Mercer
County –
Celina City
Health
District
(MCCCHD)
Figure 1Early Immunizations Save Lifes
2013 Annual
Report
2014 Annual
Report
Healthy Communities
TABLE OF CONTENTS
Health Department Staff
Health Commissioner Report
Vital Statistics Division
Fiscal Division
Emergency Response Division
Health Services Division
Environmental Division
Health District Staff
Amy Littin, BS, MSM (EXT 1273)
Health Commissioner
alittin@mccchd.org
Dr. Philip Masser, M.D.
Medical Director
Michelle Kimmel, RS (EXT1274)
Director of Environmental Health
mkimmel@mccchd.org
Kristi Timmerman (EXT 1277)
Vital Statistics Registrar/ Billing Manager
ktimmerman@mccchd.org
Deb Scheer, RN, BSN (EXT 1298)
Director of Emergency Preparedness/
EPI Surveillance
dscheer@mccchd.org
Amber Mustard, BS (EXT 1271)
Fiscal Specialist
amustard@mccchd.org
Julia Shaffer, R.N. BSN, (EXT 1279)
Director of Health Services
jshaffer@mccchd.org
Chris Miller, R.S. (EXT 1272)
Environmental Sanitarian II
cmiller@mccchd.org
Amy Schmidt, RN (EXT 1282)
Public Health Nurse II, BCMH Coordinator
aeblen@mccchd.org
Andi Noonan, RN, (EXT 1280)
Public Health Nurse I
anoonan@mccchd.org
Leah Vantilburg RN, BSN (EXT 1269)
Public Health Nurse I
lvantilburg@mccchd.org
Lisa Vondrell, RN, BSN (EXT 1278)
Public Health Nurse I
lvondrell@mccchd.org
Lindsay Hess, CMA (EXT 1270)
Office Medical Assistant
lhess@mccchd.org
MCCCHD Organizational Hierarchy
District Licensing Council – 5 members
Mercer County – District Advisory Council – 24 members
DAC Appointed Board of Health – 5 members
Employee Staffing
10 – Full Time Employees
Health Commissioner (1) FTE
3 – Part Time Employees
Medical Director (1) PTE
Environmental Division
Health Services Division
Administration Division
Director of Environmental
Services (1) FTE
Director of Nursing (1) FTE
Director of Emergency
Response/EPI (1) FTE
Sanitarian II (1) FTE
Nurses (3) FTE, Nurses (2)
PTE, & Office Medical
Assistant (1) FTE
Vital Registrar/Medical
Billing Manager (1) FTE
Fiscal Specialist (1) FTE
Public Health Commissioner’s Annual Report
Amy Littin
As the new Mercer County Health Commissioner for the last five months, I have had quite a learning
curve. Although I have been in healthcare for the last 23 years, there are many variances in public
health such as funding, resources, boards and the Ohio Revised Code that have created stepping
stones for me to grow in my role as the Public Health Commissioner. I am thrilled to be back in my
hometown and look forward serving the community that I have loved all these years.
We have many obstacles to overcome as we transition into a new phase for Mercer County Celina City
Health District but I have a wonderful staff, who is very knowledgeable and hard-working. One of those
obstacles is positioning ourselves for accreditation.
Mercer County-Celina City Health District Moves Closer to Accreditation
In 2015 MCCCHD and its health system partners called Community Organizations Linking Together
(COLT) will be completing our third Community Health Assessment (CHA). The raw data that was
extracted from the 2012 CHA allowed COLT to identify community health concerns and then prioritize
these concerns. The top three areas of concern were; Obesity, Underage & Adult Binge Drinking and
Opiate Drug Addiction. In 2013, with the CHA completed, COLT moved on to developing a Community
Health Improvement Plan (CHIP).
The CHIP developed a vision and mission statements to provide purpose, meaningful goals, identified
action step strategies for improving outcomes, as well as denoting specific agency that were best suited
to address these actions steps. Throughout 2013, COLT – CHIP subcommittee held four quarterly
meetings, whereby, a three year CHIP Implementation Plan was developed to chart future initiatives and
report progress in the overarching goals of improving community access to healthcare and improving
health outcomes. The CHIP has progressed over the last 2 years, however we have fallen short on
some of the goals.
The third and final step to prerequisite accreditation eligibility will involve the Health District completing a
five-year Strategic Plan in the summer of 2014, has not been completed yet due to changes in
leadership. There are two other very important components of the process, which involve creating a
Performance Management System and a Workforce Improvement Program. As we move further along
in the process, we may be asking for more guidance from our boards and councils. The roles of the
Board of Health and District Advisory Council will be more integrated as well as proactive relative to the
Health Department. We look forward to working together to provide stronger and healthier outcomes for
Mercer County.
VITAL STATISTICS DIVISION
Kristi Timmerman
"Statistics are like a bikini. What they reveal is
interesting. But what they hide is vital."
-- Aaron Levenstein
2014 Vital Statistics – Birth and Death Record Reports
Vital Statistics:


Statewide Issuance: Mercer County has the ability to issue birth certificates for anyone born in the
State of Ohio after 1908. Prior to January 2011 the department was only able to issue certificates for
those born in Mercer County.
Ohio Administrative Code 3701-40-08: Boards of Health responsibility include: Distributing the
ODH brochure, A Sound Beginning…Parent information about Universal Newborn Hearing Screening,
to each family who registers a Home Birth; collecting a signature from that family for receipt of the
brochure, and reporting to the Ohio Department of Health the number of brochures distributed.
Records of births and deaths occurring within Mercer County are submitted by funeral directors, hospitals, or
individuals involved. The Local Registrar of Vital Statistics then reviews the documents for completeness and
accuracy before filing the record.
The birth and death records on file at our office include December 1908 to the present time. These records
are filed by date of the event. Since an alphabetical index is required and is public information, we have the
birth index for 1908 to the present time. For deaths, the period completed is from 1909 through the current
time. We also have all the births and deaths on database which is searchable by name, by date, or by
parent’s names.
Certified Birth Certificates
issued in 2014…………………………….1,529
issued in 2013…………………………….1,453
issued in 2012…………………………….1,454
Issued in 2011…………………………….1,458
Issued in 2010…………………………….1,415
Issued in 2009…………………………….1,832
Issued in 2008…………………………….1,849
Certified Death Certificates
issued in 2014……………………………..1,134
issued in 2013……………………………..1,247
issued in 2012……………………………..1,280
Issued in 2011……………………………..1,121
Issued in 2010……………………………..1,336
Issued in 2009……………………………..1,363
Issued in 2008……………………………..1,262
Burial Permits must also be issued by the Local Registrar before final disposition by cremation, interment, or
deposit within a tomb or vault. There are Sub-Registrars located in Ft Recovery, Coldwater and Rockford to
assist with issuance of Burial Permits after hours, weekends, and for the convenience of out-of-the-area
funeral homes. In 2014 we issued 48 Burial Permits at $3.00 each. The State’s portion of this fee, which is
$2.50, is used by the Ohio Cemetery Dispute Resolution Committee.
Report of Births for 2014
The following births occurred within Mercer County and were filed in 2013. These statistics do not include
Mercer county residents who gave birth in other counties.
Total number of births filed in
2014…………………………………..351
2013…………………………………..364
2012……………….………………….342
2011……………….………………….362
2010…………………………………..340
2009…………………………………..356
2008…………………………………..344
Birth Registration by Sex
2014
2013
2012
2011
2010
2009
2008
Males
179
192
182
203
176
178
154
Females
172
171
160
159
175
177
181
2014
2013
2012
2011
2010
2009
2008
2
1
1
0
1
1
Home Births
2
Birth Registration by Mother’s Residence
2014
2013
2012
2011
2010
2009
2008
284
314
285
298
296
293
281
Auglaize Co
13
11
22
16
17
17
16
Darke Co
29
21
21
32
23
24
24
Shelby Co
05
03
03
04
00
04
03
Van Wert Co
07
06
02
02
01
09
06
Jay Co, IN
09
03
03
07
01
07
02
Others
04
05
06
03
02
02
03
Mercer Co
Mortality Report for 2014
Statistical information related to the primary cause of death filed in 2014 and occurring in Mercer County,
Ohio.
Heart Disease
126
Malignant Neoplasms
55
Alzheimer’s/Dementia
22
Other Causes
15
Respiratory Failure
21
CVA Disease
9
COPD
8
Accidents
8
Pneumonia & Aspiration
14
Renal
6
Suicide
3
Arteriosclerosis
6
Fetal
0
Diabetes Mellitus
1
Homicide
0
SIDS
1
Chronic Liver Disease & Cirrhosis
3
__________________________________________________________________
Total Deaths Filed in 2014
298
Malignant Neoplasm's as the Primary Cause of Death
Renal- 1, Colon-7, Brain-3, Liver-1, Lung-12, Bladder-2, Pancreatic-5, Esophageal-4, Breast11, Ovarian-1, Kidney-1, Stomach-1, Prostate-4, Melanoma-2, Endometrial-3, Rectall-1
Malignant Neoplasms as a contributing factor to the cause of Death
Breast-2, Lung-4, Liver-3, Prostate-1, Malignant Melantoma-2, Brain-1, Colon-1, Bladder-2,
Pancreas-2, Uterine-1, Larynx-1, Metastatic (unknown)-1
Primary Causes of Death for those having Malignant Neoplasm's as Contributing Factors:
ASHD-1, Cardiopulmonary Failure-5, Respiratory Failure-2, MI-4, Renal Failure-1, malignant
neoplasms-1, Pneumonia-1
A total of 20 Mercer County Death Certificates reflected cancer as a contributing factor to the primary
Cause of Death in 2014, compared to 24 in 2013, 17 in 2012 and 14 in 2011.
Causes of Death Ruled as Accidental:
Vehicular: 5
Smoke inhalation-0
Multiple drug intoxication-3
Deaths Ruled as a Suicide:
3 filed with average age of 38 yrs. (3 males)
Title VI Compliance Statement
This agency will operate in accordance with TITLE VI: No person in this agency shall, on the grounds of race,
color, national origin, handicap, (age, sec and/or religion, where applicable), be excluded from participation in,
be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which
the applicant receives Federal financial assistance.
FISCAL DIVISION
Amber Mustard
Accurate Calculations for Undefined Growth
The 2015 General Fund Budget

The General Fund Estimated Revenue: $1,334,491.52 of which $295,500 is the DAC revenue. The DAC payment makes up
22% of the Health District’s General Fund Revenue.

The General Fund Estimated Expenses: $1,393,798.38. The $295,500 DAC payment helps fund 21% of the Health
District’s General Fund Expenses.

2016 General Fund Budget: As per ORC, Health Districts are required to submit a tentative general fund budget to the
County Auditor by the First Monday in April of each year. The Health Districts have not requested any additional DAC
monies over the past three years. NOTE: The Health District will not request any additional monies from the DAC in 2016.

The Total Audit Payment for (2009-2014) Federal Grants were $218,935.92. There was a 2014 Carryover Balance of
$288,886.92.

We recently completed & submitted the 2014 Annual State Auditor & Ohio Department of Health Annual Financial
Reports.
PUBLIC HEALTH PREPAREDNESS/
EPIDEMIOLOGY
Deb Scheer
Community MRC Volunteers Making a Difference
Emergency Response
The division of Emergency Response had a very busy year. We continue to promote “Saving Minutes”, which
is a grant funded program bringing a functional need registry to Mercer County. This database will allow
citizens to voluntarily enter information that will allow first responders to quickly identify and respond to their
needs in an emergency.
We also continue to recruit members for the Medical Reserve Corps (MRC). The MRC is a great way to
volunteer your time and expertise during a disaster. For more information please log on to
www.ohioresponds.gov . We encourage individuals to register before emergencies arise.
Participation in county coalitions, trainings and exercises are crucial to improve community response and
resiliency. Mercer Health Hospital and MCCCHD held a combined functional exercise with county partners in
the Spring to test capabilities of responding to a mass fatality incident. Another full scale exercise was
completed through the Mercer County Healthcare Disaster Preparedness Coalition (MCHDPC) in December
involving Ebola. Plans were developed and exercised during these incidents, with “hot washes” completed
after to discuss strengths and weaknesses.
Epidemiology and Surveillance
Public health epidemiologist (Epi) agencies are critical for detecting, controlling, and preventing major health
outbreaks. Local Epis elucidate and communicate risks and recommend actions to prevent and/or control an
array of serious threats to our community’s health. The MCCCHD Epi collaborates with several partners in the
Mercer, Auglaize, Van Wert and Allen Counties (a.k.a. Fab-4), as well as the North West Region, Ohio
Department of Health, and Center for Disease Control.
Disease surveillance tools are used to monitor, predict, observe, and minimize the harm caused by outbreak,
epidemic, and pandemic situations. It also increases knowledge about which factors contribute to such
circumstances. Ebola is an example of the increase in the global impact of infectious disease, which has
made it necessary to create surveillance and monitoring that extend beyond the traditional public health
focus. It is imperative to record the spread of diseases to develop patterns of progression and therefore a
course of action.
ANNUAL DRIVE-THRU FLU CLINIC
2014 Mercer County Communicable Disease Cases
ODH - Ohio Disease Reporting System
Date: 1/2/15
Disease Type
Campylobacteriosis
Chlamydia infection
Cryptosporidiosis
E. coli - enterohemorrhagic (shiga toxin producing) - Not O157:H7 2
E. coli - enterohemorrhagic (shiga toxin producing) O157:H7 5
E. Coli - Unknown
Giardia
Gonnorhea
Hepatitis A
Hepatitis B - acute
Hepatitis B - chronic
Hepatitis C - acute
Hepatitis C - chronic
Influenza-associated hospitalization
Legionnaires' Disease
Lyme Disease
Meningitis - aseptic/viral
Mycobacterial disease - other than tuberculosis
Pertussis
Rubella - not congenital (call health department immediately)
Salmonellosis
Shigellosis
Streptococcus pneumoniae - invasive antibiotic resistance unknown or nonresistant
Streptococcus pneumoniae - invasive antibiotic resistant/intermediate
Tuberculosis
Varicella
West Nile virus disease (also current infection)
Yersiniosis
Total Communicable Diseases
#
24
78
14
1
2
2
3
8
0
2
3
0
56
22
0
0
3
4
3
1
8
2
5
0
1
9
0
6
289
HEALTH SERVICES DIVISION
Prevent
Promote
Protect
Health Services Summary for 2014
The Mercer County Celina City Health Department (MCCCHD) Health Service Staff includes the following
Medical Personnel:
Julia Shaffer, BSN RN Director of Nursing (FTE)
Amy Schmidt, RN BCMH Coordinator (FTE)
Lisa Vondrell, BSN RN Public Health Nurse (FTE)
Lindsay Hess, CMA Office Medical Assistant
Leah Vantilburg, BSN RN Public Health Nurse/MRC
Andrea Noonan, RN Public Health Nurse
80 hours
64 hours
64 hours
80 hours
48 hours
16 hours
10 years of service
7 years of service
1.8 years of service
1.9 years of service
1 year of service
3 years of service
Immunization Program:
Our six staff administered 15,032 vaccines in 2014. Protecting our community against 17 life threatening
diseases, Diphtheria, Tetanus, Pertussis, Hepatitis B, Hepatitis A, Haemophilus, Pneumococcal, Measles,
Mumps, Rubella, Chickenpox, Shingles, Influenza, Rotavirus, Polio, Meningococcal, and human
papillomavirus!
*** Please see Appendix A for details.
Our success is measured by disease we do not see.
The Immunization Program serves any person regardless of location of residency. The immunization
administration guidelines are dependent on the Advisory Committee on Immunization Practices (ACIP) and
follow physician orders through the MCCCHD Medical Director, Dr Philip Masser. The immunization vaccine
supply is dependent on federal and state funding regulations.
65% of the vaccine administered is funded by the MCCCHD, purchased directly from the pharmaceutical
companies. Childhood vaccines were mandated to be purchased by the federal government through the
Affordable Care Act. Health Insurance purchased before March 23, 2010 could be grandfathered to exclude
the vaccine cost. All other Health Insurance policies were to include vaccines approved by the ACIP. The
MCCCHD maintains agreements with Children’s Purchasing Pediatrics for Sanofi Pasteur and Merck
vaccines, the AOHC for influenza vaccine, and the Department of Administrative Services Office of
Procurement to purchase Prevar 13. The MCCCHD cost of vaccine is monitored with each order and
adjusted in accordance with manufactures vaccine cost.
33% of the vaccine administered is federally funded through the Vaccine for Children Program.
Vaccine for Children (VFC) includes children through 18 years of age who meet the guidelines for VFC.
These guidelines include children who are medicaid eligible, uninsured, underinsured, or Native
American/Alaskian natives.
2% of the vaccine administered is state funded through the general revenue fund. The general revenue fund
(GRF) vaccine is used for children 18 years and under who are not eligible for VFC vaccine and have
insurance that applies the cost of the vaccine toward the deductible leaving the parent with high payment for
the immunizations. The GRF vaccine has been announced to end June 30, 2015.
The Billables Vaccine Project ended July 31, 2014. Since August 1, 2014, children, 0 thru 18 years, with
private health insurance are given vaccine purchased by the MCCCHD. The GRF continues to be used for
children whose insurance applies the vaccine cost towards a deductible.
The total received from the insurance reimbursement totaled $555,925.85.
The total payment to the Ohio Department of Health totaled $440,181.31.
The difference added to the Purchased Vaccine Account was $115,744.54.
*** For detailed information please see Appendix B
Projected Vaccine Cost for 2015 is $589,884.78
*** For detailed information please see Appendix C
The MCCCHD participated in the Strategies for Increasing Teen Immunization Rates (STIR) Grant. This was
a one year grant initiated by the CDC to increase teenage vaccine immunization rates. Tdap, Meningococcal
and HPV vaccines were targeted. Three Teen Immunization Education Sessions were given to vaccine
providers in the county. Three offices were assessed for immunization rates. Allen County Health Department
was the lead agency for Mercer County. Mercer County receives a maximium of $1950 from the grant.
In 2015, the MCCCHD is part of the Immunization Action Plan Grant (IAP). This is the first year MCCCHD has
participated. Auglaize county is the lead agency for this grant. The IAPgoal is to increase immunization rates
for childhood vaccines so that all children are immunized by two years of age. Mercer county will receive a
maximium of $22,100.
Bureau of Children with Medical Handicaps (BCMH)
BCMH is a program provided by the Ohio Department of Health that helps ensure quality healthcare for
children with certain eligible health conditions. In some cases, it is secondary to the family’s primary
insurance and in others, it is the only coverage these children have. Each county has a designated Public
Health Nurse to monitor and facilitate coverage of eligible children that reside in that particular county. This is
done through phone, email, home visit or whatever preferred method of contact is convenient for the family.
Home Visits: 37
Service Coordination Cases: 7
Average number of treatment cases: 128
Average number of diagnostic cases: 20
Help Me Grow Cases: 4
Total amount billed 2014
Total amount paid 2014
Total amount unpaid 2013
Amount adjusted off 2013
$32,770.00
$23,880.00
$8,930.00
$710.00
One example of a covered condition is Cystic Fibrosis (CF). This disease is genetic and causes issues with a
variety of bodily functions. CF causes thick mucus that makes breathing difficult and lung infections frequest.
The thick mucus also affects other organs, including the pancreas and liver. These children have difficulty
absorbing nutrients and require enzymes every time they eat. There are many medications needed to
counteract the effects of the disease and insurance does not always cover completely. CF children requeire
frequent visits to the doctor and often long hospital stays for lung treatments (clean outs).
The following is a letter written by the mother of a Cystic Fibrosis child.
“At just 18 days old, our precious son was diagnosed with Cystic Fibrosis. In the first couple of months we
were completely overwhelmed with having to learn about all the medications and treatments our son would
have to go through for the rest of his life, but the most stressful part was the financial aspect. Thanks to
BCMH, our son is able to have the quality healthcare he needs in order to live a long and healthy life. We are
grateful for the benefits provided to us by BCMH, because they help reduce our financial burden.”
School Nursing
The MCCCHD has school nursing contracts with Fort Recovery and St Henry School Systems.
Vision and Hearing Screenings are completed by an ODH trained RN.
In 2014, 1199 children were screened in the schools. Of these, 144 were referred for a complete assessment
by a specialist.
Child Fatality Review (CFR)
Child Fatatlity Review Board is a state requirement with the goal of initiating education or other changes in the
community to prevent childhood deaths. The Board is requeired to meet yearly to review the deaths of all the
children under the age of 18 years. The Board will review the deaths of three Mercer County children who
died in 2014. The main initiative is to raise awareness of deaths from unsafe sleep practices by educating
everone with an infant.
Ohio Buckles Buckeyes (OBB)
The Ohio Buckles Buckeyes program supplies new car seats to any infant/child that does not have an
appropriate Child Passenger restraint and is eligible for Women, Infant, and Child Services. MCCCHD has
two Child Passenger Safety Technicians that educated parents and taught installation for 51 seats. The
MCCCHD recognizes that motor vehicle accidents is the second leading cause of death in children 4-10
years old. Mercer County had 6 fatal crashes in 2014 and no childhood deaths from motor vehicle accidents.
Community Education
Education is the best way to keep a community healthy.
The MCCCHD participates in Community Events such as the Community Organizations Linked Together, the
Grand Lake Health Challenge, the Mercer Health Healthy Expo, and the Mercer County Fair. A
Communicable Disease Class for Child Care Providers is taught annually and includes both the initial course
and refresher course. Speaking engagements include Wright State Lake Campus, The Celina Manor, and St
Henry Preschool. The MCCCHD updates and works in coorporation with the physician offices, the
pharmacies, the long term heatlthcare facilities, the hospitals, and the schools in the Mercer County Area.
Julia Shaffer, RN BSN
Director of Nursing
419-586-3251 ext. 1279
jshaffer@mccchd.org
ENVIRONMENTAL DIVISION
Michelle Kimmel
Chris Miller
Preserving Our Community
Environmental Division – 2014 Summary of Prominent Activities
Besides keeping up with the routine inspections that are required by state regulations, such as
food service inspections, water well and septic system permitting and inspections, nuisance
investigations, solid waste inspections, and rabies prevention, the Environmental Division deals
with enforcement cases and changing regulations which require education of both the department
and the constituents that are impacted. This document will highlight those activities that
consumed a considerable amount of our focus this past year.
As evidenced in our statistical analysis of time / hours spent in various program areas, the
construction and demolition debris program showed significant increase in 2014. This is due to
the on-going enforcement case against Dumpsterman Container Service I New Source
Management, LLC located at 6980 Staeger Road, Celina. The operation is a self-proclaimed
recycling center, of which their original intent was to take in construction and demolition debris
material, which would be sorted and recycled. Such a facility is not required by state law to be
licensed and inspected since the waste brought in is not to be "disposed" there - only sorted and
marketed and moved out in a continual flow of materials. The continual flow of materials
is not happening - rather, the materials are brought in and added to piles, which have at the least,
remained static, if not continually increasing, in size. Due to numerous complaints received by the
department, and verified violations of the health department's property maintenance code, the
corporation was under orders from the Board of Health to remove accumulated materials which
meet the definition of "rubbish" under the Mercer County -Celina City Health Department Property
Maintenance Code by June 2, 2014. After the deadline, in which compliance was not achieved, the
case was turned over to the Mercer County Prosecuting Attorney. Court proceedings followed, in
which the corporation was given an additional 90 days to come into compliance, or face a
misdemeanor fine and possible contempt of court findings. The court's deadline (November 24,
2014) passed, also, with non-compliance. A second court proceeding produced the assessment of
the misdemeanor fine and a scheduled, compliance plan - accountable to the court for the next
few months with a final deadline of April 15, 2015. Throughout this scheduled compliance plan,
the Environmental Division will need to report to the court concerning the progress or lack thereof
toward clean up. Hopefully this situation is resolved by the time we report at the beginning of next
year! If Dumpsterman I New Source fails to comply and "walks away" from the issue, our focus
will turn to the current property owner, Strawn Investments, before any taxpayer dollars are used
to clean up the property.
The other main topic toward the end of 2014 was preparation for the implementation of the new
state sewage treatment regulations, which came into effect January 1, 2015. We have been
aware of this eventuality since 2007, when the former state sewage regulations were rescinded
by the state legislature. Many of the major aspects of the rule have not made a huge impact on
how systems are basically installed. We were already in compliance with the "no off- lot
discharge", EPA requirement. Since 2007 we have incorporated the soil evaluation survey
proposal. Therefore, the changes to systems installations going forward with the new rules will be
minimal. However, the biggest impact that we will see is the component of the new rule that
requires all counties to develop an operation and maintenance program for all the existing septic
systems in their jurisdiction. Thankfully, they have allowed flexibility on the timeframes for having
all systems under this program. We will be working on our plan during this upcoming year, and would
like feedback from groups such as the District Advisory Council as to the most reasonable
approach toward meeting this requirement.
As always, we thank townships, villages and city for your support to our department. Through
your contributions, we are able to provide the services described in this report. If you ever have
specific concerns, please feel free to contact us!
Michelle Kimmel, R.S.
Director of Environmental Health
Environmental Staff:
Michelle Kimmel, R.S. 419-586-3251, ext. 1274
Christopher Miller, R.S. 419-586-3251, ext. 1272
2014 Environmental Activities by Political Subdivision
Township / Village
Blackcreek
Burkettsville
Butler
Celina
Center
Chickasaw
Coldwater
Dublin
Fort Recovery
Franklin
Gibson
Granville
Hopewell
Jefferson
Liberty
Marion
Mendon
Montezuma
Recovery
Rockford
St. Henry
Union
Washington
Office entries - collective
Total Activities
# Calls / Trips
22
6
40
321
35
11
97
25
52
102
21
60
18
166
30
85
15
4
39
35
49
58
28
1865
3185
Environmental Program Inspections 2014
Food Services
Septic Permits / Inspections
Nuisances (all types) - 200 total hours
Private Water Systems - permits issued
Water Samples
Solid Waste Facilities (all types)
Schools
Manufactured Home Parks
Campgrounds
Pools
Tattoo / Body Piercing Establishment
707
177
84
61
125
14
32
23
15
44
2
Total Hours
128
Environmental Program Hour Allotment
Environmental Concern
Hours spent
719
Household Sewage Treatment
123
Emergency Response
Training
379
Private Water Systems
83
Water Sampling
114
Rabies Control
68
Real Estate Inspections
19
Landfill
12
Transfer Station
3
Infectious Waste
24
Solid Waste District
132
Construction & Demolition
12
Compost facilities
80
General solid waste
12
School Buildings
50
Mobile Home Parks
59
Campgrounds
48
Swimming Pools
59
Temporary Food Operations
42
Mobile Food Operations
734
Food Operations
8
Vending machines
25
Tattoo issues
47
Infectious Disease / Zoonotic
411
Environmental comprehensive
136
General office assistance
Total Hours
3371
Billables Vaccine Project
APPENDIX B
The Billables Vaccine Project was initiated March 7, 2013 and completed July 31, 2014. The following table is
a composite of the immunization efforts through billing private insurances for the cost of the vaccine and does
not include administration fees. This was a pilot program managed by the Ohio Department of Health. The
main purpose of the pilot program was to help Ohio Public Health Departments develop private billing practices
and funds enabling the Health Department to be self-sustaining in billing private insurance for private
purchased vaccines for all children, 0 thru 18 years, covered by private insurance.
2013 Month
January
February
March
April
May
June
July
August
September
October
November
December
2014 Month
January
February
March
April
May
June
July
Insurance
Reimbursement
ODH
Payment
difference
$19,538.43
$28,559.55
$28,980.51
$36,781.44
$46,048.91
$60,255.24
$26,362.60
$28,338.90
$28,260.51
$27,251.47
$15,980.54
$23,157.10
$23,725.45
$29,209.89
$36,547.99
$47,356.72
$20,905.49
$22,713.40
$22,559.29
$21,562.95
$3,557.89
$5,402.45
$5,255.06
$7,571.55
$9,500.92
$12,898.52
$5,457.11
$5,625.50
$5,701.22
$5,688.52
$35,263.86
$25,331.41
$34,202.51
$34,884.83
$29,653.85
$35,286.60
$30,925.23
$28,125.36
$20,117.26
$26,596.34
$27,470.34
$23,180.34
$27,008.61
$23,964.24
$7,138.50
$5,214.15
$7,606.17
$7,414.49
$6,473.51
$8,277.99
$6,960.99
Total difference added to the Purchased Vaccine Account:
$115,744.54
2015 Projected Vaccine Cost
Purchased Vaccine
APPENDIX C
Doses
Administered
Project Cost
DI Kinrix
251
$11,935.05
DHI Pentacel*
666
$38,941.02
Dtap Daptacel
235
$4,415.65
HAV-HBV Twinrix
169
$9,911.85
Hepatitis A Adult 1cc
143
$7,561.84
Hepatitis A Ped 0.5cc
940
$22,043.00
Hepatitis B ped 0.5cc
29
$332.92
Hepatitis B Adult 1cc
69
$2,841.42
HIB
832
$14,842.88
HPV gardasil*
634
$87,637.82
Menactra
464
$46,061.28
MMR
581
$33,134.43
32
$2,143.68
prevnar 13
862
$120,680.00
Rota rotateq
495
$34,278.75
5
$116.60
Tdap Adacel
752
$24,206.88
Var varivax
809
$77,413.21
Zostavax
78
$13,357.50
Trumenba*
20
$2,315.00
IIV4 0.5cc (Influenza)
800
$14,320.00
IIV4 0.25cc (Influenza)
200
$3,500.00
High dose (Influenza)
350
$10,346.00
LAIV (Influenza)
400
$7,548.00
PNE pneumovax 23
Td
Total Vaccine Cost
$589,884.78
The Price of Prevnar 13 is an average cost for the year. In June the price is expected to increase.
At this time, ODH will not be providing non-vfc influenza vaccine for the 2015-2016 season.
Trumenba is a new product coming onto the market in 2015. ACIP guidelines are not completed.
Gardasil will be replaced with HPV 9 at an unknown price.