public health annual snapshot

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PUBLIC HEALTH MADISON & DANE COUNTY | 1 Annual Snapshot Public Health Madison & Dane County A Message from the Director: I am pleased to present our 2018 Annual Snapshot —it offers a glimpse into the many ways we work to achieve our mission: Healthy People. Healthy Places. PHMDC is the second largest local health department in Wisconsin. We have approximately 140 staff in four divisions—Environmental Health, Community Health, Policy, Planning and Evaluaon, and Operaons who are responsible for protecng and promong the health of all the residents in Dane County. And, we are built on a fundamental belief in equity—where everyone should have the opportunity to be healthy. As the Snapshot highlights, the work of our incredibly talented and passionate staff is far reaching— ranging from working with our communitys entrepreneurs to ensure the safety of our food system by inspecng around 3,000 establishments throughout the County each year, to ensuring that communicable diseases like tuberculosis, measles and syphilis are treated and their transmission in the community is minimized, to running a public health laboratory. In addion, we provide direct services to more than 5,000 clients in our WIC and nurse home vising programs each month. At the same me we are also working with community partners on iniaves to produce long-term change and reduce health inequies in our community. Some examples include the Opioid Fatality Review, an emerging Violence Prevenon Coalion, the Nurse Family Partnership Community Advisory Board, the Sexual and Reproducve Health Alliance and the Partnership for Black Infant Health. Im always honored to share the work of our agency with you. Working in partnership we can build a healthier community. We invite you to visit our website and follow our social media to find out more about our everyday work to address health issues in our community. Janel Heinrich, Director

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Page 1: Public Health Annual Snapshot

PUBLIC HEALTH MADISON & DANE COUNTY | 1

Annual Snapshot Public Health

Madison & Dane County

A Message from the Director:

I am pleased to present our 2018 Annual Snapshot —it offers a glimpse into the many ways we work to achieve our mission: Healthy People. Healthy Places.

PHMDC is the second largest local health department in Wisconsin. We have approximately 140 staff in four divisions—Environmental Health, Community Health, Policy, Planning and Evaluation, and Operations who are responsible for protecting and promoting the health of all the residents in Dane County. And, we are built on a fundamental belief in equity—where everyone should have the opportunity to be healthy.

As the Snapshot highlights, the work of our incredibly talented and passionate staff is far reaching—ranging from working with our community’s entrepreneurs to ensure the safety of our food system by inspecting around 3,000 establishments throughout the County each year, to ensuring that communicable diseases like tuberculosis, measles and syphilis are treated and their transmission in the community is minimized, to running a public health laboratory. In addition, we provide direct services to more than 5,000 clients in our WIC and nurse home visiting programs each month.

At the same time we are also working with community partners on initiatives to produce long-term change and reduce health inequities in our community. Some examples include the Opioid Fatality Review, an emerging Violence Prevention Coalition, the Nurse Family Partnership Community Advisory Board, the Sexual and Reproductive Health Alliance and the Partnership for Black Infant Health.

I’m always honored to share the work of our agency with you. Working in partnership we can build a healthier community.

We invite you to visit our website and follow our social media to find out more about our everyday work to address health issues in our community.

Janel Heinrich, Director

Page 2: Public Health Annual Snapshot

PUBLIC HEALTH MADISON & DANE COUNTY | 2

BOARD OF HEALTH

The Board of Health is the policy-making and legislative

oversight body for our department. It consists of 8

community members from Madison and Dane County

appointed by the City of Madison Mayor and Dane County

Executive.

Front Row (L-R): Matt Phair, Madison Alder; Kim Whitmore,

PHD, RN; Bob Salov, Dane County Supervisor

Back Row (L-R): Paula Tran Inzeo, MPH; Patricia Lasky PHD,

Chair; Lezli Redmond, MPH 1st Vice Chair; Jerry Halverson

MD, 2nd Vice Chair

Note: At the end of 2018, there was one vacancy

EXECUTIVE LEADERSHIP TEAM

The PHMDC leadership team is comprised of our Director/

Health Officer and the Directors of the each of our four

Divisions.

Front Row (L-R): Douglas Voegeli, RS, Environmental Health

Division Director, Kate Austin, MPH, MPA, Operations

Division Director

Back Row (L-R): Mark Edgar, PhD, MPH, Policy, Planning &

Evaluation Division Director, Janel Heinrich, MPH, MA,

Director and Health Officer, Carl Meyer, MPH, Community

Health Division Director

WHO WE ARE We are your local health department and

serve over 500,000 people in more than

60 cities, villages and towns in Dane

County Wisconsin.

2018 Snapshot

OUR ORGANIZATION

OUR VISION Healthy People.

Healthy Places.

OUR MISSION

Work with the community to

enhance, protect, and promote the health

of the environment and the well being of

all people.

Page 3: Public Health Annual Snapshot

PUBLIC HEALTH MADISON & DANE COUNTY | 3

Policy, Planning &

Evaluation (20 staff)

Epidemiology and data analysis,

health policy, program

development and evaluation,

community engagement,

violence prevention, and

alcohol and other drug abuse

prevention

Environmental Health

Services (31 staff)

Animal services, licensing and

inspection, water and lead

paint testing, mosquito

monitoring and control, well

and septic program,

environmental protection and

monitoring

Operations (23 staff)

Administration and program

support, finance and budget,

communications, workforce

development, performance

management, emergency

preparedness

Health Services (72 staff)

Communicable disease

monitoring and follow-up,

breast and cervical cancer

screening, immunizations,

needle exchange, pregnancy

and early childhood support,

sexual health services,

tuberculous control, and WIC

program

2018 Snapshot

OUR ORGANIZATION

DIVISIONS & STAFF

2018 BUDGET

$17.2

MILLION

$17.2

MILLION

Revenue Budget

City, County Levy Support

Fund Balance Applied

Contracts & Grants

Fees, Licenses & Permits

Expenditure Budget

Personnel

Supplies

Purchased Services

Debt Service

Page 4: Public Health Annual Snapshot

PUBLIC HEALTH MADISON & DANE COUNTY | 4

2018 Snapshot

STRENGTHENING OUR INFRASTRUCTURE

WORKING TOWARD ACCREDITATION We are working toward national accreditation through

the Public Health Accreditation Board. Accreditation will

help us improve service, value, and accountability by

meeting national standards and measures that work to

improve the conditions in which the community can be

healthy. This year to prepare for accreditation we

developed a new strategic plan in addition to plans for

performance management and quality improvement,

workforce development, and emergency operations.

Getting accredited is a rigorous and lengthy process, and

we are working to be accredited by the end of 2021.

FOCUSING ON INTERNAL OPERATIONS

IN OUR NEW STRATEGIC PLAN In 2018, a team of staff thoughtfully and diligently worked

on creating our 2019– 2023 Strategic Plan. The plan

focuses on agency infrastructure with the understanding

that if our internal operations are strong, we will better

serve our community. Strategies to accomplish this are:

Aligning systems to improve interconnectedness;

Cultivating an inclusive and respectful work

environment;

Building and maintaining a strong workforce;

Fiscal stewardship

This new plan supports and aligns with program and

community focused goals, other internal agency plans,

and seeks to review internal practices and procedures to

address institutional racism. The plan will be completed in

summer 2019.

EMBEDDING HEALTH & RACIAL EQUITY We are continuing on our journey to strengthen staff

capabilities and organizational capacity to advance health

equity and embed health and racial equity (HRE) into

programs, policies, practices, and operations.

Nearly a third of the agency has participated in our Health

and Racial Equity Team, an intensive year long learning

journey that develops internal competency in HRE skills.

Another focus in 2018 was to deepen the integration of

HRE principles into our daily work and programs. Using a

Program Readiness Framework, programs have begun to

identify what is needed to advance and integrate HRE

into programs and practices. Staff have shared this

framework with public health colleagues statewide.

“ The HRE Program Readiness

Framework keeps equity on our

minds as we approach our work.

It has helped our program

change practices and identify

areas that can be improved

using a health equity framework.

Page 5: Public Health Annual Snapshot

PUBLIC HEALTH MADISON & DANE COUNTY | 5

OVERDOSE FATALITY REVIEW PROGRAM STARTED In 2018, we received funding from the WI Department of Justice and the WI

Department of Health Services to develop an Overdose Fatality Review. This program

is a partnership between Public Health, public safety agencies, and community

service providers to share data and expertise and conduct a confidential review of

overdose fatalities in Dane County. The goal is to identify missed opportunities for

prevention and intervention and develop strategies to avoid future fatalities. A

system is being created for data collection and reviews are planned to begin in 2019.

PREVENTING OPIOID OVERDOSE FATALITIES Opioid overdose fatalities are preventable. In an effort to slow the growing trend of

deaths from opioid-involved overdoses, we developed the Overdose Education and

Narcan Distribution (OEND) program. The development of OEND included obtaining

a standing order from our Medical Director which allows us to distribute Narcan (the

overdose reversal medication), producing a short Overdose Prevention video, and

creating a ‘We Can All Save A Life – Overdose Prevention’ brochure. Both the

Madison Common Council and the Dane County Board of Supervisors allocated 2019

funding for Public Health to purchase Narcan. Outreach efforts in 2019 will focus

OEND efforts within City and County Departments, and at businesses and service

providers operating in areas with high rates of public overdoses.

EDUCATING ABOUT THE DANGERS OF JUUL Teen vaping reached epidemic levels in 2018. JUUL is a new electronic cigarette

vaping device that became increasingly popular with teens, has the potential to

addict young people to nicotine, and can harm brain development in adolescents. It

is small in size, looks like a USB flash drive, and is easily concealed and used while at

school. After learning that many parents and teachers don’t know about JUUL, we

launched an educational campaign to support Dane County school districts. As part

of the campaign, we created an educational video to explain the concerns about

JUUL and shared it with all Dane County schools. In addition we advocated for local

schools to update their tobacco policies to include e-cigarettes, smoking, and

delivery devices.

NUMBERS AT A

GLANCE

NEEDLE EXCHANGE:

A HARM REDUCTION

STRATEGY There were over 6,000

encounters at our offices of

persons seeking new needles

and other supplies. Needle

exchange helps reduce the

spread of infections from

contaminated needle use.

OVERDOSE DATA Opioid overdose deaths

continue to increase in Dane

County. The rate of opioid

related deaths more than

doubled in the last 10 years

from 7.1 per 100,000 in 2008

to 16.9 per 100,000 in 2017.

136,000

80,000

2018

2017

We distributed 70%

more new needles in

2018 than in 2017.

2X More opioid deaths in 2017 than in 2008

2018 Snapshot

COMMUNITY INITIATIVE PARTNERSHIPS

Page 6: Public Health Annual Snapshot

PUBLIC HEALTH MADISON & DANE COUNTY | 6

PARTNERING TO IMPROVE BLACK

INFANT HEALTH

Babies born to Black mothers in Dane County are twice as

likely than White babies to be born at low birth weight,

putting them at risk for significant health challenges and

dying within the first year of life. Despite research, the

reasons for this disparity are complex and not well

understood.

In an effort to understand why, the Dane County Health

Council, in which we are actively involved, partnered with

the Foundation For Black Women’s Wellness (FBWW) to

engage Black women and men in a series of focus groups

and forums. This provided an opportunity for those who

are most impacted to share their lived experiences and

shed light on causes and solutions. Information garnered

from these discussions will be a foundation for collective

community action to improve low birth weight and poor

health outcomes for black infants and families.

DEVELOPING STRATEGIES TO PREVENT

VIOLENCE Our violence prevention work ramped up this year with

the hiring of a Violence Prevention Coordinator and a

Data Analyst to lead the efforts. They are working with

other community partners and focusing on engagement

and outreach efforts to build a foundation for the work,

and creating a Madison and Dane County Violence

Prevention Plan.

A Violence Prevention Coalition was launched with a kick-

off meeting in November. Over 90 community and

government partners came together to learn about

addressing violence through a public health approach; an

approach that is driven by data, supported by multiple

partners, and seeks solutions that prevent violence.

Beyond the coalition, we are involved in 13 community-

engaged partnerships and efforts addressing violence.

Additionally, we partnered with Dr. Jasmine Zapata to

better understand violence risk and protective factors

from the perspective of community stakeholders.

2018 Snapshot

COMMUNITY INITIATIVE PARTNERSHIPS

“ Traditionally, violence has been seen as a problem for law

enforcement to handle, however, violence has a wide-

ranging impact and requires a multi-sector approach.

Violence has tremendous effects on not only the health of

individuals, but families and communities as well. Now is the

time for a public health approach. Violence is a public

health crisis that we cannot ignore.

—Dr. Jasmine Zapata, MD, MPH

Page 7: Public Health Annual Snapshot

PUBLIC HEALTH MADISON & DANE COUNTY | 7

IMPROVING ORAL HEALTH THROUGH

COLLABORATIVE EFFORTS Along with the Oral Health Coalition and other partners,

we have been involved in a multi-year effort to reduce

the number of individuals seeking emergency

department (ED) medical treatment to relieve their

dental pain. Strategies have included increasing capacity

of school-based dental clinics and of dental clinics that

take Medicaid or offer free or low cost dental care. In

addition, there are more primary care clinics providing

fluoride varnish and oral health screening for young

children.

These efforts are paying off! Data from 2016-2017 show a

26% decrease in ED dental pain visits and the 2018 data

that we have received so far show the downward trend is

continuing.

Another collaborative effort with the Oral Health

Coalition is to improve the protocol for providing

emergency dental care by using prompts in the electronic

medical record system. This protocol includes an option

for a physician to give a nerve block to temporarily

relieve pain without prescribing opioids when a patient

presents at an emergency room or urgent care with

dental pain. The patient is then scheduled for treatment

within a couple of days at a dental clinic, where they can

get ongoing care at low cost.

Through collaborations, systems change and education

we are working to reduce oral health disparities.

ASSESSING OUR COMMUNITY’S

HEALTH We built the foundation and launched our community

health assessment process in 2018. Community health

assessment is a mandated role of local public health

departments and an important public health tool that

helps us understand our community’s current health

status. It is done by gathering community input on their

issues and concerns, and by collecting and analyzing

health data.

Results from the assessment will be used to

collaboratively develop a community health

improvement plan to address public health issues in the

community.

A key element of the process is the Steering Committee.

It began meeting in the fall and is comprised of

representatives from groups, organizations, and agencies

that represent individuals that have historically been

most impacted by health and racial inequities.

Working with the Steering Committee, as well as other

community members and organizations, will improve our

understanding of our community’s assets, health status,

and challenges that residents face.

The findings of the assessment, to be completed by

summer 2019, will help us and our community partners

prioritize and coordinate efforts, direct resources to best

fit community needs, and provide more effective public

health services.

2018 Snapshot

COMMUNITY INITIATIVE PARTNERSHIPS

Page 8: Public Health Annual Snapshot

PUBLIC HEALTH MADISON & DANE COUNTY | 8

2018 Snapshot

ENVIRONMENTAL HEALTH SERVICES

NUMBERS AT A GLANCE

INSPECTIONS & LICENSING We conduct inspections and provide

licenses to prevent illness and ensure

safety.

Issued 677 well and septic permits.

Conducted over 2,975 routine

inspections for food

establishments, lodging, pool and

body art businesses.

Licensed 111 new short term

rental homes.

COMPLAINT RESPONSE In 2018, we responded to 580

environmental health complaints.

323 licensed establishment

complaints:

Cleanliness (131)

Pests (54)

Food quality (54)

257 complaints focused on

housing problems:

Pests,

Household hygiene,

Lead and asbestos

Water quality

Onsite wastewater system

problems

INCREASING SHORT-TERM RENTAL LICENSES Compared to 2017, we conducted approximately 175 more routine

inspections of licensed establishments. Much of the growth can be

attributed to our continued focus on licensing short-term rental properties

(STRs) to assure that health and safety requirements are met. These are

properties that are advertised on vacation websites like VRBO or Airbnb.

Prior to 2017, it was hard to track the hosts of unlicensed STRs and the City

of Madison estimated that there were 400-500, with only a handful

licensed. We worked with a software company to identify unlicensed hosts,

informed the hosts of laws and licensing requirements, and assisted them in

becoming compliant. As a result, we went from 28 STRs licensed in 2016, to

111 in 2018.

PREVENTING CHILDHOOD LEAD POISONING Lead poisoning is an important public health concern, especially for young

children. We play a key role in preventing lead exposure, identifying, and

treating lead poisoning. Most children in Dane County get lead poisoning

from paint dust or chips from older homes. Lead in water is another

common course. When a child is found to have lead poisoning, there is a

coordinated response from our Public Health Sanitarians and Nurses.

Our Public Health Nurses work closely with the family and their health care

provider to assess the development of the child and assure the child is

receiving appropriate medical care. In 2018, we provided 55 children with

case management services due to elevated blood lead levels.

In addition, our Sanitarians investigate the home for sources of lead

poisoning and provide guidance and support to families for minimizing

exposure and remediating the lead.

Reported childhood lead levels have gradually decreased over the past

decade. However, there is no safe level of lead, so we continue our efforts

to prevent the health hazard.

Page 9: Public Health Annual Snapshot

PUBLIC HEALTH MADISON & DANE COUNTY | 9

2018 Snapshot

ENVIRONMENTAL HEALTH SERVICES

NUMBERS AT A GLANCE

WATER TESTING We conduct water testing to protect

our water and reduce the spread of

disease.

Monitored 20 beaches and

conducted 1,357 beach and

pool tests for bacteria and

toxins.

Performed 3,328 public water

system and private well tests.

Performed 13,705 groundwater,

surface, and non-storm water

tests to monitor overall water

quality conditions in Dane

County.

ANIMAL SERVICES We work to ensure a safe and

healthy environment between humans

and animals

We responded to 4,953 calls involving:

Stray animals (3,689)

Animal complaints (424)

Animal bites (390)

Lost animals (142)

Found animals (307)

Dangerous animals (3)

Animal welfare (1)

MONITORING AND TESTING LAKE WATER QUALITY Beach closures were higher in 2018 than previous years, requiring more

testing and monitoring than usual. Prior to August 20, blue-green algae

blooms, toxic to people and dogs, were the main reason beaches were

closed. From Memorial Day to August 20, there were 61 beach closures

compared to 36 in 2017. The summer’s hot days with calm winds, combined

with nutrient-rich run-off make the perfect environment for algae to grow.

After the August 20 flooding all beaches were closed for the season due to

contaminated run-off.

HELPING IN FLOOD RECOVERY We had record setting rain with massive flooding in August. To ensure

private wells were not contaminated with flood water, we distributed close

to 1,000 water testing kits and provided free private well testing for those

in the affected areas of the county. The lab tested 694 samples. Over 130

(19.3%) tested positive for coliform bacteria, and 22 (3.2%) tested positive

for E.coli. We called well owners with positive results to advise them on

disinfecting their water and well.

INCREASING AWARENESS OF PET LICENSING

REQUIREMENTS At the end of 2018, in preparation for a new licensing year, we began

efforts to increase awareness among dog and cat owners of licensing

requirements throughout the County. The licensing system varies among

municipalities and is not simple and straight-forward. For this reason, we

worked to provide information through social media that highlights the

reasons for and benefits of licensing your pets. Besides the fact that it is the

law to have pets licensed, it also ensures that pets are vaccinated for rabies.

With average pet licensing rates throughout the county only at about 26%,

we continue to work with municipal and county officials and other

stakeholders to improve the system of licensing and increase rates.

Page 10: Public Health Annual Snapshot

PUBLIC HEALTH MADISON & DANE COUNTY | 10

NURSE HOME VISITING

Providing support to low-income moms improves

the lives of both babies and moms.

Our Prenatal Care Coordination and Nurse Family

Partnership home visiting programs served 221 families,

an increase of 24% from 2017, as a result of additional

staff. These programs provide support, education and

resources throughout pregnancy and after birth, to

improve health and increase economic stability for those

eligible.

Community Advisory Board Informs Programs

Our Nurse Family Partnership Program (NFP) recruited

and convened a Community Advisory Board (CAB) to

support making our Maternal and Child Health programs

more effective and best meet the needs of participants.

The Board is a requirement of the national NFP program.

Realizing that the voice of those who participate in our

programs is crucial, we recruited for our Board differently

than other Boards.

Our Board is unique in that it is comprised of current and

former NFP participants. (NFP serves women who are

having their first baby from pregnancy until the baby is 2

years old.) The Community Advisory Board meets every 6

-8 weeks with our staff to identify gaps and barriers that

new families may experience. They help find solutions to

current challenges and identify new opportunities to

promote maternal and child health in our area. Thanks to

these remarkable moms!

INCREASING COMMUNITY LACTATION

ROOMS A focus of our community breastfeeding team was to

increase public lactation rooms in our community,

especially in “first food desert areas” or geographic areas

lacking private spaces to nurse or pump. One such area is

around our office on S. Park Street in Madison. In 2018,

we provided 13 sites in that area with assistance and

funding to establish or enhance lactation rooms that are

safe and welcoming. A Mamava lactation pod was

installed at our office for community use. The team also

mapped public lactation rooms in Dane County as a guide

for locations to breastfeed and pump when out and

about in the county.

IMPROVING FOOD SECURITY

THROUGH WIC We served over 4,300 women, infants, and children per

month through the WIC program, providing nutrition

education and supplemental nutritious food.

Over $2.7 million of WIC benefits were redeemed

at Dane County grocery stores and pharmacies in

2018.

We again Increased WIC breastfeeding rates from

80% in 2017 to 85% in 2018. It is at the highest

level since we began tracking in 2012.

Breastfeeding has long-term health benefits for

babies and reduces health disparities.

2018 Snapshot

HEALTH SERVICES Maternal & Child Health

Page 11: Public Health Annual Snapshot

PUBLIC HEALTH MADISON & DANE COUNTY | 11

EDUCATING TO PREVENT COMMUNICABLE DISEASE

We coordinate professional education for local and regional health care providers to

assure that they are current on communicable disease information and best

practices. In 2018, we:

Coordinated the annual Immunization Update and Immunization Grand Rounds

presentations in collaboration with the Dane County Immunization Coalition

(DCIC). Over 460 health care providers participated.

Coordinated the annual TB Summit with 195 people participating from the state

and region.

Provided HPV Immunization education for dental providers in collaboration with

DCIC. Our Dental Health Coordinator and Immunization Coordinator teamed up

to provide the education at 11 dental clinics with over 110 staff participating in

the lunch and learn sessions. Approximately 70% of oral cancers are caused by

HPV, which is preventable through immunization.

SCREENING AND TESTING LIVESTOCK WORKERS FOR

TUBERCULOSIS (TB) We received a grant from the state TB program to screen and test Wisconsin dairy

farm employees, specifically migrant farm workers, for TB. The screening has a dual

effect in that screening for TB in humans also protects against TB infection in cattle

caused by the bacteria, Mycobacterium bovis. We partnered with Badger Partners in

Health and Safety and the Grande Cheese Company to identify five dairy farms who

allowed us to screen their employees for TB at the farm site, and provide

immunizations. Immunizations were provided thanks to a grant from the

Professional Dairy Producers of Wisconsin and our Immunization program.

Most of the people served were immigrants with no health insurance, no recent

immunizations and many spoke only Spanish. Interpreters from the farms and

Grande Cheese were essential to the success of the clinics since the employees knew

and trusted them. As a result, 58 employees were tested for TB; 54 tested negative;

3 were borderline requiring retesting, and 1 tested positive and is being evaluated

for LTBI treatment. Over 126 vaccinations were provided to 56 workers.

NUMBERS AT A

GLANCE

DISEASE PREVENTION We respond to and prevent

communicable disease

Provided 3,086

immunizations to 1,345

individuals who are

uninsured or

underinsured.

Investigated 5,898 reports

of communicable disease

and assured treatment for

six people with active

tuberculosis and 329

people with latent TB

infection.

2018 Snapshot

HEALTH SERVICES Disease Prevention

Page 12: Public Health Annual Snapshot

PUBLIC HEALTH MADISON & DANE COUNTY | 12

CONDUCTING INTERNET PARTNER SERVICES Our Disease Intervention Specialist and Sexual and Reproductive Health Program

Coordinator provide the Internet Partner Services (IPS) program for the whole state.

The goal of IPS is to track down HIV contacts via hook-up apps, Facebook, and other

internet sites. It is an effective strategy to reduce sexually transmitted diseases and

HIV, and increase testing and treatment. Our program drew national attention and

served as a model when our staff presented about our innovative program and

experiences on a national CDC sponsored webinar that provides peer to peer

support and information sharing on use of technology for partner services.

ENGAGING TEENS TO IMPROVE OUR SERVICES We have been focusing on making our clinic environments more welcoming and

effective for those who receive our services. In an effort to improve our services to

teens, the Sexual and Reproductive Health Program team recently engaged with

teens from the PATCH (Providers and Teens Communicating for Health) program to

provide feedback about our sexual and reproductive services, our staff, and the

clinic environment.

A focus group of 15 PATCH teens assessed the clinic space, reviewed the clinic

forms, and shared their impressions with the SRH team. The teens also role played

as “mock” patients to provide the SRH nurses with experience in providing sexual

and reproductive health counseling with teens. The PATCH teens’ unique insights,

perspectives, and feedback were incredibly helpful and well received. As a result,

the SRH team has changed wording on clinic forms, made changes to the clinic

environment, and looked at clinic processes in a new way.

NUMBERS AT A

GLANCE

PROVIDING FREE,

ACCESSIBLE

SCREENING AND

TREATMENT TO

IMPROVE HEALTH

Assisted 640 clients

seeking breast and

cervical screening in

Dane and Rock

counties.

Screened 1,668 persons

for sexually transmitted

infections (STIs) (up 420

from 2017).

Treated 648 people for

sexually transmitted

infections (STIs). (up 48

from 2017).

420

More people tested for STIs in 2018 than 2017

2018 Snapshot

HEALTH SERVICES Screening & Treatment

Page 13: Public Health Annual Snapshot

PUBLIC HEALTH MADISON & DANE COUNTY | 13

EMERGENCY PREPAREDNESS & FLOODING

RESPONSE

We prepare year round to respond to the many hazards that could

potentially pose a threat to the health of our Dane County

residents including tornadoes, floods, winter storms, hazardous

material releases, communicable disease outbreaks or threats,

and terrorism.

Our Emergency Preparedness Coordinator leads the work of

planning, making sure staff are trained, conducting drills and

exercises, and collaborating with other response providers such as

Emergency Management, police, fire, and hospitals.

Flooding Sparks Emergency Public Health Response

Our emergency preparedness planning was put in action during

the record setting rains and major flooding that happened in areas

of Dane County, especially western Dane County, in August.

Persons affected by the flooding were having to deal with flooded

basements, septic back ups, contaminated drinking water, removal

of damaged belongings, mold, and other issues of public health

concern. In addition to personal impact, a number of area

restaurants were also dealing with damaged businesses. We

immediately activated our Incident Command Structure, pulling in

staff from all four of our Divisions to be part of the response.

Events like this can happen anytime without notice. Next time it

may be a flu pandemic. Regardless, we are always planning and

ready to help in our role of protecting public health.

FLOODING RESPONSE

AT A GLANCE

Assigned staff to the Madison and Dane

County Emergency Operations Centers

which were coordinating resources and

providing public information.

Created a flood resources webpage as a

source for reliable information for those

needing help; sent messaging through

social media and news releases.

Supported and advised 120 affected

restaurants and grocers on how to

safely and properly clean flooded areas,

what to do with food, and what steps

were needed to reopen.

Consulted with homeowners about

flood and mold clean up, water

contamination, and flooded septic

systems.

Distributed close to 1,000 water testing

kits to test private wells in hard-hit

areas for contamination. Of those, 694

samples were returned for testing by us

and the State Lab of Hygiene and 156

samples had bacterial contamination

that could make people sick. We

advised well owners about disinfecting

their water and well, and how to retest.

Closed beaches on lakes contaminated

by flood water.

2018 Snapshot

EMERGENCY RESPONSE

Page 14: Public Health Annual Snapshot

PUBLIC HEALTH MADISON & DANE COUNTY | 14

SEE OUR NEW WEBSITE We launched a new website in May, featuring improved

navigation and scannable content that is mobile-friendly,

for use on mobile phones and tablets. It is designed to

provide up-to-date information related to public health

issues, initiatives, programs and services. Most of the

site is translated into Spanish.

CHECK OUT OUR NEWSLETTERS Our newsletters provide you with current information on

public health issues and specific PHMDC programs. Most

are provided quarterly. They include :

Communicable Disease Update for health care

providers

Food Facts for food establishments

Immunization Pearls for immunization providers

and partners

PHMDC Pulse for PHMDC partners, stakeholders

and the community

Email us if you would like to subscribe to any of these

publications.

FOLLOW US ON SOCIAL MEDIA We added Instagram and a Public Health Blog to our

social media accounts in 2018. These platforms are used

along with Facebook, Twitter, and YouTube to tell the

story of what we do and how we work in the community.

The Atrium

The Village on Park

2300 S. Park Street, Suite 2010

Madison, WI 53713

Downtown

City-County Bldg,

Room 507

210 Martin Luther King Jr. Blvd.

Madison, WI 53703

East Washington

2705 E. Washington Ave.

Madison, WI 53704

WIC: 267-1111

South Clinic

2230 S. Park Street

Madison, WI 53713

WIC: 267-1111

publichealthmdc.com

608-266-4821

2018 Snapshot

CONNECTING WITH THE COMMUNITY