07/08/2019 MinutesCITY OF GRAND ISLAND, NEBRASKA
MINUTES OF JOINT HEALTH SPECIAL MEETING
July 8, 2019
Pursuant to due call and notice thereof, a Special Joint Meeting of the City Council of the City of
Grand Island, Nebraska, the Hall County Board of Supervisors, the Hamilton County Board of
Commissioners, the Merrick County Board of Commissioners, and the Central District Health
Department was conducted at the Grand Island Police Department, 111 Public Safety Drive,
Grand Island, Nebraska on July 8, 2019. Notice of the meeting was given in the Grand Island
Independent on July 2, 2019.
Central District Health Department (CDHD) Board Chairman Chuck Haase called the meeting to
order at 6:00 p.m. Present for the meeting were: CDHD Board members: Holly Solt, Chuck
Haase, Tom Weller, and Teresa Anderson; Hall County Supervisors Pam Lancaster, Gary
Quandt, Hall County Clerk Marla Conley; Merrick Co. Supervisor Tom Weller; Hamilton
County Supervisor Opal Christensen, Merrick County Commissioner Holly Solt, Mayor Roger
G. Steele, City Councilmembers Mike Paulick, Vaughn Minton, Chuck Haase, Clay Schutz,
Mitch Nickerson, Mark Stelk, Interim City Administrator Jerry Janulewicz, Finance Director
Patrick Brown, and City Clerk RaNae Edwards. Health Department employees: Teresa
Anderson, Jeremy Collinson, Lisa Boeke, and Cindy Valdez.
CDHD Executive Director Teresa Anderson welcomed everyone and thanked those who
attended. Introduced was Lisa Boeke who gave an update on diabetes.
Updates. Central District Health Department (CDHD) Community Health Supervisor Lisa Boeke
reported that diabetes was a chronic disease characterized by elevated blood glucose. Almost 1 in
11 Nebraska adults were diagnosed with diabetes. Many people may have diabetes and may not
know it. About 36% of the adult population in Nebraska has prediabetes. Diabetes is the 7�' most
common cause of death in Nebraska. In 2016 diabetes claimed the lives of 501 residents in
Nebraska.
Ms. Boeke stated research showed structured lifestyle interventions could cut the risk of Type 2
Diabetes in half. The CDHD staff had trained on how to help people to make lifestyle changes.
Explained was the program and time commitment. Presented was a video of the Diabetes
program. Living Well with Diabetes had no outside funding but were looking into Medicare to
help with this program. Discussion was held regarding the classes and how the groups were
picked.
CDHD Environmental Health Supervisor Jeremy Collinson reported on the 2019 spring flooding
and the roll the CDHD took during that time at Wood River. They tested water, answered
questions regarding tetanus and gave tetanus shots, clean-up, etc. Between Maxch 15 and April
12 they had a large request for water well testing kits.
Page 2, City Council Joint Health Meeting, July 30, 2018
They had been fogging for mosquitoes at Hall County Park and the Heartland Public Shooting
Park. Discussion was held regarding getting the word out about treating mosquitoes. Mr.
Collinson stated they could not treat on private property.
Budget Overview. Executive Director Teresa Anderson gave an overview of the 2019-2020
Budget which was approved by the Health Board. CDHD revenues were received from State
Grants, Federal Grants, City/County, LB692/1060, and fees/other. Combined City/County
funding for 2019 was 8%. Personnel costs were the majority of the CDHD expenses followed by
operating costs. There was no capital expense in the 2019-2020 budget. This year's budget was
$3.2 million which was down $170,000.00 from last year's request.
Ms. Anderson reported on childhood obesity. Obesity related health issues were diabetes, stroke,
hypertension, heart disease and arthritis. The CDHD will be working with Blue Cross Blue
Shield to help with childhood obesity.
Discussion was held regarding the decrease in Federal Grants. Ms. Anderson stated the grants
had been completed. She answered questions regarding bilingual/bicultural services.
ADJOURNMENT: The meeting was adjourned at 7:04 p.m.
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RaNae Edwards
City Clerk