly – On July 23, 2008, Hurricane Dolly madelandfall in South Padre Island as a weak Category 2 storm.Many county employees responded to the needs of thegeneral public with the establishment of a special needsshelter, distribution of ice and water, the development of aregional mosquito plan, social services referrals, immuni-zation clinics and many other countless services asrequested by entities and the general public. It isestimated the storm caused over 18 million dollars indamages.

ICS 100, 200 and 700 Employee Trainings – The PublicHealth and Preparedness Program provides ICS 700

other entities as requested. The training is based upon theprinciples of emergency management which creates aframework within communities to reduce vulnerability tohazards and cope with disasters.

monthly basis for training purposes, to disseminate

discuss program procedures.

SPECIAL PROJECTSFY 2008

MyHealth IQ - Awarded by the National Health, Wellnessand Prevention Congress as one of the most innovativeconsumer-driven health care programs in the country, myhealth IQ SM uses clinical laboratory results and/or the

life-threatening risk factors of lifestyle behaviors. This is a

Public Health Awareness Campaign – The Departmentendeavored in the creation of a county and public healthheritage awareness campaign. Much of the informationthat was created can be seen on display at the CameronCounty San Benito Annex building. The next step is todisseminate the information at other county buildings andother local health departments for general public aware-ness.

Reach Out and Read – Reach Out and Read is a national,

encourages parents to read aloud to their children andgive books to their patients to take home at their clinic

learn that reading aloud is the most important thing theycan do to help their children love books and to start schoolready to learn.

SUP’s Meetings – Every other month meetings involving27 supervisors in the Department are held. The purpose of themeeting is to disseminate information to all employeesand to give the Department’s supervisors an opportunityto meet with administrative and program personnel todiscuss issues related to the county and the variousprograms.

UTSHC Mobile Unit – The University of Texas Health

nity and Educational Outreach provides medical care via amedical mobile clinic to rural indigent patients in CameronCounty . Serv ices provided include pr imary health-care services, disease prevention and health promotion.

WIC Wellness Works – The WIC Wellness Works Program is anutrition intervention program that is motivatingWIC employees to take healthier steps towards theirhealth. Employees are gaining valuable informationabout health eating habits and physical activity. The goalis to increase employee knowledge and use of stressmanagement techniques, to better service WIC clients.


Texas Departmentof

State HealthSelected Health Facts

Texas Departmentof

State Health ServicesSelected Health Facts

Hispanic 85.8 %

Black Under 1%

Other Under 1%

Anglo 13.2 %

Selected Health Facts 2004 Cameron County

DemographyCensus Population: Population Per Square Mile:

Area in Square Miles: Population Rank Among Texas’ 254 Counties: 372,046 410.7

905.8 11

39,769 63,094

158,498 68,979 41,706

372,046

19,522 30,927 81,915 36,857 23,479

192,700

51.8 %50.1 %

20,247 32,167 76,583 32,122 18,227

179,346

48.2 %49.9 %

10.7 % 17.0 % 42.6 % 18.5 % 11.2 %100.0 %

00 - 0405 - 1415 - 4445 - 6465 +Total

CountyState

Age Females Males Total Percent

P O P U L A T I O N I N F O R M A T I O N

Socioeconomic IndicatorsCounty State County State

PERCENTNumber County State

Unemployment Rate

Per Capita Personal Income

Average Monthly TANF(Temporary Assistance toNeedy Families) Recipients

Average MonthlyFood Stamp Participants

Unduplicated Count of Medicaid Clients

Persons Living Below PovertyTotal0 - 17 Years18 Years and over

Medicaid covered births

Average Monthly Children's HealthInsurance (CHIP) Enrollment

6.0 %

264,287

2,329,550

3,858,996

$ 30,664

8.8 %

13,118

99,950

129,642

$ 16,783

51,924 110,256

58,332

6,425

9,300

29.4 % 40.4 % 23.7 %

75.1 %

367,135

16.2 % 22.7 % 13.6 %

53.6 %

Natality Communicable Diseases - Reported Cases PERCENT RATE 4

Births1 County State Cases County State

Fertility Rate County:

1

1

Total Live BirthsAdolescent Mothers (<18)Unmarried MothersLow Birth WeightLate or No Prenatal Care

TuberculosisSexually Transmitted Diseases

Primary and Secondary SyphilisGonorrheaChlamydia

AIDSHepatitis AVaricella (chickenpox)

5.0 %36.0 %

8.0 %18.2 %

3 State: 76.7 105.8

6.7 % 36.7 %

7.4 % 33.8 %

8,665 578

3,175 641

2,830

18.3

0.5 27.1

351.0

11.8 11.8

67.7

68

2 101

1,306

44 44

252

7.4

3.7 108.2 312.1

2.8 13.8

38.0

Deaths 1 County State

Mortality 2RATE 3 RATE 3

Deaths1 County StateDeaths From All CausesCardiovascular Disease

Heart DiseaseStroke

All CancerLung CancerFemale Breast Cancer

Chronic Lower RespiratoryDiseases

Infant DeathsFetal Deaths1

Unintentional Injury (Accidents)Motor Vehicle Injury

HomicideSuicide

Diabetes827.7299.1224.5

56.2181.4 52.023.2

41.7

29.6

6.3 5.6

39.217.1

6.1 10.6

94

58 53

88 37

7 19

28.8

6.7 6.1

25.4 10.0

--- ---

1,930 716 559 105 418

89 28

51

600.1 230.2 179.0

34.1 129.8

27.5 15.9

16.2

Since 1999, DSHS has followed the National Center for Health Statistics guidelines2 Current mortality data are not comparable with data reported prior to 1999.

1 All births and deaths are by county of residence. Low birth weight represents live-born infants weighing less than 2,500 grams at birth. Late prenatal care refers to mothers who did not receive prenatal care during the first trimester of pregnancy. Fetal deaths are those occurring after 20 weeks gestation and prior to birth.

3 Fertility rates are per 1,000 women ages 15 - 44. Infant death rates and fetal death rates are per 1,000 events. For infant deaths, events are live births; for fetaldeaths events are live births and fetal deaths. The remaining death rates have been age-adjusted to the 2000 U.S. standard population per 100,000 population.

12-01-07Center for Health Statistics (512) 458-7261 1-866-239-7279 http://www.dshs.state.tx.us/chs/Page 1

for reporting mortality statistics. They include coding data using the International Statistical Classification of Diseases and Related Health Problems, 10th Revision.

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ion

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33

4 Disease rates are per 100,000 population. Use caution interpreting rates based on small numbers of cases . See source notes for more detail.Death rates have not been calculated if 20 or fewer births, deaths or events occurred, as indicated by "----".

Average Monthly Children's HealthInsurance (CHIP) Enrollment

Selected Health Facts 2004 Texas

22,490,022 85.9

1,793,350 878,798 914,552 8.0 % 3,350,663 1,637,970 1,712,693 14.9 %

10,196,133 4,973,256 5,222,877 45.3 % 4,943,538 2,511,875 2,431,663 22.0 % 2,206,338 1,266,155 940,183 9.8 %

11,268,054 11,221,968 22,490,022

261,797.1

Demography

Age Females Males Total Percent

Socioeconomic IndicatorsState

Natality Communicable Diseases - Reported Cases 3 Births 1 Percent Cases Rate

Mortality3 3Deaths1 Rate Deaths 1 Rate

Population Estimate: Population Per Square Mile: Area in Square Miles: Number of Counties: 254

P O P U L A T I O N I N F O R M A T I O N

0 - 45 - 14

15 - 4445 - 6465 +Total 100.0 %

State 50.1 % 49.9 %

Unemployment Rate 6.0 %

Per Capita Personal Income

Average Monthly TANF(Temporary Assistance toNeedy Families) Recipients 264,287

Average MonthlyFood Stamp Participants 2,329,550

Unduplicated Count of Medicaid Clients 3,858,996

Persons Living Below Poverty - 2004Total0 - 17 Years 1,431,931

3,610,126 16.2 % 22.7 %

18 Years and over 2,178,195 13.6 %

State

367,135

Total Live Births TuberculosisAdolescent Mothers (<18) Sexually Transmitted DiseasesUnmarried Mothers Primary and Secondary SyphilisLow Birth Weight1 GonorrheaLate or No Prenatal Care1 Chlamydia

AIDSFertility Rate3 Hepatitis A

Deaths From All Causes

Infant Deaths

Cardiovascular Disease

Fetal Deaths1

Heart DiseaseUnintentional Injury (Accidents)

StrokeMotor Vehicle Injury

All CancerLung Cancer

Homicide

Female Breast Cancer

Suicide

Chronic Lower Respiratory

Diabetes

Varicella (Chickenpox)

$ 30,664

2

Diseases

(See note below)

5.0 % 36.0 % 8.0 %

18.2 %

381,441 19,247

137,008 30,647 68,417

State: 76.7

1,662

833 24,339 70,186

624 3,102

8,544

7.4

3.7 108.2 312.1

2.8 13.8

38.0

152,374 53,174 40,091 9,831

33,836 9,677 2,465

7,387

827.7 299.1 224.5

56.2 181.4

52.0 23.2

41.7

5,426

2,398 2,144

8,270 3,808 1,403 2,290

29.6

6.3 5.6

39.2 17.1 6.1

10.6

Medicaid covered births 203,351 53.6 %

Number Percent

Since 1999, DSHS has followed the National Center for Health Statistics guidelines2 Current mortality data are not comparable with data reported prior to 1999.

1 All births and deaths are by county of residence. Low birth weight represents live-born infants weighing less than 2,500 grams at birth. Late prenatal care refers to mothers who did not receive prenatal care during the first trimester of pregnancy. Fetal deaths are those occurring after 20 weeks gestation and prior to birth.

3 Fertility rates are per 1,000 women ages 15 - 44. Infant death rates and fetal death rates are per 1,000 events. For infant deaths, events are live births; for fetaldeaths events are live births and fetal deaths. The remaining death rates have been age-adjusted to the 2000 U.S. standard population per 100,000 population.

12-01-07Center for Health Statistics (512) 458-7261 1-866-239-7279 http://www.dshs.state.tx.us/chs/Page 1

for reporting mortality statistics. They include coding data using the International Statistical Classification of Diseases and Related Health Problems, 10th Revision.

Pub

licat

ion

#E25

-110

33

4 Disease rates are per 100,000 population. Use caution interpreting rates based on small numbers of cases . See source notes for more detail.

Anglo61.8 %

Other1.8 %

Black5.7 %

Hispanic30.7 %

Annual Report FY 2008

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