One septic system variance request was denied by the Louisa County Board of Health (BOH) Monday, while no action was taken on a second request.

According to officials, Danette and Tyler Clark had requested a holding tank system be allowed on their Lake Odessa cabin, but the BOH rejected the request because the property apparently has enough space to allow a conventional septic system to be installed.

Meanwhile, a property transfer may not immediately require a new septic system because an agreement covering the transfer stipulates a current tenant can remain in the existing residence for five years.

Louisa County Public Health Service (LCPHS) Interim Administrator Roxanne Smith said a transfer involving Kathy Jennings-Buxton did not need to be appealed to the BOH. However, more research would be needed to determine if the existing septic system would meet the needs of the tenant.

In other action, Smith and Assistant Administrator Heidi Pallister provided a series of reports on monthly LCPHS activities, preliminary budget review, review of policies and home health updates.

The two also provided the BOH with the Fiscal Year (FY) 2017 Annual Agency Evaluation.

According to the evaluation, the LCPHS conducted 3,802 home visits in FY 17, with an additional 364 office visits. A total of 2,517 school immunization cards were also audited by the nursing service staff.

Comparisons of skilled nursing visits by pay source were also provided in the evaluation. They showed 638 visits were covered by Medicaid; 13 through Medicare; 954 from insurance and other programs; 215 office visits through the Partners Program; 30 office visits through the TB program; and 81 office visits through blood pressure checks.

The evaluation also included the mileage the LCPHS staff logged in FY 17, with 26,682 in personal cars and 16,245 in county vehicles.    

The staff also conducted 145 clinics for blood pressure, immunizations and tuberculosis checks that served a total of 370 clients. In addition, school-based clinics were held at the Morning Sun, Columbus, Wapello and L-M schools and served 55 clients.

Other services and programs provided by the LCPHS that were included in the evaluation were Home Health Nursing Services, Newborn Family Home Visitor Program, Vaccines for Children (VFC) Immunization Program; Influenza and Pneumonia Vaccination Program; Epidemiology and Disease Surveillance; TB Program; Public health Emergency Planning and Response; and Chronic Disease Screening and Prevention.         

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